Care Coordination

At Aunt Martha’s, care coordination doesn’t enhance our work, it drives our work.

care-coordination-infographicCare coordination is opening doors for the people we serve. It is a team-based approach to improve the health and well-being of our clients and patients by bridging gaps, overcoming barriers and facilitating the delivery of the right services at the right place at the right time.

Care coordination inherently focuses on providing our patients a seamless, high quality experience.

It pushes our staff to seek out innovative solutions. And it places great value on our ability to collaborate – to work together with one another and with the broader provider community to respond to the needs of the people we serve.

Aunt Martha’s has the advantages of having been a first mover in care coordination, enabling us to capitalize on trends that have now become the underpinning of health care reform. With this as a core strength, we are positioned to succeed in the coordinated health care market that has emerged, and we are positioned to be an even more highly valued organization as the concept of tightly coordinated care moves from best practice to federal mandate.

Care Coordination at Work


They don’t have to worry about missing the first day of school because they still haven’t gotten their dental exam or their physical. They have a parent or a family member who worries about these kinds of things for them. They have someone who makes sure they get in to see the doctor when they’re sick. They have someone who makes sure they are taken care of.

Sadly, for many children in Illinois, this is not the case.

Every year, there are hundreds of abused and neglected children who are removed from their homes in Cook County alone. The State requires that every one of those children receives comprehensive health care services; and that their first visit to the doctor’s office takes place within 24 hours of a child entering custody and before placement into substitute care.

It’s Aunt Martha’s job, as the lead agency of the HealthWorks of Cook County program, to make sure these children get the care they need. Our staff is responsible for recruiting primary care physicians and specialty care providers; training the medical case management agencies, DCFS staff, substitute caregivers and providers about the HealthWorks system; and managing the exchange of information between agencies.

It’s Aunt Martha’s job to coordinate services for some of Illinois’ most vulnerable children at the exact moment when they are at their most vulnerable. We believe that every patient and client deserves to be treated with the same level of compassion as these children.