ABOUT US

Chasci team member sitting with patient talking to a doctor at a desk

On-The-Ground Experience. Tools To Break Through.

As a training and policy center at RUSH University Medical Center since 2008, we know firsthand how health and social care can work together for a much better patient experience. Hands-on training with CHaSCI is a path to fewer barriers and better care for more people.

Headshot of Robyn Golden

Robyn Golden, MA, LCSW, ACSW

Associate Vice President of Social Work and Community Health

Chair of the Department of Social Work at Rush University Medical Center

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Robyn Golden

Robyn Golden serves as the Associate Vice President of Social Work and Community Health and Chair of the Department of Social Work at Rush University Medical Center. She is the Co-Director of Rush’s Center for Excellence in Aging and the Center for Health and Social Care Integration. She is responsible for developing and overseeing health promotion and disease prevention, mental health, care coordination, and complex care models for many vulnerable populations such as older adults, family caregivers, people with chronic conditions, and those who are unhoused.

For over 35 years, Robyn has been actively involved in service provision, program development, interprofessional education, research and public policy aimed at developing innovative initiatives and systems integration to improve health and well-being.  Robyn serves on the RRF Foundation for Aging and the Health and Medicine Boards of Directors. She was the John Heinz Senate Fellow for Senator Hillary Rodham Clinton, and she is a Past Chair of the American Society on Aging.   Robyn has received the Knee/Wittman Outstanding Achievement Award from the National Association of Social Workers Foundation, the Gerontological Society of America’s Maxwell A. Pollack Award for Productive Aging, and the American Public Health Association’s Insley-Evans Public Health Social Worker of the year award. She founded and chairs the Coalition for Social Work and Health and served as a member of the National Academies of Sciences, Engineering, and Medicine (NASEM) committee studying the integration of social needs care into the delivery of health care.

She is a National Association of Social Workers—Social Work Pioneer and a fellow of the Gerontological Society of America and of the American Academy of Social Work and Social Welfare. Robyn holds a master’s degree from the University of Chicago and a bachelor’s degree from Miami University.
headshot of Walter Rosenberg

Walter Rosenberg, MSW, MHSM, LCSW

Director of Social Work and Community Health at Rush University Medical Center

Associate Professor in the Rush University College of Health Sciences

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Walter Rosenberg

Walter Rosenberg is the Director of Social Work and Community Health at Rush University Medical Center and Associate Professor in the Rush University College of Health Sciences.  He provides operational and strategic leadership, with a focus on care management, population health, home-based primary care, social care reimbursement, program evaluation, and health equity. Walter is also the co-director of the Center for Health and Social Care Integration at Rush (CHaSCI), where he directs its strategic planning, sustainability, and national training initiatives.

Walter is the past president of the Illinois Chapter of the Society for Social Work Leadership in Health Care and serves on the advisory boards of the Dominican University Graduate School of Social Work and the Society for Social Work Leadership in Health Care.  He served on the 2021 EHR Care Coordination Committee of the National Quality Forum, was the 2018 Social Work Leader of the Year in Illinois, and a 2017 Hartford Foundation Practice Change Leader.  He enjoys reading, gardening, cooking, drumming, and walks on the beach of moderate length.
Headshot of Bonnie Ewald

Bonnie Ewald, MA

Managing Director of CHaSCI

Manager of Strategic Development and Policy

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Bonnie Ewald

Bonnie Ewald (she/her) is the Managing Director of CHaSCI and Manager of Strategic Development and Policy for Rush University Medical Center’s Social Work and Community Health department. In this position, she leads several program development, training, and policy advocacy initiatives related to integrating health care and social services in collaboration with internal and external partners. Bonnie also assists with department-wide grant development, leads a team of AmeriCorps members, leads ]policy initiatives via Rush’s Center for Excellence in Aging, and serves as an assistant professor in Rush’s Department of Social Work and as adjunct faculty in Rush’s Health Systems Management department. Bonnie co-chairs the billing and coding workgroup for the Partnership to Align Social Care and serves as a member on several committees including the policy committee for West Side United, the Advisory Council for the Chicago Area Schweitzer Fellows Program, the conference advisory committee for the National Center for Complex Health and Social Needs, the HMPRG Aging Equity Center Advisory Committee, and the American Society on Aging’s Policy Committee.

