Strengthening primary care practices and supporting their transformation to patient-centered medical homes is crucial to improving the general health and wellness of Staten Islanders.
PPS primary care providers are incorporating screening and treatment for mental health and substance use into their practices.
The PPS is supporting people with diabetes through care coordination and self-management programs to help them better manage their health.
Partners are using the Patient Activation Measure® (PAM®) to identify people’s knowledge, skills, and confidence in managing their health and then tailoring goal setting and action planning to the appropriate level of activation. Community navigators are conducting outreach across the island to find uninsured residents and Medicaid beneficiaries disengaged in health care and linking them to primary care services.