ALAN D. AVILES
HHC PRESIDENT AND CHIEF EXECUTIVE
REPORT TO THE BOARD OF DIRECTORS
September 22, 2011
OUTSTANDING RESPONSE BY HHC FACILITIES TO
OF HURRICANE IRENE
It's been several weeks since Hurricane Irene passed, however it is clear that HHC's responsible planning and solid follow-through helped us meet the needs of our patients and our City, under extremely challenging circumstances, and that's a credit to every HHC employee who had a hand in our performance.
Staff at all HHC facilities did an exceptional job, as did those HHC employees who worked in the seven Special Needs Medical Shelters across the City. HHC's exemplary response to this storm was not an accident; we have well-developed and tested emergency preparedness plans in place, and constantly ensure that we are ready. Helped by such advance planning, facility personnel, in coordination with Central Office, worked hard to organize and prepare for what was originally forecast as a possibly devastating hurricane, including the stocking and distribution of extra food, medication, fuel, and supplies; arrangements for adequate staffing; and the mobilization of emergency power generators, water pumps, and other back-up systems.
All of this speaks to our system's biggest strength: the dedicated staff who embody the spirit of HHC, going beyond their standard duties, staying longer, working harder, doing more. Coney Island Hospital, located in the Zone A flood area, required a complete evacuation and more than 250 patients were safely transferred to other facilities in just a few hours. Coler-Goldwater and Bellevue Hospital Center were both located in Zone B flood areas, and therefore were vulnerable to flooding in light of the predicted high storm surge. Contingency plans were developed for possible power loss, including redundancy plans for vulnerable emergency generators at these facilities. We are now working on longer term corrective actions at both Coler-Goldwater and Bellevue to limit their vulnerabilities in the event of a similar storm in the future.
HHC staff at the Special Needs Medical Shelter (SNMS) at Lehman, Hunter, York and Queens Colleges, Park Slope Armory, and Tottenville High School all performed magnificently. All SNMS patients were ultimately returned to their respective facilities safely.
I thank all HHC staff for their caring, their courage, and their dedication throughout this challenging period.
HHC WTC ENVIRONMENTAL HEALTH CENTER REACHES OUT TO COMMUNITY
DURING SOMBER 9/11 ANNIVERSARY
The 10th anniversary of 9/11 brought media requests from around the city, country and world for the staff of HHC's World Trade Center Environmental Health Center. In print, on the web, and on television and radio, the staff has used each interview as an outreach opportunity to inform people about the care and services rendered to the men, women and children who still suffer ill heath due to the toxic fallout from the collapse of the World Trade Center towers. Examples of media coverage included Channel 4's interview of one of the Center's psychologists, Dr. Luci Ferri, about mental health issues patients continue to experience, including Post Traumatic Stress Disorder, anxiety and depression; and the LA Times interview with Dr. Joan Reibman, a pulmonologist and the Center's Medical Director, which highlighted the physical ailments that persist. From the metropolitan New York area to media outlets in China, Latin countries and other parts of the world, the expert care and service rendered through our WTC Center of Excellence was prominent in the news before and during this anniversary time. A full listing of media coverage is included with your package today. Kudos to Ana Marengo and her staff for their key role in marshaling through dozens of media requests of behalf of the WTC EHC.
Nearly as numerous have been requests for staff to present in a variety of government and community forums, such as the annual Voices of 9/11 conference which this year included Secretary of Homeland Security Janet Napolitano and Secretary of State Hillary Clinton. Each site within the Center -- Bellevue, Elmhurst and Gouverneur – also had their own 9/11 health events, and other HHC facilities held 9/11 memorial events.
The Center's annual subway ad campaign promoting the continued availability of its specialized services has been running since mid August and will continue in the weeks following the 10th anniversary.
GOUVERNEUR OPENS OUTSTANDING NEW
NURSING FACILITY AND
On Monday Dr. Stocker was joined by Network Senior Vice President Lynda Curtis, Executive Director Mendel Hagler, and a host of federal, state and city elected officials to celebrate the gala opening of Gouverneur Healthcare Services' new ambulatory care pavilion and the penthouse floor of its new skilled nursing facility. The $200 million modernization project will expand primary care and preventive health services, vastly improve the physical and therapeutic environment, and add 85 nursing home beds to accommodate the growing senior population of the Lower East Side and Chinatown community. The larger, more modern, 295-bed nursing home is designed to incorporate the "culture change" movement in long term care with a homelike environment.
