ALAN D. AVILES
HHC PRESIDENT AND CHIEF EXECUTIVE
REPORT TO THE BOARD OF DIRECTORS
NOVEMBER 29, 2012
HHC AND OUR OUTSTANDING STAFF WEATHER HURRICANE SANDY
Sandy was forecast as an unusual and enormous tropical storm/hurricane, on track to merge with two other fronts of turbulent weather, that would produce an uncertain combination of high winds, heavy rain and coastal storm surge. Preparations were initiated on Friday October 26, for a predicted impact somewhere on the northeast coast on the evening of Monday October 29. A storm surge of 5-8 feet was initially predicted, which meant that there was no mandatory evacuation order for Zone A hospitals or nursing homes. However, we did begin cancelling elective admissions and discharged as many patients as possible over Oct 27 and 28. In addition, about 20 stable ventilator-dependent patients were transferred from Coney Island Hospital to other facilities outside the flood zone.
All facility emergency response plans and command centers were activated; all emergency generators were tested and fully fueled; additional food, supplies and fuel were secured; disaster staffing patterns were implemented and preparations were made for staff to sleep over at their facilities; and we commenced twice daily system-wide conference calls. As a precaution, Goldwater Hospital, with its large number of ventilator-dependent patients, was switched over to generator power prior to the storm, based on the experience from Hurricane Irene.
As with Hurricane Irene, we staffed and opened eight Special Medical Needs Shelters (SMNS), with each network taking administrative and clinical responsibility for these sites. These SMNS were often co-located with larger general evacuation shelters in CUNY facilities, and although initially designed for use for up to three days, served over 2000 patients for up to three weeks. These patients included a large number of nursing home and adult home evacuees from damaged or flooded locations.
The huge storm made landfall well south of New York City during the evening of Monday October 29, which coincided with a very high tide that contributed to a surge of up to 14 feet in some areas; well above the predicted level and the cause of significant flooding damage to mechanical, electrical, plumbing and other essential systems located in the basements at Coney Island Hospital, Coler Hospital and Bellevue. In addition, wide-spread loss of Con Ed power left seven HHC facilities across three boroughs reliant on emergency generator power for some period after the storm.
I was in the emergency command center at Coney Island Hospital during the night of the storm. The quickly rising flood waters eventually washed through the first floor of the hospital and required staff to power down the emergency generator to prevent it from shorting out. All power was lost for 4 hours as we waited for the waters to recede enough to attempt a restarting of the generators. Among the 180 patients in house were 12 on ventilators, which were now on back-up battery power. As the flood water receded, the generators were restarted and staff safely evacuated all patients within a 24-hour period. This was a remarkable feat for which Coney Island staff can be truly proud. Within two days, a walk-in ambulatory clinic and outpatient pharmacy service was established to serve the dire needs of this devastated area. Soon after, the hospital also began running mobile clinic services in Staten Island and Coney Island.
On Tuesday October 30, the extent of the damage in the basement at Bellevue was evident, with failure of fuel pumps to the generators, failure of domestic water pumps, failure of the heating system, and flooding of all 32 elevator shafts. Extensive and fervent efforts were underway to see if the basement could be pumped out enough for key services to be repaired; meanwhile staff began evacuating some patients for transport to other facilities. A human bucket brigade was assembled for the carrying of water and generator fuel, first by staff and volunteers and later by the National Guard. By early Wednesday October 31, it was clear that restoration of even elevator service within a reasonable period was not possible and an evacuation of all remaining patients, with the assistance of the National Guard, was undertaken down the stairs. Again, this was remarkably achieved without harm to any of the more than 700 patients. The success this evacuation, like the one at Coney Island, was dependent on extraordinary performance from all levels of staff and excellent cooperation with many willing receiving hospitals, both within HHC and the voluntary sector.
At our Coler facility on Roosevelt Island, there was a loss of Con Ed power and steam heat, followed by a failure of the emergency generator located in the severely flooded basement. More than 100 patients whose care could potentially need electrical power (for example for a feeding pump) were transferred to the Goldwater campus, with the assistance of the National Guard.
I was at Coler from Thursday, November 1st until Saturday, November 3rd so that I could monitor progress restoring power and heat, as well as check on the status of both residents and staff. Mobile emergency generator power required the fabrication and installation of temporary electrical switching gear. Full power did not begin to be restored until Friday, November 2 and heat slowly returned beginning on Saturday, November 3. In the interim, powerful space heaters with their own dedicated generators and additional 1000 blankets were put to use. Staff were outstanding and the residents were extremely patient and forbearing.
