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This slide show provides a summary of Larkin Community Hospital and our plans for Larkin University. Larkin Community Hospital is one of 12 designated statutory teaching hospitals in Florida. We offer the largest number of training programs for Osteopathic Physicians in the United States (offering training in more than 30 different specialties). We sponsor an allopathic residency program in Psychiatry, an Advanced Education in General Dentistry Residency Program, an American Society of Health System Pharmacists Accredited Pharmacy Residency Program and a Podiatric Medicine and Surgery Residency Program. In addition, our School of Nursing offers a Registered Nurse Associate Degree program and our College of Biomedical Sciences offers a Post-Baccalaureate Biomedical Sciences Degree program. Our hospital is also the home of: • The Miami Neuroscience Center at Larkin, a state of the art facility which specializes in Gamma Knife Radiosurgery. This 25 member team, led by world renowned neurosurgeon Dr. Aizik Wolf, has performed over 8000 procedures during the past 20 years. Gamma Knife is a non-invasive state of the art neurological procedure used to treat brain tumors, head and neck cancer, and neurological conditions, such as trigeminal neuralgia and Arteriovenous Malformations. • The Center for Advanced Orthopedics at Larkin, which specializes in advanced orthopedic surgery using the latest multimodal perioperative pain management modalities and state of art technology and instrumentation with advanced robotic technology. The center, led by world renowned orthopedic surgeon Dr. Carlos Lavernia, includes an outcomes-oriented robust research component with an ongoing prospective surgical registry and a comprehensive rehabilitation department.
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DELIVERING
EXTRAORDINARY CARETO SOUTH FLORIDA for
4040 YEARS7031 S.W. 62nd Avenue
South Miami, Florida 33143 • 305.284.7500
Where teaching and learning spark better outcomes
• A 146-bed Joint Commission Accredited acute care Medical, Surgical, Psychiatric and
Teaching Hospital
• Offering Post Graduate Medical Education training in 30 different specialties (largest
Osteopathic Teaching Hospital in the United States and one of twelve Statutory Teaching
Hospitals in Florida)
• School of Nursing (Registered Nurse Associate Degree Program)
• Designated as a hospital in an Area of Critical Need by the US Department of Health and
Human Services
• Designated as a National Health Services Corps site by the Health Resources and Services
Administration (HRSA)
• Founding member of FIU College of Medicine
• Member of the Consortium in Excellence in Medical Education, NSU College of Medicine
• Designated Baker Act receiving facility
• Joint Commission Accredited Home Health Agency
• Neuroscience Center (including Gamma Knife) opened on January 2012
• Center for Advanced Orthopedics opened on September 2013
• Full service Laboratory and Pathology departments
• Full service Imaging Center including Angiography, MRI and PET CT Scan
• 4 full service imaging centers located throughout Miami-Dade County (Hialeah, Kendall, Coral
Gables and Homestead)
• Improved Quality of Care.
• Shorter length of stay for major illnesses.
• Studies show that patients at teaching hospitals have better outcomes and survival rates.
• Ready access to physicians: Doctors are on-site 24 hours a day/7days a week. Patients are under the
continuous care of medical professors and residents, which gives patients a unique advantage.
• The latest in treatment therapies and state-of-the-art technologies become available first at teaching hospitals.
• Availability of leading edge, specialized services that allow patients to receive treatment in their own community.
Top-notch physicians prefer affiliations with teaching hospitals.
• The emphasis on education and training means careful consideration in both routine and critical cases. Because
of their involvement in research, our physicians have knowledge of the latest treatment options and excel in
preventive medicine. They bring together innovations and unparalleled experience to provide you the best care.
• Finally, for the hospital, education creates a dynamic environment - a place of collaborative exchange, new
ideas, thoughtful discourse and a team approach to patient care where everyone is constantly learning from one
another. Our involvement with teaching the next generation of health professionals means you will find excellent
care. Larkin Community Hospital is where teaching and learning spark better outcomes for our patients.
How a Teaching Hospital Benefits You
Non-invasive neurosurgical procedure
Expert team led by Dr. Aizik Wolf for 18 years
Increased accuracy
Reduced side effects
Rapid recovery
Used to treat diseased brain tissue
Surrounding tissue intact
This technology allows physicians to operate on brain lesions often considered
inoperable
Non-invasive alternative for many patients for whom traditional brain surgery
is not an option
New hope for patients with brain tumors, vascular malformations and
functional disorders
GAMMA KNIFE
Expert team led by world renowned Orthopedic Surgeon Dr. Carlos Lavernia
Outcomes oriented, robust research component with ongoing research to
improve outcomes.
