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eNewsletter
November 2011 |
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M.Michelle Hood, FACHE
EMHS, President and CEO
Bangor Beacon Community
Statewide Advisory Committee
Chair
Erik Steele, DO
EMHS, Vice President and Chief Medical Officer
Bangor Beacon Community Principal Investigator
Leadership
Catherine Bruno, FACHE
Bangor Beacon Community Executive Sponsor
EMHS, Chief Information Officer Lead
Dale Hamilton Executive Director, Community Health and Counseling Services Alternate
Clincial Transformation
Jim Raczek, MD
EMMC, Chief Medical Officer Lead
Robert Allen, MD
Penobscot Community Health Center, Executive Medical Director
Alternate Evaluation Barbara Sorondo, MD EMMC, Director Clinical Research Center Lead
Frank Bragg, MD
EMMC, Family Practice Provider
Alternate Meaningful Use Dev Culver HealthInfoNet, Executive Director Lead
Bob Kohl
Maine Primary Care Association HIT Project Director
Alternate
Sustainability
Mike Donahue, MBA
EMMC, Vice President, Physician Practices
Lead
Donald Krause, MD
St. Joseph Healthcare
Internal Medicine
Alternate
Bangor Beacon Staff Mac Hilton Program Director Debra Carpenter-Zeman Project Manager
Melanie Pearson
Project Manager
Lanie Abbott
Senior Communications and Outreach Specialist
Andrea Littlefield
Senior Communications and Outreach Specialist
Beth Johnson
Project Coordinator
Julie Adams
Administrative Assistant |
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Stay up to date with the Bangor Beacon Community! |
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PCHC's Growing Our Own Conference a Huge Success
In late September more than 100 stakeholders gathered for an inaugural event dedicated to addressing the national workforce shortage of healthcare professionals, strengthening Maine's pipeline of clinicians, and identifying innovative educational initiatives essential to developing future generations of providers.
"Growing Our Own: How Maine and America are transforming the advanced education system to prepare the next generation of health care professionals in the future of healthcare", featured an array of sessions and perspectives dedicated to strengthening Maine's health care workforce, including:
- Planning for the Future: National Trends in Healthcare Education
- Transforming Health Education
- Medical Education: Rural Primary Care Initiatives
- Prescription Drug Abuse: Training Future Providers
- The Future of Dental Education: Addressing Maine's Dental Shortage
- Blowing Apart the Silos - Training the Next Generation for a System of Care
- Alignment and Integration Through Partnerships
- From Theory to Practice: Teaching Providers to Apply "Lean" to Strengthen Healthcare Operations
- Effective and Productive Clinical Teaching: Precepting 101
- Meeting Maine's Needs for Physician Leaders
- Shared Learning: Expanding the Paradigm of Health Professions Education
- The agenda's timely and relevant topics were bolstered by distinguished speakers, which included in-state experts from the University of New England, Maine's residency programs, hospitals and health centers, as well as Charles Dwyer, Director of the Office of Rural Health and Primary Care; and Mary Mayhew, Commissioner of the Department of Health and Human Services.
The Maine-based perspectives were balanced with several nationally recognized speakers, including:
- Seiji Hayashi, MD, Chief Medical Officer, Bureau of Primary Health Care, HRSA
- Ted Epperly, MD, Executive Director, Residency of Idaho, Past President of the American Academy of Family Physicians
- Ted Wendel, PhD, VP of Operations, AT Still University - Arizona
For additional details about the "Growing our Own" event, please click here for an article published online by the Bangor Daily News.
The event was sponsored by the Maine Office of Rural Health and Primary Care, Penobscot Community Health Care, Eastern Maine Area Health Education Center, and the Maine Primary Care Association. |
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Working Together to Better Support Our Patients
Transitions of care and seamless care are two very important areas that the Bangor Beacon Community care managers are working to improve. During their most recent Care Manager Forum they heard from local experts regarding chronic obstructive pulmonary disease (COPD). Mae Barker, RN, St. Joseph Cardiac Rehab, Denise Holt, CRT, St. Joseph Pulmonary Rehab, and Ann Marie Knowles, RN, director of EMMC inpatient care management, shared their perspectives and insight. Care managers appreciated learning about the online resources available and tools the women use to help treat COPD patients.In December the care managers will take a closer look at Telemedicine.