Our corporate central offices at 125 Worth Street, 346 Broadway and 160 Water Street were all closed without power or heat from the night of the storm. The first two buildings were re-opened with power but no heat on Monday November 5. The building at 160 Water Street remains closed and is projected to be available in January, at the earliest. Despite these difficulties, and through the ingenuity and improvisation of leadership and staff, MetroPlus, Home Health, Finance and IT services have been maintained, with minimal or no interruption. This was yet another extraordinary achievement.
I want to underscore the critical role that our IT division played, and continues to play, throughout this period. The tireless work of our IT leadership and staff, in not only maintaining services, but innovating and restoring storm damaged communication systems was critical to enabling our teams to work effectively during the storm and its immediate aftermath. Moreover, the redundancies built into our complex IT systems, including our two data centers and our wide area network, were put to a serious test and served us exceedingly well.
Metropolitan Hospital came very close to losing its emergency generator power, but for the exceptional work of its facilities management staff who succeeded in pumping water out of the hospital basement fast enough to protect the generators. However, the basement of Draper Hall, an administrative services building without direct patient care services, was inundated and the building systems severely damaged.
HHC sister facilities have collaborated to assist Bellevue and Coney Island as they labor to recover, to help meet the needs of our patients formerly served at Bellevue and Coney Island, and to accept and assign duties to re-deployed staff from both of those facilities. While the physical damage to many of our other facilities was comparatively modest, our employees certainly suffered storm-related effects as many found it difficult to get to work because of transportation disruptions and fuel shortages, and some experienced personal loss and hardship. Despite these challenges, our facilities remained adequately staffed throughout the storm and in the difficult days that followed. The dedication and commitment to mission by the entire organization in this regard and others through this emergency situation has been inspirational.
Extensive clean up, repair and restoration work is underway. HHC held press briefings last week at Bellevue Hospital and Coney Island Hospital to inform the community of the healthcare services that are available at those hospitals, in spite of the hurricane damage. Bellevue Hospital re-opened primary care services on November 19, as well as walk-in services 24 hours a day, seven days a week. The hospital is now steadily expanding its specialty ambulatory services. Limited ER services should be available early in December and full inpatient services by February 2013. At Coney Island Hospital, 24/7 walk-in services are also now available, and we are hoping to have inpatient services restored in January 2013, with limited ER services being available in early December.
In light of the widespread healthcare service disruptions and to help meet community need, since the storm HHC’s other hospitals have been offering primary care walk-in services with extended hours of operation.
At Coler Hospital, full restoration of ConEd power and independence from a temporary boiler will not be achieved until March 2013, at the earliest.
Mayor Bloomberg and the City Council have set aside $500 million to help schools and public hospitals to repair extensive damage to buildings. HHC will receive $300 million for structural restorations, new boilers, new mechanical and electrical systems, roof repairs, flood remediation and more. We are still assessing the full projected cost for repair, restoration and risk mitigation going forward. We have begun the process of applying to FEMA for funds to repair facilities and replace equipment, and we have secured expert consulting resources to help ensure that we can comply with FEMA regulations related to procurement, documentation, and invoicing so as to optimize our ultimate federal reimbursement; however, we are uncertain as to the percentage of costs that will ultimately be deemed reimbursable by FEMA. In addition, FEMA will not cover lost revenue from Bellevue and Coney Island, which amounts to $15 million a week.
Given the critical importance of restoring full services to the hard-hit community of Coney Island, and to re-opening the only Level One trauma center and Comprehensive Emergency Psychiatric Program in lower Manhattan, I have issued a formal declaration of emergency and a blanket deviation from procurement operating procedures required to achieve the aggressive time lines for restoring these essential services to our communities.
Even as we labor to repair and restore the storm damage to our buildings and equipment, we also are offering counseling and other support services for our affected staff. The Fund for HHC has begun raising charitable donations so that we can offer some financial assistance to staff who have suffered storm-related personal loss.
The physical and financial damage to our system is significant, and it will further strain our budget and hinder our timely implementation of essential strategic initiatives in the coming year. However, HHC has faced adversity before, and we have come out of it stronger. If anything, our system’s response to this unprecedented challenge reminds us of that our strength is derived from the talent of our staff and deep dedication to mission that binds us.
