SCHEDULE H, PART V, SECTION B, LINE 3e
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THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS. SCHEDULE H, PART V, SECTION B, LINE 5 THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INPUT WAS OBTAINED FROM Organizations Providing Community Input Twenty-one interview sessions were held with 55 individuals representing 24 organizations. COLLECTIVELY, THESE 24 ORGANIZATIONS SERVE A WIDE-RANGE OF COMMUNITY RESIDENTS; INDIVIDUALLY, THESE SERVE MEDICALLY UNDERSERVED COMMUNITIES (SUCH AS LGBTQ INDIVIDUALS, IMMIGRANT POPULATIONS, AND COMMUNITY MEMBERS WITH LIMITED ENGLISH PROFICIENCY), LOW-INCOME COMMUNITIES (NOTABLY CHILDREN AND SENIORS), AND MINORITY POPULATIONS (INCLUDING CHINESE AND HISPANIC RESIDENTS). Organizations represented by these individuals are as follows: Catholic Charities; Children's Aid; Hatzalah Lower East Side; Icahn School of Medicine at Mount Sinai; Lighthouse Guild; Lower East Side Power Partnership; Manhattan Community Board 3; Manhattan Community Board 4; Manhattan Community Board 6; Manhattan Community Board 7; Mount Sinai - Mount Sinai Queens - Community Advisory Board; Mount Sinai Beth Israel Heritage Initiative; Mount Sinai Brooklyn; Mount Sinai Health System; Mount Sinai Hospital; Mount Sinai Morningside; Mount Sinai Queens; New York City Department of Health and Mental Hygiene; Russian American Foundation; Sharing & Caring; Stuyvesant Town Peter Cooper Village Tenants Association; The Mount Sinai Beth Israel Downtown Community Advisory Board; The Mount Sinai Health System; and The Mount Sinai Morningside/West Community Advisory Board This CHNA relies on multiple data sources and community input gathered between April and December 2020. SCHEDULE H, PART V, SECTION B, LINE 6A NYEE COLLABORATED WITH THE MOUNT SINAI HEALTH SYSTEM AND ITS FOLLOWING HOSPITALS: MOUNT SINAI HOSPITAL & MOUNT SINAI QUEENS, MOUNT SINAI BETH ISRAEL HOSPITAL & MOUNT SINAI BROOKLYN, AND ST. LUKE'S HOSPITAL & MOUNT SINAI WEST. CHNAS FOR THESE HOSPITALS WERE DEVELOPED ALONGSIDE THE NYEE CHNA. SCHEDULE H, PART V, SECTION B, LINE 7A https://www.nyee.edu/about/community SCHEDULE H, PART V, SECTION B, LINE 10A https://www.nyee.edu/about/community
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SCHEDULE H, PART V, SECTION B, LINE 11
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THE 2020 CHNA IDENTIFIED A NUMBER OF SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY: Aging Population Access to Mental Health Care and Poor Mental Health Status Access to Primary Health Care Services by Individuals with Limited Resources Chronic Diseases and Contributing Lifestyle Factors COVID-19 Pandemic and Effects Environmental Determinants of Health Homelessness Navigating a Changing Health Care Provider Environment Poverty, Financial Hardship, and Basic Needs Insecurity Safe and Affordable Housing Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care Substance Abuse NYEE has a proud tradition of serving the community and providing significant resources towards community benefit activities. Over the next three years, the hospital plans to continue this commitment to meet health needs in the community. To develop the planned response to significant community health needs identified in the 2020 CHNA, the hospital reviewed the CHNA findings and applied the following criteria to determine the most appropriate needs for the hospital to address: - The extent to which the hospital has resources to address the need; - The extent to which the hospital has expertise or competencies to address the need; - The priority assigned to the need; - The availability of effective interventions that address the need; and - The extent of to which other hospital facilities and/or community organizations are addressing the issue. - By applying these criteria, the hospital selected the following significant needs to focus its efforts during the 2021-2023 time period: - Aging Population; - Chronic Diseases and Contributing Lifestyle Factors; and - COVID-19 Pandemic and Effects. Many intended activities of NYEE are expected to impact multiple needs identified in the CHNA. These activities are as described below. Health professions education. The health professions education activities of NYEE respond to both the current and future community health needs for chronic disease treatment and prevention. Participation in Medicaid. Medicaid provides health coverage to low-income individuals through federal and state funding. NYEE participation in New York State Medicaid includes inpatient and outpatient services. In 2018, the payments for services provided to Medicaid patients were approximately 93 percent of the cost to provide these services. Community Health Improvement Activities. NYEE supports numerous activities to improve community health through grants and in-kind contributions. Community health improvement activities include facilitating support groups for head and neck cancer survivors as well as for individuals with macular degeneration, uveitis, and glaucoma. Subsidized Health Services. NYEE provides numerous inpatient and outpatient service lines that operate as losses. NYEE continues to provide these services because the health of community members would diminish because other providers would be unlikely to provide these services. Subsidized health services provided by NYEE focus on helping patients receive pharmaceutical products at no out-of-pocket cost. Health Care Services. A range of specialized health care services is available at the