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MOUNT SINAI HEALTH SYSTEM

Leading With Agility 2025 NURSING ANNUAL REPORT

“ We are committed to bringing our best to every encounter.”

Message From the Chief Nurse Executive Dear Colleagues, This year has demonstrated the remarkable agility, resilience, and dedication of our nursing teams as we continued to respond rapidly within an ever-changing health care environment. Through shifting patient needs, evolving clinical necessities, and operational challenges, our nurses consistently adapted with professionalism, compassion, and an unwavering commitment to the patients and families we serve. Our focus on nursing best practices and the pursuit of nursing excellence remained at the forefront of our work. This commitment is evidenced by the numerous recognitions earned across the Health System such as Beacon Awards, Lantern Awards for our emergency departments, a number of new certifications and recertifications from The Joint Commission, and our focused engagement in addressing the unique needs of our older patients, demonstrated by the launch of the Institute for Healthcare Improvement Age-Friendly Program. These achievements are reflective of the expertise, innovation, and collaborative spirit demonstrated by our nursing professionals. In support of both patient outcomes and workforce sustainability, we continued to advance staffing efficiency initiatives that promote safe, effective, and responsive care delivery. The integration of smart practice algorithms through AgileMD and enhancements within Epic strengthened clinical decision support, streamlined workflows, and empowered nurses with timely, evidence-based guidance at the point of care. Equally important has been our investment in nursing knowledge development and professional growth. Throughout the year, specialized retreats and educational programs focused on key patient safety priorities, including fall management, skin care, and medication safety. These initiatives fostered interdisciplinary collaboration, reinforced evidence-based practices, and equipped nurses with the tools and confidence to meet the needs of our patients. As we reflect on the accomplishments of the past year, we remain inspired by the dedication and agility of our nursing teams. Your commitment to compassionate care, continuous improvement, and clinical excellence continues to strengthen our organization and positively impact the communities we serve. Thank you for your ongoing partnership and support as we continue advancing the future of nursing excellence together.

Beth Oliver, DNP, RN, FAAN Chief Nurse Executive Senior Vice President, Cardiac Services Mount Sinai Health System Edgar M. Cullman, Sr., Chair Department of Nursing Icahn School of Medicine at Mount Sinai

Transformational Leadership Providing a strong mission, vision, values, and forward thinking to guide our professional nursing practice with a collaborative sense of advocacy and support to promote exceptional care to the patients and families we serve

About the

Mount Sinai Health System Seven hospitals | One renowned medical school | One remarkable nursing school

A culture of innovation and equity that provides the very best care for patients and their families. Superb clinical care, groundbreaking research, outstanding educational programs—these are the hallmarks of the Mount Sinai Health System. Our unique partnership comprising seven hospitals in New York, the Icahn School of Medicine at Mount Sinai, and the Mount Sinai Phillips School of Nursing has created one of the largest, most prestigious health systems in the country. Dedicated to the diagnosis, prevention, and treatment of diseases, this partnership provides a foundation of leadership and scholarship for the entire Mount Sinai Health System. Our renowned faculty and leadership are central to our success, with expertise and proven accomplishments across the biomedical and technological spectrum, and our culture of innovation and equity inspires our discovery and progress.

CREATING EXCELLENCE TOGETHER

Exceptional Clinical Care

Groundbreaking Research

Extraordinary Education

The Mount Sinai Health System and Icahn Mount Sinai are known nationally and internationally for the excellence of our clinical services:

Pioneering translational research by faculty at the Icahn School of Medicine is at the heart of our research programs. Renowned scientists and physicians across the Health System team up in their common commitment to improve human health:

At the Icahn School of Medicine and the Mount Sinai Phillips School of Nursing, extraordinary educational programs encourage students to pursue their passions and prepare to become the next generation of leaders.

• More than 9,000 physicians provide outstanding clinical care along the spectrum from primary to quaternary care, and also engage in research, teaching, and scholarly endeavors • An enormous and diverse patient population is served by seven hospitals and more than 400 ambulatory practices, and the faculty of the Icahn School of Medicine • More than 6.7 million annual visits in inpatient, outpatient, and emergency settings • More than 13,500 babies delivered each year • Approximately 8,600 nurses deliver patient-centered care on a 24/7 basis across all sites • Innovative programs that reach beyond the hospital walls to serve patients in their homes • The strategic commitment of the Mount Sinai Health System to population health management has garnered recognition from the Centers for Medicare and Medicaid Services.

Statistics as of November, 2025

MOUNT SINAI NURSES

• $ 501.7 million in National Institutes of Health funding in 2025 • The Icahn School of Medicine sits within the 90th percentile for research dollars per principal investigator among private medical schools, as determined by the Association of American Medical Colleges • 38 academic departments and 47 multidisciplinary institutes unite expertise and skill that spur creativity and discovery • The tremendous size and diversity of the Mount Sinai Health System patient population provide a remarkable platform for clinical research • Academic affiliations with Rensselaer Polytechnic Institute and others promote dynamic collaborations. Entrepreneurship and innovation are highly valued for bringing discoveries to the public. Mount Sinai’s technology transfer office, one of the nation’s largest, works closely with researchers to patent and commercialize inventions to detect, prevent, and cure human diseases.

Expert faculty and abundant resources create an exciting and invigorating learning environment: • More than 1,200 students are enrolled in our highly competitive MD, PhD, MD/PhD, and master’s programs • Seven hospitals with more than 6.7 million annual visits offer great breadth in student training experiences • Translational research and discovery drive our curriculum • Lifelong learning motivates students to seek new solutions throughout their careers. Of course, education at Mount Sinai is not limited to obtaining a degree. We train: • More than 515 postdoctoral fellows • More than 2,700 residents and clinical fellows Mount Sinai also trains dedicated and highly skilled nurses: • More than 365 students are enrolled at the state-of-the-art Mount Sinai Phillips School of Nursing who are pursuing their accelerated Bachelor’s Degree in Nursing, providing a pipeline of new nurses to the Mount Sinai Health System.

Mount Sinai Nurses Creating Excellence Together Mission, Vision, and Strategic Plan

Mount Sinai Nursing M ISSION

VISION

To provide exceptional clinical experiences and outcomes for patients and families in the many diverse communities we serve through the advancement of nursing practice guided by unrivaled education, leadership, innovation, and scientific research. To be the place where nurses choose to work and patients want to receive their care.

M S H S VA L U E S

• Safety • Equity • Creativity • Agility • Teamwork • Empathy

ST R AT E G I C P L A N : One Mount Sinai: Standardization and System Support of all Hospitals Achieve consistent processes that decrease variation, improve quality, and promote efficiency and staff satisfaction through standard work. Standardization promotes operational excellence and optimization of care delivery.

Zero Harm Exhibit a strong commitment to build and emphasize a culture of safety and endorse high reliability performance and continuous process improvement.

Exceptional Patient Experience Transform care and improve the health of the patients and families we serve by putting patients at the center of everything we do through the application of relationship-centered care and the provision of outcomes driven practice.

Nursing Financial Stewardship Promote operational and fiscal excellence to deliver the Best Care at the Right Cost, while positioning Nursing as a revenuegenerating and value-driving workforce. Lead and support initiatives aimed at reducing length of stay, preventing avoidable readmissions, optimizing resource utilization, and improving care transitions to ensure high-quality, cost-effective care.

Elevate the Value of Nursing Demonstrate clinical expertise and industry visibility, by utilizing research, transformational leadership and the best evidence to practice at full scope.

Nursing Research and Innovation Leverage technology to reimagine care delivery and advance nursing practice. Foster a culture of inquiry and innovation by empowering nurses with the support, resources, and infrastructure needed to lead and disseminate evidence-based practice, quality improvement, and research initiatives through the Center for Nursing Research and Innovation.

CREATING EXCELLENCE TOGETHER

Nursing Committee Structure to Support Strategic Priorities

Mount Sinai Health System Evidence Based Practice and Research Council

Exemplary Professional Practice Council

Nursing Innovation and Digital AI (NIDAI)

Quality and Safety Council

Professional Development Council (PDC)

Patient Experience Council

CHAIRS:

CHAIR:

CHAIRS:

Fran Cartwright Bevin Cohen

Maria Vezina Stephanie Guareño

Clair Lunt Diana Raymond

Claudia Garcenot Jonathan Nover

Daniella Stephen

Jill Goldstein Erin Figueroa Esther Pandey Stephanie Guareño

Nursing Financial Stewardship Council

Nurses Against Racism (NAR) Council

Ambulatory Care Council

School of Nursing Collaboration Committee

Social Media Council

CHAIR: Wendy O’Brien

CHAIRS: Jill Goldstein Marsha Sinanan Vasishta

CHAIRS: Jemilat Siju Eumenide Vernet Jean DiNapoli

CHAIRS: Vivien Lien Lorisa Richards Jill Goldstein

CHAIR: Marsha Sinanan Vasishta

Mentorship Council

System Magnet Council

Recruitment, Retention, and Recognition Council

Advanced Practice Council

CHAIRS: Uzoma Anagboso Caroline Austin- Mattison Jemilat Siju

CHAIR: Deborah Feehan

CHAIRS: Jemilat Siju Denyse Addison Benzy Babykutty

CHAIRS: James Murphy Lauren Scott

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MOUNT SINAI NURSES

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Developments to the Executive Nurse Cabinet March 2025

June 2025 Dianne Aroh, MS, RN, NEA-BC, FACHE appointed as Senior Vice President and Chief Nursing Officer, The Mount Sinai Hospital and Mount Sinai Queens

Chief Nurse Executive Town Halls Dr. Oliver, Chief Nurse Executive (CNE) for the Mount Sinai Health System, hosted quarterly CNE Town Halls where information about system nursing initiatives was shared and guest speakers presented on topics such as the Mount Sinai Phillips School

Clair Lunt, DHSc, RN, appointed as Chief Nursing Information Officer, Senior Director Nursing Informatics, Digital and Technology Partners Department, Mount Sinai Health System

Chief Nurse Executive Town Hall

Wednesday, March 12th | 1PM Join via the Zoom App or Website

Wednesday, May 21st | 1PM Join via the Zoom App or Website

Please join our CNE Town Hall for updates about Nursing Quality and the Center for Nursing Research and Innovation (CNRI)

Join our Town Hall by scanning this QR code, or visiting the Zoom link below.

https://mountsinai.zoom.us/j/99605597485

Please join our CNE Town Hall for updates about the Student Nurse Internship Program and Medication Safety Initiatives

Join our Town Hall by scanning this QR code, or visiting the Zoom link below. https://mountsinai.zoom.us/j/95951529818

of Nursing, the Center for Nursing Research and Innovation, Nursing Innovation and Technology Projects, and Nurses Against Racism.

Chief Nurse

Wednesday, October 8th | 3 pm Join via the Zoom App or Website

Thursday, December 18th | 2 pm Join via the Zoom App or Website

Executive Town Hall Please join our Town Hall to for updates on the Committee on Professionalism in Healthcare (COPHE) and to learn about Sofiya, Mount Sinai Hospital’s AI Virtual Agent.

Join our Town Hall by scanning this QR code, or visiting the Zoom link below. https://mountsinai.zoom.us/j/93227331310

Executive Town Hall Please join our Town Hall to hear results from the Your Voice Counts (YVC) Mini Survey and updates on Nursing Informatics initiatives!

