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Dr. Victoria Selley Physician of the Year

Victoria Selley, DO has been selected as the 2016 Physician of the Year at Carteret Health Care. She was honored during a celebration on Friday, March 25th at A Pierless Vista, during a celebration of National Doctors Day.

Dr. Selley is the Medical Director of Emergency Medicine Physicians at Carteret Health Care and spearheads numerous programs and committees including the Advanced Primary Stroke Care Program. As a Physician Champion for stroke patients, emergency patients and patient satisfaction, she constantly raises the bar for excellent, quality care.  She received her medical degree from Nova Southeastern University College of Osteopathic Medicine and completed her residency at Lehigh Valley Hospital. She is certified by the American Osteopathic Board of Emergency Medicine.

Dr. Selley grew up in a similar coastal community of Okeechobee, Florida. While in medical school, Dr. Selley served as the Student Government President and met her husband, Dr. Jeremy Selley at an Osteopathic Convention. 

Scholarships lured her to Southern College for undergraduate studies but her alma mater did not prevent her from cheering on the Florida Gators. While there, she was a member of the Zeta Tau Alpha Sorority and served as the president one year.

Those who nominated Dr. Selley cited her tremendous dedication to safe patient care first and described her as an amazing, compassionate doctor. Other comments include:

·        She is a true patient advocate who started the AIDET initiative to increase patient satisfaction. Direct patient care begins with the very basics, which the AIDET principle reinforces.  It is an upmost concern of hers that all patients are treated with the greatest compassion, respect and quality of care...done consistently.  She has taken this message house wide, well beyond the Emergency Department.

·        She is always available to answer questions from patients and family members. She is one who listens and does everything to make sure the patient is okay.

·        Provides caring and compassionate care all the time. She is a role model for others in scripting and managing up nursing and other providers. 

·        Dr. Selley will give the shirt off of her back to any patient she comes in contact with regardless of their social situation or ability to pay. 

·        Dr. Selley is an excellent provider, always doing what is best for her patients. In today's healthcare, due to the economy, insurances, lack of insurances, etc., many times the patient ultimately suffers despite a healthcare team trying to help. Dr. Selley is very conscious of the restraints and limitations that many patients face and goes above and beyond making sure patients have what they need to recover in the best way before allowing them to leave.

·        Dr. Selley not only staff's the ED, but also leads the other providers to ensure high quality, safe patient care is provided.   Her bedside manner exemplifies the values and mission of CHC.

·        Always willing to assist nursing staff with patient care. Consistently going the extra mile for patients and their family members.

·        Dr. Selley goes above and beyond patient expectations every time.  If she can figure out what is wrong with them, even in complicated cases that require specialists, she certainly will.  She is reassuring and takes charge of an otherwise bad situation resulting in the best outcome possible. 

·        Dr. Selley sits with patients and families to express her compassion for them.  She treats patients as she would her family member and expects the same from all providers. If she is contacted regarding a patient, who feels we missed their expectations, she will call them and answer questions or provide any guidance that they need to facilitate community care.  She follows through on all patient concerns regardless of which physician saw them initially. She is kind, caring, compassionate and always has a smile.

·        She is genuine in her approach to the patients and families; she takes the time necessary to answer their questions and concerns. She assesses their level of understanding and goes the extra steps to bridge the gap.

·        Dr. Selley is personable and engages each patient and family member at THEIR level of understanding.  She is a natural teacher and empathetic healer.

·        Dr. Selley gives each and every patient that she has her full and undivided attention and ensures their needs are not just met but satisfied. From the triage toothache to working a code her empathy and compassion make her the doctor each of us would want.

Dr. Donald Pocock, Vice President of Medical Affairs shared, “Dr. Selley sets the bar high for all medical staff members. She exemplifies the caring and compassion that distinguish so many remarkable physicians.”

Pocock concludes, “She is very deserving of this honor and I offer her sincere congratulations and appreciation for her dedication to Carteret County and our hospital.”

