Access Health at Sinai Hospital
Access Health is a partnership with Sinai Hospital that addresses health disparities, reduces admissions and readmissions, and expands primary care capacity by increasing health care access points, promoting continuity of care efforts, and diverting frequent ED visits. The program is designed to capture patients who are high utilizers of emergency services or may be a risk for pregnancy complications and link them to appropriate and health-promoting care.
Access Health also helps to reduce the chance of readmission through follow up and outreach. Care Coordinators embedded in Sinai assess the needs of frequent ED visitors and connect these individuals to primary and behavioral health care providers located near patient homes.
Key components of the program include the following:
- Extended hours of access—Access Health staff are available during nontraditional working hours (that is, evenings and weekends) to cover emergency department peak access periods.
- Comprehensive patient assessments that complement the medical assessment/discharge information and encompass social, economic, and environmental factors. Access to primary care with support and follow up to achieve full connection and engagement with a Health Home for the patient.
- Stakeholder partnerships—Care Coordinators work directly with our partners to create a seamless and coordinated system for the patient in their transitions in care and focus on maintaining those connections and appropriate support for the patient throughout the process.
- Documentation—Care Coordinators will record all activities and care plan information in HCAM’s internal case management system. Care plans are shared with providers and insurance companies for continued coordination of care.
Access Health also aims to reduce avoidable utilization at any hospital, increase the number of patients who keep their initial and follow up appointments with a primary care provider or specialist, and increase the number of patients who remain engaged in their care plan.