HSS Community Benefit Report (2012): Invested in Our Community

PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINI MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINIC MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINI MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU 2012 report CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINIC 2012 Community Benefit Report | 1 MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM

INVESTED IN OUR

COMMUNITY

PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINI MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINIC MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINI MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINIC 2 | Hospital for Special Surgery MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM

R NILOIC YM DLE G IC NE IC US OP) R NILOC YM DLE G IC NE IC US OP) R NILOIC YM DLE G IC NE IC US OP) R NILOC YM

COMMUNITY BENEFIT REPORT

CONTENTS Dear friends:

About Hospital for Special Surgery

4

As we mark 150 years in New York City, Hospital for Special Surgery remains committed to providing the safest, highest quality, and most compassionate care for our patients, as well as serving as a trusted partner and resource for the diverse communities we serve.

Commitment to the Community

5

Investing in People and Mobility

6

As a world leader in musculoskeletal medicine, HSS collaborates with local and national partners to address key public health concerns and develop innovative approaches to care. The synergy between our patient care, teaching and research has resulted in measured improvements in the health, well-being and quality of life for our communities.

Investing in Innovation through Research

11

Investing in the Doctors of Tomorrow

12

Our knowledge, experience working in New York’s multi-cultural environment, professional affiliations, and world-class health care leadership contribute to the many initiatives discussed in this report. There is a commitment at all levels of HSS to help shape the future of musculoskeletal care.

Investing in the Community Through Effective Partnerships

13

Community Investment by the Numbers

14

We are proud of what we have accomplished and look forward to continuing to provide advances toward the mobility and quality of life of all of our patients.

Louis A. Shapiro President and CEO

On the cover: Dr. Leon Root poses with the children of P.S. 140 The Eagle School in the Bronx after an HSS Pediatric Outreach Program (POP) school screening. Photo by Brad Hess.

2012 Community Benefit Report | 3

About Hospital for Special Surgery As the oldest orthopedic hospital in the United States, Hospital for Special Surgery (HSS) has been a leader in musculoskeletal medicine for more than a century. We have established an ongoing commitment to both physical and general wellness, patient care, clinical and translational research, health professionals’ education and community programming.

HSS has trained the minds, hearts, and hands of some of the nation’s finest clinicians in all aspects of musculoskeletal medicine. A steadfast commitment to excellence in education dates back to the Hospital’s earliest traditions and continues to influence its present-day mission and vision.

HSS’s Research Division occupies an influential position in the world of

research that ultimately benefits our patients and the community at large.

Through carefully planned education and outreach initiatives conducted in collaboration with local and national organizations, our community-based interventions promote healthier lifestyles and enhanced disease management for the people within our diverse community members.

The Hospital’s Financial Assistance Program ensures the provision of quality healthcare to patients across the United States. We carefully consider and take into account the ability of the patient to pay. HSS extended its program beyond the state mandated level of 300 percent of the federal poverty level to patients whose income is at or below 500 percent of the federal poverty level. We have also extended our policy to consider a patient’s insurance co-pay, deductible, and co-insurance as eligible for discount.

HSS by the Numbers More than 25,000 HSS outpatient clinic visits

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

The HSS culture is one of continuous improvement and collaboration.

Research, education and patient care are all inter-related and support each other in fulfilling our mission. Research ideas are often inspired by clinical experience and research findings are translated effectively into improved treatments and best practices for our patients. At HSS, we are not satisfied with practicing the best medicine; we are committed to making medicine better.

musculoskeletal science and is continually enhancing and expanding its research in this area. Committed to medical innovation, HSS surgeons collaborate with engineers to pioneer new treatments for improving patients’ mobility and quality of life.

HSS laboratory scientists have made breakthrough discoveries regarding the causes and treatment of rheumatoid arthritis, lupus, and other rare and common autoimmune diseases.

Because they work collaboratively with clinicans, investigators focus on

❯❯ Achieving

Excellence

For the past 150 years, HSS has held a leadership position in musculoskeletal medicine.

