The UniteWI, a Pathways Community HUB, has been initiated to significantly improve social and health outcomes through the reduction of social risks in Milwaukee. UniteWI aims to expand and extend its services and reach to communities in the surrounding counties in order to address overall health disparities, improve population health, and reduce excess rates of infant death. We address this overal
l disparity by ensuring care coordination services are available to address the social and health needs of the population. The HUB infra-structure provides tools and strategies needed to ensure that at-risk individuals in a community are served in a timely, coordinated manner, and utilizes a trained and expanding community health worker (CHW) workforce to do so.