Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital

1999 ◽  
Vol 27 (2) ◽  
pp. 202-203
Author(s):  
Robert Chatham

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.

2020 ◽  
Vol 47 (1) ◽  
pp. 55-74
Author(s):  
Ryan P. McDonough ◽  
Paul J. Miranti ◽  
Michael P. Schoderbek

ABSTRACT This paper examines the administrative and accounting reforms coordinated by Herman A. Metz around the turn of the 20th century in New York City. Reform efforts were motivated by deficiencies in administering New York City's finances, including a lack of internal control over monetary resources and operational activities, and opaque financial reports. The activities of Comptroller Metz, who collaborated with institutions such as the New York Bureau of Municipal Research, were paramount in initiating and implementing the administrative and accounting reforms in the city, which contributed to reform efforts across the country. Metz promoted the adoption of functional cost classifications for city departments, developed flowcharts for improved transaction processing, strengthened internal controls, and published the 1909 Manual of Accounting and Business Procedure of the City of New York, which laid the groundwork for transparent financial reports capable of providing vital information about the city's activities and subsidiary units. JEL Classifications: H72, M41, N91. Data Availability: Data are available from the public sources cited in the text.


Author(s):  
Evgeniya Vladimirovna Zhilina

This article explores the factors for conducting administrative reforms in the United States in the area of public health. For detailed consideration, the author selected New York City as an example the largest metropolitan area that faced aggravation of social problems due to the shortcomings in the existing public health system. Rapid increase in the number of resident in the conditions of significant growth of population density led to proliferation of the dangerous infectious diseases, for elimination of which local authorities had to take prompt actions of state regulation, including creation of the new administrative branches. Special attention is given to the treatment of tuberculosis and preventive measures thereof, namely the importance of tracking all new cases. In studying public health system of New York City, the author applied interdisciplinary approach that ensured comprehensive and objective outlook upon the problems of poorest population groups of the city. Comparative-historical method was used juxtapose the situation in New York and typologically similar US metropolises. Chronological method allowed tracing the patterns in evolution of administrative innovations, and assessing them in a single historical perspective. The main conclusion consists in the statement that private medicine appeared to be insufficient due to the drastic changes of social conditions in the densely populated metropolises, as the constantly growing population of poor immigrant neighborhoods was capable of paying for medical services. At the same time, namely the residents of such ghettos were most vulnerable category of population from the standpoint of epidemiology. Taking preventive measures by the municipal authorities, which included mass vaccination and clearing New York streets from dirt and trash, became an effective way to alleviate the situation. The administrative reforms in the city significantly improved the situation, which laid the foundation for sweeping changes in the future.


2021 ◽  
Vol 9 ◽  
Author(s):  
Anant Dinesh ◽  
Taha Mallick ◽  
Tatiana M. Arreglado ◽  
Brian L. Altonen ◽  
Ryan Engdahl

Introduction: In the initial pandemic regional differences may have existed in COVID-19 hospitalizations and patient outcomes in New York City. Whether these patterns were present in public hospitals is unknown. The aim of this brief study was to investigate COVID-19 hospitalizations and outcomes in the public health system during the initial pandemic response.Methods: A retrospective review was conducted on COVID-19 admissions in New York City public hospitals during the exponential phase of the pandemic. All data were collected from an integrated electronic medical records system (Epic Health Systems, Verona, WI). Overall, 5,422 patients with at least one admission each for COVID-19 were reviewed, with a study of demographic characteristics (including age, gender, race, BMI), pregnancy status, comorbidities, facility activity, and outcomes. Data related to hospitalization and mortality trends were also collected from City of New York website. These data often involved more than one facility and/or service line resulting in more location or treatment facility counts than patients due to utilization of services at more than one location and transfers between locations and facilities.Results: Higher mortality was associated with increasing age with the highest death rate (51.9%) noted in the age group >75 years (OR 7.88, 95%CI 6.32–10.08). Comorbidities with higher mortality included diabetes (OR 1.5, 95% CI 1.33–1.70), hypertension (OR 1.62, 95% CI 1.44–1.83), cardiovascular conditions (OR 1.66, 95% CI 1.47–1.87), COPD (OR 1.86, 95% CI 1.39–2.50). It was deduced that 20% of all New York City COVID-19 positive admissions were in public health system during this timeframe. A high proportion of admissions (21.26%) and deaths (19.93%) were at Elmhurst Hospital in Queens. Bellevue and Metropolitan Hospitals had the lowest number of deaths, both in borough of Manhattan. Mortality in public hospitals in Brooklyn was 29.9%, Queens 28.1%, Manhattan 20.4%.Conclusion: Significant variations existed in COVID-19 hospitalizations and outcomes in the public health system in New York City during the initial pandemic. Although outcomes are worse with older age and those with comorbidities, variations in hospitals and boroughs outside of Manhattan are targets to investigate and strategize efforts.


2018 ◽  
Vol 28 ◽  
pp. 48-50
Author(s):  
Rebecca Hackemann

In 2015–2016 the author installed interactive public artworks on sidewalks in Brooklyn and Queens using ordinary city permits. The locations were chosen in counterbalance to the dominant choices of location for public art in New York, which tends to be placed in Manhattan or other tourist-concentrated areas. The works are entitled the Public Utteraton Machines and enable passersby to utter their opinions about other public art in the city as well as art’s role in society. The device’s earpiece recorded over 100 open-ended narratives and 391 responses to quantitative data questions via an integrated e-paper display screen. This public art project combines social practice with object-based public art into a conceptual public art practice that forms a commons or civic art. Sound archives of the responses can be found at local libraries in Queens and Brooklyn and at http://utteraton.com/ .


2011 ◽  
Vol 5 (1) ◽  
pp. 33-59
Author(s):  
ROBERT R. GRIMES

AbstractIn the 1850s, the residents of, and visitors to, New York City experienced a world of rapid and sometimes chaotic change. Various reform movements—including Temperance, Abolition, and Women's Rights—became stronger and more widely known through various media. In 1853 a simple story published in the pages of the New York Tribune took the city by storm. “Hot Corn,” the story of Little Katy, a child peddler, is ostensibly a temperance tale, but something made the story resonate among the public. Soon minstrel songs, sheet music, lectures, novels, and melodramas followed, purporting to herald a new moral crusade against drunkenness, poverty, and child abuse, paralleling Uncle Tom's Cabin and the Abolition movement. Within eighteen months, however, the “Hot Corn” phenomenon had faded almost as quickly as it had begun.


2018 ◽  
Vol 12 (1) ◽  
pp. 103-106
Author(s):  
Thomas Wide
Keyword(s):  
New York ◽  

AbstractThomas Wide visits a recent exhibition on the history of New York City


2011 ◽  
Vol 2 (1) ◽  
pp. 108-110
Author(s):  
Sweta Chakraborty ◽  
Naomi Creutzfeldt-Banda

Saturday, 18 December 2010 was the first of a two day complete closure of all London area airports due to freezing temperatures and approximately five inches of snow. A week later on December 26th, New York City area airports closed in a similar manner from the sixth largest snowstorm in NYC history, blanketing the city approximately twenty inches of snow. Both storms grounded flights for days, and resulted in severe delays long after the snow stopped falling. Both London and NYC area airports produced risk communications to explain the necessity for the closures and delays. This short flash news report examines, in turn, the risk communications presented during the airport closures. A background is provided to understand how the risk perceptions differ between London and NYC publics. Finally, it compares and contrasts the perceptions of the decision making process and outcomes of the closures, which continue to accumulate economic and social impacts.


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