2019 President’s Award Finalists: Teamwork

Each year, Northwell’s President’s Awards recognize team members who not only surpass our expectations and standards of excellence, but also those who drive innovative business outcomes.

The Teamwork award recognizes a team who is flexible, hardworking and made for unwavering support. They successfully collaborate to improve quality, financial performance and/or patient-centric care by leveraging and embracing diversity while creating a feeling of belonging. Meet this year’s finalists.

Deliver the Vote
Lenox Hill Hospital

A pair of nurses with a strong commitment to upholding the right to vote, and an amazing determination not to take no for an answer enabled dozens of hospitalized patients to participate in the American electoral system.

Their efforts began two years ago when a patient inquired about voting but at that point, they were unable to help. Ahead of the 2018 election, Lisa Schavrien and Erin Smith decided to be pro-active, exploring ways to help their patients be heard at the ballot box. Their inquiries led them to a series of rejections by boards of elections, non-responses from political offices and a trip to a courtroom in Queens.

With the help from other volunteers, they canvassed their hospital for patients who wanted to vote. In one room, a patient facing brain surgery managed to cast her vote before surgery; in another, a patient’s partner was unable to get a ballot for the patient because they weren’t married, but Lisa obtained a ballot for him.

Voting may not seem like an issue clinical team members need to tackle, and they could find no other hospital making the same effort, but thanks to this team that went above and beyond, 75 Northwell patients were able to cast their ballots.

ECMO-TO-GO
Long Island Jewish Medical Center, North Shore University Hospital, Southside Hospital

Made up of a team of well-honed specialists, ECMO-TO-GO takes its life-saving skills wherever they are needed, elevating the level of care available to seriously ill patients. The team develops its successes with the cardiopulmonary bypass technique through continuity of communication and care delivered by all team members, commitment to continuous improvement and the depth of care provided by experts from across Northwell. The innovative approach of the team traveling to the patient rather than the other way around means a highly qualified, seasoned team is available to the sickest of patients. With a mortality rate of about 50 percent in these kinds of patients, the concept of such a team grew out of the establishment of an acute lung injury program at Long Island Jewish Medical Center and the launch of a heart transplant program. Northwell physicians recognized the need to provide stable, quality care as quickly as possible, leading to the ECMOTO- GO program.

The strength of the group comes from their ability to harness their differences in expertise to meet the dire needs of a complicated patient population. They do so with seamless coordination, deep compassion, and deliberate communication ultimately forging something stronger than any individual person.

Food as Health Implementation Team
Long Island Jewish Valley Stream

Team members have put reliable access to food at the center of a pioneering effort to improve the health of their patients. After people in multiple departments recognized that some patients had trouble finding affordable, nutritious food when they returned home, a team came together to brainstorm some solutions. Their conclusions: provide discharged patients with the resources to find affordable foods and to prepare meals that would help restore them to health.

The Food as Health (FAH) Program screens patients from the outpatient wound care center, and one inpatient unit for food insecurity. Patients in need with nutrition-related conditions (e.g. diabetes, hypertension, unintentional weight loss) are referred to the appropriate FAH service arm for support. Patients who are mobile and able to cook for themselves are referred to the FAH hospital-based onsite resource center. The patient is provided two days’ worth of nutritious emergency food, nutrition education and counseling, and referrals to community resources.

The collaborative effort of the multidisciplinary workgroup to identify clinical partners, establish workflows, reports and outcomes is a significant reason for the successful implementation of the FAH program. The team continues to work together to identify the outcome measures and establish reporting to demonstrate improvement in patient outcomes and hospital data such as decreased readmissions.

Inpatient Charge Capture (IPCC)
Corporate, Revenue Cycle Operations, Medical Group

When a small group of data-savvy professionals began examining the question of whether Northwell was billing and collecting for every professional service provided in hospitals, it quickly became clear that they needed more expertise.

The question of revenue capture is a long-standing one and quantifying it and executing a process across the health system was huge challenge. The team grew to involve several Information Services disciplines and data experts and as it grew, so did the project. Instead of finding a basic report on where to find the revenue opportunities, the team produced much more. They came up with a real-time, web-based tool that allows service lines and/ or individuals to know what the missing billing opportunities are daily/weekly/monthly. It allows the user to filter by service line, hospital, provider and unit. The tool is easy to navigate and provides a weekly “subscription” service for providers.

The deep dive in the collaborative effort also identified a $10 million revenue opportunity for Northwell, the result of experts collaborating and using their own areas of expertise to produce a positive outcome.

Northwell Transfusion Medicine
Northwell Health Labs

A team of professionals collaborated to take on the challenge of ensuring Northwell hospitals maintained fresh and adequate supply of platelets to cope with both routine and emergency use. Maintaining a blood product supply is essential to optimal patient care, but daily usage can be difficult to forecast. Platelets, expensive to produce, test and store, have a short shelf life and frequently expire before they can be used.

This team’s bold solution to meeting the need and reducing costly waste was to develop a delivery system that moves blood products throughout the health system, with many ultimately winding up at the hospitals that routinely need them the most. Breaking away from the existing system, the team began with data, figuring out a system to outline a new distribution process. That birthed a “Round Robin” transportation system to reduce supplemental and emergency deliveries. The concept of rotating platelets from the community hospitals to the final destination of one of two tertiary hospitals is based on usage. Long Island Jewish Medical Center and North Shore University Hospital combined utilize as many as 50 units a day for Cardiac, Trauma, Surgical, Oncology and Transplant services. Through extensive monitoring and trending of patient platelet needs, a dramatic savings of more than $200,000 was realized in 2018 in expiration waste.

School-Based Vocational Services
South Oaks Hospital

A committed group of professionals provides students challenged by intellectual and developmental disabilities with services that are tailored to individuals from 27 school districts across Long Island. Students receive coachin g, job readiness training and social skills development in both a classroom and professional setting with more than 100 participating companies with the goal of promoting independence and developing skills to prepare these young adults to enter the workforce after graduation.

The collaboration of these team members led to 64% of the graduating students finding employment post-graduation. On a daily basis, this team manages to touch the lives of more than 200 youths and parents, on Long Island. Nearly all of the team members work remotely and are required to travel throughout their day to meet the needs of the various sites they are working to serve.

The team has been able to create new approaches to learning in school settings by implementing in-school businesses where students can improve work readiness skills. Through personal dedication and putting creativity to work, they are making big differences in the lives of these students.

The Fin
Feinstein Institute for Medical Research

Experts with a diverse set of skills devised and conducted the first pilot clinical trial of the Fin, a novel 3D-printed swim prosthesis designed for use in a recreational pool setting. The dedicated group was seeking ways to improve recreational opportunities for people with lower-limb amputations, who, according to studies, are less likely to participate in physical activity than the general population.

Often working on their own time, they established protocols to ensure a thorough test that respected each individual’s dignity and needs while examining all aspects of the prosthesis. The most common design for a swim prosthesis has a fixed angle foot (“ankle foot”) that is at 90 degrees with the floor, which, while it is easy to use in the water, is not useful when walking over ground or transitioning into and out of the water. The 3-D printing also significantly lowers the typical cost of the prosthesis.

All participants in the test found the prosthesis easy to put on and take off. The majority (71%) of participants reported being extremely satisfied with the prosthesis.

Every member of the multidisciplinary team brought to the project their passion for wanting to improve the quality of life, participation and inclusion for individuals with lower limb amputations.