2013 Community Benefit Report

REPORT

TO THE

COMMUNITY 2013

Dear friends, It gives me great pleasure to release this year’s Community Benefit Report on behalf of Hospital for Special Surgery. Caring for our community is one of our Hospital’s core values. We define our community broadly to include our staff, patients, Upper East Side neighbors, neighbors in all five boroughs of New York City, and everyone across the United States and around the world who would benefit from worldclass prevention and care in our areas of specialty – orthopedics, rheumatology, and rehabilitation.

This report highlights the many educational, clinical, and research programs we have instituted to serve our local, national, and international communities. In every effort, HSS is committed to raising the bar for excellence, innovation, and compassion.

In today’s complex and multicultural world, collaboration is essential to achieve extraordinary outcomes. HSS collaborates with local, national, and international partners to address key public health concerns and enhance wellness and care in underserved communities. As a world leader in musculoskeletal care, we are proud to offer our skills, expertise, and knowledge to enrich programs that make a real difference in people’s lives. Our goal is to advance the field of musculoskeletal medicine while increasing access to care for patients around the world, so that more can benefit from medical and health systems advances.

We are proud of what we have accomplished and look forward to continuing to lead efforts to elevate care and access to care for patients in our local community and around the world.

LOUIS A. SHAPIRO

President and CEO

➸ TABLE OF CONTENTS 3 About Hospital for Special Surgery 5 Commitment to the Community 10 Enhancing Care through Research

13 Investing in the Community through Effective Partnerships 15 Investment by the Numbers

12 Educating Tomorrow's Leaders ON THE COVER: A student participates in the SNEAKER© program at PS 140 Nathan Straus on the Lower East Side of Manhattan. Read more about SNEAKER© and other HSS community programs on page 8.

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➸

ACHIEVING EXCELLENCE

1

The commitment of every member of the HSS family to raise the bar in patient care through research, innovation, education, and compassion is stronger than ever, and has resulted in external recognition and, most importantly, positive feedback from patients.

About Hospital for Special Surgery

Hospital for Special Surgery (HSS) celebrated our 150th anniversary in 2013. Founded in 1863, at the height of the Civil War, HSS – the country’s oldest orthopedic hospital – has grown to become a world leader in orthopedics, rheumatology, and rehabilitation. The Hospital has achieved continued success by maintaining our culture of excellence, innovation, and caring in a rapidly changing external environment.

Today HSS maintains our dedication to delivering exceptional care to people from all backgrounds.

Through a variety of programs, the Hospital strengthens public health efforts by disseminating information, providing comprehensive services, and partnering with organizations which share our passion for nurturing good health for the diverse communities we serve. Our enthusiastic staff understands that their skills and talents are not just valued within our walls, but beyond them as well.

All great medical advances have been achieved through research.

HSS maintains a robust Research Division which supports a vigorous program of basic science and clinical investigation. Throughout our long and distinguished history,

the innovation and expertise of HSS investigators have enhanced our understanding of musculoskeletal and rheumatologic disorders and led to the development of technologies that have greatly improved patients’ quality of life.

HSS is also committed to training the leaders of the future through our residency and fellowship programs.

Many of the leaders in orthopedics today across the country and around the world honed their skills through the Hospital’s educational programs.

SERVING OUR DIVERSE COMMUNITY HSS reaches many communities in New York City, the Tri-State area and around the world. The Hospi-

HSS is nationally ranked No. 1 in Orthopedics, No. 4 in Rheumatology, and No. 5 in Geriatrics by U.S.News & World Report (“Best Hospitals” 2013-2014), and was the first hospital in New York State to receive Magnet Recognition® for Excellence in Nursing Service from the American Nurses Credentialing Center three consecutive times.

HSS has been cited as having one of the lowest infection rates in the country. From 2007 to 2012, we were also a recipient of the HealthGrades Joint Replacement Excellence Award.

HSS has been named a 2013 Guardian of Excellence Award winner by Press Ganey Associates, Inc., which recognizes top-performing facilities for patient satisfaction, employee engagement, physician engagement, and clinical quality performance. We won the award for our extraordinary results in the Patient Satisfaction category.

