Navigating the Course 2017 Annual Report
MID COAST–PARKVIEW HEALTH www.midcoastparkviewhealth.com Letter from the President As 2017 comes to a close, we recognize that the complexities within the world of healthcare have grown astronomically. Having spent much of this year navigating the new waters of this ever-changing environment, Mid Coast–Parkview Health has focused inward, continuously looking for ways to improve quality and lower costs for our patients. While much rests on the outcomes of national legislation, no matter what transpires, Mid Coast– Parkview Health is charting a course for local success. Even with the persistent growth of uncompensated expenses for services provided to those unable to pay—an amount that has doubled within the past five years—we remain positive that sustainable solutions are founded within our organization. Mid Coast–Parkview Health is now a fully integrated and dynamic healthcare system that has become a regional referral center for healthcare services. We have implemented innovative solutions involving strategic partnerships, initiatives, and programs focused on improving quality and patient- centered care. Through these continued efforts, we have made significant advances toward our mission of caring for the health of our community. We are nearing the completion of a $6.2 million renovation at our Parkview Campus, where we celebrate the expansion of primary care services in our region and the opening of a brand new Center for Community Health & Wellness. Already these new state-of-the-art facilities are helping our patients and community members prevent disease and restore health and well-being. By focusing on these foundations of health, we are actively working to bring down costs of healthcare in our region. We are so thankful for the trust that our community has granted us, from our dedicated physicians, nurses, and entire staff to our generous donors, loyal patients, volunteers, and gracious community leaders. Wishing you the best of health,
Lois N. Skillings President and Chief Executive Officer Mid Coast–Parkview Health Leadership Team Lois N. Skillings, rn Scott D. Mills, md President and Chief Executive Officer Vice President, Medical Staff Administration and Kristin Anthony, rn Chief Medical Officer Vice President, Nursing and Patient Care Services Robert N. McCue
Vice President, Finance and On the Cover: Coleen Farrell, sphr Chief Financial Officer Vice President, Human Resources Douglas’s Story Randee Reynolds Joe Grant Vice President, Community Health When Douglas Richmond moved Vice President, Operations to Maine, he established an and Systems architecture practice in downtown Brunswick and purchased a home on Water Street overlooking the Androscoggin River. He enjoyed Board of Directors the countless outdoor activities that Maine had to offer, including Mid Coast–Parkview Health a newfound interest in rowing. Mid Coast Hospital · Mid Coast Senior Health Center · As his passion for rowing grew, he CHANS Home Health & Hospice established a small community rowing group, which has since Sherrie Bergman Patrick Keaney, md, evolved into a 20-person club, plus President, Medical Staff Pamela Bowerman high school crews. But when Douglas John Moncure was diagnosed with Parkinson’s Charles Bridge, Secretary Disease (PD), the symptoms began Daniel Morgenstern, md Lenora Burke to impact his lifestyle, and he had to John G. Morse, iv give up rowing due to his instability. Cynthia Bush, President, Hospital Auxiliary Matthew Orlando Under the medical oversight of Mid Coast Medical Group–Neurology, Robert Cundiff Dean Paterson Douglas took part in Mid Coast Bob Davis, Chairperson Barbara Reinertsen Hospital programs designed to support PD patients. He worked with John Farnham Sandra Morrell Rooney, Mid Coast Hospital Rehabilitation to Vice Chairperson complete the Lee Silverman Voice Rollin Fessenden Treatment (LSVT) BIG program, Katarina Sawtelle, md, Ted Huskins which helps to alleviate symptoms by Vice President, Medical Staff focusing on movement and exercise. Glenn Hutchinson, Treasurer Dugan Shipway In December 2016, Douglas became Connie Jones Lloyd Van Lunen, md a founding member of the Rock Steady Boxing Mid Coast program, a joint partnership between Mid Coast Honorary Board Hospital and the Landing YMCA. A year later, he has attended all but one David Flaherty Richard A. Morrell weekly class and has seen significant William F. King, Jr. improvement in his symptoms. With assistance, Douglas is now able to get his rowing scull into the water, and on any given Saturday can be found Cover: Douglas Richmond rowing on the Androscoggin River, fall 2017. gliding along the Androscoggin. A Year in Numbers
community members participated in 51 $ cooking classes led by 125,000 Mid Coast Hospital’s raised by the Mid Coast Hospital Auxiliary 182SNAP-Ed Nutrition Educator. at fundraisers held throughout the year.