The Hospital is nationally ranked No. 1 in orthopedics and No. 3 in rheumatology by U.S.News & World Report (2012-2013). It is the only hospital in New York City to receive a third consecutive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center. In addition, Consumer Reports ranked HSS the best hospital in New York City according to their patient satisfaction study. HSS, located on the Upper East Side of Manhattan, is a member of the NewYork-Presbyterian Healthcare System.

HSS OUTPATIENT CLINICS: ENSURING ACCESS TO CARE HSS has more than 20 specialty clinics serving the medically underserved, including: Hip/Knee, Sports and Shoulder, Spine, Metabolic Bone, Physiatry, Pain Management, Foot, Hand, Neurology, Pediatric Neurology, Dermatology, Adult Limb Lengthening and the Comprehensive Arthritis Program (CAP). The Pediatric Orthopedic Clinic serves all orthopedic concerns of children. Specialized clinics are geared towards the needs of children with cerebral palsy, scoliosis, lupus, juvenile rheumatoid arthritis, limb lengthening and clubfoot.

4 | Hospital for Special Surgery

Commitment to the Community Hospital for Special Surgery is committed to leading initiatives that provide superior care to patients and improve the health of the diverse communities we serve.

These initiatives aim to strengthen and support our community by improving public health, empowering communities through information and services and leveraging resources through effective partnerships.

All are fueled by our dedicated and expert staff, our vast experience working with multicultural communities and our world class health care leadership. ❯❯ Establishing the Needs of the Community

The suburban counties surrounding New York City are its secondary service areas, including New Jersey, Connecticut and Long Island.

HSS is committed to improving public health, empowering and educating individuals and communities and establishing effective community partnerships.

HSS employs a needs assessment process to identify gaps and inform the direction and content of community programming. We seek input from a wide variety of sources, including community organizations, public schools, city and state agencies, universities, colleges and the private sector.

HSS views the ongoing exchange of information with our partners as critical to enabling us to identify, develop, modify and expand initiatives to best meet the changing healthcare needs of our diverse community.

In addition to input from our partners, HSS reaches out to patients and the broader community who provide valuable insight and information utilized in program planning and new models for intervention. ❯❯ About

five boroughs of New York City. Its 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.

our Community

HSS serves many communities in New York City, the tri-state area, and around the world. The Hospital’s primary service area consists of the

❯❯ Serving

Our Diverse Community

Caring for diverse communities, regardless of ability to pay, has been an integral part of the Hospital’s mission since its inception.

Among HSS’s early patients were Civil War veterans returning from battle with orthopedic injuries and poor children living with crippling conditions on the streets of New York City.

HSS ambulatory care clinics, which provide bone and joint care to primarily underinsured children and adults from economically and million culturally diverse communities, demonstrate how we continue to maintain our long-standing commitment to caring for those who are most vulnerable.

3.7

The majority of adult patients are being evaluated for surgical intervention to ease the pain caused by arthritis and traumatic injury, which can severely limit mobility and interfere with the activities of daily living. Many of the Hospital’s clinic patients arrive with complex and/or chronic illnesses, including cerebral palsy and scoliosis, that require the expertise and highly individualized care for which HSS is renowned.

THE HSS COMMUNITY DRIVERS OF COMMUNITY PROGRAMS

3.7

million

Approximately 3.7 million (26.1%) of New York’s adult population report they have doctor-diagnosed arthritis.

Among NYC elementary school children, 40% are overweight or obese.

3

million

In New York State, at least 3 million women and men (age 50 and over) either have osteoporosis or are at a significant risk of developing osteoporosis.

A surveillance study is currently underway to assess the numbers of people with lupus in the New York area. More than 1.5 million Americans may have lupus, with African-American, Asian and Latina women at a 2 to 4 times greater risk.