Pictured above: Hospital for Special Surgery is located on the Upper East Side of Manhattan.

2013 Community Benefit Report | 3

HSS fellows examine students at the Hospital’s free annual medical screening for football players in the Public Schools Athletic League (PSAL).

ability to complete the activities of daily living.

Many of them have disorders that are complex and/or chronic, such as scoliosis, lupus, rheumatoid arthritis, and cerebral palsy – disorders that are best treated at an institution with the level of expertise and resources found at HSS.

FINANCIAL ASSISTANCE

tal’s primary service area consists of the five boroughs of New York City.

Our immediate community lies within the boundaries of New York City's Community Board 8, which extends north from 59th Street to 96th Street and east from Fifth Avenue to the East River. The suburban counties surrounding New York City are our secondary service areas, including New Jersey, Connecticut, Westchester County, and Long Island.

The commitment of HSS to caring for the public can be traced back to our roots. James Knight, MD, our founder and first Surgeon-in-Chief, established The New York Society for the Relief of the Ruptured and Crippled (the forerunner of HSS) in 1863 as a 28-bed facility in his own

The Hospital's Financial Assistance Program ensures the provision of quality healthcare to patients of all backgrounds across the United States. We carefully take into account the ability of each patient to home on Second Avenue at 6th pay. The Hospital extended our Street. Dr. Knight felt a need to proprogram beyond the statevide healthcare to the poor and the mandated level of 300 percent crippled on the streets of New York. of the federal poverty level to include patients whose income Today HSS is at or below continues to 500 percent of HSS BY THE NUMBERS provide care the federal More than to medically poverty level.

25,000 underserved HSS outpatient clinic visits populations We have also through our extended our outpatient policy to consider clinics, maintaining our commitment a patient’s insurance co-pay, to caring for those patients most deductible, and co-insurance when in need. They often come to us considering eligibility for a discount. seeking relief of pain due to arthritis In addition, in 2013, HSS increased and other rheumatologic conditions the number of Medicaid managed or traumatic injury, hoping to be care plans in which we participate helped by an intervention that from two to four. would restore their mobility and

HSS OUTPATIENT CLINICS: ENSURING ACCESS TO CARE HSS has more than 20 specialty clinics serving the medically underserved, including those focusing on the Hip/Knee, Sports and Shoulder, Spine, Metabolic Bone, Physiatry, Pain Management, Foot, Hand, Neurology, Rheumatology, Pediatric Neurology, Dermatology, Adult Limb Lengthening, Skeletal Dysplasia, Pre-surgical Screening, and the Comprehensive Arthritis Program. The Pediatric Orthopedic Clinic addresses all orthopedic concerns of children. Specialized clinics are geared toward the needs of children with scoliosis, cerebral palsy, lupus, juvenile rheumatoid arthritis, pediatric limb lengthening, spina bifida, child foot, child hand, and clubfoot.

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2

Commitment to Community

HSS continues its commitment to helping our diverse community started by our founder James Knight, MD, in 1863 by offering many vital services and resources to vulnerable populations. The number of beds we have may be higher, the number of patients we serve may be greater, and the technology we use is far more advanced than it was in Civil War times. But one thing has not changed: our desire to help those who need it most.

IDENTIFYING THE COMMUNITY’S NEEDS

Students from the PS 140 Nathan Straus school participate in the SNEAKER program.

HSS gathers feedback from local organizations, city and state agencies, colleges and universities, public schools, the private sector, our patients, and the broader community to identify the community’s needs, ascertain healthcare gaps, and inform new directions for efforts to improve public health.

These continuous interactions are vital to ensuring that we remain aware of the community’s changing needs and use this information to adapt our programs accordingly.

In 2013, the Hospital performed a formal community health needs assessment (CHNA) to evaluate musculoskeletal and rheumatologic health conditions and management; quality of life; use of and access to healthcare; and socio-demographic characteristics (including health literacy).

The public and community partners helped design the CHNA by providing input about survey gaps, length, and construction; health literacy; and cultural relevance.

