Health + Wellness Magazine Fall 2017

▶ Fall Program Listings Inside!

Health + Wellness

Living healthier together.

Fall 2017 | cheshiremed.org

SPECIAL ANNIVERSARY ISSUE: C

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Caring for the health and wellness of our community for

1892-2017

YEARS OF CARING

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Medical Center Update

Making Healthy Choices

Health Education & Support

Making a Difference

Our new integrated electronic health record system

Preparedness and prevention can save lives

Don’t miss this fall’s line-up of programs

Healthy Monadnock turns ten!

FROM THE CEO/PRESIDENT/CHIEF MEDICAL OFFICER

Cheshire Medical Center Update ORGANIZATIONAL UPDATE

New Electronic Health Record System launches November 4

Embarking on a new era of healthcare I am often asked to comment on the state of healthcare, locally and nationally.

Recently, I read reports highlighting the unpredictable variations involved in the operations of healthcare institutions, social and legislative issues affecting reimbursement to hospitals, and the uncertainties of the financial situation for healthcare institutions nationally. These are common themes in the conversation of healthcare today. What was interesting about these reports, is that they were written many decades ago by my predecessors, past Presidents of Elliot Community Hospital.

The challenges we face today are not new. Through much support from organizations and individuals in the community, healthcare in Cheshire County has endured, grown, and thrived through the decades. Elliot City Hospital, Elliot Community Hospital, Cheshire Hospital, The Cheshire Medical Center and Dartmouth-Hitchcock Keene, Cheshire Medical Center-Affiliate of Dartmouth-Hitchcock Health. The names and addresses have changed. The knowledge and technology have changed. What remains unchanged is our dedication to meeting the health and wellness needs of our community with quality, compassionate care, and our tradition of skilled and dedicated medical staff and employees.

Again, we embark on a new era of healthcare. On November 4, we are launching a new electronic health record (EHR) system. The new EHR will create seamless communication between care teams across the Dartmouth-Hitchcock Health system, enhancing partnerships and patient care. Our patients will be able to use the robust patient portal of the Dartmouth-Hitchcock Health system, myD-H, further empowering patients to be active participants in their healthcare.

The benefits of our new EHR system are many. It will also be challenging. Our employees are learning an entirely new system and workflows. Two years of planning and preparation by countless medical staff and employees have contributed to the effort to make this transition smooth for our patients and our employees. I am confident that, as we have for over a century, together we will overcome the obstacles of this change and share in an improved system.

September 21, 2017 marks our 125th Anniversary. With the support of the Historical Society of Cheshire County, we created this special edition of Health + Wellness magazine celebrating our 125 years of living healthier together, and who we are today as we evolve to meet the future health and wellness needs in our community. If you enjoy the local history in this magazine, I encourage you to consider joining the historic walking tours with the Cheshire Walkers listed in the fall programs listing of this issue.

Don Caruso, CEO/President/Chief Medical Officer

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A commitment to innovation is part of Cheshire Medical Center’s ongoing mission to provide safe, quality healthcare. For this reason, we are transitioning to a new integrated electronic health record system known as Epic on November 4. eD-H is the name for the EHR built on Epic software which is used by the Dartmouth-Hitchcock Health system. The new system will enhance our ability to have up-to-date health records available to all our providers, with easy-toaccess information for every patient.

Currently, Cheshire Medical Center clinicians may work in three or more information systems while caring for one patient. There are multiple manual processes in place to ensure that information moves reliably from one system to the next. A single EHR across the Medical Center campus, connected with the Dartmouth-Hitchcock Health system, will help to ensure critical health information is available when and where it is needed. It will improve the coordination of our care and streamline many of our business activities.

We are excited that once the transition process is complete, the healthcare experience for our patients and their medical teams will be simply better. Learn more at cheshiremed.org/simply-better-records.

TECHNOLOGY UPDATE

New Patient Portal - myD-H

As an affiliate of the DartmouthHitchcock Health system, we at Cheshire Medical Center are excited to share the news of our transition to the myD-H patient portal used by Dartmouth-Hitchcock Health, on November 4, 2017.

This transition means one convenient portal where patients can view health information related to visits at Cheshire Medical Center in Keene, Cheshire’s satellite offices in the Monadnock Region, and visits at all Dartmouth-Hitchcock locations.

This also means that myD-H Keene/ FollowMyHealth (FMH) accounts will no longer be supported with new information after the transition on November 4.

The myD-H portal includes features not supported by myD-H Keene/FMH. In addition to appointment requests, prescription refills, and messages to providers—the myD-H portal allows users to manage billing statements, message questions to billing, and make payments.

For patients currently using the myD-H portal for care received at any D-H location, Keene information will automatically flow to that portal beginning on November 4, 2017. myD-H Transition Information Sessions are available at no cost. The sessions provide valuable information and answer questions about features and changes, and include optional time for personal guidance while creating a new portal account. See times and locations for these sessions in the fall program listing of this issue on page 15.

Learn more and view a short video tutorial detailing the steps to sign up for a myD-H portal at cheshiremed.org/simplybetter-records.

HEALTHCARE SERVICES UPDATES

Accredited Breast Center Designation

Cheshire Medical Center has been awarded a three-year/Full Accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons. Accreditation by the NAPBC is only given to those centers that have voluntarily committed to provide the highest level of quality breast care and that undergo a rigorous evaluation process and review of their performance.

During the survey process, centers must demonstrate compliance with standards established by the NAPBC for treating women and men who are diagnosed with the full spectrum of breast disease. The standards include proficiency in the areas of: breast center leadership, clinical management, research, community outreach, professional education, and quality improvement. Breast centers achieving NAPBC accreditation have demonstrated a firm commitment to offering patients every significant advantage in their battle against breast disease.

Diagnosing and treating breast cancer involves a multidisciplinary team of healthcare specialists working closely with the patient and with each other. The Breast Center Team at Cheshire Medical Center, led

by Breast Care Program Chairperson, H.E. Guy Burman, MD, supports partnerships between surgeons, pathologists, radiologists, medical oncologists, radiation oncologists,

breast care coordinators, primary care providers, Women’s Health providers, mammographers, physical and occupational therapists, nutritionists, social workers, and complementary therapies.

Cheshire Medical Center’s Breast Center accreditation ensures quality breast care close to home for patients of the Monadnock Region.

UPDATE FROM THE CENTER FOR POPULATION HEALTH AT CHESHIRE MEDICAL CENTER What does a healthy community look like? This is a question I’m asked often in my career. The simple answer is… a healthy community exists where the healthy choice is the easy choice, and those easy, healthy choices are available across all aspects of where we live, learn, work, and play. This is achieved when people in the community are engaged and activated to support wellness. It’s truly a community effort.

