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relationships.
SAMPLE DATA SHARING AGREEMENTS These sample data sharing agreements were used as part of Camden ARISE, which linked data from criminal justice, healthcare, and housing in Camden, NJ. The agreements can be adapted for use by other cross-sector groups seeking to share data. Guide: Talking to patients about the COVID-19 vaccines. CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. Dawn has a Ph.D. from Stony Brook University and a B.A. in Sociology from Temple University. Prior to joining the Camden Coalition Dawn was a Senior Research Analyst at the THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead HOME - CAMDEN COALITIONABOUTCARE INTERVENTIONSCONNECTING DATACOALITION BUILDINGGET INVOLVEDCAMDEN CORE MODEL Our work engages partnerships at the local, state, and national levels: Local. We run the Camden Core Model, a nationally-recognized care intervention for individuals with complex health and social needs. Lessons from our interventions and citywide coalitions inform clinical innovations, partnerships, and organizational priorities. CAMDEN COALITION HEALTH INFORMATION EXCHANGE The Camden Coalition Health Information Exchange (HIE) provides real-time data that providers need to serve their patients. Launched in 2010, the Camden Coalition HIE collects secure medical information from a variety of sources, including regional hospitals, primary care providers, laboratory and radiology groups, correctional facilities, and other licensed healthcare facilities and providers. OUR STAFF - CAMDEN COALITION Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentic healingrelationships.
SAMPLE DATA SHARING AGREEMENTS These sample data sharing agreements were used as part of Camden ARISE, which linked data from criminal justice, healthcare, and housing in Camden, NJ. The agreements can be adapted for use by other cross-sector groups seeking to share data. Guide: Talking to patients about the COVID-19 vaccines. CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. Dawn has a Ph.D. from Stony Brook University and a B.A. in Sociology from Temple University. Prior to joining the Camden Coalition Dawn was a Senior Research Analyst at the THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead ABOUT - CAMDEN COALITION The Camden Coalition’s mission is to spark a field and movement that unites communities of caregivers in Camden and across the nation to improve the wellbeing of individuals with complex health and social needs. Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentichealing
PUTTING CARE AT THE CENTER 2021 Putting Care at the Center 2021. Date. October 20, 2021. Location. Virtual. Join us online this October for our annual conference on complex care. Putting Care at the Center is the annual conference of the Camden Coalition’s National Center for Complex Health and Social Needs. It is the only dedicated venue for the complex care field tolearn
ABOUT THE CAMDEN COALITION About the Camden Coalition. This fact sheet outlines the Camden Coalition’s mission and vision, the Camden Core Model, our local, state, and national coalition-building work, and our clinical redesign efforts. This guide offers practical strategies for healthcare professionals who may encounter questions or concerns fromclients/patients
FAITH-BASED ORGANIZATIONS Engaging Camden’s faith-based organizations to promote healthy lifestyles. Faith in Prevention is an initiative of the New Jersey Department of Health to expand the role of faith-based organizations in the delivery of health prevention services in New Jersey’s Camden County. Implemented by the Camden Coalition of Healthcare Providers, the goal is to encourage healthy lifestyle choices NEW RESOURCES GIVE HOW-TOS FOR CROSS-SECTOR DATA COLLABORATION New resources give how-tos for cross-sector data collaboration. Date. September 11, 2018. February 19, 2021. Adopting the complex care core competencies: A case study. Our National Center and Clinical Redesign teams worked together to adapt the complex care core competencies for two NJ SUD navigation programs. FROM SILOED SYSTEMS TO ECOSYSTEM: THE EVOLUTION OF THE 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.JUBRIL OYEYEMI