Wait From Home, Not the ER with Online Waiting Service

Check-in for a projected treatment time with the free online waiting service

Carteret Health Care has found a solution for you to avoid lengthy wait times in the emergency room. Using an innovative online service called InQuicker, patients can choose to wait in the comfort of their homes instead of at the emergency room. 

Beginning March 8, patients can check-in with our emergency room, hold their place in line until the projected treatment time at Carteret Health Care, arrive at the emergency department at the designated time, and be promptly seen by a health care professional. 

“Our patients deserve more respect and options for their time in the emergency room,” explains Dick Brvenik, CEO and President at Carteret Health Care. “Once a prospective patient receives a projected treatment time in our emergency department, he or she can wait at home rather than sitting in the emergency waiting room. Once they arrive, it’s our commitment to make sure that the patient is promptly seen by a health care professional.”

InQuicker is not an appointment or reservation service, as the nature of ER triage does not allow for the scheduling of medical treatment. InQuicker estimates treatment times based on facility conditions and allows its users to wait from the comfort of home, rather than the waiting room.

InQuicker users do not skip the ER wait, nor will they be seen ahead of individuals in the waiting room. In the event of a projected treatment time delay, InQuicker users are sent real-time notifications via phone call and email so they can continue waiting at home.

“InQuicker is intended only for individuals with non-life-threatening or debilitating medical conditions,” Dr. Victoria Selley, Director of Emergency Services added. “It’s a simple and convenient way for people with busy lives and busy families to conveniently access care for minor medical needs. If you’re in doubt about the severity of your condition, you should always seek immediate care.”

The InQuicker system is designed to filter certain symptom keywords that may indicate a life-threatening or debilitating medical condition, in addition to a review of a user’s symptoms by a health care professional at Carteret Health Care. Those indicating such medical conditions are prompted to dial 911 or go immediately to the nearest emergency room.

For more information about the InQuicker online check-in system, please visit www.CarteretER.org.  

Wound Care Center Recognized with National Award for Excellence

For the third year, Carteret Health Care physicians, leaders, and clinicians celebrated the Center of Distinction Award, which was given to Carteret Health Care’s Wound Healing and Hyperbaric Center, by Healogics, Inc. The Center achieved outstanding clinical outcomes for twelve consecutive months, including patient satisfaction over 92%, a minimum 91% wound healing rate within 30 median days to heal, and other quality outcomes. 

In addition to this recent honor of earning the Center of Distinction award, Carteret Health Care has been named a Healogics Robert A Warriner III, MD Center of Excellence. This award is reserved for centers that achieve two or more consecutive Center of Distinction awards. Out of 168 eligible centers, only 110 were honored with this award. 

As a Center of Distinction and a Center of Excellence Award winner, along with meeting favorable core results, Katie Orr, the Carteret Health Care Wound Healing and Hyperbaric Center program director is recognized in the President’s Circle for the year. 

When time and conventional treatment are not working, wound care service offers a more comprehensive program to manage chronic or non-healing wounds. These can be caused by diabetes, pressure, circulatory problems, and other conditions. 

The Center houses two new hyperbaric chambers and three treatment rooms in the over 3,000 square-foot facility. The Carteret Health Care Wound Healing and Hyperbaric Center, at 3722 Bridges Street, Morehead City, opened four years ago, and is equipped to treat up to 120 hyperbaric patients and 440 wound care patients each month.

The Wound Healing & Hyperbaric Center complements the services offered by the patients' primary care physicians. Non-healing wounds of the diabetic foot are considered one of the most significant complications of diabetes, representing a major worldwide medical, social, and economic burden that greatly affects patient quality of life. Almost 24 million Americans—one in every 12—are diabetic and the disease is causing widespread disability and death at an epidemic pace, according to the Centers for Disease Control and Prevention.  Of those with diabetes, 6.5 million are estimated to suffer with chronic or non-healing wounds. Associated with inadequate circulation, poorly functioning veins, and immobility, non-healing wounds occur most frequently in the elderly and in people with diabetes—populations that are sharply rising as the nation ages and chronic diseases increase.

