Community Health Integration Software That Brings Care into the Community
SDOH assessment, community referral tracking, CHW documentation, and care coordination for the Medicare CHI program.
What the CHI Program Covers
The Community Health Integration program supports care management services delivered by community health workers (CHWs) and care coordinators operating under the supervision of a billing provider. Services include:
- Social determinants of health screening and assessment
- Community resource identification and referral
- Navigation of health and social service systems
- Care coordination between clinical and community settings
- Patient advocacy and health literacy support
- Follow-up on community referrals and service utilization
How Accelerate Supports CHI
SDOH Screening Integration
AHC-HRSN, PRAPARE, and other validated tools built into the encounter workflow. Domains covered: food security, housing stability, transportation, utilities, social isolation. Results structured and scored.
Community Referral Tracking
Every referral tracked: need identified, resource referred to, referral date, outcome. Unresolved referrals auto-generate follow-up tasks so nothing falls through.
CHW Activity Documentation
Community health workers document patient interactions — home visit notes, phone contacts, accompaniment, care navigation — directly in Accelerate with time, activity type, and outcome.
Care Plan Integration
CHI activities flow into the patient's broader care plan. When the primary care provider reviews the care plan, they see the full picture: clinical care plus community support activities.
Running a community health worker program and need better documentation infrastructure?
Accelerate brings structure to CHW documentation, referral tracking, and SDOH follow-up — so your program has a defensible record at billing time.
Frequently Asked Questions
What care activities can be documented through Accelerate's CHI workflows?
Accelerate supports SDOH screening and assessment, community resource referrals, home visit notes, care navigation, accompaniment documentation, care plan coordination, and follow-up on referral outcomes.
Does Accelerate include SDOH screening tools for CHI?
Yes. Accelerate integrates AHC-HRSN and PRAPARE. Screening results are documented, scored, and linked to the patient's CHI care record and referral workflow.
How does Accelerate track community referral outcomes?
Accelerate's referral management workflow records every community referral with the identified need, referred resource, referral date, and follow-up outcome. Unresolved referrals generate follow-up tasks.
Can community health workers document patient interactions directly in Accelerate?
Yes. Accelerate supports CHW-specific workflows with role-based access. CHWs document patient contacts, home visits, and community care activities from any device — with supervisor review and oversight sign-off workflows included.
Can Accelerate support both CHI and other care management programs for the same patient?
Yes. Accelerate manages CHI alongside AWV, CCM, RPM, BHI, and other programs in a unified patient record.
Disclaimer: Accelerate is a clinical workflow and documentation platform. It does not provide medical advice, coding advice, or legal compliance guidance. Reimbursement results vary by practice, payer, and patient population. Practices are responsible for ensuring their billing and coding decisions comply with applicable Medicare program requirements, CMS guidance, and payer policies. Nothing on this website constitutes a guarantee of payment or reimbursement.