"A socio-healthcare ministry for the community...."
Carthage Area Hospital has four well-defined documents which it considers to be the foundation statements relating to its corporate culture in providing a socio-healthcare ministry for the residents within its primary and secondary service area. These Statements are:
Carthage Area Hospital provides quality, comprehensive healthcare services in a Community setting.
Carthage Area Hospital will provide personalized, quality healthcare in partnership with our communities.
INTEGRITY: We will fairly and accurately represent ourselves and our capabilities to our consumers, suppliers and coworkers. (Ex. be frank, open and honest)
UNITY: We will work collectively and cooperatively with our coworkers and consumers to achieve together what we could not achieve alone. Our goal is to be user friendly, remember, what benefits the hospital – benefits you.
COMMITMENT TO QUALITY & EXCELLENCE: We will provide services to meet the identified needs of our consumer and will seek to avoid the provision of those services which are unnecessary or non-efficacious. We will adhere to uniform standards of care throughout the organization. We will provide services that meet or exceed the needs and expectations of our consumers. We will listen to our consumers and pursue improvement and innovation in our Hospital.
COMPASSION & RESPECT: People are the key to our success and our most important resource. Our employees will have equal opportunity in an empowered "can do" environment that fosters communications and continuous improvement through employee involvement. We will treat our employees the way we expect them to treat our consumers. We will be respectful of our consumers and coworkers confidentiality rights and be considerate of other's feelings.
DEVELOPMENT: We are committed to obtaining, maintaining and applying knowledge, skills and abilities to do the job right. We will face and accept challenges. We will take pride in our accomplishments. (ex. Give your best, Stand up for what you believe is right).
EXPECTATIONS: We will willingly and consistently support the Hospital and its employees. We will act through a personal sense of obligation to the hospital. We will identify opportunities that will benefit our consumers and will focus our resources to take advantage of those opportunities. We will be accountable and responsible – individually and as an organization – for our actions and results. We will handle our problems at the appropriate level and report problems as needed to the next management level.
Carthage Area Hospital is a rural community hospital existing primarily for the purpose providing emergency, acute and wellness healthcare services to the residents of its surrounding communities. Services also include a Skilled Nursing Facility and Outreach Clinics.
Carthage Area Hospital is concerned with a holistic approach to health and healing – mind, body and spirit. The services of Carthage Area Hospital are available to all, regardless of national or ethnic origin, economic status, lifestyle, creed, or philosophical beliefs.
Carthage Area Hospital is a 78 bed facility, fully licensed and accredited as a Sole Community Hospital. The hospital offers primary care services. These professional services are offered in a caring and compassionate manner to the well and to the sick. The hospital will continue its leadership role in meeting the community's needs through providing expanding emergency services, acute care, and community wellness in organizing, financing, and delivering innovative and creative alternatives to hospitalization. The hospital will maintain fiscal, physical and programmatic viability. As financial and other resources permit, health care shall be provided to the poor and underserved. The needs of those requiring emergency medical care will be met.
Eastern Jefferson, western Lewis and southern St. Lawrence counties of northern New York State are served by Carthage Area Hospital. The hospital recognizes the advantages of sound planning and dynamic interrelationships among health care providers, and accepts and recommends referrals as appropriate for the best possible quality of patient care.
The Hospital is committed to excellence in clinical practice. We recognize people to be our major resource, ever capable of growth. Professional competence and quality care area assured through the recruitment, retention, and continuing education of a highly skilled staff. Health related educational programs are also provided to the patient and the community. In addition, existing education affiliations are maintained, and new affiliations related to our expanding programs are encouraged.
Carthage Area Hospital maintains and promotes positive relationships with the community and with community agencies. The Hospital establishes and coordinates programs and services with other providers, associations, public and private agencies, physicians and insurers. These relationships shall be consistent with our philosophy and the achievement of goals is reflected in the actualization of this Mission Statement.
Carthage Area Hospital's primary and secondary service area consists of 77,393 residents living within Jefferson, northern Lewis and southern St. Lawrence counties of northern New York State. The service area has changed over recent years due to the fact that the facility has developed new strategies to further enhance needed primary and health wellness services to expanded areas through its CAH – Community Partners – Primary Care Network. The facility determines its primary and secondary service areas based upon the aggregated patient volume and revenue generated annually. It further evaluates the service area based upon location of its respective clinical services requested by the various villages and townships.
|Location||Primary Population||Secondary Population||Total Population|
|Black River, Village||1,285||1,285|
|Cape Vincent, Village||780||780|
|Cape Vincent, Town||3,345||3,345|
|Evans Mills, Village||605||605|
|Fort Drum, CDP||12,123||12,123|
|Great Bend, CDP||801||801|
|Le Ray Town||19,836||19,836|
|Natural Bridge CDP||392||392|
|Sackets Harbor, Village
Carthage Area Hospital provides healthcare services to one of the higher poverty service areas within UpState New York. The three northern counties rank the highest poverty with the exception of New York City. Further, the Carthage Area Hospital service area consists of higher poverty than the aggregate of the three northern counties. Comparisons include:
||New York State||14.2% Poverty|
|Jefferson County||16.2% Poverty|
|St. Lawrence County
|Lewis County||14.3% Poverty|
Hospital leadership works diligently to search out potential collaborative partners throughout its primary and secondary service area in efforts to enhance needed healthcare services to those most vulnerable underinsured and not insured residents. Being as the facility is located in a socio-economical deprived area; it has significant opportunity to enhance its healthcare ministry through open communication and attempt to develop needed alternatives to the current situations based upon collectively sharing limited resources. Currently, the Hospital has formed collaborative relationships with the following organizations and community agencies.
