20ANNUAL REPORT17 The Medical Center is a not-for-profit healthcare provider serving the diverse community of and its neighbors. We provide

quality patient-centered care through a full spectrum of emergent,

acute, primary, behavioral health and medical services. We do this

in an environment that promotes the highest satisfaction among

patients, families, physicians and staff. The values of the medical MISSION center are summarized in the acronym WE CARE: Welcoming

Energized Compassion Advocacy Respect Excellence. OUR MESSAGE FROM THE BOARD MESSAGE FROM THE PRESIDENT OF TRUSTEES CHAIRPERSON & CHIEF EXECUTIVE OFFICER PATIENT SUCCESS STORY As the healthcare landscape continues to I am very pleased to report that Richmond change, Richmond University Medical Center University Medical Center is being recognized recognizes the need to be adaptable and for its excellence every day. We strive to give From the Patient’s Perspective CAPITAL CAMPAIGN UPDATE change with it. With your help, we were able all our patients the highest quality of care, and 4 our institution is being rewarded for its efforts. to make great strides in bringing the best of When Staten Island resident David healthcare to — and into — the community in This marks the seventh consecutive year the Seidler learned he had fluid buildup in hospital has received the American Heart 2017. the brain following a fall, he wasn’t sure what to do. After the results of COMMUNITY OUTREACH Association/American Stroke Association’s The Richmond Brain and Spine Center was his MRI came back, he was told to go immediately to the emergency 6 Get With The Guidelines-Stroke Gold Plus room. established, expanding our neurosurgery Achievement Award with Target: Stroke capabilities and bringing two outstanding Honor Roll Elite Plus, as well as its third Elite He soon learned he needed to have a craniotomy to remove the fluid from neurosurgeons to our staff. Another primary care/walk-in center Plus recognition — and for the first time, we received the Get With the brain. “I’ll be honest: a lot of people told me I should leave Staten 11 PRACTICE UPDATE: OBSTETRICS AND GYNECOLOGY was opened, giving our patients more resources for care close to The Guidelines-AFIB Silver Quality Achievement Award. This is an Island for such serious surgery,” says Seidler. home. The Center for Integrative Behavioral Medicine is offering a enormous credit to our cardiology department physicians and staff, A friend of the family knew that Dr. Douglas Cohen had recently joined the new paradigm of care, and is in a brand new facility, making it more who work in earnest to employ life-saving treatments for their patients. staff at Richmond University Medical Center. “We looked him up, and his accessible and patient-friendly. EXPERTS IN THORACIC CARE Recognition was also given by the International Board of Lactation credentials were very impressive,” he 12 Consultant Examiners and International Lactation Consultant Work on our physical plant is moving forward, incorporating new says of Dr. Cohen, who received his “ I BELIEVE I RECEIVED Association, for excellence in lactation care. Our neonatal intensive ideas and opportunities as they arise. Our decision to build our own medical degree from Harvard Medical THE BEST CARE OF ANY care unit always receives accolades, and we continue to be the only EXPERIENCE AND EXPERTISE GUIDE THE cogeneration plant will allow us to become more energy-independent School and completed his residency FACILITY ANYWHERE.” designated Baby Friendly Hospital on Staten Island. RICHMOND BRAIN AND SPINE CENTER in future years, and our purchase of an existing radiation therapy in neurological surgery at 14 center allows us to use space differently in the new emergency The Joint Commission awarded us national quality approval in Presbyterian Hospital. Seidler was perinatal care, COPD certifications, and chest pain and heart failure. department being planned and built. even more impressed upon meeting Dr. Cohen and his office staff. He The list goes on, as we are also the highest level designated adult and had a craniotomy performed by Dr. Cohen at Richmond University ACO ACHIEVEMENTS As always, your support is invaluable as we develop innovative pediatric trauma centers, and have received the American College Medical Center in December of 2017. He was released three days later. 15 solutions that serve the healthcare needs of our community and our of Surgeons designation as a Verified Trauma Center, meaning that patients. We extend our deepest gratitude and appreciation to every we have the program and clinical resources necessary to deliver the “I have to say that the care in the ICU was exemplary and donor, foundation, volunteer, staff member, and community resident highest level of patient care. compassionate. The nurses were caring and responsible, as were UPDATE ON DSRIP, A STATEWIDE HEALTHCARE INITIATIVE who helps us build a bright and healthy future for Richmond University There is much to be proud of — and what makes me even prouder all the members of the staff in the unit. I felt I received the best 16 Medical Center. are the hard work and dedication exhibited tirelessly by our team, care. And when I was transferred to a regular room after the ICU, the beginning with the Board, the medical staff, and all the employees of wonderful care continued. Many thanks to everyone on the team at our hospital. The health of our community is our number one priority Richmond University Medical Center, including the medical staff, the A NEW PARADIGM FOR HEALTH CARE AT THE CENTER and remains at the forefront of our thoughts and actions. nurses and the physical therapist,“ Seidler says. 18 FOR INTEGRATIVE BEHAVIORAL MEDICINE Kathryn K. Rooney, Esq. Seidler, a retired teacher from Susan Wagner High School and Chairperson, Board of Trustees former girl’s basketball and soccer coach, is doing well. He says with conviction, “I disagree with those who told me to leave Staten Island 2017 KEY STATISTICS/ACCREDITATIONS AND RECOGNITION Daniel J. Messina, PhD, FACHE 20 for my surgery and post op care. I believe I received the best care of President & Chief Executive Officer any facility anywhere.” CONTENTS The year 2017 was extremely busy as we continued energy and get “off the grid.” Capital Campaign Update raising funds for the new emergency department The plant will eventually pay for itself (ED), as well as re-engineered campus infrastructure through cost savings and provide the projects to meet the changing healthcare environment. added benefit of environmentally friendly, Market and cost-saving opportunities necessitated cleaner, quieter energy. several construction timeline adjustments as well as the With the decision to proceed with the cogeneration continued development of the master facility planning plant, Richmond University Medical Center applied for process. another round of Capital Construction Early in the year, a decision was made to power funding to support the costs of the new plant. the campus and its new ED with a new modern Ultimately, the hospital was awarded $14,900,000 in cogeneration plant. Since our infrastructure was dated, grant funding for fiscal year 2018, with $8.9 million of upgrading was in order. As we evaluated the energy that for the cogeneration plant. In addition to a $13.5 needs of our hospital, not only for the new ED but for million award from the city in fiscal year 2017, New future expansion as well, it became clear that utilizing York City will supply over $28 million for the ED and the existing power grid would require a significant the cogeneration plant. We thank our city council investment of resources, yet would still leave our facility representatives and our for making susceptible to the limitations of the current grid. these grant funds a reality. Cogeneration is a highly efficient process that uses Make-ready work began in 2017 with the demolition of one fuel to generate two types of energy, electrical the Villa Building Annex and the Fitzpatrick Building 4 and thermal. By capturing and using heat that would to make way for the new ED. In summer of 2017, 5 otherwise go to waste, cogeneration reduces the overall the opportunity to acquire a radiation therapy center fuel consumed in the process. It is one of the cleaner on South Avenue presented itself, and Richmond revised to utilize and renovate the existing emergency and most cost-effective options available for energy University Medical Center obtained the property, which department. The new facility will still be 35,000 square production. will open as our Center for Cancer Care in 2018. feet — 20,000 square feet of new construction and 15,000 square feet of renovated space. We all know that the power grid serving the North Shore The new Center for Cancer Care presented us with is under great stress and that is likely to increase with another opportunity on campus. When the new Other significant donations were obtained in 2017. ongoing development, particularly along the waterfront. ED project was proposed, 35,000 square feet of The Bloomberg Philanthropies pledged $500,000 to our We are familiar with the frequent brownouts in the new construction was planned. At the time, the old ED project. Another grant of $150,000 was received neighborhoods surrounding the medical center. The emergency department space was slated for the future from the Hearst Foundation. We are particularly gratified cogeneration plant, with projected construction in the Center for Cancer Care. With the acquisition of the new to receive support from such established and prominent first half of 2018, will allow us to produce our own facility on South Avenue, the new ED plans are being foundations.