One of the many reasons I was drawn to Population Health at Cheshire Medical Center, is the local community’s long commitment to collaboration and cooperation to improve the health of its citizens. Developing a health community is not a simple task.

Quality medical care is foundational to health and wellbeing, but equally important are the many social determinants of health, such as the foods we consume, our home, safe means of transportation, education, and income to name a few.

Cheshire County is a pioneer in population health, having established the Council for a Healthier Community over twenty years ago, “to improve the health of those who live and work locally”. The Council provides oversight to the development of action plans to address needs identified in the community health assessment, such as the Healthy Monadnock Community Engagement initiative.

As a founding partner of Healthy Monadnock, Cheshire Medical Center provides supporting infrastructure to the efforts of the Healthy Monadnock initiative through The Center for Population Health. We are proud to be facilitators of engagement and partnership building efforts to create a culture of health in our community.

Learn more about Healthy Monadnock as we celebrate its 10th year, in the Making A Difference section of this issue on page 18.

This edition of the Health + Wellness highlights prevention and preparedness information and resources to help keep you and your family healthy and safe, and program opportunities to learn about components of community health, such as Exploring Your Local Food System on page 14.

Shawn LaFrance, Vice President of Population Health & Health Systems Integration

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SH C 1892-2017 FEATURE STORY E

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1892-1930’s

In the background: early photo of the Elliot estate.

One year after the hospital opened, a training school for nurses was established.

generosity and hard

It’s always been about local

1892 John Henry Elliot gave his family’s estate to Keene for

a public hospital. That same year, a Hospital Aid Society was formed. This organization assisted in furnishing the hospital.

Through the donations and labors of the local citizens, the 18bed hospital was formally opened September 21, 1892.

A community effort every step of the way.

1896 The Men’s Hospital Benefit Club

organized. The Club raised funds and with a generous gift from Dr. George W. Gay, a consulting physician, purchased a complete set of surgical instruments from Paris, which they presented to the hospital.

That same year, the first ambulance was presented to the hospital through the efforts of Miss Elizabeth Twitchell. It was a horse-drawn vehicle, and in its first year made 51 calls.

1897 The use of a cow at a reasonable price to provide milk for the hospital is arranged.

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The generosity of the community brought early improvements to the hospital. A long-distance telephone and an elevator were installed, and hot water was installed throughout the building.

From the very beginning, members of the Hospital Aid Society gave untiringly of their time and work, establishing free bed funds for children and maternity patients and a charity nursing fund.

1908 Tag Days: a day on

which charitable contributions are solicited and small tags were given in return. On that day, the hospital’s physicians and local lawyers left their suits at home and played a charity baseball game. The proceeds benefited the hospital.

1923 An Orthopaedic Clinic was established with the support of the Rotary Club of Keene.

1926 An Underweight Clinic was organized in partnership with school health programs in several rural towns in Cheshire County.

1920s The Hospital Aid Society began sewing sheets, linens, and blankets for use in the hospital. This continued through the 1970s.

Caring for the health and wellness of our community for 125 years

1936 Deep Therapy X-Ray

Christopher Lee, MD, Board Certified Surgeon holds a photograph of the early days of surgery at Elliot City Hospital.

machine and radium was purchased to treat cancer.

work

[ and counting.

1926 The Hospital’s first motor ambulance was made possible through a gift from the people of Marlborough and Keene.

What began as Elliot City Hospital later expands to become

Elliot Community Hospital

1922 A campaign was launched to raise

$225,000 to build and equip a sixty-bed hospital. The goal was exceeded by almost $50,000.

State-of-the-Art Surgical Care Cheshire’s state-of-the-art surgical suites are home to 31 skilled board certified surgeons across a range of surgi-cal specialties, including breast and oncologic surgical procedures. The surgeons at Cheshire work closely with primary care providers and specialists to ensure our patients receive the right treatment at the right time.

Cheshire Medical Center holds the designation of CNOR® Strong from the Competency & Credentialing Institute (CCI). CCI’s CNOR® certification program is for operating room nurses motivated to improve and validate their knowledge and skills, to provide the highest quality care to their patients. The CNOR® Strong designation is given to facilities having at least 50% of its operating room nursing staff CNOR® certified.

Surgical patients at Cheshire receive extensive care prior to and after surgery. Preadmission testing is administered by highly skilled RNs in the Short Stay Unit to establish a comprehensive health assessment.

This testing is a vital step in the surgical process to address concerns that may arise—prior to undergoing a surgical procedure. After surgery, patients who received sedation/analgesia or anesthetic agents are monitored in the Post Anesthesia Care Unit (PACU).

PACU nurses provide postoperative education to patients and their families and thorough patient assessments through the postoperative process.

After discharge, nurses follow up with patients to ensure that recovery is progressing and questions are addressed quickly.

The Surgery Department demonstrates quality and patient safety as central to care at Cheshire. It is for these reasons and more, that Cheshire Medical Center holds an “A” Hospital Safety Grade.

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1940’s -1970’s

In the background: architectural rendering of the new Cheshire Hospital.

Evolving and growing

Breaking ground for the new hospital.

to meet our community’s changing needs.

July 1, 1966 marks the commencement of Medicare, bringing an increased demand to the hospital’s already stretched resources.The decision is reached to build a new facility rather than another addition.

Throughout the years, the Hospital Aid Society provided vital support to the hospital and its patients.

1956 Nurse Capping Ceremony

1953 Hospital Aid Society member visits a patient to supply items such as magazines and stationary.

A community effort every step of the way.

1942 As wartime aide to the hospital, the American Red Cross started the recruiting and training of nurse’s aides.

1945 The Board of Trustees determined that to adequately

meet the needs of patients, it was necessary to expand the obstetrical floor by adding two floors to the wing. A committee was established to raise $200,000 for the addition. The response from the community was great and the goal was exceeded by $80,000.

1958 Elliot Community Hospital President,

Chester L. Kingsbury, noted that consistent with hospitals throughout the country, the hospital’s financial situation is “critical”. He continued to note that were it not for the help of the Hospital Aid Society, various donations, the City of Keene, Cheshire County and County towns, the hospital “would be in serious trouble”.

1948 Keene Clinic opened at 331 Main Street.

1949 A free Pre-Natal Clinic opened at the hospital to care for 6 Fall 2017 | Health + Wellness

impoverished and indigent patients who would otherwise receive no care until the time of delivery.

