Page 65 - Total Care Guide 2018_BRD-TCG-518
P. 65
VNSNY Strategic Partnership and
Program Development
VNSNY Strategic Partnership and
Program Development
VNSNY Strategic Partnership and Program Development
combines VNSNY services in population health, transitions
of care and chronic disease management with new
technology into novel solutions for providers and insurers.
We collaborate with hospitals, physician practices, insurers,
government agencies and technology companies to stratify
patients and members by risk level, build care plan and
achieve health goals such as:
• Avoiding hospital and emergency department admissions
• Medication adherence and education
• Assisting patients and their families in dealing with
complex and chronic illnesses
• Assisting patient and their families with transitions
of care from one setting to another
VNSNY utilizes inter-disciplinary teams, including population
care coordinators, advance practice nurses, social workers,
health coaches, home health aides and behavioral, physical
and occupational therapists who lead community-based care
teams to provide these services for both homebound and
non-homebound populations in and outside New York City.
58