A grand opening is held for the new Dr. Loren Harris is named the new The Medical Center opens its latest Richmond University “Goes Red” for

Center for Integrative Behavioral chair of the department of surgery. Immediate Care Walk-In/Primary 0 Women’s Heart Health. 12 Medicine on South Ave. 12 12 Care facility in Eltingville. Dr. Inna Tubman, OB/GYN, begins a busy practice at the site as well. 01. 01. 01. 02. Community Outreach

RICHMOND UNIVERSITY MEDICAL CENTER HONOR ROLL OF DONORS*  January  March  March  April Borough President ’s Annual BP Direct 123 Precinct Smoking Cessation Workshop — Certified Colon Cancer Prevention Awareness West Brighton Diabetes Self-Management Program — Our popular Connect — Lorraine Scanni, community outreach tobacco cessation specialist Nancy Sayegh-Rooney, Senior Center — GI nurse Amelia Piccione, RN; breast free six-week diabetes program runs throughout the specialist, and Randi Davis, LCSW, Evaluation and RN, attended the 123 Precinct Community Council navigator Marie Kimball, RN; lung navigator Nancy year. Pictured: Emily Kinzel, program manager. JANUARY 1, 2017, THROUGH DECEMBER 31, 2017 Referral Unit of the Center for Integrative Behavioral meeting, where she highlighted our Lung Screening Sayegh-Rooney, RN; and stroke team coordinator Medicine, with Borough President James Oddo. Program and Tobacco Cessation Classes. Patricia Abbruzzese, RN; with Dr. Loren Harris.

6

 April  April  May  July Congressman Health and Wellness Event Meet the Nurses Colon Cancer Prevention Awareness 800 Castleton Avenue Colon Event — Our food Boardwalk Bash — Nancy Sayegh-Rooney, RN, and at the JCC — Our breast navigator, lung navigator, and — Dr. Manuel Gonzalez hosted a Colon Cancer services, dietary, cancer services, and diabetes teams volunteers were present at Assemblywoman Nicole colon navigator are joined by Congressman Dan Prevention Awareness for nursing students. went out into the community to discuss healthy options Malliotakis’ Midland Beach Boardwalk Bash. Staten Donovan and Lorraine Scanni, community outreach for a healthy colon. Island senior citizens were given information about director. hospital services.

 August  September  October  November World Breastfeeding Week in our main lobby. South Shore Health and Wellness Fair at Mt. Loretto — Making Strides Against Breast Cancer — Lorraine Honoring Veterans Event — Lorraine Scanni, Hosted by Councilman Joseph Borelli. Scanni, community outreach specialist and breast community outreach specialist, and William Smith, navigator Marie Kimball, RN, with attendees at the director of public relations, honor our veterans at the *This list does not include pledges for ED capital campaign. annual breast cancer walk. Old Bermuda Inn. THANK YOU THANK YOU

