A knowledge base for Connected Care Community Health Workers and programs implementing the Connected Care model across Oregon.

Developed by the Columbia Gorge Health Council, a nonprofit organization that partners to deliver services to patients in rural Hood River and Wasco Counties, Oregon.

About Connected Care for Older Adults

Connected Care for Older Adults embeds community health workers (CHWs) in rural primary care clinics to deliver age-friendly care to adults 55 and older who are experiencing increasing frailty. The program is built around the 4Ms framework β€” What Matters, Medication, Mentation, and Mobility β€” and is designed to extend clinical capacity to better serve older adults.

CHWs work directly with patients to understand their goals, connect them to services and supports, and flag concerns back to the care team.

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Are you a CHW working with Connected Care?

Start with the CHW Learning Pathway β†’ to begin your onboarding.

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Are you setting up a new Connected Care program?

Start with For Programs β†’ About the Connected Care Model

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Connected Care Protocols

Reference guides for all five protocols β€” What Matters, Advance Directive, Medication, Mentation, and Mobility. β†’ Go to Protocol Library

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Resource Library

A directory of resources by topic β€” from Advance Directives to Transportation β€” for CHWs supporting older adults. β†’ Go to Resource Library

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Not sure where to start?

If you are a CHW beginning your onboarding β†’ start with the CHW Learning Pathway.

If you are setting up a new Connected Care program β†’ start with About the Connected Care Model inside For Programs.

If you are looking for a resource for a patient β†’ go to the Resource Library and scan by topic.

Jump Directly to a Resource

Already know what you're looking for? You can navigate directly to it here.

πŸ“šCHW Learning Pathway

Resource Library

Resource Database

Protocol Library

Protocol Database

Version 1.0 β€” Updated September 2026 β€” connectedcareforolderadults.org