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      Specialty Focus   
                                                                                    
Volume VII | Issue 49                                                                                      
Dec. 4, 2018   
 
Practice specific news, analysis and commentary for Florida's Medical Specialists  
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

Judge Backs Revoking Nursing Home License After Irma Deaths
Jim Saunders
Health News Florida

Offering extensive details of what she described as a "catastrophe," an administrative law judge has backed a state decision to revoke the license of a Broward County nursing home where residents died after Hurricane Irma. J udge Mary Li Creasy, in a 94-page recommended order issued Friday, traced a three-day chain of events that started when the hurricane knocked out the air-conditioning system at The Rehabilitation Center at Hollywood Hills. The events ended with seniors dying or being evacuated from the sweltering facility, where Creasy said temperatures on a second floor were recorded at more than 100 degrees.
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Moody's: It doesn't look like things will get much better for nonprofit hospitals in 2019
Tina Reed | Fierce Healthcare

With a report earlier this year showing nonprofit hospitals on an "unsustainable path" as expenses outstripped revenue, this year hasn't been great for nonprofit hospitals. Now, a new report from Moody's Investors Service doesn't project great news for 2019, either. Why? Analysts point to soft revenue growth, weak inpatient volumes and single-digit reimbursement increases in the coming year. They did, however, point to some signs of improvement: Expenses are expected to drop in the coming year.

"The not-for-profit healthcare outlook remains negative amid some glimmers of stability," Diana Lee, a Moody's vice president, said in a statement.
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Money will be lost in health care. This is true no matter how we describe it.
Edwin Leap, MD | KevinMD

Does anyone in medicine, particularly emergency medicine, understand why we lose money? Why we have to push those metrics so hard to capture every dime? I mean, we're constantly reminded that satisfaction scores, and time-stamps and time to door, time to needle, time to discharge, reduced "left without being seen" scores are connected to the money we make. Medicine now is far less about the wonder of the body, the ravages of disease, the delight of the diagnosis and the thrill of healing. Medicine, now, is clicks and time-stamps, clipboards and strategies, through-put, input, out-put, put-out, burned out.
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Allergy Center's HIPAA Fine Nothing to Sneeze at 
A Connecticut healthcare provider recently learned it's better not to comment in public about a patient, even if that patient has disclosed his or her own protected health information (PHI) to others. The incident involved Allergy Associates of Hartford, a provider specializing in the treatment of patients with allergies. The patient called a local television station after being turned away because of her service animal. HIPAA When the television station called the practice for comment, a physician spoke to the reporter, and in the process disclosed some of the patient's protected health information, even though the physician had previously been advised to either ignore the reporter's request or offer a simple "no comment." Had the physician received permission from the patient to discuss the case, Allergy Associates would not have found itself in the position of having to defend a HIPAA violation.
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