"FOR THE FuTuRE"
FOR THE FuTuRE Una carta de las directivas del Sinaí Alan H. Channing Abraham Morgan Presidente y Jefe Presidente, Junta Ejecutivo Directiva Sistema de Salud Sinaí Sistema de Salud Sinaí A nuestros pAcientes, cuidAdores, Amigos y colegAs: Hemos titulado el reporte anual de este año “Por el Futuro”. Los hospitales se establecen pensando “en el futuro”. Con sus 90 años de historia y estabilidad, es muy claro que Sinaí continúa pensando y actuando “por el futuro” de las personas a las que servimos. “Por el Futuro” describe el desarrollo de Sinaí durante el presente año, con un enfoque renovado en nuestros pacientes, la comunidad y nuestros cuidadores. Por el futuro de nuestra comunidad, hemos concretado planes para la primera fase de un proyecto de renovación: un nuevo centro ambulatorio diseñado con el fin de satisfacer las necesidades de nuestra comunidad a medida que la atención médica se traslada más allá de la cama de hospital. Al planear para el futuro, mantenemos un enfoque cuidadoso en la calidad clínica y en satisfacer las demandas de atención al paciente, tal como se hace evidente en el Departamento de Emergencias, que estableció un nuevo récord de visitas en el año 2008. Mientras el Departamento de Emergencias atiende a 57,534 pacientes al año, seguimos dedicados a tratar a las personas con dignidad y compasión, manteniendo la meta de treinta minutos o menos desde “la puerta de entrada hasta el cuidador”. Según parámetros de satisfacción del paciente, el personal de enfermería del Departamento de Emergencias ganó este año reconocimiento nacional por su atención a los pacientes. El compromiso del Sinaí hacia la calidad de su atención obtuvo un puntaje del cien por ciento en 14 de 20 parámetros de calidad a nivel nacional, con cinco parámetros adicionales por encima del promedio de calidad nacional. Estos puntajes demuestran la dedicación del Sinaí a proveer el cuidado adecuado al momento adecuado para todos los pacientes. Trabajando por un futuro mejor en la reducción de las desigualdades en el cuidado médico, el Instituto Sinaí de Salud Urbana (SUHI, por sus siglas en inglés) lideró una campaña en Chicago para reducir las desigualdades en el cuidado de la salud de los senos entre mujeres afroamericanas e hispanas. Reconociendo este esfuerzo, la Fundación Avon concedió al Hospital Monte Sinaí un fondo de un millón de dólares para financiar su programa de orientación dirigido a asistir a las mujeres que requieren de intervenciones de diagnóstico y tratamiento del cáncer de los senos. La concesión también financia la compra de un avanzado equipo de imágenes digitales, lo que permite al Sinaí brindar a las mujeres de nuestras comunidades mamografías de tecnología de punta. Para los pacientes de oncología tanto presentes como futuros, establecimos en el 2008 el Centro de Sistema de Salud para el Cuidado del Cáncer. Creado con el respaldo de la Fundación Coleman, este centro integral de oncología reúne a consultorios médicos, un centro de quimioterapia y una unidad de cuidado ambulatorio en una sola área. “Por el futuro” expandimos en el año 2008 nuestras relaciones con los centros médicos académicos que enriquecen los recursos de cuidado al paciente disponibles a la comunidad a través de nuestra afiliación con el Hospital Northwestern Memorial, el Centro Médico de la Universidad de Chicago, el Centro Médico de la Universidad Rush, la Universidad de Illinois en Chicago y la Universidad Médica Rosalind Franklin. Este año, el Instituto Comunitario Sinaí (SCI, por sus siglas en inglés) celebró 15 años de lograr una diferencia en la vida de nuestros vecinos a través de programas que enseñan destrezas de crianza, destrezas laborales, estilos saludables de vida, así como manejo de casos para ancianos y un programa para niños al salir de la escuela. SCI creó una sociedad con los ex-alumnos de la NFL titulado “Hacia la gloria” que establece parejas entre ex-alumnos mentores de la NFL con jóvenes de la zona oeste de Chicago, creando oportunidades para el futuro que estos jóvenes no podrían alcanzar de otro modo. Sinaí ingresa al año 2009 comprometido con su papel como fuerza esencial en el futuro de sus comunidades y comprometido a cumplir con su misión de mejorar la salud de los individuos a los que sirve. Atentamente, Alan H. Channing Abraham Morgan Presidente y Jefe Presidente, Junta Ejecutivo Directiva A Letter from Sinai Leadership Alan H. Channing Abraham Morgan President and Chief Chair, Board of Directors Executive Officer Sinai Health System Sinai Health System To paTienTs, caregivers, friends and colleagues: We have titled this year’s annual report “For the Future.” The reason hospitals get established is “for the future” and clearly at Sinai, with 90 years of history and staying power behind us, we are still thinking and acting “for the future” of those we serve. “For the future” describes this year of development at Sinai, with renewed focus on our patients, the community, and our caregivers. For the future of our community, we have solidified plans for the first phase of a redevelopment project — a new ambulatory center designed to meet our community’s needs as care migrates away from the hospital bed. Even as we plan for the