DELIVERING

EXTRAORDINARY CARETO THE SOUTH MIAMI COMMUNITY

FOR OVER 3030 YEARS

EXPERTS IN MEDICINE, SPECIALIST IN CARING

7031 S.W. 62nd Ave. South Miami, Florida 33143 • 305.284.7500

A 146-bed acute care Medical, Surgical, Psychiatric and Teaching Hospital. Outpatient multiple programs, Family Medicine Center, PHP and ambulatory clinics. JCAHO Accredited. Actively Participates in the American Hospital Association’s Hospital Quality Alliance. Only Hospital in Miami-Dade County to participate in project RED (re-engineered discharge to prevent readmissions). Designated as a hospital in an Area of Critical Need by the United States Department of Health and Human Services. Designated as a National Health Services Corps site by the Health Resources and Services Administration (HRSA). Founding member of FIU College of Medicine. Member of the Consortium of Excellence in Medical Education, NSU College of Medicine. Designated Baker Act receiving facility. Telemedicine services. Neuroscience Center (including Gamma Knife) opening on January 2012. Full service Laboratory and Pathology departments Full service Imaging Center including Angiography, MRI and PET CT Scan.

A 146-bed acute care Medical, Surgical, Psychiatric and Teaching Hospital. Outpatient multiple programs, Family Medicine Center, PHP and ambulatory clinics. JCAHO Accredited. Actively Participates in the American Hospital Association’s Hospital Quality Alliance. Only Hospital in Miami-Dade County to participate in project RED (re-engineered discharge to prevent readmissions). Designated as a hospital in an Area of Critical Need by the United States Department of Health and Human Services. Designated as a National Health Services Corps site by the Health Resources and Services Administration (HRSA). Founding member of FIU College of Medicine. Member of the Consortium of Excellence in Medical Education, NSU College of Medicine. Designated Baker Act receiving facility. Telemedicine services. Neuroscience Center (including Gamma Knife) opening on January 2012. Full service Laboratory and Pathology departments Full service Imaging Center including Angiography, MRI and PET CT Scan.

Larkin Community Hospital

5 Story Main Hospital Bldg 146 Beds, CCU, Lab, Imaging Center, Pharmacy, Operating Room Suites.

Neuroscience Center - Gamma Knife, PET/CT,

MRI, Dr . Aizik Wolf, M.D.

Graduate Medical Education Bldg, Family Medicine Center & Center for Comparative Effectiveness Research.

5 Story Executive Office Bldg: Administration, Performance Improvement, Risk Management, Education, Finance, Human Resources.

Partial Hospitalization Program, IOP, TCM

Surface Parking Lot, Expansion Site

Home Health Agency

Outpatient CenterFamily

Medicine Center

Surface

Parking

Lot,

Larkin Hospital Campus

Parking Lot,

Several Units for Resident’s

Rental

ER Level 2.

11 beds.

Short waiting times (single digits).

Self-registration system.

Behavioral Health.

Baker Act Receiving Facility.

Highly trained staff of Physicians, RNs, LPNs, and EMTs.

Emergency Department

• Currently in expansion to 16 beds• 2 Fully equipped Isolation rooms.• Dedicated Chair of Department, Certified in Internal Medicine,

Critical Care and Pulmonary Medicine, nurse practitioner and critical care nurses.

• Ratio of 2 patients to 1 RN.• Rapid response and Code Blue team (ACLS certified staff).• Top CCU diagnoses:

Critical Care Department

o Acute respiratory failure o Gastro-intestinal disorderso Overdose o Shock o Renal failure o Severe COPD o Post-surgical patients

State of the art service in a customer friendly environment.5 surgical suites.2 fluoroscopes (C-Arms).General and Laparoscopic Surgery. Bariatric – Equipped with Hi-Definition Cameras by STORZ.Vascular Surgery. Pacemakers and implantable defibrillators.Thoracic and diagnostic thoracic procedures: Lung resections, pericardial windows, and thoracotomies. Orthopedic – arthroscopic procedures, hip and knee replacements.Neurosurgery: cranial and lumbar/cervical procedures, the latest LEICA neurosurgery microscope, and a full armamentarium for these procedures. Pain management program: blocks, implantable nerve stimulators and pain pumps.Urology: fully equipped for cystoscopies as well as open procedures.Gynecology: D&C, diagnostic laparoscopies, bladder suspensions, abdominal and vaginal hysterectomies.Full endoscopy and Bronchoscopy services.

