Physician Reunites His Elderly Patient With a Very Special Jacket

Ariel Elyahu, MD

Recently, Ariel Elyahu, MD, a hospitalist at The Mount Sinai Hospital, became aware that a patient who was scheduled to be discharged had been separated from his denim jacket. For the patient, a 94-year-old veteran of the Korean War, this wasn’t any ordinary jacket: on it were the Purple Heart medal given to him personally by the President of the United States and Jump Wings for his service as a parachutist. The patient was crushed that the jacket was mislaid as he moved among rooms and exam spaces. He told Dr. Elyahu that he had worn it every day for the past 50 years.

The lost jacket was reported to Security, but Dr. Elyahu did not want to accept that the jacket was missing and retraced the patient’s travel through the hospital, floor by floor, room by room, even asking a patient if he could look through a dresser in case the jacket had been stored there. Dr. Elyahu’s  perseverance was rewarded, and his patient was able to proudly wear his jacket home, medal and all, to continue his recovery.

Dr. Elyahu, who did his residency at Mount Sinai and has been an attending physician for three years, says Hospital Medicine is exactly what he wanted as a medical career. “Helping people, and seeing their improvement after being cared for in our hospital, is so meaningful to me,” he says. “And Mount Sinai is a wonderful place to practice, as I get to address extremely complex and interesting cases.”

For Four Decades, a Buyer Has Excelled in Serving Patients and Colleagues

Willie Vega, Senior Buyer

Willie Vega, Senior Buyer, The Mount Sinai Hospital, has been a Mount Sinai employee for 42 years, and he epitomizes the meaning of customer service, according to Stefani Rodriguez, Director, Finance, at the hospital. “No task is too big for Willie to handle and own,” she says. “He focuses on the present and provides the end-user community with exceptional service and answers to all of their questions. His commitment never wavers, and we are so thankful for his efforts.”

According to Stefani, Willie earns at least one STAR employee recognition each month—at times multiple ones. Here are a few of the comments praising Willie’s dedication to his work and to Mount Sinai:

“Thanks to William’s due diligence, my staff and department will receive a shipment that was going to an incorrect Mount Sinai location on time. Great work, William. Thank you for being a team player,“ says Leroy Francis, Administrative Director, Cardiology, Mount Sinai Queens.

“Thank you, William, for your assistance with helping out the Patient/Equipment Transport Department. I truly appreciate all your assistance and your dedication,” says Kristy McDonough, Assistant Director Patient/Equipment Transportation, Mount Sinai Queens.

“William deserves recognition for his hard work and ability to assist whenever needed. He is very knowledgeable and professional in his communication. Very effective and a great resource. Thank you, William, for all you do, day in and day out,” says Deborah Mosko, Clinical Program Manager, Employee Health Service, Mount Sinai Health System.

Over his four-decade tenure, Willie has worked in the Emergency Department, Ambulatory Clinic, Patient Accounts, and Surgical Admitting. A veteran of the U.S. Army, Willie explains, “I served our country, and then I decided I wanted to serve patients and my colleagues. Meeting their needs and exceeding expectations is what keeps me going.”

At Network Access Center, His Mission Is “to Spread Some Kindness”

Brandon Kuck, patient service representative

Brandon Kuck, patient service representative, has been working with the Network Access Center only since August 2022, but has already made a “tremendous impact” on patients, according to Amy Nantista, Associate Director of Patient Access. “His compassion, empathy, and continued drive to serve our patients is extraordinary,” she says. “In this past month alone, Brandon received four patient shout-outs, and they reflect the wonderful patient experience Brandon gives our patients on each and every call.”  Here are some of the patients’ comments:

“I am just getting off the phone with Brandon Kuck, and I wanted to compliment his thoroughness, caring, and professionalism in my conversation with him today. I have spoken with him numerous times, and he is always on point, pleasant, and a pleasure to work with. He is an asset to Mount Sinai.”

“Brandon was very kind and empathetic, even as I was in terrible pain and crying during the call. I have run call centers before, and I know a good employee when I hear one, and Brandon is a star.”

