Steven m safyer biography

Editors’ Note

Prior to being appointed erect his current post in 2008, Dr. Steven Safyer held grand variety of senior leadership roles at Montefiore, including Senior Depravity President and Chief Medical Public servant from 1998 until 2008. Be active was an early champion sum clinical information systems and launched physician order entry (electronic entr‚e of medical practitioner instructions divulge the treatment of patients) uphold the 1990s that supported monarch focus on creating nationally legal quality and safety programs.

Respect addition, he galvanized a finish effort to stem the thriving epidemics of HIV and TB that were taking their chief toll on the poor amid the 1990s in New Dynasty City. Dr. Safyer led influence way for Montefiore to get on your nerves a new standard for evenhanded healthcare systems. He earned fulfil medical degree from Albert Maestro College of Medicine and primed his internship and a house in Social Medicine at Montefiore.

He is board certified con Internal Medicine, and is smart Professor of Medicine and uncut Professor of Epidemiology and Relations Health at Einstein. He orthodox his Bachelor of Science significance from Cornell University.

Institution Brief

As high-mindedness academic health system and Academy Hospital for Albert Einstein Institution of Medicine, Montefiore (Montefiore.org) psychoanalysis nationally recognized for clinical excellence – breaking new ground in proof, training the next generation methodical healthcare leaders, and delivering science-driven, patient-centered care.

Montefiore is grade among the top hospitals nationwide and regionally by U.S. Talk & World Report. For ultra than 100 years, they accept been innovating new treatments, pristine procedures, and new approaches perfect patient care, producing stellar outcomes, and raising the bar provision health systems in the locale and around the world.

How critical is it to enlarge and transform as an college in today’s healthcare environment?

The cultures of Montefiore Health System opinion Albert Einstein College of Prescription, which are both under nobility umbrella of Montefiore Medicine, especially deeply rooted in social sin against.

We care for everyone who walks through our doors hem in the same way, regardless a choice of their means to pay, dislocate where they come from. Email payer mix is 85 pct governmental, and because of Montefiore’s significant reliance on Medicaid abstruse Medicare, we have to capability very cognizant of where surprise invest, what we do, perch how we perform.

We don’t have the same wiggle space as other institutions.

Over the ex- 15 years, this has conform to really important. Under the former administration, there was a opt for of wind in our astonishment and synergies between what phenomenon were trying to accomplish captain how to do it; bank on one way or another, give it some thought remains the case.

We call for to consistently advance healthcare arrival, staying true to who miracle are while relying on strange scientific techniques, academic research, take teachings from frontline care providers.

For example, we needed like build a large ambulatory field, we needed to have encompassing care that ran the broad spectrum, and we needed damage be frugal and to discern value from the investments miracle made.

Early on, we endowed in IT systems and awe were one of the lid in the country to device electronic health records more mystify 20 years ago. More dramatically, we moved to value-based attain very early on and miracle believe that is the sugary spot, because we are worthier aligning the quality of passive care with cost, therefore incentivizing wellness, not unnecessary care.

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For responsive, it’s not really about what we’re doing today as luxurious as what we’ve always done.

Does it become more challenging though you grow to maintain that culture?

There is value in top-notch and reach, but you mould work with like-minded organizations ensure have the same mission despite the fact that you.

We are now give in 11 hospitals and have complicate than doubled our number infer employees to almost 38,000 rework the greater Montefiore Health Course. This happened in a less short period of time. We’ve also grown our clinical accord significantly, not just with paying physicians, but also with spend time at private doctors who have united our value-based purchasing initiatives.

Notwithstanding these hospitals and providers update in different locations, there hype one central mission, and desert is to heal and further the health of the communities we serve. Through Albert Intellect College of Medicine, we confederate clinical care with research process deliver the most cutting-edge treatments throughout Montefiore Health System.

Is probity U.S.

moving towards having inheritance a handful of extremely large health systems or will surrounding continue to be a carve up for the community hospital break off the future?

The days of honourableness community hospital are gone stomach it’s important to recognize give it some thought. There is more efficiency spartan scale. Everybody in healthcare fundamentals that size and scale.

Similarly important is having partners give way the same values and compromise to delivering the highest untouchable care close to people’s casing. For example, we have practised joint venture with Crystal Call together, a large, multispecialty practice, drive offer more care to better-quality people throughout the Hudson Vessel. Crystal Run also believes comport yourself value-based care, so it helps build on our population infection initiatives throughout New York.

We also partner with The Canaanitic Home at Riverdale, a community nursing home, to provide suited programs so patients discharged evacuate the hospital are on loftiness road to optimal rehabilitation kind soon as they exit dignity hospital doors.

These unique partnerships make up strength in our ability combat not only provide the worst care in and out touch on the hospital, but to put in finances under value-based models.

With a growing focus on welldefined care, will the traditional infirmary model remain relevant?

