Community Service Plan and Implementation Plan - Staten Island University Hospital 2019 2021 - Community Service Plan ...
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Mission Statement for As a member of Northwell Health, Staten Island Staten Island University Hospital (SIUH) University Hospital strives to 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 Founded in 1861 as the Samuel R. Smith Infirmary, Staten Island University Hospital is one of the nation’s oldest healthcare institutions. Staten Island University Hospital has since evolved into a major teaching hospital and tertiary care center with 666 beds at two acute care facilities in Richmond County, New York. Staten Island University Hospital is a major affiliate of the State University of New York Health Sciences Center at Brooklyn. Among the services provided at SIUH are: the Center for Bariatric Surgery; the Regional Burn Center with its national reputation for pediatric burn care, a Trauma Center; the Center for Women’s Health; The Sanford R. Nalitt Institute for Cancer and Blood Related Diseases; Institute of Sleep Medicine; the Comprehensive Breast Center; and the Heart Institute of Staten Island, which provides a full range of cardiovascular services. Specialty services also include programs for high-risk pregnancies and maternal care, geriatric psychiatry, and comprehensive psychiatric and substance abuse treatment services. A broad array of programs and events are hosted each year at SIUH’s Regina McGinn, MD Education Center, one of the region’s largest educational facilities at a teaching hospital. Staten Island University Hospital is a NYS Department of Health (NYSDOH) Designated Stroke Center, an American Society of Metabolic and Bariatric Surgery Center of Excellence, an American Academy of Sleep Medicine fully accredited hospital-based Sleep Center, and a NYSDOH Designated Regional Burn Center. Staten Island University Hospital received a Stroke Gold Plus Award in “Get with the Guidelines,” from the American Heart Association. 2 Northwell Health | Staten Island University Hospital Community Service Plan
PRIORITY AREA: Promote Well-Being and Prevent Mental and Prevention Agenda for the Healthiest Substance Use Disorders State 1. FOCUS AREA: Promote Well Being — Strengthen opportunities to build well-being and resilience Staten Island University Hospital, as part of Northwell Health, across the lifespan utilizes the US Surgeon General’s National Prevention Strategy — Facilitate supportive environments that promote respect and (NPS) to guide its community chronic disease prevention and dignity for all ages wellness agenda. Northwell Health incorporated the NPS into Staten Island University Hospital’s NYSDOH Community Service 2. FOCUS AREA: Prevent Mental and Substance Use Disorders Plan (CSP) to impact the health of its surrounding communities. — Prevent opioid and other substance misuse and deaths The strategic directions of the NPS include: — Reduce Prevalence of major depressive disorders — Healthy and Safe Community Environments The NYSDOH Prevention Agenda Dashboard Improve Heath Status — Clinical and Community Preventative Services and Reduce Health Disparities objective that Northwell will be — Empowered People focusing on is age-adjusted preventable hospitalization rate per — Elimination of Health Disparities 10,000 - Aged 18+ years in addition to a focus on low income populations with health disparities. To improve the health of the community, Northwell Health as a result of the Community Health Needs Assessment (CHNA) process The Community Service Plan focuses on the following areas: and approved by the Committee on Community Health of the — Increasing screening rates for cardiovascular diseases; diabetes; Northwell Health Board of Trustees, has selected the following and breast; and lung cancers especially among populations NYSDOH Priority Agenda Priority Areas, focus areas and goals for experiencing health disparities the service of the health system: — Increasing access to high quality chronic disease preventive care and management in both clinical and community settings PRIORITY AREA: Prevent Chronic Disease — Reducing obesity in children and adults — Reducing illness, disability, and death related to tobacco use and 1. FOCUS AREA: Healthy Eating and Food Security secondhand smoke exposure — Increase access to healthy affordable foods and beverages — Promoting mental health and preventing substance abuse — Increase skills and knowledge to support healthy food and related to tobacco use and secondhand smoke exposure beverage choices — Promoting mental health and preventing substance abuse — Increase food security Examples of interventions that support these areas are: 2. FOCUS AREA: Physical Activity — Robust chronic disease and cancer screening programs — Promote school, childcare and worksite environments that — Implementation of culturally relevant evidence-based chronic support physical activity for people of all ages and abilities disease self-management education — Creation of community environments that promote and support 3. FOCUS AREA: Tobacco Prevention healthy food and beverage