Mount Sinai Celebrates Administrative Fellowship Graduates

The six new graduates of the Mount Sinai Health System’s Administrative Fellowship Program

Ask questions; don’t be afraid to make mistakes; find mentors who challenge and encourage you; embrace change, but honor your deepest values. These were some of the key takeaways offered by six new graduates of the Mount Sinai Health System’s Administrative Fellowship Program.

The Office for Diversity and Inclusion—together with hospital leadership from Mount Sinai Beth Israel, The Mount Sinai Hospital, Mount Sinai Morningside, and Mount Sinai West—hosted a ceremony on Monday, June 29, to celebrate the six young professionals, who were hailed as “amazing,” “creative,” and “insightful.”  The goal of the two-year administrative development program is to recruit, develop, and ultimately promote underrepresented minority talent into leadership roles within the Mount Sinai Health System.

“The fellows continue to teach us, make us better, and give us things to think about, and we are grateful for that,” Jeremy Boal, MD, President, Mount Sinai Downtown, and Executive Vice President and Chief Clinical Officer, Mount Sinai Health System, said in his opening remarks for the event, which was held remotely. The graduates, Fatema Begum, MPH; Vanna Chau, MHA; Aaron Hopkins, MHSA; Atef Rafiuddin, MHA; Lititia Satpathy, MHSA; and Nina Williams, MPH, spoke enthusiastically about their projects and takeaways from the experience, which involved working with executive and senior leaders on key initiatives for the Health System.

David L. Reich, MD, President and Chief Operating Officer, The Mount Sinai Hospital, and President, Mount Sinai Queens, thanked the Office for Diversity and Inclusion for “establishing a remarkable pipeline of incredible talent and showing us the way to create better diversity at all levels of administration.” All six graduates have transitioned into managerial roles in the Health System, joining six graduates from previous years. Five new fellows, Carolina Carvajal, MPA; Oladapo Durojaiye, MS/HSA, MPH; Precious Nwajei, MPH; Hazel Rogers, MPH; and Francisca Roman, MHA, joined the organization in July; and four more started their second year of the fellowship.

The program’s contributions to developing the next generation of leaders in health care administration were noted in closing remarks by Pamela Y. Abner, MPA, Vice President and Chief Administrative Officer, Office for Diversity and Inclusion. She thanked Shana Dacon, MPH, MBA, Director, Corporate Health System Affairs, ODI, and Janice Yoon, Program Manager, Corporate Health System Affairs, ODI, for their work in designing the program to advance a pipeline of health care professionals from underrepresented minority groups. “Our program is unique, and we are perhaps one of the only institutions doing this,” Ms. Abner said. “We are all proud to be part of it.”

Mount Sinai is accepting applications for the 2021 Administrative Fellowship through Friday, October 30. Health System staff and students are encouraged to apply. Contact the Office for Diversity and Inclusion at diversity@mountsinai.org for any additional questions.

Mount Sinai Administrative Fellows Share Takeaway Lessons

Six young professionals recently completed the Mount Sinai Administrative Fellowship, a two-year program developed by the Office for Diversity and Inclusion with support from top leadership. The Fellows served rotations at Mount Sinai hospitals in fields such as project management, business development, budgeting, data analysis, and the patient and staff experience.  In a recent graduation ceremony, they all expressed profound gratitude and shared some takeaway thoughts:

Fatema Begum, MPH, Operations Manager
Mount Sinai Kravis Children’s Hospital

Administrative Fellowship Graduate, Mount Sinai Morningside

“Mount Sinai Morningside has instilled in me the importance of strong values, and I saw it exemplified in every area of my work. Quite often, I would work on a project that had previously not been done before. I was always assured that when there was no blueprint it was OK to be creative, to make mistakes, and do many iterations because we are always on a journey of continuous improvement.”

Aaron Hopkins, MHSA, Administrator, Mount Sinai Doctors – Westchester
Administrative Fellowship Graduate, The Mount Sinai Hospital

“This fellowship is the only one of its kind—focused on promoting minorities in health care administration—which is a big reason I chose to participate. With the current climate and everything going on in the world, it’s a blessing to be a part of an organization that shows support for diversity, as opposed to just providing words. Mount Sinai is an organization where senior leaders live out its mission every day, and I am grateful to be surrounded by such leaders and on the path to becoming one as well, thanks to the fellowship program.”

