Designing a life of advocacy and creativity at Northwell Health
Weaving together a life of creativity, dedication to community and entrepreneurship takes talent, focus and plenty of energy. Adrian Morel, an outreach worker at the Center for AIDS Research and Treatment (CART) in Manhasset, spends his time working for Northwell out in our local communities educating folks about HIV, pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP), and providing free and confidential rapid HIV testing while balancing a career as a clothing designer.
As a member of the LGBTQIA+ community, Adrian has long been committed to helping others, serving in a variety of volunteer positions prior to joining Northwell Health.
“I’ve always been involved in LGBTQIA+ volunteer work, especially on behalf of Latinos,” explains Adrian. “It was natural to move from volunteering to working at Northwell Health, where I continue to help the community. Being a proud Latino Gay man, I add a different perspective to the HIV advocacy work done at CART. Not only do I get the opportunity to educate people in my community about their sexual health, I am also taking part in the efforts to end the HIV epidemic.”
Adrian’s work spans beyond helping patients at Northwell. He also is a highly creative designer and artist who uses his talents to further his advocacy for the LGBTQIA+ community. He first became interested in costume and fashion design while in high school. This led to obtaining degrees in design from the Fashion Institute of Design and Merchandising in Los Angeles and the California College of the Arts, prior to working in theater.
“Here at CART, my coworkers and managers have encouraged and supported the differences of all individuals on our team,” says Adrian. “I’ve always been celebrated for my cultural and creative background. Being able to use my strengths towards things I’m passionate about has been very rewarding. Northwell allows me as an employee to be personable and utilize my interests to encourage people. Being allowed to be myself opens the door for me to humbly appreciate the individual uniqueness of others.”
During his college years, Adrian honed his creative skills, designing many costumes for drag performers and other artists who appreciated his ability to create show-stopping costumes. This led to him launch his own costume design business called Adrian Morel which he continues to run today.
Adrian’s business makes custom looks focused on creative and innovative designs. His clients look forward to a design consultation with Adrian followed by several fittings from the conception of the look to the final product. His website and Instagram page give visitors a clear idea of his talent and creativity.
As both an outreach worker and a designer, Adrian is busy, but appreciates the opportunities he has found to support his community while being able to utilize his artistic talents. Recently, this included designing costumes for “Drag Me to Brunch,” an event sponsored by Northwell Health.
“I’m passionate about my work,” says Adrian. “It’s work by day, and costume design by night. It’s what I love.”
At Northwell Health, we’re excited to have the privilege of working in some of the most culturally diverse communities. By creating a space that is welcoming to all, no matter race, religion, or creed, we’re fostering an inclusive workplace where we can accomplish amazing things being truly together.
For two years in a row, our organization has been recognized for our commitment to diversity and inclusion by Great Place to Work for demonstrating excellence throughout our diversity initiatives. Here are 10 reasons why we’ve been named to the Best Workplaces for Diversity’s list for 2020:
Here are 10 reasons why we’ve been named to the Best Workplaces for Diversity’s list for 2020:
We’ve been named one of the nation’s top health systems for diversity according to DiversityInc’s Top Hospitals & Health Systems for Diversity for the seventh year in a row, ranking us second nationally and first in New York State.
We have a commitment to veterans and have been named A Military Friendly® Employer for six consecutive years, and a top 10 employer for the past two.
Team members have the opportunity to join one of our many Business Employee Resource Groups (BERGs) which enhance engagement, innovation and talent development while promoting an inclusive culture by celebrating our differences and commonalities.
Our Center for Learning and Innovation (CLI) and Center for Equity of Care (CEC) partner together to create training and education programs that foster cultural humility, critical thinking and self-awareness. These trainings contribute to a more inclusive environment in which team members from every background can feel comfortable.
We have been a recipient of the National Association of Colleges & Employers Diversity and Inclusion Excellence Award.
Our Emerging Leaders Diversity & Inclusion Council champions voices within our organization to ensure we are effectively prioritizing and focusing our efforts in the right ways.
We partnered with NYC Pride to showcase our support of the LGBTQ communities and ensure each member, regardless of sexuality feels comfortable within our family.
Our Path to Inclusion program offers an integrated and comprehensive approach to training, hiring and supporting individuals with disabilities by driving mutual understanding.
