CHAPTER III: HEALTH RESOURCES Table of Contents III: HEALTH RESOURCES Table of Contents ... Dental And Mental Health HPSAs ... Margate 112999124F 1 11 Seminole Tribe of FL 15

BROWARD REGIONAL HEALTH PLANNING COUNCIL |CHAPTER III: HEALTH RESOURCES 1

CHAPTER III: HEALTH RESOURCES

Table of Contents INTRODUCTION ......................................................................... 3

HEALTH PROFESSIONAL SHORTAGE AREAS .............................. 3

MEDICALLY UNDERSERVED POPULATIONS .............................. 8

PRIMARY CARE ........................................................................ 10 ..................................................................................................... 12

BROWARD HEALTH ...................................................................... 13

Broward Health’s Disease State Management ........................ 13

LIGHT OF THE WORLD CLINIC, INC. .............................................. 14

LIVING WATERS CARE CENTER ..................................................... 15

MEMORIAL HEALTHCARE SYSTEM ............................................... 15

Memorial Healthcare System Disease Management............... 15

FLORIDA DEPARTMENT OF HEALTH IN BROWARD COUNTY .. 16

VA OUTPATIENT MEDICAL CENTER......................................... 17

NOVA SOUTHEASTERN UNIVERSITY ....................................... 18

RETAIL CLINICS ........................................................................ 18

URGENT CARE ASSOCIATION OF AMERICA............................. 18

LICENSED HEALTH CARE PROFESSIONALS .............................. 19

LICENSED HEALTH CARE FACILITIES ........................................ 21 HOSPITALS .................................................................................... 21

LICENSED HEALTH SERVICES ................................................... 24 NURSING HOMES ......................................................................... 25

ASSISTED LIVING FACILITIES ......................................................... 26

EMERGENCY MEDICAL SERVICES (EMS) ....................................... 26

AMBULATORY SURGERY .............................................................. 27

OUTPATIENT CARDIAC CATHETERIZATION .................................. 28

HOME HEALTH AGENCIES ............................................................ 28

HOSPICE FACILITIES ...................................................................... 28

HEALTHCARE ORGANIZATION ACCREDITATION ..................... 28

NATIONAL COMMITTEE QUALITY ASSURANCE ...................... 29

Accreditation Association for Ambulatory Health Care (AAAHC)................................................................................................. 29

PRIMARY STROKE CENTER CERTIFICATION ............................. 30

CHILDREN’S DIAGNOSTIC/TREATMENT (CDTC) ...................... 31

HOMELESS ASSISTANCE CENTERS........................................... 31 HEALTH CARE FOR THE HOMELESS (HCH) PROGRAM ................. 32

PRENATAL AND CHILDHOOD INITIATIVES .............................. 32 HEALTHY FAMILIES BROWARD..................................................... 32

HEALTHY START ............................................................................ 34

MOMCARE.................................................................................... 35

NURSE FAMILY PARTNERSHIP ...................................................... 36

Table of Tables

Table 1. Primary Medical Care HPSAs (November 2013) ......... 5

Table 2. Dental And Mental Health HPSAs (November 2013) . 5

Table 3. Medically Underserved Areas/Populations (November

2013) ......................................................................................... 8

Table 4. Broward Primary Care Centers ................................. 11

Table 5. School Based Community Health Centers ................ 13

Table 6. Broward County Retail Care Clinics ........................... 18


Table 7. Urgent Care Association Of America Members,

January 2014 ........................................................................... 19

Table 8. Active Licensed Health Care Professionals, Feb. 2013

vs. May 2014 ........................................................................... 19

Table 9. Broward County Distribution of Specialists, 2011-2013

................................................................................................. 20

Table 10. Licensed Health Care Facilities Beds Reported, 2013

................................................................................................. 21

Table 11. Licensed Healthcare Facilities by Type of Bed, 2013

................................................................................................. 22

Table 12. Procedures By Hospital, 2013 ................................. 23

Table 13. Licensed Healthcare Facilities ................................. 24

Table 14. Broward County Nursing Homes ............................. 25

Table 15. Broward EMS Facilities (February 2014) ................. 26

Table 16. Broward Ambulatory Surgical Centers (November

2013) ....................................................................................... 27

Table 17. Hospice Facilities ..................................................... 28

Table 18. Joint Commission’s Accredited Facilities in Broward

(November 2013) .................................................................... 29

Table 19. Joint Commission’s Stroke Center Certified Hospitals

in Broward ............................................................................... 31

Table 20. Homeless Assisted Centers ..................................... 31

Table 21. Healthy Families Broward Screening Analysis, FY

2012-2013 ............................................................................... 33

Table 22. Aggregate Report for HFB Assessment Result, FY

2012-13 ................................................................................... 34

Table 23. Healthy Start Care Coordination Prenatal Data, FY

2011-2012 ............................................................................... 35

Table 24. Healthy Start Care Coordination Infant Data, FY

2011-2012 ............................................................................... 35

Table of Figures Figure 1. Broward County Distribution of Specialties (MDs And

DOs) ......................................................................................... 20

Table of Maps Map 1. Primary Care Health Professional Shortage Areas by

Census Tract, 2013 .................................................................... 4

Map 2. Dental Health HRSA Shortage Areas, 2013 ................... 6

Map 3. Mental Health HRSA Shortage Areas, 2013 .................. 7

Map 4. Medically Underserved Areas/Populations, 2013 ........ 9

Map 5. Broward Primary Care Centers, 2014 ......................... 12


INTRODUCTION

Chapter 3 provides an overview of health resources currently available in Broward County. This includes a discussion of Primary Care Centers, Urgent Care Centers, the Florida Department of Health in Broward County, Hospitals, and Nursing Homes, as well as other healthcare providers and programs. Additionally, the health professional shortage and medically underserved population designations and their impact on Broward are discussed.

HEALTH PROFESSIONAL SHORTAGE AREAS

Health Professional Shortage Areas (HPSAs) are geographic areas, demographic population groups (such as low income or homeless) or institutions (medical or other public facilities) with a shortage in health care professionals. The HRSA Bureau of Health Professionals designates three HPSA provider categories: primary medical care (MAP 1), dental health (Map 2) and mental health (MAP 3). The HRSA Bureau of Health Professionals designated 125 Broward Census Tracts (45% all Broward Census Tracts) and 12 low-income population groups, comprehensive health centers (CHCs) and Native American tribal populations as primary medical care provider HPSAs, four as dental provider HPSAs, and three as mental health provider HPSAs.


Map 1. Primary Care Health Professional Shortage Areas by Census Tract, 2013

Source: http://hpsafind.hrsa.gov/

http://hpsafind.hrsa.gov/


Table 1. Primary Medical Care HPSAs (October 2015) PRIMARY MEDICAL CARE HPSAs ID FTE #Short Score

Fort Lauderdale Census Civil Div. 112999120D 14 24 13

Pompano Beach 1129991212 3 3 15

Deerfield Beach 112999124C 1 8 16

Davie/Hollywood/Dania 11299912AQ 7 17 15

Margate 112999124F 1 11 15

Hallandale/Miramar 112999124G 1 10 17

Sunrise 112999124H 1 4 15

Seminole Tribe of FL - Health Admin.

112999128K 14

COMPREHENSIVE HEALTH CENTERS

Broward Community Family Health Ctr.

112999122J 1 17

Homeless – Broward Health 112999125A 1 18

Source:Health Resources and Services Administration,http://hpsafind.hrsa.gov/ FTE = # FTE non-Federal primary medical care/dental/mental health providers serving the area, population group, or facility

Score = HPSA Scores are developed for use by National Health Service Corps in determining assignment of clinicians priorities. Scores range from 1 to 25 for primary care and mental health, 1 to 26 for dental. Higher scores equal greater priority. All FQHCs and those Rural Health Clinics providing access to care regardless of ability to pay receive automatic facility HPSA designation and may have a HPSA score of 0.

# Short = # FTE providers needed to remove the designation [also known as the de-designation threshold].

Table 2. Dental And Mental Health HPSAs (October 2015)

DENTAL ID FTE # Short Score

Pompano Beach 612999120O 1 3 16

Homeless – Broward Health 612999123H 22


612999123L 10

Seminole Tribe of FL – Health Admin.

612999120Z 9

Fort Lauderdale Census Civil Div. 61299912P6 3 25 15

Davie 61299912PB 2 17 12

MENTAL HEALTH


712999121C 11

Homeless –Broward Health 7129991299 14

Seminole Tribe of FL – Health Admin.

