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2012AnnualReporttotheCommunity During2012ConcordHospitaleitherachievedorexceededmanyoitsannualobjectivesandmadesignicantprogresstowardlong-termaspirationalgoals.Overthepastdecadeourorganizationhasevolvedromacommunityhospitaltoaregionalintegratedhealthcaredeliverysystem.InterestinglytheHospitalunctionswithapproximatelythesamenumberobedstodayasadecadeago.Butadecadeagowelloverhaloourrevenuecamerominpatientserviceswhiletodaymorethan70percentoourrevenueisromoutpatientandproessionalees.AdecadeagoConcordHospitalemployedarelativelysmallnumberoproviders.TodayConcordHospitalMedicalGroupamultispecialtygroupwithoutwallsemploysover240providersphysiciansnursepractitionersandphysicianassistants.Oneelectronicmedicalrecordisusedthroughouttheintegrateddeliverysystemtoenhancequalitymoreeectivelyengageconsumersandhelpacilitateasystemsapproachtoimprovingefciency.PartnershipswithDartmouth-HitchcockConcordDartmouth-HitchcockMedicalCenterConcordOrthopaedicsConcordEndoscopyCenterConcordAmbulatorySurgeryCenterConcordImagingCenterGraniteHealthcareNetworkandothersenhanceourcapabilityasaregionalintegratedhealthcaredeliverysystem.Oneothemostremarkableaspectsoourtransormationisthatdespitesignicantgrowthandaratherremarkableincreaseincomplexitytheorganizationretainsthevaluesandcharacteristicsoacommunityhospital.Ourocushasbeenandwillcontinuetobeonprovidingpatientsandtheiramilymemberswiththebestpossibleexperiencecontinuouslyimprovingthequalityocareanddoingourverybesttoeectivelymanagethecostocare.Theorganizationmeasurespatientsatisactionthroughoutallooursettingsandwereveryproudoourperormance.Werealmostalwaysinthetoptenpercentwhencomparedtohundredsopeerinstitutionsthroughoutthecountry.Werepassionateaboutqualityimprovement.Asyouwillreadinthisreportourstaisengagedinamyriadofprojectstoimproveperformanceandenhancequality.Ultimatelyoursuccessisdependentonthecompetencyandcommitmentostathroughouttheorganization.FortunatelyConcordHospitalhasbecometheemployerochoiceinourregionandweareortunatetohavewonderullytalentedanddedicatedsta.AtestamenttooursuccessisthatConcordHospitalwillreceiveanancialincentiveromtheCentersorMedicareandMedicaidServicesbasedonanalyticalevidencethatweveoutperormedourpeerswithregardtobothpatientsatisactionandqualityocare.ThisincentiveisintegraltothePatientProtectionandAordableCareActotencalledObamacareanditheorganizationunderperormedtheincentivewouldquicklybecomeanancialpenalty.Thisisbutoneoamyriadoexternalactorsthatincreasethecomplexityohealthcaredeliveryintodaysenvironment.AMessagetoOurCommunity2RepresentsConcordHospitalandConcordHospitalMedicalGrouplocations DespiteanincrediblychallengingeconomicenvironmentConcordHospitalexceededitsbudgetedperormanceduring2012.ForthersttimeConcordHospitalhadtopayitsullMedicaidEnhancementTaxover15000000withabsolutelynoosetromtheDisproportionateShareFund.TheNewHampshireLegislaturebalancedtheStatebudgetonthebacksothe13largerandpredominantlynot-or-prothospitalsintheState.TheMedicaidEnhancementTaxwasinitiallyputinplacemorethan20yearsagoasavehicleortheStatetoleverageederalunding.AtthattimetheStatecommittedthatallhospitalswouldreceivepaymentstoosetthetaxbasedupontheamountouncompensatedcaretheyprovided.ConcordHospitalprovidesmoreuncompensatedcarethananyhospitalintheStateotherthanDartmouth-HitchcockMedicalCenteranditsunreasonablethattheStatewouldrenegeonitslongstandingcommitmenttomakeequitabledisproportionatecarepaymentsoruncompensatedcare.ConcordHospitalhasremainedtruetoitsmissionandisprobablytheonlylargehospitalintheStatethatdidnotcutbackonservicetotheMedicaidanduninsuredpopulationortakedraconianactionsuchasstalayostoreduceexpenses.Anumberoactorsdidcontributetoourabilitytooutperormourbudget.Wemadesignicantadjustmentsin2010whenwewereunderperormingwhencomparedtobudgetandthoseadjustmentscontinuetohelpourperormancetoday.Wereceivedaone-timesettlementpaymentromMedicarerelatedtotheirmiscalculationopaymentsoveramultiyearperiod.Wereceivedasignicantone-timesettlementromaninormationtechnologyvendortoosetourinvestmentinaproductthatwasneverullydevelopedanddeployed.Wereceivedtwoextraordinaryphilanthropicgitsduringtheyear.Onewasalegacygitoover3000000thisdidnotgointooperationsandanotherwasa700000gitwhichsupportedoperationsorkeycommunitybenetprogramsandservices.TheimportanceophilanthropytoConcordHospitalhasneverbeenmoresel-evidentOcourseexcellentday-to-daymanagementoexpensesalsocontributed32012CONCOrDHOSpItAlANNuAlrEpOrtMichaelB.GreenPresidentChieExecutiveOfcerCONTINUEDONPG4 