Northern Westchester Hospital
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Northern Westchester Hospital (NWH), now known as Northwell Health, is a not-for-profit, 245-bed, all-private-room facility in Mount Kisco, New York. Founded in 1916, it serves residents of Northern Westchester, Putnam County and southern Dutchess County, as well as parts of
Fairfield County, Connecticut Fairfield County is a county in the southwestern corner of the U.S. state of Connecticut. It is the most populous county in the state and was also its fastest-growing from 2010 to 2020. As of the 2020 census, the county's population was 957, ...
. With more than 700 physicians, the hospital provides a wide range of patient-centered services through its emergency department, Women's Imaging Center, Cancer Treatment and Wellness Center, Level III Neonatal Intensive Care Unit (NICU), clinical trials program, and
Gamma Knife Radiosurgery is surgery using radiation, that is, the destruction of precisely selected areas of tissue using ionizing radiation rather than excision with a blade. Like other forms of radiation therapy (also called radiotherapy), it is usually u ...
center. NWH is a designated training and case observation center for the
da Vinci Surgical System The Da Vinci Surgical System is a robotic surgical system that uses a minimally invasive surgical approach. The system is manufactured by the company Intuitive Surgical. The system is used for prostatectomies, and increasingly for cardiac ...
in
colorectal surgery Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. The field is also known as proctology, but this term is now used infrequently within medicine and is most often employed to identify practices relati ...
. NWH breast surgeons provide
microvascular surgery Microsurgery is a general term for surgery requiring an operating microscope. The most obvious developments have been procedures developed to allow anastomosis of successively smaller blood vessels and nerves (typically 1 mm in diameter) which ...
using the Novadaq SPY Imaging System. A number of bariatric surgical procedures are performed, including a modified bariatric technique known as stomach intestinal pylorus-sparing surgery (SIPS).


History

In the summer of 1781, George Washington summoned from Rhode Island General Rochambeau's 5,000 French troops to join him in a campaign against the British. The French marched across Connecticut to North Castle Corners and encamped on the site of the present Northern Westchester Hospital. On July 5, Washington met and reviewed the troops, who then marched south to a joint encampment near Hartsdale. The British thought an attack on New York City was imminent. But the troops doubled back to Verplanck, crossed the Hudson, and proceeded to Virginia. There they joined Lafayette's forces, and besieged the British at Yorktown, forcing the surrender of General Cornwallis and effectively ending the war. In the early 20th century, a committee composed of William Sloane, Moses Taylor, Joseph C. Baldwin, Jr., Edwin G. Merrill, John Henry Towne, Winthrop Cowdin, Cornelius R. Agnew and Hiram E. Manville was set up to organize the creation of a new hospital to serve northern Westchester County. On May 8, 1916, the first Northern Westchester Hospital (NWH) meeting was held, at which the hospital's first president, William Sloane, and first board of directors, were elected. The facility opened its doors in 1916, with six primary physicians and 15 beds - filling 12 of them its first day. Erected on a 2.5-acre parcel of land, NWH immediately proved a vital part of the community. In the early 1920s the population of Westchester County and adjacent upstate New York swelled. In response, the hospital expanded to 50-rooms in April 1925, and, demonstrating its continual evolution to meet the needs of an ever more sophisticated healthcare system, added a state-of-the-art
radiology Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiat ...
facility. As the community continued to grow, a new construction initiative commenced in 1958, adding 89 new beds in a three-story wing by 1961. Two decades later the hospital opened the DeWitt Wallace Pavilion, bringing it to a total of 259 beds in 1973 and allowing NWH to enter a new age of patient-centered care. Following the expansion, the hospital would narrow its focus to acquiring the latest technology to better serve the community and region. In 1989 capability for magnetic resonance imaging (MRI) and
digital subtraction angiography Digital subtraction angiography (DSA) is a fluoroscopy technique used in interventional radiology to clearly visualize blood vessels in a bony or dense soft tissue environment. Images are produced using contrast medium by subtracting a "pre-contra ...
(DSA) was introduced. Northern Westchester Hospital joined the
North Shore-LIJ Health System Northwell Health is a nonprofit integrated healthcare network that is New York State's largest healthcare provider and private employer, with more than 81,000 employees. The flagship hospitals of Northwell are North Shore University Hosp ...
in January 2015. The health system is now known as
Northwell Health Northwell Health is a nonprofit integrated healthcare network that is New York State's largest healthcare provider and private employer, with more than 81,000 employees. The flagship hospitals of Northwell are North Shore University Hosp ...
. NWH modernized its surgical services facility in April 2016 to include six new operating rooms and 13 private pre- and post-anesthesia care beds. The hospital celebrated its centennial year in 2016 with various community and staff events, such as partnerships with area historical societies, community walks, Board of Trustees and neo-natal intensive care unit reunions and employee and community galas. On September 2, 2020, Northern Westchester Hospital opened its cardiac catheterization lab, part of the Seema Boesky Heart Center. Actor
Christopher Reeve Christopher D'Olier Reeve (September 25, 1952 – October 10, 2004) was an American actor, best known for playing the title character in the film '' Superman'' (1978) and three sequels. Born in New York City and raised in Princeton, New Jersey ...
passed away in 2004 at the age of 52.