2012 Community Benefit Report | 5

3

million

Investing in People and Mobility accurate information about musculoskeletal and general health, available on the HSS website. ❯❯ Focusing

on Musculoskeletal Health

Musculoskeletal Wellness Initiatives

Hospital for Special Surgery’s expertise in joint diseases such as osteoarthritis and osteoporosis and autoimmune diseases such as lupus resonates with the health needs of many New Yorkers, especially children, seniors and culturally diverse communities, who may be particularly impacted by health disparities.

In collaboration with key partners in healthcare, HSS focuses on providing community outreach initiatives that enhance health education, mobility, communication and quality of life of our diverse population. HSS offers more free support and education programs in its areas of specialty than any other hospital in the country. ❯❯ Educating

to Improve Public and Patient Health

The Public and Patient Education Department (PPED) offers a wide variety of programming and practical information on musculoskeletal conditions and other health and wellness related topics. These programs are designed to meet the specific needs of our patients and the general public.

6 | Hospital for Special Surgery

PPED developed its Osteoarthritis (OA) and Osteoporosis (OP) Wellness Initiatives to raise awareness, educate, and reduce the impact of these diseases in the older adult community. Comprised of free or low-cost education and exercise programs, these Participants of the initiatives aim to improve fitness, Public & Patient increase mobility, decrease pain, Education Department’s and increase quality of life of the fitness classes. community. The implementation of these programs draws from the expertise of HSS PPED strives to provide current and clinical staff as well as external useful information to the community partnerships with other healthcare through education programs, lectures/ and community-based organizations. symposia, workshops, support groups, Program evaluations have shown publications, and a patient education that participation in our educational library. programs have improved knowledge about OA and OP. Exercise program HSS also offers a schedule of results have shown significant public education programs, private reductions in pain severity and classes and alternative care services intensity, improved balance, fewer falls, under the supervision of HSS and an increase in physical activity. physicians, physical therapists and complementary care providers through Encouraging the Integrative Safe Exercise Care Center (ICC).

HSS by the Numbers The James M. Benson Sports Nearly 3,000 Health Rehabilitation Connection: registrants reached Center and Hospital by programs Tisch Sports for Special Performance Surgery’s Good Center at HSS have teamed up with Health Newsletter, published by the Public School Athletic League PPED, informs the community on (PSAL) to offer public high school the latest information and research students a Pre-Season Football in musculoskeletal health. Health Medical Screening Combine.

Connection has a print circulation of Screenings are performed by a staff over 15,000 and expands its reach of primary care physicians, orthopedic through the HSS website. Health surgeons, pediatricians, certified Connection Fast Facts is our online athletic trainers, physical therapists, health education newsletter designed exercise physiologists, and registered to provide the public with fast, current,

Exercise program results have shown significant reductions in pain severity, improved balance, fewer falls, and an increase in physical activity. nurses as well as our Residents and Fellows. Player evaluation and screening includes, but is not limited to, orthopedic screening, flexibility testing, and body fat percent measurement, all offered at no cost.

To help people maintain their physical therapy routine, the HSS Rehabilitation Department’s Joint Mobility Center (JMC) offers an Exercise Wellness Program for people who have completed their formal physical therapy and choose to continue under the guidance of JMC therapists.

Support for People with Chronic Musculoskeletal Conditions The Department of Social Work Programs, in collaboration with the Divisions of Rheumatology and Nursing, offers a free monthly support and education program for HSS patients with severe Rheumatoid Arthritis (RA) called Living with RA. Now in its twelfth year and unique in the New York metropolitan area, the program features RA-related lectures and is followed by a support group facilitated by a licensed social worker and nurse manager in rheumatology The “Early RA Workshop,” launched

in 2007, is a program offered through the Early Arthritis Initiative of the Inflammatory Arthritis Center (IAC), in collaboration with the Department of Social Work Programs and the Division of Nursing. This free workshop series focuses on early intervention for people with newly diagnosed RA by providing essential RA-related education and peer support.

The Hospital’s Department of Social Work Programs offers the only support and education group in New York City for people with myositis. The Myositis Support and Education Group helps patients cope with the disease, reduces isolation, and increases understanding of the inflammatory myopathies.

