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NYC Health + Hospitales
NYC Health + Hospitals logo.svg
Descripción general sin fines de lucro
Formado1969 ; Hace 52 años [1] (1969)
JurisdicciónNueva York
Sede125 Worth Street ,
Nueva York , NY
Ejecutivo sin fines de lucro
Documento clave
Sitio webnychealthandhospitals .org
125 Worth Street, sede de HHC y del Departamento de Salud e Higiene Mental de la Ciudad de Nueva York y el Departamento de Saneamiento

NYC Health + Hospitals , oficialmente la Corporación de Salud y Hospitales de la Ciudad de Nueva York ( NYCHHC ), opera los hospitales públicos y las clínicas en la Ciudad de Nueva York como una corporación de beneficio público . A partir de 2012 , HHC es el sistema de salud municipal más grande de los Estados Unidos con $ 6.7 mil millones en ingresos anuales, atendiendo a 1.4 millones de pacientes, incluidos más de 475,000 residentes urbanos sin seguro, [3] que brindan servicios interpretados en más de 190 idiomas. [4] HHC fue creada en 1969 por la Legislatura del Estado de Nueva York como una corporación de beneficio público. [5] [1] [6]Es similar a una agencia municipal, pero tiene una junta directiva . Opera once hospitales de cuidados intensivos, cinco hogares de ancianos, seis centros de diagnóstico y tratamiento y más de 70 sitios de atención primaria basados ​​en la comunidad , que atienden principalmente a los pobres y la clase trabajadora. El propio plan de salud MetroPlus de HHC es uno de los mayores proveedores de seguros de salud patrocinados por el gobierno del área de Nueva York y es el plan elegido por casi medio millón de neoyorquinos. [7]

La organización tiene su sede en 125 Worth Street en el barrio del Centro Cívico de Manhattan. [8] Cada año, las instalaciones de HHC brindan alrededor de 225,000 admisiones de pacientes hospitalizados , un millón de visitas al departamento de emergencias y cinco millones de visitas a clínicas para neoyorquinos. Las instalaciones de la HHC tratan casi una quinta parte de todas las altas hospitalarias y más de un tercio de las visitas al departamento de emergencias y a clínicas hospitalarias en la ciudad de Nueva York. [6]

El hospital más conocido del sistema HHC es Bellevue Hospital , el hospital público más antiguo de los Estados Unidos. Bellevue es el hospital designado para el tratamiento del presidente de los Estados Unidos y otros líderes mundiales si se enferman o se lesionan mientras se encuentran en la ciudad de Nueva York. [9] El actual presidente y director ejecutivo de NYC Health + Hospitals es el Dr. Mitchell H. Katz .

La organización se sometió a una iniciativa de cambio de marca en noviembre de 2015, acortando su nombre de 40 a 19 caracteres, como "NYC Health + Hospitales". [10]

Historia [ editar ]

En 1736, el hospital más antiguo de HHC, el Hospital Bellevue se fundó como una enfermería para la viruela y otras enfermedades contagiosas en el último piso de una cárcel y un asilo público. Bellevue Hospital fue nombrado formalmente en 1825. A principios del siglo XX, la facultad de medicina de Bellevue se fusionó con la University Medical College en lo que más tarde se convertiría en la New York University College of Medicine.

En 1920, Bellevue fundó el Children's Psychiatric Service, el primer programa en los Estados Unidos dedicado al estudio del autismo infantil y la formación de psiquiatras infantiles. Bellevue continúa brindando a lo largo de este día servicios pediátricos integrales y servicios psiquiátricos de renombre, así como servicios de emergencia y trauma de gran prestigio. Bellevue sigue siendo el principal hospital universitario de su Facultad de Medicina de la Universidad de Nueva York afiliada. Los otros hospitales de HHC se fundaron a finales del siglo XIX y principios y mediados del siglo XX. [6]

