1. A regional health collaborative formed By NewYork-Presbyterian aims to improve the health of a largely Hispanic community.
- Author
-
Carrillo JE, Shekhani NS, Deland EL, Fleck EM, Mucaria J, Guimento R, Kaplan S, Polf WA, Carrillo VA, Pardes H, and Corwin SJ
- Subjects
- Academic Medical Centers, Cooperative Behavior, Health Services Needs and Demand, Humans, Needs Assessment, New York City, Program Development, Protestantism, Socioeconomic Factors, Urban Population, Community-Institutional Relations, Health Status Disparities, Healthcare Disparities ethnology, Hispanic or Latino, Patient-Centered Care organization & administration, Urban Health Services organization & administration
- 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
- Full Text
- View/download PDF