January 2013
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Smart Resource Management

Littleton Regional Healthcare is proud to announce it has partnered with Stryker Sustainability Solutions, signifying the hospital's commitment to sustainable healthcare. By reprocessing single-use medical devices, LRH is able to more efficiently manage resources and drive environmental and financial results to the next level.

In 2012, LRH's reprocessing program reduced its supply costs by $89,708, allowing hospital administration to redirect the savings to key initiatives that support quality patient care. Additionally, using reprocessed medical devices resulted in 2,661 pounds of medical waste being diverted from local landfills.

"Reprocessing single-use devices reflects LRH's commitment to smart healthcare through the optimization of hospital resources," said Brian White, President of Stryker Sustainability Solutions. "The healthcare industry is at a critical juncture, and we need more leaders like Littleton Regional Healthcare that are utilizing innovative solutions to reduce costs and waste. These savings measures can help re-direct resources to initiatives that can make a positive impact on patient care."

Hospitals and hospital networks across the nation are pursuing initiatives to reduce the environmental impact of healthcare delivery. Among these initiatives, reprocessing single-use devices stands out as an environmental practice that not only radically reduces the amount of medical waste, but also frees significant resources for the hospital - all without capital investment.

In 2012, LRH began a reprocessing partnership with Stryker Sustainability Solutions, the nation's leading provider of medical device reprocessing services. LRH is in the distinguished company of other leading hospitals that are implementing reprocessing programs which are currently employed by most of the U.S. News & World Report "Honor Roll" hospitals.

Featured Physician
Dr. Julia Bolding, Rheumatologist Joins LRH
Dr Bolding
Dr. Julia Bolding, Rheumatologist


Littleton Regional Healthcare is pleased to announce the appointment of Julia M. Bolding, MD, Rheumatologist to LRH.


Dr. Bolding joins LRH with 8 years experience specializing in Rheumatology Medicine. Dr. Bolding earned her Bachelor of Science Degree in Zoology at Montana State University in Bozeman, MO. Dr. Bolding earned her Certificate in Physical Therapy at the Cleveland State University in Cleveland, OH, and subsequently received her Doctor of Medicine at the University of North Dakota School of Medicine in Grand Forks, ND. She completed her Rheumatology Fellowship at Indiana University in Indianapolis, Indiana.


Dr. Bolding is Board Certified in Internal Medicine and Rheumatology. She received honors and awards at Alpha Omega Alpha Medical Honor Society, University of North Dakota Board of Higher Education Scholarship, University of North Dakota School of Medicine Epidemiology Research Award, Dr. Ted Harwood Memorial Scholarship, Cleveland State University Dean's List, Phi Kappa Phi Honor Society, Montana State University, and National Park Service Special Achievement Award.


Following completion of her training, Dr. Bolding served as a Rheumatologist at the Great Falls Clinic in Great Falls, Montana and the Billings Clinic in Billings, Montana. Dr. Bolding holds professional memberships with the American Board of Rheumatology, American Medical Association and the American College of Physicians.


For additional information about programs and services at LRH visit www.littletonregionalhealthcare.org or to schedule an appointment with Dr. Bolding, please call (603) 259-7599. Office Hours are Monday through Friday 8:30 am - 5:00 pm.



LRH Healthy News
FREE WALK-IN FLU CLINICS at Littleton Regional Healthcare


Littleton Regional Healthcare is offering FREE Community Walk-In Flu Clinics due to the widespread influenza outbreak.


LRH's Occupational Health Department (located next to the Emergency Department) will hold community wide clinics on:


Wednesdays and Fridays

8:00 am - Noon and 1:00 pm - 4:00 pm

  • The vaccine is available for any individual age 3 and up.  
  • For vaccines for children age 3 - 17, please call LRH's Occupational Health Services for availability and appointment.
  • No appointment needed for ages 18 and above.
  • Supplies are limited!  

Questions regarding the Free Community Walk-In Clinics can be directed to the LRH Occupational Health Department at (603) 444-9294.

Temporary Visitor Restrictions at LRH 


Due to the worsening flu outbreak in New Hampshire and surrounding states, Littleton Regional Healthcare administration is implementing a restricted visitor policy temporarily.


Children under the age of 13 years old will be restricted from all areas of the organization, and will be asked to come to the hospital and physician practices only if they require care. 


