Tag Archives: healthcare

MSBI files Certificate of Need for downsizing plan

A rendering of the new campus, northeast view from the corner of Second Avenue and East 13th Street (Rendering courtesy of MSBI)

By Maria Rocha-Buschel

Mount Sinai Beth Israel has filed a Certificate of Need (CON) with State Department of Health on Monday to proceed with their downsizing plan that will drastically reduce the number of hospital beds in the Gramercy area, advancing the $1 billion project.

Representatives for MSBI told Community Board 6 members earlier this year that changes to the plan had delayed the submission of the CON, which they had expected to get approved by the end of last year. The process is an endorsement the state requires before the construction of a new healthcare facility.

The hospital system found newly-undiscovered unused space at the New York Eye and Ear facility, adjacent to where the new hospital will be built, and representatives at a meeting in February said that space allowed them to reconfigure the new building at East 14th Street and Second Avenue.

Brad Korn, corporate director of community affairs for Mount Sinai Beth Israel, assured CB6 members that the changes would not further decrease the number of beds but did say that the building could be shorter.

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Bellevue Hospital expands primary care

Bellevue CEO William Hicks; Dr. Andrew Wallach, clinical director of ambulatory care and the clinical chief of primary care at Bellevue; and other physicians at the ribbon cutting for the newly expanded primary care center (Photo courtesy of NYC Health + Hospitals/Bellevue Hospital)

By Maria Rocha-Buschel

Bellevue Hospital has announced that it is expanding adult primary care services in a newly-repurposed space, with the goal of having patients be able to get treatment for different issues in one location.

The hospital’s clinic, which had already been offering some primary care services on the ambulatory care building’s second floor, has expanded to add 12 patient exams rooms and increased the available space by 2,200 square feet for a total of 13,300 square feet. Bellevue CEO William Hicks said that the clinic was able to take over space that was previously occupied by the hospital’s World Trade Center health program, which has relocated to the hospital building of Bellevue.

Dr. Ted Long, who is the vice president of ambulatory care at Bellevue, said that the new space, as well as new processes in place at the clinic, will reduce wait times for patients looking to make an appointment. The average time for new patient appointments has already been reduced to 14 days from 40.

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Art and robots will call new hospital home

A 37-foot dalmatian balancing a taxi on its nose greets patients outside the new Hassenfeld Children’s Hospital. (Photos by Sabina Mollot)

By Sabina Mollot

On June 24, Kips Bay’s medical and science corridor will have one more hospital building, the 18-story Kimmel Pavilion at East 34th Street and First Avenue. The $1.2 billion facility, which is part of the NYU Langone Health campus, will include the Hassenfeld Children’s Hospital, the first children’s hospital to open in New York City in nearly 15 years.

While still off limits to anyone but construction crews and some hospital brass on Monday, the site was opened briefly for press and others who wanted a tour of the building, which has been in the works for the past 10 years.

The hospital will be unique for a few reasons, one of which is the attention paid to art. “Spot,” a 37-foot sculpture of a Dalmatian balancing a real New York City taxi on its noise, designed by artist Donald Lipski, greets patients at the entrance to the children’s hospital. There are also a number of other sculptures throughout the facility, designed to reflect the light under high ceilings. Others, like a rooftop waffle cone and oversized tennis ball, were clearly designed with underage critics in mind.

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Stuyvesant Town Mount Sinai Practice now open

(Pictured) David Leeds, aide to Congresswoman Carolyn Maloney; Margaret Pastuszko, Executive Vice President, Chief Strategy and Integration Officer, Mount Sinai Health System; Kelly Cassano, Chief of Ambulatory Care, Mount Sinai Beth Israel, Associate Dean of Clinical Affairs, Icahn School of Medicine at Mount Sinai; Jeremy Boal, MD, President, Mount Sinai Downtown and Chief Medical Officer, Mount Sinai Health System; State Senator Brad Hoylman; Council Member Keith Powers; Susan Steinberg, President of the Stuyvesant Town / Peter Cooper Village Tenants Association; Claude Winfield, Vice-Chair, Local Community Advisory Board, Chair, Mount Sinai Beth Israel Community Advisory Council; Rick Hayduk, CEO, General Manager, StuyTown Property Services; Abigail Chen, Senior Medical Director, Mount Sinai Doctors Downtown Faculty Practice; Elvis DeLeon, Vice President, Ambulatory Operations, Mount Sinai Doctors Downtown (Photo courtesy of The Mount Sinai Health System)