We believe in advancing women in their careers within the health community. Our Women’s Mentorship Program has seen participants receive promotions while creating strong professional bonds between mentees and leadership.
When it comes to being Truly Ourselves, our spirit of caring and celebration is there for every holiday. From legal holidays to meaningful religious observances to national days, our team members make a point to make each holiday special.
Why I’m Made for an ultrasound technologist career at Northwell
Written by: Gennifer Albaum
Working at the front desk for a radiologist at a young age, I quickly realized I had a passion for interacting with patients. With the encouragement of my team, I decided to became an ultrasound technologist and have worked at Northwell Health for nearly two years.
People assume radiology is just someone taking pictures and that’s all. It’s much more than that. It’s scanning a women who just had an abnormal mammogram and is getting a second look. It’s having a patient come in with stroke like symptoms who just a few hours ago could walk and talk but now has no motor function. It’s the parents of a child who is sick with a cold. It’s scanning a cancer survivor to see if their cancer has come back. It’s dealing with the patient’s pain, worry and sadness, and still providing care that helps make them forget about their fears for a moment. Because as an ultrasound technologist, we’re taking images that will help patients get the answers.
Knowing a visit to an Imaging Center can be a stressful time for patients, I try to ease their anxiety and keep them calm during their visit especially when they are looking to me for results and I have to politely explain that their images need to be interpreted by a radiologist. As a radiology professional I know that can be trying for the patient but we want to ensure we have reviewed all images thoroughly before providing results.
I was introduced to women’s imaging, especially breast imagining early in my career and quickly found that I had a passion for early diagnosis of breast cancer. Some of my fondest memories as an ultrasound technologist are when breast cancer survivors returned to visit us at the practice. To see her smile when she saw her face and knowing I was part of delivering her care was so rewarding. I know that what I do made a difference in not just her life but her kids and her family. It makes me feel so proud of my hard work and dedication.
Early detection saves lives and knowing that I can play a part in helping to save a life, is why I chose to become an ultrasound technologist. Working for Northwell has been a life-changing experience, I have met so many amazing technologists, radiologists and administrators. I truly feel like this is where I was meant to be.
The important role of our Certified Registered Nurse Anesthetists
The role of a Certified Registered Nurse Anesthetist (CRNA) is an invaluable part of our patient care teams. These advanced practice nurses work to safely administer anesthetics to patients during surgical cases. Whether they’re delivering anesthesia inside hospitals, private practices or specialty offices, CRNAs enjoy autonomy in their professional roles.
At Northwell Health, we know the important role our CRNAs play alongside surgeons and anesthesiologists. This Certified Registered Nurse Anesthetist Week we talked with two of our very own CRNAs to hear about their careers and the impact they’re making every day here at Northwell!
Meet Sally Caldwell, CRNA, Lenox Hill Hospital
Sally Caldwell is a CRNA at Lenox Hill Hospital who pursued her certification after working as a registered nurse. It was her time in the ICU where she realized she wanted to be in an advanced practice nursing specialty. This background in critical care helped her throughout her extensive training and education to become a CRNA.
As a CRNA, she enjoys being able to care for one patient at a time as well as the additional responsibilities including administering medications, monitoring patients during surgery, and making sure patients are comfortable and safe after surgery.
“I love being a CRNA at Northwell because working here allows me the opportunity to provide top-quality patient care, and that’s something I’m proud of,” she says. “With Northwell I get to work with a great group of providers, from the surgeons and anesthesiologists to the nursing staff. CRNAs are a valued part of the anesthesia team here, so that makes me feel good about what I do.”
Meet Marianne Goodnight, Chief Nurse Anesthetist, Northwell Health Anesthesia
Marianne Goodnight currently works as the chief nurse anesthetist at Northwell Health Anesthesia. There, the CRNA team provides all types of anesthesia services to hospitals and surgicenters in Westchester County, Rockland County, Orange County, as well as New Jersey.
It was early in her nursing career that Marianne fell in love with critical care, learning everything she could about one patient and using all of her nursing knowledge and skills to ensure they received the best care possible. When she made the decision to further her critical care nursing education, it was her husband, a surgical resident at the time, who encouraged her to go to the operating room and meet the CRNAs.