Medical specialties

As a comprehensive acute-care hospital, NWH provides patient-center care in the following services: * Orthopedic and Spine Institute: Employs the most current minimally invasive and
arthroscopic Arthroscopy (also called arthroscopic or keyhole surgery) is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope, an endoscope that is inserted into the j ...
techniques to provide complete orthopedic and spine surgical care. The OSI incorporates bio-absorbable implants for sports medicine surgery. These are usually constructed of plastic and are designed to be absorbed by the body without producing an immune response. The Orthopedic and Spine Institute is also an active user of anterior
hip replacement Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement o ...
. * The Breast Care Center: Provides a multidisciplinary approach to the surgical treatment of
breast cancer Breast cancer is cancer that develops from breast tissue. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin, milk rejection, fluid coming from the nipple, a newly inverted nipple, or a r ...
. This approach is referred to as "aesthetic oncology" by the Breast Care Center, and it combines expertise in breast-cancer surgery with expertise in breast-reconstruction surgery to reach the optimal aesthetic and clinical outcome. This includes the use of intraoperative radiotherapy (IORT), microvascular surgery for breast conservation, nipple sparing and DIEP Flap or PAP Flap procedures, Gamma Knife for metastatic brain cancer and Novalis stereotactic radiosurgery for other tumors. * Cancer Treatment and Wellness Center: A patient-centered healing environment for those receiving
chemotherapy Chemotherapy (often abbreviated to chemo and sometimes CTX or CTx) is a type of cancer treatment that uses one or more anti-cancer drugs ( chemotherapeutic agents or alkylating agents) as part of a standardized chemotherapy regimen. Chemothe ...
, infusion services,
radiation therapy Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is a therapy using ionizing radiation, generally provided as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator. Radi ...
and gamma knife procedures. * Clinical Trials Program: Offering treatments and clinical trials in
bariatric Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity. Terminology The term ''bariatrics'' was coined around 1965,Dictionary.com, based on Random House Unabridged Dictionary, Random House (2006)R ...
surgery, brain tumors, breast cancer,
lung cancer Lung cancer, also known as lung carcinoma (since about 98–99% of all lung cancers are carcinomas), is a malignant lung tumor characterized by uncontrolled cell growth in tissues of the lung. Lung carcinomas derive from transformed, malign ...
,
lymphoma Lymphoma is a group of blood and lymph tumors that develop from lymphocytes (a type of white blood cell). In current usage the name usually refers to just the cancerous versions rather than all such tumours. Signs and symptoms may include enla ...
, prostate cancer and strokes. * Surgical Weight Loss: Offers
laparoscopic Laparoscopy () is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.Medlin ...
lap band,
gastric bypass Gastric bypass surgery refers to a technique in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both. Surgeons have developed several differ ...
and gastric sleeve surgery. NWH bariatric surgeons perform duodenal switch and revision surgeries. Screening and preparatory tests prior to surgery include psychological evaluation, dietician evaluation, upper
gastrointestinal The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The GI tract contains all the major organs of the digestive system, in humans and ...
testing (UGI), esophagogastroduodenoscopy (EGD) and electrocardiogram (EKG). * Institute for Robotic and Minimally Invasive Surgery: NWH uses the
da Vinci Surgical System The Da Vinci Surgical System is a robotic surgical system that uses a minimally invasive surgical approach. The system is manufactured by the company Intuitive Surgical. The system is used for prostatectomies, and increasingly for cardiac ...
to treat a wide range of conditions across numerous disciplines including
urology Urology (from Greek οὖρον ''ouron'' "urine" and '' -logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive org ...
, gynecology, gynecologic oncology and general surgery. *Cardio-Pulmonary Rehabilitation: Structured rehabilitation designed to manage a wide range of existing conditions for smokers and ex-smokers and those who have
chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...
(COPD), emphysema,
asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, co ...
,
pulmonary fibrosis Pulmonary fibrosis is a condition in which the lungs become scarred over time. Symptoms include shortness of breath, a dry cough, feeling tired, weight loss, and nail clubbing. Complications may include pulmonary hypertension, respiratory failu ...
,
