2010-2011 Annual Report - New York Hospital Queens
Transcription
2010-2011 Annual Report - New York Hospital Queens
EVERYTHING THIS COMMUNITY NEEDS FOR ACCESS TO A HIGHER LEVEL OF HEALTHCARE CAN BE FOUND RIGHT HERE… ANNUAL REPORT 2010-2011 00 EVERYTHING THIS COMMUNITY NEEDS FOR A HIGHER LEVEL OF HEALTHCARE CAN BE FOUND RIGHT HERE... Dear Friends: Welcome to our 2010-2011 Annual Report to the Community! Each year, we bring our community this report to provide an update and an in-depth look at the progress being made right here at New York Hospital Queens. This report demonstrates that everything this community needs can be found right here. Inside, you can learn about the completion of our spectacular West Building that became fully operational in the fall of 2010. The new facility has drawn new patients and physicians to this hospital, and is the pride of our employees and medical staff. Additionally, we have a feature story about the complete ‘continuum of care’ available right here – from wellness and prevention, through the latter stages of illness and life. And, we share a number of highlights from the past 12 months, including news and photos from our numerous community outreach programs. 1 We are particularly proud of several advancements that enable our hospital to provide even better quality care, and a safer more satisfying experience for our patients. These advancements include the creation of a formal palliative care program that offers patients and families options and a high level of communication surrounding pain relief and comfort – at any stage of a person’s life or illness. As well, our highly trained specialists in gynecology and urology are finding great success using state-of-the-art robotic technology for procedures. And, our quality measures continue to add up to evidence that a higher level of care is available here, including increases in patient satisfaction ratings, avoidance of certain serious infections in the intensive care units, and innovations in surgical techniques as well as research. With all the challenges in health care delivery today, it is more important than ever that hospitals such as NYHQ have a clear focus and plan that balances the need to grow with the need to remain fiscally sound. Our priorities for 2011 and beyond are the bridge between what we need to do, and keep doing, to keep our quality level high each day for each patient… and to build the nimble healthcare institution of the future – a future that is likely to be even more challenging than today. Our plan includes the following priorities: • Improve the patient care experience, and outcomes (results) of that care, including measures of patient safety, patient and family satisfaction, and quality improvement in core clinical measures • Complete the build of the Electronic Medical Record – using information technology to connect caregivers and patients in ways that increase quality, communication and outcomes • Physician integration – more closely aligning the hospital with physicians practicing in the community for the good of our mutual patients • Maintain and improve financial viability – making the changes and decisions that will allow us to serve the greater Queens community for decades to come – as both a hospital, and an employer, of choice “ Our priorities for 2011 and beyond are the bridge between what we need to do, and keep doing, to keep our quality level high each day for each patient… and to build the nimble healthcare institution of the future – a future that is likely to be ” even more challenging than today. We are often asked by members of the community and patients how they can ‘give back’ to NYHQ. The answer is that a heartfelt thank you to our staff that took excellent care of you is often appreciated more than you may realize. And, for those who want to give of their time and energy, there are numerous opportunities to volunteer and become part of the hospital family. For anyone considering a financial donation we urge you to contact us whether you are considering a large or small gift. With the new West Building and other program developments, we have opportunities for major gifts, endowed chairs, and naming opportunities as well. The “Giving” section of our website includes helpful information on the many opportunities to be involved. As always, there is so much more happening here than we can possibly include in one report. We urge you to learn more by using our website, www.nyhq.org which includes a robust find-a-physician directory, a calendar of events and educational programs, and up-to-the minute news that can benefit you and your loved ones. Sincerely, Stephen S. Mills, F.A.C.H.E. George F. Heinrich, M.D. President & Chief Executive Officer Chairman, Board of Trustees 2 BRINGING MORE PROGRAMS AND SERVICES, RIGHT HERE… The “West Building” officially opened at New York Hospital Queens in the fall of 2010, with patients occupying new units in the state-of-the-art facility, visitors and guests enjoying the stunning new atrium lobby and convenient main entrance, and physicians praising the design of a new ambulatory surgery facility for procedures. In January 2011, NYHQ received a design award from the Queens Chamber of Commerce, for the impact of the new facility on the borough of Queens. The new seven-floor facility has 190,000 square feet, and adds 80 certified patient beds, bringing the hospital’s total to 519. This construction, plus a three level parking facility, was completed in 40 months. The total cost of the project was approximately $210 million. “This is a time of extraordinary challenge for every hospital in the country. It took a great deal of support and perseverance to bring this facility to completion in the midst of a serious recession and the unknowns of health care reform,” said Stephen S. Mills, President & Chief Executive Officer. “Right here in Queens we saw several institutions close while our expansion project was underway. This drove us to create an environment where our community can be confident they will have access to trusted expertise, advanced technology, and a level of quality and service that will help them heal close to home,” he added. 3 Features of the new building include medical/ surgical units with private and semi-private rooms, and the centralization of the hospital’s high demand cardiovascular and orthopaedic services. To increase patient access and convenience, the ground floor includes a new ambulatory surgery center with 10 new operating rooms and 33 recovery beds. The expansion also increases the hospital’s overall capacity to perform surgical and interventional procedures with a unique hybrid operating suite for endovascular and interventional radiology procedures that can be converted to perform vascular procedures in the same room, whenever the need arises. 4 Now RIGHT HERE, THERE IS A WORLD CLASS FACILITY FOR PATIENTS AND FAMILIES The wing includes a number of amenities designed to ease access for patients and families. A spectacular fourlane drop off and entryway on Main Street, as well as two multi-faith meditation rooms and a new gift shop. Barr & Barr served as the construction manager for the project. According to John Decina, CEO of Barr & Barr, Inc., the building plan had a number of complex elements. To accommodate the cars displaced by this demolition, a new parking garage needed to be constructed on a separate site on Booth Memorial Avenue. “Since this parking facility is in the midst of the community and surrounded by private homes, the challenge was to try to maintain a minimally invasive environment for neighbors. When the parking facility was completed, Barr & Barr received compliments from the community on how smoothly the construction went,” Decina reported. 5 Before The facility was designed by Perkins Eastman. According to Frank Gunther AIA, Principal-in-Charge at Perkins Eastman, “The state-of-the-art facility creates a new public face for the hospital that truly reflects the high level of care within it.” The hospital intends to exercise an option to purchase the property of the adjacent Hess station that sits at the corner of Main Street and 56th Avenue. A master plan is being formulated to determine the best use for this property in the future, as well as to best position programs and services across the entire campus. 6 A COMPLETE CONTINUUM OF CARE FOR PATIENTS, RIGHT HERE IN QUEENS AND RIGHT IN YOUR NEIGHBORHOOD Today, we can say that there is almost no reason for residents to leave this borough to experience a higher level of healthcare. In fact, we see an increasing number of people coming here for treatment from outside the area. Queens has some of the best and brightest medical talent – talent found right here in our hospital and our ambulatory centers for primary and specialized care, and in thousands of physician practices throughout the community. Now, more than ever, a community teaching hospital needs to be the anchor of medical expertise within a complete continuum of care. The term “continuum of care” is important to understand. It refers to the series of medical services – virtually a path – that an individual person will need access to when becoming a “patient.” This article is The “ER”: When Urgency Matters, We are Equipped to Save Lives “From the young woman whose heart had been stopped for a half hour by the time she arrived, to the woman who suffered an acute stroke, we know how to mobilize around a critical need. We call it a ‘save’ and it makes your whole week,” says Mark Kindschuh, M.D., who directs our hospital’s emergency room clinical operations. Dr. Kindschuh, along with Emergency Department chairman Diane Sixsmith, M.D., and several talented nursing leaders and administrators, spearhead a team of doctors, physician’s assistants, nurses, technicians, nursing aides and paraprofessionals, and ambulance workers. “We are available 24/7. We see anybody, consider any type of care, at any time,” Dr. Kindschuh says. “And others in the hospital drop everything to come to the ER when needed.” Many ER patients are elderly and in ill health. Their diverse cultural backgrounds reflect the population in the borough. Many are residents of nearby nursing homes who are transported here if their health declines or they require a procedure. But many are also children. A large percentage of NYHQ admissions come through the ED, and the hospital is a designated Level 1 Trauma Center. So, Dr. Sixsmith and her colleagues are often the first healthcare professionals to see and evaluate patients as they come into our hospital. The decisions the team makes will affect the efficiency and quality of patients’ care that follows. The ED team also excels at dealing with time-sensitive, acute conditions that hospital ratings groups use to judge efficiency and quality of care. Our role is to provide answers and make decisions that will lead to a positive outcome for each patient for whom that is 7 possible,” says Dr. Sixsmith, of the well-equipped and well-organized Emergency Department. “We can begin screening intended to describe some of the highlights within the continuum. Full detail on New York Hospital Queens programs and services, as well as a directory of physicians, is available on www.nyhq.org. A patient’s journey through the continuum of care can start at any point in the array of medical and support services. Wherever that continuum begins, continues and ends, individuals and their families have plenty of choices and are becoming savvy healthcare consumers and customers. They understand that if they become a patient, they can have a higher quality experience and a better outcome when