Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...
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Mission Statement for As a member of Northwell Health, Northern Westchester Northern Westchester Hospital strives to Hospital improve the health and quality of life for the people and communities we serve by providing world-class service and patient- centered care. Who We Are Northern Westchester Hospital (NWH) is committed to the values on which it was founded over 100 years ago: dedicated and compassionate service to the community; individualized care that respects the unique needs of each patient and family; professionalism, teamwork and collaboration; commitment to delivering care in a healthy and healing environment; and, respect for staff and volunteers. Located in Mount Kisco, New York, NWH provides a range of services to individuals who live in Northern Westchester, Putnam and Southern Dutchess Counties in New York. There are approximately 350,000 people in our catchment area. Northern Westchester Hospital is a full- service, state-of-the art 245-bed providing a spectrum of acute specialty/sub-specialty care in nearly every clinical area to adults and children on an outpatient, inpatient and emergency basis. The vision of NWH is to provide the highest quality health care within a supportive community setting and state of-the-art facilities. Furthermore, we seek to improve and protect the health of individuals in the community through programs that promote healing and wellness. We are highly committed to creating an optimal healing environment for patients, families and staff through the effective system-wide integration of high quality, evidence-based holistic practices. Northern Westchester Hospital is a teaching hospital and international role model for delivering patient-centered care and is the first hospital in the nation to achieve both designation as a Planetree Patient-Centered Hospital with Distinction and Magnet Recognition for quality patient care, nursing excellence and innovation in our professional nursing practice. NWH is recognized by The Joint Commission as one of the highest quality hospitals in the United States. U.S. News & World Report, once again, lists NWH among the “Best Hospitals 2018-2019,” indicating that NWH is highly proficient in serving the needs of our patients. NWH has been recognized by US News & World Report “Best Regional Hospitals” in four specialties Colon Cancer, COPD, Heart Failure and Hip Surgery. NWH's rank as one of the top hospitals in the New York Metro area is based largely on objective measures of hospital performance, such as patient survival rates, and structural resources, such as nurse staffing levels. The hospital is designated and certified by the State of New York as a 10-bed Level III Neonatal Intensive Care Unit (NICU). The availability of this level of care has reduced the need to transfer sick newborns to other facilities and has allowed parents to be close by for their child’s care. Northern Westchester Hospital is a designated Breast imaging Center of Excellence by the American College of Radiology. The NWH Rehabilitation Program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). This certification is the only peer-reviewed accreditation process designed to review individual rehabilitation programs for adherence to best practices developed by the AACVPR in conjunction with other professional societies. Our highly-credentialed surgeons routinely perform minimally invasive surgeries to treat a wide range of conditions. A cornerstone of this program is the sophisticated robotic technology of the da Vinci® Surgical System, of which NWH is a Designated Training Epicenter for robotics-assisted colon and rectal surgery. Furthermore, the NWH Breast Institute hosts an aesthetic oncology breast surgery fellow every year, which enhances a surgeon’s experience in all aspects of breast surgery and management of breast cancer patients. 2 Northwell Health | Northern Westchester Hospital Community Service Plan
Prevention Agenda for the Healthiest State Northern Westchester Hospital, as part of Northwell Health, utilizes PRIORITY AREA: Promote Well-Being and Prevent Mental and the US Surgeon General’s National Prevention Strategy (NPS) to Substance Use Disorders guide its community chronic disease prevention and wellness agenda. Northwell Health incorporated the NPS in Northern 1. FOCUS AREA: Promote Well Being Westchester‘s NYSDOH Community Service Plan (CSP) to impact the — Strengthen opportunities to build well-being and resilience across the lifespan health of its surrounding communities. The strategic directions of — Facilitate supportive environments that promote respect and the NPS include: dignity for all ages — Healthy and Safe Community Environments — Clinical and Community Preventative Services 2. FOCUS AREA: Prevent Mental and Substance Use Disorders — Empowered People — Prevent opioid and other substance misuse and deaths — Elimination of Health Disparities — Reduce Prevalence of major depressive disorders To improve the health of the community, Northwell Health as a The NYSDOH Prevention Agenda Dashboard Improve Heath Status result of the Community Health Needs Assessment (CHNA) process and Reduce Health Disparities objective that Northwell will be and approved by the Committee on Community Health of the focusing on is age-adjusted preventable hospitalization rate per Northwell Health Board of Trustees, has selected the following 10,000 - Aged 18+ years in addition to a focus on low income NYSDOH Priority Agenda Priority Areas, focus areas and goals for populations with health disparities. the service of the health system: The Community Service Plan focuses on the following areas: PRIORITY AREA: Prevent Chronic Disease — Increasing screening rates for cardiovascular diseases; diabetes; and breast; and lung cancers especially among populations 1. FOCUS AREA: Healthy Eating and Food Security experiencing health disparities — Increase access to healthy affordable foods and beverages — Increasing access to high quality chronic disease preventive care — Increase skills and knowledge to support healthy food and and management in both clinical and community settings beverage choices — Reducing obesity in children and adults — Increase food security — Reducing illness, disability, and death related to tobacco use and secondhand smoke exposure 2. FOCUS AREA: Physical Activity — Promoting mental health and preventing substance abuse — Promote school, childcare and worksite environments that related to tobacco use and secondhand smoke exposure support physical activity for people of all ages and abilities — Promoting mental health and preventing substance abuse 3. FOCUS AREA: Tobacco Prevention Examples of interventions that support these areas are: — Prevent initiation of tobacco use, including combustible tobacco — Robust chronic disease and cancer screening programs and electronic vaping products (electronic cigarettes and similar — Implementation of culturally relevant evidence-based chronic devices) by youth and young adults disease self-management