ALAN D. AVILES
HHC PRESIDENT AND CHIEF EXECUTIVE
REPORT TO THE BOARD OF DIRECTORS
JUNE 28, 2012
SUPREME COURT DECISION ON THE CONSTITUTIONALITY OF THE ACA
This morning, the Supreme Court of the United States issued its long anticipated decision about the constitutionality of the Affordable Care Act (ACA). The Court -- by a 5 to 4 margin -- ruled that the ACA was constitutional. The liberal wing of the court -- Associate Justices Elena Kagan, Ruth Bader Ginsberg, Sonia Sotomayor and Stephen G. Breyer -- were joined by Chief Justice John G. Roberts, Jr. in upholding the law, including the individual mandate provision that virtually all Americans buy health insurance.
Importantly, the majority ruled that the provision was constitutional under the taxing power granted to Congress. They reasoned that the financial penalty for an individual not procuring health insurance was considered a tax. Notably, there were not enough votes -- only 4 -- to validate the individual mandate under the constitution's commerce clause, which has historically been the preferred vehicle for expanding federal power.
It should be noted that the court did narrow the reach of an ACA provision that required states to comply with new eligibility requirements for Medicaid or risk losing their Medicaid federal funding. The Court held that the provision is constitutional as long as states would only lose new Medicaid funds if they didn't comply with the new requirements, rather than lose the funding for their existing programs. To quote Chief Justice Roberts: "What Congress is not free to do is to penalize States that choose not to participate in that new program by taking away their existing Medicaid funding."
It should be highlighted that Associate Justice Anthony M. Kennedy, who is often the swing vote on the Court, sided with the conservative wing of Associate Justices Antonin Scalia, Clarence Thomas and Samuel Anthony Alito, Jr. in voting to invalidate the entire ACA.
In New York State, an estimated 90,000 people -- childless adults with incomes between 100% and 133% of federal poverty level -- will be eligible for Medicaid as a result of the ACA mandated Medicaid expansion starting in 2014. In addition, an estimated 160,000 young adults in the state already have insurance as a result of the ACA requirement that Health plans allow parents to keep their children under age 26 without job-based coverage on their family coverage. An estimated total of 1.2 million New Yorkers will gain health insurance coverage as a result of the ACA, when fully implemented.
HHC MEETS GAP-CLOSING TARGET FOR FISCAL YEAR 2012
In Fiscal Year 2012, HHC’s Restructuring and Cost Containment initiatives achieved a total annual savings of over $480 million from our baseline, which exceeded our target for the current fiscal year. In fact, these programs have netted HHC over one billion dollars in savings over the last three years. In Fiscal Year 2013, we are projecting another $294 million in gap-closing activities through a combination of Restructuring, Cost Containment and State and Federal Actions. Although achieving this coming fiscal year’s gap-closing targets will be extremely challenging, our senior leadership team is committed to keeping HHC’s financial plan on course.
HHC HOSPITALS MEET STAGE 1 CRITERIA FOR 90 DAY PERIOD
TO QUALIFY FOR ENHANCED FEDERAL FUNDING
At this time HHC has hit a major milestone in our ongoing use of Health Information Technology to improve patient care and outcomes. All HHC hospitals have now successfully completed the attestation process for Meaningful Use of Electronic Health Records by meeting the Stage 1 criteria for 90 consecutive days. As a result, HHC has already begun to receive enhanced federal funding and will eventually receive approximately $120 million in incentive monies under the hospital program and another $70 million under the Eligible Provider Category.
When the meaningful use regulations were released, HHC facilities were already positioning themselves to meet the mandates of the Centers for Medicare and Medicaid Services Meaningful Use program. However, there were many additional steps to be completed, including 24 major software upgrades and significant changes in clinical documentation and workflow. Successful achievement of Stage 1 is a significant milestone. It represents the outstanding collaboration between our clinical staffs, Finance, and Enterprise Information Technology Services who have worked together to make this a reality. HHC's success in achieving meaningful use further emphasizes the importance of a close working relationship between information technology and the business units of our healthcare organization.
The designation of Meaningful Use reflects HHC's continued commitment to enhance patient safety and the quality of care. HHC will maintain meaningful use measures under Stage 1 for the next 18 months and is actively looking ahead to meet the Stage 2 requirements in the latter part of 2013.
