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- Caring for Our Community 2013
- Community Service Plan
- Contact Us
- James House Mansion
- Mission & Vision
- NYMC Phelps Family Medicine Residency Program
- Phelps Hospital Affiliations
- Phelps Hospital Annual Reports
- Phelps Hospital News
- Phelps Hospital Phone Directory
- Phelps Today Magazine
- Senior Management Staff
- Vital Signs Videos
Caring for Our Community 2013
Who We Are
Phelps Memorial Hospital Center is a 238-bed acute care community hospital, located in central Westchester County. Since its beginnings in 1956, Phelps has strived to provide its community with the finest quality healthcare. The extent of services made available to those we serve ranges from emergency services to acute care inpatient services, as well as a host of outpatient services designed to address the needs of those who make up the Phelps service area (Westchester County and surrounding communities in Rockland, Putnam, and Dutchess Counties in New York and Fairfield County in Connecticut.) Phelps Memorial Hospital Center works collaboratively with Open Door Family Medical Centers, a federally qualified heath center to provide prenatal care, and has an agreement with Westchester Medical Center to provide care for high-risk mothers and neonates. Cancer care is provided by Memorial Sloan-Kettering Cancer Center on Phelps’ campus. Phelps operates several primary care and specialty physician practices in the surrounding communities. The hospital maintains an extensive network of outpatient mental health services, outpatient medical diagnostic and treatment facilities, and a home-based hospice program. Oversight is provided by a 24-member Board of Directors, all of whom volunteer their time and expertise.
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Mission, Values and Vision
Phelps Memorial Hospital Center is dedicated to:
- Improving the health of the community we serve;
- Sustaining an environment of excellence where medical, social and rehabilitative services are delivered proficiently, efficiently and effectively;
- Offering a broad range of preventative, diagnostic and treatment services;
- Educating our community to achieve optimal health outcomes and quality of life;
- Striving to enhance the personal and professional excellence of our medical, nursing, paraprofessional, technical, administrative and support staff;
- Providing comprehensive care in a safe, modern environment where advanced medical techniques and effective management and planning are coupled with the strong Phelps tradition of caring.
How we will behave:
What we will provide:
We will continue to be:
- A financially sound, physically modern and technologically advanced institution whose staff and employees enjoy their work;
- Known throughout the region for excellent clinical services and nursing care, measured by satisfied patients and community;
- Linked in creative and mutually beneficial ways with our medical staff to provide comprehensive primary health services and an appropriate spectrum of secondary and tertiary services;
- Cooperating with other healthcare institutions to enhance our ability to provide high-quality care at reasonable cost.
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Phelps Memorial Hospital Center assesses community health needs by analyzing data collected by the Westchester County Department of Health, the Westchester County Department of Community Mental Health, and the New York State Office of Alcoholism and Substance Abuse Services. Recognizing the value of feedback about healthcare needs from people who live and work in our community, Phelps surveys pre-hospital and post-hospital care providers, including physicians, ambulance corps, clinics, nursing homes and home health agencies. Through ongoing dialogue with them and with schools, churches, community coalitions and key community leaders, we have been able to recognize gaps in community health services and education. Most importantly, the response of individuals to surveys and focus groups has brought to light the need for new services or improved access.
Based upon our assessment, we defined the following priorities: access to healthcare, behavioral health, chronic disease, healthy mothers/healthy babies and nutrition. Our goals are in concert with the vision of the New York State Healthiest State initiative, namely:
- To increase physical activity
- Improve nutrition (reduce sodium intake)
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Healthcare policy planners, providers and the public are aware that the demand for primary care providers will exceed the supply as more persons become insured under the provisions of the Affordable Care Act. To be better prepared to respond to this community need, New York Medical College, Open Door Family Medical Centers, and Phelps Memorial Hospital Center established a family medicine residency program. Our goal is to develop family physician leaders who provide outstanding clinical care and community services through partnership and innovation. The residency is a vibrant, quality program where all constituencies work together effectively to provide comprehensive, compassionate service and education.
Our first family medicine residents arrived in July 2012 to begin their three-year residency and, in 2013, an additional six first year family residents joined the program. This teaching service complements a New York Medical College-sponsored dental residency that also began in July 2012. Four dental residents participate in this program annually.
Apart from the residency program, affiliations brought more than 400 students to our hospital during the year, including students in clinical services, mental health, security and pastoral care.
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Community Health Management
There is a concern that there is a lack of early detection screenings among the minority population in our community, as many may have limited education on the value of such testing and may not have health insurance. Informing primary care providers and community agencies of our willingness to provide these services resulted in 470 persons availing themselves of various screenings such as blood pressure, prostate and instruction in breast self-exam, along with referrals for mammography ( Hispanic Health day held in Tarrytown). In addition, one of our general surgeons and a gynecologist, both bilingual in English and Spanish, provided physical examinations at our annual health fair which we held in May 2013 in Ossining and Tarrytown. Education on health maintenance and community resources supplemented these clinical services.
The success of population-oriented health fairs prompted us to conduct a geriatric health fair. We also continued on-campus screenings for hypertension, cancer, and speech and hearing problems, conducting a total of 470 screenings.
