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ANNUAL REPORT 2012
2012 – A Year of Transition and Growth
“Celebrating Over 40 Years of Caring
Message from the Executive Director
2012 proved to be a year of many challenges but also of many rewards for North Country Home
Health & Hospice. We initiated many organizational transitions combined with seeing rapid
growth in our client referrals and client census. The clinical and management team demonstrated
tremendous strength in the team’s ability to not only persevere through these many changes, but
also to thrive as an organization. Our agency saw a growth in 2012 of 15% in client admissions,
exceeding our yearly goals, and positioning us to gain much strength and recognition as the
preferred provider of Home Health Care Services in our area. As I reflect on my first full year as
Executive Director, I am extremely proud of the team at North Country Home Health & Hospice
for their strength, expertise, and motivation. As we go forward with the continued challenges and
uncertainties facing our industry, one fact that I am certain is that the team at the North Country
Home Health & Hospice will sustain success.
This past year we identified many goals in our strategic planning sessions that have lead to
positive outcomes: We have streamlined many of our processes and work flow for improved
efficiency; We have enhanced our IT infrastructure to meet the demands of our technical needs;
We have increased our collaborations and partnerships with our local health care partners such as
Littleton Hospital, Cottage Hospital, and Ammonoosuc Community Health Center; We have
increased our community clinics such as foot care, health screenings, and immunizations; We
have provided specialized clinical training and support to enhance the skills of our clinicians; We
have expanded our supportive care program such as homemaker and home health aide services;
We have reached out to our local, state, and federal legislative representatives to support the
issues that face our industry; Most importantly we have enhanced our commitment for quality
services and positive client outcomes. We achieved recognition in the “High Honors” category
for patient satisfaction for being consistently above average in our patient satisfaction survey
outcomes. Thus, we continue our path with enduring passion towards a positive and successful
future.
I would like to thank the NCHHA staff, the Board of Directors, and our communities for
continued support and commitment to our Mission; to provide quality home health and hospice
care in an efficient, effective, and fiscally responsible manner. I look forward to continued
growth towards our strategic goals in FY 2013.
Elaine Bussey, MS, RN
Executive Director
2012 Year Highlights
Increase in referrals, admissions, and revenue
Expansion of Homemaker and Home Health Aide services
“High Honors” award from Deyta for consistently high patient satisfaction surveys
Expanded the transition of care programs and collaborations with Ammonoosuc
Community Health Services, Cottage Hospital, Littleton Regional Hospital
Enhancement of IT support and infrastructure
Improvement in efficiencies and work flow process for meet improved organizational
goals
Improvement in QI/QA program with specialized training for clinical managers
Improvement in clinical outcomes
Increase in community clinics and health screenings.
Home Health Care Program Report
In 2012 our Home Health services had 791 referrals and admitted 745 clients through our
Medicare, Medicaid, private insurance and other payers. Most of our referrals come from local
hospitals, physicians, and Dartmouth Hitchcock Medical Center with Littleton Hospital being
our largest referral source. Our clients reside in the 22 communities that we serve with the largest
number of clients in Littleton. Our staff traveled over 230,000 miles to provide home health and
hospice care to residents in our 22 Town service area. Our average census was 126 clients per
day.
Medicare is our largest revenue source thus governmental changes to that program can have
either a negative or positive impact on services depending on the outcome of the current
regulatory changes. The Home Care industry continues to monitor the constantly changing
concerns and the potential reduction in reimbursement along with an increase in costly
regulations and audits. We also continue to provide services under private insurance plans in
which we continue to improve those contracts. The state Medicaid program as well the Choices
for Independence program (NH Medicaid waiver program) allow us to provide services to those
individuals with chronic health programs and disabilities. Our clinical services include:
Nursing services
Rehabilitation services
Home Health Aides
Medical Social Worker
Wound care
IV Therapy
Disease Management
During 2012 North Country Home Health & Hospice (NCHHA) home health program provided
$131,591 of community benefit through programs such as health promotions, community health
clinics, foot care clinics, hospice and palliative care, volunteer services. And supportive care
services. We continue to work with our collaborative health care partners on transitions of care.
The objective is to reduce hospitalizations, improve client self-management of their disease
process, and improve outcomes through standardized care transitions across multiple health care
settings. The development of our Intake/Liaison nurse with Littleton Hospital has expanded to
Cottage Hospital. Our nurse liaison assists with care coordination and transition to home with the
hospital discharge planners. The nurse is present at the hospital on a weekly basis and has been
very successful in not only assisting with discharge planning but also with the coordination of
the necessary care and services for the patient and the family while transitioning back into the
community.