future, we maintain a vigilant focus on clinical quality and on meeting the demands for patient care as evidenced by the Emergency Department, which set new visit records in 2008. While the Emergency Department cares for 57,534 patients per year, there remains a commitment to treat people with dignity and compassion and to see them with a goal of 30 minutes or less from “door to caregiver.” Based on patient satisfaction, the Emergency Department nursing staff won national recognition for patient care this year. Sinai’s commitment to quality patient care resulted in scoring 100% on 14 of 20 national quality measurements with an additional five measurements above the national quality average. These scores demonstrate Sinai’s dedication to providing the right care at the right time for all patients. Working for a better future of reduced health disparities, Sinai Urban Health Institute (SUHI) led a Chicago-wide campaign to reduce disparities in breast health among African-American and Hispanic women. Recognizing this effort, the Avon Foundation awarded Mount Sinai Hospital $1 million to fund its patient navigator program that assists women who require diagnostic and treatment interventions in breast cancer. The grant also funds the purchase of state-of-the-art digital imaging equipment, which allows Sinai to provide the women of its communities state-of-the-art mammography. For oncology patients, present and future, we established the Sinai Health System Cancer Care Center in 2008. With the support of the Coleman Foundation, an integrated oncology center was created that links physicians’ offices, a chemotherapy center, and an inpatient unit all in one area. “For the future” in 2008 we expanded our relationships with academic medical centers that enrich the patient care resources available to the community through our affiliations with Northwestern Memorial Hospital, The University of Chicago Medical Center, Rush University Medical Center, the University of Illinois-Chicago and Rosalind Franklin Medical University. This year, Sinai Community Institute (SCI) celebrated its 15th year of making a difference in the lives of our neighbors through programs that teach parenting, job skills and healthy lifestyles, and that provide case management for seniors and an after-school program for children. SCI created a partnership with the NFL Alumni titled “Bound for Glory,” which matches NFL alumni mentors with young men from Chicago’s West Side and creates opportunities for the future that young people might otherwise never realize. Sinai enters 2009 committed to its role as an essential force in the future of its communities and committed to living its mission of improving the health of the individuals it serves. Sincerely, Alan H. Channing Abraham Morgan President and Chief Chair, Board of Directors Executive Officer 3 SINAI HEALTH SYSTEM ANNUAL REPORT 2008 Listening for Those Who Cannot Hear: Creating a Model Program for the Deaf at sinai, we believe our responsibility to help and heal extends far beyond quality clinical care. in our vision to become The Sinai Deaf Access Program a national model for the delivery of urban healthcare, we won the Deaf Illinois award for best reach out to diverse communities and then forge lasting, health service in 2007. compassionate relationships with residents to address not only their health needs but also their emotional and social concerns. The honor recognizes Sinai’s outstanding The sinai deaf access program illustrates our strong achievements in having healthcare link to the community and our commitment to providing providers with whom the Deaf and Hard- exceptional medical and social services to individuals and families. The program is so highly respected, it is recognized of-Hearing can communicate. Patients as a national model and has been duplicated in cleveland and have American Sign Language interpreters des Moines, iowa. during all encounters, including childbirth. recognizing that many deaf and hard-of-hearing patients are underserved medically and isolated socially, sinai creates a welcoming medical home for them by providing health education classes and interpreting training workshops. sinai also provides a vital connection through shared language — our physicians, behavioral health specialists and interpreters communicate in american sign language (asl), enabling them to bridge the gap between silence and sound. sinai will soon broaden its asl interpreting services using videoconferencing equipment to include hospitals throughout illinois. Teri Hedding, Manager of the Sinai Deaf Access Program (left), and Gloria Herrera, ASL Interpreter, converse. From Our Patients Mount Sinai provides complete access to different services Another benefit from Mount Sinai: They have four that are beneficial for deaf patients through Deaf Access. staff interpreters who work on a daily schedule from 8 a.m. Deaf Access is managed by a deaf boss. Her name is Teri to 5 p.m. They are very friendly to me and are experts in Hedding and she is a person who is always warm and relaying messages in medical terms. They translate what I willing to work with deaf patients. She has been working say into English for the doctors. It is easier because