Practical Tips for Ambulatory Care in COVID-19: Lessons Learned in a New York Health System

2020 ◽  
pp. 106286062095427
Author(s):  
Ankita Sagar ◽  
JoAnne Gottridge ◽  
Nancy LaVine
Keyword(s):  
New York ◽  
Health System ◽  
Ambulatory Care ◽  
Primary Care Providers ◽  
Lessons Learned ◽  
Care Providers ◽  
Pragmatic Approach ◽  
Metro Area ◽  
Ambulatory Patients ◽  
Significant Attention

Although significant attention has been allocated to hospital management of COVID-19 patients during this pandemic, less discussed is the management of ambulatory patients. This has resulted in a challenge for ambulatory care providers in the management of COVID-19, particularly in areas with high disease prevalence. In this article, the authors share a pragmatic approach to ambulatory management of COVID-19 at Northwell Health, a large health system that employs approximately 300 primary care providers in the New York metro area. This includes guidance on various COVID-19 management topics: clinical assessment algorithms, guidance on patient tracking, and the importance of engaging in partnerships with other provider types. Sharing these experiences in the clinical management of COVID-19 may benefit other ambulatory providers in earlier stages of the COVID-19 pandemic.

scholarly journals Engaging and Educating Older Adults and Caregivers in Age-Friendly Healthcare

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 686-686
Author(s):  
Erin Emery-Tiburcio ◽  
Rani Snyder
Keyword(s):  
Older Adults ◽  
New York ◽  
Health System ◽  
Medical Center ◽  
Health Resources ◽  
Primary Care Providers ◽  
Care Providers ◽  
New York University ◽  
The Us ◽  
Treatment Plans

Abstract As the Age-Friendly Health System initiative moves across the US and around the world, not only do health system staff require education about the 4Ms, but older adults, caregivers, and families need education. Engaging and empowering the community about the 4Ms can improve communication, clarify and improve adherence to treatment plans, and improve patient satisfaction. Many methods for engaging the community in age-friendly care are currently in development. Initiated by Health Resources and Services Administration (HRSA)-funded Geriatric Workforce Enhancement Programs (GWEPs), Community Catalyst is leading the co-design of Age-Friendly Health System materials with older adults and caregivers. Testing these materials across the country in diverse populations of older adults and caregivers will yield open-source documents for local adaptation. Rush University Medical Center is testing a method for identifying, engaging, educating, and providing health services for family caregivers of older adults. This unique program integrates with the Age-Friendly Health System efforts in addressing all 4Ms for caregivers. The Bronx Health Corps (BHC) was created by the New York University Hartford Institute of Geriatric Nursing to educate older adults in the community about health and health behaviors. BHC developed a method for engaging and educating older adults that is replicable in other communities. Baylor College of Medicine adapted and tested the Patient Priorities Care model to educate primary care providers about how to engage older adults in conversations about What Matters to them. Central to the Age-Friendly movement, John A. Hartford Foundation leadership will discuss the implications of this important work.

“I felt useless”: a qualitative examination of COVID-19’s impact on home-based primary care providers in New York

2021 ◽  
pp. 1-15
Author(s):  
Ksenia Gorbenko ◽  
Emily Franzosa ◽  
Sybil Masse ◽  
Abraham A Brody ◽  
Orla Sheehan ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
Primary Care Providers ◽  
Care Providers ◽  
Home Based Primary Care ◽  
Home Based

Lessons Learned from Designing and Leading Multidisciplinary Diabetes Educational Groups

2014 ◽  
Vol 36 (2) ◽  
pp. 160-172 ◽  
Author(s):  
Bethany Glueck ◽  
Brett Foreman
Keyword(s):  
Diabetes Care ◽  
Well Being ◽  
Primary Care Providers ◽  
Health Condition ◽  
Lessons Learned ◽  
Care Providers ◽  
Care Models ◽  
Educational Groups ◽  
Education Support ◽  
Licensed Professional Counselor

Diabetes is a serious health condition that significantly impacts physical and emotional well-being. Working with primary care providers, clinical mental health counselors have an opportunity to contribute to its efficacious treatments. Researchers and clinicians have suggested a multidisciplinary approach to diabetes care may be useful. To increase knowledge and awareness about the use of collaborative care models for diabetes care, the authors—a licensed professional counselor and a family physician—share lessons learned from their experiences designing and cofacilitating a series of multidisciplinary-led diabetes groups in 2007, 2008, and 2009. The series covered education, support, and self-management techniques related to diabetes care. All 57 participants were asked to complete a program evaluation survey. All 29 participants who did so (100%) reported having a better understanding of diabetes, and 21 (71%) reported applying what they had learned (e.g., increasing exercise and making better nutritional choices). Implications for counselors in practice and research are discussed.

scholarly journals Public Health Detailing of Primary Care Providers: New York City’s Experience, 2003–2010

2012 ◽  
Vol 102 (S3) ◽  
pp. S342-S352 ◽  
Author(s):  
Michelle G. Dresser ◽  
Leslie Short ◽  
Laura Wedemeyer ◽  
Victoria Lowerson Bredow ◽  
Rachel Sacks ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
New York ◽  
Primary Care Providers ◽  
Care Providers

scholarly journals Not Perfect, but Better: Primary Care Providers’ Experiences with Electronic Referrals in a Safety Net Health System