Caring for the health and wellness of our community for 125 years

[ and counting.

Bruce Lafond, in Nutrition Services holds an early photograph of staff preparing meals for our patients.

Patients are transported via ambulance to the new hospital.

February 23, 1973 The new Cheshire

Hospital on Court Street was dedicated and began receiving patients one week later.

Elliot Community Hospital builds a new facility and becomes

Cheshire Hospital A Thoughtful Approach to Nutrition A 1978 special section in the Keene Sentinel featuring some of Cheshire Hospital’s caring staff.

1961 For the first

time, the School of Nursing was fully accredited by the National League for Nursing.

Elliot Community Hospital Trustee, Edward Kingsbury, and his wife Lillian donate their upper Court Street home and land for the “New Hospital”.

1968 The Board of Trustees of Elliot Community Hospital launched a

campaign to raise a minimum of $1.5 million in pledges to build the new hospital. In the year that followed, the community came forward with an overwhelming response of over $2.39 million in pledges.

1971 The Volunteer Program was

established with thirty-three women working each week as volunteers in the X-ray and Physical Therapy Departments, at the Information Desk, and manning the Book and Flower Carts.

Keene Clinic purchased abutting land for a New Clinic.

1973 The new Keene Clinic opened.

The belief that quality food and good nutrition are important for all members of our community inspires the innovative approach to food service at Cheshire Medical Center. The Nutrition Services Team at Cheshire embraces good nutrition as the cornerstone of good health, and the importance of nourishment and comfort to healing. For this reason, special attention and care are placed on every meal served.

Patients admitted at Cheshire select their meals from Room Service Menus tailored to their dietary needs.

Offerings include home-style recipes prepared with fresh, quality ingredients, made to order by trained chefs in the restaurant kitchen of the Medical Center.

The Art Nichols Café at Cheshire features a wide variety of house made options and daily specials, for breakfast, lunch, and dinner, priced to be a good value for the patients, visitors, volunteers, and employees at the Medical Center. Weekly selections often feature ingredients sourced from local farms, and through the growing months, the Medical Center hosts a weekly local farmers’ market in the Café.

Receive seasonal recipes from the Nutrition Services Team at Cheshire Medical Center in our monthly Health + Wellness e-Newsletter.

Sign up at cheshiremed.org/publications.

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1980’s - 2000’s

In the background: drawing of new addition connecting Cheshire Medical Center and Dartmouth-Hitchcock Keene.

powerful partnerships Leveraging

for the benefit of our patients.

Cheshire Hospital becomes 1980 Cheshire Hospital became part of the MAST Program (Military Assistance to Safety and Traffic) out of the Air Force Base in Westover, MA.

Cheshire Medical Center

1990 Kingsbury Center for Cancer Care was established at Cheshire

through partnerships with the Keene Clinic, Radiology Associates of Keene, staff specialists, and cancer patients and their families. In 1992, a radiation facility was added, offering state-of-the-art radiation technology with the Cancer Center’s first linear accelerator.

A Radiation Oncologist and Radiology Technologist review data.

A community effort every step of the way.

1985-86 Farnum Rehabilitation Center opened,

providing specialized physical and cognitive rehabilitation services to the immediate community and neighboring states.

1988 Cheshire became one of the select

few hospitals in the state to provide Magnetic Resonance Imaging (MRI), often referred to as “Star Wars” technology

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1999 Trained and certified volunteer doulas, Cheshire Doulas, began providing non-medical support to birthing women and their families in Cheshire Medical Center’s labor and delivery unit. In 2017, the Cheshire Doula program is getting ready to celebrate 2,000 doula addended deliveries!

1999 The Community Advisory Council was formed. The Council

included a group of men and women who share the common commitment to improvement of the health and wellness of the community by serving as the eyes and ears of the region served by the hospital.

Caring for the health and wellness of our community for 125 years

[ and counting.

Suzanne Nabi-Tremblay, MD, Family Medicine, holds a photo of a vist to the doctor back in earlier days.

2001 A volunteer medical team of employees from Cheshire Medical Center and DartmouthHitchcock Keene participated in a medical mission to Haiti and Ecuador.

2003 The doors to the

new Central Building opened on September 29, 2003, physically joining the hospital and clinic.

For the first time, patients of Cheshire Medical Center and Dartmouth-Hitchcock Keene receive a seamless array of health services.

2002 The Children’s Learning

Center moved into the new 7,000-square-foot childcare center on the Medical Center campus.

Your Patient-Centered Medical Home Team Primary Care at Cheshire Medical Center is a patientcentered, comprehensive, team-based, and accessible model focused on quality and safety. Primary Care Providers collaborate with Associate Providers and other members of your team to address your specific health concerns, and work with you to create health and wellness goals and a plan to reach those goals.

Whether it’s helping you get the most from your appointments, following up on tests and recommendations, prescribing and monitoring medications, facilitating transitions of care, consulting on behavioral health issues, coordinating support services, or tracking records and paperwork, your team has got you covered.

An early adopter of the Patient-Centered Medical Home model, Cheshire’s Family Medicine Department was recognized as one of 31 “Exemplar Primary Care Practices” nationally by the “The Primary Care Team: Learning from Exemplar Ambulatory Practices” (LEAP) research project. Funded by The Robert Wood Johnson Foundation, LEAP was designed to identify, study, and engage exemplar primary care practices from across the United States.

Your partnership with your Medical Home team is further enhanced through technology. This November, Cheshire will transition to the electronic health record system used by Dartmouth-Hitchcock Health. Patients using a myD-H patient portal will be able to request appointments and prescription refills, send messages to providers, manage billing statements, ask questions, and make payments.

To learn more about the Patient-Centered Medical Home at Cheshire Medical Center, visit cheshiremed.org/ familymedicine.

To learn more about the transition and changes to patient portals, and to sign up for a myD-H portal, visit www.cheshiremed.or/simply-better-records.

Find out about upcoming myDH information sessions on page 15.

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2000’s - the Present 2009 The first Bald is Beautiful event was hosted to honor and support those living with cancer.

Proceeds benefited The Patient Relief Fund.

collaboration and

Focused on clinical and service excellence,

2015 Cheshire Medical Center entered an affiliation agreement with the Dartmouth-Hitchcock Health system. Cheshire Medical Center became unified as one campus providing a continuum of care spanning primary care and specialty medicine, to surgical services and acute inpatient care.

2005 The orthopaedics department broadens its services with the addition of The Sports Medicine Center, providing on-the-field sports medicine expertise at most area high schools as well as collegiate and semi-professional sports programs in the area.

