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hi this presentation is brought to you by Saint Marys Hospital for Children clinical systems integration with alarm and notification my name is fancy mancinello my co-presenters are Nancy day and Janet Fellini St Marys Hospital for Children is located in Bayside Queens New York it is a non-for-profit Pediatric Health Care system we began serving children in 1870 with a 15 Bed Hospital in New York City in 1951 a 97 bed inpatient post-acute facility was constructed in Bayside Queens New York in 2012 we opened our new state-of-the-art patient Pavilion with 103 beds and added 21 more Respiratory Care beds in 2019 to our census which totals up to 124 post-acute Care Pediatric skilled nursing beds as a health system we serve over 2 000 kids within our New York metro area in our inpatient home care and outpatient programs we typically have children that are medically Fragile with a lot of medical complex needs that require post-acute skilled care the objectives of this presentation is to s