- Excellent short and long term outcomes, patients followed for life as
part of a prospective surgical registry
- Extremely low complication and infection rates
- Knee infection rate of 0.5 % in osteoarthritis , compared to national
average of 3.5%
- Hip Dislocation Rate (post-surgery) of 0.01% compared to national
average of 3%
- Primary Arthroplasty Home Discharges of 85%, compared to national
average of 45% (better outcomes than Skilled Nursing Facility)
- Presents in all major Orthopedic Conferences worldwide, with
extensive publications.
State of the art Robotic Hip and Knee Replacement
Surgery
- Less Invasive, More Precise
- Multimodal Pain Management
- Only One in Miami-Dade County
- Faster Recovery Times and Easier Rehabilitation
- Robotic Bi-cruciate retaining total knee
replacement coming in February 2014
• Largest Osteopathic Teaching Program in the United States (offering Post Graduate Medical Education training in 30 different specialties).
• Offering the only non-university based allopathic Psychiatry program in Florida.
Affiliated to:Nova Southeastern University College of Osteopathic Medicine
AOA Accredited Family Medicine Residency Program
AOA Accredited Psychiatry Residency Program AOA Accredited Neuromusculoskeletal
Medicine Integrated Residency Program AOA Accredited Internal Medicine Residency
Program ACGME Accredited Psychiatry Residency
Program AOA Accredited Traditional Rotating Internship AOA Accredited Hospice and Palliative Care
Fellowship Program AOA Accredited Endocrinology Fellowship
Program AOA Accredited Dermatology Residency
Program AOA Accredited MOHS Micrographic Surgery
Fellowship Program AOA Accredited Dermatopathology Fellowship
Program AOA Accredited Neurology Residency Program AOA Accredited Ophthalmology Residency
Program AOA Accredited Radiology Residency Program AOA Accredited Anesthesiology Residency
Program AOA Accredited PM&R Residency Program
AOA Accredited Sports Medicine Fellowship Program
AOA Accredited Rheumatology Fellowship Program
AOA Accredited Geriatric Medicine Fellowship Program (IM)
AOA Accredited Addiction Medicine Fellowship Program
AOA Accredited General Surgery Residency Program
AOA Accredited Allergy and Immunology Fellowship Program
AOA Accredited Sleep Medicine Fellowship Program
AOA Accredited Geriatric Psychiatry Fellowship Program
AOA Accredited Forensic Psychiatry Fellowship Program
AOA Accredited Hematology/Oncology Fellowship Program
AOA Accredited Gastroenterology Fellowship Program
AOA Accredited Infectious Disease Fellowship Program
AOA Accredited Pain Medicine Fellowship Program
Training Programs we offer
Physician Shortages to Worsen
• The passage of the Affordable Care Act (health care reform law), while setting in motion long-overdue efforts to insure an additional 32 million Americans, will increase the need for doctors and exacerbate a physician shortage driven by the rapid expansion of the number of Americans over the age of 65.
• The U.S. Department of Health and Human Services estimates that the physician supply will increase by only 7 percent in the next 10 years.
• The Census Bureau projects a 36 percent growth in the number of Americans over age 65, the very segment of the population with the greatest health care needs.
• By 2020 our nation will face a serious shortage of both primary care and specialist physicians to care for an aging and growing population.
• According to the AAMC’s Center for Workforce Studies, there will be 45,000 too few primary care physicians – and a shortage of 46,000 surgeons and medical specialists – in the next decade.
• Nearly one-third of all physicians will retire in the next decade just as more Americans need care.
• 1 in 3 active physicians is 55 or older.
Source: https://www.aamc.org/download/150584/data/physician_shortages_factsheet.pdf
Physician Shortages to Worsen
• The shortfall in the number of physicians will affect everyone, but the impact will be most severe on vulnerable and underserved populations. These groups include the approximately 20 percent of Americans who live in rural or inner-city locations designated as health professional shortage areas.
• 15 million patients who will become eligible for Medicare, 32 million younger Americans will become newly insured as a result of health care reform and thereby intensify the demand for physicians even further.
• Because educating and training physicians takes up to a decade, something needs to be done now.
Source: https://www.aamc.org/download/150584/data/physician_shortages_factsheet.pdf
How does this impact us?• Florida graduates fewer physicians than most States
(41st/46 states with Med schools).• Florida is 43rd among states in the number of resident
physicians.• Florida needs 3,000 new physicians per year. The State only
licenses 2,500 new physicians per year, of whom less than 500 have graduated from medical schools in the State of Florida.
• Only 15% of all Florida licensed physicians have been trained in the State of Florida.
• 35% of all physician practicing in Florida graduated from foreign medical schools.
