After suffering a stroke, Aberdeen patient receives the surgery that was safest for him. When Sidney Rabinowitz’s wife, Audrey, heard him moving around in the middle of the night, she knew something was wrong. Her husband had always been a sound sleeper. Sidney, 82, told her that he had fallen and that his hand felt strange. Fearing that he had injured it in the fall, Audrey drove Sidney from their home in Aberdeen to Bayshore Medical Center in Holmdel, where the Emergency Department team suspected there was more to the story. The tests confirmed their suspicions – Sidney had experienced a mild stroke.
An Alarming Blockage
Sidney’s care was turned over to Srinivas Pavuluri, M.D., a neurologist at Bayshore, who discovered that one of Sidney’s carotid arteries was blocked and that he needed surgery. The neurologist recommended Habib Khan, M.D., a vascular surgeon at Bayshore, who met with Sidney and discovered that not only was his carotid artery blocked, it was three-quarters of the way blocked.
“Sidney’s stroke was relatively minor, but it was the warning bell for a potential situation that would be more serious,” says Dr. Khan. “If left untreated, he would be at risk for a catastrophic stroke. I wanted to get him into surgery to eliminate the blockage as soon as possible, but Sidney has a medical condition that needed to be taken into consideration.”
Concerns about Surgery
“I am in the very early stages of Alzheimer’s disease,” says Sidney. “My neurologist was concerned that putting me under anesthesia could cause the disease to progress more rapidly.”
Dr. Khan reassured Sidney that the surgery would be performed while he was awake, which is not atypical for vascular surgery. “I perform many surgeries while the patient is awake by using local anesthesia and nerve blocks,” Dr. Khan elaborates. “In Sidney’s case, the decision was made not only due to the Alzheimer’s disease but also because it is the safest way to do this kind of procedure.”
The surgery was a success, eliminating the blockage and significantly reducing Sidney’s risk for future strokes. He was able to leave the hospital the next day with only minor discomfort.
“I’m extremely happy with the results of the surgery and my care throughout the process,” says Sidney. “Dr. Khan was so pleasant and patient in explaining the situation and surgery, and could not have been kinder.” Now that his blockage is removed, Sidney enjoys going out to dinner with his wife and seeing his son and grandchildren, and has a renewed interest in rejoining organizations of which he had previously been a part. Once again, Sidney and Audrey are sleeping soundly through the night.
Bayshore Medical Center had another exceptional year. In 2016, the hospital reached many major milestones and accomplishments with several clinical programs receiving recognition and others attaining re-accreditation for the incredibly high-quality and safe care delivered to patients.
One standout performer for the year was Bayshore’s Cardiac Care Program, which boasts a door-to-balloon time far below the national average – an incredible triumph for a community hospital – and which was only one of two hospitals in the state recognized by the American Heart Association for quality improvements for treating severe heart attacks.
This accomplishment, along with the many others achieved by Bayshore in 2016, is a testament to the collaboration and innovation of every person at the hospital combining their talents and abilities to achieve something meaningful and help the hospital thrive. We have seen the spirit of teamwork in our fantastic board members, benevolent donors, devoted medical staff, strong leaders and passionate team members who all come together to deliver the best possible patient experience.
As the hospital continues to make a name for itself in the region, I would like to reaffirm that we will remain dedicated to providing the best patient experience and aim to exceed all expectations. Thank you to everyone who has been a part of Bayshore’s success in 2016; I know that 2017 will be even better yet.
Improving Patient Care through Dedicated Intensivist Program
As a way to help improve the standard of care for its sickest patients, in 2016, Bayshore implemented a full-time intensivist program. Beginning in the fall, intensivists – also known as critical care physicians – began co-managing all medical and surgical patients in the ICU. These intensivists are on-site in our ICU seven days a week, 365 days a year, working collaboratively with the patients’ primary care physicians to ensure that they receive the most efficient, evidence-based care at all times. Having intensivists constantly available is considered a best practice by quality organizations such as Leapfrog, and fewer than half of the hospitals in the United States have achieved this benchmark. We believe that this program will allow us to provide the highest quality of care to our sickest patients.
A New ED to the Rescue
With nearly 35,000 visits to Bayshore’s emergency department annually, the time has come to expand the footprint of this critical hospital space. In 2016, Bayshore began planning for a new ED. The hospital hired architects and literally hit the drawing board, working to conceptualize the project. While the planning will continue into 2017, Bayshore is hopeful to host a groundbreaking in early 2018 so that they can continue to build on the wonderful foundation of care they provide to the community during emergent situations.
Successful Physician Partnerships
Partnerships with physicians were a critical component throughout 2016 and greatly impacted care for the Bayshore area community. Ear, nose and throat surgical services were expanded with the addition of John Roche, M.D., a pediatric and adult otolaryngologist, and Bayshore’s neurosurgery program received a lift with the addition of Howard Eisenbrock, D.O., who specializes in minimally invasive surgery for patients with tumors and a variety of spine ailments.The hospital was also pleased to welcome two new endocrinologists and a rehabilitation physiatrist to the medical staff, helping Bayshore to better meet the increasing demands for such expertise. In total, 62 applications were approved for physicians wishing to join Bayshore’s medical staff, speaking volumes about the culture of professional excellence and collegiality that is evident at the hospital.
The Heart of Bayshore
In 2016, Bayshore Community Hospital was one of only two hospitals in New Jersey to earn the American Heart Association’s Mission: Lifeline® Gold Quality Achievement Award. This remarkable recognition from the American Heart Association was awarded for implementing specific quality improvements for treating severe heart attacks. The Multi-Specialty Interventional Suite, which includes two state-of-the-art cardiac catheterization labs, continued to allow Bayshore’s expert physicians to perform the most current and complex minimally invasive cardiovascular interventions.
Bayshore was also thrilled to be awarded the highest designation for Chest Pain Accreditation and is considered a Primary Percutaneous Coronary Interventional (PCI) hospital with the ability to provide emergency angioplasty for patients experiencing a heart attack in nearly half the time of the national average.
We Are Number Zero!
In 2016, Bayshore made significant strides in its endeavor to achieve zero patient harm. Throughout the year, the hospital’s infection rates dropped drastically, with some, including sepsis – one of the most challenging infections to treat – falling below the national average thanks to the implementation of a sepsis checklist, or bundle. The hospital was also the first at Legacy Meridian Health to achieve zero catheter associated tract infections for an entire year. Across Bayshore, team members continued to dedicate themselves to providing the safest and best patient experience possible and the hospital is well on its way to completely eliminating all hospital-acquired infections.
Tim Hogan, FACHE
Regina Foley, RN, MBA, MSN, FACHE
Chief Operating Officer
Ian Leber, M.D., CPE, FACE
Vice President Clinical Effectiveness and Medical Affairs
Linda Walsh, RN
Vice President and Chief Nurse Executive
Rachel Weiss, MS, LNHA, FACHE
Physician and Business Development
Frank Citara, MBA
Senior Manager, Operations
Medical Staff Leadership
Bonnie Robinson-Gallaro, M.D.
Vasantha Perkari, M.D.
Said Samra, M.D.
Georgios Giannakopoulos, M.D.
Niranjan Shah, M.D.
Edward Rittweger, M.D.
Immediate Past President