Community Service Plan and Implementation Plan - Staten Island University Hospital 2019 2021 - Community Service Plan ...

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Community Service Plan and Implementation Plan - Staten Island University Hospital 2019 2021 - Community Service Plan ...
Community Service Plan
and Implementation Plan
Staten Island University Hospital
2019 – 2021
Community Service Plan and Implementation Plan - Staten Island University Hospital 2019 2021 - Community Service Plan ...
Mission Statement for                               As a member of Northwell Health,
  Staten Island                                       Staten Island University Hospital (SIUH)
  University Hospital                                 strives to 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
Founded in 1861 as the Samuel R. Smith Infirmary, Staten Island University Hospital is one of the nation’s oldest healthcare institutions.
Staten Island University Hospital has since evolved into a major teaching hospital and tertiary care center with 666 beds at two acute care
facilities in Richmond County, New York. Staten Island University Hospital is a major affiliate of the State University of New York Health
Sciences Center at Brooklyn.

Among the services provided at SIUH are: the Center for Bariatric Surgery; the Regional Burn Center with its national reputation for pediatric
burn care, a Trauma Center; the Center for Women’s Health; The Sanford R. Nalitt Institute for Cancer and Blood Related Diseases; Institute
of Sleep Medicine; the Comprehensive Breast Center; and the Heart Institute of Staten Island, which provides a full range of cardiovascular
services. Specialty services also include programs for high-risk pregnancies and maternal care, geriatric psychiatry, and comprehensive
psychiatric and substance abuse treatment services. A broad array of programs and events are hosted each year at SIUH’s Regina McGinn,
MD Education Center, one of the region’s largest educational facilities at a teaching hospital.

Staten Island University Hospital is a NYS Department of Health (NYSDOH) Designated Stroke Center, an American Society of Metabolic and
Bariatric Surgery Center of Excellence, an American Academy of Sleep Medicine fully accredited hospital-based Sleep Center, and a NYSDOH
Designated Regional Burn Center. Staten Island University Hospital received a Stroke Gold Plus Award in “Get with the Guidelines,” from the
American Heart Association.

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

—   Healthy and Safe Community Environments                             The NYSDOH Prevention Agenda Dashboard Improve Heath Status
—   Clinical and Community Preventative Services                        and Reduce Health Disparities objective that Northwell will be
—   Empowered People                                                    focusing on is age-adjusted preventable hospitalization rate per
—   Elimination of Health Disparities                                   10,000 - Aged 18+ years in addition to a focus on low income
                                                                        populations with health disparities.
To improve the health of the community, Northwell Health as a
result of the Community Health Needs Assessment (CHNA) process          The Community Service Plan focuses on the following areas:
and approved by the Committee on Community Health of the                — Increasing screening rates for cardiovascular diseases; diabetes;
Northwell Health Board of Trustees, has selected the following             and breast; and lung cancers especially among populations
NYSDOH Priority Agenda Priority Areas, focus areas and goals for           experiencing health disparities
the service of the health system:                                       — Increasing access to high quality chronic disease preventive care
                                                                           and management in both clinical and community settings
PRIORITY AREA: Prevent Chronic Disease                                  — Reducing obesity in children and adults
                                                                        — Reducing illness, disability, and death related to tobacco use and
1. FOCUS AREA: Healthy Eating and Food Security                            secondhand smoke exposure
— Increase access to healthy affordable foods and beverages             — Promoting mental health and preventing substance abuse
— Increase skills and knowledge to support healthy food and                related to tobacco use and secondhand smoke exposure
   beverage choices                                                     — Promoting mental health and preventing substance abuse
— Increase food security
                                                                        Examples of interventions that support these areas are:
2. FOCUS AREA: Physical Activity                                        — Robust chronic disease and cancer screening programs
— Promote school, childcare and worksite environments that              — Implementation of culturally relevant evidence-based chronic
   support physical activity for people of all ages and abilities          disease self-management education
                                                                        — Creation of community environments that promote and support
3. FOCUS AREA: Tobacco Prevention                                          healthy food and beverage choices and physical activity
— Prevent initiation of tobacco use, including combustible tobacco      — Elimination of exposure to secondhand smoke and prevention of
   and electronic vaping products (electronic cigarettes and similar       the initiation of tobacco use by youth, especially among low
   devices) by youth and young adults                                      socioeconomic status (SES) populations and the promotion of
— Promote tobacco use cessation, especially among populations              tobacco cessation, especially among low SES populations and
   disproportionately affected by tobacco use including low                those with poor mental health
   socioeconomic status SES, frequent mental distress/substance         — Strengthened infrastructure to promote mental, emotional and
   use disorder; LGBTQIA+; and disability                                  behavioral well- being