they use services that are linked to each other across time, geography and information sharing. Federal efforts toward healthcare reform have focused attention and resources on helping (and sometimes pushing) to create stronger more fluent links between all the parts of the healthcare system, from prevention and primary care, to diagnostics and procedures, to aftercare and rehabilitation. These linkages – accomplished through strengthened alignment of community physicians to hospitals, electronic medical records, as well as a strong system of support services and resources create an effective, cohesive and less complicated approach to care for patients, providers and institutions. NYHQ has spent the past decade evolving into a worldclass medical center that offers just about every clinical program and service necessary to support the practicing physicians in the area, and their patients. Our deep roots and long heritage in the borough have made us a leader in developing an integrated continuum of care. These bonds will be strengthened patients immediately. Within three to four hours we can do whatever is needed for the individual situation, whether blood tests, CT scans, ultrasounds, surgical consult, X-Rays, or MRIs. The remarkable cooperation we get from other parts of the hospital enables us to accomplish diagnostics that would take one to two weeks to have done elsewhere,” she states proudly. Many of the 115,000+ patients who seek care in the NYHQ ED do not have a primary care physician. For patients who do have a private physician, NYHQ works hard to partner in their care with community physicians and others involved in their care. “Our attending physicians coordinate care with other physicians and health professionals, inside and outside the hospital, and with patients’ relatives,” says Dr. Sixsmith. “We strive for quality assurance, we constantly review challenging cases and outcomes and how we can keep improving.” “We are a barometer of illnesses that are developing in the community, and we’re in the vanguard of what’s changing in medicine,” she says. 8 in the coming year as we continue to move forward with programs to enhance integration, such as the Electronic Health Record (EHR) – a digital history that will incorporate all data for a single patient and be shared among all those caring for that patient. Our patients will be the ultimate beneficiaries, as care becomes more integrated, and more effectively communicated, across the continuum. This hospital has long fostered connections among healthcare resources and services that work together to address patient needs. We have established a continuum of care that begins with the 1,600 members of our medical staff – including affiliated physicians practicing in every zip code of the county, who entrust their patients to us. We pride ourselves on being able to provide patients easy access to getting help with healthcare needs from preventive care to diagnosis and treatment, whether via outpatient specialty service or acute care within the hospital. “After care” is a part of the process for most patients leaving our hospital – a bridge to extend their recovery. Our organization is set up to help with the transition to home care or skilled Electronic Health Record Consolidates A Patient’s Information for Safety & Efficiency throughout the Continuum of Care Do you realize that each time you receive care in a different doctor’s office, or have a test done in a different lab, a separate health record is created for you? Until recently, these records were not connected, so the burden of sharing one’s total health information between different providers has rested mostly upon the individual. For many people, the realization of how inefficient and complicated this can be comes at a moment of illness or injury when they are asked repeatedly for the same information by different providers. In some cases, repeated questions are intentional and meant to double-check certain information. In others, the information is requested again because it has not been transmitted between different physicians and healthcare facilities that are caring for the same patient. This disconnection has long been a major burden and a risk in the world of healthcare record keeping. A myriad of computer systems and software languages exist for health care record keeping – whether administered by hospitals, physicians or insurance companies. Now, for the safety and efficiency of each person’s medical care, the federal government has set standards for consolidating all healthcare information about an individual, in an Electronic Health Record (EHR) that can be shared across systems. The EHR is designed as the information ‘thread’ – a connection to enable consistent communication and data sharing throughout the entire continuum of an individual’s of care, across time and geography. NYHQ is ahead of many medical centers in digitizing patient records. We are moving aggressively toward a goal of achieving “Meaningful Use” and interoperability for the hospital EHR in 2011, and an Ambulatory EHR in 2012. And, there is more to do, particularly in building a community-based information network that will interconnect the NYHQ EHR with dissimilar community provider EHRs and interface with individual Patient Health Records. To help advance the process even more quickly, NYHQ has two experienced professionals, Ken Ong, M.D., MPH as Chief Medical Informatics Officer and Philip Myones as Vice President, Chief Information Officer. They are integrating an 9 care facilities of the highest caliber, such as The Silvercrest Center for Nursing and Rehabilitation, one of a dozen skilled nursing facilities with which we work. Community Based Care Access to superlative care can begin at any of a myriad of points on the continuum, thanks to the NYHQ breadth of services, strong relationships with community physicians, and many clinics and partnership programs. enterprise-wide system among NYHQ’s ambulatory services and implementing strict Information Security controls and tools to safeguard patients’ health information. Among other things, this enterprise-wide system will track a patient’s outpatient care, allow for electronic scheduling, and centralize and automate billing. “A patient will be able to request an appointment online, and a physician’s office will be able to assure that patients are getting follow-up care that was prescribed,” Dr. Ong explains. “Data on a patient’s test results will be available at the point of care throughout our ambulatory services. For example, when a child is brought in for care, health professionals will know immediately what immunizations the child needs.” Upon discharge, a patient will receive a summary of the care they have received, to share with his/her primary care physician. Patients of this hospital will also have access to an online portal where they can view their own records. “The EHR is the glue assembling all the patient’s relevant health data to help our professionals make the best diagnostic and treatment decision. Improved care will be the result,” adds Myones. To help speed implementation of the EHR, NYHQ is partnering with a NYC Department of Health program – the Primary Care Information Project – that has installed individual patient EHRs in the offices of 2,000 physicians treating underserved communities in our region. Supported by federal stimulus funds, this program is designing information technology to specifically improve care of patients with high blood pressure, diabetes, and elevated cholesterol. “To close the information loop and leave no gaps, we are also working to encourage connectedness with our many community physicians,” notes Stephen S. Mills, President & Chief Executive Officer. Our organization is building a system that will be able to link with diverse computer systems currently in use among our referring physicians, he says. “The digital age has provided us with a more efficient way to provide safer care, the Electronic Health Record. This is a tremendous opportunity to deliver the highest level of care throughout our services. We want to be sure physicians know that when they practice or refer here, they will have accessibility to medical information on their patients 24/7,” states Mills. 10 NYHQ has virtually blanketed the Queens community with ambulatory care centers and educational and treatment programs offering the finest in care for every life stage. These programs can support the care from primary care physicians, provide follow-up tests, help improve life style habits, vaccinations, and annual screenings. Our smoking cessation and weight loss programs are among the best subscribed in the Hospitalists Assist in Tracking Individual Patient’s Care Satisfying the needs of community physicians is a priority for our hospital. We know that delivering quality care and satisfactory experiences to their patients matters a great deal to our community physician partners. Our Hospitalist Service is designed to assist with the inpatient management of patients so that the community-based physician needn’t interrupt his or her practice when one of their patients is hospitalized. Board-certified internists staff the service. The “hospitalist model,” as described by Stephen Rimar, M.D., Senior Vice President & Chief Medical Officer, is a relatively new approach that is growing across the country. It is meant to foster improved efficiency and continuity of care, as well as enhanced communication with patients and families. “Each of our hospitalists works exclusively in this hospital and has no private practice activity. They are each responsible for adult or pediatric patients, assuring that their care is aligned with the practices of the hospital. They also work with residents (commonly known as ‘house staff’) to enhance clinical training,” he states. 11 county. Children make up a large part of our patient population. Wellness pediatric care for them can be found at both our main hospital and convenient neighborhood locations. Easy access to obstetrics and gynecology care can be especially helpful for the continued follow-up required during pregnancy, or in treating infertility. Any one of these programs offers entry to the compassionate, skilled continuum of care that NYHQ offers. Importantly, our more than a dozen NYHQ ambulatory centers and the many on-site programs at businesses, schools, and organizations offer care that is tailored to specific community needs. We serve a diverse population of numerous cultures and are committed to adapting our services to a variety of philosophies of health and wellness. Working to create successful care coordination that makes all types of care available to our Queens neighbors has been a priority at NYHQ for many years. Now an exciting new option known as a Medical Home has been added to the continuum of care that we can offer right here in the community. In 2010, the Jackson Heights Family Center was recognized as a model of coordination and integration of primary care around the patient – earning a designation as a Patient-Centered Medical Home. The concept of Medical Home was developed by leading national physician societies and the National Center for Quality Assurance (NCQA), an independent non-profit organization committed to keeping healthcare quality at the top of the national agenda. They define a Patient-Centered Medical Home as a service that strengthens the doctor/ patient relationship by encouraging access to ongoing coordinated care, improving communications, and using the latest information technology to meaningfully benefit patient care. The hospitalist physicians are available 24 hours a day, on a rotating basis. They can be assigned to patients as early as in the Emergency Room. Each one of these physicians leads a team to oversee care of patients with particular diseases or conditions, communicating back to patients’ primary care doctors based throughout the community. Each referring physician has the opportunity to customize the level of support to meet the needs of the patient and the referring practice – including requesting specific specialists and subspecialists to diagnose or treat their patients. After discharge, the patient returns to the referring physician. “This enhanced system of inpatient management helps community physicians more closely monitor the bedside care of their patients,” explains Mary Godfrey, R.N., Vice President, Professional Services & Strategic Planning. “Hospitalists also serve as an important link in the continuum of care for those patients who may come in without having a primary care physician. The dedicated attention and added communication help us to deliver quality results.” 