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Tents like the one above are being used during Stony Brook University Hospital’s drive-through testing for the coronavirus. Photo by Kyle Barr

Hospitals along the North Shore of Western Suffolk are changing the way they operate to keep the number of coronavirus cases down.

Stony Brook University Hospital

Stony Brook University is asking that all patients who have cold and flu-like symptoms to go directly to its emergency room department area and not get out of their cars, according to its website. Between 11 a.m. and 11 p.m., patients driving to the emergency department entrance will be greeted and screened while in their vehicles.

Stony Brook University’s Ambulatory Care Pavilion COVID-19 Triage area. Photo from SBUH

Those with cold and flu-like symptoms and mild respiratory symptoms will be directed by staff members to go to the hospital’s new triage area located in the nearby Ambulatory Care Pavilion. The triage area will be staffed by emergency medicine physicians and nurses.

According to Stony Brook Medicine, “The triage service is to separate patients with cold and flu-like symptoms from others seeking emergent care, in order to provide all patients with a streamlined environment for care and treatment.”

Dr. Eric Morley, clinical associate professor and clinical director of the SBU Renaissance School of Medicine’s Department of Emergency Medicine, said in an email the new procedure has been successful.

“The process has gone very well, and we are seeing an increasing number of patients in the triage and treatment area located in the Ambulatory Care Pavilion,” he said. “Our staff have adapted very well to the new process. The level of teamwork and dedication of our staff is clearly the driving force behind this success.”

He said doctors have seen patients with both cold and flu-like symptoms, and also those who fit the Centers for Disease Control and Prevention criteria for COVID-19 testing.

On March 18, a drive-through testing site for the coronavirus opened in the commuter P Lot on the southern end of the SBU campus. According to the office of Gov. Andrew Cuomo (D), those wishing to be tested must call 888-364-3065 to schedule an appointment. No referral from a doctor is needed but operators will ask callers questions such as age, symptoms, if they have any underlying health problems and if they have been out of the country. The information will be given to the New York State Department of Health, which will call back with an appointment confirmation if testing is deemed necessary.

SBUH has revised its visitors policy. In response to New York State declaring a state of the emergency due to COVID-19, the hospital will no longer allow visitation until further notice.

“While we understand the important role that family members and visitors play in a patient’s healing process, this is a necessary step we need to take at this time for our adult units,” a statement from SBUH officials said, adding that exceptions will be made in pediatrics, labor and delivery, maternity and neonatal intensive care, also end of life on a case-by-case basis.

Catholic Health Services of LI: St. Charles and St. Catherine hospitals

Catholic Health Services of Long Island, until further notice, has suspended visits to all its hospitals as well as skilled nursing facilities, according to its website. Hospital officials said exceptions will be made on a case-by-case basis, which will entail hospital and nursing home leadership making a decision in conjunction with its infection prevention department and following Centers for Disease Control and Prevention guidelines for screening for the coronavirus before allowing visitation. CHS may make exceptions for end of life and newborn delivery.

On the CHS website, Dr. Patrick O’Shaughnessy, executive vice president and chief clinical officer, explained the screening on the system’s website.

“At all CHS hospitals emergency departments, in our skilled nursing facilities and throughout our regional nursing service, we are actively screening, asking patients about recent travel and looking for signs and symptoms of the virus,” O’Shaughnessy said. “Symptoms include fever and respiratory issues. Also, we are taking these precautionary steps at our owned physician practices.”

CHS has canceled all elective surgeries from March 23 through April 24, according to its website.

Northwell Health: Mather and Huntington hospitals

Northwell Health Labs announced March 11 in a press release that it began semi-automated testing for COVID-19 through its Lake Success facility.

“Since we began manual testing Sunday evening, we processed about 133 tests,” said Dr. Dwayne Breining, executive director, in the press release. “Moving to this semi-automated system will enable us to increase our testing capacity immediately to about 160 a day, and then to several hundred a day later this week.”

Dr. John D’Angelo, senior vice president and executive director of Northwell Health’s emergency medicine service line, said in an email that changes have been in place for a while in its health care system.

John T. Mather Memorial Hospital in Port Jefferson is sending tests to Northwell’s Lake Success facility. File photo from Mather Hospital

“We instituted changes from normal practice long ago, starting with 100 percent screening of all patients on arrival with positive screens being masked immediately and escorted directly to a private room for further investigation,” D’Angelo said.