En 1965, se crearon Medicare y Medicaid y rápidamente representaron el 86 por ciento de los ingresos recibidos por el sistema hospitalario municipal. Los pacientes con seguro privado optaron por utilizar hospitales privados y Medicaid aumentó su elegibilidad. Como consecuencia, los hospitales de la ciudad de Nueva York vieron cómo el número de pacientes y la financiación disminuían vertiginosamente. Según un estudio de 1967, solo dos años después, las condiciones y la calidad de la atención en los hospitales públicos de la ciudad de Nueva York eran deplorables. [9]

En 1969, el estado de Nueva York creó HHC para reemplazar el Departamento de Hospitales de la ciudad que opera hospitales de la ciudad y otras instalaciones de atención médica. [5] HHC se formó como una agencia cuasi pública para permitirle beneficiarse de los ingresos y la financiación privados. Sin embargo, la situación fiscal de HCC ha variado periódicamente desde su formación y ha atravesado períodos de inestabilidad. [6]

Sede [ editar ]

La sede de 125 Worth Street de la HHC y el Departamento de Salud de la ciudad de Nueva York se construyeron entre 1932 y 35. A lo largo de la parte superior del edificio hay 29 apellidos de pioneros en varios campos de la ciencia médica y la atención al paciente. Ellos son:

  • MOISÉS: Moisés
  • JENNER: Edward Jenner - descubridor de la vacuna contra la viruela
  • RAMAZZINI: Bernardino Ramazzini - medicina ocupacional, proponente del uso de quinina para tratar la malaria
  • HIPÓCRATES: Hipócrates de Cos - padre de la medicina
  • PARACELSVS: Paracelso - padre de la toxicología
  • PINEL: Philippe Pinel - padre de la psiquiatría moderna
  • LIND: James Lind - tratamiento descubierto del escorbuto
  • FARR: William Farr - fundador de las estadísticas médicas
  • HOWARD: Luke Howard - padre de la meteorología
  • LISTER: Joseph Lister - padre de la cirugía antiséptica
  • NIGHTINGALE: Florence Nightingale - madre de la enfermería moderna
  • SHATTUCK: Lemuel Shattuck - padre de la salud pública
  • MORTON: William Thomas Green Morton - primera demostración pública de anestesia con éter
  • SIMS: J. Marion Sims - padre de la ginecología moderna
  • BARD: Samuel Bard - fundador de la primera escuela de medicina en Nueva York
  • SEMMELWEIS: Ignaz Semmelweis - defensor de los procedimientos antisépticos, "salvador de las madres"
  • WELCH: William H. Welch , patólogo de Baltimore y líder de salud pública
  • SMITH: Stephen Smith , cirujano de Bellevue, fundador de la Asociación Estadounidense de Salud Pública
  • DALTON: John Dalton - introdujo la teoría atómica en la química / investigó el daltonismo
  • BIGGS: Hermann Biggs - pionero en salud pública / bacteriología
  • REED: Walter Reed , pionero en la medicina tropical, estableció la transmisión por artrópodos de la fiebre amarilla
  • GORGAS: William C. Gorgas - detuvo la malaria y la fiebre amarilla eliminando los mosquitos
  • KOCH: Robert Koch : causa descubierta de tuberculosis, teoría de gérmenes establecida
  • BEHRING: Emil von Behring , descubrió la antitoxina diftérica, ganó el primer premio Nobel de medicina
  • PASTEUR: Louis Pasteur - padre de la microbiología y la vacunación
  • LEEUWENHOEK: Antonie van Leeuwenhoek - padre de la microscopía moderna
  • EHRLICH: Paul Ehrlich - padre de la inmunología y la quimioterapia
  • FACTURAS: John Shaw Billings - biblioteca construida de la oficina del Cirujano General, base de registros médicos modernos
  • HARVEY: William Harvey - descubrió la circulación del corazón

Instalaciones [ editar ]

NYC Health + Hospitals opera 11 hospitales en toda la ciudad: [11]

  • NYC Health + Hospitales / Bellevue
  • NYC Health + Hospitales / Coney Island
  • NYC Health + Hospitales / Elmhurst
  • NYC Health + Hospitales / Harlem
  • NYC Health + Hospitales / Jacobi
  • NYC Health + Hospitales / Condado de Kings
  • NYC Health + Hospitales / Lincoln
  • NYC Health + Hospitales / Metropolitan
  • NYC Health + Hospitales / North Central Bronx
  • NYC Health + Hospitales / Queens
  • NYC Health + Hospitales / Woodhull

Centros comunitarios, de diagnóstico y tratamiento y de atención a largo plazo:

  • NYC Health + Hospitales / Belvis
  • NYC Health + Hospitales / Carter
  • NYC Health + Hospitales / Coler
  • NYC Health + Hospitales / Cumberland
  • NYC Health + Hospitales / Este de Nueva York
  • NYC Health + Hospitales / Gouverneur
  • NYC Health + Hospitales / Morrisania
  • NYC Health + Hospitales / Renaissance
  • NYC Health + Hospitales / Gotham Health, Roosevelt
  • NYC Health + Hospitales / Gotham Health, Vanderbilt

Reconocimientos [ editar ]

Premios y subvenciones [ editar ]

El antiguo Hospital de Tuberculosis Triboro en Queens Hospital Center

HHC has won a number of awards and grants in recent years for its quality of care and innovative community-based programs. In 2006, a study by the federal Centers for Medicare and Medicaid Services (CMS) ranked quality of care at HHC among the highest in New York City in the areas of heart attack, heart failure and pneumonia.[1] HHC reported that of the 50 hospitals in New York City that voluntarily submitted quality data to CMS, HHC hospitals held seven of the top nine places – and all ranked in the top 17 – when judged by 10 specific measures of healthcare quality for the treatment of patients with life-threatening heart and pulmonary conditions, and that Brooklyn's Coney Island Hospital achieved a first place ranking among all New York City hospitals, public or private.[1]

On September 30, 2008, the Centers for Disease Control and Prevention (CDC) awarded HHC a $10 million grant to be administered by the National Institute for Occupational Safety and Health (NIOSH). The grant, which will provide up to $30 million over three years, is to provide health services to non-responder populations in New York City affected by the World Trade Center attack.[12] Under the grant, HHC will provide medical examinations, diagnostic testing, referral and treatment for residents, students, and others in the community that were directly affected by the dust and debris from the collapse of the World Trade Center buildings on Sept. 11, 2001. Other recent grants to HHC include to expand access to neonatal care and to improve health literacy among low literacy patients.[13][14]

HHC has won several other prestigious awards in recent years.

  • In May 2014, Queens Hospital Center became the second HHC hospital and the third hospital in New York City to receive the "Baby Friendly" certification granted by Baby-Friendly USA, part of a global initiative sponsored by the World Health Organization (WHO) and United Nations Children's Fund (UNICEF). The Initiative selects hospitals and birthing centers that implement the recommended 10 steps of a comprehensive breastfeeding program.
  • HHC's North Bronx Health Network, which includes Jacobi Medical Center and North Central Bronx Hospital, received the HANYS (Healthcare Association of New York State) Pinnacle Award for Quality Improvement and Patient Safety for the outstanding success of its Violence Reduction Protocol in psychiatric services. HANYS also awarded Woodhull Medical and Mental Health Center the Honorable Mention for a Community Health Improvement Award for their Artist Access Program.
  • The Fund for the City of New York has honored numerous HHC employees with the Sloan Public Service Award
  • Lincoln Medical Center received a Quest for Quality award for its leadership and innovation in quality improvement and safety.
  • Queens Hospital Center receive a Citation of Merit recognizing its exceptionally effective approach to reducing disparities in care through its strong ties to the community, and its high level of community accountability.
  • Former HHC President Alan Aviles received the coveted CEO IT Achievement Award from the Healthcare Information and Management Systems Society and Modern Healthcare Magazine for leadership in the use of information technology to advance healthcare excellence.
  • HHC's system-wide palliative care program was awarded a Circle of Life Citation of Honor, the first time that such an honor was bestowed on a public hospital system. HHC's program was judged to be among the top eight of more than 100 national competitors.
  • The National Quality Forum and The Joint Commission recognized HHC with the John M. Eisenberg Award for HHC In Focus, its special web site where the public can review how HHC facilities compare to state and national benchmarks on important quality and performance indicators. The award recognizes HHC's work to make quality and safety data transparent and its commitment to system-wide performance improvement.
  • The American Hospital Association awarded HHC's system-wide palliative care program a Circle of Life Citation of Honor, the first time that such an honor was bestowed on a public hospital system. HHC's program was judged to be among the top eight of more than 100 national competitors.
  • The National Association of Public Hospitals and Health Systems recognized Kings County with a Safety Net Award in the Health Information Technology category for its use of healthcare IT to reduce the incidence of hospital-acquired infections in its surgical intensive care unit.
  • Harlem Hospital Center was the first hospital in New York City to receive the "Baby Friendly" certification granted by Baby-Friendly USA, part of a global initiative sponsored by the World Health Organization (WHO) and United Nations Children's Fund (UNICEF). The Initiative selects hospitals and birthing centers that implement the recommended 10 steps of a comprehensive breastfeeding program.
  • Sea View Hospital Rehabilitation Center & Home earned the 2007 Ernest Amory Codman Award from The Joint Commission for the use of outcomes measurements as a means to achieve improvement in the quality and safety of health care.
  • Elmhurst Hospital Center was assigned a "Magnet" designation by the American Nurses Association to recognize quality patient care and nursing as well as innovations in professional nursing practice.
  • HHC earned the 2007 Life and Breath Award by the American Lung Association for contributions to the prevention of lung disease in New York City.
  • New York magazine, in its lists of the Best Doctors in the City each year, identifies several HHC physicians throughout the public hospital system as notable in their field.
  • Woodhull Hospital in Brooklyn and Lincoln Hospital in the Bronx earned, respectively, the Gold and Silver Performance Awards, designated jointly by the American Heart Association and American Stroke Association, for applying evidence-based best practices in the treatment for Coronary Artery Disease and Heart Failure.[15]

Leading medical information technology systems[edit]

In recent years, HHC has received recognition for its advanced clinical information system which includes a comprehensive electronic health record (also known as an electronic medical record). HHC public hospitals have won the Nicholas E. Davies award for the use of clinical information technology.[16] HHC President Alan Aviles received the CEO IT Achievement Award from the Healthcare Information and Management Systems Society and Modern Healthcare Magazine for leading use of information technology to advance healthcare excellence.[17] And HHC's North Bronx Healthcare Network was awarded Hospitals and Health Networks' Most Wired Award four consecutive years for its use of information technology in safety, quality, customer service, business processes and workforce training.[15]

Controversies[edit]

Lawsuit and allegations of abuse and neglect at HHC unit[edit]

Conditions at the psychiatric unit of the Kings County Hospital Center in Brooklyn, one of 11 HHC hospitals, remain the subject of a lawsuit and scrutiny by the press. In May 2007, the New York State Mental Hygiene Legal Service, the New York Civil Liberties Union, and Kirkland & Ellis, a private law firm, filed a lawsuit against Kings County Hospital. The plaintiffs charged that its psychiatric unit was "a chamber of filth, decay, indifference and danger."[18] The May 2007 lawsuit alleged that patients at the Kings County Hospital "are subjected to overcrowded and squalid conditions often accompanied by physical abuse and unnecessary and punitive injections of mind-altering drugs."[19]

