Introduction


1.

Year in Review
2012 Highlights

QUALITY

  • The New York State Department of Health (DOH) ranks LIJ Medical Center as having among the best outcomes for open-heart surgery and North Shore University Hospital as having superior survival rates for emergency angioplasty. Both hospitals earn the DOH prestigious double-asterisk for success rates that are significantly better than the statewide averages.

    The Steven and Alexandra Cohen Children's Medical Center of New York is ranked among the nation's top children's hospitals in seven pediatric specialties (cancer; diabetes and endocrinology; neonatology; nephrology; neurology and neurosurgery; pulmonology; and urology) in US News and World Report's Best Children's Hospitals 2012-13.

    Huntington Hospital, Lenox Hill Hospital and North Shore University Hospital are ranked among the nation's top 50 hospitals in five clinical areas in US News and World Report's 23rd annual Best Hospitals edition 2012-13.
  • The North Shore-LIJ Stern Family Center for Rehabilitation and the North Shore-LIJ Orzac Center for Rehabilitation earn the top five-star overall quality ranking in US News & World Report's "2012 Best Nursing Homes" report.



QUALITY



  • Southside Hospital and Staten Island University Hospital are among 620 hospitals nationwide and 16 in New York State ranked among top national performers based on key quality measures by The Joint Commission. Both hospitals are rated as top performers in heart attack, heart failure, pneumonia and surgical care. Southside Hospital has achieved this national recognition for the second consecutive year.

    LIJ Medical Center and North Shore University Hospital (NSUH) are named among America's 100 Best Hospitals for cardiac care, cardiac surgery and coronary intervention in a report by HealthGrades®, an independent group that analyzes hospital quality outcomes. LIJ was also ranked number one in New York State for cardiac surgery for two consecutive years (2011- 2012), and NSUH was ranked number two in the state for overall cardiac services, cardiology services and coronary interventional procedures in 2012.

  • North Shore University Hospital is recognized as one of the nation's best hospitals at using information technology to improve efficiency and quality of care, according to the 2012 Most Wired Survey conducted by the American Hospital Association.

    Eleven North Shore-LIJ hospitals receive the American Heart Association/American Stroke Association's Get With the Guidelines® Stroke Quality Achievement Award for implementing the highest standards of stroke care in accordance with evidence-based treatment guidelines. The recipients are: Forest Hills, Franklin, Glen Cove, Huntington, Lenox Hill, North Shore University, Plainview, Southside, Staten Island University and Syosset hospitals, and LIJ Medical Center.

    North Shore-LIJ receives a Sepsis Heroes Award from the Sepsis Alliance, a patient advocacy group, in recognition of its leadership role in improving care for sepsis patients across all its hospitals. The health system's sepsis prevention and early identification initiative has reduced its sepsis mortality rate by 35 percent since 2008, which translates into thousands of saved lives.

  • The Smith Institute for Urology is granted ultrasound practice accreditation from The American Institute of Ultrasound in Medicine (AIUM), the first practice to receive accreditation in urology from the AIUM. Ultrasound practice accreditation is awarded to those that meet or exceed nationally recognized standards in the performance and interpretation of diagnostic ultrasound examinations.

    North Shore University Hospital's (NSUH) Palliative Care Program is awarded advanced certification status by The Joint Commission. NSUH is one of only six hospitals in the country to receive this honor, which signifies that the hospital has achieved a national level of excellence in patient- and family-centered care.

    Staten Island University Hospital receives an Outstanding Achievement Award from the Commission on Cancer of the American College of Surgeons for striving for excellence in providing quality care to cancer patients.

    North Shore University Hospital is designated an Academic Center of Excellence for minimally invasive surgery in gynecologic oncology and gynecology by the American Institute of Minimally Invasive Surgery, one of only four such centers in New York State.

QUALITY

  • Huntington Hospital's Women's Health Center is designated a Breast Imaging Center of Excellence by the American College of Radiology.

    Seven North Shore-LIJ hospitals — Cohen Children's Medical Center; LIJ Medical Center; Forest Hills; Lenox Hill; Manhattan Eye Ear and Throat; Staten Island University Hospitals and Zucker Hillside Hospital — achieve Bronze Star status from the New York City Department of Health and Mental Hygiene's Tobacco-Free Hospitals Campaign for maintaining smoke-free campuses and providing effective smoking cessation programs. North Shore-LIJ is the first health system in New York City to achieve the Bronze Star designation.

    North Shore-LIJ's President and Chief Executive Officer Michael Dowling is ranked 38th in Modern Healthcare magazine's annual listing of the nation's "100 Most Powerful People in Healthcare," making the list for the sixth consecutive year. Mr. Dowling was the top-ranked hospital executive in the New York area and the only New York State hospital or health system CEO to crack the top 100.

    Southside Hospital receives accreditation for its inpatient, stroke, brain injury and outpatient rehabilitation programs from the Commission for the Accreditation of Rehabilitation Facilities.

  • North Shore-LIJ receives Gold Standard accreditation from the CEO Roundtable on Cancer in recognition of its efforts to reduce the risk of cancer for employees and covered family members by promoting healthy lifestyle choices, encouraging early detection through cancer screenings and ensuring access to quality treatment.

    Lenox Hill Hospital participates in a new program to stop non-medically necessary elective deliveries with the goal of helping New York families have full-term, healthy newborns.

    The Diabetes Program in the Division of Pediatric Endocrinology at the Cohen Children's Medical Center of New York is certified by the National Commission for Quality Assurance (NCQA), which recognizes physicians and other clinicians who provide excellent care to their patients with diabetes using 10 evidence-based measures.

    The health system joins the New York State Partnership for Patients, a joint partnership of the Healthcare Association of New York State and the Greater New York Hospital Association. The partnership helps hospitals achieve the "triple aim goals" set by the US Centers for Medicare and Medicaid Services(CMS) — to deliver high quality care at lower costs while improving the health of the population over the next two to three years.

  • Huntington Hospital's laboratory is awarded national accreditation by the College of American Pathologists, the gold standard for laboratory accreditation programs.

    A record total of 102 physicians affiliated with North Shore-LIJ are listed in New York magazine's 15th annual "New York's Best Doctors" issue.

    The Center for Spine Services at Glen Cove Hospital is recognized as an Aetna Institute of Quality for Spine Surgery, a designation that highlights expertise, excellent surgical outcomes and patient-focused care.

    The Cushing Neuroscience Institute receives the Web Marketing Association's 2012 WebAward for outstanding achievement in web development in the "Non-Profit Standard of Excellence" category.

MARKET GROWTH

  • The Long Island Home in Amityville, NY, joins the North Shore-LIJ Health System. The Long Island Home operates South Oaks Hospital, a 233-licensed bed behavioral health hospital and now North Shore-LIJ's 16th hospital, and Broadlawn Manor Nursing and Rehabilitation Center, a 320- bed skilled nursing facility.

    The Zucker Hillside Hospital finalizes construction on a 130,000-square-foot, $120 million, two-story inpatient pavilion, featuring three adult units totaling 56 beds for adults suffering from depression, mood and affective disorders, and substance abuse; a 21-bed adolescent unit; and two geriatric units totaling 38 beds designated for clients with Alzheimer's disease, related dementias and associated psychiatric disorders.

    As part of LIJ Medical Center's new $300 million, 10-story inpatient tower, the Katz Women's Hospital opens and welcomes its first arrival, a baby girl. Featuring 88 singlebed rooms, the hospital delivers 5,879 babies during first year of operation, an 18 percent increase over 2011. Also part of the largest expansion project in the health system's history, the Zuckerberg Pavilion opens with 60 new single-bed surgical rooms for orthopedic, urological and cardiovascular patients, as well as a physical therapy gym.

  • North Shore-LIJ partners with UnitedHealthcare to offer a new suite of tiered health benefit plans that includes accountable care concepts built around physicians and hospitals affiliated with the health system. UnitedHealthcare begins offering the health plans to Nassau, Suffolk and Queens County employers for January 1, 2013 enrollment.

    North Shore-LIJ establishes a strategic alliance with Hackensack University Health Network, its first formal relationship in New Jersey. The collaboration enables both organizations to utilize their strengths and share best practices to enhance quality and access to care, operate more efficiently and achieve advances in medicine and education.

    The Center for Emergency Medical Services (CEMS) starts to provide emergency ambulance and medical transportation services to the Village of Hempstead. The agreement is North Shore-LIJ's fourth contract with local municipalities to provide EMS services. North Shore-LIJ ambulances respond to EMS calls for the Village of Rockville Centre, the Village of Lake Success and the Port Authority at LaGuardia Airport.


  • Plainview Hospital begins construction on a state-of-the-art vascular lab to better screen and provide preventive care for patients with vascular disease.

    The North Shore-LIJ Cancer Institute opens a Center for Melanoma and Rare Skin Cancers, offering specialized care for patients with complex and rare skin cancers.

MARKET GROWTH



  • Forest Hills Hospital, LIJ Medical Center and Cohen Children's Medical Center of New York receive $1.4 million in grants from Queens Borough President Helen M. Marshall. The funds, which come from the borough president's capital discretionary allocation, are awarded to support the hospitals' capital needs in fiscal year 2013. LIJ receives an additional $381,245 in capital awards from the New York City Council.

  • Southside Hospital expands the Interventional Pain Management Center to provide outpatients with state-of-the-art treatment using the latest medical technology.

    The Cushing Neuroscience Institute launches the Hypothalamic Hamartoma Center, specializing in the evaluation and treatment of this rare birth defect, a benign brain lesion found in the hypothalamus.

    Southside Hospital establishes the Hepatobiliary and Pancreatic Surgery Program to offer state-of-the-art surgical care to patients with complex problems of the liver, bile ducts and pancreas.

COMMUNITY BENEFIT



  • North Shore-LIJ contributes more than $608.6 million in community benefit (10.5 percent of operating expenses) by offering 2,185 unique programs, serving two million people and training 16,425 health professionals.

    North Shore-LIJ serves as a vital resource to the community during Hurricane Sandy, providing refuge to 294 patients who were evacuated from other hospitals, nursing homes and shelters throughout New York and Long Island.

    To support Hurricane Sandy relief efforts for employees and hard-hit communities, the health system raises about $2.7 million and donates $500,000 of that money to the Tunnel to Towers Foundation to assist communities on Staten Island and in Queens, and the McCormick Foundation to help Long Islanders.


