From Siloed Systems to Ecosystem: The Evolution of the Camden Coalition’s Complex Care Model

This report showcases the Camden Coalition of Healthcare Provider’s 15-plus years developing a care model that is centered around both health and social complexity and highlights successes and challenges.

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. In 2016, the Coalition created the National Center for Complex Health and Social Needs as a way to build a field that addresses what many have come to call complex care.

In this four-part series, the authors describe the phases of the Coalition’s work as challenges are addressed and new solutions are tested:

• Phase 1: Directly providing healthcare and building citywide partnerships (2007–2011)
• Phase 2: Using health care hotspotting to find patients and adjusting the model to suit patient needs (2012–2013)
• Phase 3: Expanding the intervention and broadly sharing our knowledge (2014–2017)
• Phase 4: Creating an ecosystem for complex care (2018–2019)