David Zambrana

6% is not enough! We need more Latinx physicians to serve the growing Latino population and to mentor the next generation. On October 1st, we celebrate the National Latinx Physician Day. #nationallatinophysicianday #nationallatinaphysicianday #nationallatinxphysicianday #mentorship #latinosinmedicine #NLPD24

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Don't be fooled. Value-based care won't come to you! You need to go to value-based care! How? By weaving together the principles of data, population health management, operations, finance, and change management. Yes, it's challenging, but it's worth it. If you're at the annual #FACHC conference in late July, Carrie T. and I will show you the how, and hear from Syntax Health and Austin Helton about the #VBC #contracting, #data and the impressive results we've achieved. #VBC #ValueBasedCare #valuebasedhealthcare #data #PopulationHealthManagement #pophealth #healthcarefianance #change #changemanagement

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I am incredibly excited to announce a new partnership between The Oncology Institute, Florida Blue and Sanitas Medical Centers to enhance cancer care for thousands of members. This collaboration expands access to TOI’s personalized, value-based oncology services, ensuring better care and outcomes for patients across Florida. Together, we’re transforming oncology care—making it more accessible, affordable, and patient-focused. 💙 Better care, together.

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I thoroughly enjoyed myself at the inaugural conference of the Southeast Regional Urgent Care Association. I’m pictured here with UCI/Doctors Care’s Executive Administrative Assistant, Dennis Pinnell. Many thanks to the event sponsors and the Board of Directors, who worked diligently to make this a successful meeting. SERUCA’s Founder and President, Dr. Bernie Short, is to be commended for his commitment to the organization and the promotion of Urgent Care as a specialty. Some takeaways from the conference are listed below: As AI is progressively integrated into healthcare, clinicians will have more time to focus on “taking care of people.”  AI assistants will collect patient histories, make preliminary diagnoses, and present treatment plans for review, allowing healthcare providers more time to prioritize patient interactions and critical decision-making. UCA’s advocacy efforts are centered mainly around improving Urgent Care reimbursements. There are many opportunities for SERUCA members to get involved at the state and national levels. Advocacy work is fun! Urgent care visit acuity degradation is ubiquitous throughout the industry. Driven by current economic pressures and physician shortages, the physician-to-advanced practitioner ratio continues to decline. Without a commitment from medical leadership to invest in AP training, urgent care centers will become glorified triage stations. The mechanism of injury is paramount when evaluating hand injuries. Be sure to include this in your history gathering. Point-of-care ultrasound in urgent care centers can generate revenue, patient satisfaction, and clinician engagement. With our current rad tech shortage crisis, POCUS may be a part of the solution. Despite decades of performing laceration repairs, Dr. Patrick O’Malley’s Advanced Suturing Techniques lecture gave me some clinical pearls. #urgentcare #healthcare #conference #AI #advocacy #clinicalinsights

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Three simple steps to build trust among Hispanics. 1. Understanding. 2. Accessibility. 3. Proactive Care. Even though trust is earned one step at a time and can take a while. Applying these small, practical, actionable takeaways will set your #healthcare organization in the right direction. Let’s taco ‘bout it. https://bit.ly/3TTUT6N

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NEW YEAR GREETINGS & UPDATE FROM ORLANDO HEALTH DIGESTIVE HEALTH INSTITUTE (OHDHI) On behalf of OHDHI I wish you a Happy New Year. OHDHI was conceived in 2022, with a 5-year growth plan. I am pleased to provide update on year-three activities. PROGRAM GROWTH: What started as 4-member endoscopy team is now 34 physician & 265 staff strong. OHDHI includes 6 advanced endoscopists, 2 IBD specialists, 2 Hepatologists, 1 Pancreatologist, 1 Motility Specialist and 20 general gastroenterologists. OHDHI provides services at 6 hospitals, 9 outpatient clinics & 4 ambulatory centers. CLINICAL CARE: In 2024, the general GI/subspecialty services in Orlando region provided >65000 outpatient consultations and performed 87502 endoscopic procedures. The liver & IBD clinics evaluated >3600 and 6100 outpatients and have dedicated inpatient subspecialty service at ORMC. The 3-yr old Center for Advanced Endoscopy, Research and Education (CARE) performed 10509 advanced procedures – EUS 3898, ERCP 1325, 116 third space and 5170 complex interventions. When combined with Bayfront campus, EUS volume was 4517, ranking OHDHI once again # 1 in North America. RESEARCH: First in-human study evaluating AI-EUS for detection of pancreatic cancer was concluded and findings presented at UEGW and secured 1st prize at the ACG in Philadelphia. United States Pancreatic Disease Study Group founded by us is leading multicenter randomized trial comparing EUS-guided celiac block versus sham therapy for pain in chronic pancreatitis. Please stay tuned for major announcements in 2025 on international collaborations in research. TRAINING: The 2-year-old ACGME accredited GI fellowship has matched 2 fellows for upcoming year and new advanced endoscopy fellow will be joining from University of Montreal. EDUCATION: 3 symposiums were conducted (1) Florida Live Endoscopy which drew 339 delegates from 27 countries (2) Florida IBD Congress and (3) Florida Digestive Diseases Update which together drew > 570 delegates from >40 States. 2025 GOALS: (1) 70000 sq ft DHI housing our office, clinic, research, and advanced endoscopy suites is slated for opening in 04/2025, (2) two new transplant hepatologists will join as momentum is in full swing for establishing transplant program, (3) ESWL for chronic pancreatitis will be started first quarter of 2025 and (4) we anticipate completion of 2 RCTs in interventional EUS in the new year. We are determined to retain Orlando’s standing as Global Capital for EUS - the AI innovation and research endeavors are reflective of our goals and ideals. OHDHI will be hosting Florida Live EUS, the premier global event, from August 21-23, 2025. Although supply chain constraints, inflation and workforce shortage made growth challenging, we have accomplished few major milestones within 36 months and are just getting started. If you will be visiting Orlando or want to be part of an exciting clinical program, drop by to see and know more about our thriving and expanding OHDHI! 