  • Lenox Hill Hospital issues emergency credentials to nearly 300 physicians, more than 700 nurses, and about 160 residents and fellows from NYU Langone Medical Center so that they have hospital access following NYU's evacuation and closure due to Hurricane Sandy. By providing credentials, Lenox Hill enables NYU clinicians to care for more than 1,300 of their patients who come to Lenox Hill during the three months after Sandy.

    North Shore-LIJ collaborates with the Northport VA Medical Center to create the Unified Behavioral Health Center for Military Veterans and Their Families in Bay Shore, a first-of-its-kind facility designed to help military families cope with the emotional burdens veterans frequently face after returning home from combat.

    North Shore-LIJ is selected as one of 16 programs nationwide to participate in Independence at Home, a three-year federal demonstration program to provide homebased primary care to the elderly. Conducted by the US Centers for Medicare and Medicaid Services, the project uses home-based primary care teams to improve health outcomes and reduce utilization for Medicare recipients with multiple chronic conditions by avoiding unnecessary hospitalizations and emergency visits.

COMMUNITY BENEFIT

  • North Shore-LIJ hosts health fairs in collaboration with community partners and provides free health screenings available at various community events. North Shore-LIJ provides more than 32,800 screenings and 114 health fairs.

    North Shore-LIJ's American Heart Association Training Center provides training in basic life support, pediatric advanced life support and advanced cardiac life support. More than 6,600 hours of training were provided to more than 14,400 individuals through more than 1,800 programs.

    North Shore-LIJ offers 147 free support groups to community members with similar medical conditions and life challenges, giving them a forum to discuss and share their experiences and knowledge, and ask questions.

    The Hagedorn Cleft Palate and Craniofacial Center provides free diagnostic, medical and surgical care to infants and children who are born with facial differences.
  • The Health Access Center, staffed by bilingual employees, assists thousands of community residents with referrals for enrollment into government-subsidized insurance programs such as Medicaid, Child Health Plus and Family Health Plus. In addition, the center's staff refers patients to the Medicaid Prenatal Care Program and to North Shore-LIJ's Senior Navigator Program for assistance with Medicaid for pregnant women and Medicare enrollment for seniors. Those not eligible for public health insurance are referred for reducedcost care at North Shore-LIJ facilities through hospital financial assistance programs and to other low-cost health insurance programs such as Healthy New York and New York Bridge Plan.

    Thousands of children participate in injury prevention/safety education workshops sponsored by the Safe Kids Coalition, led by North Shore-LIJ, in partnership with Queens, Nassau and Suffolk County area schools, police benevolent associations, governments and local businesses. These educational workshops cover topics such as water safety, pedestrian/motor vehicle safety, burn injury prevention, bicycle and sports injury prevention, enhanced "911," pets and pals, and summer safety.


  • The North Shore-LIJ Health System donates 24,589 pounds of surplus medical equipment to MedShare, a nonprofit organization that redistributes surplus medical supplies and equipment from hospitals, distributors and manufacturers to health care facilities in the developing world.

    For the second consecutive year, North Shore-LIJ serves as a signature sponsor of the City Parks Foundation, providing funding to support free sports and fitness programs benefiting more than 15,000 youngsters at more than 60 locations citywide.

COMMUNITY BENEFIT

  • LIJ Medical Center's Ambulatory Care Unit offers free, state-of-the-art 3D mammograms to women who are uninsured or underinsured. The screening program is funded through the New York State (NYS) Cancer Services Program of Eastern Queens and Nassau Country though a grant from the NYS Department of Health.

    Syosset Hospital celebrates 50 years of service to the community.

    Franklin Hospital provides additional around-the-clock health care services for JFK International Airport staff and patrons as part of a new clinical affiliation agreement with Airport Medical Offices.

    North Shore-LIJ's Bioskills Center offers groups of Pararescue Jumpers from the 103rd Rescue Squadron of the New York Air National Guard/US Air Force from Westhampton Beach, NY, day-long workshops on combat medical care.

  • North Shore-LIJ forms a cross-functional leadership council and adds full-time staff focused on sustainability and social responsibility, dedicated to upholding the health system's responsibility to employ sound environmental and social business practices.

    LIJ Medical Center and Hospice Care Network partner with StoryCorps Legacy, a pilot program that provides people with lifethreatening conditions and their families the opportunity to record, preserve and share their stories.

    To reduce the risk of falls among the elderly, North Shore-LIJ develops an evidence-based program called Stepping On that helps provide older adults with balance exercises and other information and skills to prevent falls. More than 130 seniors in the community have participated in the program at 11 locations.

    Activity Works, a school-based fitness program developed by North Shore-LIJ, is expanded to 607 classrooms across Long Island, Queens and Manhattan, reaching more than 12,000 students in grades 1-3.
  • To help low-income children with learning and attention disorders receive the assistance they need to lead productive, meaningful lives, North Shore-LIJ offers a unique evaluation program through the Center for Attention and Learning. No other program within the five boroughs provides the same level of comprehensive neuropsychological evaluations, educational advocacy, follow-up, parental guidance and integrated agency involvement to underserved families.

    In recognition of Diabetes Awareness Month, North Shore-LIJ offers guidance to local restaurants on how to prepare diabetes-conscious meals as part of a restaurant challenge held throughout Nassau and Queens counties.

    A North Shore-LIJ program called Positive Outreach with Integrated Resources connects women, infants and children who are infected with or at risk of HIV with the resources they need within the health system and the community.

COMMUNITY BENEFIT

  • North Shore-LIJ's Center for Young Adult, Adolescent and Pediatric HIV sponsors a conference on mental health and HIV for health care service providers who work with HIV-positive clients.

    LIJ Medical Center launches Nancy's Friends, a program that recruits and trains volunteers to provide companionship and supportive care to cancer inpatients.

    The Zucker Hillside Hospital collaborates with the Nassau County Department of Health Perinatal Services Network and other organizations to present a conference about and introduce a public service campaign on post-partum depression and other mood disorders.

    North Shore University Hospital receives the 2012 Partner for Change Award from Practice Greenhealth in recognition of its efforts to continuously improve and expand mercury elimination, waste reduction and source reduction programs.
  • North Shore-LIJ hospitals collect 1,145 pounds of potentially dangerous, expired, unused and unwanted medication as part of a prescription drug "take back" partnership with the US Drug Enforcement Administration and other organizations to prevent drug abuse and theft.

    About 9,500 visitors participate in interactive health education activities at the CitiField Health Information Team Center open at all home Mets' games.

    Clinicians from Lenox Hill Hospital and other North Shore-LIJ facilities present the PIX11 Health & Wellness Expo at the Jacob K. Javits Convention Center in Manhattan, a day of health and wellness classes, demonstrations, seminars and hands-on experience.

    North Shore-LIJ holds its annual health fair at the Health Information Team site at CitiField to allow Mets fans to learn about wellness, health and safety topics. The Katz Institute for Women's Health, Feinstein Institute for Medical Research, North Shore-LIJ Medical Group, Lenox Hill Hospital, Arthur Smith Institute of Urology and North Shore University Hospital's trauma, surgery and critical care team are represented at the event.

  • To commemorate the Great American Smoke Out, North Shore-LIJ works with the Ridgewood Queens YMCA to educate 36 preschoolers and parents about the hazards of smoking and secondhand smoke.

    Cohen Children's Medical Center of New York partners with the Icla da Silva Foundation to sponsor a bone marrow drive in order to help increase the number and diversity of people in the National Marrow Donor Program's bone marrow registry.

    Medical Update, the health system's awardwinning television series, celebrates its 10th season.

PATIENT EXPERIENCE

  • To advance patient safety and improve care, North Shore-LIJ makes a $12 million purchase of 15 low-dose CT scanners from GE Healthcare to be installed at 10 locations over the next year. The purchase is part of a three-year $50 million investment to replace or update the health system's diagnostic imaging systems.

    The Skull Base Center at the Cushing Neuroscience Institute is the first center on Long Island to use a three-dimensional endoscope camera system to remove a pituitary tumor.

    North Shore-LIJ hospital chefs compete in the health system's first-ever cooking challenge to create gourmet restaurant quality meals without high fat, calories or sodium. Three celebrity chef judges award chefs from Forest Hills Hospital first prize, Lenox Hill Hospital second place and Syosset Hospital third place.


  • North Shore University Hospital's Division of Infectious Diseases offers a new specialty pharmacy service for patients with chronic conditions such as HIV/AIDS and hepatitis, and for patients who require medications and immunizations for international travel. Individuals can meet with the program's clinical pharmacist to address questions or concerns about their medications and health conditions.

PATIENT EXPERIENCE

  • LIJ Medical Center's Katz Women's Hospital and Zuckerberg Pavilion place 17th on the "Most Beautiful Hospitals in America" list compiled by Soliant Health, an Atlanta-based health care staffing company. The new tower is also featured in the August 2012 issue of Healthcare Design magazine.

    During each quarter in 2012, North Shore-LIJ's inpatient satisfaction scores increased from the same period in 2011, rising from 84.8 percent to a high of 88.2 percent reporting that they were likely to recommend the hospital where they were treated.

    North Shore University Hospital opens a state-of-the-art video electroencephalogram (EEG) monitoring unit for epilepsy patients, staffed 24/7 by dedicated observation personnel, epilepsy-trained nurses and certified EEG technologists.

  • Cohen Children's Medical Center of New York opens a new outpatient center in Lake Success specializing in pediatric rheumatology, gastroenterology and nutrition, and endocrinology and diabetes care.

    The Comprehensive Epilepsy Care Center at North Shore-LIJ's Cushing Neuroscience Institute is the first center on Long Island to offer Laser Interstitial Thermal Therapy, a new MRI-guided thermal imaging and laser technology, to treat epileptic seizures.

    The Epilepsy Care Center is also the first center on Long Island to offer the newest version of Vagus Nerve Stimulation Therapy to treat refractory epilepsy.

    The Center for Emergency Medical Services installs a new wireless tracking system to better predict ambulance arrivals and collect critical health data in real time before patients arrive at the Emergency Department. LIJ Medical Center is the first hospital on Long Island and Queens to use the software.



  • North Shore University's Stroke Center offers the Solitaire™ Flow Restoration revascularization device to patients suffering from acute ischemic stroke. The new device is easier to use than older technology and has the potential to open blood vessels more rapidly.