12 “Our outstanding staff has managed to not only serve these diverse communities of residents but to bond with them. Each year our medical center’s market share has grown and we rarely have empty beds,” says Stephen S. Mills, President & Chief Executive Officer of NYHQ. “This high occupancy tells us we are doing the right things for patients in our community-based medical sites, and in the hospital. They are satisfied, their loved ones are pleased, and we have lived up to the trust that their referring physicians have placed in us,” he says. NYHQ Services Support Care from Your Physician Referring physicians in our Queens community treat a broad cross section of patients. The continuum of care anchored by NYHQ adds support and expertise to the arsenal of resources available to help community physicians in their active, varied practices. For example, those in internal medicine may need to refer patients for advanced specialty care, when routine screenings show an abnormality, or when the source of chronic pain is unclear and needs further assessment. For surgeons in the community, our state-of-the-art operating suites and skilled nursing professionals help them perform at their best when executing a high risk surgery. Palliative Care: Choices in the Treatment of Pain and Suffering and Making a Difference in Patients’ Lives When our formal Palliative Care program got under way in 2010, it was projected that Cynthia Pan, M.D., its director, would work with about 50 patients and their loved ones in the first year. In fact, she saw that number in the first month; in just six months, she had touched the lives of more than 250 severely ill patients and families. Jane Morris, RN, soon joined the team as the Palliative Care Clinical Coordinator. Very simply, palliative care is a team function involving meticulous assessment and treatment of physical and psychological symptoms to address and relieve (“palliate”) pain and suffering as a factor in a patient’s condition and quality of life. The strong demand for palliative support here arises from the hospital’s care of so many seriously ill patients from around the region, as well as an appreciation of what pain management can contribute to healing and full recovery for some patients, and late stage quality of life for others. Dr. Pan and her team work across all medical subspecialties. Additionally, she and Ms. Morris work handin-hand with our surgeons, nurses, pharmacists, emergency medicine specialists, the hospital chaplain, case managers planning the discharge and after-care of patients, and caregivers at the nursing homes and rehabilitation centers with whom we partner. Dr. Pan says that the real decision-makers in palliative care are the patients and their loved ones. “It’s not what the doctors want, but what the patient and family want – they function as a unit, since the patient may not be able to carry out wishes on his or her own,” Dr. Pan explains. The stories of Dr. Pan’s patients bring to life the heart and the soul of what palliative care can deliver. One patient who had developed gangrene in his buttocks was in extreme agitation over his condition and he remained in severe pain following surgery that had extended down to bone. The 55-year old was given medication to help him tolerate the care that he required, while Dr. Pan worked closely with his surgeon, a psychiatrist and his nurses to help restore the man’s stability. “Once the pain medication was added to his regimen and his pain was managed, he became himself again,” says Dr. Pan. 13 “You can rely on NYHQ to offer superb clinical facilities staffed by high caliber voluntary and full time physicians and other healthcare professionals who will be true partners in the care of your patients,” says Jack M. Mann, M.D., F.A.C.P., F.C.C.P., pulmonologist & President of the NYHQ Medical Staff Society. Voluntary attending physician John Sciales, M.D., agrees. From the internists, surgeons and nurses, to the ICUs, cath lab and cardiology and radiology services of all kinds, his praise is high for our success in staying ahead of the curve. “NYHQ does an excellent job of keeping up with new technology and constantly upgrading. You can rely on the resources,” says Dr. Sciales who has an internal medicine practice. “They have the services I need to assure my patients receive the best quality of care.” Better collaboration among health professionals around a single patient’s care is a trend in health care today. Having such a breadth of quality care available here at NYHQ and in our extensive community centers makes collaboration far less complicated for our patients and their physicians. Community-based physicians are facing increased accountability for the outcome of their patients’ care. NYHQ is developing new opportunities for integrating more efficiently with physicians as a means for all to succeed in delivering the very best of care – whether the care is primary, emergent or highly specialized. In another instance, Dr. Pan was called in to assist an elderly patient who was in the end stages of kidney disease. He had recurrent hospitalizations, was on a ventilator, a feeding tube, and had a tracheotomy, and one leg was gangrenous. His real sorrow was that he missed his wife, who was living in a different nursing home. Through palliative care counseling, a family meeting was held and the 80-year-old man, and his son and daughter were supported in their decision-making. The man chose to suspend his dialysis and move to the skilled nursing facility where his wife was located. As Dr. Pan describes, he was then able to be with his wife every day until the time he died. Sometimes, the patients with whom the palliative care team works are so compromised, that mortality – their death – is not regarded as a failed outcome. Dr. Pan consulted with a very vibrant patient who had been in a prominent leadership position during his career. He had developed ALS, more commonly known as Lou Gehrig’s disease. His degenerative condition progressed over time but he retained his mental capability. As he slowly lost his ability to move, was placed on a ventilator and a feeding tube, and was then diagnosed with lung cancer, those around him allowed him to make his own life decisions. He chose to receive care at The Silvercrest Center for Nursing & Rehabilitation; where, eventually, he was advised of his end of life options. When he felt ready, he told his family that he wanted to come off of the ventilator. A date was chosen and on that day, his family gathered, sang songs, and prayed. Despite his extremely compromised health, this man smiled his brightest smile, and enjoyed a peaceful death. Shortly afterward, Dr. Pan received a note of sincere thanks from the family and a fruit basket. “My patient died and yet I received a gift,” says Dr. Pan with tears in her eyes. “As new drugs and treatments become available, many people with advanced life-threatening illness are living longer. When we instituted our Palliative Care program less than a year ago, we did so with the goal of helping to prevent or ease pain and suffering at any stage of illness,” says Stephen S. Mills, President & Chief Executive Officer. “I am so very pleased to say that we are achieving that. Our patients and their families deserve the comfort.” 14 Specialty Care, Advanced Technology & A New Building Expand Patients’ Options for Care Care delivered in one part of the continuum of services – whether through a NYHQ ambulatory center, clinic or a private physician office can signal the need for specialist attention. When that happens, we have the services to act quickly and address the problem. Clinical chairman Diane Sixsmith. M.D., and associate chairman Mark Kindschuh, M.D., focus on protocols that accelerate the time between an individual entering the ER and then getting diagnosed and treated, followed by release or admittance to an inpatient bed. Our ER has a full range of advanced diagnostic equipment to support its needs. Typical hospital ratings for emergency rooms are based on timely handling of three life-threatening conditions that are often seen in an ER setting: heart attacks, congestive heart failure, and pneumonia. Our facility is rated the highest in all categories. 15 “The reliable quality of NYHQ is reflected in the caliber of its Emergency Room. Patients come away very satisfied with the care they receive there,” says surgeon James Satterfield, M.D., the former head of the Queens Medical Society who refers and operates on many of his patients at NYHQ. “The many physicians in our community who are solo practitioners appreciate being able to rely on the hospital to assist them as a partner in the care of their patients.” West Building Opens New Opportunities In 2010, our dramatic new West Building was opened, the culmination of a $210 million modernization program. This large state-of-the-art building allowed us to relocate and expand critical specialty care services that demand advanced technology settings. Our Heart & Vascular Center and Orthopaedic and Rehabilitation program are two examples. These centers – which we refer to as the Heart Hospital and the Bone and Joint Hospital – deliver both outpatient and inpatient services, allowing continuity for patients. “NYHQ has been experiencing continued growth in demand, and we needed the new building’s space to be able to accommodate it,” says Stephen S. Mills, President & Chief Executive Officer. “We’re proud and grateful to have been able to accomplish this new construction during trying economic times, when other medical centers closed and increased the pressure for healthcare access in Queens.” Ten new state-of-the-art operating rooms were built into the new West Building. Equipped with advanced monitoring and imaging technology, these operating rooms can handle some of the most complicated surgeries and offer our surgeons the very best support. A new hybrid operating room – one of few in the tri-state area – is another new West Building resource. This special OR enables doctors to perform high-risk vascular surgery using minimally invasive techniques that are guided by advanced imaging technology. A patient who needs surgical repair of a life-threatening abdominal aneurysm, for example, is able to spend just one overnight in the hospital, instead of 7 to10 days and a month’s home recovery using more traditional surgery. A new Ambulatory Surgery Unit, located on the first floor of the West Building, is another enhancement. Most same-day, outpatient surgeries are now taking place in this new surgical area. It includes 33 beds for use in patient recovery, offering greater privacy, and a luxurious waiting area to make the family and friends’ experience more comfortable. The benefit, particularly for our older patient population, is pronounced. Sam Maida, 84, of Fresh Meadows, NY, was the first to have surgery in the new unit, and he and his family noticed the difference from their prior experiences at the hospital. “It doesn’t even seem like he had surgery this morning. He’s smiling, he’s feeling well and he’s his usual self,” said his wife Mary Ann Maida. 