PDF - NYU Langone Medical Center
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PDF - NYU Langone Medical Center
365 days of excellence | 2010 Annual Report NYU Langone Medical Center | 550 First Avenue, New York, NY 10016 | www.nyulmc.org Two thousand ten was another remarkable year for NYU Langone Medical Center. For 365 days, we were bold. We were groundbreaking. We were unwavering in fulfilling on our vision: being a world-class patient-centered integrated academic medical center. NYU LANGONE MEDICAL CENTER 1 Day 043 2 02.12.10 The month of February, designated American Heart Month since 1963, is an opportunity to raise awareness about cardiovascular diseases, our nation’s number one killer. To address this burden, Dr. Mark Adelman and colleagues in the Cardiac & Vascular Institute are establishing new programs in cardiac and vascular disease and enhancing existing ones. These comprehensive programs bring world-class care to the patient, from the newborn baby to the D-Day veteran. NYU LANGONE MEDICAL CENTER 3 DETERMINING OUR FUTURE THROUGH 365 DAYS OF EXCELLENCE 1 Vision: A world-class patient-centered integrated academic medical center 3 missions: Patient Care, Research, Education 5 Values: Professionalism, Respect, Integrity, Diversity, Excellence 365 Days of Excellence ex-cel-lence n. The state or fact of excelling; the possession chiefly of good qualities in an eminent or unusual degree; surpassing merit, skill, virtue, worth, etc.; dignity, eminence. — Oxford English Dictionary World class. Patient centered. Integrated. As you read this report of our accomplishments from 2010, you will see evidence of this vision—in the incredible progress we’ve already made, and in our ambitious plans for our future. It is our committed, determined future. We are putting patients at the center of all we do. Through the strategic development of ambulatory care services and the creation of a seven-day-a-week hospital, we are providing care when and where patients need it most. And our quality and safety progress has been nothing short of outstanding. We are transforming medical education to meet the demands of the 21st century through one of the biggest changes to medical education since the American medical school system as we know it was created 100 years ago. In a new patient-centered and learner-centered environment, we are enriching the lives of countless people both now and for generations to come. And we are partnering with dear friends and benefactors, whose votes of confidence in our organization and our future are reflected in their generous support of the Medical Center, our faculty, and our staff. We have set out this vision and future for ourselves, and have been unwavering in our efforts to get there. Through a commitment to innovation, the foundation of academic medicine, we are fostering a culture of excellence. Regardless of how the world around us may challenge us, NYU Langone Medical Center is excelling in our efforts at world-class patient care, research, and education—365 days a year, in 2010 and for years to come. Best regards, Kenneth G. Langone Chairman, Board of Trustees Robert I. Grossman, MD Saul J. Farber Dean & Chief Executive Officer We are continually enhancing and informing our care by the findings of groundbreaking research. We are taking ambitious new leaps in scientific research to address the health issues facing our population—in the neurosciences, public health sciences, inflammation-related diseases, and others. Kenneth G. Langone Robert I. Grossman, md Chairman, Board of Trustees Saul J. Farber Dean & Chief Executive Officer 4 Letter from the Dean We are transforming our physical environment to align with our vision. Sweeping renovations, expansions, and construction projects are steadily bringing our facilities to a new, state-of-the-art level, commensurate with the quality of care and services we provide. NYU LANGONE MEDICAL CENTER 52 Through an expanding network of ambulatory care centers across the New York metropolitan area, we are bringing our patient-centered care directly to where our patients live and work. Our growth, both on campus and at offsite locations, is a strategic and analytical process, where quality and safety come first. —Andrew W. Brotman, MD Senior Vice President & Vice Dean for Clinical Affairs & Strategy, Chief Clinical Officer 6 Patient care Jean & David Blechman Cardiac & Vascular Center NYU LANGONE MEDICAL CENTER 7 PATIENT CARE 73 1,069 2,140 Operating Rooms Patient Beds Registered/Advanced Practice Nurses 15,219 Inpatient Surgical Procedures 37,408 656,250 Admissions 1,000,000+ Physician office Visits Outpatient Visits PATIENT CARE Twice awarded Magnet designation for nursing excellence (Tisch and Rusk) gold Seal of Approval from The Joint Commission Accreditation by the Commission on Accreditation of Rehabilitation Facilities for Five Inpatient Rehabilitation Programs Day 126 8 05.06.10 The annual National Nurses Week, commencing every May 6, is a time to celebrate the professional contributions of nurses. Our world-class nursing care comes from unmatched skill, dedication, and a human touch. That’s why NYU Langone Medical Center has twice received Magnet designation for excellence in nursing, a prestigious honor held by just 6% of hospitals nationwide. NYU LANGONE MEDICAL CENTER 9 Patient Care 3 hospitals: Tisch, Rusk, Hospital for Joint Diseases 1,069 37,408 TOTAL Beds total admissions in 2010 We are renowned for our clinical expertise across a wide range of specialties, including cardiac and vascular medicine and surgery, neurosurgery, cancer care, musculoskeletal diseases and conditions, and children’s services. Our physicians and surgeons use some of the most advanced medical technology available anywhere, but it is the compassion and individualized care that truly make the difference. 10 Patient care quality & safety In an achievement that underscores our commitment to and progress in ensuring quality clinical care and patient safety, in 2010 we were named a top 10 academic medical center by the University HealthSystem Consortium. We received five stars—the highest rating—for overall performance and we ranked number one in the nation for effectiveness and equity. We finished the year with a remarkable 98% compliance rate on the national Process of Care measures, a set of recommended treatments for ensuring the best results for patients with common medical conditions or surgical procedures. or expand our services into communities throughout the greater New York City area, including Great Neck, Rego Park, Westchester, and midtown Manhattan. We developed a plan for relocating the various programs of our Rusk Institute of Rehabilitation Medicine, both to make room for the Helen L. and Martin S. Kimmel Pavilion and in response to healthcare delivery trends, which are increasingly focused on the outpatient setting. the patient experience We