Report of the
Chief of Staff

.„kh;
Lloyd J. Paul, M.D.
Chief of Staff

In the past 25 years,
Sinai Hospital has
made great strides in
patient care, leaching
and research. Today,
as the City of Detroit's
only Jewish-sponsored
hospital approaches its
Silver Anniversary, and
as we assess our
accomplishments, we
can confidently and
proudly say that it has
left its adolescent stage
of growth and devel-
opment and has blos-
somed into maturity.
It must be noted that
Sinai couldn't have
attained its high stand-
ards and its enviable
role in the field of medi-
cine without the guid-
ance of the devoted
Board of Trustees, the
service of a dedicatea
medical staff, the dili-
gent efforts of hun-
dreds of conscientious
and loyal hospital
employees, the support
of a fine community,
the hard-working Guild,
and especially the
devoted Administrative
staff.
It's been an honor
for me to serve Sinai in
the capacity of Chief of
the Medical Staff. It's
deemed appropriate at
this time to express my
sincere thanks for the
cooperation that the
medical staff continues
to give in the work that
is essential to the oper-
ation of the hospital.
Countless hours are
spent in committee
work, teaching rounds,
staff meetings and con-
stant review of profes-
sional work with self-
evaluation and self-dis-
cipline. Without such
cooperation .on the part
of the staff, none of the
accomplishments that
we are so proud of
could have
materialized.
It's also noteworthy
for me to be the first
Chief of Staff to come
from Sinai Hospital's
original training
program.
There are several
among our number
who also have grown
right along with the

hospital -- from the
early days of the hospi-
tal's inception, right to
the present.
In fact, our alumni,
who are the former
members of the House
Staffs, today make up
the largest segment of
our active staff.
Dr. Howard Jacobs,
who was in the first
House Staff group, is
now Chief of Urology;
Dr. John Helfrick, also
among the members of
one of the first House
Staffs, is Chief of Dental
and Oral Surgery; and
Dr. Saul Sakwa, who
also belongs to that
distinguished group,. is
Chief of Surgery.
Many of those in
training here have
grown with the hospital
and have assumed
leadership positions.
As chairman of the
Executive Committee, I
can say that many of
these people are
responsible for policy
formation and for the
review of the standards
of professional care
through their appoint-
ment to this Committee.
I also say proudly
that it's to our credit
and it indicates an
achievement of excel-.
lence that Sinai Hospi-
tal has the largest num-
ber of Board certified
physicians in various
specialties of any hos-
pital staff in the metro-
politan Detroit area.
Education continues
to stand alongside of
patient care and
research as an integral
part of the total pro-
gram at Sinai. Sinai is
affiliated with the
Wayne State University
School of Medicine and
many members of our
staff have professorial
rank at WSU and
instruct there as well as
at the hospital.
It must be mentioned
here that Dr. Eli Brown,
chairman of our
Department of Anesthe-
siology, has recently
been named chairman
of that department at
the WSU School of
Medicine.

Tremendous support
has been given by the
medical staff this year
to the possibility of a
joint venture between
Sinai and Henry Ford
Hospitals in the devel-
opment of Ford's West
Bloomfield ambulatory
care facility. Support
has also been given to
the concept put forth in
the Hamilton Report
which advocates con-
tinuing, long-range
excellence in all realms

of patient care, but with
particular emphasis on
several specific areas.
We are pleased to
be involved in the
Northwest Detroit Hos-
pitals Corporation
(Quadrangle) in which
Sinai cooperates with
three sister hospitals
(Mt. Carmel Mercy,
Providence and Grace)
to make the most
efficient and beneficial
use of each hospital's
resources. The hospi-
tals have found ways in
which sharing could
help them maintain and
improve services to
patients while at the
same time attempt to
contain costs by avoid-
ing • duplication of
services.
The majority of the
members of our medi-
cal staff are corn-
munity-minded and
participate in a number
of communal projects.
Many are active in vari-
ous Jewish-community
services where they
provide medical guid-
ance for the Jewish
Welfare Federation
agencies. Much of this
involvement can be
attributed to the untir-
ing efforts of Dr.
Hyman S. Mellen, a for-
mer Chief of Staff, who
is now consultant to
Administration for medi-
cal affairs.
In conclusion, I feel
that Sinai will continue
to assume an increas-
ingly important role in
medicine• and in the
various related healing
arts and sciences.

