The Division of Geriatric and Palliative Medicine is educating the next generation of physicians through accredited fellowship programs, and is contributing to research to improve care delivery to people with chronic illness and frailty, and those at the end of life. Through comprehensive programs, the Division of Geriatric and Palliative Medicine provides care to promote longevity, minimize illness, reduce costly and preventable hospitalizations and readmissions, and coordinate care of complicated patients.
Our geriatricians diagnose, treat, and manage diseases and conditions that require a special approach when dealing with older adults. They give attention to situations of special concern, including falls, incontinence, preoperative assessment, and post-operative management, cerebrovascular disease, dementia, sensory impairment, and other cognitive and affective changes that occur with aging.
The palliative care multidisciplinary team of physicians, nurses, social workers, and chaplains provides specialized medical treatment to improve quality of life during a serious illness at North Shore University Hospital and Long Island Jewish Medical Center. The palliative care team has fostered strong relationships with local hospice centers and North Shore-LIJ’s home-based palliative care team to provide continuous coordination of care and meet patients' and families' care needs.
The Division of Geriatric and Palliative Medicine provides inpatient, outpatient, primary, and consultative services. The faculty are spread through numerous practices including: NS-LIJ Geriatric Medical Group, the ambulatory practice at North Shore University Hospital, Geriatric Medicine Consultation Service at North Shore University Hospital, Palliative Care Unit at North Shore University Hospital, Palliative Care Consult Service at Long Island Jewish Hospital, the Geriatric and Palliative Medicine Consult Service Mobile Medical Van, and Senior Housing Medical Services. The Division is committed to:
Geriatric Services: Geriatricians often become the primary physician for older adults. If this is not the case, your primary physician might refer you to a geriatrician when a problem associated with aging requires special attention. In some cases, a family member might recognize a need for a geriatrician and suggest you consult one.
Palliative Services: Palliative care is not a replacement for a patient’s regular treatment. It can be provided at any time during a patient’s illness — regardless of whether that condition is curable or chronic — but is ideally offered as soon as possible following diagnosis. It includes:
For further information on the health system’s geriatric practices please go to the NS-LIJ website
For further information on the health system’s palliative care practices please go to the NS-LIJ website
When people develop complex medical needs, they need comprehensive care and support from a trusted source.
The North Shore-LIJ Health System Advanced Illness Management (AIM) is a palliative care program for patients with complex medical conditions. Care is administered in the home, so patients with functional impairments can receive quality service and reduce unnecessary medical treatments in a familiar environment. Doctors, nurse practitioners, social workers and even pharmacists in the North Shore-LIJ Health System make house calls. AIM also partners with community-based organizations and community-based health care providers to meet the medical and social needs of our patients.
Given the choice between home and a hospital, most patients with advanced illness would prefer to spend their remaining time at home. North Shore-LIJ AIM recognizes the patient’s need for the familiarity and comfort of home, so we offer House Calls.
The House Call program is a comprehensive care management program that provides home-based primary care services to patients with complex advanced illnesses, functional impairments, or high rates of hospital and emergency department utilization.
The North Shore-LIJ House Calls program is a nationally recognized home care program. It has been featured in Newsday and by the local CBS news affiliate, WLNY TV10/55. In 2012, it was one of 18 programs across the country selected to participate in the Centers for Medicare and Medicaid Innovation’s Independence at Home project, and has received grants from regional and national foundations for trial studies and further program development.
Patients in the House Calls program have an interdisciplinary care team that administers comprehensive care tailored to their needs.
Patients in the House Calls program can expect the same level of treatment provided in the hospital or doctor’s office in their homes, including ultrasounds, radiology, EKG, sleep studies, lab work, physical, occupational and speech therapy, as well as IV fluids and prescription refills.
Compassionate Care – On Demand
Illness doesn’t stick to a 9-to-5 schedule, so neither does the North Shore-LIJ House Calls program. Medical staff is available around-the-clock to assist patients during emergencies.
Health care is often segmented – with limited communication between providers, hospitals and organizations. The Advanced Illness Management House Calls program wants to eliminate the division in services by working with hospitals and health care providers to provide coordinated care outside of the home.
Shared Decision Making
An informed patient is a better patient. Patients need to be equal partners in making decisions about their health. North Shore-LIJ House Calls providers include patients and their caregivers in developing joint care plans and work with subspecialists as needed. From the outset, goals of care are established for every patient, and the majority of patients have a Medical Orders for Life-Sustaining Treatment (MOLST) form completed and entered into the medical record.
The North Shore-LIJ Advanced Illness Management team wants their patients to spend less time doing medically unnecessary procedures and more time with friends and family.