are transforming our facilities to align with our vision by incorporating advanced technology with a compassionate, personalized approach to care. In April we dedicated the Yung Hsia Women’s Pavilion, a newly In the fall, we opened a new state-of-the-art inpatient pharmacy, which fills medication orders by machine. This renovated unit that provides care for women undergoing gynecological, bariatric, and other surgeries, as well as automation improves accuracy of dispensing and allows women with other medical problems. Also in April, the staff pharmacists to spend more time on the patient surgical intensive care unit was completely renovated, care units to consult with physicians, nursing staff, and offering private rooms with flat-screen TVs, expansive patients and families. views of the East River, and accommodations for families Multidisciplinary collaboration remained a cornerstone to stay with their loved one around the clock. Later in the of quality and safety. Our Partnering for Quality fall, we opened the Joel E. Smilow Comprehensive ProsProgram—a team-based program in which nursing staff tate Cancer Center, offering state-of-the-art personalized and physicians work together to lead quality-improvecare and education for men with prostate cancer. ment efforts—undertook 60 projects across five sites. Our By year’s end, we began designing the Kimmel Pavilion, Infection Prevention and Control Department collabowhich will offer patient-centered acute care and will interated with nursing, building services, and other departgrate seamlessly with our flagship Tisch Hospital. In 2010 ments to reduce hospital-acquired infections. Several of we also received generous support to renovate and expand our Lean Six Sigma projects focused on quality and our emergency department and to move our Institute for safety, enabling, for example, infection-rate reductions Reconstructive Plastic Surgery into a new nearby facility. for neurosurgical ventricular shunts and peripherally inserted central catheters. To further improve the patient experience, our PatientCentered Care Department began a Hospitality Services In 2010 we were fully immersed in the transition to program and expanded the scope of services provided by Epic, our new electronic medical record system. At the patient advocates. And even after patients are discharged, same time, we enhanced our current health information their well-being and needs remain a concern to us—inpasystems and processes, making substantial progress in tients from acute care units now receive a phone call eliminating duplicate medical record numbers and fully within three days of leaving the hospital from a nurse converting to electronic physician documentation—all care manager regarding their condition and to answer key components of patient safety and quality. any questions about their care. access & reach of services We continued to expand access to care and made important progress in becoming a true seven-day-a-week hospital. By the end of 2010, patients were offered a host of nonemergency services on weekends: Caesarian sections, nuclear cardiology and cardiac catherization services, mammograms, chemotherapy and radiation therapy, among other services. We continued to bring NYU LANGONE MEDICAL CENTER 11 Innovation is at the core of academic medicine and scientific research. To us, it is that mysterious and intangible combination of curiosity, observation, reflection, and imagination. Through innovation, our world-class researchers are making strides in understanding the basic biology of life and developing better ways to diagnose and treat disease. And we are committed to rapidly bringing those advances to the bedside to improve patient care and public health. —Vivian S. Lee, MD, PHD, MBA Senior Vice President & Vice Dean for Science, Chief Scientific Officer 12 research Joan and Joel Smilow Research Center NYU LANGONE MEDICAL CENTER 13 Research 259,000,000 $ in Research Awards in 2010 72.5 8.6 5.6 13.3 % from NIH % from Federal Non-NIH % from NIH Subcontract % from Non-Federal 4,153 Total Publications in 2010 including 17 books, 76 chapters & 3,184 journal articles Research 1,450 INVENTIONS 349 370 662 active license agreements pending U.S. patent applications issued U.S. patents 1,700,000,000 $ License revenue received Day 157 14 06.10.10 New York magazine named 122 NYU Langone physicians to its annual “Best Doctors” list in 2010 and featured neurosurgeon Dr. Anthony Frempong-Boadu, known for treating especially difficult cases of the spine. Like many of our surgical subspecialty faculty, Dr. Frempong-Boadu uses the latest advances in minimally invasive surgery, giving patients a shorter recovery time with fewer complications. NYU LANGONE MEDICAL CENTER 15 research 188 m Dollars of National Institutes of Health Research Funding in FY2010 4,153 533 total journal articles and other publications in 2010 K square feet of Research Space advancing science Thanks to the generosity of Fiona and Stanley Druckenmiller, we continued to make major strides in advancing neurosciences in 2010. We are proud and fortunate to have some of the greatest minds in neuroscience on our faculty and—with the recruitment in the fall of the brilliant Richard Tsien, DPhil, to lead our new Neuroscience Institute—we are poised like never before to continue and expand our groundbreaking work in this area through both physical construction of neuroscience research space and by leading interdisciplinary collaborations across the Medical Center and New York University. Our researchers continued to make advances on a range of scientific inquiries: for example, revealing how an investigational drug wards off the inflammation accompanying rheumatoid arthritis by holding a specific enzyme at bay; discovering a microRNA that helps regulate cholesterol balance and movement; implicating UVA radiation as a key contributor to melanoma, the deadliest form of skin cancer; sequencing the genomes of two species of ants to lay the foundation for understanding environmentally induced epigenetic changes; and discovering new insights into the maternal heredity of Alzheimer’s disease. Our dynamic research culture attracts the best minds from all over the world. We strive to develop new and better ways to diagnose and treat disease and are committed to rapidly bringing advances to the bedside to improve patient care and public health. 