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2. A Regional Health Collaborative Formed By NewYork-Presbyterian Aims To Improve The Health Of A Largely Hispanic Community

Author

Carrillo, J. Emilio, primary, Shekhani, Nida Shabbir, additional, Deland, Emme Levin, additional, Fleck, Elaine M., additional, Mucaria, Jaclyn, additional, Guimento, Robert, additional, Kaplan, Steven, additional, Polf, William A., additional, Carrillo, Victor A., additional, Pardes, Herbert, additional, and Corwin, Steven J., additional

Published
2011
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3. A Regional Health Collaborative Formed By NewYork-Presbyterian Aims To Improve The Health Of A Largely Hispanic Community

Author

Victor A. Carrillo, Steven J. Corwin, Nida Shabbir Shekhani, Elaine M. Fleck, J. Emilio Carrillo, Robert Guimento, William A. Polf, Jaclyn Mucaria, Emme L. Deland, Herbert Pardes, and Steven A. Kaplan

Subjects
medicine.medical_specialty, Urban Population, Nursing, Patient-Centered Care, Health care, Urban Health Services, Humans, Medicine, Cooperative Behavior, Healthcare Disparities, Program Development, Health policy, Academic Medical Centers, Health Services Needs and Demand, HRHIS, business.industry, Health Policy, Public health, International health, Health Status Disparities, Hispanic or Latino, Community-Institutional Relations, Health equity, Health promotion, Protestantism, Socioeconomic Factors, Family medicine, New York City, Health education, business, Needs Assessment
Abstract

Communities of poor, low-income immigrants with limited English proficiency and disproportionate health burdens pose unique challenges to health providers and policy makers. NewYork-Presbyterian Hospital developed the Regional Health Collaborative, a population-based health care model to improve the health of the residents of Washington Heights-Inwood. This area is a predominantly Hispanic community in New York City with high rates of asthma, diabetes, heart disease, and depression. NewYork-Presbyterian created an integrated network of patient-centered medical homes to form a "medical village" linked to other providers and community-based resources. The initiative set out to document the priority health needs of the community, target high-prevalence conditions, improve cultural competence among providers, and introduce integrated information systems across care sites. The first six months of the program demonstrated a significant 9.2 percent decline in emergency department visits for ambulatory care-sensitive conditions and a 5.8 percent decrease in hospitalizations that was not statistically significant. This initiative offers a model for other urban academic medical centers to better serve populations facing social and cultural barriers to care.

Published
2011

4. A Regional Health Collaborative Formed By New York-Presbyterian Aims To Improve The Health Of A Largely Hispanic Community.

Author

Carrillo, J. Emilio, Shekhani, Nida Shabbir, Deland, Emme Levin, Fleck, Elaine M., Mucaria, Jaclyn, Guimento, Robert, Kaplan, Steven, Polf, William A., Carrillo, Victor A., Pardes, Herbert, and Corwin, Steven J.

Subjects
*HEALTH promotion, *METROPOLITAN areas, *ACADEMIC medical centers, *CHRONIC diseases, *HISPANIC Americans, *INFORMATION storage & retrieval systems, *MEDICAL databases, *INTEGRATED health care delivery, *INTERPROFESSIONAL relations, *MEDICAL care use, *NEEDS assessment, *CULTURAL competence, *DISEASE prevalence, *PATIENT-centered care
Abstract

Communities of poor, low-income immigrants with limited English proficiency and disproportionate health burdens pose unique challenges to health providers and policy makers. New York-Presbyterian Hospital developed the Regional Health Collaborative, a population-based health care model to improve the health of the residents of Washington Heights-Inwood. This area is a predominantly Hispanic community in New York City with high rates of asthma, diabetes, heart disease, and depression. New York-Presbyterian created an integrated network of patient-centered medical homes to form a "medical village" linked to other providers and community-based resources. The initiative set out to document the priority health needs of the community, target high-prevalence conditions, improve cultural competence among providers, and introduce integrated information systems across care sites. The first six months of the program demonstrated a significant 9.2 percent decline in emergency department visits for ambulatory care-sensitive conditions and a 5.8 percent decrease in hospitalizations that was not statistically significant. This initiative offers a model for other urban academic medical centers to better serve populations facing social and cultural barriers to care. [ABSTRACT FROM AUTHOR]

Published
2011
Full Text
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