Bonnie has her master’s degree in public policy studies from the University of Chicago (2018), a post-graduate certificate in Sustainable Urban Design from Archeworks (2013), and a bachelor’s in mathematics and geography from the University of Wisconsin (2011).
Headshot of Lizzi Chandler

Lizzi Chandler, MSW, LCSW

Manager of Clinical Excellence and Training

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Lizzi Chandler

Elizabeth (Lizzi) Chandler (she/her) , MSW, LCSW is the Manager of Clinical Excellence and Training within the Department of Social Work and Community Health of Rush University Medical Center. Lizzi is also the Senior Manager of Training and Site Engagement with the Center for Health and Social Care Integration (CHaSCI), providing clinical and training support to health systems and community-based organizations across the nation as they implement CHaSCI Care Models.

Lizzi serves as an Instructor in Rush University’s Department of Social Work and teaches an Issues in Counseling course to fellow healthcare providers in speech-language pathology and audiology. Lizzi holds a Master of Social Work from DePaul University in Chicago, IL and Bachelor of Arts in Psychology from DePauw University in Greencastle, Indiana.
Headshot of Teresa Moro

Teresa Moro, PhD, AM, LSW

Health Services Researcher at CHaSCI 

Assistant Professor 

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Teresa Moro

Dr. Teresa Moro (she/her) is a Health Services Researcher at CHaSCI and an Assistant Professor in the Department of Social Work in the College of Health Sciences at Rush University Medical Center. Dr. Moro is leading several projects exploring workforce development with social workers and community health workers. Her work focuses on improving health and healthcare delivery for people with multiple chronic conditions, older adults, and people with intellectual and developmental disabilities by addressing social as well as medical factors. The goal is to make a disability friendly healthcare system a reality and to bring greater attention to the unique needs of people aging with a disability.

Dr. Moro has published numerous peer-reviewed papers and op-eds as well as presented at both national and international conferences in social work, nursing, medicine, and public health. She is also a board member of the National Task Group on Intellectual Disabilities and Dementia Practices working on research and educational development.
headshot of Alyssa McFadden

Alyssa McFadden, MSW, LSW, MT-BC

Research and Policy Associate at CHaSCI 

Program Coordinator

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Alyssa McFadden

Alyssa McFadden (she/her) is a Research and Policy Associate at CHaSCI and a Program Coordinator within the Social Work and Community Health Department and the Center for Health and Social Care Integration at RUSH University Medical Center. Within this role, she supports a variety of research and evaluation projects exploring the efficacy of social care with a variety of populations. Alyssa also assists with policy advocacy initiatives and grassroots organizing focused on the integration of health care and social services. Prior to working with RUSH, she maintained a clinical practice as a board-certified music therapist while contracting as a research assistant on a variety of music and wellness-based research projects.

Alyssa has her master’s degree in social work from the University of Chicago at Urbana-Champaign (2022) and her bachelors in music education with an emphasis in music therapy from the University of Kansas (2017). In addition to her current work, Alyssa holds volunteer positions with the Illinois Association for Music Therapy and the International Association for Premenstrual Disorders.
Headshot of Teresa Berumen

Teresa Berumen

Senior CHW Trainer for CHaSCI

CHW Supervisor in the Office of Community Health Equity and Engagement (CHEE)

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Teresa Berumen

Teresa Berumen (she/her/ella) is a  Senior CHW Trainer for CHaSCI and a CHW Supervisor in the Office of Community Health Equity and Engagement (CHEE) at RUSH University Medical Center. Teresa was instrumental in developing and implementing a community health worker program and serves as the day-to-day lead for the team. Teresa and her team conduct social determinants of health screenings primarily in the emergency department as well as provide assistance in applying for public benefits and connection to community resources. In her role, Teresa has also trained Community Health Advocates for Blue Cross of California and serves as an advisor to Rush University students working to assist community members with social needs.  Teresa is proud to serve as Chair of the Illinois Community Health Workers Association. 