Referral Sources
COMMUNITIES SERVED NUMBER OF CLIENTS
Bath
28
Benton
1
Bethlehem
42
Bretton Woods
2
Carroll
1
Dalton
21
Easton
4
Franconia
48
Haverhill
111
Landaff
13
Lisbon
58
Littleton
253
Lincoln
69
Lyman
16
Monroe
13
Pike
10
Sugar Hill
13
Twin Mountain
2
Whitefield
35
Woodstock
33
Woodsville
23
Hospice Program Report
Our Hospice program admitted 74 patients to the program in 2012. Most of the patient’s services
are through the Medicare program with a smaller amount through Medicaid, Veteran’s
Administration, and private insurance. As with Home Health Services our largest referral source
is Littleton Hospital. Our average length of service for a Hospice patient under our care is 60
days (National average 69 days). Hospice provides comprehensive, holistic, and interdisciplinary
care that includes nursing services, social worker, home health aides and homemakers, physical
and occupational therapy, spiritual support, and volunteers.
The total days of service for Hospice this past year were 4311 routine days at home, 52 In-patient
care days, and 32 In-patient respite days. Our Hospice team provided 1332 nursing visits, 199
medical social work visits, 900 Home health aide visits, 247 Homemaker visits, 8 Hospice
chaplain visits, and 6 Rehab visits.
Or volunteer program provided 326 hours of service to our Hospice patients this past year. Our
Hospice volunteer coordinator trained 11 new volunteers in 2012 and our current total number of
active volunteers in 45. The service these volunteers provide to our patients is extremely
valuable to the overall Hospice experience for the patient and for their family and care givers.
Hospice volunteers bring kind words to our patients; prepare specials meals, share bits of
uplifting news as well as a myriad of other small acts of caring to our Hospice patients and their
families. Shared hugs, tears, and laughter are reflections of the special bonds with the special
relationships that are formed with the hospice volunteers
Our Bereavement services offers bereavement support both individually and in a group setting to
support those who have experienced the loss a love one. In 2012 we provided bereavement
services to 21 individuals. Our bereavement coordinator offers a support group twice each
month which averages 20 attendees.
Our Compassionate care program provides additional support services for those individuals not
covered by insurance or with limited resources. Within this program our Hospice team provided
Hospice visits and support to 26 clients.
Home Tele-monitoring Program
In 2012 NCHHA staff installed 22 Tele-health monitors. Tele-health monitor called the HomeMed
Monitoring System that is utilized by the Agency includes the monitor, a scale, a blood pressure cuff and
a finger sensor (for obtaining heart rate and oxygen level). The equipment is set up in the client's home
and is programmed to assist the patient with vital signs such as blood pressure, pulse, and temperature.
Voice prompts along with visual cues on the monitor guide the patient as to how to use the devise.
Specific information related to the patients specific health conditions are programmed into the devise to
assist the patient in understanding how to manage their health care issues. The entire process takes only a
few minutes. After the monitor collects the client information, it sends it electronically to our agency and
a nurse at the office will review the vital signs and other pertinent information and call the patient if a
problem or concern is found. This allows for daily monitoring of the patients status.
NCHHA does not charge clients any extra fee for the use of the monitor while they are under our care
for nursing services through insurance. Thus the improved outcomes and ability to meet care plan
goals benefits both our clients and improved outcomes for meeting care planning goals.
Our Client satisfaction with our Home Tele-monitoring program also remains high. Survey results
document 100% of clients strongly agree that the system is easy to use, assists them in self-
management of their condition, and provides a sense of security and peace of mind.
Supportive Services Programs
In 2012 NCHHA provided supportive care services to 101 clients and 10,108 hours of service
through the state grant programs such as Title XX, SCOA, and Title IIIB. These services are
primarily for homemaking, home health aide, companion, and respite services that are provided
to those who are unable to perform essential activities of daily living independently, due to
physical or mental limitations. Performance of these services is crucial in assisting elders and
disabled citizens to remain in their homes and avoid institutionalization. This program was
expanded this past year when North Country Home Health & Hospice absorbed 40 additional
clients from services previously provided by Grafton County Senior Citizens Council when that
agency closed its home care program.