Observing them in their day-to-day practice started her love for a career that has only grown. She enjoys that CRNAs must use interpersonal skills alongside their knowledge of medicine, pharmacology, and clinical skills.
“Our CRNAs at Northwell are highly trained, experienced anesthesia providers, who are very supportive of one another. I feel very blessed and grateful to have had such a wonderful team throughout my years here,” says Marianne. “Our CRNAS and anesthesiologists are a very cohesive team, working very hard every day for the same goal: to provide our patients with the safest and best anesthesia care. I encourage CRNAS to take a look at our exciting practice!”
Six reasons why an operating room fellowship could be right for you
Are you a new BSN graduate or experienced RN looking to take your career to the next level in the operating room? A periOperative fellowship could be a great way to gain the skills, experience, and confidence you need to be successful. Our six-month program combines lectures, workshops, independent study, role-playing, case scenarios, and simulation – all while providing hands-on experience in the OR.
Here are six ways our fellowship program can be instrumental in advancing the careers of truly ambitious nurses. You will:
1. Gain training not taught in nursing schools.
The operating room is different from just about any other environment and it is not typically part of the curriculum provided by most nursing schools.
“It is such a different atmosphere than what most nurses have been exposed to, and with little coverage of the OR in nursing schools, everything is new and different,” says Robyn Murray, an operating room registered nurse at North Shore University Hospital (NSUH) who went through the fellowship herself. “I would definitely recommend the fellowship to nurses so they can build a strong foundation.”
2. Promote the nurse’s role as patient advocate.
Our fellowships help you build confidence as a key member of the interdisciplinary team. You will be better prepared to speak on behalf of the patient.
“The biggest lesson I learned during my OR fellowship was to always speak up and advocate for the patient,” says Kristi Troha, a registered nurse in the OR at Southside Hospital. “Northwell offers an unbelievable opportunity that has shaped my career and I am so thankful for it.”
3. Better understand the importance of teamwork.
You will master the ability to develop and manage relationships with staff with all different skills and personalities. We’re all a team in the OR!
Today Marisa Baccarella is an assistant nurse manager for the OR at Long Island Jewish Medical Center but she fell in love with periOperative teamwork during her fellowship: “I love the teamwork aspect of the operating room. You get to work with a large interdisciplinary team made up of surgeons, anesthesiologists, CRNAs, surgical techs, and periOperative assistants. You’re all working together very closely to take care of a patient.”
4. Acquire the essential skills for successful patient outcomes.
Because the OR is fast-paced and ever-changing, it’s important to have the hands-on skills needed to be successful. We will teach you everything you need to know, including surgical counts, sterility procedures, patient positioning and more.
“I think the fellowship is the best transition for a nurse to start a career in the OR,” says Kerri Robertson, an OR nurse at NSUH. “After completing the didactic and hands-on parts of the program, I was confident to circulate and scrub during surgery.”
Nina Stoia, an OR registered nurse at Peconic Bay Medical Center
5. Work on diverse cases.
Our fellowships give you a thorough and comprehensive orientation to the OR. You will have the opportunity to learn every service line, including both the adult and pediatric populations.
Nina Stoia, a registered nurse in the OR at Peconic Bay Medical Center, also completed a periOperative fellowship with Northwell. She says, “My favorite thing about working in the operating room is the diversity of cases I take part in. Whether it be a total knee arthroplasty, a cataract extraction, or a robotic hernia repair; they all positively impact an individual’s quality of life.”
6. Gain a strong foundation for continued growth.
Whether you are just beginning your nursing career or looking to advance it, Northwell’s periOperative fellowship program provides an excellent foundation to build upon.
“Be patient with your learning,” advises Michael Alvarez, a registered nurse first assistant in the OR at NSUH. “We learn very little about the OR in school and the OR environment is like no other.”
Are you Made for an opportunity like this?
The next step in your career is up to you! To learn more about being a part of our fellowship programs, click here.
When Marybeth McManus, MPA, BSN, RN-BC started her career at Northwell Health it was a staff nurse at Zucker Hillside Hospital (ZHH). As her career at ZHH grew, Marybeth played an active role in the American Psychiatric Nurses Association where she is currently president of the New York Chapter. Her experiences at ZHH and beyond serve her well in her current role as chief nursing officer (CNO) of ZHH.
