Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
20
13
AN
NU
AL
| G
IVIN
G
IMAG INE
I M A G I N E
Imagine a health systemthat focuses on health,not just health care.
Imagine a system wherecare is based on value,not volume,
On the health of our population,not market share,
On new payment models thatreward quality not quantity of procedures,
On care that patients want and need,delivered affordably,conveniently and close to home.
Imagine a sustainable health system with one goal:to improve the lives of the people andcommunities we serve,for generations to come.
Bob Drescher, a technician with a heating/air conditioning company and an avid outdoorsman, had been suffering from back pain for 20 years. The pain became more severe over time, forcing him to miss work and give up favorite activities like hiking and kayaking.
He came to the Dartmouth-Hitchcock Spine Center, hoping surgery was the answer. Through shared-decision making (see page 9), Drescher and his surgeons concluded that the functional restoration program—an intensive physical therapy program—was a better option for him.
Drescher now is back to working full-time consistently, and is once again enjoying long hikes and kayak trips. “Thanks to the program, I have control over my pain, and I’ve been able to regain control of my life.”
Dartmouth-Hitchcock is guided by a simple principle: to do what’s right for each patient and family, providing them with the very best care, quality and service.
This includes providing good, evidence-based information on treatments and conditions so patients can make informed choices about their care paths. It means being open about our costs and our results and how other patients and families report on the care they receive. It means recognizing that every one of our 9,500 employees across the system, no matter what their position, is a caregiver.
We are an academic health system. In addition to providing high-quality care, we conduct research, educate medical students and train residents and fellows. At Dartmouth-Hitchcock, these activities are fully integrated; our research is targeted at finding cures and better treatments that will improve the lives of those we serve. Our educational activities are meant to create a cadre of physicians, nurses and other caregiving team members, who work here and elsewhere, with a truly patient-focused philosophy and approach to practice.
As you read through these pages, I hope the Dartmouth-Hitchcock difference will come through. In everything we do, it’s about you.
Dr. James N. WeinsteinCEO and President
contents
6 Patients at the Center of Care
10 Working Together for the Health of Tomorrow
16 Improving Value in Health Care
20 Elevating Health
21 List of Trustees and Officers
21 Thank You, Donors
22 Donor List and Donor Profiles
6Instead of being located in a remote office, care coordinators are embedded into the primary care medical home settings at various D-H sites. Using methods learned through the D-H Center for Shared Decision Making, they make sure patients are involved in every aspect of their health care journey.
PUTTING PATIENTS
AT THECENTER
OF HEALTH
FOR DONNA JAMESONof Mason, NH, life is difficult manag-ing her diabetes, chronic obstructive pulmonary disease (COPD) and un-stable blood pressure. “Over the past year, Donna has fallen several times, severely hurting her back, and then on another occasion, fracturing her hip,” says her husband, Danny, who has stopped working temporarily to care for her full-time and help her through her frequent hospitalizations.
Recently, Donna was hospitalized for pneumonia and for a life-threatening bowel disorder that required two surger-ies. For Danny, an iron worker by trade, caring for his wife—which includes jug-gling doctors’ appointments, monitoring her blood pressure and blood sugar levels, and making sure she gets the medications and home treatments she needs—has been challenging.
But all has been manageable, thanks to Jackie Weber, RN, a care coordi-nator at the Dartmouth-Hitchcock (D-H) Milford Family Practice, who works closely with Danny to keep Donna as healthy as possible. “We’ve had some great doctors, but Jackie is like the glue that holds everything together,” says Danny. “She converses with Dr. Kaploe, Donna’s primary care physician, and knows all of her other doctors. She’s very knowledgeable and helpful. And she gets things done.”
“THE GLUE THAT HOLDS EVERYTHING TOGETHER”
Care coordinators educate patients
about their illness, and offer resources
and encouragement. They also monitor a patient’s health
care needs and make sure they receive
recommended tests and treatments to
get them back on the road to better health.
For example, when Danny had diffi-culty scheduling an x-ray of Donna’s spine for a chiropractic consultation, Weber took care of it. “She called me back an hour later with an appoint-ment,” he says. “That led to chiroprac-tic treatments that, combined with massage therapy, have made a huge difference. Donna is up and about, she’s cooking meals again and her overall health continues to improve. I can see her getting stronger every day. Knowing Jackie is there for us gives us peace of mind.”
Care Coordination is the Key
As a care coordinator, Weber is an example of how D-H is using the skills of nurses in a new way to directly support complicated medical situa-tions like that of the Jamesons. “I think of our role as identifying the needs of patients who have complex medical conditions and may have a variety of specialty appointments that need co-ordination,” explains Kathryn Kaminski, RN, a care coordinator based at Dart-mouth-Hitchcock Medical Center.
“We’re here to educate patients about their chronic illnesses, give them the resources they need and encourage them to follow up on their own self-care,” she says. “We also help to mon-itor their health and track whether they’ve received recommended tests.”
The care coordinators often use meth-ods based in what has been learned through the D-H Center for Shared Decision Making (see page 9) to make sure patients are involved in every as-pect of their health care journey. “For
me, it means being part of the General Internal Medicine team in Lebanon, NH, which I really like,” says Kaminski. “We can be available to patients and families all of the time. Whether it’s over the phone, in the clinic or at the bedside in the hospital—a big part of our job is to reach out to patients as needed. We’re here to help them manage their chronic illnesses more effectively and efficiently. But primar-ily, we want to hear what their goals are and how we can best help them achieve them.” 7
Coordinated Care = Accountable CareCare coordinators are an important part of D-H’s success in embracing a new model of health care, the Ac-countable Care Organization (ACO). ACOs are simply groups of health care providers and payers (or insurers) who have agreed to work together to improve quality and reduce costs for certain populations of patients.
“For example, in the Pioneer ACO with Medicare, Dartmouth-Hitch-cock is taking responsibility for the health outcomes and total costs of Medicare patients (those over age 65) who receive the majority of their primary care here,” explains Dr. Barbara Walters, who, as executive medical director of Accountable Care for Dart-mouth-Hitchcock (D-H), is overseeing a growing number of ACO contracts for the organization.
The goal of ACOs is to work proac-tively to ensure that groups of patients with similar needs—whether they’re Medicare patients or those with con-gestive heart failure or diabetes—get the same high-quality care, thereby lowering the overall costs. “That’s the population health point of view,” Walters says.
The focus is on value, not volume. Rather than being paid for each
patient visit, as has been done in the traditional fee-for-service payment model, Medicare pays D-H based on the outcomes of its patients’ care, es-sentially for keeping patients healthier.
“We believe that the best way to do that is to provide patients with a primary care medical home,” says Wal-ters. “That’s a primary care team that includes care coordinators who really know the patients and help them man-age their health as they try to navigate through what is often a very complex and confusing health care system.”
Data Informs CareCare coordinators focus their efforts on highest risk patients. “Those who have had hospital readmissions, espe-cially within 30 days, and emergency room visits are the biggest red flags for us,” says explains Michelle Ward, RN, a care coordinator at Dartmouth-Hitch-cock Nashua. “Or, we may find that there’s been a gap in care, such as missed doctors’ appointments or pre-scriptions not being filled as directed.”
Connecting with patients can often get them back on track. “I find that a lot of patients are very receptive to a nurse calling from their doctor’s office; it makes them feel very valued and cared about,” says Ward.
“Another important part of our role is developing relationships with local
hospitals and other health care facili-ties, who notify us when patients have been admitted and discharged,” she says. “That allows us to work together on any discharge plans that may be in place and follow up with the patient more quickly.”
Staying ConnectedIt is during these transitions of care that patients can be most vulnerable. “We try to call our patients within 24 to 48 hours after a discharge to make sure that they have their medications, they understand what their follow up care plan is and they know what signs and symptoms to watch for that may require attention,” explains Leona Kee, RN, a care coordinator at Dart-mouth-Hitchcock Concord.
“We often find that there are barriers to getting their care,” says Kee. “For example, a patient may not be able to afford all of their prescriptions. Or maybe they don’t have a car anymore, or local support from family or friends.”
“We work with community resources to help them overcome those barri-ers,” she says. “It’s really about helping them to stay on a healthy track. And a big part of that is preventing hospi-talizations, readmissions and fre-quent ER visits. Number one, it’s not good for them, and also, it’s just not cost-effective.”
“We’re here to educate patients about their chronic illnesses, give them the resources they need and encourage them to follow up on their own self-care.”
Kathryn Kaminski, RN
8
forbetterbetter DECISIONS
When you’re facing a major medical de-cision the best thing you can do is get all of the information possible before you start treatment.
This is especially true in cases where there are multiple treatment options. For example, some men with signs of prostate cancer may prefer a course of “watchful waiting” to immediate surgi-cal intervention.
At Dartmouth-Hitchcock’s Center for Shared Decision Making, patients and families are given evidence-based, objective information about treat-ment choices, with information about the risks and benefits of each option. Armed with that information, they can balance the options with their own values and what is most important to them.
“This is the best way for communicat-ing between patients and clinicians so they can make wise decisions,” says Dr. Dale Vidal, a plastic surgeon and
the medical director of the Center for Shared Decision Making.
Not only does shared decision making give patients a greater voice in their care, research has shown that patients given good information make better choices, have better clinical outcomes and have higher satisfaction than those who don’t.
Based on this, the Centers for Medicare and Medicaid Services recently award-ed Dartmouth-Hitchcock $26 million to incorporate shared decision making into the work of the High Value Health-care Collaborative (HVHC), which was co-founded by D-H, Mayo Clinic and other institutions. HVHC member or-ganizations are treating patients across the country, with a goal of improving quality and lowering costs.
“Patients can and should be respected partners in their own care”, says Wein-stein. “Shared decision making provides the tools and resources so they can make the choice that’s right for them.”
CARE“The conventional doctrine in medicine is ‘informed consent’ by the patient. At Dartmouth-Hitchcock, we believe in ‘informed choice.’”
- CEO and President Dr. James Weinstein
9
WORKING TOGETHER FOR THE HEALTH OF TOMORROW
To improve population health in the northern New England region, Dartmouth-Hitchcock is focusing on health, not just health care. This proactive approach distinguishes Dartmouth-Hitchcock from many other health care systems around the country.
