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Re-imagining Elder Care: Creating a More Financially Sustainable, Community-Focused Model Print E-mail
Written by David Friend, MD, MBA & Chris Cooper, RN, MHA, MIM | BDO   
Friday, 25 October 2019 17:12

Elder care is in a race against time. In 2016, there were approximately 45 million Americans over 65. This cohort represents 16 percent of the population, but an astounding 36 percent of overall healthcare spending. At nearly $18,000 per person, we spend five times more on older Americans than we do on children. Further, the senior population continues to grow rapidly, forecast to reach more than 80 million individuals, or nearly double, by 2050. The math is simple: today's way of caring for the elderly is unsustainable. Healthcare organizations, especially those in parts of the Midwest with larger proportions of seniors, must re-imagine the way they care for The industry needs to place greater emphasis on investment in empathy- and community-based care focused on preserving and improving quality of life. Seniors are already demanding such care, fueled by five industry forces that will shape the future of elder care.

Last Updated on Thursday, 28 November 2019 10:22
Advanced Practice Providers' (APPs) Increased Practice Means Increased Risk Print E-mail
Written by Daniel Casciato   
Friday, 18 October 2019 16:47

Healthcare professionals want to prevent any potential legal actions as it relates to the excellent care they provide to their patients. This includes advanced practice providers (APPs), such as Nurse Practitioners who now face similar legal issues to those experienced by physicians and other medical providers. According to Tom Murphy, a Med Mal and Workers Comp Specialist with Danna-Gracey, one of the largest independent brokers of insurance coverages for the healthcare sector, the most common causes for a malpractice claim involving APPs are as follows:
  • Failure to follow the standard of care;
  • Improper use of medical equipment;
  • Failure to document;
  • Failure to monitor and properly assess the patient care, and;
  • Failure to communicate.
Howard Gitlow Uses Real-World Examples to Teach his Healthcare MBA Students Print E-mail
Written by FHInews   
Monday, 30 September 2019 14:00

Imagine if you could save your healthcare system or your own healthcare practice millions of dollars without losing quality of care. Howard Gitlow helps his students do just that. Gitlow is a professor with The University of Miami’s Business School Executive MBA in Health Management & Policy program. US News & World Report ranks it the No. 1 Health Care Executive MBA program in the U.S.

Gitlow’s course focuses on quality management and process improvement. His students are required to design and implement a project at their workplace that improves processes and saves money. He says there have been many success stories, including an oncology practice that saved $9.5 million by taking what the student learned and applying it in the real world.

“The student flow-charted his current process, saw how it was doing, found the weak points and was able to dramatically decrease the time it took to see patients, thereby saving money,” says Gitlow.

You might think that by speeding up processes quality would suffer, but Gitlow says it’s just the opposite.

“If you improve your process and get rid of delays, re-works and mistakes, you go faster with higher quality,” he says. howard gitlow

The MBA program is a three-day weekend, monthly course taught over 23 months. Participants, most of whom are busy executives and clinicians, attend from around the country and sometimes from around the world. It is accredited by the Association to Advance Collegiate Schools of Business (AACSB) and by the Commission for Accreditation in Management Education (CAMHE). It also is a member of the highly prestigious Business School Alliance for Health Management (BAHM), which is by invitation only.

“It is the flagship program of the business school,” says Gitlow. “We have some of the best faculty who know a lot about healthcare. Our students are mature and ready to soak up what is laid out before them.”

Gitlow, who has been teaching at UM for 42 years, has written numerous books and academic articles about how to improve processes. He also serves as an advisor to UM’s Lennar Foundation Medical Center.

“We focus on cooperation more than competition within the organization. We don’t demand results, we help them improve their processes to get results. We do this through the use of extrinsic and intrinsic motivators,” says Gitlow. “By using this process improvement management system they are, by far, the most profitable and productive component of the medical system.”

He teaches students ways to reduce patient no-show rates, the amount of time it takes to get a patient in and out the door, as well as wait times.

Gitlow does much of his teaching through storytelling and real-world examples, which his students not only find enjoyable, but also relevant to their own lives. Students call his examples “unique” and “entertaining” and his subject knowledge “extraordinary.”

“This is not a course you forget; this is a transformational course that you can take with you in all aspects of your life,” he says.

Last Updated on Tuesday, 01 October 2019 14:12
If E-Cigs Were Romaine Lettuce, They'd Be Off the Shelf, Vaper's Mom Tells Congress Print E-mail
Written by FHInews   
Tuesday, 24 September 2019 00:00

Allison Aubrey reports for Health News Florida on Sep 24, 2019:

Dr. Anne Schuchat, a top official with the Centers for Disease Control and Prevention, warned federal lawmakers Tuesday that a new generation of e-cigarettes now on the market is "even more addictive," than early versions of vapes, and the number of vaping-related lung diseases is continuing to rise. Ruby Johnson, the mother of a college-aged student hospitalized last month with severe respiratory problems linked to vaping, also testified at the hearing. Teens have been used as guinea pigs, she told the members of Congress. Tuesday's was the first of two days of public hearings conducted by the  House Committee on Oversight and Reform to examine vaping's risks.

