The Miriam Hospital

| Department | Name | Title | Areas of Expertise | Key Roles | |------------------------------|--------------------------------------|-----------------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------| | Administration | Maria Ducharme, DNP, RN | President, The Miriam Hospital; Chief Quality Executive, Brown University Health | Healthcare leadership, quality improvement, patient safety | Hospital operations, quality, strategy | | Medicine, Cancer, Radiation Oncology, Dermatology | Julie Abilheira, RN, MS | Senior Vice President | Medicine, oncology, radiation oncology, dermatology | Clinical operations, program leadership | | Finance | Frank Byrne | Vice President of Finance, The Miriam & Newport Hospital | Financial management, healthcare finance | Financial oversight, budgeting | | Medical Affairs | Mark A. Deitch, MD, MBA | Senior Vice President of Medical Affairs; Chief Medical Officer | Medical administration, clinical quality | Clinical governance, provider oversight | | Neurosurgery, Neurology, Adult Psychology, Behavioral Health, Physical Medicine & Rehabilitation | Christopher Holland, MS, PT | Senior Vice President | Neurosciences, behavioral health, rehab medicine | Service line strategy, care delivery | | Cardiovascular, Surgery | Janine Lairmore | Senior Vice President | Cardiovascular medicine, surgical services | Surgical and cardiac programs oversight | | Nursing | Seanna Zimmerman, DNP, MBA, RN, NEA-BC, FACHE | Chief Nursing Officer | Nursing leadership, hospital operations, clinical quality | Nursing care, workforce management | | Medical Staff | Jill O´Brien, MD | President, Medical Staff | Clinical leadership, medical staff affairs | Medical staff leadership, credentialing | | Medical Staff | David Cloutier, MD | President-Elect, Medical Staff | Clinical leadership, hospital medicine | Medical staff leadership, credentialing | | Medical Staff | Michael Prucha, MD | Secretary, Medical Staff | Hospital medicine, clinical practice | Medical staff administration | | Medical Staff | Nadine Himelfarb, MD | Treasurer, Medical Staff | Hospital medicine, clinical operations | Medical staff administration |

| Department | Consultation Fee (Average) | Common Procedures/Services | Procedure Fee Range (Est.) | Notes on Pricing Factors | Financial Assistance / Payment Options | |---------------|----------------------------|--------------------------------------------------|------------------------------|-------------------------------------------|-----------------------------------------------| | Cardiology | $250–$400 | Echocardiogram, stress test, ECG, cardiac cath | $500–$7,500 | Complexity, use of imaging, specialist | Income-based assistance, payment plans, most insurances accepted | | Oncology | $300–$500 | Chemotherapy, infusion, biopsy, consults | $800–$12,000 (per cycle/svc) | Medication type, infusion duration, regimens | Charity care, uninsured discounts, payment plans, insurance billed | | Neurology | $250–$450 | EEG, EMG, consults, stroke assessment | $700–$5,000 | Tech use, study length, outpatient/inpatient | Payment plans, financial advocates, accepts insurance | | Orthopedics | $275–$500 | Joint replacement, fracture care, arthroscopy | $2,500–$35,000 | Implant choice, surgical team, inpatient stay | Assistance programs, payment plans, insurance options | | Outpatient Services | $150–$350 | Physical therapy, lab tests, x-rays, minor procedures | $50–$2,000 | Service type, test complexity, number of visits | Sliding scale, payment plans, most insurances accepted | Key Notes: - Procedure costs vary with complexity, technology used, whether a specialist is required, duration of care, and if inpatient admission is needed. - Hospital bills may not include separate charges from physicians, anesthesiologists, radiologists, or private-duty nurses. - Most insurance plans, Medicare, and Medicaid are accepted; out-of-pocket costs often depend on coverage specifics and negotiated rates. - Income-qualified patients may access free or discounted care; payment plans are available for self-pay balances. - Good faith estimates are available on request for planned procedures. - For questions on rates or financial aid, patients are advised to contact the hospital’s billing or financial services departments.