People with respiratory or flu-like symptoms will also be asked to refrain from visiting patients and staff in the hospital/practices.  Friends and family members will also be discouraged from visiting patients in the hospital that have respiratory or flu-like symptoms.  Visitors will be asked to wear masks if visiting at risk patients, and will be asked to perform hand hygiene. 


LRH also requests that visitors coming in to the Intensive Care Unit and Obstetrics should check in at the nurses' station prior to visiting.


Questions regarding these temporary visitor restrictions should be directed to LRH Quality Services at (603) 444-9597


LRH Events


LRH Education

A Message from LRH Education Department


Learning CPR and AED skills can improve your ability to take action in an emergency.  Patients have the best chance for full recovery from a cardiac arrest when cardiopulmonary and defibrillation are administered appropriately and effectively. The Education and Staff Development Department at Littleton Regional Healthcare is now offering American Heart Association (AHA) classes for Cardio-Pulmonary Resuscitation and Automated External Defibrillator (AED) use.  The Heartsaver® CPR AED course uses interactive lessons and videos to teach CPR, AED and choking knowledge. Students will learn how to react in a cardiovascular emergency and activate the emergency response system.  This program is for individuals with limited or no medical training who want or need an AHA course completion card. You will learn:

  • Adult CPR and AED use
  • Adult choking
  • Child CPR and AED use (optional)
  • Infant CPR (optional)
  • Child choking (optional)
  • Infant choking (optional)

CPR instruction includes high-quality compressions, airway management, breathing, and how to use a mask. The courses are offered to non-clinical employees and volunteers at LRH as well as members of the community.  To find out more information about how to register for this and other courses offered by the Education and Staff Development Department, visit our web pages at http://www.littletonnhhospital.org/education.php





LRH Auxiliary Corner


The LRH Auxiliary is hosting a Jewelry Sale on Thursday, January 31st from 9:00 am - 7:00 pm - just in time for Valentine's Day!   All sales will be held in the H. Taylor Caswell, Jr. Physicians' Office Building - outside the cafeteria. 


Auxilian Jill Rudberg will be selling a beautiful assortment of pearls, stones, crystals and more.


Proceeds of these events support Littleton Regional Healthcare. For additional information, contact Charron Sundman, Volunteer Director at (603) 444-9207.

Living Well

February is Heart Health Month


Recognizing the Symptoms of a Heart Attack  



If heart attacks really happened as they are portrayed in the movies - the sudden, intense chest pain that brings you to your knees -- it would be easier to know when to go to the hospital. But in reality, the pain and discomfort caused by a heart attack can be more subtle, especially for women.


Heart attacks are the leading killer of both men and women in America. Waiting for symptoms to subside could result in an undesirable outcome. A heart attack happens every 34 seconds in America, affecting more than a million people each year. More than a third of them pass away.   


"If you're having a heart attack, prompt medical attention may help protect your heart muscle from permanent damage, and perhaps save your life," says Dr. Emil Pollak, Dartmouth-Hitchcock Littleton Cardiology.  "The medical term for heart attack is myocardial infarction. A heart attack occurs when the blood that brings oxygen to the heart muscle is blocked, often by a blood clot. A less common cause of a heart attack is a coronary artery spasm that restricts blood flow. Without oxygen, heart muscle cells begin to break down. A heart attack can cause permanent damage to the heart, impairing its pumping ability. However, survival rates are favorable for those who seek immediate medical attention."


A heart attack may be the first sign of coronary artery disease (CAD) which can be caused by plaque build-up. CAD narrows or blocks the arteries and increases the likelihood of developing blood clots. In addition to heart attacks, CAD can lead to other medical problems including angina, which causes chest pain and discomfort, or arrhythmia which is an irregular heartbeat. Over time angina can weaken the heart muscle and cause heart failure.


