Center for Population Health

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

Leaving the hospital after an admission can be stressful, and patients often have questions about their next steps. The Population Health at Home program can help the transition by providing patients with a home visit by a primary care provider after a recent hospital stay. 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. 

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.