A Paradigm Shift in Health Care Delivery

Medical Treatment at Home

An innovative program being run by the Mount Sinai Health System has shown that certain acute-care patients who choose to be treated at home rather than in a hospital are not only more satisfied with their care but also have lower medical costs and fewer medical complications.

These findings come amid the halfway point of a three-year plan that was launched by Mount Sinai in November 2014 after receiving a $9.6 million Health Care Innovation Award from the federal Centers for Medicare and Medicaid Services (CMS) to create a unique “hospital at home” program.

Known as the Mobile Acute Care Team (MACT), the program illustrates Mount Sinai’s commitment to being on the cutting edge of the way medicine will be practiced and creating an innovative health care system for the future, one that emphasizes outpatient, ambulatory, and home-based care with remote monitoring capabilities. The award further highlights Mount Sinai’s role as a pioneer in developing a new clinical and financial reimbursement model for patients with acute illnesses. Read more

A New Vision of Mount Sinai Downtown

Inside CoverSweeping change in the practice of health care is leading to a transformation in the Mount Sinai Health System’s downtown footprint. A planned investment of more than $500 million will create the new “Mount Sinai Downtown,” an expanded and unified network of facilities—stretching from the East River to the Hudson River—that will provide highly skilled emergency care, urgent care, outpatient, inpatient, and ambulatory services to people living and working in New York City below 34th Street. Read more

Oral, Head and Neck Cancer Screenings

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At The Mount Sinai Hospital, Brett Miles, MD, DDS, examines Karen Manansala, Financial Coordinator, Guggenheim Pavilion Center 1, Lauder Family Cardiovascular Ambulatory Center, for signs of oral cancer.

Nearly 300 visitors and staff received free mouth and throat screenings at Mount Sinai Beth Israel and The Mount Sinai Hospital during Oral, Head and Neck Cancer Awareness Month in April. Free educational material about oropharyngeal cancer and its association with the human papillomavirus (HPV)—which accounts for nearly 85 percent of new cases—also was available at both campuses. “Patients who have oropharyngeal cancer caused by HPV and receive timely treatment have better survival rates than those who don’t act quickly,” says Brett Miles, MD, DDS, Associate Professor of Otolaryngology, Icahn School of Medicine at Mount Sinai, and Head and Neck Surgeon at the Head and Neck Institute. Other risk factors for oral cancer include alcohol and tobacco use.

Leadership and Staff Celebrate National Walking Day

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There was heavy rain on National Walking Day, so leadership and staff took to The Mount Sinai Hospital’s one-mile, indoor walking route.

Several hundred Mount Sinai Health System employees laced up their sneakers and participated in a number of 30-minute, lunchtime walks in their hospital campus communities on Thursday, April 7, National Walking Day, to raise awareness of the benefits of walking for cardiovascular health. Sponsored by the American Heart Association, National Walking Day calls on all individuals, communities, and workplaces to help in the fight against heart disease by increasing and encouraging physical activity. “Walking at lunchtime is an easy way to fit daily exercise into your busy life,” says Beth Oliver, DNP, RN, Senior Vice President of Cardiac Services for the Mount Sinai Health System.

Enhancing Employee Health at Mount Sinai

Enhancing Employee Health at Mount Sinai

Dietitian Maria Elena Rodriguez, RD, CDE, center, helped Mount Sinai employees Angela Mazzone, left, and Valerie Ruffin achieve a healthier lifestyle.

Valerie Ruffin, an Executive Assistant in the Department of Information Technology, thought that drinking homemade fruit juices was a good way to improve her health and lose weight—until she had a physical exam in 2015. “I was in shock when I was told I had diabetes,” she recalls. “My blood work showed extremely high sugar levels, the result of all the fruit juice I was drinking daily.”

Colleague Angela Mazzone, Project Manager III, Department of Information Technology, was similarly surprised when her physical exam uncovered glucose levels consistent with pre-diabetes. She always thought of herself as a healthy eater, and athletic, but the diagnosis forced her to re-examine that perception. She was now a working mom and, in reality, she was devoting less time to exercising and preparing nutritious meals. Read more

Morningside Clinic Moves to a Newly Renovated Location

Morningside Clinic Moves to a Newly Renovated LocationThe Institute for Advanced Medicine has relocated the Spencer Cox Morningside Clinic to renovated space at 440 West 114th Street and renamed it the Morningside Clinic. The new site provides patients with a more convenient and comfortable setting that includes a spacious waiting room with a television, and a pediatric waiting area. The Morningside Clinic continues to provide patients with HIV/AIDS treatment and other services, including dental, integrative medicine, and behavioral health care. The attendees at a recent ribbon-cutting ceremony (see photo) included, from left: Vani P. Gandhi, MD, Interim Medical Director, Morningside Clinic, and Assistant Clinical Professor, Medicine (Infectious Diseases), Mount Sinai St. Luke’s; Michael P. Mullen, MD, Director, and Matt Baney, Senior Director, Institute for Advanced Medicine; and Judith A. Aberg, MD, Dr. George Baehr Professor of Clinical Medicine, and Division Chief, Infectious Diseases.

