Table of Tables. Prenatal And Childhood Initiatives Healthy Families Broward Healthy Start... 26

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1 CHAPTER III: HEALTH RESOURCES Table of Contents Introduction... 3 Health Professional Shortage Areas... 3 Medically Underserved Populations... 5 Primary Care... 5 Broward Community & Family Health Center... 8 Broward Health... 8 Broward Health s Disease State Management... 9 Light Of The World Clinic, Inc Living Waters Care Center Memorial Healthcare System Memorial Healthcare System Disease Management Broward County Health Department Va Outpatient Medical Center Nova Southeastern University Retail Clinics Urgent Care Association Of America Licensed Health Care Professionals Licensed Health Care Facilities Hospitals Licensed Health Services Nursing Homes Assisted Living Facilities Emergency Medical Services (Ems) Ambulatory Surgery Outpatient Cardiac Catheterization Home Health Agencies Hospice Facilities Healthcare Organization Accreditation National Committee Quality Assurance Accreditation Association For Ambulatory Health Care (Aaahc) Primary Stroke Center Certification Children s Diagnostic/Treatment (Cdtc) Homeless Assistance Centers Health Care For The Homeless (Hch) Program Prenatal And Childhood Initiatives Healthy Families Broward Healthy Start Momcare Table of Tables Table 1. Primary Medical Care HPSAs (February 2012)... 4 Table 2. Dental And Mental Health HPSAs (February 2012)... 4 Table 3. Medically Underserved Areas/Populations (February 2012)... 5 Table 4. Broward Primary Care Centers... 6 Table 5. School Based Community Health Centers... 9 Table 6. Broward County Retail Care Clinics Table 7. Urgent Care Association Of America Members, BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 1

2 Table 8. Active Licensed Health Care Professionals, Feb vs. Feb Table 9. Broward County Distribution of Specialists, Table 10. Licensed Health Care Facilities Beds Reported, Table 11. Licensed Healthcare Facilities by Type of Bed, Table 12. Procedures By Hospital, Table 13. Licensed Healthcare Facilities Table 14. Nursing Homes Table of Figures Figure 1. Broward County Distribution of Specialties (MDs And DOs) Table of Maps Map 1. Primary Care Health Professional Shortage Areas, Map 2. Dental Health HRSA Shortage Areas, Map 3. Mental Health HRSA Shortage Areas, Map 4. Medically Underserved Areas/Populations, MAP 5. BROWARD COUNTY PRIMARY CARE CENTERS, Table 15. Broward EMS Facilities (February 2012) Table 16. Broward Ambulatory Surgical Centers (February 2012) Table 17. Hospice Facilities Table 18. Joint Commission s Accredited Facilities in Broward (February 2012) Table 19. Joint Commission s Primary Stroke Center Certified Hospitals in Broward Table 20. Homeless Assisted Centers Table 21. Healthy Start Care Coordination Prenatal Data, FY Table 22. Healthy Start Care Coordination Infant Data, FY BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 2

3 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 Broward County Health Department, 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. Map 1. Primary Care Health Professional Shortage Areas, 2012 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, dental health and mental health. 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 depicts Primary Care HPSA Designations. Source: BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 3

4 Table 1. Primary Medical Care HPSAs (February 2012) PRIMARY MEDICAL CARE HPSAs ID FTE #Short Score LOW INCOME POPULATIONS Fort Lauderdale Census Civil Div D Pompano Beach Deerfield Beach C DavieHollywood/Dania AQ Margate F Hallandale/Miramar G Sunrise H NATIVE AMERICAN TRIBAL POPULATION Seminole Tribe of FL Health Admin K 14 COMPREHENSIVE HEALTH CENTERS Broward Community Family Health Ctr J 1 17 Homeless Broward Health A 1 1 Source:Health Resources and Services Administration, 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]. Map 2. Dental Health HRSA Shortage Areas, 2012 Source: Map 3. Mental Health HRSA Shortage Areas, 2012 Table 2. Dental And Mental Health HPSAs (February 2012) DENTAL ID Type Score Homeless Broward Health H CHC 0 Broward Community Family Health Ctr L CHC 10 Seminole Tribe of FL Health Admin Z NATP 9 Fort Lauderdale Census Civil Div P6 LIP 15 MENTAL HEALTH ID Type Score Broward Community Family Health Ctr C CHC 11 Homeless Broward Health CHC 0 Seminole Tribe of FL Health Admin D NATP 13 Source: Health Resources and Services Administration, NATP: Native American Tribal Population; LIP: Low Income Populations CHC: Comprehensive Health Centers Source: *HRSA Website indicates that Broward County is NOT a Mental Health HPSA PSAs_MH.pdf BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 4