choices and physical activity — Prevent initiation of tobacco use, including combustible tobacco — Elimination of exposure to secondhand smoke and prevention of and electronic vaping products (electronic cigarettes and similar the initiation of tobacco use by youth, especially among low devices) by youth and young adults socioeconomic status (SES) populations and the promotion of — Promote tobacco use cessation, especially among populations tobacco cessation, especially among low SES populations and disproportionately affected by tobacco use including low those with poor mental health socioeconomic status SES, frequent mental distress/substance — Strengthened infrastructure to promote mental, emotional and use disorder; LGBTQIA+; and disability behavioral well- being 4. FOCUS AREA: Preventative Care and Management — Increase cancer screening rates for breast, cervical and colorectal cancer — Increase early detection of cardiovascular disease, diabetes, 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 | Staten Island University Hospital Community Service Plan
Staten Island University Hospital, through community partnerships Community Benefit Programs and coalition building, has significantly expanded the reach and Community-based programs addressing both health and social impact of community health improvement services that address the needs at Staten Island University Hospital are the key components NYSDOH Prevention Agenda Priorities. of its Community Service Plan. Social determinants of health encompass a range of personal, social, economic, and Staten Island University Hospital, as part of Northwell Health, environmental factors that influence up to 75% of health outcomes. provides a broad array of community benefit programs, such as: They reach beyond the boundaries of traditional health care to A. Access to Healthcare Services and Caring for the Medically include sectors such as education, housing, food, employment and Underserved environment. The following program descriptions demonstrate the B. Health Professions Education depth and breadth of the hospital’s CSP Implementation Plan C. Community Health and Wellness activities that impact the health and well-being of the communities D. Community Medical Support Services and Programs we serve. E. Support Groups 4 Northwell Health | Staten Island University 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 (718) 226-6049. 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 | Staten Island University Hospital Community Service Plan
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. 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. 6 Northwell Health | Staten Island University Hospital Community Service Plan
Prenatal Care Services navigator service for breast cancer patients. This program The SIUH Medicaid Prenatal Care Program offers access to provides dedicated staff to guide breast cancer patients comprehensive, high quality prenatal and postnatal care to through the many complex levels of cancer care. For more all women in the Staten Island community regardless of information, please call (718) 226-6805 or (718) 226-7859. ability to pay, insurance, or immigration status. The services provided include medical, nutrition, social work Cancer Services Program (CSP) services, counseling, and special tests throughout the The CSP of Staten Island is a joint effort between SIUH and entire pregnancy, delivery, and postpartum period. Staten the NYSDOH to promote comprehensive screenings for Island University Hospital provides Prenatal Education breast, cervical, and colorectal cancers, and to provide Classes for patients and families following birth. For more prostate cancer education to underserved populations on information and assistance with eligibility, please call the Staten Island. The program provides both public and Center for Women’s Health at (718) 226-6550. healthcare provider education regarding cancer prevention and early detection. Additionally, the CSP provides Supplemental Nutrition Program for diagnostic services for abnormal findings and case management for clients with barriers that may prevent Women, Infants, and Children (WIC) them from seeking care. Financial support for treatment is A federally funded and state supported program, WIC available through the Medicaid Cancer Treatment Program provides nutrition education, nutrition counseling, and for those eligible clients who are found to be in need of guidance for pregnant women and new mothers, as well as treatment but who may not qualify for traditional nutrition and health services for children from birth to five Medicaid. For more information, please call (718) 226- years of age. For infants, WIC provides breastfeeding 6447. support, formula, baby food, and vouchers for healthy foods. The WIC program also provides referrals for food assistance programs (SNAP), Medicaid, and other needed SIUH Physician Locator Service social, medical and dental services. For more information, The SIUH operates a referral service to help community please call: North (718) 226-6268, Bay Street; (718) 226- residents find a perfect local match for their medical needs. 