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.”
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.
From the Marine Corps to Human Resources: Jose’s career journey
Jose Rivera served as a sergeant in the Marine Corps before starting his Northwell career in 2005. Today he is a senior HR manager at the Orzac Center for Rehabilitation.
It was in the Marine Corps where Jose learned key skills that helped him thrive throughout his career at Northwell. Throughout his Northwell career, Jose held several manager positions at different locations, including LIJ Medical Center and Southside Hospital, before moving to the Orzac Center.
“I learned skills in the military which have helped me throughout my healthcare career,” says Jose. “I learned to be adaptable to change and resilient during tough times. Most important, I learned the value of being an engaged and approachable leader.”
For Jose, he knows that the transition from the military to a civilian career can be a difficult and stressful time for service members. “Hiring veterans is our commitment to these heroes,” he says. Jose has seen firsthand that veteran team members help our organization flourish: “Veterans bring a wealth of knowledge from their individual work ethic to innovative spirit and skill set. They are also committed to Northwell’s mission.”
Working at Northwell was the perfect next mission for Jose, allowing him to utilize the values and passion for leadership that had served him in his military career. It’s the team spirit and commitment to serving the community that makes him proud to come to work every day. “My favorite thing about working at Northwell is our people. I have met the most amazing, kind and fantastic people during my tenure with Northwell,” says Jose. “We have fantastic caregivers and I am proud that as an HR professional, I care for the caregiver.”
An Appointment With: Dr. Dwayne Breining, Executive Director, Northwell Health Labs
Starting his Northwell Health career as the director of Lab/Pathology at LIJ Valley Stream Hospital 13 years ago, Dr. Dwanye Breining held that title at multiple Northwell hospitals before coming to our Core Laboratory. Now as executive director of the Northwell Laboratories, he leads the talented team that coordinates laboratory testing for our new Core Laboratory at the Center for Advanced Medicine (CFAM), the new Core Microbiology Laboratory at Little Neck Parkway, and the 43 hospital laboratories that rely on our laboratories for reference testing. Northwell Labs is also responsible for testing for physician offices, nursing homes, the Department of Health, clinical trials, urgent care centers and more.
We sat down with Dr. Breining to discuss the growth of careers within Northwell Labs.
What types of careers are available within Northwell Labs?
While I think everyone is aware that we employ many MD & DO pathologists, as well as PhDs, laboratory technologists, and phlebotomists, not everyone knows that we also have people in sales and finance, as well as numerous IT specialists, data analysts, customer service representatives, materials management personnel and many delivery vehicle operators, and even a pharmacist. It is indeed a very big department, and we are a 24/7/365 operation – laboratory services never stop.
What makes our Labs at Northwell unique?
I like to think that we combine the best of both worlds: the high-efficiency of a commercial lab-type setting with the personal touch and hands-on engagement of your local hospital lab that knows you as a patient, and your physician as a colleague. As the largest nonprofit health system lab in the country, we have access to the most advanced medical testing technology available, including the largest Roche chemistry automation line in North America at the CFAM lab and the largest Kiestra automated microbiology system at the Little Neck Lab.
We are recognized internationally as an innovator in the laboratory industry, not just on the technology side but also in the business arena through forming unique partnerships with other health systems such as the one we formed with NYC Health & Hospitals, in which we also serve as the Core Laboratory for their 18 hospitals and affiliated clinics. Another unique innovation we just launched, and are especially proud of, is LabFly. This is an Uber-like app, available for both iOS and Android devices, to have our phlebotomy services come to you, in your home or office at whatever time is convenient, for a low convenience fee. We are seeing rapidly growing interest in this type of service.
Why should Bio/Chem students who are unsure of what they want to do as a career explore the clinical lab field?
The level of fulfillment and sense of purpose one derives from working within healthcare in general, and knowing that the work you do directly affects the well-being of our community, is second to none, as any healthcare professional can attest. In the lab tech arena specifically, you will never be bored, as there are over 30 different tech sub-specialty areas in which to train, which creates many opportunities for career advancement. There is regular interaction with colleagues from all aspects of the lab, and also with physicians, office and hospital staff, and even school students and the general public at times. In addition, many of our Laboratory Information System computer specialists started out as lab techs, and are now trained and regularly installing and troubleshooting the highly advanced medical information systems that make modern healthcare run.
Why is Northwell an employer of choice for lab professionals?
Because of our demanding position within a large, leading healthcare system, we will always be at the cutting edge of clinical laboratory medicine. There are abundant opportunities for career evolution and advancement, and our staff can choose to partake in as much as they like. We work hard to create a comfortable and collegial work environment (after all, we all spend almost half our waking hours at work) because we want to attract and retain the best of the best.
Where do you see the future of clinical laboratory sciences evolving?
The future of the lab industry is incredibly bright. New testing technology keeps coming along faster than we can automate the simpler testing, and it is always a challenge to have enough techs coming on-board to keep up with it. In addition, we are already seeing opportunities for the lab to step more forward in healthcare, and participate in things like patient risk assessment, care coordination and escalation, and population health, especially given an aging population., We expect these trends to continue well into the future.
Day in the life: Central Sterile Processing Technician
Instrument sterilization is a vital step in any surgical procedure, but you may not always think about what goes into the process – or who’s doing it. At Northwell, we know our sterile processing technicians are invaluable members of our operating rooms. These technicians handle the sterilization of our instruments from decontamination to dispatch all inside our new centralized facility in Bethpage, NY. Working in the world’s largest sterile processing center, our technicians provide around-the-clock services using the most innovative technology available.
“Our new central sterile processing facility was built with the comfort of our sterile processing technicians in mind,” says Marc MacLaren, RN, BSN, MSN, program director of System Sterile Operations. “As we continue to grow and refine our procedures, we listen to their feedback. The work our technicians do every day is changing the way people look at sterile processing and defining the future of where the industry is going.”
Follow a day in the life of some of our sterile processing technicians at our new state-of-the-art central sterile processing facility in Bethpage.
Step 1: Surgical instruments are brought in for the decontamination team
The first step of sterilization is decontamination. With the facility servicing operating rooms from hospitals all across Northwell, it’s important for our central sterile processing technicians in the decontamination room to handle each delivery promptly and efficiently. The technicians soak the trays as they come in, hand washing them before placing them on the cart to go through the automated sterilized washers. “I love working in decontamination because we’re one of the most vital parts of the process of sterilization,” says La’Queen Burrell, sterile processing technician.
Step 2: Instruments are unloaded and tracked through automated systems
After the instruments go through the washing cycle, a sterile processing technician unloads the clean instruments from the machine into the ‘clean room’ which is kept sterile to protect the instruments. Each tray is processed through a barcode system so it can be tracked throughout the sterilization process. “My favorite thing is how organized our team is to keep things running smoothly,” says Libin John, supervisor, central sterile. “It’s also great knowing our work is helping patients even though we don’t have a clinical degree.”
Step 3: Sterile processing technicians sort trays to create priority order
The washed trays are then sorted in priority order. And with the facility’s capacity to handle a maximum of 22 million instruments a year, our technicians know the important role keeping the trays in priority order plays in ensuring prompt delivery back to the hospitals. Caprice Morgan, lead sterile processing technician, places the trays on shelves to mark them for the proper turnaround time. “I love working as a sterile processing tech because you are always learning new things,” says Caprice. “Every day is a new opportunity to grow.”
Step 4: Instruments are counted and passed through a safety test
Once the trays are separated, the instruments are counted, inspected and placed for packing by our technicians. It’s a vital step to make sure that the instruments are not only accounted for, but properly hand-washed and still maintaining their integrity. “It’s great being able to work on the instruments and know that even though you’re not in the operating room, you still are a part of the surgery helping that patient,” says Kevin Vega, sterile processing technician.
Step 5: Team members package the instruments for sterilization
Clean instrument trays are then packaged by the technicians. Packaging the instruments keeps them safe for when they are placed into sterilizers to finish disinfection before their return to the hospitals. The work spaces in the new facility allow for plenty of room for packing the large trays and individual instruments. “At the new Bethpage facility there’s more room to work and more space for everybody” says sterile processing assistant Patty Guess, who transferred to the facility from a Northwell hospital in April.
Step 6: Instrument trays are sent into the sterilization systems
Now that the instrument trays have been packaged, they’re ready for the final step of sterilization. Sterile processing technicians track and check the trays before placing them in autoclaves (which use steam at high temperatures to sterilize) or into low temperature sterilizers (which use low temperatures and gas to ensure missing something here) depending on the needs of the instrument. “This is my favorite spot to work because it keeps me on my toes,” says Gregory Thurneau, sterile processing technician. “I did it for eight years at Long Island Jewish Medical Center and now being able to do it at the Bethpage facility gives me an opportunity to expand my horizons.”