Join our Town Hall by scanning this QR code or visiting the Zoom link below. https://mountsinai.zoom.us/j/99046577560

CREATING EXCELLENCE TOGETHER

Breakfast With Beth “Breakfast With Beth” is an informative series of gatherings held across the Mount Sinai Health System hospitals and ambulatory sites. Our Chief Nurse Executive, Dr. Oliver, hosts small groups of day and night shift front-line nurses to discuss the mission, vision, and strategic plan of nursing. It’s an opportunity for Mount Sinai nurses to freely discuss challenges they experience in delivering optimal care with the highest level of nursing leadership, as well as ideas to enhance patient satisfaction and safety, quality care, and nursing operations across the board.

Mount Sinai Queens

Mount Sinai South Nassau

Mount Sinai Brooklyn

Mount Sinai Morningside

Mount Sinai-Union Square

MOUNT SINAI NURSES

Breakfast With Beth

New York Eye and Ear Infirmary of Mount Sinai

The Mount Sinai Hospital

Mount Sinai Ambulatory

The Mount Sinai Hospital-Advanced Practice Nurses

Mount Sinai West

CREATING EXCELLENCE TOGETHER

Nurse Leader Academy (NLA) Updates Summer 2025 was utilized to restructure course content based on the changing needs of nurse leaders and participant feedback. The go-live date for the updated course is scheduled for June 2026.

Nurse Leader Academy Cohort–April 24, 2025

Nurse Leader Academy Program Vision: To advance nurse leaders’ knowledge, skills, and abilities and prepare them to excel and adapt as transformational leaders in an evolving health care environment.

MOUNT SINAI NURSES

Nurse Leader Academy

GoLive: Live: June 2026 Go June 2026 Day One – Day 1 – Transformational Transformational Leadership

Leadership

•

Introduction to Transformational Leadership

Day Two – Day 2 – Regulatory Regulatory Readiness Readiness •

Nursing Quality

•

Survey Readiness

• Pay for Performance/ • Labor Relations Value-Based Purchasing • One Mount Sinai - Leading During • Just Culture & Psychological H LEAN Change Leadership: Performance Safety in Healthcare • Patient Safety Improvement, Daily Management, • Interpreting Data: • Labor Relations Standard• Work, Huddles EPIC Dashboards Standard Work, Huddles Reliability Organizations

Management

• Interpreting Data: • Epic Dashboards • Tableau Tutorial

Finance/Operations

•

• LEAN Leadership: High Reliability H Nursing Quality • Introduction to Transformational • Pay for Performance / Organizations Leadership Value-Based Purchasing • LEAN Leadership: Performance • Survey Readiness • Patient Safety Daily Management, H LEAN Improvement, Leadership: High

• Sinai Tableau Tutorial H One Mount – Leading • Meeting Essentials and Project During Change

Day Three – Day 3 – Nursing Nursing Finance/Operations Business Planning for Nurse Leaders

H Business Planning for Stewardship • Nursing Financial Nurse Leaders • 1 – Budgeting

Day Four –Day 4 – Patient Experience, Patient Experience,Employee Engagement & Retention Employee Engagement and Retention •

The Human Experience

Why Experience Health Equity Matters H The•Human •

Artificial Intelligence and Digital

• Why Health Equity Matters Engagement

• 2 – Position Control • Nursing Financial Stewardship • Recruitment Retention • Artificial Intelligence&and Digital • 3 - Productivity • 1 – Budgeting • Leading a Multigenerational Engagement The Economic • 2•– Position ControlValue of Nursing Workforce • Recruitment and Retention • 3 - Productivity

H The Economic Value of Nursing

H Just Culture and Psychological Safety in Health Care

• L eading a Multigenerational Workforce

New for 2026!

• M eeting Essentials and Project Management

H New for 2026

CREATING EXCELLENCE TOGETHER

Professional Accomplishments and Awards

We’re proud to celebrate Dr. Oliver, on receiving the Senior Level Healthcare Executive Award from Healthcare Leaders of New York (HLNY). This honor recognizes leaders who have made significant contributions to advancing health care management and supporting the mission of the American College of Healthcare Executives.

Congratulations to Dr. Oliver, on receiving the Changemaker in Healthcare Award from Pace University. This distinguished honor celebrates leaders who embody the Pace ethos— driving meaningful change and creating opportunity for all. Dr. Oliver’s visionary leadership and unwavering commitment to advancing patient care, nursing excellence, and health equity define what it means to be a changemaker in health care.

MOUNT SINAI NURSES

Professional Accomplishments and Awards Congratulations to Jonathan P. Nover, MBA, RN, Vice President of Nursing, Emergency Services, Mount Sinai Health System, and Robbie Freeman, DNP, RN, Chief Digital Transformation Officer, Mount Sinai Health System, on their article “Comparing Machine Learning and Nurse Predictions for Hospital Admissions in a Multisite Emergency Care System,” which was published in the National Library of Medicine–National Center for Biotechnology Information. Congratulations to Dr. Freeman, Mr. Nover and their co-authors on the publication of their article, “Comparing Machine Learning and Nurse Predictions for Hospital Admissions in a Multisite Emergency Care System,” in the Mayo Clinic Proceedings: Digital Health journal.

Congratulations to Mr. Nover and his co-authors on the publication of their article, “Electronic clinical decision support system guided blood culture stewardship in emergency departments: response to the national blood culture media shortage,” in the Infection Control & Hospital Epidemiology Journal. Congratulations to Mr. Nover, System Vice President of Nursing, Emergency Services, Mount Sinai Health System, and Ashley B. Caceres, MSN, RN, Director of Nursing, Emergency Services, The Mount Sinai Hospital, for having their presentation titled “Pressure Injury AI & QI Tools: Millions in Cost Avoidance, accepted for presentation via podium at the Vizient Conference.

Congratulations to Susan Brindisi, MS, Ed, MA, MSN, CRRN, CHES, Nurse Manager, Madison 5 Pysch, and Alfredo Tadatada Jr., MBA, BSN, RN, CRRN, Nurse Manager, KCC2S SCI/TBI Rehab, on having their abstract “We Are The World: Transcultural Nursing Immersion Day” accepted to the 2025 ANCC National Magnet Conference® and Pathway to Excellence® Conference in Atlanta.

CREATING EXCELLENCE TOGETHER

Professional Accomplishments and Awards Congratulations to Svetlana Streltsova-Verma, DNP, RN, CCRN, NE-BC, Director of Nursing-Mount Sinai Kravis Children’s Hospital for being published in the World Journal for Pediatric and Congenital Heart Surgery for the article she contributed, titled “Remote Didactic Pediatric Cardiac Critical Care Education Addresses TheoryPractice Gap in Low-Resource Settings”.

Congratulations to Ronald Villota, DNP, MSN, RN, CNN, Clinical Nurse Manager, Clark 7 Acute Rehab & Hemodialysis, Mount Sinai Morningside on being published in the Nephrology Nursing Journal for the article he contributed, titled “Emotional Intelligence and Job Satisfaction Among Nephrology Nurses Working in Acute and Chronic Hemodialysis Settings.”

MOUNT SINAI NURSES

Congratulations to Melissa Anne D’Agostino MSN, BSN, RN, Director of Patient Care Services Behavioral Health and Addictions, Mount Sinai West, for her acceptance of a poster presentation at the American Psychiatric Nurses Association Conference, titled “Improving Crisis Management in Behavioral Health Using Mock Codes.”

Congratulations to Charleen Jacobs-McFarlane, PhD, RN, ANP-BC, Nurse Practitioner, Center for Sickle Cell Disease for being published in the American Journal of Nursing for her article, titled “Comprehensive Review of Sickle Cell Disease: Treatment Options of the Past, Present, and Future” and for having her article, titled “The Lived Experiences of Adults With Sickle Cell Disease Deciding Curative Therapies: A Descriptive Phenomenological Study” published in the Western Journal of Nursing Research.

Professional Accomplishments and Awards Congratulations to Esther Pandey, DNP, MS, RN, VP of Care Transitions, Mount Sinai Health System, on being selected to deliver the keynote presentation at the Atlanta Regional Referral Standard Summit. At the Summit, Careport is highlighting Mount Sinai as an exemplar health system optimizing their product to decrease hospital length of stay. lso, congratulations to Dr. Pandey on being a panelist at the Greater New York Hospital A Association Executive Briefing on Post-Acute Care Coordination: Part 2.

Congratulations to Shira Winter, PhD, RN, FNP-BC, Nurse Scientist, Center for Nursing Research and Innovation, Assistant Professor, Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, Esther Pandey, VP of Care Transitions, Mount Sinai Health System, Arzellra Walters MA, CPNP, RN, Nurse Manager, Transitions of Care Center, Mount Sinai Health System, Carl R Jin, MS, MPA, RN-BC, CCM, Director, Home Infusion and TOCC, and Kimberly Mauer MS, Senior Data Analyst, Mount Sinai Health System, on having their abstract “Screening for and Addressing Social Determinants of Health during Transitions of Care” accepted for a poster presentation at the 2025 Academy Health Annual Research Meeting on June 7-10, in Minneapolis.

Congratulations to Charleen Jacobs-McFarlane, Nurse Practitioner, Center for Sickle Cell Disease and Brittany McCrary, MS, AGPCNPBC, Nurse Practitioner, The Mount Sinai Hospital, for being co-authors on the article “Buprenorphine is Associated with Lower Home Opioid Use and Acute Care Utilization in Sickle Cell Disease,” which was published in the Journal of Pain Management Nursing.

CREATING EXCELLENCE TOGETHER

Professional Accomplishments and Awards Congratulations to Miwa Saito, MSN, RN, OCN, NEA-BC, Director of Nursing, Outpatient Oncology, Therapeutic Infusion, The Mount Sinai Hospital, Mount Sinai Queens, on receiving the Outstanding Scholarly Project award from Duke University School of Nursing for her work, titled “Reducing Surface Contamination with Antineoplastic Drugs in Outpatient Oncology: A quality improvement project.”

Congratulations to Dakota Denielle Lawtum MSN, RN, CCRN, CSSGB, Senior Director Patient Care Services Mount Sinai West–Cardiovascular Institute & Cardiac Imaging, Mount Sinai Morningside– Cardiovascular Institute on being awarded the Milton and Sidney Prize from Yale University School of Nursing. This is awarded to a graduating Yale D.N.P. student whose research best exemplifies the school’s commitment to clinical scholarship and its mission to contribute to better health care for all people.

Congratulations to Derek A. Pineda, FNP, AACC, Cardiac Cath Lab, Mount Sinai Fuster Heart Hospital, on being published in the Cath Lab Digest for the article he co- wrote, titled “Starting Strong in the Cath Lab: What New Nurses and Techs Should Expect in Their First Days, Weeks, and Months.”

Congratulations to Katherine D. Reina, DNP, APRN, AGNP-C, CCRN, Clinical Program Director, Delirium Program Mount Sinai Morningside, and Dr. Freeman, Chief Digital Transformation Officer, Mount Sinai Health System, and others on their newly published article in JAMA Network Open, titled, “Machine Learning Multimodal Model for Delirium Risk Stratification.”

Congratulations to Elka Riley BS, BSN-RN, MSN-FNP, Nurse Manager, Neurosciences Intensive Care Unit (NSCU)/GP8W/Critical Care Float Pool, and President of AACN NYC, along with Sonia Nelson, MSN, RN, Immediate Past President of the AACN NYC and the AACN NYC Chapter, for being awarded the Excellence in Chapter Educational Programing at NTI.

