SP RIN G 20 19
healthwaves B AY H E A LT H
IN THIS ISSUE: 6
Growing Neurosciences
14
Moving a hospital
18
Othopaedic care for children
healthwaves Healthwaves is a quarterly publication of Bayhealth. The information is intended to inform and educate. It’s not a substitute for consultation with a physician. Always consult your physician for individualized care.
Bayhealth does not discriminate against any person on the basis of race, color, national origin, disability, or age in admission, treatment or participation in its programs, services and activities, or in employment. If you have any questions, please call JoAnn Davis at 302-744-7405. Bayhealth’s TDD or State Relay number is 1-866-237-0174.
TERRY M. MURPHY, FACHE President and CEO, Bayhealth
JESSIE DMITERCHICK Contributer, Healthwaves
PAMELA J. MARECKI Senior Editor, Healthwaves
Web & Digital Marketing Specialist, Bayhealth
Assistant Vice President Marketing Communications, Bayhealth
AMANDA DOWNES Writer, Healthwaves
AMANDA C. BOWIE Editor, Healthwaves
Marketing Specialist, Bayhealth GWEN GUERKE Writer, Healthwaves
Marketing Operations Manager, Bayhealth
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DANIELLE PRO-HUDSON Editor, Healthwaves
BRANDON HOWIE Photographer, Healthwaves
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Marketing Videographer, Bayhealth JENNIFER MYERS Writer, Healthwaves
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Marketing Specialist, Bayhealth
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JENNIFER DAILEY Writer, Healthwaves
Southern Region Strategy & Brand Program Manager, Bayhealth
Marketing Specialist II, Bayhealth
PAUL STECCA Designer, Healthwaves J&P Stecca LLC
IN THIS ISSUE feature story: 4 Mentoring ●
our future physicians
PICTURED ON COVER Philadelphia College of Osteopathic Medicine student Rachel Brobst examines Caroline at Dover Family Physicians as part of her clinical rotations.
To view Healthwaves online visit: Bayhealth.org/Healthwaves
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Growing the Bayhealth braintrust in Neurosciences
9 ●
What to expect at a sleep study
10 ● 11 ●
Self-care 101 for parents
12 ● 14 ● 16 ●
2019 Spring Classes
STEPS program becomes PACE Moving a hospital
18 ●
Your child’s go-to when they need orthopaedic care
20 ●
#Motivated Monday Challenge
21 ● 22 ●
Healthy eating simplified
23 ●
Bayhealth Annual Report
A unique way to make monetary donations
Student artwork and essays provide fresh perspective
BAYHEALTH HOSPITAL, KENT CAMPUS
BAYHEALTH HOSPITAL, SUSSEX CAMPUS
640 South State Street Dover, Delaware 19901 302-674-4700
100 Wellness Way Milford, DE 19963 302-422-3311
Letter from the President DEAR NEIGHBORS, Spring is here and with the change of the season comes many exciting announcements from Bayhealth. We are in the process of launching graduate and undergraduate medical education programs that will move Bayhealth toward becoming teaching hospitals. The announcement is an important one for the community and health system, as this residency training program will assist in bringing more doctors to the area, enhance the culture of learning at Bayhealth and foster improvements to patient care and the patient experience. Head to page 4 to learn more. Other big changes are blooming as we expand many of our services at Bayhealth. Turn to page 6 to learn more about our growing Neurosciences service line. This growth will allow greater access to neurosurgery and neurology for Bayhealth patients. We are also expanding within our Division of Orthopaedics. Meet two new orth0paedic surgeons caring for our youngest patients on page 18.
But sometimes those changes are hard to make. Instead of expecting big changes at the start of each year, we believe each and every Monday gives each of us a chance to start fresh and hit the reset button. Turn to page 20 to learn more about the campaign and how you can get involved. I’d be remiss not to mention our new Bayhealth Sussex Campus. We moved to the facility that’s just off of Route 1 in Milford on Feb. 5, 2019. Read about what it took to imagine, plan and execute the transition from Milford Memorial to the Bayhealth Sussex Campus beginning on page 14. Our youngest community members were engaged in the process too — showing their excitement for the move in essays and through art pieces as part of our Art and Essay Contest. See the winners on page 19. Thank you for your interest in the happenings at Bayhealth. I hope you enjoy this issue of Healthwaves. Sincerely,
Another way we hope to engage the community is through a new campaign on social media called #Motivated Monday. Many people start each New Year with the anticipation of living a healthier life.
Terry M. Murphy, FACHE President and CEO Bayhealth
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Mentoring our future physicians BAYHEALTH RESIDENCY PROGRAMS ARE COMING JULY 2021 Bayhealth is pleased to announce that it has begun the process to launch residency teaching programs for doctors who have recently graduated from medical school — called Graduate Medical Education (GME). The announcement is an exciting one for the community and health system, as this residency training program will assist in bringing more doctors to the area, enhance the culture of learning at Bayhealth, and foster improvements to patient care and the patient experience. “Residency programs create the opportunity to provide more physicians to serve the community.
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Once the physicians have completed their residencies, there is a higher chance they will stay in the community where they trained, resulting in greater physician retention,” said Bayhealth President and CEO Terry Murphy, FACHE. “Developing the next generation of physicians to serve our communities is a priority for Bayhealth.” Bayhealth Surgeon and GME Chair Assar Rather, MD, FACS, FASCRS; Senior Vice President, Chief Medical Officer and GME Designated Institutional Official Gary Siegelman, MD; administrative leaders; and a group of more than 20 physicians have worked for the past year to establish the GME.