education — Promote tobacco use cessation, especially among populations — Creation of community environments that promote and support disproportionately affected by tobacco use including low healthy food and beverage choices and physical activity socioeconomic status SES, frequent mental distress/substance — Elimination of exposure to secondhand smoke and prevention of use disorder; LGBTQIA+; and disability the initiation of tobacco use by youth, especially among low socioeconomic status (SES) populations and the promotion of 4. FOCUS AREA: Preventative Care and Management tobacco cessation, especially among low SES populations and — Increase cancer screening rates for breast, cervical and colorectal those with poor mental health cancer — Strengthened infrastructure to promote mental, emotional and — Increase early detection of cardiovascular disease, diabetes, behavioral well- being prediabetes and obesity — Promote the use of evidence-based care to manage chronic diseases — Improve self-management skills for individuals with chronic diseases 3 Northwell Health | Northern Westchester Hospital Community Service Plan
Community Benefit Programs Community-based programs addressing both health and social NWH, through community partnerships and coalition building, has needs at NWH are the key components of its Community Service significantly expanded the reach and impact of community health Plan. Social determinants of health encompass a range of personal, improvement services that address the NYSDOH Prevention Agenda social, economic, and environmental factors that influence up to Priorities. 75% of health outcomes. They reach beyond the boundaries of traditional health care to include sectors such as education, Northern Westchester Hospital, also, as part of Northwell Health, housing, food, employment and environment. The following provides a broad array of community benefit programs, such as: program descriptions demonstrate the depth and breadth of the A. Access to Healthcare Services and Caring for the Medically hospital’s CSP Implementation Plan activities that impact the Underserved health and well-being of the communities we serve. B. Health Professions Education C. Community Health and Wellness D. Community Medical Support Services and Programs E. Support Groups 4 Northwell Health | Northern Westchester Hospital Community Service Plan
A. Access to Healthcare Services and Caring for the Medically Underserved Financial Assistance Program (FAP) Northwell Health is a regional leader in providing financial relief to families who do not have access to the financial resources to pay for medical care. The FAP program was implemented in 2004 through the creation of a standard policy as the result of the combined efforts of the Finance Department, Community Health and the Center for Equity of Care. Developed through a collaboration of senior leadership, community members and key staff, the policy provides a uniformly administered system of reduced fees for uninsured residents of Northwell Health’s service area. All medically necessary services are covered under the program. The program is promoted through: - Multilingual signage throughout facilities - Multilingual educational brochures at key points of patient contact - Website (https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-program) - Community outreach events - Patient bills - All bills include a notice about the FAP, along with the program’s toll-free number, (888) 214-4065 The FAP is available for individuals earning up to five times the federal poverty level ($128,750 for a family of four). In addition, the application process for financial assistance has been redesigned to improve the quality and user-friendliness of the experience. Many FAP requests are now processed via telephone, relieving the patient of the burden of providing current income documentation. Additionally, the FAP application has been simplified to one page. FAP applications are available online in 15 languages at https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-program. For more information or questions, please call (914) 666-1512. Effective Communication in Healthcare The Center for Equity of Care is a system wide resource and offers numerous educational opportunities to ensure the integration of cultural and linguistic competency into the fabric of the organization. To ensure meaningful access to healthcare services for persons with Limited English Proficiency (LEP) or persons whose preferred language is other than English, free medical interpretation and document translation services are available 24/7. Sign language interpretation services for the deaf and hearing impaired, as well as specific communication tools for visually and speech impaired patients are also available. For more information, please call the Center for Equity of Care at (516) 881-7000. Diversity and Inclusion Diversity and inclusion are identified as essential components for the delivery of quality, safe, patient and family centered care that support principles of equity and community. Aligning with the National Prevention Strategy to eliminate health disparities and empower people in the communities we serve, the Center for Equity of Care implements a system wide educational curriculum and supporting programs. Northwell’s “Unconscious Bias” e-Learning program and seminars raise awareness of unconscious filters and their impact on patient care and the workplace. CultureVision™ is an online cultural diversity resource that provides employees information to develop their cultural knowledge and enhance the delivery of culturally competent patient care. Northwell’s Business Employee Resource Group (BERG) Program enhances employee engagement; talent recruitment, retention and development; and staff serve as community ambassadors. Northwell Health has been named one of the nation's top health systems for diversity, ranking second nationally and No. 1 in New York State, according to the 2019 DiversityInc’s top Hospitals & Health Systems for Diversity list. The lesbian, gay, bisexual, transgender and queer watchdog organization Human Rights Campaign (HRC) Foundation has ranked Northwell Health as the No. 3 health system in the nation and first in New York State based on the number of facilities designated a Leader in LGBTQ Healthcare Equality, according to its 2019 Healthcare Equality Index (HEI). The following hospitals were honored: Cohen Children's Medical Center, Glen Cove Hospital, Huntington Hospital, Mather Hospital, Lenox Hill Hospital, Long Island Jewish Medical Center, LIJ Forest Hills, LIJ Valley Stream, Manhattan Eye Ear and Throat, North Shore University Hospital, Northern Westchester Hospital, Peconic Bay Medical Center, Phelps Hospital, Plainview Hospital, Southside Hospital, South Oaks Hospital, Staten Island University Hospital (North and South campuses), Syosset Hospital, Zucker Hillside Hospital. In addition, the Center for Transgender Care in Great Neck, Feinstein Institutes for Medical Research in Manhasset, Lenox Health Greenwich Village, Orzac Center for Rehabilitation and Stern Family for Rehabilitation each earned the designation. For more information, please contact the Center for Equity of Care at (516) 881-7000. 5 Northwell Health | Northern Westchester Hospital Community Service Plan