Throughout her career, Marybeth’s focus has always been on the destigmatization of mental illness and the development of a therapeutic healing environment for our patients and a healthy working environment for staff.
“The Zucker Hillside Hospital nursing staff is making a positive difference in advancing the mental health of our community,” she says. “To that end it is my priority to support our staff in providing the highest quality care with respect, kindness, and compassion.”
Read more from our CNO Corner interview with Marybeth.
What is one thing you wish people knew about being a behavioral health nurse?
Behavioral health nursing is a profession of the heart. Behavioral health nurses care for patients who have faced trauma and stigma, who are struggling to have their own voice and are particularly vulnerable. ZHH nurses care for the whole patient; their assessments include not just patients’ mental disorders, emotions and social interactions, but also their medical needs. Behavioral health nurses must have particularly astute assessment and critical thinking skills to observe and intervene in the early stages of a crisis and help patients who are struggling to stay in control. They must also use those same skills to identify changes in a patient’s presentation or mental status, which are often subtle signs and symptoms that are indicative of an evolving medical complication. Behavioral health nurses need to manage not just individual patients, but also the therapeutic milieu. ZHH nurses excel on person-to-person connections and instilling hope for patients on their journey to recovery. Patients and their families’ lives are better because of psychiatric nurses.
What exciting nursing initiatives are happening at Zucker Hillside Hospital?
Nursing at ZHH is trauma-informed, evidence-based and collaborative with many disciplines. Our nurses have participated in educational efforts to better care for their particular population. For example, our nurses on the Women’s Unit trained at LIJ Medical Center’s Labor & Deliveryunit to learn more about the signs and symptoms of labor and impending birth, as well as post-partum care. Many were trained as childbirth educators and lactation nurses as well to support our perinatal patients. ZHH is the only psychiatric free-standing NICHE designated hospital. Our two geriatric units have embraced the NICHE program, and many of the nurses are certified in gerontology by the ANCC and are NICHE geriatric resource nurses.
Our nurses on the adolescent and college units have been trained in Dialectical Behavior Therapy and our nurses on an adult unit are being trained in Cognitive Behavior Therapy-Recovery Based. In an effort to advance the patient experience, nurses have taken the lead on self-care initiatives including hiring a cosmetologist to help our patients feel better about their personal appearance. Other patient experience initiatives include the development of a spirituality program for patients and staff under the direction of our newly hired chaplain, coordination with the dietary department to improve the quality and choice of meals for our patients, pet therapy, art therapy, music therapy, as well as the initiation of Alcoholics Anonymous meetings on the inpatient service.
In addition to improving the experience of patients at ZHH, the Patient Experience Committee also addresses the needs of the staff in order to promote wellness and avoid burn out. Staff wellness programs offer holistic opportunities including reiki, healing crystals and essential oils, as well as their very own “Puppy Love” pet therapy day.
What makes working at Zucker Hillside Hospital unique?
The staff at ZHH are truly “Made for this.” It’s a calling to dedicate your life to the care of the mentally ill, and throughout the hospital you can feel the spirit of dedication, empathy, professionalism and love for our patients and their families. Workforce engagement scores are among the highest in Northwell, and the nursing score of 4.21 is above the national average. Our nursing satisfaction scores on the National Database of Nursing Quality Indicators showed that the majority of our units outperform the national average most times and all of our nursing units are either a Tier 1 or 2. Safety is paramount at ZHH; our quality measures improve annually and in 2019 we were very proud to report a 22% decrease in falls compared to 2018. Our falls with injury rate decreased by 78%, patient-to-patient and patient-to-staff aggression both decreased by 32%, and our seclusion minutes were reduced by 27%. These metrics speak for themselves; our staff is engaged, skilled and making a positive impact on our patients and their families.
What makes Northwell a great place to work?
Northwell provides outstanding opportunities for professional growth and advancement, including the Center for Learning and Innovation, encouragement for advanced degrees, leadership development programs, and the Nursing Mentorship Program and the Nurse Residency Program. I have benefited from numerous strong leaders and mentors at Northwell and am so proud to work for a health system that prioritizes the care of patients with mental illnesses!