STORM CLEANUP AND RECOVERY REINFORCES
HHC COMMITMENT TO SAFETY
Now, as we work to restore HHC physical plants, cleaning and fixing areas that have suffered damage, staff safety is, still and always, a level-one priority. We believe that taking precautionary measures is the way we protect all involved. As a result, we are limiting access to some of the most affected areas, such as those below ground at Bellevue, Coler, and Coney Island, or at 160 Water Street. We are also taking daily readings of air quality, which, to date, are at safe levels. Finally, we have reinforced rules that anyone working in facility areas where flood waters have potentially created any environment risk, typically the basements, must wear approved personal protective equipment (PPE) such as protective masks, shoe coverings, and Tyvek suits. We continue to work with outside environment consultants, as well as individual Facility Safety Departments across our system, to ensure that all restoration efforts are undertaken with a strong focus on safety.
THE FUND FOR HHC LAUNCHES HURRICANE RELIEF FUND
FOR AFFECTED EMPLOYEES
Immediately after the storm, The Fund for HHC launched a Hurricane Relief Fund to support HHC employees who are suffering personal hardships as a result of Hurricane Sandy.
Just before the Thanksgiving holiday, in partnership with HHC, The Fund provided the first 250 employees who reached out for immediate assistance with $50 gift cards. The cards can be used to purchase groceries for a holiday meal or needed personal items. In addition to the cards, The Fund also began mailing one-time, monetary grants to employees who suffered significant losses from the storm.
As usual, the HHC community is quick to help its own. To date, The Fund has collected nearly $100,000 from compassionate members of HHC staff, as well as a number of friends of HHC, corporate donors, and supportive organizations, such as Au Bon Pain and the Felix Y. Manalo Foundation.
In addition an annual jazz event, the Brooklyn Djangology Festival, will donate all of the profits from ticket sales to The Fund's hurricane relief initiative. A Bellevue employee, who is also a member of the band Franglais that will perform at the festival, is spearheading this effort. The festival will take place on December 7 at Shapeshifter Lab at 18 Whitwell Place in Brooklyn starting at 7:30 p.m.
Donors who wish to contribute to The Fund’s relief effort and HHC employees who wish to apply for assistance can do so by visiting www.thefundforhhc.org.
NEW HURRICANE RESTORATION AND RELIEF SITE
PROVIDES CONTINUOUS UPDATES FOR STAFF
To keep employees apprised of our restoration efforts, we recently launched a Hurricane Restoration and Relief intranet site. The site serves as the single source of official information related to HHC’s restoration and relief efforts. It is updated daily, or as soon as new information is available, and includes schedules, timelines, deployment instructions, and important messages from HHC leadership. It also provides details on The Fund for HHC’s hurricane relief effort for employees who were affected by the storm.
A photo gallery on the site offers a glimpse into the hard work of caregivers across HHC on our road to recovery. The photos tell the story of employees adapting to unconventional work environments and caring for patients side by side with their colleagues from across the system. You can access the site by visiting HHC’s corporate intranet at http://restoration.
HHC FACILITIES GET 'A' RATING FOR SAFETY FROM LEAPFROG GROUP
Six HHC hospitals have received an 'A' rating for quality and safety from the LeapFrog Group, a national organization established by large employers and insurance companies to create national quality and safety standards for hospitals. Bellevue, Jacobi, Kings County, Lincoln, North Central Bronx and Queens hospitals have all received the top rating in the LeapFrog organization's first national hospital patient safety ratings. The 'A' score is given to hospitals across the country who have scored in the top 20 percent on the LeapFrog Group's Hospital Safety Score, calculated from 26 publicly available patient safety indicators under the guidance of a nine-member blue ribbon panel of patient safety experts. The measures include avoiding hospital acquired infections and surgical complications, administering medications in a safe manner and creating a hospital wide culture of safety. I know the Board joins me in congratulating the recipients of this national safety recognition.
METROPLUS RANKS #1 IN NEW YORK CITY
FOR FOURTH YEAR STRAIGHT
Our MetroPlus Health Plan received the top ranking by the New York State Department of Health in Quality and Patient Satisfaction in the Consumer’s Guide to Medicaid Managed Care in NYC. This is the fourth year in a row that MetroPlus has achieved first place ranking in New York City. It has now achieved the top spot in seven out of the last eight years.
