Our Commitment to Excellence.
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Evolutionary Healthcare began with a simple yet profound observation: the gap in care between hospitals and skilled nursing facilities was glaring. As dedicated hospitalists, we frequently admitted patients from nursing homes, and it didn’t take long for us to realize that something needed to change.
A Disconnect in Care: Upon reviewing the medical records and charts of these patients, we were struck by the stark difference in the quality of care they received in nursing homes compared to hospitals. Physicians rarely visited their patients in these facilities, and even when they did, they often struggled to remember them or truly understand their unique medical needs. Vital lab results were not consistently reviewed, and the overall management of medical conditions left much to be desired.
A Call for Accountability: Witnessing these shortcomings, we felt a moral and professional obligation to act. We recognized that skilled nursing facilities deserve a higher standard of care and accountability. It was time to bridge the gap between hospital-level care and the specialized needs of patients residing in these facilities.
And so, Evolutionary Healthcare was born.
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Our mission is to elevate the standard of care in skilled nursing facilities by combining specialized medical expertise with a compassionate approach. We believe that every patient deserves exceptional healthcare, no matter where they reside.
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Compassion, Accountability, Innovation, and Excellence guide us in providing top-tier medical care that meets the unique needs of each patient.
Our Leadership Team
Our team of board-certified physicians, licensed administrators, and healthcare professionals brings decades of experience to skilled nursing facilities. We are committed to providing exceptional care that not only meets but exceeds the evolving needs of our patients and communities.
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Chief Executive OfficerDr. Hussien Ballout is the visionary leader and founder of Evolutionary Healthcare, where he drives the organization’s mission to revolutionize patient care in skilled nursing facilities (SNFs). With a deep commitment to integrating technology with innovative healthcare practices, Dr. Ballout has dedicated his career to elevating patient outcomes and transforming the delivery of care in post-acute settings. His leadership at Evolutionary Healthcare reflects his passion for pushing the boundaries of what is possible in patient care.
Dr. Ballout’s journey in medicine began with a strong academic foundation, earning his Doctor of Medicine degree from St. George's University, following a dual major in Biochemistry and Psychology from the University of Michigan, Dearborn. He further refined his clinical expertise during his residency and internship in Internal Medicine at St. John Hospital and Medical Center in Detroit. After years as a hospitalist, Dr. Ballout identified a critical need for improved care in SNFs, which led him to establish Evolutionary Healthcare. Under his leadership, the organization is at the forefront of merging cutting-edge technology with compassionate care, ensuring that SNF residents receive the highest standard of care and improved quality of life.
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Chief Operating OfficerCierra Jones is a passionate healthcare leader, driven by her deep connection to the elderly, a value instilled by her grandparents who played a significant role in raising her in Charleston, West Virginia. She holds a Bachelor’s Degree in Sports Science from West Virginia State University, where she excelled both in basketball and golf. Cierra continued her education with a Master’s Degree in Strategic Leadership with a healthcare administration focus from the University of Charleston and furthered her expertise by obtaining a physician practice management certificate through AAOC.
A licensed nursing home administrator, Cierra has held leadership positions including serving as a Senior Executive Director and a Regional Vice President for a Florida skilled nursing facility (SNF) consulting group. She was recognized as part of the Florida Healthcare Association's Florida Leaders Class of 2021 and serves on the legislative committee for FHCA, advocating for improvements in healthcare regulations and policies.
Currently, Cierra’s position as COO, is an integral part of Evolutionary Healthcare's operations, where she plays a critical role in bridging collaboration between providers and facilities, particularly in areas outside of patient care. Her focus is on developing proactive strategies and implementing quality assurance processes to ensure that Evolutionary providers not only deliver exceptional care but also help facilities reduce expenses, increase revenue, and improve overall quality measures.
As a former SNF operator, Cierra understands the importance of looking at the bigger picture—balancing the needs of patients, staff, and families all while ensuring a positive financial performance, making her a well-rounded and impactful leader in the healthcare industry.
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Dr. Tamelia Lakraj-Edwards, MD, mentored by Dr. Joel Stein, DO, embodies a holistic healthcare approach, integrating Osteopathic Manipulation, Musculoskeletal Ultrasound, and Preventive Medicine. With a background in Value-based care, she is dedicated to enhancing patient well-being through a comprehensive whole-body perspective, emphasizing the importance of personalized and value-driven healthcare.
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Robert Kim, D.O. graduated from Nova Southeastern University College of Osteopathic Medicine and received his medical degree, Doctor of Osteopathy (D.O.). Dr. Kim completed his residency in Family Medicine at Larkin Community Hospital as well as completing a fellowship in Osteopathic Neuromusculoskeletal Medicine (ONMM). After graduating, Dr. Kim has served as assistant faculty to the Larkin ONMM residency program and currently a pain management specialist at various assisted living facilities in South Florida.
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After Robert Milici graduated from Long Island University in 2016 with a Bachelors Degree in Health Science, he went on to obtain his B.S.N from Seton Hall University. From there, he moved to Florida and began working for the Martin County Cleveland Clinic Hospital System as a Telemetry Floor Nurse.
During his time at the hospital, Robert witnessed the effect Nurse Practitioners had on the patient's lives, motivating him to achieve his M.S.N. and Become a Board-Certified Family Nurse Practitioner in July of 2023. Robert now looks forward to a long career as a mid-level provider.
In his free time, Robert enjoys music and motorsports.
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Toya Alder is a highly skilled Advanced Registered Nurse Practitioner (ARNP) with over two decades of experience in healthcare. Her commitment to delivering exceptional patient care and her multidisciplinary approach to health management define her professional journey. Toya holds a Master of Science degree in Adult-Gerontology Nurse Practitioner from South University in Savannah, Georgia, and a Bachelor of Science in Nursing from Western Governors University. She currently serves as an ARNP in Primary Care at Evolutionary Healthcare/Rehabilitation, where she provides specialized care, implements tailored treatment plans, and supports patient recovery initiatives.
Toya's extensive background includes specialized cardiology care at Steward Medical Center and early roles such as a Registered Nurse at Palm Bay Community Hospital. Her career also saw her excel as a Clinical Coordinator at Sebastian River Medical Center, where she managed a 59-bed unit and led process improvement initiatives. Throughout her career, Toya has consistently demonstrated her commitment to patient-centered care, clinical excellence, and continuous improvement, making her a valuable asset in any healthcare setting.