The project included the construction of a five-story ambulatory care pavilion and an eight-story tower that rises above the pavilion to house the skilled nursing facility. The pavilion and the 13th floor of the tower are expected to open to patients in about a month. The project will complete renovation of the existing 330,000-square-foot facility in phases. Patients will be moved into additional floors of the new nursing facility tower as renovation progresses. When the project is completed in two years, it will result in a single, state-of-the-art, 450,000-square-foot healthcare center.
The fully completed ambulatory care pavilion will provide almost 400,000 outpatient visits a year, a 15 percent increase in current capacity. Advances in the facility's design and equipment will increase patient safety, enable greater efficiency, and provide state-of-the-art technology and comfortable amenities in patient care. The top floor of the nursing home demonstrates a design concept of patient-centered care that departs from an institutional model and moves toward a more homelike environment. The new design creates a physical environment that supports smaller communities of residents on each floor to foster relationships with other residents and the care team at Gouverneur.
The new Gouverneur Healthcare Services design will well serve the residents of the multi-cultural Lower East Side where Gouverneur is situated. The project was designed by RMJM architects, is constructed by the Hunter Roberts Construction Group, and is managed by the Dormitory Authority of the State of New York (DASNY). It is funded by the City of New York, with additional grants from the Lower Manhattan Development Corporation, Office of Manhattan Borough President Scott Stringer, the New York City Council and the U.S Department of Housing and Urban Development.
MORRISANIA INTRODUCES RENOVATED CARE SUITES TO COMMUNITY
Yesterday I attended a ribbon-cutting ceremony to mark the official opening of Morrisania Neighborhood Family Health Center's renovated Adult and Pediatric Suites. The new care settings increase our primary care capacity in a comfortable and attractive environment for both patients and staff. Located on the facility's second floor, the space has been reconfigured to improve patient flow with two exam rooms per provider. Patients will experience decreased waiting time with "one-stop" services such as financial counseling, nutrition and social work, integrating a patient-centered medical home model of care. The redesign includes a triage room, and two asthma treatment rooms.
The project was partially funded by a New York State grant for $494,000 under the Health Care Affordability and Efficiency Law (HEAL). The new suites are expected to provide about 50,000 patient visits each year.
STATE MEDICAID REDESIGN TEAM UPDATE
Healthcare leaders throughout HHC, have been invited to participate in the work groups of the New York State Medicaid Redesign Team. The MRT, charged by Governor Cuomo to find ways to reduce costs and increase quality and efficiency in the Medicaid program, delivered its first report to the Governor and Legislature this spring, but continues to look into ways to improve the Medicaid program.
HHC Leaders on MRT work groups include MetroPlus President Dr. Arnold Saperstein on Basic Benefit Review; Chief Financial Officer Marlene Zurack on Payment Reform and Quality Measurement; Queens Health Network Senior Vice President Dr. Ann Sullivan on Behavioral Health Reform; HHC Board Member Robert Doar, Commissioner of the NYC Human Resource Administration on Program Streamlining and State/Local Responsibilities; LaRay Brown, Senior Vice President for Corporate Planning, Community Health and Intergovernmental Relations, on Health Disparities; and Lauren Johnson, Corporate Chief Nursing Officer, on Workforce Flexibility and Scope of Practice.
MRT Work Groups are actively meeting and are expected to present final reports and recommendations by early December. The goal is for the MRT to vote on the recommendations in time to advise the Governor on the development of the 2012-13 State Budget.
