NYC Comptroller John Liu: Dangerous Delays in Women’s Health Care at Some City Hospitals

Audit Finds Women Wait Months for a Mammogram at Some Health and Hospitals Corporation (HHC) Facilities

***************************

City Comptroller John C. Liu uncovered dangerously long waits for women in need of mammograms at some City hospitals, according to an audit released today.

The audit examined the ability of nine HHC hospitals to provide two types of mammograms: screening and diagnostic. Screening mammograms are initial checks for cancer, usually for women age 40 and older. Diagnostic mammograms however are more urgent and are scheduled when a lump or other potential sign of cancer is found.

At some City hospitals women had to wait more than three weeks for the next available diagnostic mammogram appointment. At Elmhurst Hospital in Queens, patients faced a wait of 50 working days.

“For years, City policy has emphasized the need for women to get mammograms. Unfortunately, significant shortfalls and lapses at City hospitals have undercut that intent and worse yet placed women in jeopardy,” Comptroller Liu said. “The HHC has performed admirably in the wake of private hospital closures, and shrinking budgets and reimbursements. This audit nonetheless uncovers problems that require attention and resources so that women’s lives and health are not put at risk.”

LONGEST WAITS FOR A DIAGNOSTIC MAMMOGRAM
50 working days	Elmhurst Hospital	Queens
28 working days	Woodhull Hospital	Brooklyn
21 working days	Kings County Hospital	Brooklyn
20 working days	Gouverneur Hospital	Manhattan
17 working days	Bellevue Hospital	Manhattan

“For a woman who is worried she might have breast cancer, a 50-day wait for a diagnostic mammogram can be agonizing and could delay urgently-needed treatment,” said Lois Uttley, co-founder of Raising Women’s Voices for the Health Care We Need, a national initiative based in Manhattan. “Many of the women who depend on HHC facilities are uninsured and cannot afford to go somewhere else for a mammogram.”

“The real danger and focus of greatest urgency needs to be on women who present with a suspicious finding and don't receive a diagnostic mammogram immediately. This is where lives can potentially be saved,” said Alice Yaker, Executive Director, of SHARE: Self-help for Women with Breast or Ovarian Cancer, a survivor-led 35-year-old breast and ovarian cancer organization. “While controversies about efficacy surround the screening of healthy women, there is no controversy about the need for a diagnostic mammogram in a woman who presents with a lump in her breast, for example. This requires our urgent attention, budget cuts and hospital closings notwithstanding."

The HHC currently has no guideline on how quickly a woman with potential breast cancer symptoms should receive a diagnostic mammogram appointment. It does have a guideline of 14 days for a screening mammogram. Nevertheless, patients at three HHC facilities had to wait more than one month for a screening mammogram appointment.

LONGEST WAITS FOR A SCREENING MAMMOGRAM
148 calendar days	Elmhurst Hospital	Queens
49 calendar days	Queens Hospital	Queens
41 calendar days	Woodhull Hospital	Brooklyn

Breast cancer is the second leading cause of cancer death after lung cancer and in 94% of cases is diagnosed in women ages 40 years and older, according to the Centers for Disease Control and Prevention (CDC). Early detection through breast cancer screening saves lives, reducing the risk of death by 17 to 30 percent the CDC has determined.

Long waits for a mammogram carry an added patient risk because the longer the wait, the higher the odds they will miss their appointment, according to the National Institutes for Health. Auditors noted a high number of missed mammogram appointments at Elmhurst Hospital, where the waits were the longest.

Officials at Queens Hospital and Elmhurst Hospital said that several hospital closures in recent years and budget cuts have left them overwhelmed and unable to meet the HHC’s 14-day guideline. In addition to having the longest waits, Elmhurst Hospital also conducted the most mammograms: 11,425. Queens Hospital performed 10,544 mammograms, the second highest of HHC facilities.

The remainder of the nine HHC hospitals in the audit did offer prompt mammogram appointments during Fiscal Year 2009. The audit also determined that HHC radiologists read and interpreted mammogram exam results in a timely manner.