4. FOCUS AREA: Preventative Care and Management
— Increase cancer screening rates for breast, cervical and colorectal
   cancer
— Increase early detection of cardiovascular disease, diabetes,
   prediabetes and obesity
— Promote the use of evidence-based care to manage chronic
   diseases
— Improve self-management skills for individuals with chronic
   diseases

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

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Community Service Plan and Implementation Plan - Staten Island University Hospital 2019 2021 - Community Service Plan ...
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 (718) 226-6049.

      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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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.

      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.

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Prenatal Care Services                                          navigator service for breast cancer patients. This program
      The SIUH Medicaid Prenatal Care Program offers access to        provides dedicated staff to guide breast cancer patients
      comprehensive, high quality prenatal and postnatal care to      through the many complex levels of cancer care. For more
      all women in the Staten Island community regardless of          information, please call (718) 226-6805 or (718) 226-7859.
      ability to pay, insurance, or immigration status. The
      services provided include medical, nutrition, social work       Cancer Services Program (CSP)
      services, counseling, and special tests throughout the          The CSP of Staten Island is a joint effort between SIUH and
      entire pregnancy, delivery, and postpartum period. Staten       the NYSDOH to promote comprehensive screenings for
      Island University Hospital provides Prenatal Education          breast, cervical, and colorectal cancers, and to provide
      Classes for patients and families following birth. For more     prostate cancer education to underserved populations on
      information and assistance with eligibility, please call the    Staten Island. The program provides both public and
      Center for Women’s Health at (718) 226-6550.                    healthcare provider education regarding cancer prevention
                                                                      and early detection. Additionally, the CSP provides
      Supplemental Nutrition Program for                              diagnostic services for abnormal findings and case
                                                                      management for clients with barriers that may prevent
      Women, Infants, and Children (WIC)                              them from seeking care. Financial support for treatment is
      A federally funded and state supported program, WIC             available through the Medicaid Cancer Treatment Program
      provides nutrition education, nutrition counseling, and         for those eligible clients who are found to be in need of
      guidance for pregnant women and new mothers, as well as         treatment but who may not qualify for traditional
      nutrition and health services for children from birth to five   Medicaid. For more information, please call (718) 226-
      years of age. For infants, WIC provides breastfeeding           6447.
      support, formula, baby food, and vouchers for healthy
      foods. The WIC program also provides referrals for food
      assistance programs (SNAP), Medicaid, and other needed
                                                                      SIUH Physician Locator Service
      social, medical and dental services. For more information,      The SIUH operates a referral service to help community
      please call: North (718) 226-6268, Bay Street; (718) 226-       residents find a perfect local match for their medical needs.
      5235, and South (Wednesdays only); (718) 226-2461.              Information is available for physician specialties, office
                                                                      locations, languages spoken, hospital privileges, and
                                                                      accepted health insurance plans (including Medicaid and
      Breast Cancer Patient Navigator                                 Medicare). This information is available 24 /7 by calling 1-
      As part of a commitment to provide the highest quality          (877) SIUH-DRS (877-748-4377).
      oncology care, the SIUH Breast Cancer offers a patient

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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.

      Dental Medicine Teaching Program (add in section B. Health Professions Education)
      Staten Island University Hospital's Department of Dental Medicine offers a wide range of dental services through an expanded
      teaching program. We offer routine care for eligible patients along with many other services including implant dentistry,
      orthodontics and oral surgery. Staten Island University Hospital’s Department of Dental Medicine’s Dental practice has expanded
      into a major teaching program offering a wide range of services to all of our patients. Our department first obtained accreditation by
      the American Dental Association for our general practice residency program in 1970 and our pediatric residency program in 2005.