712999129D 13

Source: Health Resources and Services Administration, http://hpsafind.hrsa.gov/

NATP: Native American Tribal Population; LIP: Low Income Populations CHC: Comprehensive Health Centers




Map 2. Dental Health HRSA Shortage Areas, 2013

Source: http://hpsafind.hrsa.gov/



Map 3. Mental Health HRSA Shortage Areas, 2013

Source:/http://datawarehouse.hrsa.gov/exportedmaps/HPSAs/HGDWMapGallery_BHPR_HPS

As_MH.pdf *HRSA Website indicates that Broward County is NOT a Mental Health HPSA



http://datawarehouse.hrsa.gov/exportedmaps/HPSAs/HGDWMapGallery_BHPR_HPSAs_MH.pdf


MEDICALLY UNDERSERVED POPULATIONS

The HRSA Bureau of Health Professionals (BHP) designated 104 Broward County Census Tracts and 10 low-income population groups as Medically Underserved Populations who face economic, cultural, or linguistic barriers to health care. Table 3 depicts Medically Underserved Areas/Medically Underserved Populations (MUAs/MUPs) for Broward County.

Table 3. Medically Underserved Areas/Populations

Location Designation Type MUA/MUP Score

Dania Low Income Population 50.4

Deerfield Beach Low Income Population 44.3

Fort Lauderdale/ Lauderdale Lakes

Low Income Population 58.4

Hallandale Low Income Population 37.0

Hallandale/Miramar Low Income Population 50.2

Hollywood Low Income Population 54.2

Margate Low Income Population 60.4

Miramar Low Income Population 48.9

Pompano Beach Low Income Population 60.4

Sunrise Low Income Population 41.8 Source: Health Resources and Services Administration, http://muafind.hrsa.gov/

http://muafind.hrsa.gov/


Source: http://muafind.hrsa.gov/

MAP 4. Medically Underserved Areas/Populations, 2013


PRIMARY CARE

The Primary Care System is unique in Broward. Primary Care in Broward is provided through a collaborative effort of the Florida Department of Health in Broward County Broward County Government, Broward Community and Family Health Centers (Federally Qualified Health Center), Memorial Healthcare System (MHS), and Broward Health. Broward’s primary care system is a comprehensive system. Primary Care in Broward County is provided by the two tax-assisted hospital districts (Memorial Healthcare System and Broward Health), the Federally Qualified Health Centers (Broward Community and Family Health Centers) and two local healthcare clinics (Light of the World Clinic, Inc., Living Waters Care Center and West Park Community Health Center).


Table 4. Broward Primary Care Centers

A. Broward Community and Family Health 168 North Powerline Road, Pompano Beach

B. Broward Community and Family Health Center 5010 Hollywood Boulevard, Hollywood

C. Broward Community and Family Health Center 5801 Hallandale Beach Boulevard, West Park

D. Clinica de las Americas 1101 Northwest 1st Street, Ft Lauderdale

E. Comprehensive Care Center (HIV/AIDS Services) 1101 Northwest 1st Street, Ft Lauderdale

F. Comprehensive Care Center at Broward House 1726 Southeast 3rd Avenue, Fort Lauderdale

G. Pompano Adult Primary Care Center 2011 Northwest 3rd Avenue, Pompano Beach

H. Pompano Pediatric Primary Care Center 601 West Atlantic Boulevard, Pompano Beach

I. Pompano Prenatal Care Centers 601 West Atlantic Boulevard, Pompano

J. Seventh Avenue Family Health Center 200 Northwest 7th Avenue, Ft Lauderdale

K. Specialty Care Center 1111 West Broward Boulevard, Ft Lauderdale

L. Light of the World Clinic, Inc. 806 East Prospect Road, Oakland Park

M. Living Waters Care Center 3610 Southwest 48th Avenue, Hollywood

N. Memorial Healthcare System 1039 Northeast 3rd Avenue, Fort Lauderdale

O. Memorial Primary Care Hollywood 4105 Pembroke Road, Hollywood

P. Memorial Primary Care Dania Beach 140 South Federal Highway, Dania

Q. Memorial Primary Care West Hollywood 6214 Johnson Street, Hollywood

Table 4. (cont’d) Broward Primary Care Centers

R. Memorial Primary Care Miramar 6700 Miramar Parkway, Miramar

S. Care Resource Community Health Center 871 W Oakland Park Blvd, Wilton Manors

T. Women, Infants & Children Good Nutrition Coral Springs Center 10077 NW 29th Street, Coral Springs

U. Edgar Mills 900 NW 31 Avenue, Ft. Lauderdale

V. Ft. Lauderdale Health Center 2421 SW 6th Avenue, Ft. Lauderdale

W. Oakland Park Center 3765 W. Oakland Park Blvd, Lauderdale Lakes

X. South Broward Health Center 799 Pembroke Road, Hallandale Beach


MAP 5. Broward Primary Care Centers, 2014


BROWARD HEALTH

Broward Health, providing service since 1938, is a non-profit community health system offering a full spectrum of healthcare services. The District encompasses more than 35 healthcare facilities, including four hospitals: Broward Health Medical Center, Broward Health North, Broward Health Imperial and Broward Health Coral Springs. The District is a medical safety net for Broward residents. Broward Health provides a network of family primary health service sites offering affordable, comprehensive, quality primary health care, home health and hospice services in neighborhood community locations primarily serving indigent, uncompensated care patients and the working poor. Through a variety of school-based and neighborhood-based facilities, the Community Health Services Division provides prenatal care, prevention, education, outreach, case/disease management, primary care, specialty care, urgent care, dental care, outpatient diagnostic testing, home health care and hospice care. Community Health Services operates neighborhood-based healthcare centers. Cora E. Braynon Family Health Center (formerly Seventh Avenue Family Health Center) offers medical care one-stop shopping including routine adult and pediatric care, pharmacy, prenatal care, urgent care, immunizations, social services, case/disease management and other services. Specialty Care Center combines HIV/AIDS care with routine and specialized healthcare services including family practice. A wide spectrum of HIV/AIDS care is provided at Broward Health’s Comprehensive Care Center and Comprehensive Care Center at Broward House. Annie L. Weaver Health Center (formerly

Pompano Adult Primary Care Center) provides comprehensive adult primary care services and HIV/AIDS care. Pompano Pediatric and Pompano Prenatal Care Centers provide pediatric primary, prenatal and maternal/childcare. Clinicas de las Americas offers culturally competent primary care services to the Hispanic/Latino community. In a collaborative partnership with Broward County Public Schools, three School-Based Community Health Centers, located in the heart of medically underserved communities, offer comprehensive primary care services and two school sites offer Healthy Start Case Management (Table 5). Medicaid, Medicare and private insurances (including most managed care plans) are accepted. Care is also provided to residents without insurance who may qualify for financial assistance.

Table 5. School Based Community Health Centers

Deerfield Beach High School Health Center 910 Southwest 15th Street, Deerfield Beach

Lauderhill Middle School Health Center 1901 Northwest 49th Avenue, Lauderhill

William Dandy Middle School Health Center 2400 Northwest 26th Street, Fort Lauderdale

Source: Broward Health, http://www.browardhealth.org/?id=774&sid=8

Broward Health’s Disease State Management

Broward Health’s Disease State Management (DSM) Program helps individuals manage chronic medical conditions. Broward Health’s Community Health Services’ (CHS) DSM Program provides services to individuals with diabetes, high blood pressure, heart failure, asthma, breast cancer, Sickle Cell, HIV/AIDS and high-risk pregnancy. Registered nurses, dieticians and respiratory case managers work one on one


with patients to improve their quality of life, reduce complications associated with their chronic medical condition, and teach self-management skills and goal setting. The Program provides educational classes, available at all of the CHS centers. To be eligible for these services, participants must be uninsured or enrolled in MediPass or Broward Health’s Provider Service Network. The DSM Program is funded through grants and contracts with Broward County, the State of Florida and the Federal government. Program referrals are generated by physicians, regional inpatient and ambulatory case managers, Gold Coast Home Health personnel, and Broward County’s First Call for Help hotline. Case managers work closely with the providers and patients to encourage a better relationship reinforcing what the providers need the patients to do to help them manage their medical conditions. Case managers also serve as a liaison between patients, specialists, medical centers and primary care physicians to ensure patients receive appropriate services. Case managers discuss cases with providers, assess the patient’s needs and review the medical records. From that information, they develop a care plan. They follow-up and monitor the patient’s progress via phone, during routine primary care visits, during one of the educational sessions and/or by sending the patient educational materials. The case manager ensures that patients maintain routine primary care visits, receive referrals for specialty care services and comply with their medication regimen in order to achieve the ultimate objective which is to help patients achieve self-management goals.

