Healthwaves Winter 2020 by Bayhealth

A wellness magazine from Bayhealth | WINTER 2020 | KENTâ€“SUSSEX

New knee, no hospital stay

Emergencies don’t stop. Neither do we. AT BAYHEALTH, WE’RE READY, SAFE AND OPEN Bayhealth is open and ready to take care of all your emergency care needs, whether COVID-19 related or not. Don’t delay care for heart attacks, strokes, falls or other urgent needs. Your quality of life, and life, may depend on it. In the event of an emergency, always call 911. To learn how we are keeping our patients safe, visit: BAYHEALTH.ORG/COVID-19

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 complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. If you have questions, please call the Corporate Compliance Hotline at 1-800-93-ALERT (932-5378). Bayhealth’s TDD or State Relay number is 866-237-0174. TERRY M. MURPHY, FACHE President and CEO, Bayhealth AMANDA C. BOWIE Editor, Healthwaves Marketing Operations Manager, Bayhealth DANIELLE PRO-HUDSON Editor, Healthwaves Media Center Coordinator II, Bayhealth

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GWEN GUERKE Writer, Healthwaves

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FRANCESCA STEWART Writer, Healthwaves

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JESSIE DMITERCHIK Contributer, Healthwaves

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ALICE RAUSCH Writer, Healthwaves

PAUL STECCA Designer, Healthwaves

Web & Digital Marketing Specialist, Bayhealth

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AMANDA DOWNES Writer, Healthwaves

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BAYHEALTH HOSPITAL, KENT CAMPUS

BAYHEALTH HOSPITAL, SUSSEX CAMPUS

640 South State Street Dover, DE 19901 302-674-4700

100 Wellness Way Milford, DE 19963 302-422-3311

IN THIS ISSUE... Feature story:

4N ew

knee, no hospital stay

Pictured on cover: Nina Campanicki works in the library at a local university and also considers herself a bit of a bookworm. When her nagging knee pain needed attention, she learned about Bayhealth’s new outpatient knee replacement option that allowed her to have an operation and return home the same day.

6 Now open: Nemours Building, Sussex Campus

16 Molding future physicians starts with Bayhealth’s finest

7 New facility brings expanded services to Sussex County

18 Nurse residency program brings the best to Bayhealth

8 MyChart + Telehealth: Better health management is at your fingertips

20 A path toward winter wellness

10 TCAR offers an opening for Ivan — and his arteries

22 Bayhealth donors make an impact

12 My back aches: Should I see my doctor? 14 Top Docs: Bayhealth doctors recognized among Delaware’s best

21 Sensing the changes that come with aging 23 Going for gold in person-centered care 24 Leading in healthcare equality

Patient Story

New knee, no hospital stay Nina Campanicki was in pain. While the pain didn’t dampen her effervescent personality, it was taking a toll on her physically. Now 65, the Dover native works in the library at a local university, so she was on her feet quite a bit. Campanicki thought the pain was mostly located in her hips, so 10 years ago she traveled out-of-state to have them replaced. Unfortunately, like many joint replacement patients, Campanicki realized once her hips felt better, her knees were throbbing. “I didn’t even know I had trouble with my knees until after my hips were replaced,” said Campanicki. “When I initially looked into having my knees replaced, the doctors I was working with out-of-state said that I needed to lose weight before I could be a knee replacement patient.”

Campanicki set a goal and worked for several years to lose the weight. But after years of living with the knee pain, Campanicki was still working towards her weight loss goal. And then she fell. “It was just a fluke fall but I broke my arm,” recalled Campanicki. That’s when she met Orthopaedic Surgeon Stephen Manifold, MD, and his team. “When they were working on my arm, I told them about my knee pain and the weight loss journey I was on. They told me I was absolutely a candidate for knee replacement, and I could potentially be one of the first patients to have it done without a hospital stay.” Total knee replacements are a common surgery. New data from the National Institutes of Health shows one in 10 people will have a knee replacement by the time

they are 80. Typically, patients who have a knee replaced stay in the hospital for at least one night before being sent home. Bayhealth now offers outpatient knee replacement for certain patients. Patients who undergo outpatient knee replacement have surgery and go home the same day. “Proper patient selection is critical to the success of outpatient total joint replacement,” said Dr. Manifold. “Candidates are typically younger and healthy, and have a support system at home. Patient motivation is also key.” Campanicki’s outpatient knee replacement took place at Bayhealth Hospital, Sussex Campus. She arrived that morning and was back home by late afternoon. She started physical therapy on her knee before her

