Peninsula Regional Nurse Named to State Planning Committee for Forensic Exam Access

Eunice M. Esposito, RN, FNE A/P, SANE-A, SANE-P of Peninsula Regional has been named to a state committee.

Eunice M. Esposito, RN, FNE A/P, SANE-A, SANE-P of Peninsula Regional has been named to a state committee.

The State of Maryland, Office of the Governor, Martin O’Malley has appointed Peninsula Regional Medical Center nurse Eunice M. Esposito, RN, FNE A/P, SANE-A, SANE-P as a member of the Planning Committee to Implement Improved Access to Sexual Assault Medical Forensic Examinations in Maryland.

Esposito was asked by Maryland Coalition Against Sexual Assault to testify before the House Committee on HB 963, which is in the interest of all victims and patients seeking Forensic Nursing at all Maryland hospitals. This bill, signed into law in May, provides forensic nurses at all hospitals in Maryland, thus allowing patients to remain close to home and their support systems. The less patients are moved, the more evidence remains for forensic collection.

Peninsula Regional Medical Center is a strong supporter of victim and patient rights. Esposito is employed by the Medical Center as the Forensic Nurse Coordinator. Her role as coordinator is to manage and maintain the forensic program, secure funding for various teaching of nurses as well as law enforcement, and provide physician support when a forensic patient is present at the medical center.

The Forensic Program at Peninsula Regional Medical Center serves sexual assault patients of all ages, as well as documentation for domestic violence and adult protective services.

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Conference Discusses ‘Ethical Issues in Palliative Care’ on November 13

Dr. Joyce Bell, PhD, MSW, LCSW-C of the University of Maryland Eastern Shore and Joan Carpenter, MN, CRNP, ACHPN of Coastal Hospice and Palliative Care will give a presentation on “Ethical Issues in Palliative Care” on Thursday, November 13 at 5 p.m. The conference will be held at Peninsula Regional Medical Center’s Hallowell Conference Center. The $10 registration fee includes all materials and a buffet dinner. Click here to download a registration form, or call 410-677-6620.
Healthcare providers, chaplains and social workers will find valuable information at the seminar, which has been submitted for continuing education credits for nurses and social workers. The event is provided by the Community Foundation of the Eastern Shore, in collaboration with Coastal Hospice and the Richard A. Henson Cancer Institute at Peninsula Regional Medical Center.

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Delmarva Health Pavilion Millsboro Is Officially Open

millsboro2 millsboro7Thanks to everyone who came out on October 22 to celebrate the grand opening of the 48,000-square-foot Delmarva Health Pavilion Millsboro on Route 113. Visitors were able to tour the currently open practices, and learn about some of the services coming soon. Those included:

Peninsula Regional Family Medicine Millsboro — Peninsula Regional Medical Group. Family medicine services for all ages.

  • Peninsula Orthopaedic Associates, P.A. - Comprehensive orthopaedic and surgical services.
  • Peninsula/NRH Regional Rehab – a full complement of rehabilitative services.
  • Peninsula Regional Lab – Complete laboratory services.

Coming soon:

  • PRMC Home Scripts Millsboro – All of your pharmacy and prescription needs conveniently located in the Delmarva Health Pavilion Millsboro.
  • Peninsula Imaging – Full-service outpatient imaging center.

The Delmarva Health Pavilion Millsboro is a joint project of Gillis Gilkerson and Peninsula Regional Medical Center (PRMC). It features specialty care practices including complete diagnostic imaging services provided by Peninsula Imaging, LLC; comprehensive orthopaedic services from Peninsula Orthopaedic Associates, PA; rehabilitation services by Peninsula NRH Regional Rehab; the full-service community pharmacy PRMC’s Home Scripts and PRMC laboratory services open to the general public.

