Trenton Health Team Inc

TRENTON HEALTH TEAM IS AN INNOVATIVE, MULTI-SECTOR PARTNERSHIP DEDICATED TO THE HEALTH AND WELL-BEING OF THE GREATER TRENTON COMMUNITY.

CLINICAL SERVICES - THT PROVIDES A NUMBER OF COMMUNITY-BASED CLINICAL PROGRAMS FOR INDIVIDUALS IN TRENTON AND THROUGHOUT MERCER COUNTY. THESE INCLUDE CARE MANAGEMENT SERVICES THAT PROVIDE ONE-ON-ONE ASSISTANCE TO PATIENTS WITH UNMET CLINICAL AND SOCIAL NEEDS, AS WELL AS PROGRAMS AIMING TO REDUCE THE PREVALENCE AND IMPACT OF CHRONIC DISEASE CONDITIONS IN THE TRENTON AREA, PARTICULARLY DIABETES AND CANCER. THT ALSO IMPLEMENTS KEY PUBLIC HEALTH INITIATIVES FOR THE CITY, COUNTY, AND STATE, INCLUDING EFFORTS FOCUSED ON TUBERCULOSIS MONITORING AND OVERDOSE FATALITY PREVENTION.

COMMUNITY PROGRAMS - AS AN RHH, THT PLAYS AN IMPORTANT BACKBONE/INTEGRATOR ROLE FOR THE REGION, SUPPORTING COLLECTIVE ACTION BY OVER 100 ORGANIZATIONS THROUGH ITS COMMUNITY ADVISORY BOARD (CAB) AND ITS WORKING GROUPS. THT ALSO LEADS MULTIPLE EFFORTS AIMED AT MAKING TRENTON A HEALTHIER AND MORE VIBRANT CITY, GROUNDED IN THE UNDERSTANDING THAT SOCIAL AND COMMUNITY FACTORS STRONGLY INFLUENCE HEALTH OUTCOMES. KEY PROJECTS INCLUDE: A COLLABORATION WITH THE TRENTON PUBLIC SCHOOLS TO REDUCE HEALTH-RELATED CHRONIC ABSENTEEISM; PROJECTS TO ADDRESS UNHEALTHY HOUSING CONDITIONS CITYWIDE; TARGETED NEIGHBORHOOD IMPROVEMENT EFFORTS; A HEALTHY LIFESTYLE CURRICULUM THAT THT HAS BROUGHT TO OVER 80 FAITH-BASED ORGANIZATIONS; TARGETED NEIGHBORHOOD REVITALIZATION EFFORTS; AND CITYWIDE PUBLIC HEALTH MESSAGING CAMPAIGNS AROUND COVID-19, TOBACCO USE, AND SUGARY DRINKS.

DATA AND ANALYTICS - THT PROVIDES IMPORTANT DATA AND ANALYTICS CAPACITY TO THE REGION. THIS INCLUDES OPERATING THE TRENTON HEALTH INFORMATION EXCHANGE (HIE), A PATIENT DATA PLATFORM THAT FACILITATES THE SHARING OF PATIENT RECORDS BETWEEN OVER 1,800 HEALTHCARE PROVIDERS IN THE TRENTON AREA, ENABLING BETTER COORDINATION OF PATIENT-LEVEL CARE BETWEEN PROVIDERS AS WELL AS POPULATION-LEVEL DATA ANALYSIS THROUGH ITS SECURE ANALYTICS MODULE. THE HIE IS ALSO INTEGRATED WITH THE NOWPOW SOCIAL SERVICES REFERRAL PLATFORM, WHICH OVER 40 ORGANIZATIONS IN THE AREA USE TO ADDRESS CLIENTS' NEEDS. THT'S DATA AND ANALYTICS TEAM WORKS WITH HYPERLOCAL DATA FROM THE HIE, NOWPOW, AND OTHER PUBLIC AND PRIVATE DATA SOURCES TO SUPPORT THE PROGRAMS AND STRATEGIES OF THT; HEALTHCARE PARTNERS; COMMUNITY ORGANIZATIONS; AND PUBLIC HEALTH AGENCIES AT THE CITY, COUNTY, AND STATE.

ACO/RHH MANAGEMENT - THT-ACO WAS CERTIFIED AS A MEDICAID ACCOUNTABLE CARE ORGANIZATION BY THE NJ DEPARTMENT OF HUMAN SERVICES IN 2015 AS PART OF THE MEDICAID ACO DEMONSTRATION PROJECT, AS PART OF WHICH THT PROVIDED A KEY SET OF SERVICES WITHIN THE TRENTON AREA. IN 2019, THE STATE TRANSITIONED THE MEDICAID ACO MODEL TO A REGIONAL HEALTH HUB MODEL, AND RE-DESIGNATED THT-ACO AS A REGIONAL HEALTH HUB. AS SUCH, THE ACO WAS DISSOLVED AS OF DECEMBER 31, 2021, AND ALL ACTIVITIES OF THE ACO WERE ASSUMED BY THT.