LIGHT OF THE WORLD CLINIC, INC.

The Clinic serves the disadvantaged, at-risk, indigent immigrant population-- specifically the burgeoning Hispanic community, who speak little or no English, the Creole speaking community who receive little or no health care due to cultural barriers and other minorities who lack medical treatment in their native language due to fear and socio-economic status. The Clinic is an IRS-recognized 501c3 organization and was established in 1989 by Dr. Erwin M. Vasquez, M.D. and other community leaders to provide free essential healthcare and preventative medical services to the disadvantaged and minority population in Broward. The Clinic has focused its services on children and their families who are generally without insurance or financial resources to obtain the proper healthcare. In any given year, the Clinic serves 10,000 to 12,000 disadvantaged indigent and medically underserved men, women and children in Broward. This is accomplished by volunteer doctors, specialists and medical professionals. The Clinic reaches out to residential areas where there are minority at-risk residents and provides monthly, quarterly and annual community-based health screenings. Quality healthcare services in a sensitive and cultural manner are provided without regard to ethnic origin or ability to pay. By providing free medical services to the underserved and at-risk indigent community, the Clinic provides early medical intervention to minorities by treating them and stabilizing their hypertension, diabetes, coronary disease, obesity and other widespread diseases. Operating five days a week, the Clinic provides a full range of medical services: Cardiology, Dermatology, Diabetic Counseling, General Medicine,


Gynecology (no prenatal/OB), Internal Medicine, Registered Dietician/Nutrition education, Pediatric ARNPs, Urology, Mammography, Ultrasound / CT, Laboratory Services, Back to School Exams and Immunizations, Healthy Hearts/Healthy Lifestyles Program, Lupus Support Group, Acupuncture, Social Service Outreach and Spiritual Support (through local faith-based programs in English, Spanish and Creole).

LIVING WATERS CARE CENTER

The Living Waters Care Center, affiliated with Gulf Stream Baptist Association, provides medical treatment, a food pantry and referral services to low-income residents. Dental patients were seen and treated beginning in January 2002. The Center has 2 Care Centers: the North which has a vision clinic and the South which has a dental operatory. Both the vision and dental clinics are staffed only when a volunteer is available.

MEMORIAL HEALTHCARE SYSTEM

Memorial Healthcare System (MHS) provides adult primary medical care for uninsured South Broward County residents in the community at four locations as well as in the community utilizing Mobile Health Vans. Pediatric services are provided at the Hollywood location and in the community utilizing Mobile Health Vans. Obstetrician/gynecology services are provided at the Hollywood location. Adult primary medical care services include medical care, specialty referrals, HIV counseling/testing, pharmacy, education, support groups and social services. Pediatric services provide well and sick care for newborns through age 17, including specialty referrals,

counseling, nutrition, immunization and pharmacy. Obstetrician/gynecology services include prenatal care, high-risk, gynecology, specialty referrals, family planning, nutritional counseling and educational classes.

Memorial Healthcare System Disease Management

As a response to the growing number of uninsured and underinsured with chronic disease states, MHS began their Disease Management Program (DMP) in 2000. The DMP, has grown to serve approximately 9,500 clients in the past ten years. Over the years, MHS has received funding for Disease Management from some of the following organizations and agencies: Agency for Health Care Administration (AHCA), Health Resources and Services Administration (HRSA), Pfizer, the Robert Wood Johnson Foundation and the Centers for Healthcare Strategies (CHCS) and the Health Foundation of South Florida.

MHS’s Disease Management Program (DMP) relies on aggressive prevention of complications as well as the treatment of chronic conditions. The Program was created with a clear understanding of the natural course of a disease in a defined population and the effect of interventions at critical points to delay or prevent morbidity. The DMP strives to change the care of clients with chronic conditions from being reactive to being proactive, with a concentration on improving the quality of life and overall health status. This approach focuses on maintaining health rather than waiting for a health crisis, which can lead to emergency department visits and inpatient hospitalizations. MHS currently operates Disease Care Management programs for the uninsured and


underinsured residents who suffer from Diabetes, Asthma, Hypertension, CHF or HIV/AIDS. Clients are assigned RN disease-specific clinical Care Managers who carry a maximum patient load of 200 clients. The Care Manager’s first responsibility is to ensure the client is linked to a medical home; a Primary Care Provider (PCP) who will provide both preventative medical and chronic illness care. If no link exists, the client is assisted with establishing eligibility and acquiring a PCP within the primary care clinic system. Once a medical home is established, the Care Manager facilitates quality care and outcomes by coordinating services, using clinical pathways and verifying patient progress according to individual care plans. Care managers provide this care through both telephonic and face-to-face contacts.

MHS’s DMP follows the evidence-based clinical guidelines set forth by the respective national organizations such as the National Institutes of Health (NIH). The Disease managers work in conjunction with the client’s PCP to ensure all persons are receiving up-to-date clinical treatment for their conditions. This is accomplished through on-site clinical record reviews, to ensure timely compliance with the nationally recognized guidelines. The Disease Managers also place reminders (specialty referrals, laboratory testing, etc.) in the client’s chart for the PCP to ensure compliance with guidelines. To track progress and improvement in health status, MHS has created a comprehensive Disease Management Database linked to the Healthcare System’s mainframe system, which enables MHS to track the care manager interventions and both clinical and financial outcomes. Positive outcomes include reduction of Hemoglobin A1c results in diabetics,

reduced ED visits for Asthmatics and improved perception of Quality of Life. Additionally, MHS has previously hired external evaluators to look at DMP effectiveness. An early evaluation demonstrated a 27 percent reduction in inpatient admissions and nine percent reduction in ED visits with an overall savings of approximately $475 per patient. Subsequent external evaluations were completed for specific DMPs and similar findings were obtained with even higher cost savings; as much as $1,400 per patient was noted in one program. Finally, MHS looks closely at client satisfaction. Biannual satisfaction surveys are conducted for all DMPs, with an 84 percent satisfaction rating noted in 2002 which compares with a 98 percent rating today.

FLORIDA DEPARTMENT OF HEALTH IN BROWARD COUNTY

The Florida Department of Health in Broward County provides the following health services:

Broward Breast and Cervical Cancer Early Detection Program

Drowning Prevention

Family Planning – Available at Edgar Mills Health Center and Paul Hughes Health Center

Free screening and testing for Hepatitis to persons 18 years of age and older who are at risk of exposure to viral Hepatitis. Free Hepatitis A and B vaccines to adults.

Refugee Health Screening at the Fort Lauderdale Health Center

School Health Services Program


School Physical Health Examination are available to children 3 – 18 years of age attending childcare, pre-kindergarten, public, and/or private schools.

Sexually Transmitted Disease - The Florida Department of Health in Broward County has transitioned Sexually Transmitted Disease (STD) clinical services to AIDS Healthcare Foundation (AHF). Free STD clinical services including diagnosis and treatment are provided at The Broward Wellness Center.

The Teen Friendly Family Planning Services. Confidential services are offered in a teen friendly environment and include:

o Family Planning/Birth Control Services o Sexually Transmitted Disease (STD) and HIV

Testing (Confidential) o Health Education

Tuberculosis Control Program. Only persons with certain high risk conditions may receive testing and treatment for latent TB infection at the Florida Department of Health in Broward County.

In addition to the primary preventive services, the Florida Department of Health in Broward County provides a vast array of services directed toward the promotion and protection of the health of the community.

The vital statistics section is responsible for recording all births and deaths within the county.

The Florida Department of Health in Broward County - Epidemiology and Communicable Disease Staff:

o Perform surveillance and investigate cases of reportable diseases and conditions

o Investigate outbreaks of infectious diseases and institute prevention and control measures to stop the spread of disease

o Provide education and technical assistance to healthcare providers and the community on the management of diseases of public health significance

o Perform community outreach and health education activities related to communicable disease

The environmental health/engineering section inspects, monitors, and permits various entities dealing with drinking water, onsite sewage disposal, public swimming pools, radiological health, biomedical waste and specific facilities and food services. It also investigates public health complaints.

The Florida Department of Health in Broward County is also responsible with its partners for disaster preparedness and response.

VA OUTPATIENT MEDICAL CENTER

Broward does not have any military or VA hospitals. Broward residents utilize services at Miami-Dade and Palm Beach County facilities. Broward does have one outpatient VA facility, VA Outpatient Medical Center located in Sunrise, Florida, which provides primary care services.