WHEN IS IT TIME TO CONSIDER KNEE SURGERY? It’s hard to know when it might be time to consider surgery. Dr. Manifold outlines when you should speak with your doctor about this option. 1. When nothing helps the pain. This includes exercise, physical therapy and pain management. 2. When your day-to-day life is affected. If you can’t walk, work or even sleep, it might be time to speak with your doctor. 3. When you want to stay active. If joint pain is keeping you from the active lifestyle you want to maintain, seek help. 4. When your knees hurt even when resting. Activity tends to create pain, but if you’re in pain even while resting your knees, it may be time to consider a joint replacement.

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

surgery and was back at physical therapy the day after surgery. “From the second I got up after surgery, I knew my knee was stable. I felt confident using my new knee immediately,” she said. “I can’t say enough about the staff at the Sussex Campus. I couldn’t have my family with me due to COVID, and the staff was amazing. They made sure I was comfortable and had all my questions answered. I couldn’t have my tribe with me but they became my tribe.”

surgery and I haven’t had much at all. After I get my other knee replaced, my next goal is Europe and I know I’ll get there. I couldn’t be more pleased with my experience start to finish.” ■

Once she completed her physical therapy regimen, Campanicki turned to water aerobics to keep moving and stay active. Campanicki is hoping to have her other knee replaced next summer. “Nina was an ideal candidate due to her positive, goaloriented attitude and her willingness to do the necessary preparations prior to the day of surgery. As a result, Nina was able to return home to her familiar surroundings and sleep in her own bed on the day of her surgery,” said Dr. Manifold. “I wouldn’t want to do my surgery any other way. Going home the same day was amazing. Dr. Manifold was the best. He made me feel so confident as a patient,” said Campanicki. “When I want something, I get it! I knew I didn’t want a lot of downtime after this

VISIT BAYHEALTH.ORG/ORTHOPAEDICS TO LEARN MORE ABOUT ALL THE CONDITIONS WE TREAT AND OUR INNOVATIVE APPROACH TO SURGERY.

HEALTHWAVES WINTER 2020

Expanded Service

NOW OPEN: NEMOURS BUILDING, SUSSEX CAMPUS There are exciting changes happening at Bayhealth. Services located in the Nemours Building, Sussex Campus opened to the public on Dec. 7, 2020. BAYHEALTH OFFICES ON THE 2ND FLOOR OF THE NEMOURS BUILDING:

BAYHEALTH OFFICES ON THE 3RD FLOOR OF THE NEMOURS BUILDING:

• Bayhealth Bariatric Program, Sussex Campus

• Bayhealth ENT, Sussex Campus

• Bayhealth Endocrinology, Sussex Campus (coming soon) • Bayhealth Maternal-Fetal Medicine, Sussex Campus • Bayhealth Primary Care, Sussex Campus (formerly Bayhealth Primary Care, Milford)

• Bayhealth Cardiology Consultants, Sussex Campus • Bayhealth Urology, Sussex Campus • Bayhealth Women’s Care, Sussex Campus

Dr. Mussaber Ahmad is the only physician from Bayhealth Cardiology Consultants relocating to the Nemours Building, Sussex Campus. The other physicians will continue to see patients at their current location. Nemours Children’s Health System began its phased opening Nov. 9. Nemours duPont Pediatrics, Milford opened with primary and senior care services, as well as limited pediatric gastroenterology specialty care. Additional specialty, therapy and imaging services will open in April 2021. ■

VISIT BAYHEALTH.ORG/NEMOURS-SUSSEX FOR MORE INFORMATION.

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

NEW FACILITY BRINGS EXPANDED SERVICES TO SUSSEX COUNTY Bayhealth recently announced plans for the construction of a new outpatient center offering a range of care services located at the intersection of LewesGeorgetown Highway and Hudson Road near Milton. The new facility will bring more primary care physicians, specialists, walk-in and emergency care, and diagnostic services to our southern Delaware region. The Delaware Health Resources Board recently granted Bayhealth preliminary approval to move forward with plans for a combination emergency department and walk-in care center on the 18-acre site.

