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 with medical complexity by providing increased access to patient- and family-centered care. By delivering care at home and collaborating with the community, we hope to empower our patients and families to live healthier lives.
Conditions We Treat
We provide primary care to newborns discharged from the Mount Sinai Neonatal Intensive Care Unit (NICU), children who require technology (gastronomy 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
- Seizure disorders
- Genetic conditions
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, social workers, and care coordinators 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 a part 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
Elaine Lin, MD
Kathryn Scharbach, MD, MS
Joseph Truglio, MD, MPH
Katie Gray, RN, BSN
Elssy Rosales, LMSW
Cailyn Asturias, Care Coordinator
Nayelis Lopez, Care Coordinator
Sanite Theophile, Care Coordinator
Alissa Pierre-Charles, Referrals Coordinator