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Emergency Life Support Training
We continue to focus on our core activities, serving as the hospital’s coordinator and provider of the American Heart Association’s Advanced Life Support (ALS) training programs and providing instruction to community Emergency Medical Services (EMS) professionals. We offer emergency education programs to community and corporate clients and coordinate the hospital’s emergency preparedness efforts.
We facilitate and coordinate the collaborative quality assurance efforts of the local EMS provider agencies: Tarrytown, Sleepy Hollow and Ossining Volunteer Ambulance Corps, as well as the Croton-on-Hudson and Briarcliff Manor fire departments and the Tri-Community Fly Car Service.
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The New York State Power Authority and Entergy Corporation have designated Phelps as a receiving hospital for victims of radioactive contamination. Each year, we have joint nuclear preparedness training sessions and drills conducted by experts in the field. Decontamination procedures have been incorporated into the Emergency Department (ED) Disaster Plan. We maintain a separate decontamination facility in the ED and have competent staff to respond to a community disaster.
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Mental Health of Our Community
Phelps Memorial Hospital Center’s Behavioral Health Services has four outpatient mental health clinics certified by New York State. Located in Sleepy Hollow, Tarrytown and Ossining, these programs provide services to children, adolescents, adults and families of every social and economic level. The programs are staffed by social workers and psychiatrists and/or psychologists. The site in Tarrytown provides treatment in Spanish and English. Phelps’ behavioral health referral line, which is available to the public, may be called 24 hours a day, 7 days per week. This year, the Counseling Service responded to needs expressed within the community and developed several new therapy groups. Our counseling services provided 11,143 patient visits for 2013.
Functioning for Productive Living
As part of our continuum of care, Phelps Memorial Hospital Center’s Behavioral Health Services offers a New York State-certified community-based Continuing Day Treatment (CDT) program in Briarcliff Manor. The CDT program is open five days per week, and people who require intensive treatment may attend all five days. A psychiatrist is located on-site, and social workers, a nurse, a vocational counselor and paraprofessional staff are also available to work with the patients. This program assists people in their recovery from mental illness and helps them remain out of a hospital inpatient psychiatric setting. The program had 18,176 patient visits in 2013.
Intensive/Supportive Case Management
People who have serious and persistent mental health issues may utilize our Case Management Program, which offers both supportive and intensive case management services. Covering Northern Westchester County, the services are provided within the community. Because of the high degree of need presented by these patients, each Supportive Case Manager works with at least 20 patients at any given time and each Intensive Case Manager works with 12 patients at any given time, offering in-depth and intensive services. Case Management offers assistance in many areas of the patient’s life including: mental health, medical, housing, financial, psychosocial, educational and vocational.
Reduced Dependency on Alcohol & Drugs
Recognizing the deleterious effects of chemical dependency within our community, we developed services to engage adults, adolescents and their families in effective recovery programs. Individual and group counseling services are offered six days per week, with both day and evening hours available. Our programs are geared to work effectively with chemical dependency issues through treatment and education. Many individuals successfully complete treatment and are able to engage in productive activities, including employment. Our Chemical Dependence Services provided 21,407 visits in 2013.
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Reducing Stroke Mortality
To address stroke mortality, we created a multidisciplinary team of clinicians, including local first responders, to direct the implementation of evidence-based protocols for prompt assessment and treatment of stroke. This team provides a broad range of information and educational activities for both the lay community and professional providers. We are a designated Stroke Center and use the American Heart Association/American Stroke Association’s “Get With the Guidelines” standards to evaluate the effectiveness of our efforts. We are pleased to report that we received the Gold Plus Achievement Award, the highest level AHA/ASA recognition for stroke care every year since 2009.
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We continue to offer prenatal services in collaboration with Open Door Family Medical Centers in Ossining, Tarrytown and Port Chester and provided 864 visits for the year. Lamaze classes were offered, with 100 couples participating. Lactation consultants saw all maternity patients to promote breastfeeding and provided post-partum follow-up. Breastfeeding consultation services were offered in both English and Spanish.
The World Health Organization has demonstrated the positive effect of successful breastfeeding on reducing infant mortality and morbidity. Anecdotally, breastfeeding supports the regional objective to eliminate baby bottle tooth decay. Our target is for 80% of mothers who deliver at Phelps to still be breastfeeding three months post-delivery. We achieved 81% and received special recognition from New York State. With grant funds we were able to establish a licensed breast milk bank to supplement mothers needing assistance.
With parents’ consent, all babies born at Phelps are offered their first Hepatitis B vaccine, and many of our parents have taken advantage of this protective measure for their babies. Hearing screenings are provided for all babies before discharge, and if there is a problem, these babies are referred to our Speech and Hearing Center.
One hundred percent of parents received education concerning post-partum depression and shaken-baby syndrome.
