2011 Annual ReportYour Health Means Everything™               WHITE              PMS431
ver Care Ophthalmology Hepatitis C Kidney Center Hypertrophic Cardiomyopathy Dialysis Genetics Brain Cancer Endoscopyar, N...
Winthrop-University Hospital 2011 Annual Report    Your Health Means Everything ™Winthrop-University Hospital’s mission is...
Winthrop-University Hospital 2011 Annual Report                      A Message from the President & CEO and Chairman of th...
3
Winthrop-University Hospital 2011 Annual Report               A Message from the President & CEO and Chairman of the Board...
in 1896 we were Long Island’sfirst voluntary communityhospital with 48 beds.
Research        Education         Healthcare                                                                              ...
ONE of the Best Regional                                Hospitals for Cancer Care in                                the Ne...
Winthrop-University Hospital 2011 Annual Report      At Winthrop, we treat the most complex casesAs a major regional healt...
Winthrop’sFetal SurgeryProgram... is the only onein our region that allowsin-utero treatment options.
FIRST hospital onLong Island to acquire thedaVinci Si HD Dual ConsoleRobotic Surgical System
Winthrop-University Hospital 2011 Annual Reportimage of the surgical field of interest. Fine surgical instruments        L...
Winthrop-University Hospital 2011 Annual ReportWhen 49-year-old music industry marketing professional TyroneKelsie went fo...
$27,845,238in Charity CareDelivered in 2011
More than 37,000inpatients, over 68,000emergency visits, 802,000Outpatient Encountersat Winthrop faculty &associated pract...
Winthrop-University Hospital 2011 Annual ReportPerhaps the most exciting advancement in prostate cancer                   ...
Winthrop-University Hospital 2011 Annual ReportWinthrop’s Cardiac Surgery Program has long been a bench-                  ...
ONE    of the BestRegional Hospitals,with 11 high performingspecialtiesU.S. News & World Report
FIRST and onlyhospital on L.I. tosuccessfully attest forStage 1 MeaningfulUse of HealthInformation Technologyin 2011
Winthrop-University Hospital 2011 Annual Reportto fund Winthrop’s efforts to help its affiliated primary care            l...
Winthrop-University Hospital 2011 Annual Report                                                                          D...
$71,744,000*Invested in MedicalEducation in 2011*estimated
FIRST andonly RegenerativeMedicine Programfor wound healingin the Northeast
Winthrop-University Hospital 2011 Annual ReportRespecting tradition                                                       ...
Winthrop-University Hospital 2011 Annual Report                                                                          F...
FOURTH year in arow among the top 5%of hospitals Nationwide
Winthrop-University Hospital 2011 Annual ReportResearch                                                                   ...
Winthrop-University Hospital 2011 Annual ReportAlan M. Jacobson, MD, Chief Research OfficerUnder a March of Dimes grant, W...
Winthrop-University Hospital 2011 Annual ReportJohn F. Aloia, MD, Chief Academic Officer, announces the creation of the Wi...
Winthrop-University Hospital 2011 Annual ReportPrior to this new designation, Winthrop was a Stony Brook                  ...
Winthrop-University Hospital 2011 Annual ReportAmong the topics and conditions studied in this academic                   ...
Winthrop-University Hospital 2011 Annual ReportMaureen Gaffney, MHS, RPAC, RN, Winthrop’s Senior Vice President for Patien...
Winthrop-University Hospital 2011 Annual ReportMichael Ammazzalorso, MD, MACP, Chief Medical Officer & Associate Chairman ...
Winthrop University Hospital 2011 Annual ReportWinthrop’s Chief Operating Officer, Garry J. Schwall, MBA, RPA, drives grow...
Winthrop-University Hospital 2011 Annual ReportWinthrop-University Hospital Campus Winthrop-University Hospital owns 50 bu...
Main Campus
Winthrop AR
Winthrop AR
Winthrop AR
Winthrop AR
Winthrop AR
Winthrop AR
Winthrop AR
Winthrop AR
Winthrop AR
Upcoming SlideShare
Loading in...5
×

Winthrop AR

1,129

Published on

Winthrop Hospital Annual Report

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,129
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
5
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "Winthrop AR"

  1. 1. 2011 Annual ReportYour Health Means Everything™ WHITE PMS431
  2. 2. ver Care Ophthalmology Hepatitis C Kidney Center Hypertrophic Cardiomyopathy Dialysis Genetics Brain Cancer Endoscopyar, Nose  Throat &  Dental Medicine Cardiac Rehab Anesthesiology daVinci Robot Behavioral Health Imaging Services reast Imaging CT Scan MRI Neuroradiology Nuclear Medicine PET Scan Maternity Radiation Oncology Radiology Stroke ltrasonography Endocrinology & Metabolism Hepatology Weight Loss Chronic Pain Asthma Orthopaedics Nutrition Geriatricsnfectious Disease ALS Nephrology Hypertension Neurology Arthritis Oncology Hematology Neuropathy Bariatric Surgery Tumors At Winthrop-University Hospital,hysical Therapy Children’s Health Angioplasty Critical Care Medicine CyberKnife Rheumatology Allergy Education Breast Cancerpinal  Immunology Maternal-Fetal Medicine Cancer Care Ambulatory Surgery Cardiac Rehab Home Health Care eproductive Health Endocrinology Infertility Care COPD Urogynecology Research Neurosciences Pathology Alzheimer’s Diseaseulmonary Hypertension outstanding medical education, Surgery Diabetes Herniated Discs Oral  Maxillofacial  &  Surgery Plastic & Reconstructive  igestive Care Urology Neuromuscular Disease Parkinson’s Disease Bed Wetting Hyperbarics Trauma Bereavement Blood SurgeryWound Healing Disorders Neurosurgery Breast Feeding Pediatrics Atrial Fibrillation Breast Health Chronic Fatigue Syndrome cutting-edge biomedical research olitis & Crohn’s Disease Colon Cancer Pulmonary Emphysema Epilepsy Gallbladder/Disease Heart Care Pancreatic canceramily Care Impotence Incontinence Inflammatory Bowel Disease Dystonia Lupus Lyme Disease Tourette Syndrome Melanoma emory Problems OB/GYN Menopause Spasticity Gastroenterology Men’s Health Parkinson’s Disease Sleep Disordersoint Replacement Emergency  Medicine Tremors Poisoning Pregnancy Prostate  Cancer Heart Failure Kidney Disease Seizure Disorders and state-of-the-art healthcareexually Transmitted Diseases Headaches Movement Disorders Open Heart Surgery Prostate Care Nuclear Cardiology Lung Cancer nusitis Dermatology Multiple Sclerosis (MS) Swallowing Disorders Neonatology Memory Disorders Cardiology Travel Medicineports medicine Pain Management Vascular Surgery Osteoporosis Clinical Trials Childhood Cancer Liver Care Ophthalmology epatitis C Kidney Center come together to create an Hypertrophic Cardiomyopathy Dialysis Genetics Brain Cancer Endoscopy Ear, Nose  Throat ental Medicine Cardiac Rehab Anesthesiology daVinci Robot Behavioral Health Imaging Services Breast Imaging CT Scan MRI &  euroradiology Nuclear  Medicine PET  Scan Maternity Radiation Oncology Radiology Stroke Ultrasonography ideal environment for healingndocrinology & Metabolism Hepatology Weight Loss Chronic Pain Asthma Orthopaedics Nutrition Geriatrics Infectious DiseaseALS Nephrology Hypertension Neurology Arthritis Oncology Hematology Neuropathy Bariatric Surgery Physical Therapy hildren’s Health Angioplasty Critical Care Medicine CyberKnife Rheumatology Allergy Education Breast Cancer Spinal TumorsImmunology Maternal-Fetal Medicine Cancer Care Ambulatory Surgery Cardiac Rehab Home Health Care Reproductive Healthndocrinology Infertility ulmonary Hypertension Care Surgery COPD Diabetes patients today—and in Urogynecology Herniated Discs Research Neurosciences Oral  Maxillofacial  &  Surgery Pathology Plastic  Alzheimer’s Disease & Reconstructive Surgery igestive Care Urology Neuromuscular Disease Parkinson’s Disease Bed Wetting Hyperbarics Trauma Bereavement Blood the years to come.Wound Healing Disorders Neurosurgery Breast Feeding Pediatrics Atrial Fibrillation Breast Health Chronic Fatigue Syndrome olitis & Crohn’s Disease Colon Cancer Pulmonary Emphysema Epilepsy Gallbladder/Disease Heart Care Pancreatic canceramily Care Impotence Incontinence Inflammatory Bowel Disease Dystonia Lupus Lyme Disease Tourette Syndrome Melanoma emory Problems OB/GYN Menopause Spasticity Gastroenterology Men’s Health Parkinson’s Disease Sleep Disordersoint Replacement Emergency  Medicine Tremors Poisoning Pregnancy Prostate  Cancer Heart Failure Kidney Disease Seizure Disordersexually Transmitted