Step 7: Technicians sort the trays for hospital dispatch
Trays are passed directly through the sterilization systems built into the wall moving them from the ‘clean room’ to dispatch. There they are prepared for delivery back to the hospital. Once the trays have been tracked and accounted for, sterile processing technicians sort them into their respective cabinets for the transport teams. “It’s an important part of making sure the hospitals are getting their trays on time,” says Thomas Varkey, sterile processing technician. “Being part of that helps me make sure the patients get the care they need when they need it.”
An Appointment With: Iris Berman, VP, Telehealth Services
From the time she was a little girl, Iris Berman knew she wanted to become a nurse. Helping to care for her friend’s playground scrapes since she was six years old, Iris couldn’t have imagined that one day she would actually be a nurse with a bright future in medicine.
Starting her career as a registered nurse at Glen Cove Hospital more than 30 years ago, Iris worked per diem in a variety of environments before transitioning to culinary care. Discovering her passion for critical care, Iris eventually became a critical care nurse educator. It was as an educator working in stroke improvement where she first learned how Telestroke’s outcomes were bringing advanced care to patients through the power of technology in a way that wasn’t possible before. With this growing interest in Telemedicine, Iris jumped at the opportunity to apply for a job working in Telehealth within Northwell.
Today, Iris is the vice president of Telehealth Services at Northwell Health. “Telehealth highlights the opportunities and ability of our health system to be progressive, agile, and welcoming all at once,” says Iris. “I am one of the fortunate who truly loves going to work every day.”
We sat down with Iris to learn more about Telehealth Services at Northwell Health and how it’s an exciting career opportunity.
What are the benefits of Telehealth?
Telehealth uses technology (two-way audiovisual equipment) that enables patients and care providers to connect across distances, such as a hospital, clinic, office or home.
At Northwell, telehealth has grown monumentally in both acute inpatient, outpatient and direct to consumer (DTC) care. We have coverage of nearly 200 critical care beds in our Tele-ICU environment and use that platform to add other specialty care such as intensivist consultation to EDs, Tele-Neuro Critical Care, Telestroke Care, Teletrauma, Telepeds, Telehospitalists, Remote care to Skilled Nursing Facilities (TeleSNF) and the list will continue to grow. In addition we have a number of DTC programs (currently approaching nearly 30 programs) enabling patients to get care and consultation in their home, clinic, hospital and doctor’s office. Some examples include Tobacco Cessation support, Telegenetics consults, Neurology for movement disorders, Coumadin Clinic and more. These programs are helping to expedite time to expert opinion and mitigate complications that come from delays in care.
Why is Telehealth the future of healthcare?
As more people become accustomed to the digital world, they also become used to technology when they purchase services and encounter healthcare. In addition, the advent of improved technology makes this a more convenient way for everyone to access care on the go with a known provider no matter where they are. I believe care and outcomes will improve as we become more efficient in our access and consumption of that care. Telehealth also leverages nursing expertise in a technology-driven environment that is not as physically demanding, which is appealing for many nurses as well.
How can someone build a career in Telehealth?
There are a number of jobs in Telehealth and at Northwell we are continuing to expand our reach. Jobs will continue to grow and will rely a great deal on gaining experience at the bedside. If you like to mentor, Tele-ICU is for you. As we grow, jobs will continue to expand into areas that may include triaging of calls, training, project management and business analytics. NPs and PAs are especially gaining in popularity as part of a remote Telehealth team.
What is the best career advice you have for those looking to get into TeleHealth?
First and foremost it’s important for nurses to get bedside experience. This is necessary in order to become an expert in the field before transitioning into a Telehealth role. If you are interested in informatics and process design, find a way to thread it through your clinical experience. More and more jobs will look somewhat hybrid as we continue to evolve. Don’t be afraid to think outside the box. And lastly, be sure that you are comfortable with being on camera if you are looking to be in the patient care arena of Telehealth.
Women’s Equality Day, observed on August 26th, is an annual event that celebrates the adoption of the 19th Amendment to the United States Constitution, marking American women’s advancement towards equality with men. This year we celebrate the 99th year of the passage of the amendment which granted full woman suffrage. In honor of this important day, we are featuring some of our Women in Healthcare BERG leaders, members and supporters.
Northwell’s Women in Healthcare BERG is empowering women across all levels of Northwell as well as in our communities. The Women in Healthcare BERG aims to not only promote growth for women and foster greater employee engagement, but it is also a key part of our mission of transforming the future of healthcare.
Please join us as we celebrate this important day!
Stacey Rosen, MD – SVP, Women’s Health; Women in Healthcare BERG co-chair:
“Women’s Equality Day celebrates the passage of the 19th amendment, which granted women the right to vote. Activists such as Susan B. Anthony, Elizabeth Cady Stanton and Alice Paul were leaders in the women’s rights movement. Their focus was to ensure that women were given a fair and equal right to vote. These women have inspired me to carry their message in my current role. While we have made a lot of progress for women’s equality, women are still underrepresented in business leadership positions. It is known that organizations that promote diversity and inclusion, especially at the leadership level, perform better. This is one of many reasons why I decided to become a co-chair or the Women in Healthcare BERG. Our BERG gives our members exposure to leadership and development opportunities that they may not otherwise have in their current role. Our mission is to create a pipeline of women leaders at all levels in our health system.”
Maxine Carrington, JD – Deputy Chief HR Officer; Women in Healthcare BERG co-chair:
“We can never ignore our history and the impact of the past on our present-day thoughts, actions, policies, and systems. Women’s Equality Day and other such recognition days enable us to pause and remember, acknowledge how far we’ve come, and contemplate what still needs to be achieved to ensure that everyone is treated with dignity and respect – as they deserve to be – and that their voices, contributions, and human rights are valued. The tremendous enrollment in and support for our new Women in Healthcare BERG is evidence that there is still much work to be done, but also that our Northwell citizens are committed to the work. Given our mission, values, and the collective power that we have, it’s our obligation.”
Joseph Moscola, PA – SVP & Chief People Officer, Northwell Health:
“Women’s Equality Day is such an important day to pause, reflect and evaluate where we are on the journey to equality for women. It gives us the opportunity to rejoice in the successes while together transparently discussing the opportunities and working hard to put words into action. Together we can accomplish anything, advancing the culture of Northwell and thereby the culture of the communities we serve.”
Kerri Anne Scanlon, RN – System Deputy Chief Nurse Executive, CNO North Shore University Hospital; Women in Healthcare BERG co-chair:
“In today’s environment, it is more important than ever to celebrate a day that reminds us not only of how far we’ve come but also how much further we have to go within professional environments to ensure true equality. We are fortunate to be part of an organization that is fiercely dedicated to the promotion of diversity, inclusion, and to the elimination of inequities for all. The newly-formed Women in Healthcare BERG is a prime example of Northwell Health’s commitment to the promotion of career progression and advancement, mentoring, and succession planning for women across clinical, administrative, and academic settings. This BERG will serve as a catalyst for change within our organization and create a positive ripple effect, allowing for amplification of our voice across the industry and the communities we serve. On behalf of the Women in Healthcare BERG, I’m proud to celebrate a day of such historical significance, and to stand together to build a future that engages and empowers all members of our diverse workforce.”
Stevania Williams – Credentialing Specialist; Women in Healthcare BERG member:
“Women’s equality is important in today’s society because 1) Women make up more than half of the population in the United States and 2) Women in fact make up the majority of voters in the United States. Women’s equality has come a long way but there is still a lot more that needs to be accomplished. When women’s equality is fully established to its highest potential, we as women can have a better legislation to help push for equal rights and opportunities, which includes economic participation and decision making. “A society cannot operate to its full potential when half of its members do not have an equal voice.”
I joined the Women in Healthcare BERG because the gap that is associated with women leadership in healthcare is addressed. This program helps women like myself lean into their careers through mentorship which in return develops a pipeline of women leaders within Northwell Health.”
Elizabeth Alexander – Admin Support Associate; Women in Healthcare BERG member:
“Generally speaking, women in healthcare tend to forget to advocate for themselves because we are focused on treating patients and taking care of their own families as primary care-givers. It is important for us to get involved in professional organizations, continue learning, volunteer and cultivate a professional network. I joined the Women in Healthcare BERG because it’s a great forum for team building, networking and professional development that promotes diversity and inclusiveness in the workplace. This is an excellent opportunity to get involved and support fellow colleagues, so that together we can advocate, thrive and inspire!”
Patricia Farrell – VP, Katz Institute for Women’s Health; Women in Healthcare BERG member:
“Women do not want power over men, they want power over themselves” – Mary Wollstonecraft
“The Women in Healthcare BERG empowers women through both educational and networking opportunities encouraging them not to accept the status quo but to be that voice and equal seat at the table, to drive change that impacts not only our organization but policy change and change in the communities we live in.”