MOUNT SINAI NURSES

Professional Accomplishments and Awards Congratulations to Jemilat Siju, DNP, MSN, RN, ANP-BC, OCN, Chief Nursing Officer and Vice President, Ambulatory Care, Mount Sinai Health System, New York Eye and Ear Infirmary of Mount Sinai, and Mount Sinai Health System Opioid Treatment Program, Mandy Zhao, MSN, RN, AMB-BC, Nurse Education Manager, Mount Sinai Health System Ambulatory Care Services, and Julia Hummer, DNP, RN, FNPBC, Nurse Education Manager, Mount Sinai Doctors, on having their manuscript, titled “The implementation of a nurse certification review course and a nursing symposium to promote professional development in the ambulatory setting,” accepted to the Journal for Nurses in Professional Development.

Congratulations to Roberto Galao Malo, DNP, RN, ACNP-BC, FNP-BC, Nurse Practitioner, Clinical Data Registry, Mount Sinai Health System, on having his article, titled “Governance, Accountability and Professional Regulation in Nursing: Lessons From the Spanish Experience” published in the Nursing Inquiry.

Congratulations to the The Mount Sinai Hospital Emergency Department, including Ashley B. Caceres, MSN, RN, Director of Nursing, Emergency Services, The Mount Sinai Hospital, Olivia DeCurtis, BSN, RN, CEN, Assistant Nurse Manager, Emergency Services, Cynthia Mendez, BSN, RN, Senior Clinical Nurse, Emergency Services, and Kiteema McDonald, BSN, RN, Nurse Manager, Emergency Services, on being featured in the article “Reasons to Stay–The Mount Sinai Hospital Slashes Turnover and Boosts Retention Thanks to Nurse Engagement, Wellness, Recognition and Teambuilding,” which was published in the ENA Connection.

Congratulations to Bevin Cohen, PhD, MPH, MS, RN, Director, Center for Nursing Research and Innovation, Mount Sinai Health System, Associate Professor, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, Chair, Institutional Review Board, Program for the Protection of Human Subjects, for being selected as a Fellow in the American Academy of Nursing.

CREATING EXCELLENCE TOGETHER

Professional Accomplishments and Awards Congratulations to Dr. Cohen, Director, Center for Nursing Research and Innovation, Mount Sinai Health System, for being featured in the article “A Rare Nurse Dualrole Gains Traction in Hospitals,” which was published in Becker’s Hospital Review, Clinical Leadership.

Congratulations to Wendy O’Brien, BSN, MBA, Vice President and Chief Nursing Finance Officer, for her article in the July 2025 AONL Voice of Nursing Leadership Magazine, titled “A Seat at the Table: CNFO Q&A.”

Congratulations to Clair Lunt, Chief Nursing Information Officer, Senior Director Nursing Informatics, and her co-authors on the publication of their article “Innovative Technologies: Optimizing Nursing Practice in CIN: Computers, Informatics, Nursing.”

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Congratulations to Melody Cubas, BSN, RN, PMH-BC (The Mount Sinai Hospital, Clinical Nurse, Madison 5) and Shelley-Ann Logan, RN, BSN, BSM (Institute for Liver Medicine) for being appointed to serve on the Commission on Magnet® by the American Credentialing Center Board of Directors. Melody will be representing a clinical nurse and Shelley-Ann will serve alternate clinical nurse representing ambulatory care set.

Congratulations to Melissa Gray, DNP, PMHNP-BC, RN, Nurse Clinical Specialty Manager, Recanati/Miller Transplantation Institute, Transplant Psychiatry, for being awarded the 2025-2026 American Association of the Study of Liver Diseases Emerging Liver Advanced Practice Provider Award.

Professional Accomplishments and Awards Congratulations to Olga Fischer, RN, Assistant Nurse Manager, GP 7 Center, The Mount Sinai Hospital, Allison Fraser, BSN, CV-BC, Nurse Manager, GP 7 Center, The Mount Sinai Hospital, Lindsay Condrat, DNP, ACNP-BC, RN, Senior Director of Nursing, Mount Sinai Fuster Heart Hospital, The Mount Sinai Hospital, and Mackenzy Scott, MBA, BSN, Associate Program Director, Quality and Safety, Cardiac Services, on receiving a grant from the American Heart Association to participate in the IMPLEMENT-EF Quality Initiative. The Mount Sinai Health System will receive a $45,000 grant over a three-year period to develop Heart Failure quality initiatives.

Congratulations to the 2025 Cullman Award Recipients, including six Nurse Practitioners. • Kimberly Jankowski, NP Mount Sinai Doctors Faculty Practice Preventive Medicine • Patrick Parsell, NP Mount Sinai Beth Israel Samuel Friedman Center • Maria Donna Concepcion, NP Mount Sinai Doctors Faculty Practice Transplant Institute • Joan Miravite, DNP Mount Sinai Beth Israel Movement Disorder-USQ • Andrea Feghali, AGNP-BC Ear, Nose and Throat Services, New York Eye and Ear Infirmary of Mount Sinai 380 Second Avenue • Dianne LaPointe Rudow, DNP Mount Sinai Doctors Faculty Practice Transplant Institute CREATING EXCELLENCE TOGETHER

Professional Accomplishments and Awards Congratulations to Caroline Austin-Mattison, DNP, FNPBC, Director of Advanced Practice Nursing, The Mount Sinai Hospital, and J’Adore Larosa-Mattis, DNP, APRN, FNP-BC, FNYAM, Nurse Practitioner, General Surgery Physicians, Mount Sinai-Union Square, on being inducted as Fellows of the Academy of Diversity Leaders in Nursing.

Congratulations to Benzy Babykutty, MBA, BSN, RN, FACHE, Director of Nursing for Medsurg and Critical Care at Mount Sinai Morningside, on being inducted as a Fellow in the American College of Healthcare Executives.

Congratulations to Angelica Mateo, MA, RN, Clinical Program Manager, Mount Sinai Fuster Heart Hospital, and Dorothy Aguila, MSN, RN, CCRN-K, Cardiac Nurse Educator, Mount Sinai Fuster Heart Hospital, on presenting “Mechanical Circulatory Support- Mechanical Hearts, Compassionate Hands: Nursing Excellence in Ventricular Assist Device Care” at the AACN Challenges in Acute and Critical–Care Nursing 2025 Conference.

Congratulations to Anthony Duncan, MBA, BSN, RN, Nursing Director, Emergency Department, Mount Sinai Morningside, along with his co-authors for being published in The Journal of Scientific Innovation in Medicine for the article they wrote, titled “Cardiac Monitor Alarm Customization to Reduce Alarm Frequency and Improve Staff Response Time in an Urban Academic Emergency Department.” Congratulations to Anthony Duncan, MBA, BSN, RN, CPXP, Director of Nursing, Emergency Department, Mount Sinai Morningside, and team on their article published in AJN Off the Charts, titled “How Two ‘Sister Hospitals’ Achieved a Zero Vacancy Rate in the Emergency Departments.”

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Advanced Practice Nursing Updates Advanced Practice Provider Leadership Summit February 28, 2025 and August 5, 2025 In 2025, the Advanced Practice Provider (APP) Leadership Summits engaged a total of 120 APP leaders from across the health system. The summits were designed to foster leadership development, professional growth, and meaningful engagement among Nurse Practitioners, Physician Assistants, Certified Nurse Midwives, and Certified Registered Nurse Anesthetists. The program brought together both established and emerging APP leaders for a day of focused learning, collaboration, and strategic discussion.

Content was aligned with organizational priorities related to operational excellence, clinical transformation, and workforce development, equipping participants with practical tools and insights to enhance both clinical and operational performance. Faculty included executive leaders and subject matter experts from across the health system, creating opportunities for participants to learn from diverse perspectives, share best practices, and strengthen the collective impact of APP leadership across the enterprise.

CREATING EXCELLENCE TOGETHER

Executive Nurse Cabinet Retreat The Executive Nurse Cabinet hosts multiple retreats each year to advance nursing strategic priorities, engage with industry thought leaders, and foster alignment and collaboration across nursing leadership. At the Executive Nurse Cabinet Retreat, Chief Nursing Officers and Nursing Vice Presidents participate in programs dedicated to progressing key priorities, including workforce development, patient safety, patient-centered care, and alignment with nursing’s mission, vision, and values.

September 26, 2025

June 13, 2025

Dr. Dionne N. Dixon, CPHQ, LSSBB, BCBA, certified professional in health care quality, lean six sigma black belt, VMPS certified leader, and Baldrige Performance Excellence Appraiser, presented “And Yet, Here we are.... A Practical TPS/Lean Experience for Senior Nursing Leaders.”

December 5, 2025

Rose O. Sherman, EdD, RN, NEA-BC, FAAN—Editor of the Emerging RN Leader Blog and a nursing leadership development expert—presented “Building Bridges, Not Walls: Strategic Leadership of a Multigenerational Nursing Workforce.” Rose O. Sherman, presented “Staying Power: Building a Culture of Nurse Retention in the New World of Work.”

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Nursing Education Director Retreat December 8, 2025

Nursing Education leadership hosted a retreat, titled “High Performing Teams: Embracing AI to Enhance Education Workflows.”

Accenture Nurse Executive Summit August 12, 2025 Dr. Oliver, Chief Nurse Executive, presented “AI at the Bedside” in which she discussed ways nurses are utilizing AI to support high quality patient care delivery and enhancing efficiency.

From left: Frances Cartwright, PhD, RN-BC, AOCN, FAAN, Maria Vezina, EdD, RN, NEA-BC, FAAN, Germaine C. Nelson, DNP, MBA, RN, NEA-BC, CPXP, CCM, CEN, FNYAM, FADLN, Beth Oliver, DNP, RN, FAAN, Marsha Sinanan, DNP, MBA, MSN, RN NEABC, CPXP, FAAN

CREATING EXCELLENCE TOGETHER

Norway-Executive Reception and Fireside Chat: Shaping the Future of Health Care March 12, 2025 Maria Vezina, EdD, RN, NEA-BC, FAAN, participated in a Fireside Chat panel to discuss Dossier Solutions, a health care competency management software utilized at the Mount Sinai Health System.

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Structural Empowerment Structures and processes are in place to empower nurses to participate in decision-making and process improvement, establish standards of practice, and advocate for lifelong learning and recognition

Nursing Financial Stewardship Council Initiatives: Supply Operations Workgroup Sage Expenses I Patient Repositioning Supplies

$1,400,000 $1,200,000

April 2024 Spend Ma y 2024 Spend

$1,000,000

June 2024 Spend July 2024 Spend

$800,000

August 2024 Spend September 2024 Spend

$600,000

October 2024 Spend November 2024 Spend

$400,000

December 2024 Spend January 2025 Spend

$200,000 $-

February 2025 Spend Ma rch 2025 Spend

MSBI

MSB

MSM

MSH

MSQ

MSSN

MSW

Grand Total

April 2025 Spend

Comparing April 2024 to April 2025, there has been a decrease in supply expense of $551K Key changes impacting supply expenses include: • As of June 2024, all sites converted patient repositioning supplies from Sage to Medline • Implementation of individual items in place of kits • Reduced cost of comparable Medline products • Changes to unit par levels and utilization criteria established • Only ICUs, Stepdown, and ED will maintain par level stocking • Remainder of units will maintain small stock on unit to be used for appropriate patient needs

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Objectives and Goals: • Identify high expense supply items to ensure the appropriate utilization in patient care • Identify opportunities for standardization across similar units and service lines • Compare workflows for similar services across the organization (i.e., neonatal ICUs at Mount Sinai West and The Mount Sinai Hospital)

Supplies don’t grow on trees

• Implement mechanisms for waste reduction

Project Overview:

Project Scope:

• Establish a multidisciplinary workgroup including supply chain, sourcing leads, materials management, nursing education, and clinical leaders across various service lines at Mount Sinai Morningside and Mount Sinai West to review supply utilization and expenses on a monthly cadence.

