Department of Neurosurgery Goes to Bat to Raise Funds for Research

Mount Sinai’s Department of Neurosurgery recently joined neurosurgical teams from across the United States for the 19th Annual Neurosurgery Charity Softball Tournament, helping to raise more than $150,000 to advance neurosurgical research and improve treatments.

The event, held in Central Park on Saturday, June 1, united faculty, residents, and fellows for an important cause–supporting the Neurosurgery Research and Education Foundation (NREF). The event was hosted by Columbia University’s Neurosurgery Department.

NREF provides funding for neurosurgical opportunities for young students interested in the field. The 2024 Softball Tournament raised more than $150,000 for brain tumor research through NREF. The money raised will be used to advance neurosurgical research, for both basic laboratory studies and clinical data analysis from operating rooms.

“By raising funds, research surrounding the understanding of brain diseases can be expanded,” said Alex Schüpper, MD, a PGY-6 resident. “This supports promising brain tumor research initiatives across neurosurgery programs nationwide, ensuring that new treatments and cures can be developed.”

Fifty teams comprised of Neurosurgical Departments from top academic medical centers across the United States participated. “This tournament showcased the team spirit throughout the neurosurgical community, as friends, family, and co-workers gathered to cheer on opposing teams and watch the exciting softball games,” said Joshua Bederson, MD, Chair of the Department.

“Although Mount Sinai did not win the tournament, we are incredibly proud of our team, which played with dedication and passion,” said Dr. Schüpper. “They knew that this game was more than winning or losing, it was about making a difference in the field of neurosurgery.”

World Trade Center Health Program Hosts a Delegation From the Netherlands to Discuss Lessons Learned by Caring for 9/11 Responders

The World Trade Center Health Program Clinical Center of Excellence (CCE) at Mount Sinai recently welcomed occupational medicine physicians and public health advocates from the Netherlands on a study trip to learn about the mental health impact of the terrorist attacks on September 11, 2001 on first responders.

The event, held Tuesday, June 11,  focused on sharing two decades of experience caring for 9/11 responders living with the enduring effects of exposure to psychological trauma and environmental toxins.

Franz van den Nieuwenhof, MD, an occupational medicine physician from VerzuimConsult in the Netherlands, a leading consulting firm providing occupational health support to employers, noted the significant increase in mental health issues among Dutch health care workers following the COVID-19 pandemic, similar to those experienced by responders after 9/11.

“In our search for possible solutions, we came across references to the treatment of post-traumatic stress disorder (PTSD) related to 9/11. This literature emphasized the extensive experience that New York has gained in the treatment and support of PTSD patients since the 9/11 attacks,” he said. “During our quest for new insights, it became clear that the WTC Health Program played a big role in this work, with connections to the expertise of specialists from The Mount Sinai Hospital. We are confident that we can learn much from their approach.”

From left: Franz van den Nieuwenhof, MD, Sandra M. Lowe, MD, and Michael Crane, MD, MPH

Sandra M. Lowe, MD, Associate Professor, Psychiatry, and Environmental Medicine, and Medical Director of the WTC Mental Health Program, delivered a presentation titled “9/11 Responder Mental Health: 20 Years of WTC Health Program Experience,” highlighting the association between disaster exposure and adverse health outcomes.

“Twenty years of research on 9/11 health outcomes has demonstrated not only the clear association between disaster exposure and adverse psychological effects, but also that there are meaningful actions we can take to treat trauma-associated conditions and alleviate suffering in disaster-exposed populations,” she said.

The WTC Health Program, a component of the Mount Sinai Selikoff Centers for Occupational Health, is the largest such center in the country and proudly cares for more than 25,000 responders at its Manhattan, Staten Island, Suffern, and Yonkers, New York, locations.

The panel also featured Agata Bednarska, MSW, Outreach and Education Manager, and Rachel Yehoda, MPH, Health Literacy Manager, who presented on mental health outreach and communication strategies. The meeting concluded with a discussion led by Kathryn Marrone, LCSWR, Director of Social Work, Amy Cushing-Savvi, LCSW, Assistant Director of Social Work, and Massielle Morales-Miller, LCSW, Social Work Supervisor, focusing on health monitoring, case management, and the role of psychosocial support in workplace wellness.

“To provide the highest standard of care to our responders, we have established a comprehensive case management and care coordination team,” said Ms. Marrone.

Michael Crane, MD, MPH, Medical Director of the Selikoff Centers, expressed gratitude for the opportunity to share knowledge with international colleagues.

“We hope our lessons learned and best practices will assist in establishing policies and programs around mental health,” he said. “Workplace health promotion programs have proven to be successful, especially when they combine mental and physical health interventions like we do through the WTC Health Program.”

In closing remarks, Dr. Lowe highlighted the WTC Health Program’s critical role caring for 9/11 exposed workers, and its dedication to sharing valuable knowledge.

