For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center

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For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
setting the foundation
     for the future
                             2017 Annual   Report

Caring, Vision, Innovation
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
Partnering for a
    a letter to our
                                                                                                                                        “
                                                                                                                                                On the cover:
                                                                                                                                                                                                      Healthy Future ...

    community
                                                                                                                                                The new Medical Office Building, on track
                                                                                                                                                to open in November, brings Primary Care,
                                                                                                                                                Northwestern Urgent Care, and Orthopaedics            NMC’s vision calls on us to “partner to improve the
                                                                                                                                                into flexible, expanded, efficient new space at       wellness of our community” while living our vision of
                                                                                                                                                the front of campus allowing us to better keep        “providing exceptional healthcare for our community.”
                                                                                                                                                pace with growing community need.”                    Those fundamental passions are based upon the
                                                                                                                                                                                                      Community Health Needs Assessment, inform our
                                                                                                                                                                                                      strategic plan, and guide our community benefit
                                                                                                                                                                                                      investments. In doing so, NMC rises beyond being a
                                                                                                                                                                                                      vital healthcare provider and one of the region’s largest
                                       What an exceptional year       Already practicing in that space are our Cardiology and           officials to improve the system. We are an engaged partner    employers and accepts our role as a driving force in
                                       of progress! One constant      Pulmonology clinics as well as Northwestern Women’s               in the local Unified Community Collaborative that brings      improving the quality of life in our community.
                                       amidst the swirling            Services, our OB/GYN practice. The Medical Office                 together key healthcare providers and stakeholders to
                                       changes in healthcare has      Building, opening in November, will bring Northwestern            collaborate on the coordination of care. Together we are
                                                                                                                                                                                                      Addressing Community Needs
                                       been the shared                Primary Care, Urgent Care, Orthopaedics, and the                  working through various aspects of reform, including
                                       commitment of the NMC          Outpatient Laboratory into flexible, expanded, efficient          integration opportunities and actively evolving from          As you can see in the report shared on the NMC website,
                                       staff, Medical Staff, Board,   new space. This was made affordable through our years of          volume based ‘fee-for-service’ reimbursement for caring       the top priorities from the current Community Health
                                       Volunteers, and entire         intentional savings and the amazing generosity of our             for the sick to Population Health payment to keep a           Needs Assessment are:
                                       NMC family to our              community. Our sincere thanks go out to everyone who              community healthy. We are more than a traditional
                                       mission of providing           contributed to make these enhancements possible – and to          hospital treating illness; we are the catalyst to the         •    Mental Health & Substance Abuse;
                                       exceptional care for our       all of you for your patience during our construction!             population achieving optimal health. We are proud to          •    Obesity;
                                       community. Our team                                                                              say the ‘big blue H’ on the roadsigns now stands for a        •    Smoking;
             Jill Berry Bowen
             & Kevin Manahan
                                       works tirelessly each day      This past year has seen continued momentum in the                 community centered on health!                                 •    Cancer;
                                       toward that mission in         RiseVT movement to embrace healthy lifestyles across                                                                            •    Suicide; and
    pursuit of our vision for a healthier future which speaks of      Franklin and Grand Isle communities. Families, schools,           Through it all, the focus of the entire NMC team on caring    •    Domestic & Sexual Assault.
    excellence, value, and wellbeing. It is our pleasure to share     businesses and municipalities are making positive changes         for our community has never wavered. We continue to
    with you this annual reflection on our progress,                  for a healthier future. This is healthcare reform in action, as   achieve high quality marks and expand access while having      These priorities are not unique to northwestern
    highlighting some of the many achievements on that                prevention is truly the path to a healthier and more              among the lowest overall rate increases in recent years. On   Vermont. We are very proud of the open and
    journey – including being named one of the nation’s Top           affordable future for all of us. That progress has earned         behalf of all of us at NMC on our main campus and across      collaborative approach that our community takes in
    100 Rural & Community Hospitals!                                  statewide interest and OneCare Vermont (the statewide             our many community locations, thank you for entrusting        addressing these priorities. Each one is too big to be
                                                                      Accountable Care Organization - ACO) has adopted                  your care to us.                                              addressed on its own. True improvement comes through
    Facility enhancements to our healing environment have             RiseVT as their statewide strategy for improved                                                                                 partnerships. NMC is pleased to work side-by-side with
    been an exciting visible focus for us this year and they are      community health through primary prevention! At the                                                                             great community partners for a healthier future for all.
    nearing completion! Our new private inpatient rooms are           same time, NMC continues to be recognized as a leader in                                                                        Throughout this report are highlights of our work on
    providing greater restfulness and privacy for our patients,       efforts to create a more sustainable healthcare system                                                                          these priorities, including the remarkable work of our
    facilitating healing, learning, and family support. The new       within Vermont, working to preserve access and quality                                                                          Comprehensive Pain & Addiction practice and the
    addition for rotating medical clinics will soon host visiting     while reducing costs within that system. We are actively          Jill Berry Bowen, RN       Kevin Manahan                      engaging RiseVT movement that is inspiring so many in
    specialists to expand access to necessary preventive care.        working at the State level with our regulators and elected        Chief Executive Officer    President, NMC Board               our community to embrace healthy lifestyles. This year,
                                                                                                                                                                   of Directors                       when the opening of BAART’s new addiction treatment
                                                                                                                                                                                                      facility was delayed, NMC immediately stepped forward
                                                                                                                                                                                                      as a collaborative partner and provided temporary space
                                                                                                                                                                                                      so patients could get the care they needed. Within
                                                                                                                                                                                                      RiseVT, we are delighted to partner with the Vermont
                                                                                                                                                                                                      Department of Health and so many local businesses and
                                                                                                                                                                                                      municipalities on becoming more Breastfeeding
                                                                                                                                                                                                      Friendly. This collective work earned St. Albans City a
                                                                                                                                                                                                      Mayoral proclamation as a Breastfeeding Friendly City
                                                                                                                                                                                                      – a rare designation that truly speaks to a community
                                                                                                                                                                                                      commitment to healthier lifestyles!

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                                                                                                                                                                                                      Printed in Canada
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
Community Health Needs Obesity
                                                                                                                                                                                       On the Rise Statewide
                                                                                                                                                                                       As the RiseVT movement has gained momentum
                                                                                                                                                                                       locally, it has caught the eye of leaders from across
                                                                                                                                                                                       the state in healthcare, business, government, and
                                                                                                                                 Department of Health around breastfeeding. There      other sectors. They see the value in primary
                                                                                                                                 are now more than 47 breastfeeding friendly           prevention – in changing our culture so the healthy
                                                                                                                                 businesses in our area and St. Albans City has been   choice is the easy choice and in all of Vermont
                                                                                                                                 officially proclaimed a Breastfeeding Friendly City   coming together to embrace healthy lifestyles.
                                                                                                                                 —making it one of only a handful of municipalities    There is growing understanding that this is the path
                                                                                                                                 across the United States with such a designation!     towards a healthier future and lower overall
                                                                                                                                                                                       healthcare costs.
                                                                                                                                 As part of our work to track improvements in our
                                                                                                                                 community’s health, RiseVT partnered with local       From this, a group of statewide stakeholders
                                                                                                                                 schools, under the shared leadership of Program       reviewed RiseVT and found it aligns beautifully
                                                                                                                                 Manager Denise Smith and VDH District Director        with healthcare reform and improved population
                                                                                                                                 Judy Ashley, to gather the height and weight of all   health. With that, a Statewide Board of Directors
                                                                                                                                 of the 1st, 3rd, and 5th graders in Franklin and      was formed and RiseVT was adopted by OneCare
                                                                                                                                 Grand Isle counties. Eighty-eight percent of the      Vermont as their statewide primary prevention
                                                                                                                                 children —1,688 students—participated.                strategy. The State Board includes:
                                                                                                                                 The results from our measurement project are now      •   Chairperson Jill Berry Bowen, NMC
                                                                                                                                 being analyzed by the UVM researchers. That data      •   Don George, BC/BS of Vermont
                                                                                                                                 will become an important benchmark for us to          •   Win Goodrich, FNWSU School Superintendent
                                                                                                                                 measure progress against as RiseVT continues to       •   Steve Gordon, Brattleboro Memorial Hospital
                                                                                                                                 engage northwestern Vermont in embracing              •   Deanne Haag, MD, Northwestern Pediatrics
                                                                                                                                 healthy lifestyles.                                   •   Chris Hickey, NMC
                                                                                                                                 Come join in the fun of RiseVT as we move             •   Mark Levine, MD, Commissioner of Health
        RiseVT Wellness Specialists Moretti
        (foreground) and Betsy Cherrier (left)                                                                                   towards a healthier future. Visit us at RiseVT.com,   •   Janet McCarthy, Franklin County Home Health
        work with school-kids on healthy
        activities, including biking.                                                                                            take the pledge, get some ideas from the scorecard,   •   Todd Moore, OneCare Vermont
                                                                                                                                 and explore all the great opportunities to embrace    •   Beth Tanzman, Vermont Blueprint for Health
                                                                                                                                 healthier habits. Connect with us on social media     •   Lisa Ventris, Vermont Business Roundtable
                                                                                                                                 and join this movement! Let’s rise together!          •   Eileen Whalen, UVM Medical Center