 

Atef Rafiuddin, MHA, Project Manager, Cardiac Services, Mount Sinai Morningside
Administrative Fellowship Graduate, Mount Sinai Morningside

“Throughout my Fellowship, I have tried to embody the philosophy of “Going to the Gemba.”  This is a LEAN project management term—translated as “the Real Place”—that emphasizes going to where the work is actually completed.  By following this philosophy, I have come to realize that there is no easy job in this industry, and you do not get a sense for what a job entails until you see it in person.  Mount Sinai’s Administrative Fellowship truly was an opportunity to learn and grow by exploring various roles.”

Vanna Chau, MHA, Senior Financial Analyst, Mount Sinai West
Administrative Fellowship Graduate, Mount Sinai West

“Mount Sinai West leadership encourages curiosity and creativity. They gave me the opportunity to just take something, make it my own, and make improvements. For example, I helped create a new census template, which I’m proud to say is used every single day. And from it I also learned what leaders are looking for, how the whole hospital works, and the unique features of each unit.”

Lititia Satpathy, MHSA, Project Manager, Mount Sinai Union Square
Administrative Fellowship Graduate, Mount Sinai Beth Israel and Mount Sinai Union Square

“In the COVID-19 response, I tried to be present and available in any way I could, for example helping to organize labor pool deployments, and tracking personal protective equipment. I think the big takeaway is that I always felt like part of the teams at Mount Sinai Beth Israel and Mount Sinai Union Square—being trusted to do a lot and being a part of a wonderful organization.”

Nina Williams, MPH, Project Manager, Mount Sinai Doctors – Downtown
Administrative Fellowship Graduate, Mount Sinai Beth Israel

“We’re in a unique position because Mount Sinai Beth Israel is going through a massive transformation, and turning our attention to preventive measures focused on population health. During my rotation in the Transformation Department, I was able to focus on initiatives like maximizing our revenue with vacant spaces within the hospital; and I had the opportunity to enhance project management skills that help me in my current role.”

Mount Sinai Health System Profiles in Pride 2020

 

In the annual Profiles in Pride, the Mount Sinai Health System recognizes employees for their leadership and dedication to LGBTQ+ health equity. This year, we salute the following employees.  

Michael Cruz, MS (they/theirs/he/his)

Michael Cruz, MS (they/theirs/he/his)

Program Manager, Institute for Advanced Medicine

Bringing HIV Prevention and Health Education to Diverse Communities

Michael is a first generation Latinx American, born and raised in Miami, Florida. They joined the HIV outreach team at Mount Sinai’s Institute for Advanced Medicine in 2014 and as Program Manager have used their role to expand Mount Sinai’s outreach to women, transgender and non-binary, incarcerated, and immigrant communities.  As an active leader in Mount Sinai’s LGBTQ Employee Resource Group, Michael coordinates the MSHS outreach booth every year at Pridefest, the annual Pride month street fair (on hiatus this year due to COVID-19).

Patti Cuartas, PA-C, MBA, PMP (she, her, hers)

Patti Cuartas, PA-C, MBA, PMP (she, her, hers)

Executive Director, Information Technology, Population Health and Payer Systems

Mentoring and Supporting LGBTQ Employees and Allies

Patti  is responsible for leading the development and implementation of business-aligned IT services to support Population Health activities for all populations, including commercially insured, Medicare, and Medicaid patients. She has been a tireless advocate for the inclusion of sexual orientation and gender identity data across all of Mount Sinai’s patient data collection. As co-chair of the corporate Employee Resource Group, she helped to establish, and is an “out” role model in, Mount Sinai’s corporate employee mentoring program. In her spare time, Patti and her wife volunteer for Sugar Mutts Rescue, a 501(c)(3) dog rescue and farm sanctuary organization in Pennsylvania.

Leona Hess, PhD (she, her, hers)

Leona Hess, PhD (she, her, hers)

Director of Strategy and Equity Education Programs, Icahn School of Medicine at Mount Sinai

Transforming Medical Education to Undo Racism and Bias 

Leona brought her background and experience as an LGBT and anti-racism educator and a lesbian activist for social justice to the Icahn School of Medicine at Mount Sinai as its first Director of Strategy and Equity Education Programs, where she is leading a structured process to support complex change with a focus on the people side of change related to the School’s Racism and Bias Initiative.