A draft assessment and full implementation plan was developed and outlines a proposed start date of July 2021 for family medicine and internal medicine programs, with general surgery and emergency medicine to follow in subsequent years.
“This is truly an exciting time for Bayhealth as we look toward our future,” said Dr. Siegelman. “These medical education programs are an investment not only in Bayhealth’s future, but in southern Delaware’s communities as well.”
“Residency programs are a great way to recruit new physicians to the area and support growth within a hospital system,” said Dr. Rather. “I’m excited to assist Bayhealth in recruiting new physicians to care for the present and many future generations of central and southern Delaware to come.”
“This will be a great opportunity, and it will allow us to educate the physicians of the future to meet the needs of our community. I am excited to be a part of developing this program,” said Primary Care Physician, UME Committee Chair and GME Committee Member Joseph F. Rubacky, III, DO, FAAFP. ■
In an effort to broaden medical education offerings, Bayhealth is also partnering with area medical schools to host medical students for a portion of their Undergraduate Medical Education (UME) clinical rotations. Upon graduating medical school, these students may later apply for one of Bayhealth’s residency programs.
Visit BayhealthGME.org for more information on the UME and GME programs.
I’M EXCITED TO ASSIST BAYHEALTH IN RECRUITING NEW PHYSICIANS TO CARE FOR THE PRESENT AND MANY FUTURE GENERATIONS OF CENTRAL AND SOUTHERN DELAWARE TO COME. — ASSAR RATHER, MD, FACS, FASCRS
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Growing the Bayhealth braintrust in Neurosciences It’s been eight years since Bayhealth introduced its neurosurgery program, the first of its kind in central and southern Delaware. The Neurosciences service line is comprised of the Department of Neurosurgery and the Department of Neurology, including Primary Stroke Centers at both Bayhealth Hospitals, Kent and Sussex Campuses. With significant growth over the past year, the service line is poised to meet the complex needs of area patients and is expanding its offerings. “A larger team has allowed us to advance each of our Neurosciences specialties and improve access,” explained Senior Director of the Bayhealth Neurosciences Service Line Tom Cairo, MBA. Neurosurgery Medical Director Dawn Tartaglione, DO, FACOS, joined Bayhealth in November and “brings extensive knowledge and experience to strategize as we take the department to the next level,” said Cairo. Bayhealth Neurosurgery has grown from one to three neurosurgeons supported by five advanced practice providers. The neurosurgeons perform surgeries at Bayhealth Hospital, Kent Campus to treat cranial and spine conditions, brain or spine trauma and hemorrhagic stroke, among other conditions. They are increasing the use of endoscopy, a sophisticated minimally invasive technique to access parts of the brain, often through the nose or mouth, to remove tumors without an incision. For this and other procedures, the Bayhealth team uses advanced image-guided navigation, which provides real-time images of what’s shown in a patient’s MRI, optimizing precision and patient safety. Bayhealth’s Department of Neurology now has several neurologists and advanced practice providers on staff providing specialized care on an inpatient
and outpatient basis, and a certified Stroke Program that has won national awards through the American Heart Association and the American Stroke Association. Medical Director for Stroke and Neurology Sumeet Multani, MD, says the ability of their team to diagnose and manage a myriad of neurological conditions, including but not limited to migraines, dizziness, Alzheimer’s, Parkinson’s, multiple sclerosis, and several recent cases of rare cerebrovascular diseases, speaks to the strength of the program. “Our outpatient stroke clinics are keeping our community healthier by providing follow-up care and education to help patients with their conditions and prevent reoccurrence of stroke and other medical issues,” said Dr. Multani. Continuity of care is an important aspect that has been facilitated by an expanded team. The doctor that a Bayhealth patient would see in the hospital for neurological or neurosurgical care would be the same one they’d see for appointments after discharge. This is an important benefit, particularly to those who have been through serious neurological trauma or complex operations, as it develops trust and builds a strong patient-doctor relationship. There are times when care between neurology and neurosurgery overlaps. Bayhealth’s multidisciplinary approach, where the two specialties work collaboratively and in coordination with the emergency department and other departments, provides the best outcomes for patients, explained Dr. Multani. Increasing their outpatient presence, Bayhealth Neurosciences is able to serve more patients in our community. Appointments are available in Dover daily and at the clinic in Lewes at least twice a month. Cairo says they’ll gradually ramp up scheduling in Lewes, based on patient needs, and have recently hired another physician assistant to meet demands. — Continued on page 8.
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A LARGER TEAM HAS ALLOWED US TO ADVANCE EACH OF OUR NEUROSCIENCES SPECIALTIES AND IMPROVE ACCESS. — TOM CAIRO, MBA
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Dr. Tartaglione believes the future is bright for Bayhealth Neurosciences. “With the expansion, we’re exponentially improving our patient relationships and building new ones, drawing in from all directions,” she said. “Among the patients I’ve seen, I can already tell they feel well taken care
of at Bayhealth. Now we can continue to grow our resources and offerings and deliver that quality of care to a broader audience.” ■ Visit Bayhealth.org/Neurosciences to learn more about our services.
