This may include basic requirements for post-discharge recovery such as food, lodging and transportation, as well as more specialized types of support for patients struggling with chronic disease management. The CivicHealth software solution addresses the most pressing issues facing clinical and non-clinical organizations including care coordination, outcomes-based reimbursement, avoidable readmissions and appropriate emergency department utilization. Software solutions from CivicHealth are used by communities to improve access to care, coordinate human services and deliver case management for underserved populations. With more than a decade of experience in 30 communities nationwide, the CivicHealth solution offers a cost-effective network to integrate and coordinate care between multiple organizations and providers, using disparate technology platforms, across the continuum of care. By bridging the gap between healthcare providers and social services, CivicHealth enables comprehensive, cost-effective care coordination and management.