 

Teresa formally began her career as a Community Health Worker in 2014 at Enlace Chicago. While at Enlace, she served as the ACA Enrollment Assister and developed a robust team of community health workers. She also served as community resource educator at Saint Anthony Hospital. Additionally, Teresa previously served as a member of the Illinois Community Health Worker Advisory Board in 2014. This Board, commissioned by the Illinois Department of Public Health, was tasked with defining the needs of the CHW workforce for the State of Illinois.  Proud of her Durango, Mexico heritage, Teresa immigrated to the United States with her family when she was a teenager.  Teresa has completed coursework at Loyola University Chicago in Communications and resides in Chicago with her family.

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Ebony Henderson

Lead Community Health Worker 

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Ebony Henderson

Ebony Henderson (she/her) is a Lead Community Health Worker within the Office of Community Health Equity and Engagement at Rush University Medical Center. In this position, she supervises a team of Community Health Workers who lend their expertise in various areas of community outreach, coordinates community events and foster partnerships with local Community-based organizations. Ebony is also a trainer for internal and external partners for Community health Workers, Mental Health First Aid, and facilitates workshops for the Chronic Disease Prevention programs.

 

Ebony has an Associates of Applied Science which she used as a Medical Assistant previously at St Vincent’s Hospital system in Indianapolis. Ebony has also completed course work through Malcolm X College receiving her certificate as a Community Health Worker.

Headshot of Yessenia Cervantes-Vázquez

Yessenia Hafeezah Cervantes

Lead Community Health Worker

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Yessenia Cervantes-Vázquez

Yessenia Cervantes-Vázquez is a bilingual Lead Community Health Worker in the Health Promotion and Disease Prevention team (Rush Generations) within the Social Work and Community Health Department at Rush University Medical Center. In this role Yessenia provides direct patient and community member chronic disease self-management health education and social support resource connection. Yessenia also collaborates with various community partners to implement evidence-based programs (EBP) in their community and train other CHWs to become workshop facilitators. Yessenia is a Master Trainer of SMRC evidence-based programs and a Mental Health First Aid Instructor. She also plays a role with the Medicaid Breast Cancer Quality Improvement Initiative through Equal Hope. She is also  a trainer with Center for Health and Social Care Integration (CHaSCI) at Rush and  a member of the Rush Immigrant Health Working Group.

Lin Mei

Program Coordinator

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Lin Mei
Xiao Lin Mei (she/her), who goes by Lin, is a Program Coordinator with the Center for Health and Social Care Integration (CHaSCI) at RUSH University Medical Center. In this role, she coordinates the AmeriCorps program and supports CHaSCI’s program operations, community partnerships, and strategic initiatives.

Prior to joining RUSH, Lin worked in community engagement, project management, and program coordinating. She has experience supporting social impact initiatives at the Federal Reserve Bank of Chicago, philanthropic and grantmaking efforts at The Chicago Community Trust, and community outreach for the statewide Get Covered Illinois campaign.

Lin is currently pursuing her MBA at the University of Illinois Urbana-Champaign with a concentration in Strategic Leadership and Management and holds a bachelor’s degree in Asian American Studies from the University of Illinois Urbana-Champaign.
headshot of Eve Escalante

Eve Escalante, MSW, LCSW

Manager of Program Innovation

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Eve Escalante

Eve Escalante, LCSW is a clinical social worker and manager of Program Innovation with Social Work and Community Health at RUSH University Medical Center. Escalante has experience in providing care to adults, older adults and caregivers with chronic disease, disability and/or terminal illness. Escalante has provided oversight of expansion of evidence-based care models into both primary and specialty care, as well as communities with significant social needs/history of marginalization. Escalante participates in trauma-informed transformation efforts, including leading vicarious trauma processing sessions with healthcare workers and training them in trauma-informed care. 

Escalante has special interest and experience in development of curricula regarding older adults and caregivers, as well as curricula training social workers to enter a healthcare setting. She provides clinical supervision in individual and group formats. She received her BSW from Loyola University Chicago in 2005 and her MSW from Loyola University Chicago in 2007. She has lived experience with disability/chronic illness that has shaped her interests/practice.

