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EpsomMeredithTiltonPittseldHooksettWeareAltonLoudonGilfordLakeWinnipesaukeeNewLondonPenacookPembrokeWolfeboroPlymouthLaconiaConcordHillsboroWarnerConcordHopkintonHighlightingConcordHospitalsACHIEVEMENTSINHEALTHCARESPRING.13ConcordHospitalisacharitableorganizationwhichexiststomeetthehealthneedsofindividualswithinthecommunitiesitserves.MISSIONSTATEMENTrearmedbyBoardofTrustees9242012FacebookisaregisteredtrademarkofFacebookInc.ConcordHospitalMedicalGroupWherethecareofeachpatientmatters.ConcordHospitalMedicalGroupCHMGis238medicalprovidersin27convenientlocationsalldedicatedtoasinglegoalmeetingthehealthcareneedsoftheCapitalRegionwherethecareofeachpatientmatters.CHMGevolvedintoasuccessfulmulti-specialtygrouppracticefromitsinitialrolehelpingindependentmedicalpracticesstayaoatinthechallengingmid-1990s.ItwasatimeofgreatstressonprimarycareprovidersandtheirabilitytosurvivesaidDr.DavidGreenConcordHospitalChiefMedicalOfcer.DoctorsturnedtoConcordHospitaloverwhelmedwiththecomplexityofdealingwithinsurancecompaniesrecruitingnewprovidersandimplementingnewtechnology.LocaldoctorsremaineddeeplycommittedtomeetingtheneedsofpeopleinthecommunitysaidConcordHospitalPresidentandCEOMichaelGreen.ButwereaskingIsthereawayforustodothistogetherConcordHospitalrealizedthatwithoutpreservingthecommunitysnetworkoffamilymedicinephysiciansitcouldntachieveitsmissionofmeetinghealthcareneedsofresidentsregardlessofanindividualsabilitytopay.CONTINUEDONPAGE2SpecialtyCarelocationsPrimaryCarelocationsAltoAlto27locationsTheCHMGAdvantage ACHIEVEMENTSINHEALTHCARE2ThatrealizationultimatelywasaddressedwiththeformationofConcordHospitalMedicalGroupnowanintegralpartofthehealthcareentityanchoredbyConcordHospital.MichaelGreencallsitagrouppracticewithoutwallsbecausethepracticesarenotinasinglebuilding.ThenumberonehealthcareneedinthecommunityisaccesstoprimarycareandwehavecreatedaverystableprimarycareenvironmentsaidGreen.Mostpatientscangetcareinalocationthatisconvenientforthem.Dr.GreensaidCHMGsprimarycareandspecialtyprovidersretainmuchcontrolovertheirpracticesthusmaintainingthetraditionalpersonalitiesofeachpracticewhilebeingtrustedpartnersofalargerintegratedsystem.AkeywaslinkingCHMGproviderswithanElectronicMedicalRecordEMRsystemallowingthepracticestoshareclinicalinformation.ThatabilityenhancesconsistentcareforpatientsandimprovescommunicationbetweenprimarycarephysiciansandspecialistsandbetweenpatientsanddoctorsthroughthePatientCONNECTonlineservice.MichaelGreensaidanotherkeytosuccessforCHMGandConcordHospitalhasbeenthewillingnesstoadapttochangesthatcontinuetoredenehealthcare.Wevetriedtoinstillthesensethatwewillembracechangeandwewillgureouthowtoleveragethatchangesothatitenhancesourabilitytofulllourmissionhesaid.In2013CHMGhopestofocusevenmoreonwellnessorpreventativehealthcareworkingaspartnerswithpatientstokeepthemhealthyandreduceunnecessaryadmissionsandreadmissionstotheHospital.CONTINUEDFROMFRONTCOVERConcordHospitalMedicalGroupCHMGprovidersstaffandmanagementagreethatpatientfeedbackisoneofthebestwaystolearnwhatwearedoingwellandwhatweneedtoimprove.TheCHMGPatientAdvisoryForumconsistsofcurrentCHMGpatientswhoareopenandwillingtosharefeedbackconcernsandcomplimentsontheirCHMGexperience.Inadditionforummembersareaskedtoproviderecommendationsformeetingunmethealthneedsandsuggestionsonhowtoimproveexistingservicestobettermeettheneedsofpatientsandthecommunity.Formoreinformationcall603227-7000ext.4711.TheCHMGPatientAdvisoryForumIfeeltheforumhashelpedtheHospitallookatpatientcarefromadifferentperspectivethroughourcommentsandsuggestionsascommunitymemberswhoarenotreactingtotheHospitalatatimeofcrisisbutlookingatthebiggerpicture.JaneE.B.WelchCHMGPatientAdvisoryForummember