According to the latest report, MetroPlus was ranked as one of the best Medicaid Managed Health Care Plan in New York City, this year, along with Neighborhood Health Providers and HIP (Emblem Health). The report shows MetroPlus outperforming all plans in the City in areas of Adult Preventive Care and Child and Adolescent Health, and achieving the maximum score in areas of Women’s Preventive Care and Cardiovascular Care.
Congratulations to MetroPlus President Dr. Arnold Saperstein and his staff for this outstanding achievement.
Since our last Board meeting, the major news from Washington is the re-election of President Barack Obama by an overwhelming majority in the Electoral College. The election results ensure that the Affordable Care Act (ACA) will not be repealed. The President’s victory was coupled with the Democrats retaining control of the Senate, where they increased their majority by two. In the House of Representatives, Republicans held on to their majority, with Democrats adding at least eight seats. There are five new Members from NY State in the House of Representatives.
Although the results strengthen President Obama's position vis-a-vis the House Republicans in the "fiscal cliff" negotiations, it will still be difficult to get all the players to agree on legislation that can be enacted.
There are several matters that Congress will address before the end of this term.
- Sustainable Growth Rate (SGR), commonly referred to as the “doc fix”, governs Medicare reimbursement to physicians. The SGR will expire unless extended before December 31. If it is not extended, reimbursements to doctors will decline 26.5 percent. A permanent solution will cost $244 billion over 10 years. A one year fix would cost $25.2 billion. In the past, offsets have been required for this spending. Last year, the offset included an extension of the Medicaid DSH cuts.
- The Bush tax cuts expire unless legislatively extended. The Obama Administration wants to extend them only for those making less than $250,000. The Republicans want to extend them in their entirety.
- Under the Budget Control Act of 2011 (BCA), a sequester, across the board cut, totaling $1.2 trillion over ten years will begin January 2, 2013 unless some alternative approach to reduce the deficit is adopted. The automatic sequesters will result in a 2 percent reduction for Medicare providers, which totals over 9 years to $123 billion, including $41 billion from hospitals. Medicare beneficiaries and the entire Medicaid program are exempt from sequester cuts.
Because half of the sequester savings must come from Defense, some Members of Congress argue that an alternative should be enacted to avoid defense reductions. Any change to mitigate the Defense cuts would come from domestic programs - with Medicare and Medicaid likely targets. Earlier this year, the House passed an alternative budget, which included extending the Medicaid DSH cuts as well as other cuts to ACA funding. The Senate did not take up the House budget, stating that there was a budget already in place under the BCA. The negotiators will be looking at items included in the House budget and the Simpson Bowles proposals, such as GME and IME cuts, cuts in hospital outpatient reimbursement, cuts in Provider Taxes used to raise the state/local share of Medicaid as well as other options.
PROCUREMENT OF ELECTRONIC MEDICAL RECORD CONTRACT UPHELD
On November 21st, the HHC Procurement Review Board (PRB) unanimously rejected the challenge by Allscripts of the awarding of the HHC electronic medical records contract to Epic Systems Corporation (Epic). After a review of all relevant materials submitted by Allscripts and HHC, the PRB did not find that the protest allegations by Allscripts were substantiated. The PRB concluded that HHC was fair and consistent throughout the procurement process; that the relevant HHC Operating Procedure was consistently applied; and that Allscripts was given every opportunity to submit its best possible proposal for the provision of the contract services. Accordingly, HHC will go forward to enter into an agreement with Epic.
UPDATE ON HHC'S CARE PLAN MANAGEMENT SYSTEM
As you know, in July, HHC acquired a Care Plan Management System (CPMS) from Microsoft to support the needs of the NYS Health Homes program and Patient Centered Medical Home standards for collaborative care planning across the corporate. This web-based platform will facilitate the creation and documentation of patient care plans and greatly improve the information exchange and access for all care team providers, including both HHC and non-HHC providers.
The CPMS will capture each patient's care needs and self-management goals, as well as the care team's activities and interventions supporting the patient’s ability to meet those goals. In addition, the system will support patient tracking and reporting, consent management and trigger automatic alerts and flags to notify providers regarding key events. The CPMS provides critical linkage of information that is often not well-documented in the medical record, including some non-clinical aspects of care such as social services and housing. This will provide the care team with a much more integrated view of the care coordination activities for the patient.
The first phase of the project focuses on the setup and deployment of the administrative components needed to manage patient enrollment, care team assignment and reporting, and the provider portal that will be used by the care team members to access and manage a patient’s care plan. The second phase will expand upon the care plan system and deploy the patient portal and personal health record.
