Yale-New Haven Hospital
Encyclopedia
Yale-New Haven Hospital (abbreviated YNHH), Connecticut's largest hospital with 966 beds, is located in New Haven
New Haven, Connecticut
New Haven is the second-largest city in Connecticut and the sixth-largest in New England. According to the 2010 Census, New Haven's population increased by 5.0% between 2000 and 2010, a rate higher than that of the State of Connecticut, and higher than that of the state's five largest cities, and...

, Connecticut
Connecticut
Connecticut is a state in the New England region of the northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, and the state of New York to the west and the south .Connecticut is named for the Connecticut River, the major U.S. river that approximately...

.

The hospital is owned and operated by the Yale New Haven Health System, Inc. Yale-New Haven Hospital includes the 168-bed Smilow Cancer Hospital at Yale-New Haven; the 201-bed Yale-New Haven Children's Hospital; and the 76-bed Yale-New Haven Psychiatric Hospital. Yale-New Haven is the primary teaching hospital for Yale School of Medicine
Yale School of Medicine
The Yale School of Medicine at Yale University is a private medical school located in New Haven, Connecticut, U.S. It was founded in 1810 as The Medical Institution of Yale College, and formally opened its doors in 1813....

 and Yale School of Nursing
Yale School of Nursing
Established in 1923 in New Haven, Connecticut, U.S., Yale School of Nursing has become a leading school of nursing in the United States with a reputation for excellence in teaching, research and clinical practice. The school is ranked in the top ten graduate schools of nursing in the United States...

.

Yale-New Haven Hospital is accredited by The Joint Commission.

In 2011, YNHH was once again ranked by U.S. News & World Report
U.S. News & World Report
U.S. News & World Report is an American news magazine published from Washington, D.C. Along with Time and Newsweek it was for many years a leading news weekly, focusing more than its counterparts on political, economic, health and education stories...

 as one of the best hospitals in the United States. YNHH had a total of three specialties ranked in the nation's top 10: diabetes & endocrine disorders
Endocrinology
Endocrinology is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions called hormones, the integration of developmental events such as proliferation, growth, and differentiation and the coordination of...

 (#8); geriatric care
Geriatrics
Geriatrics is a sub-specialty of internal medicine and family medicine that focuses on health care of elderly people. It aims to promote health by preventing and treating diseases and disabilities in older adults. There is no set age at which patients may be under the care of a geriatrician, or...

 (#10); and psychiatry
Psychiatry
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...

 (#10). YNHH is the only hospital in Connecticut to be ranked as a top hospital in any of the 16 medical specialties. In addition to its three top 10 ranked specialties, Yale-New Haven also ranked among the very best in the nation in nine additional medical specialties: cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

 (#24); ear, nose & throat
Otolaryngology
Otolaryngology or ENT is the branch of medicine and surgery that specializes in the diagnosis and treatment of ear, nose, throat, and head and neck disorders....

 (#45); digestive disorders
Gastroenterology
Gastroenterology is the branch of medicine whereby the digestive system and its disorders are studied. The name is a combination of three Ancient Greek words gaster , enteron , and logos...

 (#29); gynecology (#16); heart
Cardiology
Cardiology is a medical specialty dealing with disorders of the heart . The field includes diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology...

 & heart surgery
Cardiac surgery
Cardiovascular surgery is surgery on the heart or great vessels performed by cardiac surgeons. Frequently, it is done to treat complications of ischemic heart disease , correct congenital heart disease, or treat valvular heart disease from various causes including endocarditis, rheumatic heart...

 (#26); kidney disorders (#35); neurology
Neurology
Neurology is a medical specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue,...

 & neurosurgery
Neurosurgery
Neurosurgery is the medical specialty concerned with the prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spine, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.-In the United States:In...

 (#39); pulmonology
Pulmonology
In medicine, pulmonology is the specialty that deals with diseases of the respiratory tract and respiratory disease. It is called chest medicine and respiratory medicine in some countries and areas...

 (#22) and urology
Urology
Urology is the medical and surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males. Medical professionals specializing in the field of urology are called urologists and are trained to diagnose, treat, and manage patients with urological...

 (#46).

