Medical leaders to discuss state of health care

Three of Broward County's top health care leaders will discuss how to improve medical care for the poor and whether there's an end to increasing health care costs.

The chiefs of Broward's largest hospital systems will speak on the state of the county's medical care at 7:45 a.m. Jan. 8 at the Tower Club, 28th floor, One Financial Plaza, 100 SE 3rd Avenue, Fort Lauderdale.

The panelists are:

Dr. Patrick Taylor, president and CEO of the Fort Lauderdale-based Holy Cross Hospital, a nonprofit Catholic 559-bed hospital. Holy Cross has expanded into Palm Beach County, opening an urgent care and imaging center in Boca Raton. The hospital plans to open three more urgent care and imaging centers in the next couple of years.

Frank V. Sacco, president and CEO of the South Broward Hospital District, also known as the Memorial Healthcare System. He runs a 2,020-bed operation that includes Memorial Regional Hospital in Hollywood, Joe DiMaggio Children's Hospital, four community hospitals, a nursing home, two surgery centers, a home health agency and an urgent care center. It's the third-largest public health care system in the nation.

Dr. Nabil El Sanadi, the new president and CEO of Broward Health. Like Sacco, he leads one of the largest U.S. public health care systems. Broward Health, also known as the North Broward Hospital District, encompasses more than 30 health care facilities. El Sanadi also is chairman of the Florida Board of Medicine and serves as emergency medical services medical director for several municipalities.

The panel's moderator will be Michael De Lucca, president and CEO of Broward Regional Health Planning Council, a nonprofit involved in health planning and system coordination.

Doors open at 7 a.m. Admission is free for members of the Tower Forum. It will be $35 for non-members, including breakfast

and parking. Checks can be sent to Tower Forum, P.O. Box 5041, Plantation 33318. For more information go to towerforum.org.

dgehrke@sunsentinel.com

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Medical leaders to discuss state of health care

Health officials confirm Ebola case in Scotland

Scottish officials say a health care worker who returned from Sierra Leone to Glasgow was diagnosed with Ebola on Dec. 29, 2014. The patient traveled through London's Heathrow Airport, the busiest airport in the United Kingdom, the day before. Peter Macdiarmid, Getty Images

Last Updated Dec 29, 2014 5:23 PM EST

Scottish authorities say a female health care worker who just returned from Sierra Leone has been diagnosed with Ebola and is being treated in a Glasgow hospital.

Scottish First Minister Nicola Sturgeon called it the first case of Ebola ever diagnosed inside the United Kingdom.

The patient flew to Glasgow via Casablanca and London's Heathrow Airport, arriving late Sunday, the Scottish government said. The health care worker was admitted to a hospital on Monday morning.

Sturgeon said the patient, who is not being identified, had traveled on an internal British Airways flight from London to Glasgow on Sunday night and that passengers on that flight will be contacted.

But she said the patient was not yet showing symptoms at the time. People with Ebola are not believed to be contagious until they start exhibiting symptoms, which include a high fever, diarrhea and vomiting. The patient had been screened for symptoms before leaving at Sierra Leone and again at London Heathrow Airport, Sturgeon said.

She called the risk to the public "extremely low." "We have been preparing for this and have robust procedures in place," she said, adding that the patient would soon be transferred to an isolation unit at the Royal Free Hospital in London.

The case bore some similarities to that of Dallas nurse Amber Vinson, who took a flight from Cleveland to Dallas the day before she was admitted to the hospital with symptoms of Ebola in October. Vinson recovered, and no one aboard the flight got sick.

The only previous case of Ebola in Britain was William Pooley, a nurse who contracted the disease while treating patients in Sierra Leone. He recovered after treatment in London and returned to West Africa.

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Health officials confirm Ebola case in Scotland

Health care worker in Scotland diagnosed with Ebola

The Associated Press Published Monday, December 29, 2014 2:34PM EST Last Updated Monday, December 29, 2014 4:26PM EST

LONDON -- A female health care worker who has just returned from Sierra Leone has been diagnosed with Ebola and is being treated in a Glasgow hospital, Scottish authorities said Monday.