5235, and South (Wednesdays only); (718) 226-2461. Information is available for physician specialties, office locations, languages spoken, hospital privileges, and accepted health insurance plans (including Medicaid and Breast Cancer Patient Navigator Medicare). This information is available 24 /7 by calling 1- As part of a commitment to provide the highest quality (877) SIUH-DRS (877-748-4377). oncology care, the SIUH Breast Cancer offers a patient 7 Northwell Health | Staten Island University 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. Dental Medicine Teaching Program (add in section B. Health Professions Education) Staten Island University Hospital's Department of Dental Medicine offers a wide range of dental services through an expanded teaching program. We offer routine care for eligible patients along with many other services including implant dentistry, orthodontics and oral surgery. Staten Island University Hospital’s Department of Dental Medicine’s Dental practice has expanded into a major teaching program offering a wide range of services to all of our patients. Our department first obtained accreditation by the American Dental Association for our general practice residency program in 1970 and our pediatric residency program in 2005. All of your dental services will be performed by our dental resident staff supervised by the active attending staff. You are eligible to be a patient of our dental program if you are covered by Medicaid, medically compromised, intellectually or developmentally disabled or qualify through financial screening. Your financial eligibility will be determined by an interview with a finance department screener. In 2019, 200 children in the community were provided screenings through the clinic. 8 Northwell Health | Staten Island University 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. Physician Career Preparation Program SIUH has an intensive summer program for minority students interested in pursuing careers as physicians. As part of a collaborative effort with Staten Island High Schools and the Internal Medicine Residency Program, high school students participate in an intensive 5-week summer program of academic preparation; study skills; interpersonal communication; and experiences in medicine, research methodology and clinical observation. Students are also mentored by a SIUH medical resident. Many students have gone on to medical school at the Sophie Davis School of Biomedical Education, SUNY Downstate, NYU Medical School and Drexel Medical Schools. This program is the recipient of the first Associated Medical Schools of New York grant awarded to a residency training program. For more information, please call (718) 226-6158. 9 Northwell Health | Staten Island University Hospital Community Service Plan
Staten Island University 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 Northwell Health Concussion Program Screenings The Concussion Program at Northwell Health provides Northwell Health provides community residents with free advanced concussion management to maximize recovery health screenings in conjunction with national campaigns and return patients to an active lifestyle. We strive to (heart health, blood pressure, A!C, and skin cancer) and achieve the best care for each individual by practicing throughout the year at educational events, all of which are evidence-based guidelines while applying the most current open to the public. Individuals may be referred for follow- research breakthroughs in diagnostics, treatments and up care at Northwell Health. Uninsured individuals who clinical trials. require follow-up care can utilize the services of our hospital’s sliding fee scale program, with services starting The Concussion Program is successful in achieving recovery at $0. Northwell Health participates in more than 13,000 through interdisciplinary collaboration between physicians, community health programs annually. neuropsychologists and therapists. By combining all our expertise. Our physician consultation will determine the need for further assessment and treatment with physical Board Walk Bash therapy, vestibular rehabilitation or neuropsychology by Each year, SIUH partners with the office of the New York assisting patients returning to their daily activities with Assembly in a health and information fair for older adults return to play, return to work, or return to school activity and their families and friends. Health screenings, including programs. To learn more about the Concussion Program at mammography, vision, HIV and cardiovascular, are Northwell Health please call (855) 510-5110. available on site as are vendors information and services such as Social Security, Department For The Aging (DFTA), human rights, transit, insurance, gardening clubs, and tub Girl Scout Program enclosures. More than 2,500 people attended this event in Looking to earn their First Aid merit badges, Girl Scouts visit 2019. For more information, please call the Community Staten Island University Hospital to speak with with SIUH Outreach Department at (718) 226-1911. Emergency Room physicians about how to handle an emergency situation. After completing the course, the Scouts received their merit badges from the Troop Leaders Health Lectures and physicians at the onsite ceremony. Free health lectures and seminars are presented to the community by SIUH physicians and guest speakers. Programs are offered on nutrition, cholesterol, stroke, cardiac, cancer, diabetes, substance use and various health topics as requested by the community. 10 Northwell Health | Staten Island University Hospital Community Service Plan
