Care Transformation Organization (CTO)

The Coordinating Center (“The Center”), a nonprofit care management/coordination organization, is now a part of the Maryland Primary Care Program (MDPCP) and is seeking practices in the following counties to join its Care Transformation Organization (CTO):

  • Anne Arundel County
  • Baltimore City
  • Baltimore County
  • Carroll County
  • Howard County
  • Montgomery County
  • Prince George’s County
Why Partner With Us

With 37 years of experience in delivering community-based care coordination services for people with disabilities and complex medical and social needs, The Center coordinates care for more than 10,000 people in Maryland. The Center’s CTO Care Team can help your practice easily transition to Maryland’s new Primary Care Program. The Center excels in:

  • Collaborative and evidence-based Care Management/Coordination Services
  • Supporting large and small medical practices
  • Collaboration with providers and third-party payers
  • Advance technology, with interoperability between CRISP and The Center’s EHR System.
  • Improving health outcomes
  • Preventing avoidable hospital events
  • Reducing time spent on non-medical care for providers
  • Ensuring the right care, in the right place, at the right time
What Makes Us Unique

The Center provides conflict-free case management services and supports consumer choice. As a mission driven and person/family-centered nonprofit, The Center partners with patients, their families and providers to help people achieve their aspirations for independence, health and a meaningful community life.

  • 37 years of helping people navigate complex systems of care and social determinants of health
  • Access to more than 200 Coordinators, including licensed RN Clinical Care Coordinators and Certified    Community Health Workers
  • Expertise in Medicare, Medicaid, Health Care, Disabilities, Care Transitions and Affordable Housing
Services We Provide

The Center’s CTO Care Team is trained in navigating complex systems of care and connecting individuals with the necessary supports and services they need to thrive at home and in the community. Here are ways we can help:

  • Provide technical assistance, education, training infrastructure, and care management personnel
  • Provide staffing models that include RN Care Coordinators with Certified Community Health Workers to meet medical and social determinants of health
  • Customized plans of care driven by the client/patient’s goals and aspirations
  • Locate and secure affordable housing/transportation and other community-based resources
  • Assist with transitions from nursing homes to homes in the community
  • Ensure the communication among medical home teams is clear, frequent, and timely
  • Help coordinate and participate in medical appointments
  • Provide chronic disease self-management and medication management
  • Assist with discharge planning and response to CRISP Encounter Notification System (ENS) alerts

Interested in partnering? Please contact Karen Twigg, Associate Vice President, Community Health at ktwigg@coordinatingcenter.org or at 410-987-1048 Ext. 3590.

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