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Good morning Chairpersons Arroyo, Koppell, Recchia, Wills and members of the Health Committee,
I will start with the good news: there were no new cuts to HHC in the 2012-2013 state budget. Similarly, there were no new PEG's (Program to Eliminate the Gap) in the City's fiscal year 2013 Executive Budget. Also, to allay the concerns expressed by several members of the Council at our preliminary budget hearing, I am happy to announce that
We are projecting a
Our financial outlook worsens considerably in the outyears with gaps that grow from
HHC's fiscal year 2013 City Tax Levy budget does reflect the PEG required of City agencies in
I want to again thank the Council for identifying the resources to restore the
As in prior years, the expense funding for the programs I just mentioned was not baselined in the Preliminary Budget. Unless this funding is restored, we will have
We will have
Without restoration, we will also have
And lastly, we will have
I would like to thank the Council for restoring funds for its initiatives in previous years and ask the Council to do the same in fiscal year 2013.
As I mentioned at the beginning of my remarks, while there were no new cuts in
Since the State now operates under a global
Little has changed in
I would be remiss if I didn't mention that the
Our ongoing work to close our budget gaps continues. We remain on target with our restructuring and cost containment plans that will ultimately reduce
Let me stress that the leadership at HHC is looking at every conceivable way to close our budget gaps in ways that do not affect our capacity to serve our communities, negatively affect access to care or diminish the stellar gains in safety and quality that we have made. That said, given the looming reductions in federal DSH funding that begin next year, it will be considerably harder to maintain these aims.
As you know, some of our restructuring initiatives have involved contracting for certain non-direct patient care services. However, one of the initiatives that was included in the restructuring plan we announced in 2010 is the development of a contract for the provision of dialysis services.
I want to assure the Council that HHC's practice of guaranteeing access to dialysis services for all of our patients - regardless of their insurance or immigration status - will continue under this proposed contract. Also, no HHC employee will lose employment at HHC as a result of this contract. An HHC physician will oversee the provision of dialysis services at each site and our doctors will continue to manage the overall health care of our patients undergoing dialysis. We will rigorously monitor the provision of services and associated quality indicators to ensure that the quality of care continues to be as good, or better, than what we currently provide. In addition, the vendor will also be responsible for the purchase and installation of new dialysis equipment. We estimate that by contracting for this service, we can save more than
I'd like to now provide a brief update on our Capital Program. I am pleased to report that we are nearing completion on several major modernization projects. At the end of this summer, our work at
This past November, Gouverneur Healthcare Services completed the first phase of its major modernization, which includes a new ambulatory care pavilion. The balance of the project, which includes a renovated, state-of-the-art skilled nursing facility with an additional 85 beds, will be completed in 2014.
At Lincoln Hospital Center, the final phase of Lincoln's emergency department renovation will be undertaken this year. We anticipate completion of an expanded and modernized emergency department one year from now in
Work also continues at the former North General Hospital site where will relocate the operations of the
We are actively engaged in identifying community-based housing resources and support services for Coler-Goldwater skilled nursing facility (SNF) residents for whom non-institutional long term health services are appropriate. There are more than 300 SNF residents, all of whom are
Finally, while it's not the bricks and mortar type of infrastructure upgrade, we are poised to select a vendor to build our new electronic medical record (EMR) system. HHC was an early adopter of electronic medical record technology and our system was designed more than 30 years ago. In this time, we have been leaders in the use of information technology to make improvements in care. But it is now time to embark on the complex multi-year move to a new EMR so that we can build upon our successes with a new, more effective health information infrastructure.
As I conclude, I want to thank Mayor Bloomberg for his leadership and support and also thank the
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