Health Network

Improving Continuity of Care

If you answered "yes" to any of these questions, Health Network was designed to assist you!

Clinicians serving mobile populations face unique challenges for care delivery and follow–up. Some of the challenges are high rates of ”no–shows“ and lost to follow–up and limited availability of a complete medical history. Many clinics offer outreach services and mobile clinics to be able to serve their population of focus. Nevertheless clinics are still unable to provide patients with appropriate follow–up, and lose track of them as soon as they move to a new location, especially if there is no Community Health Center in the new area. For the last eight years MCN has worked to address the unique challenge of mobility by creating a system by which clinicians can follow–up their patient and patients can have appropriate continuity of care.

MCN Health Network Programs

MCN’s Health Network provides free continuity of care services to address those challenges through the following programs:

TBNet For patients with active or suspected tuberculosis, latent TB infection, and/or HIV.
CAN-track For patients screened, in need of screening, or receiving treatment for breast, cervical and colon cancer.
Diabetes Track II For patients living with diabetes of pre-diabetes.
Prenatal For patients throughout their pregnancy, up until their six-week postpartum visit, to ensure no gaps in their health car.

Enrolling a patient is as easy as 1, 2, 3

Ask your patient to sign the consent form so that we can contact him or her and transfer his or her medical records
(consent forms are available in English, Spanish, Portugese and Creole).

Fill out the patient information sheet or put the patient on the phone with us and we will fill out the information for you.

Send us the patient information form and consent form along with the patient’s medical records
(via secure fax: 512-327-6140, or encrypted email)

All forms for enrollment can be found HERE.

That’s it…we will take it from there. If your patient moves, Health Network staff will contact the patient to assist him or her with locating a health center in his/her new area, and, if necessary, assist with scheduling an appointment for the patient. Medical records will be transferred and then gathered as a result of that follow-up, and forwarded back to the enrolling clinic.