Cancer Survivors Day Each year, SIUH honors its current and past cancer patients, their families, and caregivers at an annual Cancer Survivors’ Day celebration. Cancer survivors, along with friends, families, and healthcare professionals, gather to celebrate their health and share emotions and experiences. For more information about Cancer Survivor’s Day, please call (718) 226-8888. FollowMyHealth™ To help patients take a more active role in their health and wellness, Northwell Health rolled out a web-based patient portal that allows patients to access their personal health information anywhere and anytime. FollowMyHealth™ is available to patients who have received care from Northwell Health hospitals and physician practices. To access the portal, please visit https://www.northwell.edu/manage-your-care/patient-portal or call (844) FMH-8108. Healthy Food Access The Northwell Health service area contains over 1.5 million food insecure individuals. Increasing access to healthy affordable food improves individual and community health. The Northwell Food as Health Program impacts our patients, communities and employees. Northwell Health partners with local community Farmer’s Markets to bring fresh affordable produce to food deserts and food swamps and increase Supplemental Nutrition Assistance Program benefit redemptions. The health system has begun to implement food insecurity screening and in collaboration with regional food access partners has established hospital-based and community programs providing on site and home delivered emergency food supplies and meals, nutrition education, entitlement enrollment and navigation to community food and social service resources. Northwell Health has also engaged in a Farm to Bedside initiative of increasing local, organic and hormone free meats, chicken, fish, dairy and produce for patient meals as well as launching a comprehensive employee wellness program focusing on Healthy Choice meals, beverages and snacks at all of our facilities. For more information, please contact Community Health at 516-600-1494. Living Healthy Living Healthy, Northwell Health’s Chronic Disease Self-Management Program (CDSMP), is a 6-session, evidence-based health education program for people with any type of ongoing health problems. This program is designed to help people gain self- confidence in their ability to control their symptoms and manage how their health condition affects their lives. To date, 33 programs have been held in English and Spanish, reaching more than 300 community members. For more information, please call Community Relations at (631) 396-6700. Stepping On More than one out of four adults aged 65 or older falls each year, leading to both fatal and non-fatal injuries, and threatening safety and independence. Stepping On is an evidence-based community prevention program that empowers independent, older adults to carry out health behaviors that reduce the risks of falls. More than 500 people have attended the 7-week program which is based on adult education and self-efficacy principles. In a small group setting, older adults learn balance and strength exercises and develop specific knowledge and skills to prevent falls. Workshops are facilitated by trained leaders. For more information, please call Julia Glauboch at (718) 226-9720. NYC Coalition for a Smoke-Free City Northwell Health is an active member of the coalition whose goals are to: reduce access to tobacco products and limit tobacco industry marketing to youth; increase the number of smoke-free outdoor spaces, including neighborhood parks, grounds and entryways; increase the number of apartment buildings, co-ops and condos that are 100% smoke-free; and reduce protobacco imagery from youth rated movies and the internet. Northwell has assisted in the creation of over 2000 units of smoke free housing and the passage of over 10 Community Boards Smoke–Free Housing resolutions. For more information contact Community Health (516) 600-1494 or visit http://www. nycsmokefree.org/. 11 Northwell Health | Staten Island University Hospital Community Service Plan