16 research Our Centers of Excellence continued to advance translational research, and we launched a new interdisciplinary effort in inflammation, infection, and immunology — dubbed I3 — building on world-class programs in immunology and inflammatory and infectious diseases. We commenced planning for the new neurosciences and I3 research building space. We also strengthened our commitment to the public health sciences and our growing faculty and programs in population health, health services research, community health, bioinformatics, biostatistics, and epidemiology, which began the move into a new home on 30th Street together with the Clinical and Translational Science Institute. a $9.3-million grant from the National Institutes of Health, and in June by $5.4 million from the Empire State Stem Cell Board. The stem cell grant will be used, in part, to expand the RNAi Core Facility. With the NIH funding, we began to renovate our 40-year-old Berg research facility—another step in transforming our physical environment to align with our vision. This funding has allowed us to advance our scientific research in a range of areas, including neurobehavioral sciences. And in July, our Division of Laboratory Animal Resources received full accreditation from the governing body that oversees animal research, with unprecedented survey success. We continued to invest in our researchers and foster young investigators. We began a new training program for researchers who are managing labs, giving them the tools and competencies to run a lab efficiently and effectively. The first session was held in November, with more than 50 researchers enrolled, representing a mix of clinical and basic scientists. Our efforts to enrich our faculty through development and mentoring programs are among the best investments we can make. funding By the end of our fiscal year 2010, our baseline NIH funding had grown from $126.4 million to $138.1 million—a 9.3% increase from the previous year and a fivefold rate of increase compared to other medical schools around the country. We also benefited from the American Recovery and Reinvestment Act with an additional $49.9 million in funding for scientific research. Our total research awards for the year exceeded $259 million. supporting our researchers In 2010 our new Office of Collaborative Sciences became fully operational. It was created to cultivate team science to solve interdisciplinary problems through management of core research facilities—from the RNAi lab to our new genome technology center. By harnessing emerging technologies and their application to biomedical problems, the office is ensuring we remain at the forefront of innovation and state-of-the-art research. In April, our core facilities and technologies were further bolstered with NYU LANGONE MEDICAL CENTER 17 NYU School of Medicine is pioneering a new teaching model, the Curriculum for the 21st Century (C21). C21 represents a major change to medical education as it has existed for 100 years. Not only will it give students a deeper knowledge of disease pathways and encourage their pursuit of scholarly investigation, but it strengthens the humanistic element of being a doctor and expands the nature of what students need to know to the civic responsibility of this noble profession. —Steven B. Abramson, MD Senior Vice President & Vice Dean for Education, Faculty & Academic Affairs 18 education Alumni Hall B NYU LANGONE MEDICAL CENTER 19 Education 4,542 99 29 total Faculty MEMBERS Endowed professorships Academic Departments 6 4 INSTITUTE OF MEDICINE MEMBERS ON CURRENT FACULTY Nobel Laureates AMONG OUR ALUMNI & FORMER FACULTY 736 68 Medical STUDENTS MD/PhD STUDENTS 248 381 1,125 PhD STUDENTS POSTDOCTORAL FELLOWS RESIDENTS & FELLOWS Education 1 INNOVATIVE curriculum Day 273 20 09.30.10 In fall 2010, the University HealthSystem Consortium ranked us in the top 10 hospitals nationwide for patient safety and quality. Our commitment to patient safety embraces both well-established procedures such as proper scrubbing and innovative initiatives such as our proactive telephone calls to discharged patients to ensure their well-being. NYU LANGONE MEDICAL CENTER 21 Education C21 first class of students 169 years of training physicians and scientists 1,243 Full-time Faculty a new curriculum Last year was a pivotal year for our medical education programs. After two years of planning that engaged more than 100 faculty members and students, the Curriculum for the 21st Century (C21) made its debut in September when students in the class of 2014 saw their first patients—on their first day of class. This new model of medical education intertwines the clinical and basic sciences through all four years of a student’s training—taking students from the classroom to patients to virtual 3D operating suites and back again, constantly reinforcing their understanding of the biological underpinnings of disease and their consequences on human health. An integral part of this new model is PLACE, the Patient-based Longitudinal Ambulatory Clinical Experience. In this early clinical immersion program, medical students are paired with practicing physicians and asked to follow a small group of patients over the course of a year, wherever their illnesses may take them. We see this as an early opportunity for students to practice how to be humanistic caregivers. Some PLACE sessions are based in public health facilities in New York City, such as Baruch Family Health Center, Gouverneur Healthcare Services, and the Charles B. Wang Community Health Center, to expose students to a diverse patient population in a range of community settings. In addition, students shadow physicians and patients in private practices. Over its 169-year history, NYU School of Medicine has trained thousands of physicians and scientists who have helped shape the course of medical history. In the fall of 2010, for the first time, first-year medical students were introduced to patients on their first day of classes as part of our Curriculum for the 21st Century, or C21. 22 education We have enriched our educational offerings by developing new dual degree programs. In addition to degrees in public health or public administration, medical students can now earn a master’s in clinical investigation, global public health or biomedical ethics. Our C21 curriculum includes a new emphasis on cultural competencies and healthcare disparities, and our international health program continued to connect students with health projects throughout the world—30 sites in the previous academic year. harnessing technology In addition to cultivating a student body skilled in providing humanistic, compassionate medical care, we are equally ensuring a technologically savvy generation of future doctors. In November, we announced our partnership with the City University of New York to create the New York Simulation Center for Health Sciences. With over 20,000 square feet of space, the center will train a wide range of health professionals including students, staff, and residents from the School of Medicine, the NYU Colleges of Dentistry and Nursing, CUNY nursing schools, CUNY allied health professional schools, and CUNY emergency medical technician programs. Our proprietary Web Initiative for Surgical Education (WISE-MD), a program using advanced computer graphics and video to enhance the teaching of surgical skills to medical