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Nutrition Support for the Community
Westchester’s Women, Infants and Children (WIC) and School Lunch programs have addressed the nutritional needs of school children. Our findings show the need to educate adults about nutrition and to provide meal assistance to seniors and the disabled. We coordinated both group and individual nutrition counseling. Our Food and Nutrition Services Department prepares meals for the local Meals-on-Wheels program and provided 5,660 meals in 2013. Our free lunch program funded $24,034 worth of meals and snacks for local seniors who are volunteers at the hospital. For the Celiac Sprue Support Group that meets at Phelps four times per year, we provided dietary service support for cooking demonstrations.
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Community Health Education
Our community Health Education program offers broad-based health promotion. We address topics solicited from focus groups in the community. We expected reduced interest in personal presentations, given the wealth of health information available through the Internet and other media sources. Though we considered shifting our resources to other initiatives, we continued to offer 23 Healthy Life programs in 2013 and our attendance surpasses 1,100 persons. Participants tell us that live exposure to experts, with an opportunity to have their questions answered in real time, drives their attendance.
Thirty-eight percent of our patients have educational degrees above a college level. Many in this group have families where both spouses are employed. We learned that they may take time for physical fitness training but not to travel to health-oriented educational sessions. For this reason we developed Phelps Today, a printed publication that is mailed to 80,000 households and is available on the Phelps website. Vital Signs, a series of videos produced by Phelps, focuses on disease prevention and treatment and is available on local cable TV and on the Phelps website.
In May 2012, Phelps Memorial Hospital Center joined other Westchester hospitals in developing healthy food policies. This coalition, Be Healthy Westchester — Healthy Hospitals, was formed by the Westchester County Department of Health to coincide with the Centers for Disease Control’s campaign to stop the growth of obesity.
We studied the evidence-based Healthy North Carolina Hospital initiative and designed and sustained the following tactics to promote healthful eating:
- Installed and continued to maintained a device next to the vending machines that displays dietary information about food items to help people make healthier selections
- Continued to revise cafeteria menus to include a heart healthy choice
- Cafeteria menus were regularly updated to list calorie, fiber and sodium content along with Weight Watchers points for a defined portion
- Regularly enhanced the salad bar and implemented a low fat yogurt bar with healthy choice toppings
- Encouraged portion control by charging for food by the ounce
- Added low-fat, low-sugar and low-sodium options for many food products in the cafeteria and gift shop
- Provided scales to weigh food selections prior to purchase
- Fresh fruits and vegetables available daily
- Nutritional education posters
Weekly farmers market (seasonal).
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Our senior health program continues to offer consultation, memory disorder evaluation, hearing screening and meal assistance. We met with participants and conducted focus groups in community-based facilities to determine if there were other initiatives that might be helpful. Based upon responses, we supplemented the program with an outreach initiative we named Vitality to capture those who do not yet describe themselves as “senior.” Our target population is now those 50 and older.
We developed opportunities for health promotion by creating the Breakfast Club, a group that meets the second Thursday of each month. During breakfast, we encourage socialization and solicit seniors’ concerns and ideas. Breakfast is followed by an exercise session to improve balance and strength and a guest speaker addresses health topics selected by the club. While we expected 35 persons per Breakfast Club, we have had a turnout of 75-100 culturally diverse registrants. Without baseline and scheduled reassessment of balance and strength or cognitive ability, we have not developed outcome measures. On the first Wednesday of the month the Breakfast Club joins other community residents for Mind Games, which are intended to maintain memory and stimulate cognitive functioning through recall and problem solving.
In collaboration with the Westchester County Department of Senior Programs and services, we offered Living Well, a six-week workshop to help those with chronic conditions learn self-management. Because participants are not a consistent captive audience, we have not been able to evaluate health outcomes of these participants. We are presently working on a method to measure self-reported modification of health behaviors.
To promote exercise, community residents and Phelps employees are invited to participate in a number of Phelps-sponsored walks and runs (American Heart Association annual Heart Walk, the Sleepy Hollow 10K, Sleepy Hollow Half Marathon, Sleepy Hollow Sprint Triathlon, Strides against Breast Cancer Walk and exercise activities in Senior Steps and Breakfast Club programs).
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We Care About You
Phelps is committed to providing quality care to all who need it, regardless of their ability to pay.
Phelps offers extensive counseling services for those who have difficulty paying their medical bills. Help is available in a variety of different forms for those without insurance, those with high co-payments and/or deductibles, those with temporary lapses in employer-sponsored coverage, and those who are eligible but not enrolled in government-sponsored health plans.
We routinely establish payment plans that allow patients to pay their bills over time. We assist numerous patients each year in establishing their eligibility for Medicaid, Medicare, Child Health Plus and Family Health Plus. We also offer charity care, including sliding scale discounts, for those who qualify under our generous Community Benefit Guidelines.
With medical costs increasing and many family incomes stagnant, the need for charity care and sliding scale discounts has grown in Westchester County. Phelps continues to lead the way, approving the vast majority (over 89%) of the applications received.
Phelps representatives are happy to assist patients in many languages. For more information, call: (914) 366-3199.
Phelps is located at the intersection of Route 9 and Route 117 in Sleepy Hollow. For directions, visit our website or call (914) 366-3000.
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PDF of "Caring for Our Community"
Print the pdf, two-sided, and fold into a 5.5′ x 8.5″ booklet.
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