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Posted by Edooce on Wednesday, March 1, 2017
Q&A with Advanced Practice Nursing Corporate Director, Carol Patrick
Q&A with Advanced Practice Nursing Corporate Director, Carol Patrick
Q: How long have you worked for Northwell Health?
A: I have been with Northwell Health via Huntington Hospital since 1981 (35 years), in a variety of capacities, beginning as a Registered Nurse, then working my way up to a Clinical Nurse Specialist in Critical Care, Critical Care Director, Electrophysiology Acute Care Nurse Practitioner. Three years ago, I became the Corporate Director for Advanced Practice Nurses at Northwell Health, and since have been balancing that role as well as allocating a portion of my time as an Electrophysiology Nurse Practitioner.
Q: What does the Nurse Practitioners Council do for our NP’s within the system?
A: Our System NP Director’s Council meets monthly for 2 hours, provides an avenue for advocacy and communication from all of the systems Nurse Practitioners to our leadership. Maximizing the ability of the NP’s to practice to the top of their licensure is the vision and goal of our leaders. The Mission of the System NP Director’s Council is to be the voice of the advanced practice professional, while promoting the highest standards of evidence based, patient centered, quality care. Supporting and promoting excellence in leadership and professional growth within the advanced practice profession is also one of our main priorities.
Q: Can you talk about the opportunities for NP’s throughout our health system?
A: There are multiple opportunities in innovative work environments for the Advanced Practice Nurses at Northwell Health in both the inpatient and outpatient settings – ranging from e-ICU, telestroke, telepsychiatry, to robotic surgery and our newly growing LVAD impantation HF program, liver transplant program, the outpatient Housecalls and Care Solutions team. The opportunities for advanced practice Nurses here are endless – one can create their own vision, construct a viable business plan and strategy, and their dream can come true. Innovative care models are popping up everywhere – advanced illness programs, palliative/ hospice care, acute stepdown units, outpatient clinics/ programs, perioperative NP oversight, which are all NP managed and run. Assessing metrics such as length of stay, infection rates, skin ulcers, CAUTI, VTE occurrences, patient/ family satisfaction, and team communication are amongst the measurements where we shine.
Q: What role do NP’s play here at our hospitals and facilities?
A: The role of NP’s here is directed North – leading the way in independent and innovative practice and patient centered care. Our NP’s serve as advocates for our patients and families, conduits for change and strong collaboration and communication amongst physicians and other health care providers, engaging referrals whenever needed to optimize patient outcomes, and safe efficient transitions throughout the health care continuum.
Q: Why is Northwell special?
A: Our Nurse Practitioner’s are the voice of the patient and families – listening, assessing, prescribing, referring, optimizing, performing, and embracing technological advances in care for the prime focus of utilizing time management and efficiency for what matters most, the patient! Northwell is special because our leadership and supportive administration enables EVERY advanced practice nurse to have a voice. They listen to the staff, and have teams of individuals who evaluate Employee Engagement results, working on plans for success and targeting those areas of deficiencies to improve both employee and patient satisfaction. The wealth of educational and participative opportunities abounds – all one needs to do is have an idea and implement it. We at Northwell provide every advanced practitioner with a professional identity and ongoing professional development that makes us the employer of choice. Interprofessional quality, safety, and the optimal patient experience is a core tenant for our staff to achieve. Our goal is to foster a singular vision for the health system with the ultimate goal of creating a pathway for every Advanced Clinical Provider to work to the top of their license, and have a voice!
Q: What would you like to say to our NP employees during recognition week?
A: I would like to say THANK YOU for your engagement, enthusiasm, support, and true commitment to high quality, safe, patient centered care. Our time in advanced practice is now – we need to create our destiny in impacting health care, or someone else will do it for us. Get involved with your professional associations, legislative updates, and have a voice in effecting positive change for our providers and patients. The future holds promise and ongoing growth for our significant role in advancing advanced practice nursing. As we celebrate National Nurse Practitioner Week, look at how far we have come, but most importantly – look North – to where we are leading the way in health care transformation.
Meet our Vice President of Rehabilitation and Orthopaedic Service Lines
Meet our Vice President of our Orthopaedic and Rehabilitation Service Lines, Nina DePaola
Why did you become a physical therapist?
