South Florida Hospital News
Wednesday August 27, 2014
August 2014 - Volume 11 - Issue 2



In response to increasing awareness of the cumulative and sometimes devastating effects of concussion, a multi-pronged approach was developed to help with diagnosis and treatment of concussions. The program includes baseline pre-testing and post-concussion testing with ImPACT, coach and parent training on concussion avoidance and steps to follow in case of an injury, emergency care through the pediatric Emergency Department and post-concussion rehabilitation including progressive monitored exercise and vestibular rehabilitation.
“We want kids to continue to play sports and do what they love. We know the benefits of exercise and team building far outweigh the risks,” says Dr Anthony Martell, Chief of Pediatrics at Broward Health Coral Springs. “But we want to make sure that kids are safe. The brain needs time to fully heal after a concussion. For kids, that period is even longer because any repeat head trauma increases the chances of serious, long-term problems.”
The concussion test, known as the ImPACT test, establishes a baseline of an individual’s normal cognitive activity through a series of exercises conducted on a computer and then stores that information in a national database. In the event an athlete suffers a concussion, any attending physician around the country will know what normal cognitive function is for that individual, ensuring a full and complete recovery before getting back in the game.


Holy Cross Hospital in Fort Lauderdale is now utilizing the Medtronic O-arm® Intra-operative Imaging System and the StealthStation® Surgical Navigation System for surgeries in the complex and delicate areas of the spine and brain.
The O-arm multi-dimensional surgical imaging platform provides real-time, intra-operative imaging of a patient's anatomy with high quality images and a large field-of-view in both two and three dimensions. By integrating the O-arm with the StealthStation navigation systems, surgeons are able to perform less invasive procedures and confirm the precision of advanced surgical procedures before the patient leaves the operating room.
The Medtronic Cranial Stealth Navigation System produces 3D images that display, with the most precision available, the location of surgical instruments and structures in the brain. In addition, the scanner takes images rapidly and thoroughly which assists surgeons in tracking their surgical instruments when operating on patients whose illnesses, such as Parkinson’s disease, may cause involuntary movements.
Good Samaritan Medical Center continues to expand and offer new services to the community with the addition of its state-of-the-art cardiac electrophysiology lab.
A cardiac EP lab is used to treat a wide range of heart rhythm conditions (arrhythmias), including atrial fibrillation, a leading cause of stroke. These catheter-based procedures can treat rhythm disorders without the need for surgery, which may reduce recovery time and complications.
Specifically, Good Samaritan Medical Center acquired the Carto® 3 System, which uses electromagnetic technology to create real-time three-dimensional (3D) maps of a patient’s cardiac structures. The system is designed to help electrophysiologists navigate the heart by generating an accurate 3-D map, as well as pinpointing the exact location and orientation of catheters in the heart during diagnostic and therapeutic procedures for patients suffering from arrhythmia disorders.
The system also enables physicians to rapidly create a map of the heart with CT-like resolution, minimizing the need for fluoroscopy radiation during catheter ablation procedures.
The therapy team at Pinecrest Rehabilitation Hospital and Outpatient Center at Delray Medical Center now utilize iPads to assess and treat patients both at the hospital and while in the comfort of their own homes. With the aid of applications (apps), the new technology helps staff evaluate and manage a range of musculoskeletal, coordination and cognitive issues.
During a therapy session at the hospital, the apps are used to improve patients’ language skills, swallowing functions and memory. To foster a more independent and safe discharge, patients, as well as their families, are being taught how to use the apps to manage their medications, maintain their medical history and access in-home exercise programs.
Once discharged, patients who are dealing with mobility issues can use the iPads to regulate their home environment, such as controlling the features on their A/C unit, security system, doors and garages. Some apps even assist with locating handicap parking. Overall, this innovative technology will help alleviate any unnecessary stress in patients’ lives, and will serve as a beneficial tool for Delray Medical Center’s rehabilitation program.
Holy Cross Hospital in Fort Lauderdale has promoted executive director of nursing Taren Ruggiero, R.N., M.S.N., who began her career at the non-profit hospital 22 years ago, to Chief Nursing Officer.
Ruggiero came to Holy Cross in 1992 as a graduate nurse in the hospital’s intensive rehabilitation unit and later became the unit’s director. She was named executive director of nursing services when the position was first created in 2008.
Ruggiero is a member of the South Florida Organization of Nurse Executives, where she received a leadership award in 2007. She has served as the secretary of the South Florida Organization of Nurse Executives since 2010 and as a board member of the South Florida Nursing Consortium since 2011. She also is involved in numerous Holy Cross Associate drives and collections that benefit the community.
Coral Gables Hospital appoints Henry Capote to serve as the hospital’s new Chief Financial Officer. Capote has been the interim CFO since April and was the hospital’s controller for three years.
As controller, Capote’s position required overseeing the hospital’s operating budget and revenues, assisting with the annual budget process and preparing the Medicare and Medicaid journal entries. Capote earned his Bachelor of Science in Accounting from Florida Gulf Coast University. He is fluent in both Spanish and English and has 15 years of accounting experience.