students, residents, nurses, and allied health workers, is now used in 53 schools nationwide, up from 36 by the end of 2009. Our Division of Educational Informatics continued to promote and develop cuttingedge tools in medical education, including our online Learning Activities Modules, or LAMS. enhancing student life We are transforming our campus infrastructure to meet the demands of technology in education, including a complete renovation of our lecture hall, Alumni Hall B. The space was fully wired last year for collaborative learning using tools such as videoconferencing, teleconferencing, and wireless connectivity. We also designed six new small-group teaching rooms—another step in our commitment to team-based learning. We upgraded our residence halls with philanthropic support from our friends. In the summer, the main lobby of the Susan and Martin Lipton Hall on First Avenue underwent renovations and a host of aesthetic improvements. And in September, our students began to fill a new residence on 26th Street to replace the aging Rubin Hall. Thanks to an extraordinary gift of $21 million from our longtime faculty member and supporter, Dr. Jan Vilcek, and his wife, Marica, the hall was renovated to include a new lounge, fitness center, and study space as well as upgraded bedroom suites, a modernized lobby, and technology enhancements. In recognition of their steadfast dedication and constant commitment to the lives of future generations of physicians, we named the new facility the Jan and Marica Vilcek Hall. The Vilceks’ transformational gift will create full-tuition merit scholarships, allowing our medical school graduates to begin their careers without debt and ensuring we attract the most highly qualified and talented students in an increasingly competitive environment. Their contribution also expands the existing Jan T. Vilcek Endowed Fellowship Fund, which will greatly aid graduate students and postdoctoral fellows and dramatically change the trajectory of their biomedical education and lives. NYU LANGONE MEDICAL CENTER 23 We rely on the Medical Center’s generous donors and friends to ensure our standard of excellence as we serve the health and wellness needs of the thousands who come to us for care each day. We are especially grateful to our dedicated community of individuals, foundations, corporations, and organizations that support our institution. — Kenneth G. Langone Chairman, Board of Trustees 24 Philanthropy Charlotte and Henry E. Fleck Garden NYU LANGONE MEDICAL CENTER 25 Philanthropy Throughout NYU Langone Medical Center’s history, our friends and committed supporters have made remarkable gifts to advance our educational initiatives, groundbreaking research, and patient-centered care. We gratefully acknowledge those who have given generously to our fine institution, helping us to excel as a leading academic medical center. * The donors listed here have made cumulative gifts of $10M+ to NYU Langone. Historic Partners* Historic Partners* Total Gift Amount (in Dollars) Total Gift Amount (in Dollars) 100M + 10-100M The Druckenmiller Foundation Helen L. and Martin S. Kimmel Elaine A. and Kenneth G. Langone The Family of Wilma S. and Laurence A. Tisch Marica and Jan Vilcek American Cancer Society, Inc. Leon H. Charney Dr. Jerome S. Coles and Mrs. Geraldine Coles Dysautonomia Foundation, Inc. Edith K. and Frederick L. Ehrman Laurence and Lori Fink Charlotte and Henry E. Fleck Arlene and Arnold Goldstein The Irma T. Hirschl Trust Howard Hughes Medical Institute Stanley Allan Isenberg, md ’43 Kate Macy Ladd Fund Evan F. Lilly Memorial Trust Ruth and Leonard Litwin Frederick Lueders Suzanne and Thomas Murphy National Foundation for Facial Reconstruction Ronald O. Perelman Bernard and Irene Schwartz The Skirball Foundation Mr. and Mrs. Joel E. Smilow Anita and Joseph Steckler The Family of Joan H. and Preston Robert Tisch Philanthropy All gifts make a difference to the continued excellence of NYU Langone. This chart illustrates the numbers of donors in each dollar range who contributed to the Medical Center in fiscal year 2010. 20 $1,000,000 & above 140 $100,000 - $999,999 572 12,615 $10,000 - $99,999 13,347 total gift amount: $118,625,359 Under $10,000 Philanthropy 2010 Gift Amount (in Dollars) 2+ M The Alvin Benjamin and Kenneth Coyle Sr. Families Robert and Christina Seix Dow Estate of Isabel Fine Eleanor and Stephen Hammerman, Esq. The Leona M. and Harry B. Helmsley Charitable Trust Susan and William Jaffe, MD National Foundation for Facial Reconstruction Nancy Glickenhaus Pier Estate of Martin Spatz Marica and Jan Vilcek 2010 Gift Amount (in Dollars) 1-2 M Anonymous Dysautonomia Foundation, Inc. Bill and Melinda Gates Foundation Arlene & Arnold Goldstein Family Foundation International Brain Research Foundation Estate of Mary B. Ketcham KiDS of NYU Foundation, Inc. Sandra R. and Edward H. Meyer Estate of Stephen C. Moss Patricia Rosenwald and E. John Rosenwald Jr. Estate of Joseph Schlackman Devendra Shah Francia and James Shaw 2010 Gift Amount (in Dollars) 500k -1m Alzheimer’s Association American Cancer Society, Inc. American Heart Association, Inc. Avon Foundation, Inc. Burroughs Wellcome Fund Cancer Research Institute Judith K. and Jamie Dimon Estate of Helen G. Grunebaum International Flavors and Fragrances Marc Jacobs International, LLC The Robert Wood Johnson Foundation Manzo Family Melanoma Research Alliance National Multiple Sclerosis Society Joanne Pearson Alan and Jill Rappaport The Morris and Alma Schapiro Fund Irene Schwartz and Bernard L. Schwartz The Schwartz Family Foundation Steven and Deborah Shapiro Robert and Laura Sillerman Preethi Krishna and Ram Sundaram The Tomorrow Foundation The donors listed here made or recommended gifts or new pledges in fiscal year 2010. 2010 Gift Amount (in Dollars) 100 -500 k k The American Ireland Fund American Liver Foundation H. van Ameringen Foundation Amgen USA Julie Wilson Anderson and Dwight Anderson Anonymous The Auxiliary of NYU Langone Medical Center St. Baldrick’s Foundation Phyllis and Marvin Barasch Belluck & Fox, LLP Katherine and Todd Boehly The Honorable and Mrs. Nicholas F. Brady Breast Cancer Alliance, Inc. Breast Cancer Research Foundation Clarissa and Edgar M. Bronfman Jr. Estate of Sylvia Brustor Estate of Marion B. Carstairs Linda and Arthur Carter The Charina Endowment Fund, Inc. Chemotherapy Foundation, Inc. Kathryn Cassell Chenault, Esq. and Kenneth I. Chenault Clinton Foundation HIV/AIDS Initiative The Lynne Cohen Foundation for Ovarian Cancer Research Baukje and Noel Cohen, MD Judy Angelo Cowen Foundation Estate of Leroy G. Dalheim Damon Runyon Cancer Research Foundation Philanthropy 2010 Gift Amount (in Dollars) 100k-500k cont. The Dana Foundation Joseph Dancis, MD‡ Dart NeuroScience LLC Estate of Dorothy Irene De Bear Doris Duke Charitable Foundation Joan and Alvin H. Einbender Shelley and Steven Einhorn Frederick and Diana Elghanayan