Messy Divorce of Rick Scott and David DiPietro

This week, a judge struck down Florida Governor Rick Scott’s suspension of David DiPietro & Darrell Wright and in an ironic twist – the Judge was right. (Scott Wrong to Boot Appointee for Malfeasance-Judge Rules – Miami Herald, Judge-To-Scott-Reinstate-Suspended-Broward-Health-Chairman – Local 10, Di-Pietro-Reinstated – Sun Sentinel)  While any reader of the blog this past year would find ample grounds to not only suspend but even remove Mr. David DiPietro and Mr. Darrell Wright for improper conduct as board members, the singular stated reasons for the Governor’s actions were remarkably off the mark.   It’s like missing the fish in a barrel without water.

'They're nice, but do you really expect me to drink my imported Merlot from domestic Merlot glasses?'The hypocrisy is palatable, the irony is distasteful, and the lesson is dangerously evident.  Based on the Judge’s order, Broward Health appears to be an organization that is run by an incompetent board of political hacks, accountable to no one – not the public, not the voters, not the taxpayers, not its customers, not the 8,000 plus employees, not even the Governor.   The irony is that I was hoping for the Governor to win, knowing full well that in this case only – I felt the Governor’s actions were somewhat precipitous and not well thought out. See my article “David DiPietro’s Raw Deal”.  I was hoping that, at the very least – the Board would be accountable to someone – even if it were only the Governor.

Even more infuriating, is the “vindication” DiPietro claimed in the judge’s order.

“I am pleased and gratified at the judge’s ruling,” Di Pietro said in a statement. “The order is vindication of my service at Broward Health … I am proud of my record of fighting corruption at Broward Health, and with my reinstatement, I intend to continue to champion multiple transparency and accountability reforms.”  David DiPietro  4/11/16 Sun Sentinel  

Shhhh its a secretNotwithstanding the fact that DiPietro was correct to object to the most recent secret meeting on the dual issues of the performance of their corporate counsel and well-known corruption investigator Mr. Wayne Black’s allegation of administrative obstruction, David has been a willing participant in many secret  meetings at Broward HealthThese secret  meetings include among others, the highly controversial meetings on the Zimmerman Advertising proposals wherein David had no objection and was reportedly a strong proponent.  In his report, Even Mr. Berger (the attorney hired by the Board to do a limited internal investigation on behalf of the Board’s Audit committee), concluded that the Zimmerman meeting should not have been held behind closed doors in secret.  It appears that Mr. DiPietro only objects when his personal/political agenda dictates and not, as he would have us believe, when the public interests are at issue.

NotASecretAnymoreNot only has DiPietro not fought corruption, nor championed either transparency or accountability from his position as Chair of the Board – his orchestration of some of the most incompetent Board decisions has made his board and his tenure one of the worst, incompetent if not corrupt Boards in Broward Health’s sordid history.   And that is saying something!  It is not accidental nor an overstatement to hold him personally responsible for much of the dire straits in which Broward Health now finds itself.  I have spent a great many words on this and related topics in this blog, and I will not repeat them here.  Please see a short list of my past articles (“Dan Lewis’ Original Posts“– found on the lower right of the home page.)

Politics

David-Di-PietroI have to admit that I like David DiPietro, and I think he is a good attorney – but I hate the job he is doing as a Broward Health Board Member, particularly as its chair.  So it is appropriate to look at the politics of the matter which are really quite interesting.

Govenor ScottFrom the time of his original appointment to the Board by Governor Rick Scott in 2011 until mid-2014 when Governor Scott appointed additional board members to support DiPietro, David generally was on the short end of a 5-2 vote.  Governor Scott made his new appointments primarily on the recommendation of a rather small group of insider Broward republicans – including, of course, one of DiPietro’s best friend Broward County Commissioner Chip LeMarca who quite coincidentally later was able to parlay a failed construction background into a high paying community relations position with – wait for it … Zimmerman Advertising.

Notably in light of his strong recent support of the Zimmerman Advertising contract, one of DiPietro’s past 5-2 lost votes was to oppose the advertising expenditure for the re-branding of the systems individual hospitals in favor of a unified brand “Broward Health” hospital.   At that time, he did not feel that Broward Health money should be spent in advertising.

Back then, this same group of insider Broward republicans together with David helped to orchestrate the appointment of David’s wife, Nina to Florida’s Medical Board currently chaired by none other than Dr. Nabil El SanadiSmall world!

