CCA Primary Care
Formerly known as Commonwealth Community Care, CCA Primary Care is the clinical affiliate of Commonwealth Care Alliance. It is a mission-aligned practice providing specialized, comprehensive care tailored to the complex needs of our health plan members. During the pandemic, CCA not only kept these clinics open, but also increased our census by almost 20% to 1,447 patients. We maintained our level of productivity by shifting many appointments to telehealth visits: of our 11,510 total visits (8 visits per unique patient), 39% were virtual. We exceeded the CDC’s COVID-19 safety guidelines and managed to avoid any cases of transmission between patients and staff. Looking to 2021, our facilities will not only be re-branded, but re-imagined. CCA Primary Care will expand and enhance its care design, featuring new engagement centers where patients will find wellness education, peer support, and community. Learn more about CCA Primary Care.
Crisis Stabilization Units (CSUs)
CCA originally opened two facilities—in Dorchester and Brighton, MA—to offer members with behavioral health disorders a therapeutic alternative to inpatient psychiatric admissions that keeps them in the community. The pandemic impacted operations significantly in 2020. Our unit at Carney Hospital in Dorchester had to be returned to inpatient use for COVID-related treatment, and our Marie’s Place® CSU in Brighton had to reduce capacity by providing each patient with a private room to mitigate transmission of the virus. Despite these challenges, Marie’s Place® remains the only unit of its kind in Massachusetts and amassed 2,088 patient days among 400 members in 2020. Learn more about Crisis Stabilization Units.
Created to address the special ongoing needs of CCA members with serious or life-limiting illnesses, the CCA palliative care program adapted swiftly to the challenges these members faced during 2020’s COVID-19 crisis. During the March–May surge, we implemented a telephonic palliative care program that achieved a 98% reach rate. We identified members most at risk of adverse outcomes if infected and enrolled 50% of those contacted in the palliative care program. During 2020, the palliative care team, which consists of palliative care–certified physicians, advanced practitioners, nurses, and social workers, engaged with 670 members in 8,585 encounters across the state. We are now developing advanced analytics that use machine learning to reveal members most likely to benefit from interventions beyond the current palliative care model. Learn more about palliative care.
Complex Transitional Care
High-need CCA members may present to the emergency department and be admitted to the hospital for issues that could be treated successfully at home. When they do need admission to a hospital for medical or surgical care, their complex needs require specialized attention—both in the hospital and when they transition back to the community. Our one-of-a-kind Complex Transitional Care program is designed to mitigate these problems by co-locating CCA physicians and health outreach workers in four of the state’s busiest hospitals. There they can integrate our members’ social needs into medical decision-making and transition them home for ongoing care when appropriate. In 2020 the program served more than 7,500 patients in our four partner hospitals, with initial observations showing significant reductions in ED re-presentations, transfer rates to inpatient and observation beds, and readmission rates.