2006 Early plans for a community health engagement initiative begins to take shape and Vision 2020 is named. We now know it as Healthy Monadnock!

2006 Marks the first full year of Electronic Health Records on the campus.

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2008 Cheshire Medical Center and Dartmouth-Hitchcock Keene hosted the first annual Sports Medicine Center 5K Run/ Walk and Kid’s Fun Run to support up-to-date rehabilitation equipment, concussion testing, supplies to prevent and treat injuries, and local Sports Medicine Education.

Caring for the health and wellness of our community for 125 years In the background: computer rendering of the renovated Emergency Department.

2016 TeleICU began expanding the

capabilities in the continuum of critical care in the ICU. The program was made possible through the affiliation with Dartmouth-Hitchcock Health and Dartmouth-Hitchcock Connected Care.

compassion close to home, for every patient, every time.

Today, we are

Cheshire Medical Center an affiliate of Dartmouth-Hitchcock Health

2015 A ribbon cutting ceremony was hosted to celebrate the completion of the Emergency Department (ED) redesign and renovation project. The renovation was funded in part by Cheshire Health Foundation’s The Initiative for Community Wellness, a campaign to support the expansion of the Healthy Monadnock initiative and the redesign and renovation of the ED. The campaign exceeded its goal of $2.2 million, raising over $2.3 million.

2017 Cheshire Medical Center is awarded Full Accreditation as a Breast Centers by the National Accreditation Program for Breast Center of the American College of Surgeons.

[ and counting.

Arvind Randhawa, MD, Hematologist/Oncologist, Norris Cotton Cancer Center at Kingsbury Pavilion holds an early photo of the Deep X-Ray Therapy used to treat cancer at Elliot Hospital.

Comprehensive Cancer Care Cheshire Medical Center’s affiliation with the Dartmouth-Hitchcock Health system enhances our ability to offer comprehensive cancer diagnosis, treatment, and recovery services close to home through the Cheshire Medical Center’s Kingsbury Pavilion.

As a regional location of the Dartmouth-Hitchcock Norris Cotton Cancer Center, one of the nation’s premier facilities for cancer treatment and research, the care team at Kingsbury Pavilion have full access to the research knowledge, clinical expertise, and clinical trials of Norris Cotton Cancer Center (NCCC), working closely with doctors and nurses at NCCC in Lebanon, NH to coordinate patient referral, treatment, and education.

The multidisciplinary team of oncologists, surgeons, radiologists, hematologists, pathologists, and an oncology nursing staff at Cheshire Medical Center’s Kingsbury Pavilion, work together to coordinate care through every step of a patient’s journey, using advanced cancer treatments and state-of-the-art technologies. This coordinated care includes the specialty areas of Radiation Oncology, Medical Oncology, Surgical Oncology, and Palliative Care.

The close collaboration between the larger academic medical center in Lebanon and Kingsbury Pavilion in Keene ensures high-quality, personalized, and compassionate cancer care close to home for patients and families of southwestern New Hampshire, and the neighboring northern Massachusetts and southeastern Vermont.

Visit cheshiremed.org to learn more about the Norris Cotton Cancer Center Kingsbury Pavilion at Cheshire Medical Center.

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Making Healthy Choices TIPS & TOOLS

Preparedness and prevention can make all the difference.

Sound the Alarm.

Save Lives.

increases risks for heart disease and stroke, and will likely develop into type 2 diabetes, the most common This fall, the Red Cross will launch form of diabetes. The good news is, Sound the Alarm, a series of home fire prediabetes can often be reversed safety and smoke alarm installation through lifestyle changes and events nationwide. Volunteers will supports, like the Cheshire Diabetes install 100,000 free smoke alarms in Prevention Program. high risk neighborhoods, culminating The Cheshire Diabetes in the installation of one million smoke Prevention Program (CDPP) is part alarms across the country! of the National Diabetes Prevention Since 2014, the Red Cross, in Program, led by the Centers for A fire safety plan is a vital part of a safe partnership with fire departments Disease Control and Prevention and healthy home. and other local groups, has visited (CDC). The local program is homes installing free smoke alarms, provided through partnerships between replacing batteries in existing alarms, ● Close the door and protect yourself if you Cheshire Medical Center, the Keene Family and providing fire prevention and safety can’t get out. This can slow fire spread and YMCA, and the Keene Senior Center. education to prevent needless tragedies. buy some time.

What is Diabetes?

As part of this year’s Sound the Alarm, Tips for creating your home fire escape ● Diabetes is a chronic condition in which the Red Cross in the New Hampshire and plan and practicing your 2-minute drill the body does not make or use insulin Vermont Region, along with its partners, ● Everyone in your household should know will install a limited number of free smoke properly. two ways to escape from each room in your alarms for those who cannot afford to ● Insulin is a hormone that is needed to help home. purchase smoke alarms or for those who are ● Smoke is dangerous. Get low and go! our body process food for energy. ● Decide on a common meeting area to physically unable to install a smoke alarm. ● A fasting blood sugar greater than or equal your fire escape plan with 2 ways out.

To sign up for your alarm, please visit to 126 mg/dl on two occasions or an A1C This ensures all family members can be redcross.org/nhvt and click on Home test of 6.5% or greater are two common accounted for quickly.

Fire Campaign or call 800-464-6692 for ways to diagnose diabetes. ● Get out and stay out. Never go back inside more information. If you live outside of this ● Type 1 diabetes occurs when the body does for people, pets, or things. region and would like to identify your local not make insulin. Insulin by injection or ● Time your drills! If a fire starts, you may region office, please visit redcross.org (or by pump is required to treat the disease. have less than two minutes to get to safety. call 1-800-REDCROSS). If you are able to ● Type 2 diabetes is the most common form purchase and install your own smoke alarm, of diabetes. Treatment can range from Learn more about fire safety at a free information session on October 10, 2107. but would like information on home fire healthy eating and exercise, to oral and/or (See details on page 14.) safety and smoke alarm installation, please injectable medication. visit redcross.org/homefire. ● Uncontrolled diabetes can lead to Diabetes and Prediabetes: complications such as eye, kidney, heart, Tips for Fire Safety The Basic Differences and nerve damage. Controlling blood ● Install smoke alarms on all levels of your According to the Centers for Disease sugars and preventive care can delay or home, inside bedrooms and outside Control and Prevention, 86 million prevent these complications. sleeping areas.

