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With close to two million New Yorkers diagnosed with diabetes and the inherent relationship to heart disease, these conditions are the state’s most rapidly expanding and chronic health conditions at epic levels and with devastating consequences. Dr. Steven Shayani, Medical Director of Outpatient Services on Long Island and Queens for Mount Sinai Hospital and Long Island Heart Associates has recognized the need for diabetes care and education among his patients. The Diabetes and Cardiovascular Care Partnership is a new innovative service launched by The Mount Sinai Hospital to Long Island Heart Associates, one of its affiliate locations in order to assist in managing patient care for those with diabetes and heart disease.
Long Island Heart Associates is one of the affiliate locations that have begun providing Long Island patients with this added service in Mineola, New York. This program provides patients with the highest quality of care and ensures that patients are meeting the American Diabetes Association standards of care in order to minimize risks from diabetes. The parties involved with the program include Certified Diabetes Educators (CDE) and the physicians and staff at the affiliate locations. This is a team effort in which the doctors, educators, and coordinators work together to ensure proper diabetes care and education is accomplished. Throughout the entire process it is important to note that the patient remains a patient of the primary care physician.
“This is a wonderful service to bring to Long Island and it truly provides our patients with the most expert and high quality care,” stated Dr. Steven S. Shayani, Medical Director of Outpatient Services for Long Island and Queens for The Mount Sinai Hospital and Long Island Heart Associates. The first meeting begins with a baseline assessment during which the CDE will screen the patient to identify all potential risks associated with diabetes. The screening tool includes: eye examination, podiatric attention, wound development and healing, chronic kidney disease classification and cardiovascular care. The patient will be referred for specific care contingent upon the priority which is established during the assessment. Each person will have a specific plan and any barriers such as misinformation/cultural difference, inability to obtain medication or testing supplies, or dealing with depression will be addressed. Urgent care issues such as blood pressure or cardiac conditions will be immediately communicated to the primary care physician and dealt with. In addition, glucose meters are dispensed with instructions at the initial visit. Another aspect of the one on one coaching includes the initiation and planning of therapeutic lifestyle changes such as diet and exercise.
It is important to note that there is ongoing communication between the CDE and the physicians involved. The primary care physicians act as the gatekeepers and work with the CDE to collaborate and identify priorities of care. Follow up is established with the patient to continue therapeutic lifestyle changes and coordination of care. Group classes are offered for further education and learning to strategize and provide support with peers. The bottom line goal is to prevent heart attack, control diabetes and reduce associated health risks.
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