$8.8 MILLION STATE HEAL GRANTS WILL SUPPORT EXPANSION OF
AMBULATORY CARE SERVICES FOR THREE HHC FACILITIES
On June 15th, Governor Andrew M. Cuomo announced that HHC will receive $8.8 million in healthcare grants from New York State to expand ambulatory care services in dentistry, geriatrics, psychiatry and ophthalmology at three hospitals. The grants will fund projects to renovate and expand dental and oral surgery clinics at Harlem Hospital in Manhattan; geriatric and psychiatric clinics at Lincoln Hospital in the Bronx; and ophthalmology and dental practices at Woodhull Hospital in Brooklyn, including the addition of a pediatric dentistry service.
The funding is part of $301.1 million in grants made available through New York State's Health Care Efficiency and Affordability Law (HEAL NY). The HEAL NY grants will help 40 hospitals and nursing homes across the state improve primary and community-based care, eliminate excess bed capacity, and reduce over-reliance on inpatient care in hospitals and nursing homes.
HHC COLLABORATES WITH ORASURE TO OPEN TRADING AT NASDAQ
IN RECOGNITION OF NATIONAL AIDS TESTING DAY
As part of National HIV Testing Day on yesterday morning, June 27, HHC Senior Vice President LaRay Brown joined Douglas A. Michels, President and CEO of OraSure, maker of the rapid HIV test used most often in our facilities, and Frank J. Oldham Jr., President and CEO of the National Association of People with AIDS at the opening bell of the NASDAQ Marketsite in Times Square.
According to the Centers for Disease Control and Prevention, those who do not know they are HIV positive are unknowingly responsible for up to 70 percent of the 50,000 new HIV infections that occur each year. HIV Testing Day is a national campaign to encourage testing for HIV and promote the benefits of knowing one's HIV status.
HHC has tested more than 1.12 million New Yorkers for HIV since 2005, the year the public hospitals and health centers began offering HIV screening as a routine part of medical care for patients ages 13 to 64. In seven years, HHC has diagnosed 11,490 HIV positive individuals. Ninety percent of those who test positive are linked to care within 90 days, improving their health and the health of the community.
LEADER DEVELOPMENT PROGRAM LAUNCHED TO
SUPPORT AND ENHANCE HHC'S INVALUABLE WORKFORCE
On June 13th, the kick-off to the 2012 Corporate-Wide Leader Development Program was held at Metropolitan Hospital in Draper Hall. Over 160 senior HHC leaders participated in the half-day workshop where the Program was introduced. The Leader Development Program is a primary component of our multi-year Workforce Development Strategic Plan. The Program will bring 125 high-potential middle managers through five full-day learning intensives conducted by the Advisory Board Company. Thirty-six senior managers have been trained to coach the program participants between workshops and will also attend the five intensives. Managers were nominated for the program by their facility senior executives.
As you know, this year, under the leadership of Senior Vice President Caroline Jacobs, we have begun to implement a comprehensive workforce development plan to better support our employees who want to acquire more skills relevant to a fast-changing healthcare environment and to help build leadership skills at every level of our organization. Through this and other programs, we will foster and support continuous learning, reward innovation and promote and sustain a culture of teamwork, mutual respect, and accountability.
The leader development learning intensives begin on July 10 and end in March 2013. Each intensive will focus on a different aspect of leadership. Topics include: Management Intensive, Instilling Accountability, Facilitating Effective Teamwork, Problem Solving and Critical Thinking, and Impact Through Influence. Workshops on Breakthrough, HHC’s performance improvement system, and Budget/Finance for Managers will also be required. The coaches will help the participants apply the principles they've learned between sessions. A second cohort of 125 managers will be enrolled into the program in spring 2013.
CIR/SEIU AND 1199 SEIU COLLABORATES WITH HHC IN
MEDICATION SAFETY GRAND ROUNDS
On June 5th, the HHC Labor-Management Patient Safety Committee comprised of HHC, CIR/SEIU, and 1199 SEIU, held the first of six Medication Safety Multi-Disciplinary Grand Rounds at Jacobi Medical Center. The Grand Rounds Improving Medication Safety Through Effective Teamwork and Communication was supported by a Federal Mediation and Conciliation Service (FMCS) grant. Presenters included Mei Kong, RN, AVP for Patient and Employee Safety; Dr. Abdul Mondul, Associate Medical Director and Patient Safety Officer, Lincoln Hospital; Dr. Nelly Pakh, member of 1199; and Dr. Marian Irizarry, second year pharmacy Resident and member of CIR/SEIU.
