Scope of Services for New York-Presbyterian Hospital
2009
I. BACKGROUND .......................................................................................................3
II. PATIENT CARE DEPARTMENTS .......................................................................... 3
AMBULATORY CARE NETWORK (ACN) ........................................................... 3
CHILD LIFE DEPARTMENT ................................................................................ 4
EMERGENCY DEPARTMENT (ED) .................................................................... 4
EMERGENCY MEDICAL SERVICES .................................................................. 4
EPIDEMIOLOGY ................................................................................................. 5
FOOD AND NUTRITION...................................................................................... 5
INTERVENTIONAL CARDIOLOGY ..................................................................... 6
NON-INVASIVE CARDIOLOGY .......................................................................... 6
NURSING ............................................................................................................ 7
PATHOLOGY AND LABORATORY MEDICINE .................................................. 7
PERIOPERATIVE SERVICES ............................................................................. 8
PHARMACY......................................................................................................... 8
RADIATION ONCOLOGY .................................................................................... 9
RADIOLOGY........................................................................................................ 9
REHABILITATION MEDICINE ........................................................................... 10
RESPIRATORY CARE ...................................................................................... 11
SKIN BANK ........................................................................................................ 11
SOCIAL WORK.................................................................................................. 12
III. PATIENT SUPPORT DEPARTMENTS ................................................................ 13
ADMITTING, DISCHARGE AND BILLING ......................................................... 13
BIOMEDICAL ENGINEERING ........................................................................... 13
CARE COORDINATION .................................................................................... 14
CENTRAL STERILE SERVICE (CSS) ............................................................... 14
ENVIRONMENTAL HEALTH AND SAFETY...................................................... 14
ENVIRONMENTAL SERVICES ......................................................................... 14
PASTORAL CARE & EDUCATION ................................................................... 15
PATIENT CENTERED CARE ............................................................................ 15
PATIENT ESCORT SERVICE ........................................................................... 16
PATIENT ETHICS.............................................................................................. 16
PATIENT SERVICES ADMINISTRATION ......................................................... 16
PROCUREMENT & STRATEGIC SOURCING .................................................. 17
QUALITY & PATIENT SAFETY (QPS) .............................................................. 18
III. APPENDIX ..........................................................................................................19
IV. REVISION AND APPROVAL HISTORY .............................................................20
2/20
2009 Scope of Services for NewYork-Presbyterian Hospital
I. BACKGROUND
The NYP Scope of Services document encompasses all hospital-based departments in
which direct patient care or support is provided to patients.1 NYP considers patient care
departments to be those inpatient and outpatient departments that have direct contact with
patients or provide care primarily by licensed staff. Patient support departments are defined
as those that provide services that support the comfort and safety of the patient, as well as
the efficiency of care provision.
For each department in which care and support is provided to patients, this document
provides: (1) scope of service; (2) Population Served; (3) the staff primarily providing patient
care; and, (4) clinical services provided on a contracted basis by external suppliers.2 The
standards and practice of all departments are defined by NYP’s mission and values, the
Department’s philosophy and objectives, federal law, state regulations and city requirements,
professional and regulatory bodies; and a variety of policies, job descriptions, procedures,
protocols, guidelines and standards of care. Professional regulatory or licensing bodies or
acts specific to the practice of a Department is indicated.
II. PATIENT CARE DEPARTMENTS
AMBULATORY CARE NETWORK (ACN)
Scope of Service
Primary care services in obstetrics and gynecology, pediatrics, internal
medicine, family medicine, as well as geriatrics, psychiatry, family
planning and numerous sub-specialty care services. The ACN consists
of 13 primary care sites, 7 school based health centers, and 65
subspecialty care clinics.
Population Served
Adults and/or pediatric ambulatory patients, according to the particular
site.
Staff Primarily
Providing Patient
Care
Interdisciplinary group of people including physicians, nurse
practitioners, midwives, registered nurses, licensed practical nurses
and unlicensed support personnel. Other categories of workers include
social workers, health educators, nutritionists, housekeeping, and
patient representatives. In some sites, patients are seen by residents
under the supervision of an Attending Physician.
Clinical Services
Provided on a
Contractual Basis?
No
1
The document outlines hospital-based departments. See Appendix for Medical and Surgical
Services provided at NewYork-Presbyterian in affiliation with Columbia University College of
Physicians and Surgeons and Weill Cornell Medical College.
2 The staff primarily providing patient care and clinical services provided on a contractual basis
sections only apply to Patient Care Departments.
3/20
CHILD LIFE DEPARTMENT
Scope of Service
The Child Life Department at MSCHONY and Komansky provides
emotional and psychosocial care to help make the hospital experience
as manageable as possible for both the child and their family, and
reduce the stress associated with illness, medical procedures and
hospitalization.