• 64% of all physicians practicing in Florida are over 55 years of age and 25% are over 65 years of age. Florida ranks number one in the country in the proportion of older physicians.
• 8.8% of all physicians in Florida are Hispanic and 3% are Black, whereas 30% of the general population in Florida is comprised of minorities.
Currently there are 120 Colleges or Schools of Pharmacy in the United States compared to 170 Colleges or Schools of Medicine (allopathic and osteopathic).
Demand for trained pharmacy professionals has increased in past years due to the rapid growth of the healthcare and pharmaceutical industries, growing elderly population, and expectation of an increase in retirement from delayed retirements after the market crash.
As an example, an average annual number of colleges of pharmacy deans that retire are estimated to be about 3-5 per year. However, between 2013 and 2014 more than twenty deans have or have announced retirement.
Excellent potential for advancement and competitive salaries (entry level salaries in excess of $100,000) immediately after graduation.
At Larkin, we will focus on the development of graduates seeking advanced training given the already existing graduate medical education commitment of Larkin.
College of Pharmacy
College of Pharmacy A shortfall of as many as 157,000 pharmacists nationally is
predicted by 2020 according to the findings of a conference sponsored by the Pharmacy Manpower Project, Inc.
Pharmacy has always maintained a 100% job placement rate immediately following graduation and this did not change even throughout the recession.
The State of Florida currently has six colleges of pharmacy (COP), Larkin would be the seventh. The United States Census Bureau estimated that the Florida’s population had reached 19.5 million people in 2013. This represents a per capita rate of one COP per every 3.25 million people. The following table will represent that Florida is underserved with COPs.
College of Pharmacy
Florida is in need of more COPs especially with an aging population and the population of this State always increasing.
Additionally, in many states, students tend to stay in the state when they graduate or they leave for residencies and return. However, in Florida, about half of the students that matriculate are from other states, and will return to those states after graduation.
The number of qualified students that are applying to COPs has been consistent. In 2012 a total of 99,821 candidates applied to pharmacy schools in the US.
Over the last five years, between 13,000 – 15,000 students are accepted nationwide to COPs. Therefore, there are 6.7 – 7.8 student applications for every one student accepted to a COP. This has remained consistent over many years despite an increase in the number of pharmacy schools.
Larkin College of Pharmacy will have 700-1,000 applicants for the first class of students that will matriculate 100 into the program in August 2015.
An improving economy, full implementation of Protection and Affordable Care Act, aging of the nurse workforce, and aging of Florida’s population will increase the nursing shortage through 2025
Without continued production of new graduates, the nursing shortage will be more than 128,000 RN FTE positions in 2030
Loss of $ 226 million in state and local tax revenues from the projected RN FTE shortage through 2025 (assuming per capita tax burden remained unchanged)
A shortage of registered nurses will worsen in the United States in the next two decades
Florida will have the greatest increase in RN shortageSources:http://ajm.sagepub.com/content/27/3/241www.FLCenterForNursing.orghttp://ajm.sagepub.com/content/27/3/241
School of Nursing
The number of employed nurses is expected to increase from 2.74 million in 2010 to 3.45 million in 2020, representing a 26% increase
In addition projections explain the need for 495,500 replacements in the nursing workforce which represent a total of 1.2 million new jobs for registered nurses by 2020.
According to the U.S Bureau of Labor Statistics (BLS), there were 296,900 jobs were added to the healthcare sector in 2011
Jobs in the healthcare sector accounted for one out of every 5 new jobs created in 2012.
Hospitals, long-term care facilities, and other ambulatory care settings added 49,000 new jobs in February 2012, up from 43,300 new jobs created in January
It is expected that RNs will be recruited to fill many of these new positions since RNs comprise the largest segment of the healthcare sector
Sources:http://www.bls.gov/news.release/ecopro.t06.htmwww.bls.gov/news.release/empsit.nr0.htm
Nursing Employment Forecast
Academic Enhancement Program According to the AAMC Data Warehouse, there were 43,919
applicants to medical school in 2011 with only 19,230 matriculants. According to AAMC statistics, over 40% of medical students admitted
spend an interim year between undergraduate school and medical school.
There are many post-baccalaureate degrees, certificate programs and masters degree (MS) programs across the country indicating a healthy demand for post undergraduate education.
200 students in any given year from across the country will be enrolled in the program with over 70% relocating to the area.
Housing, dining and parental visitation will contribute to the local economy.
Research results will enhance applications for Public and Private Grants.
Research will lead to technology transfer and local “spin-off” businesses.
Biomedical Sciences
Employment of dentists is expected to grow by 21 percent from 2010 to 2020, faster than the average for all occupations.
