2014 Calendar Compliments of Franklin Community Health Network
Greetings from the president You are receiving this calendar as thanks for your past support to Franklin Community Health Network. We are grateful for the way our community supports our affiliates, including the hospital and our committed team of health care providers. Franklin Memorial Hospital is your community hospital. We exist to serve you and your loved ones: to provide hope, healing, and recovery. This past year, Franklin Memorial Hospital experienced challenges that included a negative financial position never witnessed before. Significant and emerging key financial challenges affecting our organization include federal and state budget cuts; decreases in payment for services from all payers; volume decreases; and significant increases in charity care and bad debt. In this uncertain economic time, we count on your support窶馬ow more than ever. Your gift will provide support for our most immediate needs. Or, you can direct your gift to a particular department or program. Simply use the envelope provided below to make your contribution. Please consider making as generous a gift as you can. Your gift will provide resources that will make an immediate impact and will help us through these uncertain times. Sincerely,
Rebecca Arsenault President/CEO
Donor acknowledgement of all gifts received between July 1, 2012 and June 30, 2013 can be viewed on our Web site at www.fchn.org/support.
Franklin Health Physician Practices
Gabriel Civiello, MD
Sarah Dooley, PA-C
Behavioral Services Arthur Dingley, JD, DO Rebecca Chandler, PMH-NP, CS
Farmington Family Practice J. Bertrand Audette, DO Kendra Emery, DO Calli Meader, PA-C Kristine Sanden, DO Linda Seabold, PA-C
Internal Medicine Stephen Goss, DO Beth Hartsock, ANP, FNP Stacy Hershfeld, DO Robert O’Reilly, DO
Beth Hartsock, ANP
Livermore Falls Family Practice Heidi Decker, MD Mary Dunlap, FNP James Smith, DO
Orthopaedics Nancy Cummings, MD Sarah Dooley, PA-C Thomas Pulling, MD
Pediatrics Lorien Batt, MD, FAAP Gabriel Civiello, MD, FAAP Iris Silverstein, MD, FAAP (Developmental Pediatrics)
Need a doctor? Call our physician referral line 1-800-450-2075.
Jennifer Zeliger, MD
James Smith, DO
Dermatology Joshua Sparling, MD
Surgery Eric Gunther, MD G. Thomas Marshall, MD, FACS
Women’s Care Constance Adler, MD Tara Aumand, MD Jacques Belair, MD Deborah Hamilton, MD Susan Kearing, DO Jay Naliboff, MD Rebecca Sylvester, FNP Susan Tinguely, FNP Jennifer Zeliger, MD
Franklin Health is a multi-specialty group practice sponsored by Franklin Memorial Hospital that includes nine medical and surgical practices. Franklin Health is the largest provider of health care services in the region. The practices are linked together by technology, an integrated medical record, and a common concept of patient- and family-centered care. Our newest providers are pictured above.
Primary Care Services All Franklin Health primary care medical practices (Farmington Family Practice, Internal Medicine, Livermore Falls Family Practice, and Pediatrics) are in the process of transitioning to a Patient-Centered Medical Home (PCMH) model of care. PCMHs use evidence-based, patient-centered processes that focus on highly coordinated care and shared decision making. The PCMH model demonstrates the benchmarks of patientcentered care, including: • Same day appointments as needed, • Expanded hours, • 24/7 access to a provider, and • Appropriate use of proven health information systems. Research shows that medical homes can lead to higher quality and lower costs, and improve patients’ and providers’ reported experiences of care. Farmington Family Practice 778-3326 Internal Medicine 778-4922 Livermore Falls Family Practice 897-6601 Pediatrics 778-0482
Our health care practitioners communicate and share complete and unbiased information with patients and families in ways that are affirming and useful. Patients and families receive timely, complete and accurate information in order to effectively participate in care and decision-making. Pictured above is Dr. Kendra Emery, who practices at Franklin Health Farmington Family Practice.
JANUARY 2014 Sunday
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HEALTH TIP: Quitting smoking is always one of the top resolutions that individuals make over the New Year. To improve your odds for success, call the Maine Tobacco HelpLine for support at 1-800-207-1230.