babies delivered in Mid Coast Mid Coast–Parkview Health Hospital 458 Volunteers contributed more than Maternity Care. 607 46,600 hours of time. teachers, parents, and adults trained at 7 patients and Youth Mental Health residents received First Aid Trainings. care from Mid 127 Coast Geriatric’s providers at Mid Coast Senior Health Center. 366
golfers participated in Mid Coast Hospital’s , th 18patients seen at the884 Mid Coast Walk-In 24 Annual Golf Fore! Clinic Downtown at Brunswick Station. Health Classic, raising 134 in support of $ 55,562 community health. people screened for skin cancer at Mid Coast Hospital’s Skin Cancer Screening, people attended a CHANS 129 with positive Home Health & Hospice 87 findings. 86 Grief Support Group.
$
, 11 300 raised by the Mid Coast Hospital cycling , team in support of the American Lung 7patients000 served by the Mid Coast Hospital Paramedic Association’s 33rd Annual Trek Across Maine. Interceptor Service since it was founded in 1997. 2017 Financial Report
Sources Fiscal 2016 Fiscal 2017 Net patient service revenue $ 202,280,350 $ 212,812,402 Less provision for uncollectible accounts (12,898,318) (15,012,163) Net amounts received by Mid Coast Hospital, CHANS Home Health & Hospice, and Mid Coast Senior Health $ 189,382,032 $ 197,800,239 Center for services rendered to patients, clients, and residents Contributions, earnings on investments, and other $ 9,861,529 $ 8,081,998 revenue from activities not directly related to patient care Total sources of funds $ 199,243,561 $ 205,882,237 Uses Salaries, wages, and employee benefits $ 116,451,370 $ 119,359,368 Supplies and purchased services $ 60,495,747 $ 63,839,780 Fees paid to physicians $ 6,419,180 $ 6,324,286 Estimated cost of this year’s use of property and $ 6,681,908 $ 6,938,163 equipment Revenue tax $ 2,987,380 $ 3,079,585 Interest expense $ 1,808,763 $ 1,429,305 Investments in capital replacements, new technology, and a general strengthening of Mid Coast–Parkview Health’s $ 4,399,213 $ 4,911,750 financial position as we continue to lead the way in providing quality healthcare to the Midcoast community Total uses of funds $ 199,243,561 $ 205,882,237 Selected Statistics Mid Coast Hospital Inpatient admissions 5,507 5,531 Outpatient visits (includes Mid Coast Medical Group) 402,850 416,287 CHANS Home Health & Hospice, total visits 38,491 39,075 Mid Coast Senior Health Center, resident days 32,556 31,658
$21 Amount of $ healthcare 20.9 $18.7 services $14 provided at Mid $15.4 $13.6 Coast Hospital $12.0 to those $7 $9.3 unable to pay. MILLIONS
$0 2012 2013 2014 2015 2016 2017 YEAR Delivering Exceptional Quality Justin’s Story In order to fulfill an essential Locally known as the “fly car,” role on the all-volunteer public the Paramedic Interceptor safety team, Justin completed his Service provides a community- EMT certification soon after. All based vehicle, called MC1, but a few months into adulthood, staffed with a paramedic who Justin was now responsible for provides additional support to the lives and safety of not only local EMS crews on an as-needed the town’s residents, but also basis. Working together, Mid the multitude of visitors that Coast Hospital and communities frequent the town’s popular like Georgetown increase beaches each summer. access to life saving services that improve patient outcomes. Geographically located far from the nearest hospital, even minor As a young EMT, Justin was medical situations have the mentored by the highly trained, As the Fire Chief in Georgetown, potential to become a disaster in professional paramedics Maine, Justin LoDolce is Georgetown’s remote areas. who staff MC1. As he grew committed to providing high professionally, he returned to quality care and safety to school to complete his Fire residents. With a population Science degree, and in 2015, of 1,500, many of the people he became a paramedic. At 29 he serves are relatives, “It’s about providing years old, Justin is now the Fire neighbors, and friends he has the absolute best Chief overseeing both the Fire known since childhood. care for the people of Department and Emergency Upon graduating high school, Georgetown.” Medical Services with a roster Justin began classes at Southern of 28 part-time volunteers. Maine Community College, While the call volume is able to afford just one class While his training prepared manageable, it is unpredictable. at a time. He worked on the him for what should happen, Justin often relies on MC1 as fuel docks at the boat yard to Justin quickly discovered that his number-one backup. help pay for school. Quickly the body does not always recognized for his hard work Now in its 20th year, the follow the textbook. Whether and can-do attitude, Justin was Paramedic Interceptor Service tending to a surfer knocked recruited to the Georgetown has become an integrated part unconscious by a blow to the Fire Department at age 18. of the Georgetown community. head or a senior in cardiac The service fills gaps and arrest, one thing is always supports the efforts of the local consistent – having the support crew. “It’s about providing the of a team of first responders absolute best care for the people is invaluable. In Georgetown, of Georgetown,” said Justin. this support often comes from the Mid Coast Hospital Paramedic Interceptor Service.