Audit Recommendations:

§ Create a guideline for the number of days in which women will receive diagnostic mammogram appointments

§ Ensure all facilities provide screening mammogram appointments within 14 days

§ Ensure all facilities send patients reminders of scheduled appointments

HHC Response:

§ HHC is reviewing the creation of a performance standard for offering diagnostic mammograms appointments with a target date of September 2011

§ HHC is currently reviewing its 14-day performance standard for offering screening mammogram appointments and seeking to improve the wait time where it is able

§ HHC facilities are individually reviewing their ability to place appointment reminder calls to patients with a target date of June 2011

Comptroller Liu credited Deputy Comptroller for Audit H. Tina Kim and the Audit Bureau for presenting the findings. The full report is available at http://comptroller.nyc.gov/audits.

NYC Parents Union Sues Bloomberg for $100 Million for Cathie Black "Crony" Appointment

For disclosure purposes, I am a member of the NYC Parents Union

"This Mayor Has Committed Misfeasance and Our Children Have Suffered" 

Advocates for Justice, a public interest law firm, today filed initial papers for a civil lawsuit against Mayor Michael Bloomberg on behalf of a class of all New York City public school parents . The Mayor is charged with committing "misfeasance of office" through the appointment of Ms. Cathleen P. Black as Chancellor of the New York City Department of Education and thereby damaging the education of public school children in the City of New York.

The 14 Claimant parents, along with the newly formed New York City Parents Union, are demanding $100 million in compensatory damages from Mr. Bloomberg personally as the individual now held accountable under New York State's education law for the performance of the public education system, as well as a public apology from the Mayor for his handling of Ms. Black's appointment and brief tenure in office.

A Notice of Claim setting forth the nature of the lawsuit was filed today by Advocates for Justice with the Office of New York City Comptroller John Liu. This legal action -- possibly the first of its kind in the history of New York City -- claims that the Mayor had or should have had full knowledge of Ms. Black's inability to perform at an appropriate level in the position of Chancellor.

Section 3(f) of the Notice Claim states that "Michael Bloomberg, as Mayor, has a fiduciary obligation to act with the utmost of prudence and responsibility in running the New York City school system. He either knew, or should have known, that the appointment of Black was not in the best interests of the system, but he appointed her nonetheless. By so acting, Michael Bloomberg breached his fiduciary duty to the parents of all school children in New York City public schools and is guilty of 'misfeasance of office.' "

The parents want Mayor Bloomberg to place $100 million of his own money – or approximately $1 million for each day of Ms. Black's nearly 100-day tenure -- into a fund used exclusively for the training and development of teachers and supervisors as compensation for the damage to the morale and performance of staff and teachers, which therefore impaired the education of students.

Arthur Z. Schwartz, attorney for the Claimants, emphasized that the Notice of Claim was a precursor to a lawsuit against Bloomberg personally, not one against the City of New York. "The Mayor's ego, and his insistence on 'selling' the school system rather than building it from the ground up, led to this disaster. The Mayor took a lot from the City's school childrenn with this error, and he should be required to make repairs - in a sum that he is uniquely qualified to do."

Ms. Mariama Sanoh, an active Brooklyn parent who is a Claimant and a founder of the New York City Parents Union, said that Mayor Bloomberg abused his power. "When outraged parents stated that Cathie Black was unqualified to be Chancellor, Mayor Bloomberg accused us -- the real stakeholders in our children's education – of playing politics. But it was Mayor Bloomberg who abused his power by appointing someone with no education experience to lead the nations largest public school system. And it was Mayor Bloomberg who played politics with the New York State Education Commissioner to get unqualified Cathie Black approved for the job. The Mayor has committed misfeasance and our children have suffered. There have to be consequences for these bad choices."

Ms. Shino Tanikawa, a Claimant and member of Manhattan's Community Education Council 2, demanded consistency in how education matters are treated. "Accountability has been the foundation of Mayor Bloomberg's alleged "reform" agenda, yet he himself has not been accountable to us for any of his misguided decisions. Our children have suffered his arrogance and egotism enough, and we, the parents, demand that the Mayor now be held accountable."

