Beebe Rehab services help patients regain their quality of life

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1 May 2013 Beebe Rehab services help patients regain their quality of life Ross Haley, PT, DPT, GCS, helps patient on a balance beam. IN THIS ISSUE Gaining Back Independence cover story A Better Way of Breathing Page 5 Survivor of a Broken Heart Page 6 Beebe CAREs Is There When You Need Help Page 10

2 Ronald Champagne is working with occupational therapist assistant Barbara Martin, COTA/L, to improve the strength of his hand. Providing the Road to recovery Beebe Rehabilitation Services Speech-language pathology, occupational therapy, and physical therapy are offered through Beebe s Rehabilitation Services. the goal of speech-language pathology is to assist patients in developing a functional communication system within their home and community. the goal of occupational therapy is to assist patients in improving functional life skills. This includes any task that is performed from the time one gets up in the morning until the time one goes to bed. Occupational therapy also provides custom splinting for the hand and arm to protect joints and structures following injury or surgery. the goal of physical therapy is to assist patients in improving lower body and leg strength and mobility needed to walk and move about in their home and community. Alice Workman, OTR/L, CLT, works with a patient who has a Saebo Splint. This requires specialized training for the therapist. Gaining Back Independence When Ronald Champagne, 69, suffered cardiac arrest in January 2011, he suffered anoxia (lack of oxygen to the brain). He was lucky, though. It happened at his gym where he was working out, and people were there to help him. He received emergency treatment and was rushed to Beebe Medical Center where he had emergency openheart surgery. The successful electrical engineer and entrepreneur woke up to find that his brain wasn t working the same way. I didn t know how to talk anymore, he says, exhibiting an air of confidence and wit one might not expect from someone who had been so disabled just one year before. Ron Champagne also received treatment at the Washington Hospital Center and later began speech-language therapy and occupational therapy at Beebe Health Campus. When he came home, he didn t recognize our house, his wife Sheila recalled. He had to learn our address and telephone number again. Today, Ron credits the support of his wife and good friends, the emergency responders, the physicians and medical staff, and the professionals at Beebe s Rehabilitation Services for giving him back his life. When you go through something like this, the family members also have to be involved, Sheila Champagne says. The Rehab Team treated us as a family, and I did everything I could. The Rehab people were good, Ron Champagne says. And, Holly (Sullivan) figured out how my brain works. Holly Sullivan, M.Ed., CCC-SP/L, a speechlanguage pathologist at Beebe Medical Center, worked closely with Ron and likened the brain to a computer. When cardiac arrest or stroke occurs, brain information becomes scrambled and inaccessible, she says. My job is to put the words back. It is hard for the patient because he or she doesn t understand why the words aren t there. Ron Champagne also worked with occupational therapist Alice Workman, OTR/L, CLT, and occupational therapist assistant Barb Alice Workman, OTR/L, CLT, helps a patient use the multipurpose tree tool to restore the range of motion in her arm so that she can perform the activities of daily living. Martin, COTA. Ron experienced weakness in one arm and hand after suffering cardiac arrest. Then a year later, in an accident, he fell and broke his hand and returned to Alice for therapy again. This time, he went to get help with his hand s mobility. These are two different aspects of occupational therapy, Alice explains. In one, he worked to regain function after the arm and hand had become weakened. Most recently, he worked to regain mobility. Without occupational therapy, the hand could forever be stiff and lack range of motion, which would interfere with the performance of daily activities. Lois Blackburn, at 54, suffered several strokes that left her unable to speak and hardly able to walk. Speech-language pathologist Holly Sullivan, physical therapist Don Kung, Speech-language pathologist Holly Sullivan, M.Ed., CCC-SP/L, left, helps patient Lois Blackburn regain her ability to speak as she recovers from a stroke. 2 Beacon / May 2013 Beebe medical center / beebemed.org 3

