Christiana Care Health System is one of the largest health care providers in the mid-Atlantic, serving all of Delaware and parts of PA, MD and NJ.

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Lengthy emergency department wait times are nothing new. This has been a national issue since the 1980s. It’s a challenge for every health system – a challenge with no easy solutions.ChristianaCare is home to America’s 15th busiest ED, and in the third installment of our year-long series, “The Toughest Questions in Health Care,” Dr. Kert Anzilotti, ChristianaCare Chief Medical Officer, and Ric Cuming, ChristianaCare Chief Operating Officer, deliver insightful answers to the question, “Why can ED wait times be so long?”Together, we walk the complex maze of healthcare efficiency, examining the intricacies behind long queues. Learn how factors like hospital-wide patient volume, case severity prioritization and the ripple effects of post-acute care facility shortages contribute to a significant bottleneck. And explore a data-driven approach to improving patient flow and emergency department functionality.Finally, we provide guidance on choosing the most suitable venue of care for a variety of medical needs, a major way the public can be part of helping hospitals reduce wait times in the ED.Ric. Cuming is chief operating officer of ChristianaCare. In this role, Ric oversees the delivery of efficient and fiscally responsible system operations. He also works with other leaders to ensure high-quality and safe patient care. Ric joined ChristianaCare in 2016 as the system’s first chief nurse executive.Dr. Kert Anzilotti is chief medical officer for ChristianaCare. His work focuses on the optimization of care delivery across the health care system through strategic visioning, network development, clinical technology implementation and leveraging medical informatics.LinksShould I Go To the Emergency Room, Urgent Care or Primary Care?Emergency Care at ChristianaCareER visits are getting longer amid hospital staffing shortagesThe Complexities Of Emergency Medicine And Prolonged ER Wait TimesThanks for listening and subscribing! Follow us on Facebook, Instagram, Twitter and LinkedIn.

The Toughest Questions in Health Care: Why Can Emergency Department Wait Times Be So Long?

Dr. Anzilotti focuses on the optimization of care delivery across the health care system through strategic visioning, network development, clinical technology implementation and leveraging medical informatics. He also develops new care models that transcend settings, promotes value-base care and improves the patient experience across the clinical enterprise.

Hospital Throughput

Quality

Acute Care

Radiology

Clinical Strategy

Safety

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Christiana Care Health System recognized as one of nation’s best

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Kert Anzilotti, M.D., MBA

Health care is about more than broken bones and blood pressure readings. Join For the Love of Health hosts Michael Chesney and Megan McGuriman every other Thursday for engaging conversations about fascinating treatments, innovative programs, groundbreaking research and cutting-edge technology. Learn how medical experts are creating health today and delivering the care of tomorrow.

For the Love of Health

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Chief Physician Executive and President of the Medical Group

 ChristianaCare’s Christiana Hospital, Union Hospital and Wilmington Hospital have each received an ‘A’ grade in the Spring 2025 Leapfrog Hospital Safety Grade, a national distinction that recognizes ChristianaCare’s achievements in protecting patients from harm and providing safe health care.

“At ChristianaCare, patient safety is our highest priority and an essential part of our mission of service to the community,” said Kert Anzilotti, M.D., MBA, system chief medical officer and president of the Medical Group of ChristianaCare. “We are incredibly proud of this achievement.

“This ‘A’ grade is not just a letter; it’s a testament to the hard work and passion of our caregivers, who strive every day to ensure our patients receive the highest quality care and feel safe throughout their journey with us.”

The Leapfrog Group assigns an ‘A,’ ‘B,’ ‘C,’ ‘D’ or ‘F’ grade to hospitals across the country based on over 30 performance measures reflecting the prevention of errors, accidents, injuries and infections.