• All inpatient and emergency medicine service lines at Mount Sinai West and Mount Sinai Morningside will be included, with the long-term goal of extending to additional sites.

• Create a data reporting tool for nurse managers that highlights top 10 expense items and bottom 5 items to remove underutilized items as appropriate – Supply Utilization Report • Review Cost Per Patient Data (Budget vs. Actual)

CREATING EXCELLENCE TOGETHER

American Heart Association Wall Street Run & Heart Walk May 15, 2025 Members of the Mount Sinai Health System community proudly joined thousands at the American Heart Association’s 2025 Wall Street Run & Heart Walk, united in the fight against heart disease. Led by the Mount Sinai Fuster Heart Hospital, our teams raised more than $75,000—our highest total yet—and earned the Top Hospital Fundraiser trophy for the 10th year in a row.

MOUNT SINAI NURSES

New Graduate Nursing Fellowship Program In 2025, a total of 36 nurses completed the New Graduate Nursing Fellowship Program across seven service lines, including the Emergency Department, Labor and Delivery, and Critical Care.

September 26, 2025

Critical Care Nurse fellows reviewed head-to-toe assessments, participated in ventilator troubleshooting, and practiced titrated vasopressors at the STAR Simulation Lab.

Using gamification for a fun focus on learning.

CREATING EXCELLENCE TOGETHER

Mount Sinai Phillips School of Nursing • April 29, 2025: 70 students • August 27, 2025: 39 students • December 16, 2025: 96 students

MOUNT SINAI NURSES

Your Voice Counts Survey In Fall 2025, the Your Voice Counts Mini Survey was launched to better understand employee perspectives across the organization. Results demonstrated improvement in both the Engagement and Leader Index domains, with Nursing achieving a 60 percent response rate.

Overall Scores for Nursing: RNs and APNs SURVEY DIMENSION

2025 SCORE

VS. 2024 RESULTS

VS. NATIONAL HEALTH CARE AVERAGE 2024

VS. NATIONAL ACADEMIC HEALTH CARE AVERAGE 2024

Engagement

3.87/5.00

+0.03

-0.10

-0.03

Leader Index

4.17/5.00

+0.08

-0.07

-0.04

CREATING EXCELLENCE TOGETHER

Summer Student Nurse Internship Summer 2025 Orientation In 2025, over 125 nursing students completed the Student Nurse Internship and gained valuable, hands-on experience with their RN mentors by their side.

August 7, 2025 Summer Graduation

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Nursing Pathway Program In 2025, the Nursing Pathway Program engaged more than 125 high school students interested in health care careers. Through partnerships with 1199 SEIU families and the Department of Education, students were paired with nurse managers and participated in interdisciplinary shadowing experiences to support early career exposure in nursing and health care.

July 11, 2025

Nursing Pathway Program Students participated in the Office for Diversity and Inclusion’s (ODI) Fun Day, an annual event, which brings together students and young professionals (high school through post-grads) who are participating in all of ODI’s summer pathway programs for a day of fun, networking, and collaboration, followed by lunch and games in Central Park. The 2025 ODI Fun Day also included Summer Student Nurse Interns.

CREATING EXCELLENCE TOGETHER

Nursing Residency Program March 27, 2025 – Neonatal Resuscitation Program (NRP) Advisory Board Meeting

SUMMER 2025 I BY MSHS NRP TEAM

A Warm Hello from Our NRP TEAM! We’re delighted to share this bright and cheerful season with you. Let’s make the most of these sunny days together!

Nurturing the Nurses of Tomorrow (SCNs) Senior Clinical Nurses and Clinical Educators from the health system engage with nurse residents to enhance their ‘soft’ clinical skills (e.g. conflict resolution, time management, and teamwork). They are truly ‘Shaping the future of Nursing’ at Mount Sinai Health System.

MOUNT SINAI NURSES

Skilled Nursing Facility (SNF) Symposium May 22, 2025

The Mount Sinai Care Transitions Team pulled together 30 skilled nursing facilities across the surrounding area and spoke to them about managing patients with substance use disorder and a history of suicidal ideation/ attempt. This is a vulnerable population that typically has access issues to nursing homes due to their inability to handle such care. By bringing our experts forward, we are working on developing strong collaborations with these partners to open access.

CREATING EXCELLENCE TOGETHER

Nursing Professional Development Week September 14-20, 2025 170 Nursing Education Model across all sites Nursing Education across all sites awarded each Nurse Educator with a certificate of recognition.

September 10, 2025 Dear Colleagues, Florence Nightingale famously said, “Let us never consider ourselves finished nurses—we must be learning all our lives.” During National Nursing Professional Development Week, September 14-20, 2025, please join us in celebrating our nursing professional development practitioners and educators throughout the Mount Sinai Health System. Every day our colleagues in nursing professional development support each of us as lifelong learners. They rise to the challenge of advancing the knowledge and skills of a diverse, inclusive, and multigenerational nursing workforce with varying styles of learning and communicating. Knowledge is power, and their efforts support us in offering the best of care to our local, national, and global communities. They ensure that as nurses, we continue to serve as the backbone of the health care system. Please join the Mount Sinai community in celebrating our nursing professional development practitioners and educators and their commitment to ensuring we advance both the nursing knowledge and career opportunities that come with new challenges, roles, and specialties. This is one important way we commit to “Creating Excellence Together.” To learn more about nursing professional development practitioners/educators and their national recognition week celebration, please scan this QR code. With appreciation,

Beth Oliver, DNP, RN, FAAN

Chief Nurse Executive Senior Vice President, Cardiac Services Mount Sinai Health System Edgar M. Cullman, Sr. Chair Department of Nursing Icahn School of Medicine at Mount Sinai

Maria L. Vezina, EdD, RN, NEA-BC, FAAN

Vice President and Chief of Nursing Practice, Education, Advanced Practice Nursing Credentialing, and Nursing Labor Relations Partnerships Mount Sinai Health System

How Do We Create Excellence Together? By Supporting You We have many resources available to help nurses enhance well-being, prevent burnout and advance their practice. Scan the QR code to learn more.

Mount Sinai Nurses | CREATING EXCELLENCE TOGETHER

MOUNT SINAI NURSES

2025 National Student Nurses Association (NSNA) Leadership U Summer Summit July 25, 2025 In 2025, Mount Sinai participated in the National Student Nurses Association Leadership U Summer Summit on Zoom, which included remarks by Dr. Oliver, and a panel featuring Mount Sinai Health System nurse managers.

SCHEDULE

2025 NSNA Leadership U Summer Summit Friday, July 25, 2025 11:30 am – 3:00 pm ET

11:30 am ET Opening and Welcome: Ryan Barrett, President, NSNA 11:35 am – 11:40 am ET Greetings: Beth Oliver, DNP, RN, FAAN, Chief Nurse Executive, Senior Vice President, Cardiac Services Mount Sinai Health System 11:40 am – 11:50 am ET My NSNA Leadership Journey, Ryan Barrett, President, NSNA 11:50 am – 1:00 pm ET Professional Identity in Nursing through NSNA Leadership 1. Membership, Megan Le, Vice President and Chair, Membership Committee 2. Role of the Chapter Secretary and Treasurer, Shane Joseph, NSNA Secretary-Treasurer and Chair, Finance Committee 3. Image of Nursing, Lauren E. Tickner, Imprint Editor and Chair, Image of Nursing Committee 4. Ethics and Governance, Anna Scaria, Director and Chair, Ethics and Governance Committee 5. Breakthrough to Nursing, Courtney McClure Uche, Director and Chair, Breakthrough to Nursing Committee 6. Meeting & Convention Planning, Shermaine Lambkin, Director and Chair, NSNA Convention Planning Committee 7. Population and Global Health, Grace Fawcett, Director and Chair, Population and Global Health Committee 8. Health Policy and Advocacy, Kyla Mesa, Director and Chair, Health Policy and Advocacy Committee 9. Chapter and State Presidents, Shanelle Lee, Council of State Presidents Chair and ExOfficio member of the NSNA Board of Directors 10. Resolutions, Vicky Vo, Chair, Resolutions Committee 11. How to Run for Office, Leah Stone, Chair, Nominating and Elections Committee

CREATING EXCELLENCE TOGETHER

Emergency Nurses Association Summit August 15, 2025 On Friday, August 15, Mount Sinai hosted the Emergency Nurses Association (ENA) New York City Summit. Inviting nurses from across the state, the summit focused on legislative advocacy, government affairs, workplace safety, and ENA national leadership recognized that all Mount Sinai emergency departments had an active Lantern Award. To conclude the day, a panel, including leadership from the American College of Emergency Physicians discussed ways to build partnerships between physicians, and nursing and enabled a stronger voice when advocating.

MOUNT SINAI NURSES

Special Nursing Board Presentations Workplace Violence Panel Webinar

April 23, 2025 Workplace Violence Webinar

The Workplace Violence Panel featured Health System nurse leaders, interdepartmental colleagues, and guest experts to discuss Health System initiatives related to workplace violence and hear frontline leader concerns.

Competency Education

June 11, 2025

System Workplace Violence Mitigation Updates

November 12, 2025

2025 Nursing Trends

December 10, 2025

April 23, 2025 3:30- 5:00pm Panelists Include:

Rodney Miller, MPA Vice President for Security and Protective Services Mount Sinai Health System

Daniel Hughes, Ph.D., CEAP Director, Employee Assistance Program Mount Sinai Health System Associate Professor Environmental Medicine and Public Health Icahn School of Medicine at Mount Sinai

Jonathan P. Nover, MBA RN System Vice President of Nursing, Emergency Services Mount Sinai Health System

Justin Green Founder of Strongline Staff Safety System

Marsha Sinanan DNP, MBA, MSN, RN NEA-BC, CPXP, FAAN Vice President Patient Care Services/Chief Nursing Officer Mount Sinai Morningside|Mount Sinai West | Mount Sinai Behavioral Health Center

Please scan the QR code to join the webinar

Gerry Altmiller, EdD, APRN, ACNS-BC, ANEF, FAAN, Professor Emeritus Director, Quality and Safety Innovation Center, School of Nursing and Health Sciences, The College of New Jersey, presented on Competency-Based Education: Aligning Academic and Practice Learning and Assessment.

Mount Sinai Health System interdisciplinary leaders provided updates on how workplace violence is being addressed in areas, including the Emergency Department, through the Mount Sinai Health System S.A.F.E. Committee System-wide Alliance for Focused Efforts on Workplace Safety, by utilizing the Workplace Violence Dashboard and through Mount Sinai Morningside and Mount Sinai West security initiatives.

Barbara Seymour, DNP, RN, NE-BC, Associate Vice President of Member Networks at Vizient, provided an overview of 2025 Trends in Nursing, including the state of the nursing workforce and investing in preparation and education for nurse managers.

CREATING EXCELLENCE TOGETHER

2025 Summits Fall Summit

January 27, 2025 The Falls Summit brought together leaders and frontline staff from across the Health System to advance fall prevention strategies, explore the root causes of patient falls, and highlight innovative technologies supporting patient safety initiatives.

Wound Care Summit

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June 5, 2025 The Wound Care Summit brought together expert speakers and frontline teams from across the Health System, strengthening collaboration and advancing a unified, team-based approach to wound care and prevention.