The group, ongoing since 1997, meets monthly and is free. A monthly newsletter is sent to all group members.

The HSS Scleroderma, Vasculitis and Myositis Center specializes in clinical care, research, and education in these and other rare rheumatologic diseases. Since January 2012, the

Seniors attend one of many educational offerings.

Above: An issue of HSS’s HealthConnection.

Center, in collaboration with The Department of Social Work Programs, offers free tri-annual education and support forums for people coping with these rare rheumatologic diseases.

The Scleroderma, Vasculitis, and Myositis Center Education and Support Forum features diseasespecific talks by expert healthcare professionals, followed by a social work facilitated support and discussion hour.

The Forum is open to community members and HSS patients.

Improving Health Among Older Adults VOICES 60+ Senior Advocacy Program, offered by the Department of Social Work Programs, is designed to assist ethnically diverse HSS patients, 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. Our community initiatives include enhancing doctor patient communication, with a focus on falls prevention, and increasing safety at home by facilitating access to culturally and linguistically appropriate home care services, in collaboration with community partners.

The Greenberg Academy for Successful Aging is a collaborative program between the Public and Patient Education Department and NewYork-Presbyterian Hospital’s Irving Sherwood Wright Center for the Aging, a primary care medical practice serving older adults. Our program develops and implements health education programs aimed at the interests and needs of people age 65 and over. We offer a variety of educational opportunities from lectures focusing on “Know Your Medicare Rights” to workshops

2012 Community Benefit Report | 7

on falls prevention to wellness-based exercise and dance classes.

The HSS Speaker’s Bureau matches professionals to locations around New York City to present educational programs on various topics including elder abuse, diabetes, heat safety, osteoporosis and arthritis. We have worked with a multitude of community based programs including but not limited to senior centers, faith-based agencies, local government agencies and home health care agencies.

Charla de Lupus/Lupus Chat® and LANtern® programs partner with the community to participate in a walk to raise lupus awareness.

The Department of Nursing has been instrumental in delivering these presentations. Recently, they have expanded their community benefit activities and launched an initiative to bring information about medication safety to local senior centers.

Helping People with Lupus Through our Mary Kirkland Center for Lupus Care and its pioneering clinical and research initiatives, community members are provided with outstanding resources for people with systemic lupus erythematosus, a complex, chronic and life-threatening autoimmune disease that can affect multiple body organs.

As part of this commitment, the Department of Social Work Programs offers the following free support and education services.

LupusLine®, initiated in 1988, 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 a family member of someone with lupus.

The SLE Workshop, ongoing since 1985, is one of the country’s longest standing support and education 8 | Hospital for Special Surgery

groups for people with lupus. The program offers free monthly meetings at HSS for individuals with lupus, their families and friends. Experts, drawn largely from HSS faculty, present on a variety of lupus related topics, followed by informal group discussion.

“LANtern e-News – Building Community Partnerships,” the first e-newsletter to promote a dialogue among health professionals. Bilingual educational publications are available free to patients and the general public.

The HSS Asian Community Bone Health Initiative, an initiative of the Public & Patient Education Department, aims to improve the ® LANtern (Lupus Asian Network), quality of life of at-risk older adult established in 2003, is the only members of New York City’s Asian national support and education community by program designed helping them stay specifically to HSS by the Numbers active and better serve Asian Nearly 29,000 contacts from manage chronic Americans with bone and joint lupus and their Department of Social Work diseases including loved ones.

Programs’ 9 community osteoarthritis and Its national benefit programs osteoporosis.

SupportLine,

Reaching the Asian-American Community

(available in Cantonese and Mandarin) provides culturally relevant health education interventions both locally and internationally.

The program has launched significant program collaborations with many health, social service, and community based organizations serving the Asian American community. The goal is to build capacity directed toward early identification and understanding of lupus as a chronic illness, that is prevalent, but not well recognized.