MEET OUR NEUROSCIENCES MEDICAL TEAM NEUROSURGERY Dawn R. Tartaglione, DO, FACOS, Neurosurgery Medical Director
John Chukwudifu, PA-C, Physician Assistant
Catherine Kotalik, PA-C, Physician Assistant
Amit Goyal, MD, Neurosurgeon
Kurstyn Derr, PA-C, Physician Assistant
Meghan Schepens, MSN, ANP, CCRN, CMC, CNRN, Nurse Practitioner
James D. Mills, MD, Neurosurgeon
Volha Komar, PA-C, Physician Assistant
Christine Applegate, BSN, RN, CRRN, Nurse Navigator
Sumeet Multani, MD, Medical Director for Stroke and Neurology
Megan Hoplock, MSN, APRN, FNP-C, Nurse Practitioner
Dianne Shlan, BSN, RN, Stroke Registrar
Rajesh Kumar Sadasivuni, MD, Neurologist
Brandy Magee, MSN, APRN, FNP-C, Nurse Practitioner
Ali Sheharyar, MD, Neurologist
Kimberly Holmes, MSN, APRN, ACNSBC, PCCN, Stroke Program Coordinator
NEUROLOGY AND STROKE PROGRAM
LOCATIONS AND CONTACT INFORMATION Bayhealth Neurosurgery, Dover 540 S. Governors Avenue Dover, Delaware 19901 302-526-1470 Stroke Program Coordinator 302-744-6638 8
Bayhealth Neurosurgery, Lewes 1532 Savannah Road, Unit B Lewes, Delaware 19958 302-526-1470
Bayhealth Neurology 540 S. Governors Avenue, MC1404 Dover, DE 19901 302-744-6592
What to expect at a sleep study Over 65 million American adults — more than onethird of the population — have trouble sleeping, and over 100 sleep disorders have been identified. One of the most common disorders is sleep apnea, with roughly 90 percent of those affected undiagnosed. Symptoms include loud snoring, not feeling refreshed after a night’s sleep and daytime sleepiness. If this sounds familiar, talk to your doctor. He or she may examine you, ask about your medical history and have you fill out a sleep questionnaire. If you are at moderate or high risk for sleep apnea, your doctor may order a comprehensive sleep study, also known as an in-lab study, an overnight study or a polysomnography (PSG), which is performed in a sleep center. A PSG monitors a number of bodily functions during your sleep. A less comprehensive sleep study, also referred to as a home sleep study or home sleep apnea test (HSAT), may be ordered if you have no underlying chronic or latter-stage medical conditions. DETAILS OF A SLEEP STUDY • Physiological functions including brain waves, muscle and eye movement, oxygen levels, and heart rhythms are monitored and tracked during a PSG.
• Most patients sleep well in the sleep center and are able to move around in the bed, and may even get out of bed when necessary, perhaps to use the restroom. • Sleep technologists carefully review the data and compile a report with the results and send it to the referring doctor; the technologists are not allowed to disclose test results to patients. • The referring doctor will present the study results to the patient, unless the referring physician requested a follow-up consultation by a sleep specialist. At Bayhealth Sleep Centers, patients undergo testing in a private room with a homelike environment that includes a bed as well as a recliner and flat-screen TV. Bayhealth Sleep Centers, which are accredited by the American Academy of Sleep Medicine, offer PSGs, HSATs and other types of sleep studies. Their expert staff can diagnose all types of sleep disorders including sleep apnea, insomnia, narcolepsy, and movement disorders. ■ For more information about Bayhealth Sleep Centers, including locations, visit Bayhealth.org/Sleep-Care or call 1-855-873-4177.
• Breathing, abdominal and chest movement and snoring are monitored. • All data are collected using painless, noninvasive electrodes and sensors, and in the case of a PSG, also via images from cameras in the testing room. • PSGs are conducted and monitored by licensed sleep technologists, who are highly trained sleep study technicians that will help ensure a conclusive sleep study. • It takes about 45 minutes to an hour for the sleep technologist to hook you up to the monitoring equipment. Once the technologist has made all the proper connections, he or she will go to their monitoring station in another room.
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Self-care
for parents
When you’re on a plane with your child or loved one during an emergency, flight attendants instruct you to place your own oxygen mask and then assist the person next to you. The reason for this is simple — if you don’t take care of yourself, you can’t help others. Bayhealth Primary Care Physician Lisa Reid, MD, says the same is true for parents and caregivers of young and old. “There’s an expectation for some parents that they have to be perfect at everything — their job, doing everything with their kids, maintaining the house, doing laundry. We need to remember it’s OK to say no. It’s OK to take time for yourself,” Dr. Reid said. How can parents become better about taking care of themselves? Dr. Reid recommends the following self-care tips to her patients. MAKE A COMMITMENT TO SELF-CARE Self-care doesn’t mean you take an entire day to yourself; maybe it’s one hour or merely five minutes. Either way, make time for yourself. ASK FOR HELP Ask someone — family members or a local college student — to watch your children for a couple of hours, whether it’s to unwind or focus on cooking a meal. We all need help sometimes and it’s OK to ask for it. TAKE CARE OF YOUR HEALTH This includes eating right, practicing good sleep habits and exercising. Living a healthy life reduces stress and makes you feel better.
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FIND THREE THINGS TO LOOK FORWARD TO Living the same day over and over again can lead to burnout. Find three things to look forward to, to get out of mundane schedules. These could include a vacation, a trip to the mall or a visit to the spa. FIND A HOBBY Pick a small activity that you like to do and make time for it. It could be painting, meditating, reading, scrapbooking, or anything else that you enjoy. GO ON DATE NIGHTS It’s important for couples to make time for each other and to continue nurturing their relationship. TAKE A BREAK FROM SOCIAL MEDIA Social media is a great way to stay connected to people, but can lead to unrealistic expectations and comparisons. Periodic breaks from social media can help a person’s mental state. UNDERSTAND KIDS GO THROUGH PHASES Whenever you’re overwhelmed with your children, take some deep breaths and remember that “this too shall pass.” They’re going to grow up and move out so it’s important to enjoy the time you have. Along with these self-care tips, Dr. Reid also tells her patients to let the little things go. “Let go of the stress of not getting everything you want done and the need for perfection. Worry can lead to more serious health issues,” Dr. Reid said. ■ Talking to your doctor about self-care can help you get back on track. If you’re in need of a primary care physician, visit Bayhealth.org/Find-A-Doctor to learn more about our doctors.