2009 ◽  
Vol 24 (5) ◽  
pp. 614-619 ◽  
Author(s):  
Yeuen Kim ◽  
Alice Hm Chen ◽  
Ellen Keith ◽  
Hal F. Yee ◽  
Margot B. Kushel
Keyword(s):  
Primary Care ◽  
Health System ◽  
Primary Care Providers ◽  
Safety Net ◽  
Care Providers ◽  
Electronic Referrals

scholarly journals Relationship Between COVID-19 Cases and Vaccination Rates in New York State Counties

PRiMER ◽  
2021 ◽  
Vol 5 ◽  
Author(s):  
Halle Cerio ◽  
Laura A. Schad ◽  
Telisa M. Stewart ◽  
Christopher P. Morley
Keyword(s):  
New York ◽  
Population Size ◽  
New York State ◽  
Primary Care Providers ◽  
Outcome Variable ◽  
Care Providers ◽  
York State ◽  
Vaccination Rates ◽  
County Population ◽  
The Impact

Introduction: Vaccines against SARS-CoV-2 have been developed with unprecedented speed. The phased introduction of vaccines may be serving to offset the impact of new viral variants and policy relaxation. In order to assess the impact of vaccination, we examined a snapshot of vaccination rates across counties in a single state, at a single time point, comparing them with population-adjusted case counts. Methods: We calculated descriptive statistics and bivariate correlations for vaccination rates and cases across counties in New York State (NYS). We conducted a linear regression using cases/100K population per NYS county, frozen at a single snapshot in time, as the outcome variable, predicted by percentage of each county’s population (completed series/two doses), controlling for county population. Results: Percentages with one dose and with two doses were highly correlated (r=.935, P<.001) with one another. Both the one dose and two dose z rates were negatively correlated with cases per 100K population (not significant). Population size was strongly correlated with cases per 100K (r=.715, P<.001). The two-dose vaccination rate was a significant negative predictor of cases per 100K population in NYS counties (β= -.866, P=.031), with each percentage point of completed vaccination nearly equating to one case less in the daily count when controlling for county population size (β =2.732, P<.001). Conclusion: While variants may impact vaccine effectiveness, current vaccination efforts are helping forestall some cases in NYS. Widespread vaccination is still an important goal. Primary care providers, public officials, and public health scientists should continue to urgently promote and support vaccination efforts.

scholarly journals Perspectives on the HIV continuum of care among adult opioid users in New York City: a qualitative study

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Babak Tofighi ◽  
Selena S. Sindhu ◽  
Chemi Chemi ◽  
Crystal Fuller Lewis ◽  
Victoria Vaughan Dickson ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
New York City ◽  
Administrative Support ◽  
Primary Care Providers ◽  
Support Networks ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Providers ◽  
Factors Influencing

Abstract Background Engagement in the HIV care continuum combined with office-based opioid treatment remains a cornerstone in addressing the intertwined epidemics of opioid use disorder (OUD) and HIV/AIDS. Factors influencing patient engagement with OUD and HIV care are complex and require further study. Methods In this qualitative study, in-depth interviews were conducted among 23 adult patients who use drugs (PWUD) in an inpatient detoxification program in New York City. The semi-structured interview guide elicited participant experiences with various phases of the HIV care continuum, including factors influencing access to HIV care, interactions with HIV and primary care providers, preferences around integrated care approaches for OUD and HIV, and barriers experienced beyond clinical settings which affected access to HIV care (e.g., insurance issues, transportation, cost, retrieving prescriptions from their pharmacy). Data collection and thematic analysis took place concurrently using an iterative process-based established qualitative research method. Results Respondents elicited high acceptability for integrated or co-located care for HIV and OUD in primary care. Factors influencing engagement in HIV care included (1) access to rapid point-of-care HIV testing and counseling services, (2) insurance coverage and costs related to HIV testing and receipt of antiretroviral therapy (ART), (3) primary care providers offering HIV care and buprenorphine, (4) illicit ART sales to pharmacies, (5) disruption in supplies of ART following admissions to inpatient detoxification or residential treatment programs, (6) in-person and telephone contact with peer support networks and clinic staff, (7) stigma, and (8) access to administrative support in primary care to facilitate reengagement with care following relapse, behavioral health services, transportation vouchers, and relocation from subsidized housing exposing patients to actively using peers. Conclusion These findings suggest expanding clinical and administrative support in primary care for PWUDs with patient navigators, case managers, mobile health interventions, and peer support networks to promote linkage and retention in care.

scholarly journals Paradigm Shifts in Cardiac Care: Lessons Learned From COVID-19 at a Large New York Health System

2020 ◽  
pp. 100675
Author(s):  
Gaurav Rao ◽  
Avneet Singh ◽  
Puneet Gandhotra ◽  
Perwaiz Meraj ◽  
Sandeep Jauhar ◽  
...  
Keyword(s):  
New York ◽  
Health System ◽  
Lessons Learned ◽  
Cardiac Care ◽  
Paradigm Shifts
Sign in / Sign up

Export Citation Format

Share Document