He added that a decision was made soon after to mask every employee after emergency department changes.

“I believe we were the first in the region to institute such a mask mandate,” he said. “Lastly, as traditional screening (travel to CDC level 2/3 countries or known close contact) became less relevant, we decided to mask everyone — all patients, all visitors and all staff — while we continue to aggressively cohort patients with potential COVID-like symptoms.”

Emergency department volumes in the Northwell system have remained at or below average, according to hospital officials.

“The public is listening and staying home,” said Dr. Leonardo Huertas, chair of emergency medicine at Huntington Hospital.

D’Angelo said a surge plan is in place for all Northwell system emergency departments which can be used if the overall general volumes increase “or if there is a surge of COVID-suspected patients.”

He added that if a plan was needed “an exterior ‘split-flow’ model” would be put in place. This would enable those who may possibly have COVID-19 but aren’t that sick to be treated in an alternative care site adjacent to the emergency room, while “those arriving with COVID symptoms but are too sick for the alternative care site will be brought directly into a predetermined, cohort isolation area within the emergency department. Every site has such plans.”

Northwell has also canceled all elective surgeries. These surgeries, endoscopies and other invasive procedures in the outpatient setting will continue when doctors determine that they are clinically necessary.

A Mather Hospital official also said that the junior and adult volunteer programs have been suspended, and the hospital is working with Northwell on childcare alternatives for staff members.

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A view of Cold Spring Harbor Laboratory. File photo

With six cases of coronavirus Covid-19 in New York state confirmed as at March 4, state, local institutions are preparing for the potential spread of the virus.

New York lawmakers earlier this week passed a $40 million spending bill. The funds will allow the Department of Health to hire staff, purchase equipment and gather additional resources to address a virus for which a travel ban no longer seems sufficient to ensure containment.

A 50-year old Westchester man tested positive for the virus, even though he didn’t travel to areas of contamination, which include China, South Korea and Italy, and didn’t have known contact with anyone who has traveled to those areas. Through the so-called community spread of the virus, which has a mortality rate of more than 3 percent, can infect a wider range of people.

Northwell Health Labs said earlier this week it expects to begin testing for Covid-19 within a week. The health facility, which announced the future testing at a news conference March 2 with U.S. Sen. Chuck Schumer (D-NY), said manual testing could involve 75 to 100 tests each day. After it automates the tests, the facility could process hundreds and even thousands of tests on a daily basis. Mather Hospital in Port Jefferson is part of Northwell Health group.

Meanwhile, Brookhaven National Laboratory, Cold Spring Harbor Laboratory and Stony Brook University have made recommendations to staff who might travel to areas of infection.

BNL is following the recommendations of the Centers for Disease Control and the State Department regarding health notices and travel advisories. The U.S. State Department has a do-not-travel restriction on trips to China and Iran, along with specific areas of Italy and South Korea, while it also recommends reconsidering travel to Italy, South Korea and Mongolia.

Also, BNL is asking visiting scientists if they traveled to China or live with someone who visited China within 14 days. If the answer to either question is “yes,” these individuals have to complete a 14-day period away from China without symptoms before returning to the lab.

BNL canceled the International Forum on Detectors for Photon Science conference, which was scheduled for March 29 through April 1 at Danfords Hotel in Port Jefferson. The conference was expected to have 40 participants.

CSHL has canceled or postponed all upcoming conferences and courses bringing participants to campus through April 5th. The laboratory will reevaluate future offerings on a rolling basis.

Also, CSHL is cleaning common areas including bathrooms, counters and dining areas more frequently, is providing more hand sanitation stations, is enhancing the readiness of its Center for Health & Wellness and is providing secure transfer protocols for at-risk people with potential symptoms of the virus.

SBU discouraged school-related and personal travel to China, Italy, Iran and South Korea. The school also created a mandatory preapproval requirement for all publicly funded university-sponsored travel plans to China, Italy, Iran and South Korea. SBU has not canceled the Florence University of the Arts program, since the university is continuing classes as usual and the Tuscany region doesn’t have any reported cases of the virus.

On a national level, the Federal Reserve, in a move similar to decisions from other central banks, cut interest rates by half a percentage point, the biggest cut since the financial crisis of 2008. The cut was designed to stave off an economic slowdown caused by business disruptions from the coronavirus.

“The coronavirus poses evolving risks to economic activity,” the Federal Reserve said in a statement.

