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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 on theme: "Bending the Cost Curve and Improving Quality in One of America’s Poorest Cities Jeffrey Brenner, MD Executive Director/Medical Director."— Presentation transcript:

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

2

3 Long-term Federal Debt

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

5 Top 10 ER Diagnosis 2002-2007 (317,791 visits) 465.9ACUTE UPPER RESPIRATORY INFECTION (head cold) 12,549 382.9OTITIS MEDIA NOS (ear infx)7,638 079.99VIRAL INFECTION NOS7,577 462ACUTE PHARYNGITIS (sore throat)6,195 493.92ASTHMA NOS W/ EXACER5,393 558.9NONINF GASTROENTERI (stomach virus)5,037 789.09ABDOMINAL PAIN-SITE NEC4,773 780.6FEVER4,219 786.59CHEST PAIN NEC3,711 784.0HEADACHE3,248

6 Northgate I public housing Primary Diagnosis RankEDInpatient 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)

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

9 Promote collaboration among providers and between providers and the community

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12 Camden cost savings strategies 1. Nurse practitioner led clinics in high cost buildings 2. More high utilizer outreach teams 3. Medical home-based nurse care coordination 4. More same day appointments (open access scheduling)

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

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