STEPS program becomes PACE Bayhealth launched its STEPS to Healthy Aging Program (STEPS) over 20 years ago. “At first, it was mostly a walking program, where people met at the Blue Hen Mall,” explained Bayhealth Clinical Educator Terry Towne, MSN, RN-BC, NE-BC. Over the years, blood pressure monitoring clinics and lectures covering a variety of health topics were added. Last fall, Bayhealth’s Education department decided to revamp and rename STEPS to better reflect what the program is about. The new PACE Program — PACE stands for Promoting Active Community Engagement — began in January. It includes monthly clinics with individualized counseling from a registered nurse based on each participant’s health problems, medications and blood pressure, as well as quarterly lectures. Unlike STEPS, which required participants to register and was for those age 50 and older, PACE is available to anyone interested in living a healthier life. However, as Towne explained, a top goal is to involve more of the underserved and homeless populations, as well as those with limited or no healthcare options. That’s why monthly clinics at Dover Interfaith were added. “PACE targets people with chronic conditions such as diabetes, obesity, COPD, and depression, those at
risk for heart attack and stroke, and those dealing with tobacco, alcohol and drug abuse,” said Towne. “The program is designed to better educate and engage them in their health to promote more self-care, which will ultimately help lower readmission rates.” Currently, each PACE clinic is staffed with two educators. Plans are underway to put participants’ charts into the electronic health record system, Epic, which will save time and make it easier for staff to track changes and for providers to better communicate, as they all can access the charts. Towne says while participants may go to different clinic locations, for the best outcomes they’re encouraged to attend one location. PACE is free, registration is not required, and participants may invite others to join them. Clinics are held monthly from 9 to 11 a.m. on designated dates in Dover, Lincoln and Milford. First-timers receive a full health assessment that covers lifestyle habits, as well as weight, blood pressure and pulse rate/oximetry. Lectures are held quarterly. The remaining 2019 topics address arthritis, healthy cooking and lung health. ■ For specific dates and locations, call 302-744-7135 or visit Bayhealth.org/Classes to learn more.
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VISIT BAYHEALTH.ORG/CLASSES FOR A COMPLETE LIST OF CLASSES AND EVENTS.
Maternity BIRTH CENTER TOURS We invite you to tour the facility where you will meet your new baby for the first time. Visit Bayhealth.org/Classes to register for one of the quarterly tours at Bayhealth Hospital, Kent Campus. To arrange for a personal tour, call 302-744-7245 (Kent) or 302-430-5739 (Sussex). INFANT CARE These classes focus on basic infant care to give parents confidence in their ability to care for their babies. Visit Bayhealth.org/Classes to register. HELLO BABY Adjusting to a new brother or sister can be difficult for the older sibling. Bayhealth’s “Hello Baby” program is designed to help children accept their new role. Visit Bayhealth.org/Classes to register. This class has a fee. BREASTFEEDING 101 Come learn the basics about breastfeeding. Support persons are encouraged to attend. This class is offered the first Tuesday of every month at Bayhealth Hospital, Sussex Campus and the third Tuesday of each month at Bayhealth Hospital, Kent Campus. Visit Bayhealth.org/Classes to register. LABOR AND CHILDBIRTH Classes are offered both in-person and online for expectant mothers and their partners. Mothers-to-be are encouraged to register early in their pregnancy. Visit Bayhealth.org/Classes to register. This class has a fee.
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PUMPING MILK AND MORE Expectant mothers will learn the ins and outs of what kind of pump works best, based on personal circumstances and preferences. Visit Bayhealth.org/Classes to register. BREASTFEEDING SUPPORT GROUP While breastfeeding is natural, it’s not always easy for new moms. Our Breastfeeding Support Group offers an encouraging environment. For more information, visit Bayhealth.org/Breastfeeding-Support.
Healthy Aging PACE PROGRAM The PACE (Promoting Active Community Engagement) Program, previously the STEPS to Healthy Aging Program, is for anyone in Bayhealth’s service area who is interested in healthier living. PACE Clinics are held monthly in Dover, Lincoln and Milford and give you an opportunity to receive individualized counseling from a registered nurse (RN) based on your health problems, medications and blood pressure. Quarterly lectures will also be provided. For more information, visit Bayhealth. org/PACE or call 302-744-7135. A MATTER OF BALANCE A Matter of Balance is an award-winning program designed to manage falls and increase activity levels in older adults. The program is free, but registration is required! To register, call 302-744-7135.
Weight Loss BARIATRIC INFORMATION SEMINAR Learn more about Bayhealth’s Surgical Weight Loss Program. Find out about the risks, benefits and outcomes. Meet the surgeons and staff of the bariatric program, ask them questions and see if you meet the criteria for bariatric surgery. These seminars are free of charge and all are welcome. To register, call the Bayhealth Surgical Weight Loss Office at 302-430-5454. SURGICAL WEIGHT LOSS SUPPORT GROUP These meetings offer a secure and comfortable forum both for patients who have already had bariatric surgery and for people who are considering weight loss procedures. Participants learn valuable information from guest speakers and open discussion. The group is free to join. For more information, call the Bayhealth Surgical Weight Loss Office at 302-430-5454.