    Plainview Hospital begins offering extracorporeal shock wave lithotripsy, a noninvasive, outpatient treatment that uses ultrasonic waves to break up kidney and urethral stones.

PATIENT EXPERIENCE

  • Two new hybrid operating rooms (ORs) at LIJ Medical Center and North Shore University Hospital enable previously inoperable patients to benefit from cuttingedge combination surgical, cardiac and vascular interventions. The first of their kind in Queens and Nassau counties, the hybrid ORs allow cardiologists, cardiothoracic surgeons and other physicians to perform a range of procedures in one operating suite.

    Lenox Hill Hospital is the first hospital in New York State to perform a minimally invasive mitral valve replacement.
  • LIJ Medical Center is the first hospital in Queens to perform transcatheter aortic valve replacement (TAVR) surgery on patients with aortic stenosis — a minimally invasive option to open-heart surgery. North Shore University and Southside hospitals also begin offering TAVR in 2012.

    Forest Hills Hospital opens a hospice unit to stabilize acute symptoms and plan for the continuation of patient care with hospice at home or in a nursing home hospice unit.

TEACHING AND RESEARCH



  • The Hofstra North Shore-LIJ School of Medicine's second class of 60 students begins its studies. The 32 women and 28 men of the Class of 2016 range in age from 23 to 46 years old and were selected from more than 5,000 applicants, 700 of whom were invited to interview at the school. They come from 13 different states and the District of Columbia and 42 different universities.

    The Zucker Hillside Hospital campus of The Feinstein Institute for Medical Research is approved to receive a $9.3 million grant from the US Centers for Medicare and Medicaid Services to train clinicians on how to better care for patients with schizophrenia.

  • The Feinstein Institute receives a $1 million grant from the World Trade Center Health Program to study the health impact of the World Trade Center terrorist attacks on first responders. The program is administered by the National Institute for Occupational Safety and Health, part of the US Centers for Disease Control and Prevention.

    The Center for Learning and Innovation (CLI) celebrates its 10th anniversary. In total, CLI and its Patient Safety Institute offer 1,453 courses in 2012.

    Hofstra University creates a new Master of Public Health program in collaboration with North Shore-LIJ and the Hofstra North Shore-LIJ School of Medicine.

    To help develop the tools required to strengthen the pool of future health care workers, the health system's Human Resources Department launches a Workforce Readiness Program. As part of the initiative, North Shore-LIJ is working with local schools, industry leaders, colleges and universities to develop a school-tocareer pipeline to better prepare young people for future career opportunities that require science, technology, engineering and math skills.

TEACHING AND RESEARCH

  • As part of the Workforce Readiness Program, the health system utilizes an $80,000 grant from the New York State Regional Economic Development Council to launch a new nurse training program to transform the role of nursing in health care delivery from a hospital-based setting to an ambulatory care setting. The pilot program, conducted in conjunction with Adelphi University, focuses on training and retraining unemployed registered nurses who hold associate or baccalaureate degrees.

    More than 62 high school students from Queens and Nassau counties take part in the Hofstra North Shore-LIJ School of Medicine's Medical Scholars Pipeline Program, designed to increase the diversity of the health care workforce by introducing young people to various health care professions.

    The health system and the Feinstein Institute develop the North Shore-LIJ Medical Marvels Program to encourage Long Island high school students in 9th and 10th grades to pursue careers in science, technology, engineering and math.
  • Researchers at the Feinstein Institute discover:
    - Tanshinones, a plant derivative used in Chinese traditional medicine, protect against the life-threatening condition sepsis.
    - Inflammation could be treated by targeting a molecule called the doublestranded RNA dependent protein kinase. The discovery provides a new way to make novel drugs to treat obesity, Alzheimer's disease, diabetes, atherosclerosis and many other diseases.
    - A DNA marker that indicates if ovarian cancer treatment will be successful.

    Franklin Hospital partners with the Center for Learning and Innovation (CLI) to create a custom curriculum for hospital managers. Presented by CLI instructors and Franklin administration, the educational program emphasizes the importance of the service experience and its relationship to employee engagement.
  • The Hofstra North Shore-LIJ School of Medicine joins First Lady Michelle Obama's Joining Forces initiative. The medical school pledges to mobilize its integrated missions in education, research and clinical care to train physicians to meet veterans' and their families' unique health care needs, including post-traumatic stress disorder and traumatic brain injury.

    Nursing leaders at The Zucker Hillside Hospital launch a pilot study to determine patient outcomes after a rapid response team call in a behavioral health setting.

    Two researchers at the Feinstein Institute receive research grants from the Lupus Research Institute to study potential diagnostic and therapeutic options for lupus and the reason(s) why the disease turns the body's immune system against itself.

TEACHING AND RESEARCH



  • The Center for Learning and Innovation establishes a Quality Academy to further improve performance in health care delivery at health system facilities. The initiative builds on more than a decade of workforce development programs to improve patient safety and quality care throughout North Shore-LIJ.

    The health system's Office of Diversity, Inclusion and Health Literacy collaborates with the Hofstra North Shore-LIJ School of Medicine to present "Health Literacy: Partnering for Patient-Centered Care," a conference presenting research, educational strategies and tools focusing on identifying individuals with low health literacy and implementing strategies to promote positive outcomes.

EMPLOYEE INVESTMENT

  • As part of the health system's commitment to employee health, Human Resources and the Office of Public and Community Health deploy North Shore-LIJ's largest-ever, fullscale wellness program, the Walk to Paris, engaging more than 15,000 employees to think and act differently when it comes to exercise. The three-month fitness challenge charged employees to walk in teams, and collectively walk more than 7.2 million steps, the approximate distance to Paris, as part of a broader effort to increase participation in wellness activities. In addition to the prize of better health, 40 employees were given an all-expense-paid trip to Paris, with 110 employees receiving generous second-place prizes at the grand finale.

    North Shore-LIJ's annual system-wide flu prevention program "Set the Example," achieves the highest-ever participation rates, with more than 90 percent of health system employees either being vaccinated or receiving education for what was described as a pandemic-like flu season. Employee Health Services armed nearly 70 percent of the workforce with free influenza vaccinations — the highest amount since the H1N1 season of 2009.
  • The health system offers a new and improved Employee Input Survey to all employees, generating feedback from more than 75 percent of the organization — the highest participation rate since its inception. With a pledge to activate change from President and CEO Michael Dowling, the results will be put towards site-specific action plans for improvements in 2013.

    Within 48 hours of Hurricane Sandy, North Shore-LIJ establishes an Employee Emergency Resource Center (EERC) to assist employees who sustained severe devastation from the hurricane. The EERC includes an employee help line staffed by Human Resources team members around the clock to help guide employees in critical need of shelter and transportation. The EERC arranges for temporary housing for about 250 employees and their family members, and provides a range of other assistance, including gift cards for food and gas, and discounted loan programs backed by the health system.

EMPLOYEE INVESTMENT

  • The health system continues its generous subsidy of health care and retirement benefits, and launched a new benefit plan for 1,300 employees who live outside the North Shore-LIJ service area. The new "Out of Area" plan offers more choices and flexibility for employees and their loved ones.

    North Shore-LIJ's High Potential Program receives the Gold Award for Excellence in Talent Management for Leadership Training from the Brandon Hall Group, a research and analysis organization. The Physician High Potential Program also receives national recognition for excellence from the National Center for Healthcare Leadership.


  • For the second consecutive year, North Shore University Hospital receives platinum-level recognition from the American Heart Association for being a "fit-friendly" organization. The designation recognizes employers who promote employee health and work to create a physically fit and healthy work environment.

    For the second consecutive year, Becker's Hospital Review and Becker's ASC Review names North Shore-LIJ as one of the 100 Great Places to Work in Healthcare.

FINANCIAL PERFORMANCE

  • North Shore-LIJ achieves an operating gain of nearly $100 million on $6.6 billion in total revenue.

    North Shore-LIJ completes successful $309 million bond issues.

    In another reflection of its strong financial position, the health system increases its "days-of-cash-on-hand" to 106.

    The North Shore-LIJ Foundation raises more than $81 million in charitable pledges.

    North Shore-LIJ's Seventh Annual Summer Benefit Concert featuring Grammy winner Lionel Richie raises a record $1.5 million for The Feinstein Institute for Medical Research.


  • The 20th Annual Partners Council Fall Luncheon & Fashion Show raises $450,000 for the Katz Women's Hospitals and the Katz Institute for Women's Health.

    The third annual Every Woman Matters Walk at Jones Beach State Park raises $446,000 for the Katz Women's Hospitals and Katz Institute for Women's Health.

Expecting the Unexpected

Life changes in the blink of an eye. All New Yorkers know that.

  • "Hurricane Sandy" was the worst natural disaster to hit our region in over 70 years. The power of destruction was unprecedented but so too was the response by North Shore-LIJ employees. When two of New York City's major medical centers were forced to close their doors because of flooding, a daunting challenge grew even larger. North Shore-LIJ stepped in to take patients and credential physicians from the closed hospitals so that continuity of patient care could remain in place.

    Lenox Hill Hospital alone took in about 100 patients from flood-damaged NYU Medical Center and Bellevue Hospital. The health system's Center for Emergency Medical Services responded to over 1,000 requests for assistance before, during and after Sandy and transported 726 patients. In total, North Shore-LIJ hospitals and skilled nursing facilities served as a refuge for about 300 patients evacuated from 10 hospitals, nursing homes and shelters throughout New York City and Long Island.
  • Even after the storm was over, the wounds from Sandy remained. Over one million people were without power and tens of thousands more were homeless — many of them health system employees. When a storm surge claimed his Far Rockaway home and most of his belongings, Plainview Hospital's Roody Antoine (pictured here) found himself without a home. He turned to the health system's Emergency Employee Resource Center and North Shore-LIJ was there for him. Temporary housing, food and other items to make a difficult time better were provided for Mr. Antoine and his family and for many other employees as well. "This is a very, very special place we work for," he said.

Serving Those Who Serve

North Shore-LIJ is committed to giving back to the men and women of the armed services.

