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Stony Brook Southampton Hospital

Stony Brook University Hospital (SBUH), Stony Brook Children’s Hospital, Stony Brook Southampton Hospital (SBSH) and Stony Brook Eastern Long Island Hospital (SBELIH) have been named “LGBTQ+ Healthcare Equality Leaders” for 2024 in the Human Rights Campaign Foundation’s Healthcare Equality Index (HEI). All hospitals received the top score of 100 on a survey encompassing non-discrimination and staff training, patient services and support, employee benefits and policies, and patient and community engagement.

“We are honored to be recognized as LGBTQ+ Healthcare Equality Leaders by the Human Rights Campaign Foundation’s Healthcare Equality Index,” said William A. Wertheim, MD, MBA, Interim Executive Vice President for Stony Brook Medicine. “This recognition reaffirms our unwavering commitment to providing inclusive and equitable care to all individuals, regardless of sexual orientation, gender identity or expression. We stand as advocates for diversity, champions for equality and partners in health for every member of our community.”

Stony Brook Medicine continues to grow its dynamic LGBTQ+ Committee, amongst all of its hospitals, to address the needs of the LGBTQ+ community, including patients, faculty, staff and trainees. The Stony Brook Medicine LGBTQ+ Committee is co-chaired by three SBUH-affiliated colleagues: Rose Cardin, MSN, RN, Director, Patient Education, Stony Brook University Hospital; Allison Eliscu, MD, FAAP, Chief, Adolescent Medicine, Stony Brook Children’s Hospital; and Adam Gonzalez, PhD, Vice Chair, Behavioral Health, Stony Brook Medicine. The multidisciplinary group is made up of medical and behavioral health providers and trainees, nurses, students, education specialists, and representatives from Human Resources, Information Technology and hospital administration. Its mission is to review, address and affirm the specific and unique needs of LGBTQ+ individuals, as well as promote respectful and culturally sensitive care to the LGBTQ+ community.

Each year SBUH seeks new ways to address and affirm the specific and unique needs of LGBTQ+ individuals. In 2023, SBUH updated their electronic medical record to add pronouns to the banner bar, so they are front and center for healthcare workers. Pronouns are words used to refer to either the person who is talking (like “I” or “you”) or a person being talked about in the third person (like “she/her,” “he/him,” and “they/them”). “They/Them” are common gender neutral pronouns. Being intentional about using someone’s pronouns is a simple way to show respect. Another accomplishment in 2023, SBUH scholars published results from Stony Brook Medicine’s LGBTQ+ Health Needs Assessment Survey, a collaborative effort in 2021 involving over 30 Long Island-based organizations and community leaders. Survey results are being utilized to guide our health system’s efforts to address health equity for the LGBTQ+ community.

A core mission for SBUH is fostering health equity for both its patients and staff. This past February, Stony Brook University Hospital was among the first eight hospitals in the United States to attain the Health Care Equity Certification from The Joint Commission and the only awarded organization on Long Island. Recognition was given to SBUH for implementing exemplary practices, such as employing health equity screening and data collection tools, documenting social work effectively, and making accommodations to meet the needs of patients with disabilities, among other activities.

“This recognition is a testament to the meaningful work carried out at Stony Brook University Hospital each day in support of the LGBTQ+ community on Long Island,” said Carol A. Gomes, chief executive officer for Stony Brook University Hospital. “For decades, our healthcare system has developed programs and offered services to help patients access the highest quality of care, and we want to continue to build on that strong foundation.”

Stony Brook Southampton Hospital’s Rose Walton Care Services has administered HIV prevention and care since the 1990s. In 2021, the hospital expanded services to include LGBTQ+ healthcare and opened the Edie Windsor Healthcare Center in Hampton Bays. The practice has a dedicated, full-time physician, Dr. Eric Lella, and provides confidential medical services in an accessible and caring environment, affirming all sexual orientations and gender identities and expression.

In 2023, SBSH implemented a LGBTQ+ Health Equity and Education Initiative program focusing on further educating staff in LGBTQ+ health care services, needs and protocols, including pronoun identification. The Edie Windsor Healthcare Center (through a NYSDOH AIDS Institute subcontract with PFY™) expanded mental health services and case management services, and the Center introduced patient navigation services to assist with insurance enrollment and access to entitlements/benefits, medical and other supportive services. The Center continues to administer mpox vaccinations to those who have been exposed to mpox or are at risk.

“The HEI Leadership designation recognizes our unyielding commitment to educate our staff in providing high-level LGBTQ+ healthcare with respect,” said Fredric I. Weinbaum, MD, CMO, COO and Interim CAO, Stony Brook Southampton Hospital. “As well as our efforts to provide LGBTQ+ patients with access to resources, programs and services.”