Ellison Medical Foundation Carol J. Feinberg Laurence and Lori Fink The Foundation for AIDS Research, Inc. Genzyme Corporation Gilead Foundation Lucienne and Lawrence Glaubinger Loretta Brennan Glucksman Marsha Gray Brian and Tania Higgins The Irma T. Hirschl Trust Benjamin H. Homan Jr. Charitable Trust Human Frontier Science Program Elizabeth B. Dater Jennings and William M. Jennings Jr. Anastasios John Kanellopoulos, MD Rob and Ellen Kapito Cynthia Gordon Kaplan, MD and Martin P. Kaplan, MD F.M. Kirby Foundation, Inc. Klarman Family Foundation Grants Program in Eating Disorders Research The Klein Family Susan G. Komen for the Cure, Greater NYC Affiliate James and Marjorie Kuhn Elaine A. and Kenneth G. Langone Ruth and Sidney Lapidus Ann Tenenbaum Lee and Thomas H. Lee Dalia Leeds and Laurence C. Leeds Jr. Toni Lieberman Family Charitable Trust Evan F. Lilly Memorial Trust Estate of Leah W. Linn The Lillian S. Lusskin Orthopedic Foundation Ralph Lusskin, MD Making Headway Foundation, Inc. March of Dimes Foundation Estate of Eli Mason Melissa Mathison Sir Deryck and Lady Vaofua Maughan Estate of Claudia McClintock Meidar Family Charitable Trust Melanoma Research Foundation Sema Merjanian Edward and Vivian Merrin Julie C. and Edward J. Minskoff Estate of Suzanne C. Murphy Thomas S. Murphy The New York Community Trust NY Epilepsy & Neurology PLLC NYU Plastic Surgery Associates, LLP Organogenesis, Inc. Orthopaedic Research and Education Foundation Alaleh Ostad and Ariel Ostad, MD Debra Perelman Lee and Bob Peterson The Pew Charitable Trusts Martin‡ and Sondra Rappaport The Honorable Kimba M. Wood and Frank E. Richardson The donors listed here made or recommended gifts or new pledges in fiscal year 2010. ‡ Deceased The Riley Family Foundation Robin Hood Foundation Linda Gosden Robinson and James D. Robinson III Gloria and Burton D. Rose, MD Kenneth Rosenberg Foundation Daniel Rosenbloom, Esq. The Louis and Rachel Rudin Foundation, Inc Louise and Joshua Samuelson Olga M. Santiago, MD The Selander Foundation Sephardic Hospital Fund—Medstar Tracy and Stanley Shopkorn Bruce A. Silberstein William & Sylvia Silberstein Foundation, Inc. Klara and Larry Silverstein Simmons Mesothelioma Foundation The Simons Foundation Gordon and Norma Smith Family Foundation Robin L. Smith, MD, MBA Lynda and William C. Steere Jr. Stryker Corporation Lisa & Steven Tananbaum Family Foundation Theresa and Mark Tillinger Wachtell Lipton Rosen & Katz Foundation The Wagner Family Foundation Peter Stanley Walker, PhD Elaine Weiler and Alan G. Weiler, Esq. J. Weinstein Foundation, Inc. Leah J. and Michael R. Weisberg Adam Scott Weiss Cancer Memorial Fund Dr. and Mrs. Edwin Weiss Mr. R. Van Whisnand The Widgeon Point Charitable Foundation Charles F. Wolf Scholarship Fund Day 305 26 11.01.10 At the American Society for Radiation Oncology’s annual meeting, Dr. Silvia Formenti shared results of her study of using the prone position during radiation therapy for breast cancer. By sharing research findings at meetings such as this and in 4,153 publications in 2010, our faculty are changing the lives of not just our patients, but patients around the world. Dr. Formenti’s own efforts are bringing hope to many, from women in rural Africa to the stars of TV, film, and Broadway. NYU LANGONE MEDICAL CENTER 27 About Us 1 integrated medical center 3 missions 3 patient-centered hospitals 1 preeminent medical school We are committed to making world-class contributions that place service to human health at the center of an academic culture devoted to excellence in research, patient care, and education. NYU Langone Medical Center is one of the nation’s premier centers of excellence in healthcare, biomedical research, and medical education. Located in Manhattan, NYU Langone consists of three hospitals—Tisch Hospital, a 705-bed acute-care tertiary facility; Rusk Institute of Rehabilitation Medicine, the first rehabilitation hospital in the world, with extensive inpatient and outpatient rehabilitation programs; and the 190-bed Hospital for Joint Diseases, one of only five hospitals in the world dedicated to orthopaedics and rheumatology—plus the NYU School of Medicine, one of the nation’s preeminent academic institutions and one of 18 schools and colleges of New York University. In addition, NYU Langone Medical Center offers ambulatory-care services in various Manhattan neighborhoods, the outer boroughs, Long Island, New Jersey and Westchester County, bringing services directly to where our patients live and work. NYU Langone’s medical students, residents, and faculty also provide patient care at Bellevue Hospital Center, the nation’s oldest public hospital, and the Medical Center is affiliated with Woodhull Hospital in Brooklyn, Gouverneur Healthcare Services in Manhattan, and the New York Harbor Veterans Affairs Medical Center. In all three facets of our mission, we are becoming a national leader in applying the power of technology to accelerate, streamline, and enrich our services. We are implementing Epic, our integrated electronic medical record system, across the Medical Center, and our new automated, state-of-the-art pharmacy (above) is the first of its kind in New York. The Medical Center’s trifold mission to serve, teach, and discover is achieved on a daily basis through the seamless integration of an academic culture devoted to excellence in patient care, education and research. Patient Care In a culture of humanism that emphasizes treating the whole person and not simply the disease, NYU Langone Medical Center is renowned for evidence-based clinical care across a wide array of specialties. Our five key clinical areas are: 28 About Us cardiac & vascular The Cardiac and Vascular Institute (CVI) is a world leader in cardiovascular care. CVI’s cardiac surgeons pioneered minimally invasive heart surgery and mitral valve repair and continue to pave the way in the development of new techniques and procedures for treating heart rhythm disorders, aortic aneurysms and congestive heart failure. Our cardiac and vascular physicians work collaboratively with our cardiac rehabilitation team to ensure patients move seamlessly from diagnosis and treatment to the rehabilitation phase of their care. cancer The NYU Cancer Institute, a National Cancer Institutedesignated cancer center, is recognized for translating knowledge about the roots of cancer into innovative therapies and advanced cancer care in a setting where the patient comes first. With three outpatient cancer centers—the Clinical Cancer Center, the Stephen D. Hassenfeld Children’s Center for Cancer and Blood Disorders, and the Joel E. Smilow Comprehensive Prostate Cancer Center—we provide care that is simultaneously compassionate and state of the art. Our patients have access to not only the latest prevention, screening, diagnostic, treatment, genetic counseling, and support services for cancer, but also broad