bayhealth’s report to the community 2013
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Bayhealth’s Report to the Community 2013
Compassion
Accountability
Respect
Integrity
Teamwork
Living Our Values
3
A message from the CEO
At Bayhealth, we are all explorers. Everything we
do is focused on fulfilling our mission: to improve
the health status of the communities we serve. Our
5 core values—compassion, integrity, teamwork,
accountability, respect—provide guidance as we
translate our mission into everyday practices.
Every day, we are continually monitoring patient
satisfaction, clinical quality, and patient safety results.
Every day, our staff and physicians are exploring and
adapting industry best practices to provide world-
class care close to home.
Health care is entering a new era, and Bayhealth is
ready – not only to meet new challenges, but to lead
in innovation and education. Building collaboration
with and among community organizations; creating
new facilities to meet the needs of our diverse
patient body; strengthening our affiliation with Penn
Medicine to broaden the care we provide—these
are just a few of the ways we are working to bring
people, partnerships, and clinical capabilities together
with the goal of exploring all the possibilities for
every patient.
We are proud of the stories in these pages. They
capture recent achievements and improvements in
patient outcomes, but they are just a snapshot of a
moment in time. At Bayhealth, our work never ends
in our commitment to our community. Our values
inspire us and push us to look beyond the obvious-
every day, every patient.
Best Wishes,
Terry M. Murphy, FACHE
President and Chief Executive Officer
4
BAYHEALTH’S BOARD OF DIRECTORS
Pictured left to right seated: Board Secretary Bill Strickland; Scott Hammer, MD; Board Chair John Paradee; Barbara Rutt; Bayhealth President & CEO Terry Murphy; and Vice Chair Mike Koppenhaver.Standing: John Fink, MD; June Turansky; Bobbie Fischer, Jr; Ron Sayers; I.G. Burton, III; Mary Jane Willis; Doug Morrow; William Johnston; Michel Samaha, MD; Bill Winters; Jim Flood, Jr.; andConnie Fisher. Missing from the Photo: Vice Chair Mike Sweeney, MD and Wendy Newell, MD.
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M i s s i o nTo improve the health status of all members of the Bayhealth community.
V i s i o nTo distinguish ourselves as a regional health system that consistently delivers an exceptional patient
experience by providing care that exceeds nationally recognized standards in a safe, patient-centered
environment.
V a l u e sCOMPASSION We are kind and caring to our patients, families and each other.
INTEGRITY We do the right thing. We strive to build trust and are dedicated to ethical and responsible
behavior.
TEAMWORK We value collaboration and cooperation with patients and members of the Bayhealth team.
ACCOUNTABILITY We accept personal responsibility for our words and actions.
RESPECT We treat everyone we encounter with kindness, dignity and professionalism.
EXPLORING BAYHEALTH’S MISSION IN ACTION
7
Compassionis the foundation of the Bayhealth
community. We strive to take health care
in new directions to make sure every
person who needs care gets the best
care possible. In 2012, we expanded and
upgraded our services to meet the needs
of those we serve. n
8
the Emergency Department at Bayhealth Kent General marked
one year of providing 12 months of top-notch emergency care
in the new facility. Patient satisfaction scores rose from 36% to
67%. Since the ED opened in 2012, overall volume has increased
8%, and the number of patients admitted to beds from the ED is
up 5%. Ten new full-time positions and eight relief positions have
been created over the last year in response to patient volumes. The
ED staff now numbers over 80.
Kent ED 1 Year Anniversary
In February 2013...
9
Expanding our services
The 24-hour freestanding Bayhealth Emergency
Center, Smyrna opened in December 2012 to
provide faster care for residents in the Smyrna area,
who previously had to travel a half-hour south or
north for emergency care. Before the eight-bed,
$3.4 million center center opened, Bayhealth
Kent General was receiving an estimated 6,300
emergency patients from the Smyrna-Clayton area
each year. In April 2013, the Smyrna Emergency
Center served 1,236 patients.
Smyrna ED Opens
10
Bayhealth + PennYou want the finest care you can get. Period. We want you to have it. No excuses.
That’s why we’ve affiliated with one of the premier healthcare institutions in the
area—Penn Medicine. For heart, cancer, orthopaedics and stroke care, you’ll have
access to the top medical minds in the area—right here, close to home.