Diseases Headaches Movement Disorders Open Heart Surgery Prostate Care Nuclear Cardiology Lung Cancer nusitis Dermatology Multiple Sclerosis (MS) Swallowing Disorders Neonatology Memory Disorders Cardiology Travel Medicineports medicine Pain Management Vascular Surgery Osteoporosis Clinical Trials Childhood Cancer Liver Care Ophthalmology epatitis C Kidney Center Hypertrophic Cardiomyopathy Dialysis Genetics Brain Cancer Endoscopy Ear, Nose  Throat &  ental Medicine Cardiac Rehab Anesthesiology daVinci Robot Behavioral Health Imaging Services Breast Imaging CT Scan MRI euroradiology Nuclear  Medicine PET  Scan Maternity Radiation Oncology Radiology Stroke Ultrasonographyndocrinology & Metabolism Hepatology Weight Loss Chronic Pain Asthma Orthopaedics Nutrition Geriatrics Infectious DiseaseALS Nephrology Hypertension Neurology Arthritis Oncology Hematology Neuropathy Bariatric Surgery Physical Therapy hildren’s Health Angioplasty Critical Care Medicine CyberKnife Rheumatology Allergy Education Breast Cancer Spinal TumorsImmunology Maternal-Fetal Medicine Cancer Care Ambulatory Surgery Cardiac Rehab Home Health Care Reproductive Healthndocrinology Infertility  Care COPD Urogynecology Research Neurosciences Pathology Alzheimer’s Diseaseulmonary Hypertension Surgery Diabetes Herniated Discs Oral  Maxillofacial  &  Surgery Plastic & Reconstructive Surgery igestive Care Urology Neuromuscular Disease Parkinson’s Disease Bed Wetting Hyperbarics Trauma Bereavement BloodWound Healing Disorders Neurosurgery Breast Feeding Pediatrics Atrial Fibrillation Breast Health Chronic Fatigue Syndrome olitis & Crohn’s Disease Colon Cancer Pulmonary Emphysema Epilepsy Gallbladder/Disease Heart Care Pancreatic canceramily Care Impotence Incontinence Inflammatory Bowel Disease Dystonia Lupus Lyme Disease Tourette Syndrome Melanoma emory Problems OB/GYN Menopause Spasticity Gastroenterology Men’s Health Parkinson’s Disease Sleep Disorders
  3. 3. Winthrop-University Hospital 2011 Annual Report Your Health Means Everything ™Winthrop-University Hospital’s mission is to provide high quality, safe, culturally competent, andcomprehensive healthcare services in a teaching and research environment which improve the healthand well-being of the residents of Nassau County and contiguous county areas...based on a profoundcommitment to an enduring guiding principle, “Your Health Means Everything.” R ese arch E ducation H ealthcare 1
  4. 4. Winthrop-University Hospital 2011 Annual Report A Message from the President & CEO and Chairman of the Board “Our promise is never to accept the status quo.” Charles M. Strain, Chairman of the BoardFor Winthrop-University Hospital, 2011 was another year of Our long-standing academic mission was strengthened in 2011growth and financial stability, an impressive accomplishment when Winthrop became a Clinical Campus of the Stony Brookduring these economically challenging times. University School of Medicine. As a teaching affiliate prior to this new designation, Winthrop hosted medical student rotationsWe closed the year with an operating margin of 2.83%, dem- through various clinical departments. As a Clinical Campus,onstrating the efficiency of our operation, which is driven to 80 third- and fourth-year medical students will live and traina great extent by our foresight in technology investment and at Winthrop each year, making Winthrop the only Long Islandthe efforts of our dedicated staff to provide superior care that hospital training students under this model.results in reduced lengths of stay for patients. Our occupancyrates remained steady at 91.7%, slightly higher than the 91.1% To ensure our continued success, Winthrop’s board and admin-reported for 2010. istrative team this year adopted a long-term strategy that focuses on enhancing our research capabilities and on continuing toOur clinical achievements last year were impressive. For exam- identify operational efficiencies.ple, in 2011 our surgeons achieved a breakthrough in minimallyinvasive surgery techniques when they successfully performed Strengthening researchesophageal surgery by inserting an endoscope through the Research is the cornerstone of progress in medicine, andpatient’s mouth, thereby avoiding an incision. Natural Orifice Winthrop historically has had robust programs in basic, clinicalTransluminal Endoscopic Surgery (N.O.T.E.S.) holds great prom- and health outcomes research. At present, these activities areise, and the accomplishment of our surgeons in using the tech- spread throughout our campus. In 2011, the administrationnique to treat a condition of the esophagus, known as Achalasia, and the board of directors, in collaboration with our clinicalpaves the way for further innovation. and research faculty, adopted a plan to consolidate all our research efforts into one new location to be known as TheWe remain among the top 5% of hospitals nationwide Research Institute.It is not surprising then that HealthGrades, the nation’s mosttrusted source of healthcare provider information, has named The Institute will reside in a new, four-floor, 95,000-square-us a Distinguished Hospital for Clinical Excellence™ for the foot building that will include core laboratories, a clinical trialfourth consecutive year. This prestigious distinction places center and classrooms for medical students. To enhance ourWinthrop-University Hospital among the Top 5% of hospitals bench-to-bedside research, the facility will include an in-patientnationwide for clinical performance. area for adult and pediatric endocrine patients. This will increase John F. Collins, President and Chief Executive Officer, (left), Charles M. Strain, Chairman of the Board (right) 2
  5. 5. 3
  6. 6. Winthrop-University Hospital 2011 Annual Report A Message from the President & CEO and Chairman of the Board (continued)“Research and education are the driving forces of excellence in healthcare.” John F. Collins, President and CEO collaboration among scientists and clinicians researching such We are pleased to report that we were the first and only Long diseases as diabetes. Island hospital to demonstrate meaningful use of EHR tech­ nology during the 2011 federal fiscal year. As a result, the hos- In addition to research on diabetes, obesity and the cardio­ pital qualified for the financial incentive program established metabolic complications that arise from those conditions, the by the American Recovery and Reinvestment Act of 2009 and Institute will focus on other pressing national and local health received $3.2 million from the U.S. Department of Health and issues, including reducing premature births and treating condi- Human Services to continue implementing its IT program. tions related to aging, such as Alzheimer’s disease and arthritis. Streamlining and strengthening Winthrop’s research programs Teamwork makes the difference will make discoveries more readily accessible to patients, will Our successes in 2011 are numerous, and we hope that you better support our outstanding researchers and will allow us to will learn more about them through reading this report. This continue attracting nationally recognized faculty and scientists, level of accomplishment is possible only because of the col­ all of which support our tri-part mission of patient care, aca- laborative mindset and dedicated efforts of our physicians, demics and research. nurses, other healthcare professionals, staff, board members and volunteers. Boosting patient safety via technology Every day, we put the health of our patients front and center, Our decision more than five years ago to invest in and pioneer and we never forget that your health means everything. healthcare technology has paid off handsomely. Motivated by a desire to improve patient safety, Winthrop now boasts an electronic health record (EHR) system that allows healthcare providers to input orders electronically, eliminating handwriting errors, speeding the delivery of medications to the bedside and John F. Collins offering an additional system of checks-and-balances to ensure President & CEO that patients are receiving their proper medication. Equally important, the EHR system allows immediate sharing of crucial patient information among those caring for patients and paves the way toward the national goal of connecting health- care providers and patients through compatible, standardized Charles M. Strain EHR systems nationwide. Chairman of the Board 4
  7. 7. in 1896 we were Long Island’sfirst voluntary communityhospital with 48 beds.