Scottish First Minister Nicola Sturgeon called it the first case of Ebola ever diagnosed inside the United Kingdom.

The patient flew to Glasgow via Casablanca and London's Heathrow Airport, arriving late Sunday, the Scottish government said. The health care worker was admitted to a hospital on Monday morning after developing a fever.

Sturgeon said the risk to the public is "extremely low to the point of negligible" and that pre-planned steps would be taken to protect the public.

"Scotland has been preparing for this possibility from the beginning of the outbreak in west Africa, and I am confident that we are well prepared," she said, adding that the patient is "stable" and would soon be transferred to an isolation unit at the Royal Free Hospital in London.

She said the patient, who is not being identified, had travelled on an internal British Airways flight from London to Glasgow on Sunday night and that the other 71 passengers and staff on that flight will be contacted.

But she said the patient was not yet showing symptoms at the time and that people in that stage are much less contagious than they are after they exhibit symptoms, which include a high fever, diarrhea and vomiting.

The patient became ill Monday morning and contacted health officials. She was soon admitted to the Brownlee Unit for Infectious Diseases at Gartnavel Hospital in Glasgow.

The patient had been screened for symptoms before leaving at Sierra Leone and at London Heathrow Airport, Sturgeon said.

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Health care worker in Scotland diagnosed with Ebola

Heartland Mobile Health brings new approach to health care

Montgomery County Memorial Hospital is improving access to health care in rural areas with Heartland Mobile Health.

Video: Heartland Mobile Health brings new approach to health care

Anyone who needs a primary care visit, we will take care of them, Ron Kloewer of Montgomery County Memorial Hospital said.

The new mobile health clinic is making stops in towns in Southwest Iowa.

This is really about the transportation needs of people and meeting them where they are at, Kloewer said.

For truck driver Barry Werner, driving two hours to see his doctor for a sinus infection isnt an option.

My doctor was a long ways off and this was so much more convenient coming here than it would have been going to them, Werner said.

The roving health vehicle is the first of its kind in the area: 4G technology lets nurses check medical records electronically

There's no need to have paper charts, and the clinicians have access to all the medical records historical efforts and so forth, Kloewer said.

With all the features of a regular doctor's clinic, it's even handicap accessible to fit everyone's needs.

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Heartland Mobile Health brings new approach to health care

Health Care Reform: The Promise and the Reality – Dr. John Tooker – October 9, 2014 – Video


Health Care Reform: The Promise and the Reality - Dr. John Tooker - October 9, 2014
Dr. John Tooker - Physician affiliated with the University of Pennsylvania will be speaking about healthcare and healthcare policy.

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Officials suggest possibility of reforming military health care system

Top military and health officials are weighing potential changes to the military health care system.

Jupiterimages, Getty Images/Creatas RF

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Change could be on the horizon for the military health care system.

Top military and health officials met last week to discuss possible reforms to what many describe as an ailing operation. The event, hosted by Brookings Institution and broadcast on C-Span, drew inspiration from the broader national health care conversation, focusing on budget solutions and how best to provide compassionate care.

One of the key takeaways, according to the Military Times, was that budgetary woes could be eased by moving members of the military not on active duty, along with their families, to the insurance exchanges created by the Affordable Care Act.

The Military Times cited Alice Rivlin, former director of the Congressional Budget Office and current senior fellow in economic studies at Brookings, as the first person to mention the option at the panel discussion, noting that other participants were quick to follow her lead.

"The case for the special supply of (health) services is strong for the active duty. For the families the case for having a dedicated supply system is much weaker," said Henry Aaron, another senior fellow at Brookings.

"Currently, active-duty family members on Tricare Prime the military's health maintenance organization-style program pay no annual enrollment fees and no cost-shares to see a physician. Retirees pay $555.84 a year to enroll themselves and their families in Tricare Prime," the Military Times reported.

Brookings accompanied the live event with a Twitter chat, using the hashtag #militaryhealth to share highlights. One of the themes of the online conversation was the incredible size of the military health care system, a fact that complicates efforts to implement changes.