Statewide law firm Broad and Cassel announced that Christine Worthen, of counsel in the firm’s Fort Lauderdale office, has been named a vice chair for the American Bar Association’s Health Law Section in the tax and accounting interest group.
Worthen is a member of the firm’s Health Law, Taxation and Labor and Employment Practice Groups. Practicing for more than 15 years, she has extensive experience in the health care industry and most recently served as assistant general counsel to a major health care delivery system with more than 8,000 employees and $1 billion in annual revenue. Worthen has provided valuable counsel in the areas of physician employment agreements, the 340b federal drug pricing program development, compliance and operation, executive compensation agreements, health care reform compliance for the system as well as its self-insured health plan, HIPAA compliance, and provider practice acquisitions. She continues to serve as outside counsel for the system’s Pioneer ACO.
Seasons Hospice & Palliative Care of Broward County has appointed George M. Tokesky as the new Business Operations Manager. Tokesky brings with him 20+ years of experience in the fields of healthcare operations, long term care policy and business development. Prior to joining Seasons, Tokesky served in various leadership roles, including the Senior Director of Business Development for Hospice by the Sea, Inc., the Vice President of Community Care Services for Alzheimer’s Community Care, Inc., and as a Health Services Consultant for the State of Florida, Department of Health. In this new role, Tokesky will oversee contracts management, finance, human resources and other business operations for the region. 



Bethesda Health is pleased to announce Susan C. Muscat, R.N., as the new Director of Quality Improvement and Resource Management.
Prior to joining Bethesda’s team, Muscat was the Chief of Quality, Safety and Utilization Service at John D. Dingell VA Medical Center in Detroit, MI.
Muscat earned her Bachelor’s degree in Business administration from Davenport University in Grand Rapids, MI. She earned an Associate’s degree in nursing science from Henry Ford Community College in Dearborn, MI. She is certified in Patient Safety and ISO 9001:2008.
Cleveland Clinic Florida has appointed Osmel “Ozzie” Delgado, MBA, PharmD, FASHP, Chief Operating Officer.
Delgado joined Cleveland Clinic Florida in 1999 and has had a succession of leadership roles that have included Director of Pharmacy, Administrative Director of Clinical Operations, and most recently Senior Director of Operations. He was responsible for establishing hospital workflows for Cleveland Clinic Florida’s new transplant programs, multiple construction projects across the organization, and he established an accredited pharmacy residency program.
Winner of the 2012 Cleveland Clinic Caregiver Award, Delgado was recognized for demonstrating Cleveland Clinic’s “patient first” philosophy. He also reflects the organization’s commitment to education as an instructor with multiple academic institutions, including Nova Southeastern University, Palm Beach Atlantic University, and Florida A&M University College of Pharmacy, among others.
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