Northern Westchester Hospital Explained

Northern Westchester Hospital (NWH) is a not-for-profit, 245-bed, all-private-room facility in Mount Kisco, New York. Founded in 1916, it serves residents of Northern Westchester, Putnam County and southern Dutchess County, as well as parts of Fairfield County, Connecticut.^[1] It is owned by Northwell Health.

With more than 700 physicians, the hospital provides a wide range of patient-centered services through its emergency department, Women's Imaging Center, Cancer Treatment and Wellness Center, Level III Neonatal Intensive Care Unit (NICU), clinical trials program, and Gamma Knife center. NWH is a designated training and case observation center for the da Vinci Surgical System in colorectal surgery.^[2] NWH breast surgeons provide microvascular surgery using the Novadaq SPY Imaging System. A number of bariatric surgical procedures are performed, including a modified bariatric technique known as stomach intestinal pylorus-sparing surgery (SIPS).^{[3] [4]}

History

In the summer of 1781, George Washington summoned from Rhode Island General Rochambeau's 5,000 French troops to join him in a campaign against the British. The French marched across Connecticut to North Castle Corners and encamped on the site of the present Northern Westchester Hospital. On July 5, Washington met and reviewed the troops, who then marched south to a joint encampment near Hartsdale. The British thought an attack on New York City was imminent. But the troops doubled back to Verplanck, crossed the Hudson, and proceeded to Virginia. There they joined Lafayette's forces, and besieged the British at Yorktown, forcing the surrender of General Cornwallis and effectively ending the war.

In the early 20th century, a committee composed of William Sloane, Moses Taylor, Joseph C. Baldwin, Jr., Edwin G. Merrill, John Henry Towne, Winthrop Cowdin, Cornelius R. Agnew and Hiram E. Manville was set up to organize the creation of a new hospital to serve northern Westchester County. On May 8, 1916, the first Northern Westchester Hospital (NWH) meeting was held, at which the hospital's first president, William Sloane, and first board of directors, were elected. The facility opened its doors in 1916, with six primary physicians and 15 beds^[5] - filling 12 of them its first day. Erected on a 2.5-acre parcel of land, NWH immediately proved a vital part of the community.^[6]

In the early 1920s the population of Westchester County and adjacent upstate New York swelled.^[7] In response, the hospital expanded to 50-rooms in April 1925, and, demonstrating its continual evolution to meet the needs of an ever more sophisticated healthcare system, added a state-of-the-art radiology facility. As the community continued to grow, a new construction initiative commenced in 1958, adding 89 new beds in a three-story wing by 1961.^[8] Two decades later the hospital opened the DeWitt Wallace Pavilion, bringing it to a total of 259 beds in 1973 and allowing NWH to enter a new age of patient-centered care.^[9] Following the expansion, the hospital would narrow its focus to acquiring the latest technology to better serve the community and region. In 1989 capability for magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) was introduced.^[10]

Northern Westchester Hospital joined the North Shore-LIJ Health System in January 2015.^[11] The health system is now known as Northwell Health. NWH modernized its surgical services facility in April 2016 to include six new operating rooms and 13 private pre- and post-anesthesia care beds.^[12]

The hospital celebrated its centennial year in 2016 with various community and staff events, such as partnerships with area historical societies, community walks, Board of Trustees and neo-natal intensive care unit reunions and employee and community galas.

On September 2, 2020, Northern Westchester Hospital opened its cardiac catheterization lab, part of the Seema Boesky Heart Center.^[13] Actor Christopher Reeve passed away in 2004 at the age of 52.^[14]

Medical specialties

As a comprehensive acute-care hospital, NWH provides patient-center care in the following services:^[15]