Mount Sinai Doctors Stuyvesant Town, a new multi-specialty practice at 518 East 20th Street, was officially opened last Thursday with a ribbon-cutting ceremony. Featuring state-of-the-art exam rooms and imaging services, the practice will offer extended weekday and weekend hours for both walk-in and scheduled appointments.

“Serving the downtown community is our top priority and our vast ambulatory network, one of the largest in lower Manhattan, makes this possible,” said Jeremy Boal, MD, the president of the MountSinai Downtown Network, who is also a resident of Peter Cooper Village.

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New Beth Israel building may be built higher

June16 BI meeting

Brad Beckstrom, senior director for community and government for Mount Sinai pictured at a public meeting in June 2016 (Photo by Maria Rocha-Buschel)

By Maria Rocha-Buschel

Mount Sinai Beth Israel is planning to build additional floors at the new East 13th Street facility to accommodate more beds if necessary, representatives announced. This is a change from the previously-announced plan since the hospital system had said that a smaller building would be constructed initially but with the ability to build additional floors if demand increased.

Representatives from the hospital system announced the adjustments to members of the Budget, Education and City Services committee for Community Board 5 on Tuesday and noted that this does not change the reduction in beds.

“We still believe we’ll have enough beds but we’ll be building up and adding the extra floors,” said Brad Korn, corporate director of community affairs for Mount Sinai Beth Israel. “(The space) might not end up being beds but it will cut down on the process if we do need it for that.”

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Mount Sinai opens urgent care center at Union Square facility

Equipment at the new eye examination room (Photos by Maria Rocha-Buschel)

By Maria Rocha-Buschel

Mount Sinai Beth Israel announced the opening of a new urgent care center in its Union Square facility earlier this week as part of the changes to the hospital amid the plan to downsize. The center officially opened on September 12 at Mount Sinai Union Square with seven standard exam rooms as well as an eye room and x-ray room.

Mount Sinai has been its renovating facilities south of 34th Street ahead of the plan to drastically reduce the number of beds in the hospital on First Avenue that representatives have said reflect changes in the healthcare industry, which is shifting towards outpatient care.

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Democrats fight Graham-Cassidy as legislation dies in the Senate

Congresswoman Carolyn Maloney and other elected officials blasted the latest effort to repeal the ACA. (Photo by Maria Rocha-Buschel)

By Maria Rocha-Buschel

Local Democratic elected officials gathered at City Hall to protest the latest efforts from Congress to repeal and replace the Affordable Care Act on Monday morning, a day prior to Senate Majority Leader Mitch McConnell scrapping the planned vote.

Congresswoman Carolyn Maloney, who was joined by City Councilmember Corey Johnson, Congresswoman Nydia Velázquez and other healthcare advocates, said that the latest iteration of the bill, dubbed “Graham-Cassidy” for its co-sponsors, Senators Lindsey Graham and Bill Cassidy, was just as harmful as previous attempts to repeal and replace Obamacare.

Maloney noted that although local elected officials oppose the bill, it would still negatively impact New Yorkers if it passed because the state would lose funding.

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Neighbors seeking input in Beth Israel downsizing plan

Judy Wessler, community health planner

By Maria Rocha-Buschel

Despite the usually-slower summer months, community groups have remained focused on Mount Sinai Beth Israel’s downsizing plan, which includes drastically reducing the number of hospital beds. The Gramercy-Stuyvesant Independent Democratic Club hosted a recent forum to provide updates, although representatives from local hospitals, including MSBI, were unavailable to attend the meeting.

Community Board 3 Chair Jamie Rogers said that the community board, along with Boards 2 and 6, has recently been involved in a working group organized by Manhattan Borough President Gale Brewer.

“The main asks (of the group) are to maximize community participation and make sure that the State Department of Health is actually listening to our concerns,” Rogers said. “The DOH isn’t the most community-minded of our bureaucracies. We have trouble getting them to our events.”