Nearly 1,100 people responded to the survey, which was given in English, Spanish, and Chinese. The responses provided a useful look at the makeup of the HSS community, which can be seen on page 6.

MEETING THE NEEDS OF THE COMMUNITY Community Service Plan Using the results of the CHNA and other needs assessments, input from key partners, and public health data, the Hospital designs and coordinates programs to meet the community’s needs.

HSS details these programs in a comprehensive three-year Community Service Plan (CSP), which is required by the New York State Department of Health (NYSDOH). The CSP outlines how the Hospital will address the needs of our community while aligning with the NYSDOH public health improvement plan.

The focus of the HSS CSP is on preventing chronic disease, with

the Hospital concentrating on musculoskeletal and rheumatologic conditions. The 10 programs outlined in the CSP will contribute to the NYSDOH priorities to reduce obesity in children and adults and increase access to high-quality chronic disease preventive care and management in clinical and community settings.

HSS Community Service Plan programs include:

1. SNEAKER© (Super Nutrition Education for All Kids to Eat Right) provides culturallysensitive nutrition education to New York City’s children and their families.

2. HSS Asian Community Bone Health Initiative addresses musculoskeletal issues in

2013 Community Benefit Report | 5

the Asian community through culturally relevant education and exercise programs.

Dr. Leon Root examines a child at the Talented and Gifted School for Young Scholars (M012) as part of the Leon Root, MD Pediatric Outreach Program.

3. The Leon Root, MD Pediatric Outreach Program (POP) screens children for musculoskeletal issues in New York City schools and daycare centers located in medically underserved neighborhoods.

4. The Osteoarthritis Wellness Initiative provides educational and exercise programs to the public to raise awareness of, provide education about, and reduce the impact of osteoarthritis.

5. The Osteoporosis Wellness Initiative helps those living with osteoporosis better manage their condition through education and exercise programs.

skills to improve providerpatient communication, while also empowering older patients to be better advocates and partners in their own healthcare.

6. The Geriatric Resident Training Program provides third-year orthopedic surgery residents with enhanced communication

7. VOICES 60+ Senior Advocacy Program helps older adults navigate and access the support, education, and communication

SNAPSHOT OF CHNA RESULTS

Leading health conditions 82%

18%

female

11%

25%

age 40–59

47%

age 60–79

age 80 and older

60 %

needed help understanding their healthcare coverage

healthcare provider when needed

Top barriers to accessing healthcare

➼ Service not covered ➼ Affordability issues

60%

Education

male

➼ Osteoarthritis ➼ Rheumatoid Arthritis ➼ Osteoporosis

not 17 % could access a

under 40

17%

Ethnicity

8. Charla de Lupus/Lupus Chat® is a national program offering underserved communities with lupus (including African Americans and Spanish speakers)

Nearly 1,100 people responded to the Community Health Needs Assessment (CHNA) survey. Here’s a look at our respondents and their reported needs.

Gender

Age

resources needed to manage their rheumatologic and musculoskeletal disorders and enhance their quality of life.

white

16% black 14% Hispanic/Latino 10% Asian 10% less than high school 12% completed high school 21% more than high school 22% completed college 35% post-college

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34%

15%

40%

reported having fallen in the last year

reported a fracture sustained from the fall

did not report the fall to a healthcare provider

and their families peer health support and education.

9. LANtern® (Lupus Asian Network) is a national support and education program designed specifically for Asian Americans with lupus and their loved ones.

10. HSS Nursing Community Education Outreach works with local senior centers and community-based organizations to provide self-management education to older adults.

research in musculoskeletal health.

HealthConnection has expanded its reach through publication on the HSS website.

HealthConnection Fast Facts is our online health education newsletter designed to provide the public with fast, current, and accurate information about musculoskeletal and general health, and is available on the HSS website.

Integrative Care Center (ICC): The Hospital offers public education programs, private classes, and alternative care services under HSS BY THE NUMBERS the supervision of HSS physiHSS expects to reach nearly cians, physical 14,000 participants/contacts therapists, and through its education, support, and exercise programs over complementary the next 3 years. care providers.

Over the next three years, HSS expects to reach nearly 14,000 participants/ contacts through its education, support, and exercise programming. The HSS CSP can be viewed at www.hss.edu/community.

