Community Service Plan and Implementation Plan LIJ Medical Center 2019 – 2021 Mission Statement for As a member of Northwell Health, Long Island Long Island Jewish Jewish Medical Center (LIJMC) strives to improve Medical Center the health and quality of life for the people and communities we serve by providing world-class service and patient-centered care. Who We Are Long Island Jewish Medical Center (LIJMC) Long Island Jewish Hospital (LIJ) Is a 1,025-certified bed, tertiary care teaching medical center Serving as a clinical campus for The Donald and Barbara Zucker serving the greater metropolitan New York area, Queens, and Long School of Medicine at Hofstra/Northwell and with Albert Einstein Island. The LIJMC has three divisions: (1) Long Island Jewish College of Medicine, NYU School of Medicine, SUNY Downstate Hospital, a 583-bed tertiary hospital; (2) Steven and Alexandra Medical Center, SUNY Stony Brook University Hospital and New Cohen Children’s Medical Center of NY, a 206-bed children’s York College of Osteopathic Medicine, LIJ has one of the largest hospital; and (3) the Zucker Hillside Hospital, a 236-bed psychiatric graduate medical education programs in New York State. Its hospital. In 2019, the three divisions of LIJMC reported a total of specialty programs include Alexander Cohen Institute of Oncology; 63,425 discharges (excluding normal newborn discharges), 10,264 the Joel Finkelstein Cancer Foundation Radiation Oncology newborn deliveries, 150,728 emergency department visits Institute, a cancer patient care, medical research, and education (including emergency department admissions), and 23, ambulatory network; the Ann and Jules Gottlieb Women’s Comprehensive surgeries, including endoscopies and cardiac catheterizations. The Health Center, one of the largest providers of women’s health LIJMC was recently upgraded to Gold Plus Status by the New York services in New York State; and the Apelian Cochlear Implant City Health Department as part of the Department’s Tobacco-Free Center, a major center for the advanced treatment of hearing loss Hospital’s Campaign for efforts to achieve excellence in providing disorders. Other major clinical centers include the Hearing and tobacco-free environments and programs for patients, employees Speech Center, Epilepsy Center, Stroke Center, Comprehensive and the community. Hemophilia Treatment Center, Pain and Headache Treatment Center, Sleep/Wake Disorders Center, and the Ambulatory Care Unit. The Katz Women’s Hospital at LIJ is committed to women’s health and family-centered care, featuring a range of specialized women’s services, including programs in perinatal and obstetrics, gynecology, urogynecology, minimally invasive and robotic surgery, infertility and pediatric and adolescent gynecology on four floors of LIJ’s newest 10-story inpatient tower. LIJ is a NYS Department of Health designated Stroke Center and a recipient of the American Heart Association (AHA) “Get with the Guidelines-Stroke Gold Plus Award.” 2 Northwell Health | Long Island Jewish Medical Center Community Service Plan The Steven and Alexandra Cohen Children’s Medical Center The Zucker Hillside Hospital (ZHH) (CCMC) The ZHH is known for its pioneering work in the diagnosis, The CCMC is one of four acute care children’s hospitals in treatment, and research of mental illness. The hospital provides a downstate New York and one of only two children’s hospitals on comprehensive continuum of behavioral health services for all age Long Island. The CCMC provides primary, secondary, tertiary, and groups. Inpatient services include units for adolescents, adults and quaternary care on an inpatient and ambulatory basis through a geriatric patients. Treatment specialties at ZHH include early phase continuum of medical, surgical, psychiatric, and dental programs treatment, depression, schizophrenia, bipolar and personality and services. Subspecialty areas include 35 pediatric medical disorders. ZHH Women’s Unit includes 22 inpatient beds and is the subspecialties, nine pediatric surgical subspecialties, child and first in the State of New York and one of the only few in the U.S. to adolescent psychiatry, pediatric anesthesia, radiology, pathology, specialize in treating women with perinatal psychiatric illness. and physical medicine. The CCMC also maintains tertiary Outpatient services are provided both on campus and through a consultation centers in Commack, Hewlett, Flushing, Brooklyn, and coordinated network of community based programs, and include: Manhattan. The CCMC has disease specific multi-disciplinary geriatric psychiatry, child and adolescent services, perinatal centers in the following specialties: hemophilia, cystic fibrosis, programs, partial hospital programs, early onset diagnostic and minimally