10
A PATIENT WITH DIABETES goes to the doctor to get help in controlling his or her blood sugar. The doctor sits with the patient—examining, asking questions, counseling, teaching and prescribing the proper medication.
At Dartmouth-Hitchcock (D-H), that doctor’s responsibility doesn’t end when the patient leaves the exam room. That doctor is also responsible for thinking about others in the community with high blood sugars who are at risk for developing diabetes and figuring out how they can be cared for. And that doctor—and Dartmouth-Hitchcock as a whole—is taking responsibility for helping to prevent peo-ple from developing diabetes—and other chronic illnesses and diseases—in the first place. Working in collaboration with community-based partners, Dartmouth-Hitchcock’s goal is to improve the health of the population it serves—from the patient in the exam room to the thousands of people who have yet to seek health care.
Dartmouth-Hitchcock is uniquely positioned to lead a transformation in our national health care system today because of our geographic location and because of our leadership in health care data.
11
“We are uniquely positioned to lead a transformation in our national health care system today because of two incredible assets,” says Gregg Meyer, MD, MSc, executive vice president for Population Health and chief clinical officer at D-H. “Our geographic loca-tion as the academic medical system for the region allows us to think more broadly in terms of health care delivery, engaging with school systems, employ-ers and community organizations to focus on improving the health of our population.”
“Our second major asset is our track record as leaders in the study of health care data through our work with the Dartmouth Atlas—which has shown striking geographic variations in health care practices and outcomes—over the last few decades,” adds Meyer. “That is the magic of D-H—bringing all of this work together for the health of tomorrow.”
To improve population health in the northern New England region, Dartmouth-Hitchcock is focusing on health in addition to health care. This proactive approach distinguish-es Dartmouth-Hitchcock from many other health care systems around the country.
“As part of the High Value Healthcare Collaborative, we’re working with a number of other leading
organizations to find the best care pathways for diabetes patients,” says Ethan Berke, MD, MPH,
director of Population Health Innovation for D-H. “We also have a grant from the National
Institute on Aging to look at how patient-reported information can help us design better care.”
Identifying Needs and PrioritiesA community’s health needs can be closely tied to its geography and other demographic factors. For example, oral health has been identified as a critical underserved health need in the region. To help address this need, D-H is expanding its support of screenings, preventive care and parent education provided by Alice Peck Day Hospital’s SMILES program, the Red Logan Dental Clinic, as well as school-based and Women, Infant and Children’s clinics in the area.
Then, there are health issues that are more widely prevalent, such as obesity and tobacco, alcohol and drug abuse, including prescription drug misuse. “When we look at the needs assessments in areas where D-H has community group practic-es—including Keene, Concord, Man-chester, Nashua, NH and Benning-ton, VT—there are more similarities than differences,” says Greg Norman, director of Community Health Im-provement at D-H in Lebanon.
In 2014, D-H will increase invest-ments in services for patients with mental illness and frail older adults and their caretakers. We will also continue to support a number of existing programs aimed at address-ing other identified needs, including health care access and transporta-tion, women’s health, maternal child health, treatment for child trauma survivors, supportive services for those affected by HIV/AIDS and cancer prevention. 12
Keeping People HealthyOverall, the goal is to align communi-ty wellness efforts with the delivery of high-value health care services, with a focus on primary care. “We need to transition from a reactionary health care system, to a proactive system where we’re ahead of the curve in keeping people healthy and engag-ing them to be active members of a health care team,” says Ethan Berke, MD, MPH, director of Population Health Innovation for D-H and direc-tor of primary care in the northern region for D-H.
In recent years, Berke has devoted much of his research time to un-derstanding how the “built environ-ment”—or habitat that people live in—affects their health. “If we want to move the population away from being burdened by high incidences of chronic and severe illness, and being dependent on high-cost specialty and tertiary care services, we need to cre-ate communities that make it easier for people to stay well,” he says.
As a family practitioner, he ap-preciates how the constraints of patients’ physical environment can impact their health. “I really see their location almost as another vital sign,” Berke says. “As providers, we shouldn’t just look at our patients in the vacuum of the exam room, but rather take some time to get to know where they live and how that fits into their larger community and habitat. That can change the way we counsel them and help them develop strategies for how they can live more healthfully.”
Multiple Partners, Multiple StrategiesThe varying availability of resources in different communities requires D-H to play a variety of roles to advance com-munity wellness efforts (see page 15 for examples). But whether it’s providing leadership, education, financial support or time and energy to help leverage existing resources, partnerships are the key to bringing about healthy changes.
“It’s very important to partner with the right organizations that have the ability to provide the services that are needed,” says Jodi Stewart, director of Community Relations and Marketing for D-H’s community group practices in Southern New Hampshire. “For exam-ple, in Manchester, which is a designat-ed refugee resettlement city, we part-ner with organizations such as Child Health Services and the Manchester Community Health Center, providing financial support, as well as health care providers to help sustain the viability of those organizations. They can provide key support services more efficiently and cost-effectively than we can.”
D-H’s community group practices are engaged in a variety of community wellness efforts to improve the health and wellness of our communities. For example, D-H is piloting a new water bottle refill project at Concord High School, which it hopes to expand to other schools. D-H Concord and the Concord Regional Visiting Nurses Association are collaborating to hold a monthly Memory Café event at the Granite Ledges facility in Concord to enhance education and support for peo-ple suffering from memory impairment.
“We need to transition from a reactionary health care system, to a proactive system where we’re ahead of the curve in keeping people healthy and engaging them to be active members of a health care team.”
13
Additionally, Dartmouth-Hitchcock physicians, nurses and other providers volunteer their time, going out into the community to educate vulnerable populations with cultural barriers about the importance of health issues such as breast health and diabetes.
In its popular Healthy Living series, Dartmouth-Hitchcock is hosting monthly health and wellness seminars at its clinic sites in Concord, Manches-ter and Nashua, featuring topics such as stress management, nutrition, sports injuries and joint health. In addition, as part of an effort with Norris Cotton Cancer Center, all Dartmouth-Hitch-cock locations are engaged in a system-wide effort to educate patients and families about the importance of having advance directives in place for end-of-life care.
Thinking More BroadlyAs a leader in health care systems change, D-H has an opportunity to model how health care systems can in-tegrate most effectively with commu-nity organizations, municipalities and residents to improve population health, reduce health care costs and build a system that truly supports the health and welfare of its communities.
“Improving population health is not just about the patients in front of us or the patients who are not getting care; it’s about the community we serve and those patients of tomorrow,” says Meyer. “It gives us the opportunity to not only think about how we deliver care, but also to think about what we can do to keep people safe and healthy moving forward.”14
TACKLING AN ISSUE as prevalent as obesity in a communi-ty is no simple task. “There’s no one button you push that changes it,” says Greg Norman, director of Community Health Improvement at D-H in Leba-non. “You have to have multiple strate-gies and partners working together to change the culture.”
An example of that kind of community engagement is D-H’s work with the Upper Valley Healthy Eating Active Living (HEAL) Partnership. Housed at D-H Lebanon, HEAL works on policy, practice and built environment changes primarily in Lebanon and Mascoma districts. Children’s Hospital at Dartmouth-Hitchcock (CHaD), the City of Lebanon Recreation and Parks Department, the Upper Valley Trails Alliance, Alice Peck Day Memorial Hospital, the Mascoma Valley Health Initiative, the Lebanon and Mascoma School Districts and many other community partners have joined together in this effort.
The HEAL Partnership is working in a variety of ways to encourage increased physical activity and make it easier for kids and families to eat a healthy diet and be more active.
FOR EXAMPLE:
The Mascoma River Greenway, a planned 4-mile off-road paved bike/walk path via abandoned rail corridors, will soon reach the halfway point of its fund development campaign. With 50 percent of Lebanon’s population living within a half mile of the Greenway, this project has high potential to increase physical activity in that area.
A number of pilot projects are un-derway with local farmers’ markets, convenience stores and employers to in-crease access to fresh fruits and vegeta-bles in rural areas and to make healthier food choices available in workplaces and at community events.
By building on Safe Routes to Schools and Safe Routes to Play initiatives and introducing “walking school buses,” towns like Lebanon are making walking to school—as well as walking and biking to destinations—a safer, easier and more enjoyable option for both kids and adults.
Helping the towns of Canaan and Enfield combine resources to reinstitute a lifeguard and a swim instructor will allow swim lessons to occur at Canaan Street Lake. “It’s a great resource for families,” says Norman. “If you teach kids how to swim when they’re young, it’s just one more tool they can use to stay healthy as they get older.”
The partnership has been working with Canaan Elementary School for three years to develop strategies to improve the school’s physical activity environment. “The project includes developing trails, gardens, hills, play equipment and other features that we think will support enhanced physical activity and outdoor learning at the school,” says Norman.
Other major initiatives in the area include introducing healthy choices at child-care and pre-school settings; pro-moting water and reducing consump-tion of sugary beverages in schools; and making food-based fundraisers and classroom snacks healthier.
HEALTHY EATING, ACTIVE LIVING
“You have to have multiple strategies and multiple partners working together to change the environment and the culture around you.” 15
Imagine you’re dining in a fine restau-rant. As you’re seated, a legion of waiters descends and showers the table with dozens of pieces of silver-ware. The meal is delightful—every-thing you hoped it would be. You get the bill and, to your surprise, find that you’ve been charged for every piece of cutlery, every spice and the use of every pot and pan in the kitchen. The bill is detailed and astronomical.
Sound absurd? It’s what happens in operating rooms every day. Dozens of instruments are sterilized, wrapped and laid out on the operating tray, but often fewer than half of them are used.
Working with Dartmouth-Hitchcock’s Value Institute, one surgical section was able to reduce costs simply by reducing the number of instruments provided to only those that would actually be used.
This seemingly simple effort, now be-ing spread to other surgical sections, is part of the D-H commitment to providing value-based care. IMPROVING VALUE in Health Care
16The commitment to providing value runs deep at Dartmouth-Hitchcock. So much so that the Value Institute was created two years ago to provide education, coaching and an infrastructure to support quality and performance improvement efforts throughout the organization.
A Commitment to the Future of Health Care: The Dartmouth-Hitchcock Value InstituteDartmouth-Hitchcock’s commitment to providing value runs deep. So much so that the Value Institute was created two years ago to provide education, coach-ing and an infrastructure to support quality and performance improvement efforts throughout the organization.