Building Cultural Competency: A Community-Wide Initiative Northern Westchester Hospital, in cooperation with Neighbors Link and the Mount Kisco Police Department, developed a cultural sensitivity training program for law enforcement officers designed to help achieve the complementary mission of each group and to increase cultural awareness in order to build positive relations with immigrant communities. The objectives are to increase cultural awareness in order to build positive relations with immigrant communities, encourage communication and trust between local law enforcement and the immigrant community, and actively enhance the healthy integration of immigrants in the community. This program has expanded to a county-wide initiative. Patient Navigator Care coordination through the NWH Patient Navigator helps facilitate access to healthcare and resources primarily for patients who are uninsured or underinsured. The Patient Navigator is a specially trained, culturally sensitive, bilingual healthcare worker who provides support and guidance to patients and their family members. They also assist non-English speaking or limited English speaking patients with language translation services to ensure their understanding of complex healthcare issues. The Patient Navigator helps facilitate access to a variety of healthcare professionals and services at NWH and within the community, including our two (2) medical group partners: Care Mount Medical Group and Westchester Health Associates. The Breast Health Initiative This initiative is funded in part by the Avon Foundation, provides a continuum of free breast health services from education to screening and diagnosis to treatment and follow-up to hundreds of uninsured and underinsured women each year. For more information, please call (914) 666-1289. The Prenatal Care Assistance Program (PCAP) provides comprehensive care to underinsured and uninsured pregnant women in Westchester and Putnam Counties, helping to ensure healthy pregnancies and healthy babies. More than 300 babies are welcomed to the world each year through this program. Learn more about our Prenatal Care Center by calling (914) 666-1111 or visiting https://nwhc.net/treatment-and- specialties/nicuand-other-specialty-care. Clinic The Gastrointestinal Clinic and the Surgery and Orthopedic Clinic provide uninsured and underinsured patients with access to board certified physicians, necessary testing and essential surgery. For more information, please call (914)666-1289. Behavioral Health The Inpatient Behavioral Health Unit is one of our acute care services designed to satisfy unmet needs within our community. For more information on our Behavioral Health services, please call (914)666-1036. The Katz Institute for Women’s Health (KIWH) Resource Center The KIWH is dedicated to improving all aspects of a woman’s health at every stage of her life. The Resource Center offers women seamless, coordinated access to all of Northwell Health’s clinical programs and services across the continuum of care. The Center is staffed Monday through Friday from 9am to 5pm. During off-hours, please leave a voice message and your call will be returned within one business day. For questions related to Women’s Health, please call (855) 850-KIWH (5494). Northwell Health Physician Referral Service (888) 321-DOCS (3627) Northwell Health operates a referral service to help community residents find a perfect local match for their medical needs. Information is available for physician specialties, office locations, languages spoken, hospital privileges, and accepted health insurance plans (including Medicaid and Medicare). Bilingual telephone operators are available 24/7. Information can also be found at www.northwell.edu. Need confirmation that NWH docs are part of Northwell Health Physician Partners and using the referral line or can use below copy Find a Physician More than 700 highly trained physicians make NWH their hospital of choice. Many are fellowship-trained in highly specialized fields, performing state-of-the-art procedures. To find a physician visit: http://nwhc.net/find-a-physician or call our referral line: (877) 4 NWH DOC or (877) 469-4362. 6 Northwell Health | Northern Westchester Hospital Community Service Plan
MedShare Northwell Health partners with MedShare, an organization that recovers valuable, unused surplus medical supplies and equipment in the United States, which would otherwise be discarded. This partnership successfully bridges the gap between surplus in the U.S. and health care institutions in developing countries, which have a significant need for medical supplies and expertise. Over half of Northwell Health Hospitals and the Integrated Distribution Center provide donations, including beds, biomedical equipment, and other assorted medical supplies. In 2019, Northwell Health donated more than 17,746 pounds of unused medical supplies and 2,261 pounds of medical equipment. Center for Young Adult, Adolescent, and Pediatric HIV The Center for Young Adult, Adolescent, and Pediatric HIV (CYAAPH) at Cohen's Children's Medical Center of New York provides comprehensive medical care and social support services to individuals under the age of 30, regardless of sex assigned at birth, sexual orientation, gender identity and expression. Our expert team provides compassionate medical and psychosocial care to adolescent and young adults, from infancy to age 30, who are HIV-infected. We help manage HIV with expert medical care and medication therapy; STI screening and treatment; immunizations; supportive mental health services; case management services to assist with various social determinants of health; risk reduction and U=U education; gynecological exams; nutrition services; and primary care services. CYAAPH also provides HIV prevention services such as PrEP and PEP for at risk individuals. Housed in CYAAPH is Project inSPECT - an initiative which offers free rapid HIV testing and PrEP screenings all over Nassau and Queens County. Safer sex, LGBTQ 101, and HIV prevention workshops are offered to schools and CBOs to spread awareness of HIV and STI prevention. For more information please call (516) 622-5189. Serving Those Who Have Served Our Nation The recipient of numerous awards for service to veterans, Northwell offers extensive programs to support career education and enhancement, as well as the physical and mental health of those who serve. Barracks to Business workshops, webinars and job fairs help translate military skills into career success and Health NYServes connects veterans to more than 60 service providers. The Rosen Family Wellness Center and the Mildred and Frank Feinberg Division of the Unified Behavioral Health Center for Military Veterans and Their Families are dedicated to enhancing the well-being of military service members, 9/11 first responders, law enforcement personnel and their families. Northwell partners with the Northport Veterans Affairs Medical Center in the VA Women’s Referral Program and with FLAG (Freedom.Loyalty.Admiration.Gratitude) on Staten Island to provide confidential and safe services for women currently serving or who have served in the military. Northwell donated $100,000 to the Stephen Siller Tunnel to Towers Foundation to build a new “smart” home for a disabled veteran. Most recently, The Return brought medical experts at Northwell Health together with aerospace engineers, 3D printing pioneers and prosthetic experts to provide specialized prosthetics to a veteran amputee. 7 Northwell Health | Northern Westchester Hospital Community Service Plan
