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The Rockefeller University Hospit

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									                      The Rockefeller University Hospital
                           Community Service Plan
                        Implementation Report Calendar Year 2006

Introduction
       The Rockefeller University Hospital was the first medical institution in this country
devoted solely to clinical research. Its mission, to serve as a clinical site for the conduct
of medical research and to provide a place to educate young physicians in the
laboratory sciences relevant to clinical investigation, remains essentially unchanged
since its founding in 1910. All patients are voluntary research subjects who are not
charged for their participation or care. These volunteer subjects are recruited both
nationally and locally with a commitment to ensuring representation of women, children
and ethnic and racial minorities.

Mission Statement
      To promote health and enhance the quality of life by conducting clinical research
and providing quality patient care in an environment where science, medical practice
and learning blend to advance medical scholarship and alleviate human suffering.
__________________________________________________________________


Community Role and Public Benefit                 Harlem. Based on the extremely
                                                  favorable responses from the students
Science Education in the Public Schools           and the principal, Dr. Barry Coller,
Rockefeller University Hospital has               Rockefeller Hospital’s Physician-in-
made collaboration with local Science             Chief, was asked to lead several
Education     Partnership       Awardees          additional panels later in the year at
(SEPA) a particularly high priority since         other schools. Subsequently 3 other
this NCRR-supported program is of high            programs were held: at IS 238 in June,
quality and has a high impact on the              IS 322 in November, and IS 195 in
community.                                        2006.

In 2006, as part of the SEPA program,             Bionutrition Research Student Interns
The Rockefeller Hospital leadership               The Bionutrition Research Department
continued to collaborate with Columbia            provides a learning environment for
University’s Teachers College in the              students, interns, and volunteers. In
“Choice, Control & Change (C3)                    2006, the Bionutrition Department
Program” led by Isobel R. Contento,               hosted 3 bionutrition interns: 2 students
PhD, Mary Swartz Rose Professor of                in the undergraduate Nutrition program
Nutrition and Education at Columbia               at New York University and a student in
University Teachers College. As part of           the Doctoral Program in Clinical
that program, in 2006, Hospital staff             Nutrition at the University of Medicine
participated in presentations at 4 New            and Dentistry of New Jersey. Because
York City Middle Schools starting in              of its unique focus this department also
February with an assembly at the Kappa            hosts visitors for tours and discussions.
IV School on Edgecombe Avenue in                  This year the department hosted 3
                                                  groups of 14 interns each from The New
                                                  York Presbyterian Hospital Dietetic
Internship Program for a full day of           the recommendations of the National
meetings with the department members.          Psoriasis Foundation, the purpose of
                                               this group is to provide a mechanism for
   Community Engagement with                   patients to become knowledgeable
           Industry                            about their disease and talk with others
Bridges to Better Medicine                     who share this disorder. To quote a
The Rockefeller University sponsors the        patient, “Being connected to other
Bridges to Better Medicine Program             people who have psoriasis is very
which      brings     leaders    in     the    important. Only other people with
biotechnology      and     pharmaceutical      psoriasis know what it is like to have
industry, as well as leaders in the            such a visible disease.” The group
biotechnology investment community, to         meets at Rockefeller University the last
Rockefeller approximately 3-4 times per        Tuesday of every month from 7pm to
year to learn about new cutting edge           9pm.
research at Rockefeller and to share
information about the state of the             Outreach at the Aaron Diamond AIDS
biotechnology      and     pharmaceutical      Research Center
industries. In 2006 the program was            The Aaron Diamond AIDS Research
hosted by Dr. Barry Coller, Physician-in-      Center (ADARC) remained an academic
Chief of the Hospital. Dr. Coller, who         affiliate of The Rockefeller University in
previously was a Co-Director of the            2006. This center performs pioneering
State University of New York at Stony          translational research in both elucidating
Brook Biotechnology Center and a               the viral dynamics of HIV-1 infection and
Director of the Long Island High               developing the highly active anti-
Technology         Incubator       Facility,   retroviral therapy (HAART) and other
participated in a plenary session at the       novel drug and biological therapies for
2006      New      York     Biotechnology      HIV/AIDS.        Effective     participant
Association meeting in April 2006.             recruitment and sensitive community
                                               outreach efforts have been vital to the
Community Engagement as Part of                success of this work. From the
                                               beginning of the HIV epidemic they have
 Patient and Physician Education               developed respectful partnerships with
                                               the affected communities in New York
Psoriasis Patient Support Group                City.
The psoriasis support group at
Rockefeller University has been in             In 2006, ADARC continued its outreach
existence for approximately 10 years. It       and recruitment efforts in affected
is known as The Psore Skin Psoriasis           communities. All recruitment and
Support Group and is registered and            outreach efforts are conducted with
supported by The National Psoriasis            input from the community advisory
Foundation (NPF). Patricia Gilleaudeau,        board (CAB), which is composed of
FNP, the nurse practitioner coordinator        seven members of affected communities
of the psoriasis research studies at           and meets monthly.
Rockefeller University continued to
supervise the group in 2006. The               ADARC’s programs also reach out to
meetings are led by a psoriasis patient.       physicians who treat individuals with
The forum is generally a discussion with       HIV/AIDS. With the changing nature of
a speaker or presenter. In accord with         the epidemic, particular efforts to recruit
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HIV-1 positive women and persons of          University’s    Pandemic       Influenza
color have been initiated. These efforts     Preparedness       subcommittee,        a
include outreach to Downstate Medical        committee which also receives input
Center (Brooklyn) and Harlem Hospital        from the Hospital Medical Staff Infection
Women’s clinic. In addition, significant     Control Committee.
outreach is conducted at the grassroots
level.                                       The Chief Executive Officer/Hospitalist
                                             and the Medical Director continued to
       Service to the University             serve as the core members of the
             Community                       Isotope Human Use Subcommittee.