Clinical and non-clinical departments across Dartmouth-Hitchcock have been taking a hard look at their every-day work to figure out how to do it better, more efficiently and, ultimately, to provide better care at less cost. The Value Institute trains individuals and teams to think critically about how they can improve the way they perform their day-to-day duties. Using a framework derived from manufac-turing and business industries called Six Sigma, the Value Institute provides the tools and methods for “process improvement.” And the savings show.
Several departments within Dart-mouth-Hitchcock—such as Pathol-ogy, Nursing, Supply Chain Man-agement and the Blood Bank—have embarked on this type of training with incredible results. The total expected savings from the first two years of Value Institute-led projects is approximately $2.4 million.
Since its inception two years ago, the Value Institute has trained 462 Yel-
lowbelts, those who are “team ready” to engage in projects led by those with more expertise, and 84 Green-belts, those trained to an intermedi-ate level of process improvement skill and who can lead projects. Dart-mouth-Hitchcock currently draws on the expertise of 13 Blackbelts to lead large and complex projects.
“Under the new Accountable Care Act, controlling costs while improving
outcomes for patients will be the expectation,” says George Blike, MD, chief quality and value officer. “Using what we know works under the Value Institute is important to not only survive in this new era but to thrive and do what’s right for our patients and the communities we serve. The challenging thing in health care is, for every patient every time, doing what matters. Providing value is now our imperative.”
This past year, Dartmouth-Hitchcock was among 33 health systems participating in the
Pioneer Accountable Care Organization model, created by the Centers for Medicare and
Medicaid Services (CMS). In the first year, Dartmouth-Hitchcock’s share of the savings
came to just over $1 million.
17
Training in Action: Streamlining Pathology LabsMore than 4,000 lab specimens are received, sorted, labeled, processed and reported back to clinicians at Dartmouth-Hitchcock every day. Clinicians and patients rely on timely and accurate results to drive their prescribed treatment. Handling this influx of lab specimens daily can pro-vide opportunities—sometimes, un-fortunately, opportunities for error. Recently, the Pathology department turned this kind of opportunity into an improvement project that gener-ated some extraordinary results.
A step-by-step analysis showed that each urine sample coming into the lab is handled 39 times. Each step takes time and ultimately has a cost. The analysis showed that 68 percent of the time is spent getting the actual results, while the remaining 32 percent is “wasted” time for each sample—for example, sitting in a rack on a cart waiting to be processed. So, if a typical urine sample costs $10, it’s really costing $6.80 to run that sample while $3.20 is less-productive time. The goal is to reduce wasted time. If only a minute or two can be shaved off the
process—maybe saving a minute of handling time—that could translate into less cost. Multiply that by thou-sands of daily samples of all types and it quickly adds up.
“Scrutinizing the process is better for patient safety,” says Jim Tracy, one of the Value Institute-trained team members in Pathology. “Every urine sample or blood-draw needs to be matched to the patient’s medical record. There is no room for error. That’s why we are doing this. Yes, it’s about efficiency. Yes, it’s about saving time and cost. But most importantly, it’s about making sure our patients are safe, getting the results they need for the treatments they need—as soon as possible.”
Adapting, Evolving in a New Era of Health Care According to Wendy Wells, MD, chair of Pathology, the department’s journey to improve their lab processes wasn’t just about saving money or cre-ating efficiencies, it was also a way to adapt to increasing demands for more lab testing with limited space to do so.
“We moved to this campus in Lebanon in 1991, and we’ve been on the same footprint of space since that time,” says Wells. “But the rest of the campus has dramatically increased in size, and, therefore, the demand for lab testing has increased. The only way we have survived is by embarking on our con-tinuous improvement projects.”
But Wells says the department has reached its limit. As a result it is now incurring expenses by outsourcing certain testing to commercial labs because it physically doesn’t have the space to develop those new tests in-house. Fortunately, the new Williamson Translational Research Building will provide much-needed space for Pathology (see sidebar on page 19). “We’ve planned it as a beautiful open space because we want to be able to constantly change how we lay out the equip-ment, how we move the technolo-gists, how we get the specimens in, what testing we do,” says Wells. “As we continuously improve, we don’t want to have barriers like walls or divisions or dividers in that space.”
Our readmission rates are in the lowest 1 percent in the nation for chronic heart failure.
Number of lab specimens processed and reported back to clinicians every day
Number of times each urine sample coming into the lab is handled
39>4,000
The total expected savings from the first two years of Value Institute-led projects is approximately $2.4 million.
18
Leaders in Value: Positive and Promising ResultsA focus of health reform has been to more closely track value measures such as complications, hospital-acquired infections and readmissions. Hospitals now face financial penalties if their rate of readmissions is too high, for example.
Dartmouth-Hitchcock is already showing promising results by demon-strating that it can meet quality mea-sures and provide value-based care, but at significant cost savings. This past year, Dartmouth-Hitchcock was among 33 health systems participat-ing in the Pioneer Accountable Care Organization (ACO) model that was created by the Centers for Medicare
Pathology: Essential Partner in Translational Research
The new space in the Williamson Building will not only allow Pathology to bring testing in-house, but will make it possible for the department to continue their process improvement work.
and Medicaid Services (CMS). In the first year, Dartmouth-Hitchcock’s share of the savings came to just over $1 million. Dartmouth-Hitchcock also met all quality benchmarks under the program, ensuring that Medicare patients’ preventive health needs are met, and lowering hospital admission and readmission rates.
“To create the sustainable health sys-tem, we need to build a system where care is based on value, not volume; on the health of our population; on new payment models that reward quality, not quantity of procedures; and on care that patients want and need, delivered affordably, conveniently and close to home,” says Dr. Jim Weinstein, CEO and President, Dartmouth-Hitchcock.
19
IN SEPTEMBER, Dartmouth-Hitchcock
announced that it had joined
with Elliot Health System and
Harvard Pilgrim Health Care of
New England in an innovative
partnership to provide
employers and their employees in New Hampshire with a new
definition of value in health care: access to health insurance that will
promote high-quality health care and better health outcomes at a
lower premium cost.
FIRST OF ITS KIND HEALTH PLAN FOR NEW HAMPSHIRE
Called ElevateHealth, the new part-nership is a non-profit, high-perfor-mance, defined-network product that will offer access to New Hampshire’s premier hospitals and providers, including more than 400 primary care doctors and 2,600 specialists, with an insurance premium savings of at least 10 percent over Harvard Pilgrim’s simi-lar full-network plans. As members of ElevateHealth, patients will receive their care at Dartmouth-Hitchcock and its community group practices, El-liot Health System, Cheshire Medical Center, New London Hospital, South-ern New Hampshire Medical Center and Foundation Medical Partners, Derry Medical Center, Southern New Hampshire Internal Medicine, and other affiliated physicians and physi-cian practices. The health systems will coordinate care in a seamless fashion, focusing on the needs of the individu-al patient.
“New Hampshire employers know better than anyone that the health
system we have today is unsus-tainable,” says Dr. James N. Wein-stein, CEO and President of Dart-mouth-Hitchcock. “They want their employees and their families to have access to great health care, but at a cost they can afford. Our three organizations, with a shared focus on population health and coordinated, high-quality care, are committed to providing an option that gives the greatest access at the lowest cost, while offering a higher level of care delivery and customer service.”
D-H CEO and President Dr. Jim
Weinstein (second from left) joins Eric H. Schultz,
President and CEO of Harvard Pil-
grim Health Care, left, and Doug
Dean, President and CEO of Elliot
Health System, in announcing
“ElevateHealth,” an insurance plan
aimed at New Hampshire em-
ployers and their employees.
ElevateHealth will feature:
• Enhanced provider-driven care coordination to improve the health and wellness of members.
• A transformative role for the nurse as part of an effective care delivery team, including a pivotal role as patient advocate and clinical liaison with primary care providers and specialists.
• Care coordination professionals to help guide the member through the health system for easier access and better health outcomes.
While the goal of the three-way partnership is to create innovation through that seamless health delivery system, future initiatives aimed at improving the value of health care services in the region may spring from the collaboration.
20
ElevateHealthSM
Thank you.Since the founding of Mary Hitchcock Memorial Hospital in 1893, the organization now known as Dartmouth-Hitchcock has existed for one purpose: to serve the patients, families and communities of our region. Throughout these six score years, we have in turn been served by our donors and friends, whose belief in us and dedication to our mission is indeed humbling.
In the past year, Dartmouth-Hitchcock and the Geisel School of Medicine have received almost $29 million in gifts and pledges from more than 38,000 donors. There can be no more tangible expression of your faith in us and your generosity on behalf of our patient care, research and educational programs. Beyond that, your contributions show a visionary commitment to the future, to future cures, innovations in care delivery, scientific discovery and the training of exceptional physicians, residents, nurses and other caregivers.
Listed on the following pages are those who have made gifts or pledges of $1,000 or more during the past fiscal year (July 1, 2012–June 30, 2013). It is of course but a small token of our immense and sincere gratitude to all who give, in whatever amount, to support our tradition of service.
On behalf of my fellow trustees, thank you.
Prof. Robert A. Oden, Jr.Chair, Dartmouth-Hitchcock Boards of Trustees
DARTMOUTH-HITCHCOCK BOARD OF TRUSTEES – 2013
The Dartmouth-Hitchcock Board of Trustees is a dedicated group of individuals who volunteer their time, energy and expertise to ensure that Dartmouth-Hitchcock is well positioned to create a sustainable health system and to achieve the healthiest population possible in our region and beyond.
