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HeartWell LLP Becomes                                                 Shortage in the Healthcare

             Preferred Cardiac Care Provider                                          Workforce and Health Outcomes

                     for Orange Accountable                                        The American healthcare                          tances are all expected
                                                                                  workforce has faced ongo-                         to rise. The Association
                       Care of South Florida                                      ing shortages. Individuals                        of American Medical
                                                                                  and families face longer                          Colleges (AAMC) pre-
                                                                                  wait times, greater difficul-                     dicts that a shortage of
            BY VANESSA ORR                               will benefit from having  ty accessing providers,                          physicians in the U.S. is
                                                         an added layer of trans-  shortened  time   with                           going to grow.
          Since 2008, HeartWell                          parency among their pri-  providers, some frustration                        Solving the impact of
        LLP, a 23-physician cardiol-                     mary-care physicians, car-  with care delivery, and                        the shortage of physi-
        ogy practice in South                            diac specialists, and ACO  increased ED visits and                         cians in primary care on
        Miami-Dade County, has                           care coordinators to make  hospital readmissions.                          health outcomes, will
        been providing its patients                      certain that there are not  The nursing shortage has                       require a wide-ranging
        with high-quality care. And                      any gaps in care.        been an ongoing concern.                          approach; including the
        while its patients certainly                       “Working with Orange   A number of factors have  BY JUDITH SCOTT , RN,   increased use of tech-
        appreciate the personal                          will enable us to continue  been cited to influence the  MSN, BBA          nology and more effi-
        attention and positive out-                      ensuring that our patients  shortage; such as lack of                      cient teamwork among
        comes,    the   practice’s                       are receiving the best pos-  job satisfaction; stress,                     health professionals.
        patient-centered focus also    Jeffrey Kaplan    sible care,” said Kaplan.   turnover, increase in the number of baby  Care coordination provides a great
        caught the attention of                            “We choose to work     boomers and their healthcare needs,  framework for the integrated team based
        Orange Accountable Care of                        with practices that put  insufficient number of faculty and nurs-  approach. The Agency of Healthcare
        South Florida.                                    the patient in the center  es entering the profession. Although  Research and Quality promotes care
          In April, HeartWell was                         of care, which is why   there are many proposed solutions, reli-  coordination as a key strategy that has
        selected as a preferred                           we’re   thrilled  that  able data and trends point to an unen-  the potential to improve the effective-
        provider for cardiac care by                      HeartWell – which is    durable shortage. An inadequate nursing  ness, safety, and efficiency of the health
        the   Accountable   Care                          made up of extremely    force has negative impact on patient out-  care system; improving outcomes for
        Organization (ACO), which                         well-regarded cardiolo-  comes. With decrease in length of hospi-  everyone: patients, providers, and pay-
        was founded in 2014 and                           gists – has become one of  tal stay and more acute care in the ambu-  ers. A clinical care coordinator can assist
        has   grown   from   70                           our preferred providers,”  latory and home settings, there is  patients who are unclear about what to
        providers to more than 500                        said Orange’s founder,  increased need for experienced, highly  do in a post acute care setting; with med-
        participating physicians.                         president and CEO,      skilled nurses.                     ication reconciliation, reconnecting
        The ACO is known for its                          Lissette Exposito, RN,   Nurses aren’t the only medical profes-  them with a primary care physician who
        focus on high-quality, cost-                      BSN, MHSA.              sionals facing concerns of a shortage.  has more of a comprehensive profile, and
        effective outcomes and        Lissette Exposito     HeartWell has already  There are reports of a shrinking supply  ameliorating situations that could esca-
        patient-centered    care.                         seen the positive synergy  of physicians; particularly primary care  late into a hospital readmission or poorer
        Through this relationship, more than  that can result when medical profession-  physicians. Population growth and the  health outcomes. Effective communica-
        5,000 patients are expected to benefit  als band together. The practice was orig-  aging population is driving the impend-  tion among providers reduces costs and
        from extended access to services includ-  inally created by the merger of six com-  ing physician shortage as well as trends  ensures better outcomes for everyone.
        ing clinical, vascular, interventional and  peting cardiology practices in the Miami-  in medical school enrollment and spe-  Investing in care coordination resources
        electrophysiology at Baptist Hospital,  Dade area who realized that they could  cialization. The aging patient population  is investing in better outcomes.
        West Kendall Baptist Hospital, South  all benefit by taking a team approach to  requires more medical services than the
        Miami Hospital and Homestead Hospital.   patient care, working with hospitals and  general population and their disease  Healthcare Navigation Systems provides
          “We’re very pleased to be working with  managed care while still maintaining a  management may end up in an emer-  care coordination support and services. For
        Orange Accountable Care of South     focus on quality.                    gency department. The shortages affects  more information call (561) 444-9011 or
        Florida, which last year was named one  “Having HeartWell as part of our grow-  health care on many levels; particularly  visit www.healthnavisystems.com. Judith
        of the top 10 highest-saving ACOs in the  ing network of preferred providers is  health care access, quality and cost.  Scott, RN, MSN, BBA, is Senior Consultant
        nation out of 393 ACOs, with one of the  great for the community,” said Exposito,  Increased use of emergency rooms,  at Healthcare Navigation Systems.
        highest quality scores,” said HeartWell  adding that the tri-county ACO has the  delayed treatment and greater travel dis-
        COO Jeffrey Kaplan. “There are a lot of  highest patient population in South
        benefits to the premier cardiac care  Miami-Dade County. “They are a great
        group in the Miami market joining forces  driver for us to maintain our focus on
        with the premier ACO in the region.”  quality versus volume.”
          Referring physicians know that
        Orange ACO-selected specialists have   To learn more about HeartWell, LLP, visit            Visit us on the web at
        proven track records for improving the  www.heartwell.com. To learn more about
                                                                                      www.southfloridahospitalnews.com
        health of their patients, which gives  Orange Accountable Care of South Florida,  www.southfloridahospitalnews.com
        them the confidence that they are help-       visit www.orangecaregroup.com.
        ing to promote better outcomes. Patients





































        South Florida Hospital News                                                              southfloridahospitalnews.com                                                               June 2017                            9
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