In December 2007, the U.S. Department of Justice and the U.S. Attorney's Office for the Eastern District of New York began a separate investigation.[18]

In June 2008, the plaintiffs in the May 2007 lawsuit released a video of Esmin Green, a 49-year-old patient, dying on the floor of a waiting room in King County Hospital after waiting to be seen by at the psychiatric emergency department for more than 24 hours.[20] Shortly after the release of the video, which was highly publicized, HHC officials agreed in court to implement emergency reforms. Alan Aviles, HHC president, released a statement that he was shocked and distressed by the situation and promised a thorough investigation.[21] Six HHC employees were fired and reforms were implemented.[22] The particular conditions at Kings County Hospital appear to be largely limited to that unit. As part of a broader transparency initiative, HHC voluntarily reported health and safety data for 2008, showing significant declines in infection and mortality rates across its participating hospitals on its website.[citation needed] Procedures across HHC hospitals and centers, however, are largely unstandardized and conditions vary widely.

On February 5, 2009, the plaintiffs in the May 2007 lawsuit issued a joint statement acknowledging that reforms had been implemented but stating that further reforms are needed. Plaintiffs stated:

[T]he hospital remains a dangerous place where patient health and safety is at risk on a daily basis. … Clearly, much more works needs to be done. The federal government's involvement brings a vast array of expertise and resources, and we look forward to working with the DOJ and the U.S. Attorney's Office in our efforts to make Kings County Hospital a safe, effective, and therapeutic environment in which New Yorkers can receive the professional care and treatment they deserve. It is our hope and expectation that the express willingness of the defendants to work with DOJ and Plaintiff's counsel will, in fact, result in the change that KCHC so desperately needs.[18]

Bloomberg has stressed the need for, and improvements in, accountability and transparency at HHC, stating in March 2009, “New York City's public hospitals are also national leaders in reporting on patient safety, including the rate of infections acquired during hospital stays – a very troubling problem nationwide. Our taxpayers deserve to know that. That's what accountability is about – and we need to make accountability the norm throughout the country, in big cities and small towns."[23]

2009 state funding cut[edit]

In March 2009, HHC announced spending reductions of $105 million and said that it would eliminate 400 jobs because of Medicaid cuts, rising expenses and a growing number of uninsured patients. Alan Aviles, HHC President, said regarding the cuts, "We can try and ensure that patients who are adversely affected can be linked to alternative care. That, of course, will become more and more difficult as we have to dig deeper and deeper."[24]

Local DC 37, a union representing some of HHC's 30,000 workers, announced:

If there is one thing that should be obvious in this economic climate it is that layoffs are not a solution but only compound the problems we're facing. District Council 37 will address this issue aggressively. We are talking to the State to make sure that the federal stimulus moneys are used for the purpose for which they are intended.[24]

Cutbacks will include four school-based health programs, three community clinics, two mental health day treatment programs, and the consolidation of three other hospital-based programs. At the time of the March 2009 announcement, Aviles said these cuts address a fraction of the problem and pointed to additional reductions in the future.[24]

In early April, Aviles circulated a letter to HHC's employees and its community advisory board stating that due to decisions by Governor Paterson the cuts would be significantly deeper than those reported in March.[25] The effect of the initial and additional funding cutbacks on the ability of HHC to deliver effective community care is unclear. The process by which the cuts were decided upon by Governor Paterson has not yet been reported. It is unclear whether the cutbacks will impact the efficacy in New York City of President Barack Obama's initiative to expand affordable access to healthcare, or how the cuts will affect New York City's ability to offer HHC's industry leading electronic health record system as a model for integrating modern information technology into the healthcare delivery system at the national level.

