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[In The News] 44 percent drop in borough drug overdoses called ‘bright ray of hope’

Borough law enforcement and members of the health and recovery community announced a sharp decrease in the number of fatal and non-fatal overdoses on Staten Island this year.

They’re calling the latest overdose data a “bright ray of hope.”

“What we’re doing on Staten Island is working,” District Attorney Michael E. McMahon said.

According to preliminary data from McMahon’s office and the NYPD, there have been 111 overdoses as of July 9 — a 44 percent decline from last year’s totals during the same time.

Read the full article here.

Staten Island PPS Launches New Social Determinant of Health App

Staten Island PPS is excited to announce the launch of their new Social Determinant of Heath app which surveys community members on their social needs and immediately connects them to resources.

A social determinant of health, or SDOH, is a factor that affects an individual’s health, but is often out of their control. These factors can be economic or social. They include education, housing, transportation, safety and access to food. A resounding 80.3% of Staten Islanders living with a chronic illness experience a Social Determinant of Health. According to The Robert Wood Johnson Foundation Commission to Build a Healthier America, where we live, learn, work and play can have a greater impact on how long and how well we live than medical care. The app was built off that and motivated by SI PPS’s mission to transform the health of Staten Islanders.

“Many of us have had the experience: We are given a referral or suggestion about where to go for help, but then we never follow through. It can be for a lot of reasons—time, transportation trouble or money. With our teams checking for needs and then instantly connecting people to resources on-the-spot, there is a better chance of people getting the right help when they actually need it,” says Celina Ramsey, Director of Health Literacy, Diversity and Outreach at SI PPS.

“The PPS team spent months assessing and finding the right resources to make the referral process a smooth one,” Ramsey adds.

With this app, patients can expect to have both their medical and social needs addressed seamlessly at a variety of touchpoints on the island. Staten Islanders will be screened at places like the library, the food pantry, where they go for ESL classes or where they see their doctor. Once a need is identified, SI PPS partners will work on linkages and follow each case to ensure all needs are met. The data collected from this survey will be utilized to analyze the prevalent social determinant of health factors in various zip codes in Staten Island and, in collaboration with NYSDOH, implement population health improvement strategies.

An important benefit of the app is to allow for a population level summary of the survey responses of community members, including families. “This census like assessment has never been conducted at this level of detail for factors that are so highly correlated with health outcomes,” according to Joseph Conte, PhD. Executive Director at SI PPS. “It allows for the identification of where programs and resources can be targeted to achieve the highest ROI. What is important is immediately connecting individuals to resources and not leaving a recognized gap in a SDOH.”

The app will be used by all community-based organization, hospital, and select primary care partners. Partners using the new tool have begun rigorous training in care coordination, motivational interviewing, health literacy and SDOH prior to the launch.

“The PPS has done a lot of work to prepare the community-based organizations and primary care practices to launch this project. More than 120 community health workers, navigators, administrators and care managers across 21 organizations have been trained for this SDOH project,” says Sadia Choudhury, MPA, Director of Ambulatory Care Initiatives at SI PPS

“We will be collecting and analyzing data to notice trends in social determinant of health factors across various races, ethnicity, gender, age, etc.,” Choudhury explains. “We believe this program will make a huge impact on Staten Island residents’ health. It will also change their perception of health care.”

Conte concluded, “This program will allow for immediate impact on Staten Island residents’ health but also develop information on where resources and services need to be expanded to prevent the cycle from continuing for themselves and others.”

[In The News] Tracking Island drug abuse aimed at new intervention strategies and tackling OD epidemic

Through a partnership with MIT, the Staten Island Performing Provider System (SI PPS) hopes to create new treatment pathways for people with substance misuse disorder.

SI PPS has shared its data with the MIT Sloan Initiative for Health System Innovation to create new evidence-based, cost effective ways to help Staten Islanders.

Data has been collected from the state Department of Health, Staten Island University Hospital (SIUH), Richmond University Medical Center (RUMC), borough ambulances and police precincts, the district attorney’s office, local Medicaid data and a variety of other sources.

Read the full article here.

[In The News] Staten Island program motivates at-risk diabetes patients with financial reward

A fledgling Staten Island diabetes program uses cash to motivate at-risk patients to control their blood sugar, preventing complications and reducing the need for emergency room visits and hospitalizations.

Since June 2018, the Staten Island Performing Provider System (PPS), a nonprofit collaboration of more than 75 borough health and social services providers, has partnered with Wellth, a digital health company, to offer the incentives to Medicaid and uninsured patients considered to be at risk for complications due to uncontrolled Type 2 diabetes.

Read the full article here.