Population Served
Pediatric inpatients, as well as parents, siblings, and other caregivers.
Staff Primarily
Providing Patient
Care
Accredited professionals.
Clinical Services
Provided on a
Contractual Basis?
No
EMERGENCY DEPARTMENT (ED)
Scope of Service
The ED provides state-of-the-art evaluation and treatment for adult and
pediatric patients with a full spectrum of emergency medical, surgical
and psychiatric needs on all five campuses.
NYP/WCMC is a Level I Trauma Center (Adult and Pediatric), a
regional Burn Center and also the designated ED for Memorial Sloan
Kettering Cancer Center (MSKCC) and The Hospital for Special
Surgery (HSS). MSCHONY is a Pediatric Level I Trauma Center and
both NYP/WCMC and NYP/CUMC campuses are certified Accredited
Chest Pain Centers and New York State Designated Stroke Centers.
Population Served
Adult and pediatric patients who present to the Emergency Department.
Staff Primarily
Providing Patient
Care
Registered Nurses, Nurse Practitioners, Physician Assistants, patient
representatives, liaison staff, translators, Emergency Department
Technicians (EDTs), and Nurse Assistants (NAs). The physician staff
includes attending emergency physicians, emergency medicine
residents and additional house staff from various clinical departments –
primarily Medicine and Surgery. Via the consultation service, the ED
requires timely consultations from physicians of every medical specialty
in the institution.
Clinical Services
Provided on a
Contractual Basis?
No
EMERGENCY MEDICAL SERVICES
Scope of Service
The Department of Emergency Medical Services provides both Basic
Life Support and Advanced Life Support care to patients in the prehospital environment. The Department currently operates five critical
care transport paramedic units, eight basic life support units, three highrisk pediatric/neonatal inter-facility transport units and seventeen
4/20
emergency ambulance units in the New York City 911 system. The
emergency ambulance units operate as part of the New York City 911
system and are dispatched by the Fire Department of New York a
state-of-the-art communications center at NYP/WCMC that is staffed by
specially trained Communications Specialists 24 hours-a-day, 365
days-a-year. The Department also monitors the LifeLine program for
senior citizens in the community in collaboration with Health Outreach.
Population Served
Adult, pediatric, and neonatal patients in the pre-hospital environment
Staff Primarily
Providing Patient
Care
Critical Care Paramedics, Paramedics, Emergency Medical
Technicians, and Communication Specialists. In the event of a largescale disaster or emergency, the Communication Specialist has the
capability to call off-duty personnel for assistance.
Clinical Services
Provided on a
Contractual Basis?
No
EPIDEMIOLOGY
Scope of Service
The Department of Epidemiology is committed to identifying,
developing, and instituting interventions to prevent and control
healthcare acquired infections. By integrating the practice and
management of infection control, staff and patient education, and
applied epidemiology and research at all five campuses, the NYP
Epidemiology Program plays a key role in improving the safety and
quality of patient care for both inpatient and outpatient services.
Population Served
Adult and pediatric patients in both inpatient and outpatient settings.
Staff Primarily
Providing Patient
Care
Epidemiologists, Infection Control Practitioners, and support staff.
Clinical Services
Provided on a
Contractual Basis?
No
FOOD AND NUTRITION
Scope of Service
The Department of Food & Nutrition is responsible for the practice and
quality of nutritional care to optimize the nutritional status of patients
through the provision of foods or enteral/parenteral nutrition and to
educate patients according to the principles of nutrition.
Population Served
Adult and pediatric inpatient and certain outpatient populations within
the Ambulatory Care Network.
Staff Primarily
Providing Patient
Care
Clinical dietitians and nutritionists, dietetic interns that provide care to
patients under the clinical supervision of the clinical dietitian/nutritionist,
administrative and service level employees who attend to patient food
service needs as outlined in job descriptions and routines.
5/20
Clinical Services
Provided on a
Contractual Basis?
Yes: The Department contracts with Infant Formula Service to provide
infant formula mixing.
INTERVENTIONAL CARDIOLOGY
Scope of Service
Includes the Cardiac Catheterization Laboratories, the Cardiac
Electrophysiology Laboratories, and the Post Heart Transplant Biopsy
Suite. The scope of services includes full diagnostic and therapeutic
interventional services with in-house adult and pediatric cardiovascular
surgical and anesthesia support. Services include but are not limited to
high risk complex diagnostic and therapeutic interventional procedures,
utilizing cutting edge technology, and NYP approved research protocols
and techniques.