I knew from personal experiences at a young age that I wanted to go into healthcare related to improving ones quality of life. In order to pursue this I spent time volunteering in high school and I observed physical therapy which inspired me. My goal at the time was to help those with cancer and improve their day to day function and strength during treatment and recovery. Through my physical therapy education and training I became interested in working with a variety of those in need-including those with sports, cardiac, neurological, amputees, and orthopaedic conditions. Most importantly a physical therapist has the ability to motivate and teach an individual to become more independent and enjoy each day.
How long have you worked for Northwell health?
I will be celebrating my 30 year anniversary in 2017.
Can you talk about your career profession within the health system?
I began as a staff physical therapist at NSUH Manhasset. I then pursued my masters in administration, with the intent to go into a physical therapy private practice. About 5 years later I was offered an opportunity to start a small outpatient orthopaedic physical therapy program for the hospital. This small program has grown over the years to many sites and is called STARS (Sports Therapy and Rehabilitation Services). The STARS team continues to this day and celebrates exceptional service, engagement and care for many types of patients in need of physical and occupational therapy. I was asked approximately 15 years ago to oversee the Rehabilitation Service Line for our growing health system, and shortly after that I was asked to oversee the Orthopaedic Physician Service Line. Now our two service line teams have grown many programs, centers, facilities and offices in many markets throughout the region.
What do you like most of the administrative role of rehabilitation?
Once I became a physical therapist I started developing programs and I really enjoyed initiatives that resulted in impacting many more than just the 10 patients a day that I was treating. It is also very rewarding to help those with a passion for what they love to do create better patient care. That motivated me to grow and I was asked to do this more formally – thus starting my career ladder into administration. My most proud achievement to date has been to celebrate the successes of others and the accomplishments of many individuals who have helped create better ways to offer care to those in need. On the business end a particular goal is to volume build. Areas of our teams include marketing, community outreach, meeting with societies, care organizations and advocacy groups in order to meet their needs, building new service communities and promoting a personal touch to everyone and everything we encounter in corporate healthcare. In corporate healthcare, it has been helpful to be a voice as a physical therapist- to represent the profession and yet align strategically with the health systems mission.
What kind of experience and settings are available to therapists within Northwell Health?
Within Northwell there is just about every variety of therapy and rehabilitation. We have hospital based therapy, skilled nursing- short and long term care therapy, acute inpatient rehabilitation, outpatient therapy and homecare. We treat all ages from pediatrics to geriatrics and have just about every specialty program from sports and spine care to joint replacements, neuro rehab, brain injury and lymphedema care. Part time and full time positions which offer flexible hours are available in many of our settings that help promote a work- life balance.
Why is Northwell Health special?
Northwell health is the largest employer for physical therapists in our region. Many employment options are available related to location and specialty. The overall culture of Northwell is one of teamwork, caring, communication, respect and a great family feel. Employees within Northwell Health truly care about each other and enable change for improvement and what best meets the needs of the patients. As a physical therapist we tend to have the same values of teamwork, communication and motivating others so it marries nicely with the culture of Northwell health.
What opportunities are available for therapists at Northwell Health?
A physical therapist within Northwell Health has many opportunities for additional clinical education, research, program development or leadership growth through the offering of a management track. The Center for Learning and Innovation that has many courses to help develop leadership skills and an understanding of healthcare. There is tuition support available for those who go on to advanced education. There are many cultural activities that help build teamwork with physical therapists and other professions such as nurses and physicians- this makes Northwell Health unique.
Can you speak to the relationship between our Physicians and our Physical Therapists throughout the health system?
We have thousands of physicians who work with our physical therapists in every setting. A physical therapist typically receives the referral to offer care but our communication and partnership to give the patient exactly what they need is very important. Our physicians include orthopedists, neurologists, surgeons, internal medicine and oncologists. There is a very good relationship and mutual respect between physical therapists and physicians concerning the development of programs, education of the community, prevention and treatment of disability in patients.
What would you like to say to our Physical Therapists employees during PT month?