As a part of the University the Hospital     Members of the Senior Staff of the
provides service as befitting its medical    Hospital continued their service on the
expertise and facilities in the following    University’s Institutional Review Board.
ways:                                        Those members included the Chief
                                             Executive      Officer/Hospitalist,   the
♦ Participation in University wide           Medical Director, the Director of Nursing
  committees                                 and Patient Care Services, the Center
                                             Administrator     and     the   Research
♦ Provision of emergency medical
                                             Pharmacist.
  response to the entire campus,
  including the children’s center,
  employees, and visitors                    Support for Occupational Health Services
                                             The University’s Occupational Health
♦ Provision of medical facilities for the
                                             Department          (OHS),          while
  conduct of campus community
                                             administratively separate from the
  health screenings by the University’s
                                             Hospital, receives considerable support
  Occupational Health Department;
                                             from the Hospital.
♦ Participation in the development of
  the University-wide disaster plan;
                                             In 2006, the Hospital continued to
♦ Teaching on health matters or              provide support in the following ways:
  emergency procedures to other
                                             ♦ Provided full staffing of the campus
  University departments;
                                                emergency response, a response
♦ Service as a resource for calls to the        which     provides       trained   first
  University regarding access to care           responders to the scene of any
  or access to clinical research,               medical emergency on campus
  whether available at Rockefeller or           consisting of a member of the
  outside of the institution.                   Hospital nursing staff, a licensed
                                                physician,       and         emergency
Campus community support activities in          equipment including oxygen and an
2006 included:                                  AED. In 2006 this team responded to
                                                such an event more than once a
Participation on University Committees          month.
The Chief Executive Officer/Hospitalist
                                             ♦ Made the Hospital facilities available
joined the University Safety Committee.         for University-wide screenings for
The Hospital’s Director of Regulatory           prostate and skin cancer that were
Affairs continued her active participation      conducted throughout the year.
on that committee. The past CEO and
Professor Emeritus is a member of the