Americans now have prediabetes— that’s Test smoke alarms every month. If they’re not working, change the batteries. Note: newer detectors sometimes have 10-year non replaceable batteries. ● Talk with your family about a fire escape plan and practice the plan twice a year. ●

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one-in-three adults. Of those 86 million, 9 out of 10 of them don’t know they have it. That’s because prediabetes is a health condition with silent symptoms difficult to detect without testing.

Unchecked and untreated, prediabetes

What is Prediabetes? ● Prediabetes comes before the onset of type 2 diabetes. ● Blood sugar numbers are higher than normal but not yet in the diabetes range.

Fasting blood sugar levels of 100-125 mg/

Healthier Together SPOTLIGHT

Cheshire Walkers have been exploring the beauty and history of our region since 1999. dl or an A1C test of 5.7 – 6.4% are two common ways to diagnose prediabetes. ● Risk of heart disease and stroke is 1.5 times higher than in people with normal blood sugar levels. ● Lifestyle changes can delay or prevent the onset of type 2 diabetes.

To learn about upcoming CDPP groups and other resources through Cheshire Medical Center’s Diabetes Care Network, visit cheshiremed.org/ diabetes.

If You’re Over 50, it’s Time to Get Screened for Colorectal Cancer

Among cancers that affect both men and women, colorectal cancer is the second leading cancer killer in the U.S. But this is one cancer you can prevent!

Colorectal cancer is most often found in people 50 or older and the risk increases with age. That’s why it is recommended that you get a colonoscopy after you turn 50. Colonoscopies are a very effective way to screen for this common yet preventible cancer. They enable your doctor to find and treat cancer early, as well as remove any polyps (abnormal growths) before they turn into cancer.

What Is Colorectal Cancer?

Colorectal cancer is cancer that occurs in the colon or rectum. Sometimes it is called colon cancer. Colorectal cancer usually starts from precancerous polyps in the colon or rectum. People who have polyps or colorectal cancer don’t always have symptoms, especially at first. Someone could have polyps or colorectal cancer and not know it.

Symptoms may include: • Blood in or on your stool (bowel movement).

• Pains, aches, or cramps in your stomach that don’t go away.

• Losing weight and you don’t know why.

If you have any of these symptoms, talk your doctor.

For more information about screening for colorectal cancer, visit cdc.gov/screenforlife.

Since their inaugural trek to Goose Pond led by Brian Mattson in September 1999, the Cheshire Walkers Program has offered a series of easy-going walks.

Organized by Cheshire Medical Center in partnership with the City of Keene Parks and Recreation Department, members of this program walk every Wednesday in the Spring and Fall in order to increase their physical activity, foster social connection, and learn about the region’s rich history.

This Fall, the walkers will be partnering with the Monadnock Conservancy and the Historical Society of Cheshire County to offer some interesting walks. Here are just a couple of examples. (See information below about how to view the full listing.)

Wednesday, September 27 Jaffrey: Mountain Brook Reservation The Gramwick Trail is an easy out-and-back hike through gently rolling terrain along the scenic shoreline of Mountain Brook Reservoir. The trail is named for Herb and Colette Gramm, who donated the property to the Monadnock Conservancy, and their friend Tom Sedgwick, who helped the Gramms build the trail for the enjoyment of the public. In late September the red maples should be starting to show their fall colors, and we might find a few wild cranberries or other unique shoreline plants.

Footing: Easy Breathing: Easy Approximate Length: 2 miles Meet: 9:00 am at the Keene Recreation Center to carpool, or 9:30 am at the intersection of Gilmore Pond Road and Peabody Hill Road in Jaffrey. Leader: Ryan Owens, Monadnock Conservancy, (603) 357-0600 ext. 103

Wednesday, October 11 Stoddard: Daniel Upton Forest and the Farmhouse We will begin with a tour of the 1830’s farmhouse that has not been modernized led by Josh Cline, followed by a hike downhill through an open field with a nice view to the forest road and trail that leads to Beaver Pond, which serves as a heron rookery in the spring. Homemade muffins cooked in the wood stove await our return to the farmhouse. Visit uptonfarmandforest. com/history to learn more about the history of the house.

Footing: Moderate Breathing: Easy-Moderate Approximate Length: 1 mile Meet: 9:00 am at the Keene Recreation Center to carpool, or 9:30 am at the farmhouse at 253 Tarbox Road. Take Route 9 to Juniper Hill Road, follow to top of hill where it curves left onto Tarbox Road, and follow to the dead end—about two miles from Route 9. Park along the road. Leaders: Pam Ross (603) 446-3817 and Joshua Cline To see a full listing of walks scheduled for this fall, visit cheshiremed.org . For more information, call (603) 354-5460.

Health + Wellness | Fall 2017 13

Health Education & Support FALL PROGRAM LISTINGS

Please join us for one or more of this Fall’s line-up of programs designed to provide learning opportunities and supportive connections with others on similar paths to optimal wellbeing. + Healthy Living

+ Healthy Living

Celebrating 65SM Robin Chouiniere, Sales Executive Senior Markets, Harvard Pilgrim Health Care As you become Medicare eligible think of the possibilities and choices to consider—this workshop will help you make informed decisions about retirement, including Social Security benefits and how to access them, how to navigate Medicare, and your retirement and healthcare options. Celebrating 65SM is an educational program developed by Harvard Pilgrim Health Care. S Tuesday, October 3 Choose a time: 12:00-1:00 p.m. or 4:30-6:00 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene

+ Healthy Living

Emergency Preparedness: Fire Safety Before, During, and After Chris Goshea, Greater Monadnock Public Health Network Emergency Preparedness Coordinator Are you prepared for a fire emergency in your home? Do you have a safety plan? Join Chris as he covers emergency preparedness topics associated with fire safety before, during and after an event. Topics include prevention, risk reduction, alarms, extinguishers, evacuation and recovery.

Tuesday, October 10 6:00-7:30 p.m.

Room 14, Keene Recreation Center, 312 Washington St., Keene

Vanika Jethwa and Katherine Rosenthal, Keene State College Dietetic Interns Attend one or both classes. S N Part 1: Exploring Your Local Food System Are you curious about the local food system of New Hampshire? Attend our two-part educational class to learn about the regional food system of New England.

Session one covers how food is raised, grown, packaged, and distributed, which are all components in this network.

Discover the benefits of supporting your local food system and how you can do it in the Monadnock region.

This is a 2- part series, attendance at both sessions is recommended but there will be a recap of learning points at the beginning of the Part 2.