    RiseVT: Continuing Strides Toward a Healthier Community                                                                                                                            That Board is working with RiseVT Medical
                                                                                                                                                                                       Director Elisabeth Fontaine, MD, of Northwestern
    The RiseVT movement to embrace healthy lifestyles in          a healthier future. There have already been some wonderful                                                           Lifestyle Medicine to put the structure and
    northwestern Vermont continues to gain momentum with          improvements and achievements! In an excellent example                                                               resources in place that will facilitate the expansion
    growing awareness, increasing participation, and so many      of partnership and amplifying an existing resource, RiseVT                                                           of RiseVT. It is an exciting time, as there are many

                                                                                                                                        71 46
    creative initiatives across our community.                    partnered with Local Motion to bring bike training (and a                                                            promising initiatives happening in communities
    What began as a partnership between NMC and the               trailer full of bikes to enjoy) to over 2050 school children                                                         across our state that will benefit from RiseVT’s
    Vermont Department of Health is now taking                             and families in Franklin and Grand Isle counties.                                                           approach of focusing on community need,
    hold in our schools, businesses, and                                    Growing out of municipal conversations                   classrooms             businesses                 amplifying existing resources, investing in
                                                                                                                                                                                       grassroots initiatives, strengthening partnerships,
    municipalities as individuals and families join
    the fun of active play, eating well, and other
                                                                            RiseVT helped support and energize, the
                                                                            Village and Town of Swanton incorporated
                                                                                                                                     working with risevt                               and leveraging opportunities.
    healthy habits.                                                        bike lanes and sidewalks into their ‘Complete                                                               At the beginning, we named it RiseVT
    In keeping with evidence-based best practices,                        Streets’ design and added flashing beacons to                                                                intentionally, as we believed all Vermonters would
                                                                    support the Safe Routes to School initiative in their                    ST. ALBANS CITY IS NOW OFFICIALLY
    RiseVT developed ‘scorecards’ for individuals,                                                                                                                                     benefit from increased attention to primary
                                                                  community.                                                                 A BREASTFEEDING FRIENDLY CITY
    schools and classrooms, businesses, and municipalities to                                                                                AND IS ONE OF ONLY A HANDFUL OF           prevention. We are so pleased to see partners
    help celebrate existing strengths, identify opportunities,    As a step toward healthy starts for our youngest community                 CITIES ACROSS THE USA WITH THIS           around the state agree and work with us to bring
    and track small and large wins on our collective journey to   members, RiseVT has amplified the work of the Vermont                      DESIGNATION.                              the movement statewide.

3    2017 ANNUAL REPORT                                                                                                                                                                                                                        4
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
Community Health Needs Tobacco                        Cessation                                                       Community Health Needs Cancer                                  Care

                                           Primary Care Provider                                                                                                                                       From left to right: Wendy Lawrence, PT,

                                           Sparks A Father of Three                                                                                                                                    Alene Spiekermann, and Chelsea Mulheron, RN.

                                           to Quit Smoking
                                          Sometimes being a quitter is a good thing:
                                          Mike Royea quit smoking this year to make sure
                                         he’d be around to see his 8-year-old son
                                        graduate from high school. Royea works at NMC,
                                      and is a single parent of three kids.
                                He worked with his Primary Care Provider to come up with a plan to stop
                              smoking. He started using a cessation medication, called Zyban, and created a
                            7-day quit plan. On day seven, he stopped.

                          This is Royea’s third attempt in recent years, but he said that this time feels different:
                           “I didn’t find it hard,” he said. “I chose to quit around Christmas because I knew
                             that I would be going here and there and wouldn’t have a place to smoke.                  Teaming Up on Proactive Lymphedema Care
                                I was really busy.”                                                                    Editor’s Note: This article was originally published in the St. Albans Messenger and written by Messenger Staff Writer
                                  In addition to that strategy, Royea said that making sure he was thinking            Elaine Ezerins. This abbreviated and modified version is reprinted here with the permission of the Messenger.
                                    of his kids before himself helped him stay focused. The Franklin Grand Isle
                                      Tobacco Prevention Coalition is proud of Mike Royea.                             ST. ALBANS — Alene Spiekermann, 65, a retired                   a chance to see a physical therapist certified in lymphedema
                                        Smoking makes heart disease, stroke, cancer emphysema, chronic                 elementary school teacher at St. Albans City School for         prevention prior to surgery.
                                         bronchitis more likely and smoking is identified as one of the top            more than 30 years, is the first cancer patient to enroll in    The goal of this up front education is to prevent the
                                          health priorities in NMC’s Community Health Needs Assessment.                NMC’s new lymphedema prevention program.                        lymphedema from developing, as NMC provides resources
                                                                                                                       She met with Wendy Lawrence, a certified lymphedema             to educate patients and monitor swelling pre-operatively
                                                                                                                       physical therapist at NMC and learned a daily routine to        and post-operatively.
                                                                                                                       follow on her own before and after cancer treatment
                                                                               READY TO
                                                                                                                                                                                       “
                                                                                                                       surgery. Since then, she has not experienced lymphedema

“
                                                                               QUIT?
                                                                                                                       symptoms since undergoing surgery in August.                             I did the exercises, and I haven’t
                                                                                                                       Lymphedema is a build-up of fluid that can occur after                   experienced any lymphedema. So I’m
     I knew what smoking was                                                                                           cancer treatment, especially when lymph nodes are                        feeling really good. This pre-operation
                                                                IF YOU OR SOMEONE YOU KNOW IS                          removed. The program came about as Breast Care Nurse
     doing to my body, but                                                                                                                                                                      information really helps. It was very
                                                             CONSIDERING MAKING A QUIT ATTEMPT,                        Navigator Chelsea Mulheron spoke with patients during
     I started looking at my                                             WE’D LIKE TO HELP.                            her work. “Just hearing from survivors inspired me,” she                 informative.”
                                                          In addition to your primary care provider, there             said. She often heard women were surprised by unexpected
     youngest and wondering                                                                                            swelling after surgery. Mulheron reached out to Kristy                   — Alene Spiekermann, participant
                                                           is free coaching, patches, gum and lozenges
     if I’d be around to see                                from NMC’s VT Quit Partner, Chari Andersen,                Cushing who Manages NMC’s Rehabilitation Services
                                                             RN (524-8480 or candersen@nmcinc.org)                     Department and the two teams came together to develop a
     him graduate.”                                                                                                                                                                    The program partners NMC’s breast cancer care team with
                                                                  or check out www.802Quits.org                        proactive approach to lymphedema care.                          physical therapists and the collaboration has been well
     — Mike Royea                                                   for additional free resources.                     When a specific surgical procedure is recommended by a          received by patients who enjoy the wrap-around care and
                                                                                                                       doctor, NMC’s staff jump into action, and offer the patient     preventive focus.

5                                                                                                                                                                                                                          Northwestern Medical Center   6
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
Community Health Needs Mental     Health and Substance Abuse

                                                                                              10 years of her life, her three months in   implementing additional services and     outcomes including: reduction in

Hope and                                Paige McCabe was 14 years old
                                        when she had her first
                                                                                              recovery have thus far been a success.      support for individuals in need
                                                                                                                                          through a three-year Substance Abuse
                                                                                                                                                                                   substance abuse and symptoms,
                                                                                                                                                                                   increase in recovery, and enhancement

Healing
                                                                                              Paige is one of many who suffer from
                                        experience smoking marijuana.                         opioid use disorder in Franklin County      and Mental Health Services Adminis-      of patient care and satisfaction.
                                        As a freshman, she started a                          and Vermont. Opioids are synthetic          tration (SAMHSA) grant. By 2016, the     The state program just celebrated a
                                        habit that began as a seemingly                       narcotics containing the compound           SAMHSA grant funded program got          successful first year and is on track to
                                                                                                                                          rolling to help people like Paige
                                        harmless pastime with friends,                        opium and are typically prescribed by                                                secure its goal of 375 participants in
                                                                                              doctors to relieve pain. Some common        discover their path to recovery.         three crucial counties in the state:
                                        but which escalated. By the time
                                                                                              examples of opioids include:                                                         Franklin, Chittenden, and Rutland. It
Wraparound care supports recovery       she was 16, Paige found herself
                                                                                              Oxycodone, Morphine, Vicodin,                                                        focuses on three specific populations:
                                        immersed in the world of                                                                               COMMONLY ABUSED
                                                                                              Percocet, and the most notorious                                                     those involved with the Department of
                                        opioids.                                              street version, Heroin. The state of
                                                                                                                                               OPIOIDS INCLUDE                     Corrections, the Department of
                                                                                              Vermont has seen a drastic increase in             OXYCODONE,                        Children and Families, or on the wait
                                        “I had emotional issues, so using helped me to        the use of these drugs over the past ten            MORPHINE,                        list for care. The total grant funding is
                                        cope with things and made me feel better,”            years. In 2014, then- Governor Peter                 VICODIN,                        approximately $950,000 for all three
                                        said Paige. Although she thought opioids
                                        could help, her life eventually started to
                                                                                              Shumlin declared that his home state                PERCOCET                         counties, $200,000 of which is used in
                                        unravel.
                                                                                              faced an opioid epidemic.                              AND                           our communities. The grant funding