Program objectives included: understanding the impact of medication errors, particularly those involving opioids for the effective management of pain; learning tools for empowering all members of the team to become actively involved in preventing medication errors; identifying ways to engage patients and families in medication management and safety; and integrating teamwork concepts, knowledge, skills and attitudes, as taught in the TeamSTEPPS program, to improve patient safety.
Over 120 participants, including attending physicians, residents, nurses, pharmacists, nurse practitioners, and administrators attended the session. Every participant received and learned how to use, our new Pain Management Guide.
The Grand Rounds will be replicated at Bellevue, Coney Island, Harlem, Lincoln, and Metropolitan hospitals over the next three months.
ANNUAL HHC BEHAVIORAL HEALTH CONFERENCE HELD
On Thursday June 7th, the Office of Behavioral Health held its annual event entitled Innovate and Collaborate: Planning for Managed Behavioral Healthcare. During the program Facility Performance awards were given to Harlem Hospital for improvement in HHC Behavioral Health Key Indicators, North Central Bronx Hospital for performing the highest in a set of Psychiatric Inpatient Core Measures and Queens Hospital Center for best in overall performance with the Key Indicators. The event had over 185 participants including executive, administrative, and clinical staff and leaders.
Our speakers, including Harvard Professor David Cutler -- a healthcare advisor to Presidents Clinton and Obama -- addressed the need to plan for the changing healthcare environment which will include enrolling those with mental and substance use conditions into a patient-centered comprehensive managed care model of service delivery. The afternoon discussion about addressing managed care readiness included audience participation, allowing many voices to be heard as we design our strategy. All the presentations are available to HHC staff on the Office of Behavioral Health website through the Intranet.
PATIENT-CENTERED MEDICAL HOME LEARNING SESSION
On May 30, the Office of Ambulatory Care Transformation sponsored HHC’s PCMH Implementation Journey Year 1 – A Learning Session at Jacobi‘s Conference Center. More than 175 participants across the Corporation who are actively involved in enhancing primary care services and transforming facility practices into medical homes attended the session.
I welcomed the audience and outlined HHC’s strategic goals, including the redesign of ambulatory care with the implementation of Patient Centered Medical Homes and Health Home Programs as building blocks towards establishing and achieving designation for an HHC Accountable Care Organization.
Dr. Ross Wilson, Senior Vice President for Quality, gave the key note address, anchoring the platform for ambulatory care transformation to the triple aim: better care for our patients, better health outcomes for our communities, and both at lower costs. A comprehensive plan for communicating the PCMH initiative at HHC was launched at the session by Joe Schick, Executive Director of the Office of Special Projects, who introduced a short video reflecting some of the innovative strategies being developed to engage our workforce and spread the excitement about the PCMH program’s benefits for our patients.
The session also featured HHC best practices. Dr. Debra Brennessel, Ambulatory Care Director, presented Queens Hospital Center’s approach to collaborative care plan development and Theresa Watson, Assistant Director Ambulatory Care, presented Harlem Hospital’s approach to performance improvement at the PCMH team level. Workshops and table top exercises followed to spread some of the best practices shared through these presentations. The session was capped off by an overview of HHC’s application development strategy for meeting the new and more stringent NCQA standards in order to sustain HHC’s PCMH Level 3 certification going forward.
HHC HEALTH HOME PROGRAM PLANNING SOFT-LAUNCH
HHC's Health Home program will commence with a soft launch in Brooklyn and Bronx in mid-July. HHC has selected a group of 200 patients with complex healthcare needs to whom we will reach out, with the goal of enrolling as many as possible within a month. These patients were selected for a variety of characteristics, including existing connections to HHC physicians or departments, risk scores, and managed care affiliations. The goals of the launch are to:
- Test the Health Home care pathways that have been developed across the sites
- Test the forms and paperwork processes that have been designed for the program
- Gain insight into the requirements of patients with various risk scores
- Set baseline goals for outreach and enrollment targets
- Analyze and refine processes based on front-line staff and managerial feedback
Outreach and engagement will initially be conducted by staff at Woodhull, Kings County and Lincoln, who are currently working on COBRA programs as community follow-up workers. These staff members will receive training at the beginning of July to orient them to the new forms and outreach processes. MetroPlus will begin the outreach by mailing out initial welcome letters to the 200 patients. A toll-free line, operated by MetroPlus, has been set up to be used by Health Home patients 24/7, to reach a care coordinator at all times. This line will allow staff to potentially divert unnecessary hospitalizations and ED visits, and redirect patients to more appropriate forms of care.
