Wednesday, March 9, 2016

Camden Coalition gets $8.7M to improve care to 'super-utilizers'



The Camden Coalition of Healthcare Providers — backed by a $8.7 million in funding support — announced plans Tuesday to establish a national center to improve care for so-called “super-utilizers,” hospital patients who inadvertently contribute to unnecessary health care spending in the United States.

Super-utilizers are high-need patients who experience poor outcomes despite extreme patterns of frequent hospitalizations or emergency care.

The coalition’s national center is being created to help communities improve care for patients with complex health care needs. The project is being funded by $8.7 million from AARP, The Atlantic Philanthropies and the Robert Wood Johnson Foundation.


The 15-year-old Camden Coalition, led by Dr. Jeffrey Brenner, has spent more than a decade identifying high utilizers of health care services and developing strategies to improve their care through coordinated, data-driven and patient-centered approaches. A big part of its strategy is addressing needs that have traditionally been considered “nonmedical,” such as addiction, housing, transportation, hunger, mental health, and emotional and educational support.

The national center will seek to bring together practitioners working with super-utilizer patients around the country, and to serve as a hub to unite and advance the nascent field.

“Across the country, innovators are developing new models of health care delivery that lower costs and improve care for patients who are overwhelmed by the challenges of navigating the complexity of the American health care system,” said Brenner, executive director of the Camden Coalition. “By developing a professional home for those who are involved in this rapidly growing field, we hope to bring disparate efforts together to improve the research base, share emerging ideas, and inspire the next generation of health care providers."

Susan Reinhard, senior vice president and director at AARP, said she expects the center’s work will help change the way people think about aging. “Instead of keeping the most vulnerable patients well,” Reinhard said, “fragmented care and poor transitions often force patients to seek intensive emergency care—which is draining for patients and caregivers alike.”

About 10 years ago, the coalition issued a report that found that 20 percent of patients in Camden, N.J., accounted for 80 percent of hospital costs in the city due to disorganized care. The study found one patient had been to the emergency department 113 times in a single year, while another made 324 emergency visits over the course of five years.

Brenner and his colleagues discovered that by identifying these patients, improving transitions from the hospital back to their homes, and providing needed medical and social support, they could reduce costly hospital visits and improve patients’ overall wellness.

The coalition plans to solicit advice and recommendations from innovators in the field and stakeholders in health care delivery from around the country as its creates its national center.

“We have a generation of work to do in order to address the mismatch between the health care system’s service delivery model and the needs of patients with complex medical, behavioral, and social needs,” Brenner said. “With 85 million baby boomers in the midst of retiring and state budgets facing ever growing costs from Medicaid, it is crucial that we rethink our care delivery models for the sickest and most complex patients. We’re building a new field and a movement for better care one patient and one community at a time.”

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