3 Physical therapist Ross Haley, PT, DPT, GCS, works with a patient to help her improve the strength and control of her leg muscles. PT, MBA, and physical therapist assistant Nina Cameron, PTA, worked together for months to help Lois. We take a team approach to our patients, explains Camilla Carter, PT, CLT, MSHCA, CCI, a physical therapist and Manager of Baylis Rehabilitation Services at the Beebe Health Campus. Our therapists work together with each patient and his or her family, partner, or caregiver and medical provider to provide information and education about the rehabilitative process and to establish, update, and complete the patient s treatment plan and goals. Finding the words Lois lost was not easy. It can take a lot longer to regain speech, Holly says. Lois gradually began speaking again. I see other patients coming to therapy who cannot talk, Lois says. I want to tell them that they will be okay one day, that they will be better. Physical therapy helped Lois strengthen the muscles on the right side of her body and enabled her to walk and function again in her daily life. Jo-Anne Young suffered a stroke while working a night shift as a nursing assistant at Beebe Medical Center. I didn t think anything was wrong with me, she recalls. They wanted me to go to the Emergency Department and I didn t want to. Nurses around her noticed that she was making mistakes she normally would not make. Emergency room personnel diagnosed the stroke. I didn t believe them until I was being taken home, she says. I didn t know where I lived. Jo-Anne s partner Evelyn Bryant recalls how Jo-Anne didn t remember her pets when they got home. It was as if Jo-Anne had lost several years of her life. The two women attended Jo-Anne s speech therapy sessions together. Jo-Anne has regained most of her memory and regularly works out at Club Fitness. Jo-Anne and Evelyn plan to start taking golf lessons in the spring. I love to be outdoors, Jo-Anne says. Beebe Medical Center offers Rehabilitation Services to patients in the hospital to assist them with their transition home. It also offers services at its outpatient facilities in Rehoboth Beach, Millville, and Millsboro. Services are being expanded in Georgetown in Beebe Home Health Agency also has a team of certified rehabilitation professionals who will care for individuals in their homes. Driving Program Beebe Rehabilitation Services, in conjunction with Moss Rehabilitation School of Driving, provides comprehensive driving evaluations upon medical referral. For more information, call (302) , ext Lymphedema Program The Lymphedema Management Program is also offered through Beebe Rehabilitation Services. Certified lymphedema specialists Alice Workman and Camilla Carter offer help for people who have lymphedema or who are at risk for developing it. For more information, contact the Rehabilitation Services at John J. Williams Highway in Rehoboth Beach at (302) , ext A Better Way of Breathing Millsboro resident Gregory Gagnon, 55, knows how difficult it is to go about his daily life suffering from chronic obstructive pulmonary disease (COPD). He is short of breath and doesn t have much energy. Over time, he has begun to do fewer and fewer activities that he used to enjoy. Though there is no cure for this lung disease, Greg s wife MaryKate is determined to help make him feel better and improve his quality of life. That s why she encouraged him in January to participate in Beebe Medical Center s new pilot Pulmonary Rehab program, which is part of Pulmonary Services. I am already feeling better, Greg said in February. The program is building up my stamina and MaryKate is keeping me motivated. MaryKate drives Greg to Beebe Medical Center twice a week, where he works with respiratory therapist Kelly Thompson, RRT, and exercise physiologist Pam Jacobson Lowe, RRT. Exercise is necessary to gain muscle strength, which in turn gives Greg more stamina, says Pam Jacobson Lowe. COPD patients have to exercise cautiously. If a COPD patient exercises too aggressively, the amount of oxygen in the blood actually decreases, rather than increasing like it would with healthy lungs. In Beebe s Pulmonary Rehab room, specialized equipment is used to monitor Greg s heart rate and the level of oxygen in his blood while he exercises under Pam Jacobson s watchful eye. Greg continues to use oxygen, which Pam can increase if necessary so Greg can continue to gain therapeutic value from his workout. Blood pressure also is monitored, and blood glucose is monitored as necessary. Good nutrition also is critical to Greg, who uses additional calories just to breathe. Pam and Kelly also have been teaching Greg and MaryKate diet tips and guidance in proper nutrition that