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Advanced Illness Initiatives Pgs. 4-7 Health Career Pipelines Notre NewVolume 1, 2015 StandardAn employee publication of the North Shore-LIJ Health System Advanced Illness Initiatives pgs. 4-7 Health Career Pipelines pgs. 8, 12, 52, 53 Notre Dame Research Partnership pg. 36 what’s INSIDE Volume 1, 2015 Preserving Dignity Editor in Chief 4-7and Independence Terry Lynam A system-wide advanced illness initiative is identifying new ways to Director of Editorial Services care for metropolitan New York’s growing numbers of aging and Maria Conforti chronically ill patients and their families. Contributors James Cuniglio Tony Davenport Cold Spring Harbor Lab Partnership Susan Kreimer 11Patients will benefit from a unique integration of cancer Jenn Krusch research and cancer care. Sally Ann Lake Brian Mulligan Emily Ng Margarita Oksenkrug Betty Olt Preparing for Outbreaks Barbara Osborn 16As North Shore-LIJ devoted resources to a new biological Michelle Pinto containment unit, health system staff members volunteered for Michelle Pipia-Stiles training on Ebola treatment. Christian Preston Julie Robinson-Tingue Spencer Rumsey Arleen Ryback Hybrid Heart Innovation Robin Sanderson, 42Two specialists at Staten Island University Hospital devised The Sanderson Group a new solution for a patient with intractable atrial fibrillation (afib). Adrienne Stoller Mark Vincent Kathleen Waton Alexandra Zendrian Photography The Health Force Course North Shore-LIJ Studios, 53Dozens of students embarked on a 16-week program to get except as noted ready for big changes in medical coding this fall. Graphic Design Gina Reduzzi/Reduzzi Design Comments/Suggestions? Contact: Public Relations Department On the Cover 125 Community Drive A student in the health science library at the Hofstra North Shore-LIJ Great Neck, NY 11021 School of Medicine. Read about the school’s recent expansion and 516-465-2600 full certification on page 12 and the new Hofstra North Shore-LIJ School of Graduate Nursing and Health Professions. 2 Volume 1 ❘ 2015 aMESSAGEfrom thePRESIDENT Strategic and Transformative Growth to Fulfill Our Mission Without question, the breadth and depth of the health system is one of North Shore- LIJ’s greatest strengths. We’re already the 11th largest, nonprofit healthcare provider in the country, with 19 hospitals, more than 400 outpatient physician practices and 54,000 employees. With Maimonides Medical Center in Brooklyn and Peconic Bay Medical Center Michael Dowling in Riverhead preparing to join the health system (see stories on pages 10 and 14), North Shore-LIJ could soon have 21 hospitals and well over 60,000 employees, expanding our ranking as New York State’s largest private employer. All of us need to recognize that these strategic growth initiatives are positive developments because they enhance our ability to meet the changing health and wellness needs of the many communities we serve, and help us improve our internal processes to enhance patient care and reduce costs to consumers. What makes North Shore-LIJ unique is that we have built a truly integrated health system over the past 20+ years. We offer a full continuum of services that includes inpatient, outpatient, long-term care, home care and hospice care, not to mention our own health insurance business in CareConnect. We deploy consistent metrics, standards and protocols to continually improve patient care. Managing Advanced Illness This issue of The New Standard includes some great examples of steps we are taking to improve the way we coordinate care for our patients, including stories about our advanced illness management initiatives (pages 4 to 7). While people are living longer than any time in history, many elderly are dealing with a multitude of chronic illnesses and challenges, putting an enormous strain on the families and providers who care for them. Clinicians from across the health system are collaborating on an innovative strategy to better manage the care we deliver to older adults and those living with advanced illness to prevent unwanted care, reduce hospitalizations and help people live independently for as long as possible. Increasing the cohort of nurse practitioners and physician assistants needed to meet the growing demand for health care is also the overarching goal of the new School of Graduate Nursing and Health Professions announced recently by the health system and Hofstra University (see page 8). Strategic Partnerships Fostering strategic partnerships has been another key strategy that our health system has used to enhance clinical care, as explained in the story about our new collaboration with Cold Spring Harbor Laboratory (page 11). Similarly, the new relationships we are pursuing with Maimonides and Peconic Bay medical centers will allow us to position those hospitals as North Shore-LIJ’s regional centers in Brooklyn and eastern Long Island. These endeavors are vital pieces of our comprehensive integration strategy. We are no longer simply a provider network that takes care of people when they are sick or injured. We are transitioning