English with them in person and by using a videophone. is not my first language, so things go more smoothly when The best thing about Mount Sinai is that they have an interpreter is involved. three doctors who are fluent in American Sign Language. I am glad and thankful for the Mount Sinai Deaf Access I feel that there is no communication barrier when I attend Program that helps many deaf people, including me. my appointments, and I am able to share how I feel. Dr. Kaufman is also a doctor for my son, so I can be involved in Sincerely, my son’s healthcare because he speaks to my son using his Kiki Carmona voice and signs at the same time for me. 4 A Unified Effort for a Healthier Community Mount sinai Hospital's dedication to community began Community Benefits when the hospital was founded in 1919 to serve needy Charity care $12,160,075 eastern european immigrants. our commitment to Language assistance $720,145 improve the lives of those in our community is just Donations to the community $8,135,555 as strong today and is evident in the heart, drive and Volunteer services to the community $52,994 vision of our physicians, nurses, students and staff. Education $7,479,800 Their compassion and respect for patients and families Research $226,029 provides the foundation for better care in our community Subsidized health services $12,517,000 today and tomorrow. Bad debt $66,620,187 in addition to providing a full continuum of care, we are shaping the future of medicine by providing Other community services $2,619,133 educational opportunities for Mount Sinai Hospital Fiscal 2008 Operating Statistics tomorrow’s medical leaders, just as Number of beds 431 we did almost 90 years ago, when we provided training to Jewish physicians Inpatient discharges 22,960 who were denied educational Emergency registrations 57,534 opportunities elsewhere. Ambulatory visits 348,550 Medical and healthcare-related Number of on-staff physicians 489 research are also integral to our Number of specialty physicians 204 mission, and we support research in a Mount Sinai Hospital is a member of the Sinai Health System, which also includes broad array of fields. Schwab Rehabilitation Hospital, Sinai Urban Health Institute, Sinai Community Institute, Sinai Medical Group and Sinai Children’s Hospital. Working for the World: Sinai Extends Definition of Community a 10-year-old boy from Zambia, africa, can face the ” “Mount sinai is dedicated to service, Thornton says. world with more confidence now, thanks to the diligent “in this case, that dedication transcended borders. ” efforts of a schwab rehabilitation gift lived with Thornton and her family for 13 months. Hospital physician and the after four operations he returned to Zambia in June. kindness of Mount sinai. “He is happier with how he looks now, and his gift Benwa was 6 years old ” confidence has grown tremendously, Thornton says. when a piece of corrugated metal gift might need more surgery to improve his blew off a roof during a storm appearance, but Thornton wants to give him time to heal. in his homeland and hit him. she will make a house call to Zambia to see how he is The debris sheared off much of doing in 2009. his nose and lips, leaving him Dr. Lisa Thornton, Head of Pediatric mutilated and unable to fully open Rehabilitation at Schwab Rehabilitation or close his injured mouth. dr. Hospital, is happy that she could help Gift lisa Thornton, Head of pediatric Benwa, pictured with his father, Bonald Iputa. The 10-year-old African native underwent rehabilitation at schwab, was intensive plastic surgery, thanks to Thornton visiting Zambia in 2005 when she and Mount Sinai Hospital. met gift. He stood out in a long line of sick children waiting for medical checkups. Thornton knew gift would not get the plastic surgery he needed in Zambia, so she arranged to bring him and his In other world events, local representatives of Ghana's tribal structure meet for the father to the united states. she led Mount sinai's effort to ceremonial receipt of dialysis equipment donated by Mount Sinai through the diplomacy of Abraham Morgan, Board Chair. cover the expenses of gift’s surgery. 5 SINAI HEALTH SYSTEM ANNUAL REPORT 2008 Treatment for Breast Cancer Leads to Newfound Strength Brenda robinson was afraid to face the realities of breast cancer when she was diagnosed in January 2008. not knowing precisely what lay There’s not a day goes by that ahead terrified her. But from the day she walked I don’t think about how [Sinai] through the doors of the sinai cancer care helped me. I was already center for her first chemotherapy treatment, Brenda felt a sense of relief. strong, and this has made me “i wasn’t sure what to expect; i was really even stronger. nervous because i had heard negative stories ” about chemotherapy, she says. “But from day one, the staff was so warm and comforting; they made me feel much better. They explained fortunately, she is now cancer-free and feeling better everything to me and what the therapy would be like. i than ever. knew then that i would get through it. ” ” “i am so grateful to everyone at sinai, she says. in addition to chemotherapy, Brenda also had to “There’s not a day goes by that i don’t think about how have her