CHW & community navigation
Community health worker health education, appointment prep, referrals, caregiver engagement, and social-needs support.
ICRBI • Senior Connected Care Hub
A trusted community layer for Digital Health 4.0
ICRBI helps seniors and caregivers access telehealth, remote patient monitoring readiness, nutrition support, chronic-disease navigation, and clinical and community partnerships — through people and places they already trust.
A program of ICRBI — guided by the SPELL Impact framework
Islamic Center for Research and Business Incubator Inc. • San Diego, California
50–150
seniors in a planned 6-month San Diego County pilot across two community / faith sites
The idea
Not another platform — the trusted community layer
Devices and dashboards already exist. The unmet need is trusted senior adoption. ICRBI connects seniors, families, community sites, clinical partners, and RPM/telehealth tools into one practical care-readiness model. Faith centers, community health workers, and caregivers create access that app-first platforms cannot replicate.
Clinics and managed care plans retain all clinical responsibility. ICRBI focuses on the human layer: trust, education, navigation, and readiness.
How we work
The SPELL Impact framework
Five commitments that shape every ICRBI program — from the first conversation with a senior to the outcomes we publish.
See the whole person
We look at symptoms, vitals, daily function, medications, personal goals, and life circumstances together — not one number at a time.
Personalize the care pathway
We turn that picture into clear, clinically reviewed next steps that fit the person in front of us.
Engage individuals and trusted networks
We work with the person, their caregivers, and the places they already trust — not around them.
Link care and community resources
We connect people to clinical care and to food, transport, benefits, and support — and we confirm they got there.
Learn and improve continuously
We measure whether it worked, report it openly, and change what does not. Every measure we publish is stratified by language, geography, and digital access, so we can see who the model is not yet reaching.
Call us — (949) 246-7522
Find a community site
Available in English, Arabic, French, and Spanish. No internet or smartphone required — a community health worker can visit you in person.
Why now
Three forces are converging on senior chronic care
Persistent chronic-disease demand, an accelerating older population in California, and renewed investment in AI-enabled remote monitoring and telehealth.
3 in 4
U.S. adults have at least one chronic condition; more than half have two or more.
+166%
Projected growth in California's age 60+ population, 2010–2060.
$14.2B
2025 U.S. digital-health funding; AI-enabled companies captured 54%.
Sources: CDC chronic disease facts & stats, California Department of Aging, Rock Health 2025.
The ICRBI model
Seven service lines, one connected hub
A nonprofit community implementation layer that links seniors and families to clinical partners and RPM/telehealth tools.
Telehealth literacy
Hands-on workshops for seniors and caregivers on phones, video visits, patient portals, and connected devices.
RPM readiness
Device setup education, reminders, troubleshooting, and escalation prep — always under clinical partner protocols.
Senior nutrition program
A CDC-aligned, culturally respectful nutrition and chronic-disease readiness program for seniors and caregivers. See the program →
Faith & community activation
Islamic centers, JCCs, churches, and senior centers as trusted access and enrollment points.
Clinical partner support
Clinics and FQHCs handle eligibility, orders, monitoring, treatment, billing, and clinical escalation.
Managed care reporting
Centralized referral workflows, data collection, monthly metrics, and quality reporting for payers.
Senior & handicap transportation
Coordinated rides and mobility-support referrals so seniors and people with disabilities can reach clinics, workshops, food pickup, and pharmacy. See the module →
Who reviews your readings
Where remote monitoring is part of a person’s care, readings and patterns are reviewed by a registered nurse or trained care navigator at our clinical partner. Our technology helps prioritize and summarize — it does not diagnose. Licensed clinicians make all clinical decisions. How we govern data and algorithms →
Sources: DHCS Community Health Workers, DHCS Community Care Hubs.
Who we serve
Built around the people who make senior care work
ICRBI is designed for the full circle of senior care — the people who receive it, deliver it, host it, and pay for it.
Seniors & caregivers
Faith & community partners
Clinics & FQHCs
Managed care plans
Donors & investors
Media & public offices
The pilot
A focused 6-month San Diego County pilot
50–150 seniors across two faith/community sites, with at least one clinical partner and monthly outcome reporting.
Scope
6-month pilot
50–150 seniors, San Diego County
Target conditions
Hypertension & diabetes
Heart health, respiratory risk, fall risk, social isolation
Partners
Two community sites
Clinic/FQHC, RPM/device vendors, managed-care advisor
Metrics
Readiness & referrals
Enrollment, device readiness, caregiver engagement, referrals completed
What we commit to reporting
One individual, one community, and one system measure. Figures appear here once the pilot reports — we publish no number our measurement can substantiate.
Individual
—
Seniors reporting progress on the goal they chose themselves, in their own words
Reported at 90 days and end of pilot
Community
—
Referrals confirmed complete by a partner — not just sent
Reported quarterly
System
—
Median time from an identified need to a human reaching the senior
Reported monthly
Planned pathway, not current approval. The pilot will not bill RPM directly; clinical partners manage RPM billing, treatment decisions, and clinical escalation. Medi-Cal CBO/CHW enrollment and managed care contracts are planned pathways ICRBI intends to pursue — not current approvals. Clinical care remains with licensed partners.
Sources: DHCS CHW, DHCS provider enrollment options, CMS telehealth & RPM.
Build a community, not just a platform
Partner with ICRBI to launch a trusted, payer-aligned, CHW-enabled, clinically partnered model for senior chronic-disease care in San Diego County.