OR DepartmentServices Provided

Isolation rooms

Private rooms

Telemetry unit for continuous

cardiac monitoring and/or

therapeutic intervention.

 

Inpatient services to treat diseases such as:• Abdominal disorders• Ear/Nose/Throat • Gynecological • Neurosurgical • Oral/Maxillofacial • Orthopedic • Plastic and Reconstructive • Podiatric • Thoracic • Urologic • Vascular

Medical-Surgical and Telemetry Departments

Outpatient and Inpatient Services.

Podiatry services as well as general wound care.

Transportation is provided to our patients.

We specialize in skin grafts, diabetic ulcers, venous ulcers, pressure ulcers, surgical wounds, and non-healing wounds.

Wound Care Services

Non-invasive neurosurgical procedure.

Increased accuracy.

Reduced side effects.

Rapid recovery.

Used to treat diseased brain tissue.

Surrounding tissue intact.

This technology allows physicians to operate on brain lesions often considered inoperable.

Non-invasive alternative for many patients for whom traditional brain surgery is not an option.

New hope for patients with brain tumors, vascular malformations and functional disorders.

Larkin Neuroscience CenterSpecialized in Gamma Knife

Dr. Aizik L. Wolf earned his medical degree with cum laude honors from Yale Medical School and completed his internship and residency at the University of Minnesota Hospitals.

He completed his training in Gamma Knife radiosurgery with Professor Chirster Lindquist at Brown University in Rhode Island. He was formerly Chief of the Epilepsy, Gamma Knife and Skull Base Surgery Unit at the University of Maryland, where he also served as Professor of Neurology and Neurosurgery.

Dr. Wolf has treated over 5,000 patients with the Gamma Knife and authored more than 75 scientific publications.

He is Board Certified in both adult and pediatric neurosurgery.

Dr. Aizik WolfLarkin Neuroscience Center Director

PET (Positron Emission Tomography) and CT (Computed Tomography).

The PET scan images the biology of disorders at the molecular level.

CT provides a detailed picture of the body. The two images together provides a state of the art

technology where physicians can more accurately diagnose, localize and monitor cancer, heart disease and certain brain disorders.

PET Scans can be performed separately or with the CT Scan PET image skull – thigh  PET image full body PET image with CT

skull-thigh PET image with CT full

body   

PET/CT

MRI (MAGNETIC RESONANCE IMAGING) 

MRI

Combination of magnetic fields and radiofrequency waves.

Cross-sectional image.

The image may be viewed in a number of anatomical planes; axial, coronal and sagittal planes.

Deal modality for soft tissue, ligaments, tendons and bone.

 Diagnostic Angiography

X-ray exam of the arteries of the human body.

To diagnose blockages or other abnormalities of the blood vessels.

To define the site and extent of the abnormality to determine the best treatment options.

The physician inserts a catheter through a small nick in the skin into an artery, usually the femoral artery, guides the catheter into the artery by manipulating it while watching under fluoroscopy.

A contrast material is injected through the catheter while the x-rays are taken to visualize blood vessels.

Alternative to surgical treatment of many conditions which results in significant reductions in the risk, pain, and recovery time compared to traditional surgical treatments.

Less invasive procedure, safer, cost effective and faster than surgery.

 

Angiography Suite

Under the direction of a board-certified in Anatomic and Clinical Pathology physician.

The department is staffed by medical laboratory technologists and technicians who are licensed by the State of Florida, Board of Professional Regulation, phlebotomists and support staff.