  • Sometimes, the wounds of those who've served in battle aren't so easy to see. That's why North Shore-LIJhas always recognized the importance of looking deeper. When it comes to serving our veterans, it may be physical or emotional medical treatment that is required; assistance with transitioning back to civilian life; or the opportunity to secure a fulfilling career in the workforce once military service has ended. Depending on individual circumstances, the need can be large or small. It can be isolated to one of these factors or all of them combined. Many times, family members are affected as well.

    That's why North Shore-LIJ has instituted a number of innovative programs and services through its Office of Military and Veterans' Liaison Services to help those who have served our country.

    The Rosen Family Wellness Center has counseled nearly 8,000 people since opening in 2006. And this past year, North Shore-LIJ and the US Veterans Administration (VA) opened a Unified Behavioral Health Center for Veterans and family members in Bay Shore, where both veterans and their families are treated under one-roof to ensure the best possible outcomes. It is the first time in the New York area that the VA has joined with another health care provider.

  • When it comes to jobs, North Shore-LIJ's Veterans Hiring Program has welcomed over 300 veterans on as new hires over the past two years. As North Shore-LIJ President and CEO Michael Dowling explains: "Veterans bring tremendous assets to an organization. They understand the idea of working for something bigger than themselves. It is not only an excellent way to give back to those who served our country but it is also a smart and strategic investment for our future." Pictured here, Andrew Roberts, director of the Office of Military and Veterans' Liaison Services (left) and Michael J. Dowling, President and CEO of North Shore-LIJ Health System (right), surrounded by members of the National Guard from the 773rd Transportation Company at Fort Totten, NY.

Science that Sticks

A new approach to medical education gives students a view of doctoring.

  • When it was launched as the first new medical school in New York State in 40 years, the Hofstra North Shore-LIJ School of Medicine promised to be different. A key element of the new approach to educating tomorrow's physicians was the school's vision to employ an integrated patient-centered curriculum — designed so that students would develop critical thinking skills through an immersion in real-world medicine or "science that sticks."

    That hands-on approach is found in the School of Medicine's Structure Lab (pictured here). Unlike a traditional anatomy lab, the Structure Lab incorporates multiple disciplines that would ordinarily be stand-alone courses at most medical schools. At the Hofstra North Shore-LIJ School of Medicine, the disciplines are merged and taught together in the way physicians will experience them once they officially begin their medical careers.

    "By integrating normal, abnormal and interventional aspects of human structure and linking lab sessions to what they’re learning in lecture classes, students are able to place material in a relevant context and better apply their knowledge,” said David Battinelli, MD, North Shore-LIJ’s chief medical officer and the medical school’s dean of academic affairs.
  • North Shore-LIJ faculty and other health system professionals are actively involved in the planning and delivery of these laboratory sessions, offering students access to a state-ofthe- art lab and the expertise of about 900 physicians and other faculty members.

    In any given session, the Structure Lab may have four or five of the health system's clinical faculty to facilitate the application of content that students are expected to understand prior to arriving in lab. For example, basic reading on the arteries of the heart might lead to discussions of coronary artery bypass surgery, cardiac catheterization, or the clinical presentation of patients with acute myocardial infarctions.

A Catalyst for Change

A tragic end for a New York City boy leads to a statewide
effort to stop sepsis.

  • Many think of death as the end of things. However, sometimes it is also a beginning. Consider the case of 12-year old Rory Staunton, who died of sepsis at a New York City hospital after sustaining a cut during gym class — a cut that turned an adolescent life full of promise into a statistic.

    It was a terrible and unexpected outcome.

    Rory's death was a shock, but one that should not have come as a complete surprise. Each year, nearly 750,000 Americans acquire sepsis and more than 200,000 die from it; its deceptive nature makes it difficult to diagnose. Without quick recognition and an immediate response to the warning signs, treatment winds up being too little too late and the devastating results are left to speak for themselves.

    However that is changing. Rory's death brought renewed attention, education and action to the fight against sepsis. His parents and others pushed for a deeper look at causes and symptoms, and how to effectively combat the disease so no other family would need to suffer the way that they had.

    They looked to North Shore-LIJ and others for answers. The health system had already been successful in reducing its severe sepsis mortality rate by 35 percent since 2008, implementing a standardized protocol that aided in a timely and accurate diagnosis and early effective treatment as soon as sepsis was confirmed. Its international Merinoff Symposium on Sepsis, held at The Feinstein Institute for Medical Research in 2010, created the first worldwide consensus on how to define sepsis and best practices to fight the disease — two critical steps in bringing the once hidden killer out into the open.
  • Then in 2013, Governor Cuomo announced the statewide implementation of “Rory’s Regulations,” standard guidelines for clinicians that relied heavily on North Shore-LIJ’s expertise and best practices. The initiative positioned New York State to deliver the gold standard in diagnosing and treating sepsis, with reforms expected to save 5,000 to 8,000 lives annually.

    It marked a new beginning. In March 2013, nine-year-old Ryan Barnett of Greenlawn, NY (pictured here) complained of stomach pain, so his mother brought him to a local hospital. At first, his mother was told it was a virus. The next night, Ryan’s pain was so severe that the boy was brought back to the hospital, where it was decided he should stay overnight. The next morning’s bloodwork results showed that Ryan had sepsis. He was transferred to the pediatric emergency department at Cohen Children’s Medical Center of New York, where clinicians in the hospital’s Pediatric Intensive Care Unit immediately set up four IVs of antibiotics for Ryan, who had slipped into a coma. Three days into his stay at Cohen, Ryan sat up for the first time and he returned to school shortly thereafter.

First Steps, Big Steps

Cohen gives hope to Long Island teen — and many others like him.

  • First steps are a milestone in a child's life. But all milestones are not created equal. Imagine if those first steps are like the ones pictured here: taken by a teenager, 24-hours after having a tumor removed from his spine that could have left him paralyzed for life. Imagine the other first steps that were able to follow: his return to walking the school hallways or taking to the playing field again. These are first steps that would not have been taken if it were not for the quick thinking of the experienced doctors at Cohen Children's Medical Center of New York.

    In addition to those first steps, sometimes big steps need to be taken as well. When it comes to easing the pain and suffering of children and families in need, more needs to be done to meet the increasing demand for high-quality pediatric care. As one of only two pediatric trauma centers in the New York area and the only one with a stand-alone pediatric emergency department (ED), Cohen has seen a 20 percent increase in its ED visits in the past five years.

  • With more and more families relying on its expertise, the hospital opened a new pavilion in 2013 to help meet this demand. The new 115,000- square-foot facility, built at a cost of $130 million, features 30 beds and two trauma bays in the pediatric ED, a 25-bed Pediatric Intensive Care Unit (PICU) that expands the hospital's PICU capacity to 37, 25 additional medical-surgical beds, a Pediatric Imaging Center and space for a future pediatric surgical suite.

    It's a huge investment — a big step that looks to ensure many first steps for all our children now and in the years to come.

The Challenge of Diabetes

Education and awareness can have a profound impact on how people
look at their health.

  • The goal of health care reform is to expand health care coverage, curtail rising costs and reduce the incidence of chronic illness. Among the keys are keeping people out of the hospital whenever possible, treating them with high-quality, less costly outpatient care — and ideally, helping them achieve good health so that they don't require services at all. Fulfilling that vision requires a new approach to population health and wellness — one that involves shared responsibility among providers, educators, individuals and family members.

    The growing incidence of chronic diseases like diabetes in our country can be viewed as a prime test case for one of the major tenets of the affordable care act — population health management. Diabetes is an illness that is reaching epidemic proportions in our country and is now afflicting more than 200,000 young people, with advanced manifestations now appearing in children that previously appeared only in adults age 40 and older. Serious complications such as heart disease and kidney failure can result from poorly managed diabetic care.

  • “Illness doesn’t affect just one person — it affects the whole family and ultimately the community,” said Marie Frazzitta, DNP, director of diabetes education for the health system. “That’s why it’s important to incorporate everyone in the conversation.” It’s one of the reasons the health system is taking diabetes education to the people. Workshops (such as the one pictured here) offered at health system facilities, urgent care centers and some physician practices are geared toward individuals with diabetes and family members who wish to help their loved ones cope with the disease. They focus on healthy eating, physical activity, medications, glucose monitoring and living with the illness.

    “Informative education sessions improve quality of care and ultimately help to drive down health care costs as people become better educated and more aware of steps they need to take in order to take care of themselves,” Ms. Frazzitta said. “It helps reduce trips to the emergency room and risk of hospitalization.”

Partners in Health

Innovation comes into focus through strategic alliances.

  • When it comes to practicing good medicine, North Shore-LIJ has an open-door policy. Best practices that have proven effective in improving medical care should be shared with others, not kept under wraps as trade secrets. That’s why the Hofstra North Shore-LIJ School of Medicine and the health system’s Center for Learning and Innovation, Patient Safety Institute and other facilities play host every year to hundreds of visitors from institutions around the world.

    At the same time, North Shore-LIJ’s clinicians and administrators routinely reach out to other health care providers, advocacy groups, government agencies and insurance payers locally, regionally and nationally to get their ideas on how to improve the delivery of care, enhance operational efficiencies and work more cooperatively together. After all, nobody has a monopoly on good ideas, particularly when it comes to preventing, diagnosing and treating illness.

    During this era of transformation in health care, no organization can survive in isolation. As part of its outreach, North Shore-LIJ has developed strategic alliances, affiliations and other relationships with a vast array of organizations working across the health care industry. The partnerships are built on the premise that delivering high-quality health care is a never-ending journey — a process of continuing improvement.
  • To make that happen, the health system works routinely with quality advocates like the Institute for Healthcare Improvement and the National Quality Forum, national health care providers like the Cleveland Clinic and Mayo Clinic, regional hospitals such as Montefiore Medical Center in the Bronx and Hackensack (NJ) University Medical Center, as well as federal and accreditation agencies such as the US Centers for Medicare and Medicaid Services and The Joint Commission, with whom North Shore-LIJ regularly participates in pilot projects to test new and better ways of delivering care.

    It’s all about getting better. It’s all about the patients.

A Giant Leap

Feinstein Institute researcher awarded prestigious prize for
contributions to arthritis research.

  • American astronaut Neil Armstrong, who passed away in 2012, lived a life clearly defined by a single act and a single quote spoken as he became the first human being ever to set foot on a world beyond our own (“That's one small step for man, one giant leap for mankind”). Despite his immortality, Armstrong knew that even a remarkable life is made up of a series of incremental achievements. “I guess we all like to be recognized not for one piece of fireworks but for the ledger of our daily work,” he once said.
     