      All of your dental services will be performed by our dental resident staff supervised by the active attending staff. You are eligible to
      be a patient of our dental program if you are covered by Medicaid, medically compromised, intellectually or developmentally
      disabled or qualify through financial screening. Your financial eligibility will be determined by an interview with a finance
      department screener. In 2019, 200 children in the community were provided screenings through the clinic.

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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.

      Physician Career Preparation Program
      SIUH has an intensive summer program for minority students interested in pursuing careers as physicians. As part of a collaborative
      effort with Staten Island High Schools and the Internal Medicine Residency Program, high school students participate in an intensive
      5-week summer program of academic preparation; study skills; interpersonal communication; and experiences in medicine, research
      methodology and clinical observation. Students are also mentored by a SIUH medical resident. Many students have gone on to
      medical school at the Sophie Davis School of Biomedical Education, SUNY Downstate, NYU Medical School and Drexel Medical
      Schools. This program is the recipient of the first Associated Medical Schools of New York grant awarded to a residency training
      program. For more information, please call (718) 226-6158.

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Staten Island University 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                                   Northwell Health Concussion Program
      Screenings                                                      The Concussion Program at Northwell Health provides
      Northwell Health provides community residents with free         advanced concussion management to maximize recovery
      health screenings in conjunction with national campaigns        and return patients to an active lifestyle. We strive to
      (heart health, blood pressure, A!C, and skin cancer) and        achieve the best care for each individual by practicing
      throughout the year at educational events, all of which are     evidence-based guidelines while applying the most current
      open to the public. Individuals may be referred for follow-     research breakthroughs in diagnostics, treatments and
      up care at Northwell Health. Uninsured individuals who          clinical trials.
      require follow-up care can utilize the services of our
      hospital’s sliding fee scale program, with services starting    The Concussion Program is successful in achieving recovery
      at $0. Northwell Health participates in more than 13,000        through interdisciplinary collaboration between physicians,
      community health programs annually.                             neuropsychologists and therapists. By combining all our
                                                                      expertise. Our physician consultation will determine the
                                                                      need for further assessment and treatment with physical
      Board Walk Bash                                                 therapy, vestibular rehabilitation or neuropsychology by
      Each year, SIUH partners with the office of the New York        assisting patients returning to their daily activities with
      Assembly in a health and information fair for older adults      return to play, return to work, or return to school activity
      and their families and friends. Health screenings, including    programs. To learn more about the Concussion Program at
      mammography, vision, HIV and cardiovascular, are                Northwell Health please call (855) 510-5110.
      available on site as are vendors information and services
      such as Social Security, Department For The Aging (DFTA),
      human rights, transit, insurance, gardening clubs, and tub
                                                                      Girl Scout Program
      enclosures. More than 2,500 people attended this event in       Looking to earn their First Aid merit badges, Girl Scouts visit
      2019. For more information, please call the Community           Staten Island University Hospital to speak with with SIUH
      Outreach Department at (718) 226-1911.                          Emergency Room physicians about how to handle an
                                                                      emergency situation. After completing the course, the
                                                                      Scouts received their merit badges from the Troop Leaders
      Health Lectures                                                 and physicians at the onsite ceremony.
      Free health lectures and seminars are presented to the
      community by SIUH physicians and guest speakers.
      Programs are offered on nutrition, cholesterol, stroke,
      cardiac, cancer, diabetes, substance use and various health
      topics as requested by the community.

10 Northwell Health | Staten Island University Hospital Community Service Plan
Cancer Survivors Day
      Each year, SIUH honors its current and past cancer patients, their families, and caregivers at an annual Cancer Survivors’ Day
      celebration. Cancer survivors, along with friends, families, and healthcare professionals, gather to celebrate their health and share
      emotions and experiences. For more information about Cancer Survivor’s Day, please call (718) 226-8888.

      FollowMyHealth™
      To help patients take a more active role in their health and wellness, Northwell Health rolled out a web-based patient portal that
      allows patients to access their personal health information anywhere and anytime. FollowMyHealth™ is available to patients who
      have received care from Northwell Health hospitals and physician practices. To access the portal, please visit
      https://www.northwell.edu/manage-your-care/patient-portal or call (844) FMH-8108.