Gifts $300,000 and Above David Barry Mr. Michael Matthews The Steplin Construction Corp Patricia Bean John Catrama Emma Dinolfo Mario Gallucci Danielle Iannariello Mrs. Kristen Lebow The Staten Island Foundation Barry Beshkin Maya Chang Foundation Dr. Annemarie Stilwell John Becker Rachel Cerrito Elizabeth DiPietro Alice Gambino Miss Cassidy Iannariello Ms. Mou Lee Dr. C. Srinivasa and Nancy Bhupathi Dr. Kevin McDonough Structure Tone Nazma Begum Barbara Cerrito Mr. David DiPietro Arkady Ganelin Joseph Iantosca Hoon Lee Gifts Between $250,000 and $299,000 Dr. Suzy Bibawy Jennifer Mcgovern Nancy Taranto John Benedetto Rosa Chacko Mr. Michael DiSalvo Jeffrey Gang Dr Joel Idowu Dr. John Lee Bloomberg Philanthropies Biogen MedAssets Thomas Tormey Brian Benevento Ms. Sydney Chen J. Dixon Michele Garaffa IFC Center Robin Lefkowitz Dr. Dennis Bloomfield Medical Management Resources, Inc. Mr. & Mrs. Joseph Torres Ms. Tara Bennett Dr. Akella Chendrasekhar Carrieann Dixon Jordan Blau, Garden State Caroline Impellizzeri David Lehr Gifts Between $150,000 and $249,000 Frank & Corinne Bongiorno Medline Michael Traub Rocco Berardi Ms. Tara Chioles Mr. & Mrs. Joan & Robert Dobis Discovery Museum Dr. John Imperio Annette Lentini The William Randolph Hearst Foundation Marty Borruso Dr. Salah Mesad Dr. William Tursi Ms. Toby Biegel-Massa Malgorzata Chlebek Diane Donaghy Garfunkel Wild, PC In Style Nail Spa Nicole Lentini Bradford World Reowned Portraiture Metro Blood Service Mr. U.S.I. Toby Biegel-Massa Elizabeth Chowdhury Keith Donnelly Gargiulio's Restaurant Integrated Security Solutions Mrs. Amy Lenza Gifts Between $100,000 and $149,000 Edward & Connie Brancale Metro SI LLC Dr. Krishne Urs Maria Bilek Mr. Samuel Christian Judi Donovan Michael Garone Mr. & Mrs. Ignazio Intravaia Nicholas Lepore Dr. Krishne Urs Raymond Burt Metropolitan National Bank USI Insurance Services, LLC Christina Bilotti Daria Christopher Kim Donovan Paul Geneve IPlay America Diane Levato Gerald Burt Julie Moll Bill Vaslas Martha Binder Lauren Ciocco Ms. Andrea Dorman Ms. Ann Georgekutty Mr. Eric Isaksen Mrs. Kimberley Lewis Gifts Between $50,000 and $99,000 Ms. Paula Caputo Mount Sinai School of Medicine Victory State Bank Mr. Christopher R. Birstler Allison Clarke Miss Katie Dowd Gerald Peters Goldmine Edith Isaza Emily Lewis Anonymous Carmel Richmond Nursing Home, Inc. Mr. Ron Musselwhite Village Greens Shopping Center Steven Bisciello Ms. Alma Claudio William Dowd Lisa Gessert Maryjo Isoldi Ben Liaw Northfield Bank Foundation Casale Jewelers Dr. Sundee Naing Visiting Nurse Association of Staten Island Cathy Boccanfuso Patrick & Katheleen Coen Family Kathy Dowd Bill Gessert Mr. Kadirawel Iswara Limeri Insurance Agency Dr. John Pepe Cary Chapman, MD, PLLC Boris Natenzon Visiting Nurse Service of New York Jane Bocignone Annmarie Coffey Chris Dowdell Mrs. Denise Giachetta-Ryan Andrea Jackowitz Mark Lipton Grandmaster Jhong Uhk Kim Cicero Consulting Associates New York Community Bancorp, Inc. Wagner College Rachel Bohnenberger Nancy Cofrancesco Dr. Annemarie Dowling-Castronovo Kate Giannettino Mr. Jeffrey Jaenicke Mr. John Lizardos The Stephen Siller Tunnel to Dr. Daniel Clement New York Safety Services Ms. Wanda Walker Dr. Robert Bohnenberger Alison Cohen Dr. Jung and Dr. Mongelli Ms. Hassler Gina Mr. Jeffrey Janiger RoseMarie Lobasso Towers Foundation Ms. Kathleen Coen The Nicholas and Vincent D'Angelo Mr. & Mrs. Allan Weissglass Grace Bonamo Esther Cohen Rosa Driscoll Ralph Giordano Mr. & Mrs. James Janosky Ms. Danielle Locke Douglas Cohen Memorial Foundation Tom Westmoreland Mr. Santo Bonanno Teresa Colasurdo Mrs. Jeannette Driscoll Ms. Lisa Giovinazzo Ms. Coleen Jantz Mary Lombardi-Battista Gifts Between $25,000 and $49,000 Community Electric Corp. Northfield Bank Dr. Prasanna Wickremesinghe Anthony Bonilla Hector Colon Sean Driscoll Dr. Guilo C.F & Carmela F. Girardi Maritza Jeri Amanda LoMonaco Anonymous Christopher Vanella, Community Electric Anita O`Brien Christine Workman Xiomara Borges Kat Colucci Sandra Druback Ms. Elizabeth Gleason Mr. & Mrs. Phyllis Jerome Ellen Long Stilwell John Barker Service Corp Dr. Jill O`Donnell-Tormey Fern Zagor Gregg Bouwmans Comic Strip Live Katherine Druback Bernard Glezerman Jimmy Max Vincent Lorenzo BRF Aggressive, LLC Connors & Connors PC Ocean Pacific Interior Ms. Heather Bouwmans Committee to Elect Matthew J. Titone Stephanie Druback Denise Goldstein Mr. Craig Johnson Ms. Carrie Low Mr. & Mrs. Jay & Lucille Chazanoff Dell | CDWG Healthcare Octapharma Gifts Up To $999 Pinkie Boyde Ms. Eileen Connors Francesca Druback Dr. Orlando Gonzalez Mrs. Kate Jones Mrs. Stephanie Lowe Mrs. Joan Frederick Ms. Angel Deruvo Dr. & Mrs. Philip Otterbeck Aiman Abboud Elaine Boylan Ms. Angela Conte Ms. Eileen Duffy Berlyn Gonzalez Mary Beth Jordan Ms. Lisa Lubarsky Investors Bank Dr. Keith Diaz Dr. Pankaj Patel Trish Abbruseze Ms. Lorraine Brancale Rich Cooksen Michael Duffy Jean Gordon Alex Joseph Mr. Nicholas Lubrano Investors Bank Foundation Dr. Theodore Atlas Foundation Dr. & Mrs. Sunil & Jyoti Patel Joseph Abela Mr. Joseph Brancale Denzil Coppin Eileen Duffy Joan Gordon Kathryn Kaiser Mrs. Kate Madigan Dr. Xin LI Dr. Perry Drucker Mrs. Catherine Paulo Dr. William Abell Dannielle Branch Coppola Financial & Insurance Kelsey Dunn Vincent Green Ms. Kathryn Kaiser Manuela Mage Dr. Brian McMahon Steven Duffy Pavlides & Benson OB/GYN Associates Buddhi Abeyasekera Angelle V. Branch Agency Inc. Mr. Joe Earl Kevin Grego Kalikas Kathleen Carolyn Magliolo Dr. & Mrs. Daniel Messina Dr. Veerendra Durgam Mr. Thomas Petrone Milla Abidor Edwin Brech Geri Coscia Jill Easley Christina Gringut Matthew Kaufman Ms. Debra L. Mahr Mr. Ron Purpora Mr. Echo Drs. Michael & Desiree Piccarelli Ms. Erica Abidor Ms. Tatyana Breja Dr. Phillip Cosentino Ms. Marisa Easop Ms. Janice Gross Helen Kay Kathleen Malloy Mr. John Santora The Eger Foundation Pitta Bishop Del Giorno, LLC Aine Abruscati Dr. Vincent Broillet Mariel Covino Ms. Arlene Eastman Ms. Fallon Grossman Clarence Kay Kelly Malone Subaru of America Mrs. Lina Fang Pitta LLP Ashwini Achar Botanic Garden Melina Covino Ms. Lizlane Elhathat Kathryn Guarino Mozma Kazi Ellen Maloney 8 Dr. Samala Swamy Dr. David Fastman Dr. Subbaraju Polepalli Dr. Rebecca Acuna AnnMarie Brown Laurie Cowan Mr. Sherif Elzanie Matthew Guido Helen Keane Vannesa Mancero 9 Dr. Richard Fazio Dr. Jane Ponterio Marc Adams Alexandra Brown Mr. Jerma Crawford Dr. Leonard Emma Mr. Andrew Guido Chris Keane EJ Mannino Gifts Between $10,000 and $24,000 Flag Container Services, Inc. Hon. Dianne Powers Bisi Adedokun Kenneth Brown Victoria Creason Miss Jennifer Endozo Ms. Laurie Warren Guido Mrs. Susan Jill Keane Mrs. Jennifer Marano Dr. Anthony Barone Dr. & Mrs. Thomas J. Forlenza Premier OB/GYN Ms. Gabriella Adia Louis Buonacore Ms. Jade Cruci Pam Eng Elaine Guido Kristin Keating Mrs. Maria Marchetta Mr. & Mrs. Alan & Joan Bernikow Craig Franklin The Priority One Ambulance Mr. Ariel Adia Langston Burnett Victoria Cruz Phyllis Erikson Susan Guidone Jackie Keen Carol Marcinak Dr. Alexander Beylinson Arthur Fried Ms. Susan Proce Rosa Alma Adia Raymond Burt Andrew Cueter Jonathan Erman Ms. Vajira Gunawardana Mr. John Kelly Neshama Marcus Salvatore Calcagno Laura Gajda Putney, Twombly, Hall & Hirson LLP Adventureland Mr. Andrew Burt Susan Cupo Amy Eshleman Jennifer Guterman Lisa Kemmerer Ms. Jessica Maria Mr. & Mrs. John & Kathy Connors Dr. Bhavesh Gala Dr. Simon Rabinowitz Aflac Insurance Mr. Thomas Byrd Mr. Chris Curley Mike Esposito George Guzman Mr. Donald M. Kenny Tommy Maria Dr. Srinivas Duvvuri Mr. & Mrs. Thomas & Sara Gardner Dr. Zahir Rahman John & Felicia Ahlborn Mr. Liam Byrd Roberta Curry Leadford/Palmer Family Dr. Henry Habib Michele Kerner Yaron Markfeld The Gettinger Family Foundation GBH Business Group, Inc. David Rampulla Guerda Albertini Mr. John T. Byrne Ms. Alison Curtis Tara Farahvash Gizella Hajduk Mansoor Khan Myra Marks Dr. Richard Grodman Dr. Thomas Giaimo Dr. Lynn Rapp Mrs. Peace Ali Ms. Barbara Byrne Ms. Susanne Carmel Cyrgalis Roselle Farina-Hecht Ms. Kamillah Hanks Kseniya Khaskin Margaret Marrano Dr. Chitoor Govindaraj Dr. Alecia Giovinazzo Ms. Maria C. Ravelo Mrs. Maria Allegretti Café Bella Vita Dr. Janis D`Angelo Laura Feder Dr. Mary Hanna Miss Carlee King Theresa Marrapodi Mr. & Mrs. John & Gina Gutzeit GNYHA Ventures, Inc. Mr. & Mrs. Frank & Fran Reali Diane Altamura Julia Cafiero Dr. Paul Dadic Antoinette Feldman Ms. Shirley Haq Angie King Carolyn Marron Mr. & Mrs. Denis Kelleher Dr. Melissa Grageda Dr. Harold Reilly Jazmine Alvarez The Cafros Dr. Susan Daiuto Justin Feldman Aamir Haq Ajith Kolyankana Lenore & James Marrone Lori Ann Breast Cancer Foundation Efrat Halevi Dr. James Reilly Mr. William Amaniera Mr. Chris Calimano Boswell Daniel Stephen Ferdinando Elyse Harrell Diana Kotlewski Carolyn Marrone Dr. Santosh Parab Dr. Nirupa Harin Mr. Robert Reilly American Museum of Natural History Ms. Kathleen Callan Linda Daskal Ms. Danielle Fermaint Rachel Harrell Ms. Laura Kovaleski Ralph Martello Dr. Allan Perel Dr. Loren Harris Mary Renny Jessica Amon Mr. & Mrs. Jason Caminiti Mr. John R. Davila John Fern Ms. Deborah Hart Ms. Melissa Kraker Christine Martello Dennis Quirk Caroline Harrison Richmond County Social Network Ms. Indra Anandasabapathy Mr. Robert Campbell Shannon Davis Rose Ferrantelli Carole Harte Dr. Sunithi Krishnan Carl Martello Richmond County Savings Foundation Leonard Henderson Richmond Medical Anesthesia Associates Kristin Anderson Mr. Kevin Campbell Douglas Davis Rita Ferrara Stacey Haskel Marc Krok Ellen & Robert Martello Hon. & Mrs. Stephen & Kathryn Rooney Dr. Nidal Isber RUMC Cath Lab Ms. Nancy Arnica Rob Campbell Jill Dawson D & T Ferrara Helen Hausmann Bari Kurzman Dr. Raja Asif Masoud RUMC Medical Staff Island Auto Group RUMC Finance Department Mr. & Mrs. Arnel & Amy Aromin Craig J. Campbell, DPM, PC Christine Deangelis Ron Fevelo Christine Hayward Laura Kwasny John Massey RUMC OB/GYN Department Louis Jakub RUMC Nursing Department Dr. Shruthi Arora Rosanna Campo Nancy & Raymond DeCandia Msgr. Peter Finn Susan Healey Guido Donna L`Insalata Stacy Massimillo Dr. Frank Scafuri JL Consulting LLC RUMC Ophthalmology Anthony Arpaia Ms. Lee Can Peter Decaro Judith Finnerty Shaun Healy Catherine Labarbera Tom Masucci St. George's University Johnathan J. Proce Foundation Mr. Richard Salhany Rene Asencio Canlon's Ms. Lynn Decker Mr. Mike Fiore Mr. Paul Heck Devan LaBarbera Evelyn Mazzitelli Mr. & Mrs. Dominick & Rosemarie Stazzone Mr. Richard Kahn Joseph Saporito Victor Avis Cannon Design Mr. & Mrs. Mike and Phyllis Deebs Karen Fischer Ms. Kathleen Heck Laura Labetti Ms. Christine McAleer Dr. Feroze Khan Dr. Archna Sarwal Ms. Mary Ayoub Jeffrey Cano Thalif Deen Rose Fitzsimmons Helbock, Nappa & Gallucci Joseph & Robin Labita Christine McAleer Gifts Between $1,000 and $9,999 Mr. Steven Klein Dr. Jessie Saverimuttu Ms. Annie-Laurie Baeszler Vincent Caprio Jane DeFazio Tori Flaherty Donna Hemsworth Ms. Gina Lacedra Patty Mcaleer 5050 Skatepark, LLC Dr. Michael Lacqua Mr. John Vincent Scalia Baker Tilly Virchow Krause, LLP