    For Peter K. Gregersen, MD, the ledger of his daily work over the past 37 years has focused largely on understanding rheumatoid arthritis (RA), a chronic, disabling inflammatory disease that afflicts an estimated 1.3 million Americans.
     
    Dr. Gregersen’s detective work in opening new possibilities for the prevention and treatment of RA earned him international acclaim this May, when King of Sweden Carl XVI Gustaf presented him with the Royal Swedish Academy of Sciences’ prestigious Crafoord Prize in Stockholm.
  • Dr. Gregersen, head of the Robert S. Boas Center for Genomics and Human Genetics at the Feinstein Institute for Medical Research, has collaborated with scientists across the globe to identify several major risk genes for rheumatoid arthritis, which was previously thought of as a single disease.
     
    Just like the small step taken by Armstrong, the dogged, decades-long research conducted by Dr. Gregersen and others paid off with a giant leap of a discovery: scientists now believe that the most common form of RA starts in the lungs, and the disease develops through the interplay between genetics and environmental factors such as smoking. This increased knowledge about what causes the disease hopefully will result in more refined treatments in the future.

Suffolk's Cardiac Destination

The health system brings the latest cardiac innovations to Southside Hospital.

  • When North Shore University Hospital and LIJ Medical Center extended the cardiac surgery program to Southside Hospital and established the health system’s first tertiary facility in Suffolk County, it was not the culmination of a vision but rather the beginning of one that would bring the latest in cardiac innovation and technology to Long Island’s south shore.

    In 2012, Southside performed Long Island’s first left atrial appendage occlusion procedure called the Lariat. In doing so, Southside became the first hospital on Long Island to offer Lariat, Cryoablation and Transcatheter Aortic Valve Replacement (TAVR) procedures under the same roof.

    Lariat’s lasso stitch, stops blood flow to an area of the heart that can be a major source of blood clots and potentially lead to a stroke, and Cryoablation’s safer freezing method interrupts dangerous heart rhythms.
  • Similarly, for patients suffering with severe aortic stenosis, Southside’s ability to perform Transcatheter Aortic Valve Replacement (TAVR) provided high-quality outcomes for extending and improving the lives of high-risk patients who were not candidates for traditional open-heart surgery.
     
    “In a short time, Southside has earned a reputation for quality, compassion and innovation,” said Erik J. Altman, MD, the hospital’s director of electrophysiology (pictured here). “It is because of this reputation that it has become a singular destination for cardiac care.”

A New Vision for Care

A look at the minimally invasive future of mitral valve replacement

  • Progress doesn’t happen without looking beyond the way things are traditionally done so that what already works can get even better. A 76-year-old woman from Flushing understands that and is thankful Lenox Hill Hospital does too. She was the first patient in New York and second in the nation to undergo a successful percutaneously implanted mitral valve replacement.
     
    Lenox Hill Hospital’s Carlos Ruiz, MD, (pictured here) director of the Structural and Congenital Heart Disease Program, performed the minimally invasive procedure to repair a blocked or leaky mitral heart valve that had previously been replaced. It was a success for the patient and marked a significant milestone for the future treatment of cardiac patients.
  • During the procedure, a replacement valve was inserted through a vein in the groin and positioned within the mitral valve. It was designed for individuals who would otherwise have required a second open heart surgery, which can pose significant risks for patients who are older or have complicated medical conditions.
     
    “Transcatheter valve replacement is a major breakthrough in the treatment of heart disease and is part of an important trend in which minimally invasive procedures are used in place of traditionally invasive surgical procedures,” said Dr. Ruiz. At Lenox Hill, cardiologists, cardiac surgeons and vascular surgeons all work together to provide high quality minimally invasive heart care to patients suffering from all forms of heart disease and vascular disease.

No Place Like Home

Extending care before and after the hospital visit.

  • As part of the transformation occurring in the way health care is delivered and paid for, providers are being held increasingly responsible for keeping people well and out of the hospital. North Shore-LIJ is leading this transition by adopting new organizational structures and new capabilities to manage the care of the chronically ill and others covered by Medicare and Medicaid, who comprise an increasingly larger percentage of the health system’s patient volume, especially now that baby boomers are reaching retirement age.
     
    Under several new pilot projects with the US Centers for Medicare and Medicaid Services, the health system will receive “bundled payments” for managing the care of patients, rather than getting a fee-for-service reimbursement every time a patient is treated. These types of arrangements, which are also in place with several commercial insurers, will continue to grow and become more prevalent over time. To ensure that the care delivered by its facilities and physicians is
    appropriate and beneficial to patients, North Shore-LIJ has established a new entity called Group Health Management to help the health system transition to this new value-based reimbursement system that rewards efforts to promote wellness and disease prevention.
  • A large focus of those efforts is on geriatric care services that enable people to live independently, as well as home care, rehabilitation and other follow-up care patients need after they leave the hospital, which help reduce readmissions and leads to better overall outcomes. By integrating technology like telemedicine that enables clinicians to check the vital signs of home care patients remotely (shown here), the health system is helping to address the needs of the chronically ill, who comprise about 20 percent of the population but account for about three- quarters of the approximately $2.6 trillion spent annually on health care in this country.

A Laser Treats Epileptic Seizures

With MRI guidance, laser technology offers hope to epilepsy sufferers.

  • When Ashesh Mehta, MD, PhD, (pictured here), a neurosurgeon at North Shore University Hospital, used a laser procedure — LITT (laser interstitial thermal therapy) — to treat a woman’s epilepsy, it was the first time ever in New York. It allowed a patient suffering from chronic epileptic seizures to return home the next day and signaled that the vision for how care might be provided in the future had already become the new reality.
     
    LITT utilizes new magnetic-resonance-guided thermal imaging and laser technology to effectively treat seizures associated with medial temporal lobe epilepsy. “Temporal lobe is the most common form of epilepsy that requires surgery,” Dr. Mehta explained. “LITT is useful in patients with a type of temporal lobe epilepsy called mesial temporal sclerosis, where there is a loss of neurons and scarring of the deepest portion of the temporal lobe. This scarring is often the cause of seizures that cannot be controlled by medications alone.”
  • The new approach allows the neurosurgeon to simultaneously deliver and monitor treatment while the patient undergoes magnetic resonance imaging (MRI). The procedure involves a 1⁄4-inch incision for the LITT probe. Treatment is focused, and MRI temperature maps provide neurosurgeons with a real-time view of the diseased tissue being destroyed, which lowers the risk of healthy tissue being harmed. Patients who undergo minimally invasive laser therapy typically go home the following day and recover much faster than traditional treatments requiring larger incisions.
     
    This technology, as well as other minimally invasive techniques such as stereoelectroencephalography and neuroendoscopy, allows the Comprehensive Epilepsy Center within North Shore-LIJ’s Cushing Neuroscience Institute to provide a diverse array of surgical treatments for the condition.

Seeing New Possibilities

After a life-threatening brain injury, a Plainview man's ambitions for the future come back into focus.

  • At the opening of Glen Cove Hospital’s new $4 million brain injury unit (BIU), Zachary Young, 23, of Plainview, (pictured with his parents) shared his remarkable story of recovery after sustaining a brain injury and sudden cardiac arrest that caused him to lose oxygen to the brain.
     
    Following two hospitalizations and the implantation of a defibrillator to regulate his heart beat, Mr. Young received treatment at Glen Cove’s rehabilitation unit. At the time, he was a senior at Binghamton University. “I feel like I got a second chance,” said Mr. Young.
     
    Due to his brain injury, he experienced physical and cognitive challenges, including difficulty walking, writing, talking and memory issues. He and his family were not sure if he’d ever graduate college or drive a car again. After three weeks of intensive rehabilitation at Glen Cove, Mr. Young continued his recovery and graduated from college in December 2012. “Although I have slight physical limitations, my life has gotten better...I have more conviction in my studying and my family has gotten closer,” he said.
  • deliver and monitor treatment while the patient undergoes magnetic resonance imaging (MRI). The procedure involves a 1⁄4-inch incision for the LITT probe. Treatment is focused, and MRI temperature maps provide neurosurgeons with a real-time view of the diseased tissue being destroyed, which lowers the risk of healthy tissue being harmed. Patients who undergo minimally invasive laser therapy typically go home the following day and recover much faster than traditional treatments requiring larger incisions.
     
    Prior to suffering his brain injury, Mr. Young wanted to be a lawyer. He even took the Law School Admission Test (LSAT). His dream of attending law school not only continues but will soon become a reality. Following his rehabilitation, he took the LSAT a second time and achieved the exact same score. He has been accepted to several law schools and will soon decide on which school he’ll be attending in September.

The Long View of Low-Dose

The health system’s $50 million investment will pay dividends in improved patient safety.

  • It is often said, less is more. When it comes to North Shore-LIJ’s imaging services, the idea of less radiation exposure being coupled with a more precise image isn’t a million dollar idea; it’s a $50 million one. That’s how much the health system is investing over the next three years to replace or upgrade its conventional diagnostic imaging systems with scanners that deliver lower levels of radiation and high-quality diagnostic images.
     
    As part of its overhaul of its imaging systems, North Shore-LIJ announced the purchase of 15 General Electric Low-Dose Computer Tomography (CT) scanners to be installed at 10 health system locations within the year. That purchase set a new, higher standard for patient safety because along with the
    new hardware, the health system also installed monitoring software that tracks how much radiation is emitted by each CT scan.
  • The switch to the low-dose CTs is good news for patients like Barbara Greenberg of Roslyn, an 18-year ovarian cancer survivor. First diagnosed in 1994, and successfully treated at North Shore University Hospital, she underwent an annual CT scan to ensure that her cancer had not reappeared. In 2012, her physician advised that she discontinue the annual screening. “As you start to gain more knowledge about cancer, you pay more attention to potential risks like CT scans,” said Ms. Greenberg, “ The less risk the better.”

16,000 Divided by 12 = One

When it comes to cancer, divide and conquer is the only winning strategy.

  • To the untrained eye, the figures above don’t add up. But to the skilled oncologists at the North Shore-LIJ Cancer Institute, it’s the only equation that makes any sense. That’s because the health system’s trained team of cancer specialists knows that in order to solve a difficult problem, looking at it in a new light is often the only way to achieve the right outcome.
     