William A. Abdu, MD, MS Hanover, NH
William J. Conaty Sunapee, NH
Vincent S. Conti Cape Elizabeth, ME
Denis A. Cortese, MD Fountain Hills, AZ
Barbara J. Couch Hanover, NH
Peter A. DeLong, MD Norwich, VT
Matthew B. Dunne Hartland, VT
Michael J. Goran, MD Bodega Bay, CA
Wayne G. Granquist Weston, VT
Senator Judd A. Gregg Rye Beach, NH
William W. Helman IV Vice Chair Cambridge, MA
Alan C. Keiller Treasurer Brownsville, VT
Laura K. Landy Morristown, NJ
Jennie L. Norman Secretary Harrisville, NH
Robert A. Oden, Jr., PhD Chair Hanover, NH
Steven A. Paris, MD Bedford, NH
Richard J. Powell, MD Hanover, NH
Richard I. Rothstein, MD Etna, NH
Richard S. Shreve Orford, NH
Hugh C. Smith, MD Rochester, MN
Wiley W. Souba, Jr., MD, ScD, MBA Dean, Geisel School of Medicine Hanover, NH
Anne-Lee Verville Hopkinton, NH
James N. Weinstein, DO, MS CEO and President Lyme, NH 21
Anonymous (43)
Dr. and Mrs. William A. Abdu
Sally and Gershen M. Abraham
Mr. and Mrs. William F. Achtmeyer
Dr. and Mrs. John G. Adams
Ndubuisi Ajukwu
Dr. and Mrs. Anthony S. Albert
Dr. and Mrs. Raymond Alexanian
Dr. Jandel T. Allen-Davis and Anthony T. Davis
Mr. and Mrs. William F. Allyn
Dorothy L. Alpert and Morrey Halfon
Gladys Alvarez
Allan Ames
Dr. Holly S. Andersen and Douglas A. Hirsch
Charles H. Anderson
Patricia M. Anderson
Dr. and Mrs. Blair J. Andrew
Dr. and Mrs. Joseph P. Annis
Jeanine Arden-Ornt
Dr. Mary B. Arnold
Dr. Robert B. Arnot
Dr. Bradley Arrick and Danielle Jones
Dr. Diane L. Arsenault and Peter R. Pirnie
Joan Ashley
Mr. and Mrs. James D. Austin
Mr. and Mrs. Mark B. Avery
Dr. and Mrs. William W. Babson, Jr.
Drs. Marshall S. and Talia B. Baker
Mr. and Mrs. William J. Baldasaro
Dr. E. Bradford Baldridge
Dr. and Mrs. Perry Ball
Karen Ballen
Mr. and Mrs. Kenneth S. Barclay
Mr. and Mrs. Richard L. Barnaby, Jr.
Ray and Cynthia Barrette
Mr. and Mrs. James N. Bartlett
Dr. James R. Barton
Mr. and Mrs. Tom Bascetta
Richard Bayles
Mr. and Mrs. John E. Bayliss III
Patricia A. Bazilchuk
Dr. and Mrs. Michael C. Beachley
Mark and Ann Beams
Dr. Teresa M. Bean
Dr. Brian A. Beattie and Brenda Stewart
Mr. and Mrs. Dennis P. Beaulieu
Mr. and Mrs. R. William Becker
Mr. and Mrs. Peter G. Behr
Dr. and Mrs. Steven P. Bensen
K. Reed Berkey
Burton and Esther Bickford
Mr. and Mrs. Charles W. Bimba, Jr.
Prof. and Mrs. Robert B. Binswanger
Mr. and Mrs. Leon D. Black
Mr. and Mrs. Erle G. Blanchard
Drs. Holly Blatman Rothkopf and Douglas Rothkopf
Marcie and Harry Bleiwise
Atie E. Blinn
Dr. Brian Daryl Blondin
Barbara Blough
Mr. and Mrs. James K. Bonney
Mrs. Murray Bornstein
Anne L. Boswell
Mr. and Mrs. Charles M. Boswell
Mr. and Mrs. Dennis R. Bothamley
Frank and Mardi Bowles
Selina and Brian Boxer Wachler
Dr. DeRayne Boykins
Steven H. Boyle
Bill and Susan Boyle
Mr. and Mrs. Robert Boynton
Katharine S. Boynton
Ann and David Bradley
Dr. Elizabeth P. Bradley and Richard J. Bradley
Bess (deceased) and John R. Bradshaw
Dr. Elizabeth W. Brady
Dr. Glenn M. Brady
Dr. Mark G. Brauning
Mr. and Mrs. Charles B. Breen
Ann Bressett
Marius L. Bressoud
Timothy C. Briglin and Laurel M. Mackin
Ruth E. Williams Brinkley
Barbara K. Bristol and Galway Kinnell
Jennifer and Peter Brock
Drs. Constantine Brocoum and Ophelia Chang
Dr. Mark J. Brodkey
Marlene Brody
Dr. Frances C. Brokaw
Drs. W. Blair Brooks and Nancy Philips
Mr. and Mrs. Arthur K. Brown
Mr. and Mrs. Derek C. Brown
Frederick Brown
Dr. Mark W. Brown
Rosemary and Gary Brown
Mr. and Mrs. Scott S. Brown
Robert R. Bruce and Kathryn J. Stearns
Dr. John H. Buckner
Marion and Ken Burchard
Richard L. Burke
Pat Burnham
Drs. James W. Byers III and Stephanie A. Chuipek
Dr. Ira Byock and Yvonne Corbeil
Brenda L. Cadieux
Mr. and Mrs. David L. Calhoun
Dr. James L. Campbell, Jr.
Mr. and Mrs. Reid T. Campbell
Mr. and Mrs. Robert A. Campbell
Dr. and Mrs. Douglas A. Canning
Dr. and Mrs. Mark D. Canning
Dr. Rebecca Sue Carlin
Sandra D. Carpenter
Ann B. Carter
Dr. Kristin Pisacano Casale and Francis Casale
Lisa G. Cashdan and Peter R. Stein
Neil and Molly Castaldo
Dr. Edward Catherwood and Terri Catherwood
Dr. and Mrs. James E. Cavanagh, Jr.
Stephen P. Ceglarski
Dr. Sara Chaffee and Joshua Kilham
Dr. Kathleen H. Chaimberg
Mr. and Mrs. John F. Chaplin
Mr. and Mrs. John G. Chapman
Mark W. Chapman and Martha Blakemore Chapman
Dr. Mildred Chen
Warner Chilcott
Barbara M. Child
Catharine V. Christensen (deceased)
Dr. and Mrs. Quyen D. Chu
Dr. Kyung H. Chung
Dr. Deus J. Cielo
David and Ann Cioffi
Dr. and Mrs. Roger W. Clapp
Dr. Cantwell Clark V and Susan L. Mansfield
Drs. Jane R. Clark and Jonathan P. Gertler
Mr. and Mrs. Davenport Cleveland
Dr. David Cloutier
Edmund Coffin
Mr. and Mrs. Richard B. Cohen
Susan N. Cohen
Dr. and Mrs. Mitchell D. Cohn
Estate of Oscar M. Cohn
Dr. and Mrs. Thomas A. Colacchio
Barbara and Tom Cole
Mr. and Mrs. William S. Colehower
Dr. Ann C. Collier and James A. Vandergrift
Mr. and Mrs. Miles C. Collier
Dr. Daniel W. Collison and Joan C. Collison
Mr. and Mrs. William J. Conaty
Mr. and Mrs. Steven Conine
Dr. and Mrs. Richard C. Connors
Mr. and Mrs. Vincent S. Conti
Donald Cook
Dr. Kathryn S. Cook
Mr. and Mrs. Timothy M. Cooney
Dr. and Mrs. Milton Cooper
Mr. and Mrs. Manton Copeland III
INDIVIDUALS (Please see pages 31 and 33 for listings of foundation and organization donors.)
2222 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.
Harlan and Anne Fair • Embracing Innovation
The new Center for Surgical Innovation, a partnership between Dartmouth-Hitchcock, the Geisel School of Medicine and the Thayer School of Engineering, provides the space and innovative equipment researchers need to dramatically improve common and complex surgeries. A gift from Harlan Fair (right)—a Dartmouth College and Thayer School alumnus—and his wife, Anne (center)—a former nurse and longtime Dartmouth-Hitchcock volunteer —will help the Center achieve its full potential. “Gifts from the Fairs and others will improve surgical care for patients in Northern New England and beyond,” says Sohail Mirza, MD, MPH (left), medical director of the facility. Learn more about the Center for Surgical Innovation at Dartmouth-Hitchcock.org/csi.
23
Dr. Denis A. Cortese
Jayne and Michael Costello
Estate of Eleanor and Norris Cotton
Mr. and Mrs. Richard W. Couch, Jr.
Vicki Craver
Dr. Linda M. Crawford
Dr. Robert W. (deceased) and Marilyn R. Crichlow
Mr. and Mrs. Courtland J. Cross
Dr. and Mrs. John F. Crowe
Dr. and Mrs. John M. Crowe
Judy and Tom Csatari
Penny and Andrew Cunningham
Mary S. Cunningham
Dr. Sandra J. Cunningham
James B. Cuno and Sarah Stewart
John A. and Judith A. Currier
Mr. and Mrs. Philip R. Currier
E. Cutillas
Drs. Lawrence and Linda Dacey
Mr. and Mrs. Dan S. Dale
Marianne Dalias
Dr. and Mrs. Aristotle J. Damianos
Dr. and Mrs. Miguel Damien
Barbara E. Daniell
Elena and Jere Daniell
Dr. and Mrs. Robert A. Danielson
Mr. and Mrs. Craig D. Darling
Castle N. Day
Philip de Toledo
Dr. and Mrs. Kenneth E. DeHaven
Dr. and Mrs. G. Robert Delong
Jon D. Denison
Susan Dentzer and Charles Alston
Mr. and Mrs. Jonathan B. Detwiler
Jesse F. Devitte
Bill and Patty Dewhirst
Melville P. Dickenson (deceased)
Mr. (deceased) and Mrs. S. Whitney Dickey
Cheryl Dickson
Dr. Robert M. Di Mauro
Dr. and Mrs. James A. DiNardo
Dr. and Mrs. Thomas M. Dodds
Dr. and Mrs. Emil R. Dominguez, Jr.
John J. Donahoe II and Eileen E. Chamberlain
Dr. Alan E. Donnenfeld
Drs. Eric D. and Marleen B. Donnenfeld
Vincent J. Dowling
Mr. and Mrs. Robert N. Downey
Mary and Allan Doyle
Dr. David Doyle
Dr. Laurie F. Draughon
Christine M. Driscoll-Carignan
Bernard V. Drury
Drs. Keith R. and Katherine K. Dunleavy
Drs. Diane Dwyer and Joseph Gall
Katie Eaton
Dr. and Mrs. Robert E. Eberhart
Dr. and Mrs. J. Robert Edwards
Elizabeth Eilender
Drs. R. Mark Ellerkmann and Ariane Cometa
Dr. and Mrs. Robert M. Ellsworth
Mr. and Mrs. Edward E. Emerson, Jr.
