Reducing hospital readmissions among individuals with complex health and social needs
Analysis shows Camden Coalition’s complex care model results in reduction in hospital readmissions among the most likely to engage patients
Improving care for people with complex needs
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.
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.
New at the Coalition
Camden Coalition named 1 of 10 national winners of SAMHSA’s Behavioral Health Equity Challenge
Our Pledge to Connect program was recognized for its regional collaboration to link emergency patients with outpatient behavioral health services.
New resources for better care
Dosage and outcomes in a complex care intervention
Care management & redesign Data analysis & integration Measurement & evaluation Quality improvement
Combating fatal overdoses: A data-driven and multidisciplinary approach to addiction response
Care management & redesign Data analysis & integration Strengthening ecosystems of care Behavioral health & addiction
Partnerships with community-based organizations: Opportunities for health plans to create value
Building the complex care field Strengthening ecosystems of care Funding & financing SDOH & health equity