into a health and wellness organization as we take responsibility for “managing” people’s care. It’s a mission in which all of us can take great pride. The New Standard 3 advanced illness initiatives An Agenda for Healthy Aging By Betty Olt With an eye toward there are currently 44 million director of North Shore-LIJ New York metropolitan area. preventing unwanted care Medicare beneficiaries Care Solutions, the health While the agency’s health care and helping individuals live (some 15 percent of the US system’s care management professionals treat patients independently for as long population), with enrollment organization. “Our goal is to with short-term health as possible, clinicians from expected to rise to 79 help patients and their loved issues, its clinical teams also across the North Shore- million by 2030. Moreover, ones through the difficult part manage patients with long- LIJ Health System are 90 percent of Medicare of their journey, to coordinate term chronic conditions such collaborating on an innovative beneficiaries have one or care and help patients find as asthma, congestive heart strategy to better coordinate more chronic conditions the right way into the right failure, stroke and diabetes. care for older adults and those — such as congestive heart clinical program.” living with advanced illness. failure, high blood pressure, This new model alters the Comfort During Crisis Tapping into resources diabetes, chronic lung traditional role of hospitals. Another model of care from throughout the disease, cancer, heart disease, “Hospitals are geared for to help people with serious organization, the health kidney failure, liver disease treating acute illness, not chronic or life-threatening system is creating a Center and dementia — and more managing chronic disease,” illnesses is to provide palliative for Healthy Aging to serve than half have at least two. said Maria Torroella Carney, care, a medical specialty that seniors and their caregivers focuses on relieving pain and in addressing the complex symptoms while enhancing health needs of this rapidly quality of life. While palliative growing, vulnerable segment Expanding care to help those care is more commonly of the population. This center provided in the hospital, will coordinate care delivered with chronic, advanced illness Dr. Carney said a palliative by North Shore-LIJ entities approach is available at home that interact with the elderly and in nursing homes. and advanced-illness patients, MD, North Shore-LIJ’s chief Dr. Carney said including providers of home “Hot Spots” of geriatric and palliative that North Shore-LIJ is care, geriatric medicine, North Shore-LIJ medicine. “Today, people accelerating outreach efforts palliative medicine and planning experts have are living longer, with two to to patients, family members hospice care. The center will analyzed population records four years of disability and and their caregivers to not only support existing in the metropolitan New York chronic illness situations. enhance awareness and programs but also develop area and identified major “hot It’s a new era and we need education when dealing with new ones necessary to meet spots” of increased numbers to expand programs to help advanced illness or possible the growing community need of people aged 65 and older people get medical care and end-of-life care. This for high-quality, community- (see graphic). “This means is other resources in their own period in a person’s life is based care. there will be higher numbers homes.” One of the new often a time of high hospital As people live longer, of hospitalization in those programs is House Calls, utilization. “We are working they require more specialized communities, and managing where doctors and nurses with families and patients to geriatric and advanced the care of patients older provide primary and palliative better align resources to help illness care. According to than 65, 75 or 85 will be care to homebound patients. them through their crisis the National Center for very difficult, with patients The North Shore-LIJ and the dilemmas many face Health Statistics, the average spending time in care venues Home Care Network plays during the end-of-life stage.” American will live to an age that they don’t want or need,” a vital role in providing Dr. Carney said. of 78.5, with millions more said Kristofer Smith, MD, post-acute health services at “In New York, the average living far longer. In addition, vice president and medical home to older adults in the length of stay in hospice is 4 Volume 1 ❘ 2015 There are five major “hot spots” of people 65 and older in the metro New York area, according to North Shore-LIJ planning experts. eight days, the lowest hospital receive hospice care at home needs of people with advanced to how and where resources stay in the nation,” said Dr. but some people receive care illness,” Dr. Smith said. “We and care is made available.” Carney. “Physicians and in nursing homes or a hospice want to help people avoid Other programs through families are referring very facility.
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