toourstrongnancialperormance.Ourbudgetor2013anticipatesnancialperormancesimilarto2012.Thisnancialstabilityisacornerstoneoourabilitytoconcentrateonourmissionandourcommitmenttoimprovingthepatientexperienceandthequalityocare.ItsexcitingandsometimesalittlescarytocommittoatransormationaljourneybutthatswhatsrequirediConcordHospitalexpectstoremainasuccessulorganizationandcontinuetobeviewedasaleaderinourindustry.Asanintegrateddeliverysystemweredevelopinginrastructuretoenableustotakemorenancialriskorthehealthothepopulationsweserve.ConcordHospitalisworkingcloselywithGraniteHealthcareNetworktodevelopadatawarehouseandthecapabilitytousepredictiveanalytictoolstoidentiypatientsmostlikelytoneedhealthcare.Wecanthenocusonndingwaystomanagetheircaremoreefciently.WerepartneringwithElliotHospitalandparticipatingintheMedicareSharedSavingsProgramwhichprovideseconomicincentivesorustoprovideefcienthigh-qualitycare.ThroughGraniteHealthcareNetworkwerealsodevelopingasophisticatedstrategyorrisktakingwithvariousinsuranceproductsandareevenconsideringpartialownershipinaninsurancecompany.TheinrastructurewerebuildingandtheexperienceweregainingwillservetheorganizationandourpatientswellastheAordableCareActisullyimplemented.Ourorganizationisinsomewhatoauniqueposition.Ourcommitmenttothepatient-centeredmedicalhomethematurityoConcordHospitalMedicalGroupourdevelopmentotheConcordHospitalTrustoursophisticationwithinormationtechnologyourlong-standingcommitmenttoqualityourrelationshipwithbothConcordRegionalVisitingNurseAssociationandRiverbendCommunityMentalHealthourpartnershipswithotherprovidersourengagementwithGraniteHealthcareNetworkandournancialstabilitycombinetoprovideanopportunityorextraordinarysuccess.RespectullysubmittedMichaelB.GreenPresidentChieExecutiveOfcerD.ThomasAkeyMDChairBoardoTrusteesGregoryThesingMDPresidentMedicalSta4GregoryThesingMDPresidentMedicalStaD.ThomasAkeyMDChairBoardoTrusteesCONTINUEDFROMPG3 ConcordHospitalStatementofRevenuesandExpensesFiscalyearendingSeptember30inthousands20122011Netpatientrevenues460932438869Otheroperatingrevenues2674721354Disproportionatesharerevenues020537Operatingrevenues487679480760Salariesbenets216967210319Servicessupplies143039141738Depreciationinterest2951328217Communitycharitycare4035438666Medicaidenhancementtax1617521542Provisionoruncompensatedcare2756524173Operatingexpenses473613464655Gainromoperations1406616105Non-operatingrevenues606311134Excessorevenuesoverexpenses2012927239ConcordHospitalConsolidatedBalanceSheetFiscalyearendingSeptember30inthousands20122011Cashothercurrentassets9414877326Long-terminvestments212472198122Propertyplantequipment-net157101158270Otherassets1047811153Totalassets474199444871Currentliabilities6622962440Long-termliabilities177550176203NetassetsUnrestricted200778178411Temporarilyrestricted1289012092Permanentlyrestricted1675215725Totalliabilitiesnetassets474199444871RevenuesandExpensesStatementGuideCOMMUNITYCHARITYCARERepresentschargeswrittenoforservicestopatientswhowereunabletopay.MEDICAIDENHANCEMENTTAXAtaxleviedbytheStateoNewHampshirebasedonhospitalnetrevenue.PROVISIONFORUNCOMPENSATEDCARERepresentsrevenuelostbecausepatientsailedtopayamountsowed.GAINFROMOPERATIONSExcessorevenuesoverexpensesromallpatientandcontractservices.NON-OPERATINGREVENUESIncludesrevenuesandlossesrominvestmentscontributionsandsupportromendowments.BalanceSheetGuideLONG-TERMINVESTMENTSIncludesundsrestrictedbydonorsoroutsideagenciesaswellasundsdesignatedbytheBoardoTrusteesorlong-terminvestment.NETASSETSRepresentsthevalueoConcordHospitalthatisavailabletomeetutureacilityequipmentandstrategicneeds.Temporarilyrestrictedrepresentsundsrestrictedbydonorsorspecicpurposes.PermanentlyrestrictedrepresentsundsrestrictedbydonorstobemaintainedasapermanentendowmentwithearningstobeusedtosupportHospitalactivities.52012CONCOrDHOSpItAlANNuAlrEpOrtConcordHospitalisacharitableorganizationwhichexiststomeetthehealthneedsofindividualswithinthecommunitiesitserves.MISSIONSTATEMENTrearmedbyBoardofTrustees9242012ConcordHospitalsAnnualReportispublishedasaserviceorourcommunitymembersriendsandsupporters.Toberemovedromourmailingliste-mailyourrequesttopublicafairscrhc.orgorcall603227-7000ext.3703.Photographydavewhitephoto.comBackgroundborderandbulletartShutterstockConcordHospital2013.AllRightsReserved. 