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Bayhealth’s Report to the Community 2013

Compassion

Accountability

Respect

Integrity

Teamwork

Living Our Values

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Kent General Hospital

Milford Memorial Hospital

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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

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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

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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

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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...

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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

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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.

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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

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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

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“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.

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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

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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

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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

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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

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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

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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

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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

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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.

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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

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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.

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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

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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

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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

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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

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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

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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

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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.

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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

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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

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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.

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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

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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

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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

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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

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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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Bayhealth’s Report to the Community 2013