screening exam to determine their necessary level of care. Only patients who medically qualify as emergency patients will be charged an emergency department rate. Non-emergency cases will be charged as a walk-in clinic visit. “Our center near Milton will provide additional options for a growing community to access several important types of care. Primary care, which is in great

demand in Delaware, will be available, as well as specialists, extensive testing, and a spectrum of immediate and emergency care. Our focus is on providing cost-effective services that address the community’s needs,” said Bayhealth Senior Vice President and Chief Medical Officer Gary Siegelman, MD, MSc. “This model ensures patients have access to the various levels of care they may need in one location.” ■

“We are thrilled to bring lifesaving emergency services and walk-in care to this fast-growing community. We believe emergency care will be a great complement to our new outpatient center, which will provide a comprehensive array of healthcare services and bring more convenient access to care for residents of Sussex County,” said Bayhealth President and CEO Terry Murphy, FACHE. All patients arriving for walk-in or emergency services at Bayhealth’s new location will receive a medical

HEALTHWAVES WINTER 2020

Expanded Service

MyChart + Telehealth Better health management is at your fingertips Prioritizing and managing your health is an important part of life, and Bayhealth is making it even easier for community members to do just that. MyChart, an online health management tool, is designed to empower patients to take charge of their well-being. Accessing medical records and test results, communicating directly with providers, requesting prescription refills, and paying bills are some of the many features available to users within this secure and easy-to-use portal. Now with Bayhealth’s MyChart Telehealth program, patients can get the regular medical care they need with the ease and convenience of being at home or on a mobile device. Offered by Bayhealth Medical Group practices and some Bayhealth outpatient locations, the MyChart portal allows patients to make virtual visits for many routine and follow-up appointments in place of an in-person visit. Seeing doctors face-to-face via real-time video saves patients a trip and time waiting at the office. Your doctor’s office can help you start using MyChart Telehealth for a scheduled appointment

coming up, or so you’re prepared for when you do want to receive virtual care in the future. In addition to this new Telehealth program, the following features were recently added to MyChart to help patients better manage their health. REQUEST IN-PERSON APPOINTMENTS Patients can schedule their screening mammograms, some Bayhealth Medical Group visits and other types of appointments. ECHECK-IN Patients can check in electronically up to three days ahead of their scheduled appointment. They can also verify their insurance at this time, making the check-in process at the office more efficient. REQUEST A PRICE ESTIMATE

APPLY FOR FINANCIAL ASSISTANCE Patients may request assistance for any bills they are financially responsible for; however, they must meet the criteria, such as income requirements, and supply the required supporting documentation. REGISTER FOR MY DELIVERY Expectant mothers can enter their due date and select the location where they plan to give birth, which makes their check-in process more efficient on the day the baby arrives. TWO-FACTOR AUTHENTICATION Patients have the option to turn on this added level of security for their account. ■

Patients can contact the Bayhealth Price Estimates Team, which will work directly with them to determine what their insurance provider should cover and what their estimated out-of-pocket costs will be.

VISIT BAYHEALTH.ORG/MYCHART-INFORMATION TO LEARN MORE OR TO SIGN UP FOR MYCHART.

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

HEALTHWAVES WINTER 2020

Patient Story

TCAR offers an opening for Ivan — and his arteries For 92-year-old Ivan Yoder, it was all a matter of timing. He’d had years of regular visits with his Bayhealth Cardiologist Roberto Scaffidi, MD, and monitoring of his vascular system. Although Yoder was physically active and feeling healthy, his narrowing carotid arteries were a mounting concern.

are considered a warning sign. For one in three people they are followed by another stroke, with potentially devastating consequences. Around the time Yoder first saw Dr. Fedalen, Bayhealth was launching a new groundbreaking procedure called Transcarotid Artery Revascularization (TCAR).

Yoder had carotid artery disease, also called carotid artery stenosis, in which the two major neck vessels become clogged with fatty deposits, or plaque. This condition impacts the delivery of oxygen-rich blood to the brain, posing increased risk for stroke. Risk factors for the disease include high blood pressure, diabetes, high cholesterol and triglycerides, tobacco use, sleep apnea, lack of exercise, older age, family history, and other genetic factors. When tests showed Yoder’s condition worsening, he was referred to Vascular and Thoracic Surgeon Paul Fedalen, MD. A few months prior he was hospitalized overnight, and doctors determined he’d suffered a transient ischemic attack (TIA) — a very mild stroke. Because symptoms are minor and they don’t cause lasting damage, TIAs

TCAR is a minimally invasive and safe approach using Silk Road Medical’s ENROUTE® Transcarotid Stent System to open clogged carotid arteries. It improves blood flow to the brain and is clinically proven to reduce stroke risk. It’s unique in that during the operation, blood flow is temporarily reversed so any fragments of plaque that may break off are diverted away from the brain, preventing a stroke from happening. A stent is then placed inside the artery to stabilize the plaque. Bayhealth’s TCAR program is a multidisciplinary effort between vascular surgery and interventional cardiology. Yoder was the first to undergo the TCAR procedure at Bayhealth Hospital, Kent Campus.

