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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.

Community event checking blood pressure

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

The power of backbone organizations to advance cross-health system outcomes
A patient holds her baby

The power of backbone organizations to advance cross-health system outcomes

This brief outlines a radically different approach to addressing the needs of people with complex health and social needs. Sharing detailed information between competing health systems’ emergency department (ED) records would be a non-starter in most regional healthcare markets, but this is where the value of backbone organizations like the Camden Coalition comes in. This brief describes those coross-sector collaborative efforts through the lens of a maternal and child health case study. Read the full brief.

New on the blog

New on the blog

In our latest blog post, we share how our Data & Quality Improvement (DAQI) team used large language models (LLMs) to uncover signs of housing instability that were buried in unstructured clinical notes from our Health Information Exchange. These LLMs identified cases of homelessness with 95% accuracy, even when there was no diagnosis code present. This development offers the potential for earlier interventions, quicker outreach, and fairer access to programs like New Jersey Medicaid's new 1115 waiver housing supports program. Read more on the blog.

In the news

In the news

Our president & CEO, Kathleen Noonan, was recently added to the ABIM Board of Directors. When asked about this recent appointment, Kathleen said "I am delighted to be named as a 'public member' where I hope to support the practice of medicine and share the many perspectives represented through the work of the Camden Coalition, including importantly the consumers themselves.” Read the full press release by ABIM.

New resources for better care

Putting Care at the Center attendees holding the COACH fact sheet
Camden Coalition staff laugh in front of white board covered with post-its
Adding post-it to poster labeled "complex care ecosystem"

See all our resources