Additionally, Yale-New Haven Children's Hospital was ranked by U.S. News & World Report in 5 pediatric specialties: diabetes & endocrinology (#7); gastroenterology (#36); neonatology
Neonatology
Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. It is a hospital-based specialty, and is usually practiced in neonatal intensive care units...

 (#43); pulmonology (#45) and urology (#42).

The hospital provides services to more than 503,000 outpatients and emergency visits and 50,000 inpatient discharges per year. Yale-New Haven Hospital is the second largest employer in New Haven, Connecticut with about 6,000 employees and has a physician base of more than 2,200 university-based and community physicians practicing more than 100 medical specialties.

History

The history of Yale-New Haven Hospital extends back to 1826 when the General Hospital Society of Connecticut was chartered as the first hospital in Connecticut and the fourth voluntary hospital in the nation.

The hospital rented temporary quarters and raised US$5,000 toward the purchase of land and construction. A new 13-bed hospital opened in 1833 on seven and a half acres of land bordered by Cedar Street and Howard, Davenport and Congress avenues. The original building, called the State Hospital, was designed by prominent New Haven architect Ithiel Town
Ithiel Town
Ithiel Town was a prominent American architect and civil engineer. One of the first generation of professional architects in the United States, Town made significant contributions to American architecture in the first half of the 19th century. He was high-strung, sophisticated, generous,...

 and cost US$13,000.

In 1862, the State Hospital was converted to a military hospital to care for Union
Union (American Civil War)
During the American Civil War, the Union was a name used to refer to the federal government of the United States, which was supported by the twenty free states and five border slave states. It was opposed by 11 southern slave states that had declared a secession to join together to form the...

 soldiers during the American Civil War
American Civil War
The American Civil War was a civil war fought in the United States of America. In response to the election of Abraham Lincoln as President of the United States, 11 southern slave states declared their secession from the United States and formed the Confederate States of America ; the other 25...

. The hospital was renamed to the Knight United States Army General Hospital in honor of Jonathan Knight, the president of the board of trustees. Some attending physicians moved with the civilian patients to temporary quarters on Whitney Avenue.

After the Civil War, the hospital was turned over to the General Society of Connecticut in 1865. The hospital converted back to its original name of State Hospital. The Connecticut Training School, the third training school for nurses in the United States, was opened by the hospital in 1873. In 1884, the hospital's name was changed to New Haven Hospital to reflect the name that was widely being used by the residents of New Haven.

Yale School of Medicine and New Haven Hospital formalized their relationship in 1913. U.S. medical education, which had begun as a simple apprenticeship system, evolved to become a formal educational plan based on alliances between medical schools and hospitals. This was the start of what is now known as the Yale-New Haven Medical Center. The first motorized ambulance was purchased by New Haven Hospital in 1914.

In 1945 the hospital changed its name to Grace-New Haven Hospital after it affiliated itself with nearby Grace Hospital. On July 6, 1946 George W. Bush was born at the hospital. In 1951, the New Haven Dispensary formally merged with Grace-New Haven Hospital. The New Haven Dispensary had opened in 1871 as the city’s first outpatient clinic. In 1965, a more formal agreement with the Yale School of Medicine resulted in another name change to Yale-New Haven Hospital.

1993 saw the opening of the Yale-New Haven Children's Hospital becoming the first full-service children's hospital in Connecticut, including the first children's emergency department. The Yale-New Haven Psychiatric Hospital was opened in 2000, after the purchase of the Yale Psychiatric Institute.

Today, YNHH is a 966-bed private, nonprofit facility that ranks among the premier medical centers in the nation. Yale-New Haven is the largest acute care provider in southern Connecticut and one of the Northeast's major referral centers.

Physical plant

The main patient campus of Yale-New Haven Hospital comprises four inpatient pavilions bounded by South Frontage Road, Park Street, Howard Avenue and York Street. The East Pavilion, originally called the Memorial Unit, was opened in 1952 (designed by Douglas Orr
Douglas Orr
Douglas William Orr was an American architect based in New Haven, Connecticut. Born in Meriden, Connecticut, he was prolific and designed many public and commercial buildings, primarily in the New Haven area...