It was now clear in Broward’s hushed circles of political power that David DiPietro was the go-to person for any appointments by Governor Rick Scott in Broward including; the Judicial Nominating Commission for the 17th Judicial Circuit (JNC) and the Broward Health Board.

And so, three new Broward Health Board appointments gave DiPietro a majority (Rodriquez, Nieland and Wright).  

Go Back We Fucked Everything UpWith the help of the three new Scott appointments to the Board handpicked by David DiPietro, he now had a majority.  In short order, David was elected chair and with the threat of his new majority, ousted not only past CEO Frank Nask, but also corporate counsel Sam Goren and the marketing department headed by Sara Howley (which would pave the way for the Zimmerman contract that had already been approved by new CEO Dr. El Sanadi). (See my articles: Innovative CEO NASK Forced Out, Politics Wins – We Loose!,    Board of Commissioners Rubber Stamp Shady Deals at Meeting – Very Tacky).  After all, Dr. El Sanadi could be relied upon to play ball in return for a sweetheart contract (please see my previous posts “The Best Broward Health CEO contract politics can buy!”, and “Has the Office of Inspector General seen Dr. El Sanadi’s CEO Contract with Broward Health?”).

And so, new appointments on the Judicial Nominating Commission (JNC), now chaired by the son of a prominent cardiac surgeon and significant Republican contributor and fundraiser, Dr. Zachariah Zachariah.  During this time frame,  Dr. El Sanadiin secret, purchased Dr. Zachariah’s medical practice on behalf of Broward Health in a multi-million-dollar deal currently under some intense regulatory review.  This deal could not have been done without the approval of DiPietro.  Coincidentally, the very same JNC chaired by the young Zachariah and other DiPietro recommended appointments, sent Nina DiPietro, David’s wife, name to the Governor for a judicial appointment!

In what had been panned as Florida’s most inexperienced judicial appointment ever, once again, as he had done so often before, the Governor accommodated David DiPietro with his wife’s appointment to the Broward County Bench.

MoneyMoneyJudge Nina DiPietro now has to stand for election in Broward on August 30th, 2016, a republican Scott appointee in a democratic Broward County.  It would take money, and lots of it.  No problem for David DiPietro.  As of today, she is currently running unopposed and has raised more money than any other Broward judicial candidate through mid-March with $267,000.

A quarter of her donations through January came from health care-related sources.  Zimmerman and his collection of companies gave Nina’s campaign approximately $50,000.  Broward Health vendors and physician contractors ponied up another $100,000.   Then David made up another $100,000 in loans made possible by the explosive growth of his law practice during his Broward Health tenure – and they say this position does not pay!

Judge Nina DiPietro, however, was not always running unopposed.  For a brief time, she had an opponent – then, inexplicitly, her opponent switched to a different judicial race and according to people he apparently told, Zimmerman was helping design his campaign material.  Wow, small world.

All this success for David DiPietro primarily due to the Governor’s largess makes his lawsuit and his public statements against his benefactor baffling.

vvGZZguIf David had asked me, and he did not, I would have advised him to tell the governor that because of the Governor’s commitment to serve the public; his actions were understandable but miss-informed.  David should have said that he stands ready to serve as soon as the Governor can confirm he was misinformed and re-instates him.  Instead, in a very public way – David called the Governor out, embarrassed his office and went to court with an action that now serves to undermine the Governor’s office, authority and reputation.  As a lifelong Democrat, politically – I am delighted.  However, right, wrong or indifferent – it was the wrong political move.  Loyalty is an important part of politics and I would have advised David to stand by his Governor, his benefactor.  If I were in David’s position, that is what I would have done, even as a Democrat.

The Governor must be thinking a lot about the word “ingrate”;  n. “ungrateful person,” 1670s, from earlier adjective meaning “unfriendly”(late 14c.) also “ungrateful, unthankful,” from Latin ingratus “unpleasant,” also “ungrateful,” from in- “not” (see in- (1)) + gratus “pleasing, beloved, dear, agreeable” (see grace ). The noun meaning “ungrateful person” dates from 1670s.

It’s fair to say that David’s relationship with the Governor’s office has been irreparably broken as has is close circle of friends.  As a vocal Trump supporter, now David can only dream of a Trump presidency.

Updated. Million Dollar Secret Attorney/Client Meeting Transcripts!