6QualityPatientSafetyAsapatientyoumayneverthinkabouttheseissues.Asyourhospitalwethinkaboutthemeveryday.ErinCollinsRNDirectorofQualityPerformance 7ReducingInfectionBytheNumbersConcordHospitalscarefulattentiontopreventingpatientsfromcontractinginfectionsduringtreatmentiskeepinginfectionratesverylowoftendramaticallylowerthannationalaveragesandprovidingasaferenvironmentforourpatients.Centrallinebloodstreaminectionscanoccurwhenatubecatheterisplacedinalargeveinonapatientsbody.OHosia-wideaewas0.88beowhenaionaaveageaeof0.9.Amongnon-intensivecarepatientsourratewas0.48halthenationalaveragerateo0.9.Oaefoinayacinfecionsfonon-inensivecaeaienswas0.99beowhenaionaaeof1.5.Noneofoaienshaveexeiencedveniao-eaednemoniainmoehanwoyeas.ConcodHosiaisoaciveyaiciainginahee-saeeooedceCosidimdicieinfecionaesby20ecen.Theseinectionswhicharenotuncommoninhospitalsnationwidemainlyaecttheelderlyorpatientsundergoingprolongedtreatmentwithantibioticsandarecausedbycontactwithcontaminateditems.Somethingassimpleaswashinghandsrequentlyandthoroughlyisacrucialpartoanyhospitalsgoalopreventingtheirpatientsromcontractinginections.Weareproudtoreporta98ecencomianceaefooehandhygienecomaedoasaewidecomianceaeof88ecen.Jan-Sept2012HospitalinfectionratesarecalculatedusingtheNationalHealthcareSafetyNetworkformulabasedonthenumberofcatheterorlinedays.Thatgureiscomprisedofthenumberofpatientsreceivingtreatmentthroughacathetermultipliedbythenumberofdaysoftreatment.Theinfectionrateequalsthenumberofinfectionsdividedbynumberofcatheterorlinedaysmultipliedby1000.2012CONCOrDHOSpItAlANNuAlrEpOrtJodyCaseRNDirectoroCriticalCareServicesLyndaCaineRNInectionPreventionOfcer 8AttentiontoPatientSafetyMonthsbeforetheHeatitisCoutbreakattributedtoatemoraryhealthcareworkeratanotherNewHamshirehositalConcordHositalwastakingstestoexandsecuritymeasuresandreducetheossibilityofdrugdiversionincidentsincludingAddingmoresurveillancecamerasandsecuritymeasurestomedicationstorageroomstoensurenarcoticsaredeliveredasprescribedtotherightpatientattherighttimeEnhancingthereviewsystemusedorhiringtemporaryworkersthroughhealthcareagenciesIncreasingstafeducationandtrainingaboutthewarningsignsodrugabuseanddrugdiversionamongstafpatientsandevenHospitalvisitors.patientfallsareamajorconcerninallhositalsandConcordHositalsrigorousandinnovativeFallspreventionprogramreviewseachfalltoexamineandeliminatethecause.Theprogramalsoreviewspatientmedicationsandprovidesspeciallydesignedbedsthatarelowertothegroundtocertainpatientstopreventallsthatmightoccuritheyriseromstandard-heightbeds.Wearecommittedtoimrovingatientsafetybydecreasingerrorsincommunicationthatcouldhaenwhencaretransitionsfromoneclinicalrovidertothenext.WhenapatientisadmittedtotheHospitalromtheEmergencyDepartmentnursescommunicatewithastandardizedchecklisttoensureimportantinormationaboutthepatientissharedwiththenextcaregiver.Thechecklistormatprovidesstructuresothatessentialinormationisconsistentlyexchanged.KristineChaissonBSNMSRNCCRNAdministrativeDirectoroCardiacSurgeryandCardiovascularServicesLeadingpatientsafetyinitiatives.SaraEspertiRNMBAClinicalPracticeApplicationsImplementedthebreastmilkbarcodinginitiative. 