THE MOUNT SINAI HEALTH SYSTEM

Logo color applications 4 Color logo on white 1 Color logo on white Color is the primar use to build consis our brand. Color applications The pref...
Author: Horace Bryan
3 downloads 1 Views 1MB Size
Logo color applications

4 Color logo on white

1 Color logo on white

Color is the primar use to build consis our brand.

Color applications The preferred vers logo on a white bac may NOT appear o backgrounds. Plea backgrounds page

One color applica The logo may also solid black on whit Primary color palette

Pantone® Process Cyan C 100 M0 Y0 K0

Pantone® 233 C 10 M 100 Y0 K0 R 216 G 11 B 140

Pantone® Process 274

Pantone® Process Black

C 100 M 100 Y0 K 28

C0 M0 Y0 K 100

THE MOUNT SINAI HEALTH SYSTEM R0 G 174 B 239

R 34 G 31 B 114

R0 G0 B0

THE MOUNT SINAI HOSPITAL MOUNT SINAI QUEENS Mount Sinai Medical Center | Brand Guidelines

IMPLEMENTATION STRATEGY: 2 0 14 – 2 0 16 FOR 2013 COMMUNITY HEALTH NEEDS ASSESSMENT

MAY 2014

Table of Contents INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ABOUT THE MOUNT SINAI HOSPITAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2013 COMMUNITY HEALTH NEEDS ASSESSMENT SUMMARY . . . . . . . . . . . . . . . . . . . 3



Definition of the Community Served . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3



Significant Health Needs Identified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

SIGNIFICANT HEALTH NEEDS THE HOSPITAL WILL ADDRESS. . . . . . . . . . . . . . . . . . . 6



Access to Preventive and Primary Care and Health Insurance . . . . . . . . . . . . . 6



Access to Mental Health Care and Poor Mental Health Status . . . . . . . . . . . . . 9



Chronic Diseases and Contributing Lifestyle Factors . . . . . . . . . . . . . . . . . . . . . . 1 0



Cultural, Ethnic, and Linguistic Barriers to Care . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3



Infant Health Risk Factors and Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14



Sexually Transmitted Infections and HIV/AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 5

NEEDS THE HOSPITAL WILL NOT ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17



Environmental Determinants of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17



Poverty, Financial Hardship, and Basic Needs Insecurity . . . . . . . . . . . . . . . . . . 17

IMPLEMENTATION STRATEGY ADOPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 8

Introduction THE MOUNT SINAI HOSPITAL

T

his implementation strategy describes how Mount Sinai Hospital plans to address significant community health needs from 2014 to 2016. These needs were identified in the 2013 Community Health Needs Assessment (CHNA), published and made widely available to the public in December 2013.

The 2013 CHNA and this implementation strategy were undertaken to understand and address community health needs, and in accordance with proposed Internal Revenue Service (IRS) regulations pursuant to the Patient Protection and Affordable Care Act of 2010. The IRS had not issued final guidance—regarding the content and format of these documents—at the time the CHNA and implementation strategy were created. This implementation strategy outlines the significant community health needs described in the CHNA that Mount Sinai plans to address in whole or in part. The hospital may amend this implementation strategy as circumstances warrant. For example, certain needs may become more pronounced and merit enhancements to the described strategic initiatives. Alternatively, other organizations in the community may decide to address certain community health needs included in the plan. The strategies may also be refocused to account for such changes in the community landscape. Mount Sinai Hospital plays a critical role in providing health care services throughout its community. While the work described in the implementation strategy focuses on addressing significant health needs identified in the CHNA, other essential health programs will continue.

1

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

About THE MOUNT SINAI HOSPITAL

M

ount Sinai Hospital encompasses Mount Sinai Hospital and Mount Sinai Queens, which together are one hospital as licensed by the State of New York. The CHNA and implementation strategy apply to the community collectively served by both facilities.

Mount Sinai Hospital is a 1,171-bed tertiary-and quaternary-care teaching facility in Manhattan. Located on the border between East Harlem and the Upper East Side, the hospital serves one of the most diverse patient populations in the world. The hospital consistently earns Magnet status—the highest recognition for nursing excellence—from the American Nurses Credentialing Center, and is the only medical center in New York State to have earned Disease-Specific Care Comprehensive Stroke Center Certification from The Joint Commission. In the 2013-14 “Best Hospitals” issue of U.S. News & World Report, Mount Sinai ranked as one of the top 25 hospitals nationally in seven specialties including: geriatrics, gastroenterology, heart & heart surgery, rehabilitation, diabetes/endocrinology, neurology & neurosurgery, and ear, nose & throat. Furthermore, Kravis Children’s Hospital at Mount Sinai was named in U.S. News & World Report’s 2013-14 “Best Children’s Hospitals” issue, with top rankings in seven out of 10 pediatric specialties. For more information on programs and services at Mount Sinai Hospital, please visit www.mountsinai.org. Mount Sinai Queens is a 235-bed licensed acute care facility located in Astoria. Together, a team of nearly 500 physicians—representing approximately 40 medical and surgical specialties and subspecialties—services the most ethnically diverse urban community in the world. Collectively, the staff speaks 35 languages. Recognized as a leader in stroke care, Mount Sinai Queens is designated by the New York State Department of Health and The Joint Commission as a Primary Stroke Center. For more information on programs and services at Mount Sinai Queens, please visit www.mshq.org.