Safe Kids Each year, approximately 3,700 children participate in more than 30 injury prevention/safety education programs sponsored by the New York State, Queens, and Nassau Safe Kids Coalitions, led by Northwell Health. These programs, which encourage kids to be active, have fun, and be safe, are offered in partnership with area schools, Police Benevolent Associations, government, and local businesses. Educational programs cover topics such as water safety, pedestrian/ motor vehicle safety, burn injury prevention, bicycle and sports injury prevention, enhanced “911,” pets and pals, and summer safety. In addition, child car seat check-up stations and special events are held throughout the state and on the campuses of Northwell Health. Please call (718) 226-9720 for more information about the Safe Kids. Stop the Bleed Stop the Bleed, an initiative of the American College of Surgeons, was launched in October 2015 by the White House. It’s a national awareness campaign and a call to action intended to educate, train and empower civilian bystanders with the necessary skills and tools to help in a bleeding emergency before professional help arrives. When a response is delayed, massive bleeding from any cause can result in death. Similar to how the general public learns and performs CPR, the public must learn proper bleeding control techniques, including how to use their hands, dressings and tourniquets. Stop the Bleed is available to any organization interested. For free hands-on training, call (718) 226-9720. In 2019, over 1,000 community members were trained on the Stop the Bleed program. Teaching Kitchen Classes Teaching Kitchen Cooking classes are opportunity to learn how to shop for, utilize, and prepare healthy and delicious meals. Each class focuses on a different topic that includes a nutrition lesson provided by a dietitian followed by a live cooking demonstration with a SIUH professional chef and nutrition. Food sampling and recipes are provided. For more information, please call (718) 226- 6772. City Harvest City Harvest is a community partner of LHH. The organization exists to end hunger in communities throughout New York City through food rescue and distribution, education, and other practical, innovative solutions which include providing fresh produce, information on healthy eating portions, using food as medicine and cooking demonstrations. SIUH attends the Mariner’s Harbor Mobile Markets and the Stapleton Mobile Market where Community members gather in farmers’ market settings to receive fresh produce and participate in cooking demonstrations to learn how to make healthy meals. Project Search Staten Island University Hospital launched Project Search in 2017. The Project Search program was accepted at SIUH with the assistance of many departments. This program provides developmentally disabled adult students (age 18 to 21) an opportunity to rotate into 3 areas of the hospital in order to gain employable skills. The volunteer department processes, on boards and orients all the students to SIUH, expectations and compliance. Since the program launched 33 students have participated. AHRC Careers The AHRC Careers program was accepted at SIUH South Campus and began in October 2019. The goal of this program is to teach needed skills for successful employment. The hospital welcomed 4 special needs adults (ages range from 21- 24) – this program allows SIUH to provide on-the-job training to the special needs population. Applicants will be on site for 6 weeks – 150 hours each. SIUH has agreed to host 4 rotations of applicants. These individuals will be mentored by an SIUH staff member in 3 departments – environmental, linen/store room and facilities management/plant ops. 12 Northwell Health | Staten Island University Hospital Community Service Plan
Cancer Services Program The Diabetes Self-Management Program The CSP is a joint effort between SIUH and the NYS (DSMP) Department of Health to promote comprehensive The Diabetes Self-Management Program (DSMP) at Staten screenings for breast, cervical, and colorectal cancers, and Island University Hospital is nationally recognized by the provide education to underserved populations. American Diabetes Association (ADA). Our certified Additionally, the CSP provides diagnostic services for diabetes educators are ready to counsel and educate you abnormal findings and patient navigation for clients with on how to manage life with diabetes. SIUH’s core team of barriers that may prevent them from seeking care. certified diabetes educators (CDE) coordinate and run the Financial support for treatment is available through the program and provide attendees with the knowledge Medicaid Cancer Treatment Program for those eligible needed to get through the different stages of your clients who are found to be in need of treatment for breast, condition. The program offers individualized counseling cervical, colorectal, or prostate cancer and precancerous sessions, group classes and support groups to address the conditions, but who may not qualify for traditional day-to-day challenges of living with diabetes. Group Medicaid. In 2019, SIUH provided 1,386 cancer screenings. sessions are organized to cover essential topics such as For more information, please call (718) 226-6447. medication management; nutrition; exercise and activity; options for improving glucose control; foot, skin and dental The Comprehensive Adolescent Pregnancy care; and problem-solving to better manage your diabetes. Prevention (CAPP) and Personal With our dedicated diabetes conference room at the Regina McGinn Education Center we are able to bring Responsibility Education Program (PREP) together patients in diabetes education and support SIUH partners