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Visiting Nurse Services

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Please note that we are currently referring to Mount Sinai PT.

Senior Clinician

Note: For follow-up appointments, if the patient has not seen PT in over a month, a new referral is necessary.

  • VNS referrals are only available for patients who have significant difficulty leaving the home or going up and down stairs.
  • All VNS referrals must be approved by Chief TS and/or Dr. Meah.
  • You do not need to place an order in Epic during clinic day.
  • Before clinic ends, communicate the necessity and urgency of the referral to the TS.
  • Inform ACT about the referral and send the patient to ACT.

Teaching Senior

  • Include all VNS referrals in the referrals email and send a separate email to Chief TS and Dr. Meah to confirm patient eligibility.
  • Referral does not need to be ordered in Epic during clinic day. Should only be ordered after eligibility is confirmed.

Access to Care Team

In-house charity care --> No need to see FS or REAP

  • Compile following information with patient and clinical team.
  • Take down names of Attending & Senior Clinician as well as phone numbers
  • Wait for confirmation of patient eligibility for VNS services from Chief TS or Dr. Meah.
  • Fax Notes to (212) 290-3939 only AFTER receiving confirmation from TS/Meah:
    • Top Sheet: EHHOP Patient Name + recorded Care Team Info
    • Other outstanding referrals
    • Service required (PT, OT, Skilled Nursing Care, Medication Management)
    • Medication list
    • Insurance Status: Uninsured, Medicaid, In-Transition
  • To follow up with VNS regarding Patient's Referral status (or confirm fax receipt) call 212-609-7500 and ask for Wendy Lugo. Mention you are a Case Manager for an EHHOP Patient.

IMPORTANT NOTE (FOR ALL):

  • Include the following language in the VNS referral:
    • difficulty leaving home without person due to severe debility or blindness
    • difficulty getting up and down stairs or leaving home due to debility, paralysis, degenerative joint disease or severe pain

For questions, please reach out to the ACT Referrals Chair (see EHHOP Roster).