Tammy & Rocco Caputo Mr. & Mrs. Eugene & Antoinette Danielle Foraker Jason Hershman Mr. Gregory Lafer Ms. Betty McCauley Gina Addeo Lisa & Joseph LaForgia Vincent Schott Kumar & Sushila Balakrishnan Paula Caputo DeGennaro , Sr. Hilton Garden Inn Mr. Amar Lakhi Steven McEnearney Advance Central Services Paul Lebowitz Dr. Eli Serur Staci Balice Linda Cardinale Mrs. Cindy Delaine Ms. Mary Francis Historic Richmond Town Deanna Lambiasi Sharon McEnearney The Air Company Dr. Hoon Lee Drs. Lenny & Rita Shats Deborah Ballou Carnegie Hall Gina Della Croce Mr. Samuel Francis Katherine Hofmeister Dr. James Lamia Jennifer McGovern Empire BlueCross BlueShield HealthPlus, Dr. Teresa Lemma Keri Sherman The Barillari Law Firm, PC Ms. Donna Carr Ms. Christina Dennedy William Fritz, PhD Hannah Holbrook Ms. Veinberg Lana Hannah Mckay Amerigroup Lina Leykina William Smith Mr. Keenan Barrant Nicole Carrara Dr. Jo DeSantis Ms. Stephanie Fueguel Ms. Theresa Hollnsteiner Dante Landi Mr. Thomas McKernan Robert Annicharico Li Grecci's Staaten Kathleen Smith Dawn Barry Samantha Carrier Mike DeSantis Christina Furia Teresa Hollywood Carol Landron Ms. Susan Meeghan Angelo Aponte Lipton Associates Eman Soultan Ms. Margaret Barry Marlene Carrillo Mrs. Clara Desiderio John Furnari Dr. Ulrika Holm Brittany Langan Prof. Jason Mendiola Aramark Ms. Mary Lyons Staten Island Performing Provider Nicole Barry Rosa Carucci Krista Desiderio Ms. Olga Gaeta Patricia Hoo Marie Langan Christine Mentesana Daniel Asomaning Robert Manning System, LLC Kristina Barry Miss Maryanne Caruso Celine Diaz Doreen Gaffney Mrs. Margaret Hosmer Dr. Nicolas Lansigan Mrs. Lisa Meringolo Atlantic Salt Dr. Khan Mansoor Northwell Health Staten Island Humza Bashir Casa Nova Patricia DiGregorio Lorraine Galasso Lionel Hunt Saranda Lata Arapi Dr. Lina Merlino Rev. Tony Baker Dr. Michael Mantello University Hospital Dr. & Mr. Elizabeth & Allen Basile Casey Funeral Home Mrs. Kathleen Dimauro Lisa Galasso Nicholas & Eileen Iammartino Sabrina Lauriston Carol Messina Bank of America Dr. Publius Martins Peter Stathopoulos BCB Community Bank Miss Nicole Cassiliano Peter Dinolfo Galligan & Villa DDS Rachel Iammartino Ms. Sarah Lawrence Michael Messina THANK YOU Practice Update: Miami Dolphins Lauren Ortiz Susan Rispoli Drew Sheehan Christyna Tracey Ms. Veronica Miller Kristine Pabst Mr. Raymond Rivera Kathy Sheehan Cathryn Traphagen Lisa & Robert Miller Gloria & Angelo Palmeri Ms. Maribel Rivera Dr. Mark Sherman Mrs. Nancy Tricorico Obstetrics and Gynecology Janet Miller Ms. Joanna Panek Mr. Joseph Rizzo Yuri Shishikin Dr. Teresa Trimarco Maryann Miller Cindy Papas Ms. Crystal Rizzo Isa-Ngozi Shoneyin Rose Troccoli The Miller Family Pat Pappalardo Mr. Byrne Robert Ms. Debra Sicurella Mario & Fanny Tucciarone Sharon Mineo Mr. Sunil Parab Chantell Robertson Dr. Qurratulain Siddiqui Phyllis Urciuoli Gasper Minervini Zarina Parnas Rock Star Int'l Sarah Siller Vincent Valinoti Cara Minogue Tony Parone Maria Rodaligo Tina & Barry Silverman Ms. Emily Vallelong Mr. Yulo Miranda Pastosa Hon. Raymond Rodriguez Mrs. Liza Simanovskaya Karrie Vanella Dr. Inna Tubman plays an important part in in contact with women who are in need of care. Many Mr. Steven Mirones Dr. Narendra Patel Deborah Rodriguez Mr. & Mrs. Stephen Simms Victoria Vega Mr. Kenneth Mitchell Alicia Patrimonio Guisella Rodriguez Steven Simms Natalya Vendeeva reaching out to the community of women — of of her patients are referrals from family, friends, and Carol Mitchell Diego Patrimonio Jessica Rodriguez Erica Simone Ms. Corrie Verde Mariaelena Modica Samantha Peacock Frank Rodriguez Ms. Sophia Simone John Verrilli all ages — on Staten Island. coworkers. “I’m honored to work in the community that Boris Molchanskiy Diane Pecoraro Norma Roldan Mrs. April Sinclair Ann Verrilli Maria Molina Pediatric Surgery & Urology Associates Allison Romeo Mrs. Marie Sineri Lisa Verrilli I live in, but it’s so much more fulfilling when patients Hon. Mr. Peter Pedulla Michael Rooney Ms. Laurie Six Mr. Anton Vilinskiy “What’s important to me about my role,” says Inna walk in because someone I’ve helped recommended ToniAnn Molloy Karen Pellegrini Guy Rosatelli Fiona Sjolander Mr. Michael G. Villa Catherine Monchik Mr. Vincent Pelosi Mrs. Maggie Rosatelli Ruth Slayton Vincent's Bagels Tubman, MD, who has been in practice for a dozen me. That is truly the best compliment,” says Dr. Ms. Nicole Mongelli Mr. Lester Penek Mrs. Esther Rose Mr. McKinley Sledge Vincent's Clam Bar Lizann Mooney Dorothy Peretz Ms. Yolande Rose Mr. Dimitry Slootsky Mr. Anthony & Valentina Vinci years, “is that it allows me to be an advocate for Tubman. Mr. Robert Moore James Perkins Ms. Joann Rosiello Christina Smalls Dr. Ernest Visconti women.” She says she emphasizes to her patients the Ms. Anna Moreno Mrs. Maria Castellano Perrotta Mr. Francesco Rotatori Ms. Jayne Smith Carolyn Visconti The doctor speaks both English and Russian; as Elba Morro Ms. Sarah Perry Mr. Brian Rowan Ms. Karen Soleri Joanne Vitale importance of taking care of themselves and exercising Laura Morrongiello Lori Perry Mrs. Kathleen Ruggiero Ms. Debra Sollitto Natalie Vitone she is a bilingual provider, her office is a busy one. Lenny Moscatelli Jonathan Pessolano Ms. Felicia Ruggiero SheryllAnne Soriano Dr. Jeanette Voice and eating right. “I tell them that they need to know George Mosely Ms. Vanessa Petitto Ms. Giovanna Ruggiero Anna Soubotina Kristen Volpe About one-third of her patients use Russian as their their own bodies, so they can be vigilant in reporting Mr. Todd Mullins Jenna Petrone Mr. Christopher Ruiz Joseph Sparacio Rachel Volpe, RN first language. With the help of a full-time physician’s Christopher and Deborah Murphy JAG Physical Therapy Dominique & Dannielle Ruiz Dr. Salvatore Spatola Wilhelminia Waddell any unusual signs or symptoms, and more importantly, Sean Murphy Gabrielle Picarello Mary Ruland William Spiezia Mrs. Kimberly Wagner assistant, two medical assistants, one sonographer, INNA TUBMAN, MD Ms. Elizabeth Murphy Ms. Amelia Piccione RUMC HIM Department Gabriella Spinelli Katherine Wagner to come in for those routine, annual exams to maintain Dr. Kalai Murthy Jean Pierre RUMC Quality Control/Infection Kerry Sporkin Wagner College and three office personnel, Dr. Tubman’s practice sees OB/GYN SERVICES Mystic Seaport Martin Pietrusiewicz Control Department Linda Spotorno Darius Walker optimal health.” Anthony & Angela Navarino Pittsburgh Steelers RUMC Trauma Department JoAnn Spreen Wall Street Access over 400 patients a month. They offer well women 10 Ms. Joanne Navarra Ms. Jeanine Pluy Ms. Maryanne Russo-Menoni St. George Theatre Mr. Michael M. Walsh 11 Kelly Navarro Dr. Marino Poliseno Alison Ryan David Stahl Margaret Walsh Dr. Tubman was born in Russia and moved to Brooklyn gynecological care to women from their adolescent Michele & Kotresha Neelakantappa Dr. Marino & Nicole Poliseno Desiree Ryder Stand Up NY Terence Walsh as a teenager. She graduated from New York University years to their postmenopausal years. Procedures such Debbi Nelson Sallyann Polizzi Lil Thomas Ryder III Jillian Stark Lydia Walsh Suchitra Nemani Ms. Jennifer Polli Carolyn Saccente Staten Island Children's Museum Richard Walters as math major. However, working as a financial as hysteroscopy, endometrial ablation, cervical loop patients, with up to 20 normal and cesarean deliveries Mr. Daniel Nessim Ed Pollio Dr. Balvinder Sadarangani Cheryl Garber, Staten Island Museum Keith Washington New Golden Touch Ms. Brittany Potter Fawzy Saleem Staten Island Orthopedics & Sports Dr. David A. Watson analyst did not give her the fulfilling career she had electrosurgical excision procedure (LEEP) for select a month. New Jersey Devils Prime Function Fitness Deanna Salerno Medicine Pacita & Richards Weiss New York Knicks Mr. Benedict Proce Ms. Miran Salgado Traci Steinberg Dr. Debra Werner been hoping for. After much self-reflection, she went patients along with colposcopy, pelvic ultrasound, and New York Red Bulls Ms. Jessica Proscia Dr. Shamim Salman Ms. Louise Steward Dr. Nancy Wetzel back to school and received her medical degree from bloodwork are done on the premises. Dr. Tubman also “I see women in every stage of their lives. Mothers bring New York Yankees Nicholas Proscia Ms. Michele Salomon Stone Court Developers, LLS Adam White their young daughters in if there is an issue of concern, Suzanne Newman Diane Pugliese Krista Salvatore Kristin Strandberg Jonathon White St. George’s University School of Medicine, and went performs several minor and major surgical procedures Dr. Jay Nfonoyim Ms. Eryn Pullara Emil Sand Ms. Jo-Ann & Victor Stuart Barbara White I get to deliver babies, and I help women through Sandra Nicholasi Michael Push Diva Sandrasagra Mrs. Clare Styles Brianne Whytock into private practice immediately after her OB/GYN monthly at Richmond University Medical Center. “I Mario Nicolais Ms. Jennifer Quercia Ms. Karen Sanicola Dr. F.J. Suarez Priya Wickramanayake know my patients and I listen to their needs. I want to menopause,” says Dr. Tubman. “The continuity of Michael Nieves Frank Wilkinson Rab's Country Lanes Pat Santoro Sunnyside Associates LLC Mr. Nathaniel Williams residency. Anthony Nobile Amy Raiola Grace Saphire Mr. Taylen Sussex Ms. Jade Williams be able to offer them options for their care that are hard care means a lot to me. Being allowed to be part of the Michele Nola Dr. Olga Rakhlin Mrs. Suzanne Saporito Joe Swanson Mr. Kevin Wise She is in a unique position on Staten Island as not issues that girls and women face as they grow, mature, Anna Nowak Dr Lucas Ralston Debbie Satriano Mrs. Kim Swanson Philip Wu to find elsewhere,” she says. Desi's NYPD Family Enid Ramos Dr. Tamara Saukin Ms. Kristin Sweeney Michael Yerkes only a provider to multiple generations of women, but age — that’s a very special privilege.” Ms. Hannah Nyquist David Ramp Lauren Savage Theresa Sweeney Dianne Young Ms. Hailey Nyquist Lenny Rampulla Ms. Nancy Sayegh-Rooney Brian Sweeney William Young also as part of their community. As a resident, with The practice also initiates care for those with infertility, Ernestina Nyquist Mr. Paul Ratan Mrs. Mary Scafuri Kensie Sweeney Hany Youssef her three children in local schools, she is constantly as well as providing obstetric care for low and high risk Eddy O'Connor RCMS Mr. Domenick Scafuri Carisa Sweeney Zohara Zagouri Dr. Timothy O`Byrne Ms. Margaret Regalbuto Miss Marianna Scafuri Lauren Bond,Tada! Miss Inessa Zakariashvili Corinne O`Connor Chris Reilly Miss Angelina Scafuri Original Youth Theater Gloria Zammit Gennessis Ocasio Mrs. Alison Reilly Ms. Rosemarie Scalcione Puiyan Taglianetti Jonathan Zammit Mrs. Kara Olah Anthony Reinhart Ms. Lorraine Scanni Margarita Tarkanova Kaitlyn Zammit Ms. Barbara Olinsky Mr. George Renny Beth Schwartz Mrs. Donna Tavares Mrs. Thuraya Zammit Arlynn Olsen Vanessa Renny Nicole Sciacca Zach Taylor Thuraya Zammit Rosemarie Stazzone, COO/CNO, Richmond University Medical Ms. Carol Olsen Richard Renny, Jr. Marcello & Charlotte Sciarrino Mrs. Janice Taylor Agnes Zefi 0