will support good overall lung health. Good nourishment has been proven to prevent and decrease illnesses and hospitalizations. As part of the Pulmonary Rehab program, a team of doctors and respiratory therapists creates a plan tailored to each patient. Besides exercise training and nutrition, it includes education on how to manage the chronic disease, energy-conserving tips, and breathing strategies. Pulmonary Rehab focuses on increasing overall quality of life and in turn reduces the number of hospital visits. The more education and knowledge patients have, the better their quality of life can be. In addition to education in the Pulmonary Rehab program, patients are encouraged to take part in the Beebe-sponsored Better Breathers Support Group. Chronic Obstructive Pulmonary Disease (COPD) COPD is a general name for a group of lung diseases: emphysema, chronic bronchitis, and bronchiectasis. People with COPD have trouble moving air in and out of the lungs because of damage to the airways and/or the air sacs. Source: COPD Foundation Beebe s Better Breathers Support Group Each month members of our Pulmonary Team hold a support group session dedicated to improving community health awareness and improving the lives of patients with problematic breathing conditions. Meet: 3rd Wednesday of the month Time: 1:30 p.m. to 3 p.m. Where: McCurry Conference Center Medical Arts Building at the Beebe Health Campus John J. Williams Highway, Route 24, Rehoboth For further information please contact Andi Downs, Kathi Dayton, or Joann Hoffman at (302) Beebe Medical Center Pulmonary Services Beebe has a team of three Board Certified pulmonologists and 48 respiratory therapists, many with advanced clinical training, who work together to treat patients with breathing problems associated with conditions like COPD, cystic fibrosis, pulmonary hypertension, post-op lung reduction, and more. Respiratory therapists are members of multidisciplinary teams in the hospital and take part in the following medical services: Camilla Carter, PT, CLT, MSHCA, CCI, treats a patient with lymphedema. Camilla is Manager of Baylis Rehabilitation Services in Rehoboth Beach and is a lymphedema specialist. airway management for hospitalized patients Pulmonary function testing (PFT) electroencephalography (EEG) electrocardiograms (EKG) endobronchial ultrasound (EBUS) Jo-Anne Young, left, who is recovering from a stroke, gets her exercise by walking at Prime Hook Nature Preserve with her partner Evelyn Bryant. Gregory Gagnon, who has COPD, receives close attention from respiratory therapist Kelly Thompson, RRT, and respiratory therapist and exercise physiologist Pam Jacobson Lowe, RRT, while he exercises in the Pulmonary Rehab program at Beebe. 4 Beacon / May 2013 Beebe medical center / beebemed.org 5

4 Life-saving cardiac procedures Sudden Cardiac Arrest a condition in which the heart suddenly and unexpectedly stops beating. Most people die within minutes. Ventricular fibrillation (an irregular heartbeat in the lower chambers) causes most cases of sudden cardiac arrest. Signs loss of consciousness. no heartbeat (pulse) can be felt. What can you do? dial 9-1-1; patient will be transferred to a hospital. immediately start CPR to restore blood flow (you do not have to do mouth-tomouth resuscitation) and continue until paramedics arrive. Use an automated external defibrillator (AED) to regulate heart rhythm. These can be used by untrained bystanders and are available in many public places. They have easy-to-follow directions. Source: National Institutes of Health health/health-topics/topics/scda/printall-index.html Survivor of a Broken Heart Lewes family practice physician Jeffrey Heckert, MD, knew something was wrong with his heart when he went to the Beebe Medical Center Emergency Department on the morning of November 3, But even he, a physician, didn t realize how close he was to death. Several years before, a cardiologist had inserted a stent into one of Dr. Heckert s coronary arteries because of a life-threatening blockage. I was a runner, Dr. Heckert, 53, explains. I experienced something similar to what killed the famous runner Jim Fixx when plaque ruptured and blocked a coronary artery. Dr. Heckert s condition was exacerbated by a medical complication. He is among the approximately 1.5 percent of people who develop new clots once they discontinue using a blood-thinning drug such as Plavix, the treatment protocol for a stent. Last October, he had to discontinue the drug. When I had chest pains, I thought it was another clot, he says, referring to that chilly Saturday morning in November when he made his way to the Emergency Department. Because of his medical history and his symptoms, an electrocardiogram (EKG) was ordered according to Emergency Department protocol. It showed signs that there was a problem with his heart, so Lewes interventional cardiologist G. Robert Myers, MD, who was at the hospital, was called. As Dr. Myers prepared to perform a cardiac catheterization in the anticipation of opening a blocked coronary artery, the lack of blood flow to Dr. Heckert s heart caused an irregular heartbeat in the lower chambers known as ventricular fibrillation, or v-fib. His heart stopped working, forcing Dr. Heckert into sudden cardiac arrest.