According to Thompson Reuters, Claritas, Millsboro’s population is projected to grow by 8.2% over the next five years, which is just slightly below the expected 8.6% growth for Sussex County during the same time period. Currently, there are over 100,000 people within a 20 minute drive from the center of Millsboro. “The need for a wide range of healthcare services and chronic disease management is expected to significantly increase in the next half decade in Sussex County, and we’re honored to partner with the local community to provide those services now and well into the future,” said Dr. Peggy Naleppa, Peninsula Regional Medical Center’s President/CEO.

Anchoring the healthcare complex is Peninsula Regional Family Medicine Millsboro. The practice, which is currently accepting patients of all ages, relocated to the health pavilion from its previous location in Dagsboro in mid-September.

Comprehensive “one-stop” healthcare centers, like the Delmarva Health Pavilion Millsboro, aren’t necessarily a new concept but their importance has increased significantly with the rapid acceleration of Population Health Management, which is an evolving healthcare model that focuses on keeping people healthy and reducing admissions and readmissions through management of chronic diseases. For instance, here on the Delmarva Peninsula diabetes remains a significant health issue. Population Health Management says manage people’s personal health behaviors now to prevent the onset of diabetes instead of treating it after the fact, when it’s extremely expensive and a precursor to many other very serious health conditions.

When you offer the consumer-in this case a patient-the convenience of having the clinical knowledge and treatment opportunities that come with specialized services all under the same roof, they’re most likely to utilize them.   And when they do, studies have shown they stay healthier.

“Across the nation, no longer can you build a hospital and expect people to come to you for every ache, pain or test,” Dr. Naleppa said. “To keep our community healthy, providers like PRMC need to always be examining ways to make it more convenient for you to obtain care close to home, to provide you the greatest value for that care, and in the most appropriate location. That’s the genesis of Population Health Management and the guiding philosophy behind the Delmarva Health Pavilion Millsboro.”

With the opening of the Delmarva Health Pavilion Millsboro, PRMC has truly created that multi-disciplinary, comprehensive, one-stop location designed to specifically address many Sussex County healthcare needs.

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Free Women’s Heart Screenings in Ocean View on Nov. 11

heartPeninsula Regional Medical Center’s Guerrieri Heart & Vascular Institute will be offering free Women’s Heart Program screening assessments on Tuesday, November 11, 2014 from 8:30 a.m. to noon. The screening will be performed by Peninsula Regional medical professionals in Peninsula Regional’s Ocean View Family Medicine Office at 142 Atlantic Avenue in Millville, Delaware. Appointments are required.

The Women’s Heart Program offers cholesterol and HDL test, ankle/brachial index, resting 12 lead EKG, coronary risk profile, body fat measurement, body mass index, waist to hip ratio, blood pressure and pulse oximetry testing, a review of current medications, a risk factor analysis, exercise and nutrition suggestions and a follow-up care plan.

Women choosing to participate must not currently be under the care of a cardiologist or have a known history of heart disease. To learn more about the Women’s Heart Program, qualification requirements or to set up an appointment, please call 410-543-7026.

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‘Whose Diabetes Is It, Anyway?” – Educational Program at PRMC on Nov. 10

The Peninsula Regional Endocrinology and Diabetes Center and its Diabetes Education Program invite anyone interested in learning more about diabetes to attend a free education event, “Whose Diabetes Is It, Anyway?” on Monday, November 10, 2014.

Jack Snitzer, DO, an endocrinologist with the Peninsula Regional Endocrinology and Diabetes Center in Salisbury, will discuss ways that people with diabetes can take ownership of their disease and learn to best manage it.

The event begins at 5:30 p.m. with exhibits from companies involved in diabetes care and services until 6:45 p.m. Dr. Snitzer’s presentation will begin at 7:00 p.m. and last approximately one hour. The program will be held in the auditorium of the Avery W. Hall Educational Center on the Peninsula Regional Medical Center campus. Free parking will be provided at the Avery W. Hall Educational Center, located at the corner of Waverly Drive and Vine Street, in the parking lot directly across Vine Street or in the adjacent Garage B. An RSVP is required; please call Peninsula Regional Endocrinology and Diabetes Center’s Diabetes Education Program at 410-543-7061. There is no cost to attend.