  8. 8. Research Education Healthcare       Healthcare at Winthrop Cancer Care Digestive Care Family CareWinthrop-University Hospital Winthrop is certified with From acid reflux to pancreatic From unborn babies andoffers the most sophisticated commendation by the cancer, Winthrop provides premature infants to childrendiagnostic and therapeutic American College of comprehensive preventive, of all ages and young adultscare in virtually every spe- Surgeons’ Commission on diagnostic, and interventional through geriatric patients,cialty and subspecialty of Cancer. The Hospital pro- care for all aspects of gastro- Winthrop provides the fullmedicine and surgery. Ever vides a full spectrum of care intestinal (GI) health. With range of healthcare serviceschanging and growing with from advanced diagnostic specialized programs for for the entire family. Winthropthe diverse community it technology through surgery, Crohn’s and Colitis, women’s offers comprehensive pro-serves, Winthrop is a unique chemotherapy, and radiation GI issues, and Hepatitis C, grams in women’s health,institution that successfully therapy—including the break- and an advanced endoscopy including a high-risk preg-blends the progressive philos- through treatment CyberKnife ® program that is paving the nancy program; men’s health,ophy and sophistication of —for all types of cancer with way in natural orifice translu- featuring the widest range ofa teaching and research insti- outcomes on par with other minal endoscopic surgery options for prostate care; andtution with a very personal major cancer centers. (N.O.T.E.S.), Winthrop is a a full complement of pediatricapproach to patient care. leader in GI care. generalists and subspecialists. 6
  9. 9. ONE of the Best Regional Hospitals for Cancer Care in the New York Metro Region U.S. News & World Report       Heart Care Lung Care Neurosciences Specialty CareWinthrop’s Heart and Sleep apnea and other sleep Winthrop’s Department of Winthrop also offers a wideVascular Institute offers the disorders are diagnosed and Neurosciences provides range of Specialty Care serv­most advanced diagnostic, corrected at Winthrop’s hotel- comprehensive neurological ices including a Bariatriclifestyle and disease preven- style Sleep Disorders Center and neurosurgical services. Surgery Center of Excellence,tion programs, as well as —the first sleep center on L.I. Resources at Winthrop include an Orthopaedic programsophisticated medical treat- to achieve national accredita- a sophisticated 14-bed Neuro­ that includes experts in jointment and cardiac rehabilita- tion more than 20 years ago. sciences Special Care Unit, a replacement and sports medi-tion, the latest procedures Board-certified pulmonary dedicated Epilepsy Program cine, the Winthrop Diabetesin interventional cardiology, specialists provide the most and a comprehensive MS Education Center, an unparal-and superior cardiac surgery. advanced care for the full Care Center. Winthrop’s leled Wound Healing andWinthrop is known across range of pulmonary conditions advanced facilities and expert Regenerative Medicine pro-New York State for its excel- from asthma and chronic Stroke Team contributed to gram, and the largest hospital-lent outcomes in cardiac care obstructive pulmonary dis- Winthrop being named a based renal dialysis programfor men, women and children. ease (COPD) to pulmonary New York State Department on the Island. hypertension. of Health designated Stroke Center. 7
  10. 10. Winthrop-University Hospital 2011 Annual Report At Winthrop, we treat the most complex casesAs a major regional healthcare resource with a long-standing pleural effusions or fluid build-up in the space around thecommitment to medical education and research, Winthrop- lungs, among other conditions. Our experts also perform fetalUniversity Hospital offers patients facing complex health issues shunting drainage procedures to correct, for example, lowerhighly sophisticated care, some of which is not available any- urinary tract obstructions that may harm the fetus’ kidneys.where else in our region. These and other fetal surgeries are available exclusively throughFrom unborn babies to elderly patients struggling with chronic Winthrop’s prestigious Maternal Fetal Medicine program. Atillnesses, patients find help—and hope—at Winthrop. Winthrop, not only do we ensure the optimal health of moms- to-be and ensure the safest possible delivery of babies, but alsoFetal surgery saves babies’ lives we save the lives of at-risk mothers and babies…nothing couldWhile news of a baby on the way is joyous, pregnancy is be more important.not without risk. Thanks to Winthrop’s Fetal Surgery Program,which is the only one on Long Island that allows in-utero Robotic surgery use expandssurgical treatment options, conditions that once may have The sophistication of minimally invasive surgical techniquesthreatened a fetus are being treated successfully during early continues to grow, and Winthrop-University Hospital remains apregnancy. leader in the use of these procedures. The hospital was the first on Long Island to acquire the daVinci Si HD Surgical System,Our team of fetal medicine specialists uses state-of-the-art fetal the most current equipment of this type.treatments including fetoscopic laser coagulation procedures tocorrect twin-to-twin transfusion syndrome, intrauterine blood Seated at a console a few feet away from the patient, surgeons,transfusions to treat conditions such as fetal anemia and fetal with their fingers attached to robotic controls, view a high-thrombocytopenia, and intrauterine shunt catheters to treat definition screen displaying a three-dimensional magnified 8
  11. 11. Winthrop’sFetal SurgeryProgram... is the only onein our region that allowsin-utero treatment options.