Accredited by the Joint Commission and licensed by CLIA.

Specialties: Hematology, Clinical Chemistry, Serology, Blood Bank and Microbiology.

Comprehensive laboratory services 24 hours a day, seven days a week.

Mission:To provide the highest quality care with outstanding values and superior customer service.

Laboratory Department

PATIENT SERVICES

Complete Pulmonary Function Test Arterial Blood Gases Pulmonary screening (FVL with/without bronchodilator) Side Arm Nebulizers and IPPB Bronchoscopy Stress Testing Ventilatory Support (BIPAP, VENTILATORS) Pulse Oximetry Holter Monitoring

Cardiopulmonary Department

The physical therapy department provides the following services:

Occupational / Physical Therapy

Speech Therapy

Specialization in osteoarthritis, pain management, status post surgeries, bariatric and neurosurgical patients

Physical Therapy Services

Larkin/Stein Institute of Non-Surgical Orthopedics.

Comprehensive approach incorporates all aspects of musculoskeletal and neuromuscular rehabilitation to achieve optimum outcomes and avoid complications of premature surgical alternatives.

Physicians Board Certified in Neuromusculoskeletal Medicine and Physical Medicine & Rehabilitation. This highly experienced team uses state of the art technology and applies both conventional and alternative treatments to care for their patients.

Outpatient and Inpatient consultation available (shown to reduce the Length of hospital stay).

Neuromusculoskeletal Medicine Clinic

Multidisciplinary approach to treatment in a medically supervised, open and caring environment. Inpatient services, Forensic unit Two Outpatient locations (South Miami and Blue Lagoon) Partial Hospitalization Program (PHP). Intensive Outpatient Program (IOP). Targeted Case Management Program (TCM). Rainbow program: Mental health and recovery for Lesbian, Gay, Bisexual and Transgender people

Goals of the programs: Assist adults experiencing a deterioration in their

daily functioning. Decrease risk for re-hospitalization. Provide assistance with reintegrating into the community.

Mental Health Services

Each patient is provided with individualized treatment, in a group therapy setting, and given one to one specialized intervention. We offer an experienced treatment team with an expertise in psychiatric disorders, addictions, psychopharmacology and medical issues.

Committed to achieving the three-part aim of better for individuals, better health for populations and reduced expenditures for health care services.

Participation in Project RED (Re-engineered Discharge) to reduce unnecessary readmissions.

Current applicant for the Accountable Care Organization (ACO) Pioneer Model launched by the Center for Medicare & Medicaid Innovation. Pioneer ACO’s must commit t entering into outcomes-based contracts with other purchasers such that the majority of the ACO’s total revenues will be derived from such arrangements by the end of the second performance period in December 2013.

Launching a Center for Comparative Effectiveness Research

Use of Atypical Antipsychotics Choice of first line agents to treat uncomplicated hypertension Assessing Care of Vulnerable Elders (ACOVE )

Healthcare Reform

ALF411 Initiative: Provide educational activities and a forum for Assisted Living Facility owners and employees. Partnering with Federally Qualified Centers (FQHC): Borinquen Health Care Center, Miami Beach Community Health Center and Helen B. Bentley Community Health Center including:

EMR integration utilizing the Health Choice Network EMR platform (part of EHR Regional Extension Center). Partners in Pioneer ACO Model. FQHC’s as continuity of care clinics for our Post Graduate Medical Education programs. Assisting FQHC’s in providing specialty care on-site. Developing Urgent Care Centers at selected FQHC’s.

Partnering with the Miami-Dade County School Board, the University of Miami School of Medicine and the John T. Macdonald Foundation to launch school based wellness clinics in selected underserved schools to provide Medical and Psychiatric Services to the students, their siblings and their families. Doctor at Home Program. Comprehensive Medical Access Clinics (CMA).