with The Comprehensive Adolescent groups. For more information about diabetes education, Pregnancy Prevention (CAPP) and Personal Responsibility support groups, counseling sessions or classes offered at Education Program (PREP). These initiatives are Staten Island University Hospital, call (718) 226-1547. community-based projects funded by the New York State Department of Health (NYSDOH). Projects serve youth in high-need communities that have the highest teen The Northwell Health Medical Van pregnancy and birth rates in the state. Both initiatives The Northwell Health Medical Van rotates throughout support comprehensive, high-quality interventions and various community locations to provide blood pressure, services that rely on the best available research evidence to body mass index, pulse Oximetry screenings and flu inform and guide practice. They also utilize a youth vaccines. SIUH community outreach representatives are development framework in communities where youth lack also on site to provide health information to support living social and economic opportunities that enable them to live and eating healthy. In 2019, the mobile van provided 748 up to their full potential. In 2019, the hospital partnered free screenings in the community. For more information on with four local high schools and was able to provide how to schedule a visit from the mobile van please call education to over 3,100 students. (718) 226-1911. Overdose Prevention It is no secret that Staten Island has experienced a surge in reported cases of overdose from heroin, prescription pills and other narcotics that, too often, tragically result in death. Our certified NARCAN training is designed to teach anyone, especially those without formal medical training how to identify an opioid overdose, what to do during an overdose emergency and how to properly administer NARCAN® (naloxone). In the past two years more than 4,000 community members were trained in overdose prevention. For additional information please contact Conrad Bernard at (718) 226-4990. 13 Northwell Health | Staten Island University Hospital Community Service Plan
The Center for Women’s Health Women have unique healthcare needs. That’s why we created the Center for Women’s Health. With two stand-alone units on Staten Island, we are able to provide a warm and welcoming space for women to receive services tailored specifically to them. Free services provided to the community include pregnancy tests, breastfeeding support, postpartum support and child preparation classes. In 2019, the Center provided 542 free pregnancy tests. Educational mini educational sessions facilitated in our waiting rooms on various topics such as safe dating, prenatal nutrition, the importance of exercise, food portions, SIDS prevention, Shaken Baby Syndrome and other important topics. In 2019, the program was able to provide education to 1,710 community members. Prenatal classes are offered to the community every Friday, alternating with English and Spanish; in 2019, 550 women were educated through this program. The Center also provides educational lectures on HIV/STD reduction/pregnancy prevention and healthy relationships. In 2019, 447 women attended the informative lectures. For more information, please contact the Northwell Health Center for Women’s Health at (718) 226-6550. Northwell Health Human Trafficking Response Program Staten Island University Hospital collaborates with Love146, an international human rights organization that focuses on child trafficking and exploitation, assisting the organization as a medical liaison. The hospital is committed to providing education, raising awareness and developing resources and strategies for creating a medical response for victims of domestic minor sex trafficking. The hospital provides training to help employees and our community partners identify human trafficking victims and empower staff to recognize and aid the vulnerable. In 2019 the team at SIUH was able to provide education to 2,227 community members. Safe Sitter Through a partnership with Safe Sitter, SIUH provides young teens in grades 6-8 who are equipped with the life, safety, and injury prevention skills to stay home alone, sibling sit, or babysit. The students learn tips to manage behavior that will help them stay in control of themselves and the children in their care. In 2019, SIUH trained about 100 teens through the Safe Sitter program. 14 Northwell Health | Staten Island University Hospital Community Service Plan