This Leapfrog recognition comes on the heels of multiple other recent quality and safety awards that ChristianaCare has received, including:

• ChristianaCare was recognized as one of the best hospitals in the nation by Money in its 2025 hospital rankings, making it the only hospital in Delaware to achieve this distinction.
• ChristianaCare is ranked by Newsweek among the World’s Best Hospitals and rated by U.S. News & World Report as the No. 1 hospital in Delaware.
• ChristianaCare earned the Beacon Award for Excellence from the American Association of Critical-Care Nurses (AACN) for three of its intensive care units: the Medical Intensive Care Unit (MICU), the Surgical Critical Care Complex (SCCC), and the Transitional Surgical Unit (TSU) at Christiana Hospital in Newark, Delaware.
• ChristianaCare is the only four-time Magnet-designated health care organization in Delaware, recognized for continued dedication to excellence and innovation, high-quality patient care and experience, nurse engagement and work culture.


ChristianaCare Hospitals Earn Top Patient Safety Rating From Leapfrog Group

kert-anzilotti-md-appointed-president-of-the-medical-group-of-christianacare

Kert Anzilotti, M.D., MBA, FACR has been appointed president of the Medical Group of ChristianaCare. Anzilotti has served as interim president since June 2024. He will also continue in his role as system chief medical officer of ChristianaCare.

 
As president of the ChristianaCare Medical Group, Anzilotti will seek to improve every aspect of care for every person the Medical Group touches. He will focus on the optimization of care delivery, strategic visioning, network development, clinical technology implementation and leveraging medical informatics.

 
Anzilotti will continue to develop new care models that transcend settings, promote value-based care and improve the patient experience across the clinical enterprise. Among his priorities are the adoption of population health measures, the embedding of health equity into care delivery and workforce development, further expansion of access points for patients and the continuous enhancement of patient and caregiver experience.

“Dr. Anzilotti is exceptionally qualified to lead the Medical Group of ChristianaCare,” said Janice E. Nevin, M.D., MPH, president and CEO of ChristianaCare. “His passion for our mission and vision for the future strength of our Medical Group is unwavering. Since joining ChristianaCare in 2011, Dr. Anzilotti has earned a well-deserved reputation as a thoughtful and collaborative leader.”

Anzilotti has served in numerous leadership roles at ChristianaCare, including as chief medical officer, acute care; chair of the Department of Radiology; medical director of Imaging Services; and physician leader of the Neurosciences Service Line.

 
He also previously served as Interim President and CEO for the eBrightHealth ACO with responsibility for physician leadership and network operations. He is board certified in Neuroradiology.

“Over the many years I have been at ChristianaCare, I have had the privilege of witnessing the dedication and compassion of my Medical Group colleagues as we served together with love and excellence,” Anzilotti said. “I am honored to lead this incredible, dynamic group that is reshaping the future of care, ensuring everyone we serve can achieve their best health.”

Anzilotti earned his medical degree from Jefferson Medical College of Thomas Jefferson University in Philadelphia. He earned his MBA at the University of Delaware, completed the Managing Health Care Delivery Course at Harvard Business School and graduated as Physician Executive Fellow in the Health Management Academy, GE Fellows Program.

The Medical Group of ChristianaCare consists of over 2,200 dedicated doctors, nurse practitioners, physician assistants and other caregivers. This highly skilled team delivers exceptional care through ChristianaCare’s community-based primary care and specialty care practices serving Delaware and surrounding states. Additionally, the Medical Group collaborates with ChristianaCare hospitalists to ensure seamless continuity of care for our patients, from primary care to hospital care and back again.



Kert Anzilotti, M.D., Appointed President of the Medical Group of ChristianaCare

healthgrades-names-christianacares-union-hospital-as-a-2023-patient-safety-excellence-award-recipient

ChristianaCare’s Union Hospital has been recognized by Healthgrades as a 2023 Patient Safety Excellence Award™ recipient. This distinction places Union Hospital, part of ChristianaCare’s Cecil County Campus in Maryland, among the top 10% of all short-term acute care hospitals as evaluated by Healthgrades.

 Union Hospital is one of only five hospitals in Maryland to receive the 2023 Patient Safety Excellence Award™.

