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Chna-Csp-Final-8-5-19-Complete-1.Pdf NYU Langone Hospitals Community Health Needs Assessment and Implementation Plan/Community Service Plan 2019-2021 Adopted June 2019 NYU Langone Hospitals Board of Trustees Copies of this document can be downloaded from the NYU Langone Health website at: http://www.nyulangone.org/our-story/community-health-needs-assessment-service-plan The Executive Summary of our Community Health Needs Assessment and Community Service Plan (available here) shares our analysis and conclusions in a more accessible format for a broader constituency. This document, which is written at an 8th grade literacy level, has been translated into Arabic, Chinese, and Spanish. It is available at all of NYULH inpatient locations. We welcome your questions and comments. Please feel free to contact Sue A. Kaplan, JD, Research Associate Professor, Department of Population Health, NYU Langone at: [email protected] or Kathleen Hopkins, Vice President for Community Programs, Family Health Centers at NYU Langone at: [email protected]. Table of Contents Section Pages MISSION 1 OVERVIEW 1-4 COMMUNITY HEALTH NEEDS ASSESSMENT 5-22 I. Definition and Brief Description of Communities Served 5 II. Public Participation 5-12 A. Sunset Park Needs Assessment 8-9 B. The Lower East Side and Chinatown Needs Assessment 10 C. Red Hook Needs Assessment 11-12 III. Assessment and Selection of Public Health Priorities 12-22 A. Priority Area: Preventing Chronic Diseases 12-18 → Needs and Assets: reducing tobacco use 12-14 → Need and Assets: addressing the connection between housing and health 14-17 → Need and Assets: preventing and addressing obesity and cardiovascular disease 17-18 B. Priority Area: Promoting Healthy Women, Infants and Children 18-20 → Needs and Assets: supporting families through parenting, early childhood, and 18-20 teen pregnancy prevention programs C. Community needs not addressed and why 20 D. Information gaps that limit NYULH’s ability to assess communities’ health needs 20 E. Existing assets, facilities, and resources 21-22 COMMUNITY SERVICE PLAN/IMPLEMENTATION STRATEGY 22- I. New York State and New York City Public Health Priorities 23 II. Addressing Health Disparities 23 III. Programs, Progress and Plans: Preventing Chronic Diseases 24-49 ii Section Pages A. Tobacco Free Community 24-31 B. Health + Housing Project 31-35 C. Healthy Habits/ Programa de Hábitos Saludables 35-38 D. Greenlight early child obesity prevention program 38-44 E. REACH FAR Brooklyn: Racial and Ethnic Approaches to Community Health for Asian 44-49 and Arab Americans in Brooklyn IV. Programs, Progress and Plans: Promoting Healthy Women, Infants and Children 49-63 A. ParentChild+ 49-52 B. Video Interaction Project 52-55 C. Project SAFE 55-58 D. ParentCorps 58-63 V. Cross Sector Capacity Building Initiatives 63-71 A. Brooklyn Health and Housing Consortium 63-65 B. Community Health Worker Research and Resource Center 65-68 C. Brooklyn Data Station 68-69 D. Red Hook Health Network 69-70 E. Addressing Social Determinants of Health 70-71 F. Incubation fund 71 VI. Dissemination 71-72 VII. Community Engagement 72-73 VIII. Anticipated Impact and Performance Measures 73 iii APPENDICES A. Data Sources and References Consulted B. Input from Persons Who Represent the Broad Interests of the Community C. Red Hook Needs and Assets Assessment D. The Southwest Brooklyn Health and Housing Consortium: Needs Assessment and Priorities in Sunset Park E. Evidence Base for Programs F. Anticipated Impact and Performance Measures iv Mission NYU Langone Health is one of the nation’s premier academic medical centers. Composed of NYU Langone Hospitals (“NYULH”) and NYU School of Medicine (“NYUSoM”), NYU Langone Health has a trifold mission: to serve, teach and discover. Located in the heart of Manhattan, with additional facilities throughout the New York City area, NYULH currently operates the following five inpatient facilities: . Tisch Hospital, the acute care facility located on the main campus . Kimmel Pavilion, a newly opened, state-of-the-art healthcare facility on the main campus . NYU Langone Orthopedic Hospital (formerly known as Hospital for Joint Diseases), an orthopedic, neurologic and rheumatologic specialty hospital, which also houses Rusk Rehabilitation . Hassenfeld Children’s Hospital at NYU Langone, which provides pediatric inpatient care, outpatient care, procedural and surgical services, the KiDS Emergency Department on the main campus and multiple ambulatory services . NYU Langone Hospital–Brooklyn (formerly known as NYU Lutheran Medical Center), a full- service teaching hospital and Level I Trauma Center located in Sunset Park, Brooklyn Its inpatient facilities will soon include the 591- Financial assistance bed NYU Winthrop Hospital in Mineola, Long