Broward Hospital District Shade Meeting Transcript – August 20, 2015

As the result of my public records request (click to see request), today I received a partial response in the form of the paper court reporter transcripts for a number of shade meetings in re:  Attorney/Client Meeting to discuss matters of litigation pending before the US District Court in which Broward Health is a Defendant in a False Claims Act Case. 

The transcripts were for the meetings held on:

  • June 4th, 2014
  • September 5th, 2014
  • October 22nd, 2014
  • December 15th, 2014
  • August 20th, 2015

Click here to download the first transcript (August 20th, 2015) here (9 megabyte PDF).

Click here to download the December 15th, 2014 transcript here (12 megabyte PDF)

Click here to download the October 22nd, 2014 transcript here (7 megabyte PDF)

Click here to download the September 5th, 2014 transcript here (8 megabyte PDF)

Click here to download the June 4th, 2014 transcript here (16 megabyte PDF)

I have not read the transcripts, nor have I confirmed what transcripts are missing but I wanted to post the first transcript as soon as possible.  All the transcripts that have been produced are now posted.

I am reliably told that the five transcripts represent all the shade meetings in this matter, however, there were apparently many one on one meetings between attorneys & Board members in a concerted effort to keep shade meeting comments to a minimum.  There are no minutes of these meetings and presumably the content of those meetings would be Broward Health attorney/client discussions thus not a subject for a public records request.

After I read & digest the content of the transcripts, I will post both my comments and analysis.

Stay tuned.

 

Shhhh… It’s a secret.

Since starting this site a few days ago, I have received many “tips” from “angry” people working at Broward Health about the recent “secret” doings at Broward Health.  Most of these tips are anonymous, but when I get the same tip from more than three people, I begin to wonder.  I hope to have the time to delve into some of these at greater depth, but in the meantime, here are some recent tidbits:

Shhhh its a secretEl Sanadi, who became Florida’s Broward Health’s new CEO after he and a handful of Board members orchestrated the ouster of the previous CEO, is apparently making a lot of changes behind closed doors, that should us all and which don’t seem good for Broward’s public Hospital.

After the herculean effort to certify Broward Health as a teaching hospital system through a decades  long and successful (although sometimes bumpy) collaboration with NOVA Southeastern (NSE),  El Sanadi and the Chair of the Board are scuttling the system’s relationship with Broward’s NOVA Southeastern and replacing it with Miami’s FIU.  According to one report, El Sanadi has given instructions not to hire any more Fellowship physicians or interns from NSE.  Apparently, El Sanadi has also made Dr. Kumar (a critical care physician who will be featured in a future article you won’t want to miss) the Medical Director in charge of the FIU program at Broward Health.  This policy change has never been presented to the Board publicly nor has Kumar’s new directorship contract.

In addition to the NSE change, El Sanadi with the Chair and another Board Member are believed to be pushing for a Request for Proposal (RFP)  for security services for their Republican friend ex-sheriff Lamberti.  This policy change also has never been presented to the Board publicly.

It is believed that El Sanadi with the Chair and a different Board Member are asking how they can get the Investment & Pension Committee to send out a new Request for Proposal (RFP) to change the professional finance adviser to Broward Health in favor of a “friend” of the Board member.  It should be noted that this is for an investment and pension portfolio of more than 800 million dollars.  This policy change also has never been presented to the Board publicly.

And if that’s not enough, El Sanadi and the Chair are seemingly working to establish a Kidney transplant center at Broward Health to attract patients from outside of Broward.  Not only is this capability duplicative in the area, but, at a cost of millions of dollars, it has very limited use for the public Broward Health purports to serve. You guessed it.  This policy change also has never been presented to the Board publicly.

One cannot help but wonder how long the other Board Members are going to allow this race to return to the dark days of Broward Health’s past, where Broward Health was little more than a cash register for insider dealing, to continue.  But, I guess the Board needs to be informed first, but shhhh… it’s a secret.

Broward Health Board Meeting – Part II Clueless!

(Part I – Board of Commissioners Rubber Stamp Shady Deals)

At the last Broward Health Board meeting (2/25/2015) in Florida a public speaker raised “process” concerns about a proposed million dollar sole-source lease for an orthopedic robotic surgery device for Broward Health North, the system’s Pompano Hospital.  The speaker represented a competing company and asserted that the robotic device should not be a sole source and called into question the apparent one-sided process that precipitated the agenda item.

