South Florida Hospital News
Friday September 22, 2017

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September 2017 - Volume 14 - Issue 3




Broward Health has named Peter Nyamora, MPA, SPHR, SHRM-SCP, as Senior Vice President and Chief Human Resources Officer; and Beth A. Cherry, RN, MSN, CMPE, as Vice President of Physician Services.

In his most recent role, Nyamora was the HR Director at Memorial Hospital Pembroke. He began his career at the City of Miami Beach and worked at Jackson Health System for seven years. 
Nyamora has a bachelor’s degree from Adrian College in Michigan, and a master’s in public administration (MPA) from Florida International University.
Most recently, Cherry was an administrator for physician integration and community practices at the Medicine Institute at the Cleveland Clinic in Ohio. Previous to that positon, Cherry spearheaded operations, including strategic planning and fiscal management, at the Taussig Cancer Institute at the Cleveland Clinic.
Cherry has a Bachelor of Science in nursing from Capital University in Columbus, Ohio, and a Master of Science in nursing from Case Western Reserve University in Cleveland, Ohio.

Palm Beach Gardens Medical Center recently hosted the Association of EMS Providers to present the 2017 Florida Paramedic of the Year Award to Palm Beach Gardens Fire Rescue Medic, David Terrana. 

Terrana was nominated and honored in part, for saving a man in 2016 who had crashed his car into a light pole.  The car then burst into flames before Terrana, who was off duty and driving on the same road at the time. He stopped his vehicle and then risked his own life to save the man from the burning car, and brought him to safety, both of them being lucky enough to survive the ordeal.   
Palm Beach Gardens Medical Center Chief Operating Officer, Teresa Urquhart, presented the award to Terrana who was surrounded by his family, friends and fellow paramedics.  

The Levitetz Family Foundation and Jeff Levitetz, philanthropist and longtime supporter of Cleveland Clinic Florida, has made a $2 million gift for Cleveland Clinic Florida’s nationally ranked Orthopaedic Surgery Department. His gift is being recognized with the naming of The Levitetz Department of Orthopaedic Surgery, the highest ranked orthopedics program in Florida by U.S. News & World Report, in appreciation of his significant contribution to orthopaedic research and development, caregiver training and patient care initiatives.

As founder and president of The Levitetz Family Foundation, Levitetz makes charitable gifts to organizations that support children, families, veterans and scientific research, among other areas. In addition to innovations in orthopaedic surgery, his contributions to Cleveland Clinic Florida have also supported the Maroone Cancer Center.

Forty years ago Cape Coral Hospital opened its doors as a 94-bed hospital that employed 253 men and women. Through the years, as Cape Coral grew, so did the hospital. Today, there are 291 private rooms, 1,200 employees, a medical staff of more than 600 physicians and a team of more than 1,000 volunteers.

“Health care in Cape Coral has come a long way since the 1950s and 1960s when a lone doctor would travel by boat on Thursdays to visit patients,” explains Wendy Piascik, Vice President of Patient Care Services at Cape Coral Hospital. “We are so proud to look back on all we’ve accomplished in the past 40 years.”
Some highlights include:
1979 – The first emergency department expansion.
1980 – The first CT scan was installed at a cost of $145,000.
1981 – To meet capacity, the hospital started offering weekend testing and surgeries. The hospital honored 250 nurses as part of the nurse’s week celebration. The first baby was born in the emergency department –Maggie Miller, daughter of Bill and Sue Miller.
1982 – Groundbreaking held for 80-bed expansion project.
1983 – Installation of the first mammography equipment in Lee County. 10 acres adjacent to the hospital were purchased for future expansion.
1985 – $11 million wing opened with new emergency department at Del Prado entrance.
1986 – The new Lifetime Involvement in Fitness and Education (L.I.F.E.) Center opened.
1987 – Groundbreaking for two-story day surgery addition; campaign begins to raise money for the Family Birth Suites.
1988 – Family Birth Suites opened with 14 beds.
1989 – Cardiac catheterization lab opens with an auxiliary pledge of $100,000.
1990 – Implementation of area’s first cancer program accredited by the American College of Surgeons.
1993 – The five-story addition opened, which included new main entrance, family birthplace and the Women’s Breast Health Center.
1995 – KidsPlace pediatric unit opened.
1996 – Merged with Lee Memorial Health System
2009 – The emergency department expansion began to increase the number of beds from 24 to 42.
2016 – The Gunterberg Charitable Foundation Culliton Family Cardiac Rehabilitation center opened.

Accountable Care Options, LLC (ACO-FL) announced that in its third year of partnership with RowdMap, Inc. ("RowdMap"), the organizations have collaboratively reviewed thousands of specialists and home health providers in Florida to select the best organizations for referrals made by their primary care practice.

"Given our experience participating in a variety of accountable care initiatives, most recently the CMS Next Generation ACO program, it is obvious to us that RowdMap's insights must play a critical role. We estimate that 70% of medical expenditures are determined by specialists and home health providers. RowdMap's data allows us to identify and focus our referral efforts on high-value providers who can help bend the cost curve," said Richard Lucibella, CEO of ACO-FL. "Just as important, as we enter risk arrangements with commercial health plans, we are able to employ the same methodology and templates across payers to scale our success."
RowdMap credits ACO-FL executives with decision-making that distinguishes their results. "Our benchmark data describes compelling opportunities for providers looking to make a successful transition to risk, but in our experience working with providers across the country, the real success is in defining clear strategic business objectives and communicating the merits of the Risk-Readiness® approach with physicians," says Ashley Distler, Vice President for Provider Strategy at RowdMap. "Rich Lucibella and his team stand out as national leaders, and the success of their efforts in delivering high quality medical care and savings for the Medicare program speaks for itself."