KEEPING THE COMMUNITY IN MOTION

Nursing Community Education Outreach: HSS nurses provide educational workshops to older adults at local senior centers to help them develop self-care knowledge and provide self-management support strategies on issues important to seniors.

Partnering with several local and national groups, the Hospital’s community initiatives promote health education, support and outreach services, and communication, enhancing the mobility and quality of life of our community. While the CSP outlines many of the efforts of HSS to improve public health, there are many other programs not highlighted in this document. A comprehensive list follows here.

Public & Patient Education: HSS offers a wide variety of programming and practical information on musculoskeletal conditions and other health and wellness topics for patients and the general public through community education programs, lectures, workshops, support groups, publications, and a patient education library.

Educating to Improve Public and Patient Health

Focusing on Musculoskeletal Health

HealthConnection: Hospital for Special Surgery’s Good Health Newsletter informs the community about the latest information and

Musculoskeletal Wellness Initiatives: Osteoarthritis and Osteoporosis Wellness Initiatives were developed to raise awareness

SPOTLIGHT: Nursing Community Education & Outreach Initiative “Magnet nurses are committed to the public health needs of the communities we serve.

The Nursing Community Education & Outreach Initiative affords nurses the opportunity to connect with the community through teaching and help them to lead healthy lives – an important and satisfying part of our scope of practice.”

—Trish Quinlan, PhD, MPA, RN, CPHQ The HSS Nursing Community Education & Outreach initiative aims to develop self-care knowledge and provide selfmanagement support strategies for issues that are important to seniors.

Launched in August 2012, the program has grown from a small circle of nurse volunteers to a robust, structured program that addresses the public health needs of New York City’s older adult population. Select HSS nursing staff work with local senior centers to assess the educational needs of this population and develop evidence-based content to provide workshops and seminars.

Falls prevention, nutrition, and medication safety are just a few of the topics that have been addressed to date.

2013 Community Benefit Report | 7

of, provide education about, and reduce the impact of these diseases in older adults. Free or low-cost education and exercise programs aim to improve fitness, increase mobility, decrease pain, and enhance quality of life.

Encouraging Safe Exercise Exercise Wellness Program: For people who have completed their formal physical therapy regimen and choose to continue under the guidance of therapists at the HSS Joint and Mobility Center.

Osteofitness, a group exercise mat class, was developed especially for

The HSS Asian Community Bone Health Initiative holds an exercise class at Mott Street Senior Center.

screenings that include, but are healthcare professionals, followed not limited to, orthopedic screenby a social work-facilitated support ing, flexibility testing, and body fat and discussion hour. It is open to percentage community memassessment – bers and to HSS HSS BY THE NUMBERS all provided at patients.

More than 29,000 community no cost.

Caring for contacts were made through 9 Department of Social Work Programs Children Support for and Families People with Chronic The Leon Root, Musculoskeletal Conditions MD Pediatric Outreach Program Living with RA is a monthly support and education program for HSS patients with severe rheumatoid arthritis (RA). The group features RA-related lectures, and is followed by a support group facilitated by a social work manager and nurse manager in rheumatology.

The Early RA Support and Education Program focuses on early intervention for people with newly diagnosed RA by providing essential RA-related group support and education.

The group meets monthly and is coled by a licensed social worker and nurse manager.

patients with osteoporosis or osteopenia. The classes follow the HSS Rehabilitation Department’s 5-Point Program, focusing on posture, flexibility, strengthening, weight-bearing, and balance.

The Myositis Support and Education Group meets monthly to help patients cope with the disease, reduce isolation, and increase understanding of inflammatory myopathies. A monthly newsletter is sent to all group members.

Pre-Season Football Medical Screening: HSS teamed up with the Public School Athletic League to offer public high school students

The Scleroderma, Vasculitis, and Myositis Center Education and Support Forum features disease-specific talks by expert

8 | Hospital for Special Surgery

is a community-based musculoskeletal screening program, conducted in New York City schools, and is designed to prevent long-term musculoskeletal disorders and severe joint disability in children living in medically underserved communities.