BHRobotTo understand the importance of this otherwise benign item for a billion dollar Florida hospital system one must digress to context.  This unlikely hospital in Pompano established to address the health care needs of a predominantly minority and retirement community has over the last few years become one of Florida’s premier orthopedic centers for joint replacement.  This is very profitable for a hospital, especially this hospital that has been financially struggling.

The reason for this remarkable achievement is the hospital’s relationship with a prolific and highly respected orthopedic physicians group.  So when this group says it wants the hospital to get a particular robotic system or it will relocate to a hospital who has one – well, it doesn’t take an orthopedic surgeon to figure out what the hospital system will do.  Spend a million dollars over 4 years to keep millions of dollars of revenue/profit each yearDuh!

Pretty much of a straight forward deal that even makes sense for the taxpayers, so what am I writing about?   This item directly spotlights two issue: first, the Broward Health ridiculously convoluted and outdated procurement policy allows the subterfuge of insider dealings; and second, the very purpose of Broward Health as a public hospital system.

The robotic surgery system is less a sole source item and more a physician preference.  Medically, there is no objective basis to suggest that one type of joint replacement system is better than another, but with the complexity of orthopedic surgery – it is natural even foreseeable that a particular physician or physician’s group would become comfortable with one vendor over another.  It is also axiomatic that one of the operational functions of a hospital is to cater to the success (financially and medically) of its physicians.  So why did it take over six months to approve the lease?

The answer is that at Broward Health there apparently is a continuing massive effort in appearance over substance.  Rather than make the forthright and legitimate argument that the robotic lease was at the request of and for this particular successful physician’s group practice at Broward Health, staff was obligated to go through a convoluted and internal process to justify a procurement policy sole-source designation which this lease was not.  Two board members were uncomfortable with the apparent contradictions and a lengthy discussion ensued.  The new politically appointed CEO Dr. El Sanadi sat clueless.  In the end, the lease was approved which it should have been six months ago based on any reasonable financial analysis.

The second reason this particular agenda item was interesting is it exposes Broward Health’s understanding of its primary organizational purpose in Broward.  Rather than discuss whether it is appropriate for Broward Health to invest in the expansion of medical services to attract new patients from outside of Broward as opposed to investing in services which would serve and enhance the health care needs of its current patients, the seemingly primary supporting argument that was clear, but unsaid for the million dollar lease, was that the extraordinarily gifted and profitable orthopedic physician practice would leave Broward Health if the Board did not approve the lease.

The Board discussion should have been about the public policy of Broward Health’s responsibility to the health care needs of Broward County , Florida as opposed to the financial success of its physicians.  At the end, as a matter of Broward’s public interest, the lease should have been approved provided that the additional revenue it was predicted to produce would be applied to enhancing the health care needs of the community, and it came with an agreement that the requesting physician’s group would do their surgeries at Florida’s Broward Health North for the duration of the lease.  No such representations were made, and the lease was approved without any promises from the benefiting Physician’s group or the Board exercising is fiduciary responsibility to the public it “serves”.  No one should have approved the lease based on the disingenuous arguments made at the Board meeting.  It is sad and more than a little scary that neither the Board nor their CEO understood why the lease was good for the Broward Health system.

In this case, process mattered – and the layers of incompetence championed by a clue-less CEO smothered the pockets of excellence at Broward Health.  We should all be concerned!

Board of Commissioners Rubber Stamp Shady Deals at Meeting – Very Tacky.

Dateline:              February 25th, 2015 4:00pm
Broward Health North Conference Center

In Pompano Beach Florida, a windowless conference room decorated with chandeliers made out of tinsel, about 85 highly paid staffers, a few vendor representatives and as many as 3 people purportedly representing the public assembled for February’s public meeting of the Florida’s Broward Health Board of Commissioners.  On the dais the Board is flanked on one side by Sam Goren, its highly experienced and knowledgeable corporate counsel and on the other side by their recently appointed (see previous articles) CEO Dr. El Sanadi, CFO and Board Auditor.  And so the stage is set for a three hour meeting remarkable in its resemblance to Alice’s tea party (Disney– Alice in Wonderland (1951)) and more for what is not said than what was.

Meeting20150225After appropriately recognizing employee contributions with the obligatory distribution of plaques with pictures, the public was offered an opportunity to speak guaranteed by state statute.  (It is important to note that the public also has an opportunity to speak on each and every item on the Board agenda – guaranteed by state statute but that opportunity has only once been acknowledged by the Board in this writer’s more than three years attending meetings, and that was only by this writer’s insistence.)