Throughout NYU Langone Health, we provide financial Island. assistance for patients with limited income, regardless of their insurance status. Our charity care policy Ambulatory facilities number over thirty, with reflects our strong commitment to providing the majority located in Manhattan and comprehensive and high-quality healthcare services to Brooklyn, including the Perlmutter Cancer all of our patients. Financial counselors inform patients Center, a National Cancer Institute-designated whether they qualify for free or low-cost insurance, cancer center; the Ambulatory Care Center; the such as Medicaid, Child Health Plus, and Family Health Center for Musculoskeletal Care; and NYU Plus. If the finance counselor finds that the individual Langone Cobble Hill, a free-standing Emergency does not qualify for low-cost insurance, they facilitate Department in Cobble Hill. applications for a discount on copays, deductibles, and charges based on a sliding scale. Patients may apply In addition, Sunset Park Health Council, Inc., an regardless of immigration status. Financial assistance affiliate of NYULH, is a Federally Qualified Health notices and applications are available at each inpatient Center network, which includes nine primary location in Arabic, Bengali, Chinese, English, Greek, care health centers in Brooklyn and over 40 Italian, Korean, Polish, Russian, and Spanish. Additionally, Family Health Centers assist uninsured school- and shelter-based extension clinics, individuals with enrollment into public benefits like under the name Family Health Centers at NYU Medicaid and Medicare. Langone (FHCs). For information about the NYULH financial assistance program go to: https://nyulangone.org/insurance- NYULH is the principal teaching hospital for billing-financial-assistance NYUSoM, which has trained thousands of physicians and scientists since its founding in 1841. The School of Medicine owns and operates a faculty group practice that delivers patient care at more than 375 practice sites and has affiliations with the Manhattan campus of the Veterans Affairs New York Harbor Health Care System and with the NYC Health and Hospitals facilities Bellevue and Gouverneur in Manhattan, and Woodhull in Brooklyn. 1 Overview Growing out of our Community Health Needs Assessment (CHNA) and aligning with the New York State Prevention Agenda and New York City public health priorities, the NYU Langone Hospitals (NYULH) three-year implementation plan (the Community Service Plan, “CSP”) focuses on Preventing Chronic Diseases by reducing risk factors for obesity and cardiovascular disease and decreasing tobacco use and exposure to secondhand smoke, and on Promoting Healthy Women, Infants and Children through parenting, early childhood and teen pregnancy prevention programs. Our Community Service Plan programs span multiple sectors: early childhood settings and schools, primary care, housing, and community settings, such as faith- based organizations and social service providers. Department of Population Health approach to advancing population health and health equity Drawing on its expertise in developing and implementing effective approaches to health promotion at the community level, the Department of Population Health (DPH) has served as the architect for the CHNA and Plan since 2013. Since 2016, DPH and the Family Health Centers at NYU Langone have worked together to develop a CSP designed to create synergies across programs and to take advantage of the combined expertise of our larger institution, the strong foundation of work under both of our previous Plans, and the strengths of our community partnerships. The Family Health Centers at NYU Langone (FHC) is a federally qualified health center network with a longstanding history of serving underserved and immigrant communities of Brooklyn and throughout New York City. The FHC provides high-quality primary and preventive outpatient care to adults and children regardless of their ability to pay or their immigration and health insurance status. With over 100,000 patients, the FHC network handles over 600,000 medical, dental, and behavioral health visits each year. The mission of the FHCs is to improve the overall health of the communities we serve by delivering high-quality, culturally competent health and human services in community-based settings. The FHCs are nationally recognized for innovative, affordable, high-quality care and are one of the largest employers within the communities they serve. As true health and community revival innovators, the FHCs established the nation’s largest dental residency program, the largest school health program in New York, a community medicine program serving more than 7,000 homeless New Yorkers, and one of the first health-focused AmeriCorps programs. In
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