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| Home > About Downtown Hospital | ||||||||||||||||||||||||||||
New York Downtown Hospital 2008 Community Service PlanNew York Downtown Hospital (NYDH) is pleased to present its Community Service Plan Implementation Report for calendar year 2007. The Community Service Plan and Implementation Report reflect NYDH’s ongoing commitment to initiatives that (1) help meet the community’s healthcare needs, (2) provide charity care services, and (3) improve health care access for the underserved sections of our city. Mission Statement New York Downtown Hospital is a community teaching hospital principally serving the people who live or work in Lower Manhattan.New York Downtown Hospital offers services and technology appropriate to a community hospital with emphasis on outreach and ambulatory services. New York Downtown Hospital achieves access to specialized services for its patients and community through formal affiliation with an academic medical center. As a teaching hospital, New York Downtown Hospital will conduct graduate and/or undergraduate educational programs and provide clinical experience for physicians, nurses and other health professionals. As a community hospital, New York Downtown Hospital will offer to its patients, medical staff and employees a caring environment, which emphasizes the value of patient dignity and employee and professional pride. The programs and services of New York Downtown Hospital will, within the limits of its resources, respond to the needs of its community. Vision To be a trusted neighbor who provides access to a full range of quality health care services to our resident community with special emphasis on greater New York's Chinese community.To be a center of excellence for ambulatory care, health maintenance and primary care education for all who live or work in lower Manhattan. To be a leader in the field of emergency preparedness and disaster response. We will realize our vision through community-based facilities, related networks, and our relationship with the New York-Presbyterian Healthcare System. Values These values and principles are shared by all the women and men of New York Downtown Hospital's health care team.Patient First All activities will be aimed at earning and keeping the trust and confidence of our patients, their families and their employers through the provision of quality services. Integrity We will hold ourselves fully accountable for our actions and be honest and ethical in all our dealings. We will have high standards for ourselves and uphold the Hospital's high standards of professional behavior. Respect for the Individual We will conduct our activities with patients, staff, families, vendors, community members and employers with respect for the other person. Teamwork We will work for New York Downtown Hospital first, our departments second. We will support each other and feel free to ask for help from a colleague when necessary. Public Participation in Process NYDH meets quarterly with its Community Advisory Board to encourage constructive dialogue with other community organizations. The Community Advisory Board is composed of Hospital executives, representatives from state and local government, health department representatives, community organizations, and local businesses. Through these meetings, the health care needs of the community are regularly assessed, and feedback on the Hospital’s performance is regularly obtained and subsequently integrated into its strategic plan and Community Service Plan. The Community Service Plan is posted on the Hospital’s Internet (www.downtownhospital.org) and Intranet sites.Additional public feedback is gathered through patient satisfaction surveys which cover overall quality of healthcare and other areas. The survey process is monitored by the Division of Customer Service and Community Affairs. Tabulated results of the surveys are submitted routinely to the Board of Trustees, the Quality Council, senior leadership and department heads who analyze the data and implement programs to enhance the patient experience at Downtown Hospital. Needs Assessment New York Downtown Hospital identifies community health care needs by analyzing health care data from the New York City Department of Health and Mental Hygiene and the Department for the Aging; demographic data from local, state and federal agencies; hospital-generated statistical reports; reports generated by internal committees, task forces and Downtown Hospital’s annual planning process; patient surveys that cover the entire hospital experience; and policy reports from the New York City Health Care Advisory Panel.Through this process, we have identified several trends affecting the healthcare needs of Lower Manhattan. Most importantly is the rapid growth of Downtown’s residential and business communities. The population of Lower Manhattan is expected to increase by more than 30% between 2000 and 2010; these new residents and workers will need access to quality preventive and emergency care close to home. The demands of this growth are already being felt at Downtown Hospital, with a steady demand for preventive services from our growing populations: immigrants, the underserved and seniors, as well as the business community. The number of women of childbearing age living in the area has already increased by 50%, with a 6.5% increase in births at the Hospital in 2007. Emergency and disaster preparedness have also been identified as important to Lower Manhattan’s growing community, with emergency room visits up 8.7% in 2007. Annual Statistics and Use Rates New York Downtown Hospital offers a full range of inpatient and outpatient services, community outreach and education, and