July 2014
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Four Northern New Hampshire Hospitals Working Toward Affiliation


Join us for a Community Meeting!


From left (seated) Russ Keane, CEO from Androscoggin Valley Hospital; Warren K. West, CEO from Littleton Regional Heatlhcare; Peter Gosline, Interim Cheif Administrative Officer at Upper Connecticut Valley; and Scott Howe, CEO at Weeks Memorial Hospital with back row from left (standing) Board Chairs, Mark Kelly; Stevan Trooboff; Greg Placy; and David Atkinson meet to sign a letter of intent.


For more than a year now, four northern New Hampshire hospitals have been meeting to explore whether or not affiliating in some way would help deal with the challenges we face as small, rural community hospitals in a health care environment that is in the midst of significant change.


On Monday, July 21, 2014 Board chairs and leadership from Androscoggin Valley Hospital, Littleton Regional Healthcare, Weeks Memorial Hospital and Upper Connecticut Valley met to sign a letter of intent. This Letter of Intent provides a way forward for each of the organizations working together with the others to seek both the regulatory approvals we will need for any type of true business affiliation, as well as to do the detailed business planning that would guide it.


Community members are encouraged to attend one of four community meetings to learn more about this affiliation and how it may affect your Hospital.


Meetings will be held at:


Berlin, NH

Monday, August 11, 2014

6:00 - 7:00 pm

Androscoggin Valley Hospital Lecture Room

Please RSVP by calling 603.326.5606


Lancaster, NH

Tuesday, August 12, 2014

6:00 - 7:00 pm

Weeks Medical Center Board Room

Please RSVP by calling 603.788.5026


Littleton, NH

Wednesday, August 13, 2014

6:15 - 7:15 pm

Littleton Regional Healthcare

Dr. H. Taylor Caswell, Jr. Physicians' Conference Center

Please RSVP by calling 603.444.9304


Colebrook, NH

Wednesday, August 13, 2014

6:00 - 7:00 pm

Monadnock Congregational Church

Please RSVP by calling 603.388.4399


Please visit www.northcountryhealth.org  for more information about the North Country Hospitals Affliation.

LRH The Latest in Technology

LRH Named Most Wired Small, Rural Hospital


Littleton Regional Healthcare has enhanced technology that allows clinicians and patients to have access to information they need to promote health and make the most informed decisions about treatments. As a result of these latest advancements, LRH has been named Most Wired Small, Rural Hospital for the second time.


According to Warren West, CEO at LRH, "We are actually ahead of many hospitals in the U.S. in terms of technology. LRH is the only small rural hospital in New Hampshire named for two years in a row, and is one of 20 named Most Wired Small Rural Hospitals in the nationwide."  West states, "The bottom line for LRH is that we are doing everything we can to enhance the patient experience through electronic connectivity using a patient portal on both the hospital and physician practice side of operations. We are embracing all forms of connectivity to patients with their physicians. We want to make sure LRH is the provider of choice in Northern New Hampshire."


As the nation's health care system transitions to more integrated and patient-centered care, hospitals are utilizing information technology to better connect disparate care providers, according to the 16th annual Health Care's Most Wired Survey, conducted by Hospitals & Health Networks.


For instance, 67 percent of Most Wired hospitals share critical patient information electronically with specialists and other care providers. Most Wired hospitals, those that meet a set of rigorous criteria across four operational categories, have made tremendous gains by using IT to reduce the likelihood of medical errors. Among Most Wired hospitals, 81 percent of medications are matched to the patient, nurse and order via bar code technology at the bedside.


"The Most Wired data show that shared health information allows clinicians and patients to have the information they need to promote health and make the most informed decisions about treatments," says Rich Umbdenstock, president and CEO of the American Hospital Association. "Hospitals, their clinicians and their communities are doing tremendous work to enhance their IT systems in ways that support care and delivery improvement, and patient engagement goals."


Among some of the key findings related to improving quality and patient safety:


  • Nurses and physicians share best practices for patient safety and use checklists at more than 90 percent of Most Wired organizations.
  • To help consumers make better decisions about their health care, standard measures of individual hospital quality performance are reported and publicly available. Nearly half of Most Wired organizations share this information on their websites and 86 percent provide quality scores to clinical leaders on a regular basis as part of their performance improvement initiatives.


"Hospital leaders should be commended for the hard work they've done under an unrealistic time frame," states Russell P. Branzell, president and CEO of the College of Healthcare Information Management Executives, referring to federal requirements that health care providers adopt and meaningfully use a certified electronic health records (EHR). "Still, there is a substantial amount of work ahead. Effective C-suites view IT adoption as a collaborative effort. They have a clear strategic plan and know how IT fits into that."


To that end, nearly all participants in the Most Wired Survey and Benchmarking Study have an established health IT project governance process and evaluate existing workflow processes and desired outcomes.


The 2014 Most Wired Survey also covered the evolution of new models and payment from the IT perspective. As health care delivery moves to a value-based system, it will require more and better use of data analytics, care coordination and population health management.


  • 36 percent of Most Wired hospitals aggregate data from patient encounters to create a community health record.
  • 71 percent of Most Wired hospitals manage care transitions compared with 57 percent of all responding organizations.
  • 43 percent of Most Wired organizations integrate clinical and claims data so that they are accessible, searchable, and reportable across the care community


"As we talk about collecting data, one of the critical competencies is making sure you have views of the clinical and financial sides," says Rose Higgins, senior vice president and general manager, population and risk management at McKesson Technology Solutions. "You need both to be successful. Seeing them together will provide a better picture of what's happening at the population health level and will be important as hospitals take on more risk."


  • 69 percent of Most Wired hospitals use tools for retrospective analysis of clinical and administrative data to identify areas for improving the quality of care and reducing the cost of care delivered.


"Healthcare professionals need to be free to communicate virtually across teams and to patients," says Tad Reynes, regional vice president, AT&T Business Solutions. "Providing tools to do so can potentially reduce costs, simplify workflows, improve patient care and offer a better experience to users."


  • 35 percent of Most Wired hospitals use social media to deliver care management messages and 40 percent provide mobile applications for secure messaging with patients


Health Care's Most Wired Survey, conducted between January 15 and March 15, asked hospitals and health systems nationwide to answer questions regarding their IT initiatives. Respondents completed 680 surveys, representing 1,900 hospitals, or more than 30 percent of all U.S. hospitals.


For details about the Most Wired hospitals, the July H&HN cover story detailing results is available at www.hhnmag.com.

LRH Service Excellence News

LRH Quality Staff Member Earns LEAN Certification


Robert W. Mach, FACHE and Executive Director of Operations at Littleton Regional Healthcare


 Robert W. Mach, FACHE, Executive Director of Operations, Littleton Regional Healthcare, Littleton, NH recently became a Fellow of the American College of Healthcare Executives, the nation's leading professional society for healthcare leaders.


Mach has been with LRH since 2003 and began his career as Director of Diagnostic Imaging. During his tenure he continued his education receiving his Masters in Business Administration from Aspen University. Rob's passion for healthcare and LRH led to his most recent appointment as Executive Director of Operations. Rob lives in St. Johnsbury with his wife Amy, and four children.  


"The healthcare management field plays a vital role in providing high-quality care to the people in our communities that makes having a standard of excellence promoted by a professional organization critically important," says Deborah J. Bowen, FACHE, CAE, president and chief executive officer of ACHE. "By becoming an ACHE Fellow and earning the distinction of board certification from ACHE, healthcare leaders demonstrate a commitment to excellence in serving their patients and the community."


Fellow status represents achievement of the highest standard of professional development. In fact, only 9,100 healthcare executives hold this distinction. To obtain Fellow status, candidates must fulfill multiple requirements, including passing a comprehensive examination, meeting academic and experiential criteria, earning continuing education credits and demonstrating professional/community involvement. Fellows are also committed to ongoing professional development and undergo recertification every three years


Mach is privileged to use the FACHE credential, which signifies board certification in healthcare management and ACHE Fellow status.


For more information regarding the FACHE credential, please contact the ACHE Division of Membership at (312) 424-9400 or membership1@ache.org, or visit the Credentialing area of ache.org.


What Our Patients are Saying!

littleton healthcare 

At LRH we take great pride in caring for patients and their families. We'd like  to share some of the comments we receive, and we think you will agree that LRH is a very special hospital!


  • My neighbor has been at LRH since Friday.  I spoke with her son today and he told me that nurses Kevin and Curt were excellent with her during a very difficult night.  She had a lot of back pain and pain in her elbow so they both worked very hard to keep it under control and stay ahead of it.  She loved both of them and could not say enough good things about the staff at LRH!
  • I just wanted to pass on a conversation I had with my son Cameron and his wife Sarah.  They had a c-section this week.  They were very happy with the experience in the Operating Room and in the Obstetrics unit as well.  You have a wonderful hospital and an excellent staff.  Thank you for taking such great care of my family!
  • Thank you to Jenn Clough in the Laboratory.  She was the first person in a very long time to draw blood on the first stick - she was kind and professional.  A great asset to LRH!



LRH Health Tips  

July Fitness Tip



Are you tired of the same exercise routine you have been using for years? While step aerobics were fun in the '80's, you will be hard pressed to find a class offered in this day and age. So how do you find a new fitness trend?


While it can be difficult to stay current on the topic, one of the best ways to do so is through the American College of Sports Medicine. For the last eight years, ACSM has collected data via the Worldwide Survey of Fitness Trends and published an annual report on the Top 20 trends.


This year's #1 trend is High Intensity Interval Training (HIIT) which is described as, short bursts of high intensity activity followed by short rest periods. The top ten trends are as follows; HIIT, Body Weight Training, Educated and Experienced Fitness Professionals, Strength Training, Exercise and Weight Loss, Personal Training, Fitness Program for Older Adults, Functional Fitness, Group Personal Training and Yoga.


To learn more, visit www.ACSM.org and be sure to check with your local fitness center for trends offered in your area to try something new.


Compliments of Hannah Peavey, BS, Athletic Trainer

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


 Your Gift Makes a Difference

Thank you to our GOLD Sponsor


In the Dr. Moose Golf Tournament





Friday, September 12, 2014

Omni Mt. Washington Golf Course



Come out for a fabulous day of golf with fun prizes, hearty boxed lunch, and a delicious post-play barbecue!


Teams and sponsorships are still available, but are going fast!


For more information


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