title: A regional health collaborative formed By NewYork-Presbyterian aims to improve the health of a largely Hispanic community.
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.
authors: NewYork-Presbyterian Hospital, New York City, NY, USA. ecarrill@nyp.org
authors: J Emilio
authors: JE
authors: Carrillo
authors: Nida Shabbir
authors: NS
authors: Shekhani
authors: Emme Levin
authors: EL
authors: Deland
authors: Elaine M
authors: EM
authors: Fleck
authors: Jaclyn
authors: J
authors: Mucaria
authors: Robert
authors: R
authors: Guimento
authors: Steven
authors: S
authors: Kaplan
authors: William A
authors: WA
authors: Polf
authors: Victor A
authors: VA
authors: Carrillo
authors: Herbert
authors: H
authors: Pardes
authors: Steven J
authors: SJ
authors: Corwin
mesh_terms: D000046:Academic Medical Centers; D003159:Community-Institutional Relations; D003299:Cooperative Behavior; D006301:Health Services Needs and Demand; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D020380:Needs Assessment; D009519:New York City; D018802:Patient-Centered Care / Q000458:organization & administration*; D016730:Program Development; D033303:Protestantism; D012959:Socioeconomic Factors; D019037:Urban Health Services / Q000458:organization & administration*; D014505:Urban Population