). Originally 8 stories tall, it was expanded to ten floors in 1972. The South Pavilion was opened in 1982 and followed by the Yale-New Haven Children's Hospital (West Pavilion) in 1993. In 2009, YNHH saw the opening of the Smilow Cancer Hospital (North Pavilion). All four pavilions are connected by a central atrium. In 2000, Yale-New Haven Hospital acquired the nearby Yale Psychiatric Institute (designed by architect Frank Gehry
Frank Gehry
Frank Owen Gehry, is a Canadian American Pritzker Prize-winning architect based in Los Angeles, California.His buildings, including his private residence, have become tourist attractions...

 in 1989) and opened Yale-New Haven Psychiatric Hospital. In 2004, the Yale-New Haven Shoreline Medical Center in Guilford, Connecticut was opened. The New Haven Pavilion houses outpatient clinics, clinical laboratories and administration, among other departments. Located across the street from the inpatient pavilions, it occupies land that the original hospital was built on in 1833. The New Haven Pavilion connects directly to facilities of Yale School of Medicine. Taking into account nearby outpatient and primary care facilities, along with administrative offices, Yale-New Haven Hospital covers 1900000 square feet (176,515.8 m²) and growing.

Smilow Cancer Hospital at Yale-New Haven

In October 2009, Yale-New Haven Hospital opened the 14-story Smilow Cancer Hospital at Yale-New Haven. Smilow Cancer Hospital is affiliated with Yale Cancer Center, southern New England's only designated Comprehensive Cancer Center
NCI-designated Cancer Center
NCI-designated Cancer Centers are a group of approximately 66 cancer research institutions in the United States supported by the National Cancer Institute....

 and only one of 39 centers in the United States. Smilow Cancer Hospital integrates all oncology patient services at the Hospital and Yale School of Medicine in one building specifically designed for the delivery of cancer care.

While construction was scheduled to begin in September 2005, the project was delayed by disputes with unions and the city. On March 22, 2006, the unions and the hospital reached an agreement. Construction on the new Yale-New Haven Cancer Hospital started on May 18, 2006 with the demolition of the Grace Building and site preparation. Groundbreaking occurred on Wednesday, September 6, 2006.

The Cancer Center building was named Smilow Cancer Hospital in honor of Joel E. and Joan Smilow’s overwhelmingly generous gift to the cancer hospital. Joel E. Smilow is an alumnus of Yale University class of '54 and the former chair, chief executive officer and president of Playtex Products Inc. Smilow Cancer Hospital is connected to the other facilities via the atrium. The hospital is the seventh-tallest building in the New Haven skyline.

The project includes an adjacent six-story building at 55 Park Street. The building was designed by Barry Svigals
Barry Svigals
Barry Svigals, FAIA is a Connecticut-based architect and sculptor. He is the founder and Managing Partner of Svigals + Partners, an architectural design firm in New Haven, Connecticut...

 of Svigals + Partners and the Behnisch Architects California office. The 55 Park building houses a large atrium connecting the main parking garage with the Smilow Cancer Hospital as well as clinical laboratories, the main hospital pharmacy and other support functions for the hospital. The City of New Haven approved 55 Park on November 15, 2007.

Milestones in medicine

This is a list of notable medical accomplishments which took place at Yale-New Haven Hospital:
  • 1896 – Arthur Wright
    Arthur W. Wright
    -Experiments with Röntgen rays:In 1896, Wright had been experimenting with Crookes tube of spherical shape to generate long exposure x-ray photographs. He believed the cathode rays exuded in the sphere were dynamically different from those discovered by Phillipp Lenard only a year earlier...

     produces first X-ray
    X-ray
    X-radiation is a form of electromagnetic radiation. X-rays have a wavelength in the range of 0.01 to 10 nanometers, corresponding to frequencies in the range 30 petahertz to 30 exahertz and energies in the range 120 eV to 120 keV. They are shorter in wavelength than UV rays and longer than gamma...

     in the U.S. at Yale University
  • 1942 – First successful clinical use of penicillin
    Penicillin
    Penicillin is a group of antibiotics derived from Penicillium fungi. They include penicillin G, procaine penicillin, benzathine penicillin, and penicillin V....

     in the U.S. (see Orvan Hess
    Orvan Hess
    Orvan Walter Hess was a physician noted for his early use of penicillin and the development of the fetal heart monitor....