* (See page 6.) If it wasn t for individual people and the emergency care I received at Beebe, I wouldn t be here today, Dr. Heckert says. The situation was so serious that Dr. Heckert s heart was electrically shocked a total of 22 times to get it into a normal rhythm so that Dr. Myers could perform a balloon angioplasty to restore the flow of blood to the heart. His heart just kept stopping. Meanwhile, the Beebe Medical Center Cardiac Surgery Team was alerted for the next step in saving Dr. Heckert s life. Once Dr. Myers had been able to restore the blood flow to Dr. Heckert s heart, he was immediately transferred from the Cardiac Cath Lab to the operating room for an emergency heart surgery. We had no choice but to operate, cardiothoracic surgeon M. L. Ray Kuretu, MD, says, noting that Dr. Heckert s condition was so volatile that they could not even wait until the blood thinners were out of his bloodstream. We did not have the luxury of waiting. I talked to the family and told them that we had to operate. There was a chance he would die if we did operate, but he would die if we did not. They agreed. Dr. Kuretu and the surgical team worked quickly to prepare Dr. Heckert for the surgery, but once he was hooked up to the heart-lung machine, the coronary artery bypass graft surgery (CABG) was a normal CABG operation. Cardiothoracic surgeon M. L. Ray Kuretu, MD, is Medical Director of the Cardiac Surgery program at Beebe Medical Center. We performed two bypasses, Dr. Kuretu says, explaining that they replaced the blocked proximal left ante-rior descending (LAD) coronary artery with an artery from the shoulder area underneath the breast bone, and replaced its side branch with a vein from the leg. He responded well, Dr. Kuretu says, explaining that Dr. Heckert had suffered from what is called the widow maker. Dr. Heckert recuperated for about eight weeks, attended Beebe s Cardiac Rehab program, and was back seeing patients in his office at Mid-Atlantic Family Practice by January 7. We are lucky to have Beebe s Cardiac program here in our community, Dr. Heckert says. Both Dr. Kuretu and Dr. Myers credited staff in the Emergency Department, Cardiac Cath Lab, Intensive Care Unit, and the operating room for saving Dr. Heckert s life. If he had not been at the hospital, he would have died, Dr. Kuretu says. And while in cardiac surgery we would rather have the patient stabilized Lewes family practice physician Jeffrey Heckert, MD, enjoys a walk with his wife Brenda. Just a few months ago, his life was saved at Beebe Medical Center. Interventional cardiologist G. Robert Myers, MD Interventional cardiologist G. Robert Myers, MD, prepares a patient for a cardiac catheterization procedure at Beebe Medical Center. 6 Beacon / May 2013 Beebe medical center / beebemed.org 7

5 Cardiothoracic surgeon M. L. Ray Kuretu, MD, performs open-heart surgery with assistance from Cardiac Surgery Team members. before we operate, we do operate in emergency situations. As a matter of fact, we performed two emergency surgeries last week. Today, Dr. Heckert is preparing to serve as the honorary chairman of Beebe Medical Foundation s 4th annual Treat the Beat 5K Walk to take place Sunday, September 8, at George H.P. Smith Park at Block House Pond in Lewes. Mid-Atlantic Family Practice has been the title sponsor since the beginning of this annual event that raises money for Beebe s Cardiac Services. So far, it has raised more than $50,000. Each day, staff members located in units throughout Beebe Medical Center work as a team. Many took part in saving the life of Jeffrey Heckert, MD. Pictured here (l r) are team members involved in his care or representing the departments involved: Kevin Bristowe, MD, Emergency Department Medical Director; Tiffany Hale, RN; Katelyn Buchwald, RN; Krystal Park, RN; Jordan Dattoli, RN; Andy Fitzkee, PA-C; Peggy Parson, CVT; G. Robert Myers, MD; Jeffrey Heckert, MD; Robert Ruotolo, CCP; Jen Levan, RN, BSN, RNFA, CNOR; Brad Chafin, CCP; M. L. Ray Kuretu, MD; Christina