    16,000. That’s the number of new cancer patients diagnosed and/or treated annually within the North Shore-LIJ Health System — one of the largest cancer programs in the New York metro area.
     
    Divided by 12. The 12 centers that make up the North Shore-LIJ Cancer Institute bring the expertise of multidisciplinary teams and disease-focused specialists together to collaborate on pre-clinical investigations, tumor boards, clinical research and treatment protocols to deliver exceptional care for every patient and treat virtually every type of cancer. It’s an all encompassing approach toward the prevention, screening, diagnosis and treatment of the disease offered at North Shore-LIJ hospitals, physician offices and outpatient centers. Divide and conquer.
  • Equals One. When it comes to fighting the disease, in the end it’s about that one patient with unique needs being treated by the one institute that offers a seamless integration of surgery, medical oncology, radiation oncology, pathology, radiology, pain management, clinical trials and supportive services. It’s about the core foundation around which comprehensive, patient-centered care is delivered. It’s about the North Shore-LIJ Cancer Institute knowing that 16,000 divided by 12, in the end, always equals one.

Ensuring the Future

Insuring the community is the next step in the health system's evolution.

  • Among the new developments in the rapidly changing health care industry is the emergence of insurers looking to become providers — and providers like North Shore-LIJ vying to build insurance capability.
     
    As the largest, most-integrated health system in the New York area, North Shore-LIJ is partnering with its physicians and other providers to build an infrastructure that will enable the health system to prosper as both a provider and insurer.
    In 2012, the health system began partnering with numerous insurance companies on health benefit plans that rely on North Shore-LIJ clinicians, hospitals and outpatient practices as the providers of choice — meaning members pay less out-of-pocket costs if they get care from North Shore-LIJ providers.
  • The health system is also laying the groundwork for developing its own health benefit plan, called North Shore-LIJ Premium, by applying for an insurance license and enlisting its own physicians and other providers in an exclusive accountable care network that will manage members' care.
     
    This innovative new insurance model makes sense from a population health management and financial perspective. And while it’s difficult to predict what the future of health care will look like, one certainty is that North Shore-LIJ's vast, integrated network of thousands of doctors, physician assistants, nurse practitioners and other caregivers will offer a full continuum of high-quality, high-value services to meet the public's health and wellness needs.

Healthy Minds, Healthy Bodies

The health system makes significant investments in comprehensive behavioral health care.

  • Behavioral health is the often-overlooked middle child in the health care conversation. That’s more than a little bit ironic, since the National Institute of Mental Health estimates that about one in four adults suffers from a diagnosable mental illness and behavioral disorders are the leading cause of disability in the United States.
     
    Looking toward the future, the Accountable Care Act’s increased focus on population wellness suggests that behavioral health might finally receive the attention it deserves. While that might signify a drastic change for some providers, it doesn’t for North Shore-LIJ. The health system has always had the foresight to recognize the strong link between healthy minds and healthy bodies.
     
    This past year alone, the health system made significant investments to ensure that the ongoing provision of high-quality mental health services for our communities remained a priority. In the summer, North Shore-LIJ finalized a deal with The Long Island Home — which incorporates South Oaks Hospital and Broadlawn Manor in Amityville — to join the health system. As a result, South Oaks joined Zucker Hillside Hospital as North Shore-LIJ’s second behavioral hospital, improving community access to psychiatric and addiction services in eastern Nassau and Suffolk.
  • As for Zucker Hillside, known for its pioneering work in the diagnosis, treatment and research of mental illness — the hospital opened a new 130,000-square-foot, $120 million two-story inpatient pavilion this fall (pictured here), consolidating outdated living quarters dispersed across its campus. The new 115-bed pavilion includes separate units for adults, adolescents and older adults and features a state-of-the- art electroconvulsive therapy (ECT) suite and other advanced treatments that have proven highly successful in treating depression and other psychiatric disorders.

A New Model of Care

A new, integrated approach to treating kidney disease improves the patient experience — and outcomes.

  • Late-stage Chronic Kidney Disease (CKD) is marked by a highly fragmented approach to care with characteristics that include: depression, anxiety, disruption to lives, and high rates of morbidity and mortality for patients.
     
    “The current approach to CKD is not only ineffective but costly as well,” said Steve Fishbane, MD, chief of nephrology for North Shore University Hospital and LIJ Medical Center. “CKD and end-stage renal disease use a disproportionate amount of Medicare and Medicaid resources, with CKD patients accounting for 22 percent of Medicare program costs.”
     
    When one looks closely, it’s easy to see that the traditional way of managing the illness is overly fragmented and disorganized, and is the root cause for suboptimal patient outcomes. It’s why North Shore-LIJ is proposing a change to the way the disease is managed through its Healthy Transitions in Late Stage Kidney Disease program.
  • Healthy Transitions is designed to better integrate nurses, nephrologists and other staff into the disease management process: education, health promotion, monitoring of patients’ weights, dialysis choice and other services that will ultimately result in an improved patient experience. Currently, about 100 patients are participating in the program.
     
    “Efforts have been undertaken to address the issue in the recent past,” Dr. Fishbane explained, “but only after patients start dialysis. We believe that approach is flawed. Based on our observations from the first four months of Healthy Transitions, we have found that there are important benefits to the nursing services being provided. Success with this population is most likely achieved with a program that spans late stage CKD and the early dialysis period.”

An Eye on Being Best

LIJ among State’s best for cardiac surgery; North Shore for emergency angioplasty.

  • It’s quite an achievement to be named one of the best at anything. When it comes to cardiac surgery and emergency angioplasty, being among the best means that with a life hanging in the balance, a patient could not be in better hands. State Department of Health (DOH) reports released in 2012 (covering 2008-2010) identified LIJ Medical Center as having among New York State’s best outcomes for open-heart surgery and North Shore University Hospital (NSUH) for superior survival rates for emergency angioplasty. Both hospitals earned the prestigious double-star asterisk for success rates that were significantly better than statewide averages. It’s the second time in a row that LIJ has received double-star rankings for superior outcomes in both valve and valve/coronary artery bypass graft(CABG) surgery.
     
    A separate 2012 DOH report on percutaneous coronary intervention (PCI) or angioplasty, a procedure performed to clear blocked heart arteries and increase blood flow, showed NSUH as one of only two hospitals in New York State — and the only one on Long Island — with statistically superior outcomes for the 939 patients undergoing emergency angioplasty during 2008 to 2010. It was the fifth successive report in which NSUH received a double star designation, reflecting six years of exceptional outcomes.
  • Pictured here is LIJ Medical Center’s hybrid OR, which consists of a full complement of equipment that equals or exceeds a cardiac catheterization lab and general operating room combined. The hybrid name reflects the ability to use the room as an interventional suite, operating room or both. Any conceivable procedure can be performed here, which is a benefit to both physician and patient. The ability to integrate the services of cardiac surgery, vascular surgery, complex endovascular trauma and interventional cardiology provide unique opportunities for multiple physicians to collaborate in the care of our patients. The health system has three hybrid ORs at LIJ, NSUH and Southside Hospital.

2012 Statistical Highlights

Patient Care Statistics

  • Totals
  • %Change
  • Inpatient Discharges
  • 260,048
  • 0.1%
  • Patient Days
  • 260,048
  • 0.1%
  • Inpatient Discharges
  • 1,557,658
  • 4.2%
  • Average Length of Stay
  • 5.40
  • 0.3%
  • Occupancy (staffed beds)
  • 85%
  • (0.7%)
  • Deliveries
  • 26,723
  • 4.4%
  • Ambulatory Surgical Procedures
  • 133,340
  • (0.1%)
  • Emergency Department Visits
  • 504,953
  • 7.0%
  • Emergency Department Admits
  • 168,571
  • 0.1%
  • Cardiac Catheterization Procedures
  • 9,213
  • 0.9%
  • Home Care Visits
  • 505,207
  • 0.3%
  • Hospice Days
  • 216,703
  • 3.8%
  • Ambulance Transports
  • 95,246
  • 4.2%
  • Core Lab Tests
  • 7,966,968
  • 6.2%
  • North Shore LIJ Health System Services for People in Need
  • Unpaid costs of Medicaid (estimated cost)
  • $199,617
  • Uncompensated Care (estimated cost)
  • $169,957
  • Total
  • $369,574

Operating Performance

  • 2012
  • Total patient revenue, net of provision for bad debts
  • $6,353,961
  • Other Operating Revenue
  • 348,021
  • Total Operating Revenue
  • 6,701,982
  • Salaries & Benefits
  • 4,272,984
  • Supplies & Other
  • 1,984,936
  • Depreciation & Interest
  • 346,195
  • Total Operating Expenses
  • 6,604,115
  • Excess of Revenue over Expenses
  • $97,867
  • Excess of Revenue over Expenses - 2011
  • $134,198

A Message from the Foundation


Dear Friends,

This past year was a historic year for so many reasons and yet we reached many milestones despite facing several challenges, including the largest storm to hit our area since 1938. Before, during, and after Superstorm Sandy, the team at North Shore-LIJ Health System went above and beyond to meet the needs of people affected by the storm, both outside of our facilities and within. Though we always strive to put our patients' care first, this was never more apparent than through the stories you will read over the next few pages.

With such an extraordinary year, we decided to take a look at the collaboration of our many donors who made our achievements possible. Through their joint efforts, we experienced amazing growth, notably through the opening of two new pavilions at The Zucker Hillside Hospital and Cohen Children's Medical Center. Both of these expansions will have a dramatic impact on the delivery of care to the patients and families it serves.

We also reached new heights and announced that we are more than halfway to reaching our $750 million Destination 2020 campaign goal, the largest fundraising campaign in the history of North Shore-LIJ. Our spring gala, Destination Celebration held on April 25, 2013, at the Intrepid Sea, Air and Space Museum in Manhattan exceeded all expectations, an accomplishment made possible through our generous supporters.

These are just a few examples how our benefactors help to play an integral role in driving change, allowing us to be constantly transformative and innovative. Thank you for playing a part in our success and furthering our mission to provide health care to all.

Destination Celebration Gala


  • Every five years, North Shore-LIJ holds a health system-wide gala for the 16 hospitals and hundreds of medical and education facilities spanning from Manhattan to eastern Long Island. This past spring's Destination Celebration gala was a truly magical evening to remember for those who boarded the Intrepid Sea, Air and Space Museum in Manhattan on April 25th.