11
Cardiac We provide progres-
sive, effective heart and
vascular care. Our affili-
ation with Penn Medi-
cine Heart and Vascu-
lar gives our patients
access to the expertise
of an academic medical
center right here, close
to home. Our patients
benefit from:
n A seamless continuum
of care, for every type
of case, simple to
complex
n Collaboration and
on-site expertise of
renowned clinicians,
researchers and
educators. Top-tier,
progressive surgical
options and interven-
tional therapies
n Access to clinical trials
through a national
leader in basic sci-
ence and translational
research
n Access to Penn Medi-
cine for extremely
complex cases
Oncology Along with providing
expert cancer care and
the advantage of the
knowledge and skill of
the Abramson Cancer
Center of the University
of Pennsylvania, we of-
fer personal support to
guide our patients every
step of the way. Our
patients benefit from:
n Access to the latest
university-level medical
research and clinical
trials
n Advanced medical
technologies and
radiation equipment
to treat all kinds of
cancer
n The only affiliation
with an NCI-desig-
nated Comprehensive
Cancer Center in
Delaware
n Expanded cancer
diagnosis, treatment,
research and educa-
tion
n Access to Penn Can-
cer Care for extremely
complex cases
Orthopaedics
Bayhealth and Penn Or-
thopaedics give patients
every advantage in
regaining their mobil-
ity and quality of life,
including:
n A team of physicians
and nurses experi-
enced in the latest
surgical and nonsurgi-
cal techniques
n Evidence-based proce-
dures that deliver the
best outcomes
n Access to some of
the best medical
school students in the
world via the Penn
Orthopaedic Resident
Program
n Access to Penn Or-
thopaedic Care for
extremely complex
cases
Telestroke
When a stroke occurs,
neurological interven-
tion can significantly
improve recovery. Our
experts at Bayhealth act
fast, and our affiliation
with Penn Medicine
provides an additional
measure of expertise
from a Comprehensive
Stroke Center certified
by the AHA/ASA and
Joint Commission. Pa-
tients benefit from:
n Evaluation and pre-
ventative strategies
for at-risk patients
n Comprehensive care
and innovative treat-
ments
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Cancer ExpansionThe Bayhealth Cancer Center strengthened its medi-
cal team with the appointment of Khanh Nguyen,
MD, and its treatment options with the addition of
stereotactic radiosurgery (SRS), a highly-targeted
radiation therapy that spares healthy tissue and de-
livers higher doses to tumors than was possible with
earlier equipment.
Dr. Nguyen earned a Bachelor of Science in Phys-
ics and a Master of Science in Physics, Cum Laude,
from Harvard University. He earned his Doctor of
Medicine from the University of California-San
Diego and completed an internship in Internal
Medicine from University of Pennsylvania Hospital.
He served a residency in radiation oncology at the
Fox Chase Cancer Center in Philadelphia. Dr. Nguyen
came to Bayhealth from the City of Hope National
Medical Center in Duarte, CA, where he served for
six years as Assistant Professor of Radiation Oncology.
Launched in October 2012, the multidisciplinary
stereotactic radiosurgery team includes a neurosur-
geon, radiation oncologist, medical physicist, nurse
and two radiation therapists. The team uses sophis-
ticated software and 3D images of cancer to assess
patient fit for treatment; develop appropriate treat-
ment plan; and determine dose calculations. Since
the program’s inception, 46 patients have been
treated with SRS.
Three new treatments added to the program are
brain SRS, spine metastasis and Stereotactic Body
Radiation Therapy (SBRT) for early stage lung can-
cer. The brain and spine treatments are palliative
in nature, used for either pain control or symptom
control, while SBRT is used to cure lung cancer.
Dr. Khanh Nguyen
New Physicians, New Options
13
Neurosurgical Services The launch of Bayhealth’s Neurosurgery Program of-
fers comprehensive and personalized services to pa-
tients with traumatic brain and spinal cord injuries.
Led by Bayhealth neurosurgeon James Mills, MD,
the neurosurgery team coordinates care across the
Emergency Department, Operating Room, Intensive
Care Unit, Medical-Surgical Units, Rehabilitation
Services and Diagnostic Imaging. The team also
provides education and services to the community
by offering concussion clinics and testing for high
school athletes.
Bayhealth Kent General’s Operating Room 10,
opened in Spring 2013, is customized for complex
neurosurgery, spine, and orthopaedic procedures.
