This special report from the National Academy of Medicine begins to separate the complex health and social needs population into segments such as people with multiple chronic conditions, non-elderly disabled, frail elderly, children with complex needs, and more. Evidence-backed complex care models are then matched to each sub-population. Read the report The National Academy of...

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A review of the current state of the field of complex care from the Center for Health Care Strategies, Inc. (CHCS). This report identifies current gaps in knowledge, including segmentation, measuring quality outcomes, and aligning financial incentives across systems, and maps a path forward. Read the report here

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The Complex Care Map is a cross-continuum, EMR-based tool created by Lauran Hardin, Senior Director of Cross-Continuum Transformation for the National Center, when she was at Trinity Health-Michigan. The Complex Care Map equips providers with a comprehensive root-cause analysis for people with complex health and social needs in order to reduce fragmentation of care. A...

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The concept of an authentic healing relationship was first identified through consumer interviews conducted by the Camden Coalition of Healthcare Providers in 2013. Individuals with complex health and social needs who had participated in the Camden Coalition’s care management intervention pointed to the strong relationships their Camden Coalition team members had built with them as...

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