                                                                                                                                               HEROIN
                                                                                              According to a report of the Substance                                               and management in Franklin County is
                                        She spent high school being harassed by               Abuse and Mental Health Administra-                                                  directed by Northwestern Medical
                                        classmates, struggling with schoolwork, and           tion, an estimated two million dollars’                                              Center. RN Practice Coordinator Kelly
                                        running away from home to try to escape. In           worth of heroin illegally was trafficked                                             Campbell helps oversee the
                                        her early 20s, her opioid use contributed to          into the state weekly and Vermont saw       This program was designed to improve     fundamental objectives of the grant.
                                        the loss of her job, her apartment, her friends,      an 80% increase in the number of            services and outcomes including          A key to the program’s success is the
                                        and even her family. It took about 10 years for       opioid admissions to addiction              access, engagement, retention, and       hands-on role of the Medically
                                        Paige to come to terms with her self-                 treatment programs, making it clear         equity. It seeks to improve the          Assisted Treatment (MAT)
                                        destruction.                                          that it was time to take action. At         coordination and integration of          Coordinator. This coordinator works
                                        “When I woke up in the morning I didn’t like          NMC, that action took the form of           services and improve patient-level       closely with ... (continued on next page)
                                        the feeling of not being able to do anything,”
                                        she said. “It’s a miserable life when that’s all
                                        you think about is being high and whether you
                                        will be able to function.”
                                        Now at 24, Paige is on the path to recovery.                                                      $3 million grant expands options for
                                        Even though Paige continues to feel the
                                        impact of her decisions from the previous                                                         opioid treatment and prevention

                                                                                                375
                                                                                                                                          In 2015, The Vermont Department of Health, Division of Alcohol and Drug Abuse

                                        “
                                                                                                                                          Programs was awarded a 3 year, $3 million grant to enhance treatment service
                                                                                                                                          systems to provide accessible, effective, comprehensive, coordinated care, and
                                                 Being sober, I can wake up                                                               medication assisted treatment and recovery support services to individuals with
                                                 in the morning and actually
                                                                                               PROGRAM                                    opioid use disorders. Expanding the Options for Medicated-Assisted Recovery in
                                                                                                                                          Vermont project is targeted to people with opioid use disorders in one or more
                                                 want to do something instead
                                                 of lying in bed all day.”
                                                                                           PARTICIPANTS                                   high-risk groups: those involved with the criminal justice system, parents involved
                                                                                           IN FRANKLIN, CHITTENDEN AND                    in the child welfare system, and those motivated for MAT but waitlisted. Funded by
                                                                                                RUTLAND COUNTIES                          the Substance Abuse and Mental Health Services Administration, Vermont’s project
                                                 — Paige McCabe (pictured, left)                                                          has expanded capacity in Addison, Chittenden and Franklin counties.

                                                                                                                                                                                                                               8
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
Community Health Needs Mental                                    Health and Substance Abuse                                       Technology and Innovation We do that here

    (continued from previous page) ... participants to track
    engagement and ensure retention. Melinda Lussier stepped
                                                                      the learning collaboratives are a key reason.
                                                                                                                                         Real-Time Results
                                                                      Kelly said that this grant program has created a lot of
    into the role of MAT Coordinator six months ago. She
    works with the participants in Franklin County, including
                                                                      opportunity and promise saying that “One of the biggest            Means Quicker Access
    Paige McCabe. Recovering from addiction herself, Melinda
                                                                      bonuses of us getting this grant, is having these
                                                                      organizations come together and work together towards              for Patients
    brings an intense passion and commitment to her role.             these common goals.” As these organizations work                   This year, the innovative Information
    When Melinda tells her story of her personal journey to
    recovery, she felt “bankrupt in spirit” and hesitant to ask for
                                                                      diligently towards improvement, it is evident the state is on      Technology team at NMC created a
                                                                      its way to a brighter future.                                      brand new interface system for cardiac
    help. On the outside she seemed fine, but on the inside,
    something was missing. Only after her third attempt at     She says other states are looking to Vermont for guidance as              testing. Electrocardiogram (EKG), Holter
    recovery did she realize helping others in recovery could  they start their own programs for opioid treatment. In fact, a            Monitor and Stress Tests are now being
    give her a sense of fulfillment.                           group of people from North Dakota made a trip to                          imported directly from our MUSE
                                                                                        Northwestern Medical Center this
    “Having my addiction skyrocket was                                                                                                   cardiology data system into our
                                                                                        year, including representatives from
    what made me realize                                                                                                                 Meditech Electronic Medical Record
                                               “Having my addiction skyrocket           corrections, healthcare, and
    I need to be of service to other                                                    addiction treatment, who sought to               (EMR) for accurate results in real-time.
    people in the way that others were of      was what made me realize I
                                               need to be of service to other           learn from NMC as they begin work                What does this mean for the patient? With real-time
    service to me,” she said. She knows                                                 on new programs in their state
    these struggles because she lived          people in the way that others                                                             resulting, patients can log into their EMR to see
    them. Melinda said she provides                 were of service to me.”                   As the SAMHSA grant program                important test results much earlier than ever before –
                                                                                              enters its second year, Melinda and        no more waiting to complete manual processes. The
    support and accountability that the            Melinda Lussier, stepped into the                                                     potential for human error is eliminated with this new
    program participants need and                                                             Kelly both say that there is still a lot
                                                 role of Medically Assisted Treatment                                                    automation.
    struggle to find.                                                                         of work to be done. But both are
                                                 (MAT) Coordinator six months ago.
                                                                                              proud of the progress.                     What does this mean for the hospital? The
    Melinda works side by side with             She works closely with participants to
                                               track engagement and ensure retention.         In one quarter alone there were            introduction of this streamlined process creates
    Northwestern Medical Center and                                                                                                      numerous efficiencies. As a LEAN initiative, this
    RN Practice Manager Kelly                     Recovering from addiction herself,          nine successes for patients enrolled
                                                Melinda brings an intense passion and         in this program, with participants         automation has increased quality, reliability and
    Campbell to put systems into place                                                                                                   accuracy – a valuable process improvement that
    that are sustainable and effective                 commitment to her role.                overcoming addiction and even
                                                                                              more importantly, making life              impacts many groups in the organization.
    statewide. While Melinda focuses on
    the daily tasks involved with the                                                         transformations.                           The new system eliminates the need for staff to look up
    grant operation, Kelly supervises the grant on a larger scale     Paige McCabe said that she struggles to be around other            each patient, manually scan paper image strips, and
                                                                                                                                         verify their work afterward. The time savings of                                                                   Pictured above:
    focusing on areas like building structure and resources for       people and in groups and to form relationships. Now,                                                                              Desarae Gabree, RN, monitors a patient during a stress test at NMC.
    participants. One of the structured elements of the program       though, she is stepping outside her comfort zone, planning         scanning alone is approximately three to four hours a
    are regular urine tests to monitor for substance abuse during     to attend her first group support meeting with Melinda by          week.

                                                                                                                                                                                                    “
    treatment. Another important aspect of Kelly’s job is             her side. Paige is also working to mend the relationships that     What does this mean for providers? Exact copies of
    attending “neighborhood” meetings where she connects              she damaged while she was in the midst of her addiction.           the original test are now directly inserted into the
    with representatives from different organizations such as                                                                            EMR. This replaces the scanned images previously                I could not have had a better
                                                                      This program has been a saving grace for many participants
    The Department of Children and Families, the Howard
                                                                      like Paige who struggle to beat addiction. The strength of         used, resulting in vast improvements in image quality.          experience. Honestly, I wasn’t expecting
    Center, Northwestern Counseling and Support Services,                                                                                In addition, the image results are immediately available        it. My EKG experience that day was just
                                                                      the initiative, though, lies in the commitment of staff,
    law enforcement, and others. These meetings are one of the                                                                           to clinical staff for review.
                                                                      participants and the “neighbors” who come together to                                                                              as stellar. Good for all of you—and me
    three-part quarterly learning collaboratives that are part of
                                                                      build a framework of support for recovery.                         The organization thanks the hardworking individuals
    the grant. Along with the neighborhood meetings, there are                                                                                                                                           too.”
                                                                      The peer connections and compassionate community                   behind this major process improvement. This
    also collaboratives for the behavioral staff and the medical
                                                                      caring are what turn a grant program into a meaningful and         innovation is just one example of how NMC
    staff involved in the program. Vermont is leading the way for                                                                                                                                        — An NMC patient
                                                                      lasting solution.                                                  continuously strives to provide exceptional care.
    other states in regard to opioid treatment, Kelly said, and

9    2017 ANNUAL REPORT                                                                                                                                                                                                                  Northwestern Medical Center          10
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
setting the foundation                                                                                                                                         SAFETY IN
                                                                                                                                                                   ACTION

     for the future
                                                                                                                                                  The new Progressive Care Unit has two                                                               EASIER
                                                                                                                                                 Airborne Infectious Isolation rooms. These
                                                                                                                                                are designed to more easily make the room
                                                                                                                                                                                                     BETTER LIGHTING!                                 ACCESS
                                                                                                                                                negatively pressured for isolation purposes,          Exterior lighting was replaced around
                                                                                                                                                                                                                                                   The new Porte Cochere is bigger
                                                                                                                                                provide an anteroom for gown donning and              campus where construction occurred
                                                                                                                                                                                                                                                   and wider than the old one. The
                                                                                                                                                   doffing, and to be more easily cleaned.            with LEDs, which are energy efficient
                                                                                                                                                                                                                                                  term comes from the French word
                                                                                                                                                                                                     and provide warmer, more natural light.
                                                                                                                                                                                                                                                for “coach door” & dates back to the
                                                                                                                                                                                                                                                 1690s when it referenced gateways
 2017 was a year of milestones on the NMC campus as the hospital’s Master Facility Plan construction celebrated many                                                                                                                                for horse-drawn carriages that
                                                                                                                                                                                                                                                    provided arriving and departing
 key moments in the transformation of our infrastructure to meet future community need. The work that began with a