“At ChristianaCare, we commit to being exceptional today and even better tomorrow,” said Kert F. Anzilotti, M.D., MBA, FACR, system chief medical officer. “We are proud that Healthgrades has recognized our deep commitment to excellence in patient safety. This award belongs to all our Union Hospital caregivers.”

 Among the most important ingredients to Union Hospital’s success in patient safety has been standardization of evidence-based practices. Examples include a standardized process for central line insertion that reduces the risk of central line infections, and standardized patient handling processes that help to prevent falls. Union Hospital also established a multidisciplinary committee that standardized caregivers’ approach to skin assessment to prevent pressure injuries.

Safe care saves lives During the 2019-2021 study period, 164,592 potentially preventable patient safety events occurred among Medicare patients in U.S. hospitals.* 

Healthgrades’ analysis revealed that patients treated in hospitals receiving the Healthgrades 2023 Patient Safety Excellence Award were, on average:
61.4% less likely to experience an in-hospital fall resulting in hip fracture than patients treated at non-recipient hospitals.* 52.7% less likely to experience a collapsed lung resulting from a procedure or surgery in or around the chest than patients treated at non-recipient hospitals.* 66.1% less likely to experience pressure sores or bed sores acquired in the hospital than patients treated at non-recipient hospitals.* 67.3% less likely to experience catheter-related bloodstream infections acquired in the hospital than patients treated at nonrecipient hospitals.*  Healthgrades noted that if all hospitals, as a group, performed similarly to the 2023 Patient Safety Award recipients then 95,880 patient safety events could have been avoided on average.*  

“Through our 2023 Patient Safety Excellence Awards, we seek to recognize hospitals that excel in providing top-quality care for their patients while preventing serious injuries during hospital stays,” said Brad Bowman, M.D., chief medical officer and head of Data Science at Healthgrades. “We are proud to name ChristianaCare’s Union Hospital as a 2023 Patient Safety Excellence Award recipient and look forward to their continued efforts to make patient safety a top priority.”

Consumers can visit healthgrades.com for more information on how Healthgrades measures hospital quality and to access the complete methodology.

*Statistics are calculated from Healthgrades Patient Safety Ratings and Excellence Award methodology which is based primarily on AHRQ technical specifications (Version 2022.0.1) for MedPAR data years 2019 through 2021 and represent three-year estimates for Medicare patients only. 

Healthgrades Names ChristianaCare’s Union Hospital as a 2023 Patient Safety Excellence Award™ Recipient

Lengthy emergency department wait times are nothing new. This has been a national issue since the 1980s. It’s a challenge for every health system – a challenge with no easy solutions.

ChristianaCare is home to America’s 15th busiest ED, and in the third installment of our year-long series, “The Toughest Questions in Health Care,” Dr. Kert Anzilotti, ChristianaCare Chief Medical Officer, and Ric Cuming, ChristianaCare Chief Operating Officer, deliver insightful answers to the question, “Why can ED wait times be so long?”

For more information on this episode, visit ChristianaCare.org/podcasts

The Toughest Questions in Health Care: Why Can Emergency Department Wait Times Be So Long

High quality and safe care are two things you’d expect from any health care experience. ChristianaCare has achieved national recognitions, awards and accreditations for quality and safety. Recently, U.S. News & World Report ranked Maryland as No. 1 and Delaware as No. 2 in the nation for hospital quality. What does it all mean? 

For our 7th topic in our Toughest Questions in Health Care series we’re asking – 'Why are quality and safety so important in health care?'  Dr. Kert Anzilotti, ChristianaCare’s System Chief Medical Officer and Interim President of the Medical Group, and Tim Bowers, Vice President of Clinical Effectiveness at ChristianaCare discuss the organization-wide commitment to positively impact the quality and safety of care delivered by ChristianaCare caregivers to patients and the community. 

View the 2024 Quality & Safety Report here: https://christianacare.org/us/en/about-us/quality-and-patient-safety

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