In the first year, more than 300 neurosurgeries were
performed and a broad range of neurological issues
have been diagnosed and treated, including neuroon-
cology (brain cancer) diagnoses.
Expanded Cardiac ServicesSignificant achievements in cardiac care include
welcoming Dr. Paul Fedalen, thoracic and vascular
surgeon, to Bayhealth Cardiovascular Surgical As-
sociates, increasing the number of heart surgery
patients we can serve. Three new electrophysiolo-
gists also joined the team: Dr. Steven Blumberg, Dr.
Laura Gravelin, and Dr. Raymond Miller.
“Door-to-Balloon” times at Bayhealth Kent General
dropped from 134 minutes in 2005 to 60 minutes in
2012, reducing the risk of irreparable cardiac muscle
damage from limited oxygen flow.
Dr. James Mills Dr. Paul Fedalen
14
“Since adding the Nurse
Navigator in orthopaedics this
past year, at Bayhealth our patient
communication, coordination
of care and comprehensive
approach to care has significantly
improved,” Brad Kirkes, MBA,
MHA, OTR/L, CHT, Vice President
of Ancillary and Clinical Services.
15
Nurse Navigators have been part of the care delivery
team in the Oncology Service Line for many years.
Brad Kirkes, Vice President of Ancillary and Clinical
Services, decided to take this concept and apply it to
the Orthopaedic Service Line at Bayhealth. His vision,
shared with Dr. Stephen Manifold, Medical Director
of Orthopaedics at Bayhealth, was to advance ortho-
paedic care in the following ways through the assis-
tance of a navigator:
n Advance best practice orthopaedic care of each
patient with the care delivery team to ensure the
optimal orthopaedic outcome is achieved
n Ensure comprehensive care from pre-operative
management to follow-up care once discharged
from the hospital
n Enhance program development- pre-operative
and post-operative interventions to improve the
patient experience
n Orthopaedic data collection as a means to im-
prove clinical outcomes by studying Bayhealth
results and comparing to state and national
benchmarks
Janelle Hobbs, RN,BSN,CMSRN, the nurse naviga-
tor for Bayhealth’s Orthopaedic Service Line, serves
as a resource and contact person for orthopaedic
patients such as those undergoing total joint re-
placements, hip fracture repair or other orthopaedic
inpatient procedures.
As an example, Hobbs coordinates the Total Joint
Replacement Class, where she helps patients un-
derstand what to expect before, during, and after
surgery. She works with these patients while they
are hospitalized to recuperate after surgery and co-
ordinates the discharge plan with the care manager.
Hobbs’ goal is to coordinate the care for the patient
and ensure quality care is given by collaborating
with nursing, therapy, orthopaedic surgeons, and
other members of the patient care team.
“Discharge planning for the patient begins as soon as
they come into the hospital,” she said. “We see them
through the entire process.”
Orthopaedic Navigators: Personalized Care
16
A self-proclaimed former couch potato has transformed his health and his life.
Surgical Weight LossAt 370 pounds, Allen Drummond couldn’t walk
from his car to his office without difficulty. He had
type 2 diabetes, sleep apnea, hypertension and a
cardiac arrhythmia. His cardiologist told him his
weight had become life-threatening. Since under-
going Lap-Band® surgery, Allen’s health—and his
life—have completely turned around. Now down to
260 pounds, he takes five medications instead of
18. He bikes six and a half miles three times a week.
He’s hunting again. And he goes fishing with his
grandchildren as often as he can.
Specialized Services
Bayhealth offers several surgical weight loss op-
tions for people who have been unsuccessful in
other weight loss attempts. Patty Baynocky, RN,
BSN, CNOR, Bayhealth Bariatric Program Coordina-
tor, explained that many people pursue bariatric sur-
gery not only to lose weight, but to treat co-morbid
conditions such as high blood pressure, diabetes,
sleep apnea, and joint pain. Without treatment,
these conditions worsen over time and severely limit
quality of life.