Although diabetes can ravage the body in many ways, non-healing ulcers on the feet and lower legs are common outward manifestations of the disease. Also, diabetics often suffer from nerve damage in their feet and legs, allowing small wounds or irritations to develop without awareness. Given the abnormalities of the microvasculature and other side effects of diabetes, these wounds take a long time to heal and require a specialized treatment approach for proper healing.

As many as 25% of diabetic patients will eventually develop foot ulcers, and recurrence within five years is 70%. If not aggressively treated, these wounds can lead to amputations. It is estimated that every 30 seconds a lower limb is amputated somewhere in the world because of a diabetic wound. Amputation often triggers a downward spiral of declining quality of life, frequently leading to disability and death. In fact, only about one third of diabetic amputees will live more than five years, a survival rate equivalent to that of many cancers. 

The Carteret Health Care Wound Healing & Hyperbaric Center is a member of the Healogics Network of over 550 centers, which provides access to benchmarking data and proven experience treating over two million chronic wounds.  The Wound Center offers highly specialized wound care to patients suffering from diabetic ulcers, pressure ulcers, infections and other chronic wounds which have not healed in a reasonable amount of time. Advanced treatments included hyperbaric oxygen therapy, negative pressure wound therapy, bio-engineered skin substitutes, biological and biosynthetic dressings and growth factor therapies.  

For more information or to schedule an appointment, call 252-808-6450.


Celebrating 50 Year Membership with American Hospital Association

Joan Lewis, American Hospital Association (AHA) Regional Executive visited Carteret Health Care on December 11th to celebrate Carteret Health Care’s 50th membership year in the AHA. A reception was held to honor the hospital’s continuous membership which equates to more opportunities for hospital’s to share best practices and tap into resources and initiatives that advance quality and safety.  With similar goals of improving access to care as well as making communities healthier, Carteret County is stronger and benefits directly from Carteret Health Care’s membership in AHA.  

Pictured left to right: 
Joan Lewis, American Hospital Association Regional Executive, Vernon Small, Carteret Health Care Board Member and Dick Brvenik, Carteret Health Care President.


Cardiac Rehabilitation Certified by American Association of Cardiovascular and Pulmonary Rehabilitation

The Cardiac Rehabilitation department of Carteret Health Care is proud to announce the recertification of its cardiac rehabilitation program by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Carteret Health Care was recognized for its commitment to improving the quality of life by enhancing standards of care.

Cardiopulmonary rehabilitation programs are designed to help people with cardiac disease (e.g., heart attacks, coronary artery bypass, graft surgery) and pulmonary disease (e.g., chronic obstructive pulmonary disease [COPD], pulmonary fibrosis, CHF) recover faster and improve their quality of life. Both programs include exercise, education, counseling, and support for patients and their families.

 “I am extremely proud of the Cardiopulmonary rehabilitation team of Carteret Health Care” shares Director Pam Rose. “The team works hard every day to care for patients and this confirms our commitment to excellence and expertise.” 

The Cardiac Rehabilitation program participated in an application process that requires extensive documentation of the program’s practices. AACVPR Program Certification is the only peer-review accreditation process designed to review individual programs for adherence to standards and guidelines developed and published by AACVPR and other professional societies. Each program is reviewed by the AACVPR Program Certification Committee and Certification is awarded by the AACVPR Board of Directors. 

For Cardiopulmonary Rehabilitation programs, AACVPR-certified centers are recognized as leaders as they offer the most advanced practices available. AACVPR Program Certification is valid for three years.

Rose concluded, “This certification compliments the already high-quality care that Carteret Health Care provides.”