interstitial lung disease Interstitial lung disease (ILD), or diffuse parenchymal lung disease (DPLD), is a group of respiratory diseases affecting the interstitium (the tissue and space around the alveoli (air sacs)) of the lungs. It concerns alveolar epithelium, pu ...
, bronchiectasis, and cystic fibrosis. * Wound Care & Hyperbaric Medicine: Providing wound care for chronic non-healing wounds related to various conditions such as
diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ...
and
obesity Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's ...
, post-surgical non-healing wounds and traumatic wounds. Therapies available to patients include
hyperbaric oxygen therapy Hyperbaric medicine is medical treatment in which an ambient pressure greater than sea level atmospheric pressure is a necessary component. The treatment comprises hyperbaric oxygen therapy (HBOT), the medical use of oxygen at an ambient pressure ...
(HBOT), provided in a multi-seat hyperbaric chamber. HBOT is not only prescribed for patients with wounds, such as diabetic foot ulcers or venous ulcers, but is also an effective treatment for such conditions as delayed radiation injury, compromised grafts and flaps, necrotizing soft tissue infections, intracranial abscess and severe
anemia Anemia or anaemia (British English) is a blood disorder in which the blood has a reduced ability to carry oxygen due to a lower than normal number of red blood cells, or a reduction in the amount of hemoglobin. When anemia comes on slowly, t ...
. *Radiology & Medical Imaging: NWH uses digital imaging techniques to provide accurate test results including
MRI Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio waves ...
, PET/CT scans, CAT scans,
ultrasound Ultrasound is sound waves with frequencies higher than the upper audible limit of human hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hear it. This limit varies ...
s and digital X-rays. *Stereotactic Radiosurgery: Offering both the
Gamma Knife Radiosurgery is surgery using radiation, that is, the destruction of precisely selected areas of tissue using ionizing radiation rather than excision with a blade. Like other forms of radiation therapy (also called radiotherapy), it is usually u ...
and the Novalis radiosurgery program for the treatment of
trigeminal neuralgia Trigeminal neuralgia (TN or TGN), also called Fothergill disease, tic douloureux, or trifacial neuralgia is a long-term pain disorder that affects the trigeminal nerve, the nerve responsible for sensation in the face and motor functions such as ...
,
acoustic neuroma A vestibular schwannoma (VS), also called acoustic neuroma, is a benign tumor that develops on the vestibulocochlear nerve that passes from the inner ear to the brain. The tumor originates when Schwann cells that form the insulating myelin sheath ...
,
pituitary adenoma Pituitary adenomas are tumors that occur in the pituitary gland. Most pituitary tumors are benign, approximately 35% are invasive and just 0.1% to 0.2% are carcinomas.brain tumor A brain tumor occurs when abnormal cells form within the brain. There are two main types of tumors: malignant tumors and benign (non-cancerous) tumors. These can be further classified as primary tumors, which start within the brain, and seconda ...
s, meningioma and vascular malformation. *Plastic Surgery: Performs cosmetic surgery such as facelifts, eyelid surgery and
rhinoplasty Rhinoplasty ( grc, ῥίς, rhī́s, nose + grc, πλάσσειν, plássein, to shape), commonly called nose job, medically called nasal reconstruction is a plastic surgery procedure for altering and reconstructing the nose. There are two typ ...
,
breast lift Mastopexy (Greek μαστός ''mastos'' "breast" + -pēxiā "affix") is the plastic surgery mammoplasty procedure for raising sagging breasts upon the chest of the woman, by changing and modifying the size, contour, and elevation of the breasts ...
,
breast augmentation Breast augmentation and augmentation mammoplasty is a cosmetic surgery technique using breast-implants and fat-graft mammoplasty techniques to increase the size, change the shape, and alter the texture of the breasts. Augmentation mammoplasty is ...
and body contouring, which includes liposuction,
abdominoplasty Abdominoplasty or "tummy tuck" is a cosmetic surgery procedure used to make the abdomen thinner and more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia ...
and skin lifting following weight loss surgery. NWH also performs reconstructive procedures that include
breast reconstruction Breast reconstruction is the surgical process of rebuilding the shape and look of a breast, most commonly in women who have had surgery to treat breast cancer. It involves using autologous tissue, prosthetic implants, or a combination of both wit ...
,
breast reduction Reduction mammoplasty (also breast reduction and reduction mammaplasty) is the plastic surgery procedure for reducing the size of large breasts. In a breast reduction surgery for re-establishing a functional bust that is proportionate to the woma ...
, skin cancer removal and reconstruction after Mohs surgery.


