A DESCRIPTIVE ANALYSIS OF CHANGES TO HEALTHCARE AND HEALTH STATUS ACROSS A GENTRIFYING CITY
Health, socioeconomic status, and neighborhood characteristics have well-documented associations. Relatedly, limited healthcare access-typically thought of as a rural issue that can exacerbate health conditions and lead to poorer outcomes-also exists in low-income, urban neighborhoods. Over the past several decades, New York neighborhoods have experienced significant economic transformations resulting in higher rents and costs of living in historically low-income neighborhoods. Williamsburg, Brooklyn Heights, and Park Slope have become national symbols of gentrification. Despite dramatic neighborhood change, there is a surprising lack of evidence suggesting gentrification has directly displaced low-income residents. A Capstone team explored healthcare and health changes for residents of gentrifying neighborhoods. Using data from the Primary Care Service Area Project, the US Census, and the NYC Community Health Survey, the team created a multi-pronged descriptive analysis to explore changes in healthcare availability, utilization, and health status across New York City through the lens of gentrification.
EXPANSION OF SHARED GOVERNANCE AND PRACTICE STANDARDS
NewYork-Presbyterian Hospital (NYP) is one of the nation's most comprehensive, integrated academic healthcare delivery systems dedicated to providing the highest quality and most compassionate care and service to patients. NYP recently acquired five regional hospitals located throughout New York, which presented the opportunity to improve the quality of care and scope of services offered at the regional level. The Capstone team reviewed and implemented recommendations to evaluate the opportunity for integration of NYP's nursing practice standards and shared governance across the NYP Regional Hospital Network. The team's research culminated in a report that analyzed best practices of shared governance structures, standardization, and implementation processes at NYP, across the Regional Hospital Network, and with other multi-level hospital network systems.
RESEARCHING AND IMPROVING THE EFFECTIVENESS OF THE NEW NURSE RESIDENCY PROGRAM
The NewYork-Presbyterian Healthcare System (NYP) strives to identify, define, and improve upon the current practices and measures of success while focusing on evidence-based strategies to improve new graduate nurse retention. The NYP New Nurse Residency Program aims to bridge the educational and professional gap between student nurse to successful and competent professional nurse. To measure the effectiveness of the NYP New Nurse Residency Program, the Capstone team gathered data through interviews with key stakeholders, extensive surveying and focus group participation, and observation of current practices and processes. The team also conducted a comprehensive literature review, which resulted in valuable insight into emerging best practices in the field, including other top-ranked academic medical centers. The research culminated in a set of recommendations for NYP that includes the identification of metrics to measure the effectiveness of existing and future programs within the institution and an operational framework aimed at improving processes in the New Nurse Residency Program.