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JAMA Forum: Transforming Emergency Departments to Better Care for Elderly Patients Print E-mail
Written by Gilbert Benavidez, MPH, Melissa Garrido, PhD, Austin Frakt, PhD   
Friday, 14 September 2018 08:40
Many people don't realize that if an elderly individual needs to go to an emergency department (ED), how the person is cared for may differ greatly, depending on  which ED they visit. Unless they've discussed the issue with a clinician, they're likely unaware that not all EDs are designed, prepared, or staffed to meet the complex care needs of older adults.
Fortunately, a recent initiative by the American College of Emergency Physicians (ACEP) to accredit geriatric emergency departments is encouraging EDs to better address the needs of older patients and is providing guidance on which EDs are best able to care for such patients.
Older patients present with unique physical, pharmacological, cognitive, and social needs. They are at greater risk than younger patients of falls and fractures, have high rates of using 5 or more medications concurrently (polypharmacy), and often present with Alzheimer disease or related dementias (ADRDs).
Last Updated on Friday, 14 September 2018 08:43
Florida House Experience Unveils Unique Comprehensive Women’s Behavioral Health and Addiction Recovery Program Print E-mail
Written by FHInews   
Friday, 14 September 2018 08:37
Sept. 21 Open House on new Empower! Program for Healthcare and Medical Professionals

DEERFIELD BEACH, FL – (Sept. 2018) – The Florida House Experience (FHE), a JCAHO/CARF accredited healthcare institution delivering high quality, medically integrated personalized treatment for those suffering with behavioral health and addiction disorders, announced its new Empower! Women’s Program.  Empower! is specifically tailored to the needs of women who struggle with substance abuse, co-occurring disorders and mental health issues.

FHE is holding an open house on September 21, 2018 from 3-6pm at 500 S. Federal Highway in Deerfield Beach.  Physicians, case managers and social workers will have the opportunity to learn more about Empower! and meet Program Director, Mindy Appel, LCSW, ACSW and program staff Janus Moncur, LCSW, CPC, Sandra Lynch-Larmond, LMHCI and Misha Boger, CAP-I. 

"Empower! Recognizes the unique needs of women and the importance of providing a supportive and therapeutic environment to overcome their obstacles,” said Appel, who has more than 20 years’ experience working to help diagnose and treat a host of behavioral issues. “We focus on helping patients build healthy relationships and address issues specific to their individual needs in a therapeutic environment with the program’s comprehensive, coordinated approach.”

This program addresses the trauma, psychiatric and personality issues, grief and loss, relationships, family, and personal issues that may cause unwanted behaviors.

“Empower! is full of hope, healing, laughter and tears, in a caring and supportive environment where women can be themselves and can focus on how to achieve healthier and happier lives,” added Appel.

The Florida House Experience is committed to providing the highest quality clinical, medical, psychiatric, and neuroscience care to all of our patients. For more details about the event, you can call: 866-412-1577


About the Florida House Experience: The Florida House Experience is a healthcare institution that delivers quality, medically integrated personalized treatment for those suffering with Behavioral Health Disorders. We specialize in addictive disorders and other behavioral health diagnoses such as mood disorders, depression, anxiety, and traumatic disorders.

FHE is a facility licensed by the both the Department of Children and Families (DCF) and the Agency for Healthcare Administration (AHCA). They are accredited by both the JOINT Commission and the Commission of Accreditation of Rehabilitation Facilities (CARF) and are members of the National Association of Addiction Treatment Providers (NAATP).

Lauren Berger, Don Silver, BoardroomPR
(954)370-8999/ (954)629-7523
Last Updated on Friday, 14 September 2018 08:58
Key Man vs. Buy/Sell Insurance Print E-mail
Written by Wes Caldwell | Danna-Gracey   
Thursday, 06 September 2018 09:21

Absent proper planning, the premature death or permanent disability of a partner or key employee can create devastating financial pressures on a practice. I am often asked for key-man insurance or buy/sell insurance, when neither actually exists. The insurance is simply a funding mechanism. Key man differs from buy/sell in the type of financial obligation the practice faces. The funding can come from one of several sources, such as cash flow, a sinking fund, or an investment account. However, due to the significant leverage provided, various types of life and disability insurance are usually employed.

What is Key Man?
Key man coverage (also known as key person or key employee insurance) indemnifies the practice for the premature death or disability of a key employee or partner. The insurance provides cash flow for the practice to replace the resulting loss of revenue. It also provides the time and resources to find a replacement. If the loss of an individual, for any period of time, would significantly impact your practice revenue, then a key-man arrangement should be considered.