Thursday, October 5 4:30 - 5:30 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene Part 2: Farm to Table Cooking Class We are putting our preaching into practice in session two by using produce from the Monadnock Region’s farms, orchards, and market. Come create seasonal dishes that highlight these fresh fall finds! Take recipe cards to recreate your favorites at home and grab a brochure highlighting how you can continue to support local agriculture.

Pre-registration for Part 2 of this class is required.

Limited to 12 participants.

Thursday, October 19 4:30-6:00 p.m.

Joslin Foods Lab, Keene State College

+ Healthy Living

Chair Yoga

Betty Christiansen, Certified Yoga Instructor Chair Yoga is a gentle form of yoga practiced sitting in a chair or standing, using a chair for support. As with other forms of yoga, this exercise helps to reduce stress, and improve balance, strength, and flexibility. Perfect for anyone new to yoga or for anyone who is uncomfortable getting onto the floor. Note: Please enter by the double doors at the rear of the church. Free parking is available in the lot behind the church, and there is also metered parking on Washington and Vernon Streets. S 4-week series: Wednesdays, October 11 – November 1 4:30-5:30 p.m.

United Church of Christ (UCC), 23 Central Square, Keene

14 Fall 2017 | Health + Wellness

Farm to Table Series

+ Healthy Living

Advance Care Planning: It’s About the Conversation!

Jennifer McCalley, MSW, ACHP-SW Program Coordinator, Honoring Care Decisions or Nicole Boudle, RN, and Lori Guyette, RN, Collaborative Care Nurses, Cheshire Medical Center What if a sudden illness or injury left you unable to speak for yourself? Who would you want to speak for you? What would you want them to know about your values and wishes?

Advance care planning is a process that helps any adult at any state of health think about your values and goals; consider health care choices you may have to make in the future; talk about your choices with your doctor and your loved ones; and make or update a written plan for the future (advance directive).

S = open to all, but may be of interest to seniors N = special focus on nutrition

Fall 2017

Programs Join us in a thought-provoking conversation to help make your wishes known. Learn vocabulary, reflect on your values, choose a healthcare agent, explore goals for treatment, and take the first steps toward completing an advance directive. You will have the opportunity to complete or update your advance directive if you are ready, or sign up for a 1:1 meeting with a trained Honoring Care Decisions facilitator for a more in depth conversation. S Choose a date: Thursday, Oct. 12 3:30-5:00 p.m.

Multi-purpose Room at the Keene Senior Center, 70 Court St., Keene Tuesday, October 24 12:00-1:30 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene Thursday November 16 1:30-3:00 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene Thursday December 14 12:00-1:30 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene

+ Healthy Living

How to Lower Blood Pressure Naturally!

Patti Schuman, RDN, LD, CDE, Cheshire Medical Center Did you know that high blood pressure can silently damage your heart, brain, and kidneys for years? Learn how to choose and prepare nutritious foods that taste good while increasing your chances of lowering or eliminating the need for blood pressure medication. N Thursday, October 12 4:30-5:30 p.m.

(Call 354-5454 ext. 3815 for location)

+ Healthy Living

Living with Alzheimer’s: For Caregivers–Early-Stage Melissa Grenier, Regional Manager, Alzheimer’s Association, Massachusetts/New Hampshire Chapter In the early stages of the disease, caregivers have many questions and concerns ranging from understanding and coping with diagnosis, developing a plan for care, understanding resources, and becoming educated about early stage memory changes. This 3-week workshop will provide practical answers for questions, suggested supports and coping strategies, and resource planning. S 3-week series: Mondays, October 16-30 2:00-4:00 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene

+ Healthy Living

myD-H Transition Information Sessions Dana Carley, Patient Portal Concierge Coming November 4, Cheshire Medical Center is transitioning to a new patient portal. We are transitioning to myD-H, the portal used by the Dartmouth-Hitchcock Health system. It is different from the myD-H Keene/FollowMyHealth (FMH) portal currently used by patients receiving care in Keene. This session will inform you on what this means to you as a patient, whether or not you currently use myD-H Keene/FMH. • What do you have to do if you are a current myD-H Keene/FMH portal user?

• What happens to your health information in the current myD-H Keene/FMH account?

• What are the features and when will they be operational?

• What are the new features available with myD-H that will make this a better service?

• What if you share an email address?

• How are proxy accounts created?

The first half of each session is information, and the second half is available for those who would like personal guidance while signing up.

Choose a date: Tuesday, October 17 11:00 a.m.-12:30 p.m.

Thursday, October 19 6:00-7:30 p.m.

North Conference Room 2, Cheshire Medical Center

REGISTER TODAY!

Reserve your place by calling (603) 354-5460 or visiting events.cheshiremed.org.

All programs are held at Cheshire Medical Center, 580-90 Court St., Keene, NH unless otherwise noted. All programs require registration and are free, unless otherwise noted.

If special accommodations are required for you to attend any of our programs, please call The Center for Population Health at (603) 354-5460.

This fall is busier than usual at Cheshire Medical Center as we transition to a new electronic health record system. The new system will enhance our ability to have up-to-date health records available to all our providers, with easy-to-access information for every patient. Supporting a transition of this size is requiring many of our campus resources. We wish to thank our community partners, Home Healthcare, Hospice and Community Services, the Keene Recreation Center, Keene State College, and United Church of Christ for hosting many of our upcoming workshops.

Health + Wellness | Fall 2017 15

Health Education & Support FALL PROGRAM LISTINGS

+ Healthy Living | Family & Parenting

+ Healthy Living | Family & Parenting

Jamie Champney, Certified Human Behavior Specialist

Jamie Champney, Certified Human Behavior Specialist

Are you struggling to get your child to eat fruits and vegetables or try new foods? Is your family tired of eating the same foods week after week? Are you looking for simple, healthy, inexpensive meals the whole family can prepare and enjoy together? If you answered yes to any of those questions, this fun and interactive workshop is just for you!

This workshop will provide you with tips for cooking with your children, helpful hints for how to get your children to try new foods, and creative and child friendly ways to sneak fruits and vegetables into your favorite family dishes! N

Are most nights a challenge to get your children to settle down and go to bed? If so, you are not alone. Technology, busy schedules, societal and social demands, and work commitments are all barriers to a consistent and successful bed time routine. This session will provide helpful ways and strategies to create a calm, soothing environment to help guide you toward creating and maintaining a bedtime routine for your family.

Bedtime Blues

You Are What You Eat

Tuesday, October 17 6:00-7:30 p.m.