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Opinion: Obamacare repeal: What’s at stake

By former Assemblyman Steven Sanders

We all have friends or family who are ill, some seriously. There are some in nursing homes, some in hospitals, and others being treated at home.

My good friend Bob has been courageously battling cancer for several years. He had surgery and follow up treatment, which to a large extent was paid for by his private insurance. He was doing well for a while, but now the cancer is back with a vengeance and has spread to his liver. He is in the fight of his life, literally. His future is uncertain, maybe no future at all. But at least he does not need the added worry about whether he can access treatment or afford medicines that might save or at least extend his life.

Giving this peace of mind to all Americans was the whole point of the Affordable Care Act, better known as “Obamacare,” which President Trump and his cohorts in Congress are so intent on dismantling.

After vowing to “quickly” do away with Obamacare during his campaign, Trump subsequently declared “who knew health care was so complicated”?

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Pols frustrated over lack of input from community in MSBI downsizing

Mount Sinai Downtown President Dr. Jeremy Boal (right) answers a question asked by Council Member Corey Johnson. Pictured at left is Brad Korn, director of community and government affairs at Mount Sinai. (Photo by Maria Rocha-Buschel)

By Maria Rocha-Buschel

Community members and elected officials have expressed concern about the steep reduction of beds at Mount Sinai Beth Israel, once the hospital is downsized as planned. At a forum held in the Union Square hospital facility last Thursday, State Senator Brad Hoylman and City Councilmember Corey Johnson brought up the number of beds, and Hoylman added that he was concerned about a lack of community input on the plan, as were representatives for Borough President Gale Brewer and City Councilmember Dan Garodnick.

When Hoylman criticized the lack of community involvement in the issue and asked if any of the plans would be modified based on input from residents, Mount Sinai Downtown President Dr. Jeremy Boal admitted that the plan would not.

“We’re skiing in front of an avalanche,” he said, citing financial concerns for Beth Israel. “We’re losing money at such a rapid clip that if we take a giant pause, the community will be left with nothing.”

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Mount Sinai practice will open in Stuy Town

The Mount Sinai practice will open at 516-518 East 20th Street. (Photo by Maria Rocha-Buschel)

The Mount Sinai practice will open at 516-518 East 20th Street. (Photo by Maria Rocha-Buschel)

By Sabina Mollot

As part of the $500 million Beth Israel rebuild effort, including the creation of a “Mount Sinai Downtown” network, the hospital system announced that it will be opening a practice in Stuyvesant Town.

The practice, to be located at 516-518 East 20th Street, will offer primary care and specialty services. Construction is expected to be completed on the space by the fall and it is expected to open in the fall. Currently the 4,000 square foot space is vacant with its windows papered up. Formerly it was home to Berkely Sutton Cleaners, which moved elsewhere in Stuy Town, and a key control room for the complex.

According to a press release, this center will “help achieve Mount Sinai’s goal of transforming and embracing a new model of care that focuses on serving patients in the most appropriate setting.”

Mount Sinai’s planned downsizing of Beth Israel involves transitioning to a mostly outpatient model.

The practice will also offer pediatric services, and as for the specialty care services, they are to be determined “in consultation with Stuyvesant Town-Peter Cooper Village, surrounding communities and interest groups,” the hospital said, and “will also be offered on a rotating basis.”

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Reckoning in Congress

By former Assemblyman Steven Sanders

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Steven Sanders

Long Island Republican Congressman Peter King has never been one to mince words. Over the weekend he charged that some of his fellow Republican colleagues in the House of Representatives were behaving like “political terrorists” and literally threatening to damage the United States and our economy if they cannot get their way in delaying or defunding the Affordable Care Act also known as “Obamacare.”

Representative King has hit the nail on the head.

A small group of right wing and Tea Party affiliated Republicans in Congress have shut down the federal government and could possibly devalue the credit worthiness of the U.S. dollar if they cannot achieve by threats and extortion what they failed to win by legislation and that is to derail the new health care law which they loathe. It is hard to know whether they hate the law or despise the President more, but that is what they are doing.