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🚨 Update on Baptist Health and Florida Blue Negotiations 🚨 Negotiations between Baptist Health and Florida Blue are ongoing and remain tense as the September 30 contract deadline approaches. Discussions have been underway since February 2024, but no agreement has been reached. The core issue is payment rates: Baptist Health seeks increases to cover rising costs, arguing that current rates are below market, while Florida Blue contends that these demands are excessive and significantly above inflation. With the potential for Baptist Health services to become out-of-network for Florida Blue members on October 1, many patients in Northeast Florida are left uncertain about their healthcare options. Both sides are committed to finding a resolution, but time is running out. 🔗 Sources: Action News Jax, Baptist Health, Health News Florida

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The QIs-LTC (quality indicators for long-term care settings) developed in the current study are generic and client- and family-centered. They encompass objective and subjective information and would facilitate standardized monitoring, if adopted, and comparison between LTC settings, including home care. https://lnkd.in/gyYp3rZi #LTC #nursinghomecare #quality

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On today's show I interview Roshini Singh, Autonomous APRN, who owns her own practice in South Florida. Not only is it a unique practice model she chose, but she started it during the pandemic! Listen as we discuss why and how she started her practice, and much more! https://lnkd.in/eWvhcwWB

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Honored to share the result of a team exploration into anesthesia care in Guyana and the creation of a digital poster to raise awareness of the nursing profession and the specialty of anesthesia. #Nurseeducator4life, #MTSA, #AANA

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Earlier this week, we announced a historic $300 million expansion of our hospital in Central Florida. It is our largest capital project there since we built Nemours Children’s Health, Florida 12 years ago. At the same time, we announced $130 million in updates to Nemours Children’s Health, Delaware for 2025 – a record one-year investment in our Delaware campus. On one level, it’s very much about meeting the needs of our patients. We are the largest provider of pediatric healthcare in Delaware, and our patients depend on us to provide access to cutting-edge care. At the same time, Orlando is one of the fastest growing cities and regions of the country. The number of patients at our Orlando hospital this year reached record levels, and the pediatric population in the region is expected to grow 5% over the next five years. We are fortunate that our strong financial position allows us to reinvest our revenues into our services and facilities, continuing the duPont legacy of community investment. But this isn’t just about Nemours Children’s patients, and it isn’t just about Delaware or Central Florida. We feel a responsibility to all the children in our service areas, regardless of where they get medical care. If we want to create the healthiest generations, we have to acknowledge that health is so much more than medical care alone. It’s the ability to get a quality education, to eat enough nutritious food, to have safe and stable housing, to be free of violence at home. In addition to great medical care, we need an ecosystem that promotes health for our kids. Read more about the topic on my leadership blog. https://bit.ly/3DyKo2Q

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Last time, we discussed the basics of consulting. This time, we will go a bit deeper and cover: - Examples of consulting projects highlighting challenges, strategies, and outcomes. - Techniques for building strong relationships, effective communication, and handling difficult situations. - An overview of project management tools and AI integration to enhance efficiency. - Strategies for staying relevant I hope to see you at the Webinar. Link to register below #womeninhealthcare #WHCM #consulting #healthcare

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There are three 3 things every successful independent consultant (IC) knows about client management. That Others Don't. Want them? Here they are...👇🏻 Successful IC: They focus on making their clients look good. Other IC: They seek recognition for themselves. Successful IC: They own what they know and admit what they don’t. Other IC: Pretend to know everything. Successful IC: They adapt to their clients’ needs. Other IC: use the same approach with every client.  So, remember… Remember, your role is vital. Invest time in ensuring your clients get what they need. What else do you think is important in client management? Drop it in the comments.

