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Building the complex care field

Complex care seeks to improve health and well-being for people with complex health and social needs by coordinating and reshaping care delivery at the individual, community, and system levels.

The most expensive and challenging populations for the current healthcare system will remain underserved until there is a unified effort — rather than small, incremental steps — to improve care for the nation’s high-need patients. National Academy of Medicine, "Effective care for high-need patients: Opportunities for improving outcomes, value, and health"

Our work in building the complex care field

COACH framework

COACH framework

Our participant engagement framework

1 Program in 2015

In complex care, no one entity believes they are the single solution. Working together is the solution. Jennifer DeCubellis, Deputy County Administrator, Hennepin County

Complex care is a field that seeks to improve health and well-being for people with complex health and social needs by coordinating and reshaping care delivery at the individual, community, and system levels. It addresses root causes of poor health through interdisciplinary care teams and cross-sector partnerships that deliver person-centered care based around participants’ own goals and priorities.

In 2016, we launched the National Center for Complex Health and Social Needs, an initiative designed to coalesce the emerging field of complex care by bringing together a broad range of clinicians, researchers, policymakers, and consumers who are developing, testing, and scaling new models of team-based, integrated care. Through the National Center, we collaborate with other experts across the nation to develop best practices, inform policy, and foster an engaged and accessible community to develop this work and teach it to others.

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