The care plan templates are under development and we expect to have a working version of the CPMS demonstrated to us imminently. However, given the recent events of Hurricane Sandy, we are re-evaluating our work plan and timelines. We anticipate some delays due to staffing relocations and disruptions in our planned testing and training plans. Phase 1 was anticipated to go-live in February 2013 and Phase 2 in May 2013. We will strive to limit the slippage in these timelines despite the storm disruptions.
You may have read that Microsoft has entered into a joint venture with GE to form a new company -- Caradigm -- which now owns and supports the CPMS product. Microsoft and GE are each 50 percent owners of the new company. This development should have little or no impact on our program.
DR. JAMES R. DUMPSON, FORMER HHC BOARD CHAIR, DIES AT AGE 103
With great sadness, I note the passing of one of HHC's greatest friends and a former chairman of the Board of Directors -- Dr. James R. Dumpson. He was appointed chairman of HHC's Board in 1990 after a very long and distinguished career in public service. He served under five New York City mayors and was dean of the prestigious school of social work at Fordham University. The longest tenure of his City service was at the Human Resources Administration, and our current Board member HRA Commissioner Robert Doar honored him at his 100th birthday celebration. Dr. Dumpson was an outspoken and eloquent defender of the poorest of the poor on both local and national stages. He was known as the Little Dynamo for his energy, and we at HHC were indeed lucky to have had him with us.
PREMIERE OF HHC RISING: OUR THEN AND NOW
Today, we will screen for the first time a new, short video titled HHC Rising, which we will soon post on HHC websites and social media channels, as well as use as an introduction to our organization in our orientation for new employees.
Produced by the Office of Special Projects, HHC Rising tells the impressive story of how, for more than 275 years, our public hospitals have served the people of New York City, and demonstrates that today HHC continues to be the touchstone of accessible, progressive and high-quality healthcare.
It seems like there is no better time to share HHC Rising with the Board, our employees, and the public -- Hurricane Sandy uniquely tested our commitment to our mission, and we rose to the occasion. Our proud past informs our bright future and HHC Rising speaks to the qualities that shaped HHC then and define it now -- our pioneering spirit, our unremitting drive to improve, and a workforce that not only supports but exemplifies our mission to care for all New Yorkers with the respect they deserve.
HHC IN THE NEWS HIGHLIGHTS
Here and Now, Dr. Robert Gore, Kings County Hospital, WABC-TV, 10/14/12
Lincoln's Breast Cancer Center, Lincoln Hospital, News 12 Bronx-TV, 10/15/12
Kings County Hospital Center Health Horizons, Take Care New York, BCAT-TV, 10/20/1
Medicare 101 Workshops, Woodhull Hospital, News 12 Brooklyn -TV, 10/18/12
Big Apple Crunch, Diane Barrett, Dietician, Morrisania, News 12 Bronx-TV, 10/24/12
Pediatricians Add Reading to Essential Health Checkup List: Children of Bellevue's Reach Out and Read featured on PBS NewsHour, PBS-TV, 11/08/12
Hurricane Sandy: Broadcast
HHC President Alan Aviles discusses Bellevue Hospital evacuation, Nightline ABC National, Piers Morgan Tonight, Outfront CNN National, 10/31/12
HHC President Alan Aviles, NYC Hospitals Update, Good Day NY, WNYW FOX, 11/02/12
Sandy Relief Efforts Intensify As Temperatures Drop, HHC, Bellevue Hospital, NY1, 11/05/12
(Also covered in Reuters)
Bellevue, Coney Island Hospital Expected To Operate Again During Winter, NY1, 11/12/12
HHC President Alan Aviles Discusses Storm Recovery, WNYC Radio, 11/13/12
3 New York City hospitals remain closed after Sandy, HHC President Alan Aviles, WABC, 11/13/12