See also[edit]

  • New York City Department of Health and Mental Hygiene
  • List of hospitals in New York City
  • List of hospitals in New York

References[edit]

  1. ^ a b c d "The History of New York City's Municipal Hospitals". HHC Foundation. Archived from the original on 2012-02-22.
  2. ^ a b "NYC Health + Hospitals Board of Directors". NYC Health + Hospitals. 2015. Retrieved December 15, 2015.
  3. ^ "About HHC". HHC. Archived from the original on 2012-01-13.
  4. ^ "2014 HHC Report to the Community" (PDF). New York City Health + Hospitals. Retrieved March 12, 2017.
  5. ^ a b "New York city health and hospitals corporation act", Chapter 1016 of the Laws of 1969, volume 2, pages 2514–2541, enacted 26 May 1969.
  6. ^ a b c d "Results for: new-york-city-health-and-hospitals-corporation". Answers.com. Retrieved 2019-11-09.
  7. ^ Metroplus
  8. ^ "Contact Us". NYC Health + Hospitals. Retrieved 2019-11-08. NYC Health + Hospitals 125 Worth St. New York, NY 10013
  9. ^ a b "History of New York City Health and Hospitals Corporation". Funding Universe.
  10. ^ "New York City's Public Health Care System Rebrands to Unify 70+ Patient Care Locations". NYC Health + Hospitals. November 9, 2015. Retrieved December 15, 2015.
  11. ^ "Hospitals". NYC Health + Hospitals. 2019. Retrieved October 30, 2019.
  12. ^ "CDC Awards $10 million to New York City Health and Hospitals Corporation to provide Health Services to Residents, Other Community Members Affected by 9/11 Attack" (Press release). Centers for Disease Control and Prevention. September 30, 2008.
  13. ^ "HHC Press Release". Archived from the original on 2009-01-05. Retrieved 2009-04-13.
  14. ^ "HHC Press Release". Archived from the original on 2009-01-05. Retrieved 2009-04-13.
  15. ^ a b "About HHC – Awards". HHC. Archived from the original on 2008-04-28.
  16. ^ Douglas McCarthy & Kimberly Mueller (October 17, 2008). "The New York City Health and Hospitals Corporation: Transforming a Public Safety Net Delivery System to Achieve Higher Performance" (Fund Report). The Commonwealth Fund. Archived from the original on 2009-05-29.
  17. ^ Cinda Becker (June 26, 2007). "CEO IT Achievement Award: Alan Aviles raises the bar". Modern Healthcare Online. Archived from the original on November 8, 2007. Retrieved April 12, 2020.
  18. ^ a b c "Department of Justice: Conditions at Kings County Hospital are 'Highly Dangerous'". NYCLU. February 5, 2009. Archived from the original on 2011-07-27.
  19. ^ "Case No. CV 07 1819 Complaint" (PDF). Archived from the original (PDF) on 2011-05-25 – via NYCLU.
  20. ^ AP (July 11, 2008). "Esmin Green, who died on Brooklyn hospital floor, perished from sitting". Daily News.
  21. ^ Alan D. Aviles (July 2, 2008). "Esmin Green's death: the hospital chief responds". Chicago Tribune Blog.
  22. ^ "Esmin Green's death: the hospital chief responds". Chicago Tribune. July 2, 2008. Archived from the original on July 8, 2011. Retrieved April 12, 2009.
  23. ^ "Mayor Bloomberg Urges Mayors In Both Parties To Join Him In Support Of President Obama's Nonpartisan Principles For Health Reform And To Push For A Consensus Reform Package This Year". News from the Blue Room (Press release). March 31, 2009. PR-149-09. Archived from the original on June 28, 2011. Retrieved April 12, 2020.
  24. ^ a b c "City's Public Health System To Cut 400 Jobs". NY1 News. March 19, 2009. Archived from the original on 2009-03-24.
  25. ^ Melanie Evans (April 10, 2009). "N.Y.C. health system faces even deeper cuts". Modern Healthcare. Archived from the original on August 10, 2011. Retrieved April 12, 2009.

External links[edit]

  • Official website
  • The Fund For HHC
  • HHC Art