The Peninsula Regional Endocrinology and Diabetes Center’s Diabetes Education Program is certified by the American Diabetes Association. To learn more about the program or available diabetes services at PRMC, call 410-543-7061.

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Maryland Health Monitoring of Travelers Returning from Ebola-Affected Countries

Today the Maryland Department of Health and Mental Hygiene shared this news about its plans to monitor people returning from Ebola-affected countries:

BALTIMORE, MD (October 27, 2014) — Governor O’Malley announced that starting Monday, October 27, Maryland will directly monitor the health of all returning travelers from the countries of Liberia, Sierra Leone, and Guinea, which are battling a serious Ebola outbreak. This effort will build on extensive outreach and monitoring already underway by the state and local health departments of the state.

“We are taking aggressive action to keep Marylanders safe,” said Governor O’Malley. “We are monitoring comprehensively, and if someone does fall ill with Ebola, we have a plan in place to identify the condition, isolate the patient, provide care safely, and contain the spread of infection.”

Under the plan, screeners at the airports of entry will provide the names and contact information for all travelers from the affected countries with destinations in Maryland. The Maryland Department of Health and Mental Hygiene will make contact through a new outbound call center and provide specific guidance, information, and 24-hour numbers for assistance.

The state will coordinate daily contact with the travelers during the 21 days following the last possible exposure when illness might develop. The state will work with local health departments to conduct direct outreach as needed. Should a traveler need medical attention, health officials will provide advance direction to the emergency management system for transport and the local hospital for evaluation. Maryland’s public health laboratory is available 24 hours a day for Ebola testing.

“Every day, public health workers in Maryland reach out to patients with such diseases as tuberculosis and meningitis,” said Dr. Joshua M. Sharfstein, Secretary of the Department of Health and Mental Hygiene. “Our plan for Ebola builds upon the strong and proven foundation.”

The policy includes specific provisions for health care workers who are returning from caring for Ebola patients. Individuals at high or some risk of infection will sign agreements outlining certain restrictions, and other travelers will receive daily monitoring and will be alert for signs and symptoms of possible infection. At any time — in case of noncompliance, or if necessary for the public health — the state may issue a specific public health order.

The level of monitoring and restrictions, including planned and unannounced home visits, will be based on the potential risk. Specifically:

  • Home restriction for individuals at “high risk.” Individuals with a known exposure to Ebola virus, such as through a splash of body fluid on exposed skin or a needle-stick injury will remain at home for the 21-day period and will be closely monitored.
  • Activity restriction for individuals at “some risk.” Health care workers who were wearing personal protective equipment during care for patients with Ebola virus are at “some risk.” They will refrain from attending mass gatherings and using public transportation, will refrain from traveling long distances without approval from health department officials, and will also be closely monitored by state and local health officials.

Governor O’Malley and Maryland’s public health officials worked closely with their counterparts in Virginia and the District of Columbia so all three jurisdictions are executing active monitoring policies that are compatible.

For more, click here.

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Maryland Health Officials, Hospitals Set Ebola Strategy – 3 Treatment Hospitals Designated

We would like to share some news from the Maryland Department of Health and Mental Hygiene and the Maryland Hospital Association on new plans to deal with Ebola:

Governor Martin O’Malley announced today that Maryland health and hospital officials have agreed upon a coordinated strategy for dealing with potential Ebola patients. No cases of Ebola have been diagnosed in Maryland to date. Under the strategy (1) all hospital emergency departments in the state will continue to be prepared to evaluate patients suspected of having Ebola; and (2) should a case of Ebola be confirmed, the patient would be treated at one of three designated hospitals, if no federal facility is available.