From neonatal staff nurse to periOperative leader: Gloria’s nursing journey at Northwell Health
When Gloria Collura, MSN, RNC, NEA-BC started her career at Northwell Health 31 years ago as a staff nurse, she didn’t know where her journey would take her.
Starting as a young nurse, Gloria transitioned to working part-time in the neonatal intensive care unit when she had her first child. But as her children grew, so did her career aspirations. And with the encouragement from her leadership, Gloria was able to focus on developing herself professionally.
“I never had to sacrifice my family or work-life balance at all in order to succeed in my career,” says Gloria. “Northwell really enabled me to grow professionally as well as personally.”
After becoming an assistant nurse manager, Gloria benefitted from Northwell’s tuition reimbursement program and earned her master’s degree. From there she became a nurse manager before moving into leadership positions in periOperative services.
Today, she’s the senior administrative director II for Patient Care Services/PeriOperative Services at the Center for Advanced Medicine (CFAM). Here, she runs the ambulatory surgery center which operates on over 7,000 people a year and the PST department which sees approximately 21,000 patients a year – quite the journey from her start as a staff nurse!
The transition to become a periOperative nurse was a natural one for Gloria. “As a neonatal nurse, you are in the operating room a lot. With exposure to the OR, I was encouraged by leadership to earn my master’s and get into ambulatory surgery. Using the knowledge and experience you’ve gained in one specialty and bringing it to a new area can have great results.”
Even with all her accomplishments, Gloria knows it’s important to never stop developing her professional skills. In fact, she’s recently earned her Nurse Executive Advanced Certification – an accomplishment she never thought she would be encouraged to earn.
“At Northwell, we’re always told not to be afraid to fail,” says Gloria. “Don’t be afraid to expand your wings, don’t be afraid to be innovative, and don’t be afraid to move forward. I’ve taken leaps that I don’t think I would have taken without the support of the organization and its leaders.”
Northwell launches Women in Healthcare Business Employee Resource Group
Northwell Health is excited to announce the recent launch of our Women in Healthcare Business Employee Resource Group (BERG)! Our newest BERG focuses on empowering women across all levels of Northwell as well as in our communities.
To do this, the Women in Healthcare members are committed to mentoring and developing women leaders at all levels within Northwell, including the executive level. Members will serve as both mentors and advocates for other Northwell team members, to help them develop professionally and to educate on the importance of acceptance and inclusion.
The Women in Healthcare BERG aims to not only promote growth for women and foster greater employee engagement, but it is also a key part of our mission of transforming the future of healthcare.
Co-executive sponsors include Mark Solazzo, executive vice president and chief operating officer, Deborah Schiff, executive vice president, Ambulatory Strategy and Business Development, and Kathy Gallo, RN, PhD, executive vice president and chief learning officer while Dr. Stacey Rosen, vice president, Women’s Health, Katz Institute for Women s Health, Maxine Carrington, deputy chief HR officer, and Kerri Scanlon, RN, deputy chief nursing officer and AED, Patient Care Services and chief nursing officer at North Shore University Hospital serve as co-chairs. Membership is open to anyone within the health system, including team members like Paola Benitez.
Using your career history to support other women in healthcare
Paola is a manager in the Government Rates and Reporting Group within Corporate Finance. Having grown her own career since she was initially hired as an analyst, Paola knows the importance of giving women the resources they need to develop professionally. “I joined this BERG because I wanted to be actively involved in the health system’s effort towards equality and inclusion,” says Paola. ‘I wanted to be part of encouraging more women to aspire to leadership.”
This isn’t the only BERG Paola has joined – she’s an active member of the Bridges LatinX BERG and has participated in community events that helped educate diverse minorities on the importance of access to health care, fitness and nutrition. She is confident that the Women in Healthcare BERG will be as successful within Northwell and its community.
“It is important to create BERG like this because it allows employees to build networks, share challenges and growth, and work together towards professional goals,” says Paola.
And for women looking to start out in their healthcare careers? Paola has the following advice, “Work hard, take risks and fail early. Do not feel that you must check all boxes in a job description – you will learn along the way!”
Throughout her time at Northwell Health, Margaret Murphy, DNP, RN, NE-BC has been an influential leader at Long Island Jewish Medical Center (LIJMC). As Chief Nursing Officer, Margaret knows the importance of providing nurses with educational opportunities to help them grow while igniting their passion for delivering exceptional care. Read more from our CNO Corner interview with Margaret.
Tell us about your career journey at Northwell Health.
Since joining Long Island Jewish Medical Center (LIJMC) as a director of patient care services in 2006, I have had the privilege of working for an incredible organization. As I think back to my first interview, I am overwhelmed by the exemplary leaders I have encountered along the way and how fortunate to have been mentored by so many of them. I was also fortunate to be afforded the opportunity by Northwell Health to obtain my doctorate degree from Case Western Reserve University.
I have been given extraordinary opportunities for professional growth and I believe in paying this forward so that new leaders can have the courage and wisdom to excel. Much of my career has had a dual focus; building a nursing team that is passionate about creating a high-reliability organization and ensuring that patient safety is our ultimate goal as clinical leaders. Having a vision and a strategic plan that include innovation, teamwork, engagement, transparency, and trust, provides a roadmap for organizational success.
What exciting nursing initiatives are happening at LIJMC?
One of our most exciting initiatives for 2019 includes our re-designation for Magnet®. LIJMC continues to outperform all benchmarks with a BSN rate of more than 92% and a certification rate that exceeds the Magnet benchmark with 25% of our nurses receiving clinical ladder designation. Additionally, we have seen great success with the “CNO cabinet” which was established for identifying and developing tomorrow’s nurse leaders.
LIJMC is also always at the forefront of innovation by:
Continuing to utilize collaborative care councils as arenas for shared governance, performance improvement, and organizational growth.
Building a new Oncology Center of Excellence.
Expanding our robotic surgery program, which received a Center of Excellence certification as did gynecological minimally invasive surgery.
Receiving Joint Commission certifications in Total Joint Replacement, Advanced Palliative Care and Diabetes.
Maintaining certification for Nurses Improving Care of the Health System Elder Certification (NICHE).
Launching an acute lung injury center which was created to deliver extra-corporal membrane oxygenation (ECMO) to patients that are not recovering with conventional “best practice” treatment.
Why would someone want to work as a nurse leader at LIJMC? How can they make an impact on providing exceptional care?
One of the best reasons to be a nurse leader at LIJMC is that there is a true collaborative spirit. Nursing has a voice at the table. There are so many ways to advance your knowledge at Northwell including continuing education conferences, courses at our Center for Learning and Innovation (CLI), advanced degree programs and leadership development programs. LIJMC is participating in the new Northwell Nursing Mentorship Program with a track for novice nurses and new leaders. This program will focus on individualized development, feedback and partnership.
At LIJMC, there are fellowships in specialty areas such as perioperative nursing, critical care, and emergency nursing. There is a residency program for new graduate nurses. Along with North Shore University Hospital, we partnered with Stony Brook University to facilitate obtaining master’s degrees in Nursing Leadership and in Education; whereby developing our nurse leaders and educators of tomorrow.
What is your career advice for nurses to develop in their career?
My career advice to new and experienced nurses is to understand that they must function as leaders regardless of title. From the onset, they should embark on a life-long journey, and commit to excellence as they move along their career trajectory. Early in their career, it is important to identify mentors, to emulate desirable behaviors such as advocacy, accountability, empathy, and professionalism. Nurses at all levels should mentor and coach while building strong relationships and developing excellent communication skills. Being knowledgeable about the changing health care landscape requires nurses to maintain curiosity and serve as change agents. Most importantly, nurses should recognize each day that while their accomplishments today are extraordinary, striving to make tomorrow’s accomplishments better is truly how we make the greatest impact in our patients’ lives.
Discover the PeriOperative teams on the forefront of cardiac surgery
When it comes to cardiac surgery, Northwell Health is at the forefront of innovation and exceptional care.
In fact, the Department of Health (DOH) has recently ranked Northwell Health cardiac surgery programs among the best in New York State. And exceptional cardiac care wouldn’t be possible without the hardworking nurses, advanced care providers, and surgical technologists who join surgeons in the operating room.
“Being in the cardiac operating room can be demanding but extremely rewarding. It requires a compassion for your patients and love of the operating services and Cardiology,” says Karen Cary, associate executive director at Staten Island University Hospital. “Always come ready to learn and be voracious in your thirst for knowledge.”