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♦ Provided coverage for employee              nurses from the metropolitan region
  illnesses and injuries when the OHS         attended the event that included
  staff was not available to provide its      presentations from leaders in Clinical
  usual care.                                 Research Nursing at the University of
                                              Texas and the Massachusetts General
Educational Outreach to the University        Hospital. They spoke on the emerging
In 2006, the Hospital’s Director of           role of the Clinical Research Nurse and
Bionutrition      provided        several     the integration of the nurse practitioner
educational events on Nutrition for           into clinical research. Rockefeller’s
Children to the teachers at the               Director of Nursing is spearheading the
Rockefeller University Children and           effort to create a local association for
Family Center.                                Clinical Research Nurses to promote
                                              collaboration and develop best practice
Resource for callers to the University        standards.
In 2006, the Hospital’s Social Worker
continued to field calls forwarded by the          Organizational Framework
main      University      operator     from
individuals contacting the University for     The Rockefeller University Hospital is a
assistance on issues of access to             free standing clinical facility that is
medical care, access to local research        licensed by the New York State
or finding suitable research relevant to      Department of Health, and fully
their condition. The needs of these           accredited by the Joint Commission.
callers range from a simple phone             The Hospital is owned by the University
number to an extensive assessment of          and is not a separate corporate entity
their needs that directs them to the right    although it functions as a distinct
place. The Hospital’s Social Worker is        administrative unit of the University. The
familiar with many sources of care and        University fully supports the following
so can provide guidance to resources          Hospital departments : Bionutrition,
outside of the Rockefeller University.        Hospital Information Services (Medical
                                              Records), Nursing and Patient Care
Service to the Scientific Community           Services,         Pharmacy,         Social
                                              Work, Radiology, Regulatory Affairs,
Clinical Seminar Series                       Medical Staff Services, and Art &
In 2006 the Hospital continued to             Recreation. Additional support for the
sponsor a weekly seminar series               departments of Information Technology,
throughout the academic year hosting          Biostatistics    and      Patient     Care
world-renowned experts in clinical            Resources is provided by a cooperative
translational research. These seminars        agreement with the National Institutes of
are open to the University community          Health. All investigators at Rockefeller
and to staff and scientists of the            University Hospital and those from other
surrounding institutions.                     institutions who conduct studies here
                                              must have Hospital appointments or be
Clinical Research Nurses Day                  actively collaborating with a full-time
In May 2006, Rockefeller University           Hospital appointee.               Ultimate
Hospital hosted “Clinical Research            responsibility for patient care is always
Nurses Day” inviting participants from        in the hands of a full-time Hospital staff
the community. About 80 research              member, who is accountable to the

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Medical Director and Chief Executive          operating costs is funded primarily by a
Officer.                                      subsidy grant from The Rockefeller
                                              University. All patients are voluntary
         Financial Statement                  research subjects who are not charged
                                              for their participation in clinical research
Corporate Structure                           studies at the Rockefeller University
The Rockefeller University Hospital           Hospital.
operates under the charter of The
Rockefeller University and is not             In the process of performing patient-
incorporated as a separate legal entity.      oriented research, the need for
The Hospital is a division of the             medically indicated and thus potentially
University, which is classified by the        reimbursable care could arise. In 2006
Internal Revenue Service as exempt            the Hospital did not bill any patient’s
from Federal income taxes under               insurance company for such service, nor
provisions of Section 501(c)(3) of the        did the Hospital attempt to collect
Internal Revenue Code.                        charges from any patient. No amounts
                                              were billed or written off for uninsured
The absolute charter of The Rockefeller       patients in 2006.
University, located in the city, county
and state of New York, which was
incorporated      pursuant       to     the
Membership Corporations Law under
the corporate name “The Rockefeller
Institute for Medical Research” on or
about June 13, 1901; which certificate of
incorporation       constituting        the
corporation’s original charter was
amended by Special Act of the
Legislature pursuant to Chapter 227 of
the Laws of 1908 on May 6, 1908 to
restate the charter in its entirety; and by
action of the Board of Regents on June
27, 1958 to change the corporate name
to “The Rockefeller Institute”; and on
May 27, 1965 to restate the charter in its
entirety, changing the corporate name to
“The Rockefeller University”.

Charity Care
The Hospital conducts research funded
primarily     through   a    cooperative
agreement with the U.S. Department of
Health and Human Services (DHHS),
National       Center   for    Research
Resources division of the National
Institutes of Health. Approximately 50%
of the Hospital’s operations are funded
by this agreement. The balance of the
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