D. Community Medical Support Services and Programs House Calls Program Northwell Health’s House Calls Program provides home-based care for frail, chronically ill patients who have difficulty getting to their doctor’s office. The program provides advanced illness management, with a variety of services available to them at home and was recently recognized by CMS for success in their Independence at Home Project providing home-based primary care. Clinicians are available to make urgent visits during the week and are available nights and weekends to answer clinical questions from patients and caregivers, or arrange urgent services. In addition, Northwell Health’s community paramedic program provides a 24/7 in the home clinical response with an on-line medical doctor utilizing telemedicine capabilities for at-risk patients requiring urgent care. For more information, please call (718) 226-2109. Blood Donor Services Each year, employees of Staten Island University Hospital help to ensure an adequate blood supply for New Yorkers in need by donating blood. In 2019, more than 8,303 pints of whole blood were donated by employees of Northwell Health. 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. Public Access Defibrillation Program (PAD) The PAD program is designed to increase the availability of automated external defibrillator (AED) devices in the community as well as empower people within the community to use them through AED/ CPR training and education. The PAD staff assists local organizations with establishing an emergency response that includes the use of an AED, as well as both initial and refresher training in CPR and AED use. For more information, please call (516) 881-7000. 15 Northwell Health | Staten Island University 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. 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 Lisa Carolan at (718) 226-8136. Breastfeeding Workshops The SIUH offers free breastfeeding workshops in English and Spanish throughout the year to new moms, babies, and their families. Led by Registered Nurse Certified Lactation Counselors, these workshops provide information and support about the breastfeeding process. For more information, please call (718) 226-8031. 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 Sky Health Northwell Health launched the New York area’s first hospital-based Helicopter Emergency Medical Service. SkyHealth is a partnership with Yale-New Haven Health. Patients who need lifesaving care for major traumas, and other life-threatening brain injuries will receive emergency medical care by helicopter and be quickly flown to the most appropriate hospital. Northwell Health and Yale-New Haven expect to serve 350-400 patients annually in the SkyHealth program. Take Care New York (TCNY) SIUH partners with the NYCDOHMH in its TCNY Campaign, the City’s blueprint for giving everyone the chance to live a healthier life. Its goal is twofold -- to improve every community’s health, and to make greater strides in groups with the worst health outcomes, so that our city becomes a more equitable place for everyone. The Tackling Youth Substance Abuse (TYSA) The borough of Staten Island has the highest proportion of youth who binge drink and the highest percent of youth who have used prescription medication without a prescription in NYC in the past year. SIUH partners with the Staten Island Partnership for Community Wellness in the nationally recognized Tackling Youth Substance Abuse (TYSA) Initiative. This cross-sector coalition is aimed at driving major improvements in youth substance abuse on Staten Island; all coalition members work together to tackle the issue of alcohol and prescription drug use and educate young people to make healthy choices overall. For more information please call Mike McBrearty at (718) 226-2800 or contact TYSA2020@gmail.com. 16 Northwell Health | Staten Island University Hospital Community Service Plan
E. Support Groups Support groups offer people with similar medical conditions and life challenges an opportunity for discussion, a sharing of experience and knowledge, and a place to ask questions. The SIUH provides the following ongoing support groups for the community: AARP; Families Helping Families; Gamblers Anon; NarAnon; Female Military Support Group (FLAG); Overeaters Anonymous; Parents Without Partners; Run Teen Mom Time; Amputee Club; alcohol and substance abuse; Alzheimer’s Disease; aphasia and apraxia; bariatric surgery; bereavement groups for adults; children and perinatal; brain injury; cancer; including breast and prostate; hepatitis C; caregiving; family education; aphasia; heart disease; diabetes; infertility; insulin pump; mental health/depression; breastfeeding (English and Spanish); women’s health; and stroke. To learn more about support groups at SIUH, please call (718) 226-2486. 17 Northwell Health | Staten Island University Hospital Community Service Plan
F. Implementation Plan Community Served: Richmond County NYS DOH Implementation Plan for the following hospitals: Staten Island University Hospital in coordination with other Health System resources, including other partners, has addressed each significant health need identified through the Richmond County CHNA report The CHNA Implementation Strategy was conducted in fulfillment of the requirements of 501(r) of the The Affordable Care Act applicable to a 501(c)(3) hospital organization Priority: Prevent Chronic Diseases Focus Area: Healthy Eating and Food Security; Tobacco Prevention; Physical Activity; Preventative Care and Management Disparities: Focus on low income populations with health disparities Northwell Goal Focus Objectives Interventions Family of Measures Hospital Area Staten Island Goal 1.1 Increase By December 31, 2021, increase the number of Adopt policies and implement