2

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

2013 Community Health Needs Assessment Summary Mount Sinai’s 2013 Community Health Needs Assessment was conducted between May and December 2013 by collecting information from multiple sources. Data on health status, health care access, and related subjects were analyzed. Input from persons representing the broad interests of the community, including individuals with special knowledge or expertise in public health, was taken into account through interviews and meetings with 47 community members and agency leaders. The principal findings of recent health assessments conducted by other organizations in the community were also reviewed. Mount Sinai’s project team for the CHNA was led by the Office of Community and Government Affairs, and included staff from both Mount Sinai Hospital and Mount Sinai Queens. The hospital engaged Verité Healthcare Consulting to prepare the CHNA. More information on the firm and its qualifications can be found at www. veriteConsulting.com.

Definition of the Community Served Mount Sinai’s community is composed of 168 ZIP codes encompassing the boroughs of the Bronx, Brooklyn, and Manhattan, along with parts of Queens.1 The community is divided into neighborhoods utilized by the New York State Department of Health.2 35 of the 42 neighborhoods in New York City are in both hospitals’ community. The Mount Sinai Hospital is located on the border between the Upper East Side and in Astoria. The Mount Sinai community includes portions of the neighborhoods of Jamaica, North Queens, and Southwest Queens. All other neighborhoods are represented in their entirety.3 In 2011, the Mount Sinai community was estimated to have a population of approximately 6.9 million people. The community definition was validated based on the geographic origins of discharges from Mount Sinai Hospital and Mount Sinai Queens. In 2012, the community collectively accounted for 73 percent of the hospital’s inpatient discharges. Manhattan and Queens accounted for the highest percentage of discharges.

Data is discussed at the borough level in the CHNA. However, the Bronx is equivalent to Bronx County, Brooklyn is equivalent to Kings County, Manhattan is equivalent to New York County, and Queens is equivalent to Queens County.

1 

New York State Department of Health. (2006) ZIP Code Definitions of New York City Neighborhoods. Retrieved 2013, from: www.health.ny.gov/statistics/cancer/registry/appendix/neighborhoods.htm

2 

Included ZIP codes for Jamaica are 11432 and 11435. North Queens includes ZIP codes 11354, 11355, 11356, 11357, and 11358. Southwest Queens includes ZIP codes 11414, 11415, 11418, and 11421.

3 

3

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

2013 Community Health Needs Assessment Summary continued Community Served by Mount Sinai 1 2

Mount Sinai Hospital Mount Sinai Queens

SOURCES: MICROSOFT MAPPOINT AND NEW YORK STATE DEPARTMENT OF HEALTH, 2013.

Highlights of Mount Sinai Community Characteristics •T  he community’s population is expected to grow three percent between 2010 and 2020, with growth projections for residents, aged 65 and over, ranging from 16 to 19 percent between 2010 and 2020.4 •T  he community is highly diverse. In 2011, 44 percent of the population was white, 24 percent was black, 13 percent was Asian, and 31 percent was Hispanic (or Latino).

• In 2007-2011, the Bronx, Brooklyn, and Manhattan reported higher poverty rates than New York State and national averages. • The Bronx and Brooklyn reported higher unemployment rates than New York State and national averages in July 2013. The unemployment rates in Manhattan and Queens were both similar to the statewide rate of 7.6 percent.

Cornell University, Program of Applied Demographics (2013). Population Data and Projections. Retrieved 2013, from New York State Department of Labor: http://labor.ny.gov/stats/nys/statewide-population-data.shtm 4