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The Psoriatic March: PsA before PsO https://buff.ly/3CQxT2s

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The Oncology Nursing Society (ONS) has released a pivotal white paper titled "The Impact of Climate Change Across the Cancer Control Continuum: Key Considerations for Oncology Nurses." This comprehensive document underscores the profound effects of climate change on cancer care, emphasizing the critical role oncology nurses play in addressing these challenges. As we step into 2025, it's imperative to recognize that environmental health is intrinsically linked to cancer care outcomes. Climate-related emergencies can disrupt cancer care delivery, from prevention and diagnosis to treatment and survivorship. Moreover, environmental exposures contribute to cancer incidence and can exacerbate health disparities, particularly in vulnerable communities. ONS's 2024–2027 Research Priorities highlight the necessity of understanding environmental impacts on cancer care (Rosenzweig et al., 2024). By focusing on the intersection of environmental health and oncology, we can develop strategies to mitigate risks, ensure seamless care delivery during climate-related disruptions, and advocate for policies that promote environmental justice. Advancing environmental health isn't just about combating climate change; it's about improving patient outcomes, reducing disparities, and ensuring equitable access to quality cancer care. As oncology professionals, we must integrate environmental considerations into our practice, research, and advocacy efforts. Let's make 2025 a year where we prioritize environmental health as a cornerstone of cancer care excellence! Oncology Nursing Society AnnMarie Walton, PhD, MPH, RN, OCN, CHES, FAAN Stacy Stanifer, PhD, APRN, AOCNS Deborah "hutch" Allen #oncologynursing #planetaryhealth #cancercare https://lnkd.in/gRpzk72C

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Join Kina L. White, DrPH, MHSA, FACHE, and me next Thursday, November 7, for a webinar, Getting Ready for the CMS Age-Friendly Measure. The #webinar is free for Mississippi Hospital Association members and $100 for non-members. We will crosswalk the requirements for becoming an #AgeFriendly Health System with the requirements of the new CMS structural measure that goes into effect on January 1, 2025. The Age-Friendly Hospital Measure assesses a hospital's commitment to providing age-friendly care. It consists of five domains: - Eliciting Patient Healthcare Goals - Responsible Medication Management - Frailty Screening and Intervention (Mobility, Mentation, and Malnutrition) - Social Vulnerability (Social Isolation, Economic Insecurity, Ageism, Limited Access to Healthcare, Caregiver Stress, Elder Abuse) - Addressing Hospital Culture and Leadership for Age-Friendly Care Hospitals receive one point for each domain they meet, with a total score ranging from zero to five. We will also cover how to incorporate age-friendly care into your #healthequity work. In addition to those over 65 being a group that experiences health disparities, there are also more disparities within that larger group. For example, Black and Hispanic older adults are more likely to report wanting their healthcare providers to spend more time discussing what matters to their health and well-being. And rural older adults often face challenges in accessing specialized geriatric services. We will share tools and resources available in Mississippi and nationally. For those registered, a recording and the slide deck will be shared. I hope to see you there! Register here: https://lnkd.in/g8j64XZb

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Healthcare providers can't continue to chase cost reductions. As a change, we are now looking at how we can improve topline revenue and one way to do that is to improve patient access. Come and listen to our speakers discuss one of the hottest healthcare topics of today. Register today!

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Championing Integrity in CDI Cesar M. Limjoco, M.D., Faisal Chawla, and I joined forces to produce the first of a series of podcasts titled Championing Integrity in CDI. While the profession updated its name to reflect "Integrity' versus "Improvement," in reality current CDI processes have yet to reflect and achieve measurable sustainable meaningful integrity in the documentation. We invited Dr. Chawla as our first guest to share his vision and ideas on how the CDI profession should focus on recognizing and treating the medical record as a communication tool versus a reimbursement tool. Take a listen and hopefully realize the immediate need for updating and reengineering current CDI processes, strengthening the vision and mission of CDI to collaborate with physicians as collaborators and facilitators for more effective documentation and communication of patient care. #CDI, #transformationCDI, #transformingCDI, #properrepsectforCDIsofttware, #roleofCDI, #movingintherightdirection https://lnkd.in/e6aDaCub

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