





THE LONG ISLAND COLLEGE HOSPITAL == WHAT'S EXCELLENT, WHAT'S GOOD, AND WHAT NEEDS IMPROVEMENT
Offered by Grubb & Ellis on an all-cash basis, the properties include 74, 76-78, 82 and 86 Amity St., and 113 Congress St. Of those, 74 Amity is a 12-unit walk-up apartment house; the others are townhouses. Also for sale is 43 Columbia Place, a four-story, 11-unit walkup. The last is 385-389 Hicks St., a one-building site that can be developed to about 23,000 square feet. Most of the buildings are vacant or will be by July.
Update from the LICH Medical StaffSince there has been very little “official” activity on the LICH front in the past month, we have decided to provide an update of recent activity and events regarding LICH.
January 2009
As you are all probably aware, in December 2008 the NY State Dept. of Health refused to allow the proposal by Continuum Health Partners (CHP) to close the Obstetrics and Pediatrics programs at LICH, and these departments, as well as all other services at LICH, are still fully functioning.
The LICH Medical Staff, at its quarterly meeting in December, unanimously passed a resolution demanding that CHP send out a letter to the Brooklyn community in this regard, in an effort to counteract the extreme negative publicity generated by the letter that CHP sent out in August 2008 announcing the proposed closures.
CHP has repeatedly refused to send out such a letter, and CHP CEO Stanley Brezinoff stated as recently as Jan. 5, 2008 at the LICH Medical Executive Meeting, that such a letter “Will not be sent”. Although the LICH Medical Staff offered to send such a letter out to the Brooklyn community at its own expense, if provided the database for the mailing, this request was denied as well.
In December 2008, the Chairmen of the Departments at LICH proposed to the CHP Board that all property sales and proposed program closures by CHP be halted until the NY State Dept. of Health makes its final determination regarding LICH. This proposal was voted against by every Manhattan-based CHP Board member, as well as by Board members Joseph Broadwin and Patrick Burns, who are a few of the remaining so-called LICH Board members. Mr. Broadwin is in fact part of a group calling themselves the “Ad-Hoc Committee for LICH”, but this group is clearly driven by its CHP ties and is not acting in the best interest of LICH.
John Wren, the titular “Chairman of the LICH/CHP Board”, has not been heard from in at least six months and clearly has abdicated any responsibility regarding LICH.
There is currently very little if any LICH voice on the CHP Board.
CHP CEO Stanley Brezinoff, who stated in August 2008 that if his plan to “close OB, Peds, and sell real estate” was not accepted, he would close LICH by year’s end, now says that “LICH will not be part of CHP, but if LICH is not merged with Downstate Medical Center, which I’m working on, it will close”.
CHP continues to attempt to sell off LICH properties – several LICH brownstones have recently been summarily emptied.
The LICH Medical Staff and its team is in active, ongoing discussions with the NY State Department of Health, DASNY (Dormitory Authority of the State of New York) and HUD (the holders of the LICH property mortgages), as well as the NY State Attorney General, and we have presented our plan for the preservation (and liberation) of LICH. These discussions have been constructive and well received by the authorities, and we are hoping to report a positive outcome in the very near future.
We still need support from all of you – the community, the elected officials, physicians and staff at LICH, and everybody else – we need letters, emails, meetings, articles, press contacts, etc……… the more you do, the better for LICH!
Thanking you all for your support of LICH, and hoping for a Happy New Year in the very near future for LICH.
The Medical Staff of LICH
Mr. Cohn
Murray Adams has a personal view based on his feelings for what is best for LICH. However, he gives the wrong impression by characterizing the medical staff as being fractionated. All of the steps both leading to what is referred to as "the Doctor's Plan" as well as our public postures represent the nearly unanimous position of the Organized Medical Staff of LICH as voted on at our monthly Medical Executive Committee Meetings.
Murray makes it seem as if the LICH Medical Staff has no interest in a relationship with Downstate. That is not true. However we believe that any relationship with another institution including Downstate must include the Medical Staff as a full assenting partner. Murray's plan has LICH being handed over to Downstate as so much chattel without negotiation and without the involvement of the Organized Medical Staff. More bizarrely Murray's plan would have the current Continuum Board select the members of a new LICH Board. We have had 10 years of governance by a Continuum Board and cannot imagine having them appoint our new governing body.
