Closing the Disparity in Patients’ Use of the Health App MyMountSinai

Mount Sinai’s Digital and Technology Partners (DTP)-Digital Experience Team, with guidance from the Digital Equity and Accessibility (DEA) Committee, seeks to improve underrepresented patient cohorts’ access to Mount Sinai digital products. The team is taking a data-driven approach to address equity gaps by identifying patient cohorts with proportionally low digital engagement.

The usage of MyMountSinai is the current priority, as patients will benefit greatly from accessing a digital entry and patient portal. MyMountSinai is offered in seven languages, allowing patients to receive in-person and virtual care and to message providers.

Building relationships with our communities is a key health equity priority. Stakeholders partnered to prioritize Central Harlem as a starting point based on the strength of our existing Community-Based Organization (CBO) partnerships. They plan to collaborate with other CBOs to better reach and engage patients in Central Harlem and other marginalized communities. The Digital Experience Team seeks to understand the unique needs of these communities and build awareness of MyMountSinai’s usefulness in accessing care.

In the first quarter of 2024, they identified gaps in MyMountSinai usage. In the second quarter, they created an engagement plan and identified potential CBOs with which to partner. In the third quarter, they plan to connect with CBOs to discuss how to best build awareness and engagement around MyMountSinai. The goal is to increase Central Harlem Mount Sinai patients’ usage of MyMountSinai from 54 percent to 70 percent. Heading into 2025, as they make progress on this metric, they seek to increase adoption of MyMountSinai in other underrepresented neighborhoods.

This effort is led by Jordan Randall in partnership with Gary Gravesandy, Arianna Goldman, Huma Sohrwardy, Eric Kim, and other members of the Digital Equity and Accessibility committee. For more information, please contact Jordan Randall (jordan.randall@mountsinai.org) about this project, and Eric Kim (eric.kim@mountsinai.org) about the DEA Committee.

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 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.”

Dear Mount Sinai: Thank You

For National Doctors’ Day, Mount Sinai asked patients how they felt about their doctor. About 300 people responded by leaving short notes of thanks for doctors, their staff, and for all those who made it possible. You can read the notes here on a special website.

Notes like this: “Mount Sinai doctors have saved my life on more than one occasion. First when I had a brain aneurysm and then when I had an appendectomy. Thank you to all of them and to my present team of care. Gratitude to all the staff at Mount Sinai.” – Gladys Franceschi

Or this: “I am beyond blessed to have the following Mount Sinai physicians: Dr. Thomas Schiano has pulled me through so many rough times since my liver transplant. Dr. Kevin Dunsky has literally saved my life. Mount Sinai saved my life at least 3 times!”  – Colleen Jackson

Or this: “Dr. Kathryn Dubowski, your care at Mount Sinai changed my life. I arrived struggling to breathe, but thanks to your dedication, I can now breathe normally. Your compassion is unmatched, and I’m endlessly grateful.” – Bryan Medina

Their reasons for giving thanks were many and varied. Some expressed thanks to their doctor for saving their life. Or giving them back their life. Some for helping them get through a very difficult period in their life.

Some for diagnosing a problem others outside Mount Sinai had been unable to find. Some for many years, even decades, of expert medical treatment. Some for contributions to the community.

Some for advocating on their behalf, for giving them confidence, for understanding their pain, for offering relief.

Even some out of towners who ended up in a Mount Sinai emergency department expressed thanks. “In the past few years, I have become so disenchanted with our medical system. In a visit to NYC last year, I fell and hit my head. While at the ER, my faith was restored. Everyone there was so supportive and caring. I have never been treated so kind.” – Catherine Patrick

Many expressed thanks to their Mount Sinai doctors and staff for just listening, for answering their questions, for spending extra time with them, for always offering a friendly greeting, for expressing compassion.

In a word, for caring.

Here are some more notes:

Dr. Fabian at the Dickenson Center for MS has been a life changing doctor. She goes above and beyond to listen, understand, have compassion for and offer compassion to her patients. She is the greatest medical professional I’ve ever worked with. – Kirsten Hughson

Dr. Irie has been my oncologist for the past 5 years. In those 5 years she has shown me nothing but empathy, respect, and compassion. As a young cancer survivor I’m grateful to have a doctor who I can trust. Thank you for all that you do Dr. Irie!  – Roshni Kamta

Dr. Dubinsky was my doctor throughout my two pregnancies, including between my pregnancies when my Crohns was out of control, and she gave it all to get it under control and I’ve been in remission ever since – deepest remission I’ve ever been in!