Central Brooklyn parent Muba Yarofulani is a founding member of the New York City Parents Union, Co-President of the Coalition for Public Education (CPE), and President of the District 18 Presidents Council. She objected to Mayor Bloomberg's dominance over the public education system. "The 1.1 million students in New York City's public schools deserved a qualified Chancellor. Mayor Bloomberg refused to hear the cries of parents from communities like mine; we knew that Cathie Black should not be appointed. This Mayor's dictatorship over our education system is failing our children, and I am one of those mothers who will continue to battle his wealth and political might. Mayor Bloomberg must be held accountable for his failures. Our children must see that there are consequences for the rich just as there are for the poor."

Ms. Mona Davids, a Bronx charter school parent, and a founder of the New York City Parents Union, pronounced Mayor Bloomberg's behavior as corrupt. "Outside of New York City, when an elected official appoints a friend, family member or crony with no relevant experience to a high profile job, it is called 'graft' and an abuse of power," said Ms. Davids. "Mayor Bloomberg's appointment of his friend, Cathie Black, without first conducting a national search or ensuring that she had the

qualifications to lead the nation's largest school system, was pure corruption and disrespectful to NYC parents, students and educators. Mayor Bloomberg's appointment showed our children that, even when you are not qualified for a job, it's not what you know but who you know."

Hon. Chris Owens, a Brooklyn Claimant and former Community School Board President, focused on the need for unorthodox measures. "This Mayor has bought three elections, including a third term in office! The political process has not provided recourse for concerned parents because the Mayoral elections have been corrupted by the power of money. So we have to do something to show everyone that the disastrous ramming of Cathie Black down our throats warrants more than a few days of critical media stories. The Mayor owes this City and he has the means to compensate our public education system for a portion of the harm that he inflicted upon it."

Ms. Julie Cavanagh is a teacher in Brooklyn who supports the parents' lawsuit. "I am glad to see legal action being taken directly against Mayor Bloomberg. Mayor Bloomberg speaks about accountability for schools, students and teachers, but never is he held accountable for the disastrous and devastating decisions he has made for our schools and our children. It is time for this Mayor to be held accountable. As if over-testing, overcrowding, and overtly ignoring the voices of stakeholders were not enough, Bloomberg appointed and vigorously defended a Chancellor we all knew was unqualified for our children. The Mayor's actions have caused irreparable harm to our school system, and it is time for him to answer to the people he was elected to serve."

A copy of the Notice of Claim may be requested by contacting Chris Owens.

New York City Comptroller John C. Liu Statement on Theft Charges Against DOE Consultant

New York City Comptroller John C. Liu stated the following in response to questions about today's announcement by the Office of the U.S. Attorney for the Southern District of New York levying charges against a private DOE consultant for stealing $3.6 million:

“Federal charges once again, that a consultant has stolen millions from the taxpayers are infuriating enough. Even more disconcerting, however, are indications that corporations with billions of dollars in City business have aided and abetted and profited from the scam. As with the CityTime scandal, oversight of subcontracting is acutely needed right now.”

Comptroller Liu has directed a review of contracts with vendors implicated by Special Commissioner of Investigation for the New York City School District, Richard Condon. The Comptroller’s Office is currently auditing a number of technology projects also involving some of the same vendors, including ARIS, Future Technology Associates, iZone, and E911.

NYC Comptroller John Liu Statement on Dept of Education Contract Rejection

New York City Comptroller John C. Liu stated the following in response to inquiries about his rejection of a $20 million teacher recruitment contract for the Department of Education (DOE):

“Twenty million dollars to recruit teachers as the DOE insists on laying off thousands of teachers seems curious at best,” said Comptroller Liu.

The five-year contract, with the “New Teacher Project,” was submitted in early February. The DOE was seeking the contract to “recruit, select, train and provide job search support to non-traditional candidates to become public school teachers.”

The contract submission comes at a time when agencies are being asked to cut services, including the DOE’s plan to lay off 4,600 teachers.