There are indeed some physicians who, for whatever reason, are not in agreement with the majority opinion but they speak as individuals and not as representatives of the Organized Medical Staff and it's elected officers.
You may post this on your blog if you wish.
Arnold L. Licht, MD
President of the Organized Medical Staff
Long Island College Hospital
All of us owe a vote of thanks to Borough President Marty Markowitz for convening the hearing held at Borough Hall on Monday night. Inexplicably no one from the NYS Department of Health showed up. Fortunately, all of our local elected officials or their representatives were there to hear so many of our neighbors, our doctors, LICH’s employees and others who testified movingly and forcefully about the necessity for preserving Long Island College Hospital as an Brooklyn-managed major community hospital having all its present services, especially including Obstetrics and Pediatrics to serve our growing neighborhoods and the many young families with young children who crowd our sidewalks.
Unfortunately the top elected officials of the medical staff, Dr. Licht and Dr. Sorra, and other physicians such as Dr. Ricciardi, all of whose medical practices are office-based and who rarely if ever admit patients to LICH, do not agree with the plan I outlined to immediately affiliate LICH with SUNY Downstate. The Medical Staff Plan submitted to the Department of Health proposed that LICH re- establish itself as an independent hospital. Drs. Licht and Sorra however acknowledge the long-existing academic affiliation between the two institutions and agree that ultimately to enter into a management affiliation with Downstate or another large system might make sense.
On the other hand, I, several of the Brooklyn-based LICH trustees, including Rev. Dr. Paul Smith, Dr. Mike Avram, Joseph Broadwin and Lou Valentino, and most of the doctors whose practices, like Ciril Godec’s in urology, depends heavily on LICH’s surgical suites or, like Deborah Reade’s in radiology, depends heavily on LICH’s specialty equipment, do not believe that LICH can survive and rebuild as an independent hospital without affiliation with a major medical center such as SUNY Downstate.
I emphasize, however, that all of us are in full agreement that Continuum’s management of LICH must be terminated. Our major problem now is getting the Department of Health to turn down Continuum’s plan to close OB, inpatient Pediatrics, and Dentistry, bringing LICH’s management back to Brooklyn under a Brooklyn-based Board of Regents, and getting the DOH and our local elected officials to help us get Downstate to take over the management of LICH and its OB beds and getting help from them and HUD to make the takeover financially possible for Downstate. And it better come soon, or with Continuum continuing to shut down programs such as the school based clinics and the rape crisis intervention program and to fire large numbers of LICH employees, there will be nothing left of LICH to salvage.
C. Murray Adams
TESTIMONY OF C. MURRAY ADAMS, ON BEHALF OF
THE COBBLE HILL ASSOCIATION
November 10, 2008
My name is Murray Adams, and I speak on behalf of the Cobble Hill Association, a civic association which represents the interests of the residents of Cobble Hill, Brooklyn, where The Long Island College Hospital has been providing medical care for 150 years. The people of our community believe that the real reason behind Continuum Health Partners’ announced plans to close LICH’s Obstetrics and in-patient Pediatrics services, its Dentistry program and its school based clinics program is to close LICH entirely so they can sell off LICH’s valuable real estate to benefit Continuum’s Manhattan hospitals. This must not be allowed to happen!