16 “As an ambulatory surgery center based at a tertiary care hospital, we can do more complicated surgeries on older patients, including those with co-morbidities or a greater level of illness,” said Isaac Lowenwirt, M.D., Medical Director of the new Ambulatory Unit, and Associate Chairman, Anesthesiology. “We can do this because we have such a high level of expertise based at the hospital.” Patient satisfaction is as important to us as it is for the community physicians who entrust their patients to our care. Recent patient satisfaction surveys show that an increasing percent of patients who receive care here will recommend the hospital to others. Our hospital has worked to improve quality and performance for years, and we appreciate when a patient tells us we’ve performed well and he or she has had a positive experience. Garth Miano, now 56, has lived with end stage kidney disease since the age of 21, and appreciates both the warmth and the uniqueness of the dialysis care that he receives with us. Mr. Miano now lives in Manhattan but still travels to Queens to our medical center three days a week to receive care from his “dialysis family,” as he calls it, at the NYHQ Trude Weishaupt satellite dialysis center in Fresh Meadows. He has received care for years at this center and developed close relationships with his caregivers there. Early on, he also was trained as a self-care dialysis patient – able to set up and manage his own treatment, under medical supervision, while at the center. He appreciates feeling in control of the process via this unique approach at our center. One of our infectious disease specialists, Wehbeh Wehbeh, M.D., recently had a similar experience of empowering a patient through emotional support. Despite the patient’s feelings of despair after diagnosis with a serious fungal disease, Dr. Wehbeh knew that it was realistic to have hope of recovery. The patient credited him with providing emotional strength that enabled her recovery. “It is important to 17 listen to your patients, says Dr. Wehbeh. “We don’t just help them recover physically, we support them emotionally. We want to treat patients like family.” Bedside Excellence Across the Board For many patients, the continuum of their care for specific conditions eventually leads to the bedside. Though much care can be provided on an ambulatory or outpatient basis, individuals with acute health needs may still require the advanced services and roundthe-clock attention that can only be provided through inpatient care. We at NYHQ have never been better equipped to handle complex patient situations than we are today. To accommodate increasing needs, 80 new beds were added with the opening of the West Building, bringing our bed total to 519. The world-class professionals on our staff are recognized as leaders in their respective specialties. They practice across a full spectrum of disease and health specialties, including those – such as cancer, cardiology, and neurology – that can require the most ongoing care. Patients needing major surgery can be operated on here and still remain close to home, near their families. Our physicians perform hundreds of cardiothoracic, vascular, urological, orthopaedic, gynecological and bariatric surgeries each month. We offer the latest in dental and prostodontic medicine, ranging from basic care to the most advanced bone regeneration. When critical care medicine is called for, our healthcare professionals perform in well-practiced teams using the latest technology to save lives. Physicians on our staff work alongside a highly skilled corps of nurses, aides, assistants and technologists who can monitor and continue a patient’s care round-theclock. Trained in specialty medicine, our nurses spend 70 percent of their time involved in direct patient care. “The hospital’s nursing protocols are particularly rigorous; setting another standard of care in the community,” says Michaelle Williams, R.N., Senior Vice President, Patient Care Services. Discharge Planning: Coordinating All Important “After Care” Our hospital is performing at the 95 percent level on many of the new measures for inpatient care to be instituted under healthcare reform. “In the surgical intensive care unit (SICU), for example, we did not have one hospital-acquired line infection in over two years, which speaks well of our aseptic technicians. Other units are competing with the SICU on this excellent record!” Ms. Williams notes. For many hospitalized patients, the continuum of care includes after care or rehabilitation. About 50 percent of discharges from our hospital go on to another level of care, such as home care, rehabilitation, or a nursing home. Responsible for planning this next step is the case management team, led by Anthony Somogyi, M.D., Chairman, Ambulatory Care, and Caroline Keane, R.N., A.P.N., Director, Case Management & Social Work. We are also well below the national average on the number of falls experienced by patients and patients’ rate of hospital-acquired infections acquired from ventilators or urinary catheters, devices often used to treat the elderly population served by our hospital. The case management team consists of registered nurses and social workers. With the rest of the patient’s care team, they conduct daily rounds on the floors, making assessments of needed resources that will expedite care. Nurse case managers predominate among our case management team, applying their medical 18 knowledge to review each patient’s continuum of care needs throughout their in-hospital experience with us. Working with them are social workers who lend specialty knowledge of community-based resources. Our nurse case managers begin to follow patients while they are still in the emergency room, assessing their functional abilities, the structure of their families and their financial needs. Because of their nursing training, they are able to justify medical necessity and negotiate effectively with insurers. At time of discharge, a nurse case manager is assigned to follow up with each patient with a specific diagnosis for 30 days after he or she leaves the hospital. Follow up includes checking that physician appointments are kept and how well the patient is adhering to the discharge plan. Patient readmission rate to hospitals is increasingly a concern of government and private insurers. Experts say that problems that send patients back to hospitals can be avoided if there is a better handoff from the hospital to those responsible for the next phase in a patient’s recovery. For example, patients may misunderstand medication instructions or miss needed follow-up appointments if they lack transportation. Both situations can result in hospital readmission. “Previously, hospitals only had to worry about what happened while the patient was in the hospital,” explains Dr. Somogyi. “Now changes in the system drive us to consider partnerships with other health resources, and to focus on after care.” 19 Transitioning to Care after Hospitalization for the Short- or Long-term Many patients leaving our hospital need some form of “after care.” To assure their successful continuity of care, we have formed a strategic partnership with the Visiting Nurse Service of New York to provide follow-up for those who can be helped in a home setting. For those needing more assistance, partnerships with highly rated facilities like The Silvercrest Center for Nursing and Rehabilitation help round out access to a full-service continuum of care. A nationally recognized skilled nursing facility, Silvercrest is distinguished by its innovation and its culture. Individuals can stay at the facility in one of three areas: short-term sub-acute rehabilitation, long-term care, or ventilator & respiratory therapy. Age of residents currently ranges from 18 to 92 years, with a predominance of those over 70 years. The facility has round-the-clock staffing and monitoring, and discharges as many as 1,100 individuals a year. “Patients can move seamlessly into our environment from the hospital” says Michael Tretola, Senior Vice President & Administrator. “Some may stay a short while, recovering before they return home, while other residents stay with us for years and we become their home.” NYHQ physicians and patients’ community physicians have the ability to work closely with Silvercrest staff once they are receiving care or are residing there. Sometimes Silvercrest rehabilitation therapists confer with residents’ physicians in advance of their treatment or surgery, with the goal of ensuring that they’ll be able to optimize their care afterward. 20 “We deliver as much care as possible on site including care in pulmonary, neurology, nephrology, cardiology, infectious diseases, gastrointestinal, and other specialties,” says Dan Russo, M.D., Vice President & Medical Director. “And, when individuals have more acute needs, we appreciate having a superior hospital like NYHQ nearby with access to the very best medical advancements.” Many of the residents who come to live at Silvercrest are more compromised than the norm. The 40-bed dementia unit is always full. The facility has the largest ventilator dependent population within New York State. Among its total of 320 beds, 60 belong to residents on life support. The Silvercrest team was the first to establish the practice of weaning ventilatordependent individuals in a long-term care setting and today, they continue to have one of the highest wean rates in the country. Silvercrest’s speech pathology program is particularly advanced, as well. Unusual among nursing homes, a speech pathology staff of 14 professionals delivers comprehensive therapy and also leads research studies involving speech and swallowing. This team works with the mechanics of speech and devises approaches to help people who otherwise would never be able to speak again. “We are strengthening our ability to care for sicker patients, developing more services on site, such as wound care and dialysis,” observes Loretta McManus, R.N., Vice President, Nursing. At the same time, short-stay residents of one to six weeks come for rehabilitation following cardiac or orthopaedic surgery, for example, recovery from stroke or multiple sclerosis. Physical and occupational therapists help these individuals regain strength and a sense of independence in mobility and function. They help transition individuals to be able to handle activities of daily living so they can return home. Mr. Tretola notes that as our U.S. population ages, and the needs of those living longer in our society become more acute, new residence models like Silvercrest that are innovative in successfully combining home and access to care will be more valuable. We at NYHQ are honored to have them as part of the continuum of care we offer to the Queens community. 