COACH framework
Our participant engagement framework
Care management & redesign
We work directly with individuals with complex health and social needs to meet their own goals for health and well-being — and with partners locally and across the state to redesign systems to address the barriers our participants face.
I felt somebody really cares about me … I'm living, and I'm not here by myself. And I think that what's made me, you know, actually do it … I started taking my medication, I started, you know, getting out."Diego," care management participant
Program timeline
7-Day Pledge
Connecting patients to primary care post-hospital discharge
Camden Core Model
Person-centered care management for individuals with complex needs.
Camden Care Management Meetings
A monthly forum for Camden-area providers and residents
Health Information Exchange
Real-time data for providers across South Jersey
Randomized controlled trial
The Camden Coalition... [is an] exemplar of the kind of multidisciplinary, multisector efforts that will be necessary to address the complex needs of individuals and communities and make a lasting impact by eliminating health disparities, with the goal of achieving health equity.National Academies of Sciences, Engineering, and Medicine, "The future of nursing 2020-2030: Charting a path to achieve health equity"
U.S. healthcare and social services systems deliver medical, behavioral health, and social services in ways that do not always meet people’s needs, especially for those with complex health and social needs.
In response, the Camden Coalition designs person-centered programs and new models that address chronic illness and social barriers to good health. Supported by a robust data infrastructure, cross-sector convening, and shared learning, our community-based programs deliver better care to Camden and South Jersey.
Related resources
The Camden Coalition’s Housing First program
For almost ten years, the Camden Coalition has operated a Housing First program in South Jersey, helping break the cycle of chronic homelessness for individuals with complex health and social needs.
Care management & redesign Strengthening ecosystems of care Homelessness & housing
Pledge to Connect implementation guide
A guide for behavioral health navigation from the emergency department to community-based care
Care management & redesign Strengthening ecosystems of care Behavioral health & addiction Data sharing Measurement & evaluation Quality improvement SDOH & health equity
I do, we do, you do: An antidote to the fix-it framework
Care management & redesign Education & training Workforce development
In the news
The White House is highlighting NJ’s Regional Health Hubs. Here’s why
From care coordination to ecosystems of care
Care management & redesign Data analysis & integration Strengthening ecosystems of care