9MajoenovaionsooDaySgeyCeneimovedaienivacysafeyandeamenfomcheck-inoecovey.Renovationsincludedreplacingouroperatingroomswithlargerstate-o-the-artoperatingroomsandadding12privatepre-andpost-operativeroomsandanewPostAnesthesiaCareUnit.SeciayainednsesaConcodHosiasAnicoagaionCinicaecaingfomoehan1000aienseachyeabymonioingandmanagingheiescibedboodhinningmedicaionsoevenboodcoseihesho-emofoheesofheiives.Osgicaaiensnowexeienceadayofsgeymedicaioneviewwihahamacisoasseanaccaecenmedicaionis.Specialocusisgiventoanybloodthinningmedicinewhichmayincreasetheriskobleedingduringsurgery.WedeveoedaevoionayackingsysemhashowsheahcaeovideshenmbesandyesofCtscansheiaienshavehadaConcodHosiaoConcodImagingCenesince1987.Accessomoehan15yeasofhisviainfomaionhesavoidnnecessayesingandadiaionexose.ConcodHosiaissingbacodesoensehanewmomswhomandsoebeasmikdingheihosiaizaioneceiveheighmikfoheibabiesaeveyfeeding.Beoreeedinganybabywithstoredbreastmilknursesscanthebarcodeonthebottleandontheinantswristbandtoconrmamatch.AnnaeviewsensehasaaConcodHosiaMedicaGoaciceseainhehigheseveofcomeency.Usingstandardizedcompetencymeasurementsclinicalleadersassesstheclinicalskillsandknowledgeostafandprovideopportunitiesorcontinuingeducationandsharedlearningwithpeersandcolleagues.2012CONCOrDHOSpItAlANNuAlrEpOrtHeatherSmithRNDirectoroDaySurgeryCenterAssistedintheDaySurgeryCenterrenovationprojectresultinginuninterruptedpatientcare.JannaPitmanRNDirectoroPerioperativeServicesOversawimplementationofdayofsurgerymedicationreview.AnitaDemosRNEmergencyDepartmentLedthestandardizedchecklistinitiative. 10TransormingCareattheBedsideAccordingtotheRobertWoodJohnsonFoundationandtheInstituteorHealthcareImprovementimprovingtheworkenvironmentorront-linestafandstrengtheningthelinkbetweenefectivenursingcareandbetterclinicaloutcomesareessentialelementsotheTransormingCareattheBedsideTCABinitiative.tCABemphasizeshahereisnohingmoreimporanoahospializedpaienhansafepaien-ceneredcare.ThereisnothingmoreimportanttoConcordHospitalthanprovidingthehighestqualitymostcomortingandsaestbedsidetreatmentpossiblewhichiswhywehaveadoptedtheTCABphilosophy.Nursingunitsarecurrentlyworkingtogethertoshareideaswitheachothertesttheseideasandevaluatewhethertheyhavemadeadiference.ourreentTcAbertsinludeReportattheBedsideNursesinvariouspatientcareunitsareinvolvingthepatientinshit-to-shitnursingreportswherenursesexchangeimportantinormationaboutthecareothepatientwithoneanotherandthepatient.Atchangeoshittheon-comingandof-goingnursesdiscussthepatientsplanortheshitaswellasanyotherpertinentinormationwiththepatientatthebedside.PurposeulRoundingPromptedbystafsuggestionsourpatientcareunitsareworkingtoimplementaprogramonallunitswherenursesandLNAsLicensedNursingAssistantsvisiteachpatienthourlyexceptatnightwhensleepisimportant.Duringhourlyroundsnursesattendtoapatientspainpositioningbathroomneedsandsaetyconcernswhichinturncanlessenapatientsanxietyreducetheriskoallingandincreasepatientsatisaction.AlmaIdrizovicRN3SouthTelemetryPatientCareUnitParticipantinReportattheBedsideinitiative.MelissaRobbRN6SouthSurgicalSpecialtiesPatientCareUnitLedtherolloutofPurposefulRounding. 11WhatdoOURpatientsthinkAccordingtotheCenterorMedicareandMedicaidServicesCMSHospitalConsumerAssessmentoHealthcareProvidersandSystemsHCAHPS85ecenoaienswoddefnieyecommendConcodHosiaoheiamiyandiends.Stateaverage75percentnationalaverage70percent.79ecenoaiensankedConcodHosia9o10onascaeo0-10.Stateaverage72percentnationalaverage69percent.ConcodHosiascoedhighehanSaeandnaionaaveageso.Commnicaionwihnsesanddocos.resonsivenessoHosiasa.painmanagemen.CommnicaionabomedicaionsApril2011-March2012PressGaneyConcordHospitalandConcordHospitalMedicalGroupencouragepatienteedbacktogaugeperormance.FeedbackisotengainedthroughPressGaneysurveyswhicharemailedtopatientsaterdischargeandfndingsarerankedagainstsimilaracilitiesnationwide.In2012weankedTOP1PERCENTConcordHospitalRadiationOncologyDepartmentConcordHospitalProgressiveCareUnitConcordHospitalMedicalGroupCardiacAssociates-LaconiaTOP2PERCENTTheOrthopaedicInstituteatConcordHospitaltOp3pErCENtConcordHospitaloveralltOp4pErCENtConcordHospitalInpatientSurgicalPatientCareUnitsTOP5PERCENTConcordHospitalMedicalGroupConcordObstetricsandGynecologyTOP9PERCENTAllConcordHospitalMedicalGrouppracticesConcordHospitalCenterorUrologicCare2012CONCOrDHOSpItAlANNuAlrEpOrt 