Population Served
Adult and pediatric inpatients and outpatients with known or suspected
cardiovascular disease and clinical indications requiring specific
cardiovascular diagnostic and therapeutic interventional procedures.
Staff Primarily
Providing Patient
Care
Interventional
Cardiologists,
Cardiology Fellows,
Angioplasty
Specialists, Cardiology Nurse Practitioners, Physician Assistants,
Special Procedures Technologists and Registered Nurses. In selected
cases, as determined by the primary operator, moderate sedation or
cardiac anesthesia is administered and monitored by a NYP
anesthesiologist.
Clinical Services
Provided on a
Contractual Basis?
No
NON-INVASIVE CARDIOLOGY
Scope of Service
Includes the Nuclear Cardiology Laboratory and Echocardiography
Department.
The Department primarily provides the diagnostic
assessment of structural or functional heart conditions for both
inpatients and outpatients using advanced imaging techniques such as:
Cardiac SPECT (single photon emission computed tomography), PET
(Positron Emission Tomography), MUGA (Multiple Gated Acquisition),
and electrocardiograms (ECG).
Population Served
Adult and pediatric patients in inpatient and outpatient settings.
Staff Primarily
Providing Patient
Care
Attending Cardiologists, Cardiology Fellows, Echo Technologists and
Graphics Special Procedures Technicians.
Clinical Services
Provided on a
Contractual Basis?
No
6/20
NURSING
Scope of Service
Ambulatory Care Nursing: Multi-specialty services for pediatric and
adult outpatients in diversified clinical settings.
Critical Care Nursing: Critically ill patients with life-threatening illness
or injury; acute and convalescent adult and pediatric patients with
complex medical, surgical needs (including burn, trauma and cardiac);
and pediatric burn care.
Emergency Department: Adult, pediatric, and psychiatric emergency
care.
Interventional Services: Multi-specialty adult and pediatrics inpatient
and outpatient interventional procedures.
Medical & Surgical Nursing: Adult inpatients requiring medical and
pre- and post-operative care, general acute care, specialty services and
alternate level of care.
Perioperative Services: Pre-operative, intra-operative, and postoperative services for inpatient and ambulatory patients of all ages.
Behavioral Health Nursing: Comprehensive psychiatric inpatient and
ambulatory services provided for children, adolescents and adults.
Women & Children's Health Nursing: Women with gynecologic and
obstetric health needs (including normal and high risk antepartum,
intrapartum, and postpartum care); newborn care; children from birth to
adulthood with acute or chronic health problems requiring general,
intermediate, or intensive care.
Population Served
Adult and pediatric inpatients, outpatients, and Emergency Department
patients.
Staff Primarily
Providing Patient
Care
Registered Nurses (RNs) who are responsible and accountable for
prescribing, delegating, and coordinating the care; Licensed Practical
Nurses and nurses' aides/attendants who provide care to patients as
appropriate to their levels of training and under the supervision of a RN;
and, Nurse Practitioners who provide advanced nursing practice under
a collaborative agreement with a designated physician.
Clinical Services
Provided on a
Contractual Basis?
Yes: Cross Country Staffing to provide temporary nursing services
when additional staff is required to meet patient care needs; and, along
with the Department of Laboratory Medicine, the New York Blood
Center for umbilical cord blood retrieval and storage.
PATHOLOGY AND LABORATORY MEDICINE
Scope of Service
Clinical Biochemistry, Clinical Hematology, Clinical Microbiology,
Clinical Immunology and Transfusion Medicine. Anatomic Pathology
Services include: Surgical Pathology, Cytopathology, Cellular
Immunology, Immunopathology, Cytogenetics and Autopsy Services.
Phlebotomy services are provided for patients in both ambulatory and
7/20
inpatient settings.
Population Served
Adult and pediatric patients in inpatient and outpatient settings.
Staff Primarily
Providing Patient
Care
Laboratory Technicians, Pathologists, Phlebotomists
Clinical Services
Provided on a
Contractual Basis?
Yes: The Department contracts with an external supplier, the New York
Blood Center, to provide back-up clinical apheresis services and
umbilical cord blood retrieval and storage.
PERIOPERATIVE SERVICES
Scope of Service
A full array of advanced care for patients requiring invasive and
minimally invasive procedures. Surgical services include invasive, noninvasive and endoscopic procedures for the following disciplines:









Vascular/Transplant Surgery;
Cardiac/Thoracic Surgery;
Neurosurgery;
ENT/Oral Surgery;
Burns and Plastic Surgery;
Genitourinary and Gynecologic Surgery;
General Surgery;
Orthopedics; and
Ophthalmology.