B. Health Professions Education Graduate Medical Education As a major academic health system in the New York metropolitan area, Northwell Health is dedicated to excellence in patient care, teaching, and research. More than 1,800 residents and fellows are trained each year in over 160 residency and fellowship programs at 23 member hospitals, with access to state-of-the-art simulation and a BioSkills Education Center. Clinical affiliations include Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell, Albert Einstein College of Medicine, SUNY Downstate College of Medicine, New York Medical College, New York University School of Medicine and New York College of Osteopathic Medicine. The Feinstein Institute for Medical Research is among the top ten percent of research institutions that receive funding from the National Institutes of Health. For more information about the individual training programs at Northwell Health, please visit https://www.northwell.edu/research-and-education/graduate-medical-education Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell In 2008, Hofstra University and Northwell Health entered into a formal agreement that established the School of Medicine, the first allopathic medical school in Nassau County and the first new medical school in the New York metropolitan area in more than 35 years. The academic partnership enhanced recruitment of faculty, leadership, and researchers; furthered the expansions of residencies and fellowships; and enhanced the integration of clinical and translational science. Hofstra Northwell School of Graduate Nursing and Health Professions Launched in March 2015, the school is well poised to become a national and global leader in preparing students to meet the growing need for qualified advanced-care nurses and physician assistants who deliver community-based health care. The School offers several options for advanced learning: master’s degrees in family nurse practitioner and adult-gerontology acute care nurse practitioner programs, as well as a master’s degree and a dual bachelor’s/master’s degree program in physician assistant studies. The School expands the successful medical school partnership between Hofstra University and Northwell Health. It incorporates the University’s diverse academic programs and infrastructure, as well as Northwell Health’s significant clinical activities and educational resources, in its mission to provide an innovative inter-professional education to a new generation of healthcare leaders. For further information, please visit the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies’ website at hofstra.edu/nursing or call (516) 463-7475. Medical Scholars Pipeline Program The Medical Scholars Pipeline Program (MSPP) at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell (SOM) is a three-year academic enrichment program for underrepresented in medicine (URM) students who show potential for pursuing a career in the healthcare professions. The goals of the program are: 1) to expose URM high school students to various careers in the healthcare professions, and 2) to make the students more competitive applicants for undergraduate and professional healthcare programs. The long-term goal of the program is to increase the number of URM students graduating from professional healthcare schools and providing care for patients in underserved communities. The MSPP has been in existence since 2010 and a total of 214 students have been admitted to the program. Of the 214 students admitted to the program, 112 students have completed the three-year program and 100% of the MSPP graduates have enrolled in colleges and universities. Twenty-five URM students who completed our program are now matriculating in professional healthcare programs. This number includes 14 students who are enrolled in medical schools; 4 of whom are matriculating at the Zucker School of Medicine. The MSPP continues to give students exposure to medicine in a medical school setting, college preparation, communication and leadership skills to help them pursue a career in the healthcare professions. For more information, please call (516) 463-7550 or visit the School of Medicine’s website at http://medicine.hofstra.edu. 8 Northwell Health | Northern Westchester Hospital Community Service Plan
SPARK! Challenge Northwell Health is leading the charge on career awareness by partnering with local high schools in Nassau, Suffolk, Queens, Manhattan and Staten Island to participate in the SPARK! Challenge. More than 70 teams of employees across the health system introduced nearly 900 high school students to a wide variety of careers that require competencies in Science, Technology, Engineering and Math skills (STEM). The SPARK! Challenge engages students and showcases both clinical and non-clinical career paths available within healthcare. For more information, please email sparkchallenge@northwell.edu. The Greater New York Hospital Summer Enrichment Program (SEP) Northwell Health participates in the SEP, an internship program for undergraduate and graduate students pursuing a degree or concentration in health services management. Students work with members of Northwell Health leadership to gain firsthand experience in the major issues, skills, and responsibilities involved in day-to-day management of healthcare facilities. The program seeks to promote diversity in healthcare management, and members of underrepresented communities are strongly encouraged to apply. For more information, please contact the Center for Equity of Care at (516) 881-7000. Advanced Surgical Breast Oncology Fellowship This dynamic, multidisciplinary program is comprised of an interdisciplinary group of physicians and clinicians participating in the management of breast cancer patients, including specialists in breast surgery, plastic surgery, radiology, pathology, medical oncology, radiation oncology, genetic counseling, and a Breast Health Nurse Practitioner. The Fellowship program is designed to enhance a physician’s experiences and expertise in all aspects of breast surgery and management of the breast cancer patient; to provide comprehensive training for a surgeon who is already trained in the fundamentals of breast cancer surgery, and is capable of providing the full spectrum of breast procedures from diagnosis to treatment of breast masses, to participation in the planning and execution of reconstructive procedures. The NWH Breast fellow is