Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Taking Care of Every Type of New Yorker: A Q&A with Dr. H. Jay Wisnicki, Ophthalmologist in MSHP’s CIN
We ask Dr. H. Jay Wisnicki, an ophthalmologist in MSHP’s clinically integrated network, about running two distinct practices; one in Union Square, where his staff sees nearly 40,000 visits per year and works closely with New York Eye and Ear Infirmary of Mount Sinai, as well as the recently-opened Article 28 facility in East Harlem that takes advantage of technology to experiment with new staffing models. Regardless of location, however, Dr. Wisnicki and his staff are committed to providing care to “every type of New Yorker” regardless of insurance (or lack thereof), background, and ophthalmologic problem.
Click here to read more
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If you are interested in being featured in the MSHP Provider Spotlight Series, please contact Tiffany Cheng at
Tiffany.Cheng@mountsinai.org
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MSHP’s Provider Engagement Team joins Dr. Rob Fields in a conversation about their work as liaisons between independent, community providers and MSHP’s CIN. They recount the challenges of recruiting providers to the network in its earliest days, when the CIN was mostly a promise based on shifting policies and payment models, to the realization from those early joiners that 3 years and 4,000 physicians later that promise is coming to fruition. They also discuss issues they face in their day to day work in the field, changes they’ve encountered over time, and offer some advice for others working in similar roles.
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In this episode, Dr. Fields welcomes Dr. Sabina Lim, MD, MPH, Vice President and Chief of Strategy for Behavioral Health at Mount Sinai, to discuss her work at Mount Sinai and the role of behavioral health in population health. Dr. Fields notes that unlike treating hypertension and heart failure, there is not much infrastructure for behavioral health care. One of the reasons for this is that unlike other areas of medicine, there are fewer clear procedures and test results in behavioral health. Another challenge is that the reimbursement structure favors procedural-based care, which consequently downgrades specialties like psychiatry. Dr. Lim also discusses the collaborative care models, high intensity outpatient care, and other service models Mount Sinai has implemented to address behavioral health at varying levels of care.
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Dr. Fields meets one of MSHP’s voluntary specialists, ophthalmologist Dr. Jay Wisnicki, at his new Harlem practice. The two discuss Dr. Wisnicki’s approach to practicing medicine, how and why he opened this second location (a New York State Certified Diagnostic & Treatment Center), the importance of establishing trust in the communities he practices in and building relationships with providers across the metro area, and more. Throughout their conversation it is clear that for Dr. Wisnicki, taking care of people, regardless of their background is what brings him to work every day.
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Refer Patients to Care Management Services in Epic
Mount Sinai providers can now refer eligible patients to MSHP care management services through Epic using the Epic referral order. Search for
“
Referral to MSHP Care Management (Order #391414).”
Please click here for a
quick step-by-step guide
.
As a reminder, MSHP Care Management partners with patients, family caregivers, and providers to identify and address known risk factors that can impact patients’ health. Patients who are eligible for MSHP care management services include the following:
- Multiple appointment no shows
- Frequent admissions to the ED or hospital
- Unexplained non-adherence to treatment
- Patients you are most worried about from visit-to-visit
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New Outpatient Psychiatry Nurse Practitioner Service
The Department of Psychiatry Faculty Practice Associates (FPA) now offers outpatient nurse practitioner (NP) services to
UMR top tier patients (employees and their families) and commercially insured patients with Cigna and Aetna
. The NP service will also provide
a self-pay option
for patients at lower fees than our current physician FPA services. Two senior psychiatric NPs, Anthony Caruso and Kimberly Garruto-Morgan, will provide outpatient consultation, ongoing medication management, and supportive therapy for adults and select children. For referrals and inquiries, please call the general FPA line at 212-659-8752.
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Complete Your 2019 CI Program Requirements by the End of the Year
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South Nassau Communities Hospital Becomes Mount Sinai South Nassau
We are pleased to announce that South Nassau Communities Hospital will now be known as Mount Sinai South Nassau. Mount Sinai South Nassau will continue to be the premier provider of health care services on the South Shore of Long Island. No changes in services, insurance acceptance, or employment are planned as a result of this name change.
Mount Sinai South Nassau has recently added new services that are growing rapidly, such as maternal fetal medicine, interventional endoscopy, and pediatric cardiology, and plans to expand its cardiac surgery, cancer care, neuroscience, and colon and rectal surgery programs, to name a few.
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Population Health in the Literature & Media
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MSHP’s Population Health Leaders at the National Association of ACOS (NAACOS) Fall Conference
Several of MSHP’s senior population health leadership, including Rob Fields, MD, MHA, Meena Bansal, MD, and Ruchi Tiwari, PharmD, presented at the NAACOS Fall Conference in Washington D.C. at the end of September.
Healthcare Innovation featured a story
on their presentation on transforming primary care, closing care gaps with data, embedding pharmacists in primary care practice, and the case for adding medical assistants to primary care practices.
Read more
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A Secret to Better Health Care: Dr. Ken Davis in the
New York Times
Mount Sinai’s Chief Executive Officer, Dr. Davis, and former secretary of the Treasury, Robert Rubin,
wrote an editorial
for the
New York Times
about food stamps, housing, and the importance of social determinants of health in improving population health in the United States.
Read more
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UnitedHealthcare Requires Prior Authorization for Certain Therapy Services
Effective October 1, 2019, markets with Site of Service evaluation and re-evaluation requests for therapy services (outpatient physical, occupational and speech therapy) must be submitted by the Primary Care Provider or referring specialist. Claims will be denied if prior authorization is not on file before the date of service.
You can find the list of services that are subject to prior authorization requirements in the United Healthcare Administrative Guide available
here
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P: 877-234-6667
F: 646-537-1481
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