CPR & First Aid SAFE SITTER Safe Sitter® teaches boys and girls ages 12 to 15 how to handle emergencies when caring for children. Certified instructors teach safe and nurturing childcare techniques, behavior management skills and appropriate responses to medical emergencies. Students will also learn CPR. Visit Bayhealth.org/Classes to register. This course has a fee.
2019 SPRING CLASSES HEARTSAVER CPR/AED/ FIRST AID This course reviews the steps of cardiopulmonary resuscitation (CPR) for adults, children and infants. Participants will learn how to use an automatic external defibrillator (AED). It includes four core modules: first aid basics, injuries and illnesses, life-threatening emergencies, and the chain of survival. It is offered as a two-part program. Part 1 is online and Part 2 is in the classroom. Visit Bayhealth.org/Classes to register. This course has a fee and requires the purchase of a textbook. HEARTSAVER CPR/AED This course reviews the steps of cardiopulmonary resuscitation (CPR) for adults, children and infants. Participants will learn how to use an automatic external defibrillator (AED). It is offered as a two-part program. Part 1 is online and Part 2 is in the classroom. Visit Bayhealth.org/Classes to register. This course has a fee and requires the purchase of a textbook. HEARTSAVER FRIENDS AND FAMILY CPR This course is designed for people who want to learn cardiopulmonary resuscitation (CPR) but do not need a CPR course completion card. It is ideal for community groups, new parents, grandparents, babysitters, and others age 14 and over. Visit Bayhealth.org/Classes to register. This course has a fee and requires the purchase of a textbook.
HEARTSAVER PEDIATRIC CPR/FIRST AID This course reviews the steps of cardiopulmonary resuscitation (CPR) for children and infants. It also provides information on how to manage a child’s injury during the first few minutes of an emergency until professional help arrives. It includes four core modules: first aid basics, injuries and illnesses, life-threatening emergencies, and the chain of survival. It is offered as a two-part program. Part 1 is online and Part 2 is in the classroom. Visit Bayhealth.org/Classes to register. This course has a fee and requires the purchase of a textbook.
Chronic Lung Disease BETTER BREATHERS This support group is for people with chronic lung disease and their family members. Visit Bayhealth.org/Classes for more information.
Diabetes DIABETES SUPPORT GROUP This support group provides a nonjudgmental atmosphere where persons with diabetes can gain management insight from one another. For more information, call 302-744-6307.
Prostate PROSTATE CANCER SUPPORT GROUP This support group brings together prostate cancer survivors and those who are close to them in an open forum so they can share their experiences and learn from one another. For more information, call 302-744-7990.
Stroke STROKE SUPPORT GROUP This group is for stroke patients and their caregivers. Guest speakers present information on educational topics such as dealing with depression, nutrition and the promotion of overall wellness. For more information, call 302-744-6638.
Screenings MAMMOGRAMS Each month, Bayhealth hosts regular mammogram screenings at multiple locations at no cost to those who are uninsured or underinsured. Registration is required. To register, call 302-744-6719. CLINICAL BREAST EXAMS A clinical breast exam is a physical examination done by a healthcare practitioner trained to notice abnormalities in the breast tissue. Bayhealth offers free clinical breast exams to the community. Registration is required. To register, call 302-744-6719.
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Moving a hospital Following years of planning, building and preparation, the Bayhealth Hospital, Sussex Campus opened to patients on Feb. 5, 2019. The Bayhealth Outpatient Center, Sussex Campus quickly followed on Feb. 6, 2019. In addition to opening the new campus, leaders at Bayhealth also had to plan for the patient move from Bayhealth Milford Memorial to the new location. These plans were carefully coordinated by hundreds of employees who all took part in the planning and implementation. Bayhealth first announced plans to build the new health campus in late 2014. At the announcement, Bayhealth’s President and CEO Terry Murphy, FACHE, explained that “healthcare is changing, and at the same time so are the needs of our community. After evaluating the direction of healthcare and conducting detailed research, we realized the community needs more than a hospital.” The new location was selected because of its visibility, access to Route 1 and space to grow. “From the beginning, we shared our vision that the parcel of land that was purchased would eventually turn into a thriving healthcare campus,” said Vice President of Operations/Administrator, Bayhealth Sussex Campus Michael Ashton, FACHE. “We challenged the architects and construction partners to show us what this would look like built out to ensure this would be a successful project.”
The project involved careful coordination on many levels that involved staff and provider input throughout the process. Approximately 500 employees and medical staff members took part in designing the hospital and outpatient center. These team members also developed new work flows that would be needed in the new facility. The community was also consulted. More than 300 community members took part in the “cardboard city” tours. These tours allowed community members to walk through cardboard mock-ups of key areas that would be built in the hospital. There were also town halls in various communities and a furniture demonstration. The community continued to support Bayhealth during the open house events once the hospital was built. More than 8,000 people toured the new facility. “Our guiding principles drove the project,” said Ashton. “Everything we did was viewed through the lens of the patient experience. Second to that, we focused on the provider and staff experience. The team did a phenomenal job and took careful consideration at each stage of the process.” The preparation for the patient move involved staff from nearly every department in the organization. A comprehensive patient move plan was developed with each department or service area responsible for specific components of the move.