responsible to consult with patients in our Breast Health Initiative clinic for underinsured and uninsured women, located on-site at NWH, with access to collaborate with our interdisciplinary professionals in our Breast Program. For more information on the Advanced Surgical Breast Oncology Fellowship Program, call (914) 242-7611 or visit www.nwhbreastinstitute.org. Internship and Shadowing Opportunities for the Community Northern Westchester Hospital supports internship opportunities for engaged students in our community to support and grow health care careers as their primary choice. Internships afford students great learning experiences, insight into the day to-day responsibilities of support areas, and access to professionals within a hospital setting. Learning objectives for the individual internship are coordinated by referring schools/districts and matched through placement of interns with a corresponding department that can address the stated objectives and goals. Targeted audience is anyone with a strong desire to be in healthcare: local high school students, technical school students, college students, and post-graduate students. Current community partners include: Bedford, Chappaqua, Armonk, North Salem School Districts, Putnam/ Northern Westchester BOCES, local colleges and universities. To learn more about internship opportunities, contact Human Resources at (914) 666-1200. Presidents Junior Leadership Council (PJLC) The PJLC is a youth leadership organization that builds young people’s connections to their community and engages them on issues that matter to them. Council members are liaisons between the hospital and their schools and serve as ambassadors to the community conducting outreach, prevention and wellness programs. This select group of teens also has the opportunity to meet and interact with hospital personnel, explore career opportunities in health and medicine, and gain skills to help prepare them for the challenges and responsibilities they will face as college students and beyond. Participation on the PJLC is open to high school students within the hospital’s catchment area. To learn more and apply, please contact Amy Rosenfeld, MS RD CDN, Coordinator of the President’s Junior Leadership Council, at arosenfeld2@northwell.edu or (914) 666-1273. Junior Volunteer Program The Junior Volunteer Program is a youth organization that allows young people to explore what it is like to work in a hospital. This group of teens also has the opportunity to meet and interact with hospital personnel, explore career opportunities in health and medicine, and gain skills to help prepare them for the challenges and responsibilities they will face as college students and beyond. To learn more and apply, please contact Ellen Muentener, Director of Volunteers, emuentener@northwell.edu. 9 Northwell Health | Northern Westchester Hospital Community Service Plan
Northern Westchester Hospital offers free and low cost health education programs throughout the year on a variety of topics. For more information, please email Communityrelations@northwell.edu. C. Community Health and Wellness Community Health Programs and FollowMyHealth™ Screenings To help patients take a more active role in their health and Northwell Health provides community residents with free wellness, Northwell Health rolled out a web-based patient health screenings in conjunction with national campaigns portal that allows patients to access their personal health (Blood Pressure, Osteoporosis, Balance, Cholesterol, information anywhere and anytime. FollowMyHealth™ is Glucose, Breast, Colon and Lung Cancer ) and throughout available to patients who have received care from the year at educational events, all of which are open to the Northwell Health hospitals and physician practices. To public. Individuals may be referred for follow-up care at access the portal, please visit Northwell Health. Uninsured individuals who require https://www.northwell.edu/manage-your-care/patient- follow-up care can utilize the services of Northern portal or call (844) FMH-8108. Westchester Hospital’s sliding fee scale program, with services starting at $0. Northwell Health participates in Community Health Outreach Program more than 13,000 community health programs annually. (CHOP) Since 2003, NWH has also offered critical healthcare Northwell Health Concussion Program services to the underserved through our successful The Concussion Program at Northwell Health provides Community Health Outreach Program (CHOP), which advanced concussion management to maximize recovery encourages the adoption of lifelong healthy habits. CHOP and return patients to an active lifestyle. We strive to improves healthcare access and delivery to the growing achieve the best care for each individual by practicing underserved population in our region through targeted and evidence-based guidelines while applying the most current effective community outreach and education initiatives, research breakthroughs in diagnostics, treatments and and are intended to reduce healthcare disparities between clinical trials. the underserved, and the general public. The staff at NWH collaborate with more than 20 community organizations to The Concussion Program is successful in achieving recovery conduct flu vaccine clinics as well as develop and through interdisciplinary collaboration between physicians, implement health screenings and educational neuropsychologists and therapists. By combining all our programming to more than 3,000 individuals per year. expertise. Our physician consultation will determine the need for further assessment and treatment with physical therapy, vestibular rehabilitation or neuropsychology by assisting patients returning to their daily activities with return to play, return to work, or return to school activity programs. To learn more about the Concussion Program at Northwell Health please call (855) 510-5110. 10 Northwell Health | Northern Westchester Hospital Community Service Plan
School Based Education Stop the Bleed Northern Westchester Hospital makes a difference in the Stop the Bleed, an initiative of the American College of lives of young people by bringing expertise, attention, and Surgeons, was launched in October 2015 by the White creativity directly to the classroom, using age appropriate House. It’s a national awareness campaign and a call to workshops and interactive display programs. Through action intended to educate, train and empower civilian generous grant-funding, we are proud to offer our bystanders with the necessary skills and tools to help in a interactive, skill-based health education programs free of bleeding emergency before professional help arrives. When charge to students in kindergarten through Grade 12 (K- a response is delayed, massive bleeding from any cause can 12). Invite us to your classroom, summer camp, community result in death. Similar to how the general public learns events, and health fairs by calling Grace O’Shaughnessy, and performs CPR, the public must learn proper bleeding director of Community Health Education and Outreach at control