Bayhealth offers several bariatric procedures: Laparo-
scopic Adjustable Gastric Band (Lap-Band®); Laparo-
scopic Roux en Y Gastric Bypass; Laparoscopic Sleeve
Gastrectomy. n
17
Dialysis Unit at KentA new dialysis unit at Kent General incorporates the
latest technology and offers a comfortable, safe,
and private environment for patients with six bed
treatment bays and three chair treatment bays, an
isolation room for special care, a dedicated waiting
room, an exam room, and a physician’s office. Now
in our 30th year of providing hemodialysis to acute
and chronic kidney failure patients in our commu-
nity, Bayhealth expects to provide over 3,100 dialysis
treatments in 2013. n
SleepCare Center in MilfordBayhealth’s new SleepCare Center in Milford offers
state-of-the-art sleep disorder testing, including
overnight sleep testing and daytime multiple sleep
latency testing for adults and children suffering
from sleep deprivation and illness resulting from
sleep disorders. Bayhealth SleepCare Centers are
also located in Wilmington, Bear, Newark, Dover,
Middletown and Georgetown. n
18
Respectfor our community inspires us to question, explore, and
investigate. Bayhealth is an organization that pushes
to find answers and options. We take the initiative to
anticipate challenges and solve problems. n
20
Improving Patient SafetyIn honor of National Patient Safety Awareness
Week, Bayhealth’s Clinical Safety Council
awarded its 4th Annual Safety Excellence
Award. Recognizing employees who go above
and beyond to support our culture of safety,
the award accompanies a week of celebration
and education. Louis Levenson, RPh, MAS,
MSITS, Pharmacy Informatics Specialist, received
the Bayhealth Milford Memorial award. Sandy
Boyce, Security Officer, received the Bayhealth
Kent General Award. n
Patient Safety
CPOE ImplementationIn Spring 2013, Bayhealth launched a computerized
provider order entry (CPOE) system to help reduce
communication errors. CPOE offers many benefits to
patients, including alerting caregivers to medication
errors, allergies, or possible drug interactions;
eliminating confusion due to handwriting or
transcription errors; and improving communication
among members of the patient care team. n
21
Immunization InitiativeIn 2013, Bayhealth made the seasonal flu vaccine
mandatory for all employees to reduce the chances
of patient infection. The organizational compliance
rate of 95% signifies Bayhealth’s commitment to
patient safety. n
Patient Safety Risk Reduction Committee Eighteen of Bayhealth’s top managers and admin-
istrators serve on the Patient Safety Risk Reduc-
tion Committee, which has teamed with Bayhealth
managers and surgeons to develop detailed safety
protocols covering medication administration, pa-
tient falls, hospital acquired infections, and many
other areas. Receiving input from a wide range of
clinical experts, the Committee develops policies to
promote a culture of safety and ensures Bayhealth
exceeds safety standards stipulated by the Joint
Commission, which oversees hospital accreditation.
“The data reflect significant improvements in all
major areas of patient safety. Our Patient Safety Risk
Reduction Committee is committed to ensuring this
trend continues,” said Vice President of Medical Af-
fairs Eric Gloss, DO. n
Exploring improvements to the patient experienceThe Patient Advocacy Team, led by Bayhealth Di-
rector of Patient Advocacy, Service Excellence and
Professional Recruitment Marianne Foard, MS, RN,
has implemented several new structures and pro-
cesses this past year to identify significant findings
and trends in overall patient satisfaction. Expand-
ing survey populations to include Dialysis, Medical
Practice Groups, Ambulatory Services, more closely
monitoring survey sample sizes, and focusing on
service excellence during new employee orientation
have helped make a difference for patients.
The Measurement Team, an offshoot of the Patient
Advocacy Team, is comprised of senior leaders and
releases a monthly scorecard which analyzes patient
satisfaction and quality data to identify strengths
and weaknesses. The team supports the basis for
action plans that align resources to organizational
excellence goals.
Part of the Measurement Team is the Patient Griev-
ance Committee. This group is tasked with incor-
porating grievance data in the hospital-wide Per-
formance Improvement (PI) program. They oversee
effective operation of the grievance process, en-
suring that the process is reviewed, analyzed and
reported through the existing PI Council that reports
to the Performance Improvement Committee of the
Board. n
22
PlanetreeSince 2005, Bayhealth has incorporated Planetree’s
patient-focused model of care, centered around
a holistic approach to healing in all dimensions
– “the mind, body and spirit.” Planetree is a non-
profit organization that helps patients, families
and staff members deliver care from the patient’s
perspective. Some Planetree components Bayhealth
has introduced that are conducive to healing include
patient-centered visitation, pet-assisted visitation
and aromatherapy. n
Patient Volunteer Ambassador ProgramA collaboration with Volunteer Services, The Patient
Volunteer Ambassador Program placed volunteers
on hospital units to enhance the patient and family
experience. Volunteer Ambassadors undergo a train-
ing program that is facilitated by Patient Advocacy
and Service Excellence and emphasizes the tools and
tactics that lead to organizational excellence. n
Patient Experience
23
Patient Advisory Council Dedicated to Positive ChangesThe Bayhealth Patient Advisory Council is dedicated
to improving the patient’s experience, bringing it
into alignment with the Planetree mission of caring
for body, mind and spirit, encouraging communica-
tion and empowering patients.