Heart attack symptoms can range from mild discomfort to gripping pain. Many people put off seeking medical attention, blaming indigestion or not recognizing the signs. Seek medical attention immediately if you experience any of these heart attack symptoms:


  • A mild to severe feeling of pressure, squeezing, fullness or pain in the center or left side of the chest that lasts more than a few minutes or goes away and comes back
  • Discomfort in one or both arms, the back, neck, jaw or upper part of the stomach  
  • Shortness of breath, with or without chest discomfort or pain
  • Nausea, vomiting, light-headedness or sudden dizziness
  • Cold sweats
  • Unusual or unexplained fatigue

Chest pain or discomfort is the most common sign of heart attack in both men and women. However, women are more likely than men to experience the less obvious symptoms. As soon as heart attack symptoms begin, research shows that chewing an aspirin can be beneficial since this common drug has an anti-clotting effect in the bloodstream. Once medical help is at hand, avoid losing precious treatment time. Immediately tell the ambulance or emergency room personnel that you think you may be having a heart attack. To determine if a heart attack is in progress or has occurred, your vital signs will be monitored and imaging or blood tests will be done if necessary. Treatment might include drugs, heart bypass surgery or other procedures aimed at restoring proper blood flow. If you're very lucky, you may come away with just a prescription for a more heart-healthy diet and active lifestyle.


In February, the AHA sponsors American Heart Month to educate people about how to have heart-healthy lives and what the risk factors are for developing heart problems. Celebrating its 10th year in 2013, the American Heart Association's (AHA) "Go Red for Women" campaign has worked to help women and medical professionals understand how heart attack symptoms differ for men and women.

"The good news is that deaths from cardiovascular disease fell more than 32 percent from 1999 to 2009," says Pat Cooper, vice president for clinical operations at Quorum Health Resources (QHR). "And the American Heart Association is predicting that figure will continue to be positively influenced in the future by further declines in smoking, high cholesterol and high blood pressure. However, we face other medical and lifestyle barriers. These include the projected high rate of diabetes and obesity, and slow progress in improving overall diet and beneficial physical activity. With about a million heart attacks a year and more than $108 billion in annual spending related to coronary artery disease, the cost of poor heart health to Americans and our society as a whole is very high, both personally and economically."  


The AHA provides an online tool that lets people assess their 10-year risk of having a heart attack or dying from coronary artery disease, along with suggestions for improving that outlook. To complete the heart attack risk assessment and learn more, go to www.heart.org.



This article provided courtesy of Littleton Regional Healthcare and Quorum Health Resources, LLC ("QHR").



Visit the American Heart Association website at https://www.heart360.org/Default.aspx to learn about maintaining a healthy heart!


LRH Staff Recognition


LRH Quality Staff Member Earns National Certification


Joanne McCourt, Quality Data Specialist

 Littleton Regional Healthcare is pleased to announce that Quality Services Data Specialist, Joanne McCourt, has recently earned the credential of Certified Professional in Healthcare Quality (CPHQ) after successfully demonstrating the knowledge and skills necessary to pass the CPHQ exam. This certification validates Joanne's expertise and recognizes her commitment to both personal and professional development.


The CPHQ credential signifies professional and academic achievement by individuals in the field of healthcare quality management. The comprehensive body of knowledge includes quality management, quality improvement, case/care/disease/utilization management, and risk management at all employment levels and in all healthcare settings.

Littleton Regional Healthcare applauds Joanne McCourt for taking the extra steps required to validate her knowledge and skills and feels fortunate to have such a dedicated Quality Services professional at its facility.


Joanne came to Littleton Regional Healthcare in January of 2010 and has been a vital member of the Quality Services Department since that date.

"Littleton Regional Healthcare is proud to have such a valued and skilled Quality Services staff member," states Chief Administrative Officer /Chief Nursing Officer, Linda Gilmore. "Joanne's commitments to high quality patient care, and ensuring an exemplary patient care experience, are clear in the approach she takes every day."



How You Can Help
Make an Honor or Memorial Gift Today


You can celebrate a significant occasion, remember a loved one, commemorate a milestone or recognize someone special with an honor or memorial gift in their name to the LRH Charitable Foundation. Your donation will honor your friends or loved ones and help support Littleton Regional Healthcare.


Whether you make your gift online, by mail or by phone, we will gratefully acknowledge your thoughtful donation by notifying the person or family member you designate with a beautiful acknowledgement card (no gift amount is disclosed). For online gifts, your donation will be immediately acknowledged and donors will also receive an acknowledgement of your generosity.  


Thank you for giving generously by making a charitable contribution to the LRH Charitable Foundation.


For additional information about making an honor or memorial gift, click here Honor Memorial Donations.


600 St. Johnsbury Road

Littleton, NH  03561

(603) 444-9304



600 St. Johnsbury Road - Littleton, NH 03561 - (603) 444-9000 - littletonregionalhealthcare.org