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.