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Lehigh Valley Super Utilizer Partnership |
Pennsylvania |
| The Lehigh Valley Super Utilizer Partnership (LVSUP) provides intensive outreach and care coordination for patients with complex illness who have been admitted to the hospital two or more times in the past 6 months. The program aims to help patients navigate complexities in the healthcare system, build relationships with their providers and accomplish goals that will ultimately improve their quality of life. This pilot is based on the Camden Coalition's model. | |
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Partner Organizations |
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Target Population |
High-utilizers (particularly Medicaid enrollees and the uninsured) who have been admitted to the hospital 2 or more times in the past 6 months |
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Care Team |
RN team leader, 2 community health workers, social worker, research assistant, 2 licensed practical nurses and a community connector |
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Timeframe |
2012 - present |
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Results/ Studies |
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Funding |
Federal grant |
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Resources |
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