2025 Summits Fall Summit

July 31, 2025 atricia A. Quigley, PhD, P APRN, CRRN, FAAN, FAANP, FARN, a nationally renowned falls prevention expert, joined Mount Sinai to share her expertise in advancing strategies to prevent patient falls.

Medication Safety Summit Medication Safety Together An Interdisciplinary Summit for Shared Learning and Safer Systems

Tuesday, November 18, 2025 8:30 am – 2 pm The Mount Sinai Hospital Stern Auditorium Scan here to register

November 18, 2025 On November 18, Mount Sinai Health System Nursing hosted “Medication Safety Together – An Interdisciplinary Summit for Shared Learning and Safer Systems.” The event featured a dynamic agenda, including two keynote speakers: Christopher Jerry, who shared the powerful and tragic story of a medication error that claimed his daughter’s life, and Patricia McGaffigan, MS, RN, CPPS, CPHFH, President of the Certification Board for Professionals in Patient Safety, whose presentation, “Avoiding Drift Into Harm: Reclaiming Reliability in Medication Safety,” offered practical strategies to strengthen reliability in medication safety practices. The program also highlighted presentations from Mount Sinai Pharmacy and the Department of Nursing, who emphasized the critical role of collaboration between Nursing and Pharmacy in ensuring the safest medication practices. Participants then joined interactive breakout sessions on key topics, such as Anticoagulation, Barcode Scanning, and Medication Reconciliation. The summit concluded with an interdisciplinary panel discussion featuring representatives from Safety/Risk, Pharmacy, Nursing, and Medicine, who reviewed real cases and explored how they contribute to developing safer systems across disciplines.

CREATING EXCELLENCE TOGETHER

Advocacy Now: Health Care Professionals Shaping the Future October 30, 2025 Advocacy Now: Health Care Professionals Shaping the Future, featured keynote speaker Marilyn L. Dollinger, DNS, FNP, RN, Former President, American Nursing Association–New York Associate Dean and Professor Wegmans School of Nursing, St. John Fisher University, and guest panelist Bea Grause, RN, JD, FACHE, President, Healthcare Association of New York State, who inspired attendees to raise their voices, lead with purpose, and champion the future of health care through civic engagement.

ADVOCACY NOW: Health Care Professionals Shaping the Future Join us for this non-partisan lecture focused on empowering health care workers to take an active role in shaping their profession through advocacy.

KEYNOTE SPEAKER

Learn more about: • How advocacy begins at the bedside • The value of joining professional organizations as a pathway to education, empowerment, and a collective voice in advancing their profession • How all health care providers can influence civic engagement through voting

Thursday, October 30, 2025 I 1 pm The Mount Sinai Hospital Stern Auditorium

Featuring

Refreshments and networking 2 – 3:30 pm 1 CEU Credit will be awarded through Northeast Multistate Division Education Unit

Marilyn L. Dollinger, DNS, FNP, RN Former President, American Nursing Association – New York Associate Dean and Professor Wegmans School of Nursing St. John Fisher University

Scan here to RSVP Bea Grause, RN, JD, FACHE President, Healthcare Association of New York State (HANYS)

> Please join us for a Q&A session after the Keynote Lecture with Marilyn Dollinger and Bea Grause.

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Emergency Nurses Week October 5-11, 2025 The Mount Sinai Emergency Nurses Awards and Emergency Department Nurse Fellowship Graduation Award Ceremony was held on October 7 at Mount Sinai Morningside.

CREATING EXCELLENCE TOGETHER

Emergency Nurses Association Lantern Awards In 2025, Mount Sinai Brooklyn and Mount Sinai Queens earned the prestigious Lantern Award designation from the Emergency Nurses Association, completing Lantern recognition across all Mount Sinai Health System emergency departments. As the highest distinction in emergency nursing, the award honors departments that exemplify excellence in leadership, clinical practice, education, advocacy, and innovation. This achievement places the Mount Sinai Emergency Department among a select group of organizations nationwide recognized for exceptional patient care, collaborative teamwork, and superior outcomes.

Mount Sinai Brooklyn

Mount Sinai Queens

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Ambulatory Care Nursing Symposium October 17, 2025 The Ambulatory Care Nursing Symposium highlighted the innovation, collaboration, and unwavering commitment to enhancing patient care across the Mount Sinai Health System. Through engaging presentations and dynamic poster sessions, teams shared groundbreaking initiatives on Asthma Care, Coronary Artery Disease, Equity in Healthcare, Genetic Predisposition to Cancer, and much more. The event reflected Mount Sinai’s shared commitment to transforming ambulatory care and delivering exceptional experiences for every patient.

Mount Sinai Health System

Ambulatory Care Nursing Symposium October 17, 2025 8 am – 3 pm 150 East 42nd Street Fourth Floor Room 4-A.8, 4-A.12 and 4-A.16 New York, NY 10017

Managing Asthma in the Ambulatory Setting Boram Kim, DO, FCCP Assistant Professor, Icahn School of Medicine Assistant Fellowship Program Director Division of Pulmonary, Critical Care, and Sleep Medicine Mount Sinai Morningside, Mount Sinai West, Mount Sinai-Union Square Mount Sinai – National Jewish Health Respiratory Institute

Health Equity and Disparities in the Ambulatory Setting Pamela Y. Abner, MPA, CPXP Senior Vice President Health Equity Officer Mount Sinai Health System

Summary The 2025 ambulatory nursing symposium focuses on the role of implanted cardiac devices, understanding the relationship between genetics and cancer, health equity and disparities, and asthma management in the ambulatory setting. Looking forward to seeing you there!

The Role of Implanted Cardiac Devices in the Ambulatory Setting Ossama Samuel, MD, FACC Clinical Professor of Medicine Icahn School of Medicine Director of Ambulatory Cardiology Downtown Associate Chief of Cardiology Mount Sinai Health System

Uncovering the Relationship between Genetics and Cancer Ayuko Iverson, MD, FACMG Assistant Professor Department of Medicine and Genetics and Genomic Sciences Icahn School of Medicine at Mount Sinai Clinical Director, Adults Genetics Program and the High-Risk Cancer Surveillance Program, Division of Medical Genetics and Genomics

Target Audience: Nurses and Nursing Students 4.75 CE hours will be provided (Virginia Nursing Association) Breakfast and Lunch will be provided Conference is free. Registration required. RSVP now at redcap.link/AmbulatorySymposium Space limited to 150 people

CREATING EXCELLENCE TOGETHER

A Call to Action: Nurse Practitioners as Stewards of Health Care June 10, 2025 Through Pathway to Impact – Bridging Nursing Expertise, Shaping Tomorrow, Mount Sinai Health System celebrated and advanced the nursing profession by connecting aspiring nurse practitioners with experienced advanced practice nurse leaders. The event provided a forum for mentorship, professional development, and career exploration, featuring leadership panels, recognition of advanced practice nursing excellence, and structured networking opportunities. By supporting registered nurses on their journey to advanced practice and creating pathways for engagement and learning, MSHS continues to invest in the growth, development, and future leadership of its nursing and advanced practice workforce.

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Pathway to Impact: Nurse Practitioners: Bridging Nursing Expertise, Shaping Tomorrow November 11, 2025

CREATING EXCELLENCE TOGETHER

Advanced Practice Provider Optimization Efforts Model Expansion: Multi-Service Line Impact (2025) APP pilots across multiple service lines, including Orthopedics, gained scalable and expansive results.

$1.4M+

~12,000

New Professional Revenue

APP Patient Encounters

Early Impact

Service Lines Activated

Significant Scale Opportunity Remaining Across ~41 Departments

Service Lines Activated

Model Components Deployed

Measured Impact (2025)

Orthopedics

• APP billing activation across care

• Meaningful patient access and

First department with all providers

settings (consults, procedures,

active in professional billing (IP & OP)

ambulatory, first assist)

Other Service Lines

• Independent APP practice models

• OB/GYN

enabled (dedicated clinic panels,

• Urology

virtual care, fast track pathways)

• Emergency Department • Cardiology

• Operational and technology infrastructure aligned (widgets, workflows, scheduling, billing capture, Epic optimization)

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revenue generated with small pilots • Reflects early impact; significant scale opportunity remains across system • Model proven scalable across different clinical settings and service lines

Professional Practice and Care Delivery Models

CREATING EXCELLENCE TOGETHER

Exemplary Professional Practice Demonstration of quality outcomes made by nurses as an essential contribution to patient care, the nursing workforce, and organizational and consumer outcomes

Emergency Nursing Advocacy Emergency Nurses Association (ENA) Day on the Hill in Washington, D.C. April 29-30, 2025 • Jonathan Nover, MBA, RN Chair, NYS ENA Government Affairs Vice President of Nursing, Emergency Services Mount Sinai Health System • Ashley Caceres, MSN, RN NYS ENA Government Affairs Committee Member The Mount Sinai Hospital ED Director • Olivia Sgambellone, MBA, BSN, CEN NYS ENA Government Affairs Committee Member Director of Nursing, Emergency Services, The Mount Sinai Hospital • Legislative Advocacy and meetings with Legislators to advance support for several key federal health care Bills supporting Workplace Violence Mitigation, Public Health, and Mental Health.

Workplace Violence Proclamation and Advocacy Albany, NY April 29, 2025 • Louis Calderon, MSN, RN NYS ENA Government Affairs Committee Member Clinical Nurse, Emergency Department, The Mount Sinai Hospital • Diana Rodriguez, BSN, RN NYS ENA Government Affairs Committee Member Clinical Nurse, Emergency Department, The Mount Sinai Hospital • Advocated for the Governors Proclamation for April being NYS Hospital Workplace Violence Prevention Month, and support of NYS Senate Bill S5894A, progressing Workplace Violence Mitigation efforts, and spoke on the Assembly floor, to their experiences with workplace violence in the ED setting.

CREATING EXCELLENCE TOGETHER

Emergency Nursing Advocacy Emergency Nurses Association (ENA) Annual General Assembly in New Orleans September 15-17, 2025 • Anthony Duncan, MBA, BSN, RN, CPXP NYS ENA General Assembly Delegate Mount Sinai Morningside and Mount Sinai West ED Director NYS ENA Government Affairs Committee Member

• Diana Rodriguez, BSN, RN NYS ENA General Assembly Delegate Clinical Nurse, Emergency Department The Mount Sinai Hospital NYS ENA Government Affairs Committee Member

Emergency Nurses Association New York City Legislative Summit hosted by The Mount Sinai Health System (Inaugural Event), New York, NY August 15, 2025 • Host: Beth Oliver, DNP, RN, FAAN Jonathan Nover, MBA, RN

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• Panel Participants: Ashley Caceres, MSN, RN Anthony Duncan, MBA, BSN, RN, CPXP

Nurses Week 2025 Keynote May 6, 2025 Tom Lawry, bestselling author and AI Transformation Leader, delivered the Nurses Week keynote, “AI in Nursing – The Future Is Not What It Used to Be,” sparking an engaging and thought-provoking discussion on how artificial intelligence is transforming the future of nursing.

Nurses Week 2025 AI Bootcamp May 6, 2025 In addition to providing a keynote address, Mr. Lawry led a series of AI bootcamps with frontline nurses, Magnet Champions, nurse leaders, and advanced practice nurses. Each session explored how AI can be leveraged in health care—especially in nursing—to support the role of nurses and enhance clinical workflows.

CREATING EXCELLENCE TOGETHER

Nurses Week 2025 Preceptor Recognition May 12, 2025 Mount Sinai Health System’s nurse preceptors were celebrated and recognized for all they do to advance the next generation of nurses. Preceptors are mentors and role models. These experienced and compassionate professionals dedicate their time, knowledge, and hearts to shaping the future of nursing, one nurse at a time.

