The Camden Core Model is the Camden Coalition of Healthcare Providers’ signature care management intervention. From 2014-2017, the Camden Coalition (which houses the National Center) partnered with researchers affiliated with J-PAL North America to conduct a randomized controlled trial (RCT) that would help us learn more about how our model affects patients’ hospital readmissions.
The study, published in the New England Journal of Medicine, found no difference between the treatment and control groups on hospital readmissions within 180 days. It did, however, find a statistically significant rise in the number of participants receiving food assistance (SNAP benefits).
In their discussion, the study authors note that the Camden Core Model targets a much more complex population than other care management models evaluated through randomized evaluations. Hospitalization rates in both the intervention and control groups are nearly twice the rates in most other programs studied. In addition, the sample size was not large enough to analyze effects on specific sub-groups of patients that might have been impacted differently by our care management intervention.
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Results and lessons from the Camden Coalition’s randomized controlled trial
Camden Coalition staff also authored an accompanying data brief to provide context for complex care and care delivery in Camden, NJ; the study itself; and implications for the Camden Coalition and other organizations. The brief details lessons for the Camden Coalition and the field of complex care, areas of future research, the value of identifying holistic outcome measures for complex care, and the necessity of increased upstream investment in the social determinants of health.