North Country Home Health & Hospice Agency is committed to providing a continuum of care
to clients in our service areas. These supportive services programs additionally provide respite
services for family members and caregivers. The family support is a crucial element of caring for
individuals in their homes. These program provides support and relief in an effort to reduce
stress to the caregivers, thereby allowing the patient to remain in the home setting as long as
possible. NCHHA maintain a contract with the State of NH Department of Health and Human
Bureau of Elderly and Adult services for many of these programs. NCHHA is committed to offer
this program to support clients and their families since the benefit to remain in the comfort of
one’s home in a safe and supportive environment is crucial to our client’s overall health
outcomes. Studies have shown that Home Care maintains the patient’s dignity and independence
– qualities that commonly are lost in institutional settings.
Supportive Services Team
Community Clinics
NCHHA provides free health screenings in our various community clinics. In addition we
provide Flu vaccine immunizations and fee based foot care clinics. In 2012 we held 86 blood
pressure and blood sugar screening clinics. Weekly clinics are held at the Lincoln Senior Center,
Littleton Senior Center, the Opera Block in Woodsville, and the Highland House in Whitefield.
NCHHA held 3 flu vaccination clinics at our Cottage St. office, Littleton Senior Center, and
Lincoln Senior Center and we immunized 149 individuals. Our foot care clinics are held 8 times
per month at Horse Meadows Senior Center, Littleton Senior Center, Lincoln Green, as well as at
our Cottage St. office which is a total of 105 clinics per year.
Quality Improvement
2012 the clinical management team began participation in the Institute for Health Quality
Initiative Scholars Program. Through our membership in the Home Care Association of New
Hampshire two of our clinical managers were able to attend this very innovative program. This
allowed these managers to develop higher levels skills and provide analysis to measure and
monitor our quality improvement outcomes. This has resulted in our agencies ability to sustain
these positive results with our quality measures throughout the year. All of our quality measures
are equal to or higher than the state and national average. These measures are based on client’s
assessments and improvements in their ability to function and manage their medical conditions
or disease after they have had our home health care services. NCHHA has consistently had a
positive rate of patients not needed to be admitted to the hospital while under our care as well as
in improvement in pain management, medication management, and wound care.
NCHHA was also awarded the “High Honors” status form our national satisfaction survey
company, Deyta, that is now required for Medicare agency. 94% of patients compared to a state
average of 86% rate our services in the 9 to 10 category (10 being the highest) and 92%
compared to a state average of 84% would recommend our agency to a friend.
NCHHA continually provides record reviews, patient and employee satisfaction surveys,
supervisory visits, and quality outcome assessment to ensure that our team provides the highest
quality of care and services possible.
2012 HHCAHPS HONORS
Press release
North Country Home Health & Hospice Agency has been
named a 2012 Home Health Consumer Assessment of Healthcare Providers and
Systems (HHCAHPS) Honors recipient, a prestigious award recognizing home health
agencies that provide the best patient experience.
Established by Deyta, this annual honor acknowledges the top 20 percent of agencies
that continuously provide the highest level of satisfaction through their care as
measured from the patient’s point of view. The HHCAHPS Honors identifies the highest
performing agencies ranked by analyzing satisfaction measures covering both
performance and improvement of care over a twelve-month period.
“The HHCAPS Honors defines a new standard of excellence in the patient experience for
home health agencies”, said Bill Bassett, Deyta’s Vice President of Home Health.
”Identifying the top-performers in the home health industry is our way of recognizing
HHAs that are dedicated to providing high quality of care in a patient-centric approach.
The resulting patient experience is a key driver of ongoing patient and agency success.”
The HHCAHPS Honors rankings were compiled from the HHCAHPS survey results of
over 1,800 home health agencies from April 2011 to March 2012. Two domains of
performance were used in the calculations covering the nineteen questions that
comprise the five publically reported measures on Home Health Compare.
Elaine Bussey, Executive Director of North Country Home Health & Hospice Agency,
credits a skilled, compassionate staff that is committed to a program of high quality
care, and dedication to a standard which consistently assures the highest level of
satisfaction among patients and their families.
About Deyta, LLC
Deyta partners with thousands of hospice, home health, human services and other
organizations, to measurably improve the quality of patient care and services, the
experience of customers and employees, and the effectiveness of their operations. With
20 years of experience, Deyta offers proven solutions with powerful reporting,
educational programming, and extraordinary customer service. Deyta clients and
collaborators are providers, industry associations, regulatory agencies, vendors, and
consultants who are committed to improving healthcare.