SNEAKER© (Super Nutrition Education for All Kids to Eat Right) provides culturally sensitive nutrition education to New York City children and their families residing in underserved communities.

Improving Health Among Older Adults HSS Speaker’s Bureau matches professionals to organizations around New York City to present educational programs on various topics, such as elder abuse, diabetes, heat safety, osteoporosis, and arthritis.

Greenberg Academy for Successful Aging develops and implements health education and exercise programs aimed at the interests and needs of people age 65 and over.

VOICES 60+ Senior Advocacy Program assists ethnically diverse HSS patients, age 60 and older, with arthritis and related orthopedic conditions. The program’s goal is to enhance the medical care experience and improve quality of life by helping older adults navigate

and access the care, community resources, and education they need.

Helping People with Lupus Charla de Lupus/Lupus Chat® is a national program offering underserved communities with lupus (including African Americans and Spanish speakers) and their families peer health support and education.

LANtern® (Lupus Asian Network) is the only national support and education program designed specifically to serve Asian Americans with lupus and their loved ones through its national SupportLine and many other related services. The initiative has also published “LANtern e-News – Building Community Partnerships.”

LupusLine® is the only national telephone peer support program offering one-to-one emotional support and information to people with lupus across the country and internationally. The program links people who need the service with trained volunteers who have lupus or are family members of someone with lupus.

The SLE Workshop is one of the country’s longest-standing support and education groups for people with lupus. The program offers free monthly meetings at HSS for individuals with lupus, their families, and their friends.

HSS offers its employees up to 40 hours per year for humanitarian service at organizations like FOCOS, located in Ghana.

Reaching the Asian-American Community

Reaching the International Community

HSS Asian Community Bone Health Initiative aims to improve the quality of life of at-risk older adult members of the New York City Asian community by helping them stay active and better manage chronic bone and joint diseases through exercise classes and educational workshops.

Foundation of Orthopedics and Complex Spine (FOCOS) is a non-profit organization that was established by the Chief of the Scoliosis Service at HSS. The organization’s mission is to provide comprehensive, affordable orthopedic and spine care to people in medically underserved areas – primarily in Ghana, West Africa – through an international network of volunteer nurses, surgeons, and other medical providers.

Assisting with Access to Care VOICES Medicaid Managed Care Education Program provides bilingual (English/Spanish) education, support, and advocacy to help patients and the community understand and navigate insurance options under Medicaid managed care.

HSS supports this humanitarian work by offering employees 40 hours per year of paid time off for humanitarian service projects.

HEALING THROUGH ART AND WORDS HSS has created a new online narrative journal, Rheum to Heal, where people affected by rheumatic diseases can share their experiences, thoughts, and feelings through poetry, prose, artwork, and photography. Rheum to Heal, available through a free subscription, accepts submissions from patients with arthritis, autoimmune diseases, pain disorders affecting joints, and osteoporosis, as well as the healthcare professionals who care for them. In sponsoring Rheum to Heal, HSS hopes to build a sense of community among people with similar health struggles and reduce the sense of isolation that often accompanies chronic illness. For more information, visit www.hss.edu/rheumtoheal.

2013 Community Benefit Report | 9

Gisela Weskamp, PhD, and Carl Blobel, MD, PhD, study tissue degeneration and regeneration, rheumatoid arthritis and angiogenesis.

3

Enhancing Care through Research

New knowledge of how diseases work has led to more effective treatments that allow people around the world to live healthier, more active lives. Many of these advances originated at HSS, where physicians and scientists continue to conduct cutting-edge research in orthopedics and rheumatology.

Our research projects are strongly supported by a history of basic scientific investigation, a high volume of patients with musculoskeletal disorders, and an interdisciplinary alliance between scientists, physicians, and surgeons who share a passion for rapidly translating research findings into better ways to improve our patients’ lives.

In 2013, we conducted $34.2 million in research projects at HSS. Examples of research projects in 2013 include:

 The Value of Partnership: A study, presented at the

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participants to the chat from 28 Annual Meeting of the U.S. states and six countries.