                                                                                                                                                        60,000                                                 30%
                                                                                                                                                                                                                                                    occupants protection from the
                                                                                                                                                                                                                                                              elements.
 spring 2016 groundbreaking continued apace throughout 2017 and will culminate with final touches to the renovated
 inpatient unit in early 2018. The new buildings provide efficient and accessible spaces with the newest technology and
 specialized designs. Here are some of the defining moments of the past year and special construction features.                                             SQ. FT ADDED
                                                                                                                                                                                                              LARGER                                   WIDER
                                                                                                                                                         17,700                                         MEDICAL-SURGICAL PATIENT
                                                                                                                                                                                                        ROOMS IN THE NEW BUILDING
                                                                                                                                                                                                                                                        ROADWAYS
                                                                                                                                                                                                                                                  The new roadway around the front
                                                                                                                                                                                                                                               entrance to the Emergency Department
                                                                                                                                                                                                              Bigger, private rooms
                                                                                                                                                        SQ. FT RENOVATED                                       for a patient-family
                                                                                                                                                                                                                                               will be about 40 feet wide, 10 feet wider
                                                                                                                                                                                                                                                          than the old road.
                                                                                                                                                                                                               centered approach

                                                                                                                 OCTOBER 30, 2016                                                   DECEMBER 21, 2016                                            MAY 2017
                                                                                                                 The lattice work boom                                              The new main entrance and                                    The Medical Clinics Building opens,
                                 MAY 24, 2016                                                                    crane starts to swings steel                                       renovated lobby re-open                                      bringing Northwestern Cardiology,
                                 Groundbreaking ceremony                                                         into place for the Medical                                         to the public. The lobby is                                  Pulmonology, Women’s Services
                                 for the NMC Master Facility Plan                                                Office Building, the largest                                       reconfigured to provide easy                                 and Northwestern OB/GYN under
                                                                                                                 structure in the Master                                            access, central registration,                                one roof, in a new building directly
                                                                                                                 Facility Plan construction.                                        and convenient financial                                     adjacent to the main entrance.
                                                                                                                                                                                    assistance.

                                             JULY 25, 2016
                                             NMC’s loading dock temporarily
                                             relocates to back of the main
                                             hospital building.

                                                                                        AUGUST 23, 2016
                                                                                        First steel is erected for the                                                                                                                                 GRAND
                                               JULY 11, 2016
                                                                                        project at the back of campus
                                                                                        for the inpatient unit expansion.
                                                                                                                                                                                               APRIL 2017
                                                                                                                                                                                                                                                       OPENING!
                                               NMC’s front entrance closes                                                                                                                     The new Progressive                                     NOVEMBER 2017
                                               for renovations. The public                                                                                                                     Care Unit opens,                                        The two story Medical Clinics
                                               begins accessing the hospital                                                                                                                   providing private                                       Building opens. This busy
                                               through the Conference                                                                                                                          rooms for each and                                      structure houses NMC’s
                                               Center entrance.                                                                                                                                every patient.                                          Outpatient Lab, Northwestern
                                                                                                                                                                                                                                                       Primary Care, Northwestern
                                                                                                                                                                                                                                                       Urgent Care and the Northwestern
                                                                                                                                                                                                                                                       Orthopaedic & Rehabilitation
                                                                                                                                                                                                                                                       Center.

11                                                                                                                                                                                                                                                                                      12
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
hi-tech, high quality individual care
     new patient care units                                                                                                                    Private rooms for
                                                                                                                                                 every patient

                                                                                                                      Spacious,
                                                                                                                     easy-access    Natural iight        More room for
                                                                                                                      bathroom.                          family with a
                                                                                                                                                          fold out bed

                              HDTVs in every
                              private room

                                                                                                                                                                        Bedside
                                                                                                                                                                      technology

                                                                                                               Comfortable
                                                                                                                 touches

                                                                      Workstations
                                                                       that can see
                                                                     into two rooms                                                                  Color coded areas
                                                                     simultaneously                                                                  to help family find
                                                                                                                                                      their way around

                                                                                                                       Convenient
                                                                                                                      handwashing
                                                                                                                        stations

     A new patient unit ...
     full of light, personal touches, and highly efficient design,
     with technology at the heart of what we do.
                                                                     “   The room was large and I was
                                                                         surprised that there were no
                                                                         visitor chairs, then a nurse pulled
                                                                         one from the closet—brilliant
                                                                         idea, that way you only take out
                                                                                                                                       Nursing work areas are
                                                                                                                                        right outside patient
                                                                                                                                        rooms - close by yet
                                                                                                                                           offering privacy
                                                                         what you need.”
                                                                              — An NMC patient
13   2017 ANNUAL REPORT                                                                                                                                                            14
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
Development Veterans Sponsored Valet Service
                                                                                                                                                                                                   Exceptional
                                                                                                                                                                                                   Campaign
                                                                                                                                                                                                   Surpasses Goals
                                                                                                                                                                                                   Exceptional … the Campaign for
     Making access easier:                                                                                                               The patients aren’t the only ones who
                                                                                                                                                                                                   Northwestern Medical center was a

     NMC and Vets kick off valet services                                                                                                are happy about the service, the
                                                                                                                                         veterans are happy to be of service to
                                                                                                                                                                                                   tremendous success, surpassing all
                                                                                                                                                                                                   goals and raising nearly $2.8 million
                                                                                                                                                                                                   in support of NMC’s Master Facility
                                                                                                                                                    their community.
     As you approach the main hospital entrance at                    for the Valet Program. “In the first month, we had 69 riders,                                                                Plan construction projects.
     Northwestern Medical Center you now see a man wearing            in the next two, we had over 400 riders!”                                                                                    The generosity of our community has been
     a bright blue vest with yellow trim, a veteran’s baseball cap,                                                                      Veteran Roger Spaulding, of St. Albans, said he
                                                                                                                                                                                                   overwhelming,” said Leon Berthiaume, the
     and a smile on his face stretching from ear to ear.                                                                                 likes the program because it “gets him out of the
                                                                                                                                                                                                   Campaign Cabinet Chair and Vice President of
                                                                      These men that are the first friendly faces to                     house” and gives him something to do.
     You may wonder who is this gentleman greeting you as you                                                                                                                                      NMC’s Board of Directors. “Thank you to everyone
     enter the hospital or asking you if you need a ride as you       greet you as you walk through the hospital                         Roger is a long time member of the Saint Albans           who contributed time, talent and treasure toward
     wander aimlessly around the parking lot.                         doors are volunteers for NMC’s newest asset,                       community and it showed on his ride along when            the advancement of our local healthcare as this
                                                                              the Veteran’s Valet Program.                               the first rider he picked up, he happened to know         support truly made all the difference in exceeding
     This program sprang into action on April 5 of this year                                                                             very well.                                                our goal and expectations.”
     on a volunteer basis, providing patients with an easier

                                                                                                                                                                                                    465
     source of transportation between the three separate              It’s no surprise that the program recently gained some             Approaching the Cobblestone Health Commons,
     buildings that comprise NMC’s campus.                            recognition after hearing comments from some of the                a young man with two metal canes crutched out
                                                                      riders. Mike Brouillette of Saint Albans is at NMC on a            the door. Roger immediately jumped out of the
     “Everybody loves the service,” states Bill Bronson, one of                                                                          vehicle to provide the man with assistance getting
                                                                      regular basis for his wife’s hip appointments. He stated on                                                                                              LARGEST SINGLE GIFT
     the veterans who devotes his time twice a week to driving                                                                           in. The young man named Bradley Bard, also a               TOTAL NUMBER OF
                                                                                                                                                                                                                               $500,000
                                                                      his ride that it was “a really nice service because it is a long
                                                                      walk,” from building to building, especially for the elderly.      long time resident of the area, stated how “it’s nice      DONORS
                                                                      “I hope they keep this service.”                                   to have a ride instead of having to walk” as it really                                DONATED BY PEERLESS
                                                                                                                                         saves him some time. The two made small talk
                                                                      Another woman that jumped into the vehicle was very
                                                                      enthusiastic about the service as well. “We were here two
                                                                                                                                         during the travel back to the main hospital
                                                                                                                                         entrance—an example of how NMC’s strength is
                                                                                                                                                                                                          1ST
                                                                      weeks ago and my mother who is 84 really struggles to              built on relationships.
                                                                      walk,” she said. She raved about how great it was that NMC
                                                                      was so accommodating for their patients even stating how           Once back at the main entrance Bradley revealed
                                                                                                                                                                                                  THE FIRST CAMPAIGN
                                                                                                                                                                                                  COMMITMENT:                   $250,000
                                                                                                                                                                                                                                THE TRUST OF
                                                                                                                                                                                                  $100,000
                                                                      much she “loves this hospital”.                                    that Roger was actually his neighbor and said
                                                                                                                                         “I’m walking because of him”. When Bradley was                                         JEAN M. LOWE
                                                                                                                                                                                                  FROM NMC’S AUXILIARY