    During the evening, the 1,200 attendees celebrated the health system's growth and progress achieved over the past five years, including the opening of the Hofstra North Shore-LIJ School of Medicine and the health system's expansion into Manhattan with the addition of Lenox Hill Hospital. Michael J. Dowling, President and CEO and Richard D. Goldstein, Chairman, North Shore-LIJ Health System Board of Trustees, also announced the launch of Destination 2020, the largest fundraising campaign the health system has ever embarked on. With the proceeds from the gala, North Shore-LIJ surpassed the halfway mark of its $750 million Destination 2020 campaign goal. With continuous support, this multi-year fundraising campaign will transform the future of health care delivery in the region.
  • This special event was co-hosted by Bravo television host and author Andy Cohen and NBC-TV News special correspondent Meredith Vieira, who spoke about the important services and programs provided to the more than four million patients North Shore-LIJ cares for annually. Some of the highlights included:

    North Shore-LIJ's unparalleled commitment to military veterans who are acclimating back to civilian life and their families and the work being achieved through the Rosen Family Wellness Center and the Unified Behavioral Health Center; the health system's dedication to providing care to those who suffer from mental illness; the recent discoveries occurring at the Feinstein Institute for Medical Research; and the Center for Emergency Medical Services' ability to meet the needs of local residents and employees during Superstorm Sandy. The Destination Celebration gala raises funds for these and other important programs.

Destination Celebration Gala

  • With much to be proud of across the entire North Shore-LIJ Health System, attendees were treated to special performances by Harry Connick, Jr. and the LaGuardia Arts High School Choir. Also in attendance were CNN News anchor Chris Cuomo, who presented Mr. Dowling during the program, award-winning actresses Cynthia Nixon, Bebe Neuwirth and Christine Baranski, music industry icon Clive Davis, co-host of ABC's The View Sherri Shepherd, fashion icon and supermodel Carol Alt, New York Times bestselling author Nelson DeMille and sports commentator Al Trautwig.

    At the close of the evening, everyone received a limited edition commemorative coffee table book that featured photographs of moments in and around the health system captured by award-winning photographer Joe McNally. The gala provides an opportunity for everyone who supports the health system to celebrate its past achievements and continued success.

Destination Celebration Gala - Photo Gallery

Donors Aid the Transformation of Zucker Hillside Hospital

  • The Zucker Hillside Hospital has been a leader in healing people suffering from mental illness for more than 85 years. Founded in 1927, the hospital has remained at the forefront of psychotherapy and psychopharmacology, inpatient specialty services and outpatient treatment. As behavioral health disorders affect nearly half of the population during the course of a lifetime and account for more disability and missed days of work than any other illness, an update to the facilities would serve to meet the needs of this often-overlooked patient population.

    As special champions for mental health, Barbara and Donald Zucker lead the ranks of many special donors who made the construction of this building possible. Among the other major donors for the project were: Maxine and John M. Bendheim, the Leon Lowenstein Foundation, Inc., Rita and Frank Castagna, The Ashner Evergreen Family Foundation, Rosalie Brown Greenberg and the late Herbert Greenberg, Ruth and Leonard Litwin, and Diane and Darryl Mallah. Their combined support enables the hospital to continually play a historic role in establishing modern psychiatric remedies and enhance its reputation as a premier center for behavioral health care in the New York metropolitan area.
  • Constructed with the generous support of our donors, the new building will help meet the growing psychological needs of adolescents to geriatric patients. As one of the largest psychiatric facilities in the region, Zucker Hillside continues to see an increasing number of those afflicted with mental health diseases, from young adults with schizophrenia to patients with Alzheimer's and related dementias. This modern, patient-centered facility was designed to allow for informal gatherings, to encourage a sense of well-being, security and relaxation. By engaging with people in the early stages of their illness, we can bring about recovery.

    The opening of the inpatient psychiatric pavilion at Zucker Hillside represents a transformation on a grand scale, not only in terms of the physical infrastructure, but in our ability to provide a full continuum of care to our behavioral health patients. The generosity of our donors will help us treat behavioral health disorders, return people to society's mainstream and heal families.

Entire Health System Rallied to Help
During Superstorm Sandy

  • With 16 hospitals and more than 300 outpatient facilities, the enormity of the challenge facing North Shore-LIJ both during and after Superstorm Sandy was daunting. Our employees remarkably worked to meet community needs during a crisis and assist other hospitals in distress. The Center for Emergency Medical Services (CEMS) played a major role in that effort, by responding to 1,008 requests for assistance before, during and after the storm, and transporting a total of 726 patients.

    Considering how so many North Shore-LIJ employees cared for their patients during their critical hours of need, the health system proudly stepped up to take care of its colleagues in return. Employees, trustees and generous donors raised $2.7 million for the Superstorm Sandy relief fund, primarily dedicated to employees and their families. Proceeds from Lenox Hill Hospital's and Huntington Hospital's annual fundraising galas were allocated toward the North Shore-LIJ Superstorm Sandy Employee Relief Fund as well as charities helping other disaster victims in the community. North Shore-LIJ donated funds to the Newsday Superstorm Sandy Long Island Disaster Relief coordinated by the McCormick Foundation and the Stephen Siller Tunnel to Towers Foundation, helping Staten Island and Queens storm victims.

    These much needed funds supported the health system's Emergency Employee Resource Center. Serving to assist the hundreds of employees who suffered catastrophic devastation, North Shore-LIJ provided refuge to displaced staff members and their families at several health system sites. In addition to housing and transportation, the health system set up several employee stores to supply employees with basic necessities such as cleaning supplies, clothes and food, free of charge. The health system is thankful to Rite Aid, who donated many of these items and kept the shelves stocked.
  • As communities began to rebuild after Superstorm Sandy, residents also had health issues that needed attention. North Shore-LIJ organized mobile medical vans to assist those living in storm-ravaged areas, such as Long Beach and Lindenhurst, Long Island and Broad Channel, Queens. "Project Coastal Care" provides free medical evaluations by North Shore-LIJ doctors and nurses, primary and urgent care services, blood pressure checks, diabetes evaluations, prescription refills, flu shots and tetanus shots. Staff is also available to respond to medical questions and concerns of local residents and offer medical advice. The mobile medical outreach will continue thanks to a generous grant from the Robin Hood Relief Fund. The partnership with the Robin Hood Foundation enables North Shore-LIJ to continue its mission of providing basic medical services to those in need.

    Even when a great many of us were experiencing personal and devastating effects as a result of Sandy, our focus remained on our patients. With our supporters help, we were able to provide quality care to the 7 million people in our service area during a crisis even as we continue to rebuild.

Cohen Children's Medical Center Opens New Pavilion

  • Cohen Children's Medical Center is the largest provider of pediatric health services in New York State. In the past five years, the number of emergency visits has jumped by more than 20 percent to over 40,000 children annually. Receiving more than 2,500 patients from over 100 hospitals through the New York metropolitan region last year, Cohen was in need of an expansion to meet the community needs.

    A new six-story, 115,000-square-foot facility that doubled the size of Cohen's Emergency Department was made possible through our generous and committed donors who have stood by and supported the hospital. The philanthropic vision of Steven and Alexandra Cohen in particular, has propelled this institution to great heights. "Alex and I are committed to helping sick children get well and we are very pleased that the Cohen Pediatric Center will help innumerable Long Island families and their children heal," said Steven. In addition to the Cohen family, we offer our deepest gratitude to the Blumenfeld family, The Children's Medical Fund of New York, the Gambino family, The Gambino Medical and Science Foundation, and the Rudolph family, whose individual and collective support have enabled us to become a world-class children's hospital.
  • Through the continued dedication of our benefactors, hundreds of thousands of children and families will benefit from our expertise in clinical and holistic care in this beautiful facility for decades to come. This child-friendly and family-centered facility is designed to reflect a different theme from nature and features works of art designed and created by our patients and local artists. The new pavilion houses the region's largest, dedicated pediatric emergency department. With the lowest radiation dose computed tomography (CT) scanner, the expansion further enhances the hospital's reputation as the leading provider of children's health services in the metropolitan area. The pavilion's design also includes shell space for future expansion of our surgical facilities and other programmatic expansion.

    The opening of the new pavilion marks a crowning achievement in the history of the hospital, which celebrated its 30th anniversary of service to the community. We would like to thank all of our donors for standing by us as we open new doors in children's care and for the role they will play as we continue to forge ahead.

Administration and Facilities





  • Senior Leadership

    Michael J. Dowling
    President & Chief Executive Officer

    Ralph A. Nappi, JD
    President, North Shore-LIJ Health System Foundation

    Mark J. Solazzo
    Executive Vice President & Chief Operating Officer

    Lawrence G. Smith, MD
    Executive Vice President & Physician- in- Chief, North Shore-LIJ Health System; Dean, Hofstra North Shore-LIJ School of Medicine

    Robert S. Shapiro, CPA
    Executive Vice President & Chief Financial Officer

    David L. Battinelli, MD
    Senior Vice President & Chief Medical Officer

    John Bosco, MD
    Senior Vice President
    Chief Information Officer

    Joseph Cabral
    Senior Vice President & Chief Human Resources Officer


  • Yosef Dlugacz, PhD
    Senior Vice President, Krasnoff Institute

    Donna Drummond
    Senior Vice President & Chief Administrative Officer

    Kevin J. Dwyer
    Senior Vice President & Chief Development Officer

    Cecelia T. Fullam
    Senior Vice President, North Shore-LIJ Health System Foundation

    Kathleen Gallo, RN, PhD
    Senior Vice President & Chief Learning Officer

    Howard Gold
    Executive Vice President, Managed Care & Business Development

    Mark P. Jarrett, MD
    Senior Vice President, Clinical Excellence & Chief Quality Officer

    Jeffrey A. Kraut
    Senior Vice President, Strategic Planning

    Jennifer Mieres, MD
    Senior Vice President, Office of Community and Public Health



  • Philip Silverman
    Senior Vice President, Facilities and Real Estate Services