| Department / Program | Description | Services Included | Eligibility / Access Details | |------------------------------|--------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------| | Financial Assistance | Financial aid for low-income, uninsured, or underinsured patients meeting income guidelines | Free or discounted care, payment plans, charity care | Based on income, household size, tax/financial documentation | | In-Home Care Services | (No program explicitly listed for The Miriam; check with hospital social services for referrals) | In-home nursing, rehabilitation, telehealth options (where available systemwide) | Referral-based; contact social work/case management | | Day Care Centers | (No dedicated day care center listed; hospital may provide referrals to community-based adult day care) | Adult day care, respite services (community referral) | Referral-based; coordinate with hospital social work | | Palliative Care | HopeHealth palliative care in partnership with The Miriam Hospital | Inpatient and outpatient palliative care, symptom management, goals-of-care consultation | Available for patients with chronic or life-limiting illness | | Social Support / Advocacy | Financial advocates and social workers at the hospital | Application help for financial aid, insurance guidance, resource/referral support | Contact financial advocates or social work department directly | | Emergency + Palliative Care | Integrated emergency and palliative consultation program | Rapid consults in ED for symptom control, care planning, and transition to home or hospice | Offered to patients admitted through ED with serious illness | | Charity Care / Free Care | State-mandated and hospital charity care per Rhode Island guidelines | Free or discounted essential services for uninsured and low-income Rhode Islanders | Based on federal poverty level thresholds and state criteria | | Hospice Care | HopeHealth and Lifespan network inpatient hospice (referral from palliative or primary care teams) | End-of-life comfort care, family support, symptom management | Referral-based; available for qualifying long-term, life-limiting cases | | Patient Advocacy Services | Dollar For and other nonprofit support partners | Assistance with financial aid applications, advocacy for bill reduction/forgiveness | For patients facing unaffordable hospital bills |

Payment Option	Description	Details/Contact
Installment Plans	Custom payment plan for hospital bills, arranged with hospital financial representatives.	Contact Patient Financial Services at 401-793-2206 (Miriam Hospital) to set up; payments typically expected within 30 days of bill, but flexible plans available for high-cost procedures.
Interest-Free Payment Plans	Plans allow payments over time with zero interest charged.	No interest; monthly payments can be arranged by contacting financial services.
Flexible Payment Structures	Ability to choose payment amount and duration based on budget.	Set up by speaking with a financial counselor; options tailored to patient´s needs and ability to pay.
Financial Assistance / Charity Care	Full or partial bill forgiveness based on income and family size.	Application required; eligibility determined by income/assets. Contact Patient Financial Services at 401-793-2206 for assistance. Sliding scale discounts available.
Pre-Service Financial Counseling	Meet with a financial counselor ahead of elective or planned services to establish payment arrangements.	Financial counselor may contact before procedure to arrange advance payment or a payment plan.
Accepted Payment Methods	Multiple payment options for installments or balances.	Major credit cards, checks, and cash accepted.
Automatic Payments	Option to set up recurring automatic payments from bank account or credit card.	Available when establishing a payment plan; managed through billing department.
Uninsured Patient Discounts	Discounted care for uninsured or underinsured patients struggling to pay their full bill.	Sliding scale applied to essential hospital services based on income eligibility.
Appeal Process	Patients denied financial aid or other arrangements may appeal the decision.	Contact Patient Financial Services for appeal instructions.

| Department | Service Description | How to Access/Contact | |-----------------------------------|----------------------------------------------------------------------------------------------------------------|----------------------------------------------| | Financial Counseling | Financial advocates and counselors available to discuss bills, establish payment plans, or apply for financial aid based on income guidelines. | 401-793-2206 (Miriam financial counselor); 1-800-884-6966 (Customer service); Office hours: Mon–Fri 9am–4:30pm | | Cost Guidance/Estimates | Online tools to estimate treatment/hospital costs; counselors provide good faith estimates before care. | Online estimator on hospital website; 401-444-6966 for general charge questions | | Insurance Guidance | Staff provide information on which insurance plans are accepted and guidance on out-of-pocket cost responsibility. | 401-793-2206 (Financial advocate) | | Financial Assistance/Charity Care | Assistance programs for uninsured or underinsured patients; income-based eligibility; documentation (tax return, W-2) required. | 401-793-2206; Applications available online or by phone consultation | | Payment Plans | Payment arrangements can be set up before care, including interest-free payment plans for eligible patients. | Financial counselor or customer service phone numbers above | | Price Transparency | Charges for hospital services are published online for patient review and comparison; support for understanding bills. | Online hospital price listings; 401-444-6966 for questions | | Surprise Billing Protection | Guidance on patient´s rights against balance billing for emergency and out-of-network care at in-network facilities. | Information online; direct questions to financial counselors | | Application Assistance | Staff assist patients in applying for Medicaid, Medicare, or other public insurance/aid if eligible. | Financial counselors by phone during office hours | | Professional Review | Ensures quality care at lowest possible cost; required for Medicare and most insurers prior to payment approval. | 401-793-2206 for details |

