 NYC Mayor Ed Koch reached a $45 million, three-year agreement with the Department of Health and Human Services to develop a new project to demonstrate innovative ways of delivering health care to East Harlem's poor.Metropolitan Hospital Center is the first hospital in East Harlem designated as a stroke center by the New York State Department of Health.Stroke centers have the equipment, expertise and staffing available to diagnose stroke patients quickly enough to administer potentially lifesaving drugs.