Population Health

Health care happens inside and outside the exam room, Unity Care NW’s innovative Population Health department addresses the variety of factors that affect the overall health of the people and communities we serve.

We recognize that health outcomes are not just the product of individual behaviors or predispositions. They are also shaped by the conditions in which we live, work, learn, and play. Our Population Health team’s focus on advancing health equity is an invaluable component of our whole-person care model and our vision that everyone has the opportunity to live their healthiest life.

Patient Engagement Support

The Patient Engagement team addresses health disparities by providing uniquely tailored supports to patients who are falling through the cracks. Our programs focus on supporting patients to be engaged in their healthcare, exploring all aspects of life that influence health, well-being and advocating for improvements to the UCNW healthcare system that improve the experience of care for all.

  • Community Health Workers connect vulnerable patients, who have a harder time accessing care — including patients who are experiencing homelessness — with necessities like housing, transportation, and groceries.
  • A Hospital Community Connector is stationed at Peace Health to help link frequent ER visitors with a patient-centered primary care home, creating a continuity of care that can drastically improve health outcomes.


Outreach & Enrollment

The Outreach and Enrollment team helps make healthcare available and affordable for all by helping clients navigate the Health Care Exchange set up by the Affordable Care Act to get access to health insurance.  Outreach and Enrollment Specialists are experts in Medicare and Medicaid and can help Unity Care NW patients apply for sliding fee discounts that enable them to live healthier and happier lives.

Health Promotion

Using evidence-based strategies, Health Promotion team empowers patients to prevent and treat chronic diseases by teaching foundational culinary skills, promoting healthy lifestyles, and applying individualized information mindful of tastes, culture and budget. Yoga, Qi Gong and Nutrition classes are available online here.

Quality Improvement

The quality improvement team uses evidence-based practice, data analysis, and process improvement principles to optimize patient care and outcomes through nurse-led care management and program assessment, in collaboration with other stakeholders.

Quality healthcare is:

  • Safe
  • Effective
  • Patient-Centered
  • Timely
  • Equitable
  • Efficient

You can help ensure that everyone can access to the services they need!