On August 2nd the Budget Control Act of 2011 was signed into law. The Act raised the debt limit by $2.1 trillion, eliminating the need for further increases until 2013, and mandated the creation of a bipartisan Select Committee of Congress (the Supercommittee) tasked with identifying $1.5 trillion in deficit reductions from both entitlement and tax reforms over the next ten years. The Supercommittee is required to vote on legislative proposals on November 23rd and the House and Senate have a December 23rd deadline to vote on the Supercommittee's proposals, without amendment. If Congress does not enact at least $1.2 trillion in deficit reduction provisions by January 15th, a process for automatic across-the-board spending cuts on certain programs to take effect January 2, 2013 will be triggered. That process is similar to the system of spending "sequesters" which were enacted as part of the 1985 Gramm-Rudman anti-deficit law and the 1997 deficit reduction law. Any such sequester would be equal to the portion of the $1.2 trillion of savings that was not achieved legislatively. It would fall equally on defense and domestic spending. Programs targeting low-income individuals and families would largely be exempt as they were under Gramm-Rudman. Importantly the automatic sequester cannot include any cuts to Medicaid, Social Security, and unemployment insurance. Additionally, cuts to Medicare would be capped at 2 percent per fiscal year over the 9 years from 2013 to 2021 and limited to provider payments.
On Monday, September 19th, President Obama unveiled his proposed deficit reduction plan. The President's proposals would reduce the federal deficit by $3 trillion over 10 years. Significantly, the President proposes to save $320 billion in healthcare spending; $248 billion would be in cuts to Medicare and another $72 billion in cuts to Medicaid.
Some of the health care spending cuts include:
- Reductions in Indirect Medical Education (IME) payments by 10 percent beginning in fiscal year 2013 to save $9 billion.
- Reductions in Medicare bad debt payments to 25 percent over three years, down from the current reimbursement of 70 percent, resulting from Medicare beneficiaries' non-payment of deductibles and co-payments, starting in 2013. This would save $20 billion in 10 years.
- Reductions in Medicare payments for post-acute care services would occur through several actions:
- Eliminating payment updates for skilled nursing facilities, long term care hospitals, inpatient rehabilitation facilities and home health agencies from 2014 through 2021. Saving $32 billion.
- Reducing the differences in payments for certain comparable services performed in skilled nursing facilities and inpatient rehabilitation facilities for certain conditions, i.e., knee replacements, hip fractures, pulmonary diseases. Saving $4 billion.
- Re-instating the "75 percent rule" threshold for inpatient rehabilitation facilities. Saving $3 billion.
- Reducing skilled nursing facility payments by up to 3 percent. Saving $2 billion.
- The President's deficit reduction plan includes Medicare cost sharing reforms that would increase the Part B deductible for new beneficiaries, establish home health cost sharing of $100 per multi-visit episode, and establish a surcharge for the Part B premium for beneficiaries with Medigap plans that have low-cost sharing requirements. These proposals would save $3.9 billion.
- The President proposes to allow Medicare to benefit from the same rebates to brand name and generic drugs that Medicaid receives and to increase Part D premiums to higher income beneficiaries. These two proposals would save $155 billion.
- The President's plan calls for a variety of changes to Medicaid and other programs to save $72 billion:
- Phase down Medicaid provider taxes, a vitally important mechanism used by states to draw down federal dollars to support their Medicaid programs. Specifically, beginning in 2015, the plan would reduce the maximum allowable level of 6 percent to 3.5 percent in 2017 and beyond, saving $26.4 billion.
- Beginning in 2017, replacing the various federal matching rates at which states are reimbursed for their Child Health Insurance Program and Medicaid costs with a single, blended rate for each state. This would save $14.9 billion.
- Starting in 2021, Medicaid DSH payments would be re-based to reflect hospitals' level of uncompensated care as the Affordable Care Act is implemented. Without this provision the DSH cuts would have expired. This re-basing is projected to save $4.1 billion in 2021.
- Limiting federal reimbursement for certain state Medicaid spending on Durable Medical Equipment to the Medicare rate in that state. The projected savings is $4.2 billion.
- Beginning in 2014, eligibility determination for Exchange tax credits and cost sharing reductions, Medicaid and the Child Health Insurance Program will include Social Security benefits as part of a family's or individual's modified adjusted gross income. This is projected to save $14.6 billion.
Staff are reviewing all of these proposals to determine the specific impact to HHC facilities. HHC will weigh in with our NY Congressional delegation to convey what the adverse impact would be to our ability to sustain our current levels of service to the communities HHC facilities serve and we will continue to partner with labor, community health advocates and the trade associations in their advocacy efforts.