Room 14, Keene Recreation Center, 312 Washington St., Keene

+ Healthy Living

+ Healthy Living | Family & Parenting

Kids in the Kitchen Halloween Treats (Ages 4-12) Dani Cuddeback and Lauren Nickerson, Keene State College Dietetic Interns

Healthy Living with Diabetes: Self-Management Training Patti Schuman, RDN, LD, CDE, Cheshire Medical Center Learn more about diabetes—each session covers different aspects of diabetes self-care, including but not limited to diabetic complications and how to avoid them, what to eat, activity and diabetes control, stress management and goal setting. Get practical self-care tips along with support and suggestions from others with diabetes. Spouses and significant others are encouraged to attend. Call 354-5454 ext. 3815 for more information or to register.

Preregistration is required. S N 4-week series: Wednesdays, October 18 – November 8 5:30-7:30 p.m. (call 354-5454 ext. 3815 for location of the first meeting)

+ Healthy Living

First Steps in Preventing Type 2 Diabetes Registered Dietitian/Diabetes Educator and Exercise Physiologist, Cheshire Medical Center During this free one hour informative program learn what steps can be taken to delay or prevent the onset of type 2 diabetes. Practical tips are provided. S N Monday, October 23 4:30-5:30 p.m.

North Conference Room 2, Cheshire Medical Center

16 Fall 2017 | Health + Wellness

Tuesday, October 24 6:00-7:30 p.m.

Room 14, Keene Recreation Center, 312 Washington St., Keene

Treats like candy don’t have to be the only things the kids go for this year. Have no fear! The Keene State College Dietetic Interns are here to put healthy back into the holiday by leading kids and parents in preparing nutritious, delicious treats so that they will want to ditch the candy.

Thursday, October 26 4:30-6:00 p.m.

Keene State College, Joslin Foods Lab

+ Healthy Living

Why Did We Wait So Long to Call Hospice?

Lisa Leinau, MD, Hospice Medical Director at HCS Learn the answers to the following questions: • What is hospice and how does it differ from palliative care?

• What is the guiding philosophy of hospice?

• When are people eligible for hospice services?

• What are the roles of the hospice team members (nursing, volunteers, social worker, chaplain, family physician, specialists, etc.)?

• How does hospice work with the family to provide care?

• Who pays for hospice services?

• Where is hospice provided, e.g. in the home, in a nursing facility?

• How does hospice provide bereavement support for families in the months after death? S Wednesday, November 1 4:30-6:00 p.m.

Garden Café at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene. Light refreshments will be served.

S = open to all, but may be of interest to seniors N = special focus on nutrition

Fall 2017

Programs + Resilient Living

+ Healthy Living

Compassionate Communication for the Holidays

Mindful Eating Series

Sherry Jennings—Relationship/Conversation Coach, Nonviolent Communication Facilitator As well as being joyful, holidays can be times of heightened stress, anxiety, difficult family interactions, and even grief. Are you feeling anxious, concerned, or fearful? Are you overwhelmed just thinking about the preparations? Are you wondering how you will survive difficult family interactions at holiday events? As the holidays approach, are you concerned about being overwhelmed by sorrow? Come to this Compassionate Communication workshop to gain speaking and listening skills to support you in having a peaceful, relaxed holiday season filled with meaning, joy, and loving connections. S

Madeline Waters and Emily Henry, Keene State College Dietetic Interns Attend one or both classes. S N Part 1: Piece of Pie and Peace of Mind Mindful eating is a philosophy that brings awareness to our food choices, encouraging us to make healthful decisions.

Join us for a two-part series to discover the foundations of this food philosophy in relation to healthy weight. In part one we will scratch the surface of what mindful eating is and why it has shown to be successful for many who wish to take a more healthful approach to eating. We will conclude with some mindful eating practices you can add to your meal time. This is a 2 part series, attendance at both sessions is recommended but there will be a recap of learning points at the beginning of the Part 2.

Tuesday, November 14 5:00-6:30 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene

+ Healthy Living | Family & Parenting

Thursday, November 2 4:30 - 5:30 p.m.

Main Conference Room at Home Healthcare, Hospice and Community Services, 312 Marlboro St., Keene Part 2: Cooking for Healthy Weight In part two, we will practice the 3-part recipe for success.

This cooking class focuses on healthy cooking methods, filling whole foods, and mindful eating practices learned in session one. If you did not attend the first session, don’t worry, there will be a recap!

Pre-registration for this class is required. Limited to 12 participants.

Thursday, November 16 4:30-6:00 p.m.

Joslin Foods Lab, Keene State College

+ Resilient Living

Resilient Living Book Club Jennifer Begley and Tom Stearns, Ph.D., Cheshire Medical Center Resilient Living Team Book selection: 10% Happier by Dan Harris What if you could learn to calm your mind, relax under pressure, and de-stress your life without losing your edge? Impossible, you say? That’s not what author Dan Harris claims. His book, 10% Happier, offers a practical way to approach mindfulness in the modern world. With a healthy amount of skepticism, Dan embarks on a journey that can help all of us relate to the idea and benefits of a mindfulness practice.

Thursday, November 9 5:30-7:00 p.m.

Room 14, Keene Recreation Center, 312 Washington St., Keene

Kids in the Kitchen Holiday Sampler (Ages 4-12)

Dani Cuddeback and Lauren Nickerson, Keene State College Dietetic Interns Kids and parents will kick off the holiday festivities by joining Keene State College Dietetic Interns in preparing deliciously healthy holiday finger foods. These starters will be perfect for your next holiday party, and will leave even the pickiest kids full of comfort and joy. N Thursday, December 14 4:30-6:00 p.m.

Joslin Foods Lab, Keene State College

Ongoing Programs and Support Groups Cheshire Medical Center offers a variety of ongoing programs and support groups. To learn more about these offerings, including contact information, visit www.cheshiremed.org/health-wellness.

• • • • • • • • • •

Cardiac Rehabilitation—Phase II (Physician referral needed) Pulmonary Rehabilitation (Physician referral needed) Tobacco Treatment Programs for Adults Family Resource Counseling Program Cancer Support Group Prostate Cancer Education and Support Group Parent Networking Group Talkin’ Diabetes Discussion Group Tobacco Free or Trying to Be Support Group Senior Passport Program (Discount meals at the Art Nichols Café for senior citizens 60 years and older)

Prenatal-Postpartum Classes and Support Groups

Visit cheshiremed.org to see a full listing and applicable fees or call (603) 354-5454 ext. 8388.

Health + Wellness | Fall 2017 17

Making a Difference NEIGHBORS HELPING NEIGHBORS

Healthy Monadnock turns 10!