Awards and accreditation

Northern Westchester Hospital has received the following awards and recognition: *Best Hospitals 2017-18: '' U.S. News & World Report'' lists Northern Westchester Hospital among the Best Regional Hospitals 2017–18 in colon cancer, COPD, heart failure and hip surgery. *American Heart Association and American Stroke Association - Get With The Guidelines Gold Plus Member. NWH is a New York State Department of Health Designated Stroke Center. *Cancer Gold Standard accreditation - NWH gains this accreditation by reducing cancer risk in its patients by following a list of guidelines from the CEO Roundtable on Cancer. *Designated Planetree Patient-Centered Care Hospital - This designation is awarded by Planetree for leadership and innovation in patient-centered care. *Center of Excellence Robotic Surgery (COERS) - The Surgical Review Corporation awards this designation to facilities performing robotic procedures that achieve defined standards for patient safety and care quality. *Robert A. Warriner, III Center of Excellence 2017 - Awarded by Healogics for achieving outstanding clinical outcomes for 24 consecutive months. *National Accreditation Program for Breast Centers (NAPBC) - Awarded by the NAPBC to centers that are committed to providing the best diagnosis and treatment for breast cancer patients while meeting established standards of care. *The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program - Awarded by the American College of Surgeons (ACS) to centers for safe, high-quality care for bariatric patients. *American Association of Cardiovascular and Pulmonary Rehabilitation Certification - This peer-reviewed accreditation process is designed to review individual rehabilitation programs for adherence to standards and guidelines. *American College of Radiation Oncology Accreditation - This accreditation certifies that NWH's Cancer Treatment and Wellness Center upholds staffing, policies and treatment programs that conform with accepted standards of current radiation therapy delivered in the United States.


References

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