4

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

2013 Community Health Needs Assessment Summary continued Significant Health Needs Identified

The 2013 CHNA identified several significant health needs in the community. Those needs, and the principal findings for each, are listed and summarized below in alphabetical order. A complete description of these health needs and how they were identified—including the community input taken into account, the data analyzed, and the prioritization methods used— can be found in the 2013 CHNA report available at www.mountsinai.org/about-us/community. •A  ccess to Preventive and Primary Care and Health Insurance: A limited supply of physicians, lack of affordable care and insurance, insufficient public knowledge of health care resources, difficulties accessing care, inability to take time from work to seek care/a lack of unconventional operating hours, and gaps in care coordination. •A  ccess to Mental Health Care and Poor Mental Health Status: A shortage of mental health professionals and services, underserved adolescents and senior citizens, comparatively high suicide rates among youth, and a wide range of mental and behavioral health conditions including: depression among all age groups, stress related to financial hardship, learning disabilities, autism, bipolar disorder, psychoses, post-traumatic stress disorder, suicidal thoughts and behaviors, abuse and neglect, bullying, and domestic and community violence. •C  hronic Diseases and Contributing Lifestyle Factors: Obesity, overweight, diabetes, heart disease, high blood pressure (caused or made worse by poor nutrition and diet); low physical activity and exercise; lack of affordable and nutritious food; chronic lower respiratory disease and chronic

5

obstructive pulmonary disease; and high rates of hospital utilization for asthma. • C ultural, Ethnic, and Linguistic Barriers to Care: Linguistic isolation, not being aware of or understanding available resources and how to use them, difficulty obtaining appointments with appropriate translation services, difficulty understanding a provider’s diagnoses and instructions, stigmas or lack of trust preventing appropriate care-seeking, fears related to immigration status, and cultural differences in the roles of family members. • Environmental Determinants of Health: Poor air quality, outdoor environment not conducive to recreation, comparatively high rates of violent crimes and youth drug-related offenses, poor housing stock, a high density of fast food vendors, and few full-service grocers and farmers markets. • I nfant Health Risk Factors and Outcomes: Disparities in infant mortality, teen pregnancy, and unintended pregnancies; comparatively high rates of maternal mortality; poor outcomes for prenatal care, prematurity and low birth weight in the Bronx; and a high percentage of pregnant mothers drinking alcohol and smoking. • Poverty, Financial Hardship, and Basic Needs Insecurity: High poverty rates especially for black and Hispanic residents and those living in subsidized housing; high unemployment rates; unaffordable housing; and an inability to purchase high quality food. • S exually Transmitted Infections and HIV/AIDS: High rates of chlamydia, gonorrhea, syphilis, acute Hepatitis B, HIV/AIDS, and AIDS prevalence and AIDS mortality.

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address The implementation strategy outlines the significant community health needs described in the 2013 CHNA that Mount Sinai plans to address in whole or in part. For each significant health need that the hospital plans to address, the strategy describes: •A  ctions the hospital intends to take, including programs and resources it plans to commit; •A  nticipated impact of these actions and a plan to evaluate such impact; and •P  lanned collaboration between the hospital and other organizations.

Access to Preventive and Primary Care and Health Insurance The Mount Sinai Hospital and Mount Sinai Queens will address access to preventive and primary care and health insurance by taking the following actions:

who do not meet eligibility standards for receiving public health benefits. • Provide information to patients receiving free health services through Mount Sinai Hospital and Mount Sinai Queens on low cost health centers and clinics. This information will ensure that every patient has access to a primary care provider. • Offer free healthy living activities, caregiver support groups, and educational programs for the elderly at the Martha Stewart Center for Living at Mount Sinai (The Mount Sinai Hospital). • Provide no-cost primary care services and health education to adolescents at the Mount Sinai Adolescent Health Center and its school-based health centers (The Mount Sinai Hospital).

• Offer a wide range of cancer education, • Provide care to community members community outreach programs, and clinical without health insurance or with limited services related to cancer detection and financial means by offering discounted fees prevention through the Tisch Cancer and flexible payment plans based on the Institute, including: patient’s ability to pay, through the Resource Entitlement and Advocacy Program (REAP)  F  ree skin cancer screenings, lectures on at Mount Sinai Hospital and the Patient prevention, and lessons on how to conduct Financial Assistance Program at Mount self-examination. Offered through the Sinai Queens. REAP provides the following: Department of Dermatology this service a centralized source of information and will help patients detect the disease at assistance regarding application and its earliest and most treatable stage advocacy for government entitlements; (The Mount Sinai Hospital). public health insurance programs; home F  ree diagnostic services including: care services; specialized programs such as comprehensive breast self-examination, Social Security Retirement and Disability; and a sliding scale fee rate for outpatients clinical examination, mammography,

6

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued and Pap test; as well as breast health education are available to eligible patients at no cost. This service is funded by the New York State Cancer Services Program. A community-based volunteer support group organization, called SHAREing & CAREing provides support and breast health to survivors and patients while they are waiting to receive services at Mount Sinai Queens Family Health Associates. The program strives to improve breast health through early detection, treatment, and access to quality breast health services for the medically underserved or underinsured/uninsured in western Queens (Mount Sinai Queens).  Free Breast Health Resource Program at