Employment of dentists is not expected to keep pace with the increased demand for dental services. There are still areas of the country where patients have little access to dental care.
33 million Americans live in areas that are underserved by dental health professionals.
4.6 million children went without dental checkups in 2008 because their families could not afford them.
In 2006, almost two-thirds of retirees (62%) did not have adequate dental coverage.
The IOM committee concluded that around 9,600 additional dentists would be needed to meet the needs of underserved populations in the United States.
"We have the lowest ratio of dentists to population that we have had in 100 years," says Shelly Gehshan, who directs the Pew Children's Dental Campaign. "This is a serious problem that leaves 40 to 50 million people out of reach of a dentist at any given moment.“
Sources:Bureau of Labor Statistics (http://www.bls.gov/ooh/healthcare/dentists.htm#tab-6 accessed September 5, 2013)http://www.webmd.com/oral-health/news/20110713/millions-in-us-lack-access-to-dentists
College of Dentistry
Data from the ADA reveals that total predoctoral enrollment was at its highest level during the late 1970s through the early 1980s, with peak enrollment of 22,842 in the 1980-81 academic year.
In the last ten years, first-year predoctoral enrollment has only risen an average of 1.7% annually while the demand for dental services has risen dramatically since the 1980s.
Further increasing the demand for more dentists is the projection that beginning in 2014, as the baby-boomer dentists start to retire, the number of practicing dentists will decline dramatically while the U.S. population continues to increase.
Source: http://www.thewealthydentist.com/blog/4622/being-a-dentist-is-the-best-job-in-the-us/
College of Dentistry
MissionTo educate students in a multicultural, multiethnic environment utilizing inter-professional education, state of the art technologies and knowledge founded on evidence-based science to serve the needs of our community, our nation and the world.
VisionTo be a leader in innovation and collaboration.
Larkin University
Larkin Health Sciences Campus
Assist area hospitals in developing
residency positions in Medicine, Pharmacy and Nursing to ameliorate South Florida’s current and anticipated shortages.
Establish primary care and core competency anchors in residency training while also establishing relationships with affiliated hospitals for specialty residencies.
Our strategic plan:
Jackson Memorial Hospital and Holtz Children’s Hospital, Miami, Florida
Miami Children’s Hospital, Miami, Florida Nationwide Children’s Hospital, Columbus, Ohio Nemours Children’s Hospital, Orlando, Florida Palmer Children's Hospital, Orlando, Florida West Penn Allegheny Health System Hospitals,
Pittsburgh, PA Borinquen Health Care Center, Miami, Florida Miami Beach Community Health Center, Miami, Florida Community Health of South Florida (CHI), Miami,
Florida Jessie Trice Health Community Health Center), Miami,
Florida Beraja Medical Institute, Miami, Florida Vitas Hospice and Palliative Care System
Our Affiliates
Construction Jobs Generated by Phase I, a 150,000 SF building and associated parking: 514
Jobs created from direct hiring of faculty and staff: 182
Total direct and indirect jobs created: 696
Short-Term Economic Impact
In 2009, the office-based physician industry supported $1.4 trillion in total economic output, with each physician supporting an average of $2.2 million in output; 4 million jobs nationwide, with each office-based physician supporting 6.2 jobs, including his or her own; and $833 billion in wages and benefits, with each physician supporting $1.3 million in those areas. Even though this report only looked at the impact of Office-based primary care physicians it would be expected that other medical specialists will have a similar impact.
Office-based physicians added more to state economies than a number of other industries, including hospitals, nursing homes, home health services and even legal enterprises, according to the AMA report The State-Level Economic Impact of Office-Based Physicians (www.ama-assn.org).
In addition, the office-based physician industry generated $63 billion in total state and local tax revenues in 2009, with each individual office-based physician generating an average of nearly $100,000 in state and local tax revenues.
Long Term Economic Impact
In 2007, the AAFP's Robert Graham Center did a similar study that measured the economic impact of a single family physician and the cumulative effect of Family Physicians in each of the 50 states and the District of Columbia. The finished work, Economic Impact of Family Physicians, is a series of issues briefs -- one for each state -- that details information on the economic benefits family physicians provide and that includes a state map with federally designated primary care health professional shortage areas.
According to the Graham Center data, which are both conservative and nearly 5 years old, the average economic impact per family physician per year is approximately $1,000,000.
We will be graduating 150 new physicians per year, many of whom will likely stay in the area to train at Larkin, which increases the likelihood that they will decide to start their practice in Miami-Dade County.
Long Term Economic Impact
“Coming together is a beginning; keeping together is progress; working together is success.”
Henry Ford