Our History

2008

Robyn Golden serves as a key leader in launching the National Coalition on Care Coordination (N3C), originally housed at the New York Academy of Medicine in collaboration with the American Society on Aging

Image of Chasci team member Robyn Golden
Logo for the Bridge Model

2008-2009

CHaSCI develops and tests the Bridge Model of Transitional Care

CHaSCI conducts a randomized control trial about the Enhanced Discharge Planning Program, ultimately co-developed into the Bridge Model of transitional care with Rush and 5 organizational partners across Illinois via the Illinois Transitional Care Consortium

2010

CHaSCI launches a training and evaluation partnership with Illinois Health & Hospital Association, Telligen Quality Improvement Organization, and Illinois Department on Aging

Logo of the AIMS Model

2012

CHaSCI develops and tests the Ambulatory Integration of Medical and Social (AIMS) Model

CHaSCI applies social work process to primary care integration, tested at RUSH patient-centered medical homes as the Ambulatory Integration of Medical and Social (AIMS) Model

2013

The Health Affairs publication with N3C partners calls attention to impact of social service interventions on cost and health outcomes.

CHaSCI begins focused advocacy for social workers to be recognized by Medicare as independent providers of Health Behavior Assessment & Intervention (HBAI) services

Cover of an issue of Health Affairs

2014

CHaSCI begins to establish the Center for Medicare and Medicaid Innovation – Community-based Care Transitions program, which supports the Bridge Model of transitional care at six federally-funded demonstration sites

N3C hosts an event and releases a report on the role that community-based organizations can play in improving health outcomes if effectively engaged and invested in

Cover and excerpt page of the report titled Social work and the affordable care act: maimixing the profession's role in health reform

2015-2019

The Bridge and AIMS Models evolve to work with more populations and disciplines

2015

CHaSCI begins providing Bridge longitudinally to frequently-hospitalized individuals

2016

 CHaSCI organizes social workers and others to design, fundraise, and obtain approval for the NASEM study, Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health

2017

CHaSCI trains housing coordinators in wrap-around services through HUD IWISH program

2019

CHaSCI runs dissemination campaign for the NASEM study released September 2019 and organizes around recommendations in the report

Cover and excerpt of the report for Integrating Social Care into the Delivery of Health Care

2019

Rush community health workers (CHWs) and AmeriCorps service members begin screening patients for unmet social needs, escalating to social workers where necessary using our care model

CHaSCI team member leading a training session in front of a group of people seated at a conference table. A projection of a presentation is behind her.

2020

CHaSCI begins to train CHWs and interdisciplinary teams

CHaSCI provides our first virtual training in response to the COVID lockdown

CHaSCI begins to refer to our model as the CHaSCI Care Model, combining concepts from Bridge and AIMS Models

2022

The Coalition for Social Work and Health launches the Campaign for Social Work’s Value in Improving our Nation’s Health

2022

CHaSCI Care Model implementation is evaluated at RUSH and partner sites across the nation

2023

Via the Coalition for Social Work and Health, CHaSCI spearheads the introduction of federal legislation (Integrating Social Workers Across Health Care Settings Act) and secures expanded Medicare recognition of Social Work role

2023

Launch of the Social Work in Healthcare Training Program Pilot, designed to provide specialized healthcare training, support and mentorship for 10 underrepresented social workers/social work students.

2024

CSWH receives continued funding for the Campaign for Social Work’s Value in Improving our Nation’s Health

2024

The Bridge and AIMS Models are formally integrated with our CHW + SW collaboration into the CHaSCI Care Model

2025

Via the Coalition for Social Work and Health, CHaSCI spearheads the re-introduction  the Integrating Social Workers Across Health Care Settings Act into the119th Congress.

OUR ESTEEMED PAST & PRESENT FUNDERS

Logo for The Harry and Janette Weinberg Foundation
Logo for administration for community living
Logo for the Cigna Group
Logo or the New York Community Trust
Logo for the Field Foundation
Logo for IHA, Illinois Health and Hospital Association
Logo for the Commonwealth Fund
Logo for Sanofi
Logo for HRSA, Health Education & Services Administration
Logo of the Lewin Group
Logo for the MHA, Michigan Health & Hospital Association
Logo for Blue California
Logo for the Oprah Winfrey Charitable Foundation
Logo for the IDPH, Illinois Department of Public Health
Logo for the Archstone Foundation
Logo for Health & Medicine Policy Research Group