The second of three speakers to address the Board came with carefully prepared notes to address the ENT physician contract approval that was appearing later on the agenda.  The speaker was a physician himself and he had serious questions wrapped in what the CEO and the Board asserted were misconceptions.  The contract was for on-call services for an Ear-Nose & Throat (ENT) specialist required under federal licensure for trauma hospitals.  The speaker asked how a new contract could be negotiated for 1 doctor (yes, one doctor) to replace a contract for 7 doctors (yes, seven doctors) for what was essentially $100.00 saving per day.  The speaker also raised issues relating to abnormalities in credentialing, e.g. rushed process, objection by the surgery staff, etc..  Notably, the Board Chair jumped in and said “no fair” (I’m paraphrasing), credentialing comments are confidential (he would know – he routinely represents physicians legally and “recuses” himself from votes regularly).  And the speaker raised even more concerns – that of the obvious coverage issue for one doctor to cover 4 hospitals that was covered by 7 doctors in the old contract.  The clear subtext of the speaker’s comments was the belief that the renewal of the old contract was not negotiated in good faith and the new contract was inadequate for the needs of the hospital system.  As a result of this speaker’s comments, the contract item was removed from the consent agenda to the discussion agenda which meant that there would be more conversation on the board for this item.

The final public speaker raised similar “process” concerns about a proposed million dollar sole-source lease for an orthopedic robotic surgery device for Broward Health North.  The speaker represented a competing company and asserted that the robotic device should not be a sole source and called into question the apparent one-sided process that precipitated the agenda item.  As this item was already on the discussion agenda, we were all assured a later conversation would ensue.

Because I want to delve a little deeper into the matters raised by the public speakers before I run out of space, I will skip some of the other agenda items that will be the subject of future articles.

The ENT Contract

To understand what happened with the ENT contract, there has to be an understanding of both the politics and personalities involved.  The previous ENT contract with Dr. Callari expired naturally on January 30th and was by any measure a bad contract that was grossly overpaid.  So why did Dr. El Sanadi fail to renew the agreement when after some tough negotiations, when the difference between renewing the contract with Dr. Callari who provided  7 physicians versus a new contract with Dr. DuMornay as a single physician was only somewhere around $100.00 per day?  For the answer, one needs to look to past presidential politics, petty jealousies, and abrasive personalities which serves as a micro-study for the management problems at Broward Health amplified by the ouster and replacement of the previous CEO.

There is a generally believed story that a dispute between Broward Health’s current chair and Sara Howley, the wife of Dr. Callari, started over a purported “lost” invitation to a Romney fundraiser in which Mrs. Romney was scheduled to appear.  The result was that the chair missed the event and Mrs. Romney.  It appears the Chair thought the “lost” invitation was intentional rather than an email foul-up, and a minor political dust-up ensued.  But here is where it gets interesting.   Sara Howley is the wife of the Dr. Callari and also the well-respected vice president of Corporate Communications at Broward Health.  At the same time that the ENT negotiations between Dr. El Sanadi and Dr. Callari were getting contentious, Sara Howley abruptly resigns her position (late January 2015).  It is generally believed that she was forced out with a resign or be fired mandate from Dr. El Sanadi on “instructions” from the Chair.  Very tacky.

But the ENT contract story gets even better and more curiousDr. DuMornay, the new contractor Dr. El Sanadi “recruited” actually previously worked with Dr. Callari’s ENT group until they had a falling out and because Dr. Callari enforced a non-compete clause, Dr. DuMornay moved to Georgia to work. But wait, it gets better.  In 2012 after the Dr. Calari’s original ENT contract was extended to provide time to negotiate a smooth transition to in-house (Broward Health employed physicians), Broward Health recruited Dr. DuMornay from Georgia to come and work for Broward Health.  The plan was for Dr. Callari to be on call for two weeks, and Dr. DuMornay together with other ENT physicians Broward Health intended to hire to work for a few weeks as a transition to the complete elimination of the ENT contract that had been so troublesome.  Dr. DuMornay agreed to and signed a contract – but then, just didn’t show up.  No notice, he just didn’t show up.   Apparently he later gave the reason that he wasn’t going to be paid enough. Surfacing just in time for Dr. El Sanadi to “recruit” and give him a new ENT contract, but not in time to go through the normal burdensome credentialing process at Broward General.

