Innovation that cures and cares 2019 J.P. Morgan Healthcare Conference David Battinelli, MD Senior Vice President and Chief Medical Officer, Northwell Health Vice Dean and Betsy Cushing Whitney Professor of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
The Northwell perspective Philosophy To be at the forefront of change, not a victim of it - To be proactive and adaptable - To see opportunities, not just obstacles - To develop, innovate, incubate, invest and partner in new solutions - Committed to innovation and partnerships - What we are Growth oriented: with a diversified portfolio and broad Unified leadership: single unified governance, - distribution network single administrative and clinical leadership, service line approach to care delivery In a position of strength: $12 billion in revenue - and largest health care provider in New York State Optimistic and competitive: open to new - • Largest market share, treating 2 million+ annually ideas and partnerships, long term view • Largest private employer in New York State • Vertically and horizontally integrated
Northwell Health major components
System clinical and management services
Northwell Ventures portfolio Provider of a medical imaging The only FDA-cleared real-time blood- Provider of online physiotherapy loss monitoring solution, providing an prescription services intended to technology designed to visualize accurate and objective quantification offer practice exercise rehabilitation and quantify blood flow in the of blood loss during surgery. to people everywhere. body using any MRI. Complete cloud-based telemedicine A HIT company aiming to preempt A medical device company platform combining video the avoidable consequences of commercializing the Neural collaboration devices with clinical chronic disease via ensuring Tourniquet, a device that uses an patients receive guideline-directed electrical signal to reduce bleeding. workflow management. medical therapy. A healthcare IT and wearables A 50/50 joint venture with Northwell A startup dedicated to improving technology company focused on related to the sales and distribution of digital pathology through the first of three end-markets: (i) Home, (ii) quality control laboratory products in its kind platform for tissue processing Consumer, and (iii) Hospital. the US market. and through clinical decision AI. Provider of a SaaS platform to A healthcare IT company that Provider of medical technology that enables providers to create highly develops and markets high automate the delivery of personalized multimedia at the performance textiles for healthcare structured, personalized digital point of care that patients can and other demanding applications. conversations to patients. playback anytime, Developer of physician Developer of a UV disinfection assistance programs, including device for healthcare, food service, patient access and practice maritime, and other environments. management services.
Employee onboarding Culture is key and tone is established on day one Introduction to the Health System with CEO Over 10,000 placed in new roles each year, hiring approximately 7,000 new employees annually Average tenure is 9.5 years
Innovation: Employee ideas Committed to promoting a culture of innovation, teamwork and continuous change President’s Award Recognition for excellence in Exceptional Patient/ Customer Experience, Innovation and Teamwork Innovation Challenge Annual contest to select, develop and implement ideas from our employees within the health system and commercial market
Workforce engagement
Workforce engagement Our journey to the ‘Top 100 Best Places to Work’ Engaged workforce: Over 45,000 active users on our mobile wellness platform Continuously learning: Spend $23 million in tuition reimbursement and staff development Started our own for-profit temp agency ‘Flexstaff’ saving over $12 million
Learning and education At the forefront of transforming medical education Center for Learning and Innovation Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies
Social determinants of health Striving for total health in the communities we serve Food as medicine Bruno Tison: Michelin Star chef Kitchens revisited: Making hospital food whole
Service lines An integrated approach to care delivery Twenty service lines Each led by physician senior vice president and administrative vice president Complete profit and loss responsibilities 13
Digital Patient Experience Using connected technology to enable the transformation of our practice of care
Digital Patient Experience Digital life is real life. So how do we care for our communities in the digital world? An interdisciplinary team from across the enterprise Interconnecting our backend systems to provide a digitally-powered, patient-centric experience
Central Sterile World’s largest off-site hospital sterile processing facility Over 20 million instruments processed per year Efficiencies achieved on surgical instrumentation and capital investment at hospitals Strategic partnership with Steris Corporation
Life after death Lance Becker, MD Professor and Chair, Emergency Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Chair, Emergency Medicine, North Shore University Hospital Chair, Emergency Medicine, Long Island Jewish Medical Center
Right now we pronounce people dead if they don’t have a heart beat, blood flow, or oxygen to the brain for over ten minutes… There is much more we can do to dramatically expand the survival window.
The science of resuscitation
What is meant by reversing cellular death?
Preserving the cell’s engine… the mitochondria
Reperfusion cocktail ingredients When blood flow is returned during CPR or ECMO, the drug combination is added to the bloodstream, targets the brain, and allows for a full recovery of function.
Month Day, Year 24
We have made huge advances in resuscitation Advances in life-saving • technology exists (ECMO). Innovative technology • for rapid cooling Together – is improving healthcare, technology and pharmacology Critical advances in • can extend lives in the pharmacology are being emergency room. discovered (the brain resuscitation cocktail). The death survival window is rapidly growing wider
Month Day, Year 26
Thank you David Battinelli, MD DBattinelli@northwell.edu Lance Becker, MD Lance.Becker@northwell.edu
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