21 HIGHLIGHTS: NYHQ PROGRAMS, PEOPLE AND RESULTS THAT MADE NEWS IN 2010 Sophisticated Robotic Surgery Comes to Queens The hospital began to use the da Vinci® Si system, which is the most advanced robotic surgery platform available for the treatment of gynecological and urological procedures. New York Hospital Queens is one of only a few hospitals in the metropolitan area to have this system, and the only hospital to have two consoles, which allows two surgeons to operate at the same time for the most complex procedures. NYHQ was the first hospital in Queens to use robotic surgery for the treatment of gynecological diseases. Jian “Kathy” Huang, M.D., Attending Gynecologist & Robotic Surgery Specialist, is the only specialist in Queens offering surgical treatment options for fibroids, endometriosis, ovarian tumors, pelvic prolapse and female cancers. Gerald Wang, M.D., Attending Urological Surgeon, Robotics Specialist & Director, Urology, uses the robotic technology for treatment of genitourinary cancers including prostate, bladder, kidney and testis cancers. With this minimally invasive approach to surgery, there is often less pain, decreased potential for infection and faster recovery. Medical History made in Cancer Treatment A 58-year-old man made medical history as the first patient in the United States to be treated for lung cancer through the use of radioactive pellets placed directly in the tumor. Dattatreyudu Nori, M.D., Chairman, Radiation Oncology, along with Paul C. Lee, M.D., Vice Chairman, Cardiothoracic Surgery, performed a surgical resection of the tumor and then implanted the tumor bed with radioactive Cesium 131 pellets in a new type of radiation seed implantation procedure. Radiation seed implantation has been successful in treating prostate cancer, but had not yet been used to treat this form of aggressive lung cancer. NYHQ Surgical Intensive Care Unit serves as Role Model for Infection Control At press time, the Surgical Intensive Care Unit (SICU) has been CLABS-free for 33 months! CLABS, which stands for central line associated blood stream infection, is a potentially life 22 threatening hospital acquired infection that can affect patients who require the insertion of an IV central line. According to the National Health and Safety Network, the group that measures CLABS rates, we rank among the best hospitals nationwide. The nursing team serves as the gatekeepers of patient safety for the SICU. According to nursing management, hand washing is at the foundation for the SICU’s decrease in CLABS. A major FreeMAT activity has been an annual toy drive for the children of soldiers deployed to the Middle East. The toy drive has developed widespread support within the hospital, the community, political leaders, business and civic organizations, schools and individuals. New York City Comptroller John Liu has participated in the initiative since its inception. Over time, other elected officials have joined the initiative including Senator Toby Ann Stavisky, Senator Tony Avella, Assembly Member Grace Meng and New York City Council Members Peter Koo and Dan Halloran. NYHQ FreeMAT Achieved Milestone in Toy Drive for U.S. Army Families American Heart Association Named NYHQ Presentation Among Top 10 Percent of Research Abstracts During the winter holidays, FreeMAT presented a “mountain” of toys to the leadership of the U.S. Army 99th Regional Readiness Command. NYHQ’s FreeMAT reached the milestone mark of 10,000 toys donated to Army families. FreeMAT, the Freedom Medical Aid Team, is a group of the medical center’s EMTs and paramedics that was organized in 2002 following the 9/11 attacks. 23 The Cardiac Health Center was invited by the American Heart Association to participate in its “Best of AHA Specialty Conferences Poster Session” at the AHA Scientific Sessions 2010, attended by 20,000 health care professionals in Chicago. The Cardiac Health Center study “Changes in Exercise Capacity Following Cardiac Rehabilitation in Elderly vs. Younger Patients,” had been presented earlier in the year at a specialty conference and was selected by the AHA to be among the top 10 percent of accepted abstracts. New High Tech Imaging Ultrasound Equipment for Obstetrics & Gynecology NYHQ received a $450,000 Community Capital Assistance Program grant from the New York State Legislature. Funds were used to purchase eight stateof-the-art ultrasound systems to monitor routine deliveries and high-risk pregnancies, as well as to diagnose fetal and maternal complications. Senator Toby Ann Stavisky, who represents the hospital’s district, made the award possible by applying for capital funding on the hospital’s behalf. ‘Diabetes 2010’ Featured at Heinrich Symposium NYHQ hosted the 2nd Annual George F. Heinrich, M.D. Symposium, which featured new developments in diabetes and its potential impact on brain function, pregnancy, vision and obesity, as well as public health policy. The keynote speaker was Robert Ratner, M.D., Senior Research Scientist, MedStar Research Institute, and Professor of Medicine, Georgetown University Medical School, who addressed “National Health Reform: Its Impact on Diabetes and Public Health Policy.” 190 physicians received continuing medical education (CME) credits for attendance. Team of NYHQ Surgeons Performed First-of-a-Kind Procedure in Queens Three NYHQ surgeons were the first in Queens to perform an endovascular repair of a descending thoracic aortic aneurysm. This minimally invasive and life-saving procedure was a collaboration between Gregg Landis, M.D., Director, Vascular/Endovascular Surgery; Kurtis Kim, M.D., Attending Vascular Surgeon; and Charles Mack, M.D., Director, Cardiovascular Recovery Unit. 24 An aneurysm is a weakening of the artery wall, which balloons out until it becomes so thin it can burst, causing internal bleeding and possibly death. The surgeons were able to operate on the aneurysm from inside the artery (endovascular) instead of using the traditional open-chest procedure, which can have a recovery time of up to six months. With this newer approach, the patient may experience less pain and return to normal activities within a few days. Research Showed Disparity in Asian Female Enrollment in Cardiac Rehabilitation Cardiac rehabilitation has been proven to reduce morbidity and mortality in patients with coronary artery disease. Unfortunately, the percentage of eligible patients nationally who enroll is less than 25 20 percent. Cardiac Health Center staff presented a research study at the 25th annual meeting of the American Association of Cardiovascular and Pulmonary Rehabilitation in Milwaukee that found an even higher disparity in enrollment among Asian women. Despite strong referral patterns, only 8 percent of Asian women who were referred for cardiac rehabilitation enroll. Language issues and cultural perceptions appear to be the primary barriers. The Center plans to better address those issues going forward to increase enrollment. A Spring Night Gala: We Honored a Medical Pioneer and Laughed with a Legendary Comedian More than 2,500 employees and hospital benefactors attended the presentation of our hospital’s highest honor, the Pacesetter Award, at the Koch Theater of Lincoln Center. The award is conferred each year at A Spring Night Gala, our hospital’s signature fundraising event. It is given to an individual who has had a major impact on patient care, medical education, research, or the well-being of the human community. The awardee was Julian De Lia, M.D., who was recognized for his treatment of a placental abnormality that can impair or cause the death of twins in the womb. The intrauterine surgery he developed has saved thousands of lives. The Gala evening featured a private performance by renowned comedian Bill Cosby and was followed by a champagne and dessert reception for employees. On May 23, the 2011 honoree will be Eugene M. Lang, a longtime contributor to the hospital for his support of health care, education and services for underprivileged children. Residents and Fellows Research Day Showcased 62 Studies Our physicians-in-training presented 62 research studies in 13 specialty areas at the annual Residents and Fellows Research Day. The presentations were part of an educational program held by the Theresa and Eugene M. Lang Center for Research and Education, which teaches residents and fellows how to conduct and present a research project. More than 200 people attended the event and marked the Lang Center’s 10th anniversary. Five presenters received awards for their presentations: Rashmi Bawa, M.D., 1st year resident, Surgery, with Dan Enger Ruiz, M.D., 3rd year resident, Surgery: “Evaluating the Transition into Residency.” Ellen Gutkin, D.O., Gastroenterology fellow: “Pillcam ESO is More Accurate than Clinical Scoring Systems in 26 Risk-Stratifying Emergency Room Patients with Acute Upper Gastrointestinal Bleeding.” Alexander Kraev, M.D., 4th year resident, Surgery: “Factors Predictive of Mortality in Vascular Surgery Patients from an NSQIP Database: Does Obesity Matter?” Ernie Yap, M.D., 2nd year resident, Internal Medicine: “Retrospective Analysis of (VTE) Prophylaxis Prescription.” Farzin Rahmanou, M.D., 3rd year resident, Internal Medicine: “Albumin Levels in a Newly Intubated Critically Ill Patient.” NYHQ Opened Rapid Testing Lab in Downtown Flushing The hospital diagnostic laboratories team (formerly CDL) opened a Rapid Testing Lab and patient service center in downtown Flushing at the Queens Crossing retail and medical office building. From Monday through Saturday, physicians can order a test, send a patient for blood collection and get test results back within an hour. The facility is staffed with multilingual phlebotomists (Cantonese, Mandarin and English) who collect blood and other specimens for testing. NYHQ Conducted Free Cancer Screenings Reducing Pain in the Emergency Room The Pediatric Emergency Medicine Department introduced the use of inhaled nitrous oxide as an option for pain management and procedural sedation. More commonly known as “laughing gas,” it will be familiar to those who have had it while getting dental work. Gregg Rusczyk, M.D., Director, Pediatric Emergency Room, and Diane Sixsmith, M.D., Chairman, Emergency Medicine, in coordination with the Department of Anesthesiology, agreed that the gas would be a good alternative to an IV needle. Nitrous oxide is given to the child through a cherry or bubble gum flavored face mask. This method allows the child to calm down while providing extremely effective stress and pain relief. The gas works within two to three minutes of application and wears off just as quickly with no lingering after effects. 