Learn more about some of our cardiac surgery programs across Northwell Health:
North Shore University Hospital (NSUH)
Operating room professionals looking to join the cardiac PeriOperative team at North Shore University Hospital would work alongside high-performing, talented team members who are committed to exceptional patient care. NSUH is home to the Sandra Atlas Bass Heart Hospital and has been named one of America’s 50 Best Hospitals for cardiac surgery in 2017 and 2018 by Healthgrades.
Featuring one of New York’s largest cardiothoracic surgery programs, the Heart Hospital has become the first and only full-service destination for heart transplantation in Nassau, Suffolk, Queens, Brooklyn, and Staten Island, New York. The DOH report has also recognized the Heart Hospital for having the state’s best outcomes for certain types of open-heart surgery.
Staten Island University Hospital
Staten Island University’s Heart Institute is known for its cutting-edge techniques, procedures, and skilled health care professionals. The DOH has even ranked their cardiologists, interventionalists, and catheterization and transcatheter aortic valve replacement (TAVR) teams in the top 5% of the nation. Growth continues within this impressive Cardiac PeriOperative Department as it works to perform a full spectrum of increasingly innovative procedures, such as the recently created TAVR program which has already seen success.
Joining the Heart Institute gives PeriOperative professionals the opportunity to work with a compassionate team with a passion for cardiac services. Close collaboration in the operating room and hospital floor ensures the absolute best care for patients and their families.
Lenox Hill Hospital
The award-winning cardiology department at Lenox Hill Hospital has been recognized by Healthgrades as one of America’s 100 best heart programs four years in a row. Lenox Hill is always looking for innovative ways to treat patients; innovation that has led them to performing groundbreaking procedures – such as angiograms and minimally invasive heart surgery.
At Lenox Hill, the cardiology team offers advanced cardiac services in a variety of areas, including electrophysiology, interventional cardiology, and heart failure. Nurses, advanced care providers, and surgical technologists will join the skilled PeriOperative team in a brand-new clinical area.
An Appointment With: Edward Fraser, VP, Community Relations
Since joining the health system in 2006, Edward’s career has evolved from his role at Southside Hospital within the Human Resources department to Nursing Education, and then to the department of Community Relations. He has grown from director of community relations at Southside Hospital to, vice president of Community Relations for the entire organization.
In addition to his role as VP, Edward is Co-Chair of Northwell’s EXPRESSIONS Business Employee Resource Group (BERG). Beyond Northwell, he’s also an active member of many community organizations and is currently enrolled in the Energeia Partnership Program at Molloy College. Throughout every step of his career, Edward has been known for his deep and abiding commitment to his family and to the many communities he serves.
We sat down with Edward to talk about the work of Community Relations and Northwell’s EXPRESSIONS BERG.
Tell us about the work of Northwell’s Community Relations team.
The Community Relations team handles community outreach, corporate sponsorships and promotes employee engagement initiatives for the health system. I’ve worked to build a dedicated team that connects with the communities surrounding our hospitals to bring education and build partnerships with local businesses, faith-based organizations, school districts and charitable organizations. We also manage two immediate care centers on Fire Island, acting as their premier health care provider.
Another big initiative we oversee along with finance is Community Benefit. Community benefits are programs or activities that provide treatment and/or promote health and healing as a response to identified community needs. They increase access to health care and improve community health. Community Benefit tracking is required for all not-for-profit hospitals seeking to maintain their tax-exempt status, as part of the Affordable Care Act.
Tell us more about the impact your team is making on the communities we serve.
With team members being active members of many community organizations including many Chambers of Commerce, Splashes of Hope, as well as Islip Food for Hope. Inc., we’re able to keep an eye on how trends are impacting our community.
How has the EXPRESSIONS Business Employee Resource Group (BERG) evolved?
Northwell’s EXPRESSIONS BERG is an LGBTQ Employee Diversity group. EXPRESSIONS has grown to be comprised of more than 400 Northwell team members who identify as members, or are allies of the LGBTQIA+ community. EXPRESSIONS was created to ensure our employees have a voice and the opportunity to be heard. It’s initiatives like this that led to Northwell being named among the 50 employers recognized for fostering an inclusive workplace for members of the LGBTQIA+ community and ranking second nationally and No. 1 in New York State as a top health systems for diversity on DiversityInc’s top Hospitals & Health Systems for Diversity list.
Additionally, we oversee is the annual system-wide survey with the Human Rights Campaign (HRC) for the Healthcare Equality Index (HEI) which is the national benchmarking tool evaluating healthcare practices and policies as related to the equity and inclusion of our LGBTQ patients, visitors and employees. Northwell just scored 100% on all 25 surveys that were submitted for this year.
What activities does Northwell Health have planned to celebrate Pride Month?
The EXPRESSIONS BERG is participating in many exciting festivals and marches throughout the month of June to celebrate Pride month. As part of Northwell’s commitment to the LGBTQIA+ community, the health system has partnered with NYC Pride to serve as a principal sponsor of events tied to WorldPride 2019 and celebrate the 50th anniversary of the Stonewall uprising. Northwell’s platinum sponsorship with the nonprofit Heritage of Pride, Inc., the organization that produces New York City’s official LGBTQIA+ Pride events, the March, PrideFest and Family Movie Night. We’ll also have a presence at Westchester Loft Pride, Rockland County Pride, Queens Pride, Long Island Pride and Cherry Grove Pride. If you are in the area, join us!
College students gain first-hand, non-clinical healthcare experience through summer internships
A summer internship provides students with the experiential learning, skills, and connections they need to build a future in their desired industry. Northwell Health’s programmatic internships are the perfect stepping stone to starting a non-clinical career in healthcare.
Students interested in non-clinical careers in healthcare had the opportunity to apply for a diverse selection of unique internships this summer – and potentially lay the groundwork for becoming a full-time employee.
Learn about some of our non-clinical internship programs below:
Hospitality in Healthcare Internships
Our hospitality interns will focus on a holistic approach to enhancing the patient and customer experience. Working within the Office of Patient & Customer Experience (OPCE), interns will explore how a great patient experience can drive meaningful results to patient care.
At the end of the comprehensive internship, students will have worked on projects including coordinating surveys for improvement opportunities, working with volunteer programs, and training and on-boarding team members on patient experience.
If you have a passion for making a difference through philanthropy efforts, then an internship with the Northwell Health Foundation is for you. During this extensive program, interns will get to experience working in a healthcare development office and gain professional skills.
Development interns will get to work on various projects such as frontline fundraising, operations, communications and stewardship, special events and direct marketing and annual giving campaigns.
Students looking to become immersed in the business-side of healthcare might be interested in the Corporate Summer Internship Program which spans across many non-clinical departments. As an intern, students will be provided with exceptional educational opportunities, including a specialized Learning & Engagement series that’ll cover topics from organizational awareness to resume writing and interview skills. To complete their development, they’ll work in groups on capstone projects throughout the summer before presenting them at the end of the program.
As a corporate intern, students may be assigned to a variety of departments including but not limited to:
Office of Legal Affairs
Center for Emergency Medicine
Center for Learning and Innovation
Information Services Internships
College students can help bring Information Technology and Services to life with an internship at Northwell. During their internship, students discover how Health IT capabilities are critical to our ability to deliver exceptional care. Through hands-on learning, interns gain skills in strategic planning, management, deployment, coordination and integration.
IT interns can gain exposure to technology areas like:
Application and Business Solutions
End User Services
IT Security and Risk Management
For those looking to get into healthcare operations, the Healthcare Management Program provides ambitious college juniors with the opportunity to work on operations, finance and patient experience projects. Learn more about the HMP internship here.
Celebrating Asian Pacific American Heritage Month at Northwell Health
Written by: Bridges Asian BERG co-chairs
Asian Pacific American Heritage Month is a month to celebrate and pay tribute to the contributions that generations of Asian Pacific Americans have made to American history, society and culture.
In honor of the heritage month this May, we are featuring the stories and work of a few of our Bridges Asian Business Employee Resource Group (BERG) members at Northwell Health.
Also featured, is an Asian Pacific American physician leader at Northwell Health, who is partnering with Bridges Asian BERG, to make broader connections and develop new ideas to help transform some of the amazing work spearheaded by this leader.
Please join us, as we celebrate Asian Pacific American Heritage Month this May!
I’ve been working at Northwell for about 2.5 years as an Institutional Review Board (IRB) Manager within the Human Research Protection Program at the Feinstein Institutes for Medical Research. My job is to support, facilitate and promote the ethical and safe conduct of clinical research at Northwell Health. We oversee IRB review for all 23 hospitals and facilities throughout Northwell Health that serves to protect research participants’ rights, safety and welfare.
Why did you join the Asian BERG?