access to cutting-edge clinical trials. musculoskeletal At the core of NYU Langone’s expertise in musculoskeletal diseases and conditions and rehabilitation are the Hospital for Joint Diseases (HJD) and Rusk Institute of Rehabilitation Medicine. Both have been repeatedly recognized by U.S. News & World Report as among the best in the nation. Rusk has been ranked one of the top 10 rehabilitation programs in the country—and number one in New York State—for more than 20 years, while HJD is ranked as one of the top 11 orthopaedic programs. NYU LANGONE MEDICAL CENTER 29 4,542 2,140 14,143 faculty members registered and advanced practice nurses total staff In addition, a new specialized Outpatient Surgery Center expands the scope of our services. The center, adjacent to the main campus, is dedicated solely to orthopaedic procedures and boasts four operating rooms. Our orthopaedic surgeons are leaders in minimally invasive and robotic knee, hip, and spine surgery, and with our rheumatologists, are pioneering new treatments for arthritis. And, as the birthplace of rehabilitation medicine, Rusk continues to set the global standard for rehabilitation care for every stage of life and every phase of recovery on both an inpatient and outpatient basis. NYU Langone will soon be home to a Musculoskeletal Institute, an outpatient facility occupying 110,000 square feet, which—as the largest facility of its kind in the country—will integrate research, clinical practice, rehabilitation, and wellness services for conditions involving the spine, arthritis, autoimmune diseases, sports injuries, and total joint replacement under one roof. neurology and neurosurgery U.S. News & World Report has recognized our expertise in these areas and has named us one of the top 10 hospitals for neurology and neurosurgery for the past three years. Our neurologists are experts in the diagnosis and treatment of a broad spectrum of neurological diseases and deliver integrated care to patients who have had a stroke or are living with epilepsy, cerebrovascular disease, dementia, genetic and degenerative diseases, nerve and muscle problems, headache and pain syndromes, and movement disorders. We are also home to the largest multiple sclerosis program in New York. Our Department of Neurosurgery offers the most advanced technology and surgical techniques available, and our expertise encompasses surgery for brain tumors, brain aneurysms and vascular malformations, spine ailments, epileptic seizures, and deep brain stimulation for 30 About Us Supported by an environment that fosters collaboration and intellectual exchange, our researchers make remarkable discoveries and translate them into patient care. The result: research that dramatically transforms the way disease is diagnosed, treated, and ultimately, eradicated. Parkinson’s disease. In an environment of cutting-edge research and medical education, the department’s interdisciplinary team is world renowned for highly specialized treatments and procedures. We are one of only a few hospitals on the East Coast to use the Leksell Gamma Knife, which allows our neurosurgeons to remove deepseated tumors, vascular malformations, and other sites of dysfunction with outstanding results. children’s services From neonatal to pediatric and adolescent care, and from routine well-baby visits to intricate cardiac surgery on newborns, NYU Langone offers a virtual children’s hospital, giving our young patients access to specialized care from a multidisciplinary team of talented and dedicated neonatal specialists, pediatricians and pediatric surgeons. General pediatrics, neonatal intensive care, pediatric orthopaedics, pediatric congenital cardiac surgery, childhood cancers, and child and adolescent psychiatry services—just a few of the areas where NYU Langone excels—are all provided in a compassionate, familycentered environment. NYU Langone also treats the full range of medical conditions in outstanding programs including our Fertility Center, Weight Management Program (including bariatric surgery), Institute for Reconstructive Plastic Surgery, Robotic Surgery Center, Cochlear Implant Center, Sleep Disorders Center, and programs ranging from maternal-fetal medicine to Alzheimer’s disease. Research With over 50 centers, 29 academic departments, and 533,000 square feet of research space, NYU Langone boasts scientists who have produced groundbreaking discoveries, some of which have led to Nobel Prizes, and all of which have helped advance the diagnosis and treatment of disease. cancer institute The research mission of the NYU Cancer Institute is to discover the origins of cancer and use that knowledge to eradicate the personal and societal burden of cancer in our community and around the world. The Cancer Institute specializes in translational research programs in melanoma, genitourinary cancers, and breast cancer, among other areas. Its basic research programs are devoted to cancer immunology, stem cell biology, and environmental and molecular carcinogenesis. Our researchers are highly regarded for their studies of the complex cellular pathways leading to cancer, which may provide new targets for treatment. New programs in neuro-oncology, developmental therapeutics, and cancer healthcare disparities have expanded research and treatment capabilities, and clinical trials are currently evaluating vaccines and new tools for detection and treatment. centers of excellence Six Centers of Excellence bring together our most outstanding basic scientists and clinical researchers to foster highly collaborative, multidisciplinary investigations that inspire new ideas and discoveries in areas long recognized as institutional strengths. The six Centers of Excellence are: Addiction, Brain Aging, Cancers of the Skin, Multiple Sclerosis, Musculoskeletal Disease, and Urologic Disease. clinical & translational science institute The Clinical and Translational Science Institute (CTSI), a collaborative effort with the New York City Health and Hospitals Corporation, is designed to develop ways to more rapidly advance science from the lab to the patients and out to the community, and to explore the underlying cause of health disparities. The CTSI supports the education, training, and development of scientists so that they can conduct the investigations necessary to bring scientific advances to patients. By enhancing ties between NYU and HHC researchers and the community, it helps enable these scientists to identify health problems and apply their knowledge to promote new developments and evidence-based medicine within communities, thereby reducing healthcare disparities. neuroscience institute The Medical Center is ushering in a new era of neuroscience, expanding on our existing strength and extensive expertise in neuroscience research, focused on the goal of understanding the role of the nervous system in health and in disease. The new Neuroscience