The Center for Population Health engages patients, care givers, and the community through education, navigation, and direct patient care to support health care needs.
Cooper maximizes clinical innovation, outreach, research and education to deliver excellent community and value-based, patient-centered programs.
Community Outreach
The Community Outreach team provides health-related education, clinical screenings and other programs to address social-related challenges in the community setting. We partner with community-based organizations, Cooper clinicians and our community network to extend access to important health-related services. For information about outreach initiatives and community health workers, click here.
Complex Care Coordination
The Complex Care team focuses on promoting a patient’s health by educating, evaluating and addressing clinical, social, and behavioral health needs. In addition, we connect patients with community resources and organizational partners. Our goal is to engage and empower patients to develop the skills needed to improve health and well-being. For more information click here.
Transitional Care Coordination
The Transitional Care Program focuses on ensuring your discharge from the hospital is seamless. Through education, providing resources, and connecting to your primary care provider within seven days of discharge. For more information, click here.
Digital Remote Patient Monitoring
Digital remote patient monitoring (RPM) helps you and your health care provider monitor your chronic medical condition closely in the comfort of your own home through use of digital devices. During your enrollment in the program, you will have a committed team of nurses who support and monitor you throughout the time you are in the program.
Population Health at Home
Population Health at Home brings quality, compassionate care directly to where patients feel most comfortable, their homes. Our program is designed to support patients after a hospital stay and beyond, helping them recover safely and manage their health long-term.
Through our Transitional Care Program, patients receive short-term, in-home visits from a primary care provider following discharge. These visits focus on recovery, medication review, symptom management, and preventing avoidable readmissions.
For patients who benefit from continued primary care, our Longitudinal Primary Care Program offers ongoing in-home medical visits to manage chronic conditions, coordinate care, and maintain overall wellness.
Together, these services ensure that each patient receives continuous, coordinated care, promoting independence, improving health outcomes, and enhancing quality of life at home. For more information click here
Population Health at Home provides a level of assurance that the medical care and attention you received in the hospital does not stop but continues after you are discharged.
Our team of board-certified advanced practice providers come to your home to review and manage your medical, social and behavioral needs. We take a patient-caregiver centered approach by including you and your caregiver in creating your post-discharge plan.
The team will update your primary care provider on your status and plan of care following the initial visit and continue to communicate and collaborate as needed. Our in-home providers may manage your care for up to 30 days with the primary goal being a safe transition back to your primary care provider.
Our advanced practice providers will work with you and your caregiver to:
• Review your discharge instructions and plan.
• Discuss your medications with you and make changes as needed.
• Review how you have been feeling since discharge and address any new or worsening symptoms.
• Perform a physical exam.
• Order any blood work or tests you may need after discharge.
• Stay in constant communication with your doctor/provider about your care and health.
• Work with you on how you can self-manage your condition to increase your independence and effective coping.
• Provide emotional counseling to you and your caregiver.
• Identify challenges that could interfere with your ability to best care for yourself and help find resources to assist you.
Am I eligible for an in-home Primary Care Provider?
You may be eligible for in-home provider services visits if you have:
• A chronic disease or illness that affects your health and daily activities.
• Difficulty attending office visits with your primary care provider due to the severity of your illness or health condition.
You do NOT have to be home bound to be eligible for in-home services.
For questions or more information, call us at 856.382.6686.
Population Health at Home Primary Care Program
The Cooper Population Health at Home team delivers high quality care to you in your home. We will provide you with preventative, comprehensive and compassionate care to improve your health and well-being while keeping you in the comfort of your own home.
Our team of board-certified Advanced Practice Providers (APPs) come to your home to review and manage your medical, social and behavioral needs. We take a patient-caregiver centered approach and include you and your caregiver in creating your treatment plan.
The APPs will communicate and collaborate with your care team on your status as needed. Our in-home APPs apply their clinical expertise in diagnosing and treating your health conditions with emphasis on disease prevention and health management, with a personal touch.
Our Advanced Practice Providers will work with you and your caregiver to:
• Perform a patient history and physical exam
– Develop an individualized treatment plan
– Deliver preventative care and provide education on health and wellness
• Manage health conditions with pharmacological and non-pharmacological therapies
• Order any blood work or test you may need
• Work with you on how you can self manage your condition to increase your independence.
• Provide emotional counseling to you and your caregiver.
• Identify challenges that could interfere with your ability to best care for yourself and connect you with resources to assist you.
Am I eligible for an in-home Primary Care Provider?
You may be eligible for in-home provider services visits if you have:
• A chronic disease or illness that affects your health and daily activities.
• Difficulty attending office visits with your primary care provider due to the severity of your illness or health condition.
You do NOT have to be home bound to be eligible for in-home services.
For questions or more information, call us at 856.382.6686.
Patient Testimonials:
“Our home visit was so helpful. The Nurse Practitioner answered all my many, many questions and was so thorough. The office staff were more helpful than anyone we have ever talked to about what to do next. With us being in our 90s this made our discharge so much smoother than past hospital stays and makes us feel so much more comfortable knowing these services are available.”
“All the nurses are excellent. They have good experience and explain everything to me, also very kindly. I am here to say, thank you very much to all of the nurse practitioners.”
Post-Acute Care Coordination and Network
The Center for Population Health created a high-performing post-acute network to help patients identify, select and receive high quality care from skilled nursing facilities and home health agencies. Our post-acute team and network meet regularly to review cases of shared patients and opportunities for reduced hospital readmissions and overall costs.
Cooper Connect
Cooper Connect was created to help patients and the community easily access their health-related information anytime and anywhere. For more information, click here.