I joined the Northwell Bridges Asian BERG in 2017. I have a passion to be a part of that bridge between our health system and local communities, and one of the ways that I serve in that capacity is being the Chair of the BERG Chinese Language Advisory Board (LAB). Our LAB is made up of other dedicated BERG members who are fluent, native speakers who provide consultation to service lines, departments and facilities on optimal methods of communication for the Chinese communities. We also provide feedback on the quality of translated materials by certified vendors to ensure that the messaging is appropriate and clear. By providing advisory services and partnering with Language Access Services from the Office of Diversity, Inclusion and Health Equity we are working to enhance patient experience, customer service and better connect with our diverse communities.
What do you like about working for Northwell?
I feel so lucky to be recognized for my efforts and it encourages me to continue working harder and to be more innovative. I am proud to use my language capabilities and skillsets as a Chinese American to further the causes of our organization and the diverse communities that we serve.
What advice would you give about mentorship?
Mentorship is always important. However, within this organization of 68,000+ employees, mentorship from successful higher-level leaders is not only critical, but it will help individuals advance in their careers quickly. By encouraging mentorship, we are building our leaders of tomorrow.
In 1995 I started at North Shore University Hospital (NSUH) as a registered nurse and in 2005 I became a nurse practitioner in Cardiology.
Why did you join the Asian BERG?
I wanted to actively support my community. Many Asian community members want to come to Northwell Health for its great reputation, but due to the cultural and language barriers it may be difficult for them to navigate our facilities. My contribution to close this cultural gap was to be a part of the committee that introduced the Korean seaweed soup (miyuk gook) for mothers who just gave birth at NSUH. In 2008 I started a free monthly health clinic for the Korean community and have continued my efforts to keep the clinic going since then.
Can you tell us more about the Korean health clinic?
Through my years at NSUH, I observed numerous Korean patients being admitted to the hospital due to the lack of healthcare either because they couldn’t afford it or because they didn’t know how to obtain it. Patients would have very serious conditions but did not have a primary doctor, medical or prescription insurance to recuperate and maintain their health. Various professionals such as physicians, nurses, social workers, physical therapists and acupuncturists, volunteered to provide preventive medical services monthly and our team was formed. Since the start of this program, 2,000 patients have been cared for with various conditions, some critical such as abdominal aortic aneurysm repair, breast cancer, unstable angina, laryngeal cancer, hypertensive emergencies and others. The social workers assisted patients in signing up for Medicare/Medicaid and our team helped coordinate care for further medical treatment and follow up.
What is your advice for others?
We need to care for our families and neighbors. No one can live alone. We need to volunteer our time, support each other’s ideas and use our professional skillsets to help the community become healthier. Many Asian Americans want to help their families and community and can do so in this way. Furthermore, many employees may not know about the BERG, which helps us internally network and externally bridge with communities.
Santhosh Paulus, MD
Santhosh Paulus, MD, site director of Huntington Hospital’s family medicine residency program, is also Northwell Health Human Trafficking Response Program System Taskforce Leader. In 2014, he founded Cycling For Change, a not-for-profit organization, with a mission to cycle, raise awareness and fundraise to support organizations on the front lines of battling human trafficking.
What began as a personal action to raise awareness about human trafficking, “it is a public health issue where individuals are abducted or deceived into servitude and exploited for profit, it is a modern-day form of slavery and the social justice issue of our generation”, said Dr. Paulus.
Dr. Paulus has been appointed as Northwell Health’s Human Trafficking taskforce leader, where he spearheads a human trafficking response program at Huntington Hospital, which currently includes more than a dozen staff members who have been trained by Restore NYC, an anti-trafficking organization, to identify victims and assist human trafficking victims and provide care to survivors. Dr. Paulus is working collaboratively with the Bridges Asian BERG on furthering the mission of the taskforce.
Northwell Health has been named one of the nation’s top health systems for diversity, ranking second nationally and No. 1 in New York State, according to DiversityInc’s top Hospitals & Health Systems for Diversity list.
This achievement marks Northwell’s seventh straight year making the list, jumping up the rankings from last year’s No. 5 placement. DiversityInc’s extensive annual survey yields an empirically driven ranking based on talent results in the workforce and management, senior leadership accountability, talent programs, workplace practices, philanthropy and supplier diversity.
“America has gained strength from the generations of immigrants who have assimilated their cultural beliefs and unique skills into the fabric our country,” said Michael J. Dowling, Northwell Health’s president and CEO. “At Northwell, we also believe that our strength as an organization comes from the diversity of our employees and the communities we serve. This recognition is testament to our commitment.”
This is the second such honor in recent months for Northwell, which was named a FortuneBest Workplace for Diversity. Northwell ranks 80th on the annual 100 Best Workplaces for Diversity list, a partnership between Fortune and Great Place to Work that measures how well organizations create inclusive cultures for women, different cultural and ethnic communities, the LGBTQ community, older employees and workers with disabilities.
DiversityInc’s recognition reaffirms our approach to be representative and inclusive of all the communities the health system and its 68,000 employees serves.
“Receiving this recognition validates Northwell Health’s commitment to integrating the tenets of diversity, inclusion and health equity into our health care delivery model and essential to customizing care to improve health outcomes,” said Jennifer H. Mieres, MD, chief diversity and inclusion officer and senior vice president of the health system’s Center for Equity of Care. “Providing culturally-sensitive healthcare and fostering an inclusive workplace is integral to the partnership with our patients on the journey to improved health and wellness.”
The latest DiversityInc rankings reflect new metrics tied to questions that connect talent programs and workplace practices to desired talent results. The analysis also addressed the intersectionality of race by analyzing women and men representation of each race/ethnicity separately, rather than combined. Northwell also was ranked in the top 50 employers recognized for fostering an inclusive work place for members of the LGBT community.
“As a health care organization, we at Northwell health live our values – we are truly ourselves, and in doing so, seek to build trusted partnerships with our diverse patients and communities,” said Michael Wright, Northwell’s vice president of diversity and health equity.
An Appointment With: Winnie Mack, SVP, Health System Operations
When Winnie Mack started her career as an OB registered nurse, she never expected where her career would take her. Since joining Northwell Health in 2002 as associate executive director at LIJ Valley Stream Hospital, her journey has led her to becoming associate executive director at two Northwell facilities, chief operating officer and nurse executive at Southside Hospital, executive director at Southside Hospital, and into regional executive director positions.
Today, Winnie is senior vice president of health system operations. In her role, Winnie is responsible for system periOperative services, the development and implementation of policy and procedure, senior leader adviser to Human Resources for Labor Relations, oversees Community Relations, and works with strategic planning on different programs. Up next, Winnie will become interim president and CEO of Nassau University Medical Center as part of their multiyear agreement with Northwell Health. “In all of the things that I have done in my career, the only thing I’ve ever really wanted to do was make a difference,” says Winnie, “I want to have a positive impact on patient care, on employees and on the community. I think this new position will afford me again the opportunity to help a distressed hospital and help stabilize it.”
We sat down with Winnie to hear about her impressive healthcare career and what’s still to come.
While at Southside, you helped fortify its position in Suffolk County and become a tertiary hospital. What initiatives did you lead there to help strengthen the hospital?
The mission at Southside Hospital was always to provide exemplary medical care with compassion and expertise to all in need. When I came to Southside as both chief operating officer and nurse executive, it already offered many services but they needed to be improved and upgraded. Holding both jobs allowed me to really familiarize myself with the staff. To go in and make the right organizational changes to positively impact the hospital, you have to get to know the staff.
One of the major accomplishments Winnie was a part of was starting an open heart program, opening and a large part of that was thanks to the support of the community. To gain that community backing, we started building out a community relations team. Our community relations team went out everywhere we could to talk about Southside, to talk about the changes we were making and to talk about the direction we were going
Along with getting the open heart program, we were able to get CARF accreditation for our extensive rehabilitation services, improved our medicine and surgery programs, received the Gold Stroke Award, built one of the busiest orthopedic programs in the system, and achieved a zero infection rate! We also brought in new trauma surgeons and became a level II trauma center and became the most eastern Northwell tertiary hospital.
How has your experience in a clinical career as a nurse helped prepare you to work in the corporate environment?
I started my healthcare career as a registered nurse in OB and went through several specialties that gave me a well-rounded clinical background. This clinical experience helped me to understand as an administrator in a hospital what issues could evolve and what needed to be done about them. I understood where clinical team members were coming from and was able to listen and relate to them. Having been a nurse in dialysis, medical/surgical, transplant, and critical care among other specialties, also allows me to utilize my clinical expertise to develop protocols. Understanding clinical operations, for me, has become an important piece of how I am able to be successful in administration.
Could you talk a little bit about Ideas at Northwell and how it is helping drive innovation across the health system?