Milestones are important … and celebrating this milestone birthday for our community’s health initiative is no different. It was launched a decade ago with a challenge: To become the healthiest community in the nation by the year 2020.

This was the challenge that Cheshire Medical Center issued to the community in the spring of 2007.

While it was, admittedly, a bold idea, it was one that citizens and community and business leaders in the region were eager to embrace.

Through the leadership of representatives from schools, employers, human service agencies, service clubs, and healthcare organizations, and with the guidance of the Council for a Healthier Community, a local health improvement coalition established in 1994, the foundation was set for helping to build the healthiest community in the nation.

Lessons Learned

It has become clear, and research confirms, that a community’s health is more than providing great medical care to its residents. As Dr. Rudy Fedrizzi, Director of Clinical Integration at the Center for Population Health at Cheshire Medical Center points out, health is created when we, as a community, help each other.

“As a physician, I want to let you in on a secret: If we’re going to create the healthiest community, we need to look beyond medical care,” says Fedrizzi, “At its technical best, medicine is great at fixing broken bones and saving you from appendicitis. At its caring best, medicine can help manage chronic conditions and prevent disease through things, such as immunizations and screening for issues, before you develop a disease. But, health is really created in community—helping one another.”

But how do we help one another? There

18 Fall 2017 | Health + Wellness

We are Healthy Monadnock posts from #IamHealthyMonadnock.

“Hi, we are the Harrisville Pond Mermaids.

We have been meeting every summer morning to swim and bond in Harrisville Pond since 2011. We chat while swimming and have been known to break into song.

This is why we are Healthy Monadnock!”

are problems in our communities, and nationally, that seem insurmountable. The opioid crisis, poverty, hunger, obesity, and more. Where do we begin? The Healthy Monadnock initiative has attempted to answer that question over the past decade by focusing on solutions.

Becoming a Community of Solutions

When we live in a community where healthy choices are readily available, it is easier to make good choices about the foods we eat and how we spend our leisure time. When our neighbors and friends are making healthy choices by shopping at farmers’ markets, walking their kids to school, riding their bikes to work, quitting smoking, and losing weight, we can’t help but become inspired! And when we all become inspired to make healthy choices, our community becomes physically and psychologically healthier and more resilient to some of the unhealthy influences.

Healthy Monadnock partners and Champions (individual, organizational, and

“Hi, we are Girls on the Run, and with Girls on the Run we do a lot of fun activities about friendship, believing in yourself, and just being positive. And one thing that I love about Girls on the Run is that we get to make so many great friends and we are so energetic. And that’s why we are Healthy Monadnock!”

schools), have supported community efforts in workplaces, clubs, schools, and nonprofit and local government groups to improve opportunities for healthy eating, active and substance-free living, and mental well-being.

To date, the Healthy Monadnock Champions program has engaged 3,300 individuals, 182 businesses and organizations representing 13,000 employees, 60 worksites reaching 7,500 employees, and 25 schools. Forty-five organizations now purchase local food from regional farms through Monadnock Menus, serving an estimated 19,000 people.

Seven communities have adopted Complete Streets policies and guidelines reaching 36,830 people (with partner, Southwest Region Planning Commission). The city of Keene has implemented projects to increase opportunities for walking and biking, including enhancements to the Cheshire Rail trail and the addition of a pedestrian bridge over Route 101.

“Our goal, ultimately, is to create a

Healthier Together SPOTLIGHT

Honoring two Cheshire CareGivers who have helped make a difference in the health of our community. culture of health in our community,” says Linda Rubin, Director, Healthy Community Initiative-Healthy Monadnock at the Center for Population Health at Cheshire Medical Center, “And to bring our most successful ideas and initiatives to other communities with the greatest need.”

Our Strength is in our Community

The successes that Healthy Monadnock has achieved in the past 10 years builds on our community’s historic culture of taking care of one another in times of need. The Healthy Monadnock Champions program brings that caregiving impulse among us directly to our schools, workplaces, and communities.

“Our community really cares for each other and that is the basis of the Champions program,” says Katherine McLaughlin, Manager of the Healthy Monadnock Champions program.

“Champions are people making it easier for everyone to make healthier choices in the places they live, learn, work, and play.”

As we approach 2020, we realize that health and wellness is not a goal with a finish line. It is a daily achievement we strive to repeat. What Healthy Monadnock partners and Champions have built in the past decade will extend far beyond 2020. The yearly Summits, with engaging speakers and compelling topics, continue to draw hundreds of people. Grant funding has supported key strategies to fulfill the vision. And Champions, through the recent “I am Healthy Monadnock” campaign, continue to engage and inspire others to take part.

Our 10th year, we hope, is the first of many decades of health and wellness we celebrate together as a community.

To learn more about Healthy Monadnock and how you can get involved, visit healthymonadnock.org.

Stephanie Baute and Dr. Roger Hansen This year’s honorees for the Caring, Candlelight, and Community: Celebrating our Health Care Legacy tribute event.

Our region has a long and rich tradition of organizations, groups, and individuals giving of their time, talent, and resources in support of health and wellness in our community. We fondly refer to these individuals as Cheshire CareGivers.

In 2013, Cheshire Health Foundation hosted a special event to honor two Cheshire CareGivers who have helped to make a difference in the health of our community. The event, Caring, Candlelight, and Community: Celebrating our Health Care Legacy, has remained an annual tradition in the years since.

Cheshire Health Foundation will host its fifth annual Caring, Candlelight, and Community: Celebrating our Healthcare Legacy tribute event, honoring Stephanie Baute and Dr. Roger Hansen for their commitment and dedication to the health and wellness of community members in our region.

CHESHIRE HEALTH FOUNDATION FIFTH ANNUAL

Caring, Candlelight and Community: Celebrating our Healthcare Legacy Saturday, December 2, 2017 at the Keene Country Club To learn more about this event and purchase tickets, please visit cheshirehealthfoundation.org or call Genny Alexander at (603) 354-5454, ext. 2116.

Health + Wellness | Fall 2017 19

COMING NOVEMBER 4TH!

Improved patient-centered care with a

new integrated electronic health record system.

[ In other words, simply better health records. ] Simply complete myD-H patient portal

Simply streamlined billing and payment options

Simply supported team-based approach

We are excited to announce Cheshire Medical Center is transitioning to a new system that will enhance our ability to have up-to-date health records that are available to all our providers, with easy-to-access information for every patient.

Learn more at cheshiremed.org/simply-better-records.

Caring for the health and wellness of our community for 125 years and counting. cheshiremed.org