0 (at rear, 2nd from left) is joined Center’s CFO Joseph Saporito, CPA, Debbie S. Melanie M. Or Leslie Rey Courtney Scott Ms. Marla Tesoriero Alesia Zhuk Ms. Mary M. Orazem Mrs. Lisa Ricca Debra Seery Thomas & Janet Thornton by medical center colleagues (l.) and President & CEO Daniel J. Rich Oritz Ms. Helen Richards Ms. Katelynn Sefershayan Mr. John Tiernan as she is honored by the Staten Messina, PhD, (c). join a roundtable Henry Orjuela Richmond Rockets Ms. Martha Segura TMM Industries, Inc. Island Chapter of New York State meeting hosted by Congressman Stephanie Orlando Richmond Surgical Associates, PC Donna Serventi Michael Tobin Lauren Orsino Richmond University Medical Center Mrs. Angela Settepani Steve Tonnesen Women, Inc. Dan Donovan (r.) on health care Orthopaedic & Sports Medicine Richmond University Medical Center Jessica Seward Becky Torjesen reform efforts in Washington. 03. Consultants of New York Auxiliary Sgrisk, LLC Tom Torocco 03. Mr. Richard Ortiz Ms. Jean Rita Ringhoff Jennifer Shapiro Tournament Stars Mount Sinai Medical Center, and completed his training Another procedure the physicians LUNG SCREENING AT Experts in Thoracic Care in pulmonary and critical care medicine at Stony Brook employ is electromagnetic navigation RICHMOND UNIVERSITY MEDICAL CENTER University Medical Center. bronchoscopy, or ENB. With ENB, the doctors use technology similar Lung cancer is 90 percent curable…if it is caught early. “Smoking is a critical factor in lung cancer,” Nancy to a GPS system to navigate through The program is directed towards smokers 45 to 80 Sayegh-Rooney, RN, says unequivocally. A nurse your airways in your lungs to reach years old, those who have smoked a pack a day for 30 for over 35 years, Nancy has always played a role in a suspicious nodule. Samples are years, and former smokers. At Richmond University Medical Center, lung “We also treat patients who have pulmonary sarcoidosis, cancer awareness and prevention, which makes her taken to be biopsied, and small disease gets state-of-the-art tools a disease characterized by tiny clumps of inflammatory an excellent team member in the Lung Screening Since 2014, the program has screened about 100 markers can be inserted near the and treatment. cells that form in the lungs, and pulmonary fibrosis, Program. There, she acts as patient educator, friend, patients a year. Over a nine month period in 2017, there area for follow-up treatment or an inflammation or scarring of lung tissue caused by and advocate. were eight positive screenings — that’s almost a 10 therapy. The procedure generally “Our thoracic surgeons are experienced in performing chronic lung disorders — which can lead to permanent percent rate annually of catching cancer. Healthcare Dr. Diaz goes on to say, “Secondhand smoke affects takes less than an hour. many kinds of procedures,” says Loren J. Harris, MD, loss of the lung tissue’s ability to carry oxygen,” says professionals let you know that if screening is negative non-smokers, too. At Richmond University Medical FACS, FCCP, chairman of the department of surgery Dr. Harris. If the need for surgery is indicated, the first time, you can’t relax: two of the positive results Center, we have the advanced tools to detect cancer and chief of thoracic surgery at Richmond University the physicians are experienced in this past year were found on the second annual scans, and treat patients in a less invasive way that also Medical Center. both minimally invasive techniques and in using the Loren J. Harris, MD, FACS, FCCP; and one on the third. Over the years, there have been minimizes pain.” Nancy Sayegh-Rooney, RN; Dr. Harris, who received his medical degree from the “With the resources we have right here daVinci® Surgical System. Minimally invasive techniques five surgical interventions needed as a result of the Keith Diaz, MD New York University School of Medicine and completed at Richmond University Medical Center One of the tools the doctors use is called an generally result in smaller incisions, which means screening. — both the state-of-the-art equipment endobronchial ultrasound, known as EBUS. Using less scarring. There is also less pain, less blood loss, his training in general and cardiothoracic surgery at Getting a screening at Richmond University Medical and our team of experienced surgeons EBUS allows for early detection of lung cancer, and a shorter recovery time, and faster return to normal New York Medical Center, has been in practice for 20 Center is easy. Pulmonary nurse navigator Nancy — there is no reason to travel to its progression, in a much less invasive way than activities. When the daVinci system is used, the surgeon 12 years. Board certified in both general and thoracic Sayegh-Rooney, RN, shepherds the patient through 13 for treatment.” — Dr. Harris conventional diagnostic procedures. Instead of an sits at a console and operates robotic arms that hold a surgery, he says that the doctors see patients with a each step, from making the appointment to being there incision in your chest and surgery, a bronchoscope high-definition camera and specially designed surgical wide range of ailments. on the day. She acts as a personal advocate, providing is inserted through your mouth. The physicians instruments. The system gives the surgeon precision, Chronic Obstructive Pulmonary Disease (COPD) is one-on-one patient care. The screening itself consists of One of the conditions the surgeons often face is lung can manipulate the tools they need through the dexterity, and control, and because of the size of the among them. This name actually encompasses several a low-dose CT scan done without contrast (so there’s no cancer. “It is a fact that there are too many people who bronchoscope. One of these is an ultrasound processor, tools, complex operations can be performed through progressive lung diseases, including emphysema and injection or need to drink a dye solution). The scan of which gives the doctors a very detailed look at the area very small incisions. smoke in Richmond County,” says Keith Diaz, MD, a the entire chest is done within 5 to 10 seconds. chronic bronchitis, that cause obstructive airflow from so they can see what need to be biopsied; samples are thoracic surgeon and a key member of the Richmond “With the resources we have right here at Richmond the lungs. Another condition seen in patients is asthma, sent to the pathology lab for testing. Since there is no University Medical Center Lung Screening Program University Medical Center — both the state-of-the-art which causes wheezing, a tightness in the chest, surgery, “You are generally in and out of the hospital team. Dr. Diaz, who is board certified in pulmonary, equipment and our team of experienced surgeons — and trouble breathing in response to triggers such as in one day,” says Dr. Diaz. The technology can also critical care, and internal medicine, did his residency there is no reason to travel to Manhattan for treatment,” allergens, smoke, strong perfumes, paint fumes, and identify sarcoidosis and other inflammatory diseases of at New York Medical College, did specialty training at says Dr. Harris. “Our patients can stay close to home, dust mites. the lungs. have less stress, save time, and save their strength for recovery.”