About AACVPR 
Founded in 1985, the American Association of Cardiovascular and Pulmonary Rehabilitation is a multidisciplinary organization dedicated to the mission of reducing morbidity, mortality and disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research and disease management. Central to the core mission is improvement in quality of life for patients and their families.

About Carteret Health Care
Carteret Health Care is an independent, 135-bed hospital serving Eastern North Carolina. Carteret Health Care leads the way to healthier lives through innovations in safety, quality, service and superior value.  As a not-for-profit Medical Center, we offer a full range of acute care, diagnostic and outpatient services at a level that you would only expect at a larger facility.  While providing quality health care with exceptional compassion and respect, Carteret Health Care achievements and awards include being ranked as one of the Best Hospitals by Business North Carolina. For additional information about Carteret Health Care, visit our website at www.CarteretHealth.org. 


Providing Two Free Total Hip Replacement Surgeries for Needy Patients

On November 30th and December 1st, two Carteret County residents will receive free orthopedic surgery as part of Operation Walk USA. All aspects of treatment – surgery, hospitalization, and pre-and post-operative care – are provided at no cost to the patients. 

Together Orthopedic surgeons Dr. Robert Coles and Dr. Thomas Bates will be leading the Carteret team involved with this project that is giving back to our community during the start of the holiday season. Dr. Coles will perform a total hip replacement on a male patient and Dr. Thomas Bates will provide a total hip replacement on a female patient as part of Operation Walk USA. Both patients are from Morehead City and this is the third year in which Carolinas Center for Surgery and Carteret Health Care have participated.

“It is our honor and privilege to be able to help people regain their mobility,” said Dr. Coles. “I am proud to lead the local effort again which unites our medical community for the benefit of patients. These patients can look forward to having relief from pain so they can enjoy spending time with their family and friends.” 

Together, Carteret Health Care and Carolinas Center for Surgery are donating physician fees and hospital services at no cost to the patients. Stryker has donated the surgical hip implants. Carteret Health Care Rehabilitation Services will be donating rehabilitation services for patients and the Pharmacy will be donating all post-operative pain medication required. Anesthesia services are provided by Mosaic and radiology professional services are donated by Eastern Radiology.

Currently, in its sixth year, Operation Walk USA, an independent medical charitable organization, provides all aspects of knee and hip replacement treatment at no cost to patients who may not qualify for government assistance, have insurance or afford surgery on their own. This year, an estimated 85 orthopedic surgeons will provide hip and joint replacements, free of charge, to 120 patients. 
While more than one million hip and knee replacements are performed in the U.S., each year, countless men and women continue to live with severe arthritic pain and immobility because they cannot afford joint replacement surgery.

“The most common cause of disability is arthritic disease and Carteret Health Care is pleased that these two individuals will not have to suffer anymore.” says Cindy Jones, Vice President Patient Care Services.   “With the start of the holiday month, the surgeries are a timely way for the hospital and the orthopedic surgeons to give back to the community and help patients improve their quality of life and mobility” 

Arthritic disease is the most common cause of disability in the nation, affecting approximately 46 million Americans, or more than 21 percent of the adult population. The debilitating pain of end-stage hip or knee degenerative disease often makes working, or completing even the simplest of daily tasks, excruciatingly painful or impossible. Hip or knee replacement surgeries are the most-effective and successful of all orthopedic procedures, eliminating pain and allowing patients to resume active, productive lives. 


Diabetes Education and Classes in Sea Level

Diabetes affects nearly 10% of the population in the United States and in Carteret County.  Up to a quarter of these individuals may not even know they have it. With more than 30 million people in the U.S. today being effected by diabetes, the often silent disease costs Americans an estimated $245 billion each year in medical cost. Diabetes is at an all-time high and medical professional advise that the rates are likely to continue to climb in the years ahead.

Unlike routine illnesses that can be solved with a visit or two to the doctor and a prescribed course of treatment, diabetes is a lifelong journey that often requires regular monitoring and lifestyle changes.