I was given the opportunity to develop the new program called Ideas at Northwell that’s built to help drive innovation among Northwell’s team members. This is a tremendous program that’s taken a year in the making. As an employee engagement program, Ideas at Northwell creates a platform for team members to share their ideas in a challenge-based format to help improve efficiency and potentially save the health system money in operations. These ideas are first crowd sourced, then put to an employee vote and then go through expert review. Our goal is to help employees in their respective places of work within the organization to do their job better. Ideas at Northwell gives them a venue to share their ideas for improvements in processes to help us help them. Whether the ideas are for a better management of conference room scheduling or to remove certain processes that are extraneous, we want our employees to have a space to have their ideas heard. Our launch for our first system-wide challenge is May 6th.
What advice do you have for aspiring leaders?
One of the things that is really important is to lead with your heart. What do I mean by that? Do the right thing. If you always have in the back of your head to do the right thing, you can never go wrong. When you’re in a leadership position, you also have the opportunity to work with your team to energize them and inspire them to move up in their careers. Don’t micromanage – set the goal and let your people be creative and develop their own style to get you there.
It’s also important to always trust and champion your boss and to create the environment that your team is always on the same page. You may disagree, and that’s okay, but you want to remain a united team. Part of that unity is that I don’t say work for me, I say work with me. From the house cleaner to an associate executive director – this is a team, we work together. I also encourage leaders to keep their doors open unless they’re on a call or in a meeting. It’s important for anyone to have access to you and you can help short circuit big problems with visibility. Be visible and be available and you get a whole lot more.
EDIT: Since this interview has been conducted, Winnie has moved into her position of overseeing Nassau University Medical Center as president and CEO of NuHealth.
In her career, Irene Macyk, PhD, RN, NEA-BC has always aspired to do more, “when I get comfortable in a role, I feel compelled to change it. Although there was no premeditation to lead, I was always the person to raise my hand to try something new.”
This drive to take on new challenges has led to Irene’s impressive 10-year career at Northwell. Irene started as a director of nursing education at Cohen Children’s Medical Center (CCMC), and has held various leadership positions throughout the health system. The energy and enthusiasm that she experienced in that first interview at CCMC inspired her desire to be part of the Northwell team. Today, Irene is the chief nursing officer and associate executive director for patient care services at Lenox Hill Hospital (LHH), Manhattan Eye, Ear and Throat (MEETH), and Lenox Hill Greenwich Village (LHGV). Read more from our CNO Corner interview with Irene.
In what areas are Lenox Hill Hospital, MEETH and Lenox Hill Greenwich Village experiencing the most growth in nursing?
Nursing at LHH, MEETH and LHGV are experiencing growth is so many ways. Looking at quality, safety, patient experience and nurse engagement, we are in the top half of the nation for the past two years. Our professional footprint is strong with BSN rates at 93% and RN professional certification rates at greater than 40%.
Could you talk to the exciting things happening in your surgical services departments?
Over the past few years our surgical services have grown and received national recognition for excellence. We have a very active cardiothoracic program, a comprehensive neuro surgical service and a mature and well-respected orthopedic presence. Additionally our general surgery and GYN programs are continuing to innovate and challenge the status quo by implementing our enhanced recovery after surgery (ERAS) protocols.
What are some key nursing initiatives in 2019 at your hospitals?
Key nursing initiatives in 2019 for LHH, MEETH and LHGV all involve continuing our evolution as a culture of excellence. In its third year, our shared governance model continues to mature and nurses are the key decision maker in how nursing practice is conducted. We have nursing quality, evidence based practice and research, education, recruitment and retention and an advance practice council. In these councils, clinical RNs and leaders work together to create a healthy, professional work environment and drive the professional image of nursing. In 2018 alone, we had over 28 evidenced based, process-improvement projects that were completed and are in different stages of dissemination. With the desire to celebrate nursing accomplishments, we put in our application for ANCCs Magnet® recognition, and this year we are gathering the sources of evidence and documenting the stories to showcase.
How can nurses take advantage of growth and professional development opportunities at LHH, MEETH and LHGV?
As members of Northwell Health, we have an entire community of support for professional development. Clinical RNs can take advantage of guidance from clinical experts in the nursing education department at LHH, or seek professional development for the various programs offered at Northwell’s Institute for Nursing (IFN) and Center for Learning and Innovation (CLI). Nurses can also become a mentor or mentee in our mentorship program or take advantage of the generous tuition reimbursement by continuing their education at a master’s degree level.
What is the most important quality to have as a nurse?
Resilience. Nursing is hard work but we are privileged to work with people in a very vulnerable time in their lives. The ability to think critically, re-prioritize at a moment’s notice and stay calm under extreme pressure are key qualities of a nurse. In any given day we laugh, we cry, are a sounding board for the frustrated and a shoulder for someone grieving. This privilege can deplete one’s empathy banks and challenge one’s spirit. Resilience is the ability to maintain one’s core purpose and integrity among unforeseen shocks and surprises, the ability to bounce back, to regain strength and come back strong.
What is the best advice you’ve learned over the course of your career?
“It’s not what you look at that matters, it’s what you see.” – Henry David Thoreau
Are you Made for a nursing career at Northwell Health? Apply today!
An Appointment With: Jaclyn Schindler, Clinical Director, Medicine Service Line
Just as Northwell Health’s Medicine Service Line continues to grow so has Jaclyn’s career within the organization over the past 16 years. Today she serves as the clinical director of the Medicine Service Line, which includes more than 100 internal and family medicine practices across the New York metropolitan area..
Throughout her career, including her start as an RN patient education coordinator, Jaclyn has always felt encouraged to spread her wings by her senior nursing leaders. Nominated into the High Potential Program, she gained exposure to health care experts, skills and concepts that helped her develop professionally.
The experience Jaclyn gained throughout her tenure at Northwell has helped her lead tremendous growth in ambulatory care since 2017. Learn more from her about the Medicine Service Line and advantages of working in ambulatory practices.
Tell us about the growth of the Medicine Service Line.
Since I joined this team in 2017, the outpatient Medicine Service Line has grown in both size and scope, and today is spread geographically across Suffolk and Nassau counties, Queens and Manhattan, with partnerships in medical outpatient groups in Staten Island and Westchester.
We have doubled the amount of nursing staff, both registered nurses and nurse practitioners, as these roles have become essential to effective patient management and facilitation of access to care.
Our team is highly structured to provide support to individuals and keep everyone connected. Communication is valued and opinions are sought from all. Talent is welcomed from all areas, and existing team members are encouraged to grow through opportunities for promotion.
Could you talk about the various types of Medicine Service Line practices and locations?
The majority of Medicine Service Line practices are centered on primary care in internal and family medicine. Many specialties exist within the service line, including: endocrinology, rheumatology, GI, pulmonology, gerontology, hepatology, nephrology, infectious disease, and occupational health.
Services include preventive health measures, annual assessments, treatment of acute illness, and overall health promotion. Scope has expanded during the past decade as the focus of medicine has shifted to promoting wellness rather than solely treating illness. More care is delivered out of the hospital, and attention given to lifestyle changes and holistic measures.
A portion of our practices support academic partnerships. Medical residents treat patients in supervised clinics and participate in ongoing grant and research activity.
Thus, Medicine is the largest and most diverse service line within Northwell Health!
What types of positions are available within the Medicine Service Line?
The ambulatory team is centered around the office site, whether a two-person or 30-person practice.
The team is typically led by a practice manager, with physicians and advanced care providers (NP, PA, CNM) treating patients. Other positions include medical office assistants, licensed practical nurses, practice office associates, front desk staff, billers, and other support functions. On-site teams may also include registered dietitians, certified diabetes educators, pharmacists, and behavioral health coaches.
The role of the registered nurse is shaped in ambulatory locations to add value to the patient visit and facilitate achievement of health care goals. RNs practice at the top of their license; they administer medication, provide patient counseling, and enable care through medication/treatment renewals, referrals, and preventive care services. Patients may also have “Nurse Visits” which capitalize on expertise in nursing science and allow enhanced access to provider appointments. These visits allow patients to receive care directly from nurses and may include Coumadin management, blood pressure checks, vaccination, and diagnosis-specific education.
And, there is a huge amount of behind the scenes support in the areas of project management, finance, leadership, quality review, and business development.
What are some of the advantages of working in an ambulatory practice?
Ambulatory is an exciting and rewarding opportunity for career and skill development.
Smaller teams than inpatient counterparts mean that the work environment is truly collaborative, and all disciplines learn from each other.
Relationships developed over time with patients and their families contribute to professional reward and purpose, where one can see the effect of invested effort.
All staff have a great impact on quality output, patient experience, patient empowerment, improved health outcomes, and quality of life for our customers.
Cognitive and critical thinking skills, as well as engagement of technological advancements, are essential to success.
Ambulatory setting provides work-life balance for those who wish to make a difference in health care yet have personal home and/or family obligations to juggle.
