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Latest NewsKnow Your HIV StatusHIV in 2022Where to Turn for HIV Testing


LATEST NEWS


 * INPATIENT REHABILITATION POST OPEN-HEART SURGERY HELPS PATIENTS RETURN TO
   DAILY LIFE ACTIVITIES – FASTER AND SAFER
   
   Open-heart surgery patients can now enjoy full functional lives post-surgery,
   thanks to a new treatment prior to discharge that uses rehabilitation as a
   bridge to full recovery. Patients discharged directly home after open-heart
   surgery have a higher survivorship than patients discharged to post-acute
   care facilities, making Memorial Cardiac and Vascular Institute’s customized
   rehabilitation program ideal for patients to return home and enjoy a higher
   quality of life post open-heart surgery.
   
   Memorial’s program called, “Keep Your Move in the Tube: Alternative to
   Standard Sternal Precautions,” is focused on customizing a program for
   patient’s self-identified goals, such as holding a baby post open-heart
   surgery, or going fishing. The rehabilitation team simulates activities and
   role-plays with patients so when they are discharged, patients are safe and
   thriving.
   
   Smart Snippet: Video
   Datasource: 2022 Gage Awards      
    
   
   Previously, as part of their inpatient treatment, patients who had open-heart
   surgery were given strict precautions that limited function and prevented
   lifting and pushing with the arms – known as sternal precautions. These
   limitations may increase the chances that patients are transferred to a
   post-acute facility for further care, delaying patients from doing some of
   the most routine activities of life.
   
   “Instituting rehabilitation earlier in a patient’s recovery during their
   hospital stay and further customizing it for each individual patient has
   shown a huge positive impact in the patients’ lives and an increase in our
   overall patient safety,” said Susan Triano, ClinScD, CCC-SLP, FACHE, director
   of Rehabilitation Services, Memorial Regional Hospital. “Open-heart patients
   have greater freedom of movement and increased functional independence. This
   evidence-based practice can be adopted by any caregiver to enhance the
   outcome for patients everywhere.”
   
   Memorial’s goal was to increase the percentage of patients being discharged
   home, rather than been transferred to an acute care facility for further
   management. Before the program was instituted, 42% of patients were
   discharged directly home, and 58% were discharged to a secondary facility. In
   a year and a half of the program’s implementation, 86% discharged directly
   home, 14% discharged secondary facility.
   
   Because of this innovation in care that is centered on patient safety,
   Memorial Healthcare System received the 2022 Gage Award from America’s
   Essential Hospitals. Memorial Cardiac and Vascular Institute has become a
   destination center with best practices in care and outcomes. To learn more
   and/or make an appointment, call 855-400-6284.


 * KNOWING YOUR HIV STATUS COULD BE THE DIFFERENCE BETWEEN LIFE AND DEATH
   
   While COVID-19 has rightfully been the infectious disease most people have
   focused on since 2020, it is far from the only one affecting South
   Floridians.
   
   Human immunodeficiency virus (HIV) also continues to have significant impact,
   with more than 40,000 individuals diagnosed each year in the U.S. And while
   not the death sentence it was once perceived to be, one in seven individuals
   is living with HIV without knowing it, putting their own health, and that of
   other members of the community, at risk.
   
   Like COVID, HIV doesn’t discriminate by race, age, gender, or sexual
   orientation. Broward County has one of the highest rates of new HIV cases in
   the nation and more than 20,000 people currently living with the disease.
   
   The good news is scientific advancements and drug therapy have enhanced our
   ability to treat HIV, making it a manageable chronic condition. If left
   untreated, however, the disease can weaken the immune system to where it can
   no longer fight infection. This later stage of the virus, known as AIDS
   (acquired immunodeficiency syndrome), can be deadly.
   
   
   KNOW YOUR HIV STATUS
   
   That’s why the Centers for Disease Control and Prevention (CDC) is
   recommending everyone between the ages of 13 and 64 get tested for HIV at
   least once as part of routine health care, and more often if the individual’s
   lifestyle includes sexual or drug-related activities that increase risk.
   
   Some “at risk” behaviors as described by the CDC include, but aren’t limited
   to:
   
    * having sex with someone whose sexual history you don’t know,
    * having sex with someone that has HIV but isn’t taking or fully compliant
      with medications prescribed to control the disease,
    * a man having sex with another man,
    * any person who has been diagnosed for a sexually transmitted disease,
      and/or
    * sharing needles or other drug injection equipment.
   
   Whether positive or negative, it’s critically important that everyone know
   their HIV status.
   
   At Memorial Healthcare System, we’re working to ensure individuals know where
   they stand regarding HIV. We provide screenings to patients who come through
   our emergency departments, visit our primary care offices, and have free
   testing sites in the community. We’re also participating in the Frontlines of
   Communities in the United States (FOCUS) Program, utilizing a grant from
   Gilead Sciences to encourage routine screenings, lower the number of
   undiagnosed persons, and link those who test positive to healthcare services.
   