right breast removed. The caring support they helped me. i was already strong, and this has she received from the center’s physicians, nurses and made me even stronger. ” staff helped her get through the difficult experience. Providing Hope and Healing for Cancer Care Bright colors, comfortable furnishings and inviting integrated the oncology and hematology clinic and the artwork contribute to a warm, healing environment for chemotherapy treatment area in a single facility. now cancer patients in the recently opened sinai cancer patients can stay in close contact with their physicians care center at Mount sinai Hospital. and cancer care team as they undergo treatment under Believing that cancer treatment is most successful one roof. when it’s easy to access and close to home, sinai The quality of the facility reflects not only the skill of the physicians and staff, but also the hospital’s commitment to patient-centered care. The oncology and hematology clinic includes six private rooms where patients discuss their care with sinai physicians and staff. a comfortable conference room affords patients and their families privacy and quiet time. The chemotherapy treatment area also includes a private room for those patients who need some extra care. in addition to chemotherapy, sinai’s comprehensive cancer program includes but is not limited to advanced immunotherapy, biologic therapy, radiation therapy, physical and occupational rehabilitation, pastoral care, nutrition services, palliative care and hospice. and because the best cancer care treats the whole person — not just the disease — sinai offers one-on-one From left: Dr. Ervin Hire, oncologist; Michael Hennessy, President and CEO of and group counseling to help patients deal with the The Coleman Foundation; Dr. Pam Khosla Chief, Hematology and Oncology; emotional impact of their cancer diagnoses. and Alan Channing, President and CEO of the Sinai Health System, cut the ribbon on the new Sinai Cancer Care Center at Mount Sinai Hospital. 6 Advanced Care for All Ages: Cesar´s Early Start He came into the world a few months premature and son has gained a pound and is starting to eat without a weighing just over 3 pounds, but cesar Tapia is growing feeding tube. and getting stronger with each day, thanks to the care ” “i feel at peace every time i go see him, she says. he is receiving in the neonatal intensive care unit “They are taking excellent care of him.” (nicu) at Mount sinai Hospital. His mother, Maria, who cesar had to be placed in the nicu and put on a visits him every day, says that in just one month, her feeding tube because, like many premature babies, he was unable to get all the calories he needed from a bottle. He is also recuperating from pneumonia, which tends to occur in premature babies because their immune systems aren’t fully developed yet. Maria isn’t sure when she can bring her only child home, but she is happy with his progress and grateful to sinai for helping cesar get a good start in life. Maria Reyes cradles her son, Cesar Tapia, while visiting him in the hospital. Sinai Children´s Hospital: Top-Notch Care for Tiny Miracles sinai children’s Hospital is a place of hope and healing for patients and their families. offering a complete range of healthcare services for children from birth through 18 years of age, the hospital helps more than 5,600 patients get well and on their way every year. sinai’s level iii neonatal intensive care unit, the highest state-assigned designation, gives low birth weight, premature and critically ill newborns a second chance at life. This model healing environment features special beds, monitors and other equipment, including infant resuscitators for babies who struggle to breathe on their own. in addition to excellence in high-risk births and superb neonatal care, sinai children’s Hospital provides care in 13 subspeciality areas, including pediatric gastroenterology, nephrology, allergies and neurology. There is a high prevalence of diabetes among the communities Sinai serves. Here, Dr. Paula Butler (left) and diabetes Nurse Educator Kitty River (right) show a patient how to draw an insulin dose. 7 SINAI HEALTH SYSTEM ANNUAL REPORT 2008 We Have a Heart for Excellence in Cardiac Care one of 10 u.s. hospitals to participate in a three-year, performing procedures on heart attack patients in less robert Wood Johnson-funded project on improving than 90 minutes, and is committed to maintaining that cardiovascular care outcomes for african-american level of response. and latino patients, Mount sinai Hospital has led the reduction of disparities through the use of standard order sets, discharge instructions and contracts, and educational initiatives Before I saw Dr. Sandeep Khosla, in nutrition and smoking cessation. a cardiologist at Mount Sinai sinai has also established one of the Hospital, I was in pain and was few dedicated pulmonary hypertension short of breath; I was unable outpatient clinics in the chicago area. to participate in any activities. a multidisciplinary team consisting I underwent some medical of a cardiologist, pulmonologist and rheumatologist collaborate to improve the procedures on my arteries, quality of their patients’ lives, giving all