NOVA SOUTHEASTERN UNIVERSITY

Nova Southeastern University (NSU) has long been committed to advocacy of programs and initiatives for the benefit and advancement of community health. At the NSU Community Mental Health Center, run by NSU’s Center for Psychological Studies, residents of South Florida are provided with a variety of psychology-related services, from assessment to treatment and beyond. The Clinic for Speech-Language and Communication Disorders, run by NSU’s Fischler Graduate School of Education and Human Services, is committed to the evaluation and rehabilitation of children and adults suffering from a wide-variety of speech disorders. NSU’s Health Professions Division runs a number of community-service health programs and clinics in the areas of dentistry, optometry, audiology, physical therapy, and osteopathic medicine. The Public Health Program concentrates on training future leaders for community health planning. In the area of family services, the Mailman Segal Institute for Early Childhood Studies is an invaluable community resource, offering pre-school programs, parenting classes, support groups for single parents and much more.

RETAIL CLINICS

Table 6. Broward County Retail Care Clinics

CVS Minute Clinic

4701 Flamingo Road, Cooper City 2240 E Sunrise Blvd, Fort Lauderdale 5701 Coral Ridge Drive, Coral Springs 4610 South University Drive, Davie 1700 South Federal Highway Fort Lauderdale 12401 Miramar Parkway, Miramar 10241 West Broward Boulevard, Plantation

Walgreens Healthcare Clinic

601 E Commercial Blvd, Oakland Park 4600 Coconut Creek Pkwy, Coconut Creek 11105 Stirling Road, Cooper City 4601 North State Road 7, Coconut Creek 2855 Stirling Road, Fort Lauderdale 1300 E Hallandale Beach Blvd, Hallandale Beach 18310 Pines Boulevard, Pembroke Pines 1751 Bonaventure Blvd, Weston 8790 West McNab Road, Tamarac Source: Broward Regional Health Planning Council

URGENT CARE ASSOCIATION OF AMERICA

Founded in 2004, the Urgent Care Association of America (UCAOA) serves an international field, providing educational programs in clinical care and practice management, sponsors the first urgent care Fellowship, funds groundbreaking industry research, publishes the monthly Journal of Urgent Care Medicine and maintains an active Members Only Online Forum for daily exchange of best practices. Table 7 outlines the urgent care centers in Broward that are UCAOC members.

http://secure.ucaoa.org/education_main.php

http://secure.ucaoa.org/education_main.php

http://secure.ucaoa.org/education_fellowship.php

http://www.jucm.com/

http://www.jucm.com/

http://secure.ucaoa.org/phpBB3/index.php

http://secure.ucaoa.org/phpBB3/index.php


Table 7. Urgent Care Association Of America Members, January 2014 CareSpot- Coconut Creek 4450 State Road 7, Coconut Creek MedExpress Urgent Care Coral Springs 1809 N University Dr, Coral Springs

MD Now Urgent Care of Coral Springs/Parkland 6240 Coral Ridge Dr. Ste. 105, Coral Springs MD Now Urgent Care of Deerfield Beach 4036 W. Hillsboro Blvd, Deerfield Beach Helix Medical Centers Deerfield Beach 750 S. Federal Hwy, Deerfield Beach Holy Cross 1115, S Federal Hwy, Fort Lauderdale Concentra- Cypress Creek 6521 N Andrews Ave, Fort Lauderdale Concentra Urgent Care 1347 S Andrews Ave, Fort Lauderdale CareSpot- Pembroke Pines 9035 Pines Blvd, Pembroke Pines Premier Urgent Care Center 2400 W Sample Rd, ste 4, Pompano Beach CareSpot- Pompano Beach 1611 S Federal Hwy, Pompano Beach CareSpot-Tamarac 10251 W Commercial Blvd, Tamarac

Source: Urgent Care Association of America, http://secure.ucaoa.org/ucaoa_orgs.php

LICENSED HEALTH CARE PROFESSIONALS

Broward’s active health care professionals are depicted in Table 8. Registered Nurses represent the largest population of health professionals, followed by Licensed Practical Nurses. A listing of primary care physicians are on file at Broward Regional Health Planning Council.

Table 8. Active Licensed Health Care Professionals, Feb. 2013 vs. May 2014

Broward Florida

5/14 10/14 5/14 10/14

Medical Doctor (MD) 5,096 5,233 61,932

Osteopathic Physicians (DO) 814 852 5,887 6,275

Physician’s Assistants 725 767 6,651 7,150

Dentists 1,409 1,481 12,124 12,608

Registered Nurses 24,924 25,026 271,459

Licensed Practical Nurses 6,586 6,830 67,772

Pharmacists 2,866 3,000 28,284 29,453

Licensed Midwives 22 23 151 162 Source: Florida Department of Health, http://ww2.doh.state.fl.us/IRM00PRAES/PRASLIST.ASP

http://secure.ucaoa.org/ucaoa_orgs.php

http://ww2.doh.state.fl.us/IRM00PRAES/PRASLIST.ASP


Figure 1. Broward County Distribution of Specialties (MDs And DOs)

Source: 2013 FL Physician Workforce Annual Report FDOH

Table 9. Broward County Distribution of Specialists, 2011-2013

2011 2012 2013

Medical Specialist 576 506 489

Family Medicine 501 481 471

Surgical Specialist 338 459 325

Internal Medicine 581 452 447

Anesthesiology 311 292 257

Emergency Medicine 236 234 212

Pediatrics 216 222 227

OB GYN 221 206 224

Radiology 179 148 160

Psychiatry 163 148 162

Pediatric Subspecialist 156 124 175

Dermatology 109 99 103

Pathology 87 83 85

General Surgery 93 81 79

Neurology 75 70 68

Other 42 39 89 Source: 2013 FL Physician Workforce

0 200 400 600

Medical Specialist

Family Medicine

Surgical Specialist

Internal Medicine

Anesthesiology

Emergency Medicine

Pediatrics

OB/GYN

Radiology

Psychiatry

Pediatric…

Dermatology

Pathology

General Surgery

Neurology

Other

2013 2012 2011


LICENSED HEALTH CARE FACILITIES

HOSPITALS

Broward’s licensed bed numbers have increased over the past few years. Current licensed beds versus total beds reported are listed in Table 10. Facilities and types of beds are reported in Table 11 and hospital and procedures performed are in Table 12. Table 13 lists licensed healthcare facilities.

Table 10. Licensed Health Care Facilities Beds Reported, 2013

Beds Facilities

Type of Facilities Licensed #

Hospitals 6,004 21

Long Term Care Hospital 194 2

Type of Beds Allocated #

Acute Care 4,912 16

Long Term Care Acute Care 194 2

Medical Surgical Services 2,756 16

Long Term Care Medical Surgical 177 2

Critical Care 460 16

Long Term Critical Care 17 2

Other Acute Care 1,096 13

Pediatric Services 230 5

Obstetrical 369 8

Newborn Services (Bassinets) 274 8

Level II NICU 132 8

Level III NICU 87 3

Rehabilitative Services 305 6

Adult Psychiatric 441 8

Child/Adolescent Psychiatric 34 3

Adult Substance Abuse 63 3 Source: Broward Regional Health Planning Council


Table 11. Licensed Healthcare Facilities by Type of Bed, 2013

Acu

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are

Med

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Su

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al

Serv

ices

LT. M

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Broward Health Coral Springs X X X X X X X X Broward Health Imperial Point X X X X X X Broward Health Medical Center X X X X X X X X X Broward Health North X X X X X Cleveland Clinic Hospital X X X X Ft. Lauderdale Hospital X X X HealthSouth Rehab Hospital (Sunrise) X Hollywood Pavilion Psych Hospital X Holy Cross Hospital X X X X X X X X Kindred Hospital- FTL X X Kindred Hospital Hollywood X X Memorial Hospital- Miramar X X X X X X X Memorial Hospital- Pembroke X X X X Memorial Hospital- West X X X X X X Memorial Reg. Hospital X X X X X X X X X X X X Memorial Reg. Hospital South X X X X North Shore Med. Center- FMC Campus X X X X X Northwest Med Center X X X X X X X X Plantation Gen. Hospital X X X X X X X X X X St. Anthony’s Rehab X Sunrise Health & Rehab Center The Shores Behavioral Hospital X University Hospital & Med Center X X X X X X Westside Regional Medical Center X X X X X Source: Broward Regional Health Planning Council