Benefits with your health and financial well-being in mind
As New York State’s largest employer, Northwell Health is committed to offering their team members and their dependents a comprehensive benefits package that’s been designed to provide health and welfare options that optimize their health and financial well-being.
Northwell offers multiple medical plans which include a plan that provides our team members with additional savings when utilizing in-system providers and services. We also offer a plan that makes it affordable to go out-of-network for healthcare needs.
In addition to the medical plans, Northwell offers:
Life insurance plans
Flexible Spending Accounts
To complement the cost of our medical plan Northwell offers medical plan participants the opportunity to earn up to $1,560 in pay credits in exchange for four healthy actions through the Well-being Credit Program.
Saving for the future
Northwell offers a robust retirement package, designed to encourage saving smart through access to free, one-on-one retirement consultations, an automatic saving escalation feature, and employer contributions.
The 401(k), 403(b), 457(b) and 409A plans allow team member contributions to grow tax-deferred until withdrawn at retirement. Newly hired team members are automatically enrolled in the plan for 3% of their annual pre-tax salary 30 days after their date of hire. To receive the maximum employer matching contribution (which starts after one year in which the employee worked at least 975 hours), they must contribute at least 6% of their annual salary to receive the match.
We have a strong commitment to the professional growth and development of all our team members through our Center for Learning and Innovation; nationally recognized for leadership in workforce development and as a model provider of continuous organizational learning. We also offer a robust offering of other educational resources such as our Tuition Reimbursement program, multiple scholarship programs, loan forgiveness and student loan refinancing.
Northwell offers all team members access to fun and engaging online resources focused around health-related challenges, such as virtual walks and competitions to get and keep our employees healthy. Teamwork is encouraged with the opportunity to earn valuable rewards points redeemable for big ticket items and recognition in return for a commitment to living a healthy lifestyle.
We also offer organized sports leagues throughout the year, encouraging friendly competition and teamwork.
In addition, Northwell offers a suite of free well-being benefits that will enhance a participant’s physical and emotional persona through online coaching and education.
All team members, and their family members, have access to our Employee and Family Assistance Program (EAP). Staffed by licensed behavioral health experts EAP offers short-term, goal-directed coaching and counseling designed to help resolve problems that have an impact on a team member’s work and/or home life.
We’ve also worked hard to support employee work/life balance with special services that provide back-up child and elder care, financial assistance for adoption and home buying, and banking. National and local discounts are offered on a rotating basis lowering the cost of gym memberships, entertainment, car purchasing and repairs, and so much more.
From unique health care and wellness to financially sound retirement plans with generous matching to educational and professional development support that takes your career growth to a new level, we are always looking for ways to ensure that our employees are truly well cared for.
Northwell Health named a top 2020 Military Friendly organization
Northwell Health has been selected as a 2020 Military Friendly organization in four categories – top 10 employer, supplier diversity, brand and company – as one of the nation’s top organizations for military veterans.
As New York State’s largest health system and biggest private employer with more than 70,000 employees, Northwell also is one of the largest employers of veterans and offers a host of programs that support service members and their families, from jobs fairs and educational opportunities to behavioral health programs in concert with the US Department of Veterans Affairs.
“We’re proud to support our veterans and their families by providing resources and career opportunities throughout our health system,” said Michael J. Dowling, Northwell’s president and chief executive officer. “Over the past two years, we hired more than 500 veterans into the health system, a commitment to those who served and a smart business decision on our part. Hire a veteran and you’ll understand what I mean. Few people are better motivated or equipped to contribute to the workforce than veterans.”
Among the veteran initiativesNorthwell Healthhas enacted:
By partnering with 160 organizations that work with veterans, Northwell hosts various recruitment, networking and interview days as well as its homegrown Barracks to Business Workshop to educate transitioning veterans regarding resume building.
A veteran-focused business employee resource group, known as Veterans and Allies: Liaisons of Reintegration (VALOR), provides an increased sense of community to these heroes and a chance to gain insight from each other and share their experiences. VALOR helps veterans with employment and medical care.
Employees returning from deployment receive checks representing the difference between their military pay and the regular salaries they would have received had they not taken military leave.