Staten Island PPS 2019: Supporting Partners in LGBTQ Equality

Staten Island PPS’s Cultural Competency and Health Literacy Committee is proud to announce plans to support our partners in LGBTQ Equality in 2019. With over 7,500 LGBTQ Cultural Awareness training hours logged for close to 4,000 employees, we will be shifting our focus to improve policy, marketing and outreach, and services for our LGBTQ patient and employee community.
According to the NY State LGBT Health and Human Services needs assessment, LGBT people in Staten Island face these barriers to health care services:
  • personal financial resources (36%),
  • not enough psychological support groups (33%),
  • community fear or dislike of LGBT people (28%),
  • inadequate insurance (24%),
  • long distances to LGBT-sensitive medical facilities (21%)
  • and not enough health professionals who are trained and competent to work with the LGBT community (21%)
We want to make sure our partners are providing equitable and sensitive care for LGBTQ populations who come to us for services. Workgroup members will receive support in becoming recognized as Leaders in LGBTQ Healthcare Equality from the Human Rights Campaign’s Healthcare Equality Index; receiving a credential from SageCare USA for serving aging populations; or help with creating a listing in the Gay and Lesbian Medical Associations (GLMA) provider directory.

PPS Partners Recognized as Leaders

Some of our partners already have a credential or recognition from the top LGBTQ affirming organizations in the country. The Healthcare Equality Index (HEI) is the national LGBTQ benchmarking tool that evaluates healthcare facilities’ policies and practices related to the equity and inclusion of their LGBTQ patients, visitors and employees.
  • Staten Island University Hospital has held status as Leaders in LGBTQ Healthcare Equality for the last 5 years, initially becoming one of the first hospitals in Northwell Health to receive recognition for its work to improve care for the LGBTQ community.
  • Sea View Hospital Rehabilitation and Home, part of NYC Health + Hospitals which provides high quality short-term rehabilitation and long-term skilled nursing services in a warm and comfortable setting is also recognized by the Human Rights Campaign.
SAGECare credentialing provides an opportunity to expand, transform and elevate person-directed services for the aging population. The SAGECare symbol helps convey that facilities are welcoming, inclusive and prepared to work with a diverse population of LGBT clients, family and friends who care about diversity, and even your own LGBT staff.
  • The Visiting Nurse Service of New York holds a SageCare Platinum level status for the past few years. VNSNY clinicians, administrative and senior staff have received training on working with LGBT communities from the LGBT senior advocacy organization SAGE, ensuring that all of our staff are aware of and sensitive to the needs and concerns of LGBT older adults.
GLMA is a national organization committed to ensuring health equity for lesbian, gay, bisexual, transgender, queer (LGBTQ) and all sexual and gender minority (SGM) individuals, and equality for LGBTQ/SGM health professionals in their work and learning environments. These partners hold a GLMA listing as members:
  • Efrat Halevi, FNP EG Healthcare (GLMA)
  • Miguel Pineda, MD Staten Island University Hospital, Urology (GLMA)

RUMC Announces LGBTQ Initative

Richmond University Medical Center (RUMC) announced that they will be working on a new initiative for LGBTQ Equality in 2019 for patients, employees and community. They hope to eventually receive status as Leaders in LGBTQ Healthcare Equality from the Human Rights Campaign’s Healthcare Equality Index.
What does the initiative cover?
RUMC will be launching mandatory training for all employees to learn about LGBTQ Healthcare Equality, updating their patient and employee non-discrimination and equal visitation policies to be more inclusive and promoting equitable care for all throughout the community.
What does this mean for employees?
All employees will be asked to attend a 2-hour training presented by the Pride Center of Staten Island, which advances a person-centered approach to working with LGBTQ patients and/or clients in healthcare settings. The training includes an introduction to (or review of) LGBTQ terminology, activities that focus on intersectionality and structural systems of oppression, and a discussion of the health disparities confronting LGBTQ individuals. Additionally, the training will give you concrete tools to make healthcare environments more welcoming for LGBTQ patients and/or clients, as well as your LGBTQ co-workers.
How can you become involved?
Are you interested in supporting this important initiative? RUMC is looking for champions to join their team to help bring this work to colleagues and patients. If you are a physician, resident, front-line staff, nurse, environmental worker, dietary aide from the LGBTQ community, or an ally to the community, please reach out to Boris Molchanskiy at BMolchanskiy@RUMCSI.org for more information.

[In the News] Mitigating a deadly crisis through innovation and integration

Joseph Conte PhD, Executive Director of Staten Island Performing Provider System, writes for Hospital Times on how the opioid phenomenon has evolved in the US and ways in which the challenge has been effectively met by an innovative provider system.

“In the US today, two million individuals are dependent on prescription opioids. In just the last two years over 100,000 people have died from an overdose, a rate six times higher than in 1999. That equates to 130 deaths every day. 

Most of the increases in overdose deaths over the last three years involve heroin and are related to the surge in the mixing of heroin with illicit fentanyl. The pressure on Emergency Rooms (A&Es) and ambulance and police services are extraordinary, as are the associated costs.

According to the Centers for Disease Control, from 1999 to 2017, a staggering 700,000 people died from a drug overdose, with 70 per cent associated with opioid misuse. The trends listed below reveal a shocking trajectory of the problem.”

Read the full article here.

NEW Certified Recovery Peer Advocate Training!

We’ve got great news! The next Certified Recovery Peer Advocate (CRPA) training at the College of Staten Island is scheduled for June 25th through August 15th, 2019. The training is completely funded by SI PPS and FREE to participants. Space is limited, so if you or someone you know is interested, call (718) 982-2182!