Dr. John Mascarenhas made a difference in our lives. When my husband was dealing with leukemia, Dr. Mascarenhas was not just a doctor but acted as a family member. He put the best team together, he came on a day he was not for a consult. Incredible  – Kikelomo Ogundiran

I had a 14 hour surgery to remove a cancerous tumor from my nasal septum. Dr. Genden and his surgical team were absolutely amazing! They saved my life and I am forever grateful to them for all their top notch skills and dedication! Awesome doctors!  – Claire Lisanti

Dr. Blair Hammond is an incredible physician. She listens to our needs, concerns, and makes us feel as she has all the time in the world for us despite having a bustling waiting room of sick children. She’s just simply a pediatric gem! – Jacqueline Rose Zeigler

Dr. Kapka is passionate about population health and encourages changes towards it. Her effort in promoting healthy behaviors and addressing social determinants of health is commendable. She is making a real difference in the lives of patients/community

Dr. Anuradha Singh has been my specialist doctor for many years, I followed her from Bellevue Hospital. She has been empathetic, a good listener, an encourager, and my supportor thru out the years. She has help me feel empowered to improve my health – Felipe Rosado Jr.

I want to express my heartfelt gratitude to my father’s highly skilled and compassionate surgeon Dr. Ismail El-Hamamsy and his entire cardiac team for safely repairing his ascending aortic aneurysm and valve. Dr. El-Hamamsy and his team are the best! – Lucia Panico

Happy Doctors’ Day! Dr. Zaw Naing – Thank you for your almost 30 years of incredible service to our healthcare community. Your dedication, compassion, and expertise have improved countless lives, and we are grateful for all that you do.  – Michele Ramirez

Dr. Mocco has been my doctor and he and his team have been fantastic pre, during, and post! I’d like to give a toast to them all! I saw him late in the fall and he dealt with my blocked right artery and ended up putting two stents in to open it up! – Dave Sweeney

Dr. Ripp does more than just listen to my complaints– many because I am almost 103! He acts on them promptly and thoughtfully. I feel totally cared for since Dr. Ripp and his team have become part of my team. – Sophie Gerber

My right hand was painful and swollen to the point I could use it. My local rheumatologist prescribed prednisone, but couldn’t find the cause. At Mount Sinai, Dr Olivia Ghaw was able to diagnose and treat me for psoriatic arthritis. I am so grateful! – Sheryl Rain Worthington

Mount Sinai Queens-Crescent Street Officially Opens, Signifying a New Era of Care in Queens

From left: Anna Kril,Eartha Washington, Rabbi Jonathan Pearl, Tiffany Echevarria, Jill Goldstein, Ken Long (behind), Donovan Richards, Cameron R. Hernandez, MD, Michael Gianaris, Lynn Schulman, Florence Koulouris, Amrita Gupte, David L. Reich, MD, Ricardo Bonitto, and Nancy Papaioannou

The opening of Mount Sinai Queens-Crescent Street, a new multispecialty care outpatient practice in Queens, underscores Mount Sinai’s commitment to improving health and its commitment to the community.

“Mount Sinai Queens-Crescent Street marks a transformative milestone in the delivery of care in Astoria and beyond,” says David Reich, MD, President of The Mount Sinai Hospital and Mount Sinai Queens. “We are focused on enhancing the patient experience at Mount Sinai, and are committed to opening new facilities and increasing the range of advanced health care services we provide; and that is what we have done in our neighborhood.”

On Thursday, March 7, Mount Sinai Queens hosted a ribbon-cutting ceremony to celebrate the opening of the new outpatient practice.

Designed to enhance multispecialty care in a convenient state-of-the-art facility, Mount Sinai Queens-Crescent Street offers the latest diagnostic and treatment options and specialized care.

Services include heart care from the world-renowned Mount Sinai Fuster Heart Hospital on the Second Floor and centers for hematology/oncology, gastroenterology, endocrinology/diabetes care, rheumatology, and physical medicine and rehabilitation (physical therapy, occupational therapy, and speech-language pathology) on the Third Floor.

The new practice features new accommodations, including spacious exam rooms, comfortable waiting areas, bathrooms, and beautiful modern fixtures in an accessible, easy-to-navigate building. In addition, the Physical Medicine and Rehabilitation Department has a large gym that features new equipment, more privacy, and a bigger area, making it more accessible to patients.

“Our goal is to make this facility the destination for care in Queens,” says Cameron R. Hernandez, MD, Executive Director and Chief Operating Officer, Mount Sinai Queens. “Mount Sinai Queens-Crescent Street will play a pivotal role not only in ensuring that community members—our neighbors—receive the care they deserve but also in creating an immersive and comprehensive health care experience for patients and clinical experts.”

Within the next year, a Mount Sinai retail pharmacy and Mount Sinai Express Care—an urgent care clinic associated with the hospital’s emergency room—will also open on the First Floor of the building.

Mount Sinai Queens is committed to providing the community of western Queens and beyond with the best outpatient, emergency, and inpatient medical care. Patients have access to a highly trained team of nearly 500 physicians representing almost 40 medical and surgical specialties and subspecialties. The team of physicians, nurses, and support staff uphold the Mount Sinai tradition of excellence by providing high-quality, patient-centered care, delivered with compassion.

Attending the groundbreaking were the Mount Sinai Queens leadership team that includes Amrita Gupte, MD, MPH, MBA, Jill Goldstein, MA, MS, RN, Ellina Babar, Ricardo Bonitto, MBA, and Zachary Kee. They were joined by Dr. Reich; Donovan Richards Jr, Queens Borough President; Michael Gianaris, State Senator; Lynn Schulman, Council Member; and Tiffany Echevarria, Community Liaison for Congresswoman Nydia Velasquez.