Olachea, RN, BSN, CNOR; Brian McCarthy, PA- C; Valarie Osterhout, Anesthesia Technician; and Eugene Isaac, PA-C. Soothing an Irritable Heart electrophysiology at Beebe Bob Lowe saw that his wife Marion just didn t look right. Her color was bad and her eyes were droopy, he recalls. She just wasn t herself. Marion, 74, would get so dizzy that she thought she was going to pass out. She had some pain and some palpitations in her heart. I had a stent in my heart about a year before, she says. They said my artery was 99 percent blocked. Dr. Freih, who put in the stent, was wonderful. Beebe Medical Center interventional cardiologist Mouhanad Freih, MD, had inserted a stent into one of Marion s coronary arteries, which restored blood flow to her heart. But a year later, something else was wrong with her heart. Dr. Freih diagnosed Marion with atrial fibrillation (A-fib), the most common heart rhythm disorder (cardiac arrhythmia), which affects more than 2.5 million Americans. A-fib occurs when diseased tissue in the left upper chamber of the heart (left atrium) fires very rapid chaotic electrical impulses, thus interfering with what should be a healthy heartbeat. A-fib is well known to increase the risk of heart failure and stroke. Medications are often used initially to regulate heart rhythm and prevent A-fib recurrence. Even my medicine didn t help, she says. Dr. Freih referred Marion to Beebe Medical Center electrophysiologist Firas El-Sabbagh, MD, for a consultation. Electrophysiologists are cardiologists with specialized advanced training in treating different electrical disorders of the heart. Since medication was not helping Marion, on January 24, Dr. El-Sabbagh performed an ablation, a procedure that is done in the In Beebe Medical Center s EP Lab, electrophysiologist Firas El-Sabbagh, MD, performs transseptal access using intracardiac echocardiography as he starts ablation in the left atrium of Marion Lowe s heart. hospital s Electrophysiology (EP) Lab. Ablation is the removal or melting away of unwanted tissue using a catheter that delivers radiofrequency energy around the pulmonary veins, which are the veins that bring clean blood from the lungs back to the left atrium. The procedure was performed under conscious sedation, so Marion was arousable throughout the procedure. Dr. El-Sabbagh used a 3-D mapping system, a very advanced technology that allowed him to make an electro-anatomic map (real-time geometry) of the heart, displayed on a monitor in the EP Lab, guiding him as he worked and minimizing the use of radiation. Electrophysiology Services As an integral part of Cardiac and Vascular Services, comprehensive Electrophysiology (EP) Services offers patients treatment options for irregular heartbeat (arrhythmia) and other electrical disorders of the heart such as: Atrial fibrillation Atrial flutter Atrial tachycardia Supraventricular tachycardia (SVT) Ventricular tachycardia Beebe s Electrophysiology Team consists of two Board Certified electrophysiologists (cardiologists who spend two extra years of specializing in the electrical disorders of the heart) and specially trained nurses and technologists. Procedures are performed in the Electrophysiology Lab. Marion s case was a complex one where Dr. El-Sabbagh had to thread the cardiac catheters through Marion s septum (wall between upper chambers), a procedure termed transseptal access. Marion was able to walk about six hours after the procedure. Marion quickly returned to her old self, both she and Bob will attest. What a difference. We are back to enjoying life, she says. Both retirees, the Georgetown couple stays busy visiting with their 12 grandchildren and 6 great-grandchildren, and hanging out with friends at the Moose Lodge, the Elks, and the American Legion Hall on Route 24. We are very proud to offer a variety of highly specialized procedures for treating heart rhythm problems to our community, states Georges Dahr, MD, Chief of Cardiology. As we acquired advanced EP skills and expertise and cutting-edge technology, patients with all different types of arrhythmias can now be treated at Beebe. Comprehensive services include: Diagnostic services: > continuous cardiac monitoring with Zio patch (www.irhythmtech.com) > Tilt-table testing > Electrophysiology studies evaluation of the effectiveness of heart rhythm medications Invasive treatment: > Pacemakers, implantable cardioverter defibrillators (ICD), and advanced devices for treating heart failure (cardiac resynchronization therapy CRT) > radiofrequency catheter ablation (to treat different types of cardiac arrhythmias) with: >Use of intracardiac echocardiography > use of transseptal access during complex cases > use of 3-D electro-anatomical mapping system of the heart that allows the electrophysiologist to identify the source of the irregular heartbeat Pictured here is the electro-anatomic map (real-time geometry) of the left atrium that was created by a 3-D mapping system being used at Beebe Medical Center. Interventional cardiologist Mouhanad Freih, MD Electrophysiologist Firas El-Sabbagh, MD Marion and Bob Lowe enjoy dancing together. Marion says she is as good as new following her most recent heart procedure that stabilized the rhythm of her heart. 8 Beacon / May 2013 Beebe medical center / beebemed.org 9