  12. 12. FIRST hospital onLong Island to acquire thedaVinci Si HD Dual ConsoleRobotic Surgical System
  13. 13. Winthrop-University Hospital 2011 Annual Reportimage of the surgical field of interest. Fine surgical instruments Long Island has a higher-than-average incidence of breastthen are placed inside the patient through tiny incisions and cancer. The experts at the Winthrop Breast Health Center pro-the surgeon is ready to work. vide comprehensive risk assessment, diagnosis, treatment and follow-up care to patients. The team specializes in the evalua-Surgeries performed with robotic tools not only are replacing tion and treatment of all types of breast conditions, includingtraditional open surgeries, but also are providing outstanding benign and malignant breast tumors, breast pain, suspiciouspatient outcomes. Among the fastest growing specialty proce- and abnormal mammograms, previous breast cancer diagnosisdures being performed at Winthrop with the daVinci surgical or positive biopsy, and BRCA1 or BRCA2 genetic mutations.robot are hysterectomies, gynecological oncology surgeries,colon resections, gastric bypass surgeries, partial nephrecto- In 2011, our Breast Health Center earned a three-year fullmies, and prostatectomies. In 2011, Long Island’s first robotic- accreditation by the National Accreditation Program for Breastassisted lung surgery was performed at Winthrop, and the Centers (NAPBC), a program administered by the AmericanHospital acquired a second daVinci robot, equipped with the College of Surgeons. Winthrop’s Center is only one of 12 suchmost sophisticated fluorescent imaging capabilities. centers in New York State and the only center in Nassau County to achieve this prestigious accreditation.Winthrop excels in women’s healthcare HealthGrades, the nation’s leading independent source ofWinthrop-University Hospital has become a nationally recog- physician information and hospital quality ratings, in 2011 hon-nized, regional leader in women’s health services. ored Winthrop with both the Gynecologic Surgery Excellence An avid runner and skydiver, Connie Murphy appeared to be in good health when she discovered a small lump in her groin. The 49-year-old Huntington resident and sales professional was shocked to learn of her diagnosis of stage 3 ovarian cancer. After several unsatisfactory consultations, Ms. Murphy sought out Dr. Eva Chalas, Chief of Gynecologic Oncology and Director of Clinical Cancer Care at Winthrop, and reports that Dr. Chalas was the only specialist who gave her hope. “Here at Winthrop, we offer state-of-the-art radical and ultra-radical surgeries for gynecological cancers,” says Chalas. “And, because of our active research programs, we also can provide patients with access to innovative therapies, such as new types of chemotherapy.” Ms. Murphy underwent a complete hysterectomy and removal of metasta- sized cancer lesions on surrounding organs, a procedure that took more than five hours. “The incision ran from my pelvis to the top of my diaphragm,” Ms. Murphy recalls. With surgery followed by chemotherapy, Ms. Murphy stayed as physically active as possible and with Dr. Chalas’ blessing, she was back on her exercise bicycle two weeks after surgery. Today, she has returned to her accomplished running routine and skydiving activity, and is preparing to become a certified skydiving instructor, an outcome Murphy credits to the care and support she received at Winthrop. “Staying fit was an important part of my lifestyle, treatment plan and recovery,” says Ms. Murphy, “and Dr. Chalas supported me in that every step of the way.” 11
  14. 14. Winthrop-University Hospital 2011 Annual ReportWhen 49-year-old music industry marketing professional TyroneKelsie went for his routine physical exam, he was feeling just fine.“I didn’t feel like anything was wrong,” says the Westbury resident.A month later he was trying to decide the best treatment optionfor prostate cancer. When Tyrone’s father was diagnosed with prostate cancer several years ago,his prostate was removed, a path that Tyrone was not keen to follow. With thehelp of family and a close friend, Tyrone researched prostate cancer treatmentsand learned about CyberKnife. Despite its name, CyberKnife is not surgery,but rather a technology that provides highly precise radiation therapy to treattumors while minimizing damage to surrounding tissue. Tyrone’s urologist concurred that CyberKnife was an excellent treatmentoption and referred him to Winthrop, which was the first CyberKnife Center of LIand NYC, and is the second largest site in the world for treating prostate cancerwith CyberKnife technology. “In addition to being highly effective in treating tumors, Cyberknife’s treat-ment plan calls for 30–40 minutes of radiotherapy a day for an average offive days,” explains Dr. Jonathan Haas, Chief, Division of Radiation Oncology.“This is a great benefit to patients, who can continue on with their lives.” Cancer-free for more than a year, Tyrone, who enjoyed fame in the 1990sas co-host of the MTV music program, “Yo! MTV Raps,” has become anadvocate for screening and CyberKnife treatment when necessary. “Guys don’treally want to hear it, but I tell them what happened to me,” he says, adding,“I’m living a normal, healthy life now, and I thank CyberKnife.”Award and the HealthGrades Maternity Care Excellence Award. Innovative prostate cancer treatmentOur hospital has a long-standing tradition of excellence in treat­ Other than skin cancer, prostate cancer is the most commoning gynecological conditions, including cancer, with the most cancer in American men, according to the American Cancersophisticated non- and minimally-invasive surgical procedures. Society. Roughly 1 man in 6 will be diagnosed with prostate cancer during his lifetime.Further underscoring its outstanding clinical outcomes in wom-en’s health, Winthrop was also recognized by HealthGrades as At Winthrop, prostate cancer patients are offered a full array ofa recipient of the 2011 Women’s Health Excellence Award and treatment options, permitting patients and their physicians toranked among the top five percent in the nation for Women’s select the most appropriate for the stage of the cancer and theHealth for the second year in a row. health of the patient.Winthrop is the only hospital in New York State to simulta­ Minimally invasive surgery using the daVinci Surgical Robotneously receive the HealthGrades Maternity Care Excellence System is available, as well as intensity-modulated radiationAward, the HealthGrades Gynecologic Surgery Excellence Award, therapy (IMRT), a radiotherapy that uses a linear accelerator toand the HealthGrades Women’s Health Excellence Award in deliver precise radiation doses to a malignant tumor or specific2011, reflecting the unmatched standard of care that women areas within the tumor. Winthrop also offers cryotherapy, areceive at Winthrop. technique that freezes the tumor, for those patients whose cancer cannot be treated with surgery. 12
  15. 15. $27,845,238in Charity CareDelivered in 2011
  16. 16. More than 37,000inpatients, over 68,000emergency visits, 802,000Outpatient Encountersat Winthrop faculty &associated practices 14
  17. 17. Winthrop-University Hospital 2011 Annual ReportPerhaps the most exciting advancement in prostate cancer minutes each day for five days or less, adding to the technique’streatment is use of CyberKnife technology. Despite its name, many advantages over previous treatments.CyberKnife is not surgery. Rather, it is a technology that takes Winthrop currently is one of the few sites in the world usingradiotherapy to new levels, and it has proven highly successful CyberKnife to treat breast cancer tumors, and our hope is thatfor treating prostate cancer. As a matter of fact, Winthrop is this foundational work will lead to advances in breast cancerthe second largest site in the world for treating prostate cancer treatment.with CyberKnife technology. Our hospital also is a designatedCyberKnife training site, attracting surgeons from around the Life-saving cardiac careworld interested in learning to use this state-of-the-art technology. Heart disease is the leading cause of death in the United States.CyberKnife uses a combination of advanced imaging equipment About every 25 seconds an American will have a coronaryand a robotic arm to deliver high doses of radiation therapy event and approximately one person will die each minute aswith higher precision than previously possible. Extraordinarily a result, according to an American Heart Association study.accurate, the radiation beams can be sculpted to reach small, Winthrop’s Heart and Vascular Institute offers advanced diag-deeply imbedded, complex masses, thereby minimizing damage nostics and disease prevention programs, as well as a superiorto healthy tissue and providing access to previously unreach- cardiac surgery program and sophisticated medical treatmentable and untreatable tumors throughout the body when radia- and cardiac rehabilitation services that save the lives of thou-tion therapy is indicated. Treatments generally take 20 to 30 sands of patients each year. At 39 weeks pregnant, Hempstead resident