The initiative has also published

The program currently offers Arthritis Foundation exercise classes led by HSS’s bilingual, bicultural program coordinator at three Chinatown senior centers with the goal of decreasing musculoskeletal pain, stiffness and fatigue and improving muscle strength, balance and overall health status. A reduction in stiffness, fatigue and pain has been reported by participants through pilot program evaluations.

Assisting with Access to Care The VOICES Medicaid Managed Care Education Program, offered

Community partners, especially the NYC public school system, have played an integral role in the adaptation, implementation and replication of the SNEAKER® program. by the Department of Social Work Programs, provides bilingual (English/Spanish) education, as well as support and advocacy, to understand and navigate insurance options under Medicaid managed care. The program’s goal is to empower members of the community and potential patients regarding access to specialized healthcare for rheumatologic and musculoskeletal conditions. ❯❯ Investing

in the International Community

The Foundation of Orthopedics and Complex Spine (FOCOS) is a non-profit organization that was established in 1998 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. FOCOS relies on an international network of world class volunteer nurses, surgeons and other medical providers to deliver such care. FOCOS has had many volunteers from HSS including nurses from the operating room and inpatient units, surgical technicians, physical therapists, surgeons and orthopedic surgical residents.

HSS supports this humanitarian work by offering employees 40 hours per year of paid time off for Humanitarian Service projects. This important contribution and support of the institution has enabled the participation of many clinicians who may not otherwise have been able to volunteer their services.

❯❯ Caring

for Children and Families

Leon Root, MD Pediatric Outreach Program

children for musculoskeletal issues such as scoliosis, joint pain, bowed legs and flat feet, as well as for primary health needs.

In 2004, POP established a The Leon Root, MD, Pediatric partnership with the Charles B. Wang Outreach Program (POP), launched Community in 1987, is a Health Center community-based HSS by the Numbers (CBW), a freeprogram designed standing pediatric to prevent long-term More than 26,000 children outpatient musculoskeletal reached through POP clinic located disorders and in Chinatown. severe joint More than 11,000 HSS provides disability in children children reached through monthly pediatric living in medically SNEAKER© since 2003 clinics at CBW underserved to reduce access communities, thus barriers and providing access unmet healthcare needs within the to care that these children might not Asian community. otherwise receive.

Initiated as a school-based screening program, POP sends highly-trained orthopedic teams (surgeon, residents, interns and nurses) into NYC public schools and day care centers located in medically underserved neighborhoods. These teams screen

SNEAKER© (Super Nutrition Education for All Kids to Eat Right) Program In response to the childhood obesity epidemic, HSS launched the SNEAKER© program in 2003.

SNEAKER© is a nutrition and physical

Young patients at the FOCOS Orthopedic Hospital in Ghana express their gratitude to HSS.

2012 Community Benefit Report | 9

activity education program that is designed to accommodate different educational formats ranging from small group sessions to large groups attending health fairs.

At its core is a 7-week interactive program that provides children and families with essential knowledge about healthy eating and physical activity. Weekly newsletters are sent home to parents to educate them about what their children learned in school so they can help to foster healthy changes for the entire family.

In addition, there is an award winning SNEAKER© cookbook which offers families multi-cultural, healthy recipes to use at home, and an activity book that provides young children with opportunities to learn about nutrition and physical activity independently.

Community partners, especially the NYC public school system, have played an integral role in the adaptation, implementation, and replication of SNEAKER©. Program evaluations have demonstrated significant improvements in knowledge and behavior change.

Charla de Lupus/ Lupus Chat®

This photo: Charla de Lupus and SNEAKER® partner to offer a culturallyspecific lupus nutrition education program. Right: The SNEAKER® Project Cookbook.

Based on a comprehensive needs assessment and best practices, we initiated a social work-led program to engage and train peer volunteers to become empowering role models.

Culturally relevant strategies help to increase understanding of this complex illness and its treatment, improve medical adherence, and enhance coping and healthy behaviors.