Table 12. Procedures By Hospital, 2013

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Broward Health Coral Springs X X X X X X X X X X X X X Broward Health Imperial Point X X X X X X X X X Broward Health Medical Center X X X X X X X X X X X X X X X X X X Broward Health North X X X X X X X X X X X X X X X Cleveland Clinic Hospital X X X X X X X X X X X X X X X Holy Cross Hospital X X x X X X X X X X X X X X Kindred Hospital- FTL X X X X X X X X X Kindred Hospital Hollywood X X X X X Memorial Hospital- Miramar X X X X X X X X X X X Memorial Hospital- Pembroke X X X X X X X X X X X Memorial Hospital- West X X X X X X X X X X X X X X X Memorial Reg. Hospital X X X X X X X X X X X X X X X X Memorial Reg. Hospital South X X X X X X X X X X X X X North Shore Med. Center- FMC Campus X X X X X X X X X X X X X X X X Northwest Med Center X X X X X X X X X X X X X X X X x Plantation Gen. Hospital X X X X X X X X X X X X University Hospital & Med Center X X X X X X X X X X X Westside Regional Medical Center X X X X X X X X X X X X X X X Source: Broward Regional Health Planning Council


Table 13. Licensed Healthcare Facilities

Broward Health Coral Springs 3000 Coral Hills Drive, Coral Springs

Broward Health Imperial Point 3536 N Federal Hwy Ste 102, Fort Lauderdale

Broward Health Medical Center 1600 South Andrews Avenue, Fort Lauderdale

Broward Health North 201 E Sample Road, Deerfield Beach

Cleveland Clinic Hospital 3100 Weston Road, Weston

Fort Lauderdale Hospital 1601 East Las Olas Boulevard, Fort Lauderdale

HealthSouth Sunrise Rehabilitation Hospital 4399 North Nob Hill Road, Sunrise

Hollywood Pavilion 1201 North 37th Avenue, Hollywood

Holy Cross Hospital 4725 North Federal Highway, Fort Lauderdale

Kindred Hospital Fort Lauderdale 1516 East Las Olas Boulevard, Fort Lauderdale

Kindred Hospital Hollywood 1859 Van Buren St, Hollywood

Memorial Hospital Miramar 1901 Southwest 172nd Avenue, Miramar

Memorial Hospital Pembroke 7800 Sheridan Street, Pembroke Pines

Memorial Hospital West 703 North Flamingo Road, Pembroke Pines

Table 13. (cont.). Licensed Healthcare Facilities

Memorial Regional Hospital 3501 Johnson Street, Hollywood

North Shore Medical Center-FMC Campus 5000 W Oakland Park Blvd, Lauderdale Lakes

Northwest Medical Center 2801 North State Road 7, Margate

Plantation General Hospital 401 NW 42nd Avenue, Plantation

St Anthony’s Rehabilitation Hospital 3487 NW 30th Street, Lauderdale Lakes

Sunrise Health & Rehab Center 4800 N Nob Hill Rd, Sunrise

The Shores Behavioral Hospital, LLC 4545 North Federal Highway, Fort Lauderdale

University Hospital & Medical Center 7201 North University Drive, Tamarac

Westside Regional Medical Center 8201 West Broward Boulevard, Plantation

Source: Broward Regional Health Planning Council

LICENSED HEALTH SERVICES

Licensed health services in Broward include Emergency Medical Services, Ambulatory Surgery, Outpatient Cardiac Catheterization, Home Health Agencies and Hospices.


NURSING HOMES

As of 2012, Broward had 4,522 licensed nursing home beds including those in a continuing care facility as well as sheltered and community beds. Table 14 lists Broward nursing homes.

Table 14. Broward County Nursing Homes

Alexander "Sandy" Nininger State Veterans Nursing Home 8401 West Cypress Drive, Pembroke Pines

Broward Nursing & Rehabilitation Center 1330 South Andrews Avenue, Fort Lauderdale

Children’s Comprehensive Care Center Inc (formerly Broward Children’s Center) 200 Southeast 19th Avenue, Pompano Beach

The Court At Palm Aire 2701 North Course Drive, Pompano Beach

Covenant Village Care Center 9211 West Broward Blvd, Plantation

Cross Pointe Care Center 440 Phippen Waiters Road, Dania Beach

Deerfield Beach Health and Rehab Center (formerly Broward Institute For Long Term Care) 401 East Sample Road, Pompano Beach

Forum At Deer Creek 3001 Deer Creek Country Club, Deerfield Beach

Ft Lauderdale Health & Rehabilitation Center 2000 East Commercial Boulevard, Fort Lauderdale

Golfcrest Healthcare Center 600 North 17th Avenue, Hollywood

Harbor Beach Nursing And Rehabilitation Center 1615 South Miami Road, Fort Lauderdale

The Health Center Of Coconut Creek 4125 West Sample Road, Coconut Creek

Table 14. (cont.). Broward Nursing Homes

Heartland Health Care Center Lauderhill 2599 Northwest 55th Avenue, Lauderhill

Heartland Of Tamarac 5901 Northwest 79th Avenue, Tamarac

Hillcrest Nursing And Rehabilitation Center 4200 Washington Street, Hollywood

Hollywood Hills Rehabilitation Center, LLC 1200 North 35th Avenue, Hollywood

John Knox Village Health Center-Pompano Beach 830 Lakeside Circle, Pompano Beach

LifeCare Center At Inverrary 4300 Rock Island Road, Lauderhill

Manor Care Health Services 6931 West Sunrise Boulevard, Plantation

Manor Oaks Nursing & Rehabilitation Center 2121 East Commercial Boulevard, Fort Lauderdale

Manor Pines Convalescent Center 1701 Northeast 26th Street, Fort Lauderdale

Margate Health Care Center 5951 Colonial Drive, Margate

Memorial Manor 777 South Douglas Road, Pembroke Pines

Palms Rehabilitation And Nursing Center 3370 Northwest 47th Terrace, Lauderdale Lakes

Park Summit Of Coral Springs 8500 Royal Palm Boulevard, Coral Springs

Plantation Nursing & Rehabilitation Center 4250 Northwest 5th Street, Plantation

Pompano Rehabilitation & Nursing Center 51 West Sample Road, Pompano Beach

Regents Park Of Sunrise 9711 West Oakland Park Boulevard, Sunrise

Saint John’s Nursing Center 3075 Northwest 35th Avenue, Lauderdale Lakes


Table 14. (cont.). Broward Nursing Homes

Seaview Nursing and Rehabilitation Center 2401 Northeast 2nd Street, Pompano Beach

Springtree Rehabilitation & Health Care Center 4251 Springtree Drive, Sunrise

Sunrise Health & Rehabilitation Center 4800 Nob Hill Road, Sunrise

Tamarac Rehabilitation And Health Center 7901 Northwest 88th Avenue, Tamarac

West Broward Care Center 7751 West Broward Boulevard, Plantation

Wilton Manors Health & Rehabilitation Center 2675 North Andrews Avenue, Fort Lauderdale Source: Broward Regional Health Planning Council

ASSISTED LIVING FACILITIES

Assisted living facilities provide housing, meals and one or more personal services for residents who are not related to the facilities’ owners. According to AHCA (2014), Broward has 293 Assisted Living Facilities (ALF). To be a resident in an ALF, a person must meet certain functional criteria and cannot be bedridden, require 24-hour nursing supervision, or have stage 3 or 4 pressure sores. License definitions include: Extended Congregate Care (ECC), which allows the ALF to maintain residents who become frailer than would normally be permitted in order for the resident to age at the facility; Limited Nursing Services (LNS), which may include such nursing services as the application and care of routine dressings, care of casts, braces and splints, catheterization and other services as defined in Florida Law; and Limited Mental Health (LMH), which is required when an ALF serves three or more residents with mental health issues. A complete list of

the facilities is on file at the Broward Regional Health Planning Council offices.

EMERGENCY MEDICAL SERVICES (EMS)

Emergency Medical Services (EMS) are essential to the health and well-being of all citizens. EMS are activities or services to prevent or treat a sudden critical illness or injury. In addition, EMS provide emergency medical care and pre-hospital emergency medical transportation to sick, injured or otherwise incapacitated persons in this state. Table 15 lists the EMS Facilities in Broward.

Table 15. Broward EMS Facilities (February 2014) Air Ambulance Professionals, Inc.

