TRENTON HEALTH TEAM INC
ONE WEST STATE STREET No 4FL, TRENTON, NJ 08608 www.trentonhealthteam.org

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Organizations Filed Purposes: Trenton Health Team is an innovative, multi-sector partnership dedicated to the health and well-being of the greater Trenton community.

Clinical Services - THT has continued care management services focused on complex, high-utilizing Medicaid patients in Trenton, oncology patients in need of social supports, and TB patients throughout Mercer County. In partnership with the NJ Department of Health, THT implemented NJCEED (Cancer Education and Early Detection) providing education, screening, referral and navigation support for cancer patients, and working with clinical and community partners serving high-need clients in Mercer County. THT is in year 3 of a 5-year Capital City Diabetes Collaborative program to ensure consistent, evidence-based diabetes care, with a focus on Medicaid clients. The Community-wide Clinical Care Coordination Team (C4T) guides implementation of the diabetes program, bringing key partners together to review data and address vital issues. We also implement a peer learning program for diabetes.

Community Programs - THT has implemented grant projects supporting priorities and goals adopted in 2014 by THT's Community Advisory Board, representing more than 100 Trenton agencies, and strengthening our role as a convener and integrator for regional health programming. Projects include: Faith in Prevention, working with faith-based groups on healthy lifestyle programming; the Transforming Communities Initiative, engaging area preschools and Trenton Public Schools to encourage healthy eating and active living among students and families, while addressing policy, system, and environmental changes pertaining to tobacco use, good nutrition, and physical activity; the BUILD Health Challenge, focusing on a targeted area to improve access and infrastructure for revitalized and healthier neighborhoods, including "cleaning & greening" of parks and vacant lots and the launch of a new farmers market; a Princeton Area Community Foundation All Kids Thrive effort addressing chronic absenteeism in Trenton Public Schools caused by health issues; collaborating to address housing quality, especially mitigating lead contamination and asthma triggers; and bringing health screenings to the community at health fairs, barber shops and weekly farmers markets.

Data Services - The Trenton Health Information Exchange (HIE) has grown in use to include 573,000 individual patient records accessible in real-time by more than 980 healthcare providers within the greater Trenton community. A full-time HIE Program Manager leads this work and is supported by a full-time HIE Administrator, who conducts training for new users, troubleshoots user questions, generates reports, and monitors system use. Report functions have been expanded and enhanced, including creation of both personal and population level tools. The HIE supports cross-sector programming, such as the Capital City Diabetes Collaborative, the All Kids Thrive project, projects focused on healthy homes, and a partnership with churches to alert health liaisons when enrolled congregants are hospitalized. In addition, THT launched a new closed loop referral system for social determinants of health that is integrated into the HIE.

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Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/202043099349302019_public.xml