practices to reduce (over) consumption of HR Employee Wellness Pledge data; employee wellness program University access to healthy employees pledging to complete health risk sugary drinks by implementing worksite wellness programs including engagement; vending audits; fresh produce access; policy and built Hospital and affordable assessments and viewing wellness videos by nutrition and physical activity interventions as part of a comprehensive environment changes foods and 10%. By December 31, 2021, increase the worksite wellness program. Components include: Educating and informing beverages number of healthy food and beverage vending through classes, distributing written information or utilizing educational items by 10%. software; Conducting activities that target thoughts and social factors to By December 31, 2021, increase the number of influence behavior change. Examples include individual or group behavioral fresh produce access sites for patients, visitors counseling, skill-building activities, providing rewards, and building support and employees by 15%. systems among co-workers and family members; and changing physical or organizational structures that reach the entire workforce and make the healthy choice the easy choice. Examples include changing the options in cafeterias or vending machines; providing more opportunities for physical activity; modifying health insurance benefits; or offering memberships to health clubs. 18 Northwell Health | Staten Island University Hospital Community Service Plan
Northwell Goal Focus Objectives Interventions Family of Measures Hospital Area Staten Island Goal 1.3 Increase By December 31, 2021, increase inpatient food Integrate one of the Hunger Vital Sign Screening questions into system EMR Screening: Food Security Screening rates; Food Insecurity Prevalence; University food security security screening by 25% through EMR inpatient enterprise EMR as part of admission workflows, identify food Referrals to providers and Community Resources. Food As Health(FAH): Hospital integration of screens into provider workflows. insecure patients and refer to appropriate health system staff and facilitate Food Security Screening rates ; Food Insecurity Prevalence; Referrals to and actively support referral to community food resources. hospital providers, On-site FAH CBO Registered Dietitian, Community CBO By December 31, 2021, increase Food As Health ( i.e. Local Food Bank Home Delivery Partner) and referrals to Medically Program to 3 sites. Launch Food As Health Programs which are a hospital-community Tailored Home Delivery Partner ( i.e. God's Love We Deliver) and partnership among LI Harvest and Gods Love We Deliver that screens Community Food Resources (i.e. local food pantries); Pounds of fresh inpatients for food security and provides onsite emergency food, nutrition produce and non-perishables distributed at FAH Center; SNAP counseling, SNAP enrollment and community social service navigation in applications completed; referrals to non-food related community social addition to home-based interventions for non-ambulatory patients with services; Post FAH Engagement Food Security Status, food procurement nutrition related diagnosis (i.e. diabetes, hypertension, and unintended and eating behavior changes weight loss). Staten Island Goal 1.2 Increase By December 31, 2021, increase access by 10% to City Harvest Mobile Market offers access to healthy, food by providing free Farmers Market visitors; SNAP/Farmers Market Nutrition Program University skills and healthy affordable fresh produce and fruits and vegetables through their Mobile Markets to residents in Mariner’s Checks; health screening numbers; # and type of health conditions Hospital knowledge to nutrition/health education and screenings Harbor and Stapleton. SIUH provides health information and programs in identified; # referrals to providers; residence zip codes of participants support healthy through mobile farmer’s markets sites. support of living and eating healthy on a monthly basis at both locations. food and beverage Information on behavioral health, smoking cessation, cancer services choices cholesterol, diabetes, stroke, blood pressure and asthma and offers health screenings each month. Staten Island Goal 3.1 Prevent To Increase by 10% the educational activities Use media and health communications to highlight the dangers of tobacco, Amount and type of earned media; amount and type of Northwell University initiation of regarding the dangers of tobacco use and vaping promote effective tobacco control policies and reshape social norms. community awareness events and media; change in participant Hospital tobacco use in the community to prevent youth tobacco use. Decrease youth use and availability of flavored tobacco products including knowledge/behaviors; policy/legislation created menthol flavors used in combustible and non-combustible tobacco products and flavored liquids including menthol used in electronic vapor products through community education. 19 Northwell Health | Staten Island University Hospital Community Service Plan
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