PAGNY ASSUMPTION OF CONTRACT FOR PROFESSIONAL HEALTHCARE SERVICES AT LINCOLN HOSPITAL
As HHC continues to implement its strategy of revising and consolidating our professional affiliation agreements, we are negotiating with Downtown Bronx Medical Associates, P.C. (DBMA) to transfer management of the DBMA's contracted professional services to the Physician Affiliate Group of New York, P.C. (PAGNY) via an assignment of the existing affiliation contract. It is expected that the assignment will be executed imminently and that services currently provided by DBMA at Lincoln Medical and Mental Health Center, Morrisania Diagnostic and Treatment Center and Segundo Ruiz Belvis Diagnostic and Treatment Center will be provided by PAGNY effective November 1, 2011. As in the past, this transition should be seamless to our patients and will continue the employment of all current physicians and other affiliate staff at the affected facilities.
HHC TO APPLY FOR HEALTH HOME CERTIFICATION
HHC will shortly submit an application to the New York State Department of Health for designation as a Health Home Provider host organization with services expected to begin on November 1, 2011. HHC's Health Home, to be operated in partnership with our health plan, MetroPlus, will include a network of community-based providers experienced in delivering behavioral health, outreach and other supportive services.
The Health Home initiative provides a unique opportunity to further strengthen the quality and efficiency of care delivered to patients with chronic medical and behavioral health conditions who touch HHC's health care system. The initiative will create an enhanced and robust care management infra-structure that will extend patient-centered care coordination across multiple health providers and social support agencies to patients with complex needs. Care coordination delivered by a Health Home is designed to ensure that a patient's total health and social needs are integrated in a collaboratively developed care plan, which is updated and managed with support from a designated care coordinator, and the members of the patient's care team. Health Home services, by promoting collaboration and proactive comprehensive ambulatory care among all providers on the patients care team, are expected to improve health outcomes and to decrease costs by reducing emergency visits or hospital admissions.
HHC's Health Home program will be modeled on experience with care coordination programs that have been successfully implemented and operated by HHC, including our COBRA, Targeted Case Management (TCM) and Chronic Illness Demonstration Project (CIDP) programs. These existing care coordination programs will be transitioned into our Health Home model over the course of the next year. We aim to provide care coordination services through our Health Home program to at least 62,000 eligible patients by the end of the program's first year.
PATIENT-CENTERED MEDICAL HOME UPDATE
This summer, six additional community-based primary clinics from the South Manhattan Network and from Generations Plus Renaissance Network received their Level 3 PCMH recognition from NCQA, bringing the total number of HHC sites recognized at this highest level to 37 with a total number of 630 primary care providers currently participating in the NYS PCMH Medicaid program. This top designation will qualify HHC for more than $15 million in additional Medicaid reimbursement annually.
METROPLUS TO ADD MANAGED LONG TERM CARE COVERAGE
MetroPlus Health Plan is currently preparing to apply for an expanded Medicaid license which includes Managed Long Term Care. With 28 percent of all New York State Medicaid expenditures going to long term care services, New York State is seeking to curb these costs by mandating enrollment of all persons over age 21 who require 120 days of service or more, into managed long term care plans. The state's projected date to begin mandatory enrollment is April 1, 2012, pending CMS approval. MetroPlus is currently amending all of its contracts to include Managed Long Term Care services, as well as contracting with additional vendors and providers that will be needed to meet the state's network requirements. The MetroPlus application should be ready to submit to the Department of Health in November, and will move forward to set up related operations before mandatory enrollment begins. The goal of a Managed Long Term Care plan is to help the chronically ill or disabled, who would otherwise be eligible for nursing home admission, to stay in their homes and communities as long as possible. Care at home, when feasible, generally is a cost effective alternative to admission to a nursing home.
HHC CELEBRATES HEALTH INFORMATION TECHNOLOGY GAINS
Last week, during National Health IT Week, HHC recognized the outstanding gains that have been made by HHC's Enterprise IT Services group. Under the leadership of Chief Information Officer Bert Robles, and HHC's IT workforce of about 750, our IT group has undergone a transformative year – with more than 120 IT projects currently in progress. One key project has recently been completed – the consolidation of seven Network IT departments and Central Office IT into one centralized IT organization. That organization, Enterprise IT Services, has a central role in all aspects of our robust IT vision, helping HHC to deliver customer-friendly service management, as we standardize, develop and strengthen our IT applications and systems.