Nutrition and Non-Alcoholic Fatty Liver Disease

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Guest post by Ilana Kersch, MS RD CDN, Senior Dietitian at the Mount Sinai Hospital.  Ilana works as part of the inpatient liver transplant team in conjunction with the Recanati Miller Transplant Institute, and provides nutrition care for patients pre- and post-hepatobiliary surgery.

In recent decades, non-alcoholic fatty liver disease (NAFLD) has become an important cause of liver disease in the US due to its association with rising prevalence of obesity and type 2 diabetes.  It is estimated that approximately 30% of the US population now has some degree of non-alcoholic fatty liver, and ~2- 5% of the population have fatty liver which has progressed to non-alcoholic steatohepatitis (NASH).  If untreated, NAFLD and NASH can progress to liver cirrhosis and malignancy, and is quickly becoming a major indication for listing for liver transplant. Read more

New CT Scanner to Help Provide Rapid Care

CT-Scanner-5316_11-RTMount Sinai Brooklyn recently acquired an additional CT scanner to decrease waiting time and expedite results for patients who need immediate testing, such as people who may have had a stroke. Located near the Emergency Department, it features 128-slice technology that provides high-definition imaging details and performs CT angiograms. Among the attendees at a ribbon-cutting ceremony on Thursday, March 31, were, from left: GraceAnn Weick, ANP, MSN, Chief Operating Officer and Vice President, Patient Care Services, Mount Sinai Brooklyn; Burton P. Drayer, MD, Dr. Charles M. and Marilyn Newman Professor and System Chair, Department of Radiology; Lin H. Mo, MBA, MPH, President, Mount Sinai Brooklyn; Carl Ramsay, MD, Vice President, Emergency Medicine Clinical Operations, Mount Sinai Health System; and Scott M. Lorin, MD, Chief Medical Officer, Mount Sinai Brooklyn.

Physical Fitness in Late Adolescence May Reduce The Risk of Developing Adult-Onset Diabetes

Casey Crump, MD, PhD

Casey Crump, MD, PhD

Physical fitness in late adolescence may reduce the risk of developing type 2 diabetes later in life, according to a new study from the Icahn School of Medicine at Mount Sinai that appeared online in the March 8, 2016, issue of the Annals of Internal Medicine.

Researchers—led by Casey Crump, MD, PhD, Vice Chair for Research in the Department of Family Medicine and Community Health at Icahn School of Medicine at Mount Sinai—evaluated data on the aerobic capacity of 1.5 million males who were military conscripts in Sweden between 1969 and 1997. The scientists then compared the men’s aerobic capacity to their medical diagnoses that were made between 1987 and 2012, when the men were a maximum age of 62. Read more

Malnutrition

socialmedia-alysiaphotoGuest post by Alysia Johansson MS RD CDN, Clinical Nutrition Coordinator at The Mount Sinai Hospital. Alysia has been at Mount Sinai since 2011 where she works as part of the interdisciplinary Cardiothoracic ICU team. Alysia also coordinates malnutrition efforts for the Clinical Nutrition Department and will be presenting at an upcoming conference on April 21 2016 at The Mount Sinai Hospital, Malnutrition: Implementing Strategies for Medical Nutrition Therapy.

Malnutrition has been recognized as a problem in hospitalized patients for over 40 years. Malnutrition is any disorder of nutrition resulting from unbalanced or insufficient diet, increased needs, or impaired absorption, utilization, or excretion of nutrients – all in the presence or absence of inflammation. Malnutrition contributes to a multitude of poor patient outcomes including decreased function and quality of life, decreased wound healing, anemia, increased risk of infection, increased risk for developing pressure ulcers, increased risk of surgical complications, increased mortality, increased frequency of hospital admissions and increased length of hospital stay. Aside from being detrimental to care, all of these outcomes lead to higher healthcare costs. For these reasons, it is imperative that clinicians be aware of the signs of malnutrition, and take proper measures to enhance the nutritional status of their patients.  Read more