27 The phone rang off the hook as hundreds of women responded to a pre-Mother’s Day announcement by NYHQ, State Senator Toby Ann Stavisky, Assembly Member Grace Meng and Council Member Peter Koo urging women to get free cancer screenings. In conjunction with the Cancer Services Program of the New York State Department of Health, which reimburses cost, NYHQ offered free breast and cervical cancer screenings at the Family Health Center in downtown Flushing and our Department of Radiology offered free mammograms. Endovascular Stent Graft Used to Repair a Ruptured Aorta Gregg Landis, M.D., Director, Vascular/Endovascular Surgery, and our surgical team saved the life of an elderly Forest Hills man. The team used endovascular surgery to insert and attach a stent, a short, hollow tubing of synthetic material inside the patient’s ruptured aorta to prop it open and strengthen it. This is the first time this surgical procedure was performed at NYHQ and it is believed to be the first such case in Queens. NYHQ Research on HIV Leads to New HIV Care Guidelines in U.S. and Europe Department of Pediatrics Unveiled a Major Gift of Art Peter Wasserman, R.D., M.A., Metabolic Support Coordinator, Infectious Disease Division, and David S. Rubin, M.D., Director, Specialty Care Center for HIV/AIDS, co-authored a study, “Highly prevalent vitamin D deficiency and insufficiency in an urban cohort of HIV-infected men under care.” Their paper was published in the peer-reviewed journal AIDS Patient Care and STDs and was presented at the AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention in Cape Town, South Africa. Their work has led to new guidelines for HIV care in the U.S. and Europe, which now calls for routine vitamin D testing and supplementation when needed. A permanent art installation, a series of 127 murals called the “Children of Queens,” was unveiled on the pediatric unit. The murals cover 1,000 feet of wall space and were painted by Splashes of Hope, a non-profit organization of mural artists dedicated to creating soothing and uplifting environments in hospitals and other medical settings. The murals depict scenes of special meaning to children, such as game day at CitiField, home of the New York Mets; or popular destinations such as the Queens Zoo and the Hall of Science. The intent is to help the healing process by creating a comfortable, friendly atmosphere and to lift the spirits of patients, families and staff. The installation was sponsored by the Starlight Children’s Foundation, 28 which supports NYHQ throughout the year with programs such as clown visits and the purchase of portable video game systems for children to use in the hospital. High Tech Testing for Balance Disorders Our outpatient Center for Orthopaedics & Rehabilitation Medicine in Fresh Meadows acquired the NeuroCam Smart EquiTest for the testing and treatment of vestibular (inner ear) and/or balance dysfunction. The EquiTest helps to assess the status of patients who experience frequent falls or have a sense of falling, dizziness or lightheadedness. It is also used in the physical therapy of patients who have had brain or eye surgery or those with stroke, Parkinson’s disease, multiple sclerosis or polyneuropathy as well as vestibular disorder. The equipment measures and reports on three sensory systems (inner ear, eyes and sense of touch in your feet) that contribute to balance control. 29 Annual Screening for Stroke Risk Drew Largest Attendance to Date NYHQ is a New York State Designated Level 1 Stroke Center. Our Neuroscience Center sponsored a free screening for stroke risk that drew more than 110 community members. It was the largest attendance since we began offering the screening program in 2001. Each individual progressed through a series of stations for measurement of blood pressure, pulse, cholesterol and glucose. At the final station, a risk assessment was given based on the medical history and the results of the tests. Those participants with abnormal test results were referred for follow-up. MEDICAL STAFF APPOINTMENTS 2010-2011 Charles A. Demarco, M.D. Attending, Orthopaedics & Rehabilitation David DiJohn, M.D. Attending, Pediatrics Boris Abayev, M.D. Affiliated Physician, Orthopaedics & Rehabilitation Zoltan Antal, M.D. Consultant Physician, Pediatrics Luz D. Ares, M.D. Attending, Medicine Evelio Echenique, M.D. Affiliated Physician, Medicine Yokaira Espiritusanto, D.P.M. Attending, Surgery Kerrianne B. Brady, M.D. Attending, Emergency Medicine Daniela Atanassova-Lineva, M.D. Attending, Pediatrics Andrew J. Buda, M.D. Attending, Division of Cardiology, Medicine Elphida G. Ayvazian, D.M.D. Attending, Dental & Oral Medicine Ma Jesusa C. Calagos, M.D. Attending, Pediatrics Ingrid I. Felix-Peralta, M.D. Affiliated Physician, Pediatrics Annette Fiorillo, D.O. Attending, Medicine Richard A. Gasalberti, M.D. Attending, Orthopaedics & Rehabilitation Amr A. Azim, M.D. Attending, Obstetrics & Gynecology Christopher Calandrella, D.O. Attending, Emergency Medicine Nison L. Badalov, M.D. Attending, Medicine Daniel J. Case, M.D. Attending, Emergency Medicine Esther Chaim, D.O. Attending, Medicine Collier Chan, D.P.M. Attending, Surgery Mark Balek, M.D. Attending, Division of Cardiology, Medicine Samuel A. Bangug, M.D. Attending, Pediatrics Mohammad B. Bhatti, M.D. Affiliated Physician, Medicine Victor Chen, D.P.M. Attending, Surgery Quasem Chowdhury, M.D. Attending, Orthopaedics & Rehabilitation Seth H. Goldbarg, M.D. Attending, Division of Cardiology, Medicine Alla Goldberg, D.O. Attending, Medicine Judah L. Goldberg, M.D. Attending, Emergency Medicine Maria Cipollone, M.D. Attending, Surgery Devjani Das, M.D. Attending, Emergency Medicine Fred J. Delucia, D.P.M. Attending, Surgery Elan M. Goldwyn, M.D. Attending, Orthopaedics & Rehabilitation 30 NYHQ Medical Staff covers Queens with a higher level of healthcare… Edward M. Ha, M.D. Attending, Orthopaedics & Rehabilitation Joseph P. Habboushe, M.D. Attending, Emergency Medicine Farzad Haghighi, M.D. Attending, Medicine Astoria Jung-Ah Han, M.D. Attending, Medicine Flushing Sunnyside Jackson Heights Fresh Meadows Eliot Heisler, D.D.S. Attending, Dental & Oral Medicine Forest Hills Woodhaven Barnali Hasan, M.D. Attending, Medicine Jamaica Howard Hinestroza, M.D. Attending, Pediatrics Steve Hou, M.D. Attending, Medicine Wayne W. Hsieh, D.D.S. Attending, Dental & Oral Medicine JFK Int’l Airport Lingpin Hung, M.D. Attending, Medicine Syed A. Hussain, M.D. Attending, Medicine Batool Hussaini, M.D. Attending, Medicine Jae Geun Hyun, M.D. Attending, Medicine Azmat Iqbal, M.D. Attending, Medicine David Jacobs, M.D. Attending, Radiology Shirlee Jaffe, M.D. Attending, Obstetrics & Gynecology 31 Nicola Kreglinger, M.D. Attending, Medicine Avishai T. Neuman, M.D. Attending, Anesthesia Sam T. Kwauk, M.D. Attending, Surgery Ajay Jain, M.D. Attending, Medicine Douglas R. Labar, M.D. Attending, Medicine Priya Nori, M.D. Attending, Medicine Padmaja Kandula, M.D. Attending, Medicine Jane M. Kanowitz, M.D. Attending, Medicine Nnamdik Nwaohiri, M.D. Attending, Medicine Baoqing Li, M.D. Attending, Radiation Oncology Nam Hee Om, M.D. Affiliated Physician, Medicine Ke Lin, M.D. Attending, Radiology Kenneth Ong, M.D. Affiliated Physician, Medicine Chief Medical Informatics Officer Jyh-Haur Lu, M.D. Attending, Medicine Jennifer A. Meller, M.D. Attending, Medicine Denis V. Kapkov, M.D. Attending, Medicine Samuel Kenan, M.D. Attending, Orthopaedics & Rehabilitation Sumit Mittle, M.D. Attending, Division of Cardiology, Medicine Irene C. Paek, M.D. Attending, Medicine Albert Pahk, M.D. Attending, Medicine Prince Mohan, M.D. Attending, Medicine Anson M. Moise, M.D. Attending, Anesthesia Harry F. Moussouris, M.D. Attending, Pathology Paul D. Mullin, M.D. Attending, Medicine Hind Kettani, M.D. Attending, Medicine Sean Murray, M.D. Attending, Radiology Kamal Khan, M.D. Attending, Medicine Joon Mo Myung, M.D. Attending, Medicine Aleksandr L. Khariton, M .D. Attending, Medicine Kenneth Nalaboff, M.D. Attending, Radiology Alice M. Kim, M.D. Attending, Radiology Edward J. Nejat, M.D. Attending, Obstetrics & Gynecology Cynthia X. Pan, M.D. Attending, Medicine Director, Palliative Care Jocelyn W. Park, M.D. Attending, Radiology Francesco Passarelli, M.D. Attending, Medicine Neela Patel, M.D. Affiliated Physician, Medicine Seema J. Patel, M.D. Attending, Medicine Roy Perles, D.P.M. Attending, Surgery 32 Kenneth J. Perry, M.D. Attending, Emergency Medicine Afroz Pervin, M.D. Attending, Medicine Ali Pootrakul, D.D.S. Attending, Dental & Oral Medicine Navid Rahmani, D.D.S. Attending, Dental & Oral Medicine Melissa F. Ralston, M.D. Attending, Emergency Medicine Yael Rappeport, M.D. Attending, Medicine Thomas M. Reilly, M.D. Attending, Medicine Joel Ricci, M.D. Attending, Surgery Michael A. Spinelli, M.D. Attending, Division of Cardiology, Medicine Carlisle St. Martin, M.D. Attending, Medicine Nuzhat F. Syed, M.D. Attending, Medicine Vito Taverna, M.D. Attending, Medicine Furqan H. Tejani, M.D. Attending, Division of Cardiology, Medicine Peter E. Zambito, M.D. Attending, Division of Cardiology, Medicine Ting T. Zhang, D.P.M. Attending, Surgery Kan Tun, M.D. Attending, Obstetrics & Gynecology David N. Rose, M.D. Attending, Medicine Chairman, Department of Medicine Edgar Z. Vanegas, M.D. Attending, Medicine Frederick D. Rutkovsky, M.D. Attending, Medicine Noah S. Scheinfeld, M.D. Attending, Medicine 33 Chao A. Yuan, M.D. Attending, Emergency Medicine Nejat Zeyneloglu, M.D. Attending, Medicine Monisankar Roy, M.D. Attending, Medicine David A. Sion, M.D. Attending, Anesthesia Peyman E. Younesi, M.D. Attending, Medicine Yelena Tsyba, D.O. Attending, Obstetrics & Gynecology Frank J. Tuminelli, D.M.D Attending, Dental & Oral Medicine Director, Prostodontics Marina Shvets, D.P.M. Attending, Surgery Timothy Wong, M.D. Attending, Medicine Steven J. Touliopoulos, M.D. Attending, Orthopaedics & Rehabilitation Ignatius D. Roger, M.D. Attending, Surgery Nitin K. Sethi, M.D. Attending, Medicine Steven D. Wolff, M.D. Attending, Radiology Gerald J. Wang, M.D. Attending, Surgery Director, Urology Mei Wang, M.D. Attending, Obstetrics & Gynecology NYHQ LEADERSHIP Board of Trustees George F. Heinrich, M.D. Chairman, New York Hospital Queens Georgia Kaloidis Proprietor, Terrace on the Park Stephen S. Mills, F.A.C.H.E. President & Chief Executive Officer, New York Hospital Queens Warren D. Kroeppel Director of Aviation, Northeast Region, Michael Baker Engineering Corp. Bruce Bendell President, Major Automotive Group Kristina Lang Entertainment Business Manager William W.H. Chiang Chairman & Chief Executive Officer, Pacific Concord Investment Corp. Phyllis R.F. Lantos Exec. V.P. & Chief Financial Officer, NewYork-Presbyterian Hospital Philip Christopher President, Personal Communications Devices Howard H. Lee President & Chief Executive Officer, The World Journal Steven J. Corwin, M.D. Exec. V.P. & Chief Operating Officer, NewYork-Presbyterian Hospital Jack M. Mann, M.D. President, Medical Staff Society, New York Hospital Queens Arthur D. Dawson, Ph.D. Vice Chairman, New York Hospital Queens Pavlos Mavrides Matos Partner, Provident Group Michael B. Meyer President, TDC Development, a member F & T Group Joseph R. Ficalora (joined 2010) Chairman, New York Community Bancorp Maxine Frank, Esq. Sr. V.P. Chief Legal Officer & General Counsel, NewYork-Presbyterian Hospital Wayne M. Osten Sr. Vice President & Director, NewYork-Presbyterian Healthcare System Marlene E. Post Former National & International President, Hadassah Hon. Claire Schulman Former President, Borough of Queens President & Chief Executive Officer, Flushing Willets Point Corona LDC Hon. Gerson Strassberg Consultant Kanak Golia (joined 2010) President & Chief Executive Officer, Perfume Center of America, Inc. William G. Wolff, M.D. Chairman, Medical Board, New York Hospital Queens Honorary Trustee Herbert Pardes, M.D. President & Chief Executive Officer, NewYork-Presbyterian Hospital Management Team Stephen S. Mills, F.A.C.H.E. President & Chief Executive Officer John Sciortino, F.A.C.H.E. Senior Vice President & Chief Operating Officer Maureen Buglino, R.N. Vice President, Ambulatory Care & Emergency Services Vito Cassata Vice President, General Services & Facilities Planning John Enright Vice President, Cardiac Services Mary Godfrey, R.N. Vice President, Professional Services & Strategic Planning Frank Hagan Vice President, Financial Services Gail Holtz, R.N. Associate Vice President, Patient Care Services Kyle Jacobi, Esq. Associate General Counsel Cosmo LaCosta, F.A.C.H.E. Senior Vice President, Administration Camela Morrissey Vice President, Chief Marketing Officer Philip Myones Vice President, Chief Information Officer 34 Marilyn Bitterman Joan Vogt Don Capalbi Herbert Williams John Byas Debra Pagano Cohen, ExO Diane Cohen Kenneth Ong, M.D., M.P.H Chief Medical Informatics Officer Lorraine Orlando Vice President, Human Resources Rabbi Martin Cooper Joanne Demartino Alexander