Report of the
Director
of Nursing

Pamela
Douglas,
Director of
Nursing

In the last 25 years
nursing has grown,
changed and
progressed.
Progress in the nurs-
ing profession is seen
in a more sophisticated
approach to patient
care. Nursing today
consists of the scien-
tific applications of
technical skills. Nurses
no longer cook meals,
prepare drugs in the
Pharmacy or supervise
the housekeeper.
Nurses in 1977 perform
nursing assessments,
develop . organized
plans of patient care
and implement, docu-
ment, evaluate and
update those plans.
This is particularly
important since today's
hospital patient is more
acutely ill and his care
is more complex. This
situation occurred with
the increased use of
sub-acute settings, and

home health care and
ambulatory care for the
patients.
Nurses are. corn-
.mitted to return to bed-
side practice with Pri-
mary Care of the
patient being the first
concern. Ancillary serv-
ices are necessary to
support this practice
and the nurse finds his-
or-herself involved in
expanded roles of
specialization.
Also, advances in
technology offer dra-
matic diagnostic and
therapeutic capabilities
and place new
demands on nurse
knowledge.
Staff development
programs, manage-
ment programs and
educational programs
must also change with
the sophistication of
nursing.
Our Nursing Service
has made a number of
organizational additions
to help advance nurs-
ing at Sinai. We now
have an assistant
director, in each major
area of clinical prac-
tice Medicine, Sur-
gery and Obstetrics
and Gynecology; shift
supervisors in their
designated areas; and
clinical coordinators
who manage special-
ized areas. We have an
established Clinical
Specialist program in
the areas of Cardiol-
ogy; Maternal and
Child Health, Surgery,
Gerontology and Men-
tal Health. A formal
Continuing Education

program is in the proc-
ess of being planned.
Today, we are affil-
iated with the Wayne
State University College
of Nursing, with Mercy
College of Detroit and,
of course, with the Sha-
pero School of Nursing.
Because of the tech-
nology involved in nurs-
ing, we are aiming for
more educational pro-
grams, orientation pro-
grams, internships and
preceptor programs
which meet today's
needs.

Our staff devel-
opment programs now
utilize modern
innovations in adult
education. Our orienta-
tion programs also
have been extended to
better suit the require-
ments of those entering
the nursing profession.

Our Nursing Recruit-
ment office operates in
a competitive fashion
and our wages, ben-
efits and scheduling
practices maintain
pace with other hospi-
tals in the area.

In conclusion we can
say that in the past two
and a half decades
nursing at Sinai has
certainly grown,
changed and prog-
ressed. But in the midst
of this we still retain an
old-fashioned idea --
"Our Nurses care for
patients." This basic
ingredient to patient
care is guaranteed to
withstand the wear of
times to come.

Balance Sheet as of June 30, 1977

kssets
Current Assets
Property and Equipment - Net
Board Restricted Funds
Donor Restricted Funds
Other Assets
Total Assets

Blue Cross
and
Blue Shield
45.5%

• Medicare
33.1%

Medicaid
9.1%

Private Pay
and Others

12.3%

Patient
Revenues

$10,533,669
29,580,937
5,268,499
2,190,148

965,787

$48,539,040

Liabilities and Fund Equities
Current Liabilities
$7,718,816
Long Term Debt
20,281,234
Donor Restricted Fund Equity
2,190,148
Board Restricted Fund Equity
5,268,499
Unrestricted Fund Equity
13,080,343
Total Liabilities
$48,539,040

Salaries
53.1%

Employee
Benefits 8.9%

Supplies
and
' other
Expenses
30.6%

Depreciation 3.9%
Interest 2.9%
Research .6%

Operating
Expenses

Sinai HOspital is- a member agency of the Jewish Welfare The Shiffman Clinic of Sinai Hospital is a member agency
Federation, supported by contributions to the annual Allied of the United Community Services, supported by contribu-
Jewish Campaign.
tions to the annual Torch Drive.

SINAI HOSPITAL Supplement to The Detroit Jewish News -3