Institute is a collaborative enterprise of clinicians and scientists from across the Medical Center and New York University, encompassing a wide range of related disciplines including developmental genetics, molecular systems, and behavioral and clinical neuroscience. skirball institute of biomolecular medicine The Skirball Institute of Biomolecular Medicine conducts basic research in the cellular and molecular mechanisms that underlie the way organisms function in four areas: developmental genetics, molecular neurobiology, immunology and pathogenesis, and structural biology. It is home to some 275 researchers, including 27 principal investigators, from a diverse range of specialties—creating a fertile ground for multidisciplinary collaboration. Such collaborations and the research of individual investigators have led to important discoveries in many areas, such as autoimmunity and origins of allergic diseases, cell migration, specification and renewal, cell polarity, the structural basis of signal transduction and membrane transport, neural differentiation, synapse formation, and neural networks. Researchers at Skirball have developed models for host-pathogen interactions in inflammatory NYU LANGONE MEDICAL CENTER 31 COUNTLESS lives changed over our 169-year history of service to human health disease as well as models for Alzheimer’s and Parkinson’s disease, discovered the molecular basis for antidepressant function, and provided key evidence for the role of the K+ channel in the etiology of T-cell-mediated colitis. Dynamic interdisciplinary research to address the entire range of biomedical science is conducted in numerous other programs and centers, including the Nelson Institute of Environmental Medicine, one of the nation’s oldest and most distinguished centers for research into the health effects of environmental pollution; the Center for Biomedical Imaging, one of the premier imaging research centers in the world; the AIDS Clinical Trial Unit, focused on advancing HIV/AIDS research, promoting the highest quality of care for HIV-infected patients and sharing discoveries with the public both here and abroad; and the Comparative Effectiveness Research Program at our Health Promotion and Prevention Research Center, focused on, among others, hypertension and colorectal cancer health disparities in African-American men in New York City. As the focal point of our translational research efforts, the 13-story Joan and Joel Smilow Research Center houses multidisciplinary research teams dedicated to such fields as cancer, cardiovascular biology, neuroscience, dermatology, genetics, and infectious diseases. And to support our scientists, the Medical Center runs more than 20 core facilities, or shared resources and technology, from analytic chemistry and bioinformatics to tissue banking and vaccine therapy. Education In all facets of our mission—medical education, research, clinical care—the patient is at the center of our work. From our steady advances in patient safety and quality to our exciting new model of medical education to the huge strides we are making in applying research to clinical care and public health, we are changing countless lives. Since 1841, NYU School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Medical Center, the School, at its core, is committed to improving the human condition through medical education, scientific research, and direct patient care. educational opportunities In addition to the medical degree, the School collaborates with New York University to offer master’s degrees in public administration, public health, clinical investigation, and bioethics. The School also sponsors more than 65 residency and fellowship training programs, as well as postgraduate medical education courses for practicing 32 About Us physicians. Our Physician Scientist Training Program is designed to give residents and fellows the research skills needed to conduct the highest caliber science. Our Sackler Institute, a division of the NYU Graduate School of the Arts and Science, offers programs in the basic medical sciences, leading to a PhD and, in coordination with the Medical Scientist Training Program, combined MD/PhD. The School has 29 academic departments in the clinical and basic sciences and more than 50 divisions, programs, and centers that provide the broadest educational experiences available anywhere. The School also maintains affiliations with area hospitals, including Bellevue Hospital, one of the nation’s finest municipal hospitals, where students provide care to New York City’s diverse population, enhancing the scope and quality of their education and training. transforming medical education We are transforming medical education with our new Curriculum for the 21st Century, or C21—a patientcentered and learner-centered curriculum. C21 is a model of medical education based on a spiral curriculum, or pillars, where learning wraps around and builds upon specific areas of medicine. The pillars concept aids students in making connections between the increasingly complicated mechanisms of disease and clinical concepts. This fosters student knowledge both through a study of the scientific underpinnings of a disease and, at the same time, through direct patient care. This innovative approach allows students to better connect mechanisms of disease to the care and treatment of patients. Currently, the four pillars in the curriculum are atherosclerosis, diabetes, colon cancer, and tuberculosis. Starting with the class of 2014, students see patients beginning the very first week of medical school and follow many of these same patients throughout their four years of study. The School is also on the forefront of leveraging technology to enhance medical learning through the Program for Medical Education and Technology, which includes webbased training in surgery, as well as a variety of initiatives that use simulation modalities for clinical teaching. NYU LANGONE MEDICAL CENTER 33 In all areas of our operations—patient services, quality and safety initiatives, our finances—we have never been more focused. Through our strategic initiatives and effective and careful management, we are becoming more efficient and creating added value that translates both to patient outcomes and the bottom line. By doing so, we are being recognized as a leading academic medical center. —Bernard A. Birnbaum, MD Senior Vice President & Vice Dean, Chief of Hospital Operations 34 Measures of Success Main Lobby NYU LANGONE MEDICAL CENTER 35 MEASURES OF SUCCESS top 10 1st NATIONWIDE FOR PATIENT SAFETY & QUALITY, UNIVERSITY HEALTHSYSTEM CONSORTIUM IN EQUITY AND EFFectiveness NATIONWIDE, UNIVERSITY HEALTHSYSTEM CONSORTIUM U.S. News & World Report “Best Hospitals in America” 2010/2011 1st 2nd 8th 9th IN REHABILITATION MEDICINE IN NEW YORK STATe IN ORTHOPAEDICS IN NEW YORK STATE IN RHEUMATOLOGY NATIONWIDe IN NEUROLOGY/NEUROSURGERY