Amy provides more insight into Brandon’s caring and compassionate nature. “When we were gearing up to create a specialty group to assist some of our cancer patients, Brandon was the first one to sign up,” she says. “When we explained that this opportunity was going to be extremely rewarding but could also be very disheartening, Brandon said he felt working in our department had allowed to him to help our patients and spread some kindness in the world, his foremost goal in health care. He believed assisting cancer patients would help him achieve his goal even more so. This type of mentality makes working with Brandon so rewarding; he is one of our rays of sunshine in the Access Center.”

A Dietary Clerk Goes Above and Beyond for Her Patients and Her Team

Maria Enea, dietary clerk

When Emergency Department staff and leadership at Mount Sinai Queens were developing a plan to streamline food delivery to admitted patients, they needed a partner in the Food and Nutrition Department who could implement the plan with flexibility, creativity, and understanding. And they decided there was no one better suited to help them than Maria Enea, dietary clerk.

Maria is known to be patient, communicative, an excellent listener, and willing to make last-minute changes—all to help feed patients who depend on excellent and timely care. According to leadership, without her skill and expertise, the program would not have been as successful and fruitful as it has become. Maria is not only considered a partner, but also a friend of the Emergency Department, and they could not be more grateful.

“I always try to do the best I can to help by accommodating requests to provide patients with the best experience possible,“ Maria says. “I think of patients as if they are my own family members and treat them with the respect they deserve. It is important to me to always go above and beyond to address their wishes, if at all possible, to make them feel more comfortable during their stay.”

Billing Supervisor Takes “Great Joy” in Helping Cancer Patients Get the Care They Need

Zarina Chmelev, billing supervisor

Zarina Chmelev is a billing supervisor in the Department of Radiation Oncology at The Mount Sinai Hospital. She oversees the approval process for radiation treatment, and her team handles about 75 cases weekly for 13 physicians at the site.  Although Zarina does not play a role in clinical care, she has a deep commitment to Mount Sinai’s mission. She is always willing to help patients and colleagues, says Lorena D. Pesantez-Mihov, Associate Director of Radiation Oncology.

“This team recently had a challenging approval case,“ Lorena says. “Zarina not only contacted the third-party contractor used for approvals directly, and handled a first and second appeal process, she then appealed with the patient’s plan and finally the state. Due to Zarina’s perseverance and understanding of the importance of her role, this case was overturned and approved, resulting in the patient’s being treated on time. We thank Zarina for advocating for our patients to ensure they receive timely treatment.”

Zarina is committed to her patients. “My role as a billing supervisor is to make sure that we have approvals done in a timely fashion, while also making sure that authorizations are done correctly and our patients will be covered for services. We are helping very sick patients who are fighting for their lives, and we want to make sure that they don’t have to worry about the financial part of their treatment, so that they can concentrate on getting better and get the services that they need. When we finally get the approvals, it gives us great joy knowing that we are helping cancer patients and contributing to the mission of Mount Sinai.”

Using Technology to Enhance Care: A Talk With Robbie Freeman, RN, MSN, Vice President of Digital Experience and Chief Nursing Informatics Officer

A portrait of Robbie Freeman, RN, MSN, NE-BC

Robbie Freeman, RN, MSN, NE-BC

The convergence of digital technology, artificial intelligence (AI), and informatics is revolutionizing the health care landscape, bringing forth unprecedented opportunities to transform health care. For the nursing and clinical community, this evolution presents a chance to enhance practice, streamline workflows, and improve outcomes.

In health care, AI typically refers to the ability of computers to independently convert data into knowledge to guide decisions or autonomous actions. AI can provide support for nurses that includes risk prediction, clinical decision support, mobile health technology, and voice assistants. Each of these augments nursing practice and has the potential to transform health care.

Robbie Freeman, RN, MSN, NE-BC, is Vice President of Digital Experience and Chief Nursing Informatics Officer (CNIO) at the Mount Sinai Health System. Mr. Freeman leads a team of experts who function much like translators—acting as conduits between clinicians and technology teams. As a system Vice President, he leads the digital experience and clinical data science teams that have built out a portfolio of digital and AI products. When it comes to the development of AI tools, he says, “This team is one of the leading data science teams in the country in terms of the scale and impact.”