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Greetings!
Sometimes life can get difficult and we focus our energy on the negative things happening around us or to us, and we forget to be thankful. It is so refreshing to spend time with people who see the cup as half full and delight in life's little pleasures, much like many of us did as a child.
I get sentimental this time of year, or as my four year old would say, "mushy" about all the wonderful people in my life. They range in age; some are lifelong friends; and some I have just had the pleasure of meeting. The past year has been amazing! I have had the pleasure of spending my days with care managers who are passionate about helping their patients, providers who are committed to making our community healthier by working together, and patients who are gaining wisdom and confidence to care for themselves and their disease. Thankful doesn't begin to describe how these people and their families are feeling.
I suspect around the dinner table this Thanksgiving there will be lots of laughter and many memories being made as families are once again feeling a spark of hope that seemed impossible just 12 short months ago.
Thank you for sharing your journey as we improve the quality of life of your family, friends, and neighbors. As they say, you ain't seen nothing yet!
Happy Thanksgiving,
Lanie Abbott
Senior Communications and Outreach Specialist |
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A Chronic Disease Diagnosis Can Be Overwhelming... No Matter Who You Are |
If you were to meet Mike Labun, you would think he was the picture of health. He runs marathons, is very active in the lives of his three children, is a supportive husband, and has been in local banking for nearly two decades. He grew up in Millinocket where his dad was a school teacher and his mom a nurse at the local hospital. Mike and his wife Suzanne, a Maryland native, knew Maine was where they wanted to raise their children. By all accounts, the Labun family was a traditional healthy family. That is until the morning of Mike's forty-second birthday. "I woke up not feeling well. I was light-headed and my arm was tingly. I thought I was having a heart attack."
When Mike got to the hospital, a whole litany of tests were run to determine what was causing the symptoms. "They all came back normal." However, a red flag was raised with a blood sugar test and Mike was told he needed to follow up with his doctor, which he did and was diagnosed with Type II diabetes. "It didn't take long to not add up. Even with diet and exercise, I wasn't changing my blood sugar readings at all." As it turns out, Mike suffers from Type I diabetes. "It was a shock. No one in my family has diabetes and Type I diabetes is generally hereditary."
Needless to say, the past two years have been eye-opening for Mike. "I feel like I have become a bit of a chemist. There is so much to absorb and a lot to deal with it." Mike welcomed the help of Cynthia Herrick, RN, care manager. "I needed someone to talk to, someone to help me establish a diet based on how much I exercise and the already healthy way I eat." At first, Cynthia called Mike weekly answering questions, providing information, but most of all building his confidence that he could live with this disease and be healthy and happy. "No one is more interested in me keeping my eyesight than me - I just needed someone to help me get control back." And that is exactly what Cynthia helped Mike do. Mike uses insulin four times a day based on how many carbohydrates are in his meal. "I found a great app for my phone. I punch in what I'm eating and it comes back with a carb count which makes this much easier to figure out." So far, so good for the Labun family. Mike is still up running nearly every day, still cheering on his kids as they play sports, still working fulltime, and continuing to enjoy time with his wife. "A chronic disease diagnosis is scary. Add in young children and a wife, and it can almost cripple you. I am so thankful for this program and my care manager. Cynthia is only a phone call away. Because of her guidance and support, I can see that life can still be all that I want and more." |
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Meet the People Behind the Technology | |
As patients, we expect our caregivers to use the best tools available to improve and safeguard our health. In the Bangor Beacon Community, one of those tools is the electronic health information exchange (HIE) managed by HealthInfoNet. This secure system helps providers quickly share a patient's important health information to better coordinate their care. In Bangor, this is already happening between Eastern Maine Medical Center and St. Joseph Hospital and across Maine among 21 hospitals and dozens of physician practices.
For caregivers using the system, HIE is just a click away. But this, like any other information system, is only as good as the people who manage it. So who are the people that keep HIE running 24/7-365 days a year? Meet the technical team at HealthInfoNet! In alphabetical order, we have Aaron Bentley, who standardizes test descriptions across systems to make sure a patient's combined record comes to life. Next is Glenn Labrecque, who keeps all the systems up and running, even in his pajamas at 3am! Phil Profenno keeps everything organized and moving forward when a new partner connects to the exchange. Maria Stevenson answers patient questions and helps patients make an informed choice about participating. Chris Wilbur makes all the separate electronic health record systems actually "talk to each other." And Deb Wilson is the keeper of user accounts and makes sure patient records match correctly. So while using the system is simple and seamless for caregivers, it takes a number of dedicated folks to bring this tool to life.
This fall, HealthInfoNet passed the million record mark, meaning more than one million people who were treated in the State of Maine have a record within the health information exchange. As HealthInfoNet continues to add more providers to the exchange, the number of patients should also grow rapidly and come close to the 1.3 million residents living in the state today. Also growing as HealthInfoNet expands is the comprehensiveness of information stored, which is key to unlocking HealthInfoNet's potential for improving care coordination and care transitions. Already, of the million people with records in the HIE, more than 145,000 have visited two or more participating providers. And in two-hospital towns like Bangor and Lewiston, HealthInfoNet's system shows as many as 75 percent of patients crossover, meaning 75 percent of the time, patients registering at one facility already have information in the HIE.
Above Photo: From Left - Top Row - Aaron Bentley, Phil Profenno, Chris Wilbur. Bottom row - Maria Stevenson, Deb Wilson, Glenn Labrecque. |
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Telehealth is Good Medicine! | |
Gerald Button moved to Maine 44 years ago to marry his pen pal. "I was stationed in Panama, when she started writing to me. We wrote to each other for three years and when I got back to the states, I moved to Maine from South Dakota and we were married two weeks later," laughs Gerald. To many people he is the beloved Mr. Button, an English, speech, and drama teacher at Brewer High School. "I loved being around the students. They kept me young and entertained." He was the picture of health until out of nowhere, 25 years ago, he began having chest pains and ended up having a heart bypass which left him with one artery. "My dad died of a heart attack at the age of 65, and when I got to be that age, the thought of that consumed me."
Congestive heart failure and diabetes had Gerald in and out of the Emergency Department and hospital over the years. This past summer it seemed to be getting worse. "I was in the hospital a few days every month." The Buttons live 25 miles from the nearest hospital and that alone heightens their anxiety about Gerald's health. "What if I am having an emergency? Will help come in time? My wife and I worry about that."
Gerald was the perfect candidate for Bangor Beacon's Telemedicine project. Because of restrictions from Medicare, he would not be a candidate for the in-home monitoring option. Bonnie Gagner, RN, homecare nurse for St Joseph Healthcare, is in daily contact with Gerald. She went to the Button home in late August to set up his equipment and walk him through how to use it. "The initial visit takes about two hours. It allows you to develop a relationship of trust and comfort." Every morning before ten, Gerald checks his blood sugar, weight, oxygen, and blood pressure. The information goes directly to Bonnie. "This equipment gives me a great deal of peace of mind. When my numbers are off, Bonnie will call me and make suggestions. I am learning so much about how to care for my disease. This program helps to take the worry out of my life."
The fundamental role of telemedicine is to teach people how to care for their disease. Patients not only put in information daily, but information is also shared with them on ways to better manage their condition. Gerald is more confident than ever about spotting the warning signs and getting help before a trip to the emergency department becomes necessary. "I am thankful for this program; I know it's kept me out of the hospital. I hope to very soon get my energy back so that I can get on stage again!" |
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The 12 Bangor Beacon Community partners:
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