      Healthy Food Access
      The Northwell Health service area contains over 1.5 million food insecure individuals. Increasing access to healthy affordable food
      improves individual and community health. The Northwell Food as Health Program impacts our patients, communities and
      employees. Northwell Health partners with local community Farmer’s Markets to bring fresh affordable produce to food deserts and
      food swamps and increase Supplemental Nutrition Assistance Program benefit redemptions. The health system has begun to
      implement food insecurity screening and in collaboration with regional food access partners has established hospital-based and
      community programs providing on site and home delivered emergency food supplies and meals, nutrition education, entitlement
      enrollment and navigation to community food and social service resources. Northwell Health has also engaged in a Farm to Bedside
      initiative of increasing local, organic and hormone free meats, chicken, fish, dairy and produce for patient meals as well as launching
      a comprehensive employee wellness program focusing on Healthy Choice meals, beverages and snacks at all of our facilities. For
      more information, please contact Community Health at 516-600-1494.

      Living Healthy
      Living Healthy, Northwell Health’s Chronic Disease Self-Management Program (CDSMP), is a 6-session, evidence-based health
      education program for people with any type of ongoing health problems. This program is designed to help people gain self-
      confidence in their ability to control their symptoms and manage how their health condition affects their lives. To date, 33 programs
      have been held in English and Spanish, reaching more than 300 community members. For more information, please call Community
      Relations at (631) 396-6700.

      Stepping On
      More than one out of four adults aged 65 or older falls each year, leading to both fatal and non-fatal injuries, and threatening safety
      and independence. Stepping On is an evidence-based community prevention program that empowers independent, older adults to
      carry out health behaviors that reduce the risks of falls. More than 500 people have attended the 7-week program which is based on
      adult education and self-efficacy principles. In a small group setting, older adults learn balance and strength exercises and develop
      specific knowledge and skills to prevent falls. Workshops are facilitated by trained leaders. For more information, please call Julia
      Glauboch at (718) 226-9720.

      NYC Coalition for a Smoke-Free City
      Northwell Health is an active member of the coalition whose goals are to: reduce access to tobacco products and limit tobacco
      industry marketing to youth; increase the number of smoke-free outdoor spaces, including neighborhood parks, grounds and
      entryways; increase the number of apartment buildings, co-ops and condos that are 100% smoke-free; and reduce protobacco
      imagery from youth rated movies and the internet. Northwell has assisted in the creation of over 2000 units of smoke free housing
      and the passage of over 10 Community Boards Smoke–Free Housing resolutions. For more information contact Community Health
      (516) 600-1494 or visit http://www. nycsmokefree.org/.

11 Northwell Health | Staten Island University Hospital Community Service Plan
Safe Kids
      Each year, approximately 3,700 children participate in more than 30 injury prevention/safety education programs sponsored by the
      New York State, Queens, and Nassau Safe Kids Coalitions, led by Northwell Health. These programs, which encourage kids to be
      active, have fun, and be safe, are offered in partnership with area schools, Police Benevolent Associations, government, and local
      businesses.

      Educational programs cover topics such as water safety, pedestrian/ motor vehicle safety, burn injury prevention, bicycle and sports
      injury prevention, enhanced “911,” pets and pals, and summer safety. In addition, child car seat check-up stations and special events
      are held throughout the state and on the campuses of Northwell Health. Please call (718) 226-9720 for more information about the
      Safe Kids.

      Stop the Bleed
      Stop the Bleed, an initiative of the American College of Surgeons, was launched in October 2015 by the White House. It’s a national
      awareness campaign and a call to action intended to educate, train and empower civilian bystanders with the necessary skills and
      tools to help in a bleeding emergency before professional help arrives. When a response is delayed, massive bleeding from any cause
      can result in death. Similar to how the general public learns and performs CPR, the public must learn proper bleeding control
      techniques, including how to use their hands, dressings and tourniquets. Stop the Bleed is available to any organization interested.
      For free hands-on training, call (718) 226-9720. In 2019, over 1,000 community members were trained on the Stop the Bleed
      program.

      Teaching Kitchen Classes
      Teaching Kitchen Cooking classes are opportunity to learn how to shop for, utilize, and prepare healthy and delicious meals. Each
      class focuses on a different topic that includes a nutrition lesson provided by a dietitian followed by a live cooking demonstration
      with a SIUH professional chef and nutrition. Food sampling and recipes are provided. For more information, please call (718) 226-
      6772.

