South Florida Hospital News
Monday September 26, 2016
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September 2016 - Volume 13 - Issue 3

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K. Alex Daneshmand, D.O., MBA, has been promoted to system medical director of clinical quality and safety at Golisano Children’s Hospital of Southwest Florida.

Dr. Daneshmand joined Golisano Children’s Hospital of Southwest Florida in 2007 as a physician in the pediatric intensive care unit. During his tenure with the hospital, he also served as medical director of the pediatric procedural sedation center, on the oversight system medical staff quality services committee and as chairman of the pediatric medical staff quality committee. Dr. Daneshmand began his role as part-time medical director of quality in August 2015, and assumed the role in a full-time capacity in June 2016.
 
 
 

Tenet Florida Physician Services (TFPS) is pleased to announce Brad Lamm, DPM, FACFAS, a board-certified podiatric foot and ankle surgeon, is joining the TFPS multispecialty physician network and The Paley Institute. Dr. Lamm will be the new Chief, Foot and Ankle Surgery as well as Director, Foot and Ankle Deformity Correction Fellowship at The Paley Institute. He is the former Head of Foot and Ankle Surgery at the International Center for Limb Lengthening (ICLL), Rubin Institute for Advanced Orthopedics at Sinai Hospital in Baltimore.

 
 
 
 
 

Mount Sinai Medical Center welcomes Dr. Billy H. Cordon-Galiano as its newest urologist and Assistant Professor of Urology at the Columbia University Division of Urology at Mount Sinai Medical Center.

Dr. Cordon-Galiano earned his medical degree from the University of California-San Francisco School of Medicine in 2009. He completed his internship in General Surgery at Lenox Hill Hospital in New York City, a residency in Urology at Lenox Hill Hospital and served as Chief Resident of Urology in 2015. His urologic training included urologic oncology at Memorial Sloan Kettering Cancer Center, in New York City. He continued his training and completed a fellowship in Urologic Reconstruction, Trauma, and Prosthetics at the University of Texas Southwestern Medical Center in Dallas, TX.
 
 
 

Primary care physician Christopher da Fonseca, M.D., has joined Baptist Health Medical Group. He will be seeing patients at the Palmetto Bay office.

Dr. da Fonseca received his medical degree from the University Of Miami Miller School Of Medicine in Miami, where he was awarded a National Conference of Family Medicine Students Scholarship and named Outstanding Student in Family Medicine and Geriatrics. He completed his residency in family medicine at the Family Medicine Residency program at West Kendall Baptist Hospital through an affiliation with Florida International University’s Herbert Wertheim College of Medicine in Miami. He was in the first class of residents and served as the inaugural chief resident.
 
 
 

Lee Memorial Health System is pleased to announce that Robert Hubbard, M.D., recently joined the professional staff of Lee Physician Group – Family Medicine.

Dr. Hubbard earned his medical degree from at the Medical College of Wisconsin, Wauwatosa, WI. He completed a family practice residency at Waukesha Family Practice in Waukesha, WI.
 
 
 
 
 

Broward Health Medical Center (BHMC) is the only hospital in Broward County to offer the world’s smallest pacemaker for patients with bradycardia. Recently approved by the U.S. Food and Drug Administration (FDA), the Micra® Transcatheter Pacing System (TPS) is a new type of heart device that provides patients with the most advanced pacing technology at one-tenth the size of a traditional pacemaker. Micra is the only leadless pacemaker approved for use in the U.S. The first procedure was performed by Ahmed F. Osman, M.D., medical director of the cardiac electrophysiology laboratories at Broward Health Medical Center.

Comparable in size to a large vitamin, Broward Health Medical Center physicians have elected to use the Medtronic Micra TPS for patients with unsuitable venous access. Unlike traditional pacemakers, the device does not require cardiac wires (known as leads) or a surgical “pocket” under the skin to deliver a pacing therapy. Instead, the device is small enough to be delivered through a catheter and implanted directly into the heart with small tines, providing a safe alternative to conventional pacemakers without the complications associated with leads – all while being cosmetically invisible.

The Micra TPS is also designed to automatically adjust pacing therapy based on a patient’s activity levels.
 
The Micra TPS also incorporates a retrieval feature to enable retrieval of the device when possible; however, the device is designed to be left in the body. For patients who will need a second heart device when it is nearing the end of its battery life, the miniaturized Micra TPS was uniquely designed to be permanently turned off so it can remain in the body and a new device can be implanted without risk of electrical interaction.
 