The Manhattan/Queens Health Homes are scheduled to have a soft launch beginning in August, which will follow a similar timeline. Existing COBRA, CIDP and TCM patients are expected to transition to the Health Home beginning in mid-September, with all patients being converted by December. Contracts have not yet been signed with our prospective community-based organizations partners, so all patients who are engaged and enrolled during the soft launch will receive their care coordination services at an HHC Health Home, starting with those sites where COBRA and CIDP staff are already based.
NOTICE OF INTENT FILED TO SEEK ACCOUNTABLE CARE ORGANIZATION CERTIFICATION FOR HHC
HHC has submitted a letter of intent to CMS to participate in the Medicare Shared Savings Plan for accountable care. The final application is due by the end of August, with a proposed start date of January 1, 2013, if successful. The first meeting of the Board of Directors of HHC ACO Inc, a newly formed subsidiary of HHC, occurred on June 26 at which time the Board passed a series of resolutions to facilitate the implementation of our ACO, including proceeding with the application to CMS.
RHIO POISED TO ENTER NEW AGREEMENT WITH NYeC
Several NYS regional health information organizations (RHIOs), including the Interboro RHIO of which HHC is a member, are collaborating with the New York eHealth Collaborative (NYeC) and New York State Department of Health on the development and implementation of statewide health information exchange (HIE) services. To facilitate this development, NYeC has provided the opportunity for RHIOs to transfer their existing HIE software infrastructure to NYeC which will absorb the cost of further standardized development of the software applications.
The standardization and consolidation of the technical infrastructure for the existing downstate RHIOs offers an opportunity to eliminate redundant technology and reduce the total cost of supporting a common HIE infrastructure. The health information exchange goals of the Interboro RHIO and NYeC are well aligned with HHC's goals of building robust care management/care coordination capabilities across care settings both within the HHC network and with external partners. Currently, the Interboro RHIO and NYeC are in the final stages of completing a Transition Services Agreement, which will initiate the first phase of Interboro’s shift to the shared technology model. Both parties expect the agreement to be signed shortly.
FEDERAL PRESCRIPTION DRUG USER FEE ACT
On Tuesday, the Senate passed bipartisan legislation that would extend for five years authority for the Food and Drug Administration (FDA) to assess user fees on prescription drugs and medical devices. Last week, the House passed the bill by a voice vote. President Obama is expected to sign the bill. Importantly for HHC and the nation's hospitals, the package includes provisions aimed at mitigating prescription drug shortages. The bill will require drug manufacturers to provide FDA with early notification of discontinuations or other situations that could lead to potential shortages, and will expedite FDA approval of manufacturing changes that would help prevent or mitigate shortages.
It also includes improved public record keeping of drug shortage lists and requires the FDA to issue updated guidance on repackaging, which could modify current practices to allow hospital systems to share shortage drugs among facilities.
The pharmaceutical industry backed the legislation which includes accelerated approval provisions. The bill also includes a provision to extend market exclusivity on some new antibiotics by an extra five years. Manufacturers had sought preferred status for antibiotics to help spur new research and development efforts.
ACTION NOT TAKEN BY NY STATE LEGISLATURE ON
INDIGENT CARE FUNDING REFORM
The State Legislature concluded their session last week without taking action to change how New York State distributes Indigent Care funds to hospitals. In order to conform with Federal changes made in the Affordable Care Act, New York must remove bad debt from the equation and direct more of these funds to high Medicaid hospitals when calculating a hospital's indigent care funding, or the State risks larger than estimated cuts to Disproportionate Share Hospital funding. Draft legislation was shared with the Legislature in the waning days of the session but it was deemed that there was not adequate time to review the proposal before the scheduled close of session. We estimate that HHC could lose approximately $2.3 billion between FFY 2104 and FFY 2021 due to reductions in DSH funding. These cuts could be substantially larger if New York State does not act to change the formula before the cuts are scheduled to begin in October 2013.
NURSE MIDWIFE AT GOUVERNEUR PLAYS LEADING ROLE IN UN MISSION TO IMPROVE MATERNITY CARE IN CHINA
Dewan Duan, a Certified Midwife at Gouverneur Healthcare, is now in China as part of a United Nations program to reduce maternal death and disability rates through increased use of certified midwives. Ms. Duan has devoted her career to improving the maternal health of low-income women in China and those who are recent immigrants seen at Gouverneur in Lower Manhattan.