INSETDr.AdamChodoshsimulatesperformingacryoablationprocedureintheInterventionalandElectrophysiologyCardiologySuite.3ConcordHospitalMedicalGroupaddstotheexpertiseandcompassionofitshealthcareprovidersbyequippingthemwiththestate-of-the-artmedicaltechnologytheyneedtokeepyouandyourfamilyhealthy.IntheexperiencedhandsofCHMGproviderstwoofournewesttechnologytoolsaresavingandimprovingliveseveryday.TechnologyExpertiseInnovativeCareSub-ZeroCardiacTreatmentOptionforAbnormalHeartRhythmsConcord-areagolfersmayhaveenjoyedawarmdayonthelinksthissummerbutitwasallwiththegoalofbringingsub-zerocardiactreatmenttoConcordHospital.ProceedsfromConcordHospitalTrusts2012ChallengeScrambleGolfTournamentpurchasedhigh-techequipmenttotreatirregularheartrhythmbyfreezinghearttissue.Thetreatmentiscalledcryoablation.Itallowsthephysiciantomoresafelytreatirregularrhythmsthatoriginatefromsensitiveareasintheheartrestoringnormalheartrhythmandapatientsqualityoflife.Dr.AdamChodoshofCHMGCardiacAssociatesandDartmouth-HitchcockConcordsaidmanyabnormalheartrhythmsareshortcircuitsofelectricityoftencausedbyanextrapieceoftissueintheheart.Myjobistondthispieceoftissueanderadicateithesaid.Ablationtechnologyrendersthatpieceoftissueincapableofconductingelectricity.Therearetwotypicaltypesofnon-surgicalablationproceduresRadiofrequencyablationwhichburnsthetissueandcryoablationwhichfreezesit.Bothtreatmentsareadministeredbyinstrumentsthreadedtotheheartthroughabloodvesselinthegroin.Dr.Chodoshsaidtheprocedureisanothertoolwithlessriskforthevetotenpercentofpatientswhosetargettissueisinanespeciallysensitivearea.Freezingallowshimtotestwhetherthetissueisresponsiblefortheirregularitywithoutdestroyingit.Inradiofrequencyablationoncethetissueisburneditnolongerfunctions.Youcanfreezeanareaforroughlyuptotwominuteswithoutcausingpermanentdamagehesaid.IfthereareanyproblemsIknowrightawayandbackoffthetissueallowingittowarmup.ThenIproceedtoadifferentareaoftissue.Cryoablationalsoofferslessriskbecausethetipofthedevicestickstothetargettissuehelpingavoidunintendedmovementinsidethebeatingheart.Itsalsolesspainful.Dr.ChodoshsaidbringingcryoablationtoConcordHospitalshowsthatConcordHospitalMedicalGroupandtheHospitalunderstandthatitscardiachealthcareprovidersarevaluedforthedifferencetheyaremakinginpatientslives.BysupportinguswiththetoolsweneedinordertoperformeffectiveandsafetreatmentCHMGandtheHospitalareacknowledgingthepositiveimpactwecanmakeonourcommunity.hesaid.CryoablationCatheter ACHIEVEMENTSINHEALTHCARE4Our247TeleStrokePartnershipLydiaPerrythoughtshewasjustfeelingtheeffectsofstresswhenthesideofherfacelipsarmandlegwentnumbseveraltimeslastMarch.Itwasastrokenotstress.AndPerrybecameapioneernotjustapatient.JustonehourbeforePerryarrivedatConcordHospitalsEmergencyDepartmenttheHospitalhadnalizedahigh-techpartnershipthatspeedsdiagnosisandtreatmentduringastrokepatientscrucialrstmomentsattheHospital.WiththeTeleStrokevideoconferencesystemdoctorsatConcordHospitalconsultwithneurologyspecialistsatMassachusettsGeneralHospitalMGHwhoarebroughttothepatientsbedsidebyvideoconnection.TogetherthedoctorsviewandinterpretthepatientslabtestresultsandCTscansexaminethepatientconsultwithfamilymembersandrecommendtreatmenthopefullywithinahalf-hourofapatientsarrival.ConcordHospitaltreatsapproximately200strokepatientsayearmanylikeLydiasufferingfrombloodclotsthatcutoxygenowtothebrainandcancausepermanentdamage.Forthosepatientsthekeytosurvivalandareducedchanceofdisabilityispromptassessmentanddiagnosisandtreatmentwithaclot-bustingdrugknownastPAwithinthreehoursoftheinitialstrokesymptoms.ThatdayPerry63ofPenacookbecamethecenterofawhirlwindofactivityasdoctorsandnursesbegantestsandscanstodetermineiftherewasablockage.FollowingtheteststheteamthenbrokethenewstoLydiathatshewasgoingtobeapioneer.WiththeConcordHospitalteamatherbedsideaneurologyspecialistfromMassGeneralspokewithLydiafromatelevisionscreen.Togetherthedoctorsdeterminedsheshouldreceivethedrug.ItwassoquicksoprofessionalsoefcientandsopersonalPerrysaid.ForsomepatientstPAimmediatelydissolvesaclotandrestoresbloodow.Inothersitmighttakeseveralhours.Forsomeothertreatmentisneeded.InthosecasesConcordHospitalpatientsmaybetransferredtoMassGeneral.LydiaspentonenightinConcordHospitalsIntensiveCareUnitandhasrecoveredfully.Dr.MildredLaFontaineofCHMGNeurologyAssociatessaidspeediscrucialforpotentialstrokevictimsandstressesthattimelostequalsbrainloss.CHMGsfourneurologistsareondutyoroncall24-hoursadaybutwhenminutesmattertheTeleStrokepartnershipprovidesinstantaccesstoneurologistsforasecondopinionorswiftassessment.LaFontainesaidConcordHospitalsinvolvementispartofitslargerefforttotreatstrokeastheseriousbutpotentiallytreatabledisorderthatitis.ShesaidthepartnershiphasbeenparticularlyusefulfordoctorsinConcordHospitalsEmergencyDepartmenttypicallythersttoseestrokevictims.Knowingthatthereisthatimmediatebackupnomatterwhatthetimenomatterwhatthecircumstanceshasbeenveryhelpfulshesaid.Strokeisaverycomplexandmulti-faceteddisorderthatshowsitselfinmanydifferentways.ThepartnershipalsoprovidestrainingandhashelpedtheHospitalputmoreemphasisonstroketreatment.LaFontainesharesthattheultimategoalisforConcordHospitaltobecomeacertiedstrokecenterandthiscollaborationisjustonestepinthatprocess.ButevenadvancementslikeTeleStrokearentofmuchhelpifpotentialvictimsortheirfamiliesdontreactquicklywhenstrokesymptomsappear.ItjustbreaksmyhearteverytimeIhearsomebodyexperiencedsymptomslastnightbuttheywenttobedortheydrovetoworkandthencollapsedLaFontainesaid.Bythetimewemayseethemwelikelydontknowwhenthestrokestartedandoftentimescannotprovideeffectivetreatment.StrokepatientLydiaPerryINSETarrivesatConcordHospitalsEmergencyDepartment.Are-enactmentofactualeventTimelostbrainloss 5Dr.MaryValvanoABOVEpartnerswithneurologyspecialistsatMGHthroughtheTelestrokeconferencesystemtoevaluateLydiasconditionwithinthecriticaltimeframenecessary.ThesampleCATscanINSETRIGHTshowsdarkenedshadowswithinthebrainillustratingarecentischemicstroke.StrokeisthefourthmostfrequentcauseofdeathintheUnitedStates.TheAmericanStrokeAssociationsaysthatspartlybecauseonlyvepercentofstrokevictimsarriveatahospitalintimetobeconsideredforthetPAclot-bustingtreatment.3hrFASTFFaceAskthepersontosmile.DoesonesideofthefacedroopAArmAskthepersontoraisebotharms.DoesonearmdriftdownwardSSpeechAskthepersontorepeatasimplephrase.IstheirspeechslurredorstrangeTTimeTimeisCRITICALCall911immediatelyifyouobserveanyofthesesigns.SourceNationalStrokeAssociation 6ACHIEVEMENTSINHEALTHCAREAroundtheworldorganizationsbusinessesandcountriesworktogetherorcollaboratebenettingeachotherandthevariedintereststheyserve.AtConcordHospitalMedicalGrouphealthcarespecialistsaredoingthesamestrengtheningtheorganizationandservingasingleinteresttheirpatients.ExpertiseCollaborationInnovativeCarePatientsbenetwhenmedicalspecialistsdaretodefytraditionalboundariesOnthedayafterThanksgiving2011whenmanywererecountingaholidaymealsurroundedbyfriendsandfamilyDanaMyskowskiofHennikerINSETnoticedsignsofanillnessthatsoonhadhersurroundedbyauniquemedicalteamthatbecameacrucialpartofherextendedfamily.WithalistofsymptomstwopageslongthecauseofherillnessremainedelusiveuntilshewasreferredtoConcordOBGYNaCHMGmembergynecologistHeidiHallonquist.Dr.HallonquistispartofagroupofdoctorsandothermedicalproviderswhomeetonceaweektoshareinsightsandexperiencetodiagnoseandtreatpelvicmedicinepatientsatConcordHospitalCenterforUrologicCare.TheweeklyclinicisagroundbreakingcollaborationthatincludesDr.HallonquistgynecologistCathyYiandurologistVeronicaTriaca.Theteamtreatsconditionssuchasfemalepelvicpainvulvo-vaginaldisordersincontinenceorfemalesexualdysfunction.Thegroupalsoincludesnursesaphysiciansassistantnursepractitionerphysicaltherapistsasurgicalmedicalassistantandaschedulingcoordinator.ThePelvicMedicineClinicisoneofseveralformalcollaborationsinwhichConcordHospitalMedicalGroupspecialistscrosstraditionalmedicalboundariestoputtheirpatientsatthecenterofateamapproachtotreatmentthatisattractingnationwideattention.InanotherexampleDr.JosephSnowofCHMGsWoundHealingCenterandDr.ToddBurdetteofCHMGsConcordPlasticSurgeryworktogethertohealpatientswhooftenhavepainfulwoundsthatresisttreatmentrestrictinglifestylesandputtingpatientsatriskoflosinglimbs.Inbothcollaborationsthemedicalprovidersconsulteachotheraboutpatientsseepatientstogetherduringregularlyscheduledclinicsandcallinotherspecialistswhenneeded.ThereisnothingmorepowerfulthantheabilitytoexaminethepatienttogetherandbrainstormandbuildoffeachothersexpertiseDr.Snowsaid.Thistypeofcollaborationalsopreventsapatientfromhavingtotravelfromonepracticetoanothertoobtaintheexpertisetheyneed.Forpatientstheteamapproachoftenmeansfewerappointmentsshorterlengthoftreatmentandevenfewersurgeries.ForinstanceDr.TriacaofCenterforUrologicCarereconstructsthepelvicsupportofinternalorgansandcorrectsstressurinaryincontinenceafterDrs.YiorHallonquistofConcordOBGYNperformahysterectomysamesettingsamedayoneanestheticsaidDr.Triacawhospearheadedthepelvicmedicinecollaboration.CONTINUEDONPAGE8 7Dr.VeronicaTriacaConcordHospitalCenterforUrologicCareWeshareavisionofandanunderstandingofaneedtoaddresspelvicmedicalissuesinajointfashion.Havinggynecologistsandurologistsworkingtogethermakesperfectsense.Drs.VeronicaTriacaLandHeidiHallonquistRcollaboratetoputtheirpatientatthecenterofcare. 8ACHIEVEMENTSINHEALTHCARETheworkhasbeensuccessfulbecauseofadministrativesupportfromConcordHospitalMedicalGroupandawiderangeofdedicatedmedicalspecialistswhosharemutualrespectandputpatientsrstwithlessconcernaboutprotectingtheirmedicalturf.YouhavetobewillingtorefertoacolleaguewhocanhandleitbettersaidDr.Hallonquist.Youneedtobeabletoputyouregoasideknowingyourlimitationsandknowingyourstrengths.AtthePelvicMedicineClinicDanascareteamincludedhergynecologisturologistphysicaltherapistaqua-therapistnutritioncounselormentalhealthcounselorandchiropractoracupuncturist.Theycontrolledaseriousbladderailmentwhichwascausingpainwhensheatemostfoods.Theyalsodealtwithherabdominalpainwidespreadmuscularpainfatigueanddizzinessallconnectedinsomewaytothebladderissue.Medicalprofessionalsfromafaralsoareimpressed.WehavepeoplecomingfromaroundthecountrytoseehowwehavestructuredthisDr.Triacasaid.Thevisitorsarelearningthatestablishingcollaborationstakeshardwork-bythemedicalspecialistsandbyCHMG.Theircommitmenttoprovidingbettertreatmentfortheirpatientsmeantovercomingmedicalandnancialroadblocks.TraditionaltreatmentforcomplicatedailmentslikeDanaswouldlikelyhaverequiredhertovisitdifferentspecialistsindifferentofcesondifferentdays.Insteadtheclinicbroughtherandherspecialiststogetherwithherasanimportantpartoftheteam.GoingtotheclinicwasagodsendsaidDana.Ifeltlikeacommitteewastreatingmeanddontbelieveitcouldhavebeendoneanyotherway.PartofwhatimpressesmethemostisthatitisrighthereinConcord.Danawascomfortedtoseeherurologistspeakingwithhergynecologistandbothconferringwithherphysicaltherapistwhoevenaccompaniedhertoachiropracticacupunctureappointment.CHMGandthedoctorsinvolvedinthecollaborationsrealizethetraditionalapproachdoesnotmakesense.AndKrisGreenwhohelpsadministerbothcollaborationssaidthesetypesofcollaborationsrequireinvolvingdoctorswithspecialpersonalities.Inmedicinetheconceptofcrossingspecialtyboundariesisnotuniversallyacceptedshesaid.Findingphysiciansthatembracetheconceptoftrulyworkingtogetherandwithwillingnesstoadmittheydonthavealltheanswershasbeenverygratifying.CHMGadministratorsrecognizedthesechallengesbuthavebeenwillingtoworkthroughthemwhichincludedaddressinginsurancepaymentissuesallwiththepatientinmind.TodayCHMGsmedicalpracticescontinuetoexploreothercollaborationsalldesignedtobringmoreoftheirinnovativemedicalspecialiststogethertocontinueimprovingthequalityandconvenienceoftreatmentfortheirpatients.CONTINUEDFROMPAGE6AdditionalestablishedCHMGclinicalcollaborationsincludeMultipleSclerosisClinicNeurologyAssociatesRehabilitationServicesNutritionServicesandMSSocietyDiabeticFootClinicWoundHealingCenterConcordOrthopaedicsandDiabetesSelf-ManagementProgramOutpatientIVAntibioticClinicInfectiousDiseaseWoundHealingCenterandConcordEmergencyMedicalAssociates 