“Although Mr. Yoder had no symptoms, his left carotid artery was more than 90 percent blocked,” explained Dr. Fedalen. “He was a very spry and fit gentleman, and my colleagues and I determined he not only met the criteria of the TCAR device maker, but would be an ideal candidate for this technique.”

“Dr. Fedalen thoroughly explained everything in a way I easily understood,” said Yoder. “Before the procedure, each of the doctors and staff involved introduced themselves to me and said exactly what they’d be doing, which I thought was very nice. I felt at ease going into it and confident I was in good hands.” The main treatment alternative for severe carotid artery disease

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

is an open surgery called carotid endarterectomy (CEA), involving a large incision and leaving a visible scar the length of the neck. CEA also carries greater risk of complications, particularly for some patients due to age or medical history. Being less invasive, TCAR is done through a small incision just above the collarbone. Typical benefits are less pain and a quicker recovery. “Mr. Yoder didn’t skip a beat afterwards and was doing extremely well at his two-week post-op visit,” said Dr. Fedalen. Living in the countryside outside town with his wife, Yoder said he’s taking it easy but still maintains the lawn and yard work on his family property of several acres. He is enjoying getting back to working in their large vegetable garden. “I was very satisfied with the care I received from everyone at Bayhealth. I’m glad this new treatment was available for me when I needed it.” ■

HEALTHWAVES WINTER 2020

MY BACK ACHES

SHOULD I SEE MY DOCTOR? Back and neck pain are common ailments and a top reason people visit their primary care doctor. One study by the Centers for Disease Control and Prevention (CDC) showed that low back pain specifically was reported in a quarter of U.S. adults and causes disability more than any other condition. Bayhealth Neurosurgeon Amit Goyal, MD, explained factors that often contribute to back and neck pain, steps that can help, how to identify a serious condition, and when it’s time to see your physician. Dr. Goyal said for many adults, back and neck pain is associated with arthritis in the spine joints

or in the muscles of the neck or lower back. Being overweight or obese is a significant risk factor for low back pain. “A lot of people think their pain might be a nerve issue, but it’s usually the muscles being affected. Constantly supporting our head and our torso, muscles around the neck and spine have a lot of tension and can easily fatigue. Excessive weight, particularly in the abdomen, can put further strain on back muscles.” With back or neck pain, a couple general factors should be considered, such as body mass index (BMI) and how long the pain has gone on, explained Dr. Goyal. If a person has a high BMI, he advises trying to lose weight first to see if their condition improves. “For individuals who are more than 100 pounds overweight, I often recommend a bariatric surgery consult — I’ve had patients who have the surgery and lose the weight, and their back gets better. For those with less to lose, I encourage working towards lifestyle changes — eating better and being more active, such as walking for half an hour a day for three days a week. Many times they’ll notice as the weight gradually falls off, their back pain goes away.”

If back or neck pain is ongoing and hasn’t improved after six weeks, that’s typically the point when a primary care doctor will refer a patient to a specialist. In the meantime, common treatment measures, such as applying ice or heat to the muscles, using overthe-counter anti-inflammatories and ceasing the activity or motion that brought the pain on initially, can help. “It may sound obvious, but you need to give your body a break from the particular action that triggered the pain, and let the muscles heal,” said Dr. Goyal. “You can still be active if you can tolerate other types of movement. If you have shooting pain that goes down the back to the extremities, have numbness or weakness, cannot walk at all, or experience incontinence, these are red flags indicating you should see a doctor.” Dr. Goyal emphasized that if you’re referred to a specialist for back or neck pain, it’s important to have an MRI done beforehand. This will allow the physician to see if there are any abnormalities on the scan that match up with symptoms. If an MRI result is normal, a patient may still be a candidate for physical therapy, injections or chiropractic treatment as other ways to find pain relief. ■

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

IF YOU DO NEED SURGERY, BAYHEALTH OFFERS THE LATEST TREATMENT USING THE EXCELSIUSGPSÂ® SPINE ROBOT. VISIT BAYHEALTH.ORG/ROBOTIC-SPINE-SURGERY TO LEARN ABOUT OUR TEAM AND THIS REVOLUTIONARY TECHNOLOGY.