As part of Mayor deBlasio’s inaugural The Annual Jack Sipp Golf & Tennis Richmond University’s medical staff Richmond University Medical 0 0 0 “City Hall on Staten Island,” Louise 0 outing at the Richmond County holds its annual summer reception Center continues to lead the way in Steward, RN, (l.) and Catherine Wilson- Country Club is a sold-out smash! at the Vanderbilt at South Beach combatting the nationwide opioid Mooney, RN, (r.) welcome Dr. George and honors Board of Trustees overdose epidemic and announces Askew, the deputy commissioner of the member Hon. James P. Molinaro. free naloxone training to the public Division of Family and Child Health at and increased availability of the NYC Department of Health & Mental life-saving drug in the emergency 05. 06. 06. 04. Hygiene, to the maternity unit. department. Experience and Expertise Guide “When surgery is the best option,” Dr. Cohen says, “these new technologies help us to improve the the Richmond Brain and Spine Center efficiency and safety of the procedures we perform. ACO Achievements We’re essentially able to do the same work through smaller incisions. That means less blood loss, shorter hospital stays, quicker recovery, less pain and less risk.” Richmond University Medical Center The doctors treat patients with pituitary tumors, The Richmond University Medical Center that the ACO also had the HISTORICAL BENCHMARK AND CURRENT COST TRENDS 2017 is proud to have Douglas Cohen, MD, and meningiomas, herniated discs, spinal stenosis, and Since Richmond University Medical Center is a Level accountable care organization (ACO) achieved highest quality score, Q0 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2017 $13,900 $13,553 Erico Cardoso, MD, leading the Richmond trigeminal neuralgia, as well as other disorders, and I Adult Trauma Center and Level II Pediatric Trauma double the amount of shared savings in 2016. 95.9%, of the five ACOs. $13,700 Brain and Spine Center. the Center offers neurocritical care for those with life- Center — the highest distinctions possible — the $13,500 This year, 2017, $13,300 Historical Benchmark Total Spend per Assigned Bene threatening conditions affecting the nervous system, ability to implement cutting edge resources when life is The ACO approached the second year of the CMS $13,100 $13,093 represents the third $12,900 Dr. Cohen brings over 21 years of experience to his including patients who have suffered from strokes, Medicare Shared Savings Plan with a primary focus threatened is critical, says Dr. Cardoso. “With traumatic and final year of the $12,700 To achieve Minimum Savings from your Historical Benchmark position, and Dr. Cardoso has 35; together, they bring ruptured aneurysms, seizures, brain or spinal cord brain injury, you want to know you’ll be able to rely on on quality improvement and expense reduction. The $12,500 contract with CMS. Our $12,300 their deep knowledge of neurosurgery and practice injury. the right equipment, with a medical staff that knows strategic plan consisted of using care managers and $12,100 projected performance is $11,900 expertise to bear on the solutions they find for their clinical analysts to intensify the concurrent clinical $11,700 The Richmond Brain and Spine Center utilizes state- how to perform the latest in surgical techniques that are again indicating savings. patients. Dr. Cohen received his medical degree from best for the condition being treated.” review of practice behaviors. This afforded the $11,500 $11,350 of-the-art, powerful treatment tools that couple medical Our historical benchmark $11,300 Actual Cost Total Harvard Medical School, and completed his residency physicians opportunities to become aware of the gaps $11,100 imaging with computers. These tools are translating “When a trauma occurs that affects the head, one of is $13,553.91. To achieve $10,900 in neurological surgery at New York Presbyterian in care and achieve more compliance with the quality $10,700 to better results for patients, especially those suffering us is automatically called,” says Dr. Cohen. “They’ll minimum savings from Hospital. Dr. Cardoso received his education metrics. $10,500 from neurological disorders. do a head CT scan immediately to check for bleeding this historical benchmark, internationally: his medical degree is from Goias Federal or a skull fracture, to help us determine if surgery is our spend needed to be University in Brazil, with neurological residencies at “Now, we essentially have perfect visualizations without The ACO promotes health and wellness in our 14 necessary.” $13,093.08. Our current fourth quarter spend per 15 Ottawa Civic Hospital and neurosurgical fellowships having to cut and dissect,” says Dr. Cohen. “These assigned beneficiary is $11,350.83. This indicates community by aiming at three things: improving quality, at both the University Hospital of Western Ontario technologies help us remove the things that need to The office takes a collaborative approach to care. “We a total spend reduction of $15,926,075.17 with a improving the patient experience and decreasing in Canada and the Society of British Neurological be removed and leave behind the healthy bone and work very closely with pain management specialists projected maximum payment of $7,963,037.58. The costs. Recently hired are two registered nurse care Surgeons at the Institute of Neurological Sciences tissue.” and physical therapists. As Dr. Cardoso says, surgery ACO can earn a 50 percent maximum share rate coordinators to work directly with the physician in Scotland. is not always necessary,” says Dr. Cohen. “Our office “For example, once we have the patient in the operating of that sum with CMS; that assumes a 100 percent practices and their patients to identify gaps in care coordinator, Mae, will walk you through everything that Both physicians are board certified in neurological room, we can use a very minimal incision, just big quality score. The share percentage decreases and facilitate transitions of care. We are currently is needed.” Mae Zoltowsky, RN, is the point of contact surgery, are fellows of the American Association of enough for a screw, because we know exactly where on according to the final quality score. Final results will be in the process of implementing a new data platform for all patient questions, authorizations, and referrals. Neurological Surgeons, and have received numerous the bone it is needed, how big it is and where the screw determined by CMS by the summer of 2018. which will allow access to real time data throughout the accolades from peers, including being named Super needs to find purchase,” he adds. The team works closely together to create a center that Richmond Quality LLC was one of only five ACOs in New measurement year, which will greatly assist in these The ACO has again received CMS approval to enter Doc or Top Doc in the metropolitan area for many years is focused on the quality and continuity of care. York State, out of 32 participants, that achieved shared endeavors. “We look at all options to see what will be best for our into a second three-year contract beginning 2018, running. savings in 2016; it earned the second highest dollar patients,” says Dr. Cardoso. “Surgery is not always (See our featured Patient Success Story, page 3.) continuing as a Track One ACO indicating one-sided amount in the state. The best news for our patients is needed. It is only performed when nothing else works.” risk.