Florida Hospitals File Lawsuit Against Opioid Manufacturers and Distributors Print E-mail
Written by FHInews   
Wednesday, 18 September 2019 00:00

On the front lines of the opioid crisis, hospitals experience significant financial and operational harm

A group of 27 Florida hospitals have filed a civil lawsuit against the manufacturers, distributors and retailers of opioid-based drugs. Florida hospitals have experienced significant financial and operational harm as they’ve fought and treated the complications of addiction on the frontlines of the nation’s opioid epidemic. The Florida hospitals are among hundreds across the U.S. that have filed similar lawsuits.

The complaint, filed in Circuit Court of the Seventeenth Judicial Circuit in and for Broward County, Florida, alleges negligence, fraud and civil conspiracy by the defendants, which include Purdue Pharma, Johnson & Johnson, Abbott Laboratories and almost 20 other companies and individuals involved in the manufacturing, distribution and sales of prescription opioids.

The filing alleges the unlawful actions are part of a decades-long practice in which the defendants made false assurances about the addiction risks associated with opioid products and used other deceptive marketing tactics to persuade physicians and other health care providers to broaden their prescribing patterns. The result has been widespread addiction, suffering, and loss of life in communities across the country, with hospitals bearing the financial burden of care and treatment for the victims.

In May 2017, Florida Governor Rick Scott declared the opioid crisis a state public health emergency. Months later, the U.S. Department of Health and Human Services determined a public health emergency exists nationwide. But the seeds of the epidemic were sown more than a decade earlier; data compiled by the U.S. Drug Enforcement Agency shows there were more than 5.5 billion prescription pain pills supplied to Florida from 2006 to 2012. In 2018, there were 5,922 drug-related deaths in Florida; of those, 2,733 were opioid-related.

A recently release study from the U.S. Census Bureau indicates that 13 percent of Floridians lacked health insurance in 2018, compared with a national average of 8.5 percent. Both the state and national figures were up from the prior year.

The filing claims many facilities have also been forced to make capital investments in their facilities to accommodate increased security measures and create new treatment areas for overdose patients and those experiencing acute and chronic diseases that result from opioid abuse.

“No party is better positioned, given the appropriate financial resources, to lead us out of this public health crisis than our hospitals,” said William R. Scherer, founder and managing partner of Conrad & Scherer, L.L.P., representing the Florida hospitals. “They have measurable damages and must be active participants in any opioid settlement discussions.”

Last month the American Hospital Association urged a judge hearing one of the opioid cases “to ensure that needed funds are directed to the hospitals and health systems that are on the forefront of caring for the victims of this epidemic. 

With additional resources, hospitals can broaden access to post-overdose treatment in emergency departments, increase training of physicians to treat substance use disorders, cover the costs of lengthy stays and follow-up care for infants with neonatal abstinence disorder, and invest in electronic health information systems to improve coordinated care and prevent overprescribing.”

The case is number #95754861 in Circuit Court of the Seventeenth Judicial Circuit in and for Broward County.

Hospital List
Coral Gables Hospital
Hialeah Hospital
Larkin Community Hospital 
North Shore Medical Center
Palmetto General Hospital
Delray Medical Center
Good Samaritan Medical Center
Palm Beach Gardens Medical Center
St. Mary's Medical Center
Bayfront Health
Tampa General Hospital
Venice Regional Bayfront Health
Shands Lake Shore Regional Medical Center
Shands Live Oak Regional Medical Center
Shands Starke Regional Medical Center
North Okaloosa Medical Center
Santa Rosa Medical Center
Heart of Florida Regional Medical Center
Lake Wales Medical Center
Central Florida Health
Lower Keys Medical Center
Seven Rivers Regional Medical Center
Broward Health
Physicians Regional Medical Center
Flagler Hospital
Halifax Hospital Medical Center

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Conrad & Scherer, LLP was founded in 1974 by Managing Partner William R. Scherer and began as a small, local law firm comprised of trial attorneys.  Today, Conrad & Scherer stands is a preeminent litigation law firm with a national and international reach.  The firm maintains offices in Fort Lauderdale, FL, New York, NY, Brevard, NC, and Quito, Ecuador, providing clients a wide range of legal services. 

Media Contact: 
Don Silver and Jennifer Clarin
Boardroom Communications, Inc.
(954)370-8999/ (954)629-7523

Last Updated on Thursday, 19 September 2019 10:25
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