NATIONWIDE 14 number of specialties ranked among best in the country by U.S. News & World Report “Best Hospitals in America” 2010/2011 MEASURES OF SUCCESS top 10 America’s 10 Best Hospitals, Becker’s Hospital Review, 2009 bbb+ Standard & poor’s baa1 positive Moody’s Investor Services honor roll Niagara Health Quality Coalition’s NYS Hospital Report Card for patient safety & quality, 2009 & 2010 fitch & Standard & poor’s Day 340 36 12.05.10 Collaboration is a cornerstone of quality and safety. Whether it’s effective teamwork between perioperative nurses and surgeons or collaborations between the infection prevention and the building services departments to prevent hospitalacquired infections, each team member is integral to ensuring quality and safe care. We also employ Lean Six Sigma methodology into these efforts, including a project in December to reduce neurosurgical shunt infections. NYU LANGONE MEDICAL CENTER 37 OUR REACH A NYU Langone Medical Center Main Campus 550 First Avenue, New York, NY Tisch Hospital Rusk Institute of Rehabilitation Medicine NYU School of Medicine B Musculoskeletal Institute (Fall 2011) & Outpatient Surgery Center 333 East 38 th Street, New York, NY C NYU Clinical Cancer Center j NYU Langone Medical Center – Williamsburg 101 Broadway, Brooklyn, NY K NYU Langone Medical Center – Columbus Medical 97-85 Queens Boulevard, Rego Park, NY L NYU Langone Medical Center – Great Neck 488 Great Neck Road, Great Neck, NY M Nelson Institute of Environmental Medicine Sterling Forest: 57 Old Forge Road, Tuxedo, NY 160 East 34 th Street, New York, NY D Stephen D. Hassenfeld Children’s Center for Cancer and Blood Disorders | the Laurence D. and Lori Weider Fink Children’s Ambulatory Care Center 160 East 32 nd Street, New York, NY E Smilow Comprehensive Prostate Cancer Center N Orthopaedics at Westchester 311 North Street, White Plains, NY O Orthopaedic Specialists at Westbury 761 Merrick Avenue, Westbury, NY 135 East 31 st Street, New York, NY P NYUlmc Hepatology Associates 1097 Old Country Road, Plainview, NY F Hospital for Joint Diseases 301 East 17 th Street, New York, NY Q NYUlmc Vein Center – morristown 95 Madison Avenue, Morristown, NJ G NYU Langone Medical Center – Trinity 111 Broadway, New York, NY R Child Study Center – Hackensack 411 Hackensack Avenue, Hackensack, NJ H Internal Medicine Associates – The Miller Practice 355 West 52nd Street, New York, NY I Center for Women’s Health (Fall 2011) 1491 Third Avenue, New York, NY 38 our Reach NYU LANGONE MEDICAL CENTER 39 Day 365 40 12.31.10 By year’s end, the Department of Neurosurgery—already known for excellence in the surgical treatment for numerous brain disorders—added to its roster of specialists with the recruitment of several world-renowned neurosurgeons, including Dr. Noel Perin. For the last three years, U.S. News & World Report has ranked our program in neurosurgery among the top 10 nationwide in its “Best Hospitals in America.” NYU LANGONE MEDICAL CENTER 41 MISSION To Serve, To Teach, To Discover Vision A World-Class Patient-Centered Integrated Academic Medical Center Values PRIDE: Professionalism, Respect, Integrity, Diversity, Excellence Leadership Trustees NYU Langone Medical Center New York University NYU Langone Medical Center Martin Lipton, esq. Kenneth G. Langone Vicki Match Suna, aia Kenneth G. Langone Chairman, Board of Trustees Chairman, Board of Trustees Senior Vice President and Vice Dean for Real Estate Development and Facilities Chairman John Sexton Robert I. Grossman, md President Dean and Chief Executive Officer Robert Berne, mba, phd Steven B. Abramson, md Executive Vice President for Health Senior Vice President and Vice Dean for Education, Faculty and Academic Affairs Bernard A. Birnbaum, md Senior Vice President and Vice Dean, Chief of Hospital Operations Andrew W. Brotman, md Senior Vice President and Vice Dean for Clinical Affairs and Strategy, Chief Clinical Officer Michael T. Burke Senior Vice President and Vice Dean, Corporate Chief Financial Officer Nancy Sanchez Senior Vice President and Vice Dean for Human Resources Anthony Shorris Senior Vice President and Vice Dean, Chief of Staff Richard Donoghue Senior Vice President for Strategic Planning and Business Development Deborah Loeb Bohren Vice President for Communications and Public Affairs Lisa J. Silverman Senior Vice President and Vice Dean, General Counsel Vice President for Development and Alumni Affairs Senior Vice President and Vice Dean for Science, Chief Scientific Officer leadership Senior Vice President and Vice Dean, Chief Information Officer (Interim) Annette Johnson, jd Vivian S. Lee, md, phd, mba 42 Nader Mherabi Laurence D. Fink Co-Chairman Dwight Anderson Marc H. Bell William R. Berkley Edgar M. BronfmaN Jr. Kenneth I. Chenault Gary D. Cohn William J. Constantine Elizabeth B. Dater Jamie Dimon Fiona Druckenmiller James J. Dunne III Alvin H. Einbender Lori Fink Louis P. Friedman Jay M. Furman Michael Gardner Steven J. Gilbert George E. Hall Jacqueline S. Harris Hochberg Sylvia Hassenfeld Helen L. Kimmel Sidney Lapidus Thomas H. Lee Laurence C. Leeds Jr. Martin Lipton Louis Marx Jr. Deryck Maughan Edward H. Meyer Edward J. Minskoff Ex Officio Trustees Darla Moore Thomas S. Murphy Thomas S. Murphy Jr. Frank T. Nickell Michael E. Novogratz Ronald O. Perelman Debra Perelman William A. Perlmuth Laura Perlmutter Douglas A. Phillips Robert W. Pittman Alan Rappaport Linda Gosden Robinson E. John Rosenwald Jr. Alan D. Schwartz Bernard L. Schwartz Stanley Shopkorn Henry R. Silverman Larry A. Silverstein Joel E. Smilow Norma Smith Robin L. Smith, MD, MBA Carla Solomon, PhD William C. Steere Jr. John M. Stewart Alice M. Tisch Thomas J. Tisch Bradley J. Wechsler Anthony Welters Michael C. Alfano, DMD, PhD Robert Berne, PhD Bonnie Brier Robert I. Grossman, MD David W. McLaughlin John Sexton Life Trustees Mamdouha S. Bobst Geraldine H. Coles Arnold Greenberg Felix Kaufman, PhD Eleanor J. Piel, Esq. Associate Trustees Lola Finkelstein Irma R. Hilton Miriam Lubling Daniel Rosenbloom, Esq. Michael R. Stoler Sam Sutton Trustees Emeriti Frank E. Richardson Michael P. Schulhof Medical Staff Aubrey Galloway, MD Stuart Garay, MD Robert A. Press, MD, PhD NYU LANGONE MEDICAL CENTER 43 phOTO CREDITs Pages 1, 12, 44: Jeff Goldberg/Esto; pages 2, 8, 14, 20, 26, 31 (right), 32 (top, bottom right), 36, 40: Peter Turnley; page 6: John Abbott; pages 10, 18, 24: Rene Perez; pages 16, 31 (left): Michael Weymouth; pages 22, 28, 32 (top, bottom left): Joshua Bright; page 34: Bud Glick; page 42: Lynn Saville. pRINTED ON fsC CERTIfIED pApER AND MANUfACTURED wITh ELECTRICITY IN ThE fORM Of RENEwAbLE ENERGY. © 2011, NYU LANGONE MEDICAL CENTER | 550 fIRsT AVENUE, NEw YORK, NY 10016 | www.NYULMC.ORG 44 365 days of excellence | 2010 Annual Report NYU Langone Medical Center | 550 First Avenue, New York, NY 10016 | www.nyulmc.org
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