Jubril Oyeyemi. As the Camden Coalition’s Medical Director, Jubril Oyeyemi works alongside an interdisciplinary team of nurses, community health workers, and social workers on our care management initiatives. In addition to his position at the Camden Coalition, Jubril is the Medical Director of Community Health Institute at Virtua and Founder GUIDELINES FOR EDUCATION AND TRAINING •Move to a new injection site every week or two. o Inject in the same area of the body, making sure to move around within that area with each injection, for one or two weeks. o Then move to another area of your body and repeat the process. o Use the same area for at least a week to avoid extreme blood sugar variations. • Rotate the sides (right, left) of your body where you inject within SIMPLIFIED INSULIN START3-11 Reviewed 11-10 1 A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dL or 2. Glycated hemoglobin (A1C) >10% or DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead HOME - CAMDEN COALITIONABOUTCARE INTERVENTIONSCONNECTING DATACOALITION BUILDINGGET INVOLVEDCAMDEN CORE MODEL Our work engages partnerships at the local, state, and national levels: Local. We run the Camden Core Model, a nationally-recognized care intervention for individuals with complex health and social needs. Lessons from our interventions and citywide coalitions inform clinical innovations, partnerships, and organizational priorities. CAMDEN COALITION HEALTH INFORMATION EXCHANGE The Camden Coalition Health Information Exchange (HIE) provides real-time data that providers need to serve their patients. Launched in 2010, the Camden Coalition HIE collects secure medical information from a variety of sources, including regional hospitals, primary care providers, laboratory and radiology groups, correctional facilities, and other licensed healthcare facilities and providers. OUR STAFF - CAMDEN COALITION Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentic healingrelationships.
SAMPLE DATA SHARING AGREEMENTS These sample data sharing agreements were used as part of Camden ARISE, which linked data from criminal justice, healthcare, and housing in Camden, NJ. The agreements can be adapted for use by other cross-sector groups seeking to share data. Guide: Talking to patients about the COVID-19 vaccines. CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. Dawn has a Ph.D. from Stony Brook University and a B.A. in Sociology from Temple University. Prior to joining the Camden Coalition Dawn was a Senior Research Analyst at the THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead HOME - CAMDEN COALITIONABOUTCARE INTERVENTIONSCONNECTING DATACOALITION BUILDINGGET INVOLVEDCAMDEN CORE MODEL Our work engages partnerships at the local, state, and national levels: Local. We run the Camden Core Model, a nationally-recognized care intervention for individuals with complex health and social needs. Lessons from our interventions and citywide coalitions inform clinical innovations, partnerships, and organizational priorities. CAMDEN COALITION HEALTH INFORMATION EXCHANGE The Camden Coalition Health Information Exchange (HIE) provides real-time data that providers need to serve their patients. Launched in 2010, the Camden Coalition HIE collects secure medical information from a variety of sources, including regional hospitals, primary care providers, laboratory and radiology groups, correctional facilities, and other licensed healthcare facilities and providers. OUR STAFF - CAMDEN COALITION Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentic healingrelationships.
SAMPLE DATA SHARING AGREEMENTS These sample data sharing agreements were used as part of Camden ARISE, which linked data from criminal justice, healthcare, and housing in Camden, NJ. The agreements can be adapted for use by other cross-sector groups seeking to share data. Guide: Talking to patients about the COVID-19 vaccines. CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. Dawn has a Ph.D. from Stony Brook University and a B.A. in Sociology from Temple University. Prior to joining the Camden Coalition Dawn was a Senior Research Analyst at the THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead ABOUT - CAMDEN COALITION The Camden Coalition’s mission is to spark a field and movement that unites communities of caregivers in Camden and across the nation to improve the wellbeing of individuals with complex health and social needs. Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentichealing
PUTTING CARE AT THE CENTER 2021 Putting Care at the Center 2021. Date. October 20, 2021. Location. Virtual. Join us online this October for our annual conference on complex care. Putting Care at the Center is the annual conference of the Camden Coalition’s National Center for Complex Health and Social Needs. It is the only dedicated venue for the complex care field tolearn
ABOUT THE CAMDEN COALITION About the Camden Coalition. This fact sheet outlines the Camden Coalition’s mission and vision, the Camden Core Model, our local, state, and national coalition-building work, and our clinical redesign efforts. This guide offers practical strategies for healthcare professionals who may encounter questions or concerns fromclients/patients