“Our team is privileged to be part of the WTC Health Program and we are dedicated to contributing the insights we’ve gained to support initiatives that enhance mental health education and services, especially for individuals affected by trauma and chronic occupational stress,” said Dr. Lowe. “It’s a responsibility we take seriously.”

Mount Sinai’s Growing Partnership With Indian Health Services in South Dakota

Since 2021, the Emergency Medicine Global Health Division at Mount Sinai has partnered with the Indian Health Service to provide physician and physician assistant staffing, operational assistance, and educational support at the Cheyenne River Health Center in Eagle Butte, South Dakota.

This remote, critical access hospital comprises an emergency department, a 10-bed inpatient unit, and community outpatient center. The Emergency Department serves about 30 patients daily from the local population on the Cheyenne River Sioux Reservation.

“The partnership has evolved from a few intermittent weeks of staffing to the point where we now expect to provide nearly 28 weeks of full-time attending physician staffing this year,” says John Rozehnal, MD, MS, Assistant Professor, Emergency Medicine, who leads the partnership with Indian Health Services.

John Rozehnal, MD, MS

Mount Sinai Emergency Medicine physicians and other health care providers who participate are given the opportunity to manage a wide range of emergency medical concerns and provide comprehensive critical intervention while developing knowledge of the indigenous culture to enhance their care. Other health care providers include physician assistants and residents, including four Emergency Medicine 2024 graduating residents who supported the partnership.

Recently, the team was successful in assisting with the implementation of a new point-of-care ultrasound (POCUS) equipment and programming, including training that has begun with an education project on the placement of ultrasound-guided IV lines, the performance of regional anesthesia, and the use of bedside diagnostic studies helping to assess pregnancies. Without these new services, patients would often require transfer to a hospital more than an hour away.

The growing partnership between Mount Sinai and Indian Health Services includes a variety of quality improvement projects, such as implementing clinical protocols and improving cultural competencies and quality and safety initiatives.

“We look to further integration with the local team at Eagle Butte and to help develop area-wide initiatives to further both teach and learn from the facilities and patients in the Great Plain Area,” says Dr. Rozehnal.

Gun Violence Awareness Month in June: A Time to Raise Concerns About Safety for Kids and Families

The statistics about gun violence in the United States are striking.

In 2022, firearm injuries were among the five leading causes of death for people ages 1-44 in the United States, according to the Centers for Disease Control and Prevention (CDC). There were more than 48,000 firearm-related deaths, which is about 132 people dying from firearm-related injuries each day.

Nationwide, about one person dies every 11 minutes by suicide. About 50 percent of gun-related deaths in the United States were suicides, according to the American Foundation for Suicide Prevention. Access to a gun triples the risk of death by suicide, according to the New York State Division of Criminal Justice Services.

Charla Sarabia, MPH,

These statistics are why public health experts like Charla Sarabia, MPH, Injury Prevention and Community Outreach Coordinator at Mount Sinai Morningside on Manhattan’s Upper West Side, believe it is important to discuss this issue. In addition to what they see every day on the job.

“I see the issue in the community, and we are working to address it,” says Ms. Sarabia. She works with the Trauma Team in the Department of Surgery at Mount Sinai Morningside, and spends much of her time in the community, working on initiatives to help reduce injuries, sometimes with the New York Police Department and other organizations. Among the top causes of injuries she focuses on is falls by older adults, gun wounds, and accidents involving bicyclists.

Advocates say Gun Violence Awareness Month is the time to reflect on the lives lost and families changed by gun violence, honor the victims, support survivors, and discuss ways to reduce gun violence.

Gun safety and injury prevention is also a special concern for the nation’s pediatricians. In 2020, firearm-related injuries became the leading cause of death for children and teens in the United States aged 1 to 19, according to the American Academy of Pediatrics.

“Injuries from firearms are now the leading cause of death in children aged 17 and under in the United States,” says Louis Spina, MD, Director, Pediatric Emergency Department, Mount Sinai Kravis Children’s Hospital. “The most effective way to prevent unintentional injuries from firearms is by removing them from the home and any environment where kids actively stay or play.”

Ms. Sarabia offers these four basic reasons for addressing this issue, based on analysis by the CDC:

 

  • Many gun-related injuries and deaths are preventable through education, safe storage practices, and community interventions.
  • Gun violence is a major public health crisis, leading to physical injuries, long-term disabilities, and emotional trauma for victims and their families.
  • Promoting responsible gun ownership and safe practices can significantly reduce accidental shootings, especially among children and adolescents.
  • By fostering a culture of awareness and prevention, organizations can help create safer communities where everyone feels secure and supported.

If you do chose to keep a gun in your household, you can help keep kids safe by doing the following:

• Always keep your gun unloaded, locked away and out of reach of children.

• Always keep the ammunition in a separate location from the gun.