Finance Director’s Report
North Country Home Health & Hospice Agency 2012 audited financial statements showed a
positive bottom line. The organization experienced a 22% increase in revenue over the previous
fiscal year. The auditors issued and “unqualified opinion” (clean audit) on the 2012 financial
statements as presented by management. The auditors conclusion states “We concluded that the
financial statements of North Country Home Health & Hospice Agency, Inc. are fairly presented
in accordance with accounting principles generally accepted in the United States., Brad
Borbridge, CPA.”
North Country Home Health & Hospice Agency’s income to expense is moving in an upward
trend. 2012 was a banner year for increased client services. With a 30% increase in Hospice
days, 30% increase is 3rd
party payer visits and 18% increase in PPS Medicare episodes.
The following charts; revenue over expense, revenue by payer and revenue by program show
how NCHHA achieved its goals.
NCHHA’s ideal payer mix should be two thirds Medicare, and one-third other payers and private
pay. In 2012 NCHHA’s payer mix was ideal.
2012 Revenue by Program
Health care systems recognize home health as an integral provider in achieving cost efficient
patient outcomes. Home based care daily cost to provide care is $60 per day as compared against
Nursing Home and Hospital stay at $214 and $2117 per day respectively.
Other important trend NCHHA tracks are our utilization of service record as depicted below.
Finance Department Strategic Goals for 2013
Conduct a strategic analysis of internal systems to improve financial performance to reduce the
number of AR Days Outstanding.
Develop departmental goals and documents to facilitate organizational ‘opt in” which will
support financial improvements.
Implement transition process to an accounting system which supports departmental revenue and
budgets to improve Directors oversights and fiscal management within their scope of
supervision.
2012 NCHHA Future Goals and Strategic Planning Highlights
In January of 2012 the NCHHA leadership team met to develop an organizational Strategic Plan.
The basis of the plan was review the goals and objectives from 2011 and to look back on our
successes and areas for improvement and then look ahead to plan for a successful future. The
following are the primary areas that NCCHA will focus on for organizational improvement for
2012.
Continue to analyze internal functions and capacity to utilize appropriate efficiencies.
Enhance outreach in the community
Staff training, education, and recognition
Monitor Medicare reimbursement changes and develop necessary internal responses as
needed.
Continue Improve and enhance technology utilization
Enhance supportive care programs and community clinics
Participate with Health Care Partners on Transitions of care programs and opportunities
2012 Community Outreach and Partnership Activities:
Hospice Walk-a-thon during Lupine Festival
Memories of Mother Tea
Little Regional Healthcare Women’s Health Conference
Care Transition teams: Littleton Regional Healthcare, Cottage Hospital, Speare Hospital
Littleton Area Chamber of Commerce Annual Meeting.
Littleton Area Chamber of Commerce Business after Hours
North Country Health Consortium
Littleton Community Center Wellness Fair
Littleton Area Chamber of Commerce Home Show
Horse Meadows Senior Center Wellness Fair
Employees
In FY 2012, we employed 45 employees. Of those, 62% have been with us 5 or more years and
28% 10 or more years. Two employees have been with us for 22 years. We have also been
honored by the fact that we had a 68% return rate on our Employee Satisfaction Survey and that
86% rated us as one of the best places to work.
