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Friday, April 10 • 9:50am - 10:30am
PS38.0 Health Care for All: A Case Study of a Local Health Alliance and its Pursuit of Better Health Outcomes While Reducing Costs

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Rising healthcare costs have become a topic of discussion in recent years among policy makers, researchers, and practitioners. Aside from the unsustainable trajectory of costs in light of fiscal crises, the burden has dampened the reach of economic recovery efforts in distressed post-industrial cities such as Camden, New jersey. Over time, the city’s hospital emergency departments have seen a disproportionate number of people reporting with conditions most efficiently treated and best suited for a primary care setting. A fragmented and ill-incentivized system of care has lead to patients lost in navigating their way through what is simultaneously the most advanced and costliest healthcare system in the world. This study will attempt to analyze and evaluate a local grass-roots initiative charge lead by the Camden Coalition of Healthcare Providers (CCHP). In particular, CCHP’s Care Management Program targets the so-called “high service utilizer” population across Camden City. Predominantly lower income and minority, these individuals (and their families) face a variety of medical and environmental hardships. As a result, a relatively narrow subsection of patients account for the highest proportion in E.R. visits throughout the city, in great part due to haphazard and uncoordinated care patterns, to the detriment of municipal finances. Initial findings show that the program has resulted in a meaningful reduction in unnecessary E.R. visits since its inception in 2007. Furthermore, the paper delves into finding a more meaningful conceptualization and measurement of the level of self-empowerment and health capital creation within selected neighborhoods targeted by the CMP program. The paper ends with public health policy implications by elucidating some of the ways intervention models or high-patient-impact approaches achieve better health outcomes through better data utilization (and GIS tools) while leading to a sustaining downward bend in the healthcare cost curve.

Presenters
avatar for Straso Jovanovski

Straso Jovanovski

PhD Candidate, Public Affairs (Community Development track), Rutgers University - Camden
I am interested in community-level health care delivery; studying the impact of health care initiatives and programs targeted at vulnerable populations in the distressed urban environment. I like using GIS mapping software in portraying trends and patterns relating to health care disparities.


Friday April 10, 2015 9:50am - 10:30am
Biscayne Ballroom (2nd floor)