Schedules tend to be more regular, without overnight shifts, most major holidays are off, and the weekend and evening obligations are reduced, depending on the site.
Do you have any advice for people looking to get into internal medicine?
Understand the environment. Visit a practice if you can and note what you think works or does not work. We are always looking for new solutions.
Nurses can check out the Ambulatory Nurses’ Association (AAACN) website. Ask colleagues or interviewers to describe the differences between inpatient and outpatient settings. If you are looking for a supportive role, achieve certification if offered, such as for a medical assistant.
We look for individuals who have a passion for people, and demonstrate creative thinking, excellent customer service, and the ability to work well with team members.
We’re growing! Explore the new additions we’re making at LIJ Forest Hills Hospital!
Exciting things are happening inside LIJ Forest Hills Hospital! We have brought several major programmatic expansion and facility modernization projects to our community and the patients we serve over the last couple of years. This means more career opportunities in a wide variety of clinical and non-clinical areas. Check back often for the latest openings.
Here are some of our newest developments:
Breast Health and Mammography Program
Our brand new revolutionary mammography program led by Dr. Daniel Settle, board-certified radiologist, and mammographer, provides quality breast imaging to our community. Designed with our partners in Northwell Health’s Imaging Service Line, we’re working Truly Together from referral to mammography reading (completed by board-certified radiologists, fellowship trained in mammography) with additional procedures including Ultrasound and/or MRI if necessary. Our mammography suite is equipped with state-of-the-art mammography equipment and our entire program will soon be accredited by the American College of Radiology. Our director of breast surgery, Dr. Susan Lee, is available for immediate consultation and/or surgery, should that be recommended.
New Life Center (Labor & Delivery, NICU, Post-Partum Unit)
Our already Baby-Friendly designated hospital has recently undergone a total renovation. We’ve built a brand new post-partum unit, creating an amazing environment for patients and families, and renovated our well-baby nursery and Level 2 neonatal intensive care unit.
Telehealth and telestroke programs
Telestroke is a telemedicine technology that utilizes a computer screen and video camera to allow our board-certified, fellowship trained stroke neurologists to quickly evaluate patients presenting with stroke symptoms, even though those stroke neurologists may not be on-site. Through this technology, patients, families, and our health care teams in the Emergency Department can speak to Northwell Health specialists via the computer screen/camera, who can readily evaluate a patient with stroke symptoms to determine the best course of care. This is just one part of our continuous goal to renovate our Emergency Department to be on the forefront of medical advancements.
In 2019, LIJFH opened its non-denominational meditation center with the input and help of chaplains from our community. This quiet space in the hospital provides an area for staff, visitors, and patients to reflect. This meditation center will also offer services from different community-based spiritual leaders who dedicate their time at the hospital.
What Makes us Human Makes us Made for This: How Northwell Health is helping battle burnout with the Schwartz Rounds Program
The discussion of burnout is a hot topic in today’s career landscape and this is especially true in healthcare. Operating in a high-stress and emotional work environment, healthcare professionals give so much to patients. At the same time, patients need professionals who deliver high-quality, personalized experiences from the staff that treats them. At Northwell Health, this is what our Culture of Care is built upon. We spoke with Pam Klatman, Director of Social Work, Cohen Childrens Medical Center about what our Patient Experience Team is doing to find the balance between great patient care and avoiding caregiver burnout.
As Caregivers in a large hospital system, our Culture of Care speaks to the way we provide care and go above and beyond for our patients and their families. We are taught to ‘find the yes’ and always use ‘LAST’ and ‘CONNECT’” says Pam, “This is easy when we have patients and families who are willing to allow us in but many times we have families and patients, especially in hospitals, that are angry, upset or frustrated.”
Patients and their families come to us in their most vulnerable state and often that evokes all kinds of feelings for those who treat them. Those emotions can have a serious effect on a health care professional’s mental wellbeing as well as their quality of work which is why our patient experience team is focused on the mental wellbeing, burnout, and resilience of every one of our valued employees. So what are we doing about it? Enter The Schwartz Rounds.
“Schwartz Rounds provides a confidential space for all caregivers to talk about the way a patient and their family made the caregiver feel or how a particular situation made them feel,” explains Pam, “It is important that when we have these feelings we process them and work through them so that we are able to handle the next obstacle that comes our way.”
This system-wide program gives our employees a regularly scheduled time during their fast-paced work lives to openly and honestly discuss these issues, to feel supported, and to properly process. Through this sharing, caregivers are better able to make personal connections with patients and colleagues when they have greater insight into their own responses and feelings. It’s a place to be themselves and to take care of their own emotional needs so they can go and continue to deliver excellent care to our patients.
And Pam knows that the effect of the Schwartz Rounds program doesn’t end there, “by showing compassion to our colleagues and supporting one another we take care of each other and in turn, take care of ourselves. It is a way to ‘recharge our batteries’ and feel more equipped to handle the challenges of the coming days.”
At Northwell Health, we believe that when we can share our experiences with each other and thus become better caregivers, coworkers, and people. What makes us human, is what makes us Made for this.
This post is part of a blog series highlighting Northwell Health’s Advanced Clinical Providers (ACP). Each Northwell Health employee was nominated by their manager as an individual that exemplifies a central Northwell Health value. This month, we’re proud to introduce you to Sharon Hasfal DNP, ANP-BC., who is a “Truly Compassionate” member of our team. Here’s why:
It’s hard to find an Advanced Clinical Provider who provides more Truly Compassionate care than Sharon Hasfal. Sharon is a nurse practitioner (NP) in the medicine service line, where she plans and participates in many of the team building/engagement activities that help keep our team working well, together. But Sharon’s compassion goes way beyond the call of duty, and she does so with a humbling grace that shows, no matter the challenge, she’s Made for this.
Sharon was born to be an NP. Blessed with, as she claims, “the gift of gab,” she uses her skill to speak with her patients and takes time to let them know what their plan of care is for the day. She remembers a dedication that struck a chord in her career early on, “a colleague of mine on 3 DSU instilled into her nurses the importance of sitting with your patients and taking the time to speak with them and help them understand what is going on.” This lesson stuck with Sharon.
On her most rewarding day at Northwell Health, she joined the senior case manager and social worker of her hospital and medicine hospitalists to work with patients with an excessive length of stay. As a team, they took the time to speak with patients and their families to learn the ins and outs of what was affecting the patients’ hospitalizations. “I felt I was effective in helping patients make very difficult decisions like advanced directives or arrangements for a safe discharge to home. Good teamwork makes a big difference in providing good care for our patients and working with this team was great.” Speaking of volunteering, Sharon co-chairs every nurse practitioner event that takes place in her hospital. The planning is done on her own time and she usually comes in on her day off to allow herself to fully focus on the success of the celebration. Sharon says, “I enjoy being a nurse practitioner. I believe if you do not enjoy what you are doing you will not be able to be an advocate for your patients and their families.” Her goal is to celebrate nurse practitioners and ensure they have a fun, memorable time- and it’s definitely been accomplished! She’s organized a Hawaiian Luau, a Carnival, a Tea Party, a Beach Party, a Mardi Gras and many more! And that’s just her own hospital. Sharon also serves as the chairperson for the Nurse Practitioner Association of Long Island (NPALI) annual conference, a volunteer position where she organizes a full day educational conference for nurse practitioners throughout Long Island!
Sharon’s compassion is shown in how she cares for people in her workplace, in her community, and in the world. She volunteers for medical missions in underserved countries, using her vacation time and her own money to travel to the needed destination. She does not want or expect anything in return. Her reward is the knowledge that she was able to make a difference in someone’s life. It’s a job she loves. It’s a career she’s Made for. “As an NP I will continue to be true to my patients, their families, along with my peers,” said Sharon. “I will continue to keep my patients informed while they are in the hospital; take the opportunity to educate patients, their families and my colleagues both inpatient and outpatient; and my missionary work. It’s how I can make a difference as an NP.”
Are you Made for working with exceptional Advanced Clinical Providers like Sharon?
Explore your career opportunities at Northwell Health here.
We’re helping employees to understand the facts about their own health — and improve it!
Every day, Northwell Health employees work to improve the health of our patients and communities. But who is looking out for their health? The Northwell Health Employee Wellness team is spreading the word about myWellness, an online platform for employees (also available on the Virgin Pulse mobile app). The tools on myWellness help employees build personal healthy habits, manage stress, sleep better, plan care for long-term illness, and so much more… Here’s a snapshot of this robust tool that’s Made for supporting our employees’ well-being:
Health Risk Assessment Tool
The Health Risk Assessment (HRA) is open to every Northwell Health employee who joins myWellness, not just those with the company’s health insurance plan. The HRA asks about current mental and physical health, family history, habits, and nutrition to determine a lifestyle score and heart age. The assessment is then broken down to show where someone is doing well, where caution is needed, and where it is time to take action. There’s real value in taking this assessment, since both the lifestyle score and heart age provide a snapshot of overall health, a snapshot that can help determine what kind of health plan works best, what lifestyle changes should be made, and what can be done to seize control of personal health and wellness.