A first-of-its-kindUnified Behavioral Health Centerin Bay Shore – jointly operated by Northwell and the Northport VA Medical Center – helps military veterans and their families cope with the emotional burdens they face when they return home.
Extending its commitment to service members beyond the organization, Northwell created“Side By Side: A Celebration of Service,”a day-long celebration of military service in Manhattan that coincided with Fleet Week in May 2019. Northwell plans to host the event again in 2020.
Organizations must meet Military Friendly’s rigorous criteria
“It’s our distinct honor and privilege to deploy our administrative and clinical capabilities to improve how our military access services, employment and support,” said Juan Serrano, assistant vice president of Northwell’sOffice of Military and Veterans Liaison Services and himself a Marine veteran. “In 2019, we proudly provide the most health care to active duty members, veterans and their families in New York.”
Military Friendly weighed companies based on six criteria: Hiring and Onboarding, Opportunity and Advancement, Culture and Commitment, Support and Retention, Policies and Compliance, along with Recruiting and Sourcing. Northwell Health greatly exceeded the standard in each.
“We are proud to support transitioning veterans in finding their next mission,” said Cheryl Davidson, senior director of Workforce Readiness at Northwell. “Our programs were developed to ease their assimilation from military service to civilian careers.”
Meet a true leader and humanitarian: John Kelly, LMSW
We’re proud to introduce you to care coordinator, John Kelly, LMSW who works in Northwell’s VetConnectNYC Coordination Center (CC).
As a Marine Corps Veteran and licensed social worker, John Kelly is helping veterans, military members, and their families access a wide range of supportive services (such as emergency housing, employment, healthcare, legal, and more). John served as a Chemical, Biological, Radiological, Nuclear (CBRN) Defense Specialist Chief based out of Camp Lejeune, NC. He was deployed to Libya on a combat mission and, notably, on a humanitarian mission to provide aid in Haiti following the devastating 2011 earthquake.
Today, John’s responsibilities as a care coordinator involve screening, evaluation, and triage of incoming referrals and assistance requests. He works with the New York City Department of Veterans’ Services (NYC DVS) VetConnectNYC Network providers to identify, address, and remove barriers to care for the veterans that utilize our services. VetConnectNYC (formerly known as NYServes-NYC) is part of Syracuse University’s Institute for Veterans and Military Families (IVMF) AmericaServes collaborative in partnership with the NYC DVS who “owns” the New York City Market. John is a crucial piece of the Northwell Team who operates the Coordination Center for VetConnectNYC.
In John’s view, serving as a Marine was a time of strong personal and professional growth. “What I valued most was being a member of a team, a part of something larger than the individual. I believe that honor, courage, and commitment never leave the Marine as they move into a civilian career.”
Northwell’s support for veterans and military members reflects our commitment to their well-being and our respect for the talents and character they bring to their roles. “I’m part of an organization that holds those that have served, or continue to serve, in the highest regard. It is my passion and my guiding principle to provide hope and assistance to those that have sacrificed so much of themselves when they are in need,” says John.
He encourages fellow veterans to explore the potential that Northwell can offer for their career development and growth. “Northwell Health values Veterans as a resource that can strengthen the system as a whole. I would say to my fellow veterans: Look North. I doubt you will ever look back.”
An Appointment With: Michael Dowling, Northwell Health President and CEO
What does the 2020 vision for Northwell Health look like?
Northwell Health will measure success in 2020 on our ability to maintain a strong financial footing while preserving our mission to improve the health of the communities we serve. Achieving that is a significant challenge in the midst of the dynamic, ever-changing environment in which health care providers operate.
There’s growing competition among both traditional providers and new entrants trying to break into the market such as Google, Amazon and CVS, to name a few. Government intervention looms over the horizon. No matter what others are doing, delivering great care should always be our first priority. Our patients are why we’re here.
Taking a stance on issues we believe in is another area we won’t shy away from, whether it’s immigration reform or common-sense gun legislation. We’ll stand up for our beliefs, not because it is easy, but because it is hard. We need to be a voice for the disenfranchised in the communities we serve.
Explain why the year ahead is a crucial one for Northwell’s capital investments.