6 Live your life to the fullest Jean Eaton says she is learning how to enjoy life once again, thanks to her participation in the Beebe CAREs program. Beebe CAREs Is There When You Need Help Like many people her age, Frances Beers, 83, struggles with several ailments. She has vascular disease, heart disease, and diabetes. Her eyesight isn t good, and she often has pain in her stomach. However, she has managed pretty well in her own home with the help of her next-door neighbor and best friend Norma Hitchens. That is, until November 2012 when she was admitted to Beebe Medical Center in Lewes for an infection. Then, on January 14, Norma found Frances passed out on the floor because her blood sugar had dropped so low that she became unconscious. The ambulance took Frances to Beebe Medical Center, where she stayed for five days. It was the second time in two months that she had to be admitted to the hospital. At the hospital, Frances was referred to Beebe CAREs, a program run by Beebe s Population Health Department to assist patients with chronic diseases who could benefit from additional resources during their transition out of the hospital. A nurse practitioner, a community and social services specialist, and registered nurses work together to help patients in the program to develop their need to successfully transition out of the hospital to improve long-term quality of life. CAREs stands for: Care coordination, Access and advocacy, Referral, and Empowerment. The program, headed up by Population Health Director Megan Williams, FNP-COPC, was launched in 2012 as a pilot. It proved to be so helpful that Beebe is expanding it. Beebe Medical Center s program also has been gaining national attention through Williams participation in the Robert Wood Johnson Foundation s Care About Your Care program, which is focused on helping people successfully transition from the hospital to the home setting. Frances wants to stay in her home, and Beebe CAREs and program nurse Dianne Bane, RN, are helping her do that. Following Frances January hospital stay, Dianne has visited her at home and met with both her and Norma. The program is wonderful. And Dianne has been so helpful, Norma says, pointing out that one of the first things Dianne did was to help structure a timetable for Frances numerous medications. She wrote down which medicine to take and when. Dianne also helped her to stabilize her diabetes, making sure that her sugar was checked regularly. Norma helps Frances with that. Dianne told me to have a snack before bed, Frances says. I can now feel when my sugar is getting too low. Dianne referred Frances to Beebe Home Health Agency, which monitors Frances blood pressure and blood oxygen levels daily through a remote system accessed by telephone. Frances doesn t even have to leave her house to get these medical checkups. Both Dianne and the home health nurse stay in contact with Frances and Norma, and they follow up with a phone call each week. Another one of the patients Beebe CAREs is helping is Jean Eaton, 50, who was diagnosed nearly two years ago with Crohn s disease. She was having such difficulty controlling her disease that she ended up in Beebe s Emergency Department nine times in less than a year because of complications related to Crohn s flare-ups. She had to be admitted on several occasions. She also had to take a medical leave from her full-time job. Crohn s is a chronic illness that affects the gastrointestinal tract. There is no known cause, but it often runs in families. While it can often be managed, just like other chronic illnesses, it also can cause debilitating symptoms when there are flare-ups. Whatever I tried to do wasn t working, Jean says, describing a collection of prescribed medications she takes and certain diets she has tried to follow. I just couldn t get it under control. In a home visit, Dianne Bane helped Jean set up a schedule for her medications so that she was taking them throughout the day, rather than taking several different