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Nurses Week 2025 Nursing Excellence Awards May 6-12, 2025 The 2025 Nursing Excellence Awards Ceremonies were held across Mount Sinai Health System locations to recognize and celebrate the dedication and incredible care nurses provide to their patients.

The Mount Sinai Hospital

Mount Sinai West

Mount Sinai Morningside

CREATING EXCELLENCE TOGETHER

Accreditations 2025 Beacon Awards The American Association of Critical Care Nurses Beacon Award for Excellence® recognizes individual units that distinguish themselves by improving every facet of patient care. As units strive for nursing excellence, the Beacon program’s three levels of designation: gold, silver, and bronze, recognize significant milestones along a unit’s journey to excellence. The Beacon Award signifies exceptional patient care through improved outcomes and greater overall satisfaction. For nurses, a Beacon Award shows a positive and supportive work environment, higher morale, and lower turnover.

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Accreditations The Joint Commission Advanced Certifications Awarded through The Joint Commission, Advanced Certifications demonstrate that the program meets clinical performance standards for targeted metrics as well as other compliance standards.

Mount Sinai Morningside and Mount Sinai West Primary Stroke Center (MSM)

Certification

February 20, 2025

Advanced Total Hip and Total Knee Replacement (MSW)

Certification

April 26, 2025

Thrombectomy-Capable Stroke Center (MSW)

Certification

January 25, 2025

Advanced Comprehensive Heart Attack Center (MSM)

Certification

June 27, 2025

Advanced Palliative Care (MSM/MSW)

Certification

October 25, 2025

Comprehensive Stroke Center

Certification

August 27, 2025

Comprehensive Cardiac Center

Certification

May 30, 2025

Certification

April 17, 2025

The Mount Sinai Hospital

Mount Sinai South Nassau Advanced Total Hip and Total Knee Replacement

CREATING EXCELLENCE TOGETHER

Exemplary Professional Practice Council Policies and Procedures NEW System Nursing Policies/Procedures • Mount Sinai Health System 217 Nurse Residency Program • Mount Sinai Health System 221 Sentri 7 • Mount Sinai Health System 225 Fecal Management • Mount Sinai Health System 228 Pupillometer • Mount Sinai Health System 233 Safe Patient Handling • Mount Sinai Health System 235 B Braun Infusomat IV Infusion Pump • Mount Sinai Health System 236 Continuous Infusion Medication Dosing Guidance

RENEWED/REVISED System Policies/Procedures • Extravasation • Pressure Injury • Falls Prevention • Post Fall Event Management • External Urinary Management System • Mount Sinai Health System 179 WTA Role • Daily Patient Bathing: Standard & CHG • RN Standing Orders to include in ED: Covid/Flu and RSV • ACE Bandages • Virtual Patient Observation • Restraints and Seclusion

Practice Updates/Workflow Optimizations • Provider Order for ventilated patients (Q4 hours) • New RN PICC Consent form • Restraints Documentation Attestation • Assistive Staff Flowsheet Changes • B Braun MRI SpaceStation–Successful pilot. Scaling out. • Assistive Staff–Highest Level of Mobility (HLM) documentation ability

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• Mount Sinai Health System 238 Incentive Spirometry Therapy • Mount Sinai Health System 239 Medical Orders • Mount Sinai Health System 241 Nurse Staffing Coverage Plan and NYS Nurse OT Law • 6 NEW Oncology System Policies • 3 NEW Cardiac System Policies • 6 NEW Ambulatory System Policies

• Photographing Wounds • Titration of Medications • NY State Clinical Staffing Committee • IV Push medications • CVAD • 3 Oncology Policies Renewed • Mount Sinai Health System 137 Elopement Prevention and Discharge Against Medical • Advice of Inpatient Adult and Pediatric Inpatients– Non Behavioral Health Settings • Mount Sinai Health System 215 Blood Culture Procedure

• Nurse-Driven Heparin titration based on newly standardized Heparin protocol • Discharge AVS reorganization to include resources • Expansion of NYS Clinical Staffing Shift Posting for Public View • Medication Patches • Oral Kits

Nursing Professional Development Council Mount Sinai Health System Wide Initiatives

Ambulatory Care Nursing Certification Review Course (Ambulatory)

Cardiac Critical Care New Grad Fellowship (Mount Sinai Morningside/ The Mount Sinai Hospital)

Ambulatory Care Symposium (Ambulatory)

Posey Chair Alarm Refresher Education (Mount Sinai West)

Publication of “The Implementation of a Nurse Certification Review Course and a Nursing Symposium to Promote Professional Development in the Ambulatory Setting” in The Journal for Nurses In Professional Development (Ambulatory)

Heparin Dose Adjustment by Nursing (Mount Sinai West/ Mount Sinai Morningside)

Initiation of Annual Competency/ Skills Fair for RNs in Med-Surg/Tele, ED, and ICU + Skills Fair for PCA, US (Mount Sinai Brooklyn)

NICU Fellowship New Grad Fellowship (Mount Sinai West/ The Mount Sinai Hospital)

Product Conversion – Arjo Flowtron ACS 9000 (SCD) device (Mount Sinai Brooklyn)

Critical Care Certification Study Groups (Mount Sinai West/ Mount Sinai Morningside)

Initiation of Year-Round Critical Care Nursing Annual Educational Sessions (Mount Sinai Queens)

Baxter Nurse Call System Rollout (Mount Sinai West)

Emergency Nurse Pediatric Course (ENPC) held in collaboration with 1199 RNTJEF Fund (Mount Sinai South Nassau)

Student Nurse Intern PSON Weekend Program (The Mount Sinai Hospital)

Bbraun IV Pump Training (New York Eye and Ear Infirmary of Mount Sinai, NYEE)

Nursing staff competency fairs (The Mount Sinai Hospital)

Kick-Off Participation in NRP (NYEE)

Quarterly NICU Competency Days (The Mount Sinai Hospital)

• Onboarding and training of 2,438 front-line nurses January-December 2025

• NEW Fellowships–Adult ICU/Critical Care ICU (all sites) September 2025; Labor & Delivery (The Mount Sinai Hospital/ Mount Sinai West) August 2025

• NRP–In-person, on-site System cohort - January 2025

• Evaluation of Medline turning and positioning product– January 2025

• 2025 Summer Student Nurse Intern Program–144 SNIs

• Recognition for Summer SNI mentors (pins)

• 2025 Preceptor Recognition Ceremony

• FAIR Documentation Education integrated into onboarding for all Nursing staff

• 2025 Nursing ACE Update

CREATING EXCELLENCE TOGETHER

Nursing Stories of Excellence A “Rookie of the Year” Nurse Is Dedicated to Learning, Growing, and Helping Others Olivia DeCurtis, BSN, built a strong connection to Mount Sinai before joining the organization, first as a patient and later as a nursing student at the Mount Sinai Phillips School of Nursing. Inspired by the COVID-19 pandemic to pursue patient care, she completed the accelerated nursing program and began her career as a New Grad Fellow in the Emergency Department at The Mount Sinai Hospital. Her dedication and leadership quickly earned her Rookie of the Year awards at both the hospital and Health System levels. She advanced rapidly from staff nurse to Charge Nurse and then Assistant Nurse Manager. While pursuing a dual MSN/MBA at Johns Hopkins University, Olivia continued to mentor nursing students and support the next generation of nurses, crediting Mount Sinai mentors for helping shape her leadership journey.

COVID-19 Five Years Later: Reflecting. Learning. Advancing March 12, 2025 Five years earlier, Mount Sinai confirmed its first COVID-19 patient and soon found itself at the epicenter of a pandemic that changed lives forever. Through unprecedented challenges, teams developed new collaborative processes, advanced lifesaving treatments, implemented innovative technologies, and formed lasting connections. The experience also brought profound loss, including family members, friends, and colleagues. To mark this milestone, Mount Sinai launched COVID-19 Five Years Later: Reflecting. Learning, Advancing, a resource featuring stories

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and reflections on the pandemic response, lessons learned, and continued innovation. Colleagues were invited to share memories, photos, videos, and personal experiences on the Message Board, helping preserve and honor this important chapter in Mount Sinai history. Reflecting on the past and looking toward the future underscored the resilience, compassion, and innovation demonstrated across the Mount Sinai community. These experiences helped shape the next chapter of progress and excellence in patient care, research, and education.

Daily Management Board (DMB)/Professional Practice Rounds DMB/Professional Practice Rounds brought together nurse leaders, front-line nurses and ancillary staff at daily management boards across clinical areas to support communication, problem-solving, and continuous improvement. These collaborative discussions focused on unit operations, patient safety, nursing practice, performance indicators, and recognition of staff contributions, helping to strengthen engagement, accountability, and excellence in patient care.

March 18, 2025

March 30, 2025

CREATING EXCELLENCE TOGETHER

World Delirium Awareness Day March 12, 2025 Katherine Reina, DNP, APRN, AGNP-C, Clinical Program Director, Mount Sinai Morningside Delirium Program and Joseph Friedman, MD, Director of Delirium Services for Mount Sinai Health System. In recognition of World Delirium Awareness Day, educational events were held across Mount Sinai to increase awareness of delirium and its impact on patients, families, and health care systems. Through grand rounds, informational sessions, and staff engagement activities, teams highlighted innovative approaches to delirium prevention and treatment, including the use of AI-powered tools to identify vulnerable patients and specialized support programs designed to improve patient outcomes and enhance quality of care.

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New Knowledge, Innovations, and Improvements Integration of evidence-based practice, continuous performance improvement, technology, and research into clinical and operational processes

Nursing Informatics/Technology Initiatives 2025 Strategic Focus Areas Focus Area

Key Initiatives

Mobile First

Unified Communication

Clinical AI (safety, quality, experience)

Data Science

Workflow Efficiencies

Signal Data

Service Excellence

ServiceNow Optimization

Virtual Care

CCC/Palantir, Virtual Nursing

Data and Analytics

Enterprise Data Strategy

Impact by the Numbers

99%

51%

11,312

AI Draft Acceptance Rate

Reduction in Note Writing Time

Nursing Hours Returned

Value Delivered from Clicks Reduced

AI End-of-Shift Summary

Virtual Nursing (6 mo.)

Workflow Efficiency (1 yr)

MOUNT SINAI NURSES

Nursing Informatics/Technology Initiatives Mobile First and Workflow Efficiencies

Mobile First

99%

Workflow Efficiencies

Med Admins via Mobile

7.3M+

+104%

Clicks Eliminated

2,630

Language Line Calls

29K+

Secure Chat Messages

+169%

+179%

14,831 hours saved | $1M+ cost equivalent | 7.5 FTEs

Flowsheet Macros: Available in Hyperspace and Rover Goal: Reduce from 44.4 to 38.4 min/shift in flowsheets Doc standardization across ambulatory and inpatient

AI End-of-Shift Summary GenAI Shift Summarization Summarizes the past shift using documentation from care plans, the medical administration record, flowsheets, and results

ICU

Med/Surg #1

Med/Surg #2

AI Drafts Used

1,830

3,291

2,593

Acceptance Rate

99%

Avg. Text Edited

< 1%

Time Saved/Note

2m 10s

1m 23s

1m 24s

*Care plans are documented once a day

CREATING EXCELLENCE TOGETHER

Nursing Informatics/Technology Initiatives Virtual Nursing Is Transforming Care Delivery Action Type

MSH

MSSN

TOTAL

Hours Saved

Admit

1,718

1,049

2,767

3,953

Education

3,841

3,138

6,979

3,953

Discharge

1,544

–

1,544

Rounding

4,945

14,859

19,804

Total

12,048

19,046

31,094

Data and Analytics Utilization of Dashboards Overall Remaining Stable 2025 • Nursing Operational Overview, Impact and Clinical • Dashboards are live and continue to be optimized • OB and ED Dashboards went live in 2025 • Adult BH dashboards in development

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Impact Highlights • Staff Experience 11,312 hours returned to nursing over six months

• Patient Satisfaction Improved scores in 1,724 communication, discharge info, and responsiveness

1,980

• Quality Outcomes Positive trends in falls, falls with 11,312 injury, and HAPI rates

Nursing Pharmacy Initiatives Barcode Medication Administration Workarounds Project Descriptions and Rationale In 2025, Nursing and Pharmacy stakeholders took on a project addressing barcode medication administration workarounds as this was highlighted by nurse managers as an area of medication safety concerns.