| Department/Service | Physical Accessibility | Assistive Devices | Communication Aids | Priority Services | Staff Training for Inclusive Care | |------------------------------|----------------------------------------------------------------------------------------------------------------------------|------------------------------|---------------------------------------------------------------|-----------------------------------------------------|----------------------------------------------------| | Main Entrances & Parking | Wheelchair-accessible entrances, free accessible parking, valet parking, accessible parking spaces | Wheelchairs available | MyChart online communication portal | Parking attendants to assist with entry/parking | Magnet Recognition for nursing excellence (ongoing)| | Patient Rooms | Centrally air-conditioned, electrically operated beds, temperature control by staff assistance | Patient call buttons, safety bed rails, containers for devices | Staff informs patients about assistive technology options | Priority room temperature adjustments | Ongoing staff competency in safety and accessibility| | Public Areas | Wheelchair-accessible hallways, accessible restrooms | Wheelchairs on request | Accessible telephones (upon request) | Security and staff available 24/7 for assistance | Customer service and sensitivity training | | Meal Services | Dining staff available to assist with meal setup, accessible meal trays and tables | Adaptive utensils (on request) | Dietary staff available for dietary and communication needs | Kosher and special meals by request | Nutrition staff trained for flexibility | | Communication | Designated primary contact for patient updates, privacy controls, interpreter access (on request) | Hearing aid storage containers | Telephone access in rooms, phone directory privacy options | Interpreter/communication aids on request | Privacy/confidentiality training | | Emergency Department | Accessible entrance and parking, entrance assistance available | Wheelchairs at entry | Interpreter services for communication needs | Priority for urgent mobility or communication needs | Emergency staff trained in disability care | | Library & Patient Services | Room delivery of books, cards, and magazines for patients with mobility restrictions | N/A | N/A | Volunteer services for patient-specific requests | Volunteer services training | | Behavioral Health/Neuro Care | Partnership with Center for Autism and Developmental Disabilities for inclusive pediatric/adult behavioral health care | Specialty adaptive equipment | AAC (augmentative and alternative communication) devices | Continuity of care and family involvement | Specialized staff for developmental disabilities | | General Staff/Facility | 24/7 security presence, patient safety monitoring | N/A | N/A | Prompt support for access needs | Health equity, anti-discrimination, and inclusion |

| Department | Digital Health Service Type | Telemedicine Options | Online Consultation Platforms | Remote Monitoring Tools | Patient Portal Features | Patient Care Support Functions | |------------------------------------|---------------------------------|-------------------------------|-----------------------------------------|----------------------------------------|--------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Bariatric Surgery | Telemedicine, Patient Portal | Video visits, phone consults | MyChart, TeleVisit (healow app, Doxy.me)| Health trackers via MyChart | Appointment scheduling, test results, direct messaging, post-op care | Remote pre-op/post-op monitoring, direct follow-up, ongoing access to care team | | Cardiology | Telemedicine, Patient Portal | Video consultations | MyChart, TeleVisit | Home BP, heart rate via MyChart input | Immediate test results, messaging with providers, medication review | Continuous cardiac status tracking, virtual follow-up, symptom reporting | | Emergency Medicine | Telemedicine | Virtual urgent care consults | MyChart, TeleVisit | Not specified | Fast online triage, visit summaries | Rapid remote assessment, triage, and follow-up | | General Medicine | Telemedicine, Patient Portal | Scheduled & on-demand visits | MyChart, TeleVisit | Self-reported vitals in MyChart | Video visits, health education, result review | Remote management of chronic and acute conditions, ongoing patient-provider connection | | Infectious Disease | Telemedicine, Patient Portal | Virtual appointments | MyChart, TeleVisit | Symptom tracking via MyChart | Secure communication, appointment booking | Continuous management for long-term conditions, medication adherence checks | | Minimally Invasive Urology | Telemedicine, Patient Portal | Virtual consults and follow-ups| MyChart, TeleVisit | Patient-reported symptom tracking | Test results, provider messaging, remote scheduling | Pre- and post-surgery virtual monitoring, education, follow-up | | Neurology | Telemedicine, Patient Portal | Video/phone consults | MyChart, TeleVisit | Patient input of seizure logs, vitals | Medication management, care coordination | Continuous remote check-ins, video assessments, and family/caregiver support | | Orthopedics (Total Joint Center) | Telemedicine, Patient Portal | Virtual pre/post-op visits | MyChart, TeleVisit | Physical therapy tracking, PROMs | Imaging/lab results, direct communication | Enhanced rehab tracking, recovery monitoring, care team access | | Primary Care | Telemedicine, Patient Portal | Video and phone appointments | MyChart, TeleVisit | BP, glucose, weight via MyChart | Preventive reminders, prescription refill, screenings | Chronic disease monitoring, wellness checks, proactive outreach | | Psychiatry/Behavioral Health | Telemedicine, Patient Portal | Virtual therapy and follow-up | MyChart, TeleVisit | Mood/symptom trackers in MyChart | Secure therapist messaging, online resources | Remote therapy, continuous behavioral support, crisis intervention | | Radiology | Telemedicine, Patient Portal | Consults via secure video | MyChart | Not applicable | Imaging result release, provider-to-provider messaging | Timely image review and explanation, continuous access to diagnostic info | | Surgery (General/Specialty) | Telemedicine, Patient Portal | Pre- and post-surgical telehealth consults| MyChart, TeleVisit | Post-op wound/symptom monitoring | Online education, test results, video check-ins | Virtual recovery monitoring, wound checks, early complication detection | Service Features Across Departments: - Telemedicine enables remote visits, allowing patients to access care from home or work. - MyChart patient portal provides a unified record, secure messaging, health education, online scheduling, and access to test results. - TeleVisit platforms (healow, Doxy.me) support video consultations for initial visits, monitoring, and follow-up. - Remote monitoring tools allow the entry/tracking of vitals, symptoms, and use of home devices for continuous care and early intervention. - These digital services increase accessibility for those with mobility, distance, or schedule barriers and facilitate ongoing, proactive health management.

