Update on Bias and Racism

David Muller, MD

David Muller, MD

Dear students,

A lot has happened since our last update on ISMMS’s race and bias initiatives. The teaching faculty, administrative staff, and leadership of Icahn School of Medicine have an unwavering commitment to addressing these issues, and to working closely with students so that our efforts are transparent and accountable to all. Read more

Mount Sinai Roosevelt to Become Mount Sinai West

Mount Sinai West

Signage for Mount Sinai West will be phased in over the coming months.

Mount Sinai Roosevelt is being renamed Mount Sinai West, an effort that reflects a long-term brand strategy to create a consistent naming convention within the Mount Sinai Health System.

“Many of the facilities in the Health System start with ‘Mount Sinai’ followed by a geographic or service-line identifier,” says Kenneth L. Davis, MD, President and Chief Executive Officer, Mount Sinai Health System. “As with the recent naming of Mount Sinai Brooklyn, we want anyone who has a health care need to know that there is a Mount Sinai facility in their neighborhood with equivalent quality, and to choose the facility that will best serve them. Mount Sinai West will continue to be the premier provider of health care services on the West Side of Manhattan.” No changes in current services, insurance acceptance, or employment are planned as a result of the renaming. Read more

Update on Bias and Racism

David Muller, MD

David Muller, MD

Over the past year there has been an increased urgency surrounding issues related to bias and racism in society at large, within our own medical school and health system and, tragically, for some of us in our own lives and families.

We’re sending this note to update the Sinai community on our ongoing efforts to eliminate bias and racism at the Icahn School of Medicine at Mount Sinai and our health system. We also want to acknowledge the extraordinary and meaningful work that our students are doing to bring these issues to light. As has always been the case, it is our students who are leading the charge, and who are determined to effect change both locally and globally. In particular, the Anti-Racism Coalition (ARC) and the LGBTQ student groups have inspired much of this work. Read more

Enhancing Quality of Care and Reducing Costs Through a New Collaboration

The Mount Sinai Health System has entered into an agreement with Empire BlueCross BlueShield that is designed to enhance quality of care and help individuals maintain healthy habits, all while reducing the cost of care. Empire is the largest health insurer in New York State.

Under the innovative agreement, which became effective January 1, 2015, Mount Sinai will manage all aspects of care for Empire’s 48,000 commercial and Medicare members who are attributed to the Health System. This includes coordinating all medical treatment, closely monitoring the patient between physician visits, and ensuring that appropriate follow-up care is received. Patients with chronic or complex conditions will receive individualized care plans tailored to their specific needs. Read more

Big Data Treasure Trove From Routine Medical Checkups

A Wall Street Journal article noted: “Researchers are analyzing pools of patient information collected from routine checkups to help doctors better diagnose their patients. This type of data is easier to mine thanks to the rise in electronic health records that contain information collected in regular doctor visits.”

“Big data generally refers to information that is too large—terabytes to petabytes or even exabytes of memory—to process with older standards of processing power. Researchers say it is important to do additional studies beyond data mining to learn more.” Read more

Health Care Teams Demand Nurses with Doctorate Degrees

A Press of Atlantic City article noted: “ When open enrollment for the Health Insurance Marketplaces closed earlier this year, more than 7.1 million Americans had signed up for health insurance coverage. As millions of new patients continue to gain access to insurance under the Affordable Care Act, industry leaders are facing the challenge of providing quality care while meeting the needs of an aging population and patients with more chronic health issues. One emerging solution is the concept of ‘care teams’ that more closely engage health care professionals from all disciplines.” Read more

For Better Treatment, Doctors and Patients Share the Decisions

An NPR story noted: “Many of us get confused by claims of how much the risk of a heart attack, for example, might be reduced by taking medicine for it. And doctors can get confused, too.”

“Just ask Karen Sepucha. She runs the Health Decisions Sciences Center at Boston’s Massachusetts General Hospital. A few years ago she surveyed primary care physicians, and asked how confident they were in their ability to talk about numbers and probabilities with patients. ‘What we found surprised us a little bit,’ Sepucha says. ‘Only about 20 percent of the physicians said they were very comfortable using numbers and explaining probabilities to patients.'” Read more

Scale of Medical Decisions Shifts to Offer Varied Balances of Power

A Los Angeles Times article noted: “Patients never used to worry about making healthcare decisions. They didn’t have to. Their doctors made just about all of their decisions for them. Everyone simply assumed that doctors knew what was best.”

“But that paternalistic view of doctors as know-it-alls has gone by the board, says Dr. Clarence Braddock, vice dean for education at the David Geffen School of Medicine at UCLA. “Now doctors are seen as the experts on medical information and choices,” he explains, “but patients are seen as the experts on what those choices mean in their own lives.” Read more

Clashing Visions on Medical Care Practice Prove to Be Hurdle

A Modern Healthcare article noted: “Clashing visions of how physicians should practice medicine in the 21st century bubble beneath the surface of nearly every controversial issue in delivery system reform. On the one side is ….a ‘last-century perspective. It reflects a time when patient outcomes were considered unmeasurable and when the idea of team care meant everyone following the orders of whichever physician was in charge.'”

“This approach put heroic practitioners at the center of the diagnosis, treatment and healing process. It posited that the best therapy for any patient should be discerned and delivered by someone with years of training and experience and, hopefully, a personal relationship with the individual in need of care.” Read more

Fee-for-Service Thwarts Value-Based Care's Intention

A Modern Healthcare article noted: ”Society wants the healthcare system to improve the population’s overall health while caring for the sick at a lower overall cost. The term of art is providing value-based care. Yet system leaders are stuck with a reimbursement system that still rewards volume through fee-for-service medicine.”

“Those differing approaches to providing healthcare—actually, only value-based care can truly be called healthcare since fee-for-service medicine is more properly called sick care—present providers with two diametrically opposed incentive schemes.” Read more