HUB Model Overview


The Pathways Model is a tool that can, if properly used, shift the focus of the health and human service system from activity driven work to confirmed risk reduction work products focused on outcomes. Pathways are unique in that the outcomes are tracked at the level of the individual being served.  It is the sum of the individual outcomes that will begin to impact the persistent problem of health disparities. Each step of the Pathway addresses a clearly defined action towards problem resolution. Many steps deal with social and cultural issues, and these steps are just as important as the traditional activities of the health and human service systems. 

Pathways have been developed for many issues, including homelessness, pregnancy, medical home, immunizations, lead exposure, and childhood behavior issues, just to name a few.  One client (or patient) may be assigned to many different Pathways depending on the problems identified.  At first glance, Pathways may resemble clinical guidelines or protocols. They are, however, quite different. In a protocol, accountability is not in a specific sense taken into consideration.  If the patient does not show for follow-up appointments or the medication is not being taken correctly, then the provider is not held accountable as long as he/she followed the protocol. This is not the case in a Pathway. The Pathway is not considered complete until an identified problem is successfully resolved. 


The Pathways approach allows communities to build a pay for performance system, and is a platform for health plans, health systems, providers, foundations, and community groups to collaborate {effectively}. Data can be shared across systems to measure and control costs and document risk reduction and health results. National certification is now possible for Pathways Community HUBs to ensure quality and increase access to sustainable funding streams.