The Critical Care Recovery Clinic (CCRC)
The Critical Care Recovery Clinic (CCRC) was launched by the Institute for Critical Care Medicine (ICCM) as an initiative dedicated to addressing the multifaceted needs of critical care survivors and their families. Our clinic is also designed to fill essential gaps in care after hospital discharge.
The clinical team is composed of critical care physicians, critical care pharmacists, social workers, spiritual care providers, research coordinators, and administrative staff. Neha S. Dangayach, MD, MSCR and Maria Ronquillo, MD serve as co-directors for this clinic. This is a telehealth based CCRC. Our CCRC is an active member of The Critical and Acute Illness Recovery Organization (CAIRO), a global collaborative of multidisciplinary groups dedicated to improving outcomes for Intensive Care Unit (ICU) survivors and their families.
An unintended but common consequence of critical illness is Post Intensive Care Syndrome (PICS). PICS can present anytime during recovery from critical illness. PICS can affect different domains including physical, cognitive, and mental health. In addition to patients, families can also suffer from unintended mental health and cognitive consequences of having a loved one in the ICU and this is referred to as PICS-F (PICS-Family).
The symptoms of PICS include:
- Respiratory difficulties
- Muscle weakness
- Balance problems
- Memory difficulties
- Concentration difficulties
- Slow mental processing
- Trouble carrying out tasks
Mental Health symptoms
- Post-traumatic stress disorder (PTSD)
- Sleep problems
Our mission is to create awareness about PICS and PICS-F among ICU survivors and families. We can help patients and families embark on the best possible trajectory of recovery; address important gaps in care after discharge from the ICU and serve as an additional layer of support. We collaborate with national and international scientific organizations to understand the longitudinal impact of critical care on patients and families.
We are a telehealth clinic with a multi-disciplinary team approach. We assess and treat PICS, help patients and families process their complex hospitalization, manage spiritual care needs and complete an updated medication review and reconciliation. We connect patients and families to appropriate support services such as primary care, specialty care (e.g. stroke, cardiology, etc.), behavioral health, nutrition and spiritual care to achieve the best outcome to recovery.
We offer the following services:
- For ICU survivors, the following patients are typically referred to our clinic:
- Any critically ill patients who have stayed in the ICU for 24 hours and longer are at a risk of developing PICS.
- Critically ill patients who required mechanical ventilation, renal replacement therapy, mechanical circulatory support, emergency and complex surgeries and transplants during their ICU stay.
- Peer to peer support group among ICU survivors, loved ones, and caregivers
- Peer to peer support group for bereaved families and loved ones
Critically ill patients who meet our criteria can be referred to the CCRC by placing an EPIC order (ambulatory referral to CCRC) or by emailing us at MSCCRC@mountsinai.org. The CCRC team will connect with patients and families a few weeks after their ICU discharge. Before the appointment day, patients and loved ones will be emailed questionnaires to help us assess any new or worsening impairments in the physical, cognitive, and mental health domains of PICS.
Clinics days and hours through telehealth:
- ICU Survivors: Every Tuesday, 9am - 4pm
Peer-to-peer support groups are meant to serve as a safe space to process the consequences of an ICU stay. These virtual support groups are facilitated by experienced staff and ICU survivors/caregivers who have chosen to serve as sources of support to others. To get more information about peer-to-peer support groups, kindly email us at MSCCRC@mountsinai.org.
- ICU Survivors: Second Wednesday of every month, 1pm - 2pm
- Families: Second Wednesday of every month, 2pm - 3pm
- Bereaved Families: First Wednesday of every month, 1pm - 2pm
For questions and registration, email us at MSCCRC@mountsinai.org or call 212-241-5135.