Employees Position Years of Service
Sherry Alix RN/Case Manager 5 Months
Lorinda Blood Finance Director 2 Years
Elaine Bussey Executive Director 1 Year
Anita Boardman LNA 19 Years
Susan Boudreau Clinical Support 1 Year
Regina Bowler Director of Clinical Services 6 Years
Dena Breault RN/Case Manager 2 Year
Patricia Brown RN 4 years
Alberta Colby Accounting/Billing 3 months
Pamela Comeau LPN 4 Months
Maureen Conway-Tague Physical Therapy Assistant 10 Months
Sally Crossley QI/LNA Supervisor 5 Years
Beth Edwards Volunteer Support 6 Years
Linda Elliott HR Manager 13 Years
Frances Foster Homemaker 15 Years
Ashley Gordon LNA 10 Months
Debra Hall RN/Intake/Liaison Coordinator 1 Year
Kathleen Head RN 1Year
Amy Houghton Billing/Accounting 1 Year
Nancy Howard RN 8 Years
Inga Johnson Hospice Director 17 Years
Nina Karlson LPN 8 Months
Holly Knowles RN/Case Manager 2 Years
Beverly Lamanna Social Worker 5 Months
Roberta Lehouillier LNA 9 Years
Brigette Lepine RN/Case Manager 2 Years
Sue Manah Buteau Hospice Volunteer
/Bereavement Coordinator 1 Year
Rossana Martel LNA 2 Years
Bernadette Martino RN 10 Months
Joanne Merrill RN/Case Manager 1 Year
JoAnn Miller Supportive Care Scheduler 22 Years
Kristina Naylor Homemaker 6 months
Nancy Norman Accounting/Billing 22 Years
April Paye Clinical Support Supervisor 11 Years
Marion Pineo Clinical Support/Medical records 6 Years
Virginia Poole Homemaker 20 Years
Martha Reed Medical Social Worker 9 Years
Maryann Richards RN 4 Months
Amy Remick Physical Therapist 1 Year
Patricia Rivera LNA 7 Years
Sue Robinson Finance Director 4 Months
Corey Safford Occupational Therapist 9 Years
Jacqueline Scott Homemaker 20 Years
Wanda Skrobak Homemaker 8 Years
Sara Smith Homemaker 7 Months
Megan Thayer LNA 7 Months
Jan Tyrrell Homemaker 6 Years
Roxanne Wessels LNA 17 Years
Valerie Williams RN 7 Months
Photo Courtesy of The Bridge Weekly/Andrea M. Fitzgerald
Dena Breault and Home Care patient Roger Bedor
Our nurses and clinical team work with the patient, their family caregivers, and their physician to
collaborate in helping keep the patient healthy at home. Patients want to be in their own home
and environment. North Country Home Health & Hospice nurses such as Dena Breault focus on
patient care and clinical strategies to improve patient outcomes so they can remain healthy and
safe at home and in their community.
Roger Bedor, age 69, of Littleton was one of Dena’s many patients. A former over-the-road
trucker and construction worker, Bedor has been plagued by health concerns for the last two
years. Since last August, he has required the services of NCHHA’s skilled nursing care, physical
therapy, medication management, and blood draws while taking care of himself at home.
Dena Breault, RN/Case Manager visited Bedor two to three times a week. “Dena seldom spends
less than an hour with me per visit. I’ve had a bunch of unusual things, and the nurses at North
country Home Health & Hospice have had their hands full. Dena has done a great job and is
very helpful. I’ve got nothing but good to say about these folks,” says Bedor. “I’m especially
appreciative of Dena’s painless blood draws. She really has a knack. She’s a thorough teacher,
too.” Breault sometimes brings a Plymouth State College nursing student with her on visits, and
Bedor has enjoyed watching her instruct the student in some of the simpler techniques. Breault
loves community nursing and covers Littleton and towns to the east. “It’s a whole different view
of nursing. One on one you see all the dynamics of that person, and it gives you a much broader
and accurate picture because you are being invited into their homes.” Breault’s day starts at 8am
and involves traveling twenty to one hundred and thirty miles a day, usually on back roads, to
visit three to eight patients a day. Her day ends when her visits and computer entries and non-
direct activities are completed. In addition to her visits, Breault checked the transmission from
Bedor’s Tele-monitor, and she called him to check on him after a doctor’s visit. “We are the
eyes and ears for the physicians and assess and report in many cases,” she says. “If it wasn’t for
them (NCHHA), I would be in a facility. I don’t want to go in. I want to stay in my own home
with my own things. I know they will get me through this, and I’ll be better,” said Bedor.
(article written by Andrea M. Fitzgerald)
Roxy Wessell, nominee for Licensed Nursing Assistant of the Year
Presented award by Sally Crossley, QI/Supportive Services Supervisor
In these days of transition and change within our home care industry, North Country
Home Health & Hospice is truly blessed to have the longevity, commitment, and dedication of
the 22 years of service from Roxie Wessel. Roxie is a true gem for the clients she serves
throughout the North Country. Her years of experience combined with her strong sensitivity and
insight provides such a richness of compassion and care that is second to none. Roxie is certainly
the most requested LNA from our clients since she always provides reassurance and competence
in her skills and manner. Roxie has the ability to remain calm in all situations with her easy
nature along with her knowledgeable and capable manner. From caring for a patient transitioning
from the hospital to home, or a patient living in the community with a chronic disease, or when
providing end of life care to Hospice patient, Roxie always displays the outmost in her
caregiving skills and professionalism. As one of her patient’s stated “Roxy gives us the best
possible aide we could have…She is more than excellent.”