Beyond preserving our mission in the year ahead, we look to:
increase our investments in basic infrastructure, technology and people;
expand inpatient bed capacity at Long Island Jewish Medical Center and North Shore University, Staten Island University Hospital and Southside hospitals, which are routinely at or over capacity;
target continued ambulatory growth;
try to maintain a good payer-mix balance; and
achieve a higher operating margin, which would strengthen the health system’s credit rating, enabling us to borrow at lower interest rates as we continue to invest in our future.
I’m excited about the transformation at hospitals happening throughout the health system, from the new Corey Critical Care Pavilion at Peconic Bay Medical Center opening this month to the planned groundbreaking of the Petrocelli Advanced Surgical Pavilion at North Shore University Hospital this spring and the ongoing transformation of Southside Hospital into a regional destination for top-notch care on the south shore. We will continue to work with our Upper East Side neighbors and city agencies to develop a plan that will enable us to move forward with the redevelopment of Lenox Hill Hospital.
In what ways will ambulatory care fuel future growth?
At Northwell, we are well positioned for success in 2020 and beyond, based on the continued maturation of the clinical, academic and research enterprise the health system has built over its 28-year history. Beyond our 23 hospitals, the health system now has 744 outpatient locations – and we’ll have 786 by the end of this year, including:
21 additional primary care practices (increasing the number of practices to 239);
23 additional specialty centers, including seven more kidney dialysis centers (increasing the number of centers to 18);
two additional outpatient cancer centers, including one in Eastern Long Island and another on Staten Island;
three additional urgent care centers (increasing the number of urgent care centers to 55); and
two additional ambulatory surgery centers (increasing the number of ambulatory surgery centers to 18).
Due to our ambulatory patient expansion, it’s noteworthy that Northwell’s revenues, projected at $13.5 billion in 2020, will be a 50-50 split between inpatient and outpatient. By comparison, the inpatient/outpatient revenue split was 70-30 percent in 2005.
The recent addition of Concorde Medical Group in Manhattan and its 23 physicians) and clinical affiliations with two large private physician practices, CareMount Medical and AdvantageCare Physicians, further expands our reach into the communities we serve.
How will the Presidential election impact health care?
If the last decade of health care reform and regulation are any guide, then the outcome of the 2020 President race promises to bring more changes to the industry in the coming years. Regardless of what party controls the White House and Congress, health care will receive more than its share of government scrutiny.
Meeting our patients’ needs poses a whole other set of challenges in this uncertain regulatory environment. On the business side, providers are relying to a much greater degree on government payers like Medicare and Medicaid, as relationships with commercial payers continue to become more complex. On top of all that, there’s a growing push from the federal government for increased transparency, with a push toward greater value, cost containment and increased access to care.
Most importantly, we’ll continue to stand by our values. While it may be coincidental, one week after hosting our first Northwell Health Gun Violence Prevention Forum in December and pledging $1 million toward research, prevention, education and advocacy efforts to combat gun violence, Congress approved $25 million in funding for gun safety research – the first time in a quarter century that it has allocated funds for that purpose.
Why is developing and retaining talented employees important to the health of the organization?
To succeed in this environment requires providers to be adaptable, flexible and entrepreneurial. You need to be comfortable dealing with ambiguity, while relying on a progressive culture and a strong talent base. Educating and empowering our employees along their professional journey is personally important to me, but also essential for the long-term success of the health system.
That’s why Northwell created the Center for Learning and Innovation, rebuilt the foundation of the health system upon its own medical school, the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, as well as the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies. These and other educational opportunities allow Northwell and its workforce to grow and stay ahead of the competition in a fast-moving industry.
As health care providers, we also have an obligation to not only treat people when they’re sick or injured, but to promote healthy lifestyles and help people avoid getting sick in the first place. We’ve made concerted efforts to think about the communities we serve in a holistic way. That means gaining a better understanding of the social determinants of health that have caused significant disparities in life expectancy in our most-vulnerable communities, where chronic disease is prevalent. We’re responding to those needs by pursuing problem-solving solutions, whether it’s providing access to fresh produce and nutritious meals through our hospital-based “Food as Health” program, educating people about the importance of HIV testing and Pre-exposure prophylaxis (PrEP) medication for at-risk populations, or training community-based health workers to help local residents adopt and maintain healthy behaviors. It’s all part of our mission to improve the health of the communities we serve.
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