and I felt so much better. I also patients access to high-quality health care. appreciated the fact that Dr. in fiscal 2008, sinai had no mortalities Khosla is very caring and will after performing 41 open-heart surgeries really dig into a situation. I highly to repair blocked arteries. in addition, sinai recommend him. was one of the first chicago hospitals to participate in the national heart-care — Norma Moore, Chicago initiative, “door-to-Balloon: an alliance ” for Quality, meeting the program goal of From Our Patients Going the Extra Mile for Patients with Orthopedic Care Mount sinai Hospital sees its share of orthopedic such as sports interests, workplace injuries and lack trauma, especially during the high-accident winter of quality accessible orthopedic care in the immediate months. This, along with community-specific factors vicinity, prompted sinai to expand its orthopedic services to offer clinical services in orthopedic trauma, pediatric orthopedics, general orthopedics, hand surgery and sports medicine. sinai also addresses wear-and-tear on joints. arthritis, defective cartilage, fractures and other conditions can limit mobility and cause significant joint pain in people of all ages. When a joint must be replaced, sinai uses implants and techniques that speed recovery times, result in shorter stays, improve mobility and help patients lead more active lives. To provide optimum care, sinai uses a multispecialty approach with thorough preoperative medical preparation and postoperative inpatient and outpatient rehabilitation provided through both Mount sinai and schwab rehabilitation hospitals. 8 Turning Surviving into Thriving for Rehab Patients life-altering circumstances, from auto accidents brain injury rehabilitation. to street violence, happen in the community every That capability, in addition day. in response, schwab provides a wide range of to a full range of unique rehabilitation services, specializing in care for those services such as peer who have survived brain and spinal cord injuries, mentoring, means even strokes and amputations. in fiscal 2008, schwab those who have the most treated 1,762 inpatients and had 33,162 outpatient complex brain injuries visits, helping individuals achieve their highest levels of receive highly sophisticated function and independence. care and customized In 2008, Schwab Rehabilitation Hospital had schwab's specialized expertise includes dr. patricia treatment plans. 33,162 outpatient visits. Hantsch, who has completed a specialty fellowship in Schwab Provides Support for Individuals and Their Families Kyle Morris was preparing for college and a promising new chapter of his life when he was struck by a car while crossing the street on Chicago’s South Side. The accident damaged his brain and significantly impaired his memory. The 20-year-old could not remember how to eat, walk, talk, read or write, much less care for himself. Intensive inpatient and outpatient care at Schwab Rehabilitation Hospital have made a huge difference for Kyle and his family. “He has come a long way,” says his mother, Novilla White. “He was dancing at my 50th birthday party; everyone who came was calling me to talk about it afterward. It was wonderful to see.” Kyle’s memory remains sketchy and he is still relearning the fundamentals of life, but given how far he has come, his doctors are optimistic about his recovery. In the meantime, Schwab continues to support Kyle and his family. “Some people can be professional and forget about being human,” Novilla says. “Schwab, however, [has done both] and treated us exceptionally well. They have been so nice and comforting; it brings tears to my eyes to think about it.” From Our Patients My wife was a recent patient, and I wanted to thank you Schwab Doctor Named ‘Top Doc’ for for the exemplary work of your therapists and Dr. Patricia Hantsch. She worked tirelessly with my wife, and I know a Third Year great part of her recovery was due to her diligence. I want to A spinal cord injury or illness can be devastating for patients and their also compliment your wonderful therapists, Kimberly, Kristin, families, but Dr. Michelle Gittler, Schwab’s Spinal Cord Injury Program Kate and Jill, and her psychologist, Dr. Vince, who constantly Director, inspires them to believe that anything is possible. urged her to expect more of herself. When she came to your Recognizing Gittler’s can-do approach and dedication, Chicago place she was skeptical that anything would work for her, but magazine named her a “Top Doc” for Rehabilitation Medicine in 2008, your staff made her see recovery was well within her reach. the third year she has received this honor. The designation is based on Your staff deserves all the accolades they get. Just wanted to nominations from other physicians. say a great big THANK YOU! “Few life events are as catastrophic as spinal cord injuries,” Gittler says. “In one moment, an individual’s life is changed monumentally. Respectfully, But with the intensive rehabilitation services, psychological care and Richard T. Minnick community reintegration programs we provide at Schwab, patients are able to maximize their functional independence and resume reliving their lives.” 