PT month is a time to celebrate for all we that we are able to do for patients and for each other. Northwell Health continues to grow and our expanding workforce of therapists is very strong, well-qualified, well respected and outstanding in their field. This is a time to celebrate the great services that we offer and the continued growth of our programs. A huge message of appreciation is sent to each and every therapist who is proud to be part of the Northwell Health Rehabilitation family. This is a month to celebrate who we are and what we do for so many. Our teamwork and our individual offering of quality care helps thousands and thousands of patients each year and we should congratulate each other offering such quality care in such a rewarding field and in such a great organization which is Northwell Health.
Want to join our team of Physical Therapists? Explore our unlimited rehabilitation career opportunities.
Our stars working at S.T.A.R.S.
Our Stars Working at S.T.A.R.S.
The Sports Therapy and Rehabilitation Services (S.T.A.R.S.) team is always ready to take on a challenge. As the team and facility locations continue to grow, there are an endless amount of diverse cases and support available for every employee to accomplish their education and career goals. We had the privilege to speak with Brian Krebs, Senior Director of STARS Network, about his journey throughout Northwell Health and the top 3 things happening right now at STARS.
How long have you worked for Northwell Health?
I began my career with Northwell Health’s STARS in 1997. At that time it was called North Shore-LIJ’s STARS.
Can you talk about your career progression within the health system?
My opportunity to work at Northwell Health’s STARS presented while I was in physical therapy school on my last clinical rotation at STARS East Meadow. A full time staff therapist position was becoming available and my clinical instructor thought I would be a good fit and recommended me for the position. I was attracted to STARS because of their focus on patient care and providing a collaborative team environment. Over the next 19 years I was afforded the opportunity to progress my career from a staff level therapist, to a site supervisor, to a rehabilitation manager to where I am today as a Senior Director. Along the way I was challenged by my mangers to develop both my clinical and administrative skill set. As a site supervisor I was asked to develop various clinical programs related to sports therapy. As a manager I became more involved in the development of staff, making operational decisions and providing strategic input on how best to grow our service. I also have been able to continue my educational aspirations by achieving 3 clinical certifications including a specialty in spine care, manual therapy (Certified in the McKenzie Method and Maitland approach) and becoming an Orthopedic Clinical Specialist. Additionally, I was encouraged to pursue and received a transitional clinical doctorate degree. I know of no other organization that would have allowed me to grow and develop in the manner I have.
Please list the top 3 things happening at S.T.A.R.S. right now.
1. For many years STARS primarily treated those with orthopedic injuries or conditions. However, over the past 2 years with the addition of new locations we have been able to diversify our client base by partnering with other Northwell Health Service Lines to develop many new specialty programs. These include a Lymphedema/Oncology program, a Pelvic Floor/Women’s Health program, a Pediatrics program and our STRIVE for Wellness Program which provides those with a spinal cord injury or other neurologic condition the ability to exercise independently in a safe wheelchair accessible gym. These are in addition to our already existing STARS specialty programs which include Vestibular Rehabilitation, Hand Therapy and Neurological Rehab.
Blast from the past
Heart and Sole 5K
Aloha
Breast Cancer Awareness
NWH Walk
Orlando Proud
2. We have also seen tremendous growth in the area of sports rehabilitation. For the past 2 years, STARS has been the official provider for the Hofstra University Athletic Department. We work as part of a multidisciplinary team to ensure Hofstra’s student athlete’s get the very best care and get back on the field as quickly as possible. We have also added Certified Athletic Trainers (ATCs) to our clinical compliment and have been awarded contracts with North Shore and Glen Cove High Schools. This past year our trainer at North Shore High School worked with the school’s Athletic Director to achieve the nationally recognized Safe Schools Award. Additionally, our sports therapy staff has worked closely with Orthopaedics to develop our organization’s post-operative protocols, an ACL tear prevention program, a sports concussion program, and a performing artist/dance medicine program.
3. Finally there is our site expansion, with STARS locations in Nassau County, Western Suffolk County, Queens, and Westchester. The addition of new STARS locations allows STARS to serve a greater number of communities and physicians. Our growth has also allowed us to develop programming that meets the needs of undeserved populations and aligns with the mission of our organization. In 2015, STARS opened offices in Franklin Square and Huntington. In 2016, STARS integrated with the outpatient rehabilitation department at Northern Westchester Hospital, making us 10 locations strong.