techniques, including how to use their hands, (914) 666-1249. dressings and tourniquets. Stop the Bleed is available to any organization interested. For free hands-on training, call the Northwell Trauma Institute at (516) 321-8280 BetterinBalance Our unique and interactive program includes discussions about the basics of healthy nutrition, the connection Healthy Food Access between a balanced diet and achieving goals, and extreme The Northwell Health service area contains over 1.5 million nature of dieting and its effect on our bodies. The goal is to food insecure individuals. Increasing access to healthy provide students with a fun, positive, and memorable affordable food improves individual and community experience, to encourage positive body image, nutritious health. The Northwell Food as Health Program impacts our food choices, and leading healthy lifestyles. patients, communities and employees. Northwell Health partners with local community Farmer’s Markets to bring fresh affordable produce to food deserts and food swamps Stepping On and increase Supplemental Nutrition Assistance Program More than one out of four adults aged 65 or older falls each benefit redemptions. The health system has begun to year, leading to both fatal and non-fatal injuries, and implement food insecurity screening and in collaboration threatening safety and independence. Stepping On is an with regional food access partners has established evidence-based community prevention program that hospital-based and community programs providing on site empowers independent, older adults to carry out health and home delivered emergency food supplies and meals, behaviors that reduce the risks of falls. More than 500 nutrition education, entitlement enrollment and people have attended the 7-week program which is based navigation to community food and social service resources. on adult education and self-efficacy principles. In a small Northwell Health has also engaged in a Farm to Bedside group setting, older adults learn balance and strength initiative of increasing local, organic and hormone free exercises and develop specific knowledge and skills to meats, chicken, fish, dairy and produce for patient meals as prevent falls. Workshops are facilitated by trained leaders. well as launching a comprehensive employee wellness For more information, please call the Center for Equity of program focusing on Healthy Choice meals, beverages and Care at (516) 881-7000. snacks at all of our facilities. For more information, please contact Community Health at 516-600-1494. 11 Northwell Health | Northern Westchester Hospital Community Service Plan
Living Healthy Eat the Rainbow (Grades K-5) Living Healthy, Northwell Health’s Chronic Disease Self- Did you eat the rainbow today? Using a colorful rainbow Management Program (CDSMP), is a 6-session, evidence- display and our “wheel of nutrition,” we get kids excited based health education program for people with any type about fruits and vegetables. We encourage eating a variety of ongoing health problems. This program is designed to of plant foods in all colors each day to get the vitamins and help people gain self-confidence in their ability to control minerals students need to grow and be at their best. The their symptoms and manage how their health condition workshop can include an interactive cooking component, affects their lives. To date, 33 programs have been held in where children prepare their own balanced “eat the English and Spanish, reaching more than 300 community rainbow” recipe. members. For more information, please call Community Relations at (631) 396-6700. Reasons to Love Labels and Smart Snacking (Grades K-12) Nutrition 101 and Portion Control Sound Advice is a three-session workshop offered to Nutrition plays an important role in our health. This class patients recently fitted with hearing aids. Each patient is helps students understand basic nutrition principles, invited to bring a “hearing partner” to gain a better identifying food groups, and their basic functions and food understanding of hearing loss. The goals are to empower sources. Students learn how to recognize appropriate the hearing-impaired person and to instruct others portions in a supersized world through an interactive regarding communication strategies that work for those portion size display, as well as the principles of “mindful with hearing loss. eating.” For elementary students, we play Nutrition Bingo to make learning interactive and memorable. 12 Northwell Health | Northern Westchester Hospital Community Service Plan
Meditation “Mindful Awareness”. Meditation helps us to live in the resent moment; it is from this place one can experience the possibility of peace, relaxation and a new perspective on life. Modern life can distract us from the present moment resulting in greater stress and disconnect from our self and life. Through the practice of mindfulness, guided imagery, breathing and self-awareness techniques, this class can offer the fundamentals in meditation to support healing of mind, body, spirit and emotions. This class is applicable for both the beginner and advanced student. Class is open to cancer patients/survivors and their caregivers. Chi Gong Chi Gong is a series of breathing and movement activities developed over hundreds of years by many Chinese practitioners. These exercises are believed to impart energy, flexibility, tranquility and balance to the student of this ancient art. I hope that by guiding class members through some simple Chi Gong forms we will achieve some of these goals! Class is open to cancer patients/survivors and their caregivers. Chair Yoga Chair yoga is a great way for older adults to get the wonderful health benefits of yoga. Staying seated means that even frail seniors or those who aren’t flexible can safely do the exercises. Yoga is an excellent way for older adults to loosen and stretch painful muscles, reduce stress, and improve circulation. It also reduces anxiety, helps lower blood pressure, protects joints, and builds strength and balance. Boys and Girls Club Northern Westchester Hospital has partnered with The Boys & Girls Club of Northern Westchester. Through this partnership they inspire and enable all young people, especially those who need us most, to realize their full potential as productive, responsible and caring citizens. The hospital holds monthly dinners with a healthcare component to provide education. They also run SMART Girls which is a small-group health, fitness, prevention/education and self-esteem enhancement program designed to meet the developmental needs of girls ages 13-18. Club girls explore their own and societal attitudes and values as they build skills for eating right, staying physically fit, getting good health care and developing positive relationships with peers and adults. . 13 Northwell Health | Northern Westchester Hospital Community Service Plan