American College of Rheumatology (ACR) in  The Risks of Social Isolation: October, showed that joining A survey reported that people forces with the who lacked communitystrong social based S.L.E. HSS BY THE NUMBERS ties – Lupus such as having $34.2 million Foundation to spent on research in 2013, several close publicize a supporting more than 300 friends or Facebook chat research projects relatives or sponsored by associations the HSS Lupus with community Center of Excellence tripled the or religious groups – are more number of participants likely to experience serious, compared with previous ongoing pain after total hip HSS-sponsored chats. The replacement two or more years collaboration attracted 123

“Lupus patients are hungry for information, and with social media, we can address their specific concerns in real time.”

— Jane E. Salmon, MD, Director, Lupus Center of Excellence

after the procedure. There was a strong link between lack of social interaction and increased pain.

 Using MRI to Pinpoint Early Arthritis HSS received funding from the Arthritis Foundation to evaluate MRI and biomarker studies to identify which patients who suffer from an anterior cruciate ligament (ACL) tear in the knee are most likely to develop osteoarthritis – information that could be used to start testing new treatments sooner.

A BOOST FOR GENOMICS HSS received a $5.6 million grant from The Tow Foundation to establish the HSS David Z. Rosensweig Genomics Research Center, which will seek to further understand the genes associated with rheumatoid arthritis and lupus.

The Center will collaborate with scientists at the New York Genome Center in lower Manhattan, known for its genomesequencing machines and other state-of-the-art resources. The goal is to develop more effective treatments with fewer side effects.

SPOTLIGHT: Honoring Lupus Heroes “We are deeply grateful that they have allowed us to learn from their journey and grow as caregivers.”

—Peggy Crow, MD, HSS Physician-in-Chief As part of HSS’s 150th Anniversary celebration, the Division of Rheumatology honored the thousands of lupus patients, past and present, who have inspired each member of the healthcare team and helped advance research through participation in clinical research studies. “Honoring Lupus Heroes,” held in September 2013, celebrated patients’ wisdom, generosity, and invaluable contributions to lupus care and research.

Lupus is an autoimmune disease that can impact the joints, skin, kidneys, heart, and other organs and affects more than 600,000 people in the United States.

At the event, a historical timeline of lupus and HSS was presented, including important milestones representing significant breakthroughs in research and treatment. Several lupus patients and their family members reflected on their experiences at HSS and how they were inspired to make a difference in the lives of other patients.

“Our goal is to bring hope and provide enlightenment concerning this complex illness,” said Karen Ng, HSS patient and Lupus Hero. Ms. Ng helped launch the HSS LANtern® Lupus Asian Network (read more about the program on page 9).

HSS team members – including physicians, nurses, social workers, and others – also paid tribute to specific “Lupus Heroes” for their involvement in helping to advance research, care, and the initiation of support programs.

Right: Patients and HSS staff gathered to honor Lupus Heroes. Above: Karen Ng presents at the event.

2013 Community Benefit Report | 11

4

Educating Tomorrow’s Leaders

The commitment of HSS to train doctors to become musculoskeletal specialists dates back to 1887, when Virgil P. Gibney, MD — the second Surgeon-in-Chief of HSS — established the nation’s first program to educate orthopedic surgeons. The program quickly set the standard for orthopedics education. Nearly 1,000 orthopedic surgeons have since come through the doors of HSS, finishing well-prepared to take their talents and expertise to top academic medical centers and hospitals all over the country.

In 2013, some 660 applicants vied for just nine coveted spots in the Accreditation Council for Graduate Medical Education (ACGME)accredited Orthopedic Surgery Residency program at HSS, which offers five years of education, during which our residents also rotate to other hospitals like New York Hospital Queens and the Bronx VA. This enables them to gain different experiences caring for patients.

Surgeons who wish to further specialize can pursue fellowships in joint replacement, sports medicine, and rare specialties such as limb lengthening and metabolic bone disorders.

sensitivity skills and improve their ability to communicate with patients from different cultures and those who may speak a language other than English – factors which may impede the ability or desire of these patients to seek healthcare.