Updated March 5 to reflect most current CSHL procedures regarding conferences and courses.

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Photo from Northwell Health

Huntington Hospital has achieved a prestigious four-star rating from the U.S. Centers for Medicare & Medicaid Services in its annual 2020 hospital rankings, its comprehensive quality measurement report released on Jan. 30.

CMS hospital rankings of more than 4,000 Medicare-certified facilities nationwide take into account over 50 performance measures that analyze health care outcomes such as readmission rates, patient experience, safety and quality of care. CMS’ hospital rankings are considered among the best hospital report cards to help inform where to receive medical care.

Huntington Hospital’s CMS rating follows its recognition as New York State’s highest-ranked community hospital by U.S. News & World Report in its 2019-20 Best Hospital list.

“From redesigning our Center for Mothers & Babies to include all private rooms for a better patient experience to consistently setting and meeting high benchmarks for health care quality, we at Huntington Hospital take our patients’ needs to heart as we thoughtfully provide them with world-class care,” said Dr. Nick Fitterman, executive director of Huntington Hospital. 

“We are always looking at ways to not only provide the necessary health care that our Suffolk County residents require, but to go above and beyond to give them the best medical care available,” he added.

Huntington Hospital nurses have received the highest nursing honor – Magnet designation – a Long Island record four times in a row.  The hospital’s orthopedics program has also been consistently been ranked by the Joint Commission with the gold seal of approval for its hip and knee replacements and was among the top 1 percent nationally in orthopedics, according to U.S. News. 

Huntington Hospital has also been designated as a Center of Excellence in Minimally Invasive Gynecology and a Center of Excellence in Robotic Surgery by the Surgical Review Corporation.

For more information about Huntington Hospital, go to www.huntington.northwell.edu or call 631-351-2000.

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Photo courtesy of Northwell Health

Huntington Hospital has achieved a prestigious four-star rating from the U.S. Centers for Medicare & Medicaid Services in its annual 2020 hospital rankings, its comprehensive quality measurement report released on Jan. 30.

CMS hospital rankings of more than 4,000 Medicare-certified facilities nationwide take into account over 50 performance measures that analyze health care outcomes such as readmission rates, patient experience, safety and quality of care. CMS’ hospital rankings are considered among the best hospital report cards to help inform where to receive medical care.

Huntington Hospital’s CMS rating follows its recognition as New York State’s highest-ranked community hospital by U.S. News & World Report in its 2019-20 Best Hospital list.

“From redesigning our Center for Mothers & Babies to include all private rooms for a better patient experience to consistently setting and meeting high benchmarks for health care quality, we at Huntington Hospital take our patients’ needs to heart as we thoughtfully provide them with world-class care,” said Dr. Nick Fitterman, executive director of Huntington Hospital. 

“We are always looking at ways to not only provide the necessary health care that our Suffolk County residents require, but to go above and beyond to give them the best medical care available,” he added.

Huntington Hospital nurses have received the highest nursing honor – Magnet designation – a Long Island record four times in a row.  The hospital’s orthopedics program has also been consistently been ranked by the Joint Commission with the gold seal of approval for its hip and knee replacements and was among the top 1 percent nationally in orthopedics, according to U.S. News. 

Huntington Hospital has also been designated as a Center of Excellence in Minimally Invasive Gynecology and a Center of Excellence in Robotic Surgery by the Surgical Review Corporation.

For more information about Huntington Hospital, go to www.huntington.northwell.edu or call 631-351-2000.

 

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Huntington Hospital’s four midwives, from left, Laura Jabbour, Jessica Hilsenroth, Michele Mayer and Lindsay Price. Photo from Northwell Health

Huntington Hospital’s four midwives are now seeing patients at Northwell Health Physician Partners ob/gyn offices in Commack and Smithtown. 

Midwives Michele Mayer, Jessica Hilsenroth, Laura Jabbour and Lindsay Price have office hours at 777 Larkfield Road in Commack and 222 East Middle Country Road, Suite 114 in Smithtown. In addition, the midwives see patients at Huntington Hospital’s Women’s Center at 270 Park Ave. in Huntington.

“In response to patient requests, we have begun seeing women at these convenient offices to better serve the residents of Suffolk County,” said Mayer, supervisor of Huntington Hospital’s midwife practice. 

