State Health Department Cites 54 Teaching Hospitals for Resident Working Hour Violations

New York Only State In Nation That Limits Resident Work Hours

Albany, June 26, 2002 – The New York State Health Department (the Department) today announced that 54 of the 82 teaching hospitals inspected in New York State since November 2001 were cited for violations related to resident working hours. To date, New York University Hospital ($24,000) has been fined for recurring resident work hour violation. The Department is now reviewing the results of the inspections of other hospitals to determine if fines are warranted.

State Health Commissioner Antonia C. Novello said, "The results of the initial inspections of State teaching hospitals further build on Governor Pataki's commitment to ensure that New York continues to have the best and safest health care system in the nation. New York is the only State in the nation that limits resident work hours and ensures that residents have adequate rest. The Governor has made it clear that hospitals need to comply with resident working hours and he has provided us with the resources to inspect and the tools to fine hospitals that are not complying with the regulations."

"It is also critical that the residents providing the care to patients receive necessary training and experience under appropriate working conditions. The State's work with hospitals in this area will further strengthen the capabilities of New York's physicians and hospitals to deliver high quality care to patients."

To ensure that resident working hour regulations were being followed at State teaching hospitals, Governor Pataki included funding in the Health Care Reform Act of 2000 (HCRA 2000) to support inspections that focus on resident working hours. The current surveillance initiative, which is supported by funding from HCRA 2000, is being conducted by the Island Peer Review Organization (IPRO) pursuant to a contract with the Department of Health.

As part of their surveillance, IPRO inspectors conduct interviews with residents and other appropriate hospital staff, observe resident working conditions and review both medical records and operating room logs to determine each hospital's compliance.

IPRO also investigates complaints regarding resident working hours, conducts revisits where appropriate and is continuing its efforts to conduct annual focus surveys at New York's 115 teaching hospitals. IPRO is under contract with New York State through September 2004.

New York is the only State in the nation to limit resident work hours. To help strengthen patient safety and quality assurance practices in hospitals statewide, and particularly in New York's teaching hospitals, New York State limits the working hours of physicians enrolled in residency training programs to no more than 80 hours per week, averaged over a four-week period. Residents are also limited to working no more than 24 consecutive hours in a given day. Residents in emergency departments with more than 15,000 unscheduled visits annually are further limited to working no more than 12 consecutive hours without time off.

Overall, the survey results for the 82 teaching hospitals inspected by IPRO from November 1, 2001 through June 21, 2002 found that approximately:

  • Sixty-six percent (66%) were cited for resident working hour violations;
  • Fifty-six percent (56%) were found in violation of the resident working hour limit of no more than 24 consecutive hours without time off;
  • Thirty-four percent (34%) were found in violation of the 80-hour work week limits for residents;
  • Twenty-three percent (23%) were cited for not providing residents with one full day off from work, which would constitute 24 hour consecutive hours off from work; and
  • Thirteen percent (13%) did not ensure that residents were provided required hours off between scheduled work assignments.

Governor Pataki's HCRA 2000 legislation increased fines on teaching hospitals for non-compliance of resident working hours. The Department may impose a maximum fine of $6,000 per violation against hospitals cited for resident working hour violations. In subsequent cases, hospitals cited for recurring violations would face a maximum fine of $25,000 for a second offense and $50,000 for a third offense. Prior to HCRA 2000 legislation, the maximum fine was $2,000 per violation.

The following hospitals were cited for resident working hour violations. The range and significance of the citations issued varied greatly. Those facilities with the most significant findings (most egregious or widespread deficiencies) are subject to financial penalties. Other facilities may have been cited for isolated incidents and will not be fined. All facilities will be required to submit acceptable plans of correction. Facilities will be subject to follow-up surveys to ensure implementation of effective corrective actions.

Hospital County
Albany Medical Center Albany
Binghamton General Hospital Broome
Wilson Hospital, United Health Services Broome
Montefiore Medical Center - A. Einstein College Div. Bronx
Champlain Valley Physicians Hospital Medical Center Clinton
Children's Hospital of Buffalo Erie
Erie County Medical Center Erie
Millard Fillmore Suburban Hospital - Amherst Erie
Sisters of Charity Hospital Erie
Brookdale Hospital and Medical Center Kings
Brooklyn Hospital Center - Downtown Campus Kings
Coney Island Hospital Kings
Kings County Medical Center Kings
Kingsbrook Jewish Medical Center Kings
Long Island College Hospital Kings
Lutheran Medical Center Kings
New York Methodist Hospital Kings
St. Mary's Hospital of Brooklyn Kings
University Hospital of Brooklyn Kings
Woodhull Medical and Mental Health Hospital Kings
Rochester General Hospital Monroe
Strong Memorial Hospital Monroe
Franklin Hospital Medical Center Nassau
Nassau University Medical Center Nassau
North Shore University Hospital - Glen Cove Nassau
North Shore University Hospital - Manhasset Nassau
South Nassau Communities Hospital Nassau
Winthrop University Hospital Nassau
Hospital for Special Surgery New York
Memorial Hospital for Cancer and Allied Disease New York
Mount Sinai Hospital New York
New York University - Hospital for Joint Disease New York
New York University - Tisch Hospital New York
North General Hospital New York
St. Vincent's Hospital and Medical Center New York
Community General Hospital of Syracuse Onondaga
Crouse Hospital Onondaga
University Hospital - SUNY Health Science Center Onondaga
Catholic Medical Center of Brooklyn - Mary Immaculate Queens
City Hospital Center at Elmhurst Queens
Jamaica Hospital Medical Center Queens
Long Island Jewish Medical Center Queens
New York Flushing Hospital Medical Center Queens
New York Hospital Medical Center of Queens Queens
Peninsula Hospital Queens
St. John's Episcopal Hospital of South Shore Queens
St. John's Queens Hospital Queens
St. Joseph's Hospital Health Center Queens
St. Vincent's Hospital of Staten Island Richmond
Southside Hospital Suffolk
University Hospital of Stony Brook Suffolk
Mount Vernon Hospital Westchester
Sound Shore Medical Center Westchester
Westchester Medical Center Westchester

The following hospitals were found to be in compliance with resident working hour regulations:

St. Peter's Hospital Albany
Our Lady of Lourdes Memorial Hospital Broome
Olean General Hospital Cattaraugus
Buffalo General Hospital Erie
Mercy Hospital of Buffalo Erie
Millard Fillmore Hospital - Buffalo Erie
Roswell Park Cancer Institute Erie
Wyckoff Heights Medical Center Kings
Highland Hospital Monroe
Park Ridge Hospital Monroe
Long Beach Medical Center Nassau
Mercy Medical Center - Rockville Centre Nassau
St. Francis Hospital - Roslyn Nassau
Cabrini Medical Center New York
Niagara Falls Memorial Center Niagara
St. Elizabeth Hospital Oneida
St. Luke's Hospital - Faxton Division Oneida
St. Joseph's Hospital - Syracuse Onondaga
North Shore University Hospital - Forest Hills Queens
Nyack Hospital Rockland
Ellis Hospital Schenectady
St. Clare's Hospital Schenectady
Good Samaritan Hospital Medical Center Suffolk
Huntington Hospital Suffolk
Benedictine Hospital Ulster
Kingston Hospital Ulster
St. Agnes hospital Westchester
St. Joseph's Hospital - Yonkers Westchester

6/26/02 – 63 OPA