The scope of services includes elective and emergency surgical
procedures for both inpatients and outpatients. Services are delivered
to patients in the following settings: Ambulatory Surgery Unit, Operating
Rooms, Pre-admission Testing Unit, Post Anesthesia Care Unit,
Endoscopy, Cystoscopy, and Advanced Recovery Unit. Perioperative
Services also operates the Perfusion Service.
Population Served
Adult and pediatric patients in both inpatient and outpatient settings.
Staff Primarily
Providing Patient
Care
Surgeons, Anesthesiologists, Certified Nurse Anesthetists, Anesthesia
Technicians, Physician Assistants, Registered Nurses, License
Practical Nurses, Operating Room Technicians, Perfusionists,
Perioperative Patient Assistants, Nursing Attendants, Environmental
Service staff, business assistants, and ward clerks.
Clinical Services
Provided on a
Contractual Basis?
Yes: The Department contracts with an external supplier, the New York
Blood Center, to provide back-up perioperative transfusion services
(back-up) and, the New York Organ Donor Network, to provide organ
harvesting services.
PHARMACY
Scope of Service
Provides pharmaceutical care services to all five campuses.
Population Served
Adult and pediatric inpatients requiring pharmaceutical care, and
8/20
outpatients as appropriate.
Staff Primarily
Providing Patient
Care
Clinical Services
Provided on a
Contractual Basis?
Registered pharmacists primarily provide patient care with the
assistance of pharmacy interns, pharmacy technicians, and pharmacy
assistants as appropriate to their levels of training and State
regulations.
Yes: The Department contracts with Ameridose, Central Admixture
Pharmacy Services (CAPS) and PharMEDium for specialty intravenous
solutions; Cardinal Ready Scan and Regional Service Center (RSC) for
repackaging services; and, Med Prep Consulting for pre-filled syringes.
RADIATION ONCOLOGY
Scope of Service
Services to patients requiring radiotherapy for the treatment of cancer,
as well as, several other benign conditions. Care is administered
through one of the following services:
Brachytherapy Service: Radioactive seeds are manually or through
computer control placed in cancerous tissue to deliver a therapeutic
dose of radiation over days or months;
External Beam Service: The External Beam Service utilizes special
delivery techniques to shape the therapeutic beam to the individual
requirements of each patient. Therapy is administered with three linear
accelerators utilizing conformal treatment delivery techniques,
electronic portal imaging and multileaf columniation;
Stereotactic Radiosurgery Service: Stereotactic radiosurgery uses
pinpoint radiation beams for the treatment of brain and body lesions;
and
Total Body Irradiation Service: This service utilizes a high-energy xray beam under exacting geometrical alignment to suppress bone
marrow and allow for the later transplant of healthy marrow.
Population Served
Adult and pediatric patients in both inpatient and outpatient settings.
Staff Primarily
Providing Patient
Care
Attending Radiation Oncologists, Residents, Fellows, and Registered
Nurses with specialized oncology training or experience, Medical
Physicists and Dosimetrists who, together with the Attending Radiation
Oncologist design potential treatment deliveries and Licensed Radiation
Therapists who perform the actual treatment delivery.
Clinical Services
Provided on a
Contractual Basis?
No
RADIOLOGY
Scope of Service
A comprehensive range of imaging services across all five campuses
that include, but are not limited to: Interventional Radiology, Diagnostic
Radiology, CT Scans, Ultrasonography, MRI’s, Nuclear Medicine,
Mammography. General radiographic services, such as chest x-ray,
9/20
abdominal films, extremity x-rays, and spinal x-rays are also provided at
NYP/WD. For NYP/WD patients requiring contrast and the range of
other imaging studies, these services are provided at St. Agnes
Hospital in White Plains.
Population Served
Adult and pediatric inpatients, outpatients, and Emergency Department
patients.
Staff Primarily
Providing Patient
Care
Registered and Licensed Nurses, Nursing Assistants, Patient Service
Aides, Licensed, Registered and Certified Technologists (modality
specific), clerical and administrative support staff, Physicists and PACS
Administrators.
Clinical Services
Provided on a
Contractual Basis?