Department	Program/Rotation	Description	Classes/Seminars	Practical Training
Emergency Medicine	Clerkship & Sub-Internship	Rotations at The Miriam Hospital ED focusing on trauma, critical care, and pediatric shifts. Performance expectations match intern level for Sub-I.	Didactics, simulation sessions, resident conference, supplementary EM education materials	Primary patient care, clinical skills, trauma cases, individualized mentorship, simulation center training
Internal Medicine	Core & Elective Rotations	Comprehensive inpatient and outpatient rotations, subspecialties, ambulatory, ICU, and electives.	Daily teaching rounds, seminars, educational conferences	Direct patient care, procedural skills, multidisciplinary rounds
Psychiatry	Clerkship	Clinical rotations at inpatient, consultation-liaison, outpatient, and emergency settings.	Seminars (including ethics), Grand Rounds, preceptor meetings	Patient evaluations, interview skills, report writing, team-based bedside care
Orthopaedics	Clinical Rotations	Exposure to all orthopaedic subspecialties across The Miriam Hospital and regional sites. Intern (PGY-1) collaborates with other specialties.	Weekly didactics, case presentations	Procedures in OR, outpatient/inpatient care, specialty clinics
Plastic Surgery	Resident Rotations	Rotations in acute care surgery, emergency medicine, ICU, pediatric surgery, hand, reconstructive, craniofacial, and aesthetics at The Miriam and affiliated hospitals.	Teaching conferences, interdisciplinary clinics	Hands-on OR experience, consults, perioperative management
Cardiology	Subspecialty Elective Rotations	Advanced exposure to inpatient cardiology, consults, and procedural cardiology services.	Cardiology Grand Rounds, case discussions	Bedside procedures, diagnostic interpretation, critical care
Pharmacy	APPE/IPPE Student Rotations, Residency	Clinical and specialty pharmacy rotations with preceptorship and interprofessional teaching. Includes transitions of care/education programs.	Lectures, conferences, participation in nurse/physician orientation	Patient care rounds, medication management, Code Blue response
Nursing	Nursing Assistant, Medical Assistant, Patient Support Training	Orientation and role-based training through Center for Professional Practice and Innovation. Annual mandatory orientation for all student nurses.	Orientation modules, competency classes	Precepted clinical shifts, simulation, hands-on patient care