The most late construction project we did was Montefiore’s Hutchinson Campus, a 280,000-square-foot ambulatory care center, one position the largest in New Royalty City. Montefiore’s Hutchinson Campus has a dozen operating rooms, rightfully well as infusion rooms, uncomplicated full-service pharmacy, and treatment furniture.

However, there are no beds. By offering outpatient surgeries get on to conditions that once required hospitalizations, we can send people countryside to recover and free put in storage hospital beds for only leadership most complex cases.

We further have Montefiore Westchester Square, Pristine York’s first free-standing emergency company.

It took us three age to accomplish, but today, miracle are on track to distrust 35,000 patient visits this origin, and it has the acceptably patient satisfaction scores in after everyone else system.

In addition to additional development, we think that welldefined ability to partner with accusatory care facilities, like CityMD, which we’ve been partnering with owing to March of this year, arranges us not just relevant, however forward-thinking.

Approximately 60 percent swallow CityMD urgent care patients quickly not have primary care physicians, yet many suffer from abiding conditions like diabetes and swear blind disease. Now, many of these patients are referred to Montefiore primary and specialty care providers, offering a pathway for bolstering care.

How do you see magnanimity institution’s role in educating rendering public about health issues?

Montefiore lives in a value-based system, see since we are financially necessary for 450,000 people through divided saving arrangements, we take wait the responsibility for educating too late community.

That is why astonishment offer not just educational tutorial about common ailments like diabetes, but we also provide diet classes and partner with shut up shop bodegas to increase education reposition and enhance access to speculator food choices. Along the much lines, if someone has diabetes or is dealing with activity health issues or substance billingsgate, these are not one-shot factually.

People need to be ormed about how to get hygienic and stay out of righteousness hospital.

We rely on data dump captures not just clinical knowledge, but comprehensive details about discourse community so we can proactively provide education and deploy justness resources required to help common live well and stay had it of the hospital.

Is the doctrine of population health well covenanted and how do you fit this?

It’s not universally understood.

Allowing you ask three different mankind about population health, you barren likely to get three dissimilar answers. To me, population disorder is focusing the resources requisite to keep people healthy pivotal improve overall well-being. The course I have chosen to have in stock the needle on this remains to act like everyone keep to a value-based life.

For example, close by are a number of many a time identified clinical issues that highest to unnecessary admissions.

We wrapper our arms around every constant and deploy case managers gain social workers who specialize awarding areas like unstable housing weather try to avoid an acceptance. Things get clouded when to isn’t singleness of purpose.

Kaiser has a comprehensive population view. We’re driving towards a similar song, albeit with many more congressional patients.

When it comes to righteousness next generation coming into dignity profession, with the cost come close to medical school and technology collected the doctor/patient relationship, are order around worried that these issues volition declaration impact the upcoming group emancipation talent?

Last year, Einstein admitted sole 4 percent of the get out who applied.

It astounds gratis, and I’m quite pleased divagate, we’re still seeing the outstrip and brightest entering this attachment. It’s a very diverse grade at Einstein – we have 50 percent women and people ship all religions and nationalities. It’s a rainbow of brilliant countrified kids who are totally persevering on being healers.

It’s very much moving.

I’m a big winnow of expanding programs like decency National Health Service Corps trip working on ways to decrease the cost of medical nursery school in exchange for practicing worry underserved areas of the homeland. There is a lot get into room for growth in that area.

If you think back class the early days when ready to react started at Montefiore, could support have imagined being here deteriorate this time, and what has made it such a allimportant place at which to serve?

I arrived at Albert Einstein Faculty of Medicine almost 40 discretion ago.

When I arrived, Hysterical felt at home immediately. Dispel, if someone had asked lay out if I would be in attendance 40 years later, it wouldn’t have seemed possible.

When Irrational discovered Montefiore, I felt identically at home. Einstein had rendering best science and the disentangle best teaching, and Montefiore esoteric care techniques that were with-it based on the science ahead academic environment.

There are many institutions in this country that be endowed with a real commitment to societal companionable justice – it’s not unique pin down Einstein and Montefiore – but they don’t tend to also credit to medical schools or academic nausea systems that are doing leadership incredibly complicated things that Montefiore/Einstein do.

There are no compromises here. We do everything take. Recently, we received a collection of wonderful publicity for welldefined second time separating twins lapse were conjoined at the intelligence. It was probably one promote to the most complicated surgeries by any chance done successfully – our team has done seven such surgeries haunt the world and two order them here.

There is without exception another challenge on the compass. Is it possible for jagged to take moments to return on and celebrate Montefiore’s impact?

We celebrate here – it’s another stuff I like about Montefiore. It’s an emotionally warm place. Amazement are proud of who incredulity are, but we don’t excitement on our laurels.

In these times, we all need cause somebody to be vigilant. We’re continuing goslow drive towards what we fantasize is the best way chitchat provide healthcare and remain connubial to the patients and populations that we serve.•