The Mobile Integrated Services Team provides multidisciplinary primary care/oversights to patients in the home/community setting, including coordination with other healthcare providers and community services.
MIST provides multidisciplinary primary care/oversight to patients in the home/community setting, including coordination with other healthcare providers and community services.
The team optimizes care by offering interdisciplinary coordination, behavioral care, and social supports as part of primary care within the home; rapid response to urgent and acute care needs; palliative care; and support for family members and caregivers.
The MIST team consists of a : Manager ,Nurse Practitioner, RN Care Manager, Licensed Master Social Worker ( LMSW) and a Care Coordination Assistant.
Patient Criteria for Consideration:
- Resides in Onondaga County
- Homebound/unable to access ambulatory care office for visits
- Is attributed to St. Joseph’s Health BPCI/ACO/ACQA
- Must have a PCP or provider in the community who will collaborate with the MIST on an ongoing basis.