This website uses cookies to store information on your computer. Some of these cookies are used for visitor analysis, others are essential to making our site function properly and improve the user experience. By using this site, you consent to the placement of these cookies. Click Accept to consent and dismiss this message or Deny to leave this website. Read our Privacy Statement for more.
Community e-Connect

Community e-Connect

Return to the homepage of the Cardiovascular Health program


Achieving Successful Bi-Directional Electronic Referrals

NACDD is currently working with seven states utilizing their 1815 and/or 1817 funding to implement Community e-Connect. 

Community e-Connect is a bi-directional linkage between clinical electronic health records (EHRs) and community-based organizations (CBOs). A one-page overview of the project can be found here, and a more detailed overview of the project process is available here (.pptx). 

These graphics depicting the flow of information and the data sharing process should also provide helpful context.   

States can determine their readiness to participate using this assessment

Community e-Connect directly supports the following strategies and activities outlined in CDC-RFA-DP18-1815PPHF18: 

A.6. Implement strategies to increase enrollment in CDC-recognized lifestyle change programs Diabetes Management and/or Type 2 Diabetes Prevention
B.7 Implement systems to facilitate systematic referral of adults with hypertension and/or high blood cholesterol to community programs/resources 

Community e-Connect may also impact these strategies and activities in CDC-RFA-DP18-1815PPHF18: 

A.3. Increase engagement of pharmacists in the provision of medication management or DSMES for people with diabetes
A.4. Assist health care organizations in implementing systems to identify people with prediabetes and refer them to CDC-recognized lifestyle change programs for type 2 diabetes prevention
B.5. Develop a statewide infrastructure to promote sustainability for CHWs to promote management of hypertension and high blood cholesterol

For more information about Community e-Connect, please contact Susan Svencer,

National Association of Chronic Disease Directors
325 Swanton Way
Decatur, GA 30030
(770) 458-7400
Hours of Operation: Mon. - Fri., 8 a.m. - 4:30 p.m.