DiPoalo David Dolan James J. Gallagher Emily Wang Beauty Wong Fran Zanni, ExO Scientific Advisory Board Chairmen Phyllis August, M.D., M.P.H. The Theresa Lang Director, Theresa & Eugene M. Lang Center for Research & Education Stephen Rimar, M.D. Senior Vice President, Medical Affairs & Chief Medical Officer Bessie Gasparre Michael Tretola Senior Vice President, Continuum of Care Jack Han Stephen Rimar, M.D., ExO Senior Vice President for Medical Affairs & Chief Medical Officer Richard Italiano Members Kevin Ward, C.P.A. Senior Vice President, Treasurer & Chief Financial Officer Adam Weinstein, F.A.C.H.E. Vice President, Regulatory Affairs & Corporate Compliance Michaelle Williams, R.N. Senior Vice President & Chief Nursing Officer, Patient Care Services William Wissemann, Esq. Senior Vice President & General Counsel Patricia Woods, Ph.D. Chief Learning Officer Community Advisory Council Frank C. Macchio Chairman Vincent J. Gianelli John A. Golden Myra Baird Herce Chris Kutner, J.D. Stanley Markowitz Terence Brady, M.D., F.C.C.P. Associate Director, Critical Care Stephen S. Mills, ExO Andrew Buda, M.D. Director, Cardiovascular Research Eileen Miller Camela Morrissey, ExO Michael Nussbaum Terrence Y. Park Frances Passantino, ExO Kris Ram Joshua Schneps Warren Schreiber John E. Sciortino, ExO Carlos C. Talisaysay Meilin Tan Veronica Tsang Chris Tsouratakis Peter Tu Armando E. Castro, M.D. Program Director, Surgical Residency Program, Surgery Chaim Charytan, M.D. Director, Nephrology, Medicine & Director of Dialysis Units Gary S. Eglinton, M.D., F.A.C.O.G. Chairman, Obstetrics & Gynecology Daniel Lorber, M.D., F.A.C.P. Associate Director, Theresa & Eugene M. Lang Center for Research & Education Dattatreyudu Nori, M.D., F.A.C.R., F.A.C.R.O Chairman, Radiation Oncology James Rahal, M.D. Director, Infectious Disease, Medicine James Ryan, M.D., F.A.C.E.P. Associate Chairman, Emergency Medicine James W. Turner, M.D., F.A.C.S. Chairman, Surgery 35 Medical Staff Society Executive Committee Jack M. Mann, M.D. President Ruby Malva, M.D. Vice President Clinical Chairmen Anthony A. Somogyi, M.D. Department of Ambulatory Care Burton S. Wasserman, D.D.S. Department of Dental and Oral Medicine Delegates at Large William M. Duke, M.D. Simon D. Fink, M.D. Yuancong V. Wang, D.O. Executive Committee Members Geddis Abel-Bey, M.D. Allan E. Beyda, M.D. Philip D. Freedman, M.D. Robert Harooni, M.D. Jerry Huo, M.D. Alice Lee, M.D. Sang Pak, M.D. Alan N. Queen, D.D.S. James E. Satterfield, M.D. Stephen S. Schuster, M.D. Jose M. Villarin, M.D. Frederick A. Walther, M.D. Lihong Wei, M.D. William G. Wolff, M.D. Lai Ming Yu, M.D. Medical Board Officers William G. Wolff, M.D. Chairman Louis Sussman, M.D. Associate Chairman, Department of Pathology and Clinical Laboratories Peter A Silverberg, M.D. Department of Anesthesiology Steven M. Yager, D.P.M. Secretary/Treasurer David H. Snyder, M.D. Immediate Past President Michael J. Warhol, M.D. Department of Pathology and Clinical Laboratories David N. Rose, M.D. (joined 2011) Department of Medicine Bruce Spinowitz, M.D. Associate Chairman, Department of Medicine Dattatreyudu Nori, M.D. Department of Radiation Oncology Diane M. Sixsmith, M.D. Department of Emergency Medicine Mark Kindschuh, M.D. Associate Chairman, Department of Emergency Medicine Gary S. Eglinton, M.D. Department of Obstetrics & Gynecology Daniel Skupski, M.D. Associate Chairman, Department of Obstetrics & Gynecology James W. Turner, M.D. Department of Surgery Gregg Landis, M.D. Associate Chairman, Department of Surgery Stephen Merola, M.D. Associate Chairman, Department of Surgery Jack M. Mann, M.D. Vice Chairman Jeffrey E. Rosen, M.D. Department of Orthopaedics & Rehabilitation Joseph J. Abularrage, M.D. Secretary Joseph J. Abularrage, M.D. Department of Pediatrics Jose Villarin, M.D. Associate Chairman, Department of Pediatrics Isaac Lowenwirt, M.D. Associate Chairman, Department of Anesthesiology Samuel J. Lang, M.D. Department of Cardiothoracic Surgery Paul C. Lee, M.D. Associate Chairman, Department of Cardiothoracic Surgery William Wolff, M.D. Department of Radiology David Rogers, M.D. Associate Chairman, Department of Radiology NYHQ Women’s Auxiliary Jody Eglinton President Frances Zanni Vice President Kathleen Soltan Vice President for Administrative Affairs Celia Eduoard Assistant Vice President for Administrative Affairs Rose Cutugno Treasurer Marie Gavroy Assistant Treasurer 36 Rosemarie LaRuffa Recording Secretary Alberta Squillante Assistant Recording Secretary Connie Fokianos Corresponding Secretary Nilda Janacek Assistant Corresponding Secretary Nursing Leadership Councils Executive Council Michaelle Williams, R.N., M.A., N.E.A.-B.C. Chairman Gail Holtz, R.N./N.P., M.S.N., C.N.S., C.R.R.N. Co-Chairman Leadership Council Michaelle Williams, R.N., M.A., N.E.A.-B.C. Chairman Gail Holtz, R.N./N.P., M.S.N., C.N.S., C.R.R.N. Co-Chairman Coordinating Council Gail Holtz, R.N./N.P., M.S.N., C.N.S., C.R.R.N. Chairman Mimi Lim, R.N., M.A., C.I.C., N.E.A.-B.C. Co-Chairman NYHQ College Board Stephen S. Mills, F.A.C.H.E. President & Chief Executive Officer John E. Sciortino, F.A.C.H.E. Sr. Vice President & Chief Operating Officer Patricia Woods, Ph.D. Chief Learning Officer William P. Wissemann, Esq. Senior Vice President & General Counsel Michaelle Williams, R.N. Senior Vice President & Chief Nursing Officer Lorraine S. Orlando Vice President, Human Resources Camela Morrissey Vice President, Chief Marketing Officer Suzanne C. Pugh, R.N., B.S., C.E.N. Chairman Karen Tiedemann Director, Health Information Systems Nursing Practice Council Julia Stuart Director, Health Education Library Gail Holtz, R.N./N.P., M.S.N., C.N.S., C.R.R.N. Chairman Infection Control Council Mimi Lim, R.N., M.A., C.I.C., N.E.A.-B.C. Chairman Kathy DiBenedetto, R.N., C.I.C. Co-Chairman Terry Abreu, R.N.-C., B.F. Co-Chairman 37 Nursing Performance Improvement Council Karen A. Hultberg Administrative Director, Lang Center & IRB and Administrator, Medical Staff Office Donna Cheslik, R.N. Administrative Director, Cardiac Health Center Michael Tretola Senior Vice President, Continuum of Care Diane L. Gahagan Director of Education and Workforce Development, Queens College, CUNY NYHQ Contributors Corporate Advanced Care, Inc. Advanced Pediatrics AKF Group Alexander S. DiPaolo, CPA, P.C. Americana Manhasset Angelica Textile Services Ascent Association of Chinese American Physicians USA, Inc. Avanti Healthcare B.Braun Medical, Inc. Barr & Barr, Inc. Benenson Rehabilitation and the Flushing Manors Beth Abraham Family of Health Services Better Care, Inc. Biomet 3i Bloomingdale’s, Inc. Booth Flower Shop Booth Medical Associates, P.C. Brasseler Dental, LLC C&B Consulting Group Calvary Hospital CannonDesign Capital One Bank N.A. China AIDS Fund, Inc. Cicero Consulting Associates Crothall Healthcare, Inc. CRT Surgical Associates, P.C. Daniel J. Hannon & Associates Department of Ambulatory Care Services Department of Anesthesiology Department of Cardiothoracic Surgery Department of Dental & Oral Medicine Department of Emergency Medicine Department of Obstetrics & Gynecology Department of Orthopaedics & Rehabilitation Department of Pediatrics Department of Radiation Oncology Department of Radiology Department of Surgery Disano Construction Co., Inc. Division of Electrophysiology Division of Nephrology Division of Patient Care Services Dr. T’s Pediatrics, PLLC Dry Harbor Nursing and Rehabilitation Dzenis Orthopaedics, M.D., P.C. Ear, Nose & Throat Associates of New York, P.C. Eclipsys Solutions Corp. E-J Electric Installation Co. Enterra Solutions EP Rewards EPS Settlements Group EquipSystems Farley, Holohan & Glockner, LLP Ferring Pharmaceuticals Filterfresh Flushing Health Care Medical, PLLC Flushing Manor Geriatric Center, Inc. Flushing Rotary Club Flushing Willets Point Corona LDC Fresh Meadows Homeowners Civic Association Frette Garfunkel Wild, P.C. Grossman & Grossman, LLP Hagedorn & Company Hamilton Cavanaugh & Associates Henry Schein, Inc. Hermes Hess Companies Hirshleifer’s Hoffman Enterprises Hollis Women’s Center Hospice of New York Hunter Ambulance Infectious Disease Section Intech Medical, P.C. Ivone, Devine & Jensen, LLP JAMDA Realty John F. Kennedy Democratic Club Johnson & Johnson JPMorgan Chase Keller, O’Reilly & Watson, P.C. Kelly, Rode & Kelly, LLP Kensington Insurance Company Kent Managemnet Korean American Medical Practitioners Association of New York Korean Community Services of Metropolitan New York, Inc. Kral, Clerkin, Redmond, Ryan, Perry & Van Etten, LLP Lacoste Lana Estates, Inc. Lana Terrace, Inc. Law Office of Anthony P. Vardaro, P.C. Leggiadro Leibowitz Communications Long Island Care Center M&M Supplies, Inc. Madison Avenue Orthopaedic Associates, Inc. Main Street Medical Associates, P.C. Main Street Radiology at Bayside, LLC Margaret Tietz Nursing & Rehabilitation Center Martin A. Gleason Funeral Home, LLC MD Automotive Repairs Meadow Park Rehabilitation & Healthcare Center Metro Blood Service Mid-Island Electrical Supply MultiMed Billing Service, Inc. Municipal Credit Union Muss Development, LLC Nephrology Associates, P.C. Neurological Surgery, P.C. New Franklin Rehabilitation & Health Care Facility New York Community Bank New York Community Hospital New York Mets The New York Times NewYork-Presbyterian Healthcare System NewYork-Presbyterian Hospital Nicholson & Galloway, Inc. Nixon Peabody, LLP Northern Pulmonary Medical Associates P.C. NY Neurological Associates, P.C. NYHQ Community Advisory Council NYHQ Management Committee NYHQ Medical Staff Society OB/GYN Quality Care, LLC Ocean Breeze Infusion Care, Inc. OnDemand Color Group Onward Healthcare Optioncare Oral Pathology Laboratory, Inc. P.M. Maintenance Paradigm OB/GYN Services, P.C. Patterson Companies, Inc. Pennisi, Daniels & Norelli, LLP Perkins Eastman Architects, P.C. Personal Communication Devices, LLC Photobooks Pitta Bishop DelGiorno & Giblin, LLC Podica Associates, LLP Primary Care Development Corp. Professional Billing Associates, Inc. Queens Botanical Garden Queens Center for Rehabilitation Queens Chronicle Queens Courier Queens Medical Associates Queens Physician Associates, P.C. Restaurant Associates Revival Home Health Care The Risk Management Planning Group The Rogosin Institute Sanitation Salvage Corp. Schneps Publications, Inc. Seiter Miller Advertising, Inc. SeniorCare Emergency Medical Services Severud Associates Consulting Engineers, P.C. SK Investments Inc. SleepMed Incorporated Smart Circle International, LLC Sodexo, Inc. & Affiliates Stat Plumbing Stevens Bandes Graphics Mgmt., LLC Sunkey Medical Clinic T.M. Bier & Associates, Inc. TD Bank, N.A. Theresa and Eugene M. Lang Center for Research & Education Tiffany & Co. Tom Fitzpatrick Electrical Contracting Corporation TransCanada TransCare Trinity Homecare - A Walgreens Company TriState Medical Sales Consultants, Inc. Turnpike Gardens, Inc. VCC, Inc. VHA Empire - Metro Visions Visiting Nurse Service of New York Wagner Doman & Leto, P.C. Walker Advertising Weeks Lerman White Glove Placement, Inc. Women’s Integrated Medicine World Journal, LLC World’s Fair Pharmacy Wyckoff Heights Medical Center Individual Jessie Abraham Naomi Abramowitz Joseph J. Abularrage, M.D. Talat Addasi, M.D. 38 39 Marcel M. Admoni, M.D. Emille M. Agrait, M.D. Angel Aguilera, M.D. Zia Ahmed, M.D. Fe Alcantara Jacqueline Allgaier Delia Alvarado, R.N. Salvatore Ancona, M.D. Hermelino Andrada James Andruscavage Francis J. Anello, M.D. Gerard Antoine Joseph Antonik Judithe Apollon-Louissaint Joan Arslanian Armand V. Asadourian, M.D. Phyllis August, M.D. Cynthia Bacon Robelson Baguyo David Barlas, M.D. Ann Beckley Barbara Beggs