Heidi Haney Favet, CHW, BS, is the Care Team Leader spearheading the Community Care Team (CCT) for Ely, MN and the surrounding area. The CCT has grown to a collaboration of 19 area agencies committed to interagency continuity of care for shared patients. As the Care Team Leader, she assists in developing and delivering Essentia Health practices for care coordination that address the comprehensive wellness needs of patients including the social determinants of health. Her past work has centered around providing and supporting services that maximize the limited resources available in this remote rural area. Ms. Favet is actively engaged in program evaluation and dissemination locally, regionally, and nationally.