Bayhealth doctors recognized among Delaware's best Several Bayhealth physicians were recognized in Delaware Today magazine’s 2020 “Top Doctors” issue published in October. From cardiologists to oncologists, these doctors were ranked among the state’s best as voted by their peers. “We are thankful for the well-deserved recognition of our physicians by Delaware Today magazine. These physicians are just a few shining examples of Bayhealth’s entire 400-member

medical staff who are driven to deliver the very best care to our community,” said Bayhealth Senior Vice President and Chief Medical Officer Gary Siegelman, MD, MSc. “Each of the doctors recognized are dedicated and committed to the practice of medicine and providing safe, exceptional care for their patients in their specialty. We applaud them and our entire medical staff.” ■

KELLY ABBRESCIA, DO

RAYMOND MILLER, MD

Emergency Medicine Bayhealth

Cardiology, Electrophysiology Bayhealth Cardiology Consultants

M. LISA ATTEBERY, DO

SHACHI PATEL, MD

Surgery, Breast Comprehensive Breast Center, LLC

Anesthesia Bay Anesthesia Associates

MANISH GARG, MD

JUDITH RIPPERT, DO

Nephrology Nephrology Consultants, PA

Cardiology Bayhealth Heart & Vascular

RAJESH KURPAD, MD

JOSE SAEZ, DO

Urology Urology Associates of Dover, PA

Nephrology We Care Nephrology

LAURA LAWLER, MD

RISHI SAWHNEY, MD

Pediatric Hospitalist Christiana Pediatric Hospitalists at Bayhealth

Oncology, Hematology Bayhealth Hematology/Oncology Associates

IRENE MAVRAKAKIS, MD

SHALINI SEHGAL, MD

Pain Management First State Orthopaedics

Nephrology Nephrology Associates, PA

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

D. I. SINGH, DO

Orthopaedics, Hand & Wrist Bayhealth Orthopaedics GREGORY SPANA, MD

Urology Urology Associates of Dover, PA WENDY STURTZ, MD

Neonatology Christiana Neonatologists at Bayhealth MICHAEL THOROGOOD, MD

Anesthesiology Bayhealth KARTIK SWAMINATHAN, MD

Physical Medicine and Rehab Delaware Back Pain & Sports Rehab RAMESH VEMULAPALLI, MD

Infectious Disease First State Infectious Disease, LLC MICHAEL ZARAGOZA, MD

Urology Urology Associates of Dover, PA

BAYHEALTH’S PHYSICIANS OF THE YEAR Bayhealth’s Physicians of the Year are chosen for their commitment to exceptional care and our organizational values. Each year the honor is decided by Bayhealth’s nursing teams. Christie Miller, MD, FACOG (bottom left), was named Physician of the Year for Bayhealth’s Kent Campus. Dr. Miller has been an OB-GYN since 2012. “Being chosen as Physician of the Year by the nursing staff is quite an honor. Nurses are in a unique position to truly witness the care physicians give their patients,” said Dr. Miller. Muhammad Tahir, MD (bottom right), was named Physician of the Year for Bayhealth’s Sussex Campus. Dr. Tahir has been a hospitalist at Bayhealth for the past three years. “I am extremely honored and humbled to receive this award. I cherish every day at Bayhealth and feel blessed to be able to take care of patients while working with the best nursing staff,” said Dr. Tahir.

JEAN ANN YACCINO, DO

Nephrology Nephrology Associates, PA JINSONG ZHANG, MD

Rheumatology Infusion Solutions of Delaware, LLC SHUNLI ZHANG, MD

Pathology Bayhealth GARRETT COLMORGEN, MD

Maternal-Fetal Medicine Bayhealth Maternal-Fetal Medicine

HEALTHWAVES WINTER 2020

Newsworthy

Molding future physicians starts with With July 2021 rapidly approaching, Bayhealth’s Family Medicine Residency Program Director Brintha Vasagar, MD, and Internal Medicine Residency Program Director Joseph Deutsch, MD, are busy working behind the scenes interviewing more than 2,900 applicants for their residency programs. The Internal Medicine Residency Program has 13 residency spots to fill for its first group of postgraduate year-one residents (PGY-1), while the Family Medicine Residency Program is busy interviewing to fill their eight residency spots. Both programs will begin their