Otto and Mary Engelberth
Engelman Family Charitable Trust
John S. Engelman
Robert S. Engelman, Jr.
Stephen Ensign
Marilyn R. Erickson
Mr. and Mrs. Joel Eshbaugh
Mr. and Mrs. Russell G. Estes
Mr. and Mrs. R. Bradford Evans
Mr. and Mrs. Edwin D. M. Evarts
Mr. and Mrs. George H. Evarts
Mr. and Mrs. Christopher J. Eykyn
Norma and Bill Faccone
Mr. and Mrs. Peter M. Fahey
Mr. and Mrs. Harlan W. Fair
Michael and Sharon Fanger
Mr. and Mrs. William T. Farrell
Dr. and Mrs. Charles S. Faulkner II
Violetta and Quentin Faulkner
Mr. and Mrs. Barry M. Feinberg
Dr. and Mrs. Bruce A. Feldman
Dr. John D. Feldmann
Stacey A. Fennelly
Mr. and Mrs. Philip J. Ferneau
Aubrey and Tina Ferrao
Dr. and Mrs. David R. Fett
Mr. and Mrs. Robert J. Fieldsteel
Ari S. Fingeroth
Dr. and Mrs. Peter J. Fitzgerald
Robert S. Fleischer
Richard T. Fleming
Dr. and Mrs. Timothy P. Flood
Mr. and Mrs. Douglas C. Floren
Lila May W. Flounders
Nancy and John Formella
Dr. Diane Louise Fountas
Joan P. Fowler
Jonathan R. Fox
David T. Foy
Dr. John R. Freeman
Marjorie L. Frenette
Mr. and Mrs. Calvin W. Frese
Mr. and Mrs. Gerald A. Friedman
Mr. and Mrs. Milton Frye
Dr. and Mrs. Freddie Ho Keung Fu
Mr. and Mrs. Vincent J. Fusca III
Dr. Imre Gaal, Jr.
Dr. Tisha Gallanter
Dr. Stephen J. Galli
Mr. and Mrs. Thomas C. Galligan, Jr.
Cynthia Gannaway
Mr. and Mrs. Jeffrey R. Gartside
Dr. Theodore H. Gasteyer II
Mayor Ted Gatsas
Dr. Marc Gautier and Sarah H. Davie
Mr. and Mrs. Norman W. Gavin
Dr. and Mrs. Alan B. Gazzaniga
Mr. and Mrs. John M. Gearin
Dr. and Mrs. Jay D. Geller
Lauren A. Gentile
Mr. and Mrs. Antonio Gentile
Dr. Mimi Ghosh
Judith M. Giles
Dr. and Mrs. Steven Gillis
Mr. and Mrs. Gordon C. Gilroy, Sr.
Mr. and Mrs. Daniel A. Gold
Dr. and Mrs. Ronald S. Goldberg
Maya D. Goldschmidt
Linda O. Goldstein
Alan Golub
Mr. and Mrs. Jeffrey P. Goodell
Dr. and Mrs. David C. Goodman
Estate of Dorothy B. Goodstein
Mr. and Mrs. Rick Gordon
Dr. E. Ann Gormley and Richard Wallace
Doris R. Grabosky
Drs. Valerie L. and William G. B. Graham
Mr. and Mrs. Wayne G. Granquist
Estate of Marion W. Grassi
Ward F. Gravel, DDS
Dr. Alan I. Green and Frances S. Cohen
Richard Green and Kathleen Sherlock
Dr. and Mrs. William R. Green
Dr. and Mrs. Jonathan A. Greenberg
Estate of Robert J. Greene
Dr. and Mrs. Jeffrey S. Greenwald
Kathy and Judd Gregg
Mr. and Mrs. William Grenier
Drs. Todd Grey and Lorraine Szczesny
Julia N. Griffin and John A. Steidl
Mr. and Mrs. Alfred L. Griggs
Martin L. Gross and Deirdre M. Sheerr-Gross
Douglas M. Grossman
Mr. and Mrs. Richard L. Guggenhime
Drs. Margaret F. Guill and Marshall A. Guill III
Mary Ann Haagen
David E. Hadley
Barbara F. Hall
Reverends Lyle and Lisbeth Hall
Robert S. Halper
Tish and Roger Hamblin
Mr. and Mrs. William J. Hamilton
Mr. and Mrs. David Hamlin
Dr. and Mrs. Charles Hamlin
David and Vicky Hamshere
Alice F. Hance
George Hano
Hanson Family
Dr. and Mrs. Russell W. Hardy, Jr.
Josie Harper
Dr. and Mrs. Allan C. Harrington
Mr. and Mrs. Roby Harrington III
Louise Harris
Chip and Wendy Harris
John and Alice Harrison
Dr. and Mrs. James M. Hartford
Lori R. Hartglass and Ralph J. Schwan
Drs. Gregg S. and Jinny K. Hartman
Jeffrey Hastings and Kathy Emery-Hastings
Mr. and Mrs. Richard D. Hausman
Monte and Jane Haymon
Guy B. Haynes
Drs. Arthur P. Hays and Eugenia T. Gamboa
Mr. and Mrs. James J. Healy, Jr.
Dr. Anne M. Hebert and John P. Cooke
Drs. Karen Kramer Hein and Ralph B. Dell
INDIVIDUALS (continued)
24 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.
Shea Estate
Legacy of Discovery
A bequest from the estate of Nancy Shea is advancing the lung and pancreatic cancer research of two scientists at Dartmouth-Hitchcock’s Norris Cotton Cancer Center. Scott Gerber, PhD (left), studies the genetic profile of proteins in tumors to develop better, more personalized treatments for lung and other cancers, and Yolanda Sanchez, PhD (center), investigates several compounds that kill pancreatic cancer cells, while sparing normal, healthy cells. “These cancers are the first and fourth leading causes of cancer death in the U.S., but are disproportionately underfunded by the National Cancer Institute,” says Sanchez. “Philanthropy is essential to filling that gap and accelerating research for these devastating diseases.”
2525
Dorothy Behlen Heinrichs
Marian Heiskell
Dr. Bonnie Henderson and Edward Henderson
Dr. and Mrs. W. Hardy Hendren
Dr. and Mrs. Kenneth L. Herrmann
Dr. and Mrs. Michael J. Hession
Mr. and Mrs. Dane Hileman
Lyda H. Hill
Dr. Simon C. Hillier and Kimberley Hillier
Maureen M. Hirtle
Mr. and Mrs. David G. Hobart
David C. Hodgson
Dr. Eric K. Hoffer and Anne W. Gordon
Mr. and Mrs. Earl T. Hoffman
Russell A. Holden
Estate of Helen H. Holland
Mr. and Mrs. Romer Holleran
Mr. and Mrs. Curtis Hollingsworth
Mr. and Mrs. Paul J. Holloway
Mr. and Mrs. J. Kimpton Honey
Robert and Stephanie Hood
Drs. P. Jack Hoopes and Vicki Scheidt
Dr. Harriet W. Hopf and Leo M. Hopf
Richard A. Horsch
Dr. John Houde and Jennifer Rybeck Houde
Mr. and Mrs. Coleman W. Hoyt
Dr. Jiong-Ming Hu and Yi-Jun Chen
Mr. and Mrs. John A. Hubbard
Robert P. Hubbard
Wentworth Hubbard
Estate of Earl H. and Frances T. Huff
Dr. James R. Hughes
Mr. and Mrs. Andre A. Hunter
Charles and Elva Hutchinson
John G. Hutton, Jr. and Dorothy M. Warren
Dr. and Mrs. John W. Hyland
Dr. Kent Hymel
Mr. and Mrs. Jeffrey R. Immelt
Dr. Thomas W. Irvine
Mr. and Mrs. Robert H. Irwin
Dr. and Mrs. Mark A. Israel
Mr. and Mrs. Thomas C. Israel
Mr. and Mrs. Almon W. Ives
Dr. and Mrs. Daniel L. Jackson
Drs. Judith M. and Nicholas J. Jacobs
Dr. and Mrs. Ross A. Jaffe
Eric W. Janson
Mr. and Mrs. Daniel P. Jantzen
Mr. and Mrs. Christopher T. Jenny
Mr. and Mrs. Michael John
Dr. David G. Johnson
INDIVIDUALS (continued)
Carla Manley-Russock
Fairy Godmother
For 10 years, Carla Manley-Russock (right) has been giving to Dartmouth-Hitchcock’s Face of a Child program—the interdisciplinary team at CHaD that provides treatment and support to children born with craniofacial disorders. “I love being a fairy godmother to the craniofacial team,” says Manley-Russock, a former pediatric nurse who remembers struggling to help newborns with cleft lip and cleft palate be able to feed. “Each year I feel like my gift reaches out to so many children in northern New England.” Manley-Russock’s generosity enables Dr. Mitch Stotland (left) and his team to provide essential—but non-reimbursed—services and support for young patients and their families. Here, Manley-Russock and Stotland at CHaD’s 2013 Storybook Ball gala.
26
Ellen Foscue Johnson
Dr. and Mrs. Stephen J. Johnson
Mr. and Mrs. Robert F. Johnston
Arthur and Barbara Jones
Joan H. Jones
Mr. and Mrs. A. Wilson Jones
Ray Joseph and Jody Lachance
William Kaewert
John J. Noffo Kahn
Dr. and Mrs. J. Gregory Kane
Kim and Stephen Kantor
Dr. and Mrs. Bertrand P. Kaper
Deke and Nancy Kaufman
Dr. Vladas Kaupas
Kathleen M. Kayros
Dr. and Mrs. Haig H. Kazazian, Jr.