Community Outreach

Established in 1999. 5 Clinics:

8000 Biscayne Blvd. Miami FL 33138 11865 SW 26th St. Suite G-10. Miami, FL 33175 6840 Pines Blvd, Pembroke Pines, FL 33024 7206 N. Armenia Ave. Tampa, FL 33603 1609 E. Vine St. Kissimmee, FL 34744

All 5 clinics are ACCESS Florida Sites (Department of Children and Families), working closely with State and local Department of health. Primary care services at affordable prices to uninsured individuals. Focused on prevention and evidence based medical practice. Specialty Services, Optometry and Dental services also available. Discounted pricing for outpatient procedures and services. 24 hour customer service hotline. Extended hours and Saturday and Sunday hours available.

CMA

Graduate Medical Education

We are committed to provide high quality Graduate Medical Education, combining teaching, clinical service, compassionate and safe patient care, and clinical research.

“DoscendoDiscimus”

By Teaching We Learn

Graduate Medical Education

Larkin Community Hospital Osteopathic Graduate Medical Education

In Partnership With The

Consortium for Excellence In Medical Education

Affiliated toNova Southeastern University

College of Osteopathic Medicine

Founding Member of FIU School of Medicine Ross University School of Medicine

Larkin is hereby committed to provide leadership, organizational structure, and the proper resources to ensure that formal quality-assurance residency programs must be conducted at our institution in compliance with the Accreditation Council Requirements.

We are committed to provide high quality Graduate Medical Education, combining teaching, clinical service, compassionate patient care, and clinical research.

Graduate Medical Education

• Miami Children’s Hospital• Hialeah Hospital• University of Miami – SOM • JMH Holtz Children’s Hospital• Beraja Medical Institute• Vitas Hospice and Palliative Care

System• Moffitt Cancer & Research Institute• Others Institutions

• Borinquen Health Centers• Miami Beach Community Health

Center• Jessie Trice Community Health Center• Community Health of South Florida

(CHI)• Helen B. Bentley Family Health Center

Miami VA Healthcare System Continuity of Care

Addiction Psychiatry(Affiliation in process)

Affiliated to Federal Detention Centers, Immigration and

Correctional Facilities.

Affiliates

Federally Qualified Health Centers

Wellness Centers In partnership with the Miami Dade County School System &

the Children’s Trust Delivering comprehensive healthcare to underserved students and

their famil ies.

Multi-facility Training System

To Teach Is To Touch

A Life Forever

AOA RESIDENCY PROGRAMS

• Family Practice and Family Practice/Neuromuscular Medicine

• General Psychiatry• Internal Medicine (Ambulatory Track at

Borinquen Health Center)

Graduate Medical EducationRepresentative Group

Jack J. Michel, MDPresident, Chairman of

the Board

Sandy Sosa GuerreroChief Executive Officer

Jose David Suarez, MDChief Academic Officer/DIOProposed Program DirectorAllopathic Family Medicine