WE CHANGED HEALTHCARE DELIVERY IN SOUTHERN DELAWARE. WHAT CAN COMPARE? IT’S INDESCRIBABLE TO BE PART OF THAT ACHIEVEMENT. — ANDREA HOLECEK, EDD, MSN, MBA, RN, NE-BC, FACHE
“Planning for the patient move created an incredible opportunity to collaborate,” said Senior Director of Patient Care Services, Sussex Campus and Magnet Program Director Andrea Holecek, EdD, MSN, MBA, RN, NE-BC, FACHE. “In addition to our plans on paper, we also practiced in real time. We held a full-scale physical mock move to ensure every system and every individual plan was ready. We were able to gather feedback from this drill that helped shape the final plan and our approach to the patient and family experience.” From infrastructure to patient care to food preparation, all team members from all facets of the health system played a pivotal role in the
patient move process. In total, more than 60 patients were transported from Bayhealth Milford Memorial to the Bayhealth Hospital, Sussex Campus on move day. “The process of planning the patient move was the most incredible teamwork I’ve ever seen,” said Holecek. “Our team members gave 110 percent to ensure the patient move was a success.” In addition to the patient move, there were also dozens of other individual and departmental moves to be considered throughout the two-week period surrounding the opening. “Everyone knew we had a responsibility to this community and to our patients,” said Ashton. “It was our responsibility and our mission to complete the patient move in the safest, best way for everyone.” Most team members involved in the move describe the process as a once-in-a-lifetime experience. The collaboration and coordination among different departments and team members were on full display throughout the planning and implementation of the moves. “We changed healthcare delivery in southern Delaware,” said Holecek. “What can compare? It’s indescribable to be part of that achievement.” ■ Want to take a virtual tour of the new Bayhealth Sussex Campus? Visit BayhealthSussex.org to take the tour and learn more.
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Student artwork and essays provide fresh perspective The once-imagined Bayhealth Sussex Campus became a reality when it opened its doors in February 2019. The community had a front-row seat to the transformation of healthcare, which yielded a perspective on the historic project from a very important audience: our youth. The Sussex Campus Art and Essay Contest invited students from surrounding elementary schools and middle schools to submit a work of art or short essay in response to one of the following prompts:
• Why do you think Bayhealth Hospital, Sussex Campus is an important part of our community? • What does it mean to you or your family to have a hospital close to home? Bayhealth received over 150 submissions from a mix of public, private and home schools. After each was carefully reviewed and scored, winners were determined for each grade, in each category, and prizes were awarded throughout the following weeks.
TOP, LEFT TO RIGHT: SAGE SAWHNEY, 6TH-GRADE ESSAY; LUCY CHORMAN, 5TH-GRADE ESSAY; BOTTOM, LEFT TO RIGHT: ALLI PARISI, 4TH-GRADE ART AND ELEMENTARY GRAND PRIZE WINNER; KARALYNE FORD, 4TH-GRADE ESSAY; NATALIE LEWIS, 7TH-GRADE ART AND MIDDLE SCHOOL GRAND PRIZE WINNER
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The contest was an overwhelming success thanks to the students’ willingness to share their stories and ideas. They creatively expressed gratitude, imagination and ambition in ways that only kids can, and contributed an untapped perspective on the Bayhealth Sussex Campus. Bayhealth would like to congratulate all of the winners on a job well done, and would especially like to recognize the contest’s grand prize recipients, Natalie Lewis and Alli Parisi. Natalie, a 7th-grade home school student, earned the middle school grand prize with her outstanding artwork, and Alli,
also an artist, was awarded the elementary school grand prize as a 4th-grader at Lulu Ross Elementary. Bayhealth is grateful to each of the students, teachers and administrators that helped to make the Sussex Campus Art and Essay Contest a success and tell the story of this historic project. ■ Visit Bayhealth.org/Art-and-Essay to view a collection of the top Sussex Campus Art and Essay Contest Submissions, along with additional photos of the winners.
TOP, LEFT TO RIGHT: LAURA GROW, KINDERGARTEN ART; JULIA NOVACK, 7TH-GRADE ESSAY; HAYDEN PEERY, 1ST-GRADE ART; BOTTOM, LEFT TO RIGHT: AMARA DUFF, 2ND-GRADE ART; ERICA MOLLURA, 5TH-GRADE ART; AUDREY GULAB, 3RD-GRADE ART
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Your child’s go-to when they need orthopaedic care Bayhealth Division of Orthopaedics is proud to now have two orthopaedic surgeons who specialize in pediatric orthopaedics. This is helping to meet a need in the local area for pediatric subspecialists. In addition to taking patient appointments in their respective clinics, Justin Connor, MD, and Andrew Gambone, MD, each perform surgery and provide inpatient and outpatient care at Bayhealth Hospital, Kent Campus. They also support Bayhealth Hospital, Sussex Campus and the Emergency Department in Smyrna, providing patient consultations and emergency fracture care when needed. Both doctors attribute their specialty expertise to top-notch children’s hospital orthopaedic programs and working alongside world-renowned pediatric orthopaedic surgeons. Dr. Gambone completed a fellowship in pediatric orthopaedic surgery at Children’s Hospital of Philadelphia followed by an orthopaedic sports medicine fellowship at Penn State University, which has strongly
equipped him to see patients of any age with a multitude of conditions. Dr. Connor spent much of his career in Delaware, staying on with Alfred I. duPont Hospital for Children in Wilmington after his pediatric orthopaedic surgery fellowship there. He gained valuable experience as a surgeon in their neuromuscular orthopaedic division and in their spina bifida program. He also trained and served in their accredited Gait Lab, one of only seven in the country that focus on the study of children’s movement and walking patterns to diagnose and better treat the conditions that impact mobility. Both Dr. Connor and Dr. Gambone are accustomed to treating broken bones, sprains and common orthopaedic issues in young patients. Both surgeons are also skilled in handling trauma and complex cases. But each has a unique area of clinical interest. With his specialized orthopaedic sports medicine training, Dr. Gambone treats a lot of sports-related
PEDIATRIC SURGEON ANDREW GAMBONE, MD, EXPLAINS A DIAGNOSIS TO HIS PATIENT, AIDEN SHAFFER.
