Message from the Directors

Our Institute is helping to drive a new movement in health care. We are giving people the choice not to be in hospital settings—and yet receive as good, if not better, care at home. While it’s true visiting nurses and doctors have been around for a while, new data that patients can fare better at home, as well as new models of treatment and new technological advances, are changing the way we think about patient care.

It’s a testament to the vision of the Mount Sinai Health System that we are not about filling beds but always looking for the best way to treat patients. And the truth is, most patients would rather be at home.

Yet to make this change possible, there has to be buy-in from legal, regulatory, and insurance entities. And data are driving this process. We are providing proof that patients can fare better at home; that readmissions are lower; that patient satisfaction is higher. In addition, as we implement these new models of care, we are studying how to optimize our patient care.

It is our belief that these findings don’t just apply to Mount Sinai, they can be extrapolated to patients everywhere. So it is extremely exciting to be charting a new course not just for our Health System, but health care as a whole.

We have a unique advantage in that our research institute is embedded within a highly ranked academic organization, the Icahn School of Medicine at Mount Sinai, as well as associated with a clinical home-care program, Mount Sinai at Home. We work with the top minds in a variety of disciplines, as well as see our findings put into practice immediately in patients’ homes.

Our researchers also have the broad spectrum of the people of New York City as their focus. The extraordinary range of Mount Sinai patients—from young to old, from wealthy to poor—offers unparalleled possibilities for research.

And it also leads us to the question, “Who aren’t we serving?” Through our participation in national studies and the deep roots of Mount Sinai in the community, we are looking beyond our existing patient base to discover who may benefit from home care the most.

It’s an exciting time to be in this field—but we have a lot of work to do. And we couldn’t do it without the generosity of our donors. They are making it possible to bring hospital care, rehabilitation, primary care, and complex pediatric care into the home. We are able to reach elderly, frail, homebound people who might not otherwise receive care. We are finding ways to address disparities of care, and make sure everyone receives the best possible treatment. We are finding ways to support families and caregivers and relieve some of their stress. And we are changing the way people think about health care.

With a new generation of researchers and the support of our donors, we are bringing the promise of health care home.

Katherine Ornstein, PhD, MPH
Albert L. Siu, MD
Linda V. DeCherrie, MD
Institute for Care Innovations at Home