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Free Series: 7 Hospital-Home Care Collaboration Models for Improved Patient Care

In a September 3 presentation, we introduced hospitals and home care providers to the HCA-HANYS-IHA “Statewide Hospital-Home Care Collaborative for COVID-19 and Beyond.”

As part of this program, we are offering seven upcoming webinars free of charge for all hospital and home care organizations in New York State.

Each webinar (see topics below) features a pairing of hospital and home care faculty who’ve implemented an innovative and replicable program model of collaboration to share with peers for adaptation on a statewide basis.

All webinars are from 4 to 5 p.m. Pre-registration is not required. On the day of each event, click this link 15 minutes prior to the start time to receive your log-in instructions.

The HCA-HANYS-IHA collaborative is supported by a grant from the Mother Cabrini Health Foundation. It is designed to promote pre- and post-hospital collaboration among hospitals and home care providers to address patients’ needs not only in the COVID-19 pandemic but also on a lasting basis.

Sept. 17
(4-5 p.m.)
CROWN & CARES Program: Managing Acute and Chronic Needs of COVID Patients at Home

Watch The Archive Presentation

Northwell Health, Northwell Home CareA home care initiative for people infected with COVID-19, so they can be treated effectively without having to go to a hospital.
Oct. 8
(4-5 p.m.)
High Risk/High Need Patient Collaborative

Watch the Archive Presentation
Nathan Littauer Hospital, Community Health Care Center of St. Mary's and Nathan Littauer HospitalA partnership between the home care teams and primary care physicians to screen and assess a patient’s condition upon entry to the home with metrics for immediate triage, diagnosis and treatment.
Oct. 15
(4-5 p.m.)
Critical Illness Recovery Program

Watch The Archive Presentation

University of Rochester Medical Center, URMC Home CareA collaboration between the hospital ICU physician leadership and home care working with patients and families from the hospital stay through recovery at home to address Post Intensive Care Syndrome (PICS) a potential array of physiological and mental/cognitive symptoms caused by COVID-19 that may occur during or after treatment.
Nov. 5
(4-5:30 p.m.)
eMOLST Physician-Hospital-Home Care Collaborative

Watch The Archive Presentation
Dr. Patricia Bomba, NYU Hospital, Visiting Nurse Service of New YorkA joint effort to leverage Medical Orders for Life-Sustaining Treatment (MOLST) and eMOLST during the COVID-19 pandemic to ensure patient preferences are honored, especially during a surge.
Nov. 19
(4-5 p.m.)
Integrated Care and Care Management Collaborative

Watch The Archive Presentation
Gurwin Health Care System, Stony Brook Hospital, Stony Brook Physician PracticeUsing virtual connections, telehealth monitoring, and a clinical dashboard, home care providers and physicians monitor pulse-ox, cardiac tests and other readings or reports for care management of patients diagnosed with COVID-19, congestive heart failure, chronic obstructive pulmonary disease or atrial fibrillation.
Dec. 3
(4-5 p.m.)
Pre-acute/Post-acute Collaboratives

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Watch the Webinar Here on Dec. 3 at 4 p.m.
Mount Sinai South Nassau, South Nassau Home CareThis collaborative effort specifically targets those diagnosed or frequently readmitted to the hospital for the following conditions: end-stage chronic obstructive pulmonary disorder; diabetes; pre-and post-operative care in orthopedics (e.g., hip and knee replacements) or open heart surgeries, with a focus on patient and family teaching, short stay or same-day transition back home, and recovery or rehab care at home.
Dec. 17
(4-5 p.m.)
Population Health Collaborative and Analytics Partnership

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Upstate Medical Center, Nascentia Health, Upstate Home CareThis pilot study involves collaborative work to monitor family members of those diagnosed with COVID-19 to learn about transmission and immunity by tracking participants over a 100-day period to better understand how the virus is spread a potential model for analyzing other diseases or conditions.