Think About Your Drink (Grades K-12) Impact of Alcohol/Drugs/ Substance Abuse Today we are drinking more sugary and caffeinated (Middle and High School) beverages than ever before. These liquid calories have a Teenagers are at relatively high risk for experimentation major impact on our health. Learn about the differences in and/or involvement with alcohol and legal or illegal drugs. nutritional quality of various beverages and how to make Most are entirely inexperienced in these areas, and do not good beverage choices. Students calculate sugar in various appreciate the life, legal, and health implications of drug beverages, understand the effects of high caffeine intake, involvement. This program promotes student and witness the importance of hydration. Also available is understanding of the reality, effects, and consequences of an option to include an interactive demonstration alcohol and drugs on the body and brain. Strategies for component, preparing lower sugar, healthier alternatives avoiding involvement, and for confronting unfamiliar to soda. situations and substance-related emergencies, are discussed. This program is especially pertinent in the pre- First Aid (Elementary School) prom season. Emergencies are frightening situations. Their unexpected nature makes them difficult to respond to; yet a little Smoking Stinks! (Middle and High School) education and advanced planning can avert a disaster. Cigarette smoking is the number one cause of preventable Children will encounter emergencies, and despite their disease and death worldwide, and statistics show that young age, they can save lives by simple actions. This about 9 out of 10 tobacco users start before they’re 18 program teaches young children how to keep safe, what to years old. This program addresses the many reasons that do in an emergency, how/where to call for help, and more. young people might start to smoke, and covers the many more reasons not to start smoking. Teens learn to identify Stress Less (Middle and High School) the effects of smoking on the body and see the effects of School, home life, social pressures, and dating are all smoking on real lungs. sources of stress, which, for impressionable teenagers, can sometimes be overwhelming. This program helps teens The Transition Years (For parents of understand factors causing stress and strategies for reducing and avoiding stress and ways of coping with elementary, middle or high school students) stress in healthy ways. Presentation includes interactive Northern Westchester Hospital coordinates panel activities including Stress Bingo. presentations/discussions relating to adolescent health and development that focuses on the “transition” years from Elementary to Middle School and Middle to High Healthy Interpersonal Relationships (Middle School. This program offers parents the opportunity to hear and High School) from knowledgeable NWH specialists about physical, As adolescents begin to form social relationships with their emotional, and social health during the transition years. peers, they need support in establishing healthy and constructive relationships rather than harmful ones. This Impact of Alcohol/Drugs/ Substance Abuse program focuses on recognizing the objectives and qualities of healthy relationships as well as the principles (For parents of elementary, middle or high that support honest, equitable, and responsible school students) interactions. Coverage of self-esteem and bullying issues is With teenagers at relatively high risk for experimentation also included. with alcohol and drugs, parents play an important role in helping them make good choices. An emergency room doctor describes real life experiences about the consequences of drug and alcohol use, and offers strategies for preventing them and dealing with emergency situations. 14 Northwell Health | Northern Westchester Hospital Community Service Plan
The Big Talk – Small & Simple (For parents 55+ Community Connection Lecture Series of elementary, middle or high school The goal of this program is to keep older adults within the community connected to education and resources. Many of students) the lectures are developed collaboratively with our How and when do you talk with your kids about sex? This community partners and include such topics as safe senior important topic is often overlooked or avoided by even the living, caregiver choices, financial savings, stroke most competent parents. This program addresses when to prevention and navigating Medicare. start “the talk” and what to talk about at any age, and is designed to enhance comfort in communicating openly, honestly and comfortably about human sexuality. Neighbors Link Family Health Day Each year, NWH partners with Neighbors Link and Open Door Family Medical Centers for their annual family health Speaker Series event. The mission of Neighbors Link is to strengthen the In partnership with members of the community, NWH whole community by actively enhancing the healthy presents educational sessions designed for families with integration of immigrants. By partnering with Neighbors children. The community can get to know Northern Link, NWH is able to bring critical health screenings and Westchester Hospital’s expert medical staff, learn how the health and wellness education to the immigrant hospital can be a resource and support their healthcare community. At this day-long event, NWH offers cholesterol needs and learn strategies to improve their family’s health screenings, blood pressure and diabetes screenings, a and wellness. Attendees enjoy a relaxed atmosphere while broad range of health and nutrition information, a teddy learning about topics that interest them and relate directly bear clinic for kids, and adult flu shots. to their life. . 15 Northwell Health | Northern Westchester Hospital Community Service Plan
D. Community Medical Support Services and Programs Blood Donor Services Each year, employees of Northern Westchester Hospital help to ensure an adequate blood supply for New Yorkers in need by donating blood. In 2019, more than 8,300 pints of whole blood were donated by employees of Northwell Health. Promoting Healthy, Women, Infants and Children Northern Westchester Hospital’s Lactation Department and the Maternal Child Health Department partner to break down barriers that prevent mothers from achieving their breastfeeding goals and to effectively communicate best practices. Ensuring adequate prenatal education and support is essential to successful breastfeeding. We follow the evidence-based “10 Steps to Successful Breastfeeding.” Our Lactation Support Group meets 1st & 3rd Monday, 1-3pm. Lactation consultant appointments can also be scheduled. Please contact Kim McKechnie RN, IBCLC at (914) 666-1370. Our New Moms Support Group meets the 2nd Monday of every month. Please contact Patricia Chambers, RN at pchambers5@northwell.edu. Lactation Advisory Council Ensuring the adequate education and support to both the inpatient and outpatient breastfeeding woman, the Lactation Advisory Council’s charge is to communicate best practices in breastfeeding to patients and healthcare professionals alike. Lactation Advisory Council members include: Northern Westchester Hospital Maternal Child Health, Nursery/NICU, Maternity, Labor & Delivery, Pediatrics, Lactation Consultants, Lactation