is a leader in the field of emergency preparedness and disaster response. Its centers of excellence include bioterrorism, hermodialysis, preventive medicine, and graduate medical education. New York Downtown Hospital focuses on providing high-quality medical care with the personal attention of a community hospital. Annual budget: $164,745,000 Operating beds: 130 Emergency room visits: 35,888 Ambulance 911 dispatches: 5,600 Inpatient discharges: 11,850 Outpatient visits: 114,000 Surgical Procedures: 7,630 Births: 2,708 Strategic Planning The Hospital’s major accomplishments in 2007 reflect the issues identified in the Needs Assessment, including programs that recognize the diverse needs of our underserved populations, the importance to the area of emergency and disaster preparedness, health maintenance services and maternity care. The Hospital expanded and enhanced a multi-specialty Wound Care Center and team.Underserved Populations Immigrants New York Downtown Hospital has a special commitment to the area’s growing immigrant communities, serving a patient mix that is 49% Asian, 15% Latino, 13% Caucasian, 11% African-American and 12% other. English is not the native language of more than 60% of Downtown’s admitted patients and more than 80% of its clinic patients. These patients face significant cultural and language-related obstacles to healthcare. Downtown Hospital is a leader in providing culturally appropriate community outreach and illness prevention programs to the areas’ growing immigrant populations. This is especially true for Lower Manhattan’s Chinese community. Today, more than 85% of the Hospital’s outpatients and more than 65% of the inpatients are Chinese. The Asian community accounts for approximately 80% of all the births at Downtown Hospital. Social and financial barriers often compete with health issues for the community’s attention. Many in the community are low income, have little education, lack health insurance, and cannot afford to pay for preventive health care. Within the Chinese community, tuberculosis, respiratory diseases, heart problems, cancer and hepatitis B exceed national norms. Risk of stroke and diabetes is also high. In addition • Asian immigrants present at NYDH with more advanced stage of lung cancer and have reduced survival rates. • 15% of the Asian population living in New York City have chronic Hepatitis B infection. • 20% of Asian women over age 50 have osteoporosis. The Hospital’s Chinese Community Partnership for Health (CCPH) provides health screenings, education and follow-up services conducted by specially trained outreach teams that visit community and senior centers as well as public schools. These programs provide early detection and illness prevention to underserved and at-risk individuals with potential for a variety of diseases and conditions that have hit the Chinese community particularly hard. In 2007, the CCPH organized the following health education and screening programs:
These represent significant increases over 2006 in almost all areas. In particular, we offered nearly twice as many health screenings, reaching 25% more individuals. Working closely with the New York City public schools, the CCPH health team reached out to nearly three times as many schools to provide hearing and vision screenings to over 2,000 students. Fifty-two health education radio talks were transmitted across the tri-state area via Chung Wah Commercial Broadcasting and the Sinocast Radio Station, the two most established Cantonese-speaking radio stations in New York City. Our unique toll-free 1-800-638-2868 Chinese Language Health Referral Hotline service provided health resource and referral information and medical scheduling assistance to more than 24,000 callers across the United States and Canada. Eleven health workshops were held at various locations. The topics ranged from disease prevention to healthy life styles. The lectures were taught in Cantonese and Mandarin to meet the needs of non-English speaking Chinese immigrants. Over 300 individuals attended lectures. In 2007, the CCPH started several new educational programs to help improve the overall health of the Chinese community. These included • Watch and Listen for Your Health campaign, a pioneering series of culturally sensitive educational television and radio programs targeting the underserved Chinese population. The campaign consists of 26 health talks conducted by Chinese physicians in both Mandarin and Cantonese. The presentations are broadcast via Sino Television and AM1480 radio. • Reach out for Health provides basic health literacy skills for the largely immigrant and elderly Chinese community. Twenty bilingual volunteers and counselors have been trained to help individuals navigate the health care system, teaching patients the skills necessary to make their own appointments, secure referrals, understand doctors’ prescriptions and recommendations, and make health a priority. • Chinatown Workplace Fitness and Wellness Program aims to promote physical activity and increase knowledge of nutrition for working people. In 2007, the CCPH carried out and completed a pilot program with the Bank of China and TMI Corporation. Employees from two companies participated in six-session workshops, focusing on the importance of diet, nutrition, cardiac health, physical activities, and life style. Positive results were reported in several benchmark screenings of the participants. The Hospital’s other off-site primary care centers offer health education, preventive care, and early detection services for New Yorkers in underserved communities. These centers include the Brooklyn Primary Care Center and the Asian Health Center of Flushing, Queens. To meet the needs of all patients for