Mr. Freeman began his nursing career at Mount Sinai in 2009 as a bedside medical-surgical nurse. As he moved into management and leadership roles, he became particularly interested in systems and how they functioned to support nurses and other health care staff.

In 2015, Mr. Freeman moved into a newly created position in technology and quality to develop a vision for how Mount Sinai could use technology and improve patient experiences. As Vice President of Clinical Innovation at The Mount Sinai Hospital, he built machine learning products to improve patient safety and hospital operations while also serving as administrator for the Emergency Department and Respiratory Care. Beth Oliver, DNP, RN, FAAN, Senior Vice President, Cardiac Services, and Chief Nurse Executive at Mount Sinai Health System, along with Kristin Myers, MPH, Executive Vice President and Chief Digital and Information Officer, shifted Mr. Freeman’s role to that of a systemwide Vice President for Digital Experience, and named him the Chief Nursing Informatics Officer in 2021.

“I oversee three teams,” he says. “In my CNIO role, I oversee our nursing informatics program. We have nurses embedded in our hospitals, ambulatory setting, and service lines.”

Mr. Freeman is pursuing his doctorate in nursing practice at Yale University, where his research interest is the application of artificial intelligence products to reduce health disparities. He holds a Master of Science in Business Analytics from New York University’s Stern School of Business and a Master of Science in Nursing from Excelsior University, New York, specializing in clinical systems management. He is also a graduate of the Mount Sinai Phillips School of Nursing, where he serves on the Board of Trustees.

“I did not study computer science, but I’ve always had a passion for leveraging technology to solve problems,” he says. “My father was an artist and founded a photo retouching company here in New York City. Teams of artists would manually retouch photos by hand in a long, complex process. Growing up, I watched his company get revolutionized by computerized photo-editing technology. That showed me how technology can transform an entire industry; the people and processes had to evolve drastically. Looking back, this early life experience shaped my world view for reimagining systems and processes through technology.”

Mr. Freeman is the chair of the American Nurses Association’s (ANA) Innovation Advisory Board. “I’ve been working on advocacy nationally with the ANA for the safe and ethical use of AI. One of the things we have done at Mount Sinai was implement an overarching governance structure to make sure the tools we develop, and the vendors we partner with, think about the ethical use of this technology.” He adds, “We do not want to create disparities. We need to be sure AI tools do not disenfranchise minorities and at-risk communities.”

Social determinants of health are incorporated into the CNIO strategic plan and included in the work of the nursing informatics team. “We take a co-design approach with our front-line team to create tools that allow us to get the right resource to the right patient at the right time,” says Mr. Freeman. “These efforts have resulted in an AI tool that identifies malnourished patients who would benefit from a registered dietitian consult, and an AI-driven assessment tool that identifies patients at higher risk for falls. These innovations allow nurses and other providers to focus their time and energy on those patients who will benefit from specialized care.”

Mr. Freeman has described the opportunity for artificial intelligence applied to nursing processes as “precision nursing,” a technology that can support nurses in their practice. “One of the things we recently rolled out on pilot units at two hospitals is voice system AI so we can use voice-based assistants to help our nurses with tasks,” he says. “This technology enables voice-based documentation to free up our nursing team from manual documentation.”

Mr. Freeman and his team have created a road map for digital transformation across the Health System. “We have disseminated mobile phones to nurses in every Mount Sinai Emergency Department, so they have the tools needed to support their practice,” he says. “We are in the process of expanding further into the hospitals later this year.”

“When we talk to patients we hear about gaps, including patients not being sure when to seek care, or follow up with their primary care provider, or schedule an appointment,” says Mr. Freeman. “Our team turned the feedback into a digital advisor, a product that can help patients navigate where they need to go if they are experiencing symptoms, and then based on those symptoms, provide options for patients to be able to make informed decisions.”

“Nursing plays a critical part in providing education for patients following a visit or stay in the hospital. With artificial intelligence and digital, we can really supercharge that work and scale our impact and patient outcomes.”

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