Mount Sinai is dedicated to meeting the emotional and practical needs of breast cancer survivors. The program raises awareness about the importance of a threetiered approached to breast health and offers information, guidance, and critical support to patients from diagnosis through survivorship (The Mount Sinai Hospital). • Serve on the East Harlem Community Health Committee, Inc., a voluntary committee of health care providers, community organizations, and consumers that is affiliated with the East and Central Harlem District Public Health Office to address the needs of East Harlem (The Mount Sinai Hospital). • Offer community wellness and prevention programs to improve the environmental,

7

social, and economic conditions that contribute to poor health. Programs support a healthy lifestyle for all residents, with special attention to the underserved population. • Empower individuals to take control of their health by working in partnership with local and diverse community organizations, such as the New York City Housing Authority and Tenant Associations, Health Department’s District of Public Health Offices, places of worship, civic associations, public schools, Head Start programs, senior centers, and community health fairs and events. Programs include lectures on men’s and women’s health, and lifestyle changes; on-site colorectal, breast, and prostate cancer screenings; flu shots; and other supportive services, including: C  ollaborating and serving on the Health

Advisory Committee for Astoria Blue Feather Head Start program to plan pediatric lectures for parents. Educational topics will include: “ABC’s of Children’s Vitamins,” “Most Common Health Problems in Children,” “The Flu and You,” and “Ask the Pediatrician” (Mount Sinai Queens). C  o-sponsoring the largest community

health fair in Astoria, in partnership with the United Community Civic Association, Inc. This annual event features booths staffed by Mount Sinai Queens employees, a wide range of health screenings, and activities that features healthy lifestyles choices (Mount Sinai Queens).

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued  Offering free weekly yoga classes to the

community through programs, such as “Fabulous 50s and Beyond,” The purpose of this program is to improve and promote community wellness and reduce stress. Classes are offered on an on-going basis; two sessions per week as well as a sixweek class that runs in the evenings (Mount Sinai Queens). • Engaging community leaders, educators, elected officials, and community residents in a monthly roundtable in an effort to improve and better serve the needs of the hospital’s community (The Mount Sinai Hospital).

Anticipated Impact and Plan to Evaluate:

•T  he Mount Sinai Hospital and Mount Sinai Queens anticipate increased preventive health and wellness screening programs; greater awareness of available preventive and primary health services for adolescents, adults, and seniors; and access to affordable care for more individuals. They also anticipate increased utilization of community resources and, as a result, improved community health. •T  he Mount Sinai Hospital and Mount Sinai Queens will monitor program performance annually, including the numbers of people served through health education, screenings, and new primary care visits; numbers of people enrolled in health care coverage and served by the financial assistance program; and other select indicators monitored as part of Prevention

8

Agenda Priorities 2013-2017: New York State’s Health Improvement Plan from the “Improve Health Status and Reduced Health Disparities” and “Promote Healthy Women, Infants, and Children” priority areas.

Planned Collaboration:

The Mount Sinai Hospital and Mount Sinai Queens plan to collaborate with: •M  ount Sinai’s school-based health centers: Julia Richman Education Complex, Manhattan Center for Science and Mathematics, and Humanities Educational Campus; •L  ocal community health centers, federally qualified health centers, and clinics, including Settlement Health, Union Settlement Association, and Little Sisters of the Assumption Family Health Service; •C  ivic associations, including the United Community Civic Association, Inc., and Astoria Civic Association; •H  ead Start programs, including the Astoria Blue Feather Head Start; •C  ommunity-based organizations and committees, such as the New York Common Pantry, SHAREing & CAREing, Manhattan Community Board 11-Health Committee, Queens Community Boards 1 and 2, and East Harlem Community Health Committee, Inc.; •H  ousing-related organizations, such as New York City Housing Authority and Tenants Associations;

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued •T  he New York City Department of Health and Mental Hygiene, and the East and Central Harlem District Public Health Office; •E  ducational institutions, such as LaGuardia Community College and P.S. 166; •E  lected officials; and •L  ocal places of worship, such as Catholic Charities of Brooklyn and Queens, Astoria Center of Israel, and Archdiocesan Hellenic Cultural Center.