   
   HIV IN 2022
   
   Notable advances in medicine have changed the way healthcare professionals
   help their patients prevent HIV or manage the disease. For example, infected
   persons can now take an antiretroviral medication to achieve and maintain an
   undetectable viral load, preventing the transmission of the disease to their
   sexual partners. Additionally, preventive medicines are available to help
   minimize the spread of the disease. Pre-exposure prophylaxis (PrEP), a daily
   medication, can reduce the risk of acquiring HIV through sexual contact or
   drug injection by 90%. Another option is to take post-exposure prophylaxis
   (PEP) after a high-risk exposure. If the medication is started within 72
   hours of potential exposure it has been shown to be highly effective.
   
   The last four decades of the HIV epidemic highlight astounding scientific
   discovery and advocacy, but also underscore stigma, discrimination, and
   disparities based on sexual orientation, race, and socioeconomic status.
   
   As a community, our focus should be on prevention strategies, including
   increased testing, access to equitable care, and medications that help
   minimize the transmission of HIV. We must also support our neighbors and
   those who are living with the disease.
   
   
   WHERE TO TURN FOR HIV TESTING
   
   Memorial Healthcare System offers no-cost, rapid HIV tests that deliver
   results within 15 minutes. Two locations in South Broward County – 4105
   Pembroke Road and 5647 Hollywood Blvd. – are open Monday–Friday, from 8:30 am
   - 5 pm. Appointments are available by calling 954-276-1616, but walk-ins are
   also accepted. Additional information is also available on our Infectious
   Disease page.
   
    
   
   ABOUT THE AUTHOR
   
   Paula Eckardt, MD, is chief of the Division of Infectious Disease and medical
   director of the Infection Control program at Hollywood-based Memorial
   Healthcare System, one of the largest public healthcare systems in the U.S.
   and a national leader in quality care and patient, physician, and employee
   satisfaction.


 * MEMORIAL CANCER INSTITUTE FIRST IN FLORIDA TO ACHIEVE CERTIFICATION THROUGH
   AMERICAN SOCIETY OF CLINICAL ONCOLOGY’S PATIENT-CENTERED CANCER CARE PILOT
   
   Memorial Cancer Institute is among the first nine oncology sites in the
   nation, and the first in Florida, to achieve certification through the
   American Society of Clinical Oncology’s (ASCO) Patient-Centered Cancer Care
   Certification pilot based on its adherence to oncology medical home (OMH)
   standards, a single set of comprehensive, expert-backed standards for
   patient-centered care delivery. Published by ASCO and the Community Oncology
   Alliance (COA), these rigorous standards focus on seven domains of cancer
   care: patient engagement; availability and access to care; evidence-based
   medicine; equitable and comprehensive team-based care; quality improvement;
   goals of care and palliative and end-of-life care; and chemotherapy safety.
   
   “We are thrilled to be among the first in the nation to be recognized for our
   commitment to high-quality cancer care by demonstrating our program's ability
   to meet rigorous care delivery and quality improvement standards,” said
   Meredith B. Feinberg, vice president, Memorial Cancer Institute and Moffitt
   Malignant Hematology and Cellular Therapy at Memorial Healthcare System.
   "Every member of the Memorial Cancer Institute team, from physicians and
   healthcare professionals to our administrative staff made significant
   contributions to ensure this journey ultimately benefits our patients.”
   
   Beginning in July 2021, Memorial Cancer Institute, along with 11 other
   oncology sites in the United States, prepared for surveyors to conduct site
   visits to assess performance relative to each ASCO-COA Oncology Medical Home
   Standards. With guidance from surveyors, Memorial Cancer Institute further
   transformed cancer care delivery, including the development of improved
   workflows, staff education and training on the new initiatives, and
   compliance data monitoring to demonstrate success. To achieve certification,
   Memorial met 17 care delivery standards and 22 chemotherapy safety standards.
   
   Memorial Cancer Institute will continue to work with ASCO leaders on these
   important value-based initiatives to review quality improvement initiatives,
   patient satisfaction surveys and oncology clinical pathways utilization, as
   well as data on quality measures, such as advance care planning, depression
   screening, chemotherapy in the last 14 days of life, and pain assessment to
   maintain certification and demonstrate its continued commitment to providing
   high-quality cancer care.
   
   “We commend all of the certified practices for their achievement and
   dedication to transforming their practice. By doing the work to meet these
   standards and achieve certification, these practices are better equipped to
   succeed in a value-based system and deliver high-quality, equitable,
   evidence-based care for every single patient,” Lori J. Pierce, MD, FASTRO,
   FASCO, Chair of the Board of the Association for Clinical Oncology.
   
   The pilot is slated to end in summer 2023. Over the next year, Memorial
   Cancer Institute will continue to work on quality assessment and improvement
   activities to maintain its certification.
   
   About Memorial Cancer Institute
   
   Part of Memorial Healthcare System, Memorial Cancer Institute is one of the
   largest cancer centers in Florida, treating more than 4,600 new patients each
   year. Memorial Cancer Institute, with research partner Florida Atlantic
   University, is one of only five programs designated by the Department of
   Health as a “Cancer Center of Excellence in Florida.” Memorial Cancer
   Institute will soon open a new freestanding facility in Pembroke Pines that
   will include radiation oncology, breast oncology, hematology-oncology, and
   Moffitt Malignant Hematology and Cellular Therapy at Memorial. It will also
   feature private infusion bays, a boutique and salon, conference center,
   physician offices, meditation room and a rooftop garden that will cement
   Memorial’s place as a home for world-class cancer treatment, research and
   high quality patient and family-centered care.

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