9HospitalistsBringingBetterCareintheHospitalandtheFamilyDoctorsOcesDr.KentSmithINSETofPenacookFamilyPhysiciansremembersthestressoftryingtobeintwoplacesatonetime.Patientswaitedinhisofcewhilehewas11milesawaytreatingpatientsfromhispracticewhohadbeenadmittedtoConcordHospital.OrpatientsintheHospitalwaitedtoseehimwhilehewashandlingregularofceappointments.ItwasadailybalancingactinwhichheandotherfamilyphysicianstypicallybegantheirdayattheHospitalseeingandtreatingpatientsandcoordinatingcarewithHospitalspecialistsbeforeheadingtotheirofces.Itwasmadeevenmoredifcultwhenfamilyphysicianswereon-calltotendtohospitalizedpatientsforallofthedoctorsintheirpractice.Ifyouwereon-callforaweekendyoucouldbeupfortwonightsthenhavetofunctionintheofceonMondayDr.Smithsaid.Thedifcultyofrushingbetweenofcesandhospitalsandtherealizationthatprimarycarephysicianswouldhavetoseeevenmorepatientsintheirofcesiftheirpracticesweretoourishledtoanewmedicalspecialtyhospitalists.Hospitalistsaredoctorsnursepractitionersandphysicianassistantswhospendalloftheirtimecaringforpatientsinahospital.Theyorderandevaluatetestscollaboratewithspecialistsdeveloptreatmentplansmonitorchangesinapatientshealthandplanappropriatecarepriortoandafterapatientisdischarged.AtConcordHospitalandConcordHospitalMedicalGroupthetransitionbeganinthemid-1990swhenspecialistsfromConcordPulmonaryMedicinebegancaringforthemostseriouslyillpatientsfromPenacookFamilyPhysiciansintheHospitalsIntensiveCareUnit.CONTINUEDONPAGE10DevelopsTreatmentPlansCollaboratewithSpecialiststoDevelopTreatmentPlansMonitorChangesinaPatientsHealthPlanappropriatePatientCarewhileintheHospitalandafterDischargeHospitalistsareDoctorsNursePractitionersPhysicianAssistantsHospitalistsarededicatedtoonlypracticingmedicineinaHospitalOrderandEvaluateTestsAHospitalistcontinuallycommunicatesandcollaborateswithapatientsPrimaryCareProviderasthey ACHIEVEMENTSINHEALTHCARE10AmoreformalprogrambeganatConcordHospitalintheearly2000sandnowhospitalistsarethefastest-growingmedicalspecialtyinthecountry.CoordinatedbyDr.AlexGadboisthe19physiciansandsevenphysiciansassistantsandnursepractitionersinCHMGsHospitalistProgramprovide247medicalcareforadultpatients.ThereisalsoaseparateHospitalistProgramforchildren.Hospitalistsdontleavetoconductofcehours.TheHospitalwithitsspecialiststechnologyandhigh-qualitycareistheirofce.TheyareanintegralpartoftheHospitalsacutecaresystemavailableimmediatelytorespondtochangesinapatientsconditionortoevaluateprogress.Theyalsocanmoreeasilyarrangetomeetwithpatientfamilymembersandcanseepatientsmorethanonceaday.MorefrequentvisitscanmeanshorterHospitalstays.ForinstancewecanactontestresultsrightawayefcientlymeetingapatientsneedsandpossiblyallowingasafereturntohomeandfamilysoonerthanmighthavepreviouslyhappenedDr.Gadboissaid.Inadditiontoprovidingimmediatecarehavingahospitalistavailablearoundtheclockhasreducedstressforpatientstheirfamiliesfamilydoctorsandfornurseswhooftenwerecaughtinbetween.BeforedifferentfamilypractitionerswerecominginatdifferenttimesofthedaytoseetheirpatientssaidveterannurseStaceyMahoney.Wewereconstantlypagingthem.Weweretryingtocalltheirofces.PatientswerealwaysaskingCanyoucallthedoctorWhenaretheycomingWhencanIgohomeHospitalizedpatientsandpatientswhoseefamilydoctorsintheirofceshavebeneted.ItmeansalottopatientswhenthedoctortakesthetimetolistentotheirconcernswithoutrushingoutorbeingpagedMahoneysaid.DoctorsintheHospitalareabletospendmoretimewithpatientsatthebedsideanddoctorsattheofceareabletospendmoretimewiththemthere.TherewasinitialconcernthatpatientswouldresistbeingtreatedbysomeoneotherthantheirfamilydoctorbutbothdoctorssaidfewpatientsnowquestionthepracticeandoccasionswhenfamilydoctorsarecalledintoseetheirpatientsintheHospitalarerare.WeintroducepatientstotheconceptduringtheirofcevisitDr.Smithsaid.Iexplainthathospitalistsarepartnerspartofmypractice.Forpatientswhoareadmittedunexpectedlywithoutaconsultationwiththeirfamilydoctorthehospitaliststhemselvesintroducetheconcept.Dr.Gadboissaidtheystresstopatientsthatthehospitalistworkswiththeacuteinpatientmedicalneedsofapatientratherthanaproviderwithalowvolumeofinpatientadmissions.Dr.Gadboissaidhehearsdirectlyfrompatientsthattheconceptisworking.SomewonderiftheycanbetreatedbyhospitalistsaftertheyleavetheHospital.ItsanicecomplimentbutwesaySorry.Theonlywayyoucanseeusistogetsickandcomebackbutpleasedontdothat.CONTINUEDFROMPAGE9OneofthekeystothesuccessofqualityefcienthealthcareatConcordHospitalMedicalGroupisasophisticatedElectronicMedicalRecordsEMRsystemlinkingthegroups238providers.ConcordHospitalMedicalGroupprovidersbenetfromauniedmedicalrecordonechartforeachpatientlistinginformationsuchasmedicalproblemsallergiesandmedications.Thesystemimprovescommunicationbetweendoctorsandpatientsbutalsobetweendoctorsofcesavoidingduplicationoftestsandproceduresandallowingforsafermoreefcienthigherqualitycare.LinkingCHMGpracticespatients 11PatientsconnectingwithCHMGprovidersviaMorethan6000ConcordHospitalMedicalGrouppatientsarecheckingpersonalhealthinformationrequestingappointmentsrenewingprescriptionspayingmedicalbillsandcommunicatingwithdoctorswithjustafewcomputerclicks.PatientCONNECTisano-chargeweb-basedservicethatprovidesaccessthroughapassword-protectedsystemaccessibleonlytothepatientthehealthcareprovidersandtheirauthorizedstaff.ThoughimplementedjustlastyearmorePatientCONNECTservicesarecomingincludingelectronicversionsofdoctorvisitsummarieslabtestresultsanddischargeinstructionsfortreatmentafterhospitalization.PatientsalsowillbeabletoanswerquestionsonlinefromtheirCHMGprovidersofceaboutupcomingappointmentstohelpensuretheirconcernsareaddressed.Dr.JoelBermanConcordHospitalChiefMedicalInformationOfcersaidpatientswelcomethekindofonlineefciencytheyalreadyenjoyinotheraspectsoftheirlivessuchasmakingcarrepairappointments.Iveuseditseveraltimestocommunicatewithmydoctorsofceandfoundittremendouslyconvenient.MuchmoreefcientthanpickingupthephoneDr.Bermansaid.Itssoconvenient.PatientCONNECTuserEnrollTodayTalktoyourCHMGprovidersoceorvisitconcordhospital.orgtolearnhow. ACHIEVEMENTSINHEALTHCARE12ConcordFamilyMedicineCHMedicalOfcesNorth18FoundryStreetSuite201ConcordNH03301603228-0071ElizabethA.ClardyMDFrancisE.HayesMDBoguslawaKremznerMDAmyMartelMDJacquelineMorseMDRichardS.NelsonMDEricF.PollakMDGaryS.SobelsonMDCatherineBenoitAPRNJanieBoyleAPRNKarenDucharmeAPRNTamyPrescottAPRNJennaReardonAPRNEpsomFamilyMedicineCHMedicalOfcesEast1990DoverRoadSuite201EpsomNH03234603736-6200ChristopherAllenMDJohnBarksdaleMDFAAFPAshleyWoodMDJenniferGaudet-EsenwineAPRNPaulaA.WeemanAPRNFamilyCareofConcordPillsburyMedicalOfceBuilding248PleasantStreetSuite2600ConcordNH03301603228-7400WendyAngeloMDCindiCroftDOBarryGiglioMDMathewSawyerMDKathleenBourqueAPRNLindaMeadAPRNLindaReedAPRNFamilyHealthCenterConcordYeapleBuilding250PleasantStreetConcordNH03301603228-7200BassemAzkulMDBryanBannisterMDDavidConwayMDMaryDancaMDGeorgeDeVitoMDBJEntwisleMDDanielEubankMDDominicGeffkenMDMPHTravisHarkerMDMPHCynthiaKingMDAngelaYerdonMcLeodDOJohnOrzanoMDMPHAndrewValerasDOAnnickWestbrookMDJackCookPA-CLeeWaldPA-CFamilyHealthCenterBehavioralHealth603230-7235WilliamGunnPh.DJoanHaleyMSSusanHemingwayMAAlexandraKuftinecMDJeannineOuelletteMSWLoriPelletier-BakerMSWAngelaPhillipsMSWMaryannSimoniMADavidTwyonMSWAimeeValerasMSWPh.DFamilyHealthCenterDentalClinic603227-7035ShannonMillsDDSShannonArndtDMDMichaelBenenatiDMDFamilyHealthCenterHillsboro-Deering15AntrimRoadHillsboroNH03244603464-3434TeriBrehioMDDougDrefferMDGregoryThesingMDKathrynRacinePA-CJennyLaneAPRNCHMGPrimaryCareAshleyWoodMDCHMGEPSOMFAMILYMEDICINELindaReedAPRNCHMGFAMILYCAREOFCONCORD 