Many towns, cities, counties and regions have local networks of providers, who refer back and forth and work together to coordinate supports for the individuals who live in the community. No Wrong Door is designed to augment this important work, providing electronic tools to make it easier to work together and safer to share information.
No Wrong Door is a person-centered system and statewide network of local partnerships, serving older adults, caregivers, individuals with disabilities, veterans and families. Health and social service community groups and coalitions recognize that people, who need long term services and supports, often begin the process from a number of perspectives. A person being discharged from the hospital may need extra help at home or transportation to physical therapy. A person with a physical or intellectual disability, who has lived at home with parents, may need support as they seek to live independently in the community. A person with dementia, who loses a spouse, may suddenly need outside support to stay in their home.
Communities strive to bring together providers to collaboratively support individuals and families, as they seek services through a number of different doors. While relationship-building and protocols can boost coordination efforts, No Wrong Door offers a unique electronic tool that literally links these partners together, enabling them to securely share personal information, with consent, in order to expedite access to services and supports.
No Wrong Door is a reflection of the philosophy that drives these community groups, recognizing that each person is unique, with individual needs, on their own journey to seek long term support. Regardless of where an individual starts, No Wrong Door partners can help them better understand and access their options and support their decision-making process.
The No Wrong Door System allows providers, who are serving the same individual, to securely share personal-level data between partners, eliminating the need to collect the same information over and over again. The cornerstone of No Wrong Door is an electronic tool called CRIA (pronounced “cree-yah,” which stands for Communication, Referral, Information and Assistance).
Using CRIA, No Wrong Door partners can make electronic referrals to each other, with the click of a button. With consent, the referral includes all the information needed for the “receiving partner” to begin working with the individual immediately. Just imagine how much time it could save if all the partners in your community, who were serving the same individual, could have this information at their fingertips.
Imagine if providers could see a snapshot of the status of all of their referrals at any given time, to track what is happening to an individual across partners and over time. Imagine how much your community could expand capacity, if all the partners, already trying to coordinate services, could leverage this technology. All of this is possible within the No Wrong Door System, when an individual provides their consent to share information, and community partners are using CRIA.
For communities, No Wrong Door can stretch funding and build capacity, serving more individuals with limited resources. By connecting individuals more quickly to the services they need, more serious needs may be avoided. No Wrong Door helps facilitate coordinated efforts when individuals may be at highest risk for declining health or institutionalization, for example, when someone is transitioning from a hospital back to their home, or moving back to the community after rehabilitation at a nursing facility.
No Wrong Door enhances communication and coordination between community partners and can even attract additional partners to collaborative efforts. Considering the demographic shifts we are experiencing as we serve an increasing number of older adults and individuals with disabilities, and a strong and growing preference by individuals to stay in their home and community as they age, never before has it been so important to leverage technology to help our communities stretch resources. The No Wrong Door System helps partners to work more efficiently, saving time and money; track individuals served across providers; and access valuable data.
The No Wrong Door System operates under the federal guidelines of HIPAA and the state guidelines of the Office of the Attorney General, together overseeing policies for the exchange of personally identifiable Information (PII) and personal health information (PHI) between providers. In order for personal information to be shared in the No Wrong Door System, Virginia’s uniform consent form must be signed by the individual, directing which providers have permission to see their personal information. It is always an individual’s choice to allow a provider to share or not to share their information. An automated function within the system tracks which partners have consent. No Wrong Door data is protected by both technology safeguards and partner agreements, governed by the Office of the Attorney General, policies of the Commonwealth, and a Statewide Resource Advisory Council.