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Martin Luther King, Jr. Day
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SugarloafCharitySummit.org
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Cardiovascular Health Services Adults with newly diagnosed heart conditions, along with those with chronic heart conditions need the care of heart specialists. Cardiologists regularly provide comprehensive cardiovascular assessment and evaluations for patients at Franklin Memorial Hospital. Consultations range from medication adjustments, diagnostic testing, and pacemaker evaluations, to lifestyle management and risk assessments. Cardiologists providing the services include: Dr. Paul Sweeney of MaineHealth Cardiology; Dr. Robert Bender of Central Maine Heart and Vascular Institute; and Dr. Lesley West, also affiliated with MaineHealth Cardiology. Dr. Sweeney also provides cardiology services every other Thursday at the Androscoggin Valley Medical Arts Center at 21 Main Street in Livermore Falls. In addition, Joe Sala, PA-C, CCDS, a certified cardiac device specialist affiliated with Central Maine Heart Associates, offers cardiac clinics at Franklin Memorial Hospital to check and program cardiac pacemakers and internal cardiac defibrillators. Those who have endured a major heart event, such as heart attack or heart surgery, will benefit from our medically supervised cardiac rehabilitation program. Participants safely and gradually increase physical activity, while learning how to reduce heart disease risk factors such as high blood pressure, high cholesterol or lipid levels, diabetes, smoking, and being overweight. Cardiology services 779-3120 Cardiology Services (in Livermore Falls) 897-6601 Cardiac Device Clinics 779-2590 Cardiac Rehab Services 779-2734
Pictured above is Dr. Paul Sweeney, Franklin Memorial Hospital medical director of cardiology services, who provides cardiovascular assessment and evaluations for patients every Monday and Friday at Franklin Memorial Hospital, and on Thursdays at the Androscoggin Valley Medical Arts Center in Livermore Falls.
FEBRUARY 2014 Sunday
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HEALTH TIP: Be physically active every day. Thirty minutes of physical activity on most days of the week can help lower blood pressure, lower cholesterol, and keep your weight at a healthy level.
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Presidents’ Day
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Prolonged pain Relief In January 2013, neurologist Daniel Lalonde, MD, started providing radiofrequency thermocoagulation at Franklin Memorial Hospital for patients with chronic pain who had found no relief with other treatment methods. With this new minimally-invasive service, Dr. Lalonde uses fluoroscopy x-ray guidance to direct radiofrequency needles that generate heat over painful nerves when electrical current is applied. The current creates lesions on the nerve tissue, thereby interrupting pain signals from that particular area. Radiofrequency treatment blocks pain signals for a prolonged period of time, typically one year. Conditions that respond well to this technique include chronic low back pain, thoracic spine pain, and sacroiliac joint dysfunction. Maine Institute for Headache & Pain Disorders 778-3600 167 Livermore Falls Road, Suite 2, Farmington
Pictured above is Dr. Daniel Lalonde who is board certified in neurology and pain medicine. His professional interests include daily headache, neck and back pain, pinched nerves, and peripheral neuropathy.
MARCH 2014 Sunday
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HEALTH TIP: Talk to your doctor about colon cancer screening, especially if you are age 50 or older, you or a close relative has had colon cancer or polyps, or if you have inflammatory bowel disease.
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Androscoggin Valley Medical Arts Center The Androscoggin Valley Medical Arts Center opened in January 2012. Planning began more than two years earlier after an inclusive long-range community visioning process determined a need to construct a new health center in a prominent Livermore Falls location. Recognizing the value of the new facility to the Livermore Falls downtown area, Franklin Community Health Network sought community input in all aspects of planning and decision making, including its name. Services offered include: • Primary care by Franklin Health Livermore Falls Family Practice: Mary Dunlap, FNP; Heidi Decker, MD; and James Smith, DO. • Cardiology • Podiatry • Pulmonary care • Sports medicine • Physical therapy • Imaging services: x-rays, ultrasound, and digital mammography • Mental health counseling • Women’s gynecological and pregnancy care • Vasectomy • Laboratory services Androscoggin Valley Medical Arts Center 897-6601 21 Main Street, Livermore Falls
The Androscoggin Valley Medical Arts Center brought together personnel and services previously provided at Franklin Health Livermore Falls Family Practice on Union Street and at Franklin Memorial Hospital Outpatient Services on Main Street in Livermore Falls, along with new outpatient speciality services not offered before.
April 2014 Sunday
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HEALTH TIP: Develop and maintain strong relationships with people around you who will support and enrich your life.
