b'CONTINUITY OF CARE NCCARE360 Access to nutritious food, safe housing, reliable transportation and other social drivers is critical to achieving health equity and improving patient outcomes. As THN care guides and other providers assess patients social determinants of health, they can use NCCARE360the nations first secure, real-time statewide coordinated care networkwithin the electronic medical record to learn about available resources. Through the NCARE360 dashboard, nurses, licensed clinical social workers and others can identify and reach out to local community organizations using an instant messaging feature to obtain support for patients non-medical needs. Real-time referrals ensure resources are available. Updates let referring providers know patients receive timely assistance.NCCARE360 was founded on the premise that when patients see a provider, various factors affect their health and well-being. This platform goes beyond traditional medicines walls to build an innovative bridge to the community using a referral system based on patient need.Brooks Ann McKinney, MSW, THNs Director of Vulnerable Populations13'