Dr. Di Palo serves as the founding senior director of transitional care excellence at Montefiore, where she leads the strategic design and implementation of care transitions for patients with complex medical and social needs. She oversees an interdisciplinary team of nurse practitioners, pharmacists, navigators and physicians, coordinating care across inpatient, post-acute and ambulatory settings for more than 3,000 annual admissions. Thanks in large part to her work, Montefiore has achieved a 58% reduction in 30-day readmissions for heart attack patients, a 72% reduction for pneumonia patients and national benchmark performance in heart failure care. Dr. Di Palo has also spearheaded the integration of AI into transitional care, creating decision-support tools that improve real-time care delivery. A fellow of both the American Heart Association and the Heart Failure Society of America, she serves on national advisory panels shaping value-based quality standards while mentoring the next generation of clinician leaders. Her holistic approach addresses social barriers such as food insecurity and transportation alongside clinical care.