Coral Springs Fire Rescue

Town of Davie Fire Rescue

Dania Beach Fire Rescue

Davie Fire Rescue

Deerfield Beach Fire Rescue

Fort Lauderdale Fire Rescue

Hallandale Beach Fire Rescue

City of Hollywood Fire Rescue

Lauderhill Fire Rescue

Lighthouse Point Fire Rescue

Margate Fire Rescue

City of Miramar Fire Rescue

North Lauderdale Fire Rescue

Oakland Park Fire Rescue

Pembroke Pines Fire Rescue

Plantation Fire Department

Pompano Beach Fire Rescue

Seminole Tribe of Florida, Department of Emergency Services

The Sheriff of Broward County Department of Fire Rescue

City of Sunrise Fire Rescue

City of Tamarac Fire Rescue

Source: Florida EMSTARS, http://www.Floridaemstars.Com/

http://www.floridaemstars.com/


AMBULATORY SURGERY

An ambulatory Surgical Center (ACS) or Mobile Surgical Facility is a facility whose primary purpose is to provide elective surgical care, in which the patient is admitted to and discharged from the facility within the same working day and is not permitted to stay overnight. These centers are not part of a hospital. Any facility or office which is certified or seeks certification as a Medicare ACS shall be licensed as an ACS pursuant to F.S. 395.003. Any structure or vehicle in which a physician maintains an office and practices surgery, and which can appear to the public to be a mobile office because the structure or vehicle operates at more than one address, shall be construed to be a mobile surgical facility. Ambulatory Surgery Centers can either perform surgeries in a variety of specialties or dedicate their services to one specialty.

Table 16. Broward Ambulatory Surgical Centers (November 2013)

Broward Outpatient Surgical Center, LLC 150 Southwest 12th Avenue, Pompano Beach

Broward Specialty Surgical Center 7261 Sheridan Street, Hollywood

Carlos E. Spera, MD, PA 12575 Orange Drive, Davie

Coral Ridge Outpatient Center, LLC 5301 North Dixie Highway, Oakland Park

Coral Springs Surgical Center 1725 University Drive, Coral Springs

Digestive Disease Endoscopy Center 7481 North University Drive, Tamarac

Eye Care and Surgery Center of Fort Lauderdale 2540 Northeast 9th Street, Fort Lauderdale

Foundation for Advanced Eye Care 3737 North Pine Island Road, Sunrise

Table 16 (cont.). Broward Ambulatory Surgical Centers (November 2013)

Gulfstream Ambulatory Surgery Center, LLC 1460 North University Drive, Coral Springs

Hallandale Outpatient Surgical Center 306 East Hallandale Beach Boulevard, Hallandale

Memorial Same Day Surgery Centers 4470 Sheridan Street, Hollywood

Memorial Same Day Surgery Center-West 501 North Flamingo Road, Pembroke Pines

Outpatient Surgical Services 301 Northwest 82nd Avenue, Plantation

ParkCreek Surgery Center 6806 North State Road 7, Coconut Creek

Physicians Outpatient Surgery Center 1000 Northeast 56th Street, Oakland Park

Plantation Surgery Center 201 North Pine Island Road, Plantation

Rand Surgical Pavilion Corp 5 West Sample Road, Pompano Beach

South Broward Endoscopy, LLC 11011 Sheridan Street, Cooper City

Surgery Center at Coral Springs 967 University Drive, Coral Springs

Surgery Center of Weston, LLC 2300 North Commerce Parkway, Weston

Surgicare of Miramar 14601 Southwest 29th Street, Miramar

Take Shape Surgery Center, LLC 4161 Northwest 5th Street, Plantation

The Surgery Center of Fort Lauderdale 4485 North State Road 7, Lauderdale Lakes

Weston Outpatient Surgical Center 2229 North Commerce Parkway, Weston Source: Florida Agency for Health Care Administration,http://facilitylocator.floridahealthstat.com/FacilityFind.aspx?pFaclType=14&pFaclName=&pFaclCity=&pFaclZip=&pCounty=06&pFaclInspectionRegion=ALL

http://facilitylocator.floridahealthstat.com/FacilityFind.aspx?pFaclType=14&pFaclName=&pFaclCity=&pFaclZip=&pCounty=06&pFaclInspectionRegion=ALL

http://facilitylocator.floridahealthstat.com/FacilityFind.aspx?pFaclType=14&pFaclName=&pFaclCity=&pFaclZip=&pCounty=06&pFaclInspectionRegion=ALL


OUTPATIENT CARDIAC CATHETERIZATION

According to AHCA, cardiac catheterization is defined as a medical procedure requiring the passage of a catheter into one or more cardiac chambers of the left and right heart, with or without coronary arteriogram, for the purpose of diagnosing congenital or acquired cardiovascular diseases, or for determining measurement of blood pressure flow. Cardiac catheterization also includes the selective catheterization of the coronaryostia with injection of contrast medium into the coronary arteries. Outpatient cardiac catheterization is defined as a person who receives cardiac catheterization in a healthcare facility and does not meet the definition of inpatient. Broward County does not have any outpatient cardiac catheterization facilities.

HOME HEALTH AGENCIES

Home Health Agencies provide the following services in a patient’s home or place of residence: nursing care; physical, speech, occupational, respiratory and IV therapy; home health aide services; homemaker and companion services; home medical equipment, nutritional guidance and medical social services. According to Florida Health Stat, there are currently 243 licensed Home Health Agencies in Broward.

HOSPICE FACILITIES

Hospices provide nursing, physician, social work and pastoral services, as well as nutritional counseling and bereavement counseling for terminally ill patients and their families. Staff

members are trained to assist the patient and family members who are dealing with death. These services are provided in the patient’s place of residence, a hospital or a hospice facility. Hospice facilities are listed in Table 17.

Table 17. Hospice Facilities

Hospice Care Of Southeast Florida, Inc. 309 SE 18th Street, Fort Lauderdale

Hospice of Gold Coast Home Health Services 2101 West Commercial Boulevard, Suite 4500, Fort Lauderdale

Hospice & Home Care By The Sea 1531 West Palmetto Park Road, Boca Raton

VITAS Innovative Hospice Care of Broward County 5420 Northwest 33rd Avenue, Suite 100, Fort Lauderdale

Source: Broward Regional Health Planning Council

HEALTHCARE ORGANIZATION ACCREDITATION

The Joint Commission mission is to continuously improve the safety and quality of care provided to the public through the provision of healthcare accreditation and related services supporting performance improvement in health care organizations. The Joint Commission is an independent, not-for-profit organization governed by a Board that includes physicians, nurses and consumers. The Joint Commission evaluates the quality and safety of care of health care organizations. To maintain and earn accreditation, organizations must have an extensive on-site review by a team of the Joint Commission health care professionals, at least once every three years. The purpose of the review is to evaluate the hospital's performance in areas affecting patient care. Accreditation may then be awarded based on how well the organizations met the Joint Commission standards. The type and number of Joint Commission accredited facilities are


listed below. A complete list of Joint Commission accredited facilities are on file at Broward Regional Health Planning Council. Table 18. Joint Commission’s Accredited Facilities in Broward (November 2013)

Type of Facilities Number

Ambulatory Care 51

Behavioral Care 52

Health Care Networks 0

Home Care 228

Hospitals 104

Laboratory 84

Long Term Care 3

Source: The Joint Commission, www.jointcommission.org

NATIONAL COMMITTEE QUALITY ASSURANCE

The National Committee for Quality Assurance (NCQA) is a private, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans. NCQA is governed by a Board of Directors that includes employers, consumer and labor representatives, health plans, quality experts, policy makers and representatives from organized medicine. NCQA’s mission is “to provide information that enables purchasers and consumers of managed health care to distinguish among plans based on quality, thereby allowing them to make more informed health care purchasing decisions.” NCQA is organized around two activities, accreditation and performance measurement. These activities have been integrated under NCQA’s Accreditation ‘99 program, which includes selected performance measures in

such key areas as member satisfaction, quality of care, access, and service.