Smaller Facilities Forced To Pick Up Slack For Hospitals Damaged During Sandy, Bellevue and Coney Island hospitals, WCBS, 11/14/12
HHC President Alan Aviles on Storm Recovery, FOX News, 11/15/12
Some NYC Hospitals Still Wiped Out By Superstorm Sandy, Bellevue and Coney Island hospitals, WCBS, 11/15/12
Sandy Continues to Displace Patients, Presenting Both Challenges and Opportunities, HHC, Bellevue and Coney Island hospitals, WNYC Radio, 11/16/12
Bellevue welcomes back outpatients in recovery move after Sandy shutdown, NY1-TV, 1/19/12 (Also covered by WNBC-TV CBS Radio, WFUV Radio, NY Daily News, Crain's, El Diario, WCBS TV Ch. 2, Ch. 41 Univision, Fox 5 NY, WABC Ch. 7, The Republic, Kaiser Health News)
Damage Widespread At Coney Island Hospital, But Administrators Celebrate Reinstated Services, CBS New York -TV, 11/20/12 (Also covered in NY1, News 12 Brooklyn, WABC, NBC New York, SheepsjeadBites.com, Brooklyn Daily/Brooklyn Paper)
Hurricane Sandy: Print & Online
Bellevue Hospital Evacuates Patients After Backup Power Fails, The New York Times, 10/31/12
(Also covered in ABC News, CBS News, DNAinfo.com, NY Daily News, Huffington Post)
New York's Bellevue Hospital Center could stay shut for two weeks after storm damage, Bellevue, Coney Island and Metropolitan, Modern Healthcare, 10/31/12
(Also covered in NY1, New York Post, NBC News, FOX News, New Jersey Herald, Reuters, Utica Observer Dispatch, TheDailyBeast.com, Weather.com, Houston Chronicle, Crain’s, SeattlePI.com, and many more)
At Bellevue, a Desperate Fight to Ensure the Patients’ Safety, Bellevue Hospital, The New York Times, 11/01/12
Floods render NYC hospitals powerless, Bellevue Hospital, AP, 11/02/12
(Also covered in ProPublica)
Roosevelt Island Coler Hospital Without Power, Heat Or Hot Food Since Hurricane Sandy Last Monday, Coler- Goldwater Hospital, Roosevelt Islander, 11/02/12
The height of the storm, Bellevue Hospital, Nurse.com, 11/05/12 (Also covered in NY Magazine, TheIndependent.com)
In Sandy's aftermath, hospitals brace for nor'easter, Bellevue and Coney Island, HHC, Modern Healthcare, 11/05/12 (Also covered in NY Times)
N.Y. Expected to Seek Financial Aid for Hospitals, Bellevue Hospital, Modern Healthcare, 11/07/12
$300 million in aid sought for N.Y. public systems, Modern Healthcare, 11/12/12
HHC President Alan Aviles, Bellevue, Coney Island, Coler-Goldwater, Metropolitan, Harlem (Also covered in WCBS. WNYC Radio, Queens Chronicle, Newsday, DNAinfo.com, Crain’s)
Hospitals post-Sandy: First, open the doors, HHC President Alan Aviles , Modern Healthcare, 11/14/12
HHC's Data Survives Sandy, Crain's Health Pulse, 11/14/12
The Storm and the Aftermath, Dr. Danielle Ofri, Bellevue Hospital, The New England Journal of Medicine, 11/14/12
Seeing in the Dark, Dr. Eric Manheimer, Bellevue, The New England Journal of Medicine, 11/14/12
Slow Return For Hospitals Hit by Sandy, HHC President Aviles, Metropolitan, Jacobi, Lincoln, Bellevue, Coney Island, The Wall Street Journal, 11/20/12 (Also covered in Modern Healthcare)
A Return to Bellevue After the Storm, Op-ed by Dr. Ofri, Bellevue, Metropolitan, Harlem, Jacobi, Gouverneur, Elmhurst, Woodhull, Queens Hospital, The New York Times, 11/26/12
Coney Island Hospital Gets Head Above Water, The Chief, 11/30/12
Fix Patients the First Time, HHC, Dr. Ross Wilson, Crain's New York Business, 11/11/12
4 Best Practices for Safety-Net Hospital Boards, Michael Stocker, MD, HHC, Becker’s Hospital Review, 11/14/12
HHC honors nurses with inaugural Nursing Excellence Awards, Nurse.com, 11/26/12
New York City HHC facilities earn 'senior-friendly' designation, Nurse.com, 11/19/12
Some Exposed to WTC Dusts Show Improved Lung Function, Dr. Joan Reibman, HHC WTC Environmental Health Center, Journal of Occupational and Environmental Medicine, 10/17/12
Lincoln Hospital Receives National Award For Quality Health Care, The Bronx Free Press, 10/17/12
Mayor Bloomberg Gets Flu Shot, Urges New Yorkers To Do The Same, HHC, CBS New York, 10/25/12