Capital District Internal Medicine
Hours
Located conveniently near Stuyvesant Plaza, Capital District Internal Medicine provides routine health care for illness, injury and chronic medical conditions.
As an NCQA Level III Patient-Centered Medical Home (PCMH), the practice offers preventive health and wellness services, including cancer screening and promotion of a healthy lifestyle, and preventive immunizations and precautionary inoculations. Our vast array of services include: EKGs, urinalysis, testing for glucose, strep, and Pap smears.
This practice is operated by Samaritan Hospital.
Our Approach: Coordinated Care
We bridge the gap by connecting:
- Primary care physicians (PCPs)
- Specialists
- Home Health providers
- Patient and family support teams
Goal: Prevent readmissions by ensuring smooth, informed, and supported transitions
Why Transitions of Care Matter
Smooth care transitions can dramatically improve patient outcomes by:
- Enhancing quality of care
- Reducing preventable readmissions
- Ensuring patients receive timely follow-up
Proven Results:
- Up to 21.7% reduction in 30-day readmissions
- Up to 20% lower readmission rates vs. standard care
- Post-discharge follow-up rates increase by 30-40%
Our Care Team
We provide coordinated support for patients moving from hospital to home. Our multidisciplinary nurse-led team includes:
- Providers (NPs, physicians)
- Clinical support
- Pharmacists
- Social workers
- Care managers
We help ensure quick access to primary care and specialist appointments, and support patients through every step of their recovery.
Focus on High-Risk Patients
Ideal for individuals who:
- Have complex or chronic conditions
- Are at high risk for readmission
- Lack timely follow-up with a PCP
Nurse-led interventions include:
- Medication review
- Patient education
- Personalized care plans
- Telemedicine availability
Advanced Practitioner (AP) Training Program
This site also serves as a training program for APs. The program is designed to foster professional growth, enhance performance, and improve quality of care, cost of care, and effectiveness of care.