Interdisciplinary Care Program
The team of health care specialists at the Vanderbilt Interdisciplinary Care Program program provides ongoing care for people with complex chronic conditions. These patients have relied on emergency care or repeated hospital stays. We create customized care plans that address your environmental, behavioral, emotional, physical and functional needs. Our goal is to improve your health and quality of life while reducing your need for stressful and expensive emergency care.
We coordinate care with your primary care physician and specialists when and where possible. Our team provides primary and urgent care in a dedicated clinic. We also offer inpatient care in a dedicated unit if you need admission to the hospital.
Conditions We Treat
We care for patients with multiple complex medical conditions. Such conditions include but are not limited to:
- Chronic liver disease
- Chronic pancreatitis
- Diabetes
Meet Your Care Team
Taina OvchinnikovMSN
- Diabetes, Environmental Medicine, Hospital Medicine, Hypertension, Inpatient Pediatric Medicine, Internal Medicine, Quality Improvement
Why Choose Interdisciplinary Care Program at Vanderbilt
- Personalized care
To our patients, we are a key point of contact for their ongoing healthcare. We work with a patient’s primary care provider and other long-term healthcare providers for regular and urgent medical needs. Our outpatient clinic offers a familiar, comfortable place when our patients need care they might otherwise seek from the Emergency Department.
- Team approach
Our team includes doctors, nurse practitioners, nurse case manager, social worker, pharmacist and nurses who work together to offer care tailored to each patient’s medical challenges.
- Urgent, same-day care
This care is provided in a dedicated clinic, separate from the Emergency Department.
- Customized care plan
Patients receive follow-up care, referrals, social worker support, pharmacist-directed medication management, health education and more, according to individual needs.
- Dedicated inpatient unit
Patients cared for by the Interdisciplinary Care team who need hospitalization will be admitted to our unit in Medical Center North when possible.
- Direct phone access
Patients can reach a care team member at any time by phone or text. We check on patients immediately after hospital discharges and between regular appointments.
- Follow-up after hospitalization
Patients will be seen by providers after a hospitalization to ensure the patient continues to improve after discharge, answer questions, ensure the right medications are prescribed and meet any other needs.
Tests, Treatments and Services
The Vanderbilt Interdisciplinary Care Program does not treat patients while they are in critical care units (medical, surgical or cardiac) or when patients are admitted at the Vanderbilt Psychiatric Hospital. Our team manages patients when they are transferred to the general medicine unit.
Because our patients have a wide range of chronic conditions and symptoms, we offer many tests and treatments typically offered by urgent care clinics or the Emergency Department. These include but are not limited to:
- Breathing treatments
- Blood tests
- Earwax removal
- Follow-up care
- Health education
- Insulin injections