Health service delivery profile and utilization patterns for naturally occurring retirement community residents

Naturally Occurring Retirement Communities (NORCs), a major trend in the current healthcare environment, have challenged Mount Sinai Health System (MSHS) to enhance its focus on the continuum of care in these communities and improve the delivery of patient care services outside the inpatient arena. The Capstone team worked with NORCs in New York to identify the specific health care needs and utilization patterns of their residents. Interviews and surveys were conducted with NORC directors and ancillary medical staff to understand existing relationships with MSHS and how transfer of care can be improved. The team also analyzed a comprehensive dataset to identify the geographic areas that are top utilizers of the MSHS health network. This allowed the team to target population health in those communities more effectively. MSHS will incorporate the team’s findings in its plans to expand health care services and improve the continuum of care for NORC residents.