Many people from our community come to us for knee and shoulder surgeries. HSS has implemented an ACGME-mandated simulation-based training program for orthopedic surgery residents. As part of this curriculum, the residents practice on anatomical models or cadavers. HSS also has an arthros-

copy simulator which enables them to practice arthroscopy on “virtual” knees and shoulders. Once the simulator’s computer scores their performance, they can repeat the procedure over and over – something they can’t do on a human being – to improve their skills and achieve a higher score.

Such technology makes it possible for surgical residents to gain more experience than ever before early in their careers, enabling them to be exceptionally well-prepared when their mentors deem them ready to operate on patients.

Technical expertise is a must in orthopedics, but so is the ability to communicate compassionately and effectively with patients. Toward that goal, through HSS BY THE NUMBERS a collaboration 9 residents selected from with the Green660 applicants berg Academy for Successful Aging, third-year residents make presentations to groups of our older patients. Similarly, the Leon Root, MD Pediatric Outreach Program helps residents hone their cultural

HSS Residents Grant Garcia, MD, Elizabeth Gausden, MD, and Andre Shaffer, MD, participate in a casting training session.

“People describe running, dancing, and walking among their interests and passions.

These physical activities add immense pleasure and quality to people’s lives. To be able to restore their movement and relieve pain is a profound privilege for me.”

—Andre Shaffer, MD, second-year Orthopedic Resident

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5

Investing in the Community through Effective Partnerships As strong as HSS is in the world of orthopedics and rheumatology, we cannot accomplish our community-focused initiatives alone. Key to the success of our efforts are strong, effective partnerships with stakeholder groups, with whom we have formed lasting and effective collaborations.

Active partnerships include:

CLINICAL/ACADEMIC PARTNERSHIPS  Asian American/Asian

Medical College – Health Outreach® Program

 NewYork-Presbyterian Hospital

Research Institute, City University of New York

 Silberman School of Social

 Burke Rehabilitation Center

Work at Hunter College

 Charles B. Wang Community Health Center

 Chinese Community Partnership for Health, NewYork-Presbyterian/Lower Manhattan Hospital

 Clinical Translational Science Center, Community Engagement Core, Weill Cornell Medical College

 Gouverneur Healthcare Services, New York City Health and Hospitals Corporation

 HSS China Orthopedic Education Exchange

 Mt. Sinai Medical Center, Adolescent Health Center

 NewYork-Presbyterian Morgan Stanley Children’s Hospital, Pediatric Rheumatology Service, Columbia University Medical Center

 NewYork-Presbyterian Hospital/Weill Cornell

 SUNY Downstate Medical Center’s Asian PacificAmerican Medical Students Association

 Translational Research Institute for Pain in Later Life (TRIPLL)

 University of Delaware  Weill Cornell Medical College, Department of Psychiatry

COMMUNITY-BASED ORGANIZATION PARTNERS  All Community Adult Day Centers

 Arthritis Foundation – NY Chapter

 Asian Health and Social Service Council

 Brown Gardens Assisted Living Facility

 CenterLight Healthcare

SPOTLIGHT: HSS Asian Community Bone Health Initiative “Strong partnerships are essential to the success of this program.” —Huijuan Huang, MPA, Program Coordinator The HSS Asian Community Bone Health Initiative was launched in response to the health needs of the growing number of older Asian adults living in New York City. Its goal is to help Asian seniors better manage chronic musculoskeletal disorders, while also increasing access to care in this medically underserved community through culturally relevant educational workshops, self-management education, yoga, and low-impact chair exercise programs. The program funded by HSS and The Fan Fox & Leslie R. Samuels Foundation, has produced positive results, with participants reporting decreased pain, stiffness, and fatigue, and improvement in various aspects of quality of life.

HSS has partnered with many different organizations – including the New York City Department for the Aging, local senior centers, the New York Public Library and the HSS-China Orthopedic Education Exchange – in an effort to bring vital programming to this population.

“This program provides useful, accurate information about the treatment and prevention of common musculoskeletal conditions in the participants’ native language. The program was very beneficial to the Asian older adult community,” say Drs. Li Feng, Hu Li and Tiezheng Sun (HSS-China Orthopedic Educational Exchange Program).