Midwives provide care to women from their first gynecologic visit through menopause with comprehensive prenatal care and natural childbirth; well woman exams; treatment of common gynecologic issues; and contraception consultation, initiation and surveillance.

To schedule an appointment with a Huntington Hospital midwife, please call 631-351-2415. 

For more information about the Northwell Health Physician Partners Obstetrics and Gynecology call 631-775-3290 (Smithtown office) or 631-470-8940 (Commack office).

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Stephen Bello

Bello appointed Executive Director

Northwell Health has appointed Stephen Bello as the new executive director of its Eastern region, which includes Glen Cove Hospital, Plainview Hospital, Syosset Hospital, South Oaks Hospital in Amityville, Huntington Hospital, Southside Hospital in Bay Shore, Mather Hospital in Port Jefferson and Peconic Bay Medical Center in Riverhead along with ambulatory care centers. 

“Northwell Health’s Eastern region has seen a great deal of growth in recent years and I look forward to bringing more new services and programs to Eastern Nassau County and Suffolk County,” said Bello. 

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Photo from Northwell Health

GoHealth Urgent Care, together with its partner Northwell Health, recently opened a new Northwell Health-GoHealth Urgent Care center to serve the communities of Huntington and Centerport. Located at 241 East Main Street in Huntington, next to the Huntington Crescent Club, the new center offers convenient services such as onsite laboratory and X-rays, electronic medical record integration with Northwell Health, with day/walk-in visits and short wait times, extended hours and are open on weekends and holidays.

“We’re excited that the Huntington and Centerport communities will have another Northwell Health-GoHealth Urgent care center right in their neighborhood,” said Sarah Arora, New York market president. “Our centers provide unmatched customer experience and top-quality urgent care, allowing patients to stay within the Northwell Health network they already know and trust.”

“Northwell Health’s partnership with GoHealth Urgent Care will continue to provide patients with a more personalized and innovative urgent care experience,” said Adam Boll, executive director of Joint Venture Operations at Northwell Health. Call 631-812-2873 for more information.

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John T. Mather Memorial Hospital in Port Jefferson. File photo

Mather Hospital’s Emergency Department has received a Geriatric Emergency Department Accreditation from the American College of Emergency Physicians. 

“Mather Hospital has taken the appropriate steps to meet the needs of seniors in our community,” said Emergency Department Medical Director Dr. Adam Wos. “This holistic approach includes fall prevention, medication reconciliation, and discussions about goals of care. Our plan is to ensure that our doctors and nurses have the latest knowledge and equipment to care for the fastest growing population in our nation — people over age 65.”

The voluntary geriatric accreditation provides specific criteria and goals for emergency clinicians and administrators. The accreditation recommends more than two dozen best practices for geriatric care. Northwell Health EDs were awarded a level 3 accreditation, which requires many of these best practices and geriatric education for emergency medicine staff, as well as screenings and programs focused on older adults. Those include: geriatric-friendly equipment availability and policies regarding routine assessments for delirium, dementia or fall risk. 

The accreditation is for three years. Mather was one of 17 Northwell Health emergency departments across Long Island, New York City and Westchester to receive the accreditation. 

“This was an initiative that we wanted to get behind to help the department ensure the best patient outcomes,” said Mather ED nurse manager Julie Tegay, who spearheaded the accreditation project for the hospital. 

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Photo from Northwell Health

Huntington Hospital has received a two-year designation as an Antimicrobial Stewardship Center of Excellence (AS CoE) by the Infectious Diseases Society of America (IDSA). The hospital is one of only 35 hospitals nationwide to receive this recognition.

More than 700,000 people die worldwide each year due to antimicrobial-resistant infections. The AS CoE program recognizes institutions that have created stewardship programs led by infectious disease (ID) physicians and ID-trained pharmacists who have achieved standards established by the Centers for Disease Control and Prevention (CDC). The CDC core elements for antibiotic stewardship include seven major areas: leadership commitment, accountability, drug expertise, action, tracking, reporting and education.

Dr. Cynthia Ann Hoey and Dr. Adrian Popp, infectious disease specialists, worked closely with pharmacists Agnieszka Pasternak  and Nina Yousefzadeh to ensure Huntington Hospital met the rigorous criteria to be recognized by the IDSA.