The Risk: Why This Matters • National safety groups (such as ECRI) highlight this as a top risk for patient safety • Past medication errors have occurred at The Mount Sinai Hospital when scanning was bypassed or shortcuts taken • Nurse leaders have indicated that BCMA workarounds are their No. 1 medication safety concern • Internal data confirms it is an issue at the Mount Sinai Health System

Nurse Manager Survey (N=119)

*Estimated Response Rate: 75%

CREATING EXCELLENCE TOGETHER

Nursing Pharmacy Initiatives BCMA Workarounds Data-Driven Interventions The Targeted Intervention: • Developed a dashboard that identifies patterns and staff printing excessive number of labels (using Epic data.) • Nurse managers then coached specific RNs who are printing excessive labels and documenting follow-up. • Since coaching began (February 2025) we have reduced the number of RN wristband label printouts

MRI Minimal Sedation Policy A work group was created to: • Modify the minimal sedation policy • Examine and develop an ideal workflow of administering sedatives before, during, and after an MRI • Create an MRI order set to implement workflow

MOUNT SINAI NURSES

Nursing Capital Equipment Improvements Epic Go Live–Mount Sinai South Nassau November 3, 2025 One Mount Sinai Milestone: In November 2025, Mount Sinai South Nassau successfully launched Epic, which allows for better coordination of care, improved patient safety, streamlined workflows, and a consistent EMR experience across all of the Mount Sinai Health System.

Mount Sinai Phone Go Live– The Mount Sinai Hospital Oct 14, 15, and 16, 2025 A major milestone was achieved in 2025 when The Mount Sinai Hospital became the final hospital in the Health System to go live with Mount Sinai Phone. The technology empowers nurses with access to iPhones, streamlining care delivery through mobile documentation, barcode scanning, and real-time communication with team members.

November 3, 2025 Celebrating a Major Milestone: Epic Go-Live at Mount Sinai South Nassau We are excited to announce a major milestone in our One Mount Sinai journey: as of Sunday, November 2, the Epic electronic health record platform is live at Mount Sinai South Nassau. Along with Epic, dozens of clinical and communication systems have been aligned on the common enterprise solutions, creating a simplified and integrated digital ecosystem to support clinical care. This successful go-live marks another significant step forward in connecting our people, platforms, and processes across the entire Health System. This transformation reflects the tireless efforts of so many: from the front-line staff, clinical teams, and revenue cycle experts to our Epic training team, Super Users, project managers, and Digital and Technology Partners professionals. Your collaboration, resilience, and commitment to excellence made this implementation a success and we extend our deepest thanks and heartfelt congratulations to each of you. With this transformation comes better coordination of care, improved patient safety, streamlined workflows, and a consistent experience for every member of our Mount Sinai family whether in Brooklyn, Manhattan, Queens, or now, Long Island. The MSSN go-live is a testament to what we can accomplish together with collaboration, coordination, and alignment of focus that moves us closer to being One Mount Sinai. Let’s continue building on this momentum. Thank you for being part of this incredible achievement and for all you do every day to advance the mission of Mount Sinai. With gratitude,

Lisa S. Stump, MS, FASHP Executive Vice President Chief Digital Information Officer Mount Sinai Health System Dean for Information Technology Icahn School of Medicine at Mount Sinai Bruce Darrow, MD, PhD Chief Medical Information Officer Mount Sinai Health System Adhi Sharma, MD President Mount Sinai South Nassau

CREATING EXCELLENCE TOGETHER

Center for Nursing Research and Innovation (CNRI) Updates Training Programs

Clinically Based Nurse Scientist Summit

The CNRI offers a nationally recognized portfolio of interdisciplinary training programs for learners across nursing, medicine, and related health professions. These programs serve undergraduate, post-baccalaureate, graduate, medical, DNP, and PhD students, providing structured pathways to gain experience in various methods of systematic inquiry, clinical research, and evidence-based practice to advance equitable care and outcomes for all.

From June 16-18, 2025, the CNRI and Nursing at Mount Sinai hosted the first-ever conference on the role of clinically based nurse scientists in health care delivery settings. This multiday in-person summit featured expert presenters and panelists, generative discussions and breakout sessions, and networking and collaborative forums. Attendees discussed shared challenges and opportunities for advancing this unique, varied, and rapidly expanding role.

• The Translational Research and Implementation Science for Nurses (TRAIN) Program is a 12-week funded fellowship opportunity for Doctor of Nursing Practice (DNP) students from disadvantaged backgrounds to develop expertise in translating research into clinical practice. • The Learning in Virtual Environments (LIVE) Summer Program is a 10-week paid research experience for undergraduate nursing students from accredited institutions with limited access to research opportunities. • The Interdisciplinary Collaborative Research (iCORE) Training Program is a nine-week summer program that provides hands-on and classroom research training for undergraduate, post-baccalaureate, medical, and graduate students.

MOUNT SINAI NURSES

The conference welcomed over 100 attendees from across the United States, and has led to the creation of a nationwide networking and resource-sharing organization for clinically based nurse scientists. Additional outputs will include 11 working papers to be published in a special issue of a major scientific journal and a fiveyear strategic framework outlining the mission, vision, goals, strategic priorities, and crosscutting strategies for maximizing the impact of the clinically based nurse scientist on the quality, safety, accessibility, affordability, and equity of health care in the United States.

Center for Nursing Research and Innovation (CNRI) Updates Grants Ongoing Awards Led by CNRI Principal Investigators in 2025 • Cohen, B. (PI). Setting a Strategic Framework to • Estrada, L. (PI). Identifying Subcultural Palliative Care Maximize the Impact of Clinically Based Nurse Needs for Latino Patients with Advanced Dementia Researchers (funded by the Agency for Healthcare and their Caregivers (funded by the National Palliative Research and Quality). Care Research Center). • Cohen, B. (PI). Be Your Own Voice: Advance Care Planning for Patients at Risk of Becoming Incapacitated with No Evident Advance Directives or Surrogates (funded by the Rita and Alex Hillman Foundation). • Estrada, L. (PI). Working Towards Health Equity Through Culture Centered Care for Latino Persons with Dementia (funded by the Robert Wood Johnson Foundation).

• Souffront, K., Cohen, B. (MPI) Translational Research and Implementation Science for Nurses Program (funded by the National Institutes of Health). • Souffront, K. (PI). Digital Inclusion and Risk Communication to Improve Blood Pressure Control in the Emergency Department patients (INCLUD-ED): Phase 1 Planning (funded by the NYC Partnership).

New Awards led by CNRI Principal Investigators in 2025 • Estrada, L. (PI). The health economic impact of • Souffront, K. (PI). Learning in Virtual Environments Limited English Proficiency for Latino Persons with (funded by the American Heart Association) Dementia (funded by The Trustees of the University of • Nowlin, S. (PI). Postpartum Transitions in Healthcare Pennsylvania) (funded by the NYC Partnership)

Practical Implementation of Nursing Science (PINS) is an open access, peer-reviewed journal for nurses engaged in clinical practice. PINS is edited by the CNRI and published by Levy Library Press. In 2025, PINS published six 2024 Nursing Research Day conference abstracts, representing 14 coauthors across the Mount Sinai Health System: https://practicalimplementationofnursingscience.org/10/volume/4/issue/1 Nursing Project Approval Council The Nursing Project Approval Council (NPAC) ensures that all nurse-led evidence-based practice, quality improvement, and research projects are compliant with local and federal regulations governing data privacy and the protection of human subjects. In 2025, NPAC approved 32 projects across the Health System.

CREATING EXCELLENCE TOGETHER

Nursing Innovation Units In 2025, units were invited to apply as innovation units for 2026-2027 cycle. These Innovation Units* will serve as dedicated environments to develop and test new ideas in collaboration with engaged frontline staff and an interdisciplinary team, helping to shape the future of health care delivery. Innovation Units were finalized in 2026.

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Transitions of Care Center (TOCC) The TOCC expanded Social Determinants of Health (SDoH) screening and interventions to address barriers to care. This nursing-led initiative was accepted for poster presentation at the Academy Health Conference in 2025 and demonstrated continued reductions in hospital readmissions while advancing efforts to reduce health disparities.

2025 Program Enhancements Video Visit Utilization • TOCC outreach is available via telephone or video call. • Focus on converting 50 percent of calls to video visit by year end. • Video visits enhance the ability to perform accurate and comprehensive assessments and better support clinical decision-making.

CREATING EXCELLENCE TOGETHER

Transitions of Care Center (TOCC) Updates Total Patients TOCC Screened

TOCC: Jan–Dec 2025 Eligible Patients Reached Completed Intervention

12,245

8,897

73%

7,617

86%

8,332

Health Literacy

1,553 (18.6%)

Financial Resource Strain

568 (6.8%)

Food Insecurity

292 (3.5%)

Transportation

102 (1.2%)

One or More

2,097 (25.2%)

Billed Cohort

TOCC Enrolled Readmission Rate

Total Enrolled

Readmission Rate Not Contacted by TOCC

7.0%

285

10.8%

COPD

13.7%

278

22.1%

CABG

3.6%

138

9.2%

CHF

12.9%

1,099

20.7%

Pneumonia

9.1%

980

13.3%

Sepsis

11.3%

1,473

15.3%

Other

9.1%

3,760

MOUNT SINAI NURSES

Centralized Skilled Nursing Facility (SNF) Transfers and High-Risk Discharges in the Command Center Mount Sinai Morningside and Mount Sinai West O:E *Patients discharged to SNF 2025 Volume: • Mount Sinai Morningside and Mount Sinai West 3,450 discharges • The Mount Sinai Hospital 2,881 discharges

Go-live June 2024

The Mount Sinai Hospital O:E *Patients discharged to SNF

Go-live June 2025

Key process metrics: • Average time to authorization <8 hours • >95 percent of authorizations approved • Time from facility acceptance to discharge approximately three days • <2% of total placements take >2 weeks

CREATING EXCELLENCE TOGETHER

Ambulatory Nursing Care Ambulatory MAR In Scope: • Outpatient MAR live August 10, 2025 • Barcode Scanning for high-volume practices. • Injection activity for clinic administered medications discontinued. • Improved documentation of medications, enhanced communication, improved billing compliance, improved patient safety. Not in Scope: • Immunizations remain in the Immunization Activity • Sites already using the MAR: therapeutic infusion, oncology infusion, urgent care, ambulatory surgery.