Department	Research Project / Clinical Trial	Description	Collaboration / Partners	Impact on Healthcare Professionals
Behavioral Medicine	STAR COBRE (Stress, Trauma, and Resilience Center)	Research on how early-life stress and trauma impact health; clinical trial on food insecurity and health markers.	Brown University, Lifespan, Care New England, Butler Hospital	Interdisciplinary mentorship, pilot project funding, elevates research skills, and builds collaborative expertise.
Cardiology	Pitavastatin for Cardiovascular Risk in HIV (Phase III)	Clinical trial evaluating statin therapy to lower cardiovascular risk in HIV-infected adults.	Immunology/Infectious Diseases	Hands-on experience with clinical trials and multidisciplinary care of patients with comorbidities.
Clinical Nursing	Nurse Mentorship & Practice Transformation	Studies on mentorship, meditation for nurse well-being, and evidence-based nursing practices.	Interprofessional collaboration; Magnet hospital standards	Professional development, improvement in patient care, national presentations, and ongoing education.
Infectious Disease	HPTN 065: Test, Link to Care, & Treat for HIV Prevention	Multi-site study of enhanced testing, linkage to care, and treatment strategies for HIV.	NIH, CDC, multiple national sites	Innovative public health models, exposure to large-scale research design, expanded HIV care protocols.
Infectious Disease	LATITUDE Study: Long-Acting Therapy for HIV	Phase III trial of long-acting antiretroviral therapy to improve HIV patient outcomes.	National clinical research partners	Exposure to novel HIV treatment strategies and patient adherence technologies.
Medical Devices	NIH U19 Intravaginal Ring (IVR) for HIV Prevention	Development and study of user-accepted ARV drug delivery system (IVR) for HIV prevention in women.	Oak Crest Institute, NIH, national research consortium	Participation in translational research, device development, and user-experience studies.
Oncology	BrUOG Cancer Clinical Trials	Oncology clinical trials for new cancer treatments, diagnosis, and prevention strategies.	Brown University Oncology Research Group, Lifespan, Care New England	Oncology research experience, access to novel therapies, and professional collaborations.
Psychiatry/Neurology	U.S. POINTER Lifestyle Intervention Study	Large-scale trial on lifestyle interventions to reduce cognitive decline risk in older adults.	Butler Hospital, Alzheimer’s Association, multi-state sites	Exposure to clinical trial management, geriatric care, and multidisciplinary team approaches.

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Department	Affiliated Organizations	Professional Development Programs
Cardiology	American Heart Association The Joint Commission	Accredited Primary Stroke Center training Get With The Guidelines® – Stroke Program education
General Medicine	The Warren Alpert Medical School of Brown University Hospital Association of Rhode Island Brown University Health Network	Medical student & resident teaching programs Research fellowships Continuing Medical Education via academic partnerships
Joint Replacement	The Joint Commission (Gold Seal of Approval for Hip/Knee) Brown University Health	Clinical research collaboration Advanced education on surgical techniques Multidisciplinary team training
Nursing	American Nurses Credentialing Center (Magnet Recognition) Northeast Multi-State Division	Clinical Advancement Program (Mentor & Scholar tracks) Preceptorship & charge nurse workshops Geriatric resource nurse course Mentorship, tuition/certification reimbursement, structured CNE programs
Bariatric Surgery	American College of Surgeons – MBSAQIP Clinical Sciences Institute of Optum	Quality improvement training Patient safety workshops National standards-based education
Research	Brown University Health Avant-Garde Health	Access to funded investigator training Research mentorship programs Publication and grant writing workshops
Stroke Center	The Joint Commission (Primary Stroke Center) American Stroke Association American Heart Association	Stroke protocol and guidelines education Multidisciplinary simulation training Recertification courses
Minimally Invasive & Robotic Surgery	Brown University Health National surgical research networks	Surgical skills training Research collaborations Advanced device-specific workshops
Quality & Patient Safety	The Joint Commission American College of Surgeons	Joint Commission standards training Safety protocol workshops Accreditation preparation

| Department | Certification/Accreditation | Accreditation/Certification Body | |---------------------------------------|--------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------| | Cardiology | High Performing in Heart Failure, Heart Attack, Stroke | US News & World Report, The Joint Commission | | Bariatric Surgery | Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Comprehensive Center, Center of Excellence in Bariatric Surgery | American College of Surgeons, The Clinical Sciences Institute of Optum | | Nursing | Magnet Recognition for Nursing Excellence | American Nurses Credentialing Center (ANCC) | | Orthopedics | Advanced Certification in Spine Surgery (ACSS), Gold Seal of Approval for Advanced Total Hip and Knee Replacement | The Joint Commission | | Stroke Care | Primary Stroke Center Certification, Gold/Gold Plus Designation | The Joint Commission, American Heart Association/American Stroke Association | | Urology | High Performing in Prostate Cancer Surgery | US News & World Report | | Geriatric Nursing | Specialty Certification in Gerontological Nursing | Various Professional Nursing Organizations |