“We are honored to have received this prestigious IDSA recognition,” said Dr. Nick Fitterman, the hospital’s executive director. “We are committed to fighting antimicrobial resistance through our comprehensive training and educational outreach program with all of our infectious disease specialists and pharmacists. The antimicrobial stewardship program will improve patient care and preserve the integrity of current treatments for future generations.”

Pictured from left, Nina Yousefzadeh,  Dr. Cynthia Ann Hoey, Agnieszka Pasternak and Dr. Nick Fitterman.

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From left, Bill Musto, deputy director of Huntington Parks and Recreation; Greg Wagner, town director of Parks and Recreation; Huntington Supervisor Chad Lupinacci; Randy Howard, vice president of operations at Huntington Hospital; and Dr. Michael Dannenberg, chairman of dermatology at Huntington Hospital at the Crab Meadow Beach dispenser. Photo from Town of Huntington

Town of Huntington officials are taking steps to make sure residents can more safely have fun in the sun — without a cost to the town.

Huntington Supervisor Chad Lupinacci (R) unveiled the installment of 16 sunscreen dispensers at the town’s parks, beaches and outdoor recreational spaces July 27 at Crab Meadow Beach in Fort Salonga sponsored by Huntington Hospital-Northwell Health.

“Families and visitors of all ages can now have extra peace of mind when spending time together at Huntington’s beaches and parks,” Lupinacci said.

“One person dies every hour within the United States from malignant melanoma.”

– Michael Dannenberg

The bright yellow dispensers, designed by Long Beach-based Creative Vibe Advertising, were mounted near the entrance of 14 different town-owned facilities earlier this week. The sunscreen will be provided at no cost to Huntington taxpayers under the town’s skin cancer prevention program, which is now fully sponsored by Huntington Hospital-Northwell Health.

“Skin cancer has great significance since its incident rates are rapidly increasing,” said Randy Howard, vice president of operations for Huntington Hospital-Northwell Health. “We want to help our communities stay healthy in skin-care prevention by making these dispensers available to everyone.”

Dr. Michael Dannenberg, chairman of dermatology at Huntington Hospital, said while basal cell carcinoma and squamous cell carcinoma remain the most common types of skin cancer, cases of malignant melanoma — the deadliest form — have increased by 53 percent since 2008.

“One person dies every hour within the United States from malignant melanoma,” he said.

“Families and visitors of all ages can now have extra peace of mind when spending time together at Huntington’s beaches and parks.”

– Chad Lupinacci

Suffolk County Legislator Susan Berland (D-Dix Hills), previously on the town board through December 2017, had been diagnosed with skin cancer while in office. Berland sponsored legislation for Huntington to test run a free sunscreen dispenser at Crab Meadow Beach in 2016 and successfully advocated for townwide expansion of the program in 2017.

“I’m glad they are continuing the program I worked so hard and diligently to create for the town,” she said. “Nothing is more important than people’s skin.” 

Berland said that it was always her intention to find a sponsor for the program as the sunscreen cost the town approximately $600 in 2017. Now she plans to bring a proposal to expand the program before Suffolk Legislature to cover the county’s recreational facilities.

Free sunscreen with a sun protection factor of 30 will be provided at the following locations: Crab Meadow Beach, Crab Meadow Golf Course, Asharoken Beach, Breezy Park, Centerport Beach, Crescent Beach, Dix Hills Park swimming pool and golf course, Elwood Park, Fleets Cove Beach, Gold Star Battalion Beach, Hobart Beach, Manor Field Park, West Neck Beach and Veterans Park. Each unit will be checked once a week and restocked on an as-needed basis, according to Howard.

“I’m glad they are continuing the program I worked so hard and diligently to create for the town.”

– Susan Berland

Dannenberg said that he professionally recommends that people use sunscreen with a minimum SPF of 15, which is proven to reduce the risk of skin cancer by more than 50 percent. He said there is a reason the town’s units will offer sunscreen with SPF of 30.

“We all have a tendency to under apply sunscreen when we put it on,” he said. “The actual SPF you are seeing on your skin is lower than the SPF on the bottle. We tell people to use a minimum SPF of 30, knowing when they under apply it will get them to approximately a 15.”

Now that the dispensers are installed, Huntington Hospital’s chief dermatologist said the most important thing is for parents to be good role models.

“If parents come to the beach, bring their kids and don’t apply their sunscreen, they are teaching the kids that it’s not an important thing,” Dannenberg said. “It gets to be as a teenager they won’t use their sunscreen.”

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