whom English is a second language, the Hospital implemented a Language Assistance Program in 2007, which provides free interpretation services to all patients who require assistance. Seniors Downtown seniors are the area’s fastest growing residential group. At any given time, almost two-thirds of Downtown Hospital’s medical and surgical inpatient population is over 65 years of age. These percentages are expected to rise in the coming years. In particular, the Asian elder population in New York City has nearly doubled, surpassing the growth rates of both the general Asian and general senior populations. New York Downtown Hospital is the healthcare facility chosen by many elderly residents of Chinatown because of the language skills of nurses and staff, the accommodation to Chinese dietary needs, a location that allows family members to maintain contact with their patients, and the relationship of trust that has developed between the Hospital and Chinese community. Nearly 50% of the geriatric population in Chinatown comes to Downtown Hospital. Further, Naturally Occurring Retirement Communities (NORCs) have burgeoned in the Hospital’s service area. Southbridge Towers (2000 elderly residents), St. Margaret’s House (300 apartments for the elderly), Independence Plaza, Knickerbocker Village, Chatham Greene, and Hamilton-Madison House are among the NORCs south of Canal Street. The Chinatown NORC has one of the highest concentrations of elderly residents in Manhattan. In addition there is an extensive network of housing facilities for the elderly in Lower Manhattan, including The Hallmark at Battery Park City, a living-assisted residential community for senior citizens. Proximity to home is crucial to providing healthcare to seniors. In response, Downtown Hospital has established a medical office in Southbridge Towers, a retirement community by the Seaport area from which 275 patients a year are admitted to Downtown Hospital. Downtown Hospital also established an on-site medical center within The Hallmark. Two new medical offices were opened in the Lower East Side, both located within NORCs. In addition, NYDH collaborates with senior centers and community organizations to provide free on-site health care services such as health screenings, vision screenings, flu shots and education seminars. In the Chinatown NORC, NYDH is a lead partner in developing programs that help the Chinese elderly age in place. These include monthly health talks, workshops and direct services. In addition, a hospital-based program, Dzi Yuan: The Palliative Care Consultation Service, offers a full range of palliative care services to patients, their caregivers, and families, with a special focus on elderly Chinese and Latino patients. In 2007, the Hospital established the following programs for the elderly: • The Nurses Improving Care for Health System Elderly (NICHE) program trains nurses to prevent or mitigate functional decline in older patients during hospitalization. • The Acute Care for Elders (ACE) program provides treatment for the hospitalized frail elderly of Lower Manhattan. Extended hospital stays are frequently detrimental to the mental and physical well-being of this population. The ACE unit team provides comprehensive geriatric care in an environment specifically designed to promote wellness, communication and independence. The program optimizes patient length of stay and reduces patients’ physical and mental deterioration. Upon discharge the patient is supported in their return to an environment most appropriate to their abilities, lifestyles, limitations and desires. A primary goal of this initiative is to decrease the use of long term care facilities as discharge destinations. Ongoing programs for seniors include the Home Visit Program which provides home attendants for homebound seniors. Presentations are made to housing and community centers to spread the word about the program. In addition, the Visiting Doctors Program helps ensure high-quality care for homebound individuals of all ages. When hospital visits are required, a courtesy van service picks up and drops off patients—especially senior citizens—between Chinatown and the Hospital without charge. Emergency and Disaster Preparedness Downtown Hospital is the only hospital in Lower Manhattan and the first responder to virtually every medical emergency in the area. In 2007, Downtown Hospital provided life-saving medical care for 35,888 emergency patients and responded to approximately 5,600 ambulance dispatches. With the completion of the new Lehman Brothers Emergency Center, a state-of-the-art emergency facility serving all of Downtown New York in September 2006, the Hospital has become a national leader in emergency preparedness. To better respond to the emergency needs of the community, the Hospital hosts an Emergency Preparedness Symposium each year to promote ongoing dialogue concerning crisis readiness and response. Topics include areas that are of special interest to the downtown community following 9/11, including crisis communications, urban burn disaster planning, decontamination, and personal and community emergency preparedness. The Hospital’s service area has a high incidence of heart attacks. Patients with chest pain account for 1,500-1,700 Hospital visits annually, and 10% of these are full-scale heart attacks. As part of the new Emergency Center, the Hospital opened a Chest Pain Emergency Unit to diagnose and treat emergency heart attack patients. The new emergency department also includes individual asthma treatment stations. According to the New York City Department of Health and Mental Hygiene, children in New York City were almost twice as likely to be hospitalized for asthma as children in the United States