Comprehensive HSS by the Numbers In 1994, in bilingual (English/ response to 50 volunteers for the Spanish) services health disparities Charla Program have include: the affecting African Charla Line, a American, Asian made more than 30,000 toll-free national and Latina women client contacts to date support and living with lupus, education help a life-threatening, line; weekly Onsite Peer Support multisystem autoimmune disease, Outreach at four hospital-based HSS developed Charla de Lupus/ clinics; monthly Charla Teen and Lupus Chat® (“Charla”), the only Parent Lupus Chat Groups; hospital-based national lupus peer numerous community, professional support and education program education and federal collaborations; for Spanish-speaking and African and international distribution (of American communities. over 12,000 copies in English,

Spanish, and Chinese) of “For Inquiring Teens with Lupus: Our Thoughts, Issues and Concerns,” an award-winning publication.

In addition, Charla worked with HSS’s SNEAKER© program to implement a nutrition program to meet the needs of predominantly Latina teens with lupus and their families, in collaboration with the Pediatric Rheumatology Department of Morgan Stanley Children’s Hospital, NewYork Presbyterian–Columbia Medical Center.

Our goal is to provide practical strategies to initiate and sustain healthy nutritional practices, taking into account bone and cardiac health, renal disease and obesity.

Program evaluations indicate positive behavioral changes in nutritional practices.

CHARLA DE LUPUS/LUPUS CHAT® PROGRAM WINS AMERICAN HOSPITAL ASSOCIATION AWARD The Charla de Lupus/Lupus Chat® Program was selected as the recipient of a national award by the American Hospital Association as a program demonstrating outstanding commitment to community outreach and collaboration. Marielin Lopez, a peer volunteer for the program for five years, accepted the award at their Annual Meeting in Washington, DC, in May 2012.

10 | Hospital for Special Surgery

Investing in Innovation Through Research Research at HSS works to advance the understanding and treatment of musculoskeletal disorders. Our major goal is to translate research findings and accomplishments into improved patient care and outcomes.

total of $32 million. Our mission is to advance understanding and treatment of musculoskeletal disorders through basic, translational and clinical research and education. ❯❯ Tracking

Outcomes Through Registries

The solid foundation of the Research Division is built on our significant To date, we have established over musculoskeletal patient volume, 44 clinical registries to track patient excellent clinical outcomes in the care and strong long term that will HSS by the Numbers team of scientists help our scientists and clinicians. develop new $32 million spent on Because our treatments, and research in 2011 culture is one of potentially, cures. learning, innovation More than 300 research Because we and continuous projects supported in 2011 perform more improvement, orthopedic our doctors and surgeries than any other hospital in the scientists consistently collaborate to world – more than 26,000 per year – discover new ways to improve safety we are able to gather and analyze data and reduce complications, thereby quickly so that patients benefit from improving patient outcomes and our expertise. quality of life.

In 2011, we supported more than 300 research projects spending a

These registries have led to new research discoveries and important

improvements in patient care and outcomes. ❯❯ Leading

the Field in Arthritis Research

As leaders in arthritis research, HSS has worked to expand its Osteoarthritis (OA) Initiative. In 2011, HSS hosted an international conference on OA, where thought leaders worked towards a consensus on what is currently known about OA and identified priorities for a research agenda based on existing knowledge gaps. Resulting research was published in HSS’s own HSS Journal, which reaches an international audience of 18,000 healthcare professionals.

In addition, we have published results of our extensive research in rheumatoid arthritis in leading scientific journals. Moreover, we have expanded our clinical research in both OA and RA.

Because we perform more orthopedic surgeries than any other hospital in the world – more than 26,000 per year – we are able to gather and analyze data quickly.

Dr. Mary Goldring and Dr. Suzanne Maher in the research laboratory investigating cartilage and knee joint mechanics.

2012 Community Benefit Report | 11

Investing in the Doctors of Tomorrow Training doctors to become specialists in musculoskeletal medicine is an important way that HSS supports the community. In 1887, Dr. Virgil Gibney established the very first program in the United States to train doctors to become orthopedic surgeons. Since then, HSS has trained nearly 1,000 orthopedic surgeons. Each year, out of more than 600 applicants, HSS selects eight medical school graduates to train for five years in the Orthopedic Residency Program.

