MRT Innovations in Social Determinants of Health Initiative

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Q1 Please provide your contact information below.


Title and Organization




ZIP/Postal Code

Email Address

Phone Number

Lowell Feldman

Chief Strategy Officer, The Castleton Group

700 White Plains Rd





Q2 Please describe your company or organizations overall goals and mission.

The Castleton Group (TCG) is a Telehealth design and development firm consisting of healthcare and information technology experts who have built health IT systems for decades to promote patient–centered healthcare leading to better health outcomes at lower costs.

TCG powers healthcare transformation by combining virtual care, remote patient monitoring, intervention and data analytics creating a more efficient and cost effective solution for patients, hospitals, physicians, pharmacies, health plans, governments, and employers. Our focused is on applying Telehealth to better care for patients in Post–Acute Care, Skilled Nursing, Long Term Care and for those aging at home. For additional information please visit our website (

By concentrating on Education, Wellness, Prevention and Care we guide healthcare transformation, lower costs, and improve lives for this largely underserved population.

Q3 Please indicate which category your organization falls under.

Health Care Provider,

Technology Solutions,

Other (please describe below: 150 character maximum):
The Castleton Group combines the skills and experience of renowned healthcare and technology professionals to enable high–quality care at a distance. Our solutions integrate the many moving parts of healthcare into an efficient transformative system that extends and improves healthcare, saves time, money, and creates new revenue opportunities. In collaboration with our Skilled Nursing and Long Term Care clients we help attack their most pervasive and costly problems:

  • Poor Access
  • Costly Readmissions
  • Ineffective Chronic Care
  • Uncoordinated and Discontinuous Care

In exchange for Telehealth transformation efforts, our clients achieve higher quality service and care, establish a competitive advantage, improve staff performance, lower turnover, retain top talent, increase revenue and grow their business.

Q4 Innovation Executive Summary. Please describe the innovation, and how it addresses the social determinants of health. Please identify how the innovation addresses the 6 innovation criteria (i.e. ROI, scalability, feasibility, evidence–based support for innovation, relevance to the Medicaid population and speed to market).

Grand Manor Nursing & Rehabilitation Center has initiated a Telemedicine Pilot Program to better respond to their resident´s ever changing physical condition that necessitate the need for an immediate assessment and actions to be taken by a physician. The main goal of this DSRP funded Telemedicine pilot is to increase quality of care for the residents through timely physician consultation visits via telemedicine.

Changes in a resident´s physical condition can necessitate the need for an immediate assessment and additional actions to be taken by a physician. The payor source for the majority of Grand Manor residents are Medicaid and Medicare.

This pilot program allows for physicians to consult with the resident, via the telemedicine system avoiding unnecessary transfer to the hospital. A nurse participating in the telemedicine session at the patient site can assist in providing the physician additional information that may be lacking when conducting a visit in their office and or clinic setting.

Amongst the many non–medical benefits are the ability using the same HIPAA compliant telehealth platform to connect distant family members, residents and caregivers, to develop more formidable care plans, and conduct interventions during resident mood and other significant changes.

Additional applications of the system are for resident admission, MDS (minimum data set) requirements, care planning, pulmonary and cardiac evaluations and the access to additional physician specialists not readily available within a skilled nursing facility.

The pilot program will soon expand and include St. Barnabas Hospital, Bronx, NY with the goals of reducing unnecessary post–operative surgical visits to physician offices, rehabilitation services in post acute and skilled nursing, and to improve SBH´s palliative and hospice care program.

The program also includes distance learning and training for professional and staff in working with Telehealth in LTC settings.

The Telemedicine Pilot Program was designed by The Castleton Group in collaboration with technology partners My Health Connection (telemedicine platform), MyNICAS (non–invasive hemodynamic monitoring and medication management of polypharmacy patients), Advanced Medical Devices (telemedicine carts for bedside examinations) and Wound Matrix (wound measurement and healing tablet technology).

Q5 Was your innovation implemented? If so, please explain when, the number of people impacted, and the results.

Yes (please specify when and the estimated number of people impacted):

April 1, 2018 – Grand Manor is a 240 bed facility

Q6 Please identify the SDH Domain that your innovation addresses. (Select all that apply.)


Health and Health Care

Economic Stability

Q7 I give the Department of Health the right to share the information submitted in this application publicly (for example: on the DOH website). I understand that there is no monetary reward/reimbursement for my submission or for attending the summit should my innovation be selected.

I consent to have my innovation shared