At Carteret Health Care, education is a top priority when diabetes or pre-diabetes are diagnosed.

“What we know from experience is that if people with diabetes get the right educational material, ideally right after their diagnosis, they have fewer chronic complications during their lifetime,” said Betsy Lane, BSN, RN, and Certified Diabetes Educator at the Carteret Health Care Learning Center. “We know that educating patients on prevention is also extremely important.”

Putting that information into the hands of those diagnosed with diabetes, regardless of how long they have lived with the disease, is exactly what the Diabetes Learning Center, 3722 Bridges Street Suite 203, aims to do. And there has never been a better time to make that first step than during November – American Diabetes Month. 

With proper treatment and monitoring, patients can avoid many of the chronic complications that frequently accompany diabetes. Hospitalization rates for heart attack are 1.8 times higher among those with diabetes, more than 60% of non-traumatic lower limb amputations occur in diabetic patients and more than 4 million diabetes patients suffer from retinopathy.

“Many patients aren’t even aware that there are a host of other medical conditions that are often caused or exacerbated when diabetes is present,” said Lane. “This makes it so much more important that we educate patients as soon as possible after their diagnosis.”

According to the 2013 Community Health Needs Assessment, 10.3% of Carteret County residents have diabetes, a slight uptick from the national average. In keeping its commitment to meeting the health care needs of the community, Carteret Health Care has continued to expand its free diabetes education.

“We do see a lot of it in the area,” said Lane. “Referrals to the Learning Center have gone up quite a bit.”

Referrals come from the hospital, as well as providers in the community. At the Learning Center, patients can expect one-on-one counseling to discuss diet, exercise and both acute and chronic concerns.

“The first visit takes about an hour,” she said. “We go over the disease process, what their particular risk factors are, family history, monitoring, medications, health eating, physical activity and complications of the disease.” In addition, Lane schedules a time for the patient to meet with a dietitian. Patients are also welcome to participate in support group meetings that are held from 6-7:30pm on the second Thursday of each month.

A free screening is scheduled Monday, November 30 from 9am until 11am in Carteret Health Care’s main lobby. Fasting is not required.

The program expands further this month by adding similar services in the rural reaches of Down East Carteret County. Lane and Learning Center staff held a free screening this month and will be meeting with patients beginning in January at Carteret Medical Group in Sea Level. Held the second Tuesday of every month, the group educational class will meet from 10am until 11am. Following the group class, individual classes will be offered in Sea Level by appointment. 

“We do get a lot of patients from the area and it’s definitely more difficult for them to access services just because they’re geographically further away,” said Lane. “Our goal, of course, is to make diabetes education as accessible as possible for everyone who can benefit.”

It’s just one more way Carteret Health Care is raising the level of Health Care and giving back to Carteret County.

The Learning Center is open from 8 a.m. to 4 p.m. Monday-Friday. To learn more about its free programs, call 252-808-6689 or visit www.CarteretHealth.org. 


Carteret County's Sole Hospital Scores A for Safety

Carteret Health Care Scores A for Safety Carteret Health Care is excited to share with you that the Leapfrog Group recently released its Hospital Safety Score for hospitals across the country and Carteret Health Care received a score of 3.341 which is an “A” in this latest release.  Dick Brvenik, Carteret Health Care CEO shared, “This score reflects our continuous commitment to quality and safe care and is an impressive accomplishment for each and every staff member associated with Carteret Health Care that includes our hospital staff, medical staff and our board.” According to information from The Leapfrog Group, the numerical scores this fall ranged between 1.546 and 3.669.  Carteret Health Care’s 3.341 is well above the average score of 3.0 and is in the top 31% of hospitals. For Carteret Health Care, this comes after other achievements such as being selected as one of the Best Hospitals by Business North Carolina and recognition for improving more rapidly   ...

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