This strategy was developed through a partnership among the Department of Health and Mental Hygiene (DHMH), the Maryland Hospital Association, Johns Hopkins Health System, MedStar Health, and the University of Maryland Medical System, with support from the U.S. Centers for Disease Control and Prevention (CDC). According to the strategy, a potential Ebola patient in Maryland who could not be treated at one of the designated federal facilities would be cared for at one of three hospitals that are being further prepared with focused support, training, and equipment. The hospitals are:

  • Johns Hopkins Hospital in Baltimore
  • University of Maryland Medical Center in Baltimore; and
  • MedStar Washington Hospital Center in Washington, D.C.

“Maryland has the best medical facilities anywhere in the world,” Gov. O’Malley said. “We are working closely with our federal partners and with hospital officials to be as prepared as we can be.”

“This consolidated, coordinated, response provides the best opportunity to treat Ebola patients successfully and prevent the disease from spreading further, should we have any cases in Maryland,” said Dr. Joshua M. Sharfstein, Secretary of DHMH.

Carmela Coyle, president and CEO of the Maryland Hospital Association, said Maryland’s hospitals are proud to care for all those in need, including those suffering from Ebola. “Johns Hopkins, MedStar and the University of Maryland Medical System have demonstrated their commitment to caring for the most vulnerable patients, by stepping forward to care for those afflicted with Ebola. They are further preparing to meet this challenge, should the need arise.”

According to the details of the strategy, all Maryland hospitals will screen patients to identify those who potentially have Ebola, will isolate any potential cases, and will work with the state’s public health laboratory to quickly confirm whether Ebola is present. If a case is confirmed, DHMH will work with the CDC to determine whether a federal facility is available to treat the patient. If a federal facility is not available, then DHMH will coordinate with the three health systems in Maryland to determine where to transfer the patient for care.

A consolidated approach to Ebola treatment offers several advantages:

  • Nurses and doctors at consolidated locations, with the aid of intensive training, will develop greater proficiency in treating the unique needs of Ebola patients and in the intricate safety measures necessary to prevent exposure.
  • Using fewer Ebola treatment sites ensures that the communication and operationalization of the latest information from state, federal, and international health agencies is streamlined.
  • Caring for an Ebola patient requires many specially trained medical staff, complex waste management procedures, a significant quantity of personal protective equipment, and other resources; by consolidating care, Maryland’s health care providers are better able to deploy personnel and resources.

Maryland officials have been focused for months on preparing aggressively to keep Maryland families safe. Governor O’Malley brought various agencies together to conduct a tabletop exercise in August, and the Maryland Emergency Management Agency (MEMA) has been coordinating the overall response, convening regular meetings to review the latest information and planning for a wide range of possible scenarios. In September, Secretary Sharfstein issued an order requiring communication and coordination between healthcare providers and the health departments on all suspected cases of Ebola. DHMH has one of 13 labs in the United States authorized by the CDC to test for Ebola.

DHMH has conducted two October press conferences to discuss the public health system’s preparedness for potential cases of Ebola — the more recent of which was led by Governor O’Malley. MEMA has established a virtual joint information center, so information and guidance can be shared across state agencies including Transportation, Corrections, and State Police.

DHMH, since the summer, has been coordinating its automated biosurveillance system, which uses traditional and nontraditional data sources to provide early identification of disease outbreaks and suspicious patterns of illness, with Virginia’s and the District of Columbia’s; in early October, that daily-monitored coordination was expanded to include input from Tarrant County, Texas’s data system to identify Ebola disease symptoms, as well as other keywords related to Ebola including travel history.

Earlier last week, Governor O’Malley, DHMH officials, the Maryland Secretary of State and representatives from various congressional offices met with leaders of the African diaspora community to discuss solutions, including efficient information-sharing and efforts to combat the disease in Africa. The health department also established an informational webpage last week,, to augment its continual social media messaging and to provide information for the general public and for frontline healthcare workers.

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