Ellis Luka Katz, RN, MSN, CCRN, CMC (they, them, theirs)

Ellis Luka Katz, RN, MSN, CCRN, CMC (they, them, theirs)

RN, Neurosurgical ICU, Mount Sinai West

Promoting LGBTQ Affirmative Inpatient Care

El has been instrumental in advocating for and bringing educational resources to providers and staff within inpatient settings at Mount Sinai West on best practices in LGBTQ-sensitive and culturally competent care.  They were able to get the inpatient whiteboards to accurately reflect each patient’s name and pronoun, which has become a model for the rest of the Health System. Their courage in coming out to colleagues as non-binary has also inspired efforts to increase colleague-to-colleague sensitivity and respect.  

John Henry Pang, MD (he, him, his)

John Henry Pang, MD (he, him, his)

Department of Surgery/Division of Plastic Surgery, Icahn School of Medicine at Mount Sinai

Leading Research in Transgender Medicine and Surgery

John completed Mount Sinai Health System’s Transgender Surgery Fellowship two years ago, and today he specializes in the care of transgender and gender-nonconforming people. As a native of Hawaii and a longtime LGBTQ activist, he has a special interest in ensuring that medical education is inclusive of the needs of his community. He has published and lectured broadly on both plastic surgery and transgender care. He is the Research Group Lead for the Center for Transgender Medicine and Surgery at the Icahn School of Medicine at Mount Sinai, is an active member of the World Professional Association of Transgender Health, and has received multiple awards for his leadership and research in this area.

 

Julio C. Ramos (he, him, his)

Julio C. Ramos (he, him, his)

MD Student, Class of 2021, Icahn School of Medicine at Mount Sinai

Engaging Student Activism for LGBTQ Equity and Inclusion

Julio is an active member in the Stonewall Alliance and oSTEM, the two LGBTQ student organizations at the Icahn School of Medicine. He participated in raising more than $7,000 during the Second Annual Mount Sinai Charity Drag Race and appeared in the contest in his drag persona, “Penelope.” During the pandemic, he led the PPE distribution task force at The Mount Sinai Hospital and Mount Sinai West.

Pamela Abner Receives Seed to Bloom Award for Corporate Community Service at Mount Sinai

Pamela Y. Abner, MPA

Pamela Y. Abner, MPA, Vice President and Chief Administrative Officer, Office for Diversity and Inclusion, has received the 2020 Corporate Community Award from the nonprofit group Seeds of Fortune Inc. The award, which Ms. Abner accepted at a virtual gala on Saturday, June 13, recognizes “a corporate employee or company that leverages their resources, expertise, and talent to make a positive impact.”

The group praised Ms. Abner for her thought leadership and strategic management, saying that she “continuously seeks to implement initiatives to identify disparities and eliminate barriers to medical care, employment, and education for underserved and underrepresented groups as well as foster relationships with community partners.” The honor was one of several Seed to Bloom Awards, which celebrate women who are inspiring the next generation of women in finance, entrepreneurship, and community activism. The awards are an initiative of Seeds of Fortune, a scholars program that aims to financially empower young women of color—helping them apply for college scholarships and build financial and career skill sets during their college years and beyond.

Vigils for Justice, Equality, and Health Equity

Clinicians across New York City joined in a “White Coats for Black Lives” march on Saturday, June 6, from Central Park’s East Meadow down Fifth Avenue to Columbus Circle. Hundreds of health care workers and medical students—wearing the requisite face masks—were demonstrating to address a range of issues, including the murder of George Floyd in Minneapolis and structural racism that has contributed to disparities in health, both during the COVID-19 pandemic and long before.

The event was led by White Coats for Black Lives, a medical student-run organization that was born out of demonstrations in 2014 after Michael Brown in Ferguson, Missouri, and Eric Garner in Staten Island were killed by police. Since then, the group has formed chapters around the nation with this mission statement: Eliminating racism in the practice of medicine and recognizing racism as a threat to the health and well-being of people of color.

Sites across Mount Sinai have also held vigils—including powerful events on Tuesday, June 2—in which participants observe 8 minutes and 46 seconds of silence, the amount of time George Floyd was held under a police officer’s knee, suffocating to death. Demonstrations also focused on Breonna Taylor, an African-American emergency room technician who in March was killed by the police in her own home in Louisville, Kentucky.

At noon on Thursday, June 11, 1199-SEIU encouraged its members to take that pause to show solidarity for George Floyd and so many others who came before him. Many 1199 members gathered outside of Mount Sinai Beth Israel to participate. And at Mount Sinai West and Mount Sinai Morningside, vigils were led by unions including 1199 and the New York State Nurses Association. Members of hospital leadership at the sites joined in solidarity.

