Phase 1.3 – The Cores

With the conclusion of the Learning Collaborative, a new phase launched. Originally planned by the Design Committee early in the process, three Cores were formed to move the endeavor forward. The Data Core, Programmatic Core, and Administrative Core continued the work started by the Learning Collaborative, as the mission remains to identify and create pathways aimed at addressing Nonmedical Factors Impacting Health (NMFIH) in South Carolina. 

The Data Core’s vision has centered upon robust data sharing processes among organizations such as healthcare systems, community-based organizations (CBOs), social service agencies, and more. They envision a statewide, data-integrated, case referral management platform with closed loop referral capabilities.  

The Programmatic Core has focused on community collaboration with multi-sector partnership. They cite the capacity building of community organizations as an essential part of this work. Likewise, they identify poor communication and working in silos as challenges to addressing NMFIH in SC. Finally, the Programmatic Core endorses finding sustainable funding sources, such as payment arrangements between hospitals and CBOs.  

The Administrative Core’s effort has concentrated on financing mechanisms to support NMFIH work. These mechanisms include braiding/blending funding from various sources such as operational funds, managed care organization (MCO) funds, grants, and government funding. This Core has examined funding sources that were common in other states, and researched models such as value-based payment models, the Alternative Payment Models Framework and more.