Community Care Network

Take charge of your health.


We get it — managing a chronic illness is challenging. You have multiple doctors, each with their own recommendations and expectations. You have a rather complicated list of medications and orders to “eat better and exercise.” You have good intentions to take better care of yourself, but where do you start?


Marshall’s Community Care Network, (CCN) was developed to help people coordinate their healthcare even after they get home from the hospital. You’ll have a team of professionals such as social workers, registered nurses, RN case managers, pharmacists, diabetes educators, dietitians, home health nurses and others to help you navigate your path to improved health. Not to mention dedicated clinical and medical directors that will oversee your needs to make sure the team supports your goals and your physicians’ plan of care.

View our recent video which explains the program and interviews the staff and clients:


  • While you’re at Marshall Hospital, you’ll get a visit from either Penny Lehrman, RN, Clinical Director, William Klas, MD, Medical Director, or other CCN team members. They will assess your health history, get to know a little more about you and explain the Community Care Network.
  • There is no cost to participate in the CCN program. The decision to do so is voluntary.
  • If you decide to participate, a program representative will work with you to figure out your goals for your health and help you develop a way to get there.
  • Based on your needs, we’ll assemble a team that will be part of your care and recovery. This team will be your support system. Need help with meal planning? You’ll have a dietitian by your side to show you the ropes. We may even take a trip to the grocery store with you to help you select healthier options. Want to start an exercise program? Let us map a walking route near your home or go with you to the gym. Do you have difficulty getting to medical appointments? One of the team members will plan a way to help get you there!

The Community Care Network extends the reach of health care professionals from the hospital all the way to your home, providing the services necessary for you to get the help you need to reach your goals. You’ll receive better health outcomes, better care and help us lower healthcare costs by keeping you well and out of the hospital.


Who can participate in the Community Care Network?

Currently people identified as being at high risk for readmission due to chronic disease are invited to participate. These people are often the highest users of healthcare.  They will be referred by RN Case Managers or by their own healthcare provider.

Is the Community Care Network insurance based?

The program is voluntary and is open to all people regardless of insurance status. There is no charge for the service.

How long is the program?

There is no set timeframe for participation in the Community Care Network. People will receive care from the network as long as it is beneficial to them.

What if I don’t want to participate in the program?

The Community Care Network is totally voluntary. People must consent and agree to be part of the program.

For more information about the Community Care Network, call 530-626-2745.

The Community Care Network offers assistance to special patients who find themselves frequently needing the resources Marshall offers for healthcare.  The caring network of physicians, nurses, social workers and other compassionate individuals offers a culture of caring and commitment to each patient’s exceptional needs.  It provides a kindhearted approach that is gentle and empathetic as each patient travels the difficult road of health challenges.