Access to Mental Health Care and Poor Mental Health Status

The Mount Sinai Hospital and Mount Sinai Queens will address access to mental health care and poor mental health status by taking the following actions: •P  rovide inpatient and outpatient mental health services, supportive counseling, and brief crisis intervention, as well as referrals for short- and long-term mental health services. Patients who require psychiatric hospitalization are transferred to Mount Sinai Hospital, and patients with psychiatric disorders are treated through Mount Sinai Psychiatric Department. Fees are discounted based on the patient’s ability to pay through REAP and the Patient Financial Assistance Program. •P  rovide mental health services to patients at the Mount Sinai Adolescent Health Center (MSAHC) and its schoolbased health centers. MSAHC provides counseling, support, health education, mental health, and family therapy services

9

to the community, as well as specialized services to adolescent victims of child, physical, and/or sexual abuse, teen dating violence, intimate partner violence, rape, sexual assault, and commercial sexual exploitation (The Mount Sinai Hospital). •P  rovide services to survivors of human trafficking and sexual and domestic violence through the Mount Sinai Sexual Assault and Violence Intervention (SAVI) Program. SAVI provides counseling, referrals, support services, and education for survivors. Services that are free of charge include counseling for survivors of rape, sexual assault, child abuse, domestic violence, and intimate partner violence, support services for friends and families of survivors, emergency room advocacy, and legal advocacy. •R  efer patients seeking mental health services at Mount Sinai Queens to The Mount Sinai Hospital and other outpatient mental health providers, including: Western Queens Consultation Center, La Nueva Esperanza, Clinica Psiquiatrica Hispana, Blanton-Peale Institute and Counseling Center, Crespo Mental Health Counseling Services, Steinway Mental Health Clinic, Woodside Mental Health Clinic, and Federal Employment Guidance Services at Rego Park Mental Health Clinic (Mount Sinai Queens).

Anticipated Impact and Plan to Evaluate:

•T  he Mount Sinai Hospital and Mount Sinai Queens anticipate increased education

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued and awareness related to mental health issues and prevention, and a reduced burden of mental health conditions among the people they serve. They also anticipate continued improvements in access to mental health care by adolescents and victims of sexual violence. •T  he Mount Sinai Hospital and Mount Sinai Queens will monitor program performance annually, including the numbers of people served, outcome data, and other select indicators monitored as part of Prevention Agenda Priorities 2013-2017: New York State’s Health Improvement Plan from the “Promote Mental Health and Prevention Substance Abuse” priority area.

Planned Collaboration:

The Mount Sinai Hospital and Mount Sinai Queens plan to collaborate with: •T  he school-based health centers: Julia Richman Education Complex, Manhattan Center for Science and Mathematics, and Humanities Educational Campus. •O  utpatient mental health service providers, such as: Western Queens Consultation Center, La Nueva Esperanza, Clinica Psiquiatrica Hispana, BlantonPeale Institute and Counseling Center, Crespo Counseling Services, Steinway Mental Health Clinic, Federal Employment Guidance Services at Rego Park Mental Health Clinic, HANAC Mental Health Clinic, Sunnyside Community Services, and Woodside Mental Health Clinic.

10

Community Advisory Program for the Elderly, and other substance abuse inpatient and outpatient treatment programs.

Chronic Diseases and Contributing Lifestyle Factors The Mount Sinai Hospital and Mount Sinai Queens will address chronic diseases and contributing lifestyle factors by taking the following actions:

•C  hronic diseases are among the most leading causes of death in New York State. According to the New York City Department of Health and Mental Hygiene, cardiovascular disease—which includes heart, stroke, and hypertension—remains the leading cause of death in New York City, accounting for more than 20,000 deaths in 2011. Mount Sinai Heart will continue to work with experts in public health; the Health Department’s District of Public Health Offices; representatives and members of the medically underserved; low-income, and minority populations; as well as offer a wide range of cardiovascular screening and health education programs on wellness and prevention. Examples of services include: C  ontinue to address the needs of female

heart disease patients through the Mount Sinai Heart Women’s Cardiac Assessment and Risk Evaluation (CARE) program, which provides women with comprehensive physical examinations including heart-health risk assessments,

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued detailed information about risk factors, and personalized prevention plans (The Mount Sinai Hospital).  Continue to offer free blood pressure

and cholesterol testing to residents in Harlem through the Harlem Heart-Healthy Workshop Series. The program aims to increase awareness of cardiac risk factors and their manifestations; provide education on healthy nutrition, shopping, and meal preparation; and demonstrate how risk factors for cardiovascular disease can be eliminated with healthier lifestyles (The Mount Sinai Hospital).  Continue to reduce the disparities that exist

in heart disease among women and ethnic minorities through education, outreach, prevention, and intervention through the Mount Sinai Cardiovascular Disparities Center (The Mount Sinai Hospital).  The American Heart Association has

designated the first Friday in February as “National Wear Red Day” to raise awareness in the fight against heart disease in women. As one of the largest Go Red events in New York City, Mount Sinai offers free heart health screenings for blood pressure and cholesterol; advice on smoking cessation and stress management; yoga classes; nutrition counseling and healthy eating tips (The Mount Sinai Hospital). Offer programs and services related to the detection and prevention of diabetes, including:

11

C  ollaborating with the YMCA-Viva Diabetes

Prevention Program at Mount Sinai to reduce the risk for type 2 diabetes by offering education, fitness classes, and motivational dance lessons. This 16-week program is hosted at the Mount Sinai Diabetes Center for adults who are at risk of developing diabetes or who have a diagnosis of pre-diabetes (The Mount Sinai Hospital). P  roviding community health education

and nutrition lectures, such as: “Smart Eating for Busy People,” “Healthy Eating with Diabetes,” “Stand Up for Your Health,” “Take Charge of Your Health,” “Sports Related Injuries” and “Healthy Kids” (Mount Sinai Queens). •P  roviding comprehensive asthma treatment for adults and children through the Mount Sinai Asthma Program and the Children’s Asthma Center. Both programs offer state-of-the-art care to treat and manage this respiratory disorder (The Mount Sinai Hospital). •P  rovide free community health education programs and lectures related to children and adolescents, such as: O  ffering a free Teen Fit program at the

MSAHC, involving fun workouts and exercise classes to motivate and improve fitness and health among adolescents (The Mount Sinai Hospital). P  artnering with the Long Island City YMCA

to provide pediatric health information to kids and parents involved in programs at

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued “Healthy Kids Day” and “Annual Turkey Trot” (Mount Sinai Queens).  Collaborating with P.S. 166 through Mount

Sinai Queens Family Health Associates by serving on the School Wellness Council. As a member of the council, Mount Sinai Queens participates in PTA meetings and provides ongoing health lectures to parents on nutritionrelated topics, with the goal of reducing childhood obesity. Topics include: “Sugary Beverages,” “Hidden Sugars in Your Cereals,” “Milk, Yogurt, and Dairy,” “Eating Whole Grains,” and “Eating Healthy for Your Next Test.” Counseling services on healthy eating will also be provided (Mount Sinai Queens). •O  ffering a variety of community wellness, education, and screening programs, in partnership with local community organizations such as: churches and places of worship, civic associations, public schools, Head Start programs, senior centers, and community health fairs and events. Programs address diabetes, asthma, cardiovascular health, stroke, nutrition, and related topics. Examples include:  Providing free blood pressure testing and

health information at the “National Night Out Against Crime,”—an annual community event sponsored by the 114th Precinct of the New York City Police Department. The National Association of Town Watch is held annually on the first Tuesday in August (Mount Sinai Queens).  Collaborating with senior centers, such as

the JVL Dimotsis-Vallone Senior Center

12

of the Hellenic American Neighborhood Action Committee Senior Centers, to conduct a series of free wellness lectures and classes. Topics include: diabetes, cholesterol, blood pressure, prescription medication review, nutrition, yoga classes, and referrals for medical services. Additionally, the Stay Well Program provides weekly hypertension screenings at area senior centers. The program not only gives information needed to monitor a vital health indicator, but it also provides “the human touch and a listening ear.” Offered through partnerships with Happy Seniors of Northwest Astoria Center, Catherine Sheridan Senior Center, Dellamonica-Steinway Center for Seniors, and Archdiocesan Hellenic Cultural Center, the program strives to educate seniors on proper medication, stroke, diabetes, and vascular health (Mount Sinai Queens). •P  roviding access to fresh produce through the Mount Sinai Greenmarket—a farmer’s market offered every Wednesday from June through November. The greenmarket also provides free blood pressure testing and health education materials on healthy living, nutritious cooking demonstrations, and discount coupons (The Mount Sinai Hospital).

Anticipated Impact and Plan to Evaluate:

•T  he Mount Sinai Hospital and Mount Sinai Queens anticipate increased knowledge on chronic health conditions and improved health behaviors in children, adolescents,

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued and adults. Additionally, Mount Sinai anticipates contributing to a reduced burden of chronic illness in the community through its direct health service programs. •T  he Mount Sinai Hospital and Mount Sinai Queens will monitor program performance annually including the number of people served, outcome data, and other select indicators monitored as part of Prevention Agenda Priorities 2013-2017: New York State’s Health Improvement Plan from the “Prevent Chronic Diseases” priority area.

Planned Collaboration:

The Mount Sinai Hospital and Mount Sinai Queens plans to collaborate with: •A  merican Heart Association, YMCA of Greater New York—Viva Fitness Program, Long Island City YMCA, United Community Civic Association, New York City Police Department, Queens P.S. 166, JVL Dimotsis- Vallone Senior Center, Dellamonica- Steinway Center for Seniors, Happy Seniors of Northwest Astoria Center, Catherine Sheridan Senior Center, and Archdiocesan Hellenic Cultural Center.