No
REHABILITATION MEDICINE
Scope of Service
At NYP-WCMC, occupational and physical therapy inpatient services
include Burns, Fracture, Hand Service, Medicine, Neurology,
Pediatrics, Plastic Surgery, Cardiopulmonary, and Surgery. Treatments
are provided in the Greenberg Pavilion at the bedside for all referred
patients. Satellite treatment rooms are available for inpatients in
Neurology and Burns. Comprehensive inpatient rehabilitation includes
occupational, physical, recreation, and speech therapy located in the
Baker Pavilion. Ambulatory services (occupational and physical
therapy) are provided at the outpatient clinic. At NYP/CUMC, inpatient
services include a comprehensive acute inpatient rehabilitation unit,
and other services including cardiopulmonary, neurology and
neurosurgery, orthopedics, medicine, surgery, oncology, gerontology,
pediatrics and psychiatry. Services are provided in locations including:
Harkness Pavilion, MSCHONY, the Vanderbilt Clinic, the Eye Institute,
the Milstein Hospital, and NYP/AP. Outpatient pulmonary rehabilitation
and outpatient cardiac rehabilitation programs are available.
Population Served
Adult and pediatric patients in both inpatient and outpatient settings.
Staff Primarily
Providing Patient
Care
Physiatrists, licensed/registered Occupational Therapists, Certified
Occupational Therapy Assistants, and licensed/registered Physical
Therapists, Speech Language Pathologists, Certified Recreation
Therapists; Rehab Nurses, Rehab Aides, and Social Workers.
Clinical Services
Provided on a
Contractual Basis?
Yes: the Department contracts with external suppliers including:
Eastside Orthotics and Prosthetics, Eastcoast Orthotics and
Prosthetics, Park Avenue Medical to provide Orthotics and prosthetics
services; Landauer Metropolitan and C&C Homecare to provide durable
medical equipment (DME) supplies and services; and, Medstar and
Home Medical Equipment (HME) to provide specialized/customized
seating and mobility equipment.
10/20
RESPIRATORY CARE
Scope of Service
Mechanical ventilation (includes weaning), bedside and lab pulmonary
function testing, arterial puncture, arterial line sampling, cardiac arrest
response, transport of critically ill patients, blood gas analysis, sputum
induction, patient assessment, artificial airway care, bronchopulmonary
hygiene and administration of pharmacological agents related to
respiratory care procedures, and other therapeutic and diagnostic
services. The Department primarily provides a critical care service and
is available to assist or consult for patient assessment, discharge
planning, and patient/family education.
Population Served
Adult and pediatric inpatients.
Staff Primarily
Providing Patient
Care
Licensed Respiratory Care Therapists
Clinical Services
Provided on a
Contractual Basis?
No
SKIN BANK
Scope of Service
The Skin Bank, housed at NYP/WCMC, provides the following services:





procurement, processing and distribution of allograft skin;
processing and distribution of autografts;
education to the general public and referring institutions;
consultation services to other departments, hospitals, or facilities
regarding transplantation;
research support services including, but not limited to, the
Department of Surgery.
Allograft skin procurement is limited to hospitals in Westchester,
Putnam, Orange, Suffolk, Nassau, Dutchess, and New York City.
Donation for allograft skin from living donors is not accepted. All
cadaveric donors are carefully screened to determine suitability. The
Skin Bank also provides cryopreservation services to NYP surgical
services for autologous transplantation.
Population Served
The Skin Bank is the only regional skin bank in New York State
providing procurement and distribution services to the downstate area
and providing life saving allograft skin transplants to any person in
need.
Staff Primarily
Providing Patient
Care
Medical Director, Director, coordinators and technicians.
Clinical Services
Provided on a
Yes: The Skin Bank contracts with Labs Inc. to provide laboratory
services for serological and microbiological services.
11/20
Contractual Basis?
SOCIAL WORK
Scope of Service
Responsible for discharge planning and for coordinating patients’ plans
of care across the continuum. The major functions of the Department of
Social Work are: providing safe and medically appropriate patient/family
transitions; assisting the patient and his/her family in coping with the
social and psychological problems that result from illness and its
sequelae; and helping with the social and psychological stresses that
may contribute to the causation of illness.
Population Served
Adult and pediatric patients in inpatient and outpatient settings.
Staff Primarily
Providing Patient
Care
Licensed social workers
Clinical Services
Provided on a
Contractual Basis?
No
VOLUNTEER SERVICES
Scope of Service
Volunteers are directly and indirectly serving patients’ needs in the
inpatient and ambulatory settings throughout NYP and are only involved
in patient care when it does not require professional or technical
licensing. Volunteer assignment descriptions are written for every
volunteer role and include the type of skills and competencies needed
by the volunteer.
An Interpreter Services Program within the Volunteer Services
Department is in place to provide language assistance services to
patients in a timely fashion.
Population Served
Adult and pediatric patients.