Mary H. Keeley
Dr. Jonathan P. Keeve
Al and Jo Keiller
Carolyn A. Keith
Dr. Jennifer G. Keller
Dr. E. Lynne Kelley and Charles F. Kelley
Dr. Elizabeth A. Kelley and Robert H. Dumanois
Dr. James V. Kelsey
Preston T. and Virginia R. Kelsey
K. Thomas and Mary O. Kemp
Brian E. Kensil
Ann D. Kent
Dr. Carolyn Kerrigan and David Greenwood
Dr. and Mrs. Walter C. Kerschl
Dr. John H. Kersey, Jr. (deceased) and Anne N. Kersey
Dr. and Mrs. Richard I. Kertzner
Drs. Thomas J. and Rebecca L. Kesman
Drs. William M. and Cynthia Nichols Kettyle
Mr. and Mrs. Donald B. Keyser
Robin Kilfeather-Mackey
Robert D. Kilmarx
Bruce and Mary King
Rona Klein
Drs. David S. and Deborah P. Knopman
Sara L. Kobylenski
Dr. and Mrs. Karl M. Koenig
Steven F. Koltes
Barbara and Eugene Kopf
Ella M. Korenman
Mr. and Mrs. Mark Koulogeorge
Dr. and Mrs. Paul C. Koutras
Posy and John H. Krehbiel
Dr. Thomas R. Kuhns
Dr. Benedikt Kurz and Sandia Wang
Janet H. Lafond
Drs. John M. and Margaret J. Lagnese
Drs. David R. and Andrea S. Lambert
Mr. and Mrs. John R. Lamoureux
Mr. and Mrs. Kevin P. Lane
Dr. and Mrs. Eugene W. Lariviere
Drs. Laurie and John Latchaw
Estate of Edward Connery Lathem
James S. Lawrence
Drs. Peter F. and Karen R. Lawrence
Dr. and Mrs. D. James Lawrie
Carola B. Lea
Mr. and Mrs. David P. Leatherwood
Dean F. LeBaron
Mr. and Mrs. Stephen J. LeBlanc
Dr. and Mrs. T. David Lee, Jr.
Jane E. Lemire
Dr. Michael B. Leslie and Dane Rasmussen
Mr. and Mrs. Douglas M. Lewis
Willmott “Bin” Lewis, Jr. (deceased) and Barbara H. Jones
Mr. and Mrs. George Lightbody
Mr. and Mrs. Robert W. Limbacher
Dr. and Mrs. Carl W. Lindquist
Mr. and Mrs. Kenneth C. Lippmann
Howard and Lannie Lipson
Thomas and Sharyn Lobrano III
Marcella and Dennis Logue
Mark S. London
Mr. and Mrs. David W. Lonergan
Dr. Matthew P. Longnecker and Stephanie J. London
Edward M. Lopata
Dr. Alfred Lopez
Drs. Jennifer J. Loros and Jay C. Dunlap
Michael and Nancy Loucks
Mr. and Mrs. Douglas M. Loudon
Clair Lovell
Drs. Klaus and Patricia Lubbe
Pamela M. Lunny
Nora Lusterio and Michael McFetridge
Mr. and Mrs. Daniel T. Lynch
Mr. and Mrs. Dennis P. Lynch
Bud and Terri Lynch
The Honorable John H. and Dr. Susan E. Lynch
Dr. Joseph P. Lynch
Dr. and Mrs. John S. Macdonald, Jr.
Prof. and Mrs. Robert M. Macdonald
Mr. and Mrs. Barry L. MacLean
Mr. and Mrs. Thomas H. MacLeay
Dr. Kelly Marie MacMillan and Michael Ryan
David and Ann Malenka
Dr. and Mrs. Kevin A. Malott
Dr. and Mrs. Douglas K. Mandel
Carla Manley-Russock and Robert Russock
Mr. and Mrs. Stephen R. Marion
Therese and Jeffrey Marshall
Drs. Howard Martin and Donna Ambrosino
Mr. and Mrs. John A. Martin
Drs. Meredith A. Martin and Thomas L. Treadwell
Michael D. Martin
Mr. and Mrs. Peter B. Martin
W. William Martinez and Marie M. Pomainville
Mary Masland
Dorothy J. Matthews
Louise S. Mauran
Drs. Jennifer L. R. and Peter L. Mayer
Tom and Victoria McCandless
Audrey T. McCollum
Drs. Martha Dawes McDaniel and Stephen K. Plume
Peter McDermott
Dr. John E. McGowan, Jr.
Dr. O. Ross McIntyre and Helen Whyte
Dr. and Mrs. Charles A. McKay, Jr.
Bernard Mckee
Dr. and Mrs. Timothy M. McKenna
John M. McKenzie
Peter McLaughlin and Jane Kitchel McLaughlin
Drs. William McLaughlin and Jerrianne Seger
Mr. and Mrs. William McNabb
Daniel W. McNeill
Olivia Meek
Dr. Vincent A. Memoli
Dr. and Mrs. Anthony L. Merlis
Dr. and Mrs. Edward Merrens
Eliot P. S. Merrill
Mr. and Mrs. Keniston P. Merrill
Mr. and Mrs. Peter C. Mertz
Charlotte Metcalf
Drs. Gregg Meyer and Bonnie Blanchfield
Mr. and Mrs. Robert S. Meyer
Eugene and Marietta Meyers
Michael Meyers
Peter Michaelsen and Deborah Murray
Cathy E. Minehan
Dr. and Mrs. Richard M. Moccia
Dr. and Mrs. John F. Modlin
Mr. and Mrs. Roger S. Moore
William Moore
Dr. and Mrs. John M. Moran
George and Jane Morehouse
Nancy L. Morrell
Dr. Michael F. Morris
Winifred W. Morrissey
Mr. and Mrs. Larry E. Morse
Drs. Richard A. and Christie L. Morse
Alison A. Moy
Eleanor Mudge
Dr. Sharon M. Mullane
Dr. and Mrs. David L. Muller
Estate of Jane M. Muller
Dr. and Mrs. Albert G. Mulley, Jr.
Mr. and Mrs. Peter G. Mulvihill
Thomas S. Murphy, Jr.
Charles E. Nearburg
Geraldine Nebor
Paul Neely
Dr. and Mrs. D. Dirk Nelson
Dr. and Mrs. Eugene C. Nelson
Eunice P. Nelson
Dr. Lisa Nelson and William Nelson III
Dr. and Mrs. William H. Nelson
Scott A. Neslin
Mr. and Mrs. Charles F. Nettleship III
Marianne and Mike Nevelson
Mr. and Mrs. Jeffrey T. Newton
Deborah Nichols
Joan and David Nierenberg
Mr. and Mrs. Peter A. Nieves
Drs. Dennis E. and Catherine B. Niewoehner
Dr. and Mrs. Hisashi Nikaidoh
Mr. and Mrs. William Nimmo
Dr. and Mrs. Patrick C. Noble
Dr. and Mrs. Brian W. Nolan
Jennie Norman and Bill Walker
INDIVIDUALS (continued)
Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org. 27
Linda D. Norman
Dr. Mark R. Northfield
Mark and Peggy Notestine
Peter (deceased) and Dr. Renee Novello
Mr. and Mrs. Joseph C. Nugent, Jr.
James B. O’Brien III and Dr. Chatherine L. Lines
Rob and Teresa Oden
Dr. and Mrs. Joseph F. O’Donnell, Jr.
Dr. and Mrs. Makio Ogawa
Thomas A. O’Grady
Michael D. O’Halleran
Dr. and Mrs. Ernst M. Oidtmann
Dr. George D. Olsen and Deborah M. Olsen
Denise M. O’Neill
Dr. P. Pearl O’Rourke
Estate of Dr. Barbara M. Osborne
Meghan O’Shaughnessy
David and Mary Otto
John P. Otto and Joanne C. Lorence
Marilyn M. Paganucci
Mr. and Mrs. J. Brian Palmer
Dr. and Mrs. Steven Paris
Dr. and Mrs. George W. Parker
Dana Patterson 1991 Revocable Trust #1
Anne W. Pattison
Dr. and Mrs. Norman C. Payson
Dr. Vincent D. Pellegrini, Jr.
Abbie and Don Penfield
Dr. Anna M. Penna
Dr. Susan M. Pepin and Anthony J. Dietz
Frances Pepper
Dr. and Mrs. Nick P. Perencevich
Dr. Arminda Perez
Dr. and Mrs. Georges Peter
Drs. Andrew Charles and Cecily Karen Peterson
Dr. Loryn W. Peterson
Dr. and Mrs. David Pfister
Mr. and Mrs. Kirk Phelps
Dr. and Mrs. Ervin Philipps
Dr. and Mrs. William G. Phippen
Liz and Bill Pierce
Mr. and Mrs. Vincent A. Pietroniro
Drs. Catherine M. and J. Marc Pipas
Winthrop Piper
Dr. and Mrs. Ronald J. Polinsky
Dr. and Mrs. Robert E. Porter
Christine A. Posey
Mr. and Mrs. Bob Poulin
Dr. Mark A. Powers and Karen E. Lauterbach
Dr. and Mrs. Lyle J. Prairie
Mark P. Prestipino
Dr. and Mrs. Donald C. Proctor, Jr.
Patricia P. Pruiksma
Mr. and Mrs. James A. Putnam
Jane Quale
Allie J. Quinn
Keith Quinton and Barbara Fildes
Mr. and Mrs. Harrison P. Quirk
K. Philip Rahbany
Dick and Sallie Ramsden
Drs. William H. Ramsey and Carolyn Rochester Ramsey
Earl Ransom and Amy Huyffer
Jacqueline D. Ravaris
Mr. and Mrs. J. Irving Rawding
Francena and Roy Raymond
Signa L. Read
Amy Redpath
Dr. and Mrs. Richard W. Reece
Shirley M. Reid
Andrea Reimann-Ciardelli and Dr. Thomas L. Ciardelli
Drs. Glenn Rennels and Margaret Forsyth
Mr. and Mrs. Philip C. Rentz
Mr. and Mrs. Eric C. Resnick
Dr. and Mrs. Jason E. Reynolds
Dr. John E. Richards, Jr.
Dr. and Mrs. William F. Rigby
Margaret and Matt Rightmire
William and Sharon Risso
Dr. and Mrs. Andrew B. Roberts
Dr. and Mrs. David W. Roberts
Mr. and Mrs. Dana R. Robes
D. John Robinson
Mary L. Robinson
Dr. and Mrs. Sol Rockenmacher
Linda and Rick Roesch
Jill and Gary Rogers
Dr. Joseph M. Rosen and Stina L. Kohnke
Mr. and Mrs. David A. Rosenblum
Mr. and Mrs. E. John Rosenwald, Jr.