Shamim Begum, M.D. Bruce Bendell Esther Benenson, M.D. Walter Besser, M.D. John Bills Barbara Bird, R.N. Marilyn Bitterman Maggy Boissonniere-Charles, R.N. Michael Brandler, M.D. Linda Brennan, R.N. Margaret Brick William Brino Dana Brodsky-Sherman, R.N. Maureen Buglino, R.N. Maria Burns Daniel J. Byrns, M.D. Kevin Campbell Phyllis Capozzi Vera Carrozza Andrew Castiglione Luis Castro Armando E. Castro, M.D. Chhaya Chakrabarti, M.D. Chaim Charytan, M.D. Katharine Chen Margaret Chen-Seetoo, M.D. David Chiang, M.D. William W. H. Chiang Mija Choi, M.D. Mitchell Chorost, M.D. Philip Christopher Jack Chu Ji Keun Chung Yunhee Chung, M.D. Wendy W. Chung, M.D. Rosann C. Ciuffo, M.D. Diane Cohen Joan Comerford Megan Converse Linette Creft, R.N. Regina Cregin Michael Csompo, M.D. Joseph Czerwinski Pratip Dasgupta Arthur D. Dawson, Ph.D. Joanne DeMartino Tom Deutsch Sanica Diu Patricia Domina Litong Du, M.D. William M. Duke, M.D. Peteris Dzenis, M.D. Jacqueline Egelfeld-Jacobowitz Gary S. Eglinton, M.D. Aida Escobar Carl Estick Calliope Evdos Arlene Fama Yu-Mei W. Fan, M.D. Robert M. Farrell, M.D. Diana Feil Joseph Ficalora Anna Fieldman, M.D. Simon D. Fink, M.D. Anna Fitzpatrick Robert Fleming, M.D. Juliet Flowers Frederick Forgione Norma Foster, R.N. Laurette Frederique Paul D. Freedman, M.D. Dawn Funke James Gallagher Dolores Gallway Maria Gazer Ajoy Ghosh Myrna Giammatteo Marilyn Giliberti Brian Godfrey Mary Godfrey & Norman Godfrey, M.D. Jed Golden John Golden Godfree Goodchild Jennifer Gopie-Curtis Laurie J. Gordon, M.D. Anna Gratzon William Gray Rudolphe Greco Lee Greenstein Rammohan Gumpeni, M.D. Sanjey Gupta, M.D. Gregory M. Gustafson, M.D. Ji H. Han, M.D. Yerani Hardat Curtis L. Hardy, Jr., M.D. Dr. and Mrs. George F. Heinrich Marie Henry Myra Baird Herce Eric Ho Melvin C. Hochman, M.D. Bertrand Hodelin Victoria Holdbrook Ronald Holland Gail Holtz, R.N. Ruth Hopkins, R.N. Mark Horowitz, M.D. Diane Huang Yufang Huang Lucy Huang Karen Hultberg Priscilla Hunte Sylvester Irvin O. Wayne Isom, M.D. Hadi M. Jabbar, M.D. Marie Jacques Solane Jacquet Howard Jonas George Juang, M.D. Jean-Marie Julien Frank Kalafatic, M.D. Barry Kaplan, M.D. Stephen R. Karbowitz, M.D. Karen Karsif, M.D. Caroline Keane Paul Kechijian Stanley Kerpel, D.D.S. Todd Kerwin, M.D. Florence F. Khoriaty, M.D. Eunice Kim Moonyang Kim, M.D. Robin S. Kim, M.D. Donovan King Renate Klein, M.D. Eli Koenig, M.D. Yahaya Komara Susan Kornhauser Deenamma Koshy Warren Dale Kroeppel Pushpa Lalaji, M.D. Gregg S. Landis, M.D. Eugene M. Lang Samuel J. Lang, M.D. Stephen and Kristina Lang Wilfredo Lao, M.D. Beatrice Lau Janice Lau, M.D. Andy Lee, M.D. Cheuk Lee Howard Lee Susan H. Lee, M.D. Ralph Lehman Deidre Lenderking John Lepore Wai L. Leung, M.D. Marcia Levine, R.N. Jill and Joseph Levy Elsi Levy Dina Joy Lieser, M.D. Byung W. Lim, M.D. Mimi Lim, R.N. Stephen & Susan Limonta Tun Lin, M.D. Daniel Lorber, M.D. Frank and Irene Lourenso Frank Macchio Gerardo Machado, M.D. Ruby Malva, M.D. Valerie Mamrosh-Gonzalez Marjorie Martin Lovely Mathew Jesus Mathews Pavlos Mavrides Matos Elizabeth Matos-Mendoza Catherine McAllister Nilesh Mehta, M.D. Preeti Mehta, M.D. Marian Memmer Stephen Merola, M.D. Michael B. Meyer Eileen Miller Richard Milligan Stephen & Christine Mills Nancy Mobyed, R.N. Magdy Mohammed, M.D. Camela Morrissey Herbert Mosberg, M.D. Nedzad Mrkulic Jaime Murcia Philip Myones Rosemarie Nakovics Roubina Naltchadjian Nicola Naselli Rosario Naselli Mariana Naula Lois Nembhard, R.N. Sonia Nembhard Alice Ngai-Tsang Jaime M. Nieto, M.D. Dattatreyudu Nori, M.D. Michel Ernest Nussbaum, M.D. William O’Connor Alicia Pacariem-Gregorio Chimene Palemon Gina Palumbo Alison Paolini Yuanyuan Pappalardo Frank Parise, M.D. Jung Sun Park Chong H. Park, M.D. Michelle Pascarelli Gerald Pascarelli Fran Passantino Tatyana Pelekh Charlene Perno Linda Pietrasinski Stella Pinhas, M.D. Marlene E. Post Meera Prabhat, M.D. Suzanne Pugh, R.N. Elsa Quiong Jose Quiwa, M.D. Michael S. Radeos, M.D. James J. Rahal, M.D. Murisiku Raifu, M.D. Maria Ramon Frank and Marie Randazzo Kanwar Rauhila, M.D. Nandanuri Reddy Steven Reichert, M.D. Dolores Reisert, R.N. Jeffrey E. Rosen, M.D. Robyn Rosenblum Charles Rosner David S. Rubin, M.D. Moshe Rubin, M.D. Gregg Rusczyk, M.D. Lisa E. Rosner Rutkovsky, M.D. Dianne Ryan, R.N. James G. Ryan, M.D. Gonzalo Sabogal, M.D. Marie Saint Julien Setlidz Saint-Louis, R.N. Seshadri Sampath Jason M. Sample, M.D. Bella Sandler, M.D. Susan Schmitz Warren Schrieber Stephen Samuel Schuster, M.D. Ernest Schwartz, M.D. Natalie Schwartz, M.D. John E. Sciortino Sorana Segal-Maurer, M.D. Michael Seidenwar Samuel L. Senders Hoda Shafik-Seddik Manish Sharma, M.D. Renuka Shetty-Das, M.D. Jong-Chuan Shieh, M.D. The Honorable Claire Shulman Sibyl Silberstein Lee Silberstein Peter A. Silverberg, M.D. Leonore Simon Diane Sixsmith, M.D. Krystyna Skowronska Daniel Skupski, M.D. David H. Snyder, M.D. Anthony Somogyi, M.D. Theodore Sonnessa Pinchi Srinivasan, M.D. Harry Stafilias John Steffens Julia Stuart Ira M. Sturman, D.D.S. Daniel Suarez Wei Fun Sung, M.D. KapJae Sung, M.D. Pinkus H. Szuchmacher, M.D. Carlos C. Talisaysay Albert P. Tarasuk, M.D. Anne Alexis Cote-Taylor Myo Thant, M.D. Wesner Thenor-Louis, M.D. Annie Thomas Howard I. Tiszenkel, M.D. Jill Troy Tony Tsai, M.D. Veronica Y. Tsang Frank J. Tuminelli, D.M.D. Robinanne Turiel James W. Turner, M.D. Carl M. Urban, M.D. Venice Vanhuse Julie Varghese Jeyapathy Veluchamy Dianne Veneziano Jose Villarin, M.D. Cristina Villaseca Florian Vlad Philome Volmar Rachel L. Waldron, M.D. Shiush C. Wang, M.D., PC Xing-Jie Wang, M.D. Burton Wasserman, D.D.S. Wehbeh A. Wehbeh, M.D. Adam Weinstein James Whelan Gloria Whitman Michaelle A. Williams, R.N. William P. Wissemann, Esq. William Wolff, M.D. Angela Wong Joni Yoswein Xiying Zhang Cristina Zullo, R.N. Foundation Beatrice Snyder Foundation Eugene M. Lang Foundation Ficalora Family Foundation Frank Randazzo Jr. Foundation Fred J. Rogers Memorial Foundation The Sadie and Louis Roth Foundation, Inc. JPMorgan Chase Foundation Laura B. Vogler Foundation New York Community Bank Foundation The Page & Otto Marx Jr. Foundation Stavros Niarchos Foundation 40 WHERE TO FIND NYHQ SERVICES 1 New York Hospital Queens 56-45 Main Street Flushing, NY 11355 (718) 670-2000 (800) 282-6684 (Find a Physician) nyhq.org The Julia & Ned R. Arnold Center For Radiation Oncology 56-45 Main Street (Enter on 56th Avenue) Flushing, NY 11355 (718) 670-1500 The Theresa Lang Children’s Center 56-45 Main Street (Enter on 141st Street) Flushing, NY 11355 (718) 670-1800 NYHQ Diagnostic Laboratories Pre-Admissions Center 56-45 Main Street (At main hospital) Flushing, NY 11355 (718) 670-1990 55 The Center for Dental & Blood Donor Center 56-45 Main Street (At main hospital) Oral Medicine Flushing, NY 11355 (718) 670-1007 (Call for location of Blood Mobile or visit nyhq.org) 2 Ambulatory Care Center 182-15 Horace Harding Expressway Fresh Meadows, NY 11365 (718) 670-2903 182-19 Horace Harding Expressway Fresh Meadows, NY 11365 (718) 670-2971 3 The Silvercrest Center for Nursing & Rehabilitation 144-45 87th Avenue Briarwood, NY 11435 (718) 480-4000 4 The Cardiac Health Center 174-03 Horace Harding Expressway Fresh Meadows, NY 11365 (718) 670-1695 174-11 Horace Harding Expressway Fresh Meadows, NY 1365 (718) 670-1060 66 The Center for Developmental Disabilities 59-16 174th Street Fresh Meadows, NY 11365 (718) 670-2731 77 Family Health Center 136-56 39th Avenue Flushing, NY 11354 (718) 886-7014 Prosthodontic Implant Center 136-56 39th Avenue Flushing, NY 11354 (In the Family Health Center) (718) 670-1701 NYHQ Operating Statistics 2009–2010 Laboratory Procedures (Excl. Blood Bank & CDL) Radiology Procedures Blood Bank Surgical Procedures Deliveries Cardiac Catheterizations Cardiac Catheterizations & PCI EEG/EKG Ambulatory Surgery/Endoscopy OPD Emergency Encounters (Admits and T&R) Ambulatory Care Visits Patient Discharges Average Length of Stay Full-Time Employees Charity Care 41 * Not yet audited 2010 * 2009 1,789,517 273,654 158,148 13,656 4,110 3,222 3,998 77,366 16,680 116,004 136,722 35,805 5.02 3,550 35.8 1,691,498 275,270 178,659 13,497 4,020 3,438 4,264 79,182 15,517 115,353 139,788 35,038 5.14 3,518 34.2 13 NYHQ Diagnostic Laboratories 17 The Specialty Care Center 138-47 Horace Harding Expressway Patient Service Center & STAT Lab 8 Queens Eye Center 60-10 Main Street Flushing, NY 11355 (718) 661-8800 Fresh Meadows, NY 11365 (718) 670-2530 136-20 38th Avenue, Suite 8B Flushing, NY 11354 (718) 886-5080 9 Health Outreach: Services for Older Adults & Their Families 18 Jackson Heights Family Health Center 14 NYHQ Diagnostic Laboratories Patient Service Center 57-15A Main Street Flushing, NY 11355 (718) 670-1211 73-15 Northern Boulevard Jackson Heights, NY 11372 (718) 424-2788 1000 Northern Boulevard, Suite 320 Great Neck, NY 11021 (516) 446-2102 10 The Hollis Women’s Center 19 Obstetrics & Gynecology Ambulatory Center 15 The Neuroscience Institute 189-04 Hillside Avenue Hollis, NY 11423 (718) 740-5545 11 NYHQ Diagnostic Laboratories Patient Service Center 200-12 44th Avenue Bayside, NY 11361 (718) 661-8841 12 NYHQ Diagnostic Laboratories Patient Service Center 23-18 31st Street, Suite 300 Astoria, NY 11105 (718) 721-5160 59-16 174th Street Fresh Meadows, NY 11365 (718) 670-1777 163-03 Horace Harding Expressway Fresh Meadows, NY 11365 (718) 888-9121 Pediatric Asthma Center NYHQ Center for Orthopaedics & Rehabilitation Medicine 59-16 174th Street Fresh Meadows, NY 11365 (718) 670-1920 Emergency Hotline: (800) 926-5182 (Call for location of van) 163-03 Horace Harding Expressway 2nd Floor Fresh Meadows, NY 11365 (866) 670-OUCH 16 Trude Weishaupt Memorial Satellite Dialysis Center 20 The Breast Center 56-26 Main Street Flushing, NY 11355 (718) 670-1185 59-28 174th Street Fresh Meadows, NY 11365 (718) 961-0400 14 12 7 18 8 13 1 9 20 17 19 11 16 6 15 5 4 2 10 3 14 42 A HIGHER LEVEL OF HEALTHCARE CAN BE FOUND RIGHT HERE… There is a place in Queens where medical expertise, the from heart and vascular conditions and childhood help people feel better and return to daily living faster. cancers, high-risk pregnancies, and serious emergencies. latest technology, and a strong dose of personal service A place where you can find remarkable medicine and remarkable results – results that show our care is among the very best you can find. Even your aching knees and back can find relief here. And, when you are our patient, we treat you like a member of our own family. This is New York A place where we use sophisticated diagnostic and Hospital Queens. Right here, in Queens. 56-45 Main Street nyhq.org 718-670-2000 Private Ambulance Service: 718-670-2222 surgical procedures every day. Here, we treat everything Flushing, New York 11355 800-282-6684 (Find a Physician) Published by The Division of Public Affairs & Marketing Camela Morrissey, Vice President, Chief Marketing Officer Cynthia Bacon, Director, Public Affairs and Marketing Debra Pagano Cohen, Director, Community and Government Affairs Julie Varghese, Director, Special Events Melissa Nibungco, Manager, Grants Program Kerry McHale, Division Coordinator Alison Fleming, Intern Marilyn Castaldi, Consultant Writer BriteHouse Group, Design Prestone Printing, Printer © 2011 New York Hospital Queens 00 obesity… to diabetes and dental disease… to tough New York Hospital Queens is operated by a separate, not-for-profit corporation. Neither NewYork-Presbyterian Hospital nor NewYork-Presbyterian Healthcare System, Inc. employs or supervises the medical staff, is licensed to provide medical care, or operates the hospital facility at New York Hospital Queens. In case of emergency, call: 911