9 SINAI HEALTH SYSTEM ANNUAL REPORT 2008 Patient Navigators Give Extra Guidance for Women carole alexander had no family nearby when she questions and help explore treatment options, she also was diagnosed with breast cancer in february 2008. helped carole obtain a medical card to pay for her care, she was relieved to find and made sure carole had transportation to and from a compassionate and appointments. What carole remembers most, however, knowledgeable friend is diana’s kindness. in diana salgado, a “diana stayed with me through my biopsy, and held patient navigator at Mount ” my hand the whole time, carole says. “i was really sinai Hospital. glad that she was there to help comfort me. i didn’t diana is one of three have anyone else to be there for me. ” sinai navigators who help carole must undergo surgery and then radiation, but guide women through she knows she won’t have to go through this difficult treatment and recovery for period alone. cancer and other breast ” “i know diana will help me get through it, she says. conditions. not only did “i am so grateful to her and Mount sinai for everything diana answer carole’s ” they’ve done. Carole Alexander SUHI Helps Overcome Disparities for Community patient navigators are just one way sinai urban Health institute (suHi) helps the community Sinai Patient Navigators Monique overcome disparities in care. nationally recognized Mitts (left), Suzi Gil (center) and for its research in community-based urban health Diana Salgado display a $1 million grant from the Avon Foundation. issues, including breast cancer, diabetes, and childhood obesity and asthma, suHi studies show that minority urban communities have more such problems than their non-urban counterparts. in 2008, suHi reported that 56.4 percent of children in an african-american community with 34 percent of children in a latino community on chicago’s south side were obese, compared on the West side and about 17 percent of children nationally. To combat this, suHi partnered with local donors and community leaders in the Humboldt park neighborhood, coordinating a program that raises awareness about weight and healthy food choices. another suHi study showed that 39 percent of adults in a community on chicago’s West side smoke, compared with about 21 percent of u.s. adults overall. so suHi introduced the “Breathing freedom” project in 2007. funded by the illinois department of public Health and the american lung association, smoking cessation classes, nicotine replacement therapy clinics, support groups and helpline resources offer tools to promote healthier lives. Jazimen Montgomery, SUHI Health Educator (left); Joseph West, Project Director of the SUHI Smoking Cessation Program; and Charlene Gamboa, SUHI Education Coordinator, are helping address the problem of smoking in North Lawndale. 10 Three for All: Triplets Give Back to Community volunteers come with a variety of skills and abilities, but they usually don’t come in sets of three. and yet, that’s just what happened recently at Mount sinai Hospital. Triplets who were born at the hospital in 1991 have become volunteers as a way of giving back. “i think it’s a real testament to sinai that they are ” helping us, says Tondalaya shepard-Turner, director, volunteer and community service for sinai Health system. “We care for the community, and the community helps pay it forward. ” Triplets Jonathan, Jennifer and Jeremy Jackson (from left) are volunteers at The triplets are among more than 100 volunteers Mount Sinai Hospital, where they were born. of all ages and skills who work with patients or behind the scenes at Mount sinai Hospital, schwab “volunteers play a vital role in the services we rehabilitation Hospital and sinai community institute. ” provide, Tondalaya says. “in addition to comforting Many of them are north and south lawndale residents patients and their families, volunteers provide a vital who are former sinai patients or family members of connection between the healthcare providers and the former sinai patients. community. We depend on them in many ways. ” SCI Offers Safe Haven for Life Change chicago residents who need help managing life’s to improve their health and wellness and help them challenges depend on the sinai community institute determine who they are, where they are in life and (sci), a safe haven where they can improve their lives where they’re going. ” by participating in health improvement and social one of sci’s newest programs, “Bound for glory, ” service programs. connects male teens from north and south lawndale sci serves 25,000 families each year, and with nfl alumni who serve as positive role models approximately 95 percent of them are low-income, while mentoring the teens in life skills. The program minority women and children. located on Mount helps guide students through high school and beyond sinai’s campus, sci reaches out to the community by on their paths as motivated and successful adults. addressing the social, economic and environmental sci also works with community members to help factors that affect residents’ health. them attain economic self-sufficiency through services “This is a place where you can reinvent yourself,” that include career counseling, pre-employment says debra Wesley-freeman, sci president. “residents classes, occupational internships, skills training and can come here to access resources that are designed post-training placement. The Sinai Community Institute's After-School Program provides a safe place for children after school and President and NFL alumnus Charlie Brown (left); Debra before parents get home from work. Wesley-Freeman, President of the Sinai Community Institute; and Sinai Health System President and CEO Alan Channing discuss the newly developed "Bound for Glory" program. 