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CARDIOVASCULAR VOLUMES AND QUALITY MEASURES

OVERALL VOLUMES PER DEPARTMENT FOR FISCAL YEAR 2018

Cardiology Studies and Tests Cardiopulmonary Rehabilitation Encounters Cardiovascular & Electrophysiology Lab Cases Cardiovascular Surgical Associates Cases 57,174 10,913 1,869 565

QUALITY MEASURES

Outpatient Satisfaction Scores for Calendar Year

2018 (average of all four quarters)

Cardiovascular Services (paper survey) Percentage of patients who would recommend Bayhealth’s Cardiovascular Services to others Cardiovascular Testing Percentage of patients who would recommend Bayhealth’s Cardiovascular Testing to others Cardiopulmonary Rehabilitation (paper survey) Percentage of patients who would recommend Bayhealth’s Cardiopulmonary Rehabilitation to others 100%

96%

98.3%

Inpatient Satisfaction Scores for Calendar Year

2018 (average of all four quarters)

Cardiovascular Surgery and CVSICU Percentage of patients who would recommend Bayhealth’s Cardiovascular Surgery to others 98% Cardiovascular Surgical Intensive Care Unit (CVSICU) Percentage of patients who would recommend Bayhealth’s CVSICU to others 100%

Complication Rate for Cardiac Catheterizations

Diagnostic Vascular (Benchmark = 2%) Bayhealth Interventional Cardiac Catheterization (Benchmark = 2%) Bayhealth 0.1%

1.2%

Society of Thoracic Surgeons (STS) Overall Composite Score and Star Quality Rating for coronary artery bypass grafting (CABG) and

aortic valve replacement (AVR) (calendar year 2018)

Bayhealth Hospital, Kent Campus CABG Quality Rating AVR Quality Rating CABG + AVR Quality Rating ★ ★ ★ 95.9% ★ ★ ★ 95.2% ★ ★ ★ 91.1%

Survivability Rate Bayhealth Hospital, Kent Campus Like hospital systems All participating hospitals 98.2% 97.7% 98%

Source: The Society of Thoracic Surgeons (STS) January 2018 – December 2018

As part of Bayhealth’s commitment to creating better outcomes for heart patients, we voluntarily collect and report surgical records to the Society of Thoracic Surgeons (STS) to include in their National Database. The data collected from Bayhealth and many other hospital systems who participate is used for ratings as well as clinical research to better understand cardiac care across the country.

Door-to-Balloon Times for Calendar Year 2018

What is door-to-balloon time?

The American Heart Association defines door-to-balloon time as the amount of time between first medical contact and the time a person receives percutaneous coronary intervention (PCI), such as angioplasty.

Average door-to-balloon times within 90 minutes of arrival

All reporting hospitals in the United States All reporting hospitals in Delaware Bayhealth Hospital, Kent Campus

80% 85.8% 100%

Source: American Heart Association Get with the Guidelines — Coronary Artery Disease Registry