Cultural, Ethnic, and Linguistic Barriers to Care

Mount Sinai offers various community outreach wellness and prevention programs designed to meet the needs of populations with cultural, ethnic, and linguistic diversity. Mount Sinai participates in programs designed to target and stop the spread of disease in a wide range of population

13

groups. The Mount Sinai Hospital and Mount Sinai Queens will to address cultural, ethnic, and linguistic barriers to care by taking the following actions: •O  ffer community-based educational programs on breast and cervical cancer to African-American and Hispanic/Latina women. Through the Witness Project of Harlem and the Esperanza y Vida—The Latina Witness Project of Harlem, both programs aim to increase adherence to recommended screening guidelines (The Mount Sinai Hospital). •P  rovide community health and wellness services in several languages, including Spanish and Greek, to ensure that the entire community has access to health education and information (Mount Sinai Queens). •P  rovide on-site breast cancer screening and referral services to local community health centers, federally qualified health centers, and clinics, many of which provide bilingual services for Spanish-speaking patients (The Mount Sinai Hospital). •W  ork to reduce the disparities that exist in heart disease among women and ethnic minorities through education, outreach, prevention, and intervention through the Cardiovascular Disparities Center (The Mount Sinai Hospital). •P  rovide free, confidential, culturally sensitive, and knowledgeable counseling and support services to male and female survivors of sexual assault, sexual abuse,

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued and domestic violence in several locations across New York City through the Mount Sinai Sexual Assault and Violence Intervention (SAVI) Program. •R  epresent diverse racial and ethnic community groups on the Mount Sinai Queens- Community Advisory Board by maintaining relationships with and recruiting individuals through a wide range of community organizations, including the Muslim American Society, Greek-American Homeowners Association, Astoria Center of Israel, Eihab Human Services, Inc., and Hellenic American Neighborhood Action Committee (Mount Sinai Queens).

Anticipated Impact and Plan to Evaluate:

•T  he Mount Sinai Hospital and Mount Sinai Queens anticipate maintained or increased access to linguistically and culturally accessible health services for minority and limited English-speaking populations, as well as increased participation in screenings for these populations. •T  he Mount Sinai Hospital and Mount Sinai Queens will track program performance annually, including the number of people served with education and medical care. Mount Sinai will also monitor participation in screenings for African-American and Hispanic/Latino populations.

Planned Collaboration:

The hospital plans to collaborate with: •L  ocal community health centers, federally

14

qualified health centers, and clinics, including Settlement Health, Boriken Neighborhood Health Center, and Little Sisters of the Assumption Family Health Service; •O  rganizations representing diverse racial and ethnic communities, such as the Muslim American Society, Greek-American Homeowners Association, Eihab Human Services, Inc., and the Hellenic American Neighborhood Action Committee; and Orthodox Jewish communities and organizations, such as Astoria Center of Israel.

Infant Health Risk Factors and Outcomes

The Mount Sinai Hospital and Mount Sinai Queens hospital will address infant health risk factors and outcomes by taking the following actions: •D  eliver services through Mount Sinai Adolescent Health Center (MSAHC), including sexual and reproductive health care and the Sinai Peers Encouraging Empowerment through Knowledge (S.P.E.E.K.) program. The S.P.E.E.K program serves to reduce the incidence of adolescent pregnancies by promoting youth empowerment, hosting development activities and youth-led programs, and providing access to reproductive health services (The Mount Sinai Hospital). •P  rovide support programs and activities for parents of newborns in the Neonatal Intensive Care Unit at Kravis Children’s Hospital at Mount Sinai (The Mount Sinai Hospital).

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued •R  efer individuals to community health centers, federally qualified health centers, and clinics that provide free and lowcost maternal and child health services to infants, toddlers, and adolescents (The Mount Sinai Hospital). •U  tilize the Prenatal Care Assistance Program, which provides comprehensive prenatal care to women regardless of immigration status at Family Health Associates- an outpatient health center at Mount Sinai Queens. This prenatal program is offered to women and teens residing in New York State. As a participating provider, Mount Sinai Queens provides extensive services for pregnant women, including regular assessment of pregnancy risk, prenatal diagnostic and treatment services, nutrition screening and counseling, HIV counseling and testing, and health and childbirth education. The program also arranges for a postpartum examination no later than eight weeks after delivery and pediatric care (The Mount Sinai Queens).

Anticipated Impact and Plan to Evaluate:

•T  he Mount Sinai Hospital and Mount Sinai Queens anticipate continued reproductive and sexual health services and education among youth, and increased delivery of reproductive and newborn health services to high-risk populations. •T  he Mount Sinai Hospital and Mount Sinai Queens will monitor program performance annually, including the number of people

15

served with education and medical care, and select indicators monitored as part of Prevention Agenda Priorities 2013-2017: New York State’s Health Improvement Plan from the “Promote Healthy Women, Infants, and Children” priority area.