Some of the council’s members are Bayhealth
patients. Others are former Bayhealth employees,
Reducing InfectionBayhealth has significantly reduced central line associated bloodstream infections (CLABSI) of our hospitalized patients. Since August 2010, Bayhealth Milford Memorial’s Intermediate and Intensive Care Units have prevented all bloodstream infections of this type.
At Bayhealth Kent General, the Intensive Care Unit went 15 consecutive months without a central line infection, while the Cardiovascular-Surgical Intensive Care Unit registered 16 consecutive months without a central line infection.
and some are active Bayhealth volunteers in the
hospital. While their experiences at Bayhealth may
have varied, they are committed to making positive
changes. The group meets quarterly for dinner with
Bayhealth staff representing the Patient Advocacy
and Planetree departments and discusses seemingly-
small details can make an enormous difference in a
patient’s perspective of quality hospital care.
Shown in the front row from left
are: Betty Hill, Vicky Erb, Steven
Waidley, Tammy Lang, Patrician
Edwards; Middle Row: Erin May,
Andrea Carter, Jennifer Roe,
Dorothy Vowels. Back Row: Bob
Norquest, Peter Senft, Jim Erb,
David McWethy, Mike Snodgrass.
Shown in the front row from left are: Betty Hill, Vicky Erb,
Steven Waidley, Tammy Lang, Patrician Edwards; Middle
Row: Erin May, Andrea Carter, Jennifer Roe, Dorothy Vowels.
Back Row: Bob Norquest, Peter Senft, Jim Erb, David Mc-
Wethy, Mike Snodgrass.
25
Accountabilityis central to our work at Bayhealth. As we seek
to create and maintain a culture of excellence,
we request assessment by independent national
evaluating bodies. We adhere to national clinical
guidelines and stand by what we believe in. n
26
95%
96%
97%
98%
99%
100%
Prophylactic Antibiotic Selection
Prophylactic Antibiotic Pre-
Incision
Prophylactic Antibiotic
Discontinued
Peri-Operative Beta Blocker
VTE Prophylaxis Ordered
VTE Prophylaxis Given
Post-Operative Glucose Control
Post-Operative Catheter Removal
Surgical Care Improvement Project
State National Bayhealth
Value Improvement Scores
The gathering and reporting of quality data grounds our services in the patient experience.
27
In each of the following five areas, as-
sessment is required by the Centers for
Medicare and Medicaid Services (CMS):
acute myocardial infarction (heart at-
tack), heart failure, pneumonia, influ-
enza vaccinations, and surgical care. At
Bayhealth, teams consisting of physi-
cians, nurses, pharmacists, and others
continually work to improve our patient
experience. The scores we share dem-
onstrate our dedication to the highest
quality and safest care for our patients.
In areas where we fall short, we review
our efforts and creatively seek new ways
to provide consistently exceptional care.
We report our data to CMS, who then
translates our figures into rates or per-
centages. The data is publicly available so
that consumers can compare hospitals in
certain key areas.
Bayhealth has met or exceeded state
and national averages in the heart
attack, heart failure, pneumonia, and
vaccination categories, and is approach-
ing the averages in the surgical care
improvement project. n
60%
70%
80%
90%
100%
Pneumococcal Vaccination- Patient
Seasonal Influenza Vaccination- Patient
Seasonal Influenza Vaccination-Employee
Immunizations
State
National
Bayhealth
93%
94%
95%
96%
97%
98%
99%
100%
Aspirin at Arrival PCI Within 90 Minutes of Arrival
Aspirin at Discharge
Statins at Discharge
Acute Myocardial Infarction (Heart Attack)
State
National
Bayhealth
93%
94%
95%
96%
97%
98%
99%
100%
Complete Discharge Instructions
Evaluation of LVS Function
ACEI or ARB at Discharge for LVSD
Heart Failure
State
National
Bayhealth
94%
95%
96%
97%
98%
99%
100%
Initial Antibiotic Selection Blood Culture Pre-Antibiotic
Pneumonia
State
National
Bayhealth
28
Bayhealth Payor Mix
Our primary service area has seen rapid population growth in the last few years, with continuing
growth of 5% per year. Medicare and Medicaid patients comprise the majority of our patient popula-
tion at 67%. These patients are typically higher utilizers of healthcare services in the community.