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Easter
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The Emergency Department Our emergency department provides 24-hour care for individuals with urgent and emergency medical, surgical and traumatic conditions, ranging from heart attacks to broken bones. Patients seeking health care in the emergency department should enter its designated entrance where a staff member will greet them and explain the next steps. All patients are first seen in triage for a health assessment. We treat patients according to the urgency of their condition, so those with more serious conditions are treated first. The sickest patients are placed in a room quickly, with registration taking place at the bedside. Those with non-urgent conditions like generalized aches and pains or a sore throat, should always call their regular doctor first, before going to the emergency department. Even when the office practice is closed, there is always a provider on call. The Franklin Memorial Hospital emergency department has six basic treatment rooms; a special eye, ear, nose, and throat room; a designated trauma room; a designated mental health room; and a major treatment room. Since 2012, the department is a secure unit that provides for safer care and increased security. Franklin Memorial Hospital Emergency Department 778-6031 111 Franklin Health Commons, Farmington
According to the American College of Emergency Physicians, all the following symptoms are warning signs of a health emergency: unconsciousness; chest pain lasting two minutes or more; uncontrolled bleeding; sudden or severe pain; coughing up or vomiting blood; trouble breathing; severe or persistent vomiting or diarrhea; confusion or other changes in mental state; trouble speaking; changes in vision; and suicidal or homicidal feelings. If you aren’t sure a situation is an emergency, it’s best to err on the side of caution. You could be saving a life. Above, Russel, RN, assesses a patient in the triage room.
MAY 2014 Sunday
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HEALTH TIP: Know the major signs and symptoms of a stroke: sudden numbness or weakness of the face, arms, or legs; sudden confusion or trouble speaking; sudden vision problems; sudden trouble walking; dizziness or loss of balance or coordination; and sudden severe headache with no known cause.
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31 JUNE 2014
Memorial Day
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Community Health Outreach Healthy Community Coalition of Greater Franklin County, founded in 1989, is one of the oldest health coalitions in the country. Its mission is to measurably improve the well-being of all people in Greater Franklin County and neighboring towns using a coordinated public health approach of education, promotion, and outreach. With its qualified staff of public health professionals, including health educators, a nurse practitioner, registered nurses, a registered and licensed dietician, a dietetic technician, and a certified nursing aide, Healthy Community Coalition offers health screenings, health information, and programs and events to support healthy lifestyles that prevent disease and improve quality of life. Community outreach efforts appear in every town and corner of the region. More than 8,000 individuals benefit from the outreach activities of the coalition with many seeking services on the mobile health unit including health risk appraisals (HRAs) that are routinely offered. HRAs include a blood pressure and cholesterol check and individualized health education. Additional services offered at outreach events throughout the region include: bone density screenings, flu immunizations, body composition analysis, free clinical breast exams, education on tobacco, nutrition, physical activity, lead and substance abuse, and education on the prevention of breast, cervical, colon, lung, prostate, and skin cancer. In addition, Healthy Community Coalition also offers a fee-for-service custom worksite wellness program for employers.
Healthy Community Coalition of Greater Franklin County 779-3136 105 Mt. Blue Circle, Suite #1, Farmington
Above: Staff on the Healthy Community Coalition mobile health unit now offer free body composition analysis using a new state-of-the art body composition analyzer. The screening takes just five minutes and provides information on the percentage of fat to muscle, whether one has enough muscle for his or her weight, and overall wellness.
June 2014 Sunday
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HEALTH TIP: When the temperature and humidity are both above 70, you enter the dehydration danger zone. Stay safe by sipping frequently from a water bottle, and drinking plenty of water before, during, and after activity.
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NorthStar EMS NorthStar is the regional ambulance service of Greater Franklin County. Its professional staff of Emergency Medical Technicians (EMTs) respond to more than 5,000 calls a year in 71 communities spread over 2,800 square miles. NorthStar is dispatched out of five base locations strategically positioned throughout the region. Paramedics are the most advanced EMTs and can administer medications, start intravenous lines, provide advanced airway management for patients, and resuscitate and support patients with significant problems such as heart attacks and traumas. There is always a paramedic available to respond in these kinds of emergencies. New this year is NorthStar’s community paramedicine pilot project called House Call. This program targets vulnerable patients for visits by EMTs who make house calls to educate and reengage patients, monitor their condition, and if needed, provide treatment. A record of the visit and services provided is reported back to the referring primary care physician. NorthStar crews are additionally involved in thousands of hours of community service each year. CPR trainings, bicycle safety rodeos, presentations at area schools, and mock accident scenes are just a few of the ways that NorthStar contributes back to the community. For Emergencies Call 9-1-1 NorthStar Administrative Offices 779-2400
Paramedics are the most advanced EMTs and can administer medications, start intravenous lines, provide advanced airway management for patients, and resuscitate and support patients with significant problems such as heart attacks and traumas. There is always a paramedic available to respond in these kinds of emergencies. Pictured above are paramedics Justin Hurlburt and Chip Eames.