Jupiter Medical Center is making it easier than ever for patients to receive convenient medical care with the launch of Care Anywhere, its new tele-health platform.

Care Anywhere is a private, secure and easy way for anyone to get convenient, cost-effective and immediate medical care anywhere – from home, the office or any other location – using a smartphone, tablet or computer. Through the platform, a medical provider interviews each patient and makes a diagnosis, much the same way he or she would in a traditional urgent care visit. Providers can treat many common conditions or illnesses, such as colds, fever, rash, stomach flu, sinus infections and pink eye, as well as prescribe medications.
Accessing Care Anywhere is simple. Download the Care Anywhere app (for Apple OS or Android mobile device) or visit the Care Anywhere website at Once patients have downloaded the app or logged into the website, it takes just a few minutes to begin a virtual visit with a provider. A typical visit lasts about 10 minutes. 

The Dorothy Mangurian Comprehensive Women's Center at Holy Cross HealthPlex is the first Southeast Florida center to offer 3D™-guided breast biopsy, an advanced, minimally invasive technique utilizing the Hologic® Affirm™ Prone Breast Biopsy System. The Affirm Prone Biopsy System is the world’s first and only dedicated prone biopsy system to offer both 2D stereotactic and 3D™ tomosynthesis imaging-guided breast biopsies. Many physicians (and patients) prefer to perform breast biopsies with the patient reclining comfortably in the prone position, removed from the field of view of the biopsy instruments.

The availability of 3D™ imaging for biopsy guidance facilitates the localization and accurate targeting of lesions, including those that can be challenging to detect with conventional imaging techniques. In addition, this new biopsy technology from Hologic has several key advantages over standard X-ray biopsy procedures, including faster targeting and fewer X-ray exposures, resulting in shorter patient procedure time and reduced patient dose.

Lee Health is teaming up with the Alvin A. Dubin Alzheimer’s Resource Center, the Alzheimer’s Association, Florida Gulf Coast University and Keiser University to create and host Memory Café, a monthly gathering for those living with mild cognitive impairment, Alzheimer’s disease or other dementias. Caregivers are also invited to participate.

“The gatherings provide a social outlet and opportunities to meet people, learn something new and participate in activities, such as dancing, journaling, or arts and crafts,” explains Molly Grubbs, director, Lee Health’s Healthy Life Center at Coconut Point. “Living with, as well as caring for someone with cognitive impairments and/or dementia can be challenging. Through Memory Café, Lee Health wants to create a way to support both the patient and the caregiver in a fun, relaxed and friendly way.”
Lee Health is providing the space for the gatherings, while the Alvin A. Dubin Alzheimer’s Resource Center and the Alzheimer’s Association are providing resources and support. Florida Gulf Coast University students will participate as a course-based, service-learning activity, which will enhance their understanding of older adults and those living with dementias. Keiser University will track and measure outcomes regarding whether participants feel more socially engaged with others and if the gatherings make attendees feel less socially isolated from others.

Thinking “outside-the-box,” a researcher from the Christine E. Lynn College of Nursing at Florida Atlantic University has developed an innovative yet simple and inexpensive approach that could have a dramatic impact on health care cost savings, morbidity and quality of life for residents in nursing homes across the country.

Using a guide developed for nursing home residents and their families, FAU’s College of Nursing, Barry University in Miami Shores, and The Larkin Health System in Miami have joined forces to launch a pilot program in seven South Florida nursing homes for a much-needed initiative to help avoid unnecessary hospital readmissions.
With the support of a $677,000 grant from The Patient Centered Outcomes Research Institute (PCORI), Ruth Tappen, Ed.D., R.N., FAAN, Christine E. Lynn Eminent Scholar in Nursing in FAU’s College of Nursing and her team developed a hospital transfer guide, “Go to the Hospital or Stay Here? A Decision Guide for Patients and Families.”
Prior to development of this guide, little attention was paid to the role residents and their families play in avoiding potentially preventable hospital transfers. Studies have shown that their insistence on going to the hospital accounts for as much as 15 to 18 percent of these admissions. Furthermore, it is commonplace that medical providers will not refuse to transfer the nursing home resident to the hospital if the resident or a family member insists. 
This guide provides residents and families with vital information to help them make informed decisions about whether or not a transfer to the hospital is necessary. Explaining the risks and benefits of treatment in long-term care versus transfer to the hospital, this guide was developed based on interviews with 271 residents, family members and care providers.

Tenet Florida Physician Services (TFPS) is pleased to announce Ricardo Vicuna, M.D., FACC, FASE, a board-certified interventional cardiologist, has joined the TFPS multispecialty physician group with an office located in Fort Lauderdale.

Prior to joining TFPS, Dr. Vicuna worked in a Miami-based private cardiology practice with colleague, Dr. David Perloff, a general and invasive cardiologist. Dr. Vicuna is also clinical assistant professor in the Department of Internal Medicine, Division of Cardiology at Nova Southeastern University’s College of Osteopathic Medicine.  
Dr. Vicuna completed an interventional cardiology and cardiology fellowship at the University of Illinois Chicago Medical Center in Chicago, IL, and a cardiovascular magnetic resonance/cardiac CT fellowship at William Beaumont Hospital in Royal Oak, MI. Dr. Vicuna completed an internal medicine residency at the University of Illinois Chicago Medical Center. He graduated medical school from Cayetano Heredia University, Medical School in Lima, Peru.
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