A Personal Experience with Northwell Health’s Stress Management Tool
Stress can be a major driver of how we make day-to-day decisions that ultimately impact our health. Often, we develop unhealthy habits as a way to cope, such as overeating or excessively worrying. That’s why we incorporated stress management tools into our health benefits. This includes a guided meditation program, where employees can create a playlist, save favorite sessions, and set goals. Sessions on Mindfulness 101, Emotional intelligence 101, and Yoga 101 can also be taken through this platform.
Here’s AR Clerk, Patient Accounts China Lankford on her experience with one of our stress management tools, guided meditation:
“First, let me say that I have never done meditation in my life. I needed to find a way to release elements of stress and anxiety hurting my body and mind, and the meditation class helped me. I felt so relaxed and my body was at ease. In other words, I felt like a new person. We go through so much on the job and meditation helps me to get through my day — I feel more relaxed than ever at my desk doing my work.”
Employees* enrolled in the Value, Buy-Up or High Deductible employee medical plans have access to:
Wellness Credit Program
Northwell Health Solutions
In-system providers, services and facilities at a low cost
And the benefits are always growing! In 2019, several new well-bring programs will be launched for medical plan participants to support physical and emotional growth.
Learn more about what else we’re doing in wellness at Northwell Health here.
*Union employees will receive benefits based on their CBA.
An Appointment With: John Bosco, SVP and Chief Information Officer
The role of Information Technology in healthcare is ever more important in delivering outstanding care that patients can trust. Whether it be delivering real-time access to patient information or helping consumers access Northwell services in a convenient mobile environment, Northwell’s IT department is leading the way. As a leader within Northwell since 2004, John Bosco serves as the senior vice president and chief information officer. Overseeing the information technology function of the largest integrated healthcare network in New York is no small task. We caught up with John to hear about how the IT department is continuously growing and how it’s a department that’s Truly Innovative.
How has Northwell’s IT department grown over the past few years and how will it continue to grow?
Northwell’s IT department has grown and continues to adapt to the changing landscape in healthcare delivery and financing. Our priorities have shifted as a result of new care models, new payment models, the move toward personalized medicine, consumer demands, and the acceleration of new, innovative technologies that are starting to take hold. For example, we expect artificial intelligence and machine learning technologies will help drive improvements in clinical care, operations, or financial performance, providing better clinical decision support to clinicians, making the systems more efficient for them to use, and helping to automate repetitive tasks. There is a new device or app invented multiple times every day. It’s our job to understand how to take advantage of these emerging technologies to improve the quality and efficiency of care.
As Northwell continues to grow and expand, so do the technologies and staff needed to support our health system. We are very focused on building a connected, integrated health system, where clinicians have real-time access to the information they need to treat their patients. Every Physician practice, hospital, imaging center, ambulatory surgery center, and our many other care venues, are connected together through our Health Information Exchange technology so all data about a patient can be delivered where and when it is needed.
Providing easier and more convenient access for consumers to access Northwell services is a major focus right now. We have got to make consumers feel we know them and their preferences when they come to us, make it easy to get an appointment through an app on their smartphone, and reduce the burden for them to provide the information we need to collect in order to treat them and produce a bill for our services. We want patients to visit our health system from the time they are born and throughout their lifetime.
The protection and safeguarding of our patient’s data is one of our most important responsibilities as a health system. With all of the cybersecurity problems happening today that you can read or hear about in the media almost every day, we continue to invest in people and technologies that prevent hackers and malicious software from entering our networks and systems. Training all Northwell employees on safe practices, such as not responding to potentially malicious emails, is paramount to our effort to protect our technology environments.
Are there any areas in IT that are helping to drive current or future growth?
The changes and innovations taking place in health IT require me to find new skills in the marketplace. Software developers used to shun healthcare given that we traditionally purchased commercial software systems and focused on implementations -but the rapid changes in healthcare delivery, and the innovations taking place, now enable us to develop innovative software that is not available in the market to purchase. IT Security engineers are one of the hottest jobs in the market. Data scientists who can comb through large databases to find insights into how we can improve quality and efficiency are another hot, and difficult skill to find. Software developers and support people who know how to operate in the ‘cloud’ environment are also very valuable to us.
Healthcare IT is going through some big changes industry-wide. How is Northwell being Truly Innovative with technology to stay ahead of the curve?
The three vectors changing the healthcare landscape include consumerization, mobility, and “uberization” of our technology infrastructure. These three vectors are empowering the patient to manage their data, and get access to the right care giver, at the right time, and at the right place. The increase in the tech savvy consumer population has pushed technology towards a consumer model. Smart phones used to belong to a privileged few, now the value of two way real-time voice, data, and video communications has resulted in there being a super computer in the hands of every citizen. Phones have become the camera, the recorder, the guide, and a healthcare access device.
With the arrival of the ‘cloud’, transmission, storage and retrieval of information made the mobile ecosystem whole. Traditional locked-down regimented data centers and applications are in the evening of their life. Cloud is available to the consumer on an as needed basis with a pay as you use model. Uberization has engulfed the technology infrastructure.
Northwell is in the eye of this paradigm shift affecting all facets of healthcare and the care delivery model. Innovation is the art of thinking that leverages this paradigm shift and enables care delivery effectively. With consumerization, mobility, and uberization of information technology, Northwell is on a journey to be a health buddy to our patients throughout the continuum. Agility is our accelerator that enables a real time interface with our patients, providers, administrators, payers and regulators to provide actionable clinical information.
We have invested in people, tools, and new processes that will enable us to be more innovative and quicker to market with new technologies. It is hard work to shift from older technologies and ways of doing things that have existed for decades. We are deploying systems architected on open industry standards such as web, HL7, FHIR, and other standards. Handshakes with external systems are enabled by employing open application programming interfaces (API) stacks. Applications are developed using an agile framework with hybrid-cloud back end, enabling the transmission of data to the right environment to enable mobility and scalability. The overarching strategy is to move data from creation to destination to retrieval in the most effective and economical manner.
Northwell IT is positioned to optimize opportunities resulting from these paradigm shifts in the development and deployment of cutting-edge technologies. The future is exciting and holds the promise of a vastly different way of our consumers and clinicians interacting with each other.
How is Northwell IT innovating its workforce practices?
As one of the most innovative healthcare systems, we want to ensure that our technology culture is progressive and attracts and retains top talent. The workforce of the future is more mobile and want new ways to work. In response to this shift, the Information Services department has a group of leaders working on what the future of our workforce will look like and how to keep them engaged and productive.
We see more opportunities to increase collaboration and knowledge sharing across internal departments. Using more virtual workers and work-from-home programs presents an opportunity for us to bring down our labor and office space costs, while increasing employee satisfaction by providing the flexibility they may need and want for work-life balance. It’s also possible we will look toward an IT office in another state in order to find enough talent for our projects.
In addition, the jobs of the future at Northwell must become increasingly centered around the consumer, and some IT workers may not require as much healthcare expertise as they currently require.
We also see an opportunity for using external and internal crowdsourcing to solve problems and innovate.
Northwell IT is already making progress to be ready for the future of our workforce from a leadership perspective, now we are more focused from an organizational and talent perspective.
Our goal is to become an employer of choice and best place to work. In order to meet this goal, we need to respond to the changing labor demographics which in turn allows us to expand our talent pool and retain the best. It’s a win-win for both employer and employees!
What role will Data play in the future of Healthcare IT and here at Northwell?
Northwell has a long history of utilizing the vast amounts of data available to assess our performance and drive clinical improvements, operational efficiencies, and improve financial performance. We continue to grow our capabilities to enable more and more sophisticated analytics with the implementation of an enterprise data warehouse that combines clinical, operational and financial data and cutting edge visualization tools that enable both enterprise-level and department-specific analytics. The next iteration of this will be the application of machine learning and artificial intelligence to begin moving toward more predictive analytics to improve clinical care and financial outcomes. Northwell will compete on our data in the future. Our ability to mine the vast amounts of data we possess will be our differentiator, very much like how Amazon revolutionized the consumer experience of buying goods online.
What is an interesting fact that people should know about you?
I don’t know that I’m all that interesting of a person! My priorities are my family, my friends and my career. I love working at Northwell with so many people who share the same passions I do for excellence in everything we do. I am thankful to work at such a great health system where helping people is always our highest priority. I’m a born-and-bred New Yorker and truly believe New York is the center of the universe! I wouldn’t want to be anywhere else.