                                                                                                                                                                                                                                       20
                                                                                                                                         just six years old, Roger had helped him get
                                                                                                                                         admitted into the Shriners Hospital for Children
                                                                                                                                         in Montreal. The hospital specialized in providing
                                                                                                                                         care for children with orthopedic conditions like
                                                                                                                                         Bradley’s. Nearly 35 years later, Bradley is now                                        GLASS PANELS
                                                                                                                                                                                                                                 INSTALLED RECOGNIZING
                                                                                                                                         mobile on his own.                                       NEW GIFT GALLERY               GIFTS OF $1,000
                                                                                                                                         The convenience and gratitude for this new valet              THANKS TO
                                                                                                                                         service is evident from the enthusiastic feedback          $100,000
                                                                                                                                         from the patients. Having a service run by men                 FROM THE
     PICTURED: The six-passenger electric vehicle that is used to
     transport patients and visitors around the hospital campus.                                                                         who fought for our country and continue to               GARIBAY FAMILY
                                                                                                                                         volunteer their time to NMC, shows how
                                                                                                                                                                                                                                   300
                                                                                                                                                                                                       40
                                                                                                                                         important it is to our hospital to provide care and
                                                                                                                                         to create the best patient experience with a
                                                                                                                                         genuine commitment to the community.
                                                                                                                                                                                                                                 DONATIONS
                                                                                                                                                                                                                                 THAT CAME FROM THE NMC
                                                                                                                                                                                                   GIFTS BETWEEN             FAMILY (MEDICAL STAFF, DIRECTORS,
                                                                                                                                                                                                   $25,000-$50,000             EMPLOYEES, AND VOLUNTEERS)
15    2017 ANNUAL REPORT
For the future setting the foundation - Caring, Vision, Innovation - Northwestern Medical Center
Development Exceptional Giving

