scholarly journals New York Transplant Teams Versus COVID-19

2020 ◽  
Vol 30 (3) ◽  
pp. 194-198 ◽  
Author(s):  
Daryle Blackstock ◽  
Laura Butler ◽  
Samantha Delair ◽  
Katherine Dokus ◽  
Farrington Eileen ◽  
...  
Keyword(s):  
New York ◽  
Organ Procurement ◽  
Clinical Care ◽  
New York State ◽  
Severity Of Illness ◽  
Surgical Patient ◽  
Work Processes ◽  
Hospital Units ◽  
Lifetime Experience ◽  
Organ Procurement Organizations

New York State, and especially New York City, were hit hard by the coronavirus disease 2019 (COVID-19) virus. While we followed its course in other parts of the world, and began preparations, there was no way we could have been prepared for the volume and severity of illness that began to overflow in our emergency departments and hospital units. We expanded intensive care units into our medical surgical units while turning conference rooms into medical surgical patient care areas. Clinicians at the bedside described war-like situations with numerous patients arresting and requiring ventilator support. Our New York consortia and organ procurement organizations met online 3 times a week and shared creative strategies to address clinical care and work processes. We would like to share strategies from what we hope was a once in a lifetime experience.

Using Voter Registration to Increase Enrollment Into the Organ and Tissue Registry in New York State

2020 ◽  
Vol 30 (3) ◽  
pp. 208-211
Author(s):  
Thomas Hugh Feeley ◽  
Melanie AA Evans ◽  
Aisha K. O’Mally ◽  
Aisha Tator
Keyword(s):  
New York ◽  
Organ Procurement ◽  
New York State ◽  
Voter Registration ◽  
Tissue Donation ◽  
Tissue Banks ◽  
Tissue Donors ◽  
York State ◽  
Organ Procurement Organizations ◽  
Electronic Organ

Context: In an effort to increase donation rates, interventions seek to increase the number of residents who are enrolled in the electronic organ and tissue registry. New York State includes an organ and tissue registration field on voter registration forms. Objective: Report the results from voter enrollment drives in New York State seeking to increase voter registration and completed enrollments into the organ and tissue registry. Setting: Cosponsored voter/donation drives taking place across in New York State at various public settings. Participants: New York State residents who completed and submitted voter registration forms at designated campaign sites from fall of 2014 through fall of 2018. Intervention: Voter/donation drives cosponsored by League of Women Voters New York State with Organ Procurement Organizations and Eye & Tissue Banks in New York State. Main Outcome Measures: Number of enrollments to organ and tissue donation registry per drive over 4 project years. Calculation of yield as measured by percentage of enrollments to state organ and tissue registry divided by total number of voter registration forms completed. Results: In all, 754 drives were undertaken over the project period with 6651 residents enrolling into the state organ and tissue registry. The average yield was 27% of completed voter forms resulting in organ and tissue registration; this estimate increased to 34% when prodonation representatives staffed the drives. Conclusion: Use of voter registration form to enroll organ and tissue donors is an effective method to supplement traditional methods to enroll donors.

The Effect of Patient and Hospital Characteristics on Total Costs of Peripheral Bypass in New York State

2021 ◽  
pp. 153857442199331
Author(s):  
Nicole Ilonzo ◽  
Cody Goldberger ◽  
Songhon Hwang ◽  
Ajit Rao ◽  
Peter Faries ◽  
...  
Keyword(s):  
New York ◽  
Length Of Stay ◽  
Bypass Surgery ◽  
New York State ◽  
Severity Of Illness ◽  
Factors Associated ◽  
Peripheral Bypass ◽  
Extreme Risk ◽  
Risk Of Mortality ◽  
Fourth Quartile