12EngagementandCollaborationsConcordHospitalandConcordHospitalMedicalGroupCHMGrealizethatprovidinghealthcareisateameortincludingmanagementdoctorsnurseshealthcareprovidersfrstresponderspatientspatientamiliesandthecommunity.Inourgoalstoprovidequalitytreatmentandcarelocallyweseekoutcollaborationsandpartnershipsthatmakethemostoourexpertiseandtechnologyandmakepatientsvaluedmembersotheirtreatmentteam.ConcodHositalMedicalGouCHMGlistens.povidesstaandmanageslooktotheCHMGpatientAdvisoyFoumwhichincludesCHMGatientstoleanaboutatientneedsandtoeviewatientcommentstomonitowhattheacticesaedoingwellandhowtheymightimove.Moethan6000ConcodHositalMedicalGouatientsaecheckingesonalhealthinomationequestingaointmentsenewingescitionsayingmedicalbillsandcommunicatingwiththeihealthcaeovidesocesthoughousecueno-chageonlineatientotalcalledpatientCONNECT.CHMGs238ovidesnowaelinkedwithasohisticatedElectonicHealthrecodssystem.Thesystemenhancestreatmentandpatientsaetybyprovidingprovidersaunifedmedicalrecordoreachpatientlistinginormationsuchasmedicalproblemsallergiesandmedications.Moethan540healthcaeovidesatConcodHositalandElliotHositalinManchestehaveomedConcodElliotAccountableCaeOganizationACOtocoodinatecaeomoethan20000Medicaebenefciaies.Whenalloapatientshealthcareproviderscommunicatecloselymedicalproblemscanbeidentifedandaddressedearlyensuringthatpatientsreceivethebestmostappropriatecareromtherightproviderattherighttime.P.TravisHarkerMDMPHMedicalDirectoroCHFamilyHealthCenterNHDartmouthFamilyMedicalResidencyInitiatedNationalHealthcareDecisionsDayatConcordHospital.ThomasAdamsCHMGPatientAdvisoryForummember 13ConcodEioACOissivingoovidebeecoodinaedqaiycaefoMedicaeaiens.TheSharedSavingProgramwillrewardConcordElliotACOiwelowertherateogrowthinhealthcarecostsorMedicarebenefciarieswhilemeetingperormancestandardsonqualityocare.TheACOmustmeet33strictqualitystandardsthatincludecarecoordinationandpatientsaetyappropriateuseopreventivehealthservicespatientsatisactionandimprovedcareorat-riskpopulations.thoghaiciaioninNaionaHeahcaeDecisionsDayConcodHosiaandConcodHosiaMedicaGoCHMGheedheiemoyeesandaienseanhowosaewishesabofemedicacaeoheifamiiesandheahcaeovides.Theprogramprovidesmedicalandlegalinormationandplanningtoolsdesignedtohelpindividualstalkabouttheirwishesandexecutewrittenadvancedirectivessuchaslivingwillsorpoweroattorneyoruturecareincasetheybecomeincapacitated.in2012Morethan2000ConcordHospitalandCHMGemployeesreceivedadvancedirectivesinormationMorethan11500CHMGpatientshavehadadvancedirectivesdiscussionswiththeirmedicalprovidersNearly1400CHMGpatientshaveadvancedirectivesonfleinourelectronicmedicalrecord.AfeecognizinghaaceainsegmenofisaiensfeqenynedoConcodHosiasEmegencyDeamenEDfoeamenConcodHosiaFamiyHeahCeneCHFHCseedinwihaogamoedcecosyandoeniaynnecessayEDvisis.NowaterallEDvisitsaregisterednurseonthepatientscareteamcallsthepatienttodeterminehowCHFHCasthepatientsmedicalhomecanulflltheirurgentmedicalneedswhichmayincludedevelopinganUrgentPlanoCare.2012CONCOrDHOSpItAlANNuAlrEpOrtAndrewValerasDOMPHCHFamilyHealthCenterInitiatedreducingunnecessaryEmergencyDepartmentvisitsforCHFHCpatients.RussellStrongMDCHMGConcordSurgicalAssociatesCONTINUEDONPG14 14OurFamilyHealhCenerreducedhepercenageopaiensreadmiedoConcordHospialwihin30daysoaHospialdischargebydevelopingDischargeteamvisiswihpaiensaerheyleaveheHospial.Dischargedpatientsarescheduledtomeetingroupswithateamthatincludesaphysicianpharmacistandregisterednursewhodiscussmedicationsprovideeducationandassistwithcoordinatingposthospitalizationcare.throughaparnershipandlivevideoconerencingsysemcalledtelesrokeConcordHospialdocorsandsrokepaienscannowspeakdireclywihsrokeexpersaMassachusesGeneralHospialoradviceandguidanceonimmediaelie-savingsrokereamen.AsparoGranieHealhcareNeworkGHNConcordHospialhasjoinedouroherNewHampshirehospialsoleadheransormaionohealhcaredeliveryinNewHampshire.ConcordHospitalElliotHealthSystemLRGHealthcareSouthernNewHampshireHealthSystemandWentworth-DouglassHospitalarecommittedtosharingresourcestoprovidebettermoreseamlessandlessexpensivecareortheirpatients.In2012GHNsaveditsmemberhospitalsmorethan5millionincludingmorethan1millionorConcordHospitalthroughefortstoconsolidatereerencelabservicesandselectionoacommonbrokerorhealthandwelarebenetsincludinghealthlieanddisabilityinsurance.ConcordHospialtrussmachinggiundissavinglives.theundhelpedprovidefrsrespondersin17communiieswihrevoluionarychescompressionechnologyhaprovidesconsisenandconinuouschescompressionsoapaienwhosehearhassoppedbeaing.ShawnBrechtelAssistantChiePenacookRescueSquadUnit64CONTINUEDFROMPG13Makeadiferenceinsomeoneslietodaybymailingagitintheenclosedenvelopeorvisitch-trust.orgtomakeasecureonlinegit. 