    Keith Thompson
    Senior Vice President & General Counsel

    Maureen White, RN
    Senior Vice President & Chief Nurse Executive

    Andrew Yacht, MD
    Chief Academic Officer & Vice President, Academic Affairs

    Owned and Sponsored Hospitals

    Western Region

    Lenox Hill Hospital
    New York, NY

    Dennis Connors
    Executive Director

    Anthony Antonacci, MD
    Medical Director

    Neil Epstein, MD
    President, Medical Board

    Vicken Pamoukian, MD
    President, Physicians Attending Association

Administration and Facilities





  • Staten Island University Hospital*

    Anthony C. Ferreri
    President and Chief Executive Officer

    Theodore Mainatis, MD
    Interim Medical Director

    Donna Seminara, MD
    President, Medical and Dental Staff

    Manhattan Eye Ear and Throat Hospital***
    New York, NY

    John Gupta
    Executive Director

    Central Region

    Eugene Tangney
    Regional Executive Director

    Cohen Children’s Medical Center of New York***
    New Hyde Park, NY

    Kevin McGeachy
    Executive Director


  • Vincent Parnell, MD
    Chairman, Medical Leadership Council

    Andrew Steele, MD
    Medical Director

    Forest Hills Hospital**

    Rita Merceica, RN
    Executive Director

    Gerard Brogan, MD
    Medical Director

    Ben Greenblatt, MD
    President, Medical Staff

    Glen Cove Hospital**

    Susan Kwiatek, RN
    Executive Director

    Barbara Barnett, MD
    Medical Director

    Richard Zenn, MD
    Chairman, Medical Board

    Philip DeLuca, MD
    President, Medical Staff


  • Long Island Jewish Medical Center*
    New Hyde Park, NY

    Chantal Weinhold
    Executive Director

    Richard Schwarz, MD
    Medical Director

    Jacob S. Scheinerman, MD
    President, Medical Board

    Louis J. Auguste, MD
    President, Medical Staff Society

    North Shore University Hospital*
    Manhasset, NY

    Susan Somerville, RN
    Executive Director

    Vicki LoPachin, MD
    Medical Director

    Samuel Packer, MD
    President, Medical Board

    Simon Prince, MD
    President, Medical Staff Society

Administration and Facilities





  • The Zucker Hillside Hospital***
    Glen Oaks, NY

    Joseph Schulman
    Executive Director

    John Kane, MD
    Chairman, Psychiatry
    Vice President, Behavioral Health Services

    Blaine Greenwald, MD
    Vice Chairman, Psychiatry
    Medical Director

    Eastern Region

    Winifred B. Mack, RN
    Regional Executive Director

    Franklin Hospital**
    Valley Stream, NY

    Catherine Hottendorf, RN
    Executive Director

    Jack Rubenstein, MD
    Medical Director


  • Huntington Hospital**

    Kevin F. Lawlor
    President & Chief Executive Officer

    James N. Romanelli, MD
    Chief of Staff Chair, Medical Board

    Michael B. Grosso, MD
    Senior Vice President, Medical Affairs

    Douglas Byrnes, MD
    President, Medical Staff

    William H. Frazier
    Chairman, Board of Trustees

    Plainview Hospital**

    Michael Fener
    Executive Director

    Alan Mensch, MD
    Senior Vice President, Medical Affairs, Medical Director

    Dorit Ben-Moha, MD
    Medical Staff President

    Southside Hospital*
    Bay Shore, NY


  • Donna Moravick, NP
    Executive Director

    Jay B. Enden, MD
    Medical Director

    Dennis Caruana
    Vice President, Medical Operations

    Michael R. Delman, MD
    Senior Vice President Academic Affairs

    Adriane Collins
    President, Medical Staff

    South Oaks Hospital
    Amityville, NY

    Robert E. Detor
    President & Chief Executive Officer

    Christine Moran
    Vice President, Behavioral Health Services

    Yogendra Upadhyay, MD
    Senior Vice President, Medical Affairs

    Robert F. Rose
    Chair, Board of Trustees

Administration and Facilities





  • Syosset Hospital**

    Michael Fener
    Executive Director

    Alan Mensch, MD
    Senior Vice President, Medical Affairs

    Randy DiLorenzo, MD
    Medical Director, Chairman, Leadership Coordinating Group

    Andre Saad, MD
    Medical Staff President

    Post-Acute Services

    Merryl Siegel
    Regional Executive Director

    Broadlawn Manor Nursing & Rehabilitation Center
    Amityville, NY

    Robert E. Detor
    President & Chief Executive Officer

    Gerard M. Kaiser
    Vice President, Senior Services

    Hena Siddiqui, MD
    Medical Director


  • Robert F. Rose
    Chair, Board of Trustees

    Orzac Center for Rehabilitation
    Valley Stream, NY

    Maureen E. McClusky
    Executive Director

    Barbara Tommasulo, MD
    Medical Director

    Stern Family Center for Extended Care and Rehabilitation
    Manhasset, NY

    Maureen E. McClusky
    Executive Director

    Howard J. Guzik, MD
    Medical Director

    Center for Emergency Medical Services
    Syosset, NY

    Alan Schwalberg
    Vice President

    Thomas Kwiatkowski, MD
    Medical Director



  • Core Laboratory
    Lake Success, NY

    James Crawford, MD
    Senior Vice President, Laboratory Services

    Robert Stallone
    Vice President, Laboratories

    Home Care Network
    Westbury, NY

    Merryl Siegel
    Executive Director

    Irina Mitzner, RN
    Clinical Director

    Hospice Care Network

    Maureen Hinkelman
    President & Chief Executive Officer

    Lori Ann Attivissimo, MD, FACP, FAAHPM
    Senior Medical Director

    Patricia Bloomgarden
    Board Chair

Administration and Facilities





  • Sports Therapy And Rehabilitation Services (STARS)
    East Meadow/Roslyn Heights/Forest Hills

    Nina DePaola, PT
    Executive Director

    The Feinstein Institute for Medical Research
    Manhasset, NY

    Kevin J. Tracey, MD
    Director & Chief Executive Officer

    Bettie M. Steinberg, PhD
    Chief Scientific Officer

    Barbara Hrbek Zucker
    Chair, Board of Directors

    Physician and Ambulatory
    Network Services


    Dennis Dowling
    Regional Executive Director

    Ira Nash, MD
    Vice President & Medical Director

    Louis Potters, MD
    Chair, Medical Group Executive Committee


  • Affiliate Organizations

    Adults and Children with Learning and Developmental Disabilities (ACLD)
    Bethpage, NY

    Aaron Liebowitz
    Executive Director

    Richard J. Kessler, DO
    Medical Director

    Gregory M. LiCalzi
    President, Board of Trustees

    A. Holly Patterson Extended Care Facility
    Uniondale, NY

    Arthur Gianelli
    President & Chief Executive Officer

    Larry Slatky
    Vice President Chief Operating Officer

    Olukayode Ojutiku, MD
    Medical Director



  • Amsterdam Nursing Home
    New York, NY

    James Davis
    President & CEO

    Joel Blass, MD
    Medical Director

    Amsterdam at Harborside
    Port Washington, NY

    James Davis
    President & CEO

    Luigi Capobiano, MD
    Medical Director

    AHRC
    Nassau

    Michael Mascari
    Executive Director

    Archcare at Carmel Richmond Healthcare and Rehabilitation Center

    Sister Maureen T. Murray, O.Carm
    Administrator & Executive Director

    Dr. William H. Howe
    Medical Director

Administration and Facilities





  • Carillon Nursing and Rehabilitation Center
    Huntington, NY

    Joseph F. Carillo II
    Administrator

    Anthony Antonucci, MD
    Medical Director

    Central Island Nursing and Rehabilitation
    Plainview, NY

    Michael Ostreicher
    Administrator

    Moshe Shirazi, MD
    Medical Director

    Cold Spring Hills Center for Nursing and Rehabilitation
    Woodbury, NY

    Robert J. Baranello
    Chief Executive Officer

    Olaf Butchma, DO
    Medical Director

    Eger Health Care and Rehabilitation Center
    Staten Island, NY

    Maureen Dugan, RN, MPA, NHA
    Administrator & CEO


  • James Lamia, MD
    Medical Director

    Fairview Nursing Care Center
    Forest Hills, NY

    Charles-Edouard Gros
    Executive Director

    Avi Katz
    Administrator

    Minal Shah, MD
    Medical Director

    Glengariff Health Care Center
    Glen Cove, NY

    Sanjay Ahuja
    Chief Executive Officer

    Gregorio Reyes, MD
    Medical Director

    Grace Plaza Nursing and Rehabilitation Center
    Great Neck, NY

    Martha Sweet
    Administrator

    Myles Gombert, MD
    Medical Director


  • Highfield Gardens Care Center of Great Neck
    Great Neck, NY

    Bruce Peckman
    President & Chief Executive Officer

    James Lolis, MD
    Medical Director

    Huntington Hills Center for Health and Rehabilitation
    Melville, NY

    Ken Knutsen
    Administrator

    Charles Timson, MD
    Medical Director

    Nassau University Medical Center
    East Meadow, NY

    Arthur A. Gianelli
    President & Chief Executive Officer

    Steven J. Walerstein, MD
    Senior Vice President, Medical Affairs Medical Director

    Craig Vincent Rizzo
    Chairman, Board of Directors

Administration and Facilities





  • Parker Jewish Institute for Health Care and Rehabilitation
    New Hyde Park, NY

    Michael Rosenblut
    President & Chief Executive Officer

    Conn Foley, MD
    Medical Director

    Peninsula Counseling Center
    Woodmere, NY

    Herbert E. Ruben
    Executive Director

    Port Jefferson Healthcare
    Port Jefferson, NY

    Ellen Harte
    Administrator

    Mark Bernstein, MD
    Medical Director



  • Queens Boulevard Extended Care Facility
    Woodside, NY

    Jonathan Mawere, DPT, MD
    Administrator & Chief Operating Officer

    Ahmed Rabbat, MD
    Medical Director

    Regal Heights Rehab and Health Care Center
    Jackson Heights, NY

    Thomas Younghans
    Administrator

    Stephanie DeJesus, MD
    Medical Director

    South Shore Healthcare
    Freeport, NY

    Cathie Geraghty-Doyle
    Administrator

    Olaf Butchma, DO
    Medical Director

    Atria Senior Living
    Various locations

    John Moore
    Chief Executive Officer





Contact Us





  • North Shore-LIJ Health System
    145 Community Drive
    Great Neck, NY 11021
    516.465.8000

    www.northshorelij.com