While we have already accomplished a tremendous amount, our IT project list going forward is ambitious. Among the major projects underway or on the horizon are the following:
ICIS (Integration Clinical Information System)/Electronic Medical Records (EMR) – Our transition to a highly-advanced software system that will enhance HHC's clinical decision support, enable personalized medicine, and improve patient care and safety.
Financial Systems – Building one comprehensive system to manage finances and the revenue cycle throughout every aspect of patient care and billing.
Payroll – An automated payroll system that will streamline operations and reduce costs.
Time & Attendance – An automated time/attendance management system that will maximize operational efficiencies.
Systems Updating – Updating our infrastructure to better support our Disaster Recovery/Business Continuity capability, our business and clinical application processes, and our preparations for "meaningful use" of our electronic medical records.
I am continually impressed by the innovation, the resourcefulness, and the deep foundation of knowledge that characterize our IT leadership and staff, and I know that they are up to the challenge of the mission-critical projects we have entrusted to them for the future.
STAT! 2011 KICKS OFF WITH OCTOBER 18 GALA AT BELLEVUE
As I have mentioned in recent meetings, this October The Fund for HHC, on behalf of HHC, will present STAT! 2011, A Festival For New York City's Public Hospitals.
Building on last year’s success, STAT! 2011 is a series of concerts and performances in each borough, to celebrate our public hospitals, to recognize our staff, and to benefit our healthcare programs and facilities in what continue to be challenging times.
In a minute, Joe Schick will give you a rundown of the STAT! events and schedule, but I will let you know that I will kick off STAT-TOBER with a press conference on October 5, at the A Loft Hotel in Harlem, joined by senior HHC leaders and by a number of STAT! performers.
Then, on October 18, we will come together for the STAT! Gala Benefit at Bellevue Hospital Center’s atrium. In addition to honoring Bruce Siegel, CEO of the National Association of Public Hospitals and a past President of HHC, we will honor the Big Apple Circus Clown Care Unit, with special participation by Meredith Vieira, and the music producer Swizz Beatz. Music will be provided by Miss Melba Moore and the Hilton Ruiz Tribute Orchestra.
The STAT! 2011 concerts begin on October 23 and will run through the 30th. As previously announced, a portion of this year’s STAT! proceeds will be used to launch HHC’s campaign against gun violence in our communities.
HHC AND METROPLUS JOIN FORCES TO PROMOTE TAKE CARE NEW YORK HEALTH SCREENING & FLU SHOT MESSAGE IN OCTOBER
Take Care New York (TCNY) is our annual campaign to promote the screening, early detection and prevention of serious disease. This October, HHC and MetroPlus are partnering to encourage employees and New York City residents to get a flu shot and health screening for diabetes, depression, high blood pressure, cancer, high cholesterol, HIV and other devastating diseases. HHC facilities will offer flu shots and health screenings at various events during October at little or no cost to participants. HHC and MetroPlus will leverage media relationships to promote flu shots and screening events across our facilities in all five boroughs. Thus far, we have commitments for TCNY public service announcements from the Harlem News, Amsterdam News, Epoch Times, Downtown Express, Chelsea Now, WWRL-AM and Univision Radio (WADO-AM, WQBU-FM), including on-air interviews, van appearances and radio remotes. TCNY communications will be mailed to approximately 300 community-based organizations to encourage them to convey our healthcare message to their constituents.
NEW CORPORATE COMPLIANCE OFFICER APPOINTED
In recent years, HHC reorganized its corporate compliance operations and consolidated all enterprise-wide compliance responsibilities and personnel under our Corporate Compliance Officer, who reports to the President and who also has reporting responsibility to the Audit Committee of the HHC Board of Directors. This reorganization has strengthened our corporate compliance program and capabilities, making it a resource within the Corporation to identify and address proactively corporate-wide and local compliance issues and to encourage HHC staff to know and comply with all regulations, policies, and procedures.
