eNewsletter
December 2012
In This Issue
Working Towards a Better Life
Statewide Advisory Committee Engages Leaders Across Our State
What Does it all Mean?
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, General Internist
Alternate

 

Meaningful Use
Dev Culver
HealthInfoNet, Executive Director
Lead
 
Sustainability
Mike Donahue, MBA
EMHS, Vice President, Payor Contracting and Relations
Lead

Donald Krause, MD
St. Joseph Healthcare
Internal Medicine
Alternate
 
Bangor Beacon Staff
 
Mac Hilton
Program Director
  
Melanie Pearson

Project Manager

 

Lanie Abbott
Senior Communications and Outreach Specialist

Andrea Littlefield
Senior Communications and Outreach Specialist

 

Amy Bates

Project Coordinator

 
Sharon LaBrie
Data Analyst

Heather Broussard
Data Analyst
 
Samantha Haynes
Administrative Assistant 


Stay up to date with the Bangor Beacon Community!

 


Care Manager Forum Connects Care Managers and Resources

 

The Bangor Beacon Community care managers met again to connect, network, and learn from one another. The latest installment of the Care Manager Forum included an opportunity for care managers to participate in a focus group about what's working and what improvements could be made while sharing information about patients.

Danielle Reardon, LCSW, Acadia Hospital care manager, shared her patients' experiences with the Move and Improve project and how they participated in collaboration with Community Health and Counseling (CHCS) Beacon patients. Danielle recently received certification in the Living Well program and will be offering this class to her patients and other patients at Acadia. Living Well, sponsored by the Eastern Area Agency on Aging, talks about healthy lifestyles, exercise and nutrition during a five week class.

Carol Carew, RN, chief of nursing at Eastern Maine HomeCare, discussed the tele-home monitoring program and shared how information that the Phillips monitors are collecting can be downloaded and used to help track patients and get a better idea of their indicators over time.

Care managers will meet again in January and then have a final meeting in March. Care managers have benefitted from the time to meet each other, talk about resources, and receive education during these sessions.

 

ONC Meeting Highlights the Bangor Beacon Community

   

As the end of the year comes quickly, so does the Office of the National Coordinator for Health Information Technology's (ONC) annual meeting in Washington, DC. The Bangor Beacon Community again will be highlighted during the conference with several staff members invited to present best practices and lessons learned about our experiences.

Bangor Beacon's executive sponsor Cathy Bruno, EMHS vice president and chief information officer, will be presenting during a session entitled, "Provider Support of Payment and Delivery Reform" to share information about how meaningful use plays a role in our Pioneer ACO experience and other health information technology needs as they relate to sustainability.

Tom Lynn, LSW, Community Health and Counseling Services (CHCS) is presenting during a panel discussion "Behavioral Health and Technology Status" about our work in behavioral health and primary care integration and the technology we are using to accomplish this.

Barbara Sorondo, MD, EMMC's director of clinical research center, will present during a session entitled, "IT-Enabled Care Management" which builds from an October 24 ONC meeting that Dr. Sorondo and Kathy Bragdon, RN, Penobscot Community Health Care participated in on behalf of the Bangor Beacon Community.

Watch next month's eNewsletter for more information about these presentations and a very special story about the annual meeting.

 

  

Have You Watched Our Videos?

 

Please feel free to share the link as they reinforce our mission and vision for a  healthy community.
 

Clinical Leadership 

 

Mental Health

 

HIT / Meaningful Use

 

Rick and Diana's Story

 

Performance Improvement  

 

Patti's Story

 

Bangor Beacon Leadership 

 

Eric's Story

 

 

Greetings! 

 

The holiday season is upon us! And while I wish it was as magical for me as it is for my five-year-old daughter, it can still be filled with laughter, joy, and good times. One of my favorite people, David Prescott, PhD, chair of the Mental Health Task Force, shares a bit of advice to help make the holidays enjoyable. These are tip are worth sharing.

 

"If you are feeling too much stress and anxiety about the holiday season, one important step is to reflect on the exact cause, or causes, of your stress. Simply taking a moment to write down the reasons you feel anxious helps you focus on potential solutions. 

 

For some reason, many people focus largely on the negative or troubling things in their life, and minimize the hopeful or positive things. Our thinking can become like a drop of ink in a pool of water. Left unchecked, pretty soon all of the water is black. 

 

Try balancing the negative with the positive in your thoughts and your actions. If you spend time with family members over the holiday and some of those people are bothersome to you, limit the amount of time you spend with stressful people. Spending more time with people you like results in a more positive holiday experience.

 

Finally, avoid things during the holidays that make things worse in the long run. It may be tempting to cope with holiday stress by using alcohol excessively, repeatedly eating excessively, or cutting back on sleep or exercise. Ultimately, coping strategies like this may cause more problems than they solve. Avoiding negative coping helps make any stressful experience a little easier to manage."

 

Best wishes for a warm holiday season and a new year filled with possibility and hope!

  

Lanie Abbott 

Senior Communications and Outreach Specialist

 

 Working Towards a Better Life

 

Michael McAllister has come a long way since he started working with his healthcare team at Penobscot Community Health Care's (PCHC) Brewer Medical Center to learn how to manage his diabetes. During his Decemer check-in he had lost another eight pounds, putting him just two pounds away from one of his goal of being under 400. "He's doing a really good job, his bloods sugars have been improving since we started working together," shares Wendy Perkins, RN, care manger.