      City Harvest
      City Harvest is a community partner of LHH. The organization exists to end hunger in communities throughout New York City
      through food rescue and distribution, education, and other practical, innovative solutions which include providing fresh produce,
      information on healthy eating portions, using food as medicine and cooking demonstrations. SIUH attends the Mariner’s Harbor
      Mobile Markets and the Stapleton Mobile Market where Community members gather in farmers’ market settings to receive fresh
      produce and participate in cooking demonstrations to learn how to make healthy meals.

      Project Search
      Staten Island University Hospital launched Project Search in 2017. The Project Search program was accepted at SIUH with the
      assistance of many departments. This program provides developmentally disabled adult students (age 18 to 21) an opportunity to
      rotate into 3 areas of the hospital in order to gain employable skills. The volunteer department processes, on boards and orients all
      the students to SIUH, expectations and compliance. Since the program launched 33 students have participated.

      AHRC Careers
      The AHRC Careers program was accepted at SIUH South Campus and began in October 2019. The goal of this program is to teach
      needed skills for successful employment. The hospital welcomed 4 special needs adults (ages range from 21- 24) – this program
      allows SIUH to provide on-the-job training to the special needs population. Applicants will be on site for 6 weeks – 150 hours each.
      SIUH has agreed to host 4 rotations of applicants. These individuals will be mentored by an SIUH staff member in 3 departments –
      environmental, linen/store room and facilities management/plant ops.

12 Northwell Health | Staten Island University Hospital Community Service Plan
Cancer Services Program                                         The Diabetes Self-Management Program
      The CSP is a joint effort between SIUH and the NYS              (DSMP)
      Department of Health to promote comprehensive                   The Diabetes Self-Management Program (DSMP) at Staten
      screenings for breast, cervical, and colorectal cancers, and    Island University Hospital is nationally recognized by the
      provide education to underserved populations.                   American Diabetes Association (ADA). Our certified
      Additionally, the CSP provides diagnostic services for          diabetes educators are ready to counsel and educate you
      abnormal findings and patient navigation for clients with       on how to manage life with diabetes. SIUH’s core team of
      barriers that may prevent them from seeking care.               certified diabetes educators (CDE) coordinate and run the
      Financial support for treatment is available through the        program and provide attendees with the knowledge
      Medicaid Cancer Treatment Program for those eligible            needed to get through the different stages of your
      clients who are found to be in need of treatment for breast,    condition. The program offers individualized counseling
      cervical, colorectal, or prostate cancer and precancerous       sessions, group classes and support groups to address the
      conditions, but who may not qualify for traditional             day-to-day challenges of living with diabetes. Group
      Medicaid. In 2019, SIUH provided 1,386 cancer screenings.       sessions are organized to cover essential topics such as
      For more information, please call (718) 226-6447.               medication management; nutrition; exercise and activity;
                                                                      options for improving glucose control; foot, skin and dental
      The Comprehensive Adolescent Pregnancy                          care; and problem-solving to better manage your diabetes.
      Prevention (CAPP) and Personal                                  With our dedicated diabetes conference room at the
                                                                      Regina McGinn Education Center we are able to bring
      Responsibility Education Program (PREP)                         together patients in diabetes education and support
      SIUH partners with The Comprehensive Adolescent                 groups. For more information about diabetes education,
      Pregnancy Prevention (CAPP) and Personal Responsibility         support groups, counseling sessions or classes offered at
      Education Program (PREP). These initiatives are                 Staten Island University Hospital, call (718) 226-1547.
      community-based projects funded by the New York State
      Department of Health (NYSDOH). Projects serve youth in
      high-need communities that have the highest teen
                                                                      The Northwell Health Medical Van
      pregnancy and birth rates in the state. Both initiatives        The Northwell Health Medical Van rotates throughout
      support comprehensive, high-quality interventions and           various community locations to provide blood pressure,
      services that rely on the best available research evidence to   body mass index, pulse Oximetry screenings and flu
      inform and guide practice. They also utilize a youth            vaccines. SIUH community outreach representatives are
      development framework in communities where youth lack           also on site to provide health information to support living
      social and economic opportunities that enable them to live      and eating healthy. In 2019, the mobile van provided 748
      up to their full potential. In 2019, the hospital partnered     free screenings in the community. For more information on
      with four local high schools and was able to provide            how to schedule a visit from the mobile van please call
      education to over 3,100 students.                               (718) 226-1911.

