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| Home > WorkingPages | |
New York Downtown Hospital 2007 Community Service PlanNew York Downtown Hospital (NYDH) is pleased to present its Community Service Plan Implementation Report for calendar year 2006. 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 New York-Presbyterian Healthcare System. 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. 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 regularly with its Community Advisory Board, 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 communities are regularly assessed, and feedback on the Hospital’s performance is regularly obtained and subsequently integrated into its strategic plan. 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 community needs. A growing number of outpatient visits, up by 25,000 from last year, is evidence of increasing demand for services from our growing populations: immigrants, the underserved and seniors, as well as the business community, especially in the area of cardiac health. Emergency and disaster preparedness have also been identified as important to the community. 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: $165,000,000 Operating beds: 150 Emergency room visits: 33,000 Ambulance 911 dispatches: 5,300 Inpatient discharges: 11,609 Outpatient visits: 125,000 Surgical Procedures: 7,550 Births: 2,538 Strategic Planning The Hospitals major accomplishments in 2006 reflect the issues identified in our Needs Assessment, including emergency and disaster preparedness, cardiac health and growing populations. Emergency and Disaster Preparedness Downtown Hospital is the only hospital in Lower Manhattan. It is the first responder to virtually every medical emergency in the area, providing life-saving medical care for 33,000 emergency patients each year and responds to approximately 5,000 ambulance dispatches annually. To better protect the community in the event of a disaster, the new Lehman Brothers Emergency Center, a state-of-the-art emergency facility serving all of Downtown New York, opened in September 2006. The Lehman Brothers Emergency Center is twice the size of the previous emergency center. The new facility includes the largest decontamination unit in the city for response to bio-chemical attacks and other emergency situations. Every patient area has been upgraded, including those for women, children, asthma and chest pain patients, and those in need of prompt, non-acute care. The new facility also includes other improvements which will enhance the Hospital’s throughput and surge-capacity, and its ability to respond to both individual and community-wide emergencies. 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. Cardiac Health 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 Downtown HeartSavers health outreach program promotes heart healthy habits among employees in the fast-paced Wall Street workforce. 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. Growing Populations Immigrants The New York metropolitan area has the largest Chinese population in the United States, and nearly 75% of this population is foreign born. 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. Today, more than 85% of the Hospital’s outpatients and more than 65% of the inpatients are Chinese. 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 2006, the CCPH started several new programs. These include • Bilingual volunteers and counselors who help individuals navigate the health care system; and • Workplace Partnership for Healthy Heart, a workplace cardiac wellness program. In 2006, CCPH organized 17 health screenings reaching 1,226 individuals in 15 locations. Additionally, 197 at-risk Chinese women received free breast and cervical cancer screenings. Fourteen health talks were conducted at various locations with a total audience of 500 people throughout Manhattan, Brooklyn, Queens and Staten Island. Working closely with the New York City public schools, the CCPH health team reached out to 6 schools to provide hearing and vision screenings to close to 2,000 students. Fifty 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. Latinos make up 19% of the population of Lower Manhattan. Through its Downtown Family Care Center, the Hospital offers primary care for a largely Latino population on the Lower East Side, which faces barriers to care similar to those of the immigrant Chinese population. 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. Seniors Downtown seniors are the area’s fastest growing residential group. The Asian elder population in New York City has nearly doubled, surpassing the growth rates of both the general Asian and general senior populations. In recognition of the elderly population of Chinatown, the Chinatown Neighborhood Naturally Occurring Retirement Community (NORC) was established in August 2006. The Chinatown NORC, with one of the highest concentrations of elderly residents in Manhattan, designated a 22-block segment of Chinatown for programs and services to help the elderly age in place. Over half of the Hospital’s inpatients are seniors, and NYDH attracts 50% of the geriatric population in Chinatown. NYDH is a lead partner in developing programs for the Chinatown NORC. In 2006, the Hospital met with partners, including Visiting Nurses Services, to begin planning services and programs beneficial to the community. These include monthly health talks, workshops and direct services. The Home Visit Program was established to provide home attendants for homebound seniors. Presentations were made to housing and community centers to spread the word about the program. In addition, our Visiting Doctors Program helps ensure high-quality care for homebound individuals of all ages. The Hospital began working with Southbridge Towers, a retirement community located near the Hospital, to design health programs. This is a collaborative effort with the community’s management agency, Visiting Nurses Services and other groups. A medical office has been established at Southbridge and the Hospital is looking to hire a social work to coordinate medical and social service programs. NYDH collaborated with other senior centers and community organizations to provide free on-site health care services such as health screenings, vision screenings, flu shots and education seminars. NYDH also provides care on-site at housing complexes throughout Lower Manhattan. Courtesy van service picks up and drops off patients—especially senior citizens—between Chinatown and the Hospital without charge. Business Community Downtown’s financial community is the country’s third largest business district. The Hospital offers convenient outpatient care for nearby employees as well as in-office education. Through the Corporate Health and Wellness Programs, customized worksite health promotion programs, screenings, and lectures are available to employees in the Downtown community. Topics include blood pressure screening, flu vaccination, nutrition assessment and education, and skin cancer screening. Cardiac education, evaluation, outreach, clinical and wellness services are also available to corporations and community groups. Through the Corporate Physician Partnerships, physician and nursing care is provided on- or off-site to corporations and occupational health facilities in the Downtown area. The Emergency Preparedness program provides on-site seminars and training on the Incident Command System, a nationally recognized system for resource and personnel management during disaster situations. Corporate Structure New York Downtown Hospital is a 170-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. |
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