inaugural year with their first classes of residents on July 1, 2021. Once interviews are complete for both programs, Drs. Vasagar and Deutsch will select their top candidates to fill the residency spots. The applicants will also choose their top residency programs. Once the matching is complete through a computer algorithm used nationwide, the Bayhealth Family Medicine and Internal Medicine residents will be officially announced on Match Day, March 19, 2021. “Match Day is always an exciting event for residency programs, but this year is momentous as we

select the very first residents to train in Kent and Sussex counties,” said Dr. Vasagar. In addition to conducting interviews, Drs. Vasagar and Deutsch are developing the curricula for their residency programs. The programs have a strong emphasis on well-being for both the residents and their patients. “The Internal Medicine Residency Program curriculum will focus on training physicians to deliver healthcare that is effective, efficient, timely, and patientcentered. We went into medicine

Internal Medicine Residency Program team (from left to right): Core Faculty, Board Review Lead Bhavin Dave, MD; Assistant Program Director, Coaching and Resident Well-being Lead Marisa Conti, DO; Program Director Joseph Deutsch, MD; Core Faculty, Evidence-Based Medicine Lead Vinoo Ramsaran, MD; Core Faculty, Inpatient Lead, Sussex Campus Muhammad Tahir, MD; and Core Faculty, Inpatient Lead, Kent Campus Samer Alhindi, MD.

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

Bayhealth’s finest to take care of people, and the value of the patient-physician relationship will be consistently prioritized within our residency curriculum,” said Dr. Deutsch. Behind a quality program is a strong faculty of physicians training the residents. Both the Family Medicine and Internal Medicine Residency programs are supported by an exceptional group of physicians to lead, train and support the residents who will care for the community. A vital part of both residency programs are outpatient practices.

The Family Medicine and Internal Medicine Residency practices will serve many purposes, including resident education, with a priority of providing care to the community. At full capacity, the Family Medicine practice will add more than 30,000 patient care visits per year and the Internal Medicine practice will add more than 20,000. Developing the next generation of physicians to serve our communities is a priority for Bayhealth. These new graduate

...THIS YEAR IS MOMENTOUS AS WE SELECT THE VERY FIRST RESIDENTS TO TRAIN IN KENT AND SUSSEX COUNTIES. BRINTHA VASAGAR, MD

medical education programs will provide the perfect opportunity to train physicians who will provide accessible, quality healthcare for the members of this community. ■

Family Medicine Program team (from left to right): Program Director Brintha Vasagar, MD, MPH, FAAFP; Core Faculty Suzanne Chafin, NCC, LPCMH; Core Faculty Kandis Samuels-Leutzinger, MD, MPH; Program Coordinator Stephanie Green, MBA; and Associate Program Director Roshan Prabhu, MD.

HEALTHWAVES WINTER 2020

Newsworthy

Nurse residency program brings the best to Bayhealth As a Magnet® and Planetree recognized facility, Bayhealth relies on nurses who are driven to achieve nursing excellence and are passionate about the work they do and the care they provide patients. Bayhealth is pleased to announce that the Inpatient Nurse Residency Program is now accredited with distinction by the American Nurses Credentialing Center (ANCC) Practice Transition Accreditation Program (PTAP). This makes Bayhealth’s nurse residency program one of only 167 healthcare organizations nationwide that has earned PTAP accreditation with distinction. “With Bayhealth’s commitment to quality nursing and patient care, we are proud to be able to provide our new nurses with this accredited and evidence-based transition to practice program,” said Nurse Residency Program Coordinator Amy Cunningham, MSN, RN, NPD-BC.

Bayhealth fully supports equipping new nurses to succeed in the professional setting while promoting positive patient

outcomes. Studies show that accredited transition to practice programs promote positive patient outcomes, higher job satisfaction and lower work stress, while increasing overall job competence and retention in the first year of practice. Nurse residents attend monthly classes that cover various nursing principles such as patient safety

and satisfaction, resiliency, time management, critical thinking, effective communication, and evidence-based best practices. The residency program also encompasses on-the-job training through preceptors. In order to ensure quality outcomes, new nurse graduates are paired with preceptors, or official mentors, who have demonstrated high levels of compassion, accountability, respect, and teamwork. Near the end of the six-month program, nurse residents are offered a mentor to further continue and support role development. “It is a privilege to be able to provide support and guidance to newly graduated nurses through the Nurse Residency Program. Accomplishing accreditation through ANCC proves that Bayhealth provides high-quality care in our community,” said Nurse Residency Program Coordinator Michelle Thompson, MSN, RN, PCCN. ■

VISIT BAYHEALTH.ORG/NURSING-RECRUITMENT FOR MORE INFORMATION ABOUT BAYHEALTH’S NURSE RESIDENCY PROGRAM.

