Melissa was born and raised in Florida and is married with two children. She enjoys the outdoors and spending time with friends and family.
University of South Florida
Tampa, FL
Bachelor of Science Nursing, Master of Science Nursing
American Association of Nurse Practitioners
General adult and pediatric Mental Health Services/Behavior Health Services
Referral and liaison with Mental Health/Behavior Health Services
Referral and liaison with Health at Home services
Chronic Disease management program
Diabetes Management
Acute Care Visits
STI screening
Family planning services
Pregnancy testing
Prenatal care
Contraception
General Pediatric Care (Age 5+)
Nutritional Counseling
Child Health and Disability Prevention examinations (CHDP Program)
Immunizations (for adults and children including Flu Shots)
Preventative Screening
Well Woman Visit
Physicals
Annual Wellness Visits
Weight Loss Counseling
Pre-operative clearance
Urgent Care Services
Worker’s compensation examination
Repair of lacerations
Minor surgery (removal or mole, warts, cysts, ingrown nail, etc.)
Minor injury care (cuts, burns, bruise, sprain, etc.)
Abscess drainage
Suturing and suture removal
Diagnostic testing (sleep studies, strep, allergy, etc.)
Lab services (radiology, x-ray, EKG)
Preventative Medicine
Chronic Illness
Cardiology
Florida Medical Clinic participates with most major carriers. Please consult your insurance carrier prior to your appointment to verify our participation status with your insurance plan. This list is subject to change and is not all-inclusive.
Patient Centered Medical Home Report Card
Florida Medical Clinic Family Practice Zephyrhills
Family Practice Zephryhills
Dr. Paul Hughes, Dr. Mikin Patel, Melissa Nihiser, APRN, Deborah Collura, APRN
2019
| CLINICAL QUALITY PERFORMANCE | |
| Measure | 2019 |
| Breast Cancer Screening | 81% |
| Colorectal Cancer Screening | 84% |
| Diabetes Poor Control HbA1c > 9.0 | 12% |
| Controlling High Blood Pressure (BP<140/90) | 79% |
| Influenza Vaccine | 66% |
| Pneumonia Vaccine | 84% |
| Depression Screening and Follow-up Plan | 86% |
| Advanced Care Planning | 71% |
| Patient Satisfaction | 88% |
Same day appointment availability
The number of same day appointments the department has available each month. Patients who can get an appointment the same-day they request for one, have better patient satisfaction and fewer visits to the hospital/urgent care.
Hospital Follow-up Within 14 Days of Discharge
Percentage of patients who were seen by their primary care provider (PCP) within 14 days of a hospital discharge. Following up with a PCP has been linked to reducing re-admission to the hospital.
Breast Cancer Screening
Percentage of female patients 50 to 74 years old who had a mammogram. Early detection is important to prevent the spread of breast cancer.
Colorectal Cancer Screening
Percentage of patients 50 to 75 years old who had an appropriate form of colorectal cancer screening. Early detection key to surviving the disease.
Diabetic Poor Control Hemoglobin A1c > 9.0
Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. A hemoglobin A1c of >9.0% represents poor blood sugar control; therefore, the lower the value, the better. Patients who have a low hemogloblin A1c are less likely to suffer the side effects of diabetes
Influenza Vaccine
Percentage of patients 6 months or older who had an influenza immunization. Vaccination is a proven method to prevent the spread of the flu
Pneumonia Vaccine
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine. Vaccination is a proven method to prevent the spread of pneumonia
Depression Screening and Follow-up
Percentage of patients 13 and old who received a depression screening and a follow-up plan if the patient tested positive for depression. Depression is often missed or overlooked, annual screenings enables health care providers to detect and treat depression.
Advanced Care Planning
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.
Urgent Care Utilization During Office Hours (M-F 8AM-5PM)
Percentage of patients who had an Urgent Care Visit during their PCP’s normal office hours (Monday – Friday; 8:00AM – 5:00PM). Patients who seek care from other providers, such as urgent care, during their PCP’s normal office hours may indicate the PCP does have enough appointment access, or the patient’s perception is their PCP does not have adequate availability. The lower the number, the better.
Admits per 1,000
Number of patients admitted to the hospital per 1,000 patients. The lower the number, the better.
Patient Satisfaction
A survey administered quarterly to analyze the overall patient experience at Florida Medical Clinic.
Smoking Cessation
Weight Loss
Diabetes
Nutrition
Behavioral Health
Option Grid
Our goal is to provide excellence in every patient experience. Your opinion is valuable to us - we would love to hear from you!