Please finish this sentence: Without our Physical Therapists, we wouldn’t be able to…
Provide the extraordinary care we do for our patients. Their passion for the profession and drive to help every patient maximize their outcome is humbling. Without their daily efforts we could not have grown into one of the largest multi-specialty therapy providers in the region. This commitment to our patients is evidenced by our consistently high Press Ganey patient satisfaction survey results, and the fact that STARS has achieved the highest Employee Engagement scores for the past three survey cycles. However, it is not just our Physical Therapist that we owe a debt of thanks to. We could not provide the care we do without the work performed by our Physical Therapist Assistants and Occupational Therapists who demonstrate the same values and passion for excellence as that of our Physical Therapists.
What would you like to say to your PT employees during recognition month?
I’d like to commend them, as well as all of our staff, for the important work they do each and every day. I am awed by the letters and emails that we receive weekly from our patients, recognizing the skill and dedication of our staff. It is this dedication to each other, our patients and our mission that has allowed STARS to develop and maintain a culture of care. I can’t thank them enough!
Meet our Corporate Director of Physician Assistant Services
Q&A with our Corporate Director of Physician Assistant Services, Martin Morales
How long have you worked for Northwell Health?
I started at Long Island Jewish Medical Center 29 years ago before the first merger of Long Island Jewish and North Shore University Hospital. I am still in awe at the great amount of integration that has taken place by way of mergers acquisitions, affiliations and joint ventures resulting in Northwell Health.
Can you talk about your career progression within the health system?
Northwell Health has provided me with a wonderful career ladder, and given me the resources to climb that ladder. I started as a PA supervisor in Medicine in 1988 with 4.6 PA’s on my service. We were so effective that by 1994 we had increased our number 10 fold. Northwell Health supported my efforts to complete a Master’s Degree in Health Administration at Hofstra by providing tuition reimbursement, entered me in our High Potentials Program (HiPo) where I was mentored by Senior Leadership, and entered in the Academy for Health Care Leadership Advancement at Cornell University in Ithaca, New York. I am now Corporate Director for 1.200 PA’s across the organization and its Joint Ventures.
Can you speak to the relationship between our Physicians and our Physician Assistants throughout the health system?
Because Physician Assistants didactic training is as demanding as medical school, and PA’s train alongside residents and interns for over 12 months, the physician and PA bond is very strong. This results in a high degree of respect and trust.
What role do PA’s play here at our hospitals and facilities?
Physician Assistants are indispensable here at Northwell Health. They provide care in 21 different specialties at over 22 facilities. They perform physical assessments, diagnose and treat patients, frequently with a high degree of experienced based autonomy. They assist in all areas of Surgery and perform many highly technical procedures with the skill and competencies expected of a physician.
Finish this sentence: Without our Physician Assistant’s, we wouldn’t be able to…..
Without our Physician Assistants, access to care would be impaired with longer wait times in almost any area where care is provided. Physicians would be burdened with taking care of patients with more minor issues, impairing their ability to handle patients needing a higher level of decision making. Procedures for which our PA’s are well qualified would be delayed, resulting in increased length of stay, increased readmission rates and decreased patient satisfaction. Our PA’s are skilled in monitoring patients and applying interventions that result in decreased infection rates and other patient safety related issues.
Please explain why someone would want to be a Physician Assistant here.
Northwell Health holds the highest standards for Physician Assistants.
We require Basic and Advanced Cardiac life Support training as well as continuous National Certification. There is mandated continuing education (100 hours) every two years and periodic National certification Exam (every 6- 10 years). We support advancement in the clinical and administrative arena for PA’s. As the largest employer of Physician Assistants in the country, our PA’s share a collegiality and recognition not found in other geographic areas.
What would you like to say to our PA employees during recognition week?
We attract the top of the class because we train hundreds of Physician Assistants from 8 different programs. It gives us the opportunity to recruit the best of the profession which is well represented by our PA staff. Our Physician Assistants are extremely competent, caring and compassionate and are highly regarded by Nurses, Physicians, ancillary personnel and especially patients. They will continue to be an integral part of our team as organization and healthcare in general evolve further. As I travel to conferences all over the country, the envy from other PA Directors is palpable because we have the best of the PA profession here. I am extremely grateful to all the Physician Assistants here in our organization for their unwavering support all these years.
On behalf of all the leadership at Northwell Health, staff, and patients, we celebrate this time of recognition of your immense contributions. Happy Physician Assistants Recognition Week.