Introduction: With the aging U.S. population, peripheral vascular procedures will become increasingly common. The objective of this study is to characterize the factors associated with increased total costs after peripheral bypass surgery. Methods: Data for 34,819 patients undergoing peripheral bypass surgery in NY State were extracted using the Statewide Planning and Research Cooperative System (SPARCS) database for years 2009-2017. Patient demographics, All Patient Refined Diagnostic Related Groups (APR) severity score, mortality risk, hospital volume, and length of stay data were collected. Primary outcomes were total costs and length of stay. Data were analyzed using univariate and multivariate analysis. Results: 28.1% of peripheral bypass surgeries were performed in New York City. 7.9% of patients had extreme APR severity of illness whereas 32.0% had major APR severity of illness. 6.3% of patients had extreme risk of mortality and 1 in every 5 patients (20%) had major risk of mortality. 24.9% of patients were discharged to a facility. The mean length of stay (LOS) was 9.9 days. Patient LOS of 6-11 days was associated with +$2,791.76 total costs. Mean LOS of ≥ 12 days was associated with + $27,194.88 total costs. Multivariate analysis revealed risk factors associated with an admission listed in the fourth quartile of total costs (≥$36,694.44) for peripheral bypass surgery included NYC location (2.82, CI 2.62-3.04), emergency surgery (1.12, CI 1.03-1.22), extreme APR 2.08, 1.78-2.43, extreme risk of mortality (2.73, 2.34-3.19), emergency room visit (1.68, 1.57-1.81), discharge to a facility (1.27, CI 1.15-1.41), and LOS in the third or fourth quartile (11.09, 9.87-12.46). Conclusion: The cost of peripheral bypass surgery in New York State is influenced by a variety of factors including LOS, patient comorbidity and disease severity, an ER admission, and discharge to a facility.

The Effect of Severity of Illness on Spine Surgery Costs Across New York State Hospitals

2017 ◽  
Vol 30 (9) ◽  
pp. 407-412 ◽  
Author(s):  
I. David Kaye ◽  
Murillo Adrados ◽  
Raj J. Karia ◽  
Themistocles S. Protopsaltis ◽  
Joseph A. Bosco
Keyword(s):  
New York ◽  
Spine Surgery ◽  
New York State ◽  
Severity Of Illness ◽  
York State ◽  
State Hospitals

The Effect of Severity of Illness on Total Joint Arthroplasty Costs Across New York State Hospitals: An Analysis of 172,738 Cases

2015 ◽  
Vol 30 (1) ◽  
pp. 12-14 ◽  
Author(s):  
Murillo Adrados ◽  
Claudette Lajam ◽  
Lorraine Hutzler ◽  
James Slover ◽  
Joseph Bosco
Keyword(s):  
New York ◽  
Total Joint Arthroplasty ◽  
New York State ◽  
Severity Of Illness ◽  
Joint Arthroplasty ◽  
York State ◽  
State Hospitals

Cultural Competence Needed to Distinguish Disorder from Difference: Beyond Kumbaya

2015 ◽  
Vol 22 (2) ◽  
pp. 64-76 ◽  
Author(s):  
Catherine J. Crowley ◽  
Kristin Guest ◽  
Kenay Sudler
Keyword(s):  
New York ◽  
New York City ◽  
Public Schools ◽  
Cultural Competence ◽  
York City ◽  
Cultural Sensitivity ◽  
Graduate Program ◽  
Language Disorder ◽  
New York State ◽  
Deep Understanding

What does it mean to have true cultural competence as an speech-language pathologist (SLP)? In some areas of practice it may be enough to develop a perspective that values the expectations and identity of our clients and see them as partners in the therapeutic process. But when clinicians are asked to distinguish a language difference from a language disorder, cultural sensitivity is not enough. Rather, in these cases, cultural competence requires knowledge and skills in gathering data about a student's cultural and linguistic background and analyzing the student's language samples from that perspective. This article describes one American Speech-Language-Hearing Association (ASHA)-accredited graduate program in speech-language pathology and its approach to putting students on the path to becoming culturally competent SLPs, including challenges faced along the way. At Teachers College, Columbia University (TC) the program infuses knowledge of bilingualism and multiculturalism throughout the curriculum and offers bilingual students the opportunity to receive New York State certification as bilingual clinicians. Graduate students must demonstrate a deep understanding of the grammar of Standard American English and other varieties of English particularly those spoken in and around New York City. Two recent graduates of this graduate program contribute their perspectives on continuing to develop cultural competence while working with diverse students in New York City public schools.

Sign in / Sign up

Export Citation Format

Share Document