Medicare 43%Medicaid 24%Blue Cross 15%Commercial 3%Managed Care 7%Compensa:on 1%Champus 4%Private Pay 3%
7% Managed Care
1% Compensation
4% Champus
3% Private Pay
24% Medicaid
43% Medicare
3% Commercial
15% Blue Cross
Payor Mix - Bayhealth Fiscal Year 2013
29
Bayhealth PerformanceFor the years ending 6/30/2013 and 6/30/2012
FY 2013 FY 2012ED Visits 90,142 83,467
Births 2,226 2,236
Outpatient Visits 470,307 482,417
Patients Admitted 18,078 17,151
Diagnostic Imaging Procedures 293,112 293,136
Laboratory Tests 1,200,083 1,208,200
Operations Performed 13,427 13,508
Average Length of Stay 4.5 days 4.5 days
Unreimbursed Care $44.5 million $45.5 million
Total Net Revenue $482.4 million $451 million
30
TeamworkAt Bayhealth, we believe teamwork
is the heart of our community. We
recognize that the future of health care
relies on interconnection. Dialogue,
collaboration and cooperation help us
stay open to many possibilities. n
32
Bayhealth’s Melody Wireman, RNC, MSN, APRN, Clinical Nurse Specialist, Labor
& Delivery and Women’s Services; Alana King, MSN, RN, PCCN, Inpatient Clinical
Nursing; and Robert McKennett, CRNA, MA, MSN, NEA-BC, Chief Nurse Anesthe-
tist, Kent General, were all named “Top Nurses” by Delaware Today Magazine this
spring.
Get to know Bayhealth’s
“Top” Nurses
Alana KingMelody Wireman Robert McKennett
33
Bayhealth Therapy Dog to Receive International AwardJack is a three-year old Welsh Corgi. He doesn’t per-
form surgery, provide medication or check vital signs,
but he is a vital player in the healing process that
brings smiles to the faces of patients and employees
alike. Jack was nominated for the 2013 Planetree Pet
Therapy Animal of the Year Award. Jack was selected
to receive this distinguished award from over 500
nominations submitted by Planetree Affiliates from
the United States and 13 countries.
In addition to visiting patients during their therapy
sessions, Jack has also proven instrumental in the
therapy process as well, particularly with pediatric
patients. He participates with feeding and speech ac-
tivities, by allowing children with eating disorders to
feed him, and fetching and returning thrown balls.
His presence comforts children receiving therapy. n
Meet Jack
34
Community OutreachAs part of the Healthier Sussex County initiative with Beebe Medical Center and Nanticoke Health Services, Bayhealth joined with Habitat for Humanity on two house construction projects in Georgetown. Employees from all three health care organizations are volunteering their time and effort to build these homes.
The hospital CEOs broke ground at the first build. Pictured above are Steven Rose, Nanticoke Memorial Hospital; Terry Murphy, Bayhealth; and Jeffrey Fried, Beebe Medical Center. Healthier Sussex County is a collaborative effort of community members, community resources and area hospitals to make Sussex County one of the healthiest in the nation by addressing health issues and working toward optimal health.