• Orthopedic and Spine Institute: Employs the most current minimally invasive and arthroscopic techniques to provide complete orthopedic and spine surgical care. The OSI incorporates bio-absorbable implants for sports medicine surgery. These are usually constructed of plastic and are designed to be absorbed by the body without producing an immune response. The Orthopedic and Spine Institute is also an active user of anterior hip replacement.
• The Breast Care Center: Provides a multidisciplinary approach to the surgical treatment of breast cancer. This approach is referred to as "aesthetic oncology" by the Breast Care Center, and it combines breast-cancer surgery with breast-reconstruction surgery. This includes the use of intraoperative radiotherapy (IORT), microvascular surgery for breast conservation, nipple sparing and DIEP Flap or PAP Flap procedures, Gamma Knife for metastatic brain cancer and Novalis stereotactic radiosurgery for other tumors.
• Cancer Treatment and Wellness Center: For those receiving chemotherapy, infusion services, radiation therapy and gamma knife procedures.
• Clinical Trials Program: Offering treatments and clinical trials in bariatric surgery, brain tumors, breast cancer, lung cancer, lymphoma, prostate cancer and strokes.
• Surgical Weight Loss: Offers laparoscopic lap band, gastric bypass and gastric sleeve surgery. NWH bariatric surgeons perform duodenal switch and revision surgeries. Screening and preparatory tests prior to surgery include psychological evaluation, dietician evaluation, upper gastrointestinal testing (UGI), esophagogastroduodenoscopy (EGD) and electrocardiogram (EKG).
• Institute for Robotic and Minimally Invasive Surgery: NWH uses the da Vinci Surgical System to treat a wide range of conditions across numerous disciplines including urology, gynecology, gynecologic oncology and general surgery.
• Cardio-Pulmonary Rehabilitation: Structured rehabilitation designed to manage a wide range of existing conditions for smokers and ex-smokers and those who have chronic obstructive pulmonary disease (COPD), emphysema, asthma, pulmonary fibrosis, interstitial lung disease, bronchiectasis, and cystic fibrosis.
• Wound Care & Hyperbaric Medicine: Providing wound care for chronic non-healing wounds related to various conditions such as diabetes and obesity, post-surgical non-healing wounds and traumatic wounds. Therapies available to patients include hyperbaric oxygen therapy (HBOT), provided in a multi-seat hyperbaric chamber. HBOT is not only prescribed for patients with wounds, such as diabetic foot ulcers or venous ulcers, but is also an effective treatment for such conditions as delayed radiation injury, compromised grafts and flaps, necrotizing soft tissue infections, intracranial abscess and severe anemia.
• Radiology & Medical Imaging: NWH uses digital imaging techniques to provide accurate test results including MRI, PET/CT scans, CAT scans, ultrasounds and digital X-rays.
• Stereotactic Radiosurgery: Offering both the Gamma Knife and the Novalis radiosurgery program for the treatment of trigeminal neuralgia, acoustic neuroma, pituitary adenoma, metastatic brain tumors, meningioma and vascular malformation.
• Plastic Surgery: Performs cosmetic surgery such as facelifts, eyelid surgery and rhinoplasty, breast lift, breast augmentation and body contouring, which includes liposuction, abdominoplasty and skin lifting following weight loss surgery. NWH also performs reconstructive procedures that include breast reconstruction, breast reduction, skin cancer removal and reconstruction after Mohs surgery.

Awards and accreditation

Northern Westchester Hospital has received the following awards and recognition:

• Best Hospitals 2017-18: U.S. News & World Report lists Northern Westchester Hospital among the Best Regional Hospitals 2017–18 in colon cancer, COPD, heart failure and hip surgery.^[16]
• American Heart Association and American Stroke Association - Get With The Guidelines Gold Plus Member. NWH is a New York State Department of Health Designated Stroke Center.^[17]
• Cancer Gold Standard accreditation - NWH gains this accreditation by reducing cancer risk in its patients by following a list of guidelines from the CEO Roundtable on Cancer.^[18]
• Designated Planetree Patient-Centered Care Hospital - This designation is awarded by Planetree^[19] for leadership and innovation in patient-centered care.
• Center of Excellence Robotic Surgery (COERS) - The Surgical Review Corporation^[20] awards this designation to facilities performing robotic procedures that achieve defined standards for patient safety and care quality.
• Robert A. Warriner, III Center of Excellence 2017 - Awarded by Healogics^[21] for achieving outstanding clinical outcomes for 24 consecutive months.
• National Accreditation Program for Breast Centers (NAPBC) - Awarded by the NAPBC^[22] to centers that are committed to providing the best diagnosis and treatment for breast cancer patients while meeting established standards of care.
• The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program^[23] - Awarded by the American College of Surgeons (ACS) to centers for safe, high-quality care for bariatric patients.
• American Association of Cardiovascular and Pulmonary Rehabilitation^[24] Certification - This peer-reviewed accreditation process is designed to review individual rehabilitation programs for adherence to standards and guidelines.
• American College of Radiation Oncology^[25] Accreditation - This accreditation certifies that NWH's Cancer Treatment and Wellness Center upholds staffing, policies and treatment programs that conform with accepted standards of current radiation therapy delivered in the United States.