What is Buy/Sell?
Buy/Sell coverage funds the execution of a purchase agreement in the event of the death or permanent disability of a partner. The purpose of the agreement is to facilitate a smooth ownership transition and exclude any outside interests from future business decisions. The agreement may stand alone or be included as part of the partnership agreement. The insurance creates the cash flow to satisfy the provisions of the agreement. Keep in mind that the agreement is the driver, so without it, the insurance makes no sense. Many agreements I see are funded with life insurance but rarely with disability insurance, even though most agreements contain a disability provision. An unfunded agreement, while better than none, could create a significant cash strain to the practice.

It is prudent to consider the financial impact that the loss of a partner or key employee would have on the bottom line. Proper planning and funding will ensure the smooth continuation of the practice during an otherwise-challenging time.
Wes has spent the last twenty-seven years in the financial services industry. He has specialized in the areas of tax advantaged asset protection strategies along with disability and advanced wealth transfer concepts. He is an expert in coordinating benefits for physicians and their staff.

Contact Wes: 

Last Updated on Thursday, 06 September 2018 09:27
Cleveland Clinic Florida Wellington Expands Primary Care Team Print E-mail
Written by FHInews   
Friday, 31 August 2018 10:31
Cleveland Clinic Florida Wellington, which opened to patients in the spring, has expanded its team of family medicine and internal medicine specialists who provide primary care services for adults and children six and older. Jessica Garcia, MD, and Giovanni Spatola, MD, who helped open the new office located in the Village Green Center at 2789 S. State Road 7, are joined by Shari Robins, MD, FACP, FAAP and Sarah Mitchell, DO, MS.

“Opening our first location in western Palm Beach County has been a crucial step in meeting the needs of our patients and the communities we serve,” said Wael Barsoum, MD, CEO and President of Cleveland Clinic Florida, based in Weston. “We’ve assembled an excellent team of primary care physicians who are committed to delivering exceptional, high quality care to the Wellington community.”

Prior to joining Cleveland Clinic Florida, Dr. Garcia was medical director for an urgent care provider in Plantation and Pinecrest, FL. She is a graduate of St. Matthews University School of Medicine in the Cayman Islands, and completed her family medicine residency at St. Mary and Elizabeth Medical Center in Chicago.

Dr. Spatola joined Cleveland Clinic Florida in 2012 and was previously practicing full-time from its Palm Beach Gardens office. A graduate of Medical University of the Americas - Nevis, he completed family medicine residencies at University of Florida, SHANDS in Jacksonville, and at Florida Hospital in Orlando. While he’s been seeing patients part-time in Wellington since the office opened, he will transition to full-time in late September.

Previously, Dr. Robins was medical director for a primary care medical group for seniors in Delray Beach, FL. She serves as an affiliate assistant professor of clinical biomedical science in the Charles E. Schmidt College of Medicine at Florida Atlantic University. After graduating from the University of Miami School of Medicine, Dr. Robins completed her internal medicine and pediatrics residency at MetroHealth Medical Center in Cleveland, Ohio, where she served as chief resident.

Dr. Mitchell is the most recent addition to the primary care team at Cleveland Clinic Florida Wellington. She moved to Florida from Saint Paul, MN, where she was a physician with the Oakdale Family Medicine Clinic. After graduating from Kansas City University of Medicine & Biosciences College of Osteopathic Medicine, Dr. Mitchell completed her family medicine residency at Palmetto General Hospital in Hialeah, FL, serving as chief resident.

Last Updated on Friday, 31 August 2018 10:59
Components of heart healthy diet may differ from what was previously thought Print E-mail
Written by European Society of Cardiology (ESC) via MedicalXpress   
Tuesday, 28 August 2018 13:54
The foods that make up a heart healthy diet for people worldwide may differ from what was previously thought, according to late breaking results from the observational Prospective Urban Rural Epidemiological (PURE) study presented today <8.28.18> in a Hot Line Session at ESC Congress 2018 and simultaneously published in the Lancet. The results suggest that we should limit the amount of refined carbohydrates we eat and that dairy foods and unprocessed meat can be included as part of a healthy diet.
"People who consumed a diet emphasising fruit, vegetables, nuts, legumes, fish, dairy products, and meat had the lowest risks of cardiovascular disease and early death," said Co-principal Investigator Dr. Andrew Mente, of the Population Health Research Institute (PHRI) at McMaster University in Hamilton, Canada. "Regarding meat, we found that unprocessed meat is associated with benefit."
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Last Updated on Monday, 08 October 2018 12:45
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