Accreditation Association for Ambulatory Health Care (AAAHC)

The Accreditation Association for Ambulatory Health Care (AAAHC) is a private, not-for-profit organization formed in 1979 to assist ambulatory health care organizations in improving the quality of care they provide to their patients. It accomplishes this by setting standards, measuring performance, providing consultation and education where needed, and ultimately by awarding accreditation to those organizations found to be in compliance with its standards. AAAHC was incorporated in 1979 as a non-profit 501(c) 3 in Illinois, but its history spans more than twenty-five years of independent and cooperative efforts by many national organizations, all dedicated to high quality ambulatory health care. Since its founding, AAAHC has conducted hundreds of accreditation surveys of all types of ambulatory care organizations including ambulatory surgical facilities, college and university health centers, single and multi-specialty group practices and health networks. Over 1300 organizations nationwide are currently accredited by AAAHC. AAAHC has conducted surveys in nearly every type of ambulatory health care organization including: ambulatory clinics and surgery centers, single- and multi-specialty group practices, health maintenance organizations, independent physician associations, birthing centers, college and university health services, faculty medical practices, community health centers, Indian health centers, hospital-sponsored ambulatory health services, urgent and immediate care centers, office-based

http://www.jointcommission.org/


surgery centers and practices, pain management clinics, podiatry offices and networks and groups of ambulatory care organizations. AAAHC has surveyed managed care organizations over the years as a part of their regular accreditation activity. In this regard, it is significant to note in September of 1996, AAAHC became the first accreditation organization to conduct an accreditation survey of a pure Independent Physician Association (IPA) at the University of Southern California. Based on this experience and its surveys of managed care organizations, in April of 1997, AAAHC adopted special standards for managed care professional services delivery organizations. These standards focus on system-wide mechanisms for evaluating providers of care functioning within managed care systems, and for assuring standards of compliance. The standards address such critical issues as the organization's communication mechanisms to patient members; grievance resolution systems; consumer information; appeals procedures; and utilization management. In addition, AAAHC has undertaken specialized reviews for state agencies and in conjunction with state regulatory requirements which have resulted in extensive involvement in external reviews of managed care organizations. AAAHC has been designated as an approved external HMO review entity not only in Pennsylvania, but also in Oklahoma and Kansas. These states require periodic review of HMOs as a condition of licensure. AAAHC has also been named as an approved HMO accrediting body in Florida where legislation requires HMOs be accredited as a condition of licensure.

PRIMARY STROKE CENTER CERTIFICATION

The Joint Commission’s Primary Stroke Center Certification Program is based on the Recommendations for Primary Stroke Centers published by the Brain Attack Coalition and American Stroke Association statements for stroke to evaluate hospitals functioning as Primary Stroke Centers. Program seeking Primary Stroke Center Certification must meet eligibility requirements outlined in the Disease-Specific Care Certification Manual as well as use a standardized method of delivering clinical care based on evidence-based guidelines (i.e., Brain Attack Coalition’s Recommendations for Primary Stroke Centers and guidelines developed by the American Heart Association/American Stroke Association). In September 2012, The Joint Commission and the American Heart Association/American Stroke Association launched Advanced Certification for Comprehensive Stroke Centers (CSCs). This new level of certification recognizes the significant resources in infrastructure, staff, and training that comprehensive stroke centers must have to provide state-of-the-art complex stroke care.


Table 19. Joint Commission’s Stroke Center Certified Hospitals in Broward

Broward Health Medical Center 1600 South Andrews Avenue, Fort Lauderdale

Comprehensive

Broward Health Coral Springs 3000 Coral Hills Drive, Coral Springs

Primary

HealthSouth Sunrise Rehabilitation Hospital 4399 Nob Hill Road, Sunrise

Rehabilitation

Holy Cross Hospital 4725 North Federal Highway, Fort Lauderdale

Primary

Broward Health Imperial Point Medical Center 6401 North Federal Highway, Fort Lauderdale

Primary

Memorial Hospital Pembroke 7800 Sheridan Street, Pembroke Pines

Primary

Memorial Regional Hospital 3501 Johnson Street, Hollywood

Comprehensive

Memorial Hospital West 703 North Flamingo Road, Pembroke Pines

Primary

Broward Health North 201 East Sample Road, Deerfield Beach

Comprehensive/ Rehabilitation

Northwest Medical Center 2801 North State Road 7, Margate

Primary

Plantation General Hospital 401 Northwest 42nd Avenue, Plantation

Primary

University Hospital and Medical Center 7201 North University Drive, Tamarac

Primary

Westside Regional Medical Center 8201 West Broward Boulevard, Plantation

Primary

Source: The Joint Commission, http://www.qualitycheck.org/consumer/searchResults.aspx?zip=33304&Select1=4&dist=4&provId=21&provIdtracker=21

CHILDREN’S DIAGNOSTIC/TREATMENT (CDTC)

The Children’s Diagnostic and Treatment Center (CDTC) provides services to infants, children, youth and families through five comprehensive programs: primary and specialty medical care, research, early intervention, HIV/AIDS and home-based interventions. CDTC provides care to children living with chronic illnesses or developmental disabilities and has maintained a particular commitment to those families having the fewest means with which to meet the complex needs of their children. The center serves homeless children and those in the care of the child protection system, as well as children who are at grave risk for medical and/or developmental disabilities. CDTC has agreements with all birthing institutions to screen all the babies in Broward. CDTC is a subsidiary of Broward Health (the North Broward Hospital District), which provides some administrative support and financial assistance. The budget is predominately funded by federal, state and local grants.

HOMELESS ASSISTANCE CENTERS

Homeless Assistance Centers provide emergency shelter and solution-focused services to individuals and families. There are three locations in Broward (Table 20).

Table 20. Homeless Assisted Centers

Broward Outreach Center (N. HAC) 1700 Blount Road, Pompano Beach

Broward Outreach Center (S. HAC) 2056 Scott Street, Hollywood

Broward Partnership for the Homeless, Inc 20 Northwest 7th Avenue, Fort Lauderdale

http://www.qualitycheck.org/consumer/searchResults.aspx?zip=33304&Select1=4&dist=4&provId=21&provIdtracker=21

http://www.qualitycheck.org/consumer/searchResults.aspx?zip=33304&Select1=4&dist=4&provId=21&provIdtracker=21


HEALTH CARE FOR THE HOMELESS (HCH) PROGRAM

The Health Care for the Homeless (HCH) Program has been operated and financially supported by Broward Health since 1993. It was established through a Federal and offers a variety of healthcare and related services to the homeless population in Broward County, including but not limited to medical, behavioral health, oral health and pharmacy services. These services are offered by mobile and fixed health care teams, including physicians, nurse practitioners, registered and licensed practical nurses as well as other professionals.

Service locations include the North and Central Homeless Assistance Centers, substance abuse and mental health treatment programs, assisted living facilities and the Broward Health Primary Care Centers. In addition, services are provided at the HCH Program Office, also known as “The Little House.”

PRENATAL AND CHILDHOOD INITIATIVES

HEALTHY FAMILIES BROWARD

Healthy Families Broward (HFB) is a community-based, voluntary home visitation project promoting positive parenting and child health and development, thereby preventing child abuse and neglect and other poor childhood outcomes. Pregnant women and all families of newborns, living in geographically targeted areas (33004, 33009, 33020, 33023, 33024, 33060, 33069, 33311, 33313) are screened and assessed for risk factors associated with child abuse, neglect and other poor childhood outcomes. Paraprofessionals

provide home-based visitation services for three to five years under the intensive supervision of Master’s-level professionals. According to the Healthy Families America model, Healthy Families Florida has adopted and enforced the philosophy that all Healthy Families Projects will be established based upon a collaborative community model. This type of model strengthens HFB as it reaches into the community and establishes collaborative partnerships with agencies sharing in the mission and desire to keep families together to reduce child abuse and neglect and promote positive childhood outcomes. Collaborating partners in the provision of services include (with formal subcontract agreements): KID Inc., Healthy Mothers, Healthy Babies, Memorial Healthcare System, and Broward Health (for screening). Broward Regional Health Planning Council, Inc. serves as the lead agency for the HFB program with the collaborative partners planning for and implementing quality services within Broward. In addition, funding for Healthy Families comes from three sources: the Ounce of Prevention Fund of Florida/Healthy Families, the Children’s Services Council of Broward County and United Way of Broward County. Additional formal collaboration agreements exist between HFB and Broward County Health Department, Broward Healthy Start Coalition, ChildNet, Plantation General Hospital, and Holy Cross Hospital. Families enroll voluntarily in the program in one of three ways: prenatally, upon giving birth at the hospital, or self-referral. Through collaboration with local community health


and social service agencies and birthing hospitals, a team of Family Assessment Workers screens expectant parents and parents with an infant less than three months old for risk factors that are predictive of child abuse or neglect, including but not limited to marital status, income, employment, housing, transportation, education, prenatal care, and childhood history. Eligible parents are matched with a paraprofessional Family Support Worker (FSW) who is able to relate to their culture. The FSW provides education and support during home visits based on the needs of the family, using a leveling system. Once the child is born, the families receive home visits at least one per week until the child is six months old. As families progress through the program, home visits continue on a diminishing schedule: bi-weekly, monthly and quarterly. HFB staff includes a Child Development Specialist, whose main role is to facilitate ongoing orientation and trainings as well as provide direct linkages and support in an effort to strengthen the families. Such support includes intervening when a developmental delay is identified by connecting the family to resources to assist the child with overcoming the delay. During the fiscal year (FY) 2012-13 the Assessment Acceptance Rate was 77%. The total number of HFF Record Screen/ Referral Forms resolved was 1,389 and the total number of

Prenatal Risk Screens was 2,989 (Table 21).