Stony Brook Southampton’s Hospital’s Diversity, Equity, and Inclusion Leadership Council, a committee of 25 administrators, physicians, nurses, and other staff, actively educates, informs, and provides resources for the wider hospital community about diversity issues while seeking opportunities to build an inclusive and safe environment for all who work in, seek care at, or visit the hospital’s facilities. To foster a sense of inclusion and compassion for all, the hospital has provided training to staff through the Responding to Equity, Diversity and Inclusion (REDI) program and the Greater New York Hospital Association’s Cultural Competency and Health Literacy education programs.

Upon reviewing HEI recommendations and criteria to better understand the behavioral health and medical needs of its local LGBTQ+ community, SBELIH revised human resource and hospital-wide policies, employee documents, terminology in medical records and facility signage. The changes enhanced SBELIH’s already strong focus on providing non-discriminatory and compassionate care. With a long history of serving the LGBTQ+ community, SBELIH continues to add clinicians and other staff members who specialize in LGBTQ+ care. The hospital’s history of service contributed to HEI naming SBELIH a Leader in LGBTQ Healthcare Equality.

SBELIH proudly participated in several initiatives promoting LGBTQ health equality. In June 2023, we joined the Greenport Pride Parade, demonstrating Stony Brook’s commitment to inclusivity and diversity. Collaborating with SBSH Edie Windsor Healthcare Center, SBELIH presented “LGTBQ* and Healthcare: Empowering Health, Embracing Diversity, in Southold NY,” underscoring the importance of LGBTQ-inclusive healthcare practices.

Additionally, SBELIH took part in “Queer Pride & Progress” by QUEERLI, in Jamesport NY, an event emphasizing inclusivity and understanding. Discussions covered a range of topics, including gender and sexuality, pronoun usage, and fostering a culture of care. SBELIH’s Chief Nursing Officer Suzie Marriott provided impactful contributions to these conversations.

“Ensuring health equity for all, regardless of sexual orientation or gender identity, is not just a moral imperative but a fundamental aspect of our commitment to compassionate care and inclusivity,” said Paul Connor, Chief Administrative Officer of Stony Brook Eastern Long Island Hospital. “Let’s continue to educate ourselves, engage in positive dialogue, and respect each other’s identities. Together, we can cultivate a world where everyone feels accepted and valued.”

The Human Rights Campaign Foundation is the educational arm of America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual, transgender and queer people. HRC envisions a world where LGBTQ+ people are embraced as full members of society at home, at work and in every community.

Stony Brook Medicine offers a range of specialized LGBTQ+ health services including a Talking About Gender (TAG) support group for teens to explore gender identity and expression, and a free educational support group for Parents of Transgender and Gender Diverse Children. For more information on Stony Brook Medicine’s LGBTQ+ care, visit:stonybrookmedicine.edu/LGBTQ.

Sechrist model chamber for hyperbaric oxygen therapy. Photo courtesy Renee Novelle

Port Jefferson’s St. Charles Hospital will open its new Center for Hyperbaric Medicine & Wound Healing on July 18, as the hospital seeks to help people with chronic, nonhealing wounds.

The center, which will be located on the second floor of the hospital, will include two hyperbaric chambers that provide 100% pure oxygen under pressurized conditions and will have four examining rooms.

The chamber “provides patients with the opportunity to properly oxygenate their blood, which will increase wound healing and wound-healing time,” said Jason Foeppel, a registered nurse and program director for this new service.

Potential patients will be eligible for this treatment when they have wounds that fail to heal after other treatments for 30 days or more.

Residents with circulatory challenges or who have diabetes can struggle with a wound that not only doesn’t heal, but can cause other health problems as well.

More oxygen in people’s red blood cells promotes wound healing and prevents infection.

The treatment “goes hand in hand to deliver aid to the body’s immune system and to promote a healing environment,” Foeppel said.

Nicholas Dominici, RestorixHealth regional director of Clinical Operations; Ronald Weingartner, chief operating officer, St. Charles Hospital; Jim O’Connor, president, St. Charles Hospital; and Jason Foeppel, program director. Photo courtesy Renee Novelle

St. Charles is partnering with RestorixHealth in this wound healing effort. A national chain, RestorixHealth has created similar wound healing partnerships with other health care facilities in all 50 states.

The new wound healing center at St. Charles is one of several others on Long Island, amid an increased demand for these kinds of services.

Partnering with Healogics, Huntington Hospital opened a hyperbaric chamber and wound healing center in May 2021. Stony Brook Southampton Hospital also has a wound care center.

“There’s a great need for this in our community,” said John Kutzma, program director at the Huntington Hospital center. “We know that there are 7 million Americans living with chronic wounds,” many of whom did not receive necessary medical attention during the worst of the pandemic, as people avoided doctors and hospitals.

Concerns about contracting COVID-19 not only kept people from receiving necessary treatment, but also may have caused nonhealing wounds to deteriorate for people who contracted the virus.

Although Kutzma hasn’t read any scientific studies, he said that, anecdotally, “We’ve had patients that had COVID whose wounds haven’t healed as quickly as non-COVID patients.”