Above and right: Justin LoDolce, Georgetown Fire Chief. In 2017… For the second consecutive year, Becker's Hospital Review named Mid Coast Hospital one of America’s 100 Great Community Hospitals, recognized for its clinical quality, operational excellence, and economic impact on the surrounding area.
Mid Coast Hospital was one of 832 U.S. hospitals to receive an “A” in the Leapfrog Hospital Safety Grades, and one of only 59 hospitals in the nation to achieve straight A’s since the safety grades began in 2012.
Mid Coast Hospital pledged to help increase colorectal cancer screening rates by supporting the “80% by 2018” initiative, a goal to have 80% of adults aged 50 and older regularly screened for colorectal cancer by 2018.
The Mid Coast Hospital Paramedic Interceptor Service celebrated 20 years of providing paramedic support to local Emergency Medical Services, speeding access to advanced life support measures and improving health outcomes. In 2017… 36 physicians and advanced practice professionals joined the active medical staff of Mid Coast Hospital.
Mid Coast Medical Group– Orthopedics welcomed two new joint replacement surgeons with world-class training in knee and hip replacements. Jacob Furey, MD, and Thomas Kryzak, Jr., MD, offer comprehensive orthopedic care and treatment services fully integrated with the Mid Coast Center for Joint Replacement.
Mid Coast Hospital joined the MaineHealth Cancer Care Network, delivering the highest quality cancer care close to home. Affiliated with MaineHealth and Dana-Farber Cancer Institute, patients receive expedited access to second opinions, treatment of rare cancers, and an array of clinical trials in Boston.
Mid Coast Hospital installed a new Magnetic Resonance Imaging (MRI) machine with upgraded technology that allows for faster, more comfortable exams.
Mid Coast Hospital opened Maine’s first ALS Association- affiliated clinic for people with ALS (amyotrophic lateral sclerosis). The clinic is a joint collaboration of Mid Coast Medical Group– Neurology and Mid Coast Hospital Rehabilitation in partnership with the ALS Association of Northern New England. Meeting Community Needs Cathi’s Story Cathi Seraph was five years Throughout these health old when she developed struggles, Cathi began to gain osteomyelitis, an infection in weight, which compounded the her left hip that resulted in issues she was experiencing with a three-month stay at Boston her joints. With the help of a Children’s Hospital. After fitness tracker and a new puppy surgery to remove the infection, in need of walking, she was able she spent an additional year in to lose 40 pounds in five months. a full-body cast that reached Unfortunately, the increase in from her toes to her chest. activity also put more strain on her body, and before long, her Following the surgery, she lower back and hip pain became had limited mobility, which unbearable. resulted in further medical complications, including ulcers was surprised when Dr. Kryzak and kidney stones. She was told her that she could go home home schooled for Kindergarten “She was surprised just one day after her surgery. and due to compromised when Dr. Kryzak balance, was prohibited from Once at home, her rapid enjoying things that most told her she could go recovery continued. Within children take part in, such as home just one day one week, she was no longer bicycling and roller skating. after surgery.” taking pain medication; after two weeks, she was driving The osteomyelitis also left her again. At seven weeks after with one leg shorter than the Having had her previous knee surgery, Cathi is pain-free. She other, causing a limp. At age 10 surgeries at the Mid Coast is able go for her daily walks she had surgery to arrest the Center for Joint Replacement, again, and while recovering, growth in her right knee to even she returned to Mid Coast has been able to spend time out her leg length. As Cathi grew Medical Group–Orthopedics for with her husband and take older, she experienced more an evaluation on September care of her aging mother. difficulties, such as arthritis, 1, 2017. Less than two months requiring additional surgeries in While Cathi never did learn later, Thomas Kryzak, Jr., her right knee at ages 16 and 41. how to ride a bike, she has MD, and his colleague, Jacob With repairs to her left hip and learned to appreciate the simpler Furey, MD, performed a right knee, her body alignment things like climbing stairs and full hip replacement. became askew, resulting in bending over. What began as further musculoskeletal issues. Prior to the procedure, Cathi a childhood illness has led her worked with her care team on an elusive journey toward to identify two goals: a quick better health. But thanks to the return