Staff Primarily
Providing Patient
Care
The Volunteer Services Department has two paid positions that cover all
sites -- the Director of Volunteer and Patient Centered Services and the
Manager of Interpreter Services. The NYP/WCMC has a campus
Volunteer Services Manager, three Program Coordinators, an
interpreter services dispatcher and a department secretary. The staffing
at NYP/CUMC consists of a Volunteer Services Manager, Coordinator
of Emergency Department Volunteers, and Volunteer Coordinator for
the Morgan Stanley Children’s Hospital a department secretary and an
interpreter services dispatcher. NYP/AP has a Manager of Volunteer
Services. NYP/WD has a Director of Volunteer Services and Patient
Relations and a department secretary. NYP’s interpreter services
program includes a mixture of paid staff, freelancer, and agency,
volunteer and medical interpreting interns to meet in-person
interpretation needs.
12/20
Clinical Services
Provided on a
Contractual Basis?
No
III. PATIENT SUPPORT DEPARTMENTS
ADMITTING, DISCHARGE AND BILLING
Scope of Service
Admitting/ADB Personnel perform the following functions:









Population Served
Schedule admissions, surgical and other invasive procedures
through coordination with scheduling centers within NYP;
Prepare and file birth documentation with the City’s Bureau of Vital
Statistics for Obstetrical patients;
Provide information to patients concerning Patient Rights and
Responsibilities, Advance Directives and other notices or
information required by State or Federal Regulations;
Accept and process deposits for private room differential or for
hospital charges for patients not covered by insurance;
Provide financial counseling for those without insurance;
Maintain the integrity of the information in NYP’s Patient
Management System;
Oversee and coordinate with representatives of the varying
admitting services the admission and in-house transfer of patients,
placing patients in locations appropriate to their diagnosis, course
of treatment or other criteria established by the clinical services;
Maintain integrity of census information and provide census-related
information to Administration & Clinical personnel;
Provide information and directions to patients, visitors, vendors, and
hospital staff members; assist physicians in the preparation of death
certificate and autopsy authorization documentation; act as liaison
between families, funeral homes, the Office of the City Medical
Examiner and NYP’s Department of Pathology.
Adult and pediatric patients in inpatient and outpatient settings.
BIOMEDICAL ENGINEERING
Scope of Service
Maintains a medical equipment management program that promotes
safe and effective use of diagnostic, therapeutic, and life support
equipment. This is accomplished through the monitoring of proper
equipment selection, repair, inspection, calibration, and application. The
department monitors, and manages large number of maintenance
agreements with various vendors.
Population Served
Adult and pediatric patients in both inpatient and outpatient settings.
13/20
CARE COORDINATION
Scope of Service
Incorporates both clinical and financial aspects of care, which are
organized and monitored by specialized, experienced coordinators who
oversee and manage care without being direct patient care providers.
Their goals are to decrease length of stay, maintain the continuity of
care, standardize practice patterns and optimize patient outcome and
patient satisfaction.
Population Served
Adult and pediatric inpatients.
CENTRAL STERILE SERVICE (CSS)
Scope of Service
Responsible for cleaning, preparing, processing, storing and issuing
medical/surgical supplies used for patient care in the Operating Rooms
and throughout NYP.
Population Served
Adult and pediatric patients in both inpatient and ambulatory surgery
settings.
ENVIRONMENTAL HEALTH AND SAFETY
Scope of Service
Works with other NYP Departments to foster: (1) a safe and healthful
hospital environment for all patients, visitors, and staff; and, (2)
compliance with all regulatory agency requirements related to
environmental health and safety (i.e., Joint Commission, and Federal,
State, and local governments).
The programs to accomplish these ends are described in the Joint
Commission Environment of Care Management Plan that provides
detail on the Department’s role in hazard surveillance, response to
fire/chemical/disaster emergencies, safety training for all staff,
incident/complaint investigations and safety policy development. In
addition, it is the Department’s task to provide an information collection,
evaluation, and distribution process to enhance awareness of NYP
safety issues for all employees.
Population Served
All hospital departments.
ENVIRONMENTAL SERVICES
Scope of Service
Provides housekeeping services for NYP to provide a clean and safe
environment for all patients, staff, physicians and visitors.
This is accomplished by: (1) disinfecting and cleaning patient and nonpatient areas according to policy and procedure; (2) removing regulated
and non-regulated medical waste; (3) providing unscheduled or
emergency services that are necessary for health, safety or patient
care; and, (4) assist in evaluating, assessing, and reporting areas or
items in the interior of NYP that need repair (i.e. floor tiles, carpet, paint,
plumbing, etc).
Population Served
Inpatient and outpatient settings.
14/20
PASTORAL CARE & EDUCATION
Scope of Service
Provides care to persons of all faiths as well as to those who are
unaffiliated with any religious tradition or community. The scope of
services include spiritual coping assessments, short-term pastoral care
and counseling, emotional support, prayer, sacramental needs,
provision of religious articles, and help in obtaining needs for religious
observance within the hospital (such as Kosher food, etc.). At patients’
request, referrals may be made to the appropriate community religious
resources, including churches, synagogues, mosques, counseling
centers, or temporary residences for continuing pastoral care. In some
cases, pastoral care services may extend to post-hospitalization by
means of phone contact.
The Department is unified across campuses and includes a training
program that is nationally accredited by the Association for Clinical
Pastoral Education, Inc. The Department offers a full-time, academic
year residency program, multiple part-time internship programs and a
full-time summer internship program. Students in these programs have
clinical assignments at all Cornell, Columbia, MSCHONY and Payne
Whitney, Westchester. CPE students are integrated into the Pastoral
Care staff and participate fully in a rotating on-call system, the provision
of multiple worship services at all locations, offered at regular times,
special occasions and on holidays to meet the ritual needs of a highly
diverse patient and staff population.
Population Served
Adult and pediatric patients in inpatient and outpatient settings.
PATIENT CENTERED CARE
Scope of Service
Supports the commitment to establish and maintain a professional and
service culture in which the patient is the central focus of attention and
responsibility of everyone. The following is the Department's scope of
service:
Establish and Maintain a Customer Service Infrastructure—
Collaborates with medical, hospital and corporate leadership to develop
service standards and to maintain consistent and high quality service
for patients. Oversees and manages the Hospital’s patient satisfaction
measurement system including regular communication of results and
trends as well as setting annual targets and action plans for
improvement. Coordinates a leadership infrastructure to guide and
monitor the “We Put Patients First” effort at a hospital, facility and
department level.
Improve Service—Leads action planning at the unit and department
level to improve the patient experience and raise the ratings given by
15/20
our patients on patient satisfaction surveys.
Implementation of Best Practices – Facilitates the adoption of proven
best practices (e.g., discharge calls, service recovery programs) to
support improvement in patient satisfaction and to “hardwire” a culture
of service across the organization.
Create a Culture that Supports, and is Recognized for Service
Excellence— Partners with Human Resources, incorporating patient
satisfaction metrics into performance reviews, re-designing the HR
recruitment process, and linking employee and patient satisfaction
efforts in order to emphasize that performance evaluation, recruitment
and staff orientation support and recognize customer friendly, serviceoriented employees and candidates.
Population Served
All hospital departments.
PATIENT ESCORT SERVICE
Scope of Service
Provides services to all ancillary and ambulatory care areas. Services
provided includes patient transport, pick up and delivery of patient
related items such as specimens, blood products, and miscellaneous
items. At NYP/WCMC, the Department assists patients with discharge,
delivery of patient’s mail, clothing, and charts. At NYP/CUMC, the
Department assists patients with discharge.
Population Served
Adult and pediatric patients in both inpatient and outpatient settings.
PATIENT ETHICS
Scope of Service
The Department provides an ethics consultation service at WCMC in
conjunction with Patient Services Administration and Legal Affairs. In
addition, the Department provides ethics education for staff, assistance
with drafting of policies and procedures related to patients’ rights and
organizational ethics and community outreach.
Population Served
Adult, pediatric patients as well as their families.
PATIENT SERVICES ADMINISTRATION
Scope of Service
Provides a central grievance mechanism for all patients, families, and
staff. Also provides ongoing in-service education for professional and
non-professional NYP staff regarding patient rights and NYP policies
and regulations.
Function as day administrators, responding to NYP staff, regulatory
agencies, patients and visitors regarding NYP policies and
management issues; and advise staff, patients and families on such
matters as Do Not Resuscitate disputes and any questions regarding
the refusal or withdrawal of treatment.
Plays a crucial role in NYP’s Risk Management Program, responding to
16/20
questions, calls or notifications of patient injuries and other potential
liabilities to NYP. The Department works directly with the Offices of
Risk Management and Quality and Performance Improvement
forwarding appropriate information to proactively reduce risk, improve
quality, and ensure safety for patients, visitors and staff.
Serves as staff to the Office of the President and manage any special
request or need that a patient may have.
Population Served
Adult and pediatric patients in both inpatient and outpatient settings.
PROCUREMENT & STRATEGIC SOURCING
Scope of Service
Provides purchasing and supply chain services to NYP, and to selected
sponsored hospitals within the NYP System. Responsible for the
acquisition, receipt and distribution of all supplies, equipment and
services, with the exception of pharmaceuticals and real estate
transactions. The need for contracted services are determined by
individual departments in accordance with NYP policies for contract
execution, accreditation/regulatory and NYP Human Resource
standards. Major functions of the Department include:
Procurement—Responsible for procurement of products and services
in concert with internal clients and departments and enters into
contracts on behalf of NYP. It is also responsible for converting internal
requisitions to external purchase orders that are placed with preferred
or contracted resources.
