As health systems pare back their number of service lines, New Hyde Park, N.Y.-based Northwell Health recently decided to add on at one of its community hospitals.
Executives for the large system committed to building a neuroscience center of excellence at its community hospital in Glen Cove, a bucolic suburb on Long Island’s North Shore. Over the next several years, the $11.5 billion system plans to turn the 140-bed facility into a destination institute for treating Parkinson’s disease, epilepsy, amyotrophic lateral sclerosis, or ALS, and other neurological and movement disorders.
“There are treatments now like deep brain stimulation that could significantly impact the progress of a disease or completely cure it,” said Mark Solazzo, Northwell’s chief operating officer. “That’s an example of technology that wasn’t here 10 or 15 years ago.”
Developing a neuro rehab unit in a community hospital takes time and money and can be a risky proposition should it fail to attract patients. Northwell’s decision comes amid shifting patterns in the delivery of care that have complicated efforts to develop and execute a successful service-line strategy. The movement from inpatient to outpatient care, driven by advancing technology, value-based reimbursement and patient preference, led to a 6.5% decline in total patient days spent in hospitals from 2008 to 2017, according to Modern Healthcare Metrics.