Dewan Duan, a Certified Midwife with a Master of Public Health degree from Columbia University, also earned her medical degree and Ph.D. in China and has been working with the United Nations Fund for Population Activities (UNFPA) H4+ program to improve maternal health in countries with high maternal mortality.
The UNFPA China and Chinese Maternal and Child Health Association have launched a pilot program in Hunan province that incorporates the formal inclusion of a midwifery curriculum and certification in medical education systems that Ms. Duan recommended. At the same time, the program will promote natural delivery in selected hospitals by working with health providers and clients. Ms. Duan is helping to develop a midwifery education curriculum for China to strengthen China’s capacity to train skilled healthcare professionals.
TWENTY HHC DOCTORS RECOGNIZED IN NEW YORK MAGAZINE’S
BEST DOCTORS ISSUE
The Best Doctors 2012 edition of New York Magazine this month includes twenty doctors from HHC Hospitals including Bellevue, Elmhurst, Harlem, Jacobi, Kings County and Queens Hospital. These outstanding physicians practice everything from cardiac and pediatric surgery to child and adolescent psychiatry. It’s really terrific to have some of our physicians receive this kind of recognition. We also recognize that they are just a small sample of the many, many more talented and outstanding physicians at HHC who are leading change, and working to provide quality and compassionate care to our patients every day. I know the Board joins me in congratulating all those recognized on this list.
Dr. Mark Adelman, Vascular Surgery, Bellevue Hospital Center
Dr. Michael Attubato, Interventional Cardiology, Bellevue Hospital Center
Dr. John Coppola, Cardiovascular Disease, Bellevue Hospital Center
Dr. I. Marc Galanter, Addiction Psychiatry, Bellevue Hospital Center
Dr. Howard Ginburg, Pediatric Surgery, Bellevue Hospital Center
Dr. John Golfinos, Neurological Surgery, Bellevue Hospital Center
Dr. Karen Hendricks-Munoz, Neonatal-Perinatal Medicine, Bellevue Hospital Center
Dr. Alec Megibow, Diagnostic Radiology, Bellevue Hospital Center
Dr. H. Leon Pachter, Surgery, Bellevue Hospital Center
Dr. J. Thomas Roland, Otolaryngology, Bellevue Hospital Center
Dr. Joseph Sanger, Nuclear Medicine, Bellevue Hospital Center
Dr. David Zagzag, Pathology, Bellevue Hospital Center
Dr. Susan Zweig, Endocrinology, Diabetes & Metabolism, Bellevue Hospital Center
Dr. A. Reese Abright, Child and Adolescent Psychiatry, Elmhurst Hospital Center
Dr. Farzan Filsoufi, Thoracic & Cardiac Surgery, Elmhurst Hospital Center
Dr. Ian Holzman, Neonatal-Perinatal Medicine, Elmhurst Hospital Center
Dr. Ilene Fennoy, Pediatric Endocrinology, Harlem Hospital Center
Dr. Norman Ilowite, Pediatric Rheumatology, Jacobi Medical Center
Dr. Scott Miller, Pediatric Hematology-Oncology, Kings County Hospital Center
Dr. M. Margaret Kemeny, Surgery, Queens Hospital Center
RESOLUTION TO NAME NEW HHC FACILITY AFTER HENRY "HANK" CARTER
On today’s agenda, you will hear a resolution, which I will ask Lynda Curtis to read as Senior Vice President of the South Manhattan network, regarding the naming of the HHC facility that will rise on the site of the former North General Hospital in Harlem in honor of HHC’s good friend and longtime benefactor Hank Carter. Pending the board’s approval, the new HHC facility will be named the Henry J. Carter Specialty Hospital and Nursing Facility.
The new facility, about which this board has often heard, will become home for many current residents of Goldwater Memorial Hospital, which itself is part of the city’s economic development master plan and will be reconceived as a Cornell University-led high-tech research center.