                                                                      Overdose Prevention
                                                                      It is no secret that Staten Island has experienced a surge in
                                                                      reported cases of overdose from heroin, prescription pills
                                                                      and other narcotics that, too often, tragically result in
                                                                      death. Our certified NARCAN training is designed to teach
                                                                      anyone, especially those without formal medical training
                                                                      how to identify an opioid overdose, what to do during an
                                                                      overdose emergency and how to properly administer
                                                                      NARCAN® (naloxone). In the past two years more than
                                                                      4,000 community members were trained in overdose
                                                                      prevention. For additional information please contact
                                                                      Conrad Bernard at (718) 226-4990.

13 Northwell Health | Staten Island University Hospital Community Service Plan
The Center for Women’s Health
      Women have unique healthcare needs. That’s why we created the Center for Women’s Health. With two stand-alone units on Staten
      Island, we are able to provide a warm and welcoming space for women to receive services tailored specifically to them. Free services
      provided to the community include pregnancy tests, breastfeeding support, postpartum support and child preparation classes. In
      2019, the Center provided 542 free pregnancy tests.

      Educational mini educational sessions facilitated in our waiting rooms on various topics such as safe dating, prenatal nutrition, the
      importance of exercise, food portions, SIDS prevention, Shaken Baby Syndrome and other important topics. In 2019, the program
      was able to provide education to 1,710 community members. Prenatal classes are offered to the community every Friday,
      alternating with English and Spanish; in 2019, 550 women were educated through this program. The Center also provides
      educational lectures on HIV/STD reduction/pregnancy prevention and healthy relationships. In 2019, 447 women attended the
      informative lectures. For more information, please contact the Northwell Health Center for Women’s Health at (718) 226-6550.

      Northwell Health Human Trafficking Response Program
      Staten Island University Hospital collaborates with Love146, an international human rights organization that focuses on child
      trafficking and exploitation, assisting the organization as a medical liaison. The hospital is committed to providing education,
      raising awareness and developing resources and strategies for creating a medical response for victims of domestic minor sex
      trafficking. The hospital provides training to help employees and our community partners identify human trafficking victims and
      empower staff to recognize and aid the vulnerable. In 2019 the team at SIUH was able to provide education to 2,227 community
      members.

      Safe Sitter
      Through a partnership with Safe Sitter, SIUH provides young teens in grades 6-8 who are equipped with the life, safety, and injury
      prevention skills to stay home alone, sibling sit, or babysit. The students learn tips to manage behavior that will help them stay in
      control of themselves and the children in their care. In 2019, SIUH trained about 100 teens through the Safe Sitter program.

14 Northwell Health | Staten Island University Hospital Community Service Plan
D. Community Medical Support Services and Programs

      House Calls Program
      Northwell Health’s House Calls Program provides home-based care for frail, chronically ill patients who have difficulty getting to
      their doctor’s office. The program provides advanced illness management, with a variety of services available to them at home and
      was recently recognized by CMS for success in their Independence at Home Project providing home-based primary care. Clinicians are
      available to make urgent visits during the week and are available nights and weekends to answer clinical questions from patients
      and caregivers, or arrange urgent services. In addition, Northwell Health’s community paramedic program provides a 24/7 in the
      home clinical response with an on-line medical doctor utilizing telemedicine capabilities for at-risk patients requiring urgent care.
      For more information, please call (718) 226-2109.

      Blood Donor Services
      Each year, employees of Staten Island University Hospital help to ensure an adequate blood supply for New Yorkers in need by
      donating blood. In 2019, more than 8,303 pints of whole blood were donated by employees of Northwell Health.

      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.

      Public Access Defibrillation Program (PAD)
      The PAD program is designed to increase the availability of automated external defibrillator (AED) devices in the community as well
      as empower people within the community to use them through AED/ CPR training and education. The PAD staff assists local
      organizations with establishing an emergency response that includes the use of an AED, as well as both initial and refresher training
      in CPR and AED use. For more information, please call (516) 881-7000.

15 Northwell Health | Staten Island University 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.

      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 Lisa Carolan at (718) 226-8136.

      Breastfeeding Workshops
      The SIUH offers free breastfeeding workshops in English and Spanish throughout the year to new moms, babies, and their families.
      Led by Registered Nurse Certified Lactation Counselors, these workshops provide information and support about the breastfeeding
      process. For more information, please call (718) 226-8031.

      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

      Sky Health
      Northwell Health launched the New York area’s first hospital-based Helicopter Emergency Medical Service. SkyHealth is a
      partnership with Yale-New Haven Health. Patients who need lifesaving care for major traumas, and other life-threatening brain
      injuries will receive emergency medical care by helicopter and be quickly flown to the most appropriate hospital. Northwell Health
      and Yale-New Haven expect to serve 350-400 patients annually in the SkyHealth program.

      Take Care New York (TCNY)
      SIUH partners with the NYCDOHMH in its TCNY Campaign, the City’s blueprint for giving everyone the chance to live a healthier life.
      Its goal is twofold -- to improve every community’s health, and to make greater strides in groups with the worst health outcomes, so
      that our city becomes a more equitable place for everyone.

      The Tackling Youth Substance Abuse (TYSA)
      The borough of Staten Island has the highest proportion of youth who binge drink and the highest percent of youth who have used
      prescription medication without a prescription in NYC in the past year. SIUH partners with the Staten Island Partnership for
      Community Wellness in the nationally recognized Tackling Youth Substance Abuse (TYSA) Initiative. This cross-sector coalition is
      aimed at driving major improvements in youth substance abuse on Staten Island; all coalition members work together to tackle the
      issue of alcohol and prescription drug use and educate young people to make healthy choices overall. For more information please
      call Mike McBrearty at (718) 226-2800 or contact TYSA2020@gmail.com.

16 Northwell Health | Staten Island University Hospital Community Service Plan
E. Support Groups

      Support groups offer people with similar medical conditions and life challenges an opportunity for discussion, a sharing of
      experience and knowledge, and a place to ask questions. The SIUH provides the following ongoing support groups for the
      community: AARP; Families Helping Families; Gamblers Anon; NarAnon; Female Military Support Group (FLAG); Overeaters
      Anonymous; Parents Without Partners; Run Teen Mom Time; Amputee Club; alcohol and substance abuse; Alzheimer’s Disease;
      aphasia and apraxia; bariatric surgery; bereavement groups for adults; children and perinatal; brain injury; cancer; including breast
      and prostate; hepatitis C; caregiving; family education; aphasia; heart disease; diabetes; infertility; insulin pump; mental
      health/depression; breastfeeding (English and Spanish); women’s health; and stroke. To learn more about support groups at SIUH,
      please call (718) 226-2486.

17 Northwell Health | Staten Island University Hospital Community Service Plan
F. Implementation Plan

                                                                                                                                                                           Community Served: Richmond County
                                                                                                                                                     NYS DOH Implementation Plan for the following hospitals:
                                                                                                                                                                                  Staten Island University Hospital
                                                                                                                                     in coordination with other Health System resources, including other partners,
                                                                                                                  has addressed each significant health need identified through the Richmond County CHNA report
                                                                                                              The CHNA Implementation Strategy was conducted in fulfillment of the requirements of 501(r) of the
                                                                                                                                             The Affordable Care Act applicable to a 501(c)(3) hospital organization
                                                                                                                                                                               Priority: Prevent Chronic Diseases
                                                                                     Focus Area: Healthy Eating and Food Security; Tobacco Prevention; Physical Activity; Preventative Care and Management
                                                                                                                                          Disparities: Focus on low income populations with health disparities
   Northwell          Goal Focus                                          Objectives                                                   Interventions                                            Family of Measures
    Hospital                Area

Staten Island    Goal 1.1 Increase   By December 31, 2021, increase the number of        Adopt policies and implement practices to reduce (over) consumption of           HR Employee Wellness Pledge data; employee wellness program
University       access to healthy   employees pledging to complete health risk          sugary drinks by implementing worksite wellness programs including               engagement; vending audits; fresh produce access; policy and built
Hospital         and affordable      assessments and viewing wellness videos by          nutrition and physical activity interventions as part of a comprehensive         environment changes
                 foods and           10%. By December 31, 2021, increase the             worksite wellness program. Components include: Educating and informing
                 beverages           number of healthy food and beverage vending         through classes, distributing written information or utilizing educational
                                     items by 10%.                                       software; Conducting activities that target thoughts and social factors to
                                     By December 31, 2021, increase the number of        influence behavior change. Examples include individual or group behavioral
                                     fresh produce access sites for patients, visitors   counseling, skill-building activities, providing rewards, and building support
                                     and employees by 15%.                               systems among co-workers and family members; and changing physical or
                                                                                         organizational structures that reach the entire workforce and make the
                                                                                         healthy choice the easy choice. Examples include changing the options in
                                                                                         cafeterias or vending machines; providing more opportunities for physical
                                                                                         activity; modifying health insurance benefits; or offering memberships to
                                                                                         health clubs.

          18 Northwell Health | Staten Island University Hospital Community Service Plan
Northwell           Goal Focus                                         Objectives                                                                 Interventions                                                         Family of Measures
    Hospital                 Area

Staten Island     Goal 1.3 Increase   By December 31, 2021, increase inpatient food     Integrate one of the Hunger Vital Sign Screening questions into system          EMR Screening: Food Security Screening rates; Food Insecurity Prevalence;
University        food security       security screening by 25% through EMR             inpatient enterprise EMR as part of admission workflows, identify food          Referrals to providers and Community Resources. Food As Health(FAH):
Hospital                              integration of screens into provider workflows.   insecure patients and refer to appropriate health system staff and facilitate   Food Security Screening rates ; Food Insecurity Prevalence; Referrals to
                                                                                        and actively support referral to community food resources.                      hospital providers, On-site FAH CBO Registered Dietitian, Community CBO
                                      By December 31, 2021, increase Food As Health                                                                                     ( i.e. Local Food Bank Home Delivery Partner) and referrals to Medically
                                      Program to 3 sites.                               Launch Food As Health Programs which are a hospital-community                   Tailored Home Delivery Partner ( i.e. God's Love We Deliver) and
                                                                                        partnership among LI Harvest and Gods Love We Deliver that screens              Community Food Resources (i.e. local food pantries); Pounds of fresh
                                                                                        inpatients for food security and provides onsite emergency food, nutrition      produce and non-perishables distributed at FAH Center; SNAP
                                                                                        counseling, SNAP enrollment and community social service navigation in          applications completed; referrals to non-food related community social
                                                                                        addition to home-based interventions for non-ambulatory patients with           services; Post FAH Engagement Food Security Status, food procurement
                                                                                        nutrition related diagnosis (i.e. diabetes, hypertension, and unintended        and eating behavior changes
                                                                                        weight loss).
Staten Island     Goal 1.2 Increase   By December 31, 2021, increase access by 10% to   City Harvest Mobile Market offers access to healthy, food by providing free     Farmers Market visitors; SNAP/Farmers Market Nutrition Program
University        skills and          healthy affordable fresh produce and              fruits and vegetables through their Mobile Markets to residents in Mariner’s    Checks; health screening numbers; # and type of health conditions
Hospital          knowledge to        nutrition/health education and screenings         Harbor and Stapleton. SIUH provides health information and programs in          identified; # referrals to providers; residence zip codes of participants
                  support healthy     through mobile farmer’s markets sites.            support of living and eating healthy on a monthly basis at both locations.
                  food and beverage                                                     Information on behavioral health, smoking cessation, cancer services
                  choices                                                               cholesterol, diabetes, stroke, blood pressure and asthma and offers health
                                                                                        screenings each month.

Staten Island     Goal 3.1 Prevent    To Increase by 10% the educational activities     Use media and health communications to highlight the dangers of tobacco,        Amount and type of earned media; amount and type of Northwell
University        initiation of       regarding the dangers of tobacco use and vaping   promote effective tobacco control policies and reshape social norms.            community awareness events and media; change in participant
Hospital          tobacco use         in the community to prevent youth tobacco use.    Decrease youth use and availability of flavored tobacco products including      knowledge/behaviors; policy/legislation created
                                                                                        menthol flavors used in combustible and non-combustible tobacco products
                                                                                        and flavored liquids including menthol used in electronic vapor products
                                                                                        through community education.

          19 Northwell Health | Staten Island University Hospital Community Service Plan
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