to climbing stairs, and comprehensive care she received the ability to get in and out of from the physicians, nurses, bed. With the help of Buffie and therapists at the Mid Coast Above and left: Cathi Seraph Breed, OT, and Kim Tycz, Center for Joint Replacement, returns to Mid Coast Hospital PT, Cathi far surpassed her she is now one step closer. to greet her inpatient therapists, inpatient therapy goals. She Buffie Breed, OT, and Kim Tycz, PT, reporting progress seven weeks after hip replacement surgery. Improving Health Amanda’s Story Through a unique collaboration a priority, and providing a with Mid Coast Hospital’s safe and respectful place for Addiction Resource Center her to turn to was essential. (ARC) and the Lincoln County When Amanda walked back Sheriff’s Department, she was through the doors of the able to take part in the Lincoln Recovery Program, she was County Recovery Program. welcomed graciously. No blame, The Recovery Program partners no shame, just a supportive team with local police, sheriffs, and of people who recognized the probation officers to assist good qualities within her. Bill Amanda Welch has a family post-incarcerated individuals and Angie worked with her history of addiction, spanning in creating and maintaining a one-on-one to ensure that she multiple generations. Although stable, non-criminal lifestyle. had access to resources that she experimented with risky The goal is to reduce the could help her rebuild her life. behaviors in high school and stigma and shame associated early adulthood, she managed Through this experience, with addiction and assist men to secure a good job and often Amanda came to terms with and women who are driven to found herself in the position and received treatment for her change their paths in life. of taking care of others. Her lifelong battle with depression, parents divorced, so when which had spurred her addiction. her father was diagnosed “…she has regained Now 19 months sober since with cancer, she became her second conviction, she his primary caregiver. the confidence to is grateful for the team at the Lincoln County Sheriff’s When her father passed away, positively contribute Department who allowed her Amanda’s world shattered. to society.” path to turn for the better. A lifetime of teetering on the edge quickly became a Amanda has publically While Amanda attended the downward spiral, and she began apologized to those she violated, program as required, her heart self-medicating by misusing has met and exceeded the was not in it and she did not prescription pain medication. stipulations of her parole, and make a full recovery. Just two Easy to acquire, she purchased most importantly, she has years later, after the birth of her drugs from any dealer she regained the confidence to son, she relapsed, ultimately could. Her dependence positively contribute to society. resulted in a felony charge for eventually led her to steal With an entire team of people burglary and stealing drugs. from nearly everyone she knew, rooting for her and a support including those she loved. Amanda’s probation officer network around her, she and her worked with Deputy James Reid, family have begun the happily In 2014, Amanda was as well as ARC Peer Support ever after phase, now with the incarcerated for theft. She Specialists Bill Ellsworth and addition of a beautiful baby girl. faced two years in Two Bridges Angie Musto, LADC, to make a Jail in Wiscasset, Maine. Her plan for her. With a supportive Above and right: Amanda Welch visits sentence was deferred, and husband and a young family, with Mid Coast Hospital Addiction as part of her probation, she they recognized that sending Resource Center Peer Support Specialists was required to take part in her to jail for two years could Bill Ellsworth and Angie Musto, LADC, a rehabilitation program to do more harm than good. and is joined by Deputy James Reid of the address her addiction to opioids. Keeping the family intact was Lincoln County Sheriff’s Department. In 2017… As part of the Parkview Campus renovation, Mid Coast Hospital opened a brand new, 8,000-square foot Center for Community Health & Wellness focused on helping community members prevent and manage disease, as well as restore health and wellness.
CHANS Home Health & Hospice partnered with more than 65 local schools, housing authorities, municipalities, primary care practices, and many others to offer 95 flu clinics, resulting in more than 4,700 free vaccinations for community members.
Mid Coast Center for Community Health & Wellness launched Food for Health, a new Lifestyle Medicine program offering cooking demonstrations and education on how chronic diseases can be prevented, treated, and even reversed with a plant-based diet.