Notes and References

1. Web site: Northern Westchester Hospital Community Service Plan. About Us: Northern Westchester Hospital. 4 August 2015. 39.
2. Web site: Community Service Plan Northern Westchester Hospital 2015-2016. nwhc.net. Northern Westchester Hospital. 4 August 2016. 3–16. 4 August 2016.
3. Web site: Department of Health. New York State. Northern Westchester Hospital Profile. NYS Hospital Profiles. 4 August 2015.
4. Web site: Stomach intestinal pylorus-sparing surgery (SIPS) - Surgical weight loss Northwell Health. 2020-11-09. nwh.northwell.edu. en.
5. Book: Carpenter Slosson. Theodore. A Trustee Looks Back. December 3, 1966. Northern Westchester Hospital. 9.
6. Book: Carpenter Slosson. Theodore. A Trustee Looks Back. December 3, 1966. Northern Westchester Hospital. 10.
7. News: Coopernail. George P.. Six Doctors Forsaw [sic?] The Need Of Hospital In Mount Kisco|publisher=The North Westchester Time|date=June 17, 1948.
8. Book: Bean. Scott. 75 Years of Caring: A Timeless Commitment. January 5, 1990. Northern Westchester Hospital Center. 12.
9. News: Feron. James. Wallace Left Mark On Country. 5 August 2015. The New York Times. The New York Times. April 5, 1981.
10. News: Melvin. Tessa. Magnetic Imaging Approved for County. 5 August 2015. The New York Times. The New York Times. September 18, 1988.
11. Web site: Northern Westchester Hospital and North Shore-LIJ Enter Exclusive Strategic Partnership Discussions. Northern Westchester Hospital. June 5, 2014.
12. Web site: Hospital Now Has Newest, Most Modern Operating Rooms in the Region. nwhc.net. Northern Westchester Hospital. 4 August 2016. 4 August 2016.
13. Web site: Northern Westchester Hospital Northwell Health .
14. Web site: 'Superman' Star Christopher Reeve Dies . Los Angeles Times .
15. Web site: Department of Health. New York State. Northern Westchester Hospital Profile. New York State Department of Health. 5 August 2015.
16. News: Best Hospitals 2014-2015. 5 August 2015. U.S. News & World Report. 2014–2015 Edition.
17. Web site: Designated Stroke Center. Department of Health. New York State. New York State Department of Health. 6 August 2015.
18. Web site: The Five Pillars CEO Cancer Gold Standard. www.cancergoldstandard.org. en. 2018-10-18.
19. News: Person-Centered Care Certification Program Redesign. Planetree. 2018-10-18. en-US.
20. Web site: Home - Surgical Review Corporation. Surgical Review Corporation. en-US. 2018-10-18.
21. Web site: Wound Healing Experts with nearly 800 Wound Care Centers Healogics. www.healogics.com. 2018-10-18.
22. Web site: National Accreditation Program for Breast Centers. American College of Surgeons. en. 2018-10-18.
23. Web site: Bariatric Surgery. American College of Surgeons. en. 2018-10-18.
24. Web site: AACVPR > Home. www.aacvpr.org. en-US. 2018-10-18.
25. Web site: Welcome to ACRO - American College of Radiation Oncology. American College of Radiation Oncology. en-US. 2018-10-18.