George M. Rountree and Dr. Kendall L. Hoyt
Samuel B. Rowse
Dr. and Mrs. Walter Royal III
Drs. Alan A. Rozycki and Diane Kittredge
Fred and Joan Rueckert
Elizabeth Ruml
David H. Russ and Eileen F. Fehskens
Elisabeth W. Russell
Gordon W. Russell
Drs. Margaret Ruyle and Daniel B. Rukstalis
Drs. Stephanie Z. and Stephen R. Ruyle
Prof. M. Anne Sa’adah
Mr. and Mrs. Biria D. St. John
Orson L. St. John, Jr.
Richard and Barbara St. Pierre
Mr. and Mrs. Richard Sayles
W. Herbert Scannell and Sarah Reetz
Dr. and Mrs. James E. Scharback
Dr. and Mrs. Thomas G. Schell
Timothy C. Scheve
Mr. and Mrs. John T. Schiffman
Dr. William R. Schillhammer, Jr.
Mr. and Mrs. Mark C. Schleicher
Andrew Schlessinger
Benjamin Schore
Steven and Sandra Schubert
Rear Admiral Anne Schuchat and Fariborz Paydar
Jan Schultz and Barbara Sherrington
Drs. Gary and Lynn Schwartz
Mr. and Mrs. Robert L. Schwartz
Dr. and Mrs. Joseph D. Schwartzman
Dr. and Mrs. M. Roy Schwarz
Robert T. and Joan M. Scott
Mr. and Mrs. Walter A. Scott
Mr. and Mrs. Thomas A. Scully
Mr. and Mrs. James B. Sellers
Drs. Alan D. Sessler and Martha Ann Smith
George H. Seward and Wendy M. Woods
Dr. and Mrs. Robert M. Seymour
Mr. and Mrs. Michael S. Shannon
Dr. Francis E. Sharkey
Drs. Matthew L. and Janet C. Sherman
Dr. and Mrs. Stephen A. Sherman
Dr. Robert C. (deceased) and Betty F. Shoemaker
Rick and Shelly Shreve
Drs. Christopher R. and Margaret A. Shuhart
Mr. and Mrs. Byron C. Shutz
Mr. and Mrs. Andrew C. Sigler
David Sigler
Dr. Bruce Sigsbee
Mr. and Mrs. William A. Silverman
Susan and Clayton Simmers
Todd B. Sisitsky and Holly R. Hagens
Drs. Maggi Smeal and Ed Hattler
Dr. Barry D. Smith
Dale and Kathy Smith
Diane L. Smith
Drs. Hugh C. and Aynsley M. Smith
Joanne B. Smith
Paul W. Smith
Mr. and Mrs. Austin L. Smithers
Mr. and Mrs. Richard E. Smolowe
Gary D. Snyder
Mr. and Mrs. Robert E. Snyder
Arthur P. Solomon and Sally E. Lapides
Kurt F. Somerville
Drs. Leland J. and Alicia L. Soto
Dr. and Mrs. Wiley W. Souba, Jr.
Mr. and Mrs. John T. Souther
Mr. and Mrs. David P. Spalding
John Spellman and Cindy McCollum
C. Elizabeth Spencer
Leah Sperber
Dr. Peter Spiegel and Peregrine Spiegel
Drs. Mark E. Splaine and Joyce A. DeLeo
Dr. Jeremy Springhorn
Mr. and Mrs. David F. Springsteen
Terrance Stadheim
Mr. and Mrs. John M. Stadler
Prof. and Mrs. Vincent E. Starzinger
Tina M. Stearns
Elizabeth S. Steele
Mr. and Mrs. John L. Steffens
Dr. Harise Stein and Peter D. Staple
Jeffrey Steinkamp
Jane and Bill Stetson
Dr. and Mrs. G. Melvin Stevens
Mr. and Mrs. Bayne Stevenson
Mr. and Mrs. James B. Stinson
Dr. and Mrs. Jeffrey D. Storey
E. James Streator III
Dr. and Mrs. James C. Strickler
Mr. and Mrs. Scott M. Stuart
INDIVIDUALS (continued)
28 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.
Dick Fleming • Mapping Health Care
“Delivering the right amount of health care at a reasonable cost: that is the essence of the Dartmouth Atlas and what attracted me to learn more about it,” says Richard Fleming (right), a Dartmouth College and Tuck School of Business alumnus. The Dartmouth Atlas Project, now led by David Goodman, MD, MS (left), and Elliott Fisher, MD, MPH, of The Dartmouth Institute for Health Policy and Clinical Practice, has documented dramatic geographic variations in costs, utilization and outcomes in U.S. health care for more than 20 years. Fleming’s gift will help to ensure that this important work continues to inform local and national health policy.
PHO
TO B
Y JO
N G
ILBE
RT F
OX
29
Marlene Brody
Extending Hope
Remembering her husband’s struggle with pulmonary fibrosis, Marlene Brody (left) supports the research of Richard Enelow, MD (right), chief of Dartmouth-Hitchcock’s Section of Pulmonary and Critical Care Medicine. Enelow and his team study the mechanisms of unremitting inflammation and fibrosis in the lungs and the possible roles that genetics, viruses and environmental factors may play. “Marlene’s support allows us to conduct research that helps us better understand these relentless and incurable diseases and, hopefully, discover effective treatments for patients who currently have very few options,” says Enelow.
30
Mr. and Mrs. Emanuel R. Sturman
William and Carolyn Stutt
Gladys Sullivan
William J. Sullivan
Lois H. Surgenor
Dr. Stephen D. Surgenor
Dr. Jeffrey L. Susman
Mr. and Mrs. Henry Swan
Drs. Harold M. Swartz and Ann B. Flood
Mr. and Mrs. Kurt M. Swenson
Drs. David M. Systrom and Kathryn A. Martin
Drs. Mojdeh and Farhad Talebian
David and Peggy Epstein Tanner
Sheila Harvey Tanzer
Dr. and Mrs. Brad Taylor
Carrie W. Teffner
David Teiger
Drs. Trinidad L. Tellez and P. Travis Harker
Carolyn C. Tenney
Dr. Lloyd B. Tepper
Brad and Bee Thayer
Dr. and Mrs. Charles A. Thayer
Mrs. William H. Thomas
Drs. Craig B. and Tullia Thompson
Dr. Sally B. L. Thompson
Drs. Robert L. and Shari L. Thurer
Sara R. Timmons
Jennifer B. Truman
Dr. Peter A. Tuxen
Mr. and Mrs. C. Jerome Underwood
Margaret C. Vail
Mr. and Mrs. Timothy W. van Leer
Eyk A. Van Otterloo
Mr. and Mrs. Roy T. Van Vleck
James and Lucinda Varnum
Mr. and Mrs. Ronald D. Verge
Anne-Lee Verville
Henry E. Vittum
Mr. and Mrs. Peter F. Volanakis
John M. Von Bargen
Glenn N. Wagner and Sally Jane Rutherford
Cindra and Thomas Wallin
Claire Walton
Drs. Edward A. and Sarah R. Walton
Elaine R. Warshell and Richard W. Grossman
Allan Waters
Marion and Bruce Waters
Mary Waters
Barry and Elsa Waxman
Alan W. Weber
Mr. and Mrs. Kenneth E. Weg
Joan C. Weider
Lorne Weil
Dr. and Mrs. James N. Weinstein
Dr. and Mrs. Frank M. Weiser
Mr. and Mrs. Robert J. Weissman
Mr. and Mrs. Richard A. Weissmann
Lauren Wendel and Christopher Dougherty
Mr. and Mrs. William S. Wesson
Alfred and Loralee West, Jr.
Alan and Martha Weston
Dr. and Mrs. Igor Westra
Mr. and Mrs. Philip H. Wheeler, Jr.
Mr. and Mrs. J. Douglas Whelan
John and Jane Whelihan
Lynne and Hunt Whitacre
Frederick E. Whitcher
Dr. and Mrs. Jon C. White
Sarah White
Mr. and Mrs. Peter G. Wilds
Dr. and Mrs. Christopher W. Wiley
Alicia Willette, DDS
Dr. and Mrs. John H. Williams
Jennifer A. and Stanton N. Williams
Debra L. Williamson
Dr. Douglas Williamson and Leslie Williamson
Susan K. Williamson
Dr. Marta Willoughby and Justin Willoughby
Mundy Wilson
Donald Winterton
Morton E. Wise
Dr. and Mrs. Robert Withington, Jr.
Mr. and Mrs. Daniel H. Wolf
Mr. and Mrs. Thomas W. Wolf
James R. Woodworth
Dr. E. James Wright III
President Emeritus James Wright and Susan DeBevoise Wright
Pamela L. Wright
Timothy Wu
Dr. and Mrs. Martin N. Wybourne
Mr. and Mrs. A. Bradford Wyman
Mr. and Mrs. John E. Xiggoros
Dr. Feiyu Xue and Fang-Mei Chen
Mrs. Gratian M. Yatsevitch
Dr. and Mrs. Philip A. Yazbak
Dr. Mark P. Yeager
Kevin P. and Siobhan A. Yorgensen
Edward York
Kyle J. York
Dr. and Mrs. Oglesby H. Young
Dr. and Mrs. David S. Zamierowski
Dr. and Mrs. Douglas P. Zipes
Dr. Michael Zubkoff and Leslee Ann Michaels
Mr. and Mrs. John A. Zuccotti
Dr. and Mrs. Robert M. Zwolak
INDIVIDUALS (continued) FOUNDATIONS
Adirondack Community Trust - Evergreen Fund
American Cancer Society
American Heart Association
Bank of America Charitable Foundation
Theodora B. Betz Foundation
The Beveridge Family Foundation
BJ’s Charitable Foundation
Buchanan Family Foundation
Burrows Foundation
The Jack & Dorothy Byrne Foundation
C&S Charities, Inc.
