Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...

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Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...
Community Service Plan
and Implementation Plan
Northern Westchester Hospital
2019 – 2021
Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...
Mission Statement for                                As a member of Northwell Health,
  Northern Westchester                                 Northern Westchester Hospital strives to
  Hospital                                             improve the health and quality of life for the
                                                       people and communities we serve by
                                                       providing world-class service and patient-
                                                       centered care.

Who We Are
Northern Westchester Hospital (NWH) is committed to the values on which it was founded over 100 years ago: dedicated and
compassionate service to the community; individualized care that respects the unique needs of each patient and family; professionalism,
teamwork and collaboration; commitment to delivering care in a healthy and healing environment; and, respect for staff and volunteers.

Located in Mount Kisco, New York, NWH provides a range of services to individuals who live in Northern Westchester, Putnam and Southern
Dutchess Counties in New York. There are approximately 350,000 people in our catchment area. Northern Westchester Hospital is a full-
service, state-of-the art 245-bed providing a spectrum of acute specialty/sub-specialty care in nearly every clinical area to adults and children
on an outpatient, inpatient and emergency basis. The vision of NWH is to provide the highest quality health care within a supportive
community setting and state of-the-art facilities. Furthermore, we seek to improve and protect the health of individuals in the community
through programs that promote healing and wellness. We are highly committed to creating an optimal healing environment for patients,
families and staff through the effective system-wide integration of high quality, evidence-based holistic practices.

Northern Westchester Hospital is a teaching hospital and international role model for delivering patient-centered care and is the first
hospital in the nation to achieve both designation as a Planetree Patient-Centered Hospital with Distinction and Magnet Recognition for
quality patient care, nursing excellence and innovation in our professional nursing practice.

NWH is recognized by The Joint Commission as one of the highest quality hospitals in the United States. U.S. News & World Report, once
again, lists NWH among the “Best Hospitals 2018-2019,” indicating that NWH is highly proficient in serving the needs of our patients. NWH
has been recognized by US News & World Report “Best Regional Hospitals” in four specialties Colon Cancer, COPD, Heart Failure and Hip
Surgery. NWH's rank as one of the top hospitals in the New York Metro area is based largely on objective measures of hospital performance,
such as patient survival rates, and structural resources, such as nurse staffing levels.

The hospital is designated and certified by the State of New York as a 10-bed Level III Neonatal Intensive Care Unit (NICU). The availability of
this level of care has reduced the need to transfer sick newborns to other facilities and has allowed parents to be close by for their child’s
care. Northern Westchester Hospital is a designated Breast imaging Center of Excellence by the American College of Radiology. The NWH
Rehabilitation Program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). This certification
is the only peer-reviewed accreditation process designed to review individual rehabilitation programs for adherence to best practices
developed by the AACVPR in conjunction with other professional societies.

Our highly-credentialed surgeons routinely perform minimally invasive surgeries to treat a wide range of conditions. A cornerstone of this
program is the sophisticated robotic technology of the da Vinci® Surgical System, of which NWH is a Designated Training Epicenter for
robotics-assisted colon and rectal surgery. Furthermore, the NWH Breast Institute hosts an aesthetic oncology breast surgery fellow every
year, which enhances a surgeon’s experience in all aspects of breast surgery and management of breast cancer patients.

2 Northwell Health | Northern Westchester Hospital Community Service Plan
Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...
Prevention Agenda for the Healthiest State
Northern Westchester Hospital, as part of Northwell Health, utilizes    PRIORITY AREA: Promote Well-Being and Prevent Mental and
the US Surgeon General’s National Prevention Strategy (NPS) to          Substance Use Disorders
guide its community chronic disease prevention and wellness
agenda. Northwell Health incorporated the NPS in Northern               1. FOCUS AREA: Promote Well Being
Westchester‘s NYSDOH Community Service Plan (CSP) to impact the         — Strengthen opportunities to build well-being and resilience
                                                                           across the lifespan
health of its surrounding communities. The strategic directions of
                                                                        — Facilitate supportive environments that promote respect and
the NPS include:
                                                                           dignity for all ages
—   Healthy and Safe Community Environments
—   Clinical and Community Preventative Services                        2. FOCUS AREA: Prevent Mental and Substance Use Disorders
—   Empowered People                                                    — Prevent opioid and other substance misuse and deaths
—   Elimination of Health Disparities                                   — Reduce Prevalence of major depressive disorders

To improve the health of the community, Northwell Health as a           The NYSDOH Prevention Agenda Dashboard Improve Heath Status
result of the Community Health Needs Assessment (CHNA) process          and Reduce Health Disparities objective that Northwell will be
and approved by the Committee on Community Health of the                focusing on is age-adjusted preventable hospitalization rate per
Northwell Health Board of Trustees, has selected the following          10,000 - Aged 18+ years in addition to a focus on low income
NYSDOH Priority Agenda Priority Areas, focus areas and goals for        populations with health disparities.
the service of the health system:
                                                                        The Community Service Plan focuses on the following areas:
PRIORITY AREA: Prevent Chronic Disease                                  — Increasing screening rates for cardiovascular diseases; diabetes;
                                                                           and breast; and lung cancers especially among populations
1. FOCUS AREA: Healthy Eating and Food Security                            experiencing health disparities
— Increase access to healthy affordable foods and beverages             — Increasing access to high quality chronic disease preventive care
— Increase skills and knowledge to support healthy food and                and management in both clinical and community settings
   beverage choices                                                     — Reducing obesity in children and adults
— Increase food security                                                — Reducing illness, disability, and death related to tobacco use and
                                                                           secondhand smoke exposure
2. FOCUS AREA: Physical Activity                                        — Promoting mental health and preventing substance abuse
— Promote school, childcare and worksite environments that                 related to tobacco use and secondhand smoke exposure
   support physical activity for people of all ages and abilities       — Promoting mental health and preventing substance abuse

3. FOCUS AREA: Tobacco Prevention                                       Examples of interventions that support these areas are:
— Prevent initiation of tobacco use, including combustible tobacco      — Robust chronic disease and cancer screening programs
   and electronic vaping products (electronic cigarettes and similar    — Implementation of culturally relevant evidence-based chronic
   devices) by youth and young adults                                      disease self-management education
— Promote tobacco use cessation, especially among populations           — Creation of community environments that promote and support
   disproportionately affected by tobacco use including low                healthy food and beverage choices and physical activity
   socioeconomic status SES, frequent mental distress/substance         — Elimination of exposure to secondhand smoke and prevention of
   use disorder; LGBTQIA+; and disability                                  the initiation of tobacco use by youth, especially among low
                                                                           socioeconomic status (SES) populations and the promotion of
4. FOCUS AREA: Preventative Care and Management                            tobacco cessation, especially among low SES populations and
— Increase cancer screening rates for breast, cervical and colorectal      those with poor mental health
   cancer                                                               — Strengthened infrastructure to promote mental, emotional and
— Increase early detection of cardiovascular disease, diabetes,            behavioral well- being
   prediabetes and obesity
— Promote the use of evidence-based care to manage chronic
   diseases
— Improve self-management skills for individuals with chronic
   diseases

3 Northwell Health | Northern Westchester Hospital Community Service Plan
Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...
Community Benefit Programs
Community-based programs addressing both health and social           NWH, through community partnerships and coalition building, has
needs at NWH are the key components of its Community Service         significantly expanded the reach and impact of community health
Plan. Social determinants of health encompass a range of personal,   improvement services that address the NYSDOH Prevention Agenda
social, economic, and environmental factors that influence up to     Priorities.
75% of health outcomes. They reach beyond the boundaries of
traditional health care to include sectors such as education,        Northern Westchester Hospital, also, as part of Northwell Health,
housing, food, employment and environment. The following             provides a broad array of community benefit programs, such as:
program descriptions demonstrate the depth and breadth of the        A. Access to Healthcare Services and Caring for the Medically
hospital’s CSP Implementation Plan activities that impact the        Underserved
health and well-being of the communities we serve.                   B. Health Professions Education
                                                                     C. Community Health and Wellness
                                                                     D. Community Medical Support Services and Programs
                                                                     E. Support Groups

4 Northwell Health | Northern Westchester Hospital Community Service Plan
Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...
A. Access to Healthcare Services and
                                                                          Caring for the Medically Underserved
      Financial Assistance Program (FAP)
      Northwell Health is a regional leader in providing financial relief to families who do not have access to the financial resources to pay
      for medical care. The FAP program was implemented in 2004 through the creation of a standard policy as the result of the combined
      efforts of the Finance Department, Community Health and the Center for Equity of Care. Developed through a collaboration of
      senior leadership, community members and key staff, the policy provides a uniformly administered system of reduced fees for
      uninsured residents of Northwell Health’s service area. All medically necessary services are covered under the program. The program
      is promoted through:
      -    Multilingual signage throughout facilities
      -    Multilingual educational brochures at key points of patient contact
      -    Website (https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-program)
      -    Community outreach events
      -    Patient bills - All bills include a notice about the FAP, along with the program’s toll-free number, (888) 214-4065

      The FAP is available for individuals earning up to five times the federal poverty level ($128,750 for a family of four). In addition, the
      application process for financial assistance has been redesigned to improve the quality and user-friendliness of the experience. Many
      FAP requests are now processed via telephone, relieving the patient of the burden of providing current income documentation.
      Additionally, the FAP application has been simplified to one page. FAP applications are available online in 15 languages at
      https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-program. For more
      information or questions, please call (914) 666-1512.

      Effective Communication in Healthcare
      The Center for Equity of Care is a system wide resource and offers numerous educational opportunities to ensure the integration of
      cultural and linguistic competency into the fabric of the organization. To ensure meaningful access to healthcare services for persons
      with Limited English Proficiency (LEP) or persons whose preferred language is other than English, free medical interpretation and
      document translation services are available 24/7. Sign language interpretation services for the deaf and hearing impaired, as well as
      specific communication tools for visually and speech impaired patients are also available. For more information, please call the
      Center for Equity of Care at (516) 881-7000.

      Diversity and Inclusion
      Diversity and inclusion are identified as essential components for the delivery of quality, safe, patient and family centered care that
      support principles of equity and community. Aligning with the National Prevention Strategy to eliminate health disparities and
      empower people in the communities we serve, the Center for Equity of Care implements a system wide educational curriculum and
      supporting programs. Northwell’s “Unconscious Bias” e-Learning program and seminars raise awareness of unconscious filters and
      their impact on patient care and the workplace. CultureVision™ is an online cultural diversity resource that provides employees
      information to develop their cultural knowledge and enhance the delivery of culturally competent patient care.

      Northwell’s Business Employee Resource Group (BERG) Program enhances employee engagement; talent recruitment, retention and
      development; and staff serve as community ambassadors. Northwell Health has been named one of the nation's top health systems
      for diversity, ranking second nationally and No. 1 in New York State, according to the 2019 DiversityInc’s top Hospitals & Health
      Systems for Diversity list.

      The lesbian, gay, bisexual, transgender and queer watchdog organization Human Rights Campaign (HRC) Foundation has ranked
      Northwell Health as the No. 3 health system in the nation and first in New York State based on the number of facilities designated a
      Leader in LGBTQ Healthcare Equality, according to its 2019 Healthcare Equality Index (HEI). The following hospitals were honored:
      Cohen Children's Medical Center, Glen Cove Hospital, Huntington Hospital, Mather Hospital, Lenox Hill Hospital, Long Island Jewish
      Medical Center, LIJ Forest Hills, LIJ Valley Stream, Manhattan Eye Ear and Throat, North Shore University Hospital, Northern
      Westchester Hospital, Peconic Bay Medical Center, Phelps Hospital, Plainview Hospital, Southside Hospital, South Oaks Hospital,
      Staten Island University Hospital (North and South campuses), Syosset Hospital, Zucker Hillside Hospital. In addition, the Center for
      Transgender Care in Great Neck, Feinstein Institutes for Medical Research in Manhasset, Lenox Health Greenwich Village, Orzac
      Center for Rehabilitation and Stern Family for Rehabilitation each earned the designation. For more information, please contact the
      Center for Equity of Care at (516) 881-7000.

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Community Service Plan and Implementation Plan - Northern Westchester Hospital 2019 2021 - Community Service Plan and ...
Building Cultural Competency: A Community-Wide Initiative
      Northern Westchester Hospital, in cooperation with Neighbors Link and the Mount Kisco Police Department, developed a cultural
      sensitivity training program for law enforcement officers designed to help achieve the complementary mission of each group and to
      increase cultural awareness in order to build positive relations with immigrant communities. The objectives are to increase cultural
      awareness in order to build positive relations with immigrant communities, encourage communication and trust between local law
      enforcement and the immigrant community, and actively enhance the healthy integration of immigrants in the community. This
      program has expanded to a county-wide initiative.

      Patient Navigator
      Care coordination through the NWH Patient Navigator helps facilitate access to healthcare and resources primarily for patients who
      are uninsured or underinsured. The Patient Navigator is a specially trained, culturally sensitive, bilingual healthcare worker who
      provides support and guidance to patients and their family members. They also assist non-English speaking or limited English
      speaking patients with language translation services to ensure their understanding of complex healthcare issues. The Patient
      Navigator helps facilitate access to a variety of healthcare professionals and services at NWH and within the community, including
      our two (2) medical group partners: Care Mount Medical Group and Westchester Health Associates.

      The Breast Health Initiative
      This initiative is funded in part by the Avon Foundation, provides a continuum of free breast health services from education to
      screening and diagnosis to treatment and follow-up to hundreds of uninsured and underinsured women each year. For more
      information, please call (914) 666-1289.

      The Prenatal Care Assistance Program
      (PCAP) provides comprehensive care to underinsured and uninsured pregnant women in Westchester and Putnam Counties, helping
      to ensure healthy pregnancies and healthy babies. More than 300 babies are welcomed to the world each year through this program.
      Learn more about our Prenatal Care Center by calling (914) 666-1111 or visiting https://nwhc.net/treatment-and-
      specialties/nicuand-other-specialty-care.

      Clinic
      The Gastrointestinal Clinic and the Surgery and Orthopedic Clinic provide uninsured and underinsured patients with access to board
      certified physicians, necessary testing and essential surgery. For more information, please call (914)666-1289.

      Behavioral Health
      The Inpatient Behavioral Health Unit is one of our acute care services designed to satisfy unmet needs within our community. For
      more information on our Behavioral Health services, please call (914)666-1036.

      The Katz Institute for Women’s Health (KIWH) Resource Center
      The KIWH is dedicated to improving all aspects of a woman’s health at every stage of her life. The Resource Center offers women
      seamless, coordinated access to all of Northwell Health’s clinical programs and services across the continuum of care. The Center is
      staffed Monday through Friday from 9am to 5pm. During off-hours, please leave a voice message and your call will be returned
      within one business day. For questions related to Women’s Health, please call (855) 850-KIWH (5494).

      Northwell Health Physician Referral Service (888) 321-DOCS (3627)
      Northwell Health operates a referral service to help community residents find a perfect local match for their medical needs.
      Information is available for physician specialties, office locations, languages spoken, hospital privileges, and accepted health
      insurance plans (including Medicaid and Medicare). Bilingual telephone operators are available 24/7. Information can also be found
      at www.northwell.edu. Need confirmation that NWH docs are part of Northwell Health Physician Partners and using the referral line
      or can use below copy

      Find a Physician
      More than 700 highly trained physicians make NWH their hospital of choice. Many are fellowship-trained in highly specialized fields,
      performing state-of-the-art procedures. To find a physician visit: http://nwhc.net/find-a-physician or call our referral line: (877) 4
      NWH DOC or (877) 469-4362.

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MedShare
      Northwell Health partners with MedShare, an organization that recovers valuable, unused surplus medical supplies and equipment
      in the United States, which would otherwise be discarded. This partnership successfully bridges the gap between surplus in the U.S.
      and health care institutions in developing countries, which have a significant need for medical supplies and expertise. Over half of
      Northwell Health Hospitals and the Integrated Distribution Center provide donations, including beds, biomedical equipment, and
      other assorted medical supplies. In 2019, Northwell Health donated more than 17,746 pounds of unused medical supplies and 2,261
      pounds of medical equipment.

      Center for Young Adult, Adolescent, and Pediatric HIV
      The Center for Young Adult, Adolescent, and Pediatric HIV (CYAAPH) at Cohen's Children's Medical Center of New York provides
      comprehensive medical care and social support services to individuals under the age of 30, regardless of sex assigned at birth, sexual
      orientation, gender identity and expression. Our expert team provides compassionate medical and psychosocial care to adolescent
      and young adults, from infancy to age 30, who are HIV-infected. We help manage HIV with expert medical care and medication
      therapy; STI screening and treatment; immunizations; supportive mental health services; case management services to assist with
      various social determinants of health; risk reduction and U=U education; gynecological exams; nutrition services; and primary care
      services. CYAAPH also provides HIV prevention services such as PrEP and PEP for at risk individuals.

      Housed in CYAAPH is Project inSPECT - an initiative which offers free rapid HIV testing and PrEP screenings all over Nassau and
      Queens County. Safer sex, LGBTQ 101, and HIV prevention workshops are offered to schools and CBOs to spread awareness of HIV
      and STI prevention. For more information please call (516) 622-5189.

      Serving Those Who Have Served Our Nation
      The recipient of numerous awards for service to veterans, Northwell offers extensive programs to support career education and
      enhancement, as well as the physical and mental health of those who serve.

      Barracks to Business workshops, webinars and job fairs help translate military skills into career success and Health NYServes
      connects veterans to more than 60 service providers.

      The Rosen Family Wellness Center and the Mildred and Frank Feinberg Division of the Unified Behavioral Health Center for
      Military Veterans and Their Families are dedicated to enhancing the well-being of military service members, 9/11 first responders,
      law enforcement personnel and their families.

      Northwell partners with the Northport Veterans Affairs Medical Center in the VA Women’s Referral Program and with FLAG
      (Freedom.Loyalty.Admiration.Gratitude) on Staten Island to provide confidential and safe services for women currently serving or
      who have served in the military.

      Northwell donated $100,000 to the Stephen Siller Tunnel to Towers Foundation to build a new “smart” home for a disabled
      veteran.

      Most recently, The Return brought medical experts at Northwell Health together with aerospace engineers, 3D printing pioneers and
      prosthetic experts to provide specialized prosthetics to a veteran amputee.

7 Northwell Health | Northern Westchester Hospital Community Service Plan
B. Health Professions Education

      Graduate Medical Education
      As a major academic health system in the New York metropolitan area, Northwell Health is dedicated to excellence in patient care,
      teaching, and research. More than 1,800 residents and fellows are trained each year in over 160 residency and fellowship programs
      at 23 member hospitals, with access to state-of-the-art simulation and a BioSkills Education Center. Clinical affiliations include
      Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell, Albert Einstein College of Medicine, SUNY Downstate College
      of Medicine, New York Medical College, New York University School of Medicine and New York College of Osteopathic Medicine. The
      Feinstein Institute for Medical Research is among the top ten percent of research institutions that receive funding from the National
      Institutes of Health. For more information about the individual training programs at Northwell Health, please visit
      https://www.northwell.edu/research-and-education/graduate-medical-education

      Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell
      In 2008, Hofstra University and Northwell Health entered into a formal agreement that established the School of Medicine, the first
      allopathic medical school in Nassau County and the first new medical school in the New York metropolitan area in more than 35
      years. The academic partnership enhanced recruitment of faculty, leadership, and researchers; furthered the expansions of
      residencies and fellowships; and enhanced the integration of clinical and translational science.

      Hofstra Northwell School of Graduate Nursing and Health Professions
      Launched in March 2015, the school is well poised to become a national and global leader in preparing students to meet the growing
      need for qualified advanced-care nurses and physician assistants who deliver community-based health care. The School offers
      several options for advanced learning: master’s degrees in family nurse practitioner and adult-gerontology acute care nurse
      practitioner programs, as well as a master’s degree and a dual bachelor’s/master’s degree program in physician assistant studies.
      The School expands the successful medical school partnership between Hofstra University and Northwell Health. It incorporates the
      University’s diverse academic programs and infrastructure, as well as Northwell Health’s significant clinical activities and
      educational resources, in its mission to provide an innovative inter-professional education to a new generation of healthcare leaders.

      For further information, please visit the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies’ website at
      hofstra.edu/nursing or call (516) 463-7475.

      Medical Scholars Pipeline Program
      The Medical Scholars Pipeline Program (MSPP) at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell (SOM) is a
      three-year academic enrichment program for underrepresented in medicine (URM) students who show potential for pursuing a
      career in the healthcare professions.

      The goals of the program are: 1) to expose URM high school students to various careers in the healthcare professions, and 2) to make
      the students more competitive applicants for undergraduate and professional healthcare programs. The long-term goal of the
      program is to increase the number of URM students graduating from professional healthcare schools and providing care for patients
      in underserved communities.

      The MSPP has been in existence since 2010 and a total of 214 students have been admitted to the program. Of the 214 students
      admitted to the program, 112 students have completed the three-year program and 100% of the MSPP graduates have enrolled in
      colleges and universities. Twenty-five URM students who completed our program are now matriculating in professional healthcare
      programs. This number includes 14 students who are enrolled in medical schools; 4 of whom are matriculating at the Zucker School
      of Medicine. The MSPP continues to give students exposure to medicine in a medical school setting, college preparation,
      communication and leadership skills to help them pursue a career in the healthcare professions. For more information, please call
      (516) 463-7550 or visit the School of Medicine’s website at http://medicine.hofstra.edu.

8 Northwell Health | Northern Westchester Hospital Community Service Plan
SPARK! Challenge
      Northwell Health is leading the charge on career awareness by partnering with local high schools in Nassau, Suffolk, Queens,
      Manhattan and Staten Island to participate in the SPARK! Challenge. More than 70 teams of employees across the health system
      introduced nearly 900 high school students to a wide variety of careers that require competencies in Science, Technology,
      Engineering and Math skills (STEM). The SPARK! Challenge engages students and showcases both clinical and non-clinical career
      paths available within healthcare. For more information, please email sparkchallenge@northwell.edu.

      The Greater New York Hospital Summer Enrichment Program (SEP)
      Northwell Health participates in the SEP, an internship program for undergraduate and graduate students pursuing a degree or
      concentration in health services management. Students work with members of Northwell Health leadership to gain firsthand
      experience in the major issues, skills, and responsibilities involved in day-to-day management of healthcare facilities. The program
      seeks to promote diversity in healthcare management, and members of underrepresented communities are strongly encouraged to
      apply. For more information, please contact the Center for Equity of Care at (516) 881-7000.

      Advanced Surgical Breast Oncology Fellowship
      This dynamic, multidisciplinary program is comprised of an interdisciplinary group of physicians and clinicians participating in the
      management of breast cancer patients, including specialists in breast surgery, plastic surgery, radiology, pathology, medical
      oncology, radiation oncology, genetic counseling, and a Breast Health Nurse Practitioner. The Fellowship program is designed to
      enhance a physician’s experiences and expertise in all aspects of breast surgery and management of the breast cancer patient; to
      provide comprehensive training for a surgeon who is already trained in the fundamentals of breast cancer surgery, and is capable of
      providing the full spectrum of breast procedures from diagnosis to treatment of breast masses, to participation in the planning and
      execution of reconstructive procedures. The NWH Breast fellow is responsible to consult with patients in our Breast Health Initiative
      clinic for underinsured and uninsured women, located on-site at NWH, with access to collaborate with our interdisciplinary
      professionals in our Breast Program. For more information on the Advanced Surgical Breast Oncology Fellowship Program, call (914)
      242-7611 or visit www.nwhbreastinstitute.org.

      Internship and Shadowing Opportunities for the Community
      Northern Westchester Hospital supports internship opportunities for engaged students in our community to support and grow
      health care careers as their primary choice. Internships afford students great learning experiences, insight into the day to-day
      responsibilities of support areas, and access to professionals within a hospital setting. Learning objectives for the individual
      internship are coordinated by referring schools/districts and matched through placement of interns with a corresponding
      department that can address the stated objectives and goals. Targeted audience is anyone with a strong desire to be in healthcare:
      local high school students, technical school students, college students, and post-graduate students. Current community partners
      include: Bedford, Chappaqua, Armonk, North Salem School Districts, Putnam/ Northern Westchester BOCES, local colleges and
      universities. To learn more about internship opportunities, contact Human Resources at (914) 666-1200.

      Presidents Junior Leadership Council (PJLC)
      The PJLC is a youth leadership organization that builds young people’s connections to their community and engages them on issues
      that matter to them. Council members are liaisons between the hospital and their schools and serve as ambassadors to the
      community conducting outreach, prevention and wellness programs. This select group of teens also has the opportunity to meet and
      interact with hospital personnel, explore career opportunities in health and medicine, and gain skills to help prepare them for the
      challenges and responsibilities they will face as college students and beyond. Participation on the PJLC is open to high school
      students within the hospital’s catchment area. To learn more and apply, please contact Amy Rosenfeld, MS RD CDN, Coordinator of
      the President’s Junior Leadership Council, at arosenfeld2@northwell.edu or (914) 666-1273.

      Junior Volunteer Program
      The Junior Volunteer Program is a youth organization that allows young people to explore what it is like to work in a hospital. This
      group of teens also has the opportunity to meet and interact with hospital personnel, explore career opportunities in health and
      medicine, and gain skills to help prepare them for the challenges and responsibilities they will face as college students and beyond.
      To learn more and apply, please contact Ellen Muentener, Director of Volunteers, emuentener@northwell.edu.

9 Northwell Health | Northern Westchester Hospital Community Service Plan
Northern Westchester Hospital offers free
                                                     and low cost health education programs
                                                     throughout the year on a variety of topics.

                                                     For more information, please email
                                                     Communityrelations@northwell.edu.

                                                                     C. Community Health and Wellness

      Community Health Programs and                                   FollowMyHealth™
      Screenings                                                      To help patients take a more active role in their health and
      Northwell Health provides community residents with free         wellness, Northwell Health rolled out a web-based patient
      health screenings in conjunction with national campaigns        portal that allows patients to access their personal health
      (Blood Pressure, Osteoporosis, Balance, Cholesterol,            information anywhere and anytime. FollowMyHealth™ is
      Glucose, Breast, Colon and Lung Cancer ) and throughout         available to patients who have received care from
      the year at educational events, all of which are open to the    Northwell Health hospitals and physician practices. To
      public. Individuals may be referred for follow-up care at       access the portal, please visit
      Northwell Health. Uninsured individuals who require             https://www.northwell.edu/manage-your-care/patient-
      follow-up care can utilize the services of Northern             portal or call (844) FMH-8108.
      Westchester Hospital’s sliding fee scale program, with
      services starting at $0. Northwell Health participates in       Community Health Outreach Program
      more than 13,000 community health programs annually.            (CHOP)
                                                                      Since 2003, NWH has also offered critical healthcare
      Northwell Health Concussion Program                             services to the underserved through our successful
      The Concussion Program at Northwell Health provides             Community Health Outreach Program (CHOP), which
      advanced concussion management to maximize recovery             encourages the adoption of lifelong healthy habits. CHOP
      and return patients to an active lifestyle. We strive to        improves healthcare access and delivery to the growing
      achieve the best care for each individual by practicing         underserved population in our region through targeted and
      evidence-based guidelines while applying the most current       effective community outreach and education initiatives,
      research breakthroughs in diagnostics, treatments and           and are intended to reduce healthcare disparities between
      clinical trials.                                                the underserved, and the general public. The staff at NWH
                                                                      collaborate with more than 20 community organizations to
      The Concussion Program is successful in achieving recovery      conduct flu vaccine clinics as well as develop and
      through interdisciplinary collaboration between physicians,     implement health screenings and educational
      neuropsychologists and therapists. By combining all our         programming to more than 3,000 individuals per year.
      expertise. Our physician consultation will determine the
      need for further assessment and treatment with physical
      therapy, vestibular rehabilitation or neuropsychology by
      assisting patients returning to their daily activities with
      return to play, return to work, or return to school activity
      programs. To learn more about the Concussion Program at
      Northwell Health please call (855) 510-5110.

10 Northwell Health | Northern Westchester Hospital Community Service Plan
School Based Education                                           Stop the Bleed
      Northern Westchester Hospital makes a difference in the          Stop the Bleed, an initiative of the American College of
      lives of young people by bringing expertise, attention, and      Surgeons, was launched in October 2015 by the White
      creativity directly to the classroom, using age appropriate      House. It’s a national awareness campaign and a call to
      workshops and interactive display programs. Through              action intended to educate, train and empower civilian
      generous grant-funding, we are proud to offer our                bystanders with the necessary skills and tools to help in a
      interactive, skill-based health education programs free of       bleeding emergency before professional help arrives. When
      charge to students in kindergarten through Grade 12 (K-          a response is delayed, massive bleeding from any cause can
      12). Invite us to your classroom, summer camp, community         result in death. Similar to how the general public learns
      events, and health fairs by calling Grace O’Shaughnessy,         and performs CPR, the public must learn proper bleeding
      director of Community Health Education and Outreach at           control techniques, including how to use their hands,
      (914) 666-1249.                                                  dressings and tourniquets. Stop the Bleed is available to
                                                                       any organization interested. For free hands-on training, call
                                                                       the Northwell Trauma Institute at (516) 321-8280
      BetterinBalance
      Our unique and interactive program includes discussions
      about the basics of healthy nutrition, the connection
                                                                       Healthy Food Access
      between a balanced diet and achieving goals, and extreme         The Northwell Health service area contains over 1.5 million
      nature of dieting and its effect on our bodies. The goal is to   food insecure individuals. Increasing access to healthy
      provide students with a fun, positive, and memorable             affordable food improves individual and community
      experience, to encourage positive body image, nutritious         health. The Northwell Food as Health Program impacts our
      food choices, and leading healthy lifestyles.                    patients, communities and employees. Northwell Health
                                                                       partners with local community Farmer’s Markets to bring
                                                                       fresh affordable produce to food deserts and food swamps
      Stepping On                                                      and increase Supplemental Nutrition Assistance Program
      More than one out of four adults aged 65 or older falls each     benefit redemptions. The health system has begun to
      year, leading to both fatal and non-fatal injuries, and          implement food insecurity screening and in collaboration
      threatening safety and independence. Stepping On is an           with regional food access partners has established
      evidence-based community prevention program that                 hospital-based and community programs providing on site
      empowers independent, older adults to carry out health           and home delivered emergency food supplies and meals,
      behaviors that reduce the risks of falls. More than 500          nutrition education, entitlement enrollment and
      people have attended the 7-week program which is based           navigation to community food and social service resources.
      on adult education and self-efficacy principles. In a small      Northwell Health has also engaged in a Farm to Bedside
      group setting, older adults learn balance and strength           initiative of increasing local, organic and hormone free
      exercises and develop specific knowledge and skills to           meats, chicken, fish, dairy and produce for patient meals as
      prevent falls. Workshops are facilitated by trained leaders.     well as launching a comprehensive employee wellness
      For more information, please call the Center for Equity of       program focusing on Healthy Choice meals, beverages and
      Care at (516) 881-7000.                                          snacks at all of our facilities. For more information, please
                                                                       contact Community Health at 516-600-1494.

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Living Healthy                                                 Eat the Rainbow (Grades K-5)
      Living Healthy, Northwell Health’s Chronic Disease Self-       Did you eat the rainbow today? Using a colorful rainbow
      Management Program (CDSMP), is a 6-session, evidence-          display and our “wheel of nutrition,” we get kids excited
      based health education program for people with any type        about fruits and vegetables. We encourage eating a variety
      of ongoing health problems. This program is designed to        of plant foods in all colors each day to get the vitamins and
      help people gain self-confidence in their ability to control   minerals students need to grow and be at their best. The
      their symptoms and manage how their health condition           workshop can include an interactive cooking component,
      affects their lives. To date, 33 programs have been held in    where children prepare their own balanced “eat the
      English and Spanish, reaching more than 300 community          rainbow” recipe.
      members. For more information, please call Community
      Relations at (631) 396-6700.                                   Reasons to Love Labels and Smart Snacking
                                                                     (Grades K-12)
      Nutrition 101 and Portion Control                              Sound Advice is a three-session workshop offered to
      Nutrition plays an important role in our health. This class    patients recently fitted with hearing aids. Each patient is
      helps students understand basic nutrition principles,          invited to bring a “hearing partner” to gain a better
      identifying food groups, and their basic functions and food    understanding of hearing loss. The goals are to empower
      sources. Students learn how to recognize appropriate           the hearing-impaired person and to instruct others
      portions in a supersized world through an interactive          regarding communication strategies that work for those
      portion size display, as well as the principles of “mindful    with hearing loss.
      eating.” For elementary students, we play Nutrition Bingo
      to make learning interactive and memorable.

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Meditation
      “Mindful Awareness”. Meditation helps us to live in the resent moment; it is from this place one can experience the possibility of
      peace, relaxation and a new perspective on life. Modern life can distract us from the present moment resulting in greater stress and
      disconnect from our self and life. Through the practice of mindfulness, guided imagery, breathing and self-awareness techniques,
      this class can offer the fundamentals in meditation to support healing of mind, body, spirit and emotions. This class is applicable for
      both the beginner and advanced student. Class is open to cancer patients/survivors and their caregivers.

      Chi Gong
      Chi Gong is a series of breathing and movement activities developed over hundreds of years by many Chinese practitioners. These
      exercises are believed to impart energy, flexibility, tranquility and balance to the student of this ancient art. I hope that by guiding
      class members through some simple Chi Gong forms we will achieve some of these goals! Class is open to cancer patients/survivors
      and their caregivers.

      Chair Yoga
      Chair yoga is a great way for older adults to get the wonderful health benefits of yoga. Staying seated means that even frail seniors
      or those who aren’t flexible can safely do the exercises. Yoga is an excellent way for older adults to loosen and stretch painful
      muscles, reduce stress, and improve circulation. It also reduces anxiety, helps lower blood pressure, protects joints, and builds
      strength and balance.

      Boys and Girls Club
      Northern Westchester Hospital has partnered with The Boys & Girls Club of Northern Westchester. Through this partnership they
      inspire and enable all young people, especially those who need us most, to realize their full potential as productive, responsible and
      caring citizens. The hospital holds monthly dinners with a healthcare component to provide education. They also run SMART Girls
      which is a small-group health, fitness, prevention/education and self-esteem enhancement program designed to meet the
      developmental needs of girls ages 13-18. Club girls explore their own and societal attitudes and values as they build skills for eating
      right, staying physically fit, getting good health care and developing positive relationships with peers and adults. .

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Think About Your Drink (Grades K-12)                           Impact of Alcohol/Drugs/ Substance Abuse
      Today we are drinking more sugary and caffeinated              (Middle and High School)
      beverages than ever before. These liquid calories have a       Teenagers are at relatively high risk for experimentation
      major impact on our health. Learn about the differences in     and/or involvement with alcohol and legal or illegal drugs.
      nutritional quality of various beverages and how to make       Most are entirely inexperienced in these areas, and do not
      good beverage choices. Students calculate sugar in various     appreciate the life, legal, and health implications of drug
      beverages, understand the effects of high caffeine intake,     involvement. This program promotes student
      and witness the importance of hydration. Also available is     understanding of the reality, effects, and consequences of
      an option to include an interactive demonstration              alcohol and drugs on the body and brain. Strategies for
      component, preparing lower sugar, healthier alternatives       avoiding involvement, and for confronting unfamiliar
      to soda.                                                       situations and substance-related emergencies, are
                                                                     discussed. This program is especially pertinent in the pre-
      First Aid (Elementary School)                                  prom season.
      Emergencies are frightening situations. Their unexpected
      nature makes them difficult to respond to; yet a little        Smoking Stinks! (Middle and High School)
      education and advanced planning can avert a disaster.          Cigarette smoking is the number one cause of preventable
      Children will encounter emergencies, and despite their         disease and death worldwide, and statistics show that
      young age, they can save lives by simple actions. This         about 9 out of 10 tobacco users start before they’re 18
      program teaches young children how to keep safe, what to       years old. This program addresses the many reasons that
      do in an emergency, how/where to call for help, and more.      young people might start to smoke, and covers the many
                                                                     more reasons not to start smoking. Teens learn to identify
      Stress Less (Middle and High School)                           the effects of smoking on the body and see the effects of
      School, home life, social pressures, and dating are all        smoking on real lungs.
      sources of stress, which, for impressionable teenagers, can
      sometimes be overwhelming. This program helps teens            The Transition Years (For parents of
      understand factors causing stress and strategies for
      reducing and avoiding stress and ways of coping with
                                                                     elementary, middle or high school students)
      stress in healthy ways. Presentation includes interactive      Northern Westchester Hospital coordinates panel
      activities including Stress Bingo.                             presentations/discussions relating to adolescent health
                                                                     and development that focuses on the “transition” years
                                                                     from Elementary to Middle School and Middle to High
      Healthy Interpersonal Relationships (Middle                    School. This program offers parents the opportunity to hear
      and High School)                                               from knowledgeable NWH specialists about physical,
      As adolescents begin to form social relationships with their   emotional, and social health during the transition years.
      peers, they need support in establishing healthy and
      constructive relationships rather than harmful ones. This      Impact of Alcohol/Drugs/ Substance Abuse
      program focuses on recognizing the objectives and
      qualities of healthy relationships as well as the principles
                                                                     (For parents of elementary, middle or high
      that support honest, equitable, and responsible                school students)
      interactions. Coverage of self-esteem and bullying issues is   With teenagers at relatively high risk for experimentation
      also included.                                                 with alcohol and drugs, parents play an important role in
                                                                     helping them make good choices. An emergency room
                                                                     doctor describes real life experiences about the
                                                                     consequences of drug and alcohol use, and offers strategies
                                                                     for preventing them and dealing with emergency
                                                                     situations.

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The Big Talk – Small & Simple (For parents                     55+ Community Connection Lecture Series
      of elementary, middle or high school                           The goal of this program is to keep older adults within the
                                                                     community connected to education and resources. Many of
      students)                                                      the lectures are developed collaboratively with our
      How and when do you talk with your kids about sex? This        community partners and include such topics as safe senior
      important topic is often overlooked or avoided by even the     living, caregiver choices, financial savings, stroke
      most competent parents. This program addresses when to         prevention and navigating Medicare.
      start “the talk” and what to talk about at any age, and is
      designed to enhance comfort in communicating openly,
      honestly and comfortably about human sexuality.
                                                                     Neighbors Link Family Health Day
                                                                     Each year, NWH partners with Neighbors Link and Open
                                                                     Door Family Medical Centers for their annual family health
      Speaker Series                                                 event. The mission of Neighbors Link is to strengthen the
      In partnership with members of the community, NWH              whole community by actively enhancing the healthy
      presents educational sessions designed for families with       integration of immigrants. By partnering with Neighbors
      children. The community can get to know Northern               Link, NWH is able to bring critical health screenings and
      Westchester Hospital’s expert medical staff, learn how the     health and wellness education to the immigrant
      hospital can be a resource and support their healthcare        community. At this day-long event, NWH offers cholesterol
      needs and learn strategies to improve their family’s health    screenings, blood pressure and diabetes screenings, a
      and wellness. Attendees enjoy a relaxed atmosphere while       broad range of health and nutrition information, a teddy
      learning about topics that interest them and relate directly   bear clinic for kids, and adult flu shots.
      to their life.

      .

15 Northwell Health | Northern Westchester Hospital Community Service Plan
D. Community Medical Support Services and Programs

      Blood Donor Services
      Each year, employees of Northern Westchester Hospital help to ensure an adequate blood supply for New Yorkers in need by
      donating blood. In 2019, more than 8,300 pints of whole blood were donated by employees of Northwell Health.

      Promoting Healthy, Women, Infants and Children
      Northern Westchester Hospital’s Lactation Department and the Maternal Child Health Department partner to break down barriers
      that prevent mothers from achieving their breastfeeding goals and to effectively communicate best practices. Ensuring adequate
      prenatal education and support is essential to successful breastfeeding. We follow the evidence-based “10 Steps to Successful
      Breastfeeding.” Our Lactation Support Group meets 1st & 3rd Monday, 1-3pm. Lactation consultant appointments can also be
      scheduled. Please contact Kim McKechnie RN, IBCLC at (914) 666-1370. Our New Moms Support Group meets the 2nd Monday of
      every month. Please contact Patricia Chambers, RN at pchambers5@northwell.edu.

      Lactation Advisory Council
      Ensuring the adequate education and support to both the inpatient and outpatient breastfeeding woman, the Lactation Advisory
      Council’s charge is to communicate best practices in breastfeeding to patients and healthcare professionals alike. Lactation Advisory
      Council members include: Northern Westchester Hospital Maternal Child Health, Nursery/NICU, Maternity, Labor & Delivery,
      Pediatrics, Lactation Consultants, Lactation Counselors, Prenatal Assistance Care Program, Care Mount Medical Group Lactation
      Consultant, Clinical Coordinator. For more information, please contact Kim McKechnie RN,IBCLC at (914) 666-1370.

      Cancer Health and Wellness Program
      Certain holistic therapies have been shown to provide help for cancer patients by supporting the healing process and enhancing the
      quality of life for a person undergoing cancer treatment. The Health and Wellness Program at the NWH Cancer Treatment and
      Wellness Center is designed to help our patients with cancer in conjunction with, or following, their medical treatment and
      introduces patients and their families/caregivers to appropriate complementary therapies. A dedicated Nurse Practitioner Care
      Coordinator is available to integrate four additional disciplines into treatment plans, including nutritional assessment and planning,
      integrative medicine strategies, fitness and exercise programs and emotional support. For more information contact Marilyn Leroy-
      Sterling, NP-C, Wellness Coordinator at mleroy@northwell.edu or (914) 242-8146.

      The Bruce & Andrea Yablon Cancer Health and Wellness Program
      The Bruce and Andrea Yablon Cancer Health and Wellness Program at Northern Westchester Hospital offers FREE services to those
      who were recently diagnosed with cancer, are currently receiving treatment, or are a survivor. This program, used in conjunction
      with medical treatments such as chemotherapy, surgery, and radiation, helps enhance the quality of life of our patients. The goal of
      the Bruce & Andrea Yablon Cancer Health and Wellness Program is to support and empower our patients to live a healthy lifestyle –
      mind, body and spirit – after being diagnosed with cancer. We strive to meet the needs of each patient individually, while
      recognizing that every person and every type of cancer is unique. Patients work with a health coach, who received training at Duke
      Integrative Medicine’s Integrative Health Coach Professional Training Program, to develop a highly-personalized wellness plan that
      incorporates specific dietary needs, stress reduction techniques, mental wellness and exercise. For more information please call
      (914) 666-1994.

      American Heart Association (AHA) Training Center
      The AHA Training Center provides trainings in Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), and Advanced Cardiac
      Life Support (ACLS) to healthcare professionals who require certification. Additionally, this training site offers numerous (CPR, AED,
      Emergency First Aid) programs to community members, including schools, faith-based organizations, expectant parents, childcare
      providers, community children’s sports league volunteers, and the general public. Please call (516) 881-7000 for more information.

16 Northwell Health | Northern Westchester Hospital Community Service Plan
Center for Tobacco Control (CTC)
      Northwell Health’s Center for Tobacco Control provides tobacco cessation treatment and support, including individual and group
      counseling, and support groups, reaching 2,249 individuals in 2019. The CTC received 1,610 referrals from Northwell Health
      Physician Partner practices. The CTC also provides preventive services to community members and employees, as well as
      comprehensive evidence-based tobacco dependence treatment education to healthcare providers and healthcare students,
      educating over 7,386 providers last year. The CTC provides tobacco control educational programs to the community in the form of
      health fairs, classroom presentations, expos, and other events, reaching more than 9,500 children and adults in 2019. The CTC guides
      leaders in healthcare organizations to develop policies that mandate tobacco dependence treatment for all tobacco users, in both
      the inpatient and outpatient settings. Please visit https://www.northwell.edu/doctors-and-care/smoking-cessation, call (516) 466-
      1980, or email tobaccocenter@northwell.edu for more information.

      Live To Be Tobacco Free Smoking Cessation Program
      Northern Westchester Hospital offers a free smoking cessation clinic for anyone in the community. The four-week program meets
      weekly for an hour, and the instructor is available through email and phone between classes to help participants conquer their habit.
      These group classes cover topics including but not limited to the effects of nicotine, vaping / e-cigarette use, habit vs. addiction and
      tackling triggers.

      As part of the program, participants learn about helpful integrative therapies such as relaxation therapy and aromatherapy. Nicotine
      patches and gum may be provided with physician approval. Staff, patients, family members, and community members are all invited
      to attend at no charge. Commit to quit, today! Contact Jennifer Lucas at jlucas5@northwell.edu or (914) 666-1868.

      Gift of Life
      Currently, almost 114,000 people in the U.S. are awaiting life-saving organs for transplantation. In 2018 36,528 transplants were
      performed. Each day 20 people will die due to the shortage of donated organs. In an effort to increase organ and tissue donor
      awareness, Northwell Health hosts annual Gift of Life programs for employees and visitors. Donor families and recipients participate
      in these events to acknowledge the importance of this need. Northwell Health, in collaboration with the New York Donor Network,
      provides education throughout the year to the public regarding the importance of organ and tissue donation. For more information,
      please contact the Northwell Health Transplant Center at (516) 472-5800.

      LiveOnNY (organ donor enrollment day)
      Currently, more than 120,000 people in the U.S. are awaiting life-saving organs for transplantation. In an effort to increase organ and
      tissue donor awareness and increase the number of New York residents registered as organ donors, NWH participated in Organ
      Donor Enrollment Day in collaboration with LiveOnNY. Northern Westchester Hospital is proud to receive an award from LiveOnNY
      for having signed up the “Most Enrollments by a Hospital without Transplant Service” to the New York organ donor registry on
      Donor Enrollment Day. To register as an organ donor, visit www.liveonny.org.

      Queens World Trade Center (WTC) Health Program
      Northwell Health is home the Clinical Center of Excellence funded through the James Zadroga 9/11 Health and Compensation Act to
      provide annual monitoring and treatment for WTC related health effects to 9/11 responders. Eligible members receive confidential
      physical and mental health monitoring and treatment within the Center and through referrals to the Northwell Health network of
      providers. In addition to monitoring and treatment examinations, the Center provides outreach and education, social services,
      benefits counseling, work related benefits counseling, and case management. All WTC Health Program services are federally funded
      and provided at no cost to responders. For more information, contact the Queens Clinical Center at (718) 267-2420, or the WTC
      Health Program at (888) 982-4748, or email wtc@cdc.gov or visit www.cdc.gov/wtc

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