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Officials suggest possibility of reforming military health care system

New Mexico awarded nearly $2 million for health care improvements

By Sarah Matott

smatott@currentargus.com @SarahMatott224 on Twitter

CARLSBAD>> The state of New Mexico has been awarded about $2 million by the U.S. Department of Health and Human Services in order to better develop the overall health care system in the state.

New Mexico is one of 28 states who will receive funds, provided by the Affordable Care Act, to design health care payment and service delivery models that will improve health care quality and lower costs.

"We are committed to partnering with New Mexico to advance the goals we all share: better care, smarter spending, and ultimately, healthier people," Secretary of Health and Human Services Sylvia Burwell stated in a news release.

In the same news release, it reports that 34 states are participating in a comprehensive state-based innovation in health system transformation.

State Innovation Models include the improvements of primary care through patient centered medical homes, providing technical assistance to health care providers and strengthening the health care workforce through education programs and inter-professional training.

The State Innovation Model initiative is one part of an overall effort to help lower costs and improve care through the Affordable Care Act.

Some of the initiatives have helped reduce hospital re-admissions in Medicare by nearly 8 percent between 2007 and 2013, reassuring that Medicare patients who have been discharged will not have to be readmitted.

The Centers for Medicare and Medicaid Services has both the Alamogordo Ben Archer Health Center and Presbyterian Medical Services Sacramento Mountain Medical Center in Cloudcroft listed on their website as health care facilities where innovation models are being tested.

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New Mexico awarded nearly $2 million for health care improvements

Hospital's new CEO takes job at tumultuous time

Published: Saturday, December 27, 2014 at 10:40 p.m. Last Modified: Saturday, December 27, 2014 at 10:40 p.m. Facts David C. Verinder

Age: 47 Position: CEO, Sarasota Memorial Hospital Education: MBA, Auburn University, Bachelor's in Accounting, Louisiana State University Hometown: Dallas, Texas Family: Wife Monica, daughters Hayden and Haley

The health care industry is undergoing a tectonic shift, as the federal government and insurance companies recalibrate paying for health care under the Affordable Care Act.

In the last two months, the hospital has renegotiated large insurance contracts with United Healthcare and Staywell Wellcare after breaking a management agreement with Baycare, a nonprofit health system based in Clearwater.

And as a public "safety net" hospital, Sarasota Memorial bears the largest responsibility for treating uninsured residents in Sarasota.

Florida lawmakers, meanwhile, continue to refuse federal money to expand Medicaid coverage to nearly one million low-income Floridians, leaving hospitals such as Sarasota Memorial responsible for millions of dollars in uncollected debt each year.

But if his eight years at the nonprofit public hospital are any sign, Verinder is up to the task. He led the push to develop Sarasota Memorial's new $250 million Courtyard Tower.

"The Courtyard Tower was probably what got him the job as CEO," said Dr. James Fiorica, who, as the hospital chief of staff, represents the interests of the hospital's 800 medical staff members.

"He made the tower fit physician needs and came in on budget. That's what physicians look for in a leader: someone who can deliver what he promises and keep things stable for the staff," added Fiorica, a practicing gynecologic oncologist.

Financial credibility

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Wearable devices with health IT functions poised to disrupt medicine

Wearable devices with health IT functions poised to disrupt medicine Share This Home News Newswire Wearable devices with health IT functions poised to disrupt medicine The next innovation in health care may come from Silicon Valley.

The next innovation in health care may come from Silicon Valley.

With Google, Apple and Samsung exploring how to incorporate health IT features into wearable devices, patients may soon provide information to doctors through devices such as smartwatches that can measure and transmit biometric data. Health IT wearables will open a digital conduit so that, for instance, doctors can more readily monitor patients with chronic conditions while also cutting down the need for office visits.

"What's going to accelerate health as much as anything is consumer devices having [medical] features on them so that we're continuously collecting this data over a large population of patients," said Dr. Leslie Saxon, a cardiologist at the University of Southern California Keck School of Medicine and executive director and founder of the USC Center for Body Computing.

