South Florida Hospital News
Friday November 16, 2018

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November 2018 - Volume 15 - Issue 5




Desmond Fonji, D.O., has joined the staff at Indian River Medical Center.

Dr. Fonji graduated cum laude with a bachelor’s degree in biology from The City College of New York and received his medical training at the New York College of Osteopathic Medicine. He completed his residency in family medicine at St. Petersburg General Hospital, and served as residency preceptor for Lakeside Medical Center’s Family Medicine Residency Program.
Before joining the staff at Indian River Medical Center, Dr. Fonji served patients at C.L. Brumback Primary Care Clinics.

Children’s Diagnostic & Treatment Center (CDTC) has announced that Dr. Vanessa Rojas has joined the medical staff.

Previously, Dr. Rojas was a physician at Jamaica Hospital Medical Center and Montefiore Medical Center in New York, where, inspired by her experiences with HIV-infected patients, she was awarded the HIVMA Clinical Fellowship in June 2017, providing HIV and primary care to under-served patients.
Dr. Rojas received her undergraduate degree from University of Scranton and her medical degree from Ross University School of Medicine in Edison, NJ. She completed her residency in family medicine at Jamaica Hospital Medical Center in Jamaica, NY.

David A. Padden, M.D., a board-certified and fellowship-trained orthopaedic surgeon specializing in minimally-invasive adult reconstructive surgery of the hip and knee for arthritis and other ailments, has opened a new practice with Tenet Florida Physician Services (TFPS) in Boca Raton, FL.

Prior to joining TFPS, Dr. Padden worked as an orthopaedic surgeon and reconstructive surgery specialist at Optimotion Orthopaedics in Orlando, FL. His connection to providing care to the South Florida community is deep having run a practice at the Robotic Hip & Knee Replacement Center in Pembroke Pines, FL, on-staff as an orthopaedic surgeon at Holy Cross Orthopedic Institute in Lighthouse Point, FL, as well as an arthroplasty surgeon at Cleveland Clinic Florida, and as an orthopaedic surgeon at Orthopaedic Center of South Florida in Plantation, FL. Dr. Padden completed a fellowship in arthritis and adult reconstructive surgery from Johns Hopkins University in Baltimore, MD, an orthopaedic surgery residency at SUNY Health Science Center in Brooklyn, NY, and general surgery internship at Montefiore Medical Center located in Bronx, NY. He graduated medical school from Saint Louis University. 

Jupiter Medical Specialists, a joint venture multispecialty practice with Envision Physician Services and Jupiter Medical Center, welcomes Aleksandar Milovanovic, M.D.

Dr. Milovanovic is board certified in nephrology and has more than 15 years of experience in both the inpatient and outpatient healthcare setting. In addition to the overall treatment of kidney diseases, his other areas of expertise include post kidney transplant management and electrolyte disorder.
Dr. Milovanovic received his medical degree from Ross University in Dominica, West Indies. He completed his internal medicine residency at Wright State University in Dayton, OH, and nephrology fellowship at the University of Michigan in Ann Arbor, MI. 

Martin Health System and Cleveland Clinic signed a definitive agreement resulting in Martin Health becoming a full member of the Cleveland Clinic health system, pending federal and state regulatory reviews. The agreement comes six months after the two organizations executed a Letter of Intent to explore opportunities for Martin Health to become part of Cleveland Clinic. During that time, both organizations conducted rigorous due diligence and negotiations.

“As part of Cleveland Clinic, we look forward to enhancing our services now and in the future,” said Robert L. Lord Jr., Martin Health President and CEO. “I believe joining Cleveland Clinic will be extremely beneficial for Martin Health and Treasure Coast residents. Our organizations share similar cultures and a mission to provide exceptional care to the communities we serve.”
The next step in finalizing this agreement will be state and federal regulatory reviews. Pending these regulatory reviews, the two health systems will begin a thoughtful integration process.
“We are pleased to welcome Martin Health to join Cleveland Clinic,” said Tom Mihaljevic, M.D., CEO and President of Cleveland Clinic. “By working closely with Martin Health, we will enhance access to the highest quality care, improve outcomes and increase efficiencies to advance healthcare together in the Treasure Coast.”
In January, Martin Health and Cleveland Clinic entered into a heart and vascular affiliation, during which both organizations recognized synergies and a similar mission. Since that time, teams with both organizations have worked closely to develop processes, procedures, protocols and data reporting within the Frances Langford Heart Center at Martin Health. Edward Savage, M.D., a cardiothoracic surgeon from Cleveland Clinic Florida, recently joined Martin Health and is performing heart and lung surgeries at Martin Medical Center.
“Martin Health and Cleveland Clinic have a shared mission, vision and culture focused on providing exceptional care for patients,” said Wael Barsoum, M.D., CEO and President, Cleveland Clinic Florida. “Our goal is to combine the clinical expertise and resources of both organizations to strengthen and improve access to high-quality, affordable health care services and make this the best place to work and provide care.”

Cleveland Clinic Florida’s newly constructed hospital tower and expanded Emergency Services Department recently opened to patients. The $232 million five-story, 221,000-square-foot addition to the Weston campus expands capacity by 50 percent.