13FamilyPhysiciansofPembroke121PembrokeStreetPembrokeNH03275603485-8441JoelLowneDORobertNiegischMDRobbJ.StidwillMDSarahA.BellPA-CFamilyTreeHealthCareConcord81HallStreetConcordNH03301603228-7245MichelleCurrierJDDOLynnDurandMDFamilyTreeHealthCareHopkinton19FarringtonCornerRoadHopkintonNH03229603228-7575StephenLawrenceMDMichaelMcLeodDOF.J.MilliganMDAnaBurtnettPA-CSaraCarrierPA-CTraciEnnisPA-CDeirdreFuller-WiesnerAPRNFamilyTreeHealthCareWarner2EastMainStreetWarnerNH03278603456-6106AngelaGoldman-KlinglerMDLauriAnnMaitlandDOMPHShawnIreneSuttonMDInternalMedicineCHMedicalOfcesatHorseshoePond60CommercialStreetSuite401ConcordNH03301603228-7555TedBenoitMDAnneChehadeMDIanWaggettMDLynnRossmannPA-CUnaFolanAPRNInternalMedicinePillsburyMedicalOfceBuilding248PleasantStreetSuite2800ConcordNH03301603224-4003NicoleAntinerellaDOCarlCiakMDPaulClarkMDLynLindpaintnerMDRobertRzepkaMDKellySeichepineMDTanjaVanderLindeMDElizabethDenauwPA-CHolliGorrellAPRNReneePlodzikAPRNJessicaPollackAPRNPenacookFamilyPhysicians4CrescentStreetPenacookNH03303603753-4302EricKroppMDCarolA.NiegischMDRoryRichardsonMDW.KentSmithMDMichelleSpencerMDGailHurley-GoodsonPA-CDeniseFoxAPRNPleasantStreetFamilyMedicine280PleasantStreetConcordNH03301603226-3400FrankBetchartMDPatriciaClancyMDKatharineFoxMDPatrickFoxMDMargaritaShugolDOStaceyClarkPA-CJudithAbbeAPRNNeedaphysicianorreferralCall603224-7879or800322-2711Visitconcordhospital.orghomepageandclickonFindADoctortosearchforConcordHospitalMedicalGroupPhysiciansandAdvancedPractitionersPaulClarkMDCHMGINTERNALMEDICINE ACHIEVEMENTSINHEALTHCARE14CardiacAssociatesConcordMemorialMedicalOfceBuilding246PleasantStreetSuite103ConcordNH03301603224-6070DonnaD.AdamsMDFACCFSCAIRichardA.BossJr.MDFACCPatrickF.CassellJr.MDFACCDH-CDonP.ChanMDFACCAdamB.ChodoshMDDH-CKennethA.DelogeMDFACCDH-CGerardA.DillonMDFACCDH-CMelkonHacobianMDJeffreyT.LockhartMDFACCMichaelR.NewtonMDFACCFASNCKirkeW.WheelerMDFACCCharlesD.WicksMDSallyJenkinsAPRNANPMaryK.MacklinAPRNANPJudyTsiorbasAPRNFNPCardiacAssociatesLaconia85SpringStreetSuite2A1LaconiaNH03246603524-1600HusamH.FarahMDMRCPFACCDH-CR.JeffreyLootensMDFACCDH-CAyeshaNazeerMDFACCFASNCDH-CAlanS.RosenfeldMDFACCCardiothoracicSurgeryMemorialMedicalOfceBuilding246PleasantStreetSuite103ConcordNH03301603224-1725DarbyPopeMDFACSLakiRousouMDGeraldL.SardellaMDFACSAlishaAdamsPA-CThomasGervaisPA-CTrishUhligPA-CCenterforUrologicCareConcordMemorialMedicalOfceBuilding246PleasantStreetSuiteG2ConcordNH03301603224-3388ScottJ.FabozziMDFACSDavidF.GreenMDFACSThomasL.JacksonMDFACSRobertE.MitchellMDWilliamF.SantisMDFACSPaulM.SnyderMDFACSVeronicaTriacaMDRonaldL.YapMDJoanneGuttPA-CMaryHalleckPA-CSusanR.BuckleyAPRNKatherineCailAPRNCenterforUrologicCarePlymouthSpeareMemorialatBoulderPoint103BoulderPointDrivePlymouthNH03264603224-3388CenterforUrologicCareNewLondonNewLondonHospital273CountyRoadNewLondonNH03257603224-3388CenterforUrologicCareWolfeboroHugginsHospital240SouthMainStreetWolfeboroNH03894603224-3388ConcordObstetricsandGynecology189NorthMainStreetConcordNH03301603228-1111MonicaChunMDHeidiHallonquistMDFACOGCourtneyJonesMDMaureenMcCantyMDFACOGRichardSalchunasMDFACOGDavidStevensonMDFACOGCathyYiMDFACOGOglesbyYoungMDFACOGSandraBristolAPRNDonnaCassidyAPRNDebraSawyerAPRNCHMGSpecialtyCareGeraldL.SardellaMDFACSCHMGCARDIOTHORACICSURGERYAmyL.JayPA-CCHMGCONCORDPLASTICSURGERY 15ConcordPlasticSurgeryMemorialMedicalOfceBuilding246PleasantStreetSuite210ConcordNH03301603224-5200ToddE.BurdetteMDWayneK.StadelmannMDFACSAmyL.JayPA-CConcordSurgicalAssociatesMemorialMedicalOfceBuilding246PleasantStreetSuite205ConcordNH03301603224-0584SharonI.GunsherMDFACSMelissaM.HoytMDJosephP.MeyerMDFACSFRCSCRichardK.MurphyMDFACSRussellA.StrongMDFACSPeterH.WilsonMDFACSCharlesBarillaPA-CNicoleNelsonPA-CJeanneGoleyAPRNAnneK.NasonAPRNHospitalistsProgram250PleasantStreetConcordNH03301TomaszBlaszczakMDKarenBryantMDWilliamCrawfordMDMaryEckertMDKevinFlemingMDJimmyFuneMDAlexanderGadboisMDToniHadjievMDSuzyAnnIversonDOKlevisKadiqiMDMustaphaKaranouhMDChristinaKirkpatrickMDSantoshKumarMDDHCInderLalMDDHCChristopherMertzMDTracyOHaraMDMaynardPangMDPhilipSprungerMDValerieZiesmerMDPattyCousensPA-CRichardLaamePA-CSandraOLoughlinPA-CHeatherParentPA-CBethanyZanettiPA-CMaryKazanowskiAPRNLindaMessengerAPRNKellyWhiteAPRNInfectiousDiseaseandInternationalTravelClinicMemorialMedicalOfceBuilding246PleasantStreetSuite104ConcordNH03301603230-1939JenniferGittzusMDJamesNobleMDRobertRzepkaMDToddM.KingPA-CNeurologyAssociatesPillsburyMedicalOfceBuilding248PleasantStreetSuiteG200ConcordNH03301603224-6691MonicaBurkeDOAnnCabotDOIrenaDanysMDMildredLaFontaineMDMarkA.LombardoMDChristopherMartinoDOOliverBrantAPRNPulmonaryMedicinePillsburyMedicalOfceBuilding248PleasantStreetSuiteG100ConcordNH03301603224-9661D.ThomasAkeyMDMartinBlackMDStephenP.ImgrundMDMichaelLaidlawMDAlejandroSaranglaoJr.MDPatrickTangneyMDMonicaHeonAPRNChadLawrenceAPRNRoslynLawrenceAPRNPhaedraMcDonoughAPRNBrentRichardsonAPRNConcordHospitalSleepCenterCHMedicalOfcesNorth18FoundryStreetSuite103ConcordNH03301603230-5627IrenaDanysMDDavidPicardMDAlejandroSaranglaoJr.MDRoslynLawrenceAPRNBrentRichardsonAPRNConcordHospitalWoundHealingCenter250PleasantStreetConcordNH03301603230-1970JosephSnowMDFACSCWSHaileyPaigePA-CChristineDiGeronimoAPRNVisitconcordhospital.orghomepageandclickonFindADoctortosearchforConcordHospitalMedicalGroupPhysiciansandAdvancedPractitionersWilliamCrawfordMDCHMGHOSPITALISTSPROGRAMNeedaphysicianorreferralCall603224-7879or800322-2711 NonProtOrg.U.S.PostagePAIDPermitNo.256ManchesterNH250PleasantStreetConcordNH03301603225-2711concordhospital.orgAdvancesispublishedasaserviceforourcommunitymembersfriendsandsupporters.2013ConcordHospital250PleasantStreetConcordNH03301Phone603225-2711TTYTDD603228-7135Assistivehearingorvisualdevicesandlanguageinterpretersareprovidedfreeofchargetopatientsandtheircompanionsuponrequest.Foraddresschangesortoberemovedfromourmailinglistpleasee-mailyourrequesttopublicaffairscrhc.orgorcall603227-7000ext.3703.IAconcordhospital.orgEJenniferDearbornWDavidTirrell-WysockiADDDoreenSt.LaurentPHOTOGRAPHYIMAGESPg1mapiconsPg11photoPg916imageSHUTTERSTOCKPg2457912131415photosbydavewhitephoto.comPg3insetphotobyRixonPhotographyPg3medicalinstrumentimagescourtesyofMedtronicAFSolutionsPg5insetscancourtesyofConcordHospitalImagingPg6insetphotocourtesyofDanaMyskowski.MoreAdvancesThroughtheRegionalEarlyActivationCareTeamREACTCardiacAssociatescardiologistscollaborativelyworkwithLRGHealthcareLaconiaFireandsurroundingemergencymedicalservicestoproviderealtimecommunicationfromtheeldincludingtransmittingaheartattackpatientselectrocardiogramtoassistemergencydepartmentphysiciansinmakingtimelytreatmentdecisions.Dr.AnnCabotofNeurologyAssociatesisconductingamonthlymultidisciplinaryclinicforpatientswithmultiplesclerosis.Duringtheclinicpatientsareevaluatedbyaphysicianphysicaltherapistoccupationaltherapistandregistereddieticianinanefforttoaddressandcoordinatethecomplexneedsofthesepatients.Morethan540healthcareprovidersemployedbyeitherConcordHospitalorElliotHospitalhavejoinedtogethertoformConcordElliotAccountableCareOrganizationACO.Theproviderscoordinatethehealthcareofmorethan20000Medicarebeneciariesinourcombinedserviceareaandarededicatedtopromotingbettercarecoordinationimprovingpatientoutcomesandcreatingacollaborativeenvironmentwithcommunitypartners.Thisapproachensuresthatpatientsreceivethebestmostappropriatecarefromtherightproviderattherighttimebyidentifyingandaddressingproblemsearly.Dr.CindiCroftisprovidingweekendaccessforCHMGpatientsonSaturdaysfrom8am-7pmandSundaysfrom8am-5pmatFamilyCareofConcordinthePillsburyBuildingontheConcordHospitalCampus.Patientsseekingweekendappointmentsshouldcalltheirprimaryproviderspracticetodiscussiftheirmedicalissueisappropriatefortheweekendclinic.OurInfectiousDiseaseInternationalTravelClinicprovidescomprehensiveindividualizedconsultativetravelmedicineservicesfortravelplansanywhereintheworld.Whethertravelingaloneaspartofagroupforbusinesspleasureeducationoraspartofamissionarygroupanytravelerwilllikelybeexposedtohealthrisks.QualityisatoppriorityatConcordHospitalMedicalGroupandweneedtohearfromyoutomakesurewearemeetingourgoal.AfteravisittoConcordHospitaloraCHMGprovideryouwillreceivesurveysinthemailinwhichyoucanrateyourcareandotheraspectsofyourvisit.ThesurveysarefromPressGaneyanindependentproviderofsatisfactionsurveys.Tohaveavoiceinhelpingusassessandimproveourqualityofservicepleaserespond.Welisten.