152012CONCOrDHOSpItAlANNuAlrEpOrtManagementMattersConcordHospitalisusinginnovativemanagementtechniquestoidentiyprioritiesandaccomplishgoalswhileeliminatingwasteandincreasingefciencytoserveourpatients.ConcodHosiabeganwokingowadISO9001ceifcaionwhichincludesimplementinginternationallyrecognizedstandardstoprovideamoredisciplinedapproachtoallaspectsoitsoperations.Thisisespeciallyimportantashealthcareocusesmoreattentiononkeepingat-riskpatientswellpotentiallyavoidingexpensivehospitalizations.Byimemeningascedobem-sovinghiosohycaedleanConcodHosiaisansominghowweaoachowokeachdaybyexaminingqaiyandsaeyimeinessandeecivenesssaisacionandfnanciaeemenswihconsanocsondeiveingvaeooaiens.currentLeaneortsinludeReducingthelengthopatientstaysintheEmergencyDepartmentReducingdelayedadmissionsromtheEmergencyDepartmenttotheHospitalRedesigningpatientcareunitstoocusoncreatingsaeefectiveandstate-o-the-artcareenvironments.Aspartoa2009ederallawhealthcareorganizationsarerewardeditheyimplementanduseelectronichealthrecordsinawaythatismeaningulandbenecialtopatients.In2012weachievedMeaninguseinphase1oami-yeaogamwhichincdedsccessiizaionoPatientCONNECTasecureonlinemethodorpatientstocommunicatewiththeirhealthcareprovidersComputerizedProviderOrderEntrywhicheliminatespotentialproblemswithhandwrittenprovidersordersandsupportsthembycorrelatingorderswiththespecicpatientAnelectronicdatabasethatsupportshealthcareprovidersandpatientsbyreviewingapatientsmedicationsandallergiestocheckorpotentiallyharmulinteractionseachtimeanewmedicationisprescribedEndoVisitSummariesthatprovidepatientsaprintedreportsummarizingthepurposeoeachvisittheprovidersrecommendationsprescriptionsandsuggestionsoruturevisits.DonnaMilletteDirectoroLeanOperations GregoryThesingMDPresidentDouglasEwingMDPresident-electKevinRivieraMDSecretaryTreasurerStephenP.ImgrundMDImmediatePast-PresidentAllergyLauraM.JarmocMDJoanL.CassettariDOAnesthesiologyFrancesR.BaccusMDWilliamEnnisMDDeanJ.GalatisMDRobertS.KramerMDRobertJ.LafamMDKathrynS.LemmonMDRobertM.MaccaniDOKeithR.NicholsMDThomasS.PedersenMDMargaretA.PittsMDRomanV.PlachintaMDJohnM.RicheyMDDavidJ.SnyderMDRobertF.SpencerMDRichardJ.SteeleMDSarahA.WittMDCardiologyDonnaD.AdamsMDRichardA.BossJr.MDPatrickF.CassellMDDonP.ChanMDAdamChodoshMDKennethA.DelogeMDJamesT.DevriesMDGerardA.DillonMDHusamH.FarahMDCarlM.FierMDMelkonHacobianMDJohnJayneMDJereyT.LockhartMDR.JereyLootensMDMichaelR.NewtonMDJohnRobbMDKirkeW.WheelerMDCharlesWicksMDCardiacSurgeryLakiRousouMDGeraldSardellaMDDentalRogerA.AchongDMDShannonN.ArndtDMDMichaelC.BenenatiDMDArnoldS.BurdickDDSPatrickF.CapozziDDSJereyS.ForgoshDMDJamesHaasDDSDouglasW.JohnsonDMDShannonMillsDDSManishaPatelDDSDermatologyAnthonyJ.AversaMDStephenM.DelGuidiceMDEmergencyMedicineJeremyArnoldMDPeterBlumeMDJaneL.BurkeMDDouglasM.ConnorMDJohnD.EstabrookMDGeoreyM.FitzgeraldMDChristopherA.ForeMDDavidHirschMDAndrewM.JaeMDRussellS.KayMDBryceD.LambertMDMichaelT.LynchMDRobertRixMDLonJ.SetnikMDMaryN.ValvanoMDMatthewP.WardenMDEndocrinologyAllanC.GoldingMDFamilyMedicineOmotayoAkinmadeMDChristopherAllenMDWendyA.AngeloMDLisaE.AtkinsonMDBassemAzkulMDBryanBannisterMDJohnF.BarksdaleMDJohnC.BassiMDFrankA.BetchartMDTerriL.BrehioMDStevenA.ChernMDPatriciaE.ClancyMDElizabethA.ClardyMDJohnA.DiPastinaDODouglasR.DreerMDLynnA.DurandMDDanielF.EubankMDGailL.FayreMDKatharineT.FoxMDPatrickFoxMDRobertD.GabrielliMDDominicF.GekenMDBarryL.GiglioMDAngelaGoldmanKlinglerMDP.TravisHarkerMDFrancisE.HayesJr.MDEmilyM.JonesMDStevenH.KaitzMDPatriciaB.KegelMDRobertS.KienerMDCynthiaG.KingMDBoguslawaKremznerMDEricA.KroppMDStephenJ.LawrenceMDJosephE.LowneJr.DOHongbaoMaMDMichaelP.MadanMDLauriAnnMaitlandDOAmyL.MartelMDMarianneC.McCallMDMichaelM.McLeodJr.DODeborahN.MeesarapuMDFrancisJ.MilliganMDA.RavindraNathMDRichardS.NelsonMDCarolA.NiegischMDRobertW.NiegischMDA.JohnOrzanoMDLaurenOshmanMDEricF.PollakMDRoryRichardsonMDLouisE.RosenthallMDElizabethA.SandersMDMathewM.SawyerMDMargaritaShugolDOW.KentSmithMDGaryA.SobelsonMDMichelleT.SpencerMDRobbJ.StidwillMDShawnI.SuttonMDGregoryJ.ThesingMDMichaelTsoMDAndrewG.WestbrookMDAngelaYerdonMcLeodDOGastroenterologyRobertT.ChehadeMDMichaelJ.GilbertMDBurrJ.LoewMDSamuelC.SomersMDRobertD.ThomsonMDGeneralSurgeryBrianGilchristMDAdamGoldenbergMDSharonI.GunsherMDMelissaHoytMDJosephP.MeyerMDRichardK.MurphyMDJosephR.SnowMDRussellA.StrongMDWilliamJ.TanskiIIIMDChristianWilkeMDPeterH.WilsonMDMichaelJ.WoodMDHospitalistTomaszBlaszczakMDKarenM.BryantMDWilliamL.CrawordMDMaryK.EckertMDKevinS.FlemingMDJimmyC.FuneMDAlexanderE.GadboisMDToniT.HadjievMDSuzyA.IversonDOKlevisJ.KadiqiMDMustaphaKaranouhMDChristinaL.KirkpatrickMDSantoshKumarMDInderLalMDChristopherMertzMDTracyOHaraMDMaynardPangMDPhilipD.SprungerMDValerieZiesmerMDInfectiousDiseaseJennierF.GittzusMDJamesT.NobleMDRutaShahMDInternalMedicineNicoleM.AntinerellaDOIoanC.BadauMDRogerE.BelsonMDJuliaF.BurdickMDAnneG.ChehadeMDCarlCiakMDPaulR.ClarkMDBeverlyJ.EntwisleMDRalphFalkMDLynLindpaintnerMDPushkalaMuralitharanMDAmitRastogiMDRobertRzepkaMDKellySeichepineMDJasmineA.ShahMDTanjaVanderlindeMDIanWaggettMDNephrologyOlgaV.CharlatMDL.EricSchlepphorstMDNeurologyMonicaBurkeDOAnnCabotDOMildredH.LaFontaineMDMarkA.LombardoMDChristopherMartinoDONeurosurgeryN.RossJenkinsMDMarkV.LarkinsMDObstetricsGynecologyAshishC.ChaudhariMDMonicaChunMDDavidC.ConwayMDMaryA.DancaMDTimothyJ.FisherMDMaryFiskeMDHeidiHallonquistMDCourtneyB.JonesMDEllenM.JoyceMDRajaniKancharlaMDMarkS.KegelMDH.SidneyMitchellMDMariaD.PadinMDRichardS.SalchunasMDDavidA.StevensonMDCeciliaStuopisMDNicoleVarastehMDMichaelB.WalshMDAnnickWestbrookMDCathyChungHwaYiMDOglesbyH.YoungMDConcordHospitalMedicalStaf-ActiveProvisionalAssociateandActiveAmbulatory16 2012CONCOrDHOSpItAlANNuAlrEpOrtOncoogyHemaoogyFrederickM.BriccettiMDCharlesH.CatcherMDJeannaH.WalshMDOhhamoogyAndreA.dHemecourtMDPaulG.DeGregorioMDErinS.FogelMDEliotFoleyMDJamesGoldmanMDBradordS.HallMDChristieL.MorseMDMaxwellA.SneadIIIMDMarkA.SzalMDPeterWassermanMDDavidA.WeinbergMDMaynardB.WheelerMDLloydM.WilcoxJr.MDOaandMaxiofaciaMarkM.ScuraDMDPatrickVaughanDDSOhoaedicSgeyKarenJ.BoselliMDRussellBrummettMDWilliamJ.BrutonMDSeanBurnsMDPatrickJ.CaseyMDRobertS.CummingsMDScottR.DevannyMDStephenJ.FoxMDChristopherGentchosMDGaryS.JonesMDLanceKlinglerMDClifordM.LevyMDAnthonyV.MollanoMDDouglasJ.MoranMDPeterG.NoordsijMDJohnJ.OConnorMDRonaldB.ResnickMDMarkM.ScheferMDPaulJ.UrbanekMDJefreyW.WileyMDGaryL.WoodsMDOohinoayngoogyMarkA.CarwellMDChristopherH.DaniellMDWilliamNumaMDAshokReddyMDpahoogyTimothyE.GormanDOCristinaE.TaylorMDGaryL.YorkMDpediaicsThomasAlbushiesMDTimothyBabaMDAshleyBrunelleMDMarkD.CarneyMDDollyR.CourtemancheMDElizabethCramerMDGeorgeA.DeVitoJr.MDPatriciaM.EdwardsMDNathanW.FaulknerMDLauraM.GreerMDChristianHallowellMDAlisonV.HolmesMDTessaLaortuneGreenbergMDTheresaM.OliveiraMDMatthewPicconeDOSarahV.RadwanMDEricA.ShulmanMDWilliamR.StoroMDNancyJ.VanVrankenMDRogerH.WicksmanDOErnestWuMDphysicaMedicineandrehabiiaionAdamP.CugaljDOStuartJ.GlassmanMDPowenHsuMDCarolineKooMDDavidJ.NagelMDpasicreconsciveSgeyToddE.BurdetteMDWayneK.StadelmannMDpsychiayEdwardN.ApplebaumDOPercyBallentineMDOsvaldoEvangelistaMDJefreyFetterMDSonjaL.KellyMDAlexandraKutinecMDKarlI.LanochaMDRobertA.MurrayMDDianaWeinerMDpmonayMedicineD.ThomasAkeyMDMartinBlackMDStephenP.ImgrundMDMichaelG.LaidlawMDAlejandroS.SaranglaoMDPatrickTangneyMDradiaionOncoogyAndrewP.BrownMDStephenL.HarrisMDArulMahadevanMDAndreaB.McKeeMDSuMetcaleMDThomasA.SheldonMDPingZhouMDPhDradioogyConstantineP.BrocoumMDJohnCameronMDMatthewH.DiMasiMDDouglasK.EwingMDJamesM.FullerMDMarkA.HadleyMDDavidHouMDTimothyJ.McCormackMDTadT.RenvyleMDKevinRiveraMDCoreySidesMDJosephVenusMDRichardJ.WaiteMDD.TylerZaptonMDrhemaoogyIreneOrzanoMDAndreeClairePhillipsMDHokeH.ShirleyIIIMDSeeMedicineIrenaR.DanysMDDavidC.PicardMDthoacicSgeyG.DarbyPopeMDuoogyScottJ.FabozziMDDavidF.GreenMDThomasL.JacksonMDRobertE.MitchellMDWilliamF.SantisMDPaulM.SnyderMDVeronicaTriacaMDRonaldL.YapMDAso09302012ConcodHosia2012BoadoftseesD.ThomasAkeyMDChairDianeE.WoodAllenRNChiefNursiNgOffiCerex-OffiCiOSolAsmarMaryE.BoucherseCretaryPhilipBoulterMDC.ThomasBrownWilliamL.ChapmanEsq.MichelleChicoineMichaelB.GreenPresideNtCeOex-OffiCiOChristianHallowellMDGaryS.JonesMDJefreyS.KippermanCPARachelM.RoweRNDavidRuedigMurielD.SchadeeCPAViCeChairDavidA.StevensonMDTheHonorableMichaelF.SullivanGregoryThesingMDex-OffiCiOChMediCalstaffPresideNtJefreyK.TowleClaudiaWalkerBruceR.BurnstreasurerNOtMeMberOfthebOard