Patients at the Huntington Hospital center range in age from 15 to 100, Kutzma said. People with diabetes constitute about one-third of the patients.

Treatment plan

For the hyperbaric chamber to have the greatest chance of success, patients typically need daily treatments that last between one and a half to two hours, five days a week for four to six weeks. While the time commitment is significant, Foeppel said it has proven effective in wound healing studies.

“We pitch it as an antibiotic treatment,” he said. “You want to complete that full cycle to ensure the body has enough time to complete the healing process.”

Kutzma said Huntington Hospital reviews the treatment plan with new patients.

In following the extensive treatment protocol to its conclusion, he said, “The alternative is to live with this very painful, chronic wound that may lead to amputation.” Given the potential dire alternative, Huntington Hospital doesn’t “have a problem getting that kind of commitment.”

While the treatment has proven effective for many patients, not everyone is medically eligible for the hyperbaric chamber.

Colin Martin, safety director. Photo courtesy Renee Novelle

Some chemotherapy drugs are contraindicators for hyperbaric oxygen treatments. Those patients may have other options, such as skin grafts, extra antibiotics or additional visits with physicians for debridement, which involves removing dead, damaged or infected tissue.

“We invite patients to come in, go through the checklist and see what their plan of attack” includes, Foeppel said.

The cost of the hyperbaric treatment for eligible conditions is generally covered by most health insurance plans, including Medicaid and Medicare, he said. 

The two hyperbaric chambers at St. Charles can treat eight to 10 patients in a day.

Aside from the cost and eligibility, patients who have this treatment frequently ask what they can do during their treatments. The center has a TV that can play movies or people can listen to music.

“We don’t expect you to sit there like in an MRI,” Foeppel said.

As for complaints, patients sometimes say they have pressure in their ears, the way they would if they ascend or descend in an airplane. The center urges people to hold their nose and blow or to do other things to relieve that pressure.

Foeppel encourages patients to use the restroom before the treatment, which is more effective when people don’t interrupt their time in the chamber.

Prospective patients don’t need a referral and can call the St. Charles center at 631-465-2950 to schedule an appointment.

From left, Gary Gerard, lead interventional/cardiac catheterization technologist, Stony Brook Southampton Hospital; Dr. Travis Bench, director, Cardiac Catheterization Lab, Stony Brook Southampton Hospital; Helen VanDenessen, nurse manager, Imaging, Stony Brook Southampton Hospital; and Dr. Dhaval Patel, cardiologist, Stony Brook Medicine. Photo from SBU

By Javed Butler, MD

Dr. Javed Butler

Stony Brook Medicine has opened the new Cardiac Catheterization (Cath) Laboratory at Stony Brook Southampton Hospital to improve access to lifesaving heart care for residents of the East End of Long Island.

The lab provides emergency and elective treatments delivered by Stony Brook University Heart Institute specialists, for easier, faster access to the highest standards of cardiac care. The standard of care for a person experiencing a heart attack is that the blocked artery should be opened within 90 minutes of contact with medical care. That procedure can only be done in a cardiac catheterization lab by highly trained personnel.

For the rapidly increasing population of the East End, the nearest cath lab was previously located at Stony Brook University Hospital, up to 70 miles and a 60- to 90-minute drive. Even transportation by ambulance or helicopter could result in a life-threatening delay.

The new cath lab, led by interventional cardiologist Dr. Travis Bench, is currently the only facility in the East End capable of providing clinically complex care to critically ill heart patients. Bench and his partner, Dr. Dhaval Patel, have East End cardiology practices in Southampton and Center Moriches.

The lab will save lives by providing more immediate intervention for serious heart events such as myocardial infarctions (heart attacks). A delay in restoring blood flow through an artery increases the likelihood for significant damage to the heart. By allowing physicians to open a blocked artery in Southampton, without having to first transport a patient to Stony Brook, damage to the heart can be minimized and total heart failure may be prevented.

At the Southampton cath lab, doctors will be able to perform percutaneous coronary intervention (PCI), a nonsurgical procedure in which a physician inserts catheters through the skin to reach affected structures. The PCI treatments at Stony Brook Southampton Hospital include emergency and elective procedures.

The Southampton lab is staffed every day, around the clock, by Stony Brook Heart Institute’s interventional cardiologists with the most up-to-date knowledge and skills to diagnose and treat patients with heart disease.

For patients who need emergency catheterization, Stony Brook’s “Code H” protocol has produced an average “door-to-perfusion” time of 56 minutes, almost 45 minutes below the New York State regulated treatment guidelines. That is the level of care we strive for at Stony Brook Southampton Hospital. The systems and processes are in place and we look forward to taking care of our patients out east with that same dedication to quality and excellence.

To view a video and learn more about the Cath Lab at Stony Brook Southampton Hospital, visit www.heart.stonybrookmedicine.edu.

Dr. Javed Butler is the co-director of the Heart Institute and chief of the Division of Cardiology at Stony Brook Medicine.