We work with hospitals, physician practices, managed care organizations, health care systems and community providers to deliver customized care coordination and care transition models that meets the specific needs of the population identified as high risk or “at risk” with the goal of improving quality of care and reducing overall healthcare costs. Our team can assist with population health management, community care coordination for those using extensive health services, care transition coaching to reduce hospital readmission, and assistance with accessing CRISP, Maryland’s Health Information Exchange.
We work collaboratively with health care leaders to address population health challenges and create cost effective strategies to achieve desired outcomes. Subject matter experts in community care coordination, health, aging, disabilities, housing and community programs and services can assist hospitals and health systems to design tailored solutions using private or public funding, grant funding or other creative methods to promote community health and avoid unnecessary healthcare costs. The Coordinating Center can assist you in bridging gaps between hospital and community care to help manage risk and avoid costs.
Collaborative Partnerships for Special Initiatives
We have an extensive history of successful partnerships and grant-funded programs. The Coordinating Center can lead or participate in government (federal, state, local) or foundation funding applications and proposals that mutually benefit the community and healthcare or hospital system.
Innovative Technology Solutions for Community Care Coordination
We embrace the integration of new technology and care coordination, which are essential in better meeting client outcomes. We have a full service IT department, a Quality and Outcomes Management Department and staff trained in health informatics, which enables us to improve care, ensuring higher quality and efficiency.