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          Volume 16 • Issue 8 • $5.00                 February 2020
                          THE REGION’S MONTHLY NEWSPAPER FOR HEALTHCARE PROFESSIONALS & PHYSICIANS


              CARDIOLOGY                                              EDUCATION

                                                            Miami Dade College


                                                            Simulation Hospital:

                                                  Safe Practice Builds Confidence


                                                          BY BARBARA R. FALLON

                                               Einstein extolled the virtue of experience as a valuable
                                             teacher. Miami Dade College Medical Campus President
                                             Dr. Bryan Stewart and the Health Career faculty couldn’t                             Lincoln Mendez
                                             agree more.
                                               Stewart brings his enthusiasm and experience to
                                             Florida, creating a Simulation Hospital in which students                   Lincoln Mendez
                    Dr. I-wen Wang           had first dibs in the Fall 2019 quarter! What was once an
                                             underutilized parking lot is now a 5-story center for                           Reflects on
                  ECMO:                      experiential health science learning which broke ground
                                             in 2016. An entire floor is devoted to 17 rooms where stu-
                                             dent nurses have real life experiences delivering babies,   Dr. Bryan Stewart   Baptist Health-
           A Machine that                    caring for post-operative patients, delivering home care
                                             in an apartment scenario to trauma care readiness during EMS ambulance simula-  Boca Raton
          Helps Save Lives                   tions. Sophisticated, lifelike, state-of-the-art mannequins imitate the reality of imme-
                                             diate health issues where students can react and apply classroom learning to monitor   Merger and
                                             a suspect heart tone, bowel sound, pulse, blood pressure reading or breathing incon-
          BY I-WEN WANG, MD, PHD, FACS       sistencies and other critical patient history and physical data. Instructional facilities
                                             also include active learning classrooms, a technology-rich lecture hall, and a multi-  Looks Ahead
          ECMO (extracorporeal membrane      purpose conference venue. What is the difference between this and a clinical nursing
        oxygenation) is a technology that can   internship you ask? Well, this simulated environment provides a realistic but safe
        support a compromised heart and lungs,                                                    Continued on page 28        BY DANIEL CASCIATO
        keeping critically-ill patients alive when
        their own organs can't sustain them. A                                                                          Last July, Lincoln Mendez of Baptist
        machine does this by pumping blood                                                                             Health South Florida succeeded Jerry
        from the body to an artificial lung that    The Business of Health Care -                                      Fedele as CEO of Boca Raton Regional
        adds oxygen and removes carbon diox-                                                                           Hospital upon Fedele’s retirement and
        ide. It then pumps the blood back to the             Social Determinants,                                      after the merger of the two healthcare
        patient with the same force as the heart                                                                       organizations. Prior to coming to Boca
        to be circulated throughout the body.      Economic and Political Impacts                                      Raton Regional Hospital, Mendez had
          While cardiac situations, such as                                                                            also served as the CEO of South Miami
        transplant, cardiac arrest, and acute                                                                          Hospital since early 2010.
        heart failure are among the most com-                                                                           Mendez’s initial entry into the health-
        mon uses for ECMO, it is now also                 BY BARBARA R. FALLON                                         care industry was in the hospital labora-
        being successfully used to provide life-                                                                       tory, starting as a Medical Technologist
        saving care in high-risk pregnancies,   At first glance one might not see the link between a                   and eventually a Laboratory Director
        trauma situations, in severe flu and   renowned business school’s sponsorship of an interna-                   prior to transitioning into Hospital
        pneumonia cases, and with auto-      tional health care conference and the social determinants                 Administration.  What    motivated
        immune disorders. It’s also increasingly   of health care. However, Dr. Steven Ullmann, Department             Mendez to enter the healthcare field was
        seen as a favorable alternative in situa-  Chair and Professor of Health Management and Policy at              his three older brothers who had each
        tions where high pressure ventilators   University of Miami School of Business has plenty of rea-              entered the healthcare industry in differ-
        were traditionally used.             sons why he is expecting 1,000 participants for the                       ent areas such as nursing and radiology.
                                             school’s 9th annual signature program, focused on The                      “As I pursued my undergraduate
        ECMO on the Go                       Business of Health Care: The Social, Political &                          degree in Biology, the field of Medical
          While Memorial Healthcare System is   Economic Determinants of Health.                 Dr. Steven Ullmann    Technology seemed like a natural fit for
        not alone in its ECMO capabilities in   Dr. Ullmann, a pioneer in researching the synergy of                   what I had been exposed to in college,”
        South Florida, what makes us unique,   socio-economic determinants of health and business, views scenarios through an eco-  says Mendez.
        and an important resource to hospitals   nomics academic stance. “Knowing ‘where’ and ‘how’ people live and work has an   Mendez served as CEO of Doctors
        throughout the region, is our mobile   impact on productivity, presenteeism and absenteeism, and in turn, how business   Hospital for 14 years and it was around
        ECMO. Our cardiac and vascular unit   plans affect health of their country, employees and communities at large,” he said.    the halfway mark of his tenure at
        has two (one for adult and one for pedi-  “For example, one of our well-known global delivery and logistics companies con-  Doctors Hospital, that Baptist Health
        atric patients) specially-built, ambu-  ducted a productivity study to determine the impact of weight gain on their drivers’   purchased that hospital from a for-profit
        lance-like vehicles, each costing more   speed of package delivery. The resulting decrease in productivity led to a review of   organization.
        than $350,000, that enables us to trans-  workplace vending machine choices, among other things. Subsequently, as more busi-  “After Baptist Health acquired that
                        Continued on page 15                                                      Continued on page 13                 Continued on page 31
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