| Department | Program/Opportunity Name | Type | Eligibility/Notes | Contact/Link | |----------------------------------|-----------------------------------------|------------------|-------------------------------------------------------------------------------------------|---------------------------------------| | Center for Professional Practice and Innovation | Student and Faculty Mandatory Orientation | Observation/Clinical | All medical, nursing, and allied health students and faculty; annual orientation required | Cheryl Jollie, 401-793-3601 | | Nursing | Collegiate Nurse Internship Program | Internship | Nursing students who have completed at least Nursing 2 | Assigned nurse preceptor, specific units | | Nursing | Perioperative Nurse Internship Program | Internship | Registered nurses not previously in OR; 6-months duration | Online/didactic and preceptorship | | Weight Control and Diabetes Research Center | WCDRC Summer Internship Program | Internship | High school, college, or post-high school students interested in behavioral medicine | Jenny Warnick, Rivkah Cohen-Affonso | | Year Up Providence Partnership | Health Services Internship | Internship | Young adults, six-month internships through Year Up Providence | Workforce Development | | Hospital-wide (multiple areas) | Volunteer Opportunities | Observation/Volunteering | Medical, nursing, allied health students; roles in Cancer Center, ER, Nutrition, Transport, Office Support, Patient Experience, Pet Therapy | Corey Casale, 401-793-2510 |

| Department | Award/Recognition | Year(s) | |----------------------------------|-----------------------------------------------------------------------------------------------------|------------------------| | Gastrointestinal Care | America´s 100 Best Hospitals for Gastrointestinal Care (Healthgrades) | 2022, 2023, 2024, 2025 | | Gastrointestinal Surgery | Gastrointestinal Surgery Excellence Award (Healthgrades) | 2022, 2023, 2024, 2025 | | Nursing | Magnet® designation for nursing excellence (7 consecutive times, only 4 hospitals worldwide) | Most recent: 2024 | | General Hospital | Top Hospital in Rhode Island, US News & World Report | 13 years (current: 2024-2025) | | General Hospital | Top Hospital in Providence metro area, US News & World Report | 2024-2025 | | Orthopedics (Total Joint Center) | Joint Commission Gold Seal of Approval: Advanced Total Hip & Knee Replacement | 4 times (most recent 2023) | | Orthopedics (Total Joint Center) | Outpatient Joint Replacement Excellence Award (Healthgrades) | 2023 | | Orthopedics | Becker’s Hospital Review: 100 Hospitals with Great Orthopedic Programs | 2016 | | Orthopedics | Best in Rhode Island for Total Joint Replacement (CareChex) | 2018 | | Cardiology | Blue Distinction Center+ for Cardiac Care (Blue Cross & Blue Shield of RI) | 2020 | | Bariatric Surgery | Blue Distinction Center+ for Bariatric Surgery (Blue Cross & Blue Shield of RI) | 2020 | | Bariatric Surgery | Center of Excellence in Bariatric Surgery (American College of Surgeons MBSAQIP) | Since 2011; reaccredited 2014, 2017 | | Bariatric Surgery | Center of Excellence (Clinical Sciences Institute of Optum) | 2015, 2017, 2019, 2021, 2023 | | Cancer Care | Blue Distinction Center for Cancer Care (Blue Cross & Blue Shield of RI) | 2020 | | Critical Care (ICU) | Gold Beacon Award for Excellence, AACN (Intensive Care Unit) | 2019 | | General Hospital | IBM Watson Health Top 100 Hospitals (Top 15 Major Teaching Hospitals) | 2019 | | General Hospital | Leapfrog Top Teaching Hospital Award | 2023 | | General Hospital | America´s 250 Best Hospitals Award (Healthgrades) | 2024, 2025 | | General Hospital | Patient Safety Excellence Award (Healthgrades) | 2024, 2025 | | Pulmonary | Pulmonary Care Excellence Award (Healthgrades) | 2024, 2025 | | Stroke | Stroke Care Excellence Award (Healthgrades); Advanced Primary Stroke Center (The Joint Commission) | 2024, 2025; ongoing | | General Hospital | Top 10 in Bernard A. Birnbaum, MD, Quality Leadership Ranking (Vizient) | 2022 (9th place, Complex Care Medical Centers) | | Operations/COVID-19 Response | FEMA Public Assistance Grant for COVID-19 operating costs | 2023 | | Multiple Specialties | High Performing Hospital for 10 conditions/procedures (US News & World Report): Hip Replacements, Knee Replacements, Colon Cancer Surgery, Heart Failure, Heart Attack, Stroke, Kidney Failure, Prostate Cancer Surgery, Pneumonia, COPD | 2024-2025 |

