2019 Clinical Excellence and Quality/Safety Report Northwell Health

uality 2019 Clinical Excellence and Quality/Safety Report Northwell Health... We’ve reimagined what health care can be That’s why we’re more than just New York State’s largest health system. We’re a network of innovators raising the standard of care for all. Northwell Health is New York State’s largest health care provider and private employer, with 23 hospitals, more than 700 outpatient facilities, more than 13,600 affiliated physicians and over 3,500 allied health professionals. We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 68,000 employees – 16,000-plus nurses and 4,000 employed doctors, including members of Northwell Health Physician Partners – are working to change health care for the better. We’re making breakthroughs in medicine at the Feinstein Institute for Medical Research. We’re training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell and the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies. For information on our more than 100 medical specialties, visit Northwell.edu. Unmistakable progress in quality, safety and access to care Dear Friends, There are a number of remarkable trends leading the nation’s health care delivery system toward greater quality, safety, access and affordability. Among them are value-based payment systems, an increasing focus on population health and the need to target social determinants of health, to better understand the most pressing health care issues facing the communities we serve. We are ever-mindful of utilizing the tools of health care’s rapid technological expansion to increase patient and consumer engagement and provide individuals with immediate access to health care information. Programs such as OpenNotes, launched in our physician practices, provide consumers with direct access to their physician’s notes regarding medication and treatment instructions, promoting greater engagement and adherence to their plan of care. Michael J. Dowling Our Food as Health Program, in association with the US Department of Agriculture and Long Island Farms, is an example of our response to social determinants of health and how we are meeting the nutritional needs of our consumers. In addition to these developments, as a telehealth technology leader, Northwell Health remains at the forefront of virtual care innovation. For example, direct-to-consumer programs offer post- operative health care expertise to consumers at home. Our House Calls and eSNF (skilled nursing facility) programs use telehealth to remotely connect health care providers with patients who have serious or advanced illness, allowing patients to avoid an emergency department visit or re-hospitalization. Our 2019 Clinical Excellence and Quality/Safety Report highlights these and other innovative programs in our ongoing commitment to delivering the best possible care to the people and communities we serve. Mark P. Jarrett, MD Michael J. Dowling Mark P. Jarrett, MD President and CEO Senior Vice President, Chief Quality Officer and Associate Chief Medical Officer Northwell Health | 2019 Clinical Excellence and Quality/Safety Report 3 2018 Highlights Center for Emergency Medical Services (CEMS) Donald and Barbara Zucker School of Medicine at Each month, Northwell Health CEMS responds to over 7,000 Hofstra/Northwell requests from the New York City EMS system and transports over The Zucker School of Medicine celebrated its tenth anniversary in 4,500 patients to hospitals throughout the New York Metropolitan 2018. Eighty-six fourth-year students secured placements in many area. Northwell Health CEMS units are dispatched by the New York of the most sought-after residency programs in the country across City 911 emergency communications center for these requests. 15 different states and 22 specialty areas — including the school’s Center for Equity of Care first match to cardiovascular sugery and vascular surgery. Northwell Health continues to build the skill set of its workforce The Feinstein Institute for Medical Research in the areas of cultural sensitivity, health literacy and language (Feinstein Institute) access. Education is provided to all levels of staff including students at the Donald and Barbara Zucker School of Medicine at Hofstra/ The Feinstein Institute continues to be a leader in the field of Northwell and the Hofstra Northwell School of Graduate Nursing bioelectronic medicine research with national clinical trial sites and Physician Assistant Studies. for treating lupus, rheumatoid arthritis and paralysis. More than 4,000 researchers and staff study molecular medicine, genetics, Center for Learning and Innovation (CLI) oncology, brain research, mental health, autoimmune disease and Patient Safety Institute bioelectronic medicine. The Clinical Skills Center provides a unique opportunity to assess Health Solutions–Northwell Health Home both clinical and communication skills for all levels of staff through Designated by the NYS Department of Health, Northwell Health the use of standardized patients. Standardized patients provide operates one of 31 lead Health Homes responsible for providing detailed and realistic portrayals of patients, family members and vital care management services to high-risk Medicaid members staff in a learning environment. in Nassau, Suffolk and Queens. In collaboration with several Clinical Call Center community-based organizations, roughly 6,000 members received services in 2018. These services will be extended to residents of Staffed for 24/7 telephonic nursing support, the Clinical Call Staten Island in 2019. Center fielded nearly 25,000 patient/family inbound calls in 2018. Specialized nurse triage services were expanded to begin Hofstra Northwell School of Graduate Nursing and coverage for patients of Northwell Health Physician Partners Physician Assistant Studies medicine practices. Twenty-eight registered nurses completed their advanced practice Community Health studies at the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies, becoming the school’s first graduating The Northwell Health Community Health program promotes class of nurse practitioners. The graduates, most of whom worked screening patients for social determinants of health, establishing full-time at Northwell Health hospitals while pursuing the three- a social vulnerability index, developing innovative solutions to the year, part-time program, earned Master of Science degrees with opioid crisis and using technology to improve health literacy. a specialty in either adult-gerontology, acute care nursing or Cohen Children’s Medical Center family nursing. The children’s hospital launched its Pediatric Kidney Transplant Human Trafficking Response Program Program and performed its first kidney transplant in Q4 2017. Since forming its Human Trafficking Response Program, Northwell There were seven transplants performed in 2018. Health has trained over 2,000 employees and intervened in numerous cases. The goal of the program is to train all employees in primary screening for human trafficking. 4 Northwell Health | 2019 Clinical Excellence and Quality/Safety Report LabFly™ Perinatal Services Northwell Health released a beta version of its new LabFly™ With maternity programs at eleven hospitals, Northwell Health mobile app to employees, giving them the ability to schedule blood delivers approximately 40,000 babies annually, accounting draw services at home or work. Public launch of the mobile app is for 17 percent of all births in New York State and nearly planned for 2019. one percent in the nation. Military and Veterans Liaison Services SkyHealth Northwell Health hires hundreds of veterans a year, and over Designed specifically for helicopter EMS use, SkyHealth, an the past decade has also awarded more than $1.7 million to innovative joint venture between Northwell Health and Yale New employees who were mobilized and deployed overseas – funds Haven Health, has the latest technology and safety features. It that represent the difference between their military pay and the meets or exceeds all safety recommendations set forth by the regular salaries they would have earned at Northwell Health. In National Transportation Safety Board, ensuring that every flight recognition of its efforts, Northwell Health is ranked as the nation’s is a safe one. There were 476 transports completed by SkyHealth seventh top nonprofit employer by the veterans advocacy group in 2018. “Military Friendly.” Strategic Alliances Naloxone Saturation Campaign Northwell Health has alliances with CASA Columbia, Cold Spring Northwell Health’s Naloxone Saturation Campaign (NAL-SAT) Harbor Laboratory, Epworth HealthCare, Institute for Healthcare provides education on opioid overdose prevention, recognition, Improvement, Karolinska Institutet, One Brooklyn Health, Rothman response, and naloxone rescue to patients, families, and employees. Institute, University of Notre Dame and Western Connecticut As of 2018, fifteen clinical settings (five internal medicine practices Health Network. Affiliate hospitals include Boca Raton Regional and ten emergency departments) had an established NAL-SAT Hospital, Crouse Health, Maimonides Medical Center, Wyckoff program. Plans are to expand the program in 2019. Heights Medical Center and Nassau University Medical Center. Northeast Surgical Instruments Solutions Tele-intensive care unit (eICU) This joint venture between

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