Roxie has been a strong mentor to her peers and is always willing to train new LNA’s as
they begin their new role as caregivers. Our agency is very fortunate to have such as exceptional
LNA as Roxie for this mentorship role to assure that our new LNA’s are receiving superb
orientation and training. Roxie is extremely well respected by her peers and by the clinical team
at our agency. Roxie can also always be called upon to help out in our community clinics, assist
in installing our home Tele-health monitors, and fills in for our LNA scheduler as needed. Thus,
Roxie’s 22 years of experience has brought an exceptional value to our organization and to our
home care services. Our agency is very proud to have such a committed, experienced, well
respected LNA and we all highly recommend her for LNA of the year. She demonstrates strong
communication skills with her supervisor and the clinical team regarding her patients to ensure
that nothing is over looked. Roxie brings such as strong wealth of experience, compassion, and
support to our patients, to our agency, and to our community. North Country Home Health &
Hospice is very lucky to have her!
Board of Directors
NCHHA has been equally as fortunate to have a dedicated group of community members who
have volunteered their time and efforts to serve on our Board of Directors. The 2012 members
of the Board of Director’s are as follows;
BOARD OF DIRECTORS Years of Service
Carol Boucher, 7 Years
Gary Cassady, President 7 Years
Dan Cullen 3 Years
Evelyn Elms, Vice President 4 Years
Erin T. Hennessey, Treasurer 4 Years
Diana Jones 2 Years
Beverly Shaw 10 Years
Jeffrey Stinson 1 Year
Carolyn Walko 5 Years
Kim Woodson , Secretary 3 Years
Michael Conklin Emeritus
Aaron Cox Emeritus
HOSPICE VOLUNTEERS
We have approximately 45 active Hospice Volunteers who are men and women of all ages who have
a genuine concern for others and a willingness to share their time and skills. Each of our Volunteers
brings something special to the lives of those they touch. In 2012, they provided 326 hours of to the
residents in our service area who are living with a life-limiting illness. In the fall of 2012 NCHHA
conducted a six week Hospice volunteer training program for 8 new Hospice volunteers. Thank you
to all our volunteers!
HOSPICE VOLUNTEERS Years of Service
Tom Alt 7 Years
Karma Bailey 2 Year
Barbie Beck-Wilczek 9 Years
Fred Bedard 3 Years
Grace Bigelow 13 Years
Regina Bowler 2 Year
Pat Buchanan 17 Years
Scott Burgess 1 Year
Marguerite Christopher 3 Years
Dick Comstock 6 Years
HOSPICE VOLUNTEERS CONTINUE Years of Service Heidi Comstock 6 Years
Pam Dexter 6 Years
Ann Marie Donlon 8 Years
Ann Edson 3 Years
Tony Ehrman 13 Years
Mary Fillius 7 Years
Lorraine Fougere 3 Years
Dori Hamilton 2 Years
Nancy Howard 3 Years
Eleanor Ingbretson 6 Years
Loriann Jesseman 6 Years
Gail Kilner 17 Years
Ann Laflamme 3 Years
Holly Lakey 13 Years
Jeanie Munro 3 Years
Karen Neuringer 1 Year
Bob Nunes 3 Years
Ellie Opalinski 15 Years
April Paye 12 Years
Ginny Poole 3 Years
Tina Reynolds 6 Years
Helen Rode 1 Year
Joan Santy 3 Years
Jane Smalley 15 Years
Sr. Carmel Souliere 6 Years
David Stringham 1 Year
Pat Whipple 6 Years
Newly trained volunteers in 2012:
Alberta Colby
Mary Ann Duranty
Kate Kelly
Beverly Lamanna
Theresa Lavoie
Louie Lavoie
Lavina Maykut
Joanne Schuyler
NCHHA has several contract staff who provide very valuable services to our team.
Contract Staff Position Years Affiliated
Ray Bennion Occupational Therapist 7 Years
Maciej Kubkowsi Physical Therapist 12 Years
Paul Lister Speech Therapist 35 Years
Jennifer Scianna Speech Therapist 18 Years
Clare Wilmot, MD Medical Director 4 Years
Phil Lawson, MD Hospice Medical Director 2 Years
Lyn Winter Hospice Clergy 3 Years
John Sauter, MD Hospice Medical Director(alternative) 13 years