Genesys HealthWorks



Genesys HealthWorks’ “Familiar Faces” program serves high-risk, frequent ED users by supporting patient self-management, particularly in developing health behavior changes. This program evolved out of an innovative "health navigator" program that Genesys developed through several pilots starting as early as 1997. The program initially targeted patients with diabetes and asthma, but expanded to include include smokers, patients with chronic diseases and those with acute needs upon enrollment and post-emergency department visits.

Partner Organizations

  • Genesys Health System
  • Genesee Health Plan
  • Institute for Healthcare Improvement

Target Population

High-risk patients receiving primary care from physicians participating in the patient-centered medical home pilot program at Genesys Physician-Hospital Organization (PHO) and low-income, uninsured residents enrolled in Genesee Health Plan (GHP)

Care Team

Patient navigator


1997 - present

Results/ Studies



Genesys Health System


Program description