Neurosurgeons Douglas Cohen The City Council and Borough The fourth annual clambake Dr. Mitchell Fogel joins the medical 0 0 0 and Erico Cardoso join the medical President James Oddo will be fundraiser benefitting the Neonatal 0 center as the new chief medical center with the opening of the allocating $12.5 million in city funds Intensive Care Unit is held in officer and chair of the department Richmond Brain and Spine Center. towards the capital campaign. The memory of Dr. Anantham Harin. The of medicine. (2nd fr. l.) new funds are in addition to $13.5 event raised over $38,000 for our million for the project from the City littlest patients.

Council last year, bringing the total 07. 06. 06. to $26 million for the project. 06. Update on DSRIP, a Statewide care, more efficiently, and succeed in raising the quality behavioral health outpatient setting and primary care "The Staten Island Performing Provider System and of health in the population we serve,” says Richard setting. The addition of a nurse practitioner in the Richmond University Medical Center are vanguards Healthcare Initiative Salhany, MBA, FACHE, senior vice president. behavioral health outpatient setting enabled the creation of the DSRIP program and are leading the way for of co-located services: both the medical and psychiatric healthcare system transformation in New York. The THE PROJECTS INCLUDE: issues discovered during the visit can be addressed. efforts by SIPPS and RUMC will positively affect the lives of thousands of Medicaid members." IMPLEMENTATION OF PATIENT ACTIVATION CARE TRANSITION OF MEDICAID PATIENTS The hospital continues its involvement in a being one of its largest partners. The PPS works hard on ACTIVITIES FROM THE HOSPITAL TO HOMECARE —Jason Helgerson, New York State Medicaid Director statewide program that focuses on improving many initiatives that help the Staten Island population the delivery of Medicaid care, modeling a get healthy and stay healthy. Project Goal: Project Goal: delivery of care that will benefit all patients. Daniel Messina, PhD, FACHE, President & CEO, says, This project is centered on patient activation Transition of care from the hospital to home care “The Staten Island PPS continues to be at the forefront and engagement, health literacy, and practices to environment to ensure seamless and safe discharge The Delivery System Reform Incentive Payment of innovation in the state DSRIP work. We’re proud to reduce health care disparities. Its focus is to address from the hospital. (DSRIP) program continues, in its third year, to focus patient activation measures (PAM) so that uninsured, be one of its founding partners, and the benefits of all Richmond University Medical Center is working on improving the care of Medicaid patients located non-utilizing, or low utilizing populations are affected our hard work accrue to our patients every day. Our diligently with our preferred home care vendors to on Staten Island. The hospital was instrumental in by DSRIP projects. To facilitate this, community health participation in the PPS involves us in many initiatives to transition patient care safely and seamlessly from the the development of and has been actively involved in workers meet with each patient annually and give keep Staten Island Medicaid patients out of the hospital hospital to their homes. This type of care helps reduce a numerous projects with DSRIP and Performing Provider them a PAM survey. The survey documents the chief and increases our already deep focus on primary and patient’s length of stay in the hospital and promotes the Systems (PPS) because of the number of patients in complaint of the patient, identifies the barriers to behavioral health care.” satisfaction of being cared by a nurse at home. the area who meet the criteria. Those include Medicaid care, and identifies the primary decision maker in the A large part of the success of the Staten Island PPS is recipients, high utilizers of services, high non-compliant family for health-related issues. Patients are then linked patients, and frequent visitors to the emergency the result of the hard work and persistence of the team 16 to the appropriate programs for treatment. 17 department. at Richmond University Medical Center. For example, the Ambulatory Center, working with all the providers, The Staten Island PPS has been the leader for INTEGRATION OF PRIMARY CARE & has made its mark on the necessary programs to extend New York State, and it has brought together 25 BEHAVIORAL HEALTH SERVICES “The Staten Island PPS continues to be the care provided for the Medicaid population. “As we community partners to implement strategies and at the forefront of innovation in the state continue to identify gaps in care and take steps to close Project Goal: programs to meet the objectives the state has set out. DSRIP work. We’re proud to be one of them, we will make great strides in delivering better Richmond University Medical Center has the honor of Integrate primary care services with mental health its biggest partners, and the benefits of and substance abuse to ensure coordination of care all our hard work accrue to our patients for both services. This goal focuses on providing every day.” one-stop shopping for patients who may not take the — Daniel Messina, PhD, FACHE, extra step to reach out to another provider, including President & CEO the implementation of co-located services in both the

JOINT COMMISSION LEVEL I ADULT TRAUMA CENTER AMERICAN HEART ASSOCIATION PERINATAL CARE, AND LEVEL II PEDIATRIC TRAUMA CENTER BABY FRIENDLY USA/UNICEF EXCELLENCE IN STROKE & AFIB AWARDS COPD CERTIFICATIONS & CHEST PAIN AND HEART FAILURE LACTATION CARE

Richmond University Medical Center is proud to Borough President James During the month of August, a total Throughout the month of 0 0 0 0 have earned quality accreditations for a variety Oddo announces the of 26 of these ultra-lite workstation September a number of employee- of its excellent programs (see above). We thank allocation of $250,000 in units, featuring a maneuverable focused events were hosted in our physicians and staff for their dedication and funding to help establish keyboard and interface/display, support of the VITAL capital commitment. a cardiac rehabilitation were deployed across the medical campaign, including an employee program at Richmond center. The units have the ability to carnival and painting and bowling

