INDEPENDENT REVIEW ORGANIZATION
healthcare to the residents of Broward County and the surrounding areas. The Group employs
more than 70 physicians and has offices located throughout Broward County.
NBHD formed Broward Health ACO Services, Inc., an Accountable Care Organization
("ACO"). The ACO has at least two contracts, one with Cigna and one with Florida Blue. The
aim of the ACO is to improve patient access to care, enhance care coordination and achieve the
goal of improved health, affordability and patient experience. The ACO is collaborating with
south Florida physicians to improve the quality of patient care.
NBHD has an extensive array of community health services. NBHD provides healthcare
at health centers located throughout the community making the following services available
through its network of community health center sites: bereavement, home health aide, home
IV/infusion nursing, hospice services, palliative care, skilled nursing care, rehabilitative services,
and wound care as well as healthcare services for adult patients with HIV/AIDS in its
community health center sites. These services are furnished under and managed by the
Community Health Services ("CHS") Department of NBHD.
OVERVIEW OF INTERNAL REVIEW ORGANIZATION FINDINGS
As a result of what can only be described as a "cultural civil war" within NBHD, the
system is now confronted with serious problems, including:
Operational mismanagement, emphasized by severe downgrades by Moody's and
Senior management transition, turnover, retention and replacement issues,
Lack of commitment to an effectively implemented compliance program,
Failure to perform mandatory internal audit functions,
Apparent inappropriate interference by members of the
Commissioners into operational matters; and
Heightened federal and state government scrutiny.
Amongst the senior management team, there has been more than a lack of
communication, there has been a pervasive pattern of personal destruction in which former and
some current members of the senior management team use public meetings, the media, self-
serving reports disguised as work product, and frivolous "anonymous" complaints through the
disclosure program as a means to falsely attack the character of, pressure, or aid in the
termination of NBHD's Board of Commissioners, senior management, and others. In other
situations, it appears the methods are used to enhance the influence of senior management's