Gifts from Our Community: NMC’s Capital Campaign                                                                                                                                             nn Jamie and Kate Merchant
                                                                                                                                                                                             nn Kimberly and Jamie Messier
                                                                                                                                                                                                                                nn Clifford and Christine Peebles
                                                                                                                                                                                                                                nn Dean and Mary Pelkey
                                                                                                                                                                                                                                                                    nn Rose Rixon
                                                                                                                                                                                                                                                                    nn Lara Robtoy
                                                                                                                                                                                                                                                                                                        nn David N. Simcoe D.O. and Eva
                                                                                                                                                                                                                                                                                                           Simcoe
                                                                                                                                                                                                                                                                                                                                             nn Jill and Jim Torrey
                                                                                                                                                                                                                                                                                                                                             nn Suzanne Tremblay
                                                                                                                                                                                             nn Peggy Meunier                   nn Brian and Lisa Pelkey            nn Donna Roby                       nn Corinne and William Simonds       nn Heather Tremblay
                                                                                                                                                                                             nn John Minadeo, M.D.              nn Walter and Kathryn Peno          nn Karyn Rocheleau                  nn Ted Sirotta                       nn Luke Trippany
Northwestern Medical Center would like to recognize the following individuals and organizations who have supported NMC’s                                                                     nn Donald and Stephanie Miner      nn Dorothy Perkins                  nn Louise Rocheleau                 nn Carolyn and Patrick Slattery      nn Heather Tynon
Exceptional Capital Campaign. Our heartfelt thanks to all of you for your support.                                                                                                           nn Katie Montagne, M.D.            nn Cindy Perry                      nn James B. and Maris S. Rock       nn Tim and Denise Smith              nn Rod and Elizabeth Vallee
                                                                                                                                                                                             nn Charlie and Sheri Moore         nn Catherine Peters                 nn Carl and Robin Rosenquist        nn Heather Smith                     nn Timothy and Lynn Vallee
Individuals                                                                                                                                                                                  nn Jeffrey and Heather Moreau      nn Mary and Todd Pigeon             nn Kelly Ross                       nn Dr. Wayne and Mrs. Jodi Smith     nn Jack and Alexa Visco
                                                                                                                                                                                             nn Margaret Moreau                 nn Jamie and Nathan Pinkham         nn Jeanne Royer                     nn Nila Spaulding                    nn Jeff and Angel Vos
nn Anonymous (7)                   nn Mary Powell and Mark Brooks     nn Ann Delaney                    nn Christopher and Susan Grimes             nn Kevin King                            nn Rev. M. Moretti                 nn Robert Pitts                     nn Melissa Royer                    nn Kimberlee Spaulding               nn Matthew and Pattijo Walker
nn Robert and Sheila Abair         nn Dr. Gregory and Mr. Joseph      nn Demers Family                  nn Gail Grismore and Bob                    nn Nathan and Jessica King               nn Richard and Patricia Morton     nn Brittany Place                   nn Patricia Rugg                    nn Marie Speer                       nn Stetson and Erin Ward
nn Edith and Kevin Allard            Brophey                          nn Sarah DeSilvey, FNP              Grismore                                  nn Karlinda King                         nn Allison and Tyson Moulton       nn Joan Plaisted                    nn Nancy Ruhle                      nn Scott Spicer, MD                  nn Wendy Watson, RN
nn Marjorie Allard                 nn Sheila Brown                    nn Clarence and Natalie Dishaw    nn Carol Groening                           nn Matthew and Brianne King              nn Don Mueller                     nn Donald Poirier                   nn Keirsten Russell                 nn Dr. Steven and Mrs. Tami St.      nn Lisa Anne Weaver
nn Chari and Richard Andersen      nn Rachel and Noah Brown           nn Dawn Dodd                      nn William and Mary Groff                   nn Ted and Karen Kissane                 nn Dr. and Mrs. Joseph Nasca       nn Melissa and Timothy Poirier      nn Gary and Cindy Rutkowski            Marie                             nn Carolyn Weber
nn Rosanne Arnett                  nn Hon. Lawrence H. Bruce, Jr.     nn Jacqueline Domingue            nn Marilyn and LeRoy Grunewald              nn F. JoAnne Kittell                     nn Jonathan and Lisa Newhard       nn Sherry and Steve Pontbriand      nn Dr. Toby Sadkin and Mr. Dale     nn Karen and Peter Staniels          nn Diane Weishaar
nn Darryl and Candice Arnold         and Susan Roush Bruce            nn Mari and Perry Donna           nn Deanne Haag, MD                          nn Doug and Carol Klette                 nn John A. and Helen W. Newton     nn Paul Poquette Family               Hohm                              nn Sarah and Allen Sterling          nn Leo and Marie Anne West
nn Judy A. Ashley                  nn Abigail Buck                    nn Dorothy Dowling                nn Nick and Faith Hadden                    nn Coleen and Callie Kohaut              nn John and Karla Newton           nn Danielle Pothier                 nn Jennifer Savage                  nn Christina and David Stetson       nn Suzan White, D.O.
nn Jacob Ashline                   nn Dawn and Jesse Bugbee           nn Annette Dragoon                nn Amie Hakey                               nn Sally Krupp                           nn Paul and Kristin Newton         nn David and Betty Powell           nn Jessica Scanlon Corliss and      nn Stacy Strouse, MD                 nn Michelle and Dave Wilcox
nn Meredith Ashton                 nn Michele Burke                   nn James R. and Doris L. Driver   nn Jolie and Kelly Haley                    nn Marc Kutler                           nn Jon, Sarah, Cameron and         nn Rob Prim                           Jesse Corliss                     nn Dr. Lowrey and Mrs. Karin         nn Sandra L. Williams
nn Jan and Howard Atherton         nn Caryn and Danny Burleson        nn Brian and Penny Dubie          nn Radm. and Mrs. Warren                    nn Katharine and Kevin Laddison             Connor Nielsen                  nn Amy Putnam and Joseph            nn Patricia Joy Schekter               Sullivan                          nn Katherine and David
nn Dr. Lorne Babb and Candace      nn Mary and Mark Bushey            nn Faith and Scott DuBois           Hamm, Jr.                                 nn Hank and Molly Lambert                nn Jolene Oconnell                   Putnam                            nn Ross Schifo                      nn Robert and Valerie Sullivan         Winchester
   Collins                         nn Jerri Bushey                    nn Kimberly Duffel and Damon      nn David and Jeffrey Handy                  nn Laura Lang                            nn William and Susan O’Connor      nn Kelly Quilliam                   nn Marietta Scholten, MD and        nn Thomas Suppan, M.D.               nn Linda Wirts
nn Devin and Ashley Bachelder      nn Janice Bushey                     Hall                            nn John and Lisa Hango                      nn Donald Lange                          nn Linda and Michael Olmstead      nn Peter and Patricia Rath            Stephen Payne, MD                 nn Patrick and Sarah Talcott         nn David and Mary Wood
nn Amy Barbour                     nn Kelly and Daniel Callan         nn Larry and Carol Dugan          nn Roy and Margaret Hango                   nn Brittany LaPan                        nn Frederick and Susanne O’Neill   nn Elizabeth Ratta                  nn Dr. Edward Schumer               nn Dr. Michael and Debra             nn Mary Woodhouse, M.D. and
nn Ellen Bartemy                   nn Maike Camp and Jacqueline       nn Deborah and David Durant       nn Randy Hartman                            nn Erin LaRocque                         nn Tami-Josee Ordway               nn The Ravlin Family                nn Pamela Scott                        Tanneberger                         Richard Costanza
nn Shari Bashaw                       Shiffler                        nn John and Deanna Edwards        nn Janet and Pat Havrilko                   nn Jim and Teresa Larose                 nn Sandra O’Sullivan Smith and     nn Sandra Raymond                   nn Christine Sears                  nn Jocelyn Tedford                   nn Naomi Wright
nn Mary Bates                      nn Kelly and HD Campbell           nn Michael and Bonnie Evans       nn Cintra Hazen                             nn Joe and Brandy Latimer                   Jeffrey Smith                   nn Russell and Susie Reed           nn Albert and Sally Severy          nn Lindsay and Roger Thieken         nn Dr. Taylor and Marsha Yates
nn Dr. Robert Beattie and Jane     nn Dina Carey                      nn Richard and Mary Ewins         nn Margaret Heald                           nn Susan Lawlor                          nn Amy and Bryce McNall            nn Adam and Elizabeth Reed          nn Heather Shenk                    nn Matthew and Caitlin Thiel         nn Ginette Young
   Catton                          nn Michelle and Darren Carner      nn Amber Felisko                  nn Rett and Emily Heald                     nn Wendy Lawrence                        nn Lesley Bliss Palmer             nn Prescott Reiner                  nn Meagan Shine                     nn Sally Thomas                      nn Jon and Kim Zehnacker
nn Jeanne Boulerice Begnoche       nn John and Sandra Casavant        nn Rebecca Fenn                   nn Harold and Sally Hebert                  nn Michelle and Robert Lawrence          nn Richard and Bonnie Paquette     nn Chris and Bonnie Reinfurt        nn Don and Pam Shook                nn Scott Thompson                    nn Dr. Robert and Sandra Zelazo
nn Dr. Laura Bellstrom and Pat     nn Frances Casey                   nn Julian Ferris, M.D.            nn Samuel Hellman                           nn Mark and Chelsey Lawyer               nn Burton A. Paquin, Sr.           nn Restaurant and Catering 2016     nn Frank and Helen Short            nn Adam and Heidi Thompson           nn Dr. Frank and Judy Zsoldos
   Hartnett                        nn Amy and Jon Centabar            nn Erica Finnegan                 nn Frances M. Henry                         nn Gina LeClair                          nn Jenny Paradee                   nn Alissa Rich                      nn Darius Sidebotham and Cara       nn Lester and Lori Thompson          nn Heidi Zvolensky, MD
nn Jeff and Julie Benay            nn Jennifer Chalifoux              nn Nancy and Wayne Fiske          nn Christopher and Carol Hickey             nn Michelle and Benjamin Leclair         nn Caroline Parent                 nn Darrin Ries                        Quackenbush                       nn Leif Tillotson
nn Doreen and Jonathan Benoit      nn Sandra King-Chicoine, RN        nn Jay Fleury                     nn Amanda and Jason Hill                    nn Deeanna Lefluer                       nn Miller B. Pearsall, M.D.        nn Barbara Riley                    nn Gregory Silvestri                nn Rick and Deb Timmerman
nn Joel and Tanya Benware          nn Chip Chiappinelli, MD           nn Elisabeth Fontaine, M.D.       nn William and Jean Hobkirk                 nn Donald and Janet LeGrand              nn Bradley Peduzzi                 nn Kathleen Riley                                                       nn Deborah Tipper
nn Amy and Dan Bergeron            nn William and Therese Cioffi      nn Brenda Forand                  nn Courtney Hodet and Duane                 nn Alex and Karen Lehning
nn Tim and Jill Bowen              nn John and Trudy Cioffi           nn Jodi Forwand, M.D. and           Owen II                                   nn Valerie Lehouiller
nn Leon and Anne Berthiaume        nn Luke and Michelle Cioffi           William Butler                 nn Peter and Christy Hofstetter             nn Paula Denise and John Lescure
                                                                                                                                                                                             Businesses and Organizations
nn Robert and Kathleen Bessette    nn Brian Clukey                    nn Sara and Jon Frail             nn Jacqui C. Hood and Lawrence J.           nn Carol Livingston                      nn Anonymous (1)                   nn Community National Bank          nn Hickok & Boardman Insurance      nn Northeast Financial Services      nn St. Albans Cooperative
nn Marc and Brittany Bessette      nn Kathleen Coburn                 nn Michelle Frank                    Lefebvre                                 nn John Livingston                       nn 14th Star Brewing Company       nn Connor Roberts Memorial             Group                            nn Northwestern Counseling &           Creamery, Inc.
nn Jonathan and Marilyn Billings   nn Patricia Colburn                nn Stephania and Corey Fregeau    nn Stephen, Kathleen and Lily               nn Darla and Kevin Lothian               nn A.N. Deringer, Inc.                Fund                             nn Holy Trinity Episcopal Church       Support Services                  nn Superior Technical Ceramics
nn Tania Biniecki                  nn Lori Columb                     nn Jodi and James Frei               Howe                                     nn Deborah and Stephen Loughlin          nn Ace Hardware                    nn Cross Consulting Engineers PC    nn Hudson Headwaters Health         nn Northwestern Medical Center       nn Sweethearts and Heroes
nn Virginia Blair                  nn Phillip Condon                  nn Jun Fu, M.D.                   nn Jennifer and Ryan Howrigan               nn Jean M. Lowe Trust                    nn American Legion, Post 1 St.     nn Dickinson & Branon Dental           Network                             Auxiliary                         nn The Tyler Place
nn David and Jane Blin             nn Heaven Conger and Ethan         nn Mark and Robin Fyles           nn Bridget Howrigan Rivet and               nn Erin Lowell                             Albans                              Care                             nn Husky Injection Molding          nn Northwestern Pediatrics           nn Total Home Center
nn Michael and Jackie Blouin          Trombly                         nn Anna Gabaree                      Gerald Rivet                             nn Shirley and Deric Lunna               nn American Legion, Post 88        nn E4H - MorrisSwitzer - Environ-      Systems, Ltd.                    nn PC Construction                   nn Union Bank
nn Nancy Blouin                    nn Tom and Joy Conley              nn Ray and Eileen Gadue           nn Thomas and Barbara                       nn Jacy Lunna, LPN                         Sheldon                             ments for Health                 nn JC Image                         nn Peerless Clothing International   nn Vermont Gas Systems, Inc.
nn Jennifer Bockus                 nn Kelly Connolly                  nn Thomas Gallagher                  Hungerford                               nn David and Gail MacCallum              nn Ben & Jerry’s                   nn Franklin County Business and     nn Jay Peak Resort                  nn Peoples Trust Company             nn Vermont Precision Tools, Inc.
nn Pamela Bonsall                  nn Carrie and James Consentino     nn Priscilla Galloway             nn Joyce and Ramon Hunt                     nn Tina Machia                           nn Bernstein Private Wealth           Professional Women               nn Members Powered by Just Give     nn People’s United Bank              nn Veterans of Foreign Wars, Post
nn Joseph and Jessica Boone        nn Gale Conte                      nn Christine Galuszka             nn The Hurteau Family                       nn Elaine and Matthew Magnan               Management                       nn Franklin County Industrial       nn Mindray                          nn Primmer                             758 St. Albans
nn Stacey and Matthew Bouchard     nn Benjamin and Amy Cooke          nn Elizabeth and Ted Gamache      nn Shirley Jacobs                           nn Katy and Kyle Magnuson                nn BerryDunn                          Development Corporation          nn Missisquoi Lodge No. 9 - Rich-   nn Rail City Information Systems,    nn Vietnam Veterans of America,
nn Dennis J. Boucher               nn Margaret and Bernard Coon       nn Kristen Gamache and Hunter     nn Robert and Diane Leach Janelli           nn Kevin and Margaret Manahan            nn Blue Cross Blue Shield          nn Franklin County Quilters Guild      ford Masons                         Inc.                                Post 753 St. Albans
nn Jacqueline Boudreau             nn Lisa Cornforth                     Young                          nn M. Hayden Janes                          nn JoAnn and Michael Manahan             nn Brady and Levesque Families     nn Handy Toyota / Handy             nn New England Federal Credit       nn Raw Strength and Fitness, LLC     nn Wyndam Hotel - Smugglers
nn Stacey Boudreau                 nn Dr. Michael and Janice          nn Valdemar and Bridget Garibay   nn Mavis Bashaw Janes, RN                   nn Michael Manahan                       nn Casella Waste Systems, Inc.        Chevrolet                           Union                            nn Rotary Club of St. Albans           Notch
nn Donna and David Boudreau           Corrigan                        nn Shari Swainbank and Phil       nn C. Quentin Janes                         nn Roya Mansoorani, MD                   nn Coldwell Banker Hickok &        nn Hannaford Food & Pharmacy        nn NFP Property and Casualty        nn Run for Jim
nn Steve and Debbie Bourgeois      nn Laurie and Todd Cosgrove           Gerbode                        nn Sarah Jemley                             nn Linda Martell                           Boardman Realty                                                         Services, Inc.
nn Lisa Bovat                      nn Judge George and Mrs. Diane     nn David P. Gervais               nn Dr. John and Paula Johnson               nn Helen Maskell
nn Jane C. Bower                      Costes                          nn Gary and Cindy Gibson          nn Nicole and David Johnson                 nn Haskell and Patricia Mayo
                                                                                                                                                                                             Tributes
nn Anne and Gerald Bowers          nn Jennifer Covino, MD             nn Christi Giroux                 nn Kenneth and Nancy Johnson                nn Sandy and Rick Mayotte
nn Koi Boynton                     nn Johanna Crane-Godin and         nn G. Mary Gladden                nn Jordan Family                            nn Vaughn Mays                           nn In Honor of Ashley Bernadette   nn In Memory of Wayne and Betty     nn In Memory of Lawrence and        nn In Honor of Bernard and           nn in Honor of Gladys M.
nn Lainey and Megan Branon            George A. Godin                 nn Brian and Karen Gold           nn Paula Kane, Aty. and Greg                nn Janet and Michael R. McCarthy         nn In Memory of Albert R. Berry       Bourgeois                           Lorraine Handy                      Margaret Moreau                     Rocheleau, RN, CNP
   Smith                           nn Joshua Curtis and Laura Isham   nn David C. and Nilda                Pierce, P.E.                             nn Jack and Pam McCarthy                 nn In Memory of Burton             nn In Memory of Vyenne Boynton      nn In Memory of Howard “Bud”        nn In Honor of Joseph and June       nn In Honor of Grant Robert
nn Jodi Bray                       nn Ruth Kane and Donald Curylo        Gonnella-French                nn Ken and Joan Kaye                        nn Daniel McCoy                            Bertonceli                       nn In Memory of Cecile and James       Heald                               Anthony Morin                       Simard
nn Stephanie and Jason Breault     nn Kristy and Corey Cushing        nn Winton and Valerie Goodrich    nn Melissa Keelty                           nn Mary Ann McDermott                    nn In Memory of Jim Bashaw            Cioffi                           nn In Memory of Patricia Holland    nn In Memory of Karen Mulheron       nn In Honor of Sarah Sterling
nn Amy Brewer                      nn Paula and Steven Cutting        nn Cassie H. Gordon               nn Dr. Rajvinder Khela                      nn Alan and Dale McFeeters               nn In Memory of Rosierre           nn In Honor of William G. Cioffi    nn In Honor of Carol Livingston     nn In Honor of Charles and           nn In Memory of John Thibault
nn David and Kimberly Brickner     nn Heather Cutting                 nn Kimberley Goss                 nn Karen Keller                             nn Mark and Martha McGinn                  Boudreau                         nn In Memory of William and         nn In Memory of Buzz and               Marjorie Purton                   nn In Loving Memory of Roberta
nn Eric and Stephanie Brigante     nn Tammy and David Cyr             nn Laura and Michael Gouthreau    nn Janice M. Ketchum                        nn Danielle McLaughlin                   nn In Memory of Remi Bourdeau         Lora Dougherty                      Madeline McDermott               nn In Memory of Walter and             J. Voegele
nn Anonymous                       nn Craig Day                       nn Leon and Amy Graves            nn April and Paul Kilbury                   nn Brendan and Kim McMahon               nn In Honor of Jill Berry-Bowen    nn In Memory of Fred and Louise     nn In Memory of Jake and               Florence Rath                     nn In Honor of Erin Ward
nn Randy and Andrea Brock          nn Lori and Andrew Deering         nn Deb and Tim Green              nn Norma Kimball                            nn Jackie McNall                         nn In Memory of Bubby and Tessie      Fleury                              Gertrude Menard                  nn In Memory of Kathleen Riley       nn In Memory of Ruth M. White
nn Tracey Broderick                nn Darlene and Ken DeHart          nn Monica and Craig Greene        nn David and Monica Kimel                   nn Leanne Medor                            Bushey                                                                                                   nn In Memory of Connor Roberts