Late in August, 2008, the Medical Staff of LICH filed a plan with the New York State Department of Health to revitalize LICH without closing any of these services and by returning LICH’s management to an independent group of Brooklyn-based trustees. That plan is a good plan, but it must be supplemented because it does not provide working capital which LICH must have in order to finance the transition and the rebuilding of the Hospital. Although the Medical Staff leadership has retained an investment banking firm to help obtain financing, given the present collapse of the credit markets, we do not think it likely that they will obtain loans for the necessary working capital in the very short time remaining to save LICH. To make the Medical Staff plan feasible, in our opinion, it needs to be supplemented in three respects:
First, the Medical School at SUNY Downstate and the Department of Health must agree that the management of LICH must be moved to Downstate and LICH’s Obstetric beds must be moved under Downstate’s operating certificate. This would mean New York State would bear the losses and the malpractice premiums which now burden LICH. Continuum wants to close Obstetrics, because, according to Continuum’s figures, this would save LICH more than $13 million per year. It would cost the State about half that much because the State does not have to pay malpractice premiums. Obviously, if Downstate continues to operate the Obstetrics beds at LICH where they are, there will be no need to close inpatient Pediatrics or the school based clinics program or the Dentistry program.
Second, the Medical School at Downstate and the Department of Health must agree to Downstate’s entering into leases of several LICH buildings so that Downstate can move much of its medical school as well as its clinical practices over to LICH. These buildings are LICH’s Polhemus building, where until 1953 Downstate had its medical school; LICH’s Clinic Building; and much of LICH’s 97 Amity Street building. This would answer Downstate’s need to expand its medical school facilities. An annual lease rental of $15 million will offset $15 million of LICH’s annual debt service, and so take care of the second part of what Continuum’s “plan” says needs to be done to put LICH on a stable financial basis.
Third, we need our elected officials’ help in getting the federal Department of Housing and Urban Development to defer for a reasonable period LICH’s debt service payments of about $2.5 million per month in order to provide LICH with working capital essential to LICH’s effort to restore itself. Also, LICH needs time to reconstitute and expand its primary care clinics, as the Medical Staff plan contemplates, and thereby rebuild LICH’s volume and its cash flow, which will probably take up to two years.
For the better health of all Brooklyn residents, Long Island College Hospital must be saved and restored as a premier Brooklyn health care institution. Brooklyn’s public health care standing is below New York City standards in almost every category, such as infant mortality per 1000 births, prevalence of asthma in children, incidence of heart disease, strokes, etc. The State would save money by setting up a Borough wide system of primary care clinics which would treat asthma, high blood pressure, breast cancer, high cholesterol conditions, nutrition problems, substance abuse and other common medical conditions that early intervention can treat much less expensively than if the patient arrives months or years later in a hospital emergency room and requires inpatient treatment because the untreated condition has become a major threat. We believe that what Brooklyn needs, as the Medical Staff Plan contemplates, is the establishment of a chain of Primary Care Clinics in the medically underserved areas of Brooklyn, such as Bedford-Stuyvesant, Brownsville, Mill Basin and East New York, and the linking up of existing clinics in those and other underserved areas, such as the BHS Clinic in East New York and the Red Hook Health Center in Red Hook, with the combined tertiary care capabilities of Downstate/University Hospital and LICH. We believe federal funds can be obtained to help establish this network of clinics.
We understand that Continuum and Downstate are in negotiations which we hope will result in LICH’s management being returned to Brooklyn under Downstate’s management and supervised by a new Brooklyn-based Board of Regents. We urge the Borough President and all our local elected officials to take every step in their power to make this come about and save our hospital for the entire Brooklyn community.
Thank you.
The LICH Medical Staff website now has links to sign a petition in support of LICH,
as well as to send a letter to Governor Paterson - please sign the petition!
In addition, there is a link to download flyers for distribution to friends, neighbors and patients - print these and distribute!
LICH MEDICAL STAFF
A friend of LICH has also established a "Save LICH" group on Facebook,
the link is below.
To see more details and confirm this group invitation, follow this link.
Thank you all for your support of LICH!
LICH Medical Staff
As I write, Congress and the Administration are trying to find a way out of the current financial crisis. To many an innocent bystander, it was amazing to discover that the CEO's of the most mismanaged corporations took multi-million dollar salaries. How is this relevant to LICH ? Read on.Date: Wed, 30 Jul 2008 09:20:36 -0400
Subject: MEMO FROM STANLEY BREZENOFF RE: RESTRUCTURING EFFORTS AT LICH
DATE: July 30, 2008
FROM: Stanley Brezenoff
TO: The Long Island College Hospital Physicians and Employees
RE: Restructuring Efforts at Long Island College Hospital
Over the past year, the Board of Regents and our senior leadership have
carefully examined the challenges that have long faced Long Island
College Hospital and have developed a strategy that will allow us to put
the hospital in a more sound financial position so that the hospital can
continue to meet its mission.