Dr. Sabrina Strickland walks a resident through a procedure in HSS’s Bioskills Education Lab.

Along with the five-year residency in orthopedic surgery, HSS offers fellowship programs that train surgeons in a variety of specialty areas including joint replacement, sports medicine, and many other specialties, HSS by the Numbers some very rare, like limb lengthening 8 residents selected and metabolic bone each year from more than disorders, as well 600 applicants as rheumatology, anesthesia, radiology and others. ❯❯ Creating

Culturally-sensitive, Compassionate Caregivers

In addition to teaching residents to be outstanding technically and clinically, our goal is to create compassionate caregivers. Toward that end, the curriculum includes specific training on communicating with the older adult population. In their third year of residency, the residents pair up to conduct presentations to the senior patient community. This is a collaborative program with the Greenberg Academy for Successful Aging.

Additionally, our residents learn cultural sensitivity skills needed to overcome barriers to health care access and delivery faced by patients from diverse linguistic and cultural backgrounds through participation in the Leon Root, MD Pediatric Outreach Program.

Along with our training programs in orthopedic surgery, HSS trains clinicians through fellowships in all 12 | Hospital for Special Surgery

Along with training our residents to be outstanding technically and clinically, our goal is to create compassionate caregivers. facets of musculoskeletal medicine.

For the past 70 years, we have trained fellows to specialize in the treatment of rheumatic diseases, including pediatric rheumatology, a specialization in very short supply in the United States. Since 1967, HSS has trained radiologists to use imaging technologies to diagnose musculoskeletal conditions including arthritis, sports injuries, spinal conditions, tumors and others.

We also train anesthesia fellows to manage the orthopedic surgery patient both during and after the surgical procedure.

HSS has recently added fellowships in neurology and primary care sports medicine.

❯❯ Mentoring

Young Women

In collaboration with The Perry Initiative and University of Delaware’s Department of Mechanical Engineering, HSS hosts the annual Perry Outreach Program, a mentoring program aimed at encouraging young high school women to explore the fields of orthopedic surgery and engineering.

Female residents, attending physicians and engineers work with the students one-on-one through a series of hands-on workshops with the goal of inspiring future leaders in these fields.

Investing in the Community Through Effective Partnerships Effective and sustainable relationships with key stakeholder groups are essential to the success of HSS community health initiatives. We appreciate our active partnerships, which include the following organizations: Children’s Aid Society

Clinical/Academic Partners

Chinatown Senior Center Chinese American Planning Council

Asian American/Asian Research Institute, City University of New York

Community Healthcare Network

Translational Research Institute for Pain in Later Life (TRIPLL)

Lupus Foundation of America Medicare Rights Center

Charles B. Wang Community Health Center

The Myositis Association

Chinese Community Partnership for Health, New York Downtown Hospital

National Osteoporosis Foundation New York Chinese American Association

Clinical Translational Science Center, Community

New York Foundation for Senior Citizens

Engagement Core, Weill Cornell Medical College

New York Road Runners Club (NYRR)

Gouverneur Healthcare Services, New York City Health and Hospitals Corporation

Prime Care Home Health Agency Project Sunshine

Mt. Sinai Medical Center, Adolescent Health Center NewYork-Presbyterian Morgan Stanley Children’s Hospital, Pediatric Rheumatology Service, Columbia Medical Center

NewYork-Presbyterian Hospital/Weill Cornell Medical College—Health Outreach® Program NewYork-Presbyterian Hospital University of Delaware

Senior Companions at Henry Street Settlement Senior Health Partners Service Program for Older People S.L.E. Lupus Foundation

Government/Public Partners

Weill Cornell Medical College

National Institute of Arthritis and Musculoskeletal and Skin Diseases New York State Department of Health

Community-Based Organization Partners

New York City Department of Health and Mental Hygiene

Arthritis Foundation—NY Chapter

New York City Public Schools

Asian Health and Social Service Council

New York Public Libraries

CenterLight Healthcare

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

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 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 | Design: Christina Fisher, MFA | Photography: Alane Clemens; Brad Hess ©2013 Hospital for Special Surgery Education Publications & Communications. All rights reserved.