  17    2017 ANNUAL REPORT                                                                                    Please Note: This list reflects donations given during the 2017 Fiscal Year.                                                                                                                                            Northwestern Medical Center          18
Development Annual Giving                                                                                                                                                                   Financial Report

Gifts from Our Community: Annual Donors                                                                                                                                                      Financial Report
                                                                                                                                                                                                                                                   Actual
                                                                                                                                                                                                                                                   2016
                                                                                                                                                                                                                                                                   Projected Actual
                                                                                                                                                                                                                                                                        2017
                                                                                                                                                                                                                                                                                                   Budget
                                                                                                                                                                                                                                                                                                    2018

The following is a list of individuals and organizations who made philanthropic commitments to one of NMC’s funds. These include the Jim
                                                                                                                                                                                             Patient Services Revenue                            183,964,101         186,289,018                 200,056,322
Bashaw Cancer and Catastrophic Illness Fund, the Palliative Care Fund, the Martin H. Wennar, MD Health Education Scholarship Fund and the
                                                                                                                                                                                                       Less Subsidies to MCR and MCD              59,925,743          60,674,333                  64,499,210
NMC Community Fund.
                                                                                                                                                                                                       Less Other Contractuals                    21,319,582          20,895,177                  25,556,675
Individuals                                                                                                                                                                                            Less Free Care                              1,292,667             667,528                   1,316,726
nn Anonymous                       nn Dr. Gregory and Mr. Joseph       nn Bonnie Evans                      nn Steven and Marianne Marshall             nn Dr. Toby Sadkin and Mr. Dale                Less Provision for Bad Debt                 3,031,340           4,999,919                   5,404,532
nn Ronald and Marsha Anstey           Brophey                          nn Julian Ferris, M.D.               nn Elizabeth Martell                           Hohm                              Net Patient Revenue                                  98,394,769          99,052,061                 103,279,179
nn Judy A. Ashley                  nn Hon. Lawrence H. Bruce, Jr.      nn Myrna Flanagan                    nn Stuart McLean                            nn Dennis Sanders, M.D.
nn Stephanie Bates                    and Susan Roush Bruce            nn Garry Garland                     nn Linda McNall                             nn Jennifer Savage                   Other Operating Revenue                               5,853,874           5,183,451                   5,598,376
nn Denise Baylous                  nn William Cain                     nn Theresa Gendreau                  nn Cheryl Mogridge                          nn Debbie Snedegar
                                                                                                                                                                                             Total Revenue and Other Support                     104,248,643         104,235,512                 108,877,555
nn Linda Benson                    nn Dr. and Mrs. Chip Chiappinelli   nn Radm. and Mrs. Warren             nn Jeffrey and Heather Moreau               nn Dr. Steven Sobel
nn Jonathan and Marilyn Billings   nn Gary Choiniere                     Hamm, Jr.                          nn Katelynn Moreau                          nn Dr. Steven and Mrs. Tami St.
nn Pamela Bonsall                  nn Vaughn and Sara Comeau           nn Roy and Margaret Hango            nn Morris Mulheron                             Marie                             Salary and Wages                                     47,999,821          51,474,302                  51,198,031
nn John and Claudette Bostwick     nn Barbara Dewey                    nn Peter and Christy Hofstetter      nn Gerald and Lisa Myers                    nn Kathy Tabor
                                                                                                                                                                                             Employee Benefits                                    11,047,525          13,242,117                  11,946,614
nn Madeline Boucher                nn Grace Dickinson-Branon,          nn Russell and Sharon Holcomb        nn John A. and Helen W. Newton              nn Madalyn Tulip
nn Jane C. Bower                      DMD and Dan Branon               nn Marc Kutler                       nn Dean and Mary Pelkey                     nn John Verheyden                    Supplies		                                           12,829,619          11,722,205                  12,347,409
nn Melissa Branco-Howard           nn Dorothy Dowling                  nn James Lavoie                      nn Brenda and Ray Rekoff                    nn Edmund and Jeannine Winn          Contracted Services                                  13,216,226          13,642,464                  14,066,005
                                   nn Joseph and Mary Durfee           nn Sally Lindberg
                                                                                                                                                                                             Other Operating Expense                               6,224,872           5,935,212                   6,438,330
Businesses and Organizations                                                                                                                                                                 Medicaid Tax                                          4,316,651           4,233,592                   4,725,004
nn Bellows Free Academy Student    nn Fastenal                         nn J&L Service Center, Inc.          nn Northwestern Medical Center              nn The Tyler Place                   Depreciation                                          4,511,043           4,807,283                   6,030,059
   Activities                      nn Franklin County Quilters Guild   nn JC Image                             Auxiliary                                nn Twiggs
                                                                                                                                                                                             Interest & Amortization                                 607,965             592,570                   1,157,186
nn Community Partners Classic      nn Franklin County Rehab Center     nn Jim Bashaw Bowlathon              nn People’s United Bank                     nn United Way of Greater Atlanta
nn Connor Contracting, Inc.        nn Handy Toyota / Handy             nn McCuin Fuels, Inc.                nn Project Linus (Southern                  nn Vermont Department of Health      Total Expenses                                      100,753,722         105,649,745                 107,908,638
nn Dasani                            Chevrolet                         nn Messenger Print and Design           Vermont Chapter)                                                              Income from Operations                                3,494,921         (1,414,233)                     968,917
nn Department of Health            nn Hannaford Food & Pharmacy        nn Missisquoi Valley Union High      nn Run for Jim
nn DMC Electric                    nn Holy Angels Housing                School Student Activities          nn St. Albans Musuem, Inc.
                                                                                                                                                                                             Net Investment Income                                4,080,429             6,617,158                     296,590
Tributes                                                                                                                                                                                     Other		                                              (843,600)             1,728,155                     168,025
nn In Memory of Eleanor R.         nn In Memory of Matthew             nn In Memory of Maurice              nn In Memory of Marcy Hancox                nn In Memory of John Robert          Total Non-Operating Income                           3,236,829             8,345,313                     464,615
   Bechard                            Brigham                             Dansereau                         nn In Memory of Corporal Daniel                Thorpe                            Excess of Revenue and Other Support Over Expenses    6,731,750             6,931,080                   1,433,531
nn In Memory of Agnes “Mitch”      nn In Honor of Gregory Brophey,     nn In Memory of Susan Dewey             C. Marcellus                             nn In Memory of Jill Wells
   Billings                           MD                               nn In Memory of John Dougherty       nn In Honor of Don McCaughey
nn In Memory of Elaine “Ellie”     nn In Memory of Cecile Cioffi       nn In Honor of Debra Fitzgerald      nn In Memory of Bernard L.                                                       Admissions                                               2,581                2,554                        2,603
   Bilodeau                        nn In Memory of Mary Lou            nn In Memory of Zelma                   Moreau                                                                        Total Patient Days                                       7,558                7,819                        8,068
nn In Honor of Rachel Branco          Collins                             Grunewald
nn In Memory of Paul Branon                                            nn In Memory of Virginia Hall          Please Note: This list reflects donations given during the 2017 Fiscal Year.   Average Length of Stay                                    2.93                 3.06                         3.00
                                                                                                                                                                                             Emergency Department Visits                             27,245               25,919                       26,903
                                                                                                                                                                                             Births		                                                   369                  383                          387
                                                                                                                                                                                             Surgeries		                                              2,905                2,868                        2,993
                                                                                                                                                                                             Outpatient Diagnostic Imaging Procedures                46,218               46,733                       45,622
                                                                                                                                                                                             Outpatient Laboratory Tests                            321,210              335,292                      315,444

