Improving care for people with complex needs

Woman smiling at a podium onstage at a Putting Care at the Center conference

Program participant hugs care team member as both smile on a couch

Camden Coalition staff member explaining something while sitting at a conference table

Our health and social systems will work for everyone when they work for those they are failing the most.

Currently, our healthcare and social systems are set up to treat individual needs in isolation. By piloting and demonstrating care models that work for those with the most complex needs, we work to transform and connect fragmented systems — in Camden, across New Jersey, and around the country — into equitable ecosystems of care.

Because when providers, organizations, and sectors work together, every individual — regardless of their needs — can receive person-centered care.

About the Camden Coalition

Housing First participant hugs community health worker in his new apartment

Advancing equitable ecosystems of care

No single organization can meet all of its community members’ needs. For truly coordinated whole-person care, organizations, sectors, fields, and professions must work together. We support South Jersey’s ecosystem of care as a designated Regional Health Hub, and work with communities across the country to build and strengthen their own care ecosystems.

Demonstrating what works

From new care management pilots to system redesign to national learning collaboratives, we demonstrate what works and what doesn’t to improve care, build an evidence base for the complex care field, and share best practices through teaching and training.

Learn more about our work

New at the Camden Coalition

New on the blog

New on the blog

Too often, people with complex needs receive care across multiple hospitals, clinics, behavioral health providers, and community-based organizations — but the information needed to coordinate that care does not move with them. In our latest blog post, Dr. Jubril Oyeyemi and Lisa Mojica share how regional case conferencing and shared care plans are helping Camden-area partners reduce fragmentation, strengthen communication, and create more consistent care pathways for patients, and address tech gaps that still make it harder for busy providers to access the most up-to-date care plan when and where they need it. Read the full blog post.

New publication: Health Affairs Forefront

New publication: Health Affairs Forefront

This month, Health Affairs Forefront published a new commentary and analysis from Camden Coalition leaders and partner , Dr. Purva Rawal, former Chief Strategy Officer at the CMS Innovation Center and currently Managing Principal at Health Transformation Strategies, exploring the “alignment gap” in healthcare — and how stronger coordination using tools like Camden Coalition’s Community Ecosystem Alignment Tool (CEAT) can improve care for people with complex needs. Read our Q&A interview with Camden Coalition CEO & President Kathleen Noonan and Dr. Rawal here.

New publication: Pregnancy care pilot findings

New publication: Pregnancy care pilot findings

Too often, program evaluations exclude some of the most knowledgeable stakeholders — the staff on the ground working with complex care patients. This month, a journal article published in Health Services Research examined workforce attitudes toward the Camden Coalition’s pregnancy care initiation model. Interviews with staff at six pilot sites showed that staff members found the program — which connects pregnant people accessing the Emergency Department to early pregnancy care — to be patient-centered, practical, and feasible to implement. Learn more about the strengths of this program and how the Health Information Exchange enables adapting this program across clinical settings.