5 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 (February 2012) Location Designation Type MUA/MUP Score Dania Low Income Population 50.4 Deerfield Beach Low Income Population 44.3 Fort Lauderdale/ Low Income Population 58.4 Lauderdale Lakes 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, Map 4. Medically Underserved Areas/Populations, 2012 Source: PRIMARY CARE The Primary Care System is unique in Broward. Primary Care in Broward is provided through a collaborative effort of the Broward County Health Department, 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. In addition, a Primary Care group meets monthly to discuss and share issues involving the Primary Care System. Members of the Primary Care group include users of the system, Area 10 Medicaid Office, Broward BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 5

6 Commission on Substance Abuse, Broward Community and Family Health Services, Broward County Health Department, Broward County Medical Examiner Office, Broward County Medical Association, Broward County Fire Rescue, Broward Healthy Start Coalition, Inc., Broward Regional Health Planning Council, Children s Diagnostic and Treatment Center, Coordinating Council of Broward, Catcher Outreach, Memorial Healthcare, Broward Health, Nova Southeastern University, Private physicians, and Substance Abuse and Healthcare Services. Primary Care in Broward County is provided by the two taxassisted 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 1. Broward Community and Family Health Broward Community and Family Health Center 168 North Powerline Road, Pompano Beach 2. Broward Community and Family Health Center 5010 Hollywood Boulevard, Hollywood 3. Broward Community and Family Health Center 5801 landale Beach Boulevard, West Park Broward Health 4. Clinica de las Americas 1101 Northwest 1 st Street, Ft Lauderdale 5. Comprehensive Care Center (HIV/AIDS Services) 1101 Northwest 1 st Street, Ft Lauderdale 6. Comprehensive Care Center at Broward House 1726 Southeast 3 rd Avenue, Fort Lauderdale 7. Pompano Adult Primary Care Center 2011 Northwest 3 rd Avenue, Pompano Beach 8. Pompano Pediatric Primary Care Center 601 West Atlantic Boulevard, Pompano Table 4 (cont). Broward Primary Care Centers Broward Health (continued) 9. Pompano Prenatal Care Centers 601 West Atlantic Boulevard, Pompano 10. Seventh Avenue Family Health Center 200 Northwest 7 th Avenue, Ft Lauderdale 11. Specialty Care Center 1111 West Broward Boulevard, Ft Lauderdale 12. Light of the World Clinic, Inc. 806 East Prospect Road, Oakland Park 13. Living Waters Care Center 3610 Southwest 48 th Avenue, Hollywood Northeast 3 rd Avenue, Fort Lauderdale Memorial Healthcare System 15. Memorial Primary Care Hollywood 4105 Pembroke Road, Hollywood 16. Memorial Primary Care Dania Beach 140 South Federal Highway, Dania 17. Memorial Primary Care West Hollywood 6214 Johnson Street, Hollywood 18. Memorial Primary Care Miramar 6700 Miramar Parkway, Miramar 19. Care Resource Community Health Center 871 W Oakland Park Blvd, Wilton Manors 20. West Park Community Health Center 5801 Hallandale Beach Boulevard, West Park 21. Women, Infants & Children Good Nutrition Coral Springs Center NW 29 th Street 22. Edgar Mills 900 NW 31 Avenue, Ft. Lauderdale 23. Ft. Lauderdale Health Center 2421 SW 6 th Avenue, Ft. Lauderdale 24. Oakland Park Center 3765 W. Oakland Park Blvd, Lauderdale Lakes 25. South Broward Health Center 799 Pembroke Road Source: Broward Regional Health Planning Council BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 6

7 MAP 5. BROWARD COUNTY PRIMARY CARE CENTERS, Source: Broward Regional Health Planning Council, Inc BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 7

8 BROWARD COMMUNITY & FAMILY HEALTH CENTER The Broward Community and Family Health Centers (BCFHC) are designated Federally Qualified Health Centers (FQHC) authorized under Section 330 of the Public Health Service Act. FQHCs are subject to Federal rules, regulations and guidelines mandated by the Department of Health and Human Services, Bureau of Primary Health Care. FQHCs are mandated to improve access to primary care services for underserved populations. BCFHC operates two clinics, one in the southern portion of the County, Hollywood, and one in the northern section, Pompano Beach. BCFHC recently received a grant award to open a third clinic. Additionally, Care Resource Center is located in Wilton Manors. The clinics offer primary care services including family medicine, general practice, internal medicine and gynecology. Other services include: pediatrics, KidCare screenings, immunizations, family planning, HIV/AIDS testing/counseling/ treatment, nutritional education and counseling, health education, prescription assistance, labs, drug screenings, disease management, EKG services, translation services and smoking cessation education. Specialty care is provided by referral to off site specialists. 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. 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. 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 BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 8