Planned Collaboration: The Mount Sinai Hospital and Mount Sinai Queens plan to collaborate with: •L  ocal community health centers, federally qualified health centers, and clinics, including Settlement Health, and Little Sisters of the Assumption Family Health Service; and Kravis Children’s Hospital at Mount Sinai.

Sexually Transmitted Infections and HIV/AIDS The Mount Sinai Hospital and Mount Sinai Queen intends will address sexually transmitted infections and HIV/AIDS by taking the following actions:

•P  rovide primary outpatient and inpatient treatment including mental health services, substance abuse counseling, social work services to people with HIV, and free HIV testing for adults and children with infectious diseases, as well as preventive services to those at risk through the Jack Martin Fund Clinic and the Mount Sinai Comprehensive Health Program-Downtown. The Jack Martin Fund Clinic also partners with community HIV/AIDS programs, including Bronx AIDS Services and East Harlem HIV Care Network (The Mount Sinai Hospital).

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Significant Health Needs the Hospital Will Address continued

16

•D  eliver services through MSAHC, including sexual and reproductive health care, HIV/AIDS prevention and treatment, the Sinai Peers Encouraging Empowerment through S.P.E.E.K, and the Project Impact Program. The S.P.E.E.K program serves to reduce the risk of contracting HIV and/or sexually transmitted infections (STI) among individuals, ages 12 to 21, by promoting empowerment, hosting development activities and youth-led programs, and providing access to medical, mental health, and reproductive health services. The Project Impact Program offers outpatient mental health and primary care services for those in this age group who are infected with or affected by HIV/AIDS (The Mount Sinai Hospital).

Anticipated Impact and Plan to Evaluate:

•P  rovide coordinated care to patients co-infected with HIV and Hepatitis C through a team of HIV and liver disease specialists, mental health providers, and social workers in the HIV and Hepatitis C Co-Infection Program. Patients have access to support groups and experimental treatments through clinical research conducted by Mount Sinai physicians (The Mount Sinai Hospital).

Planned Collaboration:

•T  he Mount Sinai Hospital and Mount Sinai Queens anticipate continued dissemination of sexual health education among youth and adults, increased HIV and STI testing among high-risk populations, and increased delivery of appropriate medical and social services to infected individuals. •T  he Mount Sinai Hospital and Mount Sinai Queens will monitor program performance annually, including the number of people served with education, testing, and medical care, and other select indicators monitored as part of Prevention Agenda Priorities 20132017: New York State’s Health Improvement Plan from the “Prevent HIV/STDs, Vaccine Preventable Diseases and HealthcareAssociated Infections” priority area. The Mount Sinai Hospital and Mount Sinai Queens plan to collaborate with: •S  chool-based health centers: Julia Richman Education Complex, Manhattan Center for Science and Mathematics, and The Humanities Educational Campus; and •C  ommunity-led HIV/AIDS programs, including Bronx AIDS Services and the East Harlem HIV Care Network.

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Needs the Hospital Will Not Address No hospital can address all of the health needs present in its community. Mount Sinai is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address the needs of environmental determinants of health or poverty, financial hardship, and basic needs insecurity identified in the 2013 Community Health Needs Assessment.

Environmental Determinants of Health

Making a significant impact on environmental determinants of health extends far beyond the ability or responsibility of any single organization. As an acute care hospital, Mount Sinai Hospital is not ideally suited to be the lead organization in addressing environmental determinants of health in the community. Other organizations are addressing this need. However, the hospital does intend to help improve accessibility to healthy food by providing access to fresh produce through

17

the Mount Sinai Greenmarket—a farmer’s market that is offered every Wednesday from June through November. Senior Vouchers, EBT, New York City Health Bucks, and Mount Sinai coupons are accepted. Greenmarket shoppers receive $2 in Health Bucks for every $5 spent in food stamps.

Poverty, Financial Hardship, and Basic Needs Insecurity

Mount Sinai understands the role that poverty plays as a contributor to poor health status. As an organization that provides health care services, the hospital lacks the resources, expertise, and mission to directly address this need. Other organizations in the community are also addressing the need. The hospital does provide care to community members with limited financial means and individuals without health insurance by offering discounted fees and flexible payment plans based on the patient’s ability to pay, through the Resource Entitlement and Advocacy Program (REAP) and the Patient Financial Assistance Program. The hospital also will continue offering a wide range of free health screening and education programs.

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Implementation Strategy Adoption This implementation strategy was adopted by the Mount Sinai Board of Trustees on:

Date

Print Name

Signature

18

 THE MOUNT SINAI HOSPITAL AND MOUNT SINAI QUEENS: 2014-2016 IMPLEMENTATION STRATEGY

Suggest Documents