HealthConnectHealthConnect

ICDInternational Center for the Disabled

Cohort 2Northeast Learning Community

New York City

ICD HealthConnectICD HealthConnectNew York CityNew York City

Behavioral Health

Addiction Recovery Services

Primary Care

HealthConnect

Primary Care

TBI-Traumatic Brain Injury

ICD HealthConnect StaffICD HealthConnect Staff

• Ed Ross, Ed Ross, Vice President, Behavioral HealthVice President, Behavioral Health

• Amy Dimun, Amy Dimun, Program ManagerProgram Manager

• Randie Kozar, Randie Kozar, Health Navigator SupervisorHealth Navigator Supervisor

• Cat O’Neill, Cat O’Neill, Nurse ExtenderNurse Extender

• Elizabeth Shanks, Elizabeth Shanks, Health NavigatorHealth Navigator

• Dr. Frank GuidaDr. Frank Guida, Evaluator, Evaluator

About Our ProgramAbout Our Program 150 clients enrolled: 150 clients enrolled: 320 enrollment target320 enrollment target

HealthConnect Priority: HealthConnect Priority: Cardio-metabolic Issues, Diabetes, Obesity and Cardio-metabolic Issues, Diabetes, Obesity and Smokers. Smokers.

Focus on clients with Traumatic Brain Injury (TBI)Focus on clients with Traumatic Brain Injury (TBI)

Health Navigation Services: Health Navigation Services: Personal Case Manager (Health Navigator), Personal Case Manager (Health Navigator), Coordination of Care, Quarterly Doctor Visits, Reminder Calls, Health Coordination of Care, Quarterly Doctor Visits, Reminder Calls, Health Escorts, Individualized Wellness Plans, Communication Skills.Escorts, Individualized Wellness Plans, Communication Skills.

Specialist Care: Specialist Care: Pain Management, Neurology, Diabetes Management, Pain Management, Neurology, Diabetes Management, Gynecology, Physical Medicine and RehabilitationGynecology, Physical Medicine and Rehabilitation..

Smoking Cessation: Smoking Cessation: Motivational Interviewing, NRT, Specialized Smoking Motivational Interviewing, NRT, Specialized Smoking Session Supervision.Session Supervision.

Accomplishments

• Active Client Advisory Board• Inter-disciplinary Team Meetings• Motivational Interviewing Engagement • 303 Total Weight Loss• Client group training for NYC Marathon• Cohesive Staff • Smoking Cessation Success• Pharmacy Linkages• Decreased Medical No-Show rate• Joined NYC Inter-borough RHIO

Successful StrategiesSuccessful Strategies

Specialized Groups and WorkshopsSpecialized Groups and Workshops::

Wednesday Wellness Workshops for Clients and StaffWednesday Wellness Workshops for Clients and Staff

NYC Walking Groups: Farmers Markets, Free City Activities, NYC Walking Groups: Farmers Markets, Free City Activities, Food Shopping ExcursionsFood Shopping Excursions

Farmers Market Shopping on a BudgetFarmers Market Shopping on a Budget

Nutrition DemonstrationsNutrition Demonstrations

Addiction Recovery WorkshopsAddiction Recovery Workshops

Health and Wellness Activities: Health and Wellness Activities: Diabetes Self Management, Walking Groups, Smoking Cessation, Diabetes Self Management, Walking Groups, Smoking Cessation,

Nutrition WorkshopsNutrition Workshops

Plans for the FuturePlans for the Future

Board of Director fundraisingBoard of Director fundraising

Supplemental grant initiativesSupplemental grant initiatives

Health Navigation Service as part of Health Navigation Service as part of Psychiatric Walk-in clinicPsychiatric Walk-in clinic