Ambulatory MAR • Increase efficiency by streamlining ordering platforms and reducing Stock Keeping Units • Standardization of products used throughout ambulatory enterprise • Drive savings • Establish clearing house for new product requests • Retain or improve the quality of patient care

MOUNT SINAI NURSES

Nursing Innovations: Tisch Cancer Center Announcement– National Cancer Institute Level 3 Designation for Comprehensive Care Press Release

Mount Sinai Tisch Cancer Center Receives Comprehensive Cancer Center Designation and Funding from National Cancer Institute Designation places Mount Sinai among top one percent of cancer centers nationwide

New York, NY (October 22, 2025) — The Mount Sinai Tisch Cancer Center (TCC) has been named a “Comprehensive Cancer Center” by the National Cancer Institute (NCI), the highest designation awarded to cancer centers in the United States. This recognition places Mount Sinai among the top one percent of cancer centers nationwide and affirms the breadth and depth of its cancer research, clinical excellence, and commitment to health equity. The designation also brings more than $3 million annually to support Mount Sinai’s research and innovation. The Mount Sinai Tisch Cancer Center (TCC) has been named a “Comprehensive Cancer Center” by the National Cancer Institute (NCI), the highest designation awarded to cancer centers in the United States. This recognition places Mount Sinai among the top one percent of cancer centers nationwide and affirms the breadth and depth of its cancer research, clinical excellence, and commitment to health equity. The designation also brings more than $3 million annually to support Mount Sinai’s research and innovation. Through advances in translational science, multidisciplinary collaboration, infrastructure investment, and a focus on equity in cancer care, Mount Sinai positioned itself to meet NCI hallmarks of a designated Comprehensive Cancer Center: “added depth and breadth of research” and “substantial transdisciplinary research.” Through advances in translational science, multidisciplinary collaboration, infrastructure investment, and a focus on equity in cancer care, Mount Sinai positioned itself to meet NCI hallmarks of a designated Comprehensive Cancer Center: “added depth and breadth of research” and “substantial transdisciplinary research.” Through advances in translational science, multidisciplinary collaboration, infrastructure investment, and a focus on equity in cancer care, Mount Sinai positioned itself to meet NCI hallmarks of a designated Comprehensive Cancer Center: “added depth and breadth of research” and “substantial transdisciplinary research.” Researchers at TCC have led transformative studies across a wide spectrum of cancers, advancing treatments that are changing standards of care worldwide: •B one Marrow Transplantation - James Ferrara, MD, and John Levine, MD, pioneered a safer approach for patients with acute graft-versus-host disease, replacing toxic steroids with the targeted therapy itacitinib, helping patients avoid severe side effects. •B lood Cancers - John Mascarenhas, MD, and colleagues have achieved major breakthroughs, recently reporting the first randomized phase 3 trial of JAK inhibitor-based combination therapy in treatment-naïve myelofibrosis patients. The therapy resulted in robust clinical benefit, including statistically significant spleen response, improved symptom control, and favorable changes in bone marrow, pointing to the possibility of modifying the disease course itself. •M ultiple Myeloma - Sundar Jagannath, MD, and colleagues established the promise of ciltacabtagene autoleucel, a CAR-T cell therapy targeting B-cell maturation antigen. Results from the CARTITUDE-1 trial revealed that a third of patients remained cancer-free for five years, a milestone in this hard-to-treat cancer. Building on this success, new therapies such as linvoseltamab, a dualtargeting antibody treatment under priority review by the U.S. Food and Drug Administration (FDA), have shown response rates as high as 71 percent, further extending hope for patients with relapsed disease.

Mount Sinai to begin construction of the Mount Sinai Tisch Cancer Hospital in early 2026.

• Bladder Cancer - Matthew Galsky, MD, led pioneering trials resulting in the FDA approval of adjuvant nivolumab to prevent recurrence in patients with muscleinvasive bladder cancer following surgery. Dr. Galsky and colleagues combined chemotherapy, immunotherapy, and organ-sparing strategies, enabling 42 percent of patients to achieve complete remission, and allowing one-third to preserve their bladders long term. • Cancer Vaccines - Nina Bhardwaj, MD, PhD; Mansi Saxena, PhD; Jonathan Anker, MD, PhD; Dr. Galsky, and colleagues launched an innovative study pairing atezolizumab with a personalized neoantigen vaccine (PGV001) in urothelial cancer. At nearly three years of follow-up, patients showed both durable responses and emergence of vaccine-specific T cells, proving that personalized immunotherapy is safe and feasible. TCI investigators advanced personalized vaccine science across multiple cancer types and launched the first-in-human study of PGV001, a multipeptide neoantigen vaccine platform, in patients with solid and hematologic malignancies at high risk of recurrence. • Solid Tumors - Miriam Merad, MD, PhD, and colleagues identified an IL-4 signaling pathway that drives tumor growth and showed that blocking it with dupilumab induced durable responses in patients resistant to standard therapies. In breast cancer, Joseph Sparano, MD, developed RSClin, a clinical-genomic tool that helps oncologists determine when chemotherapy is necessary, reducing overtreatment while maintaining survival. And in lymphoma, research led by Joshua Brody, MD, revealed that the combination of epcoritamab and the chemotherapy regimen GemOx produced deep and lasting remissions in patients with high-risk disease who lacked transplant options. Together, these studies highlight the scientific excellence, innovation, and patientcentered focus that underpin Mount Sinai’s recognition by the National Cancer Institute as a Comprehensive Cancer Center. “This recognition places Mount Sinai among the nation’s leaders in cancer discovery and care,” said Brendan G. Carr, MD, MA, MS, Chief Executive Officer of the Mount Sinai Health System, and Professor and Kenneth L. Davis, MD, Distinguished Chair. “Mount Sinai’s leadership in leading-edge trials, translational science, and community-engaged prevention efforts has earned this hard-won recognition. We are grateful for the work of so many: researchers, clinicians, staff, and our patient partners who have made this possible. “This designation raises the bar for what we can achieve,” Dr. Carr added. “We will continue striving for breakthroughs that change lives and bring hope to patients everywhere.” This designation is supported by the National Cancer Institute of the National Institutes of Health under Award Number P30CA196521.

CREATING EXCELLENCE TOGETHER

Empirical Outcomes Demonstrations of quality outcomes made by nurses as an essential contribution to patient care, nursing workforce, and organizational and professional nursing strategic plan

New York Organization of Nursing Leadership (NYONL): Annual Conference September 2025 Generational Perspectives and Preferences Among Nurses • Bevin Cohen, PhD, MS, MPH, RN Engaging a Multigenerational Workforce in RN Preceptorship • Kathleen Parisien Dory, DNP, RN, FNYAM • James Gold, DNP, RN, MedSurg-BC, NPD-BC • Kingsley Nurse, MBA, MSN, MEd

Empowering Nurse Leaders: Peer Coaching for Sepsis Screening • Margaret Grogan, MPA, BSN, RN • Stephanie Guareño, MSN, MBA, RN, CPXP Enhancing Nursing Practice: Vancomycin Safety Event Findings • Eloisa Javier, RN • Daniella Stephen, MPH, MSN, RN, NE-BC, CPHQ, CSSGB

September 9, 2025

CREATING EXCELLENCE TOGETHER

Nursing Quality and Patient Safety Goals 2025 System Nursing Indicator Scorecard

Green meets facility goal; Red does not meet facility goal; based on 2025 targets 2026 MSHS Nursing Quality and Safety Council Privileged and Confidential: Prepared in accordance with NYS PHL 2805 J-M; NYS Education Law 6527; & Federal Law 109-41

MOUNT SINAI NURSES

1.32% 0.74 4.00%

77.7% ^51.3% 1.93 72.4%

0.32

0.94% 0.37 4.88% 79.3% 77.2%

0.34

National Benchmarks: Magnet Hospitals (on the mean) or * Bed Size by Teaching Comparison group, ** corrected n.d. = no data, ^ MSSN Epic Mobility Nov and Dec data only MSBHC excluded due to data mixture NYEE not shown; maintains zero harm

1.98

0.94%

0.40% 0.35

0.22 4.17%

8.70% 0.41

0.44 2.13

68.6%

66.7%

1.89

0.74 2.53 75.7% 64.1% 70.6%

76.6%

80.0% 79.5%

1.98% 2.07 1.61%

0.81 2.46 82.0% 63.6% 75.3%

87.7%

81.7% 76.4%

1.39% 1.76 5.36%

0.65 1.84

1.81

69.1%

1.27% 0.70 6.25%

0.87

0.34

68.8%

2.69% 2.63 3.57%

3.46%

2.17

65.9%

0.44

79.8% 61.4%

0.77% 0.87 1.35% 0.95 2.85 72.0% 59.1% 64.7%

75.6%

1.12%

79.3% 51.0%

0.84% 0.55 3.39% 0.70 2.34 74.5% 62.4% 66.5%

55.9%

2025 Target

72.5%

1.75% 0.90 7.69% 0.96

2.32

MSSN

53.7%

0.39% 0.70 0.00% 0.48

0.69

2.69

63.3%

2.87%

1.80

0.23 1.96 71.9% 57.3% 48.3%

69.1%

1.58

72.6% 57.5%

1.83% 1.28 0.00%

0.39 1.70 70.0% 58.1% 63.3%

56.2%

1.92%

66.4% 57.0%

0.63% 1.51 2.70%

0.49 1.55

2.70

2025 Target

71.4%

0.65% 0.57 9.52%

0.20

0.70

MSM

57.8%

3.59% 1.92 0.00%

1.39%

1.32

57.7%

0.50

76.4% 62.0%

**0.00% 2.17 0.00% 1.18 1.97 81.3% 70.1% 70.2%

70.3%

0.91%

62.3% 51.8%

0.00% 0.58 0.00% 0.32 1.03 84.4% 71.2% 75.9%

53.4%

2025 Target

54.1%

0.83% 0.30 0.00% 0.30

1.51

MSW

50.0%

0.78% 0.25 13.3% 0.25

0.35

0.50

63.4%

3.50%

1.23

83.2% 70.3% 71.2%

77.0%

1.30

83.6% 71.9%

2.27

83.9% 73.0% 78.7%

66.8%

1.33%

68.2% 71.0%

4.57% 4.60 4.80% 0.79

2.08

1.13

2025 Target

66.7%

4.12% 3.33 1.04% 0.50

0.42

MSB

47.4%

72.9%

4.62%

Patient Experience: Care Coordination Teamwork Staff worked together (Top box) ▲

6.02%

80.1%

3.76

Patient Experience: Nurse Communication (Top box) ▲

4.62

70.0%

0.63%

n.d.

1.91

3.03%

*1.99

0.80

2.02

0.59

0.60

*0.51

6.05%

2.74

Mobility (% days OOB) (Goal ▲)

0.55

2.64%

0.55

2.11

Falls Incidence Per 1000 pt days (Goal ▼)

*4.15%

2.15

0.89%

83.6% 74.0%

Falls Incidence All Injury levels per 1000 pt days (Goal ▼)

3.37%

4.90%

2025 Target

76.7% 68.4%

Falls with Moderate or Greater injury (%) (Goal▼)

n.d.

2025 Target

MSQ

79.7%

HAPI Incidence per 1000 pt days (Goal ▼)

1.17%

*2.30%

MSH

72.9%

QPS Goal 2025 Hospital Acquired Pressure Injuries Stage 2 and above (% Prevalence) (Goal ▼)

National benchmark

Q4 System Nursing Indicator Scorecard – Quarter 4 + 2025 Targets

Q4 Outcomes NDNQI and Dashboard Data Available to 2025Q4

Mount Sinai Health System Department of Nursing One Gustave L. Levy Place Box 1168 New York, NY 10029