    , M.D.)
  • 1942 – First ever use of chemotherapy
    Chemotherapy
    Chemotherapy is the treatment of cancer with an antineoplastic drug or with a combination of such drugs into a standardized treatment regimen....

     as a cancer treatment
  • 1946 – First U.S. hospital to allow healthy newborns to stay in rooms with mothers
  • 1947 – The Rheumatic Fever-Cardiac clinic opens, the nation's first regional children's heart center
  • 1949 – First ever artificial heart
    Artificial heart
    An artificial heart is a mechanical device that replaces the heart. Artificial hearts are typically used in order to bridge the time to heart transplantation, or to permanently replace the heart in case transplantation is impossible...

     pump developed (now at the Smithsonian Institution
    Smithsonian Institution
    The Smithsonian Institution is an educational and research institute and associated museum complex, administered and funded by the government of the United States and by funds from its endowment, contributions, and profits from its retail operations, concessions, licensing activities, and magazines...

    )
  • 1949 – First U.S. hospital to introduce natural childbirth
    Natural childbirth
    Natural Childbirth is a philosophy of childbirth that is based on the notion that women who are adequately prepared are innately able to give birth without routine medical interventions. Natural childbirth arose in opposition to the techno-medical model of childbirth that has recently gained...

  • 1952 – First cornea transplant
    Cornea transplant
    Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue in its entirety or in part...

     in Connecticut
  • 1954 – First high energy radiation treatment unit in Connecticut
  • 1956 – First open heart surgery
    Open Heart Surgery
    Open Heart Surgery was released on August 8, 2000 by rock band Virginwool. The band signed to Breaking/Atlantic Records after initially beginning signed to Universal Records. The album was produced and mixed by Brad Wood....

     in Connecticut
  • 1957 – First ever hospital to use fetal heart monitoring (see Orvan Hess
    Orvan Hess
    Orvan Walter Hess was a physician noted for his early use of penicillin and the development of the fetal heart monitor....

    , M.D.)
  • 1957 – First peritoneal dialysis
    Peritoneal dialysis
    Peritoneal dialysis is a treatment for patients with severe chronic kidney disease. The process uses the patient's peritoneum in the abdomen as a membrane across which fluids and dissolved substances are exchanged from the blood...

     in Connecticut
  • 1958 – First hemodialysis
    Hemodialysis
    In medicine, hemodialysis is a method for removing waste products such as creatinine and urea, as well as free water from the blood when the kidneys are in renal failure. Hemodialysis is one of three renal replacement therapies .Hemodialysis can be an outpatient or inpatient therapy...

     in Connecticut
  • 1958 – First kidney biopsy
    Biopsy
    A biopsy is a medical test involving sampling of cells or tissues for examination. It is the medical removal of tissue from a living subject to determine the presence or extent of a disease. The tissue is generally examined under a microscope by a pathologist, and can also be analyzed chemically...

     in Connecticut
  • 1959 – Discovery of melatonin
    Melatonin
    Melatonin , also known chemically as N-acetyl-5-methoxytryptamine, is a naturally occurring compound found in animals, plants, and microbes...

  • 1960 – First ever intensive care unit
    Intensive Care Unit
    thumb|220px|ICU roomAn intensive-care unit , critical-care unit , intensive-therapy unit/intensive-treatment unit is a specialized department in a hospital that provides intensive-care medicine...

     for newborns
  • 1963 – First linear accelerator for cancer treatment in Connecticut
  • 1964 – First radiation therapy
    Radiation therapy
    Radiation therapy , radiation oncology, or radiotherapy , sometimes abbreviated to XRT or DXT, is the medical use of ionizing radiation, generally as part of cancer treatment to control malignant cells.Radiation therapy is commonly applied to the cancerous tumor because of its ability to control...

     technology school in the U.S.
  • 1966 – Diaphragmatic pacemaker
    Diaphragmatic pacemaker
    A diaphragmatic pacemaker, in medicine, is a surgically-implanted device used to help patients breathe following complications from spinal cord injuries. The device works through pacing of the diaphragm.-Mechanism:...