hospital, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Community Building. NYEE is involved in a wide array of activities to promote the health of the local community. Activities include specialty medical missions, vision screening in school and senior citizen center settings, participation in world voice screening day, charity walks, public service campaigns, health and wellness fairs, and audiology day. Spiritual Care. As NYEE is committed to healing the body, mind, and spirit, chaplains contribute to caring for the whole person. Spiritual care staff is interfaith and highly respectful of everyone's individual beliefs. Counseling is offered to help patients and their families find comfort and hope while experiencing challenges. Other activities of NYEE impact needs that the hospital selected to focus its efforts during the 2021-2023 time period. These activities, described below, impact the following selected needs: A. Aging Population; B. Chronic Diseases and Contributing Lifestyle Factors; and C. COVID-19 Pandemic and Effects (A) Aging Population. The 2020 NYEE CHNA found that the population is aging and "aging in place." This growth will increase needed support for healthcare, housing, transportation, and nutrition assistance. Planned activities for healthcare directly and indirectly related to an aging population are described below. These activities are in addition to the NYEE activities that impact multiple needs. Specialty Medical Services. Specialty medical services provided by NYEE treat conditions and diseases that are more prevalent in older populations. Treatments for these conditions and diseases enable seniors to be healthier and live independently. NYEE specializes in vision and hearing services, as follows: - Eye Services. NYEE provides patients with comprehensive treatments to manage the full range of vision problems, including cataracts, glaucoma, corneal disease, eye trauma, uveitis, and retina conditions such as age-related macular degeneration; and - Ear Services. NYEE provides patients with comprehensive treatments to manage the full range of hearing problems through the contributions of highly specialized professionals, including otolaryngologists (ear, nose, and throat physicians), otologists-neurotologists, audiologists, speech-language pathologists, and early intervention specialists. Events. NYEE conducts special events throughout the year. Examples of special events include an annual Holiday Eyeglass Donations Drive, "Lunch & Learn" lectures and presentations at major organizations and associations to educate the public about preventing and treating eye disease as well as hearing/ENT and balance topics; corporate health fairs and events throughout the city; and tours of a local museum for people with low vision. (B) Chronic Diseases and Contributing Lifestyle Factors The 2020 NYEE CHNA found that chronic diseases in the community include arthritis, asthma, cancers, cardiovascular disease, diabetes, hypertension, kidney disease, and pulmonary issues. Contributing lifestyle factors might also include poor nutrition, alcohol consumption, and physical inactivity. Planned activities to help reduce the incidence of and manage current chronic disease, including increasing healthy life factors, are described below. These activities are in addition to the NYEE activities that impact multiple needs. Health professions education. The health professions education activities of NYEE respond to both the current and future community health needs for chronic disease treatment and prevention. In addition to continuing medical education programs and the Jorge N. Buxton, MD, Microsurgical Education Center, NYEE actively participates in graduate medical education, including the following: - Ophthalmology Residency; - Otolaryngology Residency; and - Ophthalmic Subspecialty Fellowships, including cornea and external disease, glaucoma, retina, pediatric ophthalmology, uveitis, and ophthalmic reconstructive surgery. Chronic Disease Services. The hospital provides specialty care at its Manhattan campus, as well as the health system's physician practices throughout Manhattan. The hospital, together with The Mount Sinai Health System, is a leader in providing quality health care to its patients regardless of their ability to pay. Specific specialty health care services related to the management of chronic diseases include ones listed below. - Eye services, including services for cataracts, glaucoma, age-related macular degeneration, corneal disease, and retina conditions; - Ear, nose and throat services, including services for disorders of the ears, nose, throat, sinuses, head, and neck, such as thyroid and parathyroid tumors, sinus problems, voice and throat conditions, and hearing disorders; - Sleep services, including comprehensive diagnostic services for patients affected by sleep disorders, such as obstructive sleep apnea, snoring, insomnia, narcolepsy, periodic limb movement disorder, and daytime sleepiness; - Plastic and reconstructive surgery, including the newest technologies and multidisciplinary approaches; - Medical photography and imaging services, including advanced radiology, diagnostic imaging, and medical photography services, to provide physicians the critical information necessary to accurately diagnose conditions and determine the best treatments; - Otology clinic, including treatments for ear, nose, and throat disorders, such as sinus problems, ear infections, and swallowing disorders, by highly trained physicians
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