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injuries. He also does cartilage restoration procedures, a minimally invasive technique to stimulate growth of healthy cartilage, which has been known to delay or prevent joint replacement in a patient’s future. Dr. Connor works extensively with patients who have neuromuscular conditions, such as spina bifida, cerebral palsy and complex abnormalities that affect their ability to move or walk. “It’s advantageous to go to someone who not only has additional and specialized training but also the broad experience of having treated many children and adolescents,” said Dr. Gambone. It’s a common misconception that children are just small adults with smaller-scale variations of bones and other body parts that can be treated similarly. Their growing and developing bodies, at all stages, present special considerations when it comes to orthopaedic care. These include congenital abnormalities and growth plate disturbances that can affect future development and pose problems later in life if not addressed properly. Having pediatric orthopaedic specialists locally means that the vast majority of acute injuries, elective surgeries and hospitalizations can be handled at Bayhealth without having to refer pediatric patients to a facility further away. “Not having to travel so far leads to better follow-up, and therefore better care,” said Dr. Gambone. It also ensures expedited care when accidents happen. “Because of the nature of their rapidly changing bodies, children should always be seen emergently or urgently after injury for the best outcome.
BECAUSE OF THE NATURE OF THEIR RAPIDLY CHANGING BODIES, CHILDREN SHOULD ALWAYS BE SEEN EMERGENTLY OR URGENTLY AFTER INJURY FOR THE BEST OUTCOME. — ANDREW GAMBONE, MD
If there’s a delay, a nonoperative condition can become an operative one,” he added. Both doctors are glad that they can address an important need for area families. “I’ve always had a passion for helping underserved populations,” said Dr. Connor. “I want to make people’s lives better — to improve their quality of life, their function and their potential. That’s the reason I’m here.” ■ Visit Bayhealth.org/Find-a-Doctor or call 1-866-BAY-DOCS to schedule an appointment with Dr. Gambone or Dr. Connor, or to learn more about a doctor to fit your family’s healthcare needs.
PEDIATRIC SURGEON JUSTIN CONNOR, MD, PUTS A CAST ON HIS PATIENT, KARALYNE FORD.
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#Motivated Monday Challenge The Bayhealth Motivated Monday Challenge is a fun and engaging way to promote a healthy lifestyle. We believe starting healthy lifestyle changes shouldn’t be relegated to the month of January each year. Instead we believe Mondays give each of us a chance to start fresh and hit the reset button. This is why Bayhealth is running a year-long healthy living campaign called #Motivated. All of us are working on improving some part of our health. We may be drinking more water, exercising more or getting our stress under control. Making these changes is hard; achieving them takes time and maintaining them takes commitment. It’s not uncommon to take a few steps forward, followed by a few steps back. But that’s OK as long as you continue to work on those improvements. That’s what our #Motivated campaign is all about — focusing on the positives and being nice to ourselves. At the end of the day it’s about making progress, not being perfect.
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HERE’S WHAT YOU CAN EXPECT OUT OF #MOTIVATED: • Each month focuses on a different theme, such as drinking more water, exercise basics and mindfulness — everything that ties into healthy living. • Every Monday we’ll post something new on the #Motivated web page, including tips, challenges and spotlights on staff/community members participating. • We encourage you to participate by commenting on these posts with how you’re making progress that week/month. These comments can include simple replies, selfies of your participation or even a calendar that tracks your progress. • At the end of the month, we’ll enter everyone who showed proof of participation via those comments and select a winner for a #Motivated giveaway. • As we progress through each month’s challenge, we’ll update the #Motivated web page with recaps of the monthly challenge. • At the end of the campaign in March 2020, we’ll celebrate our successes and pick a winner for the entire campaign. Here’s our calendar through the end of the campaign: April 2019: Dos and don’ts of walking May 2019: Navigating new, healthy foods June 2019: Drinking water July 2019: Exercising basics August 2019: Mindfulness September 2019: Getting back into fall living October 2019: Sleep November 2019: Surviving the holidays December 2019: Reducing screen times January 2020: Surviving the long winter February 2020: Maintaining motivation and energy March 2020: Celebrating our successes ■ We hope you’ll join us on this healthy living challenge. Follow us on Facebook at Facebook.com/Bayhealth and keep an eye out for the #Motivated hashtag. We’ll also share healthy living stories on the #Motivated web page. Visit Bayhealth.org/Motivated for these stories and for reminders about campaign guidelines.
Healthy eating simplified Healthy eating habits don’t need to be complicated. Bayhealth Outpatient Registered Dietitian Jinette Fellows, RD, LDN, offers tips on how to get started. REPLACE REFINED GRAINS WITH WHOLE GRAINS “This is one of the easiest changes you can make and, therefore, is a great place to start,” said Fellows. “For example, instead of choosing refined grains, opt for whole grains when choosing breads, tortillas, buns, crackers, bagels, and pastas.” The benefit of this tip for healthy eating is an increase in the amount of fiber you consume, which helps with weight management, satiety, gut health, and lowering cholesterol. Being brown doesn’t make bread whole wheat. The only way to know is to read the nutrition facts panel to make sure whole-wheat flour is the first ingredient. Experiment with other whole grains such as barley, buckwheat, quinoa, or oatmeal. UP YOUR INTAKE OF FRUITS AND VEGGIES Strive for five or more servings a day. Fellows says fresh, canned or frozen count. “Frozen and canned are a great option as long as they don’t have added sodium, sugar or fat,” she explained. “I also recommend trying different cooking methods. If you’re getting tired of steamed vegetables, for example, try roasting them with some olive oil and cracked black pepper instead, and make them the star of your meal.” “To ensure you are getting a wide variety of nutrients, you should eat fruits and vegetables from all of the different color groups, such as dark leafy greens like spinach, and orange veggies and fruits like bell peppers or oranges,” said Fellows.