Table 21. Healthy Families Broward Screening Analysis, FY 2012-2013 HFF Record

Screen/Referral Forms

Prenatal Risk

Screens Total

Total screens resolved 1,389 2,989 4,378 Total # of negative screens 239 726 965 (A) Total # of positive screens 1,150 2,263 3,413 (B) Positive screens not assessed due to MOOSA

10 11 21 (1%)

(C) Positive screens not assessed due to vanished/unable to locate

66 707 773 (23%)

(D) Positive screens not assessed due to TC adopted out/died prior to assessment

1 18 19 (1%)

(E) Positive screens not assessed due to unable to process - limited resources

2 780 782 (23%)

(F) Positive screens not assessed for other reasons

45 42 87 (3%)

Positive screens offered assessment [A-(B+C+D+E+F)]

1,026 705 1,731 (51%)

# of positive screens that refused assessment

144 251 395

Total # that should be assessed (Offered - Refused)

882 454 1336

Assessment Acceptance Rate (# that should have been assessed / # offered assessment): 77% Total # assessments entered (07/2011 - 06/2012): 1,281

*Other reasons positive screens were not assessed: (HFF Record Screen/Referral Forms) 5

assessed prenatal, 1 not interested, already enrolled in hfb, already enrolled, assessed

prenatal, assessed prior, assessed prior, assess prenatal, creole, out of reach, enrolled in hfb,

already assessed, can't see, enrolled in hfb, screened, not interested, not interested, assessed

prenatal, out of reach, out of zip, receiving services from hfhb, receiving services from hmhb,

refused, assessed prior. (Prenatal Risk Screens) already assessed, enrolled in hnhb, enrolled in

hfb, enrolled in different program, has hmhb, hs/hmhb, mob already in hfb, mob stated no

time, no time, not interested or receiving parenting, pending assessment, receiving services,

receiving services from another program, she said she has no time.

Source : Healthy Families Broward Bi-Annual Service Review, 2011-2013


During the fiscal year 2012-2013, the program acceptance rate

was at 45%, which is an improvement by 7% from the previous

year. Healthy Families Broward completed 1,281 assessments

during 2012-2013, which is a decline from the previous year

2011-2012. Such decline can be attributed to staff turnover

and budget realignment that slowed the program’s ability to

take on new cases overall (Table 22).

Table 22. Aggregate Report for HFB Assessment Result, FY 2012-13

Assessment Result # %

MOOSA 58 5%

Consented To Participate 317 25%

Refused Program @Assessment 168 13%

Refused Program During Creative Outreach 224 17%

Active CPS Case 19 1%

Scored Out 144 11%

Target Child Adopted 0 0%

Target Child Miscarried/ITOP/Died 2 0%

Referred To More Appropriate Service 43 3%

Other 13 1%

Family Vanished/Unable To Locate 89 7% Not Enrolled/At Situational Capacity 204 16%

Not Enrolled/At Actual Capacity 0 0%

Refused CPS Background Check 0 0%

None Selected 0* 0%

HFF Plus Study Control Group 0 0%

Program Acceptance Rate 45%

Total: 1,281

* Including 0 assessments with the "None Selected" subtype from "HFP Intervention Group" Source : Healthy Families Broward Bi-Annual Service Review, 2011-2013

HEALTHY START

Florida’s Healthy Start legislation was enacted in 1991 to improve the status of Florida’s mothers and babies through increased access to comprehensive, risk-appropriate maternity and well-child care. The Broward Healthy Start Coalition received funding in 1991, and as part of its mandated responsibilities, the Coalition conducts a community assessment, develops community-based service delivery plans, funds and monitors health care providers, and advocates for improved maternal and infant healthcare services. A key to its success is the establishment of partnerships with organizations in the private and public sectors, maternal and child health providers and consumers of services. The Coalition has over 80 members which represent all aspects of public and private sectors as well as individuals.

The Florida’s Healthy Start Program’s key components are:

Universal prenatal and infant risk screening to identify pregnant women and infants at risk for adverse birth, health and developmental outcomes.

Health Start care coordination and services that support families in reducing the factors and situations that place pregnant women and infants in jeopardy for poor outcomes.

Community-based prenatal and infant healthcare coalitions.

Children’s Medical Services expansions.

Increases in Medicaid eligibility for pregnant women and infants and increase in reimbursement rate for obstetrical services.


During fiscal year (FY) 2011-12, the prenatal screening rate for Healthy Start was 87.45% of all births. The Infant screening rate was 96.81%. Table 23 provides data on prenatal screens and Table 24 provides data on infant screens. Broward has made significant gains during the past five years and is at or above the state average in several categories.

Table 23. Healthy Start Care Coordination Prenatal Data, FY 2012-2013 # Broward % Florida %

Estimated number of pregnant women 21,104

Total prenatal screening forms processed 18,295 86.69 94.35

Women Screened 17,496

Screening rate 82.90 84.18

Consent rate 95.63 89.22

Women with positive screen + referred for other factors

7,029 86.40 95.48

Women who received initial contact 3,790 53.92 65.57

Women determined as needing an initial assessment

636 16.78 34.42

Women who received an initial assessment 554 87.11 81.82

Women determined as needing ongoing care coordination

1,455 38.39 43.73

Source : www.browardhealthystart.org

Table 24. Healthy Start Care Coordination Infant Data, FY 2012-2013 # Broward

% Florida

%

Number of infants born 21,104

Infants screened 20,647 97.83 93.45

Infants with positive screens 3,804 18.42 15.62

Parents consenting to Healthy Start participation 4,379 76.56 86.69

Infants who received initial contact 3,645 83.24 71.39

Infants who received an initial assessment 299 56.74 94.92

Infants receiving a Healthy Start Service 6,053 Source: www.browardhealthystart.org

MOMCARE

Beginning in December of 2001, the Broward Healthy Start Coalition began the SOBRA (Sixth Omnibus Budget Reconciliation Act)/MomCare Program. This Program provides choice counseling and case management to women not eligible for Medicaid due to their pregnancy, which helps to assure access to continuous and ongoing prenatal care and other services as appropriate. About two-thirds of all pregnant women on Medicaid are qualified as a result of SOBRA. The program assures early and continuous prenatal care through telephonic prenatal care counseling services. Participants are assisted in choosing a prenatal health care provider and pediatrician for the baby along with helping them access services such as WIC and family planning. The Broward MomCare Program serves approximately 10,000 new participants annually who are electronically referred to the program based on their pregnancy Medicaid approval. According to a study by the University of Florida, these women in the Program have been shown to have the poorest birth outcomes. Since the inception of the SOBRA MomCare Program in Broward in December 2001 through January 2009, 67,435 beneficiaries have received prenatal care counseling services. MomCare has partnered with the Broward County Health Department WIC office to ensure early admission into the Program for nutritional needs. Other partnerships are with the DCF and Florida KidCare.

http://www.browardhealthystart.org/

http://www.browardhealthystart.org/


NURSE FAMILY PARTNERSHIP

Beginning in October 2013, Broward Regional Health Planning Council, Inc. was awarded funding to implement the Nurse-Family Partnership (NFP) model in Broward County through partnership with Broward Health and Memorial Healthcare system, and collaboration with Healthy Start Coalition. Funding is through the federal Maternal Infant and Early Childhood Home Visiting (MIECHV) program. The grant is a three year $1.5 million, renewable grant that provides opportunities for the communities of Broward County and expands the available services for pregnant women and infants. NFP is an evidence-based community health program. Developed over 35 years ago and rigorously studied since its inception, NFP has a high degree of evidence that it works across a variety of health, social, and economic outcomes. The NFP Program focuses on low-income, first-time moms. Each mother is partnered with a registered nurse early in pregnancy. The mother then receives ongoing visits that continue through her child’s 2nd birthday. The nurse is trained in the exacting standards of NFP to ensure they focus on 3 goals: • Improve pregnancy outcomes • Improve the child’s health and development • Improve families’ economic self-sufficiency

Eligibility criteria: • No previous live births • Low income • Less than 28 weeks • Reside in a target zip code: 33064, 33069, 33060, 33319, 33313, 33311, 33024, 33025, and 33023

Documents

CHAPTER III: HEALTH RESOURCES Table of Contents III: HEALTH RESOURCES Table of Contents ... Dental And Mental Health HPSAs ... Margate 112999124F 1 11 Seminole Tribe of FL 15