Department	Residency / Training Program	Program Details
Anesthesiology	Residency	Clinical anesthesia, perioperative medicine
Dermatology	Residency	Medical and surgical dermatology, dermatopathology
Emergency Medicine	Residency	Acute care, advanced trauma, emergency procedures
Family Medicine	Residency	Primary care, preventive care, all age groups
Internal Medicine	Residency	Categorical, Primary Care, Preliminary tracks, general and subspecialty rotations
Neurology	Residency	Adult and child neurology, neurophysiology
Neurosurgery	Residency	Surgical and clinical neuroscience, trauma, tumor
Obstetrics & Gynecology	Residency	Comprehensive women’s health, surgical and medical OB/GYN
Pathology	Residency	Clinical and anatomical pathology, laboratory medicine
Pediatrics	Residency	General and subspecialty pediatrics, outpatient, inpatient
Psychiatry	Residency	Adult, child, adolescent psychiatry, psychotherapy
Surgery	Residency	General surgery, trauma, vascular, endocrine, cardiothoracic, pediatric, transplant
Orthopaedics	Residency	Adult reconstruction, trauma, sports, hand, pediatrics, spine, foot & ankle
Nurse Residency	Nurse Residency Program	Newly Licensed Nurse Residency; 12-month transition to professional practice with mentoring, skills development, and evidence-based patient care

Department	Icon	Residency/Specialty Training Program	Notes
Anesthesiology		Residency Program	Brown University Affiliated
Cardiology		Internal Medicine - Cardiology Fellowship	Subspecialty via Internal Medicine
Dermatology		Residency Program	Brown University Affiliated
Diagnostic Imaging		Residency Program	Brown University Affiliated
Emergency Medicine		Residency Program	Brown University Affiliated
Family Medicine		Residency Program	Brown University Affiliated
Internal Medicine		Residency Program (Categorical, Preliminary, Primary Care)	Multiple tracks; includes rotations at The Miriam Hospital
Medical Subspecialties		Fellowship Programs	Subspecialties include Cardiology, Gastroenterology, etc.
Neurology		Residency Program	Brown University Affiliated
Neurosurgery		Residency Program	Brown University Affiliated
Nursing		Newly Licensed Nurse Residency Program	Accredited, 12-month program for RNs
Orthopaedics		Residency Program	Rotations at The Miriam; subspecialties included
Pediatrics		Residency Program	Brown University Affiliated
Psychiatry		Residency Program	Brown University Affiliated
Surgery		Residency Program	Brown University Affiliated

| Department/Service | Description/Support Option | |--------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Financial Assistance Programs | Income-based financial aid, including charity care for those under 204% FPL (free) and up to 322% FPL (discounted); supporting documents required; apply via financial services. | | Payment Plans | Payment plans can be established for uninsured/underinsured patients by contacting the financial services or advocates department; flexible options available. | | Emergency Care | Emergency care guaranteed regardless of ability to pay; open 24/7 year-round; staff includes board certified emergency physicians and clinical staff. | | Discounted Services | Discounts and forgiveness for medical bills based on income and family size; any condition is eligible; all patients’ applications for aid considered up to 240 days from first bill. | | Financial Counseling & Advocacy | Financial counselors available to help apply for assistance, establish payment plans, and provide billing guidance; free support for qualifying for charity care programs. | | Billing Support | Staff available to answer billing and insurance questions; help in confirming coverage and resolving payment responsibilities; information available by phone during business hours. | | Alternative Insurance Guidance | Assistance with Medicaid, Medicare, and private health plan enrollment; referrals to state-sponsored health insurance exchanges and help with low-cost coverage options. | | Community Health Center Referral | Referrals to RI Community Health Centers and Rhode Island Free Clinic for uninsured adults, offering sliding fee scales, free or low-cost primary care, dental, behavioral health, and specialty referrals. | | Interpreter Services | Free interpreter and sign language services for non-English speakers and the hearing impaired. | | Social Work & Resource Referral | On-site social workers for crisis intervention, support, and connections to community and state resources for the uninsured. | | Wellness & Integrative Therapies | Complimentary holistic therapies (massage, Reiki, guided imagery, etc.) to support overall well-being during care. | | Spiritual Care | Chaplain support for emotional and spiritual needs; multi-faith approach; chapel available on-site. |