as a whole. Growing Business Community Lower Manhattan’s financial community is the country’s third largest business district. Downtown Hospital is the closest hospital to the Financial District, the seat of City Government, and the Federal Courthouse Complex. The Hospital designs customized worksite health promotion programs, screenings, and lectures for employees of companies located in the Downtown area. Downtown Hospital, through its Corporate Physician Partnerships, has also opened several on-site medical units in various business offices, including Citibank and American Express. Many employees in Lower Manhattan also receive outpatient care from physicians based at Downtown Hospital. In the case of an emergency, Downtown Hospital’s Corporate Liaison expedites care for employees by providing emergency staff with advance medical information on individuals on their way to the emergency room. The Liaison follows each patient’s care, updates the patient’s company on his or her condition, and helps in arranging follow-up. Serving the area with the highest per capital incidence of heart attacks in New York City, the Hospital provides emergency cardiac care that is nationally recognized for excellence. Downtown Hospital also offers the only medically supervised cardiac rehabilitation program in close proximity to Downtown offices. Through Downtown HeartSavers, Downtown Hospital physicians and nurses bring vital cardiac health information to Downtown employees in the form of lectures, blood pressure screenings, nutritional counseling, and other customized programs. Health Maintenance for a Growing Residential Community Lower Manhattan is one of the fastest growing areas in the city. One measure of the area’s growth is the 28,500 new residential units expected to be constructed south of Chambers Street by 2010. Combined with rapid employee growth and an expanding Asian community, the communities’ needs for primary care are on the rise. The Hospital already provides core healthcare services to Lower Manhattan including ambulatory and preventive services, health outreach and education, and care for obstetrical patients and new borns. To meet the growing need for primary care close to home, the Hospital has planned and received funding for a new Wellness and Prevention Center. The Wellness and Prevention Center will offer patients a wide range of essential services in order to maintain good health. The Wellness and Prevention Center will bring crucial advances in preventive health care to the entire community, including the most up-to-date screening techniques and the latest therapies. The Center will offer a new Women’s Health Program; advanced, non-invasive cardiovascular screening and imaging; cancer screening and detection through the Hospital’s affiliate, the Strang Cancer Prevention Center; state-of-the-art imaging technology; individual patient profiles and customized risk assessments; and seamless referral to specialists at the Hospital and its renowned affiliate, New York-Presbyterian Hospital. As part of the New York-Presbyterian Hospital system, the Hospital is developing clinical programs that will bring the talent of the NYPH network to Lower Manhattan. Other programs are also helping the Hospital provide quality preventive care to the downtown community. Through its Kress Vision program, the Hospital works with community agencies to identify groups and individuals in need of eye care services. The program provides free eye screenings to young children at local schools, and to thousands of adults and seniors in order to protect patients’ eye sight and restore their vision. In 2007, the program reached a milestone: a total of 100,000 patients served. Hemorrhagic stroke accounts for a greater proportion of all strokes in Lower Manhattan’s Asian community. In 2007, Downtown Hospital was certified as a Stroke Center by the New York State Department of Health, the only such program of its kind in Lower Manhattan. Stroke victims in the community can now benefit from carefully written clinical pathways that describe the care each patient should receive from admission to discharge. Maternity Care Obstetrical patients and new borns account for 42% of all patient discharges at the Hospital, which was cited this year for clinical excellence in maternity care. Indeed, more than 2,600 babies are delivered each year at Downtown Hospital, a number comparable to other institutions nearly three times its size, 2007 is no exception with deliveries greater than 2,700. To meet the growing need for maternity care, the Hospital renovated an additional Operating Room for Labor and Delivery and purchased six new monitors and other equipment in 2007. Many of Downtown Hospitals’ obstetric patients have low incomes and are uninsured. The Hospital supports these patients through the Prenatal Care Assistance Program, and aids 30,000 patients through referral to its WIC program. Further, the Hospital’s breastfeeding initiative has resulted in breastfeeding rates increased by 68% among this group. Corporate Structure New York Downtown Hospital is a 180-bed voluntary not-for-profit community teaching hospital located at 170 William Street, New York, NY 10038. The Hospital occupies 8 floors and encompasses 300,000 square feet near the Brooklyn Bridge in Lower Manhattan. The Hospital owns two residential buildings with a total of 250 apartments for staff. In addition, the Hospital operates primary care sites in Sunset Park in Brooklyn, Essex Street in Lower Manhattan and in Flushing, Queens. The Hospital also has administrative office space at 59 Maiden Lane.Community Service Plan 2007 Community Service Plan 2006 Community Service Plan 2005 |
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