Companies like Apple, Google and Samsung "have the ability to, unlike medical companies, create continuous engagement with their users."

While none of these companies has health IT wearables generally available, each has shown interest in the market. Apple executives met with the U.S. Food and Drug Administration in December to discuss mobile medical applications, according to the agency's public calendar. The company is rumored to be developing a smartwatch with health IT functions and has hired staff with backgrounds in medical sensor technology.

The FDA's calendar also noted that Google last year met with agency representatives including the adviser on mobile medical applications and staff who regulate ocular and cardiovascular devices. Additionally, Google developed and is testing a prototype contact lens that can help diabetics monitor their blood sugar by measuring glucose levels in tears.

Samsung and the University of California, San Francisco, recently established a lab on the school's campus to test and validate medical sensors and digital health technologies.

"We are now seeing a transition to companies thinking about these [devices] in a much more rigorous way, that they are going to be used for maintaining wellness or treating disease," said Dr. Michael Blum, the associate vice chancellor of informatics at the UCSF School of Medicine and the director of the school's Center for Digital Health Innovation.

The first generation of wearable devices from companies like Fitbit and Jawbone collect information that people would find interesting, like the number of steps walked, but have somewhat limited use from a health perspective, said Blum, who is a cardiologist.

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Wearable devices with health IT functions poised to disrupt medicine

Five hospitals receive rate increases from Health Care Authority

Patients paying out-of-pocket or with private insurance in West Virginia can expect to pay a little more at five regional hospitals, which have received all or part of rate increases requested for their nongovernmental patients through the West Virginia Health Care Authority.

Two of the hospitals, the Logan Regional Medical Center and Williamson Memorial Hospital, received their entire requested rate increases from the Health Care Authority. Logan requested a 5 percent increase, from an average charge per discharge of $21,512 to $22,587, and Williamson requested a 4 percent increase, from and average charge per discharge of $11,759 to $12,229.

Greenbrier Valley Medical Center, in Ronceverte, United Hospital Center in Bridgeport and Raleigh General Hospital each received a portion of the rate increase they requested from the Health Care Authority.

Marianne Kapinos, general counsel for the Health Care Authority, told the Gazette in October that many hospitals do not receive their entire request because of penalties against the hospital.

Hospitals can incur penalties for different things: if theyve overspent, if theyve exceeded their revenue limits, different things, she said. If they dont spend the amount of money theyre given, theyre subject to penalties.

Greenbrier, United and Raleigh each exceeded their allowed average rates set for last year by between $1,200 and $1,500 on average, according to the Health Care Authority, so each was penalized with a smaller rate increase for this year.

Greenbrier requested a 7.25 percent rate increase and received a 6.19 percent rate increase; its average charge per discharge will increase from $13,486 to $14,320. United requested a 4 percent rate increase and received a 3.7 percent increase; its average charge per discharge increased from $21,133 to $21,916. Raleigh requested a 5 percent rate increase and received a 4.9 percent increase; its average charge per discharge will increase from $23,333 to $24,476.

Reach Lydia Nuzum at lydia.nuzum@wvgazette.com, 304-348-5189 or follow @lydianuzum on Twitter.

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Five hospitals receive rate increases from Health Care Authority

David Ganzsarto on Our Model: Building Partnerships, Transforming Care – Video


David Ganzsarto on Our Model: Building Partnerships, Transforming Care
Health care is changing. Policy makers are demanding better coordination of care to rein in costs. Inadequate care coordination resulted in as much as $45 billion worth of wasteful spending...

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David Ganzsarto on Our Model: Building Partnerships, Transforming Care - Video

Basketball in Boynton Beach, Fl | Sports Injury Massage Therapy – Physiatry – Video


Basketball in Boynton Beach, Fl | Sports Injury Massage Therapy - Physiatry
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The Vip Health Network Review | Amazing The Vip Health Network Review By Matthew Parkinson – Video


The Vip Health Network Review | Amazing The Vip Health Network Review By Matthew Parkinson
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