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

HEALTHWAVES WINTER 2020

Health & Wellness

A path toward winter wellness Winter ushers in cold temperatures, short days, gray skies, and long nights, which can throw you off your path to wellness. Bayhealth Primary Care, Smyrna’s Mable Tsui, DO, provides seven tips for staying healthy and safe this season. While the winter may feel long, taking these simple steps can make a big impact on your day-to-day life as we look forward to the spring to come. ■

STAY CONNECTED

BE SAFE AT HOME

“It’s important to stay connected with family.” Seniors may feel isolated, and more so if the weather’s not cooperative. Dr. Tsui suggests using technology such as FaceTime or Zoom to visit with family. “It’s important for mental health. Check on the elderly and talk to each other. It’s possible to reach out, even following COVID precautions and CDC guidelines.”

Be aware of weather forecasts and potential hazards. “Decrease your risk of falling by taking off wet boots when coming home, creating slip-proof paths and wearing shoes that grip.”

WASH YOUR HANDS AND GET A FLU SHOT

BE ACTIVE

Make sure to wash your hands frequently and talk to your doctor about getting the influenza vaccine. Flu vaccination can reduce the risk of flu-associated hospitalizations.

EAT IN MODERATION Cold weather can cause a change in eating habits, with people gravitating toward heavier foods. “It's especially important for patients with diabetes or other comorbidities not to over-indulge. There are a lot of hidden calories, and indulgences — sweets and sauces — can add up.”

THINK ABOUT FIRE SAFETY Use fireplaces safely and burn candles for a short duration. Install a smoke detector and test batteries.

“Go out for a walk and try not to sit for long periods.” Even simple things, such as parking farther from an entrance, can offer an opportunity to be active. “Consider walking, dancing, swimming, cycling, or participating in an exercise program.” Check with your primary care physician before trying anything new.

GET A GOOD NIGHT’S SLEEP Avoid electronics at night. “Activity during the day leads to better sleep at night.”

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

Sensing the changes that come with aging Both physical and psychological changes are a normal part of aging, but those changes don’t have to be debilitating. It’s important for people to be aware of differences in what is “normal” or “typical” in order to live a healthy, safe and active lifestyle. Bayhealth Primary Care, Milford – Airport Road Physician Olivia Castro, DO, offers some suggestions to help recognize and deal with the aging process. • Have an annual physical. “It’s very important for people to have an annual visit with their primary care doctor to monitor changes,” she said. During each office visit, your doctor records data, and on subsequent visits they can look for differences and variations to determine if there is a negative impact on your health and safety. In addition, a primary care doctor will be able to detect the onset of chronic health conditions, including diabetes, dementia and heart disease, and offer a referral to a specialist, if that becomes necessary.

tests to determine if vision and sight changes, for example, are caused by aging or if there is disease state occurring. • Get screened for fall risks. “Proprioceptors — receptors that respond to position and movement in our bodies — change with age, and individuals will often experience falls, changes in balance and dizziness. Simple things like canes and walkers can help reduce frequency of falls,” Dr. Castro said. Vision deficits can also cause falls, and some people might become more sedentary due to fear of falling.

• Sensory changes may affect an elderly person’s desire to socialize with family members or peers. Social connection is important, yet conditions that can be addressed with simple devices, such as hearing loss or vision, might limit not only physical mobility such as driving, but also lead to feeling uncomfortable around other people. • “It’s important for everyone to schedule an annual visit with their primary care physician,” said Dr. Castro, adding that it’s even more important for senior citizens to be monitored by a professional. ■

• Some changes in typical sensory experiences may stem from other causes. “Some patients experience bitter taste and complain of decreased appetite with age. This can be due to depression, dementia, diabetes, or even vitamin/ mineral deficiencies,” Dr. Castro explained.