CapitalOrthopaedicSurgeryCenter264PleasantStreetConcordNH03301603224-336814TsiennetoRoadSuite100DerryNH03038603425-6966LicensedbyNewHampshireDepartmentoHealthandHumanServicesDivisionoPublicHealthServicesConcordAmbulatorySurgeryCenterCHMedicalOfcesatHorseshoePondOneCorporateCenter60CommercialStreetSuite301ConcordNH03301603415-9460AccRediTedbyAmericanAssociationorAmbulatoryHealthCareInc.CentersorMedicareandMedicaidServicesLicensedbyNewHampshireDepartmentoHealthandHumanServicesDivisionoPublicHealthServicesConcordEndoscopyCenterCHMedicalOfcesatHorseshoePondOneCorporateCenter60CommercialStreetSuite201ConcordNH03301603415-9450AccRediTedbyAmericanAssociationorAmbulatoryHealthCareInc.LicensedbyNewHampshireDepartmentoHealthandHumanServicesDivisionoPublicHealthServicesConcordEyeSurgeryCenter246PleasantStreetConcordNH03301603224-6503AccRediTedbyAmericanAssociationorAmbulatoryHealthCareInc.CentersorMedicareandMedicaidServicesLicensedbyNewHampshireDepartmentoHealthandHumanServicesDivisionoPublicHealthServicesConcordHospital250PleasantStreetConcordNH03301603225-2711AccRediTedbyAccreditationCouncilorGraduateMedicalEducationAmericanAcademyoSleepMedicineAmericanAssociationoBloodBanksAmericanCollegeoRadiologistsCTMammographyMRINuclearMedicinePETAmericanCollegeoSurgeonsTheCommissiononCancerAmericanMedicalAssociationCouncilonMedicalEducationCentersorMedicareandMedicaidServicesLaboratoryCollegeoAmericanPathologistsCommissiononAccreditationoAlliedHealthEducationProgramsDNVHealthcareInternationalCommissionorAccreditationoVascularLaboratoriesNationalAccreditationProgramorBreastCentersNewHampshireMedicalSocietyonEducationAfliationsandAccreditationsAppRovedbyDepartmentoHealthandHumanServicesSocialSecurityAdministrationMedicareNewHampshireBureauoFamilyCommunityHealthNewHampshireOfceoEmergencyManagementdesignATedAsBaby-FriendlybirthacilitybyBaby-FriendlyUSAInc.TraumaCenterLevelIIEmergencyMedicalServicesCouncilRegionIVTraumaCenterLevelIIIAmericanCollegeoSurgeonsLicensedbyDrugEnorcementAgencyFoodandDrugAdministrationNewHampshireBureauoChildCareNewHampshireBoardoPharmacyNewHampshireBureauoRadiologicHealthNewHampshireDepartmentoHealthandHumanServicesDivisionoPublicHealthServicesPublicHealthClinicPharmacyAffiLiATionsAmericanHospitalAssociationAssociationoCommunityCancerCentersGraniteShieldInsuranceExchangeaVermontCaptiveInsuranceCompanyGraniteHealthcareNetworkNewEnglandLieCareFoundationorHealthyCommunitiesNewHampshireImagingServicesInc.YankeeAlliancePremierItistheestablishedpolicyoConcordHospitaltoprovideservicesonthesolebasisothemedicalnecessityosuchservicesasdeterminedbythemedicalstawithoutreerencetoracecolorethnicitynationalorientationsexualorientationmaritalstatusreligionagegenderdisabilityorinabilitytopayorsuchservices.ConcordHospitalMedicalGroup250PleasantStreetConcordNewHampshire03301designATedAsConcordHospitalFamilyHealthCenterConcordLevelIIINationalCommitteeorQualityAssurancePhysicianPracticeConnectionsPatient-CenteredMedicalHomeConcordImagingCenter248PleasantStreetConcordNewHampshire03301603225-0425CHMedicalOfcesatHorseshoePondOneCorporateCenter60CommercialStreetSuite101ConcordNH03301603415-9444CHMedicalOfcesEast1990DoverRoadEpsomNH03234603736-6235AccRediTedbyAmericanCollegeoRadiologyMammographyUltrasoundCTMRIAppRovedbyDepartmentoHealthandHumanServicesSocialSecurityAdministrationMedicareceRTifiedbyFoodandDrugAdministrationCertiedMammographyFacility2012AnnualReporttotheCommunity250PleasantStreetConcordNewHampshire03301concordhospital.org