Tracey Mallory had already suffered through a host of complications. A busy pro­ fessional, Mrs. Mallory was getting prenatal care close to her workplace in New York City and was planning to deliver at a hospital there. But Mrs. Mallory’s plans changed suddenly when she began bleeding and having contractions while at home on Long Island. Concerned that she did not have time to make the trip into New York City to see her doctor, her husband drove her to Winthrop, only minutes away from their home. “Mrs. Mallory was in active labor and although her plan was for the baby to be turned so she could deliver naturally, there was just no time,” said Dr. Arin Buresch, Acting Chief Resident in Ob/Gyn. With her consent, she was brought into the Operating Room for an emergency C-section. Dr. Joseph Cioffi, Director, Division of Ob/Gyn Hospitalists at Winthrop, discovered that uterine fibroids were posing a significant threat to both her and her baby and that Mrs. Mallory had had a placental abruption, a complication in which the placental lining separates from the uterus, causing blood to fill up inside of the amniotic sac. Dr. Cioffi and his team worked diligently to deliver the baby safely while also treating Mrs. Mallory’s conditions. Three days later, both Evan and Mrs. Mallory were discharged from the Hospital in good health. “Had Mrs. Mallory attempted the trip to the City, her baby would have died from complications, and she might have died as well from loss of blood. Her story demonstrates how important it is for women to immediately seek medical attention from the right institution when complications arise,” Dr. Cioffi said. 15
  18. 18. Winthrop-University Hospital 2011 Annual ReportWinthrop’s Cardiac Surgery Program has long been a bench- walk to work or school or to prepare healthy home-cookedmark for open-heart surgery in New York State and continues to meals on a regular basis.grow in importance. From open-heart coronary artery bypass The result has been increased obesity among Americans,surgery and heart valve repair and replacement to specialized which has precipitated an unprecedented high rate of Type 2treatment of aortic disease at the Center for Aortic Diseases, diabetes. The Centers for Disease Control and Preventioncardiac patients have access to the most innovative procedures. forecast that by 2050 one in three Americans may have thisFor example, cardiologists at Winthrop perform transcutaneous disease. Left untreated or poorly managed, the serious sideaortic valve replacement (TAVR), one of the newest techniques effects may include heart disease, blindness, kidney failurethat allows a heart valve to be replaced without open-heart and nerve damage.surgery. Surgeons insert a catheter into an artery in the groin,pass through the catheter a thin wire with the new valve Education and management are keyattached and install the new valve from the inside. Percutaneous In an effort to help stem the rising tide of obesity and diabetes,valve replacement has proven especially helpful for elderly and to provide the best possible care to patients with thesepatients who are not candidates for open-heart surgery, provid- conditions, Winthrop-University Hospital has created theing improved quality of life for these patients and their families. Winthrop Diabetes and Obesity Institute to coordinate patient care, medical research and education so as to maximize theAdvances in neuroscience effectiveness of the hospital’s efforts in each area.As modern science has begun to reveal the mysteries of how Prevention and treatment of diabetes is a primary focus. Thethe brain and central nervous system function, great strides have Diabetes Education Center at Winthrop-University Hospital,been achieved in neuroscience. At Winthrop’s Department of the first diabetes education program in New York State to beNeuroscience, physicians, surgeons, physician assistants, nurse accredited by the American Diabetes Association, has beenpractitioners and nurses are members of an interdisciplinary serving as a resource for members of the community since 1979.team of healthcare professionals that is pioneering the use ofadvanced approaches for diagnosis and treatment, including Here adults and children with diabetes or pre-diabetes—andcomputerized imaging systems, state-of-the-art surgical inter- their families—can attend education programs, including classesventions such as deep brain stimulation and the latest genera- on use of insulin pumps and similar technologies now availabletion of medication therapies. for diabetes management, as well as support groups. The Center also hosts an extensive variety of programs of interest to over-In addition to a 14-bed Neurosciences Special Care Unit, the weight and at-risk children and their parents and caregivers.Department of Neuroscience boasts comprehensive resourcesfor diagnosis and treatment of a wide range of conditions, Improving healthcare professionals’ understandingincluding aneurysms, blood clots and tumors and special pro- Primary care physicians are the front line of defense in manag-grams for conditions including Multiple Sclerosis, Movement ing the care of patients with diabetes. In 2011, 41 WinthropDisorders, and Epilepsy. clinicians from six hospital-affiliated primary care practices and from the endocrinology faculty practice achieved recognitionAddressing the diabetes epidemic and by The National Committee for Quality Assurance’s (NCQA’s)its implications Diabetes Recognition Program (DRP). This designation identi-Modern conveniences have made our daily lives easier than fies physicians who are well educated in diabetes managementthose of our grandparents, but we’ve paid a price. Most of us and consistently treat patients according to the best availableno longer have physically demanding jobs. We’re not likely to scientific evidence. Several New York State grants will continue 16
  19. 19. ONE of the BestRegional Hospitals,with 11 high performingspecialtiesU.S. News & World Report
  20. 20. FIRST and onlyhospital on L.I. tosuccessfully attest forStage 1 MeaningfulUse of HealthInformation Technologyin 2011
  21. 21. Winthrop-University Hospital 2011 Annual Reportto fund Winthrop’s efforts to help its affiliated primary care leadership role in our region to improve the health of all whophysicians achieve this level of diabetes care expertise. live here.Because diabetes is so prevalent, we see many patients with Every patient is a special patientthe condition in our inpatient population. As a result, the A hospital, particularly a large, tertiary-care institution likeDiabetes and Obesity Institute coordinates a hospital-wide Winthrop-University Hospital, can be a daunting place. But,professional education program aimed at giving physicians, it does not have to be, and all of us at Winthrop do our bestphysician assistants, nurse practitioners, nurses, pharmacists, every day to make sure that each person who enters our doorshome care workers and medical students the information feels safe and respected.necessary to understand the complexities of this disease andhow best to coordinate the care of patients with diabetes. The Caring for childrenInstitute also incorporates the various clinical research projects Children, in particular, need special attention. The Children’sinvolving diabetes and will be a premier component of our Medical Center at Winthrop brings together an impressiveplanned Research Institute. array of pediatric services, as well as pediatric specialists, someObesity and diabetes are epidemic in our nation today, which of whom are internationally renowned. In 2011, our Children’slimits the quality of life for many of our citizens and increases Medical Center was named to U.S. News and World Report’sgeneral healthcare costs. At Winthrop, we are assuming a Best Children’s Hospitals ranking for providing high-quality care in the specialty of pediatric diabetes and endocrinology. Prior to gastric bypass surgery in April 2011, Bob Evans weighed 340 lbs. and was taking 16 medications. He also was using an insulin pump to control his Type 2 diabetes and a continuous posi- tive airway pressure (CPAP) machine to cope with his obstructive sleep apnea. Today, Mr. Evans is down to 207 lbs., five medications, no insulin pump and no CPAP machine. Improving his health has been a long journey for Mr. Evans, a retired school administrator and former music educator. Despite medical advice fol­owing a l sextuple coronary by-pass in March 2003, he did not lose weight. The wake- up call came two years ago when a national weight loss program declined his participation because of his health issues. “That really got me thinking,” Mr. Evans recalls. “My doctor had suggested gastric bypass surgery a few years before, but I didn’t do it.” Mr. Evans was referred to Winthrop-University Hospital, which has pioneered the use of the daVinci Si HD Robotic Surgical System for gastric bypass. But gastric bypass is not a quick fix; major lifestyle changes in support of improved health must follow. “It took me a while to adjust my attitude about eating, but the post-op support I’ve received has been great,” says Mr. Evans, who regularly attends support group meetings led by a dietician and a nurse at Winthrop. His greatest reward since taking charge of his health has been enjoying his three-year-old grandson. “The thought of not being able to horseplay with him is unthinkable,” Mr. Evans says. 19