9 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 15 th Street, Deerfield Beach Lauderhill Middle School Health Center 1901 Northwest 49 th Avenue, Lauderhill William Dandy Middle School Health Center 2400 Northwest 26 th Street, Fort Lauderdale Source: Broward Health, 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 BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 9

10 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 faithbased 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 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, highrisk, gynecology, specialty referrals, family planning, nutritional counseling and educational classes. BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 10

11 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 The DMP, has grown to serve approximately 8,000 clients in the past eight 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 BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 11

12 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. BROWARD COUNTY HEALTH DEPARTMENT The Broward County Health Department provides primary prevention services at three sites, Hollywood (South Regional Health Center), Fort Lauderdale (SR 84) and Pompano (North Regional Health Center). The services provided at these locations are HIV anonymous and confidential counseling and testing, flu shots, immunizations/tb skin testing, refugee assistance, travel immunizations, family planning, pregnancy testing and counseling, STD clinic, Tuberculosis clinic, teen clinic, WIC Program, dental clinic and Hepatitis clinic. The North West Health Center also provides limited services for those with HIV/AIDS. Not all services are provided at all sites. In addition to the primary preventive services, the Broward County Health Department 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 the recording all births and deaths within the county. Communicable disease surveillance section receives, analyses, and investigates all reportable communicable diseases. 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 health department 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 BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 12

13 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 5701 Coral Ridge Drive, Coral Springs 8151 Wiles Road, Coral Springs 4610 South University Drive, Davie 1700 South Federal Highway Fort Lauderdale Miramar Parkway, Miramar 1701 North University Drive, Pembroke Pines West Broward Boulevard, Plantation 1120 Weston Road, Weston Walgreens Take Care Health 4600 Coconut Creek Pkwy, Coconut Creek Stirling Road, Cooper City 4601 North State Road 7, Coral Springs 2855 Stirling Road, Fort Lauderdale Pines Boulevard, Plantation 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. Table 7. Urgent Care Association Of America Members, 2012 Solantic Walk In Urgent Care Coconut Creek 4450 State Road 7, Coconut Creek IMC Immediate Medical Center 6240 Coral Ridge Drive, Suite 105, Coral Springs Baptist Medical Plaza at Coral Springs 6264 West Sample Road, Coral Springs Baptist Medical Plaza at Davie 4741 South University Drive, David MedExpress Urgent Care Coral Springs 1809 North University Drive, Coral Springs AMCA Medical Center 1208 South Federal Highway, Dania Beach Vitalis Urgent Care 2772 Oakview Way, Davie MD Now 1321 Southeast 2 nd Avenue., Deerfield Beach Broward Medical & Urgent Care 500 Southeast 17 th Street, Suite 100, Fort Lauderdale Urgentmed 17th Street Causeway Inc. 721 Southeast 17 th Street, 2nd Floor, Fort Lauderdale Concentra Urgent Care 1347 South Andrews Avenue, Fort Lauderdale Urgent Medical Centers of America Miramar Parkway, Miramar MedExpress Urgent Care Parkland 7545 North State Road 7, Parkland Solantic Walk In Urgent Care Pembroke Pines 9035 Pines Boulevard, Pembroke Pines Premier Urgent Care Center, LLC 2400 West Sample Road, Suite 4, Pompano Beach Solantic Walk In Urgent Care Pompano Beach 1611 South Federal Highway, Pompano Beach Solantic Walk In Urgent Care Tamarac West Commercial Boulevard, Tamarac BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 13

14 Table 7 (cont.). Urgent Care Association Of America Members, 2012 West Broward Urgent Care 2512 Eagle Run Circle, Weston Miami Children's Dan Marino Center 2900 South Commerce Parkway, Weston Urgent Care of Wilton Manors 2607 Northeast 10 th Avenue, Wilton Manors Baptist Urgent Care 4741 South University Drive, Davie Memorial Pembroke Urgent Care 801 South Douglas Road, Pembroke Pines Source: Urgent Care Association of America, LICENSED HEALTH CARE PROFESSIONALS Broward active health care professionals are depicted in Table 8. Registered Nurses represent the largest population of health professionals, followed by Licensed Practical Nurses. Listing of primary care physicians are on file at Broward Regional Health Planning Council. Table 8. Active Licensed Health Care Professionals, Feb vs. Feb Broward Florida 2/12 2/13 2/12 2/13 Medical Doctor (MD) 4,954 5,000 59,144 60,536 Osteopathic Physicians (DO) ,623 5,780 Physician s Assistants ,079 6,411 Dentists 1,378 1,403 12,213 12,253 Registered Nurses 22,894 23, ,549 Licensed Practical Nurses 6,324 6,835 65,364 71,532 Pharmacists 2,684 3,337 26,926 28,934 Licensed Midwives Source: Florida Department of Health, Figure 1. Broward County Distribution of Specialties (MDs And DOs) Other Neurology General Surgery Pathology Dermatology Pediatric Psychiatry Radiology OB GYN Pediatrics Emergency Anesthesiology Internal Medicine Surgical Specialist Family Medicine Medical Specialist Source: 2010 FL Physician Workforce Annual Report FDOH BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 14