invasive pediatric surgery, epilepsy, interventional treatment services, vocational rehabilitation and training, and cardiology, bloodless medicine and surgery, eating disorders, and addiction recovery services. The National Institute of Health has oncology. The Regional Pediatric Trauma Center at CCMC is the first established a Clinical Research Center for the Study of regional pediatric trauma center in the entire downstate/Long Schizophrenia at Zucker Hillside Hospital, one of only four such Island region and one of only three such centers in all of New York facilities nationwide. In addition to its clinical and research State to receive this designation. recognition, ZHH is a major regional training site for psychiatrists, psychologists, nurses, licensed mental health counselors and social work students. 3 Northwell Health | Long Island Jewish Medical Center Community Service Plan Prevention Agenda for the Healthiest State Long Island Jewish Medical Center, as part of Northwell Health, PRIORITY AREA: Promote Well-Being and Prevent Mental and utilizes the US Surgeon General’s National Prevention Strategy Substance Use Disorders (NPS) to guide its community chronic disease prevention and wellness agenda. Northwell Health incorporated the NPS in LIJMC’s 1. FOCUS AREA: Promote Well Being NYSDOH Community Service Plan (CSP) to impact the health of its — Strengthen opportunities to build well-being and resilience across the lifespan surrounding communities. The strategic directions of the NPS — Facilitate supportive environments that promote respect and include: dignity for all ages — Healthy and Safe Community Environments — Clinical and Community Preventative Services 2. FOCUS AREA: Prevent Mental and Substance Use Disorders — Empowered People — Prevent opioid and other substance misuse and deaths — Elimination of Health Disparities — Reduce Prevalence of major depressive disorders To improve the health of the community, Northwell Health as a The NYSDOH Prevention Agenda Dashboard Improve Heath Status result of the Community Health Needs Assessment (CHNA) process and Reduce Health Disparities objective that Northwell will be and approved by the Committee on Community Health of the focusing on is age-adjusted preventable hospitalization rate per Northwell Health Board of Trustees, has selected the following 10,000 - Aged 18+ years in addition to a focus on low income NYSDOH Priority Agenda Priority Areas, focus areas and goals for populations with health disparities. the service of the health system: The Community Service Plan focuses on the following areas: PRIORITY AREA: Prevent Chronic Disease — Increasing screening rates for cardiovascular diseases; diabetes; and breast; and lung cancers especially among populations 1. FOCUS AREA: Healthy Eating and Food Security experiencing health disparities — Increase access to healthy affordable foods and beverages — Increasing access to high quality chronic disease preventive care — Increase skills and knowledge to support healthy food and and management in both clinical and community settings beverage choices — Reducing obesity in children and adults — Increase food security — Reducing illness, disability, and death related to tobacco use and secondhand smoke exposure 2. FOCUS AREA: Physical Activity — Promoting mental health and preventing substance abuse — Promote school, childcare and worksite environments that related to tobacco use and secondhand smoke exposure support physical activity for people of all ages and abilities — Promoting mental health and preventing substance abuse 3. FOCUS AREA: Tobacco Prevention Examples of interventions that support these areas are: — Prevent initiation of tobacco use, including combustible tobacco — Robust chronic disease and cancer screening programs and electronic vaping products (electronic cigarettes and similar — Implementation of culturally relevant evidence-based chronic devices) by youth and young adults disease self-management education — Promote tobacco use cessation, especially among populations — Creation of community environments that promote and support disproportionately affected by tobacco use including low healthy food and beverage choices and physical activity socioeconomic status SES, frequent mental distress/substance — Elimination of exposure to secondhand smoke and prevention of use disorder; LGBTQIA+; and disability the initiation of tobacco use by youth, especially among low socioeconomic status (SES) populations and the promotion of 4. FOCUS AREA: Preventative Care and Management tobacco cessation, especially among low SES populations and — Increase cancer screening rates for breast, cervical and colorectal those with poor mental health cancer — Strengthened infrastructure to promote mental, emotional