In the Washington Heights-Inwood community, a predominantly low-income neighborhood in Northern Manhattan, one quarter of the population over age 60 is diagnosed with diabetes. Not surprisingly, many of these seniors have difficulty accessing primary and specialty care, and have not developed the self-management knowledge and skills needed to effectively manage this chronic condition. As a result, many seniors rely on preventable emergency department visits and hospitalizations to address their health needs.
To help reduce these preventable visits to the hospital, NewYork-Presbyterian Hospital is collaborating with community partners and local physician practices in the Together for Diabetes program. More than 1,000 diabetic seniors are enrolled and benefitting from this program that provides evidence-based support and enhanced linkages between community and clinical services. As a result, NewYork-Presbyterian Hospital is improving the quality of their service, the patient experience, and reducing costs.