Residency

Ivan Rodriguez, DO, PhDDIRECTOR OF MEDICAL

EDUCATIONProgram Director

Osteopathic Family Medicine Residency

Joel Stein, D.OProgram Director

Family Practice/ NMM

Deborah Gracia, D.O

Program DirectorInternal Medicine

CMO, Borinquen Health Center

Manuel Suarez, MDChair , ICU and

PulmonaryProfessor of MedicineHospital Rotations

Marjorie Caro, MD

Program Director Osteopathic Psychiatry

Residency

Manuel Melendez, MD

Associate Program Director

Osteopathic Psychiatry Residency

Graduate Medical Education

Sanford LefkowitzAdministrative Director of Medical

EducationAngela MazonGME Coordinator

Mario Cuervo, MDChair, Department of

Psychiatry

Research CoordinatorWalter Lopez

GMEADMINISTRATIONRepresentatives

Jose D. Suarez, MDChair, Department of Family

Medicine

CLINICAL FACULTY, Representative Group

FAMILY MEDICIE-José David Suarez, M.D. -Ivan Rodriguez, D.O, PhD-Rafael Palmerola, M.D.-Luis R. Cabrera, M.D.-Jorge Gonzalez, D.O.-Arthur Cowden, D.O.-Joel Stein, DO-Roberto Bermudez, M.D.-Enrique Fernandez, MDPsychiatry: Marjorie Caro, M.D.Manuel Melendez, M.D.Mario Cuervo, M.D.Gavin Rose, M.D. (Forensic Psych)Americo Padilla, M.D. (Child Psych)Jorge Gonzalez, M.D. (Child Psych)Sajid Lopez, MD (Geriatric Psych)Antonio Perez Noy, M.D.Ignacio Bobes, M.D.Hamlet Hassan, M.D.Huberto Merayo, M.D.Emelina Arocha, M.D.Internal Medicine:Deborah Gracia, DO.Manuel Suarez, DOInternal Medicine, NephrologyFederico Dumenigo, M.D.I.M Pulmonary Diseases, ICUManuel Suarez, M.D.Alejandro Chediak, MDHematology/OncologyPedro De La Rosa, M.D.

EndocrinologyGeorge Vargas, M.D.GastroenterologyAngel Omar Vento, M.D.OrthopedicsRoberto A. Moya, M.D.PMR: Jose Diaz, D.OOMM, NMM, FM, Sport MedicineJoel Stein, DO RadiologyPatricio Rossi, MDSiddhart Pandya, DO

EmergencyJan-Mario Dejean, M.D.PediatricsPedro Carlos Reimon, M.D.Beatriz Cunil De Sautu, MD (MCH pediatrics director)OB/GYNMark Rabinowitz, MDHospice and Palliative CareShaughn Bennett, D.O.NeurologyAntonio Mesa, DO (Chair of Department)Ricardo Garcia-Rivera, M.D.Anesthesiology/pain managementJuan Cucalon, MD (Chair of Department)Juan Ros Carretero, MDOphthalomologyRoberto Beraja, MD (Chair of Department)Sanford Rakofsky, MDPlastic SurgeryVictor Beraja, MD

By Teaching

We Learn

Graduate Medical Education Mastering The

Core Competencies

Our institution is a designated:

• Area of Critical Need (A.C.N) in South Florida • Healthcare Professional Shortage Area (HPSA ID: 112999123Y)

Our Mission is to support Postgraduate Medical Education in collaboration with medical schools and affiliates; in order to graduate competent physicians capable of delivering comprehensive, compassionate and continuous health care to future generations of Floridians.

• National Health Services Corps Site•(Designated by the U.S. Department of Health and Human Services Health Resources and Services Administration)

Larkin provides generous loan repayments and substantial benefits for our trainees if in exchange they dedicate postgraduate time to provide healthcare to the indigent, uninsured and underserved population of our state.

Florida is one of states with the lowest resident-to-population ratio, facing a serious physician shortage due to the lack of GME slots available

Florida is also a state with a fast growing population, and changing in demographics aging, being one of the “oldest” states, with the highest percentages of people age 65 and older making it essential that national, regional and local candidates and medical students have the opportunity to choose Florida as the place to receive their Post-graduate Medical education and establish their future medical practice.

Larkin Community Hospital7031 SW 62nd Avenue South Miami, FL 33143Tel: (305) 284-7500Fax: (305) 284-7545

From the South:

Take U.S. 1 to the Florida Turnpike north. Then take State Road 874 to State Road 878. Continue on State Road 878 to U.S. 1. At U.S. 1 turn left heading north on 62nd Avenue. After crossing 72nd Street the Hospital will be on your right.

From the North:

Take U.S. 1 south to S.W. 72nd Street . Turn right heading west on 72nd Street and another right turn on 62nd Avenue. Larkin Community Hospital will be on your right.

From Miami International Airport:

Take Le Jeune Road south to U.S. 1. Take U.S. 1 south to S.W. 72nd Street . Turn left heading west on 72nd Street and another left turn on 62nd Avenue.

Larkin Community Hospital will be on your left.

Directions to