Earlier this month I appointed Wayne A. McNulty as HHC Corporate Compliance Officer, replacing the previous CCO, Ernesto Marrero. Mr. McNulty has worked in the HHC system for more than 18 years, including his current role as Executive Associate Counsel within the Office of Legal Affairs, and had previous experience in the North Bronx Healthcare Network, in a variety of healthcare administration roles. I am confident that Wayne's administrative, legal, and patient care experience; his deep understanding of our system; and his well-earned reputation for integrity and fairness afford him a strong foundation for leadership of our Corporate Compliance program.
HHC LEADERSHIP CHANGES
HHC is at a crossroads, where we simultaneously face many daunting fiscal challenges but also have important opportunities to restructure our own health care delivery system. During this important time, HHC is fortunate to be able to count on so many experienced leaders, and I want to inform you of some notable changes in several of their roles.
Of course, as you know by now, Dr. Ramanathan Raju is leaving us to become the new CEO of the Chicago public hospital system. Dr. Raju was HHC's Executive Vice President for the past six years, Chief Medical Officer for four of those years, and Chief Operating Officer for the past two. During his extraordinarily productive tenure, his clinical knowledge, business acumen, organizational vision, and strong leadership were instrumental as we raised the quality of care, brought national recognition to our advances and commitment to patient safety and transparency, and made significant progress in restructuring our system's operations for greater efficiency. As a senior executive, a colleague, and a friend, Dr. Raju will be greatly missed by the entire HHC family. We wish him much success in Chicago.
To fill the void created by Dr. Raju's departure, I am appointing Antonio Martin as Executive Vice President and Chief Operating Officer. He stepped into his new role this week, and will be leading our restructuring efforts as well as overseeing broad operational areas, such as IT, operations, professional services and affiliations, contract administration and control, corporate support services, internal audits, and materials management. In addition, Joanna Omi, whom I will ask our Board to ratify as our new SVP of Organizational Innovation and Effectiveness, will report to Mr. Martin. She will continue to lead the Breakthrough program, keeping it integrated into much of the work we do to improve patient satisfaction, reduce waste, and empower our front line staff. I have also appointed Donna Benjamin, most recently Chief of Staff at Kings County Hospital, to serve as Restructuring Project Management Officer, reporting to Mr. Martin. She will coordinate central office support of HHC's cost containment and restructuring efforts and ensure that our progress on each initiative is effectively monitored. Ms. Benjamin replaces Frances Pandolfi who is retiring after serving HHC exceptionally well in a number of important positions over a long career; she leaves with our gratitude and best wishes for the future.
In the wake of Antonio Martin’s promotion, I have also decided to consolidate the North Brooklyn and Central Brooklyn Networks under the leadership of Senior Vice President George Proctor. George also will continue to serve as the Executive Director of Woodhull Hospital. To further ensure continuity at Kings County Hospital Center, I have asked Roslyn Weinstein to move up from her role as the hospital's Chief Operating Office to serve as Acting Executive Director pending the outcome of a selection process for a permanent Executive Director appointment.
I am confident that these and other HHC leaders, will strengthen HHC and help us preserve and fulfill our critically important mission.