• Some sensory changes are considered a normal part of aging. Your doctor can order

HEALTHWAVES WINTER 2020

Our Community

Bayhealth donors make an impact Bayhealth donors make an enormous impact on hospital operations. The Bayhealth Foundation passed along $3 million — $2 million to the Sussex Campus and $1 million to the Kent Campus — in gifts from generous supporters. “We can’t say enough about the generosity of our donors,” said Bayhealth Foundation President Lindsay Rhodenbaugh. “We are using their gifts to improve healthcare for the sake of the community and our patients.” A significant portion of the $3 million was used for:

• Equipment and services for Sussex Occupational Health.

cardiac rehab program,” Rhodenbaugh said.

• Other new equipment that directly benefits patients of all ages, including baby warmers, fetal monitors and new birthing beds; new Workplace on Wheels (WOW) carts; a new ventilator; new ultrasound equipment for interventional radiology; and new exercise equipment for the cardiac rehabilitation unit.

The Bayhealth Foundation receives, manages and distributes all contributions to donordesignated areas. All donations are appreciated, including cash donations, securities, real estate, in-kind donations, or bequests.

“We are very grateful for these gifts, and we’re putting them to good use by helping our patients, from little newborn babies to those who participate in the

• Two new CAT scanners, one for Bayhealth Hospital, Kent Campus and one for Bayhealth Hospital, Sussex Campus.

In addition, the Bayhealth Foundation pursues fundraising opportunities through charity golf tournaments, the Go Pink! Health Fair, Bayhealth Cancer Institute’s Runway of Hope luncheon fashion show, and more. “Healthcare is very expensive, and equipment has a limited shelf life. Donations allow us to ensure we have the latest and best equipment for our healthcare teams and patients,” Rhodenbaugh said. ■

TO LEARN HOW YOU CAN MAKE A DONATION TO BAYHEALTH, VISIT BAYHEALTH.ORG/FOUNDATION OR CALL 302-744-7015.

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

Going for gold in person-centered care Since 2005, Bayhealth has been committed to Planetree’s philosophies of person-centered care. In 2015, Planetree International awarded Bayhealth its Bronze Certification for Meaningful Progress in Patientand Family-Centered Care. In 2018, Bayhealth received Silver Certification for Significant Advancement in Patient- and Family-Centered Care. Bayhealth is one of only seven healthcare organizations internationally with the Silver-level Certification since Planetree first introduced the recognition level in 2012, and just one of three healthcare organizations in the U.S. awarded with Silver Certification. Earning these certifications was no small

feat, and Bayhealth is preparing for the challenge to embark on the journey to attain the Gold Certification. “Going for Planetree gold for me means we are using a holistic approach to our patient care — of mind, body and spirit,” said Senior Director of Perioperative Services and Nursing Informatics Faith Colwell-Dorio, MSN, RN, NEA-BC, VHA-CM. “It shows how Bayhealth incorporates the whole patient’s life experiences as we go through their healthcare journey during each encounter. Plus, never forgetting caring for the caregivers in the process.” Bayhealth has created a “Planetree Gold Steering Team”

composed of senior leaders to identify initiatives that will amplify strategic and operational goals in order to surpass the requirements of meeting Planetree’s mission. “Planetree signifies patient- and family-centered care. It is the essence of what we do each and every day,” said Director of Patient Advocacy, Service Excellence and Professional Recruitment and Planetree Co-Chair Marianne Foard, MS, RN, NE-BC, PRC. “Achieving gold status validates that we have structures and processes in place to ensure that we live out our philosophy of placing our patients at the center of all we do.” ■

From (left to right): Director of Patient Advocacy, Service Excellence and Professional Recruitment Marianne Foard, MS, RN, NE-BC, PRC; Senior Director of Perioperative Services and Nursing Informatics Faith Colwell-Dorio, MSN, RN, NEA-BC,VHA-CM; Planetree Coordinator Donna Henderson; and Senior Vice President/Chief Nurse Executive Brenda Blain, DNP, RN-BC, FACHE, NEA-BC.

HEALTHWAVES WINTER 2020

Nonprofit Org. US Postage

PAID

640 South State Street Dover, DE 19901

Wilmington, DE Permit No. 1669

LEADING IN HEALTHCARE EQUALITY The Human Rights Campaign (HRC) Foundation awarded Bayhealth “Leader” status in its 2020 Healthcare Equality Index. The HRC Foundation is the educational arm of America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual, transgender, and

queer people. Bayhealth earned top marks in nondiscrimination and staff training, patient services and support, employee benefits and policies, and patient and community engagement.

These continued recognitions showcase how team members at Bayhealth are driven to continue to work hard to evolve with the dynamic needs of our LGBTQ+ patients, visitors and employees. ■

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).