According to Dr. Jeffrey Brenner, founder of the Camden Coalition, each of the project sites will deploy care management teams that include nurses, social workers and community health workers. The care management approach will provide clients with a range of patient-centered case management and social services. These include filling prescriptions, finding appropriate housing or beds in a shelter, applying for health coverage or disability benefits, coordinating legal issues, finding transportation, managing chronic physical and mental illness, and coordinating appropriate specialty care. After patients are stabilized, the care management teams work to ease their transition to local primary care medical facilities.
The Rutgers center will coordinate technical assistance and convene a project "learning network," bringing in experts to work with the four sites to implement such best practices as building an electronic records system. Under the leadership of Brenner, the Camden Coalition will assist the project sites to effectively adopt strategies for care management and to identify "hot spots." The Center for Health Care Strategies will work with the sites and their respective state Medicaid agencies and local managed care plans to create such sustainable financing plans as shared savings programs.
This project builds on the "Bring Health Reform Home" initiative of the PICO National Network, the nation's largest grassroots, faith-based organizing network, representing 1,000 congregations in more than 200 cities. The local PICO affiliate, Camden Churches Organized for People, has worked with the Camden Coalition of Healthcare Providers since 2002.
Rutgers Center for State Health Policy is an initiative of the Institute for Health, Hea
|Contact: Steve Manas|