35
Inspiring Tomorrow’s Medical LeadersHealthcare Explorer Post 804, a collaboration between Bayhealth and
the Del-Mar-Va Council, gives local teenagers the opportunity to learn
more about possible careers in healthcare. n
Supporting Domestic Violence VictimsDawn Culp, MSN, RN, SANE-A, SANE-P, FNE, DV & Gang Consultant,
was appointed to the Delaware Domestic Violence Coordinating Coun-
cil, where she will serve as Medical Liaison to help improve Delaware’s
response to domestic violence. Culp has been involved in various capaci-
ties with DVCC since 2001. Currently, she is a co-chair of the Medical
and Executive Subcommittees. In addition to working as a Sexual Assault
Nurse Examiner (SANE) in Bayhealth’s three Emergency Departments, Culp
and her staff of SANE forensic nurses educate the community through
seminars at high schools, daycare centers, Delaware State University, and
employers such as Dover Air Force Base. n
Mentoring Future NursesRobert House, CRNA, MSN, Clinical Coordinator of the Bayhealth Anes-
thesia Department, received Drexel University’s 2013 Clinical Preceptor
Award. The award, titled “Behind Every Graduate,” honored House’s
passion for teaching and dedication to student growth. As the Clinical
Coordinator for students completing rotations at Bayhealth as part of
their nurse anesthetist programs, House oversees assignments and hous-
ing, places students in educational settings, and trains students in the
clinical setting. n
36
Awards, Accreditation and Recognitionn American Heart Association’s “Get With The
Guidelines–Heart Failure” Gold Plus Quality
Achievement Award for compliance with the four
key achievement measures related to treatment of
patients diagnosed with heart failure.
n American Heart Association’s “Get With the
Guidelines-Resuscitation” Gold Quality Achieve-
ment Award for achieving aggressive goals in im-
proving patient outcomes from in-hospital cardiac
arrest.
Recognition
37
n The International Commission on Accreditation of
Rehabilitation Facilities (CARF) accredited Bay-
health Inpatient Rehabilitation Center, Milford
Memorial, for 3 years.
n The Joint Commission accredited Bayhealth for
meeting program requirements in the following
areas. At Bayhealth Kent General: Home Care
Accreditation Program, Hospital Accreditation Pro-
gram, Advanced Certification as a Primary Stroke
Center. At Bayhealth Milford Memorial: Hospital
Accreditation Program.
n Home Care Elite Status awarded to Bayhealth
Home Care as being in the top quartile of success-
ful Medicare-certified Home Care providers in the
United States.
n The Intersocietal Accreditation Commission ac-
credited Bayhealth’s Cardiac Diagnostic Center
Vascular Laboratories.
n The American Association of Cardiovascular
Pulmonary Rehabilitation certified Bayhealth Kent
General’s Pulmonary Rehabilitation Program.
n Nurse.com recognized Bayhealth with the “Take
Pride” award for fostering a diverse and inclusive
workplace.
39
Integrity Integrity forms the basis for our
future. At Bayhealth, we are
always exploring new horizons.
We embrace new experiences
and go places that have not been
explored before, in order to provide
exceptional care to the communities
of today and tomorrow. n
40
Exploring Facility Options for Milford
Bayhealth Milford Memorial has served the commu-
nity of Milford and surrounding areas in its current
location since 1938. In 2012 Bayhealth announced
the selection of EwingCole to develop the master fa-
cility plan that will become the footprint for the new
hospital on the existing Bayhealth Milford Memorial
campus. EwingCole is a nationally recognized, fully
integrated architecture, engineering, interior design,
and planning firm with offices in Pennsylvania, Cali-
fornia, New York, and Washington D.C.
Michael E. Ashton, FACHE
Administrator, Milford Memorial
Ashton oversees operations at Bayhealth Milford
Memorial, and plays an instrumental role in the
development of plans for the Milford Memorial
replacement hospital.
Milford Replacement Project
41
Bayhealth continues to develop plans for the fu-
ture Southern Region Health Campus. Bayhealth is
committed to excellence, and as part of the master
facility planning is thoroughly analyzing each detail
to ensure the right facility will be available now and
for many generations to come.
The new campus will include a full-service commu-
nity hospital with state-of-the-art inpatient and am-
bulatory care capabilities. One exciting element of
this project is that all patient rooms will be private,
which will allow for increased patient privacy and
provide more space for family and provider-patient
interaction.
“When completed, this full service hospital will help
the organization respond to the inevitable changes
healthcare reform will require. This will also allow
for expanded clinical integration and growth in
ambulatory care services,” stated Michael Ashton,
Administrator, Milford Memorial Hospital. n
Clinical Integration - Bayhealth Physician AllianceEvan W. Polansky, JD, MBA, Bayhealth’s new Director of
Clinical Integration, will work to align physician and hospital
interests in order to improve patient access, ensure quality
and reduce costs. He will help Bayhealth continue to achieve
the goal of providing exceptional care through improving
the system-wide coordination of activities that contribute to
an individual’s health.