Now you know the rest of the story.

It should be noted that all these ENT physicians are experienced and perhaps even exceptional clinicians, but the extraordinarily unprofessional manner in which this contract was negotiated and eventually approved at this meeting is a throwback to the dark days at Broward Health where politics ruled.

As taxpayers, we should all be worried – and the Inspector General’s Office should take note.

I’m out of space for this article so In Meeting – part 2, I will add some additional tidbits you might find interesting about this meeting.  Look for it in the next few days.

To be continued…

Broward Health – It’s Our Hospital

Florida’s Broward Health is about the numbers:  4 Hospitals, 2 trauma centers; over 30 health care and support facilities; 7,000-8,000 employees including close to 1,200 new hires annually; 1,930 physicians in more than 104 medical specialties; and a billion dollar budget (4 billion gross charges).  This article will focus on the Broward Health physicians.

BHMC-homeI thought Florida’s Broward Health’s well-earned reputation for corruption was overstated and based on outside political and moneyed interests.  I was wrong.  If anything, its history is understated, based on a small group of insider politically active physicians and what was in the past a placid administration installed to do little more than facilitate and guarantee physician payments and lucrative real-estate deals.  Those physicians mantra “It’s our hospital!”

Historically, any attempt to change this culture was met with swift political action from the Board of Commissioners for the District after a deluge of “insider” calls demanding that they get the administration back in line.  In fact, the by-laws of the District require the CEO to get board approval before many administrative actions – like the hiring or firing of some senior executives.  After all, the Board wouldn’t want one of their “friends” fired.

So it was remarkable that in June, the Board supported a standard fair market physician contract for the top grossing physicians which, in some case, substantially reduced the physician’s compensation.  Before you shed a tear for these physicians, many of these physicians still make close to a million dollars a year.  Imagine what it was before the adjustment.  Here’s how it happened.

Historically, when the administration wanted to renegotiate a physician’s contract – the physician immediately appealed to both the Board (typically through politically connected intermediaries and lawyers) and insulated and “friendly” senior staff (who would want to stay on the Board’s good side).  Thus too often, the administration representing the public’s interest would be on one side with everyone else on the other.

But this time, because of the unusual independence of most of the current board members, and the regulatory pressure to reduce health care costs, Frank Nask (CEO of Broward Health) brought a blanket physician contract to the Board for approval first which required all contracts to be paid at the 50th percentile regional fair market price for physician services based on an independent evaluation.  Some Board members, having been called by their “friends” rebelled, but in a long and somewhat bizarre board meeting, they ultimately agreed so the policy was set – and the fair market value contract was adopted even though a number of physician’s and physician groups threatened to leave the hospital system if the fair market value contract was imposed on them. In the end, the contract was imposed and no one has, as yet, left.

It is important that what could be perceived as the misbehavior of some Broward Health physicians is the unfortunate exception for a profession undergoing dramatic change.  On August 29th, the Wall Street Journal reported that “physicians are increasingly unhappy with their once-vaulted profession, and that malaise is bad for their patients”. Dr. Jauhar says in his book “Doctored” that many of his colleagues are struggling with the loss of their professional ideals becoming “impatient, occasionally indifferent, at times dismissive or paternalistic”.  “Today medicine is just another profession, and doctors have become like everybody else: insecure, discontented and anxious about the future”.

In a 2008 survey of 12,000 physicians, only 6% described their morale as positive.  Eighty-four percent said that their incomes were constant or decreasing. Most said they didn’t have enough time to spend with patients because of paperwork, and nearly half said they planned to reduce the number of patients they would see in the next three years or stop practicing altogether.

Mr. Nask and Broward Health are keenly aware of the importance of and committed to both physician and patient satisfaction as a measure of the quality of health care to the community with a renewed system emphasis on surveys, analytic scores, and data mining.   Notably, Mr. Nask is modelling a modification of his fair market physician contract to include a committed level of service expressed in independently tracked physician minutes with the patient guarantees and non-clinical “paper-work” assistance.  If successful, such a model for health care delivery could serve the dual purpose of improving physician morale in their profession as well as the quality of health care being delivered to the patients of Broward Health.  We’ll see.

The next article in my Broward Health series will discuss why Broward Health protects physician’s income at the expense of providing health care?”  You’ll be surprised and perhaps more than a little angry at the answer.  Hint: it’s about the “Benjamin’s”!