15 Table 9. Broward County Distribution of Specialists, Medical Specialist Family Medicine Surgical Specialist Internal Medicine Anesthesiology Emergency Medicine Pediatrics OB GYN Radiology Psychiatry Pediatric Subspecialist Dermatology Pathology General Surgery Neurology Other Source: 2012 FL Physician Workforce 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, 2011 Beds Facilities Type of Facilities Licensed # Hospitals 5, Long Term Care Hospital Type of Beds Allocated # Acute Care 4, Long Term Care Acute Care Medical Surgical Services 2, Long Term Care Medical Surgical Critical Care Long Term Critical Care 17 2 Other Acute Care 1, Pediatric Services Obstetrical Newborn Services (Bassinets) Level II NICU Level III NICU 87 3 Rehabilitative Services Adult Psychiatric Child/Adolescent Psychiatric 34 3 Adult Substance Abuse 75 4 Source: Broward Regional Health Planning Council BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 15

16 Table 11. Licensed Healthcare Facilities by Type of Bed, 2011 Table 12. Procedures By Hospital, 2011 Acute Care Medical Surgical LT. Medical Surgical Critical Care L.T. Critical Care Other Acute Care Pediatric Services Obstetrical Newborn Servs Level II NICU Level III NICU Rehab. Services Adult Psychiatric Adolescent Psychiatric Adult Substance Abuse Adult Open Heart Adult Cardiac Cath Angioplasty Cath plus Angio Surgical Operation Physical Therapy Occup Therapy Speech Therapy Lab CT Scan MRI Ultrasound Nuclear Medicine Other Radio logical Shock Wave Litho Liver Transplant Mammo graphy PET Scan Atl Shores X X Broward General X X X X X X X X X X Cleveland Clinic X X X X Coral Springs X X X X X X X X FMC X X X X X Ft Lauderdale X X X Healthsouth X Hollywood Pav. X Holy Cross X X X X X X X X X Imperial Pt X X X X X MHS Regional X X X X X X X X X X X X X MHS Miramar X X X X X X X X MHS Pembroke X X X X X X MHS Reg South X X X X MHS West X X X X X X X N. Broward X X X X X Northwest X X X X X X X X Plantation General X X X X X X X X X St Anthony X University Hosp. X X X X X X Kindred Hollywood X X Kindred Ft. Laud. X X Westside Regional X X X X Source: Broward Regional Health Planning Council Broward Health X X X X X X X X X X X X X X X X X Medical Center Cleveland Clinic X X X X X X X X X X X X X X X Coral Springs X X X X X X X X X X X X X FMC X X X X X X X X X X X X X X X X Holy Cross X X X X X X X X X X X X X X Imperial Point X X X X X X X X X X MHS Regional X X X X X X X X X X X X X X X MHS Miramar X X X X X X X X X X X MHS Pembroke X X X X X X X X X X X MHS Reg. South X X X X X X X X X X X MHS West X X X X X X X X X X X X X X N. Broward X X X X X X X X X X X X X X Northwest X X X X X X X X X X X X X X X X Plantation General X X X X X X X X X X University Hosp. X X X X X X X X X X X X Vencor Hollywood X X X X X X Vencor Ft. Laud. X X X X X X X X Westside Regional X X X X X X X X X X X X X X X Source: Broward Regional Health Planning Council BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 16