07. University Medical Center. be easily cleaned and disinfected. nights. 08. 08. 09. A New Paradigm for Health Care at the Patients also like that the facility is clean, new, and looking for the best ways to address it.” So far, Matthews blood pressure, for obesity, even for smoking,” Center for Integrative Behavioral Medicine pleasant to be in. “They feel respected,” says Matthews. has sent five staff members to the DMH’s special he says. “We’re moving towards the understanding that “It’s easier to come to a place when you feel good about training program to learn different methodologies that you have to pay attention to both physical and mental its atmosphere and sense that you are being treated can be integrated into current practices at the Center. problems at the same time.” right.” Dr. Idowu talks about the high correlation between Matthews concludes, “Our goal is to make sure all of At this state-of-the-art Richmond University six months to one year, but there are those with long- Integrated services work a variety of ways at the new medical problems and psychiatric problems. our patients receive physical exams in conjunction with Medical Center outpatient facility, patients term disorders who have been patients for over 10 facility. “Because we now have a nurse, and a nurse “It’s a huge benefit to our patients to have primary monitoring for their mental wellbeing. We have staff find easy access to both primary and mental years. practitioner, on staff, it’s easier to do outreach for care here. We can perform physical exams and meetings and manager meetings where we talk about health care. That makes the Center a efficient, dynamic place. primary care,” says Matthews. “If it’s flu season, a bloodwork, and do health monitoring for process, working on improving the way we integrate and Some patients are treated in one-hour group sessions, nurse can scan the people in the waiting area, and ask deliver the best care.” “What we’re accomplishing here embraces a change in often once or twice a week; groups average about nine that,” says Joel Idowu, MD, acting chair of the if anyone has time for a flu shot. It also works the other the way we look at and treat patients with mental health people in each, but never more than 15. Others come in psychiatry department, “are depressive disorders, way. One of the therapists can notify a nurse if someone issues,” says Michael Matthews, director of outpatient for solo appointments, which vary in length. Generally, schizophrenia and other psychoses, and anxiety in a group is ill, and can refer them immediately to the behavioral health services for the department of every patient in a group is also seen individually at least disorders. The average age of the patients in these nurse practitioner. Since we take up only two floors, psychiatry at Richmond University Medical Center. “In once a month. populations is 45. Those in our substance abuse we’re all within easy reach of each other.” It makes it the past, we’ve always known that people suffering from program — which is smaller, though because it is much easier for patients to navigate the system, says depression, anxiety disorders, and schizophrenia are such a large, severe problem right now, we hear about Matthews. among the patient populations least likely to take care it a lot — skew younger. And we make sure all those of any physical ailments they have. Now, we can do “Part of all of our programs is the The facility is looked at as a model by the Staten Island receiving substance abuse counseling and treatment something about it. That makes this place very special.” continuity of care. That in itself Performing Provider System (SIPPS), which brings 18 receive concurrent mental health care.” The facility 19 is therapeutic — knowing there is other practitioners by to see how it works. The Center The Center, located at 1130 South Avenue, is staffed also has programs that are geared towards those with someone here you trust.” — Michael has also been asked to participate in a unique smoking full-time Monday through Friday with six psychiatrists, developmental disabilities. Matthews, Director of Outpatient cessation program. “The New York City Department of five psychiatric residents who carry full caseloads Behavioral Health Services Some patients come in only for maintenance Mental Health has asked for our collaboration in their under the supervision of an attending, and 51 other medication. For example, says Matthews, someone program,” says Matthews. “Smoking is an enormous healthcare professionals — including certified social who has a diagnosis of schizophrenia may only need problem in the behavioral health population, and we are workers, mental health counselors, therapists, a nurse to come in once a month for injectable antipsychotic practitioner and a registered nurse — all of whom work There are those patients who participate in a continuing medication. “But the person who administers that shot together to treat a population of about 1700 unique day program, one that provides four hours of care, five is very important,” he says. “Part of all of our programs patients annually. About 350 of these patients come days a week. There are also those who need short term is the continuity of care. Patients like coming to “their” through the doors each day for a variety of different acute care, who stay the longest every day at the facility. caregivers, who are perceived as being safe. That in appointments. The general length of treatment is from “Our ‘top three’ diagnoses, if you want to call it itself is therapeutic — knowing there is someone here you trust.”

Richmond University Medical Center is Over 650 guests attended the medical For the second consecutive year The Medical Staff of Richmond 0 0 0 0 again a lead sponsor of the borough’s center’s annual gala at the Hilton Richmond University was honored as part University held their annual Holiday premiere health event, the Staten Island Garden Inn. With the theme “A Night of the Chamber of Commerce’s Building Reception at the Excelsior Grand. Economic Development Corporation’s in Florence,” attendees celebrated the Awards. The Immediate Care Walk-In/ A highlight of the evening was the annual Health & Wellness Expo, which achievements of this year’s honorees, Primary Care facility located at 4360 Hylan presentation of the annual

brings together dozens of healthcare 11. Marcello Sciarrino and Dr. Michael Boulevard was recognized for Excellence Dr. William C. Frederick Award, 12. 12. 10. providers for screenings, educational Moretti and the physicians of the OB/ in Exterior, Excellence in Interior, and which this year celebrated the seminars and marketing opportunities. GYN Department. Excellence in Interior Decorating. career of Dr. Krishne Urs. 2017 Key Statistics Accreditations and Recognition Richmond University Medical Center

Affiliations Obstetrical Improvement 2017 BOARD OF TRUSTEES Icahn School of Medicine Centering Pregnancy Kathryn K. Rooney, Esq. Joseph Saporito, CPA at Mount Sinai Quality Improvement Award BIRTHS Chairperson Senior Vice President & Chief Financial Officer Michael Mantello, MD New York State Perinatal Quality Collaborative Blood Bank Department of Radiology Ronald A. Purpora Laura Gajda, CFRE, FAHP, MBA EMPLOYEES Primary Stroke American Association of Blood Banks Vice Chairperson Vice President of Development Brain McMahon, MD 2,951 College of American Pathologists American Heart Association — Brian Moody, Esq. Department of Pediatrics Blood Gas Lab and Main Lab Gold Plus and Target: Stroke Plus Catherine Paulo, Esq. Senior Vice President of Legal Affairs and Michael Morretti, MD 2,369 College of American Pathologists Elite Award and Silver AFIB Secretary Risk Management, General Counsel and Chief Department of Obstetrics & Gynecology FDA St. George Clinic Gina Gutzeit Compliance Officer Joel Idowu, MD, acting Cancer NYS Health Center for Excellence Treasurer Ron Musselwhite, Esq. Department of Psychiatry in Integrated Care Commission on Cancer (COC) Rev. Dr. Tony Baker, Sr. Vice President of Human Resources PHYSICIANS ON STAFF Alan S. Bernikow, CPA Mammography Resident Education 2017 FOUNDATION BOARD OF DIRECTORS Pietro Carpenito, MD Robert Ren American College of Radiology Accreditation Council for Katherine Connors, PT, MPH Vice President of Revenue Cycle Thomas A. Sipp, Esq., Chairperson Hospital Accreditations Graduate Medical Education 639 Sara Warren Gardner, MPH and Managed Care Daniel Messina, PhD, FACHE Sponsoring Institution for Graduate Baby Friendly Hospital Steven M. Klein Nancy Taranto, RN LNC Brian Gomez Medical Education by the Accreditation 20 American College of Surgeons Daniel J. Messina, PhD, FACHE Vice President of Quality Colleen Kelleher Sorrentino 21 Council for Graduate Medical Education Level I Adult Trauma Center Hon. James P. Molinaro Pankaj Patel, MD Level II PediatricTrauma Center (ACGME) William Smith, MBA Jill O’Donnell-Tormey, PhD Philip Otterbeck, MD EMERGENCY Internal Medicine Residency Program Director of Public Relations IAC Vascular Testing Pankaj Patel, MD Grandmaster Jhong Uhk Kim Obstetrics and Gynecology TRAUMA VISITS The Joint Commission Gold Seal of Approval® Dennis Quirk Jane M. Ponterio, MD Hon. Dianne Powers Residency Program Perinatal Heart Failure John C. Santora Vice President of Academic Affairs John Santora (treated and released) COPD Chest Pain Pediatrics Residency Program 47,491 Frank Scafuri, DO Frank Scafuri, DO Joseph Saporito Hospital Recognition Psychiatry Residency Program Joseph Torres John Vincent Scalia, Sr. President of the Medical Staff Diagnostic Radiology Residency Program Lina Fang Adult and Pediatric Samala Swamy, MD Nicholas Szymanski Lucille Chazanoff Medical Outpatient Podiatry Residency Program (PMSR/ Allan Weissglass Vice President of Information Technology, CIO INPATIENT Departments Recognition RRA) — Council on Podiatric Medical Marcello Sciarrino IBCLC Excellence in Lactation Care Education (CPME) 2017 SENIOR LEADERSHIP Richard Sansaricq ACUTE DAYS 2017 CLINICAL CHAIRS NCQA-Patient Centered Medical Home Robert Urs Also Participating Sites: Daniel J. Messina, PhD, FACHE Mitchell Fogel, MD Robin Lefkowitz General Surgery Residency President & Chief Executive Officer New York State Department Department of Medicine William Ferri SUNY Health Science Center at Brooklyn 70,538 of Health Designations Pietro Carpenito, MD Loren J. Harris, MD, FACS, FCCP Blood Bank Gastroenterology Fellowship — Executive Vice President Department of Surgery 2017 AUXILIARY OFFICERS NY Methodist Hospital SAFE Center of Excellence — sexual assault Rosemarie Stazzone, RN, MSN, NEA-BC Hematology/Oncology Fellowship — Pietro Carpenito, MD President — Karen Sanicola forensic examiner programs Chief Operating Officer & Chief Nurse Officer New York Medical College at Westchester Vice President — Donna Flood LICENSED BEDS Department of Anesthesiology Stroke Center — Gold Plus and Target: Cardiology Fellowship — Richard Salhany, MBA, FACHE Recording Secretary — Gina Perrotta Stroke Plus Award Robert D’Amico, MD SUNY Health Science Center at Brooklyn Senior Vice President of Strategic Planning, & Corresponding Secretary — Fran Edwards Department of Ophthalmology Nephrology Fellowship — Medical Operations, Executive Director, ACO Treasurer — Michele Salomon 448 Mansoor Khan, MD New York Medical College (Metropolitan) Mitchell Fogel, MD Assistant Treasurer — Stefanie Racano Department of Emergency Medicine Chief Medical Officer 718-818-1234 | 355 Bard Avenue, Staten Island, NY 10310 | www.RUMCSI.org