HHC IN THE NEWS HIGHLIGHTS
Coping with 9/11, Dr. Lucia Ferri, World Trade Center Environmental Health Center, Bellevue, WNBC-TV, 09/09/11
9/11 Memorial Service at Jacobi Medical Center, News 12 Bronx-TV, 09/11/11
WTC Environmental Health Center, Dr. Joan Reibman and Dr. Elizabeth Fiorino, NY1-TV, 09/09/11
What hospitals learned from 9/11, Terry Miles, HHC, NY1-TV, 09/08/11
WTC Environmental Health Center, Dr. Sonia Cabrera-Quezada, Gouverneur, NY1 Noticias-TV, 08/03/11
WCBS Radio 880 9/11 Series: Children Still Suffering Health Problems After The Attacks, Dr. Elizabeth Fiorino, WTC EHC 09/06/11
Hurricane’s Approach Forces Hundreds to Evacuate Hospital’s Citywide, Alan D. Aviles, Coney Island, NY1-TV, 08/26/11
Evacuation Effort a Success for the City Hospitals, Joseph Marcellino, Coney Island, NY1-TV, 08/29/11
Coney Island Hospital Evacuated, News 12-TV, Brooklyn, 08/26/11
HHC Institute for Medical Simulation and Advanced Learning, Dr. Ross Wilson, Dr. Reena Shah, NY1-TV, 09/21/11
Bariatric Surgery, Dr. Ajay Chopra, Jacobi Hospital, News 12 Bronx-TV, 08/02/11
New Study Highlights More Dangers of "Alcopop" Consumption, Dr. Deborah Levine, Bellevue,
Long recovery ahead for teen hero, Harlem Hospital, WABC-TV, 08/29/11
City Moms Still Face Breastfeeding Barriers,Harlem Hospital, NY1-TV, 08/24/11
5th Annual Immunization Campaign at Yankees Stadium, Lincoln Hospital, News 12 Bronx -TV, 08/16/11
Lunch Box Safety, Gila Daman, Dietitian, Jacobi, News 12 Bronx-TV, 8/12/11
Home Packed School Lunches, Dr. Warren Siegel, Coney Island, News 12 Brooklyn -TV, 08/10/11
Breast Feeding Awareness Fair, North Central Bronx Hospital, News 12 Bronx-TV, 08/03/11
PRINT AND ONLINE
City Learns Lessons From the Storm, Many of Them the Hard Way, Alan D. Aviles, HHC, The New York Times, 09/05/11
For Some Medical Evacuees, Safety Brought Its Own Difficulties, Dr. Joseph Williams, Kings County and Dr. Alla Bogorodovsky, Coney Island, New York Times, 08/28/11
The Anatomy of Coney Island Hospital's Hurricane Evacuation, Joe Marcellino , Coney Island
Collaborative effort weathers storm Hurricane Irene tests New York City nursing staff amid mandatory evacuations, Terry Mancher, RN, Coney Island Hospital, Nurse.com, 09/12/11
(Other hurricane coverage in The New York Times, Daily News, CNN wire, Staten Island Advance, The Gothamist, and Modern Healthcare.)
Ten Years After 9/11, Terry Miles, Executive Director, WTC EHC, Hospitals and Health Networks, 09/09/11
Ayuda médica para afectados por el 9/11 (Medical care for those affected by 9/11), Dr. Irwin Berlin, WTC EHC, Elmhurst, El Diario, 09/11/11
In Manhattan, Children Still Battle 9/11-Related Illnesses, Dr. Elizabeth Fiorino, Terry Miles, WTC EHC, The Atlantic, 09/11/11
A legacy of illnesses from 9/11, Dr. Joan Reibman, WTC EHC, LA Times, 09/05/11
(Other 9/11 World Trade Center Environmental Health Center coverage in The New York Times, Queens Chronicle, The Star-Ledger, DNAinfo, Staten Island Advance, New Express (China), The Express (UK), Helena Independent Record, and Advanceweb.com.)
A Downtown Nursing Home Is Expanding, The Wall Street Journal, 09/17/11
(Also covered in Downtown Express and WNYC Radio)
100 Most Influential People in Healthcare, Alan D. Aviles, Modern Healthcare, 08/22/11
Staten Island physician is approved for the board of the city's Health and Hospitals Corp., Staten Island Advance, 08/18/11
Bellevue Opens $5.2M Neonatal ICU. DNAinfo.com,07/28/11
Bellevue Gets $350K for Murray Hill High School Health Center, DNAinfo.com, 07/26/11
Bringing a smile to seriously ill children and their families, New York Daily News, 07/27/11
Lincoln Hospital Awarded for Care That Reduces Disability and Improves the Lives of Stroke Patients
Amandla, July 15-August 16, 2011
Bellevue NICU Reduces Central Line Infections by 75 percent, Advance for Nurses, June 2011
Bronx AIDS Services at Lincoln Hospital marks 25th year of caring for infected New Yorkers, New York Daily News, 08/23/11
Bariatric surgery yields economic payoff, Crain's New York Business, 08/24/11
(Also covered in Daily News and Workforce Management)
Getting a shot in the arm, and into the game at Yankee Stadium, The Bronx Free Press, 08/24/11
Elmhurst Hospital an award-winning facility, Long Island Journal, 08/03/11
North Bronx Women's Health Service Receives National Patient Safety Award, Advance for Nurses, August 2011