This memo outlines the strategy that we expect to implement as quickly
as possible. At its core are steps that will bring LICH into a more
viable financial position. Specifically, we need to eliminate services
that have long been huge financial burdens and reduce the size of the
campus.
Reconfigure the medical and surgical services to a smaller and more
efficient size. Although LICH has an official operating license for
approximately 500 beds, we presently have approximately 350 beds
actively in operation. This may still be too many given present demand
and need. Together with our clinical colleagues, we are going to
carefully examine what LICH's optimal operational size should be in
order to secure an optimistic future for the institution.
Discontinue Obstetrical services.
These services are associated with many of the operating costs that
have caused financial distress at LICH, including escalating malpractice
insurance premiums. Last year, the OB/GYN service accounted for 33%, or
$11 million, of the hospital's total losses. In addition, OB
malpractice accounted for $8.8 million of the total $22 million in
malpractice insurance costs for LICH; this represents 40% of the
hospital's total malpractice costs. Yet OB accounted for only 2,845
discharges, or 12%, of the hospital's total discharges of 22,830.
Obstetrical services are no longer viable for us. In addition, the loss
of OB services will have implications on Pediatrics. We will carefully
examine what those implications will be to determine the future
configuration of Pediatrics at LICH.
Reduce the size of the hospital's campus.
The elimination of clinical services allows us to include in our
strategy the sale of real estate, specifically the Polhemus building and
97 Amity Street. This will provide us with much needed cash to help
reduce the hospital's debt.
One of the most important issues will be the impact of these changes on
all of you. To this end, we have already begun to meet with the unions
representing LICH staff employed under collective bargaining agreements.
Our goal will be to maintain as many of our present staff as we can and
eliminate positions through attrition and other means. One of the
benefits of being part of a larger hospital network is that we also can
look to where we might be able to move displaced staff to one of the
other Continuum hospitals.
In addition, we will communicate all clinical changes with our patients
and work hard over the coming months to ensure a smooth transition for
them to other care providers. And we will assist LICH-affiliated
physicians impacted by these changes with any transitional issues
related to their practices.
This strategy also will affect our residency teaching programs. To
this end, we have discussed our restructuring strategy with our
colleagues at SUNY Health Sciences Center at Brooklyn, and will work
closely with them on the transition of affected residents to other
teaching programs.
We have shared this strategy with the New York State Department of
Health whose approval is necessary to move forward with our plans. We
also have had discussions with the Dormitory Authority of New York State
and the U.S. Department of Housing and Urban Development, which insures
much of our present debt.
We recognize that these changes are not going to be easy for many.
Unfortunately, in the difficult environment in which we operate, the
choices are hard and the options few. Yet I am confident that this
strategy is the best course of action for our future. I look forward to
working with Dominick Stanzione, John Byrne, and, most importantly, all
of you, on its implementation.
“[It] is another indication that Continuum Health Partners, a management company that now thinks it owns LICH, is moving to downsize and possibly ultimately close Downtown Brooklyn’s most prominent medical center,” Dr. Arnold Licht, president of the hospital’s medical staff, said in a statement.
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And here is one of the three new planters that LICH put on Hicks Street just a few months ago. It has been allowed to morph into a garbage pail. The same holds for the other LICH planters on the same block.


All these pictures were taken on Tuesday, January 22, at about 5 p.m. They show new graffiti on the 300 block of Hicks on two buildings that belong to LICH. These buildings are just north of 385 Hicks, which had heretofore been the worst spot on the block. The new graffiti is not as conspicuous as the old, and the situation in not as bad as it had been. But all experts on graffiti warn that it must be removed immediately when spotted in order to discourage further vandalism.
The graffiti at 385 Hicks Street have now been removed.
Not only is graffiti unattractive, it lowers property values and encourages other types of crime in neighborhoods.
Fort Worth Police Department