Steven m safyer biography

Editors’ Note

Prior to being appointed to dominion current post in 2008, Dr. Steven Safyer held a variety of high up leadership roles at Montefiore, including Postpositive major Vice President and Chief Medical Government agent from 1998 until 2008. He was an early champion of clinical ideas systems and launched physician order entr‚e (electronic entry of medical practitioner receipt formula for the treatment of patients) confine the 1990s that supported his exactly on creating nationally recognized quality add-on safety programs. In addition, he active a broad effort to stem honourableness burgeoning epidemics of HIV and TB that were taking their greatest ringing on the poor during the Decennary in New York City. Dr. Safyer led the way for Montefiore simulation set a new standard for genuine healthcare systems. He earned his analeptic degree from Albert Einstein College hint Medicine and completed his internship flourishing a residency in Social Medicine inert Montefiore. He is board certified provide Internal Medicine, and is a Don of Medicine and a Professor elaborate Epidemiology and Population Health at Ingenuity. He received his Bachelor of Branch degree from Cornell University.

Institution Brief

As nobility academic health system and University Sickbay for Albert Einstein College of Reprimand, Montefiore (Montefiore.org) is nationally recognized convey clinical excellence – breaking new ground now research, training the next generation disagree with healthcare leaders, and delivering science-driven, patient-centered care. Montefiore is ranked among primacy top hospitals nationally and regionally timorous U.S. News & World Report. Care more than 100 years, they suppress been innovating new treatments, new procedures, and new approaches to patient siren, producing stellar outcomes, and raising say publicly bar for health systems in representation region and around the world.

How critical is muddle through to evolve and transform as be thinking about institution in today’s healthcare environment?

The cultures of Montefiore Health System and Albert Einstein College of Medicine, which attack both under the umbrella of Montefiore Medicine, are deeply rooted in community justice. We care for everyone who walks through our doors in class same way, regardless of their curved to pay, or where they recur from. Our payer mix is 85 percent governmental, and because of Montefiore’s significant reliance on Medicaid and Medicare, we have to be very chary of where we invest, what incredulity do, and how we perform. Amazement don’t have the same wiggle extent as other institutions.

Over the past 15 years, this has become really key. Under the previous administration, there was a lot of wind in communiquй sails and synergies between what incredulity were trying to accomplish and attempt to do it; in one obstruction or another, that remains the pencil case. We need to consistently advance aid delivery, staying true to who incredulity are while relying on innovative accurate techniques, academic research, and teachings deseed frontline care providers.

For example, awe needed to build a large mobile platform, we needed to have all right care that ran the entire spread, and we needed to be bleak and to get value from high-mindedness investments we made. Early on, astonishment invested in IT systems and phenomenon were one of the first affront the country to implement electronic not fixed records more than 20 years towards the rear. More dramatically, we moved to value-based purchasing very early on and amazement believe that is the sweet pimple, because we are better aligning magnanimity quality of patient care with bill, therefore incentivizing wellness, not unnecessary carefulness. For us, it’s not really push off what we’re doing today as unnecessary as what we’ve always done.

Does fit become more challenging as you mould to maintain this culture?

There is conviction in scale and reach, but support must work with like-minded organizations think about it have the same mission as spiky.

We are now at 11 hospitals and have more than doubled minute number of employees to almost 38,000 in the greater Montefiore Health Practice. This happened in a relatively wee period of time. We’ve also mature our clinical community significantly, not leftover with salaried physicians, but also become conscious many private doctors who have hitched our value-based purchasing initiatives. Though these hospitals and providers are in dissimilar locations, there is one central hand in, and that is to heal dowel advance the health of the communities we serve. Through Albert Einstein Institute of Medicine, we combine clinical worry with research to deliver the almost cutting-edge treatments throughout Montefiore Health System.

Is the U.S. moving towards having steady a handful of extremely large advantage systems or will there continue stop be a role for the human beings hospital in the future?

The days virtuous the community hospital are gone topmost it’s important to recognize that. To is more efficiency in scale. Each person in healthcare needs that size gift scale. Equally important is having partners with the same values and make your mind up to delivering the highest quality interest close to people’s homes. For instance, we have a joint venture sustain Crystal Run, a large, multispecialty prepare, to offer more care to advanced people throughout the Hudson Valley. Bifocals Run also believes in value-based alarm bell, so it helps build on outstanding population health initiatives throughout New Royalty.

We also partner with The Canaanitic Home at Riverdale, a local nursing home, to provide customized programs straightfaced patients discharged from the hospital ding-dong on the road to optimal restoration as soon as they exit glory hospital doors.

These unique partnerships provide toughness in our ability to not solitary provide the best care in favour out of the hospital, but style manage finances under value-based models.

With a growing focus on urgent carefulness, will the traditional hospital model stay behind relevant?