July 2014 Sunday
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HEALTH TIP: If you ever think that you or someone you know is having a heart attack—don’t wait— call 911 immediately.
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Independence Day
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The Inpatient Experience Patients at Franklin Memorial Hospital receive care from our highly qualified medical/surgical team that includes doctors, a physician assistant, nurses, nursing and medical students, pharmacists, physical therapists, respiratory therapists, medical specialists, a case manager, dietician, and others who help make our patients’ experience positive, comfortable, and healing. Hospitalists take care of patients from admission through discharge. They are specially trained physicians who care for patients during a hospital stay. The hospitalist staff remains in contact with each patient’s primary care clinician, sending regular updates and asking for additional information as needed. Nearly 40 hospital-based registered nurses hold advanced certifications in at least one of the following areas: emergency critical care, medical/surgical care, oncology, chronic disease management, wound care, and diabetes education, among others. Each of these certifications requires years of clinical practice in the specialty, the completion of continuing education credits, and passing rigorous exams. Doctors and nurses, together with a physical therapist, respiratory therapist, and dietician meet every morning to discuss discharge plans to ensure that patients have the services they need when they leave our hospital. A case manager arranges for these services for patients such as home care visits, rehabilitation in nursing care facilities, and continued physical therapy.
Hospitalists take care of patients from admission through discharge. They are specially trained physicians who care for patients during a hospital stay. The hospitalist staff remains in contact with each patient’s primary care clinician, sending regular updates and asking for additional information as needed. Pictured above is Dr. David Hyde.
August 2014 Sunday
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HEALTH TIP: Drinking alcohol in moderation means having no more than one alcoholic drink per day for women and no more than two alcoholic drinks per day for men.
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Medical Imaging Services Medical imaging is the specialty that involves the noninvasive production of images of the inside of the human body to diagnose and treat diseases. Radiology, which makes up a large part of medical imaging, involves the use of radiation to obtain visual information, so patients’ safety is of upmost importance. At Franklin Memorial Hospital, patients’ exposure to radiation is minimized by way of equipment upgrades, appropriate imaging decisions, and low dose technologies. Franklin Memorial Hospital offers the following medical imaging modalities: x-ray, mammography, CT (Computerized Tomography); MRI (Magnetic Resonance Imaging); DEXA (bone density); nuclear medicine; and ultrasound. MRI and ultrasound do not use radiation. Physicians now use the American College of Radiology appropriateness guideline tool, which uses evidence-based guidelines to assist physicians and other providers in making the most appropriate imaging decisions for their patients so that imaging isn’t over or underutilized. The criteria have been shown to improve quality, reduce unnecessary exams, and lower costs. Imaging appointments Franklin Memorial Hospital, Farmington 779-2375 Franklin Health Orthopaedics, Farmington 778-9001 (x-ray only) Androscoggin Valley Medical Arts Center, Livermore Falls 897-6601 (x-ray, ultrasound, and mammography)
MRI (pictured above) is used to generate images of internal organs and soft tissue inside of the body. This is done by creating a strong magnetic field and then using radio frequency waves to create a detailed picture. Generally, an MRI will be used to see tendons, ligaments, and cysts or other masses. It is the preferred exam for joint and spinal problems because it can provide remarkably clear pictures of softtissue structures near and around bones. From left are radiologic technologists Jake Dumais, RT(R)(MR), and Mary Dubois, RT(R)(MR).
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HEALTH TIP: The single best way to prevent seasonal flu is to get vaccinated each year. Call your doctor this month to get your shot.