medications at one time. Dianne helped her develop a diet and learn how to reduce stress. She checks in on me every week and has got me keeping a notebook, Jean says, explaining that it has been difficult for her to admit to herself that she has a chronic Frances Beers (left) in her home with her best friend and neighbor Norma Hitchens. illness that she has to manage for the rest of her life. I wasn t mentally or emotionally handling sickness. I don t see myself as a sick person, she says. I have to think about things differently. Dianne is helping me find the new me. I can t tell you how wonderful her help has been. It really means something to me. Beebe CAREs Statistics Results of Beebe CAREs Pilot (from June to September 2012): 49% reduction in readmissions 45% reduction in length of stay 95% increase in transitional skills 44% increase in quality of life 10 Beacon / May 2013 Beebe medical center / beebemed.org 11

7 Information for the community Co-pays to Be Collected Beebe Medical Center will require patients to pay their insurance co-pay, deductible and co-insurance balances when they visit the hospital and outpatient facilities across Sussex County, including Tunnell Cancer Center this month. Beebe is responding to the needs of a growing and changing demographic of patients who want to pay their co-pays and deductibles at the time of service. This is currently a common practice at physician offices and other hospitals throughout the country. Patients will also have the opportunity to pay any outstanding balances at most Beebe locations and at all Beebe locations by December Beebe currently collects co-payments upon discharge from the Emergency Department and will continue to do so. Patients may pay by cash, check, or credit card for their services. Beebe will continue to provide access to a Benefits/Financial Counselor for financial assistance to assist individuals who are unable to pay for their services. Beebe will install a Patient Price Estimator by June 2013 that will provide cost transparency to patients by informing them of their financial responsibility, including co-payments, co-insurances, deductibles, and any self-pay amounts before and at the time of service. This will be a great patient satisfier. So many patients already pay their co-payments at their physician and dental offices. They have been requesting this from us and we are excited to be able to offer this option for our patients, says Linda Yekenchik, Patient Access Manager at Beebe. You may qualify for a Free screening for breast cancer! Contact Debbie Campbell, RN, Beebe s Cancer Screening Nurse Navigator at (302) Breast Health Clinics* take place on the second Thursday of each month at Tunnell Cancer Center in Rehoboth Beach for those who do not have insurance, who are underinsured, or who cannot afford to pay. Health professionals administer all examinations and screenings. Appointments are required. Patients may be eligible to get free transportation to and from their appointment. Women should begin clinical breast exams every three years starting at age 20, then every year starting at age 40. All women should have annual mammograms beginning at age 40. *This program is funded with a grant from the Philadelphia Affiliate of Susan G. Komen for the Cure. 24 th Saturday, June 8, :00 p.m. 11:00 p.m. Entertainment by Love Seed Mama Jump Under the tent on the grounds of the Beebe Health Campus, Route 24, Rehoboth Beach For Auction, Underwriting, and Sponsorship opportunities, please call Beebe Medical Foundation at (302) or Benefiting Beebe Medical Foundation and the Rehoboth Art League Summer View, Lewes Harbor by Denise Dumont Our Vision Our vision is for Sussex County to be one of the healthiest counties in the nation. Our Mission Beebe Medical Center s charitable mission is to encourage healthy living, prevent illness, and restore optimal health with the people residing, working, or visiting the communities we serve. The Beacon is published by Beebe Medical Center to present health information to the people of Sussex County. Health information provided in the Beacon should not be substituted for medical advice offered by a physician. Please consult your physician on medical concerns and questions. Jeffrey M. Fried President and CEO, Kelly Griffin director, Marketing and Communications Susan L. Towers Editor, Nancy L. Cummings Public Relations Coordinator With photography by Kevin Fleming and Scott Nathan With design by Dean Design/Marketing Group, Inc. Lewes, Delaware (302) twitter.com/beebemedical Find the link on our website, Beebemed.org.

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