                                                                                                                                                                                             Medicare/Medicaid % of Patient Revenue                  59.60%               58.60%                      59.20%
           New reception area and entrance                                                                                                                                                   Days in Accounts Payable                                   51.5                 51.5                        45.9
           is beautiful! Serene! A nice                                                                                                                                                      Days in Accounts Receivable                                36.6                 40.5                        47.4
                                                                                                                                                                                             Age of Plant (Years)                                       10.6                 10.7                        12.5
           gentleman escorted me right to
           where I needed to go.”
                     — An NMC patient

                                                                                  Artwork by Caroline Parent is installed in the entrance to the new Medical Clinics Building.                       The staff seemed to work together intuitively. Inspired my confidence in
                                                                                  Her fused glass piece is made up of 20 panels depicting the Vermont landscape in all four
                                                                                  seasons, and is inscribed with the names of donors who contributed $1,000 or more.                                 my care. They were very honest and sensitive to my fears.” — An NMC patient

  19    2017 ANNUAL REPORT                                                                                                                                                                                                                                                          Northwestern Medical Center   20
Reflecting on
our year ...
NMC always has a lot going
on - both on our campus and
out in the community.
Here you can see us
connecting with the
community at Cardiac
Capers, at the Little Lake
Monsters Community All
Stars game, at walks and
runs around the state and
when we invite students
in for a closer look in our
lab. We’re also happy to
connect with our amazing
volunteers, our staff,
and with the youngest
community members at
events like Healthy Hearts
on the Move.

 21   2017 ANNUAL REPORT      22
SPOTLIGHT On Success
                                                                                                                                                                                                              NMC NAMED
                                                                                                                                                                                                                      ONE OF THE

     Diabetes prevention                                                                                                                 as well as her blood sugar, measured through an A1C test.
                                                                                                                                         The A1C test is a blood test that measures a person’s
                                                                                                                                                                                                              RURAL AND
     When Losing Means Winning                                                                                                           average levels of blood glucose over the past 3 months,
                                                                                                                                         according to the National Institute of Health. It is the
                                                                                                                                         primary test used for diabetes management and diabetes
                                                                                                                                                                                                          COMMUNITY HOSPITALS
     Editor’s Note: This article was originally published in the St. Albans Messenger and written by Messenger Staff Writer              research.
     Elaine Ezerins. This abbreviated version is reprinted here with the permission of the Messenger.                                    “This is what was really important for me because my
                                                                                                                                         brother is diabetic,” she said. “He’s been diabetic for a long
                                                                                                                                         time and right now, he’s really sick. He’s in the hospital.”
     In four months, the 10 community members participating               The March class at NMC met
     in YMCA’s Diabetes Prevention Program lost a collective              weekly for one-hour sessions                                   “I don’t want to be like that,” said Dexter. “I don’t want to
                                                                                                                                         be diabetic.”
                                                                                                                       127.4
     127.4 pounds, according to Debbie Robertson, an NMC                  focusing on healthier eating
     Health Educator and a certified wellness coach.                      and other behavior changes.                                    “I’ve got two grand children,” she said. “I’ve got a son,
     Facilitated through Northwestern Medical Center’s                    The goals of the program are                                   daughter-in-law, my brother, my family… I want to be here
     (NMC) Lifestyle Medicine clinic, the program is designed             for participants to reduce their       TOTAL POUNDS            for them. When you lose your spouse of 45 years, at first
     to help those at risk of developing Type 2 diabetes adopt            body weight by seven percent         COLLECTIVELY LOST         you say, ‘Oh, god what am I going to do?’ You know? So I         This year, Northwestern Medical
                                                                          and increase physical activity to    BY THE 10 MEMBERS         kind of let myself go a little bit, but I’m back on track.”
     and maintain healthy lifestyles by eating healthier,
                                                                          150 minutes per week.
                                                                                                                                                                                                          Center was named one of the
     increasing physical activity and losing enough weight to                                                     IN 4 MONTHS
                                                                                                                                                                                                          Top 100 Rural & Community
     reduce their chances of developing the disease.                      At one of the last sessions,
                                                                          participants discussed their journeys thus far and the         “It’s a great program. It works and there’s a                    Hospitals in the United States by
                                                                          success they’ve seen with this program, in comparison to               need for it in Franklin County.”                         iVantage Health Analytics and
                                                                          others tried.                                                                                                                   The Chartis Center for Rural
                                                                                                                                                    — Judy Wechsler of St. Albans Town
                                                                          “I just lost my husband a year and a half ago, so the                                                                           Health.
                                                                          stress…” Lise Dexter, 65, of Highgate Springs trailed off.
                                                                                                                                                                                                          “This achievement is very gratifying and
                                                                          “I wasn’t really taking care of myself like I should have.”    Judy Wechsler said the program was an interesting                validates our daily commitment to providing
                                                                                                                                         juxtaposition on a personal and professional level because       the best health care possible to our
                                                                          The effects of this came to light during a doctor’s visit in   of her job at the Champlain Valley Area Health Education
                                                                          January. There, Dexter weighed in at 171 pounds, had high                                                                       community, while maintaining an efficient
                                                                                                                                         Center, working to create awareness about the diabetes           and effective facility,” said Jill Berry Bowen,
                                                                          blood pressure and was diagnosed pre-diabetic.                 prevention program.                                              NMC’s CEO.
                                                                          Both Dexter and her doctor agreed she needed to make           “In the course of doing that work, it came time for my
                                                                          some lifestyle changes. She re-joined Weight Watchers          annual physical exam with a local physician and I learned        NMC scored in the top 100 of rural and
                                                                          immediately, a program she had participated in over the        that I was at risk myself for diabetes,” she said.               community hospitals on iVantage Health
                                                                          years off and on with limited success, and signed up for the                                                                    Analytics’ Hospital Strength INDEX®. The
                                                                          diabetes prevention program at the recommendation of her       Wechsler said her doctor’s first instinct was to take the        INDEX is the industry’s most comprehensive
                                                                          doctor. It is free to participate.                             ‘wait and see’ approach because pre-diabetic only signifies      rating of rural providers. It provides the data
                                                                                                                                         potential, but she wouldn’t have any of that. “I said ‘No.       foundation for the annual Rural Relevance
                                                                                                                                         Let’s prevent diabetes,’” she recalled.                          Study and its results are the basis for many of
                                                                          “From January on, I went from 171 to 146                       Robertson, the program’s facilitator, said the class went        rural healthcare’s most prominent awards,
     Collectively, the ten participants enrolled in the latest diabetes
     prevention program class have lost more than 125 pounds
                                                                                 [pounds] and I feel better.”                            exceptionally well. Participants motivated one another and       advocacy efforts and legislative initiatives.
     over a four-month period. Pictured here are eight of the ten                                                                        no one dropped out.
     participants. Front row: Dianne Claire Beyor, Lise Dexter, Judy                  — Lise Dexter of Highgate Springs
     Wechsler; Back row: Marlene Brown, Karen St. Lawrence, Lee                                                                          She said the main challenge she faces is getting people to
     Tillotson, Sue Tillotson, BJ Paquin, Debbie Robertson.                                                                              commit to the one-year program, but when they do, “it
                                                                          Her blood pressure followed the same downward trajectory       works; it really does work.”

23    2017 ANNUAL REPORT                                                                                                                                                                                                                                24
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