Don’t get me wrong, any member of Congress or any citizen for that matter has every right to oppose a policy they disagree with and they have every right to dislike anyone that they choose. However, what is terribly disturbing and destructive is that after having lost their fight against Obamacare in the votes in Congress and in the vote from the last Presidential election, and after the law was upheld by the United State Supreme Court, these right wing militants have decided to put the entire United States economy in jeopardy lest the President and the majority of the House and the Senate give in to their extortion. This brand of extreme politics and blind “no compromise ideology” is common in the Middle East, but it is something new to American political discourse. It is fundamentalism practiced in a three-piece suit.

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Letters to the Editor, Oct. 3

Who does what for whom?

In his It Seems to Me column, “America is a Great Country” (T&V, Sept. 26) Christopher Hagedorn noted that, “You don’t have to be a statistics major in college (Where else, one might ask?)to understand that persons with kids over 26 are paying for persons with kids under 26,” and Mr. Hagedorn goes on to stress, “All of the above are paying for others with chronic diseases.”

In reading Mr. Hagedorn, I was reminded of PBS reporters, Thursday the 26th, as I recall, who pushed the point that the young (contributors) would be paying for the elderly and sick. So the question I have is this: Is that so? Is it so that those who make no claims pay for those that do?

I believe that here we are witness to the framed opposition between collective actions (such as insurance) and those who take a more deeply personal and self-centered, almost acquisitive, view.

I want to offer something different.  I want to acknowledge collective actions, public and private such as health care, Social Security, with its payments to widows, kids, disabled, but also car and home insurances, for two, provided by private insurance companies. These are forms of collective behavior. Hence, when I pay my health care premium that is not analogous to my paying for the narrow world of buying a theater ticket:

I pay for my ticket and get a show. That’s it! Nor is my paying into an insurance fund analogous to my setting money aside for myself in the form of a savings, bond fund or stock.

While it is true that a record may be kept of my contributions, that record does not indicate ownership; it merely shows my contributions. When I retire, or get sick, I do not draw on them, I draw on the fund. If I do not draw on my contributions, then  contrary to Mr. Hegedorn and the gentle voices on PBS, I do not draw on those of others either!  Social Security and health care were never “nest eggs.” They were never singular “savings for a rainy day.” They are complex  participations in the life of a people, and they do not have the logic of Me, Myself and I. To suggest that they do is to distort the collective energies of a people.

John Giannone, ST

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Letters to the Editor, Sept. 20

Conservative thoughts

Two items have outstripped inflation during the past decades: medical care and education. Why?

One obvious reason for increased costs of medicine is good: new understandings, treatments and technologies (some scanning devices cost in excess of $1M). But why does every “first rate” hospital have to own one? They could be shared. Prestige costs excessive money.

In the 1950’s and 1960’s, my family saw a physician whose fee was $3 per office visit and a house call (really!) was $5. Now with inflation a consultation is at least $100 and house calls are hardly even remembered.

Then every patient knew what he/she was paying. With the advent of insurance and government entitlements, few know what’s being charged. (And, don’t care.) So, that has made many physicians increase fees as a result of avarice.

Education: in 1973, when I began graduate school at Columbia, my aunt who had attended during the 1940’s. She asked me how much I paid for tuition. “$96.” She was shocked and told me that she had paid $10. This is a pattern which envelopes almost all universities – college and graduate school. Now Columbia, the other Ivy League schools and even the overrated NYU, charge over $1,200 per credit.

Why? Certainly Columbia has an endowment of about a zillion dollars. The cost exists because they can and students keep on applying. Loans have to be taken by many students.

Public primary and secondary education keep on receiving more monies – yet the result is that today’s undergraduates are being exposed to yesterday’s high school curriculum.

For medical care and education to be effective, the free market should be used: be sure to let patients know what is being paid per visit and procedure. (The higher the fee, the more insurance has to be paid.) And universities must be made more demanding in curriculum and far more competitive in their fees – so that post graduates are not burdened for practically the remainder of their lives.

Some on the right speak of “European socialism.” Well, some unworkable and ineffective form is what’s going on here.

David Chowes, PCV

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