Alumni Kiran Nagdeo, BDS, MPH, Shares How Mount Sinai Enabled Her to Integrate Her Oral Health Experience Into a Public Health Career

Kiran Nagdeo, BDS, MPH

Kiran Nagdeo earned her BDS degree at D.Y. Patil University School of Dentistry in India and has eight years of clinical experience. She recently graduated from the Master of Public Health program, specializing in Global Health (Epidemiology and Biostatistics) from the Icahn School of Medicine at Mount Sinai.

Why did you decide to study at Icahn Mount Sinai?

The main reason I chose Mount Sinai is because it’s one of largest academic medical systems in the New York metro area. That gives you hope that it will open multiple opportunities, which it did. Another big reason was that the location really mattered to me. Mount Sinai is located very close to Central Park, and close to the subway, which made commuting easier.

What attracted you to study Public Health? What about it inspires you?

I was a completely clinically oriented dentist, practicing in India, and I was happy—until COVID-19 hit. It was during the pandemic that I realized the importance of broader level or upscale interventions. I had been working on an individual level—patient-doctor one to one relationship—but if I was equipped back then, I could have helped and contributed on a bigger scale to support many more people. Around this time, I decided to pursue public health.

My love and passion for dentistry and oral health is strong, and I have embraced avenues for my continued interest in this area. I have learned that there isn’t a heavy focus on oral health in the public health sector. There are very few select professionals, who usually tend to have a dental background, who have contributed to dental public health.

My goal going forward is the integration of oral health in public health and to advance maternal and child health. Women are key change agents, and children are the future we are bringing this change about for.

What were some of your achievements as a master’s student?

During my time in the Graduate Program in Public Health, I am proud to have accomplished so much. This includes: Two full text publications with multiple under review and work in progress publications; attending four conferences with about ten presentations; participating in the global health summer research program, which included visiting Rikers Island for shadowing the dental team and the medical complex care services team; participating in a Community-based Participatory Research Program in Queens; honored with winning four awards; and being inducted into the Delta Omega honorary society.

What activities outside the classroom have contributed to your success?

I’ve been the most active with the World Federation of Public Health Associations (WFPHA), and I owe all my success to Hyewon Lee, DMD, MPH, DrPH, the Chair of the Oral Health Workgroup (OHWG). She has elevated me and invested in my growth on a professional as well a personal level. I would not have been as successful or learned as much without her mentorship. I am currently the Vice Chair of the workgroup, directly under Dr. Lee’s leadership. I had my first ever publication with her, and first ever presentation at the largest public health conference, the American Public Health Association.

I’ve also participated in many research activities. I worked as a research assistant in Mount Sinai’s Department of Environmental Medicine and Public Health, which helped in my professional growth and development. I learned the basics of research thanks to my professor Maayan Yitshak-Sade, PhD, and Vishal Midya, PhD. They laid the foundation for my understanding in research.

I’ve been involved in several student organizations within Icahn Mount Sinai. This kind of exposure led me to gain more perspective as a graduate student in a medical school. I’ve held two positions in the student council in my time at Icahn Mount Sinai, most recently being the second year class representative for MPH. Along with that I’ve led five other organizations, while participating in many more. Even as a student, my strongest skill has been collaborations; I’ve collaborated with postdocs, medical students, MD/PhD students, different groups that I’m leading, and other student body structures, while leading the planning of multiple events. I’ve noticed how collaborations help us all bring our resources and friends together to have a much bigger event that is mutually beneficial.

I’ve also written for The Scoop, which is the MPH newsletter, on racism in public health. And written in the Helen journal about my unforgettable experience at the AADMD One Voice conference.I completed a student leadership in global oral health course with the Alliance for Oral Health Across Borders (AOHAB). That led to working closely with the president of AOHAB, Deborah Weisfuse, DMD, MSc, and I now hold a leadership position of Program Director in the organization.

I’m currently a part of the American Institute of Dental Public Health (AIDPH) Dental Public Health Leadership Academy (DHPLA) as a student leader. I also hold leadership positions at APHA, as External Relations Co-Chair in the APHA Student Assembly, Student Fellow in the Maternal and Child Health Sections, and a member of the Scientific Planning Committee in the Oral Health Section. I’ve also had the opportunity to be a teaching assistant for Maya Korin, PhD, MS, and Laura MacIsaac, MD, MPH, for MPH students, and for Georgina Osorio, MD, MPH, and Gallane Abraham, MD, for Clinical Research Students.

What are your plans now that you have completed your degree?

I will be continuing my work as a research assistant in the Microbial Exposomics lab under the leadership of Dr. Midya and Shoshannah Eggers, PhD, in the Department of Environmental Medicine and Climate Science at Icahn Mount Sinai, in collaboration with the Department of Epidemiology at the University of Iowa. I will be continuing my commitments at WFPHA, APHA, and AOHAB. I have been accepted and will be pursuing my PhD of Public Health in Epidemiology at New York University School of Global Public Health.

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