• Use a gun lock box or gun safe for the firearm; keeping all lock box codes, combinations, and/or keys out of reach of children.

• Talk to your children about guns and teach them to tell an adult immediately if they see one.

• Most importantly, always keep an eye on the children and never leave them unsupervised in a home or location with a gun.

Advancing Health Equity With Data: Improving Patient Care in the Emergency Department

At Mount Sinai, active collaboration with department stakeholders drives the efforts of the Health Equity Data Assessment (HEDA) team to advance health equity through data-driven initiatives.

Yvette Calderon, MD

Yvette Calderon, MD, Vice President and Dean for Equity in Clinical Care at the Icahn School of Medicine at Mount Sinai, recently discussed how the Emergency Department (ED) partnered with the HEDA team to apply an equity lens to evaluate Left Without Being Seen (LWBS) patients.

Together, they are reviewing data integrity in emergency medical records and applying an equity lens to effect meaningful change.

“This commitment underscores Mount Sinai’s ongoing dedication to fostering health equity through collaborative, data-informed strategies,” said Pamela Y. Abner, MPA, CPXP, Senior Vice President and Chief Diversity Operations Officer in the Office for Diversity and Inclusion, and Health Equity Officer for the Mount Sinai Health System.

LWBS is defined as a patient leaving the ED before completing a medical screening exam. When this metric is not met, it can represent quality and safety concerns, according to Lyndia Hayden, Senior Director, Data Integrity and Equity Analytics.

LWBS patients may also have an undiagnosed medical condition and may experience undesirable health outcomes outside of the hospital. Hospitals can also face penalties if they fail to meet certain quality metrics, like LWBS. The Centers for Medicare & Medicaid Services can reduce reimbursement rates for hospitals that do not meet these standards, having a direct impact on the hospital revenue stream.

On average, non-white patients tend to have a disproportionally higher rate of LWBS than white patients. As such, LWBS must be examined through an equity lens to ensure optimal patient outcomes for all patients.

Dr. Calderon emphasized the critical role of data integrity as a foundational step before delving into metrics analysis. With invaluable support from the HEAD Hub, the Department of Emergency Medicine at Icahn Mount Sinai implemented a comprehensive dashboard system, empowering ED service lines across the Mount Sinai Health System to closely monitor performance indicators, identify key drivers, and establish clear accountability measures.

For example, guided by these insights, each ED tailored interventions to their unique context, with initiatives such as Provider-in-Triage (PIT) protocols, mandatory unconscious bias training, and enhanced education for registration staff on demographic data collection emerging as effective strategies at Mount Sinai Beth Israel.

This work was presented to the Joint Commission during the Mount Sinai Downtown survey. It impressed the surveyors to see that Mount Sinai had already started integrating the new standard from the Joint Commission.

“The data integrity piece had to happen first before we could look at any of the metrics,” said Dr. Calderon. “Through diligent implementation, these interventions have proven instrumental in addressing pertinent issues within the emergency departments that identified a need.”

New Teen Lounge Unveiled at Mount Sinai Kravis Children’s Hospital

The Mount Sinai Child Life and Creative Arts Therapy team recently opened a newly constructed Teen Lounge at the Mount Sinai Child Life Zone at the Mount Sinai Kravis Children’s Hospital. The team celebrated the opening with a ribbon-cutting ceremony on Thursday, June 6.

Thanks to a generous gift from the Garth Brooks Teammates for Kids Foundation, a longtime partner and collaborator, the lounge meets the unique developmental needs of teenage patients and helps to minimize the stressors that they feel during a hospital stay. Promoting creativity, self-expression, and connectivity, the lounge offers teenage patients a place to socialize and connect, escape from their patient room, explore creative outlets, and relax and unwind.

The newly designed Teen Lounge features pods for patients to relax, read, and take photos; gaming stations with gaming systems and seating; and lounge seating for patients to watch movies and entertainment. There are also two large communal tables for art, games, and other activities, three colorful wall murals, and additional storage cabinets for art, music, play, and technology supplies.

“Being in the hospital, whether as an inpatient or outpatient, can be difficult and overwhelming for a teenager,” said Lisa M. Satlin, MD, Chair of Pediatrics for the Mount Sinai Health System and Pediatrician-in-Chief of the Mount Sinai Kravis Children’s Hospital. “We are delighted that we can give all of our adolescent patients a chance to unplug, forget why they are at the hospital, feel inspired, and have fun, even though they are in the hospital.”

“We have long recognized that adolescent patients face a unique set of challenges when coping with illness and hospitalization, and this new space allows us to provide a place that teens can call their own,”  said Morgan Stojanowski, MS, CCLS, Director of the Child Life and Creative Arts Therapy Department. “They can relax and interact with their peers and escape from the rest of the hospital. Especially for teens adjusting to a difficult illness or medical condition, this space gives them a safe haven to relax and be themselves.”

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