For decades, Fort Lauderdale plastic surgeon Dr. Jorge A. Perez has been South Florida’s go-to physician for image-conscious seniors hoping to maintain their youthful appearance through cosmetic surgery. Now, Dr. Perez has attracted the attention of an international TV show and will be featured on an upcoming episode of Rachel Hunter’s Tour of Beauty, a travel series focused on beauty, health and well-being hosted by international supermodel Rachel Hunter.

Traveling from New Zealand, Hunter and her camera crew arrived in Fort Lauderdale on August 17th for a week of filming where they interviewed Dr. Perez and some of his patients. Cameras also followed one of Dr. Perez’s patients through the cosmetic surgery process, including a pre-surgery interview and actual filming of the procedure at Broward Health Imperial Point.
 
Dr. Perez said South Florida is a uniquely popular area for senior citizens interested in cosmetic surgery. Sunny weather, beautiful scenery and an active lifestyle attracts older, affluent residents who not only want to stay fit, but look good too. “I have patients in their 70s and 80s who play golf, tennis and go ballroom dancing regularly, and they want to look as good as they feel,” said Dr. Perez. “It’s a great subset of patients who often recover better than those half their age.”
 
Dr. Perez is a board certified plastic surgeon who has been a featured expert in plastic surgery for several media outlets, including ABC, NBC, CBS, Univision and Telemundo. He has lectured and trained thousands of surgeons across the world in the areas of facial rejuvenation, breast surgery and body contouring.
 

Health science students at Broward College are now able to receive an invaluable, immersive experience aboard the ALS (Advanced Life Support) and EMS (Emergency Medical Services) simulation training ambulance. The unit was generously gifted by Memorial Healthcare System. The College and the Healthcare System have a partnership that spans 25 years.

Aurelio Fernandez, III, president and CEO of Memorial Healthcare System, and colleagues toured the vehicle and all it has to offer. The unit is a 2015 Dodge 5500 Hemi gas engine and meets all the state requirements for an ALS ambulance. Features include four cameras, two speakers, and a TV screen on the driver’s side to allow for firsthand assessment, review and analysis of “patient” care during and after the simulated scenario. On the ambulance, the patient is represented by SimMan 3G, a wireless high-fidelity mannequin which responds in real time to students’ actions.
 
Participants also can experience caring for a subject while riding in the back of the vehicle when in motion, and a retractable awning provide much-needed shade during outdoor teaching moments and simulation debriefing sessions. The ambulance, when driven by certified instructors, can travel anywhere on campus.
 
The donation of the ambulance was celebrated during the Memorial Healthcare System Needs Forum, which was hosted at the Health Sciences Simulation Center on the A. Hugh Adams Central Campus in Davie, Fla. and included members of Broward College leadership.
 

Florida International University (FIU) Nicole Wertheim College of Nursing & Health Sciences, (FIU NWCNHS) is answering the call to recruit and prepare nurses to care for the country’s military veterans with the launch of the Veteran Affairs (VA) Office of Academic Affiliation (OAA) Post-Baccalaureate Nurse Residency Program (PBNR) administered by Miami VA Healthcare System (“Miami VA”) in collaboration with the university. The nurse residency program is the first in the College’s and Miami VA’s respective histories, and promotes the Miami VA into an exclusive group of only 14 VA hospitals in the country to offer this specialized training program for nurses.

The residency program stems from $8.2 million in funding received from OAA to implement a federal education initiative to assist in providing an adequate supply of health personnel to the Nation that can address military health concerns. The Veterans Affairs Nursing Academic Partnership (VANAP) is illustrative of the VA commitment to fostering relationship between VA facilities and schools of nursing to leverage academic expertise and VA clinical resources. The College and the Miami VA Healthcare System were awarded VANAP in 2014, which it has rolled out in two phases.
 
The first phase involved creating a baccalaureate nursing curriculum addressing military-specific health issues and conditions. These include, post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), suicide and other mental health issues, chemical exposure, major traumatic limb loss and rehabilitation. The PBNR represents the second phase, in which nurse training, recruitment and retention for the VA system are the primary objectives.

The Centers for Medicare & Medicaid Services (CMS) announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals and health care providers participating in Accountable Care Organizations continue to make significant improvements in the quality of care for Medicare beneficiaries, while achieving cost savings.

In 2015, Medicare Accountable Care Organizations had combined total program savings of $466 million, which includes all Accountable Care Organizations’ experiences, for 392 Medicare Shared Savings Program participants and 12 Pioneer Accountable Care Organization Model participants. The results show that more Accountable Care Organizations shared savings in 2015 compared to 2014, and those with more experience tend to perform better over time.
 
Medicare ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO exceeds quality and financial thresholds – demonstrating achievement of high-quality care and wiser spending of health care dollars – it is able to share in the savings generated for Medicare.
 
Orange Accountable Care of South Florida is one of the ACOs that shared savings.
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