Bending the Cost Curve and Improving Quality in One of America’s Poorest Cities Jeffrey Brenner, MD Executive Director/Medical Director.

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Presentation transcript:

Bending the Cost Curve and Improving Quality in One of America’s Poorest Cities Jeffrey Brenner, MD Executive Director/Medical Director

Primary care practice opened in January 2003.

Long-term Federal Debt

Camden Health Data 2002 – 2009 with Lourdes, Cooper, Virtua data 480,000 records with 98,000 patients 50 % population use ER/hospital in one year Leading ED/hospital utilizers citywide 324 visits in 5 years 113 visits in 1 year Total revenue to hospitals for Camden residents $460,000,000 + charity care Most expensive patient $3.5 million 30% costs = 1% patients 80% costs = 13% patients 90% costs = 20% patients

Top 10 ER Diagnosis 2002-2007 (317,791 visits) 465.9 ACUTE UPPER RESPIRATORY INFECTION (head cold) 12,549 382.9 OTITIS MEDIA NOS (ear infx) 7,638 079.99 VIRAL INFECTION NOS 7,577 462 ACUTE PHARYNGITIS (sore throat) 6,195 493.92 ASTHMA NOS W/ EXACER 5,393 558.9 NONINF GASTROENTERI (stomach virus) 5,037 789.09 ABDOMINAL PAIN-SITE NEC 4,773 780.6 FEVER 4,219 786.59 CHEST PAIN NEC 3,711 784.0 HEADACHE 3,248

Northgate I public housing Primary Diagnosis Rank ED Inpatient 1 abdominal pain (789.0) live birth (V3X.0) 2 acute URI NOS (465.9) chest pain (786.5) 3 congestive heart failure NOS (428.0)

Train local residents to participate in decision-making over health care resources

Promote collaboration among providers and between providers and the community

Camden cost savings strategies Nurse practitioner led clinics in high cost buildings More high utilizer outreach teams Medical home-based nurse care coordination More same day appointments (open access scheduling)

More Information www.camdenhealth.org www.camconnect.org jeff@camdenhealth.org