August 2013 marked the creation of the Bayhealth Physician
Alliance, a physician-led network of community health care
providers committed to providing the highest quality of care
and participating in activities that support achievement of
that goal. n
42
WILMINGTONBayhealth SleepCare Center1407 Foulk Road, Wilmington
BEARBayhealth SleepCare Center2500 Wrangle Hill Road, Bear
NEWARKBayhealth SleepCare Center1 Centurian Drive, Newark
MIDDLETOWNBayhealth Outpatient Center, Middletown209 E. Main StreetLab, Digital Mammography, Ultrasound, X-Ray, Bone Density, EKG Testing
Bayhealth SleepCare Center291 Carter Drive, Middletown
SMYRNABayhealth Outpatient Center, Smyrna401 N. Carter RoadOpen MRI, CT, Digital Mammography, Bone Density, Lab, X-Ray, Ultrasound, EKG Testing
Bayhealth Wellness CenterSmyrna High School
Emergency Center, Smyrna401 N. Carter Rd, Smyrna
DOVERBayhealth Kent General 221 Bed Acute Care Facility640 S. State Street, Dover
Living our values in many locations throughout Delaware
43
Bayhealth Cancer Center, Kent General640 South State Street, Dover (Radiation/Medi-cal Oncology)
Bayhealth Outpatient Rehabilitation Center, Dover560 S. Governors Avenue, DoverPhysical, Occupational, Aquatic and Speech Therapy, Home Care Offices
Bayhealth Outpatient Center, Dover540 S. Governors AvenueOpen MRI, CT, PET Scan and X-Ray
Bayhealth Women’s Center, Dover540 S. Governors Avenue Digital Mammography, Lab, Bone Density, Ultrasound
Bayhealth Outpatient Center, Eden Hill200 Banning Street, Suite 140, DoverMRI, CT, X-Ray, Ultrasound
Bayhealth Cardiac Diagnostic Center1100 Forrest AvenueCardiac Stress Tests, Echocardiogram and Vascu-lar Ultrasound
Bayhealth Cardiovascular Surgical Associates, Dover540 S. Governors Avenue
Bayhealth Lifestyles Fitness Center, Dover1255 S. State Street
Bayhealth Occupational Health, Dover1275 S. State Street
Dover Surgery Center100 Scull Terrace, Dover
Bayhealth SleepCare Centers540 S. Governors Avenue, Dover1110 Forrest Avenue, Dover
Bayhealth Wellness CentersCaesar Rodney High School, CamdenDover High School, DoverPolytech High School, Woodside
MILFORDBayhealth Milford Memorial168 Bed Acute Care Facility21 W. Clarke Avenue, Milford
Bayhealth Outpatient Center, Milford Memorial21 W. Clarke Avenue, Milford
Bayhealth Outpatient Rehabilitation Center, Milford Memorial21 W. Clarke Avenue, MilfordPhysical, Occupational, and Speech Therapy
Bayhealth Inpatient Rehabilitation Center, Milford Memorial21 W. Clarke Avenue
Bayhealth Outpatient Center, Airport Road1020 Mattlind Way, MilfordOpen MRI, PET Scan, CT, Lab, Ultrasound and X-ray
Bayhealth Women’s Center, MilfordMedical Arts Building, Suite 3Digital Mammography, Bone Density, Ultrasound
Bayhealth Cardiac Diagnostic Center802 N. DuPont BoulevardCardiac Stress Tests, Echocardiogram and Vascular Ultrasound
Bayhealth Cancer Center, Milford Memorial21 W. Clarke Avenue (Radiation/Medical Oncology)
Bayhealth Lifestyles Fitness Center, Milford Memorial21 W. Clarke Avenue, Milford
Bayhealth WalkIn Medical Care and Occupational Health, Milford301 Jefferson Avenue
Bayhealth SleepCare Center611 N. DuPont Highway, Milford
Bayhealth Wellness CenterMilford High School
FELTONBayhealth Wellness CenterLake Forest High School
HARRINGTONBayhealth Outpatient Center, Harrington201 Shaw AvenueLab, X-ray, EKG testing
MILTONBayhealth Outpatient Center, Milton632 Mulberry StreetLaboratory, X-ray, EKG
BRIDGEVILLEBayhealth Wellness CenterWoodbridge High School
GEORGETOWNBayhealth SleepCare Center2 Lee Avenue, Georgetown
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