From siloed systems to ecosystem: The evolution of the Camden Coalition’s complex care model

Author
Kathleen Noonan and Kelly Craig
Date
July 16, 2019
January 9, 2020
On the Health Affairs blog: RCT results show a way forward for the Camden Coalition and complex care
In this blog post published on the Health Affairs blog, CEO Kathleen Noonan discusses lessons from the Camden Coalition RCT.
Kathleen Noonan
January 8, 2020
The Camden Core Model RCT shows us a path forward for complex care
A message from our CEO Kathleen Noonan on next steps after the evaluation of our care management intervention, published today in NEJM
Kathleen Noonan
Camden Coalition staff review a whiteboard with patient enrollment information
January 8, 2020
Sharing evidence to inform the future of healthcare delivery and complex care: Lessons from the Camden Coalition and J-PAL North America partnership
Part 2 of a Q&A blog series describing the partnership between the Camden Coalition and researchers affiliated with J-PAL North America.
Kathleen Noonan, Aaron Truchil, Amy Finkelstein
Camden Coalition staff hold whiteboard showing RCT enrollment numbers
January 8, 2020
Evaluating the Camden Core Model: How a research partnership between the Camden Coalition and J-PAL North America was built
Part 1 of a Q&A blog series describing the partnership between the Camden Coalition and researchers affiliated with J-PAL North America.
Kathleen Noonan, Aaron Truchil, Amy Finkelstein
November 14, 2019
It takes an ecosystem: Finding success in complex care
Read the Putting Care at the Center 2019 opening remarks by Kathleen Noonan, CEO
Kathleen Noonan
Putting Care at the Center attendees converse at a table.
October 29, 2019
Camden Coalition partners with the Better Care Playbook to share practical solutions for serving complex populations
Lessons from our local and national innovations that offer guidance for serving complex populations.
Mavis Asiedu-Frimpong

While discussions about the social determinants of health are featuring more prominently in the nation’s current health policy conversation, many organizations, like the Camden Coalition, have been working for years to understand and address this intersection. In 2016, we created the National Center for Complex Health and Social Needs as a way to build a field that addresses what we have come to call complex care. The field has yet to discover the full set of solutions that bridges the gaps between medicine, behavioral health, public health, and social services to guarantee better health and well-being, but recent discussions about “social determinants” provide new pathways of hope and inquiry. In the spirit of reflection and continuous learning, we thought it was timely to share the story of the Camden Coalition’s 15-plus years developing a care model that is centered around both health and social complexity. We hope it encourages others to start, continue, persist, or expand this work.

In this four-part series, we describe the phases of our work as we addressed challenges and tested new solutions.

  • Part 1 describes our roots as coalition builders in Camden City and early work in care provision and management for patients with complex health and social needs (2007-2011).
  • Part 2 details how we refined our ability to identify high-needs patients through data (“healthcare hotspotting”) and adapted our care model to link patients back to permanent primary care or specialty providers (2012-2013).
  • Part 3 explains the significant changes we made to our care management model to better address and meet social needs, and our efforts to share what we were learning with the field (2014-2017).
  • Part 4 shares our vision for building complex care ecosystems in the Camden region and nationwide (2018 and beyond).

Read the full piece in a brief or on Medium.

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