Several years ago Carthage Area Hospital formed the CAH – Community Partners – Primary Care Network. As a result of collaborating with other providers, local public health departments, neighboring organizations, local government, churches and the community at large; we have been fortunate to open over twenty primary, specialty and school based health centers within a fifty mile radius of Carthage Area Hospital. As detailed elsewhere in this report we have been fortunate to develop many collaborative partnerships over the past few years. The Network was strategically developed to ensure outlying and higher poverty communities maintained local access to basic primary health delivery services. Further these partnerships provide a resource for outlying communities to determine how they desire to form the delivery system. We developed several community advisory councils including those for School Based Health Centers, primary care clinics and other specialty services. Our focus is to be a responsible steward in ensuring available healthcare partnerships throughout our service area. Through such collaborations the facility is able to work jointly with our communities to develop, deploy and respond to local needs.
Our priorities agenda includes enhancing access and creating more needed School Based Health Centers, expanding primary healthcare services to the Evans Mills Family Health Center, Adams Community Health Center and others. During the 2010 calendar year we will be focused on opening the CAH – Community Health Center at 117 North Mechanic Street, Carthage, New York. We will also be integrating our several new practitioners into our health delivery system.
Our Department of Mission Services carries forth our socio obligation of health education and wellness services for the community. The majority of the services provided through this outreach department are acquired through various public and private grant funding resources. The Hospital has a full time grant writer who has raised over six million dollars in the past six years to be used to enhance health care services for the communities we serve. This past year we have been able to provide various free services to over ten thousand people within our service area. Examples of outreach includes prostate and breast cancer screening programs, pediatric asthma education, health fairs, educational programs, and special population events. We employ two full time health educators working in the Mission Services Department. The work includes developing programs for our large senior citizens population. This program is entitled the Senior Partners. We have a Senior Citizen Advisory Council who advise the hospital on current healthcare issues relating to that specific population.
In addition to being a Sole Community Hospital provider; the facility serves a dual purpose. It is one of the major economic stimulants for the area with an annual payroll of over $18 million.
Carthage Area Hospital has significant opportunities to enhance primary and community healthcare services due to its unique location and regional demographics. Examples would include:
The Carthage Area Hospital – Community Partners – Primary Care Network was developed approximately eight years ago through a basic attempt to enhance needed primary health and educational services to the Village of Carthage and the surrounding communities. The Mission of this Program is stated as follows:
The Hospital has been extremely successful in the development of this model. As a result, today we operate twenty-two, Article 28 – Primary Care Clinics throughout the three county area of northern New York. The radius of these sites is within fifty miles of the main hospital campus. These services include:
The continued strategies and goals for our healthcare priorities include:
|Obstetrical Services||Dr. Gaston DaCosta
Dr. Ashraf Aly
|Emergency Medical Services||Dr. Troy Johnson|
|Medical Director – Urgent Care Services
||Dr. Mark Parshall|
|Pediatric Services||Dr. M. F. Ramazanoglu
Dr. M. El Ghissassi
|Family Practice||Dr. Jamal Janania
Dr. Hardik Patel
|Orthopedic Services (new service)||Dr. Nata Parnes
Dr. B. Carr (Military)
Dr. J. Davis (Military)
|Dentistry||Dr. N. Fraser|
|Mid-Level Providers||Phyllis Farrell, N. P.
Mary Blevins, RPA
Joe Lamb, RPA
Caleb Richter, RPA
Matt Stock, RPA
Andrea Turo, RPA
|School District|| Total Students
|| Students in Poverty
In addition to the SBHC's, we have provided the School Based Dental Center program in several of the above schools through using portable equipment. We will be adding more dental services to the schools upon our ability to recruit and retain additional providers. We further have received a grant through the NYS Department of Health which allows funding for dental sealant services for these higher poverty schools.
We are privileged to be providing these services in collaboration with the schools. Some of these districts are nearly fifty miles from the main hospital campus. We have an individualized School District Advisory Council for each site. We meet quarterly to provide needed communication on program effectiveness and review opportunities for improvement.
Like most rural and small community hospitals; Carthage Area Hospital needs financial aid and our staff work diligently to apply for and acquire needed healthcare grants so that we can add and maintain primary services for our residents. We have been fortunate to receive over $6 million in recent years through public and private grant programs. These programs have allowed us to open needed dental services, expand primary care, and provide funding for health education and screening programs.
During the past year Carthage Area Hospital accomplished several strategic goals which will have a lasting impact on community healthcare access and further ensure fiscal stability and positive stewardship for the organization. Among the recent accomplishments are:
Carthage Area Hospital historically provides an annual report to the local newspapers which serves as a summary for the Community Service Plan. This year we intend on publishing a summary report on our Hospital Website and in the Carthage Republican Tribune newspaper.