Relocating Goldwater to the modernized new site in Harlem will bring several distinct benefits, but none will be more positive for residents than the ongoing involvement and support provided by Hank Carter, whose gifts and donations to Coler-Goldwater over the past 39 years have resulted in a computer lab, a rehabilitation gymnasium, assistive and mobility equipment, specially outfitted buses and thousands of state-of-the-art wheelchairs, all of which have provided our residents with greater independence, greater comfort, and the opportunity to learn and grow. The value of Hank’s generosity exceeds $25 million, but for residents and staff the greater gifts are the constant and unwavering devotion of Mr. Carter and the opportunity afforded to live life more fully, and those, of course, are priceless.
HHC has no greater friend than Hank Carter and Wheelchair Charities, Inc., Hank’s philanthropic organization, which will celebrate its 40th birthday next May. As we plan our move to the new facility, the Community Advisory Board, the Medical Board of Coler-Goldwater, and the facility’s staff have all fully endorsed the naming. We could not honor a more fitting and a more beloved individual than Hank Carter, and I ask the Board to join me in recognizing his contributions through approval of this resolution.
HHC IN NEWS HIGHLIGHTS
C-sections and obese children, Dr. Denise Infante, Gouverneur, Telemundo Ch. 47-TV, 6/20/12
Heat related deaths, Dr. Fernando Jara, Lincoln Hospital, WCBS -TV, 6/21/12
Heatwave, Dr. Fernando Jara, Lincoln Hospital, Telemundo Ch.47-TV; Noticias Ch 41-TV, 6/20/12
Nurse Protest, Jacobi and Kings County, News 12 Brooklyn -TV, 6/21/12
Patient says thank you to EMS and Lincoln Hospital, Jose Polanco, RN, News 12 Bronx –TV, 6/13/12
Palliative Care Certification, Dr. Abdul Mondul, Lincoln Hospital, News 12 Bronx -TV, 5/30/12
Teaching Patients to Speak Up For Themselves, Mei Kong, HHC, Hospitals & Health Networks (Video), 5/30/12
Print and Online
Gouverneur midwife going to China as part of U.N. program
From Chinatown to China, Dewan Duan, CNM, Gouverneur and Bellevue, Crain’s Health Pulse, 6/11/12
Gouverneur Health Associate Executive Director promoting OB/GYN service, Dewan Duan, CNM, Gouverneur and Bellevue, The Epoch Times, 6/8/12
Gouverneur Health Associate Executive Director promoting OB/GYN service, Dewan Duan, CNM, Gouverneur and Bellevue, Sing Tao Daily, 6/8/12
(Also covered in Sino Television, NTD Television, World Journal, China Press, Ming Pao Daily, and in a dozen Chinese media including Sina News and Sohu.)
Bronx woman thanks EMS workers, firefighters and nurses who gave her new lease on life, Lincoln Hospital, New York Daily News, 6/14/12
Lincoln Medical Center's Palliative Care team earns advanced certification honor, Dr. Abdul Mondul, Lincoln Hospital, New York Daily News, 5/31/12
Best Doctors 2012, New York Magazine, 6/11/12
HHC continues to improve diabetic patient health outcomes, Nurse.com, 6/4/12
Staff recognized for efforts in Haiti, Dr. Jean-Daniel Desrosiers, Queens Hospital Center, Queens Chronicle, 5/31/12
Harlem physical therapists open a clinic entirely for kids, David Simon, Chief, Rehabilitation Therapy, Harlem Hospital, New York Daily News, 6/7/12
Will you be cancer free?, Harlem Hospital, Harlem News Group, 5/24/12
Lincoln unit is certified, Lincoln Hospital, Bronx Times, June 7-13, 2012
N.J. hospitals adapting to larger patients, Antonio Martin, COO, HHC, The Record/NJ, 6/22/12
Med Mal Litigation in New York: Time to Change the Status Quo, HHC, New York Law Journal, HHC, 6/14/12
Docs have the Rx for slay raps, Dr. Sheldon Teperman, Jacobi, New York Post, 6/25/12
Fascinating pictures from America's oldest public hospital show how far treatment has come in just 60 years, Bellevue Hospital, The Daily Mail, London, 6/15/12
Growing Bolder with Age: Tips to Remain Active As You Get Older, Dr. Malay Das, Lincoln Hospital, The Bronx Free Press, 5/23/12
Lincoln's psych bed shortage syndrome, Lincoln Hospital, Crain's Health Pulse, 6/5/12
Bidders scramble for health IT contracts, HHC, Crain’s Health Pulse, 6/12/12
WPA murals back where they belong, Sea View Hospital Rehabilitation Center and Home, Staten Island Advance, 6/20/12