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Population Health

Collaborations & Partnerships

In addition to TCPH-based programs, the Temple Center for Population Health partners with other entities within Temple Health, the Lewis Katz School of Medicine at Temple University, and a number of additional healthcare providers at the state and national level. These strategic partnerships help us to meet the needs of our patients, families and communities.

  • Temple Health Collaborative Programs

  • Lewis Katz School of Medicine at Temple University Collaboration

  • Local, State and National-Level Collaborative Programs

Temple Health Collaborative Programs

  • Jeanes Hospital Home Health has established a management agreement with Bayada to form Temple Health at Home, a hospital-based home care program providing skilled nursing, physical therapy, and social work services to Philadelphia and surrounding counties.

  • Temple Physicians, Inc. (our community-based physician practice) has partnered with KleinLife, a community center with a focus on senior services, including recreation, medical care, educational programs, meals, transportation and group programs. TPI offers an office-based practice in the KleinLife Community Center staffed by a physician and a nurse practitioner. Temple’s Kornberg School of Dentistry provides dental services there, and home care services are provided by Temple Health at Home. This is an example of how coordinated programs can come together to provide multiple services to a vulnerable population under a single roof.

  • Temple University Hospital is exploring ways of providing alternative care models to patients who utilize the Emergency Department for primary care needs. By providing the services of a Federally Qualified Health Center in proximity to the ED, the primary care needs of patients will be addressed in a comprehensive and longitudinal manner, reducing the low acuity emergency visit volume.

  • TCPH collaborates with Temple University Hospital, Jeanes Hospital and the American Oncologic Hospital at Fox Chase Cancer Center by participating in the Community Health Needs Assessment (CHNA) process, reporting and developing action plans to address community-specific needs.

Lewis Katz School of Medicine at Temple University Collaboration

As part of the academic mission of Temple Health and the Lewis Katz School of Medicine at Temple University, the TCPH contributes to the undergraduate and graduate curricula for teaching population health in collaboration with the Temple Center for Bioethics, Urban Health and Policy. This collaboration includes conducting research to compare different models of care and interventions focused on enhancing the delivery of high value care.

Local, State & National-Level Collaborative Programs

The TCPH collaborates with a number of healthcare providers external to Temple Health to improve communication and transitions, and to deliver high-value care. These include Federally Qualified Health Centers, City Health District Clinics and community primary care practices. We also work with city, state and federal government agencies on the implementation of grant-funded programs to create resources for specific populations of patients. For example:

  • The Diabetes Prevention Program (DPP) funded by the Center for Disease Control (CDC) through the Philadelphia Department of Health. At the core of this program, is the training of CHWs as peer coaches to target pre-diabetes, hypertension and obesity. The program includes patient education for newly diagnosed hypertension. The patients who have benefited from this grant are in TPI practices, at the KleinLife Community Center, at the Bright Hope Baptist Church, or are part of the Law Enforcement Health Benefits program.

  • TCPH was invited to participate in a practice transformation network called the Transforming Clinical Practice Initiative (TCPI), a Center for Medicare and Medicaid Innovation (CMMI) grant, awarded to Vizient. The collaborative is designed to provide tools and data to support performance improvement. Metrics have been selected that support the clinical and business imperatives of TPI and TUP. The focus is on the patient experience, improvement in care coordination and a reduction of gaps in care. The collaborative is designed to prepare providers for alternative payment models being considered by CMS for implementation in the near future.

  • TCPH participated on the population health subcommittee for the Health Innovation Plan of Pennsylvania, the Department of Health State Innovation Model (SIM) grant application led by Secretary of Health, Karen Murphy.

  • TCPH submitted an application for the Affordable Care Act Funding Opportunity: Accountable Health Communities to access whether systematic screening and identification of unmet health-related social needs, and addressing these needs in a comprehensive coordinate and efficient fashion, decrease the cost and increase the quality of care for CMS beneficiaries. The North Philadelphia Accountable Health Community (NPAHC) was developed to meet the obligations of the grant. The coalition includes nine provider sites and 19 community service organizations focused on addressing food insecurity, utility access, transportation, housing insecurity, interpersonal violence and substance abuse. The grant application required the support of the State Medicaid Agency, the Pennsylvania Department of Human Services. CMS will announce grant recipients in 2017.