California Healthcare Foundation
Chiavacci Family Foundation
Children’s Fund of the Upper Valley
CHMC Anesthesia Foundation
Clinton Family Foundation
Cogswell Benevolent Trust
The Commonwealth Fund
Couch Family Foundation
Crohn’s & Colitis Foundation of America
Cystic Fibrosis Foundation Therapeutics
The Dallas Foundation
Kevin Scott Dalrymple Foundation
Daniell Family Foundation
Delta Airlines Foundation
The Doctors Cancer Foundation
Cleveland H. Dodge Foundation
The Echlin Foundation
Endowment for Health
Exxon Mobil Foundation
Fine and Greenwald Foundation
Fisher Cats Foundation
Sylvester M. Foster Foundation
Foundation for Informed Medical Decision Making
Foundation for the National Institutes of Health
Francis Family Foundation
Fraternal Order of Eagles New Hampshire State Aerie
KRFrench Family Foundation
General Electric Foundation
The Gerber Foundation
William Goldman Foundation
William T. Grant Foundation
The Greenspan Foundation
Grimshaw-Gudewicz Charitable Foundation
Julia and Seymour Gross Foundation
Hamill Family Foundation
Mark and Anne Hansen Foundation
Alex and Laura Hanson CGF
Douglas A. Hirsh and Holly S. Andersen Family Foundation
Charles H. Hood Foundation
Hormel Foods Corporation Charitable Trust
Evelyn Hudson Foundation
Hypertherm H.O.P.E. Foundation
The Ironwood Foundation
Jordan & Kyra Memorial Foundation
Karen’s Climb Foundation
Kiva Foundation
LeBaron Foundation
Luckow Family Foundation
Lukaj Foundation
Lumina Foundation for Education
Lynch Blades Foundation
Lynch Family Charitable Foundation
Macy’s Foundation
March of Dimes Foundation
Thomas Marshall Foundation
Mascoma Savings Bank Foundation
Mellam Family Foundation
Merck Partnership for Giving
Moglia Family Foundation
Monarchs Care Foundation
Mt. Roeschmore Foundation
Multiple Myeloma Research Foundation
Muscular Dystrophy Association
National Multiple Sclerosis Society
Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org. 31
New Hampshire Charitable Foundation
New Hampshire Electric Co-op Foundation
Novartis Foundation
Oak Foundation
Orthopaedic Research and Education Foundation
Owens Family Foundation
Page Hill Foundation
Gustavus and Louis Pfeifer Foundation
Pfizer Foundation
Point of View Foundation
Leon Prince Charitable Foundation
Prudential Foundation
Renaissance Charitable Foundation
Fannie E. Rippel Foundation
Robert Wood Johnson Foundation
Samuel Rosenblum Foundation
Albert J. Ryan Foundation
Andrew Sabin Family Foundation
Salmon Foundation
Scleroderma Research Foundation
Scoliosis Research Society
Mary Jean & Frank P. Smeal Foundation
Wendell M. Smith Foundation
Speedway Children’s Charities
Steffens 21st Century
Sulzberger Foundation
Susan G. Komen for the Cure
Susan G. Komen for the Cure Vermont-New Hampshire
J. T. Tai & Company Foundation
Timken Company Charitable Trust
John and Evelyn Trevor Charitable Foundation
Tuscon Sunrise Rotary Foundation
UBS Foundation
Upper Valley Rowing Foundation
Vail Family Foundation
Vanneck-Bailey Foundation
Verizon Foundation
Vermont Children’s Aid Society
Vermont Community Foundation
Wal-Mart Foundation
Arthur K. Watson Charitable Trust
The Walter H. and Hannah H. Webb Extended Family Foundation
WellPoint Foundation
West Family Foundation
Marie C. and Joseph C. Wilson Foundation
The Woodbury Foundation
YIPPEE Foundation
FOUNDATIONS (continued)
32
800response
Abbott Laboratories
AbbVie
Advanced Cardiovascular Imaging
AFLAC
American Academy of Clinical Neuropsychology
American Academy of Neurology Institute
American College of Radiology
American Legion Unit 21 and Ladies Auxiliary
American Society for Reproductive Medicine
American Society of Anesthesiologists
American Society of Dowsers
Amgen
Amoskeag Beverages
Amphenol Backplane Systems
Anagnost Investments
Anesthesia Associates of New London
ANSYS
Anthem Blue Cross Blue Shield
Apple Therapy Services
AT&T
AutoAlert®
AutoFair Group
AVEO Pharmaceuticals
Banks Chevrolet
Bayside Distributing
BaySon Company
Baystate Financial
Bedford Ambulatory Surgical Center
Bedford Occupational & Acute Care
Bellwether Community Credit Union
BIOTRONIK
BizUnite
Blue Sky Restaurant Group
Bob’s Discount Furniture
Body Armor Outlet
Boloco Restaurant
Books A Million
Borealis Ventures
Boston Scientific Corporation
Brady Sullivan Properties
Brendel & Fisher Wealth Management
Brown Furniture
Buttura & Gherardi Granite Artisans
Caldwell Law
Cape Air/Nantucket Airlines
Carlisle Place
Carroll Concrete Company
Casella Waste Systems
Casner & Edwards
Catholic Medical Center
Center for Physical Therapy and Exercise
Central Paper Products Company
Centurion Corporation
CGI Employee Benefits Group
Champlain Oil Company
Charles Schwab and Company
Child Health Services
Childhood Cancer Lifeline of New Hampshire
Christiano Construction North
Coca-Cola Bottling Company of Northern New England
Colby-Sawyer College
Coldwell Banker Redpath & Company
Comcast
The Community Oven
Community Partners
Compass Healthcare Advisers
Computac, Inc.
Continental Paving, Inc.
Convent General Knights of the York Cross of Honour (A Masonically Affiliated Organization)
Cottage Hospital
Covered Bridges Half Marathon
Covidien
Craig, Deachman & Amann, PLLC
Cross Insurance - Manchester
Cumberland Farms
Cure With Hope
Cystic Fibrosis Services Pharmacy
Dartmouth Class of 1969
Dartmouth Endurance Racing Team
DCU - Digital Federal Credit Union
Dealer Product Services
The Demers Group
Derry Sports & Rehab
Devine, Millimet & Branch, P.A.
Direct Flow Medical
Annual Fund • Building the Future
More than 3,470 donors contributed to the Dartmouth-Hitchcock Annual Fund in FY2013, raising a record-breaking $859,607. Their generosity advances Dartmouth-Hitchcock’s leadership in creating a sustainable health system for the region—supporting illness and injury prevention programs, services for patients and their families, state-of-the-art medical facilities, cutting-edge research and many other initiatives. Among the donors were grateful patients, community members, employees and the Dartmouth-Hitchcock Partners for Community Wellness.
ORGANIZATIONS
33
Downs Rachlin Martin PLLC
Drynk Restaurant
Durgin and Crowell
Eastman Golf Association
Educational Ventures
Edwards Lifesciences
Ellen’s 1/2 Pint Farm
ENSEARCH Management Consultants
Epic Systems Corporation
Evergreen Capital Partners
FairPoint Communications
Farmington Fire Rescue
First Republic Securities Co.
First Shore Group
Fit Werx, Road and Triathlon Cycling Specialists
Fogg’s Stoneworks, Inc.
Franklin Pierce University
Friedman Fleischer & Lowe
Frito Lay
FUJIFILM Dimatix
Gallagher, Flynn & Company
Garnet Hill
Gate City Electric
Gateway Motors
Geokon
Global Forest Partners LP
Global Truck Traders
Goldschmidt & Goldschmidt
W. L. Gore & Associates
Granite State Credit Union
Granite State Doll Club
Granite United Way
Grappone Automotive Group
Grappone Management Company
Griffin York & Krause
GW Plastics
Hampshire First Bank
Hanover Veterinary Clinic
Harvey Construction Corporation
HDR Architecture
HHP, Inc.
Hodge Tool Company
Holloway Automotive
J.M. Huber Corporation
IBM Corporation
Ikaria
Illinois Sports Medicine & Orthopedic Surgery Center
ImmuNext
International Union of Operating Engineers Local 4
Irving Oil
JJM Auto and Fleet Service
Johnson & Johnson
Joseph Equipment Company
JustGive
Kelley Chrysler Plymouth Dodge
Ken Jones, Inc.
Kendal at Hanover
Kimball Union Academy
King Arthur Flour
Kinney Pike Insurance
Kohl’s Department Stores
Lafayette Fireside Inn
Lake Sunapee Bank
Lebanon High School Student Activities Fund
Lebanon Painting & Decorating
Ledyard National Bank
LEGACY Supply Chain Services
Litchfield Middle School
Loginov & Associates
Logo Loc
Long Trail Brewing Company
Longchamps Electric
Los Ninos Children’s Medical Clinic
LPL Financial
M2S
MacLean-Fogg Company
Malco Distributors of New England
Markem-Imaje Corporation
Mascoma Savings Bank
Mass Bay Brewing Company
Massachusetts Mutual Life Insurance Company
Mazzetta Company
MBIA Insurance Corporation
Mead Johnson Nutritional Group
Measured Progress, Inc.
Medtronic, Inc.
Members First Credit Union
Memorial High School
Merrimack Mortgage Company
Millennium Pharmaceuticals
Millennium Running, LLC
Monadnock Mountain Spring Water, Inc.
Morano Gelato
Morgan Stanley
Mountain View Publishing
MVP Health Plan
Nashua Ambulatory Surgical Center
National Comprehensive Cancer Network
National Marrow Donor Program
National Palliative Care Research Center
New England Organ Bank
New Hampshire Fisher Cats
New Hampshire Football Officials Association
New Hampshire Industries
New Hampshire Orthopaedic Center
New Hampshire Prostate Cancer Coalition
New Hampshire Steel Fabricators
Newforma
NH Treats, LLC
Nixon Peabody, LLP
Nobis Engineering
NOCSAE
North Country Smokehouse
Northeast Delta Dental
Northern New England Clinical Oncology Society
Nye Lubricants
Olson Research Group
Olympus Biotech
OneBeacon Insurance Group
Optima Bank & Trust
Orr & Reno Professional Association
Orthocare Medical Equipment
Otto & Associates, Inc.
P&G Pharmaceuticals
Palace Theatre
S.H. Pallmerine, Inc.
Parent, McLaughlin & Nangle
Pepsi Bottling Group
PhRMA
Planet Aid
Polar Beverages
Poultry Products Northeast
Praxair
Precision Contract Manufacturing Image-Tek
Proctor Academy
Pro-Cut International Limited
Professional Car Care of New England
Provincial Grand Lodge, U.S.A. - The Royal Order of Scotland (A Masonically Affiliated Organization)
QLLA Charities, Inc.
Quest Diagnostics - Athena
QVT Financial LP
Randstad
Red Bull North America
Regency Mortgage Corporation
Resource Systems Group
The