2012 Community Benefit Report | 13

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 acheive one of the following objectives: ❯❯ Improve

access to health

services ❯❯ Enhance

public health

❯❯ A dvance

medical or health knowledge or reduce burden on government or other community efforts

HSS 2011 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.

❯❯ R elieve

Community Health Improvement Services Supports costs associated with various community-based initiatives.

$82.6 million

of spending on community benefits and services in 2011*

Financial Assistance Community Health Improvement Services

$2.3 million

$4 million

Medicaid Subsidy

$5.3 million

Research

$36.4 million

Health Professions Education

$34.6 million

* As reported in the Hospital’s 2011 IRS Form 990 filing.

14 | Hospital for Special Surgery 14 | Hospital for Special Surgery

P S TI N B M O / E W C / (F / C P / S TI N B M O / E W C / (F / C P / S TI N B M O / E W C / (F / C P / S TI N B M O

PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINI MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINIC MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINI MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM / ADULT LIMB LENGTHENING CLINIC / VOICES 60+ SENIOR ADVOCACY PROGRAM / GREENBERG ACAD EMY FOR SUCCESSFUL TRAINING / HSS SPEAKER’S BUREAU / LUPUSLINE / HAND CLINIC / THE SL WORKSHOP / LANTERN (LUPUS ASIAN NETWORK) / PHYSIATRY CLINIC / LANTERN E-NEWS – BUILDING COMMUNITY PARTNERSHIPS / HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE / NEUROLOGY CLINI VOICES MEDICAID MANAGED CARE PROGRAM / FOUNDATION OF ORTHOPEDICS AND COMPLEX SPIN FOCOS) / LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM (POP) / PEDIATRICS NEUROLOGY CLINI SNEAKER© (SUPER NUTRITION EDUCATION FOR ALL KIDS TO EAT RIGHT) / CHARLA DE LUPUS/LUPU CHAT / METABOLIC BONE CLINIC / OSTEOARTHRITIS INITIATIVE / PERRY OUTREACH PROGRAM / ORTHO PEDIC RESIDENCY PROGRAM / DERMATOLOGY CLINIC / COMPREHENSIVE ARTHRITIS PROGRAM (CAP PUBLIC AND PATIENT EDUCATION AND WELLNESS PROGRAMS / HEALTH CONNECTION: HOSPITAL FOR SPECIAL SURGERY’S GOOD HEALTH NEWSLETTER / HIP & KNEE CLINIC / OSTEOPOROSIS WELLNESS IN IATIVE / HEALTH CONNECTION FAST FACTS / SPORTS AND SHOULDER CLINIC / OSTEOARTHRITIS WELL NESS INITIATIVE / SPINE CLINIC / PRE-SEASON FOOTBALL MEDICAL SCREENING COMBINE / JOINT MO BILITY CENTER / LIVING WITH RA SUPPORT GROUP / EARLY RA WORKSHOP / PAIN MANAGEMENT CLINIC 2012 Community Benefit Report | 15 MYOSITIS SUPPORT AND EDUCATION GROUP / FOOT CLINIC / HSS SCLERODERMA, VASCULITIS AND MY OSITIS CENTER / SCLERODERMA, VASCULITIS AND MYOSITIS CENTER EDUCATION AND SUPPORT FORUM

16 | Hospital for Special Surgery

www.hss.edu

Programs Promoting Musculoskeletal Health

HSS Education & Academic Affairs

Hospital for Special Surgery 535 East 70th Street New York, NY 10021

NON-PROFIT ORG. US POSTAGE PAID XXXXXX PERMIT NO. XX