11 SINAI HEALTH SYSTEM ANNUAL REPORT 2008 Getting Better All the Time: Working for Patients and Families like many pediatric nurses, diana flowers works hard ” about treating patients and getting them out the door, at making sure her patients get better. and when she’s diana says. “We treat those we care for and their not at the hospital, she’s working hard at making sure ” families as if they were our relatives. her skills in caring for them get better, too. Mount sinai provides diana an opportunity to achieve her goals, selecting her to participate in the I have been to many other hospitals and they lifelong learning accounts program, which matches don’t come close to Mount Sinai. In fact, if I had dollar-for-dollar the contributions she makes to an a medical ID bracelet, I would put on it, ‘Take education account. This enables her to attend the lpn- me to Sinai.’ When I had to go in for prostate to-rn bridge program at Kennedy King college, which surgery, Dr. Sangtae Park and Dr. Serafin Chua in turn helps her provide better patient care. were very compassionate and reassuring, ” “i love working here, diana says of the hospital and and thoroughly explained everything to me. the opportunities she has in the pediatric and neonatal intensive care units. “i am usually able to follow my They made it easy for me. The care I received patients through the full course of treatment. at the definitely surpassed my expectations. same time, i try to get to know their families on a — William Scott III, Chicago personal level. ” some patients write notes to thank diana for taking the time to educate and reassure them. “it’s not just From Our Patients Nurses Ease the Pain of Emergency Visits for Patients nurse george vander-linde is focused, respectful and it’s just that kind of care and attention that enables organized in the midst of what can be a hectic time at sinai’s emergency department nurses to earn high patient the Mount sinai Hospital emergency department. as satisfaction scores. george says he and the other nurses patient care coordinator, he ensures that everything runs share the motto, “Be kind, be yourself, be respectful. ” as smoothly as possible and that patients are treated a nurse with sinai since 1998, george likes working promptly and with kindness and respect. in the emergency department because the environment “emergencies can be stressful and chaotic for is active and challenges his skills. He must think fast ” patients and their loved ones, he says. “i strive to be a on his feet to plan not only for patients in the moment calming voice and to give of myself just as i would do but also for the next steps — whether patients will be with my own family. ” discharged or transferred to another unit. Sinai Recognized for Outstanding Performance In fiscal 2008, the Sinai Health System scored in the top 10 percent of U.S. hospitals for 70 percent of national quality-of-care measures. Among the findings: Heart attack patients received appropriate medications upon arrival, underwent life- saving procedures within established periods and left the hospital with needed instructions. Heart failure patients were evaluated appropriately and sent home with comprehensive instructions and medications. Those who had pneumonia received necessary antibiotics and immunizations. Surgical patients got antibiotics when needed. These achievements demonstrate Sinai’s commitment to providing the right care at the right time and ensuring the health and well-being of the community. 12 Financials for Sinai Health System Condensed Statement of Operations In Thousands 2008 2007* Total revenues We charged patients for services: Nursing care, inpatient diagnostics, therapeutic procedures and physicians 498,806 468,085 Outpatient diagnostics, therapeutic procedures 441,406 408,292 Total patient care revenues 940,212 876,377 But of course, we don't get paid all of these charges: We provide care free of charge (52,380) (41,178) Shortfall from Medicaid and other payors (533,870) (473, 067) Total allowances 586,250 514,245 Therefore, our net revenue from patient care was: 353,962 362,132 Other operating revenue 29,493 30,546 Community health grants awarded (450) (8,129) Non-operating revenue 1,270 1,619 Total revenues 384,275 386,168 Total expenses To provide care, we paid for: Salaries, wages and fringe benefits 186,938 172,605 Supplies and other expenses 89,440 83,359 Insurance 9,838 12,089 Interest 6,389 6,724 Illinois hospital provider tax 10,831 21,697 Depreciation of our buildings and equipment 10,795 11,616 Total expenses before bad debt 314,231 308,090 Bad debt expense 62,372 66,538 Total expenses 376,603 374,628 Revenues in excess of