Professional Documents
Culture Documents
Healthcare Providers
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Camden Citywide Diabetes
Collaborative
www.alliancefordiabetes.org
Innovation in reaching those at highest risk
through information exchange across
community care delivery systems
Camden, NJ
Camden, NJ
Project Focus:
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Citywide Care Management
System
ED/Hospital Referrals
13 Primary Care Practices
Camden
Camden Citywide
Citywide Diabetes
Diabetes Collaborative
Collaborative
Patient-Family Centered
Outreach/Care and
Practice Transformation
Transforming Primary Care
◦ Improve the capacity of primary care practices (PCP)
in Camden to provide comprehensive, proactive care
to their patients with DM
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◦ Transition PCP to Patient-Centered Healthcare Homes
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Accountable Care Organizations (ACOs)
Ø An integrated care delivery organization, in a defined
geographic region, involving multiple primary care
offices and least one hospital
◦ Provide care management to high needs patients
◦ Collaboration with healthcare and social service
providers
◦ Relationships with PCPs with capacity building
◦ Manage hospitalization/specialty care
Ø Improved health outcomes result in health care cost
savings w/ gainsharing
Ø Portion of gains return to practices to enhance
practice/heathcare
Ø Similar to Kaiser, Geisinger, and the Mayo clinic models
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Accountable Care Organizations (ACOs)
Statewide Progress
◦ Greater Newark Healthcare Coalition incorporated, Trenton
close
◦ White paper published
◦ Four pro-bono healthcare attorneys drafted legislation
◦ Lobbyist hired by NJ Chamber of Commerce
◦ Passed by assembly in early 2011
◦ Statewide ACO conference in January 2011
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Thank you
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