“Try using non-animal sources of protein such as nuts, seeds, beans, and soy. People are often not in the mood or have no time to dice vegetables first thing in the morning. If you’re someone who likes to have omelets, try dicing peppers and onions ahead of time so they can be a quick addition.” Fellows also recommends getting the whole family involved in meal planning so everyone is on board and more likely to stick with healthy eating. PLAN YOUR SNACKS “This will help you fill in food groups you’re missing,” she said. “For example, a lot of people don’t eat fruit with their meals. So a great snack would be apple slices with a tablespoon of peanut butter. Pairing a little bit of protein with other foods can also help tide you over until the next meal.” MAKE A GROCERY LIST “Related to planning for meals and snacks, I tell people to take an inventory of the food items in their cabinets to avoid buying items they already have on hand, and this can be a good starting point to planning your meals for the week.” DON’T FORGET YOUR FIBER Women should aim for 25 grams of fiber per day, while men should aim for 38 grams. ■ Bayhealth has both inpatient and outpatient dietitians. If you’re interested in talking with an outpatient dietitian, consult your primary care physician. Call 302-744-6828 or visit Bayhealth.org/Nutrition-Services for more information about our Nutritional Services.
PLAN YOUR MEALS AND PREP ON YOUR DAY OFF This will also help you get three or more food groups into each meal, which is another tip for healthy eating. “For example, make an effort to include a veggie, lean protein source and complex carbohydrate at each meal,” said Fellows.
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A unique way to make monetary donations Holly Pfeifer, the widow of Donald Pfeifer, MD, is a longtime donor to Bayhealth. Most recently, she contributed to the Bayhealth Sussex Campus project, including a gift to dedicate the Medical Staff Lounge in the new hospital in Dr. Pfeifer’s memory. An orthopaedic surgeon, Dr. Pfeifer joined the medical practice of the late Edward F. “Terry” Quinn, III, MD, founder of The Dickinson Medical Group and former chief of surgery at Milford Memorial, when he and Holly moved to Milford from Baltimore in 1977.
they became friends. They had a lot in common, including their sense of humor. For example, they named their cadaver Napoleon Pick A Bonaparte,” she laughed. Holly says they soon connected with others in Delaware who shared their sense of humor. “The Dickinson Medical Group had a Christmas party every year, and I remember Tom Draper coming in a tux and wearing sneakers,” she said. A former home design and residential architecture freelance consultant, Holly also shared her excitement for the rare opportunity to freelance with architectural firm French & Ryan on the design of the third building for The Dickinson Medical Group — now known as Bayhealth’s Quinn Medical Offices. The Pfeifers lived in Milford until Dr. Pfeifer passed away in 2001. At that time, Holly moved to Dover to be closer to her son and her church. Although she has been donating to Bayhealth for a number of years, Holly recently changed her contribution method, and now makes regular donations through her Individual Retirement Account (IRA). “If you have an IRA, once you turn 70½ years old, you have to do what is called a required minimum distribution, or RMD,” she explained. “If you don’t want to incur a penalty, you either need to transfer the RMD to another account or donate it. I also read that if you donate from your IRA directly, it’s not included as part of your gross income. I knew this was how I wanted to make my donations to Bayhealth going forward. I also can now donate one-third more than I could before.” This giving option is great for those who can afford to donate their IRA’s RMD because it’s an easy way to give back to the community and is a win-win for all. ■
As Holly shared, Drs. Pfeifer and Quinn knew one another before they relocated to Delaware. “Terry was Donald’s lab partner when they were at the University of Maryland Medical School, and 22
If you would like to learn more about contributing to Bayhealth, visit BayhealthFoundation.org or call the Bayhealth Foundation at 302-744-7015.
2018
BAYHEALTH ANNUAL REPORT PATIENT CARE STATISTICS ED Visits
FISCAL 2018
FISCAL 2017
101,692
100,458
Births
2,303 2,212
Patients Admitted*
18,963
18,760
297,161
277,189
1,318,300
1,276,100
15,663
15,605
5.1
4.94
Unreimbursed Care
62.3 M
49.5 M
Total Net Revenue
615.8 M
583.7 M
Diagnostic Imaging Procedures Laboratory Tests Operations Performed Average Length of Stay
*Includes Inpatient Rehabilitation, excludes nursery and neonatal ICU
PAYOR MIX STATISTICS
■ MEDICARE — 49.35% ■ MEDICAID — 19.79% ■ BLUE CROSS — 15.79% ■ COMMERCIAL/MANAGED CARE — 7.59% ■ COMPENSATION — 1.71% ■ TRICARE — 3.08% ■ PRIVATE PAY — 2.69%
FINANCIAL STATISTICS
FISCAL 2018
FISCAL 2017
Net Patient Service Revenue
599,865,136
567,573,118
Other Operating Revenue
15,907,538
16,139,578
Total Revenue:
615,772,674
583,712,696
Less: Operating Expenses
572,230,593
546,511,191
Operating Income
43,542,081
37,201,505
Other (Investment) Income Net
25,674,675
42,278,043
Reserve for Future Improvements
69,216,756
79,479,548
Total Capital Expenditures for technology improvements, 139,090,289 equipment replacement, construction, and other building renovations
83,128,926
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Nonprofit Org. US Postage
640 South State Street Dover, DE Â 19901
PAID Wilmington, DE Permit No. 1669
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