The Impact of COVID-19 Within Black and Hispanic Communities

The COVID-19 pandemic has hit African American, Hispanic, and poor communities across the United States particularly hard. The health disparities that existed before COVID-19 have been greatly exacerbated, with a disproportionate impact on these communities. The questions are why, and what to do about it.

In this Q&A, we spoke with Icahn School of Medicine at Mount Sinai professor and public health research scientist Luz Claudio, PhD.

Why are we seeing such high rates of COVID-19 among African American and Hispanic people?

Health disparity by race, ethnicity, and income is a thing that we know about. There is even a National Institutes of Health institute dedicated to that issue. COVID has just blown the lid off this boiling problem that was already there. It’s been far too long that minority communities, minority people of color, low-income people have been suffering from higher disease levels and more severe disease in many cases.

How are communities of color particularly vulnerable to COVID-19?

There are several factors that contribute to higher rates of disease and death from COVID-19 among people of color.  One is that many work in the newly “essential” jobs—where they are exposed to the virus—and are going back home to their families—further spreading the condition.

Another issue is crowding in the household, as people of color tend to have higher numbers of people living in one household—sometimes several generations in one home. Young people, who are risking themselves out there working, often have no way to self-isolate in their household and may inadvertently expose people who are more vulnerable than they are in terms of age or having other diseases.

Not only do they have these conditions more often, but also they’re out there. They’re working in these jobs and they’re being exposed to everything.

Importantly, as our research and that of many others has found, communities of color have higher rates of the very chronic diseases that increase the risk of death due to coronavirus.   

How can health care organizations help to make up for disparities?

One of the things that we can do now, instead of waiting until the pandemic is over, is research, as Mount Sinai and other institutions are doing. We need to make institutional policies that correct the health disparities now, not just track them. We need to act now.

Prioritize the people at risk. If you’re only 46 years old but you have diabetes, that should be part of the priority station for testing you for COVID. We should prioritize people at risk because of their comorbidities, and that is going to be mostly minority people. Another thing that we can do is outreach where there is greater risk. Partner with trusted community-based organizations to get the testing and messaging out.

How can health care organizations alleviate any mistrust between themselves and vulnerable populations?

As an institution, we can partner with community-based organizations that already have that kind of trust as a bridge and really collaborate with them equally.

This is a good example of the way health care institutions can reach and be seen as part of the community. That’s another one of our responsibilities as a health care institution: to build that trust through a bridge of people who are already doing the work at the grassroots level.

The Mount Sinai Health System recently launched the Institute for Health Equity Research, which is dedicated to examining the causes and magnitude of health and health care disparities impacting nonwhite, low-income, immigrant, uninsured, LGBTQ+, and other populations across all ages, abilities, and genders. In partnership with local community groups, the Institute is now launching a survey of the health and social impacts of COVID-19. Speak Up on COVID-19: Help Us Help ALL New Yorkers seeks 10,000 respondents across the area. 

New Institute for Health Equity Research Studies Issues Spotlighted by COVID-19

Co-Director Lynne Richardson, MD, left, and Director Carol Horowitz, MD, MPH, are guiding the new Institute for Health Equity Research. View an interview with Dr. Richardson on racial disparities and COVID-19.

The Mount Sinai Health System’s new Institute for Health Equity Research is quickly acting on its mandate to rigorously study disparities in health issues, including COVID-19, with the intention of translating those discoveries into initiatives and policies that benefit communities in New York and the nation.

“Our extensive expertise in population health and serving one of the most socioeconomically, demographically, and culturally varied populations in the world makes us uniquely positioned to take on this enormous challenge,” says Dennis S. Charney, MD, the Anne and Joel Ehrenkranz Dean of the Icahn School of Medicine at Mount Sinai, and President for Academic Affairs of the Mount Sinai Health System.

The COVID-19 pandemic is shining a light on long-existing health inequities, according to the Institute’s Director, Carol Horowitz, MD, MPH, Professor of Population Health Science and Policy, and Medicine, and Dean for Gender Equity in Science, and its Co-Director, Lynne D. Richardson, MD, Professor and Vice Chair of Emergency Medicine, and Professor of Population Health Science and Policy.

“Who gets COVID-19, who lives and who dies, maps very well, unfortunately, with other kinds of maps we have in New York City,” Dr. Horowitz says. “This includes areas of poverty, areas of majority of low-income, Latinx, and African American people, areas of more pollution, areas of more linguistic isolation, areas that have had more redlining in the past and other structural inequities. If you look at any map of New York City, and where people are marginalized, don’t have equal opportunities, and have higher burdens of chronic diseases, these are the same areas where COVID-19 seems to be hitting the most.”