CHANS Home Health & Hospice volunteers provided more than 1,000 hours of individualized support to people with terminal illness and their families during the last six months of life. Mid Coast Hospital Auxiliary Board Members Anne Barnes, Recording Secretary Cynthia A. Bush, President Becky Clow Jean Cyr Sharon Dodge Linda Fairfield Diane Field Val Howard Ellen Hutchinson, Vice President Catherine Johnson Rebecca Launer, Treasurer Joyce Morgan Joan Shea, Assistant Treasurer Lynn Shipway Joan Smith Victoria Smith Lynne M. True Jane Welch
Right: Herb Paris Health Career Scholarship recipients, Brandon Smith, Kaitlyn Dube, and Mae Wilson. Far Right: Auxiliary Scholarship Committee Chair, Linda Fairfield poses with the three students. The Generosity of Our Auxiliary A Scholarship Story When Mae Wilson was in Auxiliary consistently gives she is very appreciative of the high school, she knew she was approximately $40,000 annually financial help the scholarship interested in a health-related to Midcoast-area traditional provides. “It has been a massive career but wasn’t exactly sure and non-traditional students help to me these last three and what she wanted to study. Mae studying in health-related fields. a half years,” said Kaitlyn. “It was encouraged to job shadow has made a big difference Linda Fairfield has chaired as a way to explore career knowing that I can focus on the Scholarship Committee options and inquired at Mid my academics in a rigorous for five years. “It’s a great Coast Hospital. Mae came to program and not have to worry feeling to give to so many well- Mid Coast five times to learn about also working a full-time deserving students. I just wish more about the fields within job to afford my education.” we could do something for all diagnostic medicine. Based on of our applicants,” she said. Likewise, Brandon Smith, a the knowledge she gained at the fourth-year student in a six-year hospital, she decided to pursue doctoral program in physical a bachelor’s degree in diagnostic therapy at Husson University medical sonography. Mae was “It has been a explains that because college accepted into a competitive massive help to me is so expensive, the scholarship program at Rochester Institute these last three and enables him to focus more on of Technology with generous his studies and less on tuition. “I financial assistance from the a half years.” would just like to thank everyone Mid Coast Hospital Auxiliary at Mid Coast for all they do, through the Herb Paris The committee receives an and for the financial assistance Health Career Scholarship. average of 30 new applications that allows me to continue each year, and through a very For Mae, the Auxiliary a higher education. This is careful screening process, it funding is her largest outside truly the greatest gift and I am selects which students to scholarship, and she is truly very appreciative,” he said. support. In 2017/18, there are 35 grateful to be supported by a ongoing scholarship recipients Mid Coast–Parkview Health local organization within her with grant amounts ranging President and Chief Executive community. “This scholarship from $500-$2,000. Potentially, Officer, Lois Skillings, knows has been tremendously students can receive scholarship first-hand the importance of impactful to me,” she said. “It money for up to four years, but the hard work and generosity is symbolic that the very place they must maintain a grade of Auxiliary volunteers who give where I first discovered my standard and submit reports time and energy to the hospital passion for sonography is helping each semester with course every day. “As an Auxiliary to finance my education.” listings and transcripts in order scholarship recipient myself Every year, the Mid Coast to continue their funding. years ago, no one appreciates Hospital Auxiliary raises many more the impact that this Kaitlyn Dube, a senior nursing thousands of dollars to support funding can have on students’ major at University of Maine the mission of caring for the abilities to pursue their passion at Orono, learned of the Herb health of the community. Their in a health-related career Paris Health Career Scholarship annual fundraising efforts field,” said Lois. “I am forever from her career center at support a wide variety of hospital thankful for the Auxiliary.” Morse High School. Like Mae, priorities. Among them, the
OUR MISSION We care for our community by promoting wellness, delivering outstanding healthcare, and enhancing quality of life.
OUR VALUES Excellence We value excellence in all we do, and continuously seek to improve our service, knowledge, and care. Compassion We provide genuine, holistic and compassionate care that is accessible to all and centered around the individual needs of each patient, their family, and the community. Partnership We know we can only succeed in our mission by forging strong, respectful relationships with the patients we serve, our colleagues, and community partners. Stewardship We accept the responsibility to care for the health of this region, and to be careful stewards of the finances and resources entrusted to us. Integrity We will do the right thing – always.
Our values apply to all we serve: our patients, colleagues, and the community as a whole.
Our Community. Our Health. MID COAST–PARKVIEW HEALTH For a lifetime of caring
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