2016 Annual Report Yale New Haven Health... Celebrating 20 Years Value in high-quality, cost-effective healthcare Yale New Haven Health System formed in 1996, when hospitals around the country were beginning to create and join larger health systems to deal with the federal government’s new prospective payment plans, the development of HMOs and the growth of powerful insurance companies. To manage the challenges of an increasingly difficult healthcare climate, Yale New Haven Health helped its hospitals reduce costs by centralizing basic business activities, and by forming clinical relationships and affiliations, which further manage costs and improve the delivery and quality of care. Highlights of the past 20 years: – 1996: Bridgeport Hospital joined YNHHS. – 1998: Greenwich Hospital joined YNHHS. – 1999: Yale New Haven Health and Yale School of Medicine affiliated to coordinate graduate medical education and support the growth of new clinical services. – 2009: Smilow Cancer Hospital opened in New Haven; today there are outpatient Smilow Care Centers around the state. – 2010: Northeast Medical Group formed – a physician foundation that now includes 850 healthcare providers and more than 2,000 employees. – 2010: Yale New Haven Health began the installation of Epic, one of the country’s most respected healthcare information technology systems. – 2012: Yale New Haven Hospital acquired the former Hospital of Saint Raphael – adding 500 beds to Yale New Haven Health. – 2016: Lawrence + Memorial and Westerly hospitals joined YNHHS. Today, Yale New Haven Health is Connecticut’s premier health system with 2,563 beds serving patients from eastern New York throughout Connecticut to western Rhode Island. On the cover: Cynthia Tosches (left) had peace of mind knowing her mother was well cared for by Maggie Heenan, RN, of Greenwich Hospital’s Home Hospice program. Read more about Cynthia on page 11. Dear friends, From the opening of a new outpatient facility in Stamford to receiving the prestigious national Magnet® designation for nursing excellence, Greenwich Hospital marked many milestones in 2016. We enhanced clinical services, expanded our medical staff and acquired advanced technology as part of our long-standing commitment to provide high-quality, safe and compassionate care. Our caregivers touched the lives of thousands of Connecticut and New York residents, including those featured in this report. Catherine Kringas and her baby survived a potentially life-threatening episode thanks to our rapid response team. Scott Sobeski made a speedy recovery after robot-assisted surgery. Cynthia Tosches’ mother spent her final days at home with family, supported by our Home Hospice Program. We could not have accomplished so much in a single year without the dedication of thousands of doctors, nurses, employees, trustees, volunteers and community donors. We are extremely grateful for your unwavering support. It’s a privilege to work with you to fulfill our mission of providing patients and their loved ones with the best possible hospital experience. Arthur C. Martinez Norman G. Roth Paul J. Apostolides, MD John L. Townsend, III Co-Chairman President Chief of Staff Co-Chairman Board of Trustees Board of Trustees 2016 Year in Review – Greenwich Hospital As a trusted healthcare provider, Greenwich Hospital brought high-quality, cost-effective care to thousands of Connecticut and New York residents. System Growth In collaboration with Yale New Haven campus handled 39,908 visits. Surgical cases totaled 8,898. Health and Yale Medicine, Greenwich Hospital opened a New Yorkers accounted for 53 percent of inpatients. new outpatient facility on Long Ridge Road in Stamford, established a women’s cardiovascular center, and Safety Hospital Initiative Efforts to create a safe strengthened offerings at the Yale New Haven Pediatric environment included the use of safety coaches, daily safety Specialty Center at Greenwich Hospital. Greenwich huddles, leadership quality safety rounds and “rounding welcomed Lawrence + Memorial Hospital in New to influence” to reinforce protocols. Greenwich received a London and Westerly Hospital in Rhode Island to the Women’s Choice Award for patient safety and earned an “A” health system, which marked its 20th anniversary in 2016. grade from Leapfrog as one of the nation’s safest hospitals. Healthcare Provider of Choice Thousands of area Patient Experience Greenwich Hospital received two residents turned to Greenwich Hospital for high-quality Guardian of Excellence Awards from Press Ganey for care. The Emergency Department handled 40,100 visits superior patient satisfaction scores and received the 2016 from Connecticut and New York residents. Inpatient Healthgrades Outstanding Patient Experience Award. The discharges reached 13,077; outpatient encounters totaled hospital earned six Women’s Choice Awards for best patient 280,636. The Smilow Cancer Hospital’s Greenwich Hospital experience, patient safety, breast center, stroke center, cancer care and obstetrics. Quality and Performance Achievements The Sleep Center was accredited by the American Academy of Sleep Medicine. The Medical Education program was accredited by the Accreditation Council for Graduate Medical Education. The hospital received national accreditation from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Employer of Choice A record number of Greenwich Hospital employees considered themselves “engaged” in the workplace, according to an employee survey. Recognition programs honored 142 employees for outstanding service excellence, while 270 employees received awards for their years of service. Quality Awards were expanded to include a Team of Heroes recognition category. The hospital presented annual awards, including the Marion Nowak Award, Helen Meehan Award, Physician Partner in Care Award and Partner in Care Award. Medical Staff Fifty-two new physicians joined the medical staff, including specialists in hyperbaric medicine, sleep The My First Book program promotes literacy and parent-child bonding. disorders and pain management. 2 Long Ridge Medical Center in Stamford offers a variety of outpatient services. Clinical Initiatives and New Programs Long Ridge Medical Center Greenwich Hospital opened Behavioral and Nutritional Health To better reflect its the Long Ridge Medical Center in Stamford in collaboration mission, Greenwich Hospital’s Weight Loss and Diabetes with Yale Medicine’s Center for Musculoskeletal Care and Center was re-named the Center for Behavioral and primary care physicians with Yale New Haven Health’s Nutritional Health. Northeast Medical Group. Maternity Cardiology Greenwich Hospital opened the Yale New A total of 2,812 births took place, reaffirming Haven Health Women’s Cardiovascular Center at 15 Valley Greenwich Hospital’s reputation as the destination Drive in Greenwich, staffed by Yale Medicine physicians, maternity hospital in the region. The hospital launched the dietitians and exercise physiologists. A full-service vascular “My First Book” program for newborns to promote literacy imaging center opened for evaluation of venous and arterial and bonding between parents and their children. vascular disease. Oncology Greenwich Hospital unveiled the latest Emergency Department Renovations continued to technology with the installation of the TrueBeam radiation create four additional patient rooms, centralized nursing therapy system. The Breast Center at Greenwich Hospital station and a new Behavioral Health Unit with more space received a three-year, full accreditation by the National to accommodate the increasing number of people with Accreditation Program for Breast Centers. For the third behavioral-related illness. consecutive year, Greenwich Hospital received the 2016 Women’s Choice Award as one of America’s Best Breast Centers. Two senior Fairfield University nursing students 3 screenings. Uninsured women received free mammograms through a partnership with the Breast Cancer Alliance. The 18th Teddy Bear Clinic drew 1,200 residents. The hospital and local partners conducted school-based health and educational programs. Hospital-sponsored community programs included Family Night Out at the Boys & Girls Club in Greenwich; Kids Cooking in the Kitchen at the Carver Center in Port Chester; cancer wellness seminars; and “Friday Health Talks” at the Greenwich YMCA. Volunteer Services and the Greenwich Hospital Auxiliary The Greenwich Hospital Auxiliary donated $792,000 to support surgical, cardiovascular and other services. The President’s Call to Service Award went to two volunteers Greenwich Hospital marks the installation of the TrueBeam radiation therapy system. with more than 4,000 hours of service. Four Greenwich High School seniors pursuing healthcare college degrees received scholarships. In all, 692 adult and junior volunteers graduated from the Susan D. Flynn Oncology Nursing provided 50,602 hours of service. Fellowship Program at Greenwich Hospital. A cancer survivorship celebration welcomed cancer team members, The Greenwich Hospital Foundation Gifts to the survivors and their families. Greenwich Hospital Foundation exceeded $7.8 million from more than 2,500 donors through its annual campaign, Nursing Greenwich Hospital received the prestigious ongoing major gift efforts and special events. Donations Magnet® designation from the American Nurses included $1 million for prostate cancer research and Credentialing Center, placing it among seven percent of the treatment; $400,000 to create a distinguished