Counselors, Prenatal Assistance Care Program, Care Mount Medical Group Lactation Consultant, Clinical Coordinator. For more information, please contact Kim McKechnie RN,IBCLC at (914) 666-1370. Cancer Health and Wellness Program Certain holistic therapies have been shown to provide help for cancer patients by supporting the healing process and enhancing the quality of life for a person undergoing cancer treatment. The Health and Wellness Program at the NWH Cancer Treatment and Wellness Center is designed to help our patients with cancer in conjunction with, or following, their medical treatment and introduces patients and their families/caregivers to appropriate complementary therapies. A dedicated Nurse Practitioner Care Coordinator is available to integrate four additional disciplines into treatment plans, including nutritional assessment and planning, integrative medicine strategies, fitness and exercise programs and emotional support. For more information contact Marilyn Leroy- Sterling, NP-C, Wellness Coordinator at mleroy@northwell.edu or (914) 242-8146. The Bruce & Andrea Yablon Cancer Health and Wellness Program The Bruce and Andrea Yablon Cancer Health and Wellness Program at Northern Westchester Hospital offers FREE services to those who were recently diagnosed with cancer, are currently receiving treatment, or are a survivor. This program, used in conjunction with medical treatments such as chemotherapy, surgery, and radiation, helps enhance the quality of life of our patients. The goal of the Bruce & Andrea Yablon Cancer Health and Wellness Program is to support and empower our patients to live a healthy lifestyle – mind, body and spirit – after being diagnosed with cancer. We strive to meet the needs of each patient individually, while recognizing that every person and every type of cancer is unique. Patients work with a health coach, who received training at Duke Integrative Medicine’s Integrative Health Coach Professional Training Program, to develop a highly-personalized wellness plan that incorporates specific dietary needs, stress reduction techniques, mental wellness and exercise. For more information please call (914) 666-1994. American Heart Association (AHA) Training Center The AHA Training Center provides trainings in Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), and Advanced Cardiac Life Support (ACLS) to healthcare professionals who require certification. Additionally, this training site offers numerous (CPR, AED, Emergency First Aid) programs to community members, including schools, faith-based organizations, expectant parents, childcare providers, community children’s sports league volunteers, and the general public. Please call (516) 881-7000 for more information. 16 Northwell Health | Northern Westchester Hospital Community Service Plan
Center for Tobacco Control (CTC) Northwell Health’s Center for Tobacco Control provides tobacco cessation treatment and support, including individual and group counseling, and support groups, reaching 2,249 individuals in 2019. The CTC received 1,610 referrals from Northwell Health Physician Partner practices. The CTC also provides preventive services to community members and employees, as well as comprehensive evidence-based tobacco dependence treatment education to healthcare providers and healthcare students, educating over 7,386 providers last year. The CTC provides tobacco control educational programs to the community in the form of health fairs, classroom presentations, expos, and other events, reaching more than 9,500 children and adults in 2019. The CTC guides leaders in healthcare organizations to develop policies that mandate tobacco dependence treatment for all tobacco users, in both the inpatient and outpatient settings. Please visit https://www.northwell.edu/doctors-and-care/smoking-cessation, call (516) 466- 1980, or email tobaccocenter@northwell.edu for more information. Live To Be Tobacco Free Smoking Cessation Program Northern Westchester Hospital offers a free smoking cessation clinic for anyone in the community. The four-week program meets weekly for an hour, and the instructor is available through email and phone between classes to help participants conquer their habit. These group classes cover topics including but not limited to the effects of nicotine, vaping / e-cigarette use, habit vs. addiction and tackling triggers. As part of the program, participants learn about helpful integrative therapies such as relaxation therapy and aromatherapy. Nicotine patches and gum may be provided with physician approval. Staff, patients, family members, and community members are all invited to attend at no charge. Commit to quit, today! Contact Jennifer Lucas at jlucas5@northwell.edu or (914) 666-1868. Gift of Life Currently, almost 114,000 people in the U.S. are awaiting life-saving organs for transplantation. In 2018 36,528 transplants were performed. Each day 20 people will die due to the shortage of donated organs. In an effort to increase organ and tissue donor awareness, Northwell Health hosts annual Gift of Life programs for employees and visitors. Donor families and recipients participate in these events to acknowledge the importance of this need. Northwell Health, in collaboration with the New York Donor Network, provides education throughout the year to the public regarding the importance of organ and tissue donation. For more information, please contact the Northwell Health Transplant Center at (516) 472-5800. LiveOnNY (organ donor enrollment day) Currently, more than 120,000 people in the U.S. are awaiting life-saving organs for transplantation. In an effort to increase organ and tissue donor awareness and increase the number of New York residents registered as organ donors, NWH participated in Organ Donor Enrollment Day in collaboration with LiveOnNY. Northern Westchester Hospital is proud to receive an award from LiveOnNY for having signed up the “Most Enrollments by a Hospital without Transplant Service” to the New York organ donor registry on Donor Enrollment Day. To register as an organ donor, visit www.liveonny.org. Queens World Trade Center (WTC) Health Program Northwell Health is home the Clinical Center of Excellence funded through the James Zadroga 9/11 Health and Compensation Act to provide annual monitoring and treatment for WTC related health effects to 9/11 responders. Eligible members receive confidential physical and mental health monitoring and treatment within the Center and through referrals to the Northwell Health network of providers. In addition to monitoring and treatment examinations, the Center provides outreach and education, social services, benefits counseling, work related benefits counseling, and case management. All WTC Health Program services are federally funded and provided at no cost to responders. For more information, contact the Queens Clinical Center at (718) 267-2420, or the WTC Health Program at (888) 982-4748, or email wtc@cdc.gov or visit www.cdc.gov/wtc 17 Northwell Health | Northern Westchester Hospital Community Service Plan
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