Caring Across a Lifetime Whether supporting a new mother…helping someone recover from a surgery…providing health care services to a person with a chronic illness who wishes to remain independent in their home...or bringing care and comfort at the end of life… Our care services are there for you where you are most comfortable – in your home. For more than 40 years, AHCH has been the trusted source for in-home care and hospice services for the communities of central, western and mid-coast Maine. Throughout your lifetime, as your health care needs change, AHCH is here to help. Each year, our Annual Report is an opportunity to highlight noteworthy accomplishments, communicate the ways in which AHCH has left its imprint on our communities, and acknowledge the philanthropic support from more than 2,000 community donors, event sponsors and foundation grantors. Here are some of our highlights from 2009: • We celebrated the successes of our home care clinicians in achieving outstanding patient care outcomes. Our “best practice” focus has put us ahead of national standards in five key areas that affect mobility, wound healing and the ability of patients to manage their care needs at home following our services. The documented effectiveness of our home care services reducing the need for re-hospitalization of patients has opened the door to new collaboration with our community hospitals and physicians. By establishing a specific care coordination process for patients dealing with heart conditions and those undergoing joint replacement surgeries, we are able to assure a safer transition home after a hospital stay. These successes have application to other health conditions and we will be exploring these in the coming year. • Our expansion of services to the mid-coast and Augusta areas was well received by referring physicians and long-term care facilities. With recently added staff capacity, we look forward to increased utilization of our services. • Our fully integrated electronic medical record system took an important step forward with significant technology updates and systems planning projects. Upgraded laptop computers with wireless data connections for our field- based nursing, therapy, social work and chaplain staff has made patient care documentation easier and more efficient. The implementation of a new telephone feature gives us the ability to electronically document patient care notes phoned in by supportive care staff and home care and hospice aides. In addition, our volunteer program can now utilize our electronic medical record system to make patient/volunteer matches and track the support services volunteers are providing to patients and families. • We completed a major philanthropy assessment in June 2009. Feedback from a cross section of Board, community and employees resulted in a work plan to guide future engagement with community donors and foundations around our funding needs for mission-driven services and strategic program investments. The recent passage of national health care reform legislation will challenge us in the delivery and funding of services. Sustaining our focus on continuous quality improvement and technology innovations will be critical. With a committed and skilled staff, strategic health care partners, the confidence of our community donors and engaged Board leadership,p we are preparedp to lead from a position of strength. Julie Shackley Laird P. Covey Our Imprint on the Community Services for Patients and Families 5 ,911 skilledd home cac re paatiiene ttss benefitedd from services thaat enabbllee them tot recoverr from illness or injury safelly annd comfortably aat home. 1,230 hosspipiccee papatitiene ts wweree commfforrtteed and cared for in theiir finnala dayyss. 873 pata ieentnts wwhho lacked hheealth insurance coveerar ge recec iveded caare inn our homme ccare andd hosspicee programms, repreesennting aan invesstmennt off $853,,77773. 630 inddivvididuuals are ablel to lliivev at hhome safely annd wiithh adddede confidenncec thankks to AHCH H’s SuS ppporrtit ve Caree andd Liffeline services. 666 matatere naal and chhild home visits wwere made to 173 faammilies thrrough our State fundedd Faamily HHealth Pror mmotionn Grantt aand the Home Care CConnnecttion Prroogrgramam at Frannklk in Memmoorial HHosppititaal. 8 patiennts and thheeir phhyyssicciiannss were assisi tted inin evalluuattioi nn, assseessms ennt and ccaarre cooordination neeeds thhrrough our Palliative Care Conssultatiion Prrogrrama . Volunteer Support to Patients and Families 620 patients weere extended ccompanioonnship annd supppporo t from trainnedd volunteteerrs.s 95 Hospiicec HHouse vvolunteerss are prp oviding neaarly 155 hours a weeek sus ppoorting patieents annd ffaamillieess. 