FAITH-BASED ORGANIZATIONS Engaging Camden’s faith-based organizations to promote healthy lifestyles. Faith in Prevention is an initiative of the New Jersey Department of Health to expand the role of faith-based organizations in the delivery of health prevention services in New Jersey’s Camden County. Implemented by the Camden Coalition of Healthcare Providers, the goal is to encourage healthy lifestyle choices NEW RESOURCES GIVE HOW-TOS FOR CROSS-SECTOR DATA COLLABORATION New resources give how-tos for cross-sector data collaboration. Date. September 11, 2018. February 19, 2021. Adopting the complex care core competencies: A case study. Our National Center and Clinical Redesign teams worked together to adapt the complex care core competencies for two NJ SUD navigation programs. FROM SILOED SYSTEMS TO ECOSYSTEM: THE EVOLUTION OF THE 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.JUBRIL OYEYEMI
Jubril Oyeyemi. As the Camden Coalition’s Medical Director, Jubril Oyeyemi works alongside an interdisciplinary team of nurses, community health workers, and social workers on our care management initiatives. In addition to his position at the Camden Coalition, Jubril is the Medical Director of Community Health Institute at Virtua and Founder GUIDELINES FOR EDUCATION AND TRAINING •Move to a new injection site every week or two. o Inject in the same area of the body, making sure to move around within that area with each injection, for one or two weeks. o Then move to another area of your body and repeat the process. o Use the same area for at least a week to avoid extreme blood sugar variations. • Rotate the sides (right, left) of your body where you inject within SIMPLIFIED INSULIN START3-11 Reviewed 11-10 1 A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dL or 2. Glycated hemoglobin (A1C) >10% or DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead HOME - CAMDEN COALITIONABOUTCARE INTERVENTIONSCONNECTING DATACOALITION BUILDINGGET INVOLVEDCAMDEN CORE MODEL Our work engages partnerships at the local, state, and national levels: Local. We run the Camden Core Model, a nationally-recognized care intervention for individuals with complex health and social needs. Lessons from our interventions and citywide coalitions inform clinical innovations, partnerships, and organizational priorities. CAMDEN COALITION HEALTH INFORMATION EXCHANGE The Camden Coalition Health Information Exchange (HIE) provides real-time data that providers need to serve their patients. Launched in 2010, the Camden Coalition HIE collects secure medical information from a variety of sources, including regional hospitals, primary care providers, laboratory and radiology groups, correctional facilities, and other licensed healthcare facilities and providers. OUR STAFF - CAMDEN COALITION Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentic healingrelationships.
CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. Dawn has a Ph.D. from Stony Brook University and a B.A. in Sociology from Temple University. Prior to joining the Camden Coalition Dawn was a Senior Research Analyst at theCHRISTINE MCBRIDE
Christine McBride is the program manager of Health Information Exchange. Christine’s role is to plan and manage projects for new HIE interfaces and functionality, ensures compliance with the HIE Policies and Procedures through auditing and education, and assists in data security initiatives related to the approval, implementation and staff training of policies and procedures. THERAPEUTIC USE OF SELF Therapeutic Use of Self: Buffering the Power Differential • There is an inherent power difference between a provider and a patient • Therapeutic Use of Self recognizes the existence of THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics HOME - CAMDEN COALITIONABOUTCARE INTERVENTIONSCONNECTING DATACOALITION BUILDINGGET INVOLVEDCAMDEN CORE MODEL Our work engages partnerships at the local, state, and national levels: Local. We run the Camden Core Model, a nationally-recognized care intervention for individuals with complex health and social needs. Lessons from our interventions and citywide coalitions inform clinical innovations, partnerships, and organizational priorities. CAMDEN COALITION HEALTH INFORMATION EXCHANGE The Camden Coalition Health Information Exchange (HIE) provides real-time data that providers need to serve their patients. Launched in 2010, the Camden Coalition HIE collects secure medical information from a variety of sources, including regional hospitals, primary care providers, laboratory and radiology groups, correctional facilities, and other licensed healthcare facilities and providers. OUR STAFF - CAMDEN COALITION Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentic healingrelationships.
CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. Dawn has a Ph.D. from Stony Brook University and a B.A. in Sociology from Temple University. Prior to joining the Camden Coalition Dawn was a Senior Research Analyst at theCHRISTINE MCBRIDE
Christine McBride is the program manager of Health Information Exchange. Christine’s role is to plan and manage projects for new HIE interfaces and functionality, ensures compliance with the HIE Policies and Procedures through auditing and education, and assists in data security initiatives related to the approval, implementation and staff training of policies and procedures. THERAPEUTIC USE OF SELF Therapeutic Use of Self: Buffering the Power Differential • There is an inherent power difference between a provider and a patient • Therapeutic Use of Self recognizes the existence of THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics ABOUT - CAMDEN COALITION The Camden Coalition’s mission is to spark a field and movement that unites communities of caregivers in Camden and across the nation to improve the wellbeing of individuals with complex health and social needs. Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentichealing
BUILDING A NATIONAL CENTER Helping communities to improve care for patients with complex needs. The National Center for Complex Health and Social Needs, launched in 2016, aims to improve wellbeing for individuals with complex medical, psychological, and social needs.It works to coalesce the emerging field of complex care by bringing together a broad range of clinicians, researchers, policymakers, and consumers who areCONNECTING DATA
From our early days combing through hospital claims data to our current Camden Coalition Health Information Exchange, which links healthcare and other records across South Jersey, we connect data across institutions to better identify and serve individuals with unmet needs. Sharing data is an important element of cross-sectorcollaboration.
PUTTING CARE AT THE CENTER 2021 Putting Care at the Center 2021. Date. October 20, 2021. Location. Virtual. Join us online this October for our annual conference on complex care. Putting Care at the Center is the annual conference of the Camden Coalition’s National Center for Complex Health and Social Needs. It is the only dedicated venue for the complex care field tolearn
SAMPLE DATA SHARING AGREEMENTS These sample data sharing agreements were used as part of Camden ARISE, which linked data from criminal justice, healthcare, and housing in Camden, NJ. The agreements can be adapted for use by other cross-sector groups seeking to share data. Guide: Talking to patients about the COVID-19 vaccines. RANDOMIZED CONTROLLED TRIAL Randomized Controlled Trial. From 2014–2017, the Camden Coalition partnered with researchers affiliated with J-PAL North America to measure the impact of the Camden Coalition’s care management program, the Camden Core Model, on hospital readmission rates. The study, published in the New England Journal of Medicine, showedsimilar
CROSS-SECTOR DATA
Camden ARISE is a data integration project in Camden, NJ designed to help solve public problems. Camden ARISE (Administrative Records Integration for Service Excellence combines information from public data systems to create a multi-dimensional picture of citywidechallenges.
FROM SILOED SYSTEMS TO ECOSYSTEM: THE EVOLUTION OF THE 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.CHRISTINE MCBRIDE
Christine McBride is the program manager of Health Information Exchange. Christine’s role is to plan and manage projects for new HIE interfaces and functionality, ensures compliance with the HIE Policies and Procedures through auditing and education, and assists in data security initiatives related to the approval, implementation and staff training of policies and procedures. DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead HOME - CAMDEN COALITIONABOUTCARE INTERVENTIONSCONNECTING DATACOALITION BUILDINGGET INVOLVEDCAMDEN CORE MODEL State. Our state-level advocacy work is based on our patients’ needs and insights from our regional partners. We convene healthcare and social services providers, health systems, payers, and healthcare consumers to advocate for policy change and better-coordinated care. CAMDEN COALITION HEALTH INFORMATION EXCHANGE The Camden Coalition Health Information Exchange (HIE) provides real-time data that providers need to serve their patients. Launched in 2010, the Camden Coalition HIE collects secure medical information from a variety of sources, including regional hospitals, primary care providers, laboratory and radiology groups, correctional facilities, and other licensed healthcare facilities and providers. ABOUT THE CAMDEN COALITION This fact sheet outlines the Camden Coalition’s mission and vision, the Camden Core Model, our local, state, and national coalition-building work, and our clinical redesign efforts. OUR STAFF - CAMDEN COALITION Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentic healingrelationships.
CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. THERAPEUTIC USE OF SELF Therapeutic Use of Self: Buffering the Power Differential • There is an inherent power difference between a provider and a patient • Therapeutic Use of Self recognizes the existence of THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics HOME - CAMDEN COALITIONABOUTCARE INTERVENTIONSCONNECTING DATACOALITION BUILDINGGET INVOLVEDCAMDEN CORE MODEL State. Our state-level advocacy work is based on our patients’ needs and insights from our regional partners. We convene healthcare and social services providers, health systems, payers, and healthcare consumers to advocate for policy change and better-coordinated care. CAMDEN COALITION HEALTH INFORMATION EXCHANGE The Camden Coalition Health Information Exchange (HIE) provides real-time data that providers need to serve their patients. Launched in 2010, the Camden Coalition HIE collects secure medical information from a variety of sources, including regional hospitals, primary care providers, laboratory and radiology groups, correctional facilities, and other licensed healthcare facilities and providers. ABOUT THE CAMDEN COALITION This fact sheet outlines the Camden Coalition’s mission and vision, the Camden Core Model, our local, state, and national coalition-building work, and our clinical redesign efforts. OUR STAFF - CAMDEN COALITION Our vision is a transformed healthcare system that ensures every individual receives whole-person care rooted in authentic healingrelationships.
CAMDEN COALITION HEALTH INFORMATION EXCHANGE (HIE The Camden Coalition Health Information Exchange (HIE) works to provide care coordination services both to the city of Camden and the South New Jersey region. View a list of participants in the Camden Coalition HIE, facilitating secure sharing of clinical data in Camden, NJ for care coordination. HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the smallCARTER WILSON
Carter Wilson serves as the Associate Director for National Center for Complex Health and Social Needs. In this role, he works with program leads to plan and launch projects and monitors the progress of organization-wide initiatives, including the Medicaid ACO Demonstration Project. DAWN WIEST - CAMDEN COALITION Dawn Wiest is the Director of Action Research and Evaluation for the Camden Coalition of Healthcare Providers and the National Center for Complex Health and Social Needs. THERAPEUTIC USE OF SELF Therapeutic Use of Self: Buffering the Power Differential • There is an inherent power difference between a provider and a patient • Therapeutic Use of Self recognizes the existence of THE IRRATIONALITY OF ALCOHOLICS ANONYMOUS The Irrationality of Alcoholics Anonymous - The Atlantic 4/18/15,11:23 AM
http://www.theatlantic.com/features/archive/2015/03/the-irrationality-of-alcoholics ABOUT - CAMDEN COALITION The Camden Coalition serves individuals facing complex challenges, and effectively addressing those challenges cannot be accomplished by a single organization or sector.CONNECTING DATA
Using data to identify and engage patients with complex health and social needs is the foundation of our work. This data-driven approach, known as healthcare hotspotting, allows us to identify and engage patients with medical complexity and poor healthcare outcomes. PUTTING CARE AT THE CENTER 2021 Join us online this October for our annual conference on complex care. Putting Care at the Center is the annual conference of the Camden Coalition’s National Center for Complex Health and Social Needs. It is the only dedicated venue for the complex care field to learn, network, and create a shared agenda for improving care for people withcomplex needs.
HEALTHCARE HOTSPOTTING Healthcare Hotspotting. Healthcare hotspotting is the strategic use of data to reallocate resources to a small subset of high-needs, high-cost patients.. A small number of individuals drives much of the cost in the American health care system. The system is designed to work for the average patient, and like many large systems, it struggles to help extreme patients, or outliers – the small SAMPLE DATA SHARING AGREEMENTS Cross-sector data sharing is lauded as an integral part of complex care. Sharing data between multiple sectors—such as behavioral health, medical, criminal justice, housing, and education—seems like a straightforward way to understand people’s complex healthCROSS-SECTOR DATA
Camden ARISE is a data integration project in Camden, NJ designed to help solve public problems. Camden ARISE (Administrative Records Integration for Service Excellence combines information from public data systems to create a multi-dimensional picture of citywidechallenges.
FROM SILOED SYSTEMS TO ECOSYSTEM: THE EVOLUTION OF THE 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. GUIDELINES FOR EDUCATION AND TRAINING •Move to a new injection site every week or two. o Inject in the same area of the body, making sure to move around within that area with each injection, for one or two weeks. o Then move to another area of your body and repeat the process. o Use the same area for at least a week to avoid extreme blood sugar variations. • Rotate the sides (right, left) of your body where you inject within SIMPLIFIED INSULIN START3-11 Reviewed 11-10 1 A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dL or 2. Glycated hemoglobin (A1C) >10% or DENVER HEALTH’S 21ST CENTURY CARE: POPULATION HEALTH Denver Health’s 21st Century Care: Population Health-Informed Primary Care Services. Tracy Johnson, PhD, MA, co-PI, Evaluation Lead. Holly Batal, MD, MBA, co-PI, Clinical Lead* Resources
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The Hotspot Blog
SERVICES’ RESPONSE TO COVID-19 Updated daily: Operational statuses for South Jersey healthcare, housing, behavioral health, food, government, and more. COVID-19 community resource reference guide COVID-19 IN CAMDEN AND BEYOND Here's what we are doing to keep our team, our patients, and our community safe and connected Learn more RANDOMIZED CONTROLLED TRIAL New study results on our Camden Core Model published in NEJM Learnmore
LEARNING FROM THE RCT RESULTS New from CEO Kathleen Noonan on the Health Affairs blog Read the blogpost
FROM SILOED SYSTEMS TO ECOSYSTEM The evolution of the Camden Coalition's complex care model Read thenew series
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Mission
IMPROVE THE WELL-BEING OF INDIVIDUALS WITH COMPLEX NEEDS Spark a field and movement that unites communities of caregivers in Camden and across the nation. OUR WORK ENGAGES PARTNERSHIPS AT THE LOCAL, STATE, AND NATIONALLEVELS:
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We run the Camden Core Model, a nationally-recognized care intervention for individuals with complex health and social needs. Lessons from our interventions and citywide coalitions inform clinical innovations, partnerships, and organizational priorities.Local Initiatives
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Our state-level advocacy work is based on our patients’ needs and insights from our regional partners. We convene healthcare and social services providers, health systems, payers, and healthcare consumers to advocate for policy change and better-coordinated care.State Initiatives
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Our National Center for Complex Health and Social Needs works with stakeholders to build a field of complex care. We are strengthening the field by providing strategic guidance and technical assistance based on our work in Camden. National Initiatives THE CAMDEN COALITION REGULARLY PUBLISHES LESSONS FROM OUR WORK. Read our PublicationsFeatured Report
Read about what the Camden Coalition accomplished in 2019 in our region, across the state, and nationally Building strong ecosystems: The Camden Coalition’s 2019 annual reportFeatured Resource
Resources and data for administrators and clinicians who want to establish effective opioid use disorder MAT programs in a primary care setting Medications for addiction treatment: Providing best practice care in a primary care clinicFeatured News
Regional Health Hubs in Camden, Trenton, Newark, and Paterson will bring together cross-sector partners and data to further state health priorities Regional Health Hubs established to improve populationhealth in NJ
Featured Research
New research from the Camden Coalition shows the power of stable housing Assessing the relationship between housing and health among medically complex, chronically homeless individuals experiencing frequent hospital use in the United StatesFeatured Series
Camden Coalition partners with Better Care Playbook to share practical solutions for serving complex populations New series highlights data sharing, cross-sector partnerships, asset mapping, and patientengagement
Featured Article
Interprofessional, community-based interventions show promise in improving outcomes for people with complex health and social needs Cross-sector collaboration for vulnerable population reduces utilization and strengthens community partnerships@camdenhealth
On Friday, May 1, we'll be on Facebook Live to give updates about #COVID19 testing in Camden, community resources, and other important information. Join us at 12 PM for English and at 12:30 PM for Spanish. https://www.facebook.com/CamdenCoalition/Stay Informed
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