News from Tallahassee for 10/30/14

Hospitals Take Leap on Prevention posted on 10/30/14

by Carol Gentry | Health News Florida

Nearly half of Florida hospitals have earned an "A" on error prevention in a new report card from a business-backed group concerned about patient safety.

The ratings from The Leapfrog Group, released today, show Florida fifth among the states on its safety scores (see all state scores). No Florida hospitals flunked, and just three scored a D (see Florida scores).

The most-improved hospital on the Leapfrog list is Brandon Regional Medical Center, which jumped from a D to an A grade in just six months. The suburban Tampa facility is part of the HCA Healthcare chain, as are three of the four hospitals that jumped from Cs to As over the same time.

The HCA hospitals that jumped two letter grades to an A were all in Tampa Bay: South Bay Hospital in Sun City Center, Northside Hospital in St. Petersburg, and Doctors Hospital of Sarasota.

The good news was not entirely a surprise, said Dr. Larry Feinman, chief medical officer for HCA's 16-hospital Western Florida Division.

"Our company and our division and our facilities have been embarking on significant work with clinical excellence initiatives that really have improved the quality at all our hospitals," he said in an interview. "You're seeing the result of that."

» Read more

CDC to Talk Ebola with Florida Hospitals posted on 10/20/14

by AP

Officials from the U.S. Centers for Disease Control and Prevention will hold a conference call today on Ebola preparedness and training with Florida hospitals.

Gov. Rick Scott said Saturday that the call scheduled Monday afternoon will provide guidance for proper use of personal protective equipment, safe handling of medical waste and effective clinical strategies within hospitals.

Late Friday, the CDC approved a request from state health officials to redirect $7 million from federal grants to buy full body suits for health care workers who may have contact with any potential victims of the virus.

Scott, who is in a tight race for re-election against former Gov. Charlie Crist, has been critical of the CDC's response and has repeatedly stressed measures he's taking to prevent a possible crisis in Florida.

VA Secretary Visits Florida Facilities posted on 10/1/14


The new Secretary of Veteran Affairs is in Florida today to hear from veterans and talk to VA employees about his initiative to restore trust in the VA and eliminate the backlog of claims and long waits for health care.

Robert McDonald, the former CEO of Procter & Gamble, is spending his first 90 days in office visiting VA facilities nationwide to explain his reform plan dubbed Road to Veterans Day 2014.

He stopped by the Sarasota VA National Cemetery Tuesday. Today, McDonald will meet with employees at the St. Petersburg Regional VA Benefits Office and then tour Tampa's James A. Haley VA Hospital and Polytrauma Center.

McDonald will hold a news conference this afternoon in Tampa before traveling to Orlando where he will tour the VA facilities on Thursday.

» Read more

Taking children to the wrong trauma center can be a deadly mistake posted on 9/12/14

by Kris Hundley and Alexandra Zayas | Tampa Bay Times

One April evening two years ago, 9-year-old Justin Davis dashed into a busy Jacksonville street, headed to a convenience store for snacks.

When paramedics arrived minutes later, they found the boy lying on the road, unconscious. The impact of a car had fractured his skull and his brain was swelling and bleeding.

Paramedics knew they had to act fast.

Instead of taking Justin to the pediatric trauma center 13 miles away — the only place in Jacksonville equipped to handle his injuries — they drove him in the opposite direction, to a new adult trauma center a few miles closer.

If they thought they were saving time, they were wrong.

Doctors there couldn't treat Justin's brain injuries. They called for a helicopter to take the boy back across town to the pediatric trauma center.

It wound up taking more than 80 minutes to get the boy to specialists who had been less than 20 minutes from the scene of his accident.

Justin never woke up.

Under Florida guidelines, children who suffer traumatic injuries are supposed to go straight to a trauma center that specializes in pediatric care. Studies show that gives them the best chance of survival.

But dozens of children each year aren't getting that chance, a Tampa Bay Times investigation has found. Instead, paramedics are taking them to adult trauma centers that may be closer but aren't equipped to help them.

This is an unintended consequence of the recent expansion of Florida's trauma system.

» Read more

Sarasota Memorial Hospital considers offering trauma care posted on 9/11/14

by BARBARA PETERS SMITH | Herald-Tribune

During four years of a costly statewide legal conflict among hospitals over the right to treat trauma patients, Sarasota Memorial Hospital's leaders quietly watched from the sidelines.

Now that the dust has settled, they are considering a leap into this competitive — and crowded — arena.

Sarasota Memorial's board has been discussing the idea of applying to become a state-approved Level II trauma center. If it opts to move forward, the public hospital will directly compete with Bradenton's Blake Medical Center when it comes to treating the region's most critical and life-threatening injuries — mostly from traffic accidents, gun violence or head wounds.

Pivotal to Sarasota Memorial's decision is a recent rule change by the state agency that approves new trauma centers, which allocates two possible sites for the region that includes Sarasota, Manatee and DeSoto counties.

Blake — owned by the for-profit HCA health care chain — has occupied one of those spots since November 2011. The other is apparently up for grabs.

Sarasota Memorial CEO David Verinder said Tuesday that he is consulting with the hospital's medical staff before proceeding. The possibility of trauma center status is something the hospital has regularly reviewed, he added.

» Read more

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