749 family members//ccaregivers off Hospice papatienentsts wwere supported by our trained bereavemment vov luluntn eee rss. 9 teeens receeived 18 houurs of hospiicec volunteere trainning and provided supportt to the PrP oggraam fof r GGrieviing Children aand Teenss. “Thank you from the bottom of my heart for the wonderful go, but it was so hard to let go of her. You always made sure grateful for the way you helped her leave us with dignity and Community Grief Support 47 griievevining chhillddrenn frromm 1515 cocommmmuunittieies reecec iivveded suuppport fololllowiw nngg thhe deae thh of a looveved onone asas para t ooff theh Pror grg ama foor Griieevvini g ChChilldrdreen & Teeeennss. 72 adud ltt ppaarticciipananttss iinn AAHHCHH’s ccoommmmunitty grgriei f grgrououpps wewerere comomfof rteed with bereeavememennt iinnfformrmaatiion annd suuppppoorrtt. 86 rese iddenentsts ofo the RiR vever Vallleyy aareaea ppartticicippaattedd in thhe agagencycy sponnssororedd Movviing FrFreeeelyl Pror graamm, anan exex rrccisse pprroggrar m toto iinccrreeaase fleexibibiilittyy, mobobililitity anand strerengngthth. Community Outreach 495 reesideenntsts inn aasssisissttede liivivinngg ffaacciiliities rereceiviveded flu vavacccini aattioionnss. 37 inforormmaatitioonalal prp eseseentaatiionns onn AHHCHH serrviicess aannd ffamimillyy ccaarereggiiviv ngg weere offf errede at a vav rietty off commmmunnityy eveentts thhrougghohouutt ouurr seervicce areeaa. 81 commmmuniityy meembberrs annd hheealalth prp offeessssioonnalals fufurtrtheherered theie r ededuucata ion oonn endn -ooff-liliffee carare byy attteenndid ngg thrhreee hososppice eduducaatitioonaall prpreseseenntat tiionons 42 como mumuniittyy ororggannizzatiionns bbenenefitfi ed frrom 385 vov lulunteee r hoh ururs frfroomm AHCHCH ememplployoyeees ussiinng thheieir coc mmmmunity seservrvice leeave bbenefitfi . 8 heaealltth cacarere cocoalalititiioonsn and nneetwtworo ksk bebenenefitfi edd frorom papartr iiccipipatatioion byby AHCCH ststafaff rreprpreesenentatit vees.s. HeH alalthhy AAnndrdrooscooggg inn, HeHeaallththy FFaammiilliiess Annddror sccogoggig nn,, Frraanknklliin RReesouurrccee Nettwwoorkk, RiRiveer VVallleyy Heeaalthyhy Commmmuunin tyty Coaalil titionon, LaLakekes ReRegionon Heeaaltthyy Commmumuniityy CoC alliitioon,n Oxxfforrd HiHillls HeHeala thy CoC mmmmununiti y CCooala iittioon,n Wesstet rnn Maiainee Hoso pip ccee andnd PaP lllliiaattiveve Carre CoC alalititioon ana d thhe WWeeststern MaMainine PuPublblicic Heaealtlth GrG ououpp. care you gave my mother. I knew it was time for her to I was OK when my tears of sorrow flowed. I will always be grace.” Skilled Home Care Supportive Care AHCH Services Palliative Care Consultations Volunteer Services Hospice Care Community Health Promotion Hospice House Community Grief Support “I cannot express enough my deep appreciation for the loving and tender care I received from the team of Androscoggin Home Care. I always looked forward to their visits and they always left me feeling physically better and encouraged in my recovery. I would never hesitate to call on your staff if I ever needed their help in the future.” AHCH Revenue Expenses Skilled Home Care ...... 58.9% Salaries ........................ 63.7% Financial In-Home and Long-Term Care Benefits ....................... 15.8% Hospice ....................... 23.9% Supplies & Services .....11.3% Overview Hospice House ............10.6% Mileage ......................... 2.9% Unearned Investments ..2.7% Contract Services ..........2.8% Supportive Care ............2.3% Occupancy ....................... 3% Community Support ...... 1.6% Other ............................... .5% 2009 Donor Recognition charitable giving Charitable Giving We gratefully acknowledge and honor the many individuals, community organizations, businesses, foundations and municipalities that have generously supported AHCH with their participation in agency events and through annual fund and planned gifts, as well as memorial gifts in memory of a loved one or in appreciation of our caregiving staff. Last year, community gifts Philanthropic support has enabled AHCH to fulfill our mission of caring for residents of central, totaling $370,789 helped AHCH western, and mid-coast Maine in the comfort of their homes and communities for more than 40 years. provide needed skilled home Charitable gifts allow AHCH to provide skilled and health and hospice care to 873 compassionate home health and hospice care to those in need, offer emotional support to families grieving patients whose health care the loss of a loved one, trained volunteer services to our homebound patients enabling them to remain coverage did not fully reimburse safely at home, and invest in staff development and programs and services that respond to the cost of their care and community needs. offer volunteer