Health Department Forms Folder 0065, 1999-2001

NYC 9/11 Public Portal Document

~a NEW YORK CITY HEALTH AND HOSPITALS CORPORATION — 125 Worth Street • Room 514 • New York • New York 10013 212.788.3321 Fax: 212.788.0040

Luis R. Marcos, M.D. President

TO: Rosa M. Gil, DSW Special Advisor to the Mayor for Health Policy

FROM: Luis R. Marcos, MDI% I t DATE: October 25, 1999

SUBJECT: HHC Achievements: 1994 -1999

Since 1994, HHC has been transformed from a heavily subsidized and struggling hospital system into a profitable and modem health care system, able to compete with any other health care provider in the City. For example: all HHC hospitals have been fully accredited; HHC has shifted its emphasis from inpatient services to outpatient health care and prevention; it has positioned itself to remain competitive in a managed care market by improving the quality of care while containing costs; it has restructured its affiliation agreements to provide increased value at reduced cost; and, it has ended each of the last four fiscal years with a positive accrued balance without any City subsidy.

As requested, measures of our achievements since FY 1994 (unless otherwise stated) follow.

Quality of Care

• In contrast to earlier years, since 1994, all HHC facilities have been fully accredited through successive surveys by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO).

• The average length of stay for general care declined 30%, from 7.9 days to 5.5 days.

• Waiting times for key health services were sharply reduced over these five years. For example, the number of days a woman had to wait for a mammography screening appointment decreased from 22 days in FY95 to 4 days in FY99.

• Since FY94, the number of women receiving initial prenatal care in the first trimester of pregnancy has increased from 43% of women to 63%.

NYC-WTC 000137986