Case Studies

Improving Care through Collaboration on a “Health Home” with Hometown Health Centers and Visiting Nurse Service of Schenectady and Saratoga Counties

In 2008, Ellis Hospital launched a medical home at its Ellis Health Center campus. This initiative was connected with community-wide resources, such as the YMCA/YWCA, a homeless shelter, and HHC. The Ellis medical home provides primary care, pediatric care, dental care, mental health services and outpatient services—all on one campus. Two patient navigators link patients to the services they need; transportation and scheduling services also are provided.
HHC is a clinic-focused medical home, offering pediatric, adolescent, adult, geriatric, perinatal, family planning, dental, social work and pharmacy services. The practice has one navigator, who was crosstrained with the Ellis navigators. In 2012, HHC was officially recognized as a Level-3 Patient-Centered Medical Home by the National Committee for Quality Assurance. That is, HHC has achieved the standards for enhanced access and continuity, managing patient populations, and planning and managing care.

Additional Resources

Webinars December 13th, 2017

Equity of Care Webinar SeriesPart 2: Aligning Diversity and Inclusion, Community Engagement, Busi......

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Webinars November 20th, 2017

Equity of Care Webinar SeriesPart 1: Aligning Diversity and Inclusion, Community Engagement, Busi......

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Webinars November 17th, 2017

Transportation and the Role of Hospitals This AHA webinar on “Transportation and the Role of Hos......

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