17 Table 13. Licensed Healthcare Facilities Atlantic Shores Hospital 4545 North Federal Highway, Fort Lauderdale Broward Health Medical Center 1600 South Andrews Avenue, Fort Lauderdale Cleveland Clinic Hospital 3100 Weston Road, Weston Coral Ridge Psychiatric Hospital 4545 North Federal Highway, Fort Lauderdale Broward Health Coral Springs 3000 Coral Hills Drive, Coral Springs Daystar Inc South Flamingo Road, Davie Florida Medical Center 5000 West Oakland Park Boulevard, Lauderdale Lakes Fort Lauderdale Hospital 1601 East Las Olas Boulevard, Fort Lauderdale HealthSouth Sunrise Rehabilitation Hospital 4399 North Nob Hill Road, Sunrise Hollywood Pavilion 1201 North 37 th Avenue, Hollywood Holy Cross Hospital 4725 North Federal Highway, Fort Lauderdale Broward Health Imperial Point Medical Center 6401 North Federal Highway, Fort Lauderdale Kindred Hospital South Florida 1516 East Las Olas Boulevard, Fort Lauderdale Memorial Hospital Miramar 1901 Southwest 172 nd Avenue, Miramar Table 13. (cont.). Licensed Healthcare Facilities Memorial Hospital Pembroke 7800 Sheridan Street, Pembroke Pines Memorial Hospital West 703 North Flamingo Road, Pembroke Pines Memorial Regional Hospital 3501 Johnson Street, Hollywood Broward Health North 201 East Sample Road, Pompano Beach Northwest Medical Center 2801 North State Road 7, Margate Plantation General Hospital 401 NW 42 nd Avenue, Plantation South Florida State Hospital 800 East Cypress Drive, Pembroke Pines St Anthony s Rehabilitation Hospital 3487 NW 30 th Street, Lauderdale Lakes 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. BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 17

18 NURSING HOMES As of 2011, Broward had 4,418 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. Nursing Homes Alexander "Sandy" Nininger State Veterans Nursing Home 8401 West Cypress Drive, Pembroke Pines Broward Nursing & Rehabilitation Center (formerly Broward Children s Center) 1330 South Andrews Avenue, Fort Lauderdale Children s Comprehensive Care Center Inc 200 Southeast 19 th 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 17 th Avenue, Hollywood Harbor Beach Nursing And Rehabilitation Center 1615 South Miami Road, Fort Lauderdale Table 14. (cont.). Nursing Homes The Health Center Of Coconut Creek 4125 West Sample Road, Coconut Creek Heartland Health Care Center Lauderhill 2599 Northwest 55 th Avenue, Lauderhill Heartland Of Tamarac 5901 Northwest 79 th Avenue, Tamarac Hillcrest Nursing And Rehabilitation Center 4200 Washington Street, Hollywood Hollywood Hills Rehabilitation Center, LLC 1200 North 35 th Avenue, Hollywood John Knox Village Health Center Pompano Beach 830 Lakeside Circle, Pompano Beach Life Care Center At Inverrary 4300 Rock Island Road, Lauderhill ManorCare Health Services 6931 West Sunrise Boulevard, Plantation Manor Oaks Nursing & Rehabilitation Center 2121 East Commercial Boulevard, Fort Lauderdale Manor Pines Convalescent Center 1701 Northeast 26 th 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 47 th Terrace, Lauderdale Lakes Park Summit Of Coral Springs 8500 Royal Palm Boulevard, Coral Springs Plantation Nursing & Rehabilitation Center 4250 Northwest 5 th 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 35 th Avenue, Lauderdale Lakes BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 18

19 Table 14. (cont.). Nursing Homes Seaview Nursing and Rehabilitation Center 2401 Northeast 2 nd 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 88 th 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 (2007), Broward has 290 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 2012) Air Ambulance Professionals, Inc. Coral Springs Fire Rescue Town of Davie Fire Rescue Dania Beach 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, BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 19

20 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 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 (February 2012) Beth Israel Outpatient Surgical Center, LLC 150 Southwest 12 th Avenue, Pompano Beach Broward Specialty Surgical Center 7261 Sheridan Street, Hollywood Carlos E. Spera, MD, PA 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 9 th Street, Fort Lauderdale Foundation for Advanced Eye Care 3737 North Pine Island Road, Sunrise Table 16 (cont.). Broward Ambulatory Surgical Centers (February 2012) 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 82 nd Avenue, Plantation Parkcreek Surgery Center, LLLP 6806 North State Road 7, Coconut Creek Physicians Outpatient Surgery Center 1000 Northeast 56 th Street, Oakland Park Plantation Surgery Center 201 North Pine Island Road, Plantation Rand Surgical Pavillion Corp 5 West Sample Road, Pompano Beach South Broward Endoscopy, LLC 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 Southwest 29 th Street, Miramar Take Shape Surgery Center, LLC 4161 Northwest 5 th 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, FaclName=&pFaclCity=&pFaclZip=&pCounty=06&pFaclInspectionRegion=ALL BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 20

21 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 33 rd 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, notfor 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 BROWARD REGIONAL HEALTH PLANNING COUNCIL CHAPTER III: HEALTH RESOURCES 21