FCHN Annual Meeting RSVP to 779-2265
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Martha B. Webber Breast Care Center The Martha B. Webber Breast Care Center offers timely access to state-of-the-art screening and diagnostic, clinical, and care support services by a multi-disciplinary team of providers. Services are provided in a comforting environment where patients get the results they need quickly and compassionately. Digital mammograms are performed with advanced medical equipment and a board-certified radiologist interprets each exam. If through a routine screening an abnormality is discovered, our breast care support nurses will coordinate prompt follow-up and facilitate the earliest possible diagnostic testing. A nurse is there to personally guide each patient through the screening, diagnosis, and if necessary, the treatment process. Family and friends of Martha Beck Webber created an endowed fund for the support of the breast center in 2004 in memory of a Carrabassett Valley resident who passed away as the result of breast cancer in 1995. For mammogram and imaging appointments Medical Arts Center, Farmington 779-2375 Androscoggin Valley Medical Arts Center, Livermore Falls 897-6601 Care Support Nurse Services 779-2405
Central to the mission of the breast care center are the breast care support nurses (pictured above: Kelly Alley, RN, and Katrina Tozier, RN, BSN), whose roles are to help make breast health a seamless process for the patient from the moment the primary doctor schedules a mammogram, to prompt follow-up radiological testing, and to support for those who are undergoing cancer treatment and are in need of oncology, physical therapy, dietary, chaplaincy, and other services.
October 2014 Sunday
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HEALTH TIP: The American Cancer Society recommends that women have a mammogram every year starting at age 40. A provider should be consulted on the best plan of care for women with known risk factors.
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Cancer Care Oncology services provide maximum convenience and privacy for the growing number of patients diagnosed with cancer and blood disorders. Located on the first floor, oncology has three examining rooms and a large open area for the administration of medications and other services. This service greatly benefits patients and their families who before had to travel long distances for the same care and treatment they can receive right here. Medical oncologists and hematologists Dr. Robin Locke, Dr. Richard Krull, and Dr. Gregory Emmons provide cancer care at Franklin Memorial Hospital each week. All are affiliated with MaineGeneral’s Harold Alfond Center for Cancer Care. Services offered include chemotherapy and intravenous fluids administration, blood product transfusion, and antibiotic therapy administered by chemotherapy-certified registered nurses. Oncology and Hematology Services 779-2590
Services offered include chemotherapy and intravenous fluids administration, blood product transfusion, and antibiotic therapy. Pictured from left: Sharon Johnson, services coordinator; Ashley Stevenson, RN, BSN; Julie Tracy, RN; Gregory Emmons, MD; Nancy Distefano, RN, OCN; and April Paradis, RN.
November 2014 Sunday
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HEALTH TIP: Take a few minutes to determine if you or others you care about are in an unhealthy relationship, and get help if needed. Assess your relationships to make sure they are healthy. Call Safe Voices 1-800-559-2927 to learn about available services for victims and perpetrators of intimate partner violence and their children. Call 9-1-1 in case of an emergency.
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Orthopaedics and Sports Medicine Franklin Health Orthopaedics offers a full range of orthopaedic and sports medicine services, including surgery, by a highly qualified team of health care professionals. Same day appointments are available for urgent conditions and x-rays are performed on site. When indicated, surgery can be quickly scheduled. Our providers offer comprehensive treatment for a full range of orthopaedic services, including: • Bone, joint, and muscle evaluations • Arthroscopy • Fracture care • Joint reconstruction • Sports medicine • Worker compensation evaluations The medical practice offers a weekly sports medicine clinic on Tuesday mornings for individuals of all ages who suffer from a sports-related injury. Clinicians include a doctor, a licensed physical therapist, and certified athletic trainer. For convenience Franklin Health Orthopaedics also offers services at the Androscoggin Valley Medical Arts Center at 21 Main Street in Livermore Falls, where Dr. Pulling sees patients on Thursdays. Services are also offered monthly at the Rangeley Health and Wellness Pavilion on the Dallas Road in Rangeley. Orthopaedics and Sports Medicine Services 778-9001
Franklin Health Orthopaedics offers a full range of orthopaedic and sports medicine services, including surgery, by a highly qualified team of health care professionals. Pictured from left: Thomas Pulling, MD; Nancy Cummings, MD; Sarah Dooley, PA-C; and Sharon Fournier, RN, CRNFA.
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HEALTH TIP: Washing your hands often for at least 20 seconds is one of the most important steps you can take to avoid getting sick and spreading germs to others. JANUARY 2015 S
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111 Franklin Health Commons Farmington, ME 04938 www.fchn.org
Nonprofit Org. U.S. Postage PAID Farmington, Maine Permit No. 4
Calendar credits: Graphic design and editorial content: Jill Gray; Photography: Jill Gray and James Daigle; Printer: Franklin Printing
Below–Rangeley Region Physical Rehabilitation is a program of Franklin Memorial Hospital located at the Rangeley Health and Wellness Pavilion on the Dallas Road in Rangeley. A broad range of outpatient orthopaedic and physical therapy services is provided for residents and visitors of the Rangeley Lakes region.