  22. 22. Winthrop-University Hospital 2011 Annual Report Day after day, Eric Davidson was continually exhausted, struggling through his busy day as a commercial and luxury real estate appraiser. Then came the trouble speaking, the “heavy tongue,” and finally the hand tremors. He knew he needed medical help. After Winthrop’s sleep medicine specialists diagnosed him with sleep apnea, and neurological tests proved inconclusive, he was referred to Nancy Langdon, RNC, BSN, MPH, patient navigator and clinical coordinator at Winthrop’s Center for Advanced Care of Chronic Conditions. “Nurse navigators are not diagnosis or department specific. They try to help patients who have been frustrated in their attempts to obtain a clear diagnosis and treatment plan,” says Dr. Michael Niederman, Chairman of the Department of Medicine and Medical Director of the Center. Langdon reviewed Mr. Davidson’s medical tests and consulted with his physicians. She recommended a cardiology workup as a next step, but Mr. Davidson was skeptical. After all, he did not have classic symptoms of a cardiac condition. But over time, as symptoms persisted and a clear diagnosis remained elusive, Mr. Davidson finally agreed to a cardiology work-up. The tests revealed a 90% blockage of the left artery and he underwent successful open-heart surgery at Winthrop. “Nancy saved my life,” says the Levittown resident who, since his surgery, walks and jogs about eight miles a week. Mr. Davidson continues to work with Langdon and relies on her to help coordinate his medical care. “Nancy gives me good information and helps me get the appointments I need,” he says. “She forces me to keep my health up front.”Among the special pediatric programs here are the Cancer support groups and community services; serve as the liaisonCenter for Kids, Nassau County’s largest facility for children between the medical team and the patient; and, perhaps mostwith cancer and blood disorders; pediatric emergency and important, reaffirm for cancer patients and their families theintensive care units; a New York State Regional Perinatal sense that they do not have to face the challenges alone.Center, which features a Neonatal Intensive Care Unit withoutcomes among the world’s best, and the Child Life Program, No place like homewhich aims to reduce the stress of a hospital stay for children Recuperation from or management of an illness is most effectiveand their families. in a patient’s familiar surroundings. Winthrop’s award-winning certified home healthcare agency offers nursing, as well asCoping with cancer physical, speech and occupational therapies in conjunctionThere are few things more frightening than receiving a cancer with medical social work and home health aide services todiagnosis. To make the journey from diagnosis through treat- Nassau County residents.ment easier for patients and their families, Winthrop created In 2011, our home health agency was named for the fifththe unique Cancer Navigators Program. These registered nurses consecutive year to the HomeCare Elite™—a compilationand physician assistants become a patient’s “go-to” person of the top-performing home health agencies in the Unitedfor the coordination of appointments, for tests and follow-up States, attesting to the impressive care provided by our homecare. They offer educational resources; referrals to specialists, care professionals. 20
  23. 23. $71,744,000*Invested in MedicalEducation in 2011*estimated
  24. 24. FIRST andonly RegenerativeMedicine Programfor wound healingin the Northeast
  25. 25. Winthrop-University Hospital 2011 Annual ReportRespecting tradition Within the Hospital setting, there are numerous resources forWinthrop’s Pastoral Care and Education Program serves the Jewish patients and visitors. These include a Sabbath elevator,spiritual needs of patients and families by offering healing which stops at each floor on the Sabbath and Yom Tov, andministry, spiritual support and pastoral care. Our chaplains may also Glatt Kosher patient meals.help by contacting clergy of a patient’s faith or by ministeringdirectly through discussion, prayer, rituals and sacraments. Quality of life and end-of-life careChaplains assist patients and their loved ones as they cope Respect, comfort and dignity are essential for those nearing thewith illness, and provide support during times of grief and end of life. Winthrop has on staff three board-certified palliativebereavement 24 hours a day, seven days a week. care physicians, something not generally found at other institu- tions. As a result, our patients and their families can be assuredTo accommodate the needs of families of observant Jewish that every effort will be made to alleviate the stresses of thispatients, Winthrop offers a variety of services, including a difficult time.Sabbath House. This facility may house up to five families andoffers a kitchen equipped for kosher food handling and lights Our surgeons are developing tomorrow’s proceduresthat turn on automatically in the afternoon and shut off at night Physicians at Winthrop-University Hospital have made a sig­on the Sabbath. nificant breakthrough in minimally invasive surgery, treating a serious condition of the esophagus by passing an endoscope through a patient’s mouth, thereby avoiding an incision.When a child is diagnosed with diabetes, management of thecondition becomes a family affair. Taylor Rosenking enteredWinthrop’s Pediatric Diabetes Program at age four when shewas diagnosed with Type 1 diabetes, a chronic condition inwhich the body produces little or no insulin. “Discovering that my daughter had diabetes was scary,” says Taylor’smother, Carol, “but by the time we left Winthrop, I wasn’t scared anymore.” Themulti-disciplinary team in Winthrop’s Pediatric Diabetes Program, which servesmore than 1,000 children in the tri-state area, monitors and treats patients,and, equally as important, works to educate their families and communitymembers such as school nurses about effective management of the condition. “The simplest things, like going on a field trip, aren’t simple for children withdiabetes,” explains Jean Corrigan, RN, MA, Program Director. “They have tomake sure that they have all of their equipment with them, that they will be ableto eat if they need to, and, if they eat, that they will be able to see nutritioninformation and count carbs in order to manage their blood glucose levels andinsulin therapy.” Today, Taylor is an active teenager who loves to dance and who uses aninsulin pump to continuously deliver insulin subcutaneously. The pump elimi-nates the need for insulin injections, gives Taylor greater flexibility with hermeal plan and allows her to live and enjoy a full life. “I remember how I felt when I first was diagnosed with diabetes and howmany challenges I faced,” she says. “I want kids to know that they are notalone, and that they can’t let diabetes stop them from anything.” 23
  26. 26. Winthrop-University Hospital 2011 Annual Report For Louis Alexander, singing is a way of life. Whether he is enchanting an audience with Donizetti’s “Una Furtiva Lagrima” or serenading his grandchildren with playful lullabies, his rich tenor voice carries people away. Yet, while the sounds of music had no trouble rising up from his vocal cords, he was suffering with a disorder known as Achalasia that made it impossible for food and beverages to pass into his stomach. At the age of 87, Mr. Alexander found that he was routinely regurgitating his food as it was unable to pass through a tightly closed lower esophageal sphincter (LES). As his weight continued to drop, Mr. Alexander was dissatisfied with treat- ment options he’d been offered. Then he heard that Dr. Stavros Stavropoulos, Director of the Advanced Endoscopy Program at Winthrop, was pioneering an innovative, effective and minimally invasive method for treating the disease. This elegant new technique—peroral endoscopic myotomy, or P.O.E.M. —involves passing an endoscope through the mouth and into the esophagus and, through an exquisitely delicate procedure, making an incision in the LES from the inside. Knowing that the procedure was not available anywhere else in the eastern U.S., Mr. Alexander was happy to have found his solution at Winthrop. As a long time patient of Dr. Kevin Marzo, Chief of the Division of Cardiology at Winthrop, Mr. Alexander is a regular participant in the Cardiology Patient Talent Showcase, pioneered by Dr. Marzo as a way to incorporate music into healing and to celebrate good health. Today, Mr. Alexander is back to eating normally and looking forward to his next vocal performance.The technique, referred to as N.O.T.E.S. (natural orifice trans­ Dr. Stavropoulos, in collaboration with Dr. Collin E. Braithwaite,luminal endoscopic surgery), involves inserting an endoscope Chief of the Division of Minimally Invasive and Bariatric Surgery,(a thin tube with a built-in camera, light and miniscule tools) were the first in the U.S. to perform the peroral endoscopicthrough the natural orifices of the body. myotomy (P.O.E.M.) and Dr. Stavropoulos continues to pioneer the further development of the technique.Nearly 20 patients with achalasia, a condition which makes itdifficult for swallowed food and liquids to pass into the stomach, The success of Winthrop’s surgeons in using this techniquehave been successfully treated this way at Winthrop. opens the possibility of using N.O.T.E.S. for a wider range of procedures. For example, the technique could be used toThe classic achalasia treatment, the Heller Myotomy, is open biopsy lymph nodes within the chest and abdomen—a proce-surgery that dates back to 1913. More recently, laparoscopic dure that is currently performed by a more invasive surgicalsurgery involving multiple small incisions has been used. procedure called mediastinoscopy that involves inserting rigidThe new procedure performed at Winthrop by Dr. Stavros instruments into the chest through an incision in the patient’sStavropoulos, Director of Gastrointestinal Endoscopy and neck. The revolutionary N.O.T.E.S. approach enables surgeonsDirector of Winthrop’s Advanced Endoscopy Program, is to do surgery from the inside.the least invasive—with no external incisions—and equallyeffective with the quickest recovery time. 24