Located on the first floor of the newly constructed tower, the expanded Emergency Services Department consists of 42 emergency bays designed to accommodate more than 70,000 patients a year. Several patient care design elements were incorporated to support patient safety, comfort and experience, including:
- 10 fast-track bays to facilitate quicker resolution for less emergent, low acuity patients
- Three triage bays for rapid assessments to identify appropriate level of care
- Two resuscitation bays with state-of-the-art medical gas booms to resuscitate patients with the most severe medical conditions
- An emerging pathogen unit, accessible via a separate decontamination entry way, which promotes added safety when caring for patients who have been exposed to chemical, radiological or biological agents
- Access to natural light through elevated windows along the department’s central space and windows in each of the 24 observation bays which facilitate comfort and a healing environment
- Bays which feature opaque glass doors in place of privacy curtains, contributing to infection control and greater patient privacy
The recently completed expansion includes a new hospital tower with a 24-bed surgical intensive care unit (ICU) on the second floor and 26 medical/surgical and telemetry beds for oncology and acute care patients on the third floor. The fourth floor of the tower, with 24 medical ICU beds, is scheduled to open by the end of the year. The fifth floor will be brought online when demand requires additional capacity.

Nicklaus Children's Hospital has been awarded DNV GL Healthcare's Innovation of the Year award for the development and implementation of an automated crash cart management solution that has dramatically enhanced patient care and efficiency at the 309-bed freestanding children’s hospital and its network of outpatient centers.  

The value of checking crash carts extends beyond compliance with regulatory standards. As a healthcare organization, having life-saving equipment, medications and supplies in order and reviewed daily saves lives. This crash cart solution was born at Nicklaus Children’s Hospital, through its continuous focus on leading industry innovation. This automated process was created with key stakeholders from multiple departments such as nursing, information technology, pharmacy and accreditation, in collaboration with Nesa Solutions, a leading provider of workflow automation and information management services.
The crash cart module digitalizes daily workflows and automates asset management by sending instant notifications to the responsible departments to better manage replenishment processes and promote sustainability. This solution has decreased risk while enhancing a culture of patient safety, standardization and simplification that has provided significant cost savings to the health system.

As cesarean section rates increase in Florida, Maternity Place at Broward Health Medical Center has partnered with the Florida Perinatal Quality Collaborative (FPQC) to participate in the PROVIDE Initiative, aimed at reducing the number of low-risk nulliparous, term, singleton, vertex (NTSV) cesareans.

Deliveries by C-section increased in Florida from 21.9 percent rate in 1996 to 38.1 percent in 2012. In 2014, Florida had the second highest cesarean rate in the U.S.
While cesarean sections can be life-saving when necessary, they carry a higher risk of complications for mother and baby. According to the FPQC, these risk include hemorrhage, infection, uterine rupture, abnormal placentation, cardiac events, psychological stress, longer hospital stays, increased pain and increased postpartum re-admissions. They are also associated with impaired neonatal respiratory function, neonatal intensive care unit admission, difficulty breastfeeding, and lifelong health.
For the past year, Maternity Place at Broward Health Medical Center has been actively participating in workshops and implementing labor-support techniques as part of the PROVIDE initiative. Early data collected by the hospital already shows a reduction in cesarean section rate for first-time mothers from 29 percent to 28.6 percent.
"We are proud to participate in the PROVIDE initiative," said Broward Health President/CEO Beverly Capasso. "To ensure that moms and their babies have the best health outcomes, it is critical that we as a health system provide education and guidance on child delivery and care to foster healthy families across the region.”

As part of its commitment to offer a full continuum of cancer care, Good Samaritan Medical Center is now providing oncology emergency services that are fully integrated with the hospital’s emergency department. Oncologic emergencies can include:

• Pulmonary Embolisms
• Treatment-Associated Infections
• Tumor Lysis Syndrome
• Surgical Problems such as bowel or kidney obstruction
• Pain and weakness due to brain tumors or spine metastases
“We take a team approach to oncology emergencies, and our emergency room registered nurses represent a critical component of the care team,” said chief executive officer Tara McCoy. “Our oncologists, emergency medicine physicians, emergency nurses and oncology nurses work together under one roof to deliver emergency treatment for all oncology related emergencies, and deliver quality care to our patients.”
With this new service, all patients who present through the emergency room with an oncologic related emergency will by-pass the ED waiting area and be immediately placed in a private room. Patients will also be prioritized for expedited bed placements on the oncology unit.  The hospital has clinical care guidelines and cancer specific protocols to improve the care for cancer patients in emergency situations, and when appropriate, try to safely reduce the need for hospital admission.  

St. Mary’s Medical Center and Palm Beach Children’s Hospital proudly honor Assistant Administrator, Don Chester and Governing Board member, Carol Roberts on the receipt of their Legacy Awards from the Health Care District of Palm Beach County. Roberts and Chester are both credited with playing an instrumental role in the development of the independent taxing district that is tasked with providing trauma services as well as an array of other healthcare programs.

Chester is a trauma survivor himself, with more than 40 years of service at St. Mary’s Medical Center and The Palm Beach Children’s Hospital. Prior to his traumatic injury, he was involved in forming the Health Care District of Palm Beach County, which created the trauma system that would ultimately end up saving his life. Additionally, Chester has devoted the majority of his career to community advocacy through his service on several public and non-profit board throughout Palm Beach County. Roberts has a distinguished background in government on many levels-local, regional, national and international. Her government career spans over 28 years and includes Mayor and Commissioner of the City of West Palm Beach, Mayor and Commissioner of Palm Beach County, President of the Florida Association of Counties and Chairmen and Commissioner of the Health Care District of Palm Beach County. She is currently a member of the St. Mary’s Medical Center and Palm Beach Children’s Hospital Governing Board. 
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