The most recent construction project phenomenon did was Montefiore’s Hutchinson Campus, wonderful 280,000-square-foot ambulatory care center, one training the largest in New York Megalopolis. Montefiore’s Hutchinson Campus has a xii operating rooms, as well as juice rooms, a full-service pharmacy, and management rooms. However, there are no beds. By offering outpatient surgeries for attachment that once required hospitalizations, we receptacle send people home to recover view free up hospital beds for one and only the most complex cases.

We likewise have Montefiore Westchester Square, New York’s first free-standing emergency department. It took us three years to accomplish, however today, we are on track interruption see 35,000 patient visits this class, and it has the best passive satisfaction scores in our system.

In addition to new development, we ponder that our ability to partner have a crush on urgent care facilities, like CityMD, which we’ve been partnering with since Hoof it of this year, makes us grizzle demand just relevant, but forward-thinking. Approximately 60 percent of CityMD urgent care patients do not have primary care physicians, yet many suffer from chronic obligations like diabetes and heart disease. Moment, many of these patients are referred to Montefiore primary and specialty keeping providers, offering a pathway for continuation care.

How do you see the institution’s role in educating the public as regards health issues?

Montefiore lives in a value-based system, and since we are financially accountable for 450,000 people through collaborative saving arrangements, we take on say publicly responsibility for educating our community. Lose concentration is why we offer not unprejudiced educational classes about common ailments just about diabetes, but we also provide board classes and partner with local bodegas to increase education about and whet access to healthier food choices. Legislative body the same lines, if someone has diabetes or is dealing with activity health issues or substance abuse, these are not one-shot items. People be in want of to be educated about how separate get healthy and stay out apparent the hospital.

We rely on data think it over captures not just clinical information, however comprehensive details about our community and over we can proactively provide education topmost deploy the resources required to advantage people live well and stay pat lightly of the hospital.

Is the concept curst population health well understood and notwithstanding how do you approach this?

It’s not instances understood. If you ask three fluctuating people about population health, you attend to likely to get three different comments. To me, population health is strive for the resources required to keep fabricate healthy and improve overall well-being. Goodness way I have chosen to edit the needle on this is have an adverse effect on act like everyone is a value-based life.

For example, there are a back issue of frequently identified clinical issues defer lead to unnecessary admissions. We envelop our arms around every patient extract deploy case managers and social organization who specialize in areas like unsteady housing to try to avoid unsullied admission. Things get clouded when almost isn’t singleness of purpose.

Kaiser has regular comprehensive population view. We’re driving indulge a similar one, albeit with indefinite more governmental patients.

When it comes go on a trip the next generation coming into illustriousness profession, with the cost of alexipharmic school and technology changing the doctor/patient relationship, are you worried that these issues will impact the upcoming stack of talent?

Last year, Einstein admitted matchless 4 percent of the people who applied. It astounds me, and I’m quite pleased that, we’re still overwhelm the best and brightest entering that field. It’s a very diverse crowd at Einstein – we have 50 proportion women and people of all religions and nationalities. It’s a rainbow go with brilliant young kids who are fully focused on being healers. It’s statement moving.

I’m a big fan snatch expanding programs like the National Volatile Service Corps and working on steady to diminish the cost of alexipharmic school in exchange for practicing pry open underserved areas of the country. Thither is a lot of room convoy growth in this area.

If you suppose back to the early days like that which you started at Montefiore, could pointed have imagined being here all that time, and what has made give the once over such a special place at which to serve?

I arrived at Albert Forte College of Medicine almost 40 time ago. When I arrived, I change at home immediately. However, if philanthropist had asked me if I would be here 40 years later, absent yourself wouldn’t have seemed possible.

When Wild discovered Montefiore, I felt equally suspicious home. Einstein had the best branch and the very best teaching, dispatch Montefiore had care techniques that were cutting-edge based on the science skull academic environment.

There are many institutions compromise this country that have a true commitment to social justice – it’s mewl unique to Einstein and Montefiore – on the other hand they don’t tend to also background medical schools or academic health systems that are doing the incredibly without prejudice things that Montefiore/Einstein do.

There performance no compromises here. We do the total here. Recently, we received a parcel of wonderful publicity for our alternative time separating twins that were joint at the brain. It was in all probability one of the most complicated surgeries ever done successfully – our team has done seven such surgeries around authority world and two of them to.

There is always another challenge instigate the horizon. Is it possible usher you to take moments to animadvert on and celebrate Montefiore’s impact?

We hold here – it’s another thing I plan about Montefiore. It’s an emotionally motherly place. We are proud of who we are, but we don’t be seated on our laurels. In these age, we all need to be on one`s guard. We’re continuing to drive towards what we think is the best road to provide healthcare and remain marital to the patients and populations ramble we serve.•