  27. 27. FOURTH year in arow among the top 5%of hospitals Nationwide
  28. 28. Winthrop-University Hospital 2011 Annual ReportResearch with diabetes, it is difficult for wounds to heal. Winthrop researchers are studying the basic biological mechanismsWhere there is inquiry and learning, clinical care is optimal. underlying this problem and developing clinical approachesWinthrop-University Hospital has a long-standing research to improve wound care in practice settings. Some of thesetradition, and that is one of the reasons we are able to attract groundbreaking studies have been supported by major grantsand retain high-caliber medical professionals and deliver the from the National Institutes of Health.impressive level of care our patients receive. Researchers here Winthrop researchers are analyzing the mechanism underlyingare working every day to find solutions to our nation’s most changes in the cognitive performance of people with diabetes,pressing health issues. and they already have presented breakthrough research indi- cating that the small- and large-blood vessel complications ofUnderstanding diabetes and obesity diabetes, combined with direct effect of high blood sugars onDiabetes and obesity are a major research focus at Winthrop. brain cells, could account for cognitive performance changesOur scientists and physicians are studying pancreatic beta cells in a large group of diabetes patients studied.—which produce insulin—in hopes of understanding why theyfail and improving treatment of diabetes. Recent accomplish- Reducing premature birthsments include the development of a non-invasive new method More than half a million babies are born prematurely in theof measuring beta cell death by quantifying the DNA from dam­ United States each year, according to the Centers for Diseaseaged and destroyed beta cells in the blood of diabetic patients. Control and Prevention. Because pre-term babies are at highWound care in patients with diabetes is another area of inquiry. risk for serious health problems, ensuring full-term pregnanciesBecause of the nerve damage and circulatory issues associated is crucial.Louis Ragolia, Ph.D., Director of Biomedical Research 26
  29. 29. Winthrop-University Hospital 2011 Annual ReportAlan M. Jacobson, MD, Chief Research OfficerUnder a March of Dimes grant, Winthrop researchers currently Osteoporosis is a major concern for the elderly, particularlyare studying the potential for using low levels of carbon mon- women. A current study at Winthrop is looking at the effective-oxide as a preventive treatment for pregnant women at risk of ness of vitamin D and calcium in preventing osteoporosis indelivering pre-term babies. African-American women. Neuroscience research related to the elderly also is a focus.The aging process Among the work under way is a study of neurodegeneration,Whether or not you believe that 60 is the new 40, the truth is the cause of diseases such as Amyotrophic Lateral Sclerosisthat life expectancy in the United States is getting longer. And, (ALS) and Parkinson’s disease. Parkinson’s affects approxi-on Long Island in particular, the percentage of older residents mately 1 million U.S. citizens, and ALS has no current avail­is increasing. able treatment.Among the Winthrop research initiatives aimed at improvingthe health of older adults is an investigation of the link between CancerCOX-2 inhibitors, popular drugs used to treat pain and inflam- As an academic institution, Winthrop is the site of some of themation in conditions such as rheumatoid arthritis, and increased most current clinical trials and research into cancer, ensuringrisk for stroke and heart attack. Our team is developing ways that patients have access to the latest therapies.in which to make these drugs less toxic to the cardiovascular The Hospital’s cancer specialists and researchers are involvedsystem, which would benefit patients in need of pain relief in rigorous basic and clinical studies of a wide variety of can-but who are currently avoiding these drugs because of safety cers, including lung cancer, childhood cancers, blood cancers,concerns. 27
  30. 30. Winthrop-University Hospital 2011 Annual ReportJohn F. Aloia, MD, Chief Academic Officer, announces the creation of the Winthrop-University Hospital Clinical Campus of Stony Brook University School of Medicine.colorectal cancer and gynecological cancers. In fact, in 2011, research, outcomes research, medical education classroomsWinthrop was named as one of only three sites nationwide to and support services.offer a clinical trial for an ovarian cancer vaccine. In addition to coordinating the research currently under wayWinthrop researchers are also analyzing predictors of long- at Winthrop’s various Institutes and Centers of Excellence, theterm survival in breast and other cancers. Another study is new building will allow greater interaction between researchersaimed at developing an approach to using multiple methods and clinicians. For example, one floor will house outpatientsimultaneously to treat cancers of the bile ducts, gallbladder services for adult and pediatric endocrine patients, which willand liver. increase collaboration among those studying diseases such as diabetes and those caring for such patients. The benefit toResearch has helped us make great strides in the prevention, current and future patients from such a partnership will bediagnosis and treatment of cancer. But, much remains to be substantial.learned, and at Winthrop our researchers continue the quest.Taking research to the next level AcademicsPatient care, academics and research are the three components For more than half a century, Winthrop-University Hospitalof Winthrop’s mission. Because research is so essential, Winthrop has been a leading center for medical education, and in 2011 ithas initiated creation of a dedicated Research Institute. expanded its role by becoming a full-fledged Clinical CampusThe four-story, 95,000-square-foot facility to be built on our of the Stony Brook University School of Medicine.campus will house basic science research, clinical/translational 28
  31. 31. Winthrop-University Hospital 2011 Annual ReportPrior to this new designation, Winthrop was a Stony Brook We have a long-standing tradition in graduate medical educa-teaching affiliate and hosted medical student rotations through tion; our internal medicine program has been accredited sincevarious clinical departments, and many of our physicians hold 1966. Today, specialized, advanced training in nearly everyfaculty positions at Stony Brook. Now, 80 third-year and major medical specialty is offered here. Our newest program, afourth-year Stony Brook medical students will live and train fellowship in allergy and immunology training, is the only suchat Winthrop each year. We are the only Long Island hospital program on Long Island.training medical students under this model. Additionally, Winthrop hosts a variety of continuing educationThe clinical campus concept was developed in response to the programs for practicing physicians so that they may bring theanticipated national physician workforce shortage. The Associ­ newest treatments and technologies to their patients.ation of American Medical Colleges has challenged U.S. medi-cal schools to increase class size by 30% by 2015. Inquiry spurs improved care Integral to a strong academic program is research. It stimulatesWe are pleased to be able to expand Stony Brook’s capacity to inquiry and learning and as such contributes to improved clini-train medical students, thereby ensuring that residents of our cal care as questions find answers.region continue to enjoy access to the highest quality healthcare. Winthrop has boosted its faculty development efforts so asGraduate medical education: the tradition continues to allow more of our physicians to participate actively inWinthrop offers 25 residency and fellowship programs scholarship. Under an internal competitive grant program,for graduated physicians: 19 independent programs spon­ faculty and fellows may apply for research funding.sored by Winthrop and six integrated with other majoracademic centers.At Winthrop, medical students, residents and fellows gain real world experience while learning from highly accomplished practicing physicians such asAdel Hanna, MD (left). 29