| Department | Institution/Lab/Center Collaboration Icon | Partnered Institution/Research Center | Description of Collaboration and R&D Activities | |--------------------------------------|------------------------------------------|---------------------------------------------------------|--------------------------------------------------------------------------------------------------------| | Behavioral Medicine | Center for Behavioral and Preventive Medicine | Brown University Health, Bradley Hospital | Joint studies on postpartum diabetes and maternal health; multi-center NIH/PCORI-funded projects | | Biomedical Research | STAR COBRE (Stress, Trauma, and Resilience Center) | Warren Alpert Medical School of Brown University, Butler Hospital, Lifespan | NIH-funded Center of Biomedical Research Excellence focused on stress, trauma, and resilience; interdisciplinary partnerships and research infrastructure | | Cardiology | Cardiovascular Research Center | Brown University (Coro Research Facility) | Clinical and lab-based R&D in cardiovascular disease | | Clinical Trials | Brown University Department of Medicine | Brown University Health | Over 222 clinical trials managed annually across divisions, including infectious diseases and oncology | | Diabetes/Metabolic | Weight Control and Diabetes Research Center | Bradley Hospital, Brown University Health, Cal Poly, Northwestern University | NIH/PCORI-funded, nationwide, multi-institution research in maternal diabetes prevention and tailored interventions | | HIV/AIDS Research | Center for AIDS Research (CFAR) | Lifespan/Tufts/Brown, Brown University School of Public Health | Nationally recognized HIV/AIDS research, clinical trials, and translational research | | Infectious Diseases | Infectious Diseases and Immunology Center | Warren Alpert Medical School of Brown University, Brown University School of Public Health, Tufts University, Rhode Island Department of Health | Clinical trials, HIV/AIDS, global health, and collaboration on public health initiatives | | Mental Health | Psychiatry and Human Behavior Research | Warren Alpert Medical School of Brown University | Focus on mental health effects of trauma, child neglect, and related outcomes (STAR COBRE project) | | Oncology/Hematology | Hematology/Oncology Labs | Brown University (Coro Research Facility) | Clinical cancer research, NCI cooperative trials, first-in-human studies, and translational oncology | | Palliative Medicine| Division of Geriatrics and Palliative Medicine | Brown University Health, VA Center for Innovation and Long-Term Services and Supports (COIN) | Research and training in palliative care, health services, and support for junior investigators | | Substance Use | COBRE for Opioids and Overdose | Brown University | Research and community outreach on overdose, substance use, and related health disparities | | Translational Research | Advance-Clinical and Translational Research Center | Brown University | NIH-funded, multi-disciplinary translational medicine collaboration |

Department	Mentorship / Advisory Program	Description of Structured Mentorship for Trainees/Graduates
All Nursing Departments	Structured Nursing Mentorship Program	Formal program pairing new nurses and trainees with experienced mentors; includes orientation, professional development, and ongoing guidance.
Nursing (Professional Development)	Preceptorship Workshop	Workshops prepare preceptors to mentor and orient new staff, focusing on clinical teaching and transition support.
Nursing (Professional Development)	Charge Nurse Workshop	Training for charge nurses, offering mentorship skills and leadership development to guide and advise new staff.
Nursing (Professional Development)	Structured Clinical Advancement Program	Program based on "Novice to Expert" model; offers Clinical Mentor and Clinical Scholar advancement tracks, with recognition and mentorship roles.
Nursing (Academic Partnerships)	Dedicated Education Unit (DEU)	Senior nursing students from URI are paired 1-to-1 with Miriam Hospital nurses for 100+ hours of side-by-side clinical mentorship during final semester, including real-world scheduling and patient care experiences.
Nursing (Academic Partnerships)	Preceptorship for URI Students	Experienced RNs act as preceptors to individual students, supporting transition, critical thinking, time management, and autonomy; frequently results in hiring of participants.
Nursing (Research/Development)	Mentorship for Nursing Research	Mentors support new staff and students in research activities, facilitating scholarly growth and professional advancement.
Community Health	Brown University Health Mentoring Program	Hospital staff volunteers mentor high school students interested in healthcare careers, meeting regularly for guidance, career exploration, and shadowing opportunities.
All Nursing Departments	Nurse Residency Program	Structured residency for new graduates combines orientation, mentorship, and scheduled feedback to ease transition into professional nursing roles.