Pediatric Visiting Doctors and Complex Care Program
The Pediatric Visiting Doctors and Complex Care Program was founded in July 2013 as an extension of the Mount Sinai Pediatrics Associates clinic. Our purpose is to provide comprehensive care to children with the most complex conditions. Inspired by the Mount Sinai Visiting Doctors program, the pediatrics-specific program serves children with special healthcare needs both at home and in the office.
We offer patient-, family-, and community-centered care, partnering with local organizations and pediatric specialists to create individualized care plans in coordination with our patients’ caregivers. Our team includes physicians, nurses, social workers, and coordinators.
Our mission is to improve the health and well-being of children in our community by providing increased access to patient- and family-centered care. By delivering care at home and collaborating with schools and community-based organizations, we hope to empower our patients and families to live healthier lives.
Conditions We Treat
We provide care to newborns discharged from the Mount Sinai Neonatal Intensive Care Unit (NICU), children who require technology (G-tube, tracheostomy or ventilator, wheelchair, central line, etc.), and children with two or more chronic conditions including:
- Congenital heart disease
- Chronic lung disease
- Neuromuscular disease
- Metabolic syndromes
- Cerebral palsy
- Developmental disability
- Seizure disorders
Services We Provide
The Pediatric Visiting Doctors and Complex Care team provides primary care services through a multidisciplinary approach. We provide home-based medical care for families living in East and Central Harlem. Physicians and social workers go to the homes of our patients to deliver medical care (including vaccinations, well child checks, and urgent visits) and assess for any social needs.
We coordinate care with families by assisting with scheduling subspecialty appointments and communicating with schools, community groups, and other ancillary services. For families who live outside of our catchment area, they have full access to our team with extended office visits and enhanced care coordination. We also work closely with subspecialty and inpatient teams to ensure smooth transitions for our patients in and out of the hospital. Our pediatric program is an extension of the Mount Sinai Pediatric Associates Clinic and our patients have access to full services of the clinic as well as our team.
Meet Our Team
Our multidisciplinary team includes doctors, social workers, and administrators.
Elaine Lin, MD
Joseph Truglio, MD, MPH
Nicole Tennermann, LMSW
Katie Gray, RN, BSN
Elssy Rosales, LMSW
Jessica Sorensen, LMSW
Nayelis Lopez, Care Coordinator
Sanite Theophile, Care Coordinator
Alissa Pierre-Charles, Referrals Coordinator