  32. 32. Winthrop-University Hospital 2011 Annual ReportAmong the topics and conditions studied in this academic As a result, the hospital qualified for the financial incentiveresearch program are obesity and diabetes, end-stage renal program established by the American Recovery and Reinvest­disease, causes of premature labor, vascular disease, gastroin- ment Act of 2009 and received $3.2 million from the U.S.testinal treatment and ovarian cancer. This enrichment program Department of Health and Human Services to continue imple-supports clinical investigators as they test new ideas and obtain menting its HIT program. At the close of 2011, Winthrop wasdata in order to be in a better position to apply for and obtain one of only four hospitals in New York State to qualify for theexternal funding. incentive. Fewer than 4 percent of hospitals in the United States have reached this milestone of technology implementation.Technology Effective technology improves patient safetyThe desire to maintain the highest level of patient safety has The EHR system provides for Computerized Provider Orderalways been the impetus for Winthrop’s Health Information Entry through which physicians and other healthcare providersTechnology (HIT) initiatives, and it’s the reason we are a leader input medication and other orders into a computer system.in adopting technology. This eliminates handwriting errors, expedites the sharing of information and facilitates quality patient care.In 2006, Winthrop-University Hospital began implementingan electronic health record (EHR) system, which now operates For example, when a medication order is entered into the sys-hospital-wide. Last year, we became the first and only Long tem, the system checks for possible contraindications based onIsland hospital to demonstrate meaningful use of EHR technol- the patient’s medical record. And by scanning and matchingogy during the 2011 federal fiscal year. the barcode on the drug to the barcode on the patient’s IDJohn McNelis, MD, FACS, Vice Chairman of the Department of Surgery, uses “Winnie” the robot to see patients when he is not in the Hospital. 30
  33. 33. Winthrop-University Hospital 2011 Annual ReportMaureen Gaffney, MHS, RPAC, RN, Winthrop’s Senior Vice President for Patient Care Services and Chief Medical Information Officer, combines her clinicalexperience and technological savvy to foster the best possible environment for healing.bracelet at the bedside, nurses have a reliable mechanism Health IT trailblazers—on Long Island and beyondby which they confirm correct patient, correct medication, As an early adopter of health IT, Winthrop has been able tocorrect dose and correct time. If there is any contraindication capitalize on its relationships and experiences to help developor discrepancy, the system alerts the provider, thereby averting the next generation of these tools. We collaborate with industrypotential medication errors. and academia and currently we are piloting a scheduling sys- tem that will reduce patient wait times for certain tests andWinthrop last year installed a cloud-based picture archival procedures. We are also helping to develop a touch screensystem in the Imaging Services department. Radiology images device-based bedside system to facilitate communicationare stored remotely but can be accessed easily throughout the between patients and nurses.Winthrop system. Not only does this facilitate sharing of crucialinformation among the health professionals treating a patient, Winthrop-University Hospital is a founding member of thebut also it safeguards the ability to access images should there E-Health Network of Long Island, the regional health infor­be an unexpected system interruption on site. mation organization working toward interconnectivity with healthcare providers in other parts of the state—and ultimatelyLast year, we also began a patient consent initiative to ensure nationwide—through compatible health information exchangethat patients can control access to their electronic health record. systems.The portability of health records will result in better patientcare and reduced costs because health professionals treating apatient outside of his or her physician practice or hospital willhave access to the patient’s critical health information. 31
  34. 34. Winthrop-University Hospital 2011 Annual ReportMichael Ammazzalorso, MD, MACP, Chief Medical Officer & Associate Chairman of the Department of Medicine, leads the world-class medical staff at Winthrop.Distinguished Medical they do, Winthrop doctors are recognized regularly with awards for clinical, academic and research excellence. And all theStaff while, they provide the highly personalized and compassionate care that has made Winthrop the hospital of choice for so manyWinthrop’s medical staff—which includes more than 1,300 patients and their families.full-time and voluntary attending physicians—cared for more Many Winthrop medical staff hold academic appointments atthan 37,000 inpatients, handled more than 68,000 emergency Stony Brook University School of Medicine and are activelyvisits, and conducted more than 800,000 outpatient appoint- engaged in teaching medical students. This activity ranges fromments in 2011. And that’s just their clinical work. They are teaching in the classroom to mentoring students in physicianalso esteemed professors, respected researchers, and prolific practice offices and at the hospital.publishers of original medical literature.In 2011, 86 Winthrop physicians were named to Castle Connolly’sTop Doctors: NY Metro Area edition. Winthrop doctors hold Pa r t nership sleadership positions with national organizations and many have Winthrop is…earned prestigious NIH and other federal grants. Physicians at a partner in the Winthrop South Nassau University Health SystemWinthrop participate in Clinical Research Trials to offer the a member of the New York-Presbyterian Healthcare Systemlatest available treatment options, and maintain a steadfast a member of the Nassau-Suffolk Hospital Councilcommitment to quality, efficient resource utilization, preventing a member of the Long Island Health Networkunnecessary admissions and appropriate transitional care. In a founding member of the e-Health Network of Long Islandrecognition of their commitment to superior quality in all that 32
  35. 35. Winthrop University Hospital 2011 Annual ReportWinthrop’s Chief Operating Officer, Garry J. Schwall, MBA, RPA, drives growth and advancement of Hospital programs, services and facilities.
  36. 36. Winthrop-University Hospital 2011 Annual ReportWinthrop-University Hospital Campus Winthrop-University Hospital owns 50 buildings, Major Properties—Key (owned and leased) including the main hospital and parking garage and 1—Winthrop-University Hospital others at the 259 First Street address in Mineola, and 2—Biomedical Services more than 30 nearby houses and two apartment 3—Parking Garage buildings, which provide housing for the residents 4—Loading Dock & Support Services who serve the hospital and its patients 24/7, as well 5—Professional Offices as other key medical staff and the medical students 6—Academic & Research Offices, Labs who study and practice at the hospital full time as 7—Community Outreach Center part of Winthrop’s Clinical Campus of the Stony 8—Diabetes Education Center Brook University School of Medicine. In addition, 9—Medical Offices Winthrop has a major long-term lease presence 10—Medical Offices in dozens more properties from Garden City to 11—Medical & Professional Offices Bethpage and beyond. 12—Radiation Oncology The hospital has 27 faculty medical practices and 13 13—Employee Parking Article 28 facilities—medical practices that are off- 14—Administrative Offices site extensions of the main hospital. Among these are 15–20—Residential the Cancer Center for Kids in Mineola, the region’s 21–31—Residential largest outpatient facility for children with cancer and 32–46—Residential hematologic conditions, a pediatric practice and a 47—Residential Women’s Wellness Ob/Gyn practice, both located in 48—Wedgewood Apartments, Residential Hempstead. In addition, Winthrop is affiliated with 49—Nassau Towers, Residential more than 111 physician practices from New York 50—Heart & Vascular Institute City to the East End of Long Island. 51—Wellness Pavilion 52—Medical, Professional Offices This extensive list of locations represents the breadth and depth of services offered by Winthrop, extra­ ordinary access to the best possible healthcare for communities across the region, and a tremendous economic contribution to Long Island’s economy (see chart pg. 36). 34
  37. 37. Main Campus

×