     allows quadriplegics to breathe without a respirator
  • 1967 – First kidney transplant in Connecticut
  • 1972 – First hospital-based comprehensive newborn screening program for sickle cell anemia in the U.S.
  • 1975 – Lyme disease
    Lyme disease
    Lyme disease, or Lyme borreliosis, is an emerging infectious disease caused by at least three species of bacteria belonging to the genus Borrelia. Borrelia burgdorferi sensu stricto is the main cause of Lyme disease in the United States, whereas Borrelia afzelii and Borrelia garinii cause most...

     identified and named
  • 1976 – First in Connecticut to treat cancer with photons and electrons
  • 1978 – Develop first ever insulin
    Insulin
    Insulin is a hormone central to regulating carbohydrate and fat metabolism in the body. Insulin causes cells in the liver, muscle, and fat tissue to take up glucose from the blood, storing it as glycogen in the liver and muscle....

     infusion pump for diabetics
  • 1982 – First AIDS
    AIDS
    Acquired immune deficiency syndrome or acquired immunodeficiency syndrome is a disease of the human immune system caused by the human immunodeficiency virus...

     clinic in Connecticut
  • 1983 – First liver transplant in Connecticut
  • 1983 – First in vitro fertilization birth in New England
    New England
    New England is a region in the northeastern corner of the United States consisting of the six states of Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, and Connecticut...

  • 1984 – First heart transplant in Connecticut
  • 1984 – First skin bank in New England
  • 1985 – First fetal cardiovascular center in the U.S.
  • 1985 – First hospital-based inpatient child psychiatric unit in Connecticut
  • 1987 – First use of photopheresis
    Photopheresis
    In medicine, photopheresis or extracorporeal photopheresis is a form of apheresis and photodynamic therapy in which blood is treated with photoactivable drugs which are then activated with ultraviolet light....

     in Connecticut
  • 1988 – First bone marrow transplant
    Bone marrow transplant
    Hematopoietic stem cell transplantation is the transplantation of multipotent hematopoietic stem cell or blood, usually derived from bone marrow, peripheral blood stem cells, or umbilical cord blood...

     in Connecticut
  • 1988 – First heart-lung transplant
    Heart-lung transplant
    A heart–lung transplant is a procedure carried out to replace both heart and lungs in a single operation. Due to a shortage of suitable donors, it is a rare procedure; only about a hundred such transplants are performed each year in the USA....

     in Connecticut
  • 1988 – First fetal tissue cell transplant into Parkinson's patient
  • 1989 – First pancreas transplant in Connecticut
  • 1990 – First single lung transplant in Connecticut
  • 1991 – First in Connecticut to use Extracorporeal Membrane Oxygenation (ECMO), a sophisticated infant life support system
  • 1992 – First heart transplant from an unmatched donor in Connecticut
  • 1993 – First in Connecticut to use non-invasive stereotactic breast biopsy
    Biopsy
    A biopsy is a medical test involving sampling of cells or tissues for examination. It is the medical removal of tissue from a living subject to determine the presence or extent of a disease. The tissue is generally examined under a microscope by a pathologist, and can also be analyzed chemically...

  • 1994 – First in Connecticut to use epidural endoscopy to diagnose elusive back pain
  • 1995 – First hospital in Connecticut to have an Internet website
  • 1996 – First in Connecticut to perform Battista heart reduction surgery
  • 1997 – First and only Big Apple Circus Clown Care Unit© in Connecticut
  • 1997 – First in Connecticut to use inhaled nitric oxide
    Nitric oxide
    Nitric oxide, also known as nitrogen monoxide, is a diatomic molecule with chemical formula NO. It is a free radical and is an important intermediate in the chemical industry...

     to treat infants with pulmonary hypertension
  • 1997 – First documented heart transplants of adult identical twins, one in 1992, second in 1997
  • 1998 – First patient in New England discharged with a left ventricular assist device
  • 2000 – First in Connecticut to use GE LightSpeed CT Scanners
  • 2001 – First U.S. hospital to introduce a Women's Heart Advantage program
  • 2002 – First to transplant nerve cell into brain of multiple sclerosis
    Multiple sclerosis
    Multiple sclerosis is an inflammatory disease in which the fatty myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms...

    patient
  • 2003 – First in New England to transplant a Jarvik2000 ventricular assist device into a failing heart

External links

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