expenses 7,672 11,540 *Audited 13 SINAI HEALTH SYSTEM ANNUAL REPORT 2008 Sinai Health System Board of Directors Officers Board Members Past Chairmen and Life Directors Abraham C. Morgan Yogi Ahluwalia, M.D. Paul J. Cherner Chairman Leslie Mitchel Bond Alan J. Inbinder James Hadley Susan Manilow Bettylu K. Saltzman Ellen Havdala K. Bruce Stickler Vice Chair Henri S. Havdala, M.D. A.R. Umans Jesse Jimenez Klaus Wisiol Alan H. Channing Bernard Kalish President and CEO Robert Markin Bret R. Maxwell Kenneth A. Luccioni Sylvia Neil Treasurer Mauricio Sanchez Maurice A. Schwartz, M.D. Steven Koch Michael W. Scott Secretary Alan Solow Charles Weis Mount Sinai Community Foundation, Mount Sinai Hospital and Schwab Rehabilitation Hospital Board of Directors Officers Board Members Past Chairmen Honorary Directors Gary J. Niederpruem Yogi Ahluwalia, M.D. and Life Directors Maria H. Balkoura, M.D. Chairman Ari Benmosche Lenard Baritz Paul J. Cherner . F Daniel Cantrell Leslie M. Fischman Luther G. Brewster Susan S. Sher Alan H. Channing Peter Gidwitz Paul Francis Vice Chair Eliezer Geisler, Ph.D. Richard Gilford Howard N. Gilbert Aida L. Giachello, Ph.D. Henri S. Havdala, M.D. Elizabeth Gracie Robert C. Parker, M.D. Steven H. Gistenson Steven Koch Richard E. Hoffman Chief Medical Officer James Hadley Ruth M. Rothstein Alan Inbinder Gary N. Keller Barbara Johnson William S. Singer Karen C. Teitelbaum Bonnie Lipton Lawrence Zachery, M.D. Bernard Kalish Executive Vice President/ Rogelio Lopez Ernest A. Karmin Chief Operating Officer Wilfred J. Lucas Susan Manilow Lawrence A. Manson Michael M. Mitchel Neal Goldstein Bret R. Maxwell Bettylu K. Saltzman Secretary and Assistant Abraham C. Morgan Harold L. Sherman Treasurer Maurice A. Schwartz Lawrence A. Sherman Robert J. Shakno K. Bruce Stickler Ben Soldinger A.R. Umans Robert Steele Klaus Wisiol Donna J. Thompson Lance C. Tyson Frederick Uhlmann Charles Weis Terry Wheat 14 Sinai Community Institute Board of Directors Officers Board Members Past Chairmen and Life Directors Harriet Seymore Robin Boyd-Clark Deona Lewis-Thomas Chairwoman Cheryl Blackwell Bryson Wilfred J. Lucas Charles Brown Ernest Jenkins Leslie Davis Alan H. Channing Robert S. Markin Vice Chair Frona Daskal Leslie Mitchel-Bond Pedro Fregoso Debra Wesley-Freeman Leslie George President Gleatha Glispie Redessa Harris Felicia Kohlenberger Daniel Hollenbach Secretary and Assistant Treasurer Jessie Jimenez Abraham C. Morgan Everett Rand Charles Weis Sinai Health System Leadership Mount sinai Hospital | schwab rehabilitation Hospital | sinai children’s Hospital sinai Medical group | sinai community institute | sinai urban Health institute Alan H. Channing Dian Langenhorst Suzan L. Rayner, M.D. President and CEO Vice President Medical Director, Schwab Rehabilitation Hospital Karen C. Teitelbaum Lori Pacura Executive Vice President/ Vice President and Chief Nursing Michael Roy Chief Operating Officer Officer Vice President Charles Weis Robert Parker, M.D. Debra Wesley-Freeman Executive Vice President and Chief Chief Medical Officer President, Sinai Community Institute Financial Officer Kathy Peters Steve Whitman, Ph.D. Donnica Austin Vice President Director, Sinai Urban Health Institute Chief Integrity Officer David Rahija Peter Ingram Vice President Vice President and Chief Information Officer Roberta Rakove Senior Vice President 15 SINAI HEALTH SYSTEM ANNUAL REPORT 2008 Mission Statement | Declaración de nuestra misión Our mission is to improve the health of the individuals and the communities we serve. Nuestra misión es mejorar la salud de los individuos y de las comunidades a las que servimos. Vision Statement | Declaración de nuestra visión To be the national model for the delivery of urban health care. Ser el modelo nacional para el suministro de cuidado de salud a nivel urbano. Our Core Values | Nuestros valores centrales We will do this with: Haremos todo esto con: Respect | Respeto We will create an atmosphere of mutual respect and fairness, treating each person with dignity that recognizes each individual’s unique talents and contribution. Crearemos una atmósfera de respeto mutuo y justicia, tratando a cada persona con dignidad y reconociendo los talentos y las contribuciones singulares de cada individuo. INteGRItY | INTEgrIDAD We will hold ourselves accountable for our actions and be honest and ethical in all our dealings. Nos responsabilizaremos de nuestras acciones y seremos honestos y éticos en todas nuestras relaciones. QualItY | CALIDAD We will continuously improve our services as measured by the best practices in the industry. Mejoraremos continuamente nuestros servicios siguiendo las mejores prácticas de la industria. teamwoRk | TrAbAJO EN EqUIPO We will celebrate the opportunity to come together as caregivers in an inclusive workplace where diversity and open communication are valued. Celebraremos la oportunidad de unirnos como cuidadores en un lugar de trabajo inclusivo, donde se valoran la diversidad y la comunicación abiertas. www.sinai.org Sinai Health System receives support from the Jewish Federation of Metropolitan Chicago and The Jewish United Fund Sinai Health System | California Avenue at 15th Street | Chicago, Illinois 60608 | 773.542.2000