Logistics & Supply Services—Directs the flow of supplies (over
70,000 individual items) from suppliers to the patient bedside. The
Department also operates a Print Shop which provides low volume
offset printing and high volume copying at the NYP/WCMC campus.
Materials Management Information Systems (MMIS)—Computerbased information systems (Lawson software systems) link the
Department's procurement and supply chain operations with all of the
clinical areas. This linkage allows user areas to access supply records
and place orders directly into the system. Provides customized training
to all system users on how to utilize our purchasing and supply chain
functions.
Strategic Sourcing—Manages an ongoing process with internal client
groups that drives standardization and strives to reduce the cost of the
products and services that NYP consumes. This is managed through
Clinical, Non-Clinical, and Capital teams that take a total cost of
ownership or acquisition approach to product selection and use.
Contract Management and Financial Metrics – Responsible for
insuring that all hospital contracts have the proper review and
authorization prior to signing. Also, financial metrics are available that
measure the performance and results of the department.
Network Sponsored Hospital Support—Provides procurement &
strategic sourcing services to selected network sponsored sites. The
value to network partners is primarily access to commodity contracts
17/20
and the use of the automated materials management information
system.
Population Served
All hospital departments.
QUALITY & PATIENT SAFETY (QPS)
Scope of Service
The Division of Quality and Patient Safety is responsible for leading the
organization’s efforts in becoming a national leader in quality and
patient safety to ensure that we provide our patients and their families
with world-class, safe and reliable care each and every day. The
division is accountable for the overall direction, leadership and
operational management of all areas associated with quality and
performance improvement, patient safety, internal consulting,
accreditation and regulatory compliance.
Quality and Patient Safety provides leadership and cooperation to and
among, the multiple work groups responsible for compliance with The
Joint Commission standards and regulatory requirements. The division
coordinates with Hospital leadership to develop a systematic and longterm strategic plan with projected timelines to ensure one common
response for compliance with regulatory agencies. The division also
oversees the development, management, and leadership of
organizational initiatives to proactively ensure and improve patient
safety, clinical quality and patient flow throughout the continuum of
care.
The division’s patient safety work includes coordinating a
systematic approach for evaluation of NYPORTS events to uncover
trends; assess root cause analyses, measure effectiveness of risk
reduction strategies and monitor corrective action plans.
The Quality and Performance Improvement (QPI) Program is directed
by the Board of Trustees, the Medical Board, and the President of
NYPH. The program supports the Board of Trustees QPI Committee in
the coordination of all performance improvement activities throughout
the institution.
Population Served
All hospital patients and departments.
18/20
III. APPENDIX
NewYork Presbyterian Hospital provides the following Medical and Surgical Services in
affiliation with Columbia University College of Physicians and Surgeons and Weill Cornell
Medical College.3
Medical Services
Allergy, Immunology, and Pulmonology
Anesthesiology
Cancer (Oncology)
Cardiology
Complementary, Alternative, and
Integrative Medicine
Dermatology
Diabetes and Endocrinology
Digestive Diseases
Ear, Nose, and Throat
(Otorhinolaryngology)
Geriatrics
Hematology (Blood Disorders)
Infectious Diseases/International Medicine
Internal Medicine
Nephrology (Kidney Disease)
Neurology and Neuroscience
Obstetrics and Gynecology
Ophthalmology
Pathology
Pediatrics
Preventive Medicine and Nutrition
Psychiatry and Mental Health
Public Health
Radiation Oncology
Radiology
Rehabilitation Medicine
Rheumatology
Vascular Care
Women's Health
Surgical Services
Breast Centers
Cardiothoracic Surgery
Colon and Rectal Surgery
Dental, Oral and Maxillofacial Surgery
Endocrine Surgery
General Surgery
Hand Surgery
Head and Neck Surgery
Lung Volume Reduction Surgery
Neurological Surgery
Ophthalmological Surgery
Orthopedic Surgery and Trauma Service
Pediatric Surgery
Plastic Surgery
Thoracic Surgery
Transplantation
Urology
Vascular Surgery
3
Medical and Surgical services provided at NewYork-Presbyterian in affiliation with Columbia
University College of Physicians and Surgeons and Weill Cornell Medical College. List of Medical and
Surgical services is maintained by the Marketing Department on the NYP.org website.
19/20
IV. REVISION AND APPROVAL HISTORY
Revised/Approved:

January 2009 (BOT Quality Committee)
20/20