2013 Community Benefit Report | 13

“We can only accomplish our mission of meeting the needs of our community through partnerships and collaboration with organizations who share our values and commitment to the people we serve.”

—Laura Robbins, DSW, Senior Vice President, Education & Academic Affairs

 Children’s Aid Society  Chinese American Planning  Community Health Network  Golden Eagle Adult Day Center

 Isabella Geriatric Center  Lenox Hill Neighborhood House

Foundation of America

 YM & YWHA – Washington Heights/Inwood

Citizen Center

 New York Foundation for  New York Road Runners Club (NYRRC)

 Prime Care Home Health

HSS BY THE NUMBERS More than 400 communitybased exercise classes & educational forums offered in 2012

 Project Sunshine

 Selfhelp Innovative Senior Center

 Medicare Rights Center

 Senior Health Partners

 Mott Street Senior Center

 Service Program for Older

 The Myositis Association  National Osteoporosis Foundation

GOVERNMENT/ PUBLIC PARTNERS  New York City Department for

Senior Citizens

Agency

 LaGuardia

 Lupus

Association

 New York Chinatown Senior

Council

Senior Citizens Center

 New York Chinese American

the Aging

 New York City Department of Health and Mental Hygiene

 New York City Public Schools  New York Public Libraries  New York State Department of Health

 Office of Women’s Health, Department of Health and Human Services

People

 S.L.E. Lupus Foundation  Stanley M. Isaacs Neighborhood Center

LAUNCH OF NEW COMMUNITY BENEFIT & SERVICES COMMITTEE HSS is proud to announce the formation of a new committee of the Board of Trustees. The Community Benefit & Services Committee, chaired by Board of Trustees member Anne Ehrenkranz (pictured at right), will provide oversight and advice on community program initiatives consistent with the HSS mission and strategic plan. It is an important step in ensuring the needs of our community members are met, especially those from culturally and economically diverse areas, through effective and innovative programs.

14 | Hospital for Special Surgery

COMMUNITY INVESTMENT BY THE NUMBERS What is Community Benefit?

Community benefit includes programs or activities that respond to an identified community health need. These programs must seek to achieve one of the following objectives: ➼ Improve access to health services ➼ Enhance public health ➼ Advance medical or health knowledge ➼ Relieve or reduce burden on government or other community efforts

HSS 2012 Community Benefit Spending by Category Financial Assistance

HSS assists patients who are unable to pay for their hospital services and those with limited or no insurance coverage.

Medicaid Subsidy

Costs associated with services provided by HSS to patients who are covered under Medicaid insurance that exceed the reimbursement provided by the Medicaid program.

Health Professions Education

Supports the cost of training residents and fellows.

Research

Net expense of supporting research programs that work to improve patient outcomes and quality of life.

Community Health Improvement Services

Supports costs associated with various community-based initiatives.

$92.1 million of spending on community benefits and services in 2012*

Financial Assistance Community Health Improvement Services

$4.7 million

$3 million

Medicaid Subsidy $7.8 million

Research

$38.9 million

Health Professions Education $37.7 million

* As reported in the Hospital’s 2012 IRS Form 990 filing.

2013 2013 Community Community Benefit Benefit Report Report | 15| 15

FOR MORE INFORMATION For more information about Hospital for Special Surgery’s community education, support, and outreach programs, please call (212) 606-1057 or visit us on the web at www.hss.edu.

You can also find us on Facebook, Twitter, YouTube and LinkedIn by searching for “HSpecialSurgery.”

Managing editors: Sandra Goldsmith, MA, MS, RD, Director, Public & Patient Education; Roberta Horton, LCSW, ACSW, Director, Social Work Programs; Marc Gould, Vice President, Finance; Marcello Guarneri, Assistant Vice President, Finance Design: Christina Fisher, MFA, Senior Designer, Education Publications & Communications Photography: Brad Hess; Huijuan (Jane) Huang, MPA; Don Pollard; Paggie Yu ©2014 Hospital for Special Surgery Education Publications & Communications. All rights reserved.

535 East 70th Street, New York, NY 10021 212-606-1000 | www.hss.edu www.hss.edu/backinthegame