Initiatives in Progress

The Institute has a variety of initiatives in progress, including Speak Up on COVID-19, a survey that was just launched in partnership with more than 100 New York City community organizations. “Speak Up” will be available in 11 languages to anyone with access to a smartphone. It is seeking to enroll more than 10,000 participants and will explore medical, demographic, social determinants, and COVID-19-related attitudinal, behavioral, and psychological factors; and try to identify participants’ needs and risk-factors. The survey also offers a resource guide, Dr. Horowitz says, answering questions such as “What are the resources for food? What are the resources if you are a survivor of domestic violence, and you can’t get out of your house? What do you do if you are homeless? What do you do to help your kids learn? What do you do if you are pregnant and you have COVID-19?”

And studies are underway on subjects including:

  • The impact of gender-affirming hormone treatment on the clinical course of COVID-19 in transgender and gender-nonbinary patients;
  • Health outcomes for those living with HIV and COVID-19;
  • How patient care via telehealth can be delivered equitably and narrow the digital divide.

The New York City Department of Health reports that 81 percent of COVID-19 cases are in the Bronx, Brooklyn, and Queens, with higher numbers in neighborhoods that are lower income and have more underserved residents. Only 12 percent of cases are in Manhattan, and there are signs of health disparity there as well, “right in our area, since The Mount Sinai Hospital is at the border of East Harlem and the Upper East Side,” Dr. Horowitz says. The DOH reports that as of May 18, in the 10029 zip code—East Harlem—there were 1,698 COVID-19 cases and 182 deaths, in a population that is 84 percent African-American and Latino with a median yearly income of $34,000.  The toll was markedly lower in the adjacent 10028 zip code—the Upper East Side—where there were 603 cases of COVID-19 and 34 deaths, in a population that is 71 percent non-Hispanic white with a median income of $114,000.

The Mount Sinai Health System is well positioned to collect and study its own data on health care disparity because of years of groundwork led by the Office for Diversity and Inclusion, says Gary C. Butts, MD, Chief Diversity and Inclusion Officer, Mount Sinai Health System, and Dean for Diversity Programs, Policy, and Community Affairs, Icahn School of Medicine. “Understanding disproportionality is important,” Dr. Butts says. “With the data we have assembled, we can study it better, and we can be positioned to close the gaps that we have been talking about for a long time. It’s the right thing to do, and it’s the smart thing to do.”

Collecting Data

Pamela Y. Abner, MPA, Vice President and Chief Administrative Officer, Office for Diversity and Inclusion, spearheaded the effort to make it a standard procedure across most of the Health System to collect data in Mount Sinai’s patient registration systems on race, ethnicity, language, and sexual orientation and gender identity. The data are available to clinicians and researchers to enhance patient care and further study on an innovative Disparities Dashboard, created with leaders including Dr. Richardson and Nina A. Bickell, MD, MPH, Professor of Population Health Science and Policy, and Medicine.

“In the case of COVID-19, it appears that African-American patients were coming into the hospital sicker,” says Ms. Abner, citing preliminary findings. “We will now be able to analyze our data to determine if there are socioeconomic factors that impact outcomes within our most vulnerable populations. For example, we might look at the relationship between race/ethnicity and those who were more acutely ill, based on ICU numbers or length of stay, and consider how that may have impacted clinical outcomes.”

Dr. Richardson has experienced the toll of the COVID-19 pandemic more directly than most. In addition to her administrative and research duties, she treats patients in the Emergency Department at The Mount Sinai Hospital and at Elmhurst Hospital, and recently recovered from COVID-19 herself. “Now that we have come through the worst of the COVID-19 pandemic, it is important that we thoroughly investigate all of the causes of its disproportionate impact on racial/ethnic minorities and vulnerable communities, which are layered on top of many longstanding, pre-existing health and health care disparities,” Dr. Richardson says.

The overarching goal is addressing needs of populations at risk of COVID-19 and other health issues, which includes many members of the Mount Sinai community. “Mount Sinai is the biggest employer in East Harlem,” Dr. Horowitz says. “These are the people who are delivering food, delivering medicine, driving people around, working as home attendants. These are heroes; these are the people who have not stopped. They are not staying home in isolation, because they can’t.”

“At this point, our ability to understand, partner with, and serve those who are most vulnerable to COVID-19 is a reflection of our commitment as human beings, as researchers, as clinicians and as a Health System,” Dr. Horowitz says. “We are only as good as how we care for our most vulnerable populations.”

Pin It on Pinterest