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Care Connections

About Us > Innovative Care Models > Care Connections > Population Health Fellowship > About the Program

About the Fellowship

Message from the Fellowship Director

Jeffrey R. Martin, MD, FAAFP

Welcome and thank you for expressing interest in population health fellowship training at Lancaster General Health. The combination of high-quality healthcare services and an institution-wide dedication to community care, make Lancaster General Health the perfect location to develop skills in population health.

The fellowship’s goal is to develop a pipeline of primary care providers with new skills in leadership as well as institute physician training focused on complex and special population management. Time in the fellowship is split between clinical work in Care Connections and work within our Accountable Care Organization, Lancaster General Health Community Care Collaborative. Interdisciplinary education – team development and modeling – is a critical part of the education.

The fellow may achieve training in a master’s level program such as the Masters of Healthcare Administration from a partner institution at The Pennsylvania College of Health Sciences. The fellow is also expected to teach and precept residents in the nationally-recognized Lancaster General Health Family Medicine Residency.

Care Connections began with a small pilot within the LG Health Family Medicine Residency. From 40 patients to more than 300, Care Connections has grown exponentially. At its core, Care Connections strives to empower patients and teach accountability. The team has scaled efforts to meet patient demand by using technological support such as MyLGHealth portal. Care Connections has also become an educational hub supporting the learnings of team-based care across the health system.

The aim of Care Connections is to better serve patients with three or more medical problems plus behavioral health issues, who have been admitted to the hospital multiple times in the past year. The program provides quality care with a customized experience, while lowering overall healthcare costs. Support for the medical team is provided by patient care navigators, social workers (including a Licensed Clinical Social Worker), a medical-legal attorney, hospital chaplains, care management nurses, a behavioral health psychologist, physicians, nurse practitioners, and a clinical pharmacist. Most importantly, Care Connections has been designed with our patients as integral team members.

Care Connections has received support from the County of Lancaster, the Commonwealth of Pennsylvania and multiple community stakeholders including the local United Way and won the prestigious Living the Vision Award of the Hospital & Healthsystem Association of Pennsylvania in 2015. Care Connections was also instrumental in LG Health being a finalist in the American Hospital Association Foster G. McGaw Prize, recognizing hospitals that have distinguished themselves through efforts to improve the health and well-being of everyone in their communities.

Goals and Objectives

  • To train effective leaders in population health and accountable care
  • To foster and expand clinical, analytical and research skills
  • To increase physician exposure to and challenge creative thinking on current issues in population health
  • To develop new physician leadership for LG Health through active participation in Care Connections activities, coursework and attend/convene work groups
  • To develop a regional professional network for collaboration and exchange in new healthcare delivery systems and innovative approaches to population management

Scope of Training

  • Performance measurement and improvement
  • Care redesign
  • Hospital operations and governance
  • Pay for performance/global payments
  • Physician contracting/human resources
  • Project management

Lancaster General Health Statistics & Recognitions

  • Lancaster General Health is a regional health system with a comprehensive network of care including 689 acute beds at three inpatient facilities, 18 outpatient locations, home healthcare services and primary and specialty medical practices. Lancaster General Health Community Care Collaborative, LG Health’s ACO, is implementing CMMI bundled payments and Medicare Shared Savings programs
  • 970+ member medical and dental staff includes every major specialty and most sub-specialties, as well as 300+ practicing family physicians
  • Integrated care delivery network with PCMH primary care offices, home infusion services, home nursing, rehab hospital and high risk patient management throughout the continuum of care.
  • LG Health operates the Pennsylvania College of Health Sciences

Fellowship Facts

  • A flexible one to two-year program
  • Four core faculty who are all trained and board certified in family medicine
  • Participation in operations of the LG Health CCC ACO
  • Competitive salary
  • 50/50 clinical and experiential learning
  • Integration with 26 PCP offices that are level 3 NCQA PCMH certified
  • Membership in Population Health Journal Club
  • Monthly educational seminars
  • Ability to precept family medicine residents


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Address & Hours

Care Connections

555 North Duke St

1st Floor

Lancaster, PA 17604

Phone: 717-544-2273

Fax: 717-544-8270

Monday: 8 am - 6pm
Tuesday: 8 am - 6pm
Wednesday: 8 am - 6pm
Thursday: 8 am - 6pm
Friday: 8 am - 6pm
Saturday: Closed
Sunday: Closed

After hours please call 717-544-2273.


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