Dr. Sahgal’s steadfast belief in the importance of access to care in improving patient outcomes led to the 2005 launch of EssenMED House Calls, which extended primary care services beyond office walls and into the homes of disabled and homebound patients. The service initially focused on a small subset of Essen’s patients, caring for those elderly patients who had become too frail to leave their homes to receive medical care at one of their offices. EssenMed House Calls is now the largest medical house call program in New York State, bringing primary care, podiatry, and wound care services into the homes of more than 7,500 patients residing throughout the 5 New York City boroughs, Nassau and Westchester Counties.

Essen also expanded its house calls service offerings, in partnership with local hospitals and nursing home facilities, to provide Transition of Care (TOC) to all post-facility based patients. By ensuring proper medication reconciliation, patient compliance, coordination of care back to the community and patient education, Essen’s TOC services have contributed to improved patient outcomes post-discharge as well as to the reduction in the readmission rates and overall healthcare cost associated with each patient. Similarly, in 2015 after identifying the need for urgent care access points to prevent ER visits and hospitalizations, Dr. Sahgal created Metro Urgicare, a fast-growing urgent care practice, with 16 locations across New York City and Long Island, that offers rapid response treatment for patients, open 7 days a week.