At 54 years old, Michael is working hard to live a life that is fuller, one that includes friends and getting out more. "Prior to working with Wendy, I would spend 24 hours a day, seven days a week in my room," explains Michael. Depressed and dealing with an out of control chronic disease, he reluctantly agreed to get some help and support offered through the Bangor Beacon Community. "I believe it changed the course of my life."

Together, Michael and Wendy set goals that include taking his blood sugar readings five times a day. It also includes connecting Michael to other resources within his primary care practice. "I'm working with a mental health provider to help with my depression. She is encouraging me to take better care of myself and so I've started taking more pride in my home and in me." He is also working with a social worker who is trying to get him into public housing which could help him not feel so isolated. "I think that would help me meet people. I love to knit, crochet, and do crafts and it would be nice to do that with others."

 

Slowly but surely Michael is seeing changes and continuing to work closely with his team. "I am more active now and get outside for walks and don't think about spending all day in my room. I'm excited about possibilities and my future." Michael has learned to eat more frequently, rather than one big meal a day. He continues to try and lose weight and he'd like to quit smoking."

 

His healthcare team is encouraged to see how far he's come and his willingness to keep working on himself. "He really wants this and realizes it won't happen overnight. The fact that he got through Thanksgiving without huge spikes in his blood sugars shows me how committed he is to being successful," smiles Wendy.

 

Wendy shares these strategies to help folks living with diabetes get through the holidays:
 

1) Avoid high caloric alcohol beverages.
2) Take a healthy dish to share at family or office gatherings.
3) Enjoy the holiday - enjoy the day without the worry of what you are eating. It's avoiding the leftovers and over indulging that are harmful. Give the leftovers away.
4) Plan ahead - if you are eating out, have a light healthy snack before you go so you won't be tempted to over eat. Have some form of protein in this snack as the protein will help satisfy your hunger and again you will be less likely to over eat.
5) Plan ahead to increase your exercise the day of or the day after your holiday event.
6) If eating out at a restaurant, check out the menu before you go and make your choices ahead of time. If you have already made the healthiest choice before you get there it is easier to stick with that choice. Don't take a menu and don't eye other people's dinners as you are seated - this will only increase the temptation to pick something else. A great free website to check on the nutritional value of foods, which includes carbohydrates and sugars, is
www.myfitnesspal.com. You won't find your small town restaurants listed but you will find places like Pizza Hut, Olive Garden, and all fast food places.
7) Enjoy everything...it's all in the portion size. If there is fudge, cut a smaller piece and walk away.
8) Feel free to be your own advocate. Plan ahead for one liners you can use to politely say no. "That looks wonderful, thank you, but not right now."
9) Avoid the guilt. If you do eat an extra portion you haven't "blown" your diet, but rather learn from that experience and get right back on track immediately...don't wait till tomorrow.
10) Remember you are just like everyone else...don't let diabetes define who you are. In other words, you are not a diabetic, you are "Joe" who happens to have diabetes.


 

 

 
 


Statewide Advisory Committee Engages

Leaders Across Our State

    

The Bangor Beacon Community Statewide Advisory Committee met in November for its next to last meeting. The group heard presentations about sustainability, through the EMHS Pioneer Accountable Care Organization, listened to a panel on mental health, provided feedback and participated in discussion regarding the effectiveness and lessons learned from the Statewide Advisory Committee. They also heard about the plans for a celebration to mark the successful completion of the Bangor Beacon Community grant.

The final Statewide Advisory Committee meeting will be held in conjunction with the celebration on March 12, 2013 at Spectacular Event Center in Bangor. Please save the date!

During the last meeting, participants will have an opportunity to celebrate the accomplishments made under the grant, learn about the final data regarding the program, and discuss how healthcare transformation will continue in our state. 

 

 


 

 

   

What Does it all Mean?
 
 

During the November Patient Advisory Group meeting, members heard a presentation from Barbara Sorondo, MD, director of the Eastern Maine Medical Center (EMMC) Clinical Research Center, regarding the nuts and bolts of the Bangor Beacon Community. They wanted a better understanding of how the model of primary care is evolving and what proof we've seen that we're on the right road. "It's important to see how these improvements have become the foundation of healthcare delivery moving forward, it helps me talk about it in the community, armed with more facts and a better understanding," explains Julian Haynes, patient advisor. The group was interested in knowing how the model was developed and how we are demonstrating improvements. Dr. Sorondo shared the data collected on the 1,177 patients receiving care management services through the grant.

 

David Small has interesting insight on why this approach is successful. "A few years ago, I was approached by my insurance company to participate in care management, but I declined because I didn't trust the intent behind the offer. The Bangor Beacon Community grant gave me an opportunity to get the supported I needed with someone I knew and trusted at my primary care office and that's made all the difference."

 

The Patient Advisors also weighed in on what they feel is important to share with our community, state, and the nation about what is taking place because of our Beacon grant. Half of the group believes that data will drive interest in our transformation and the other half feels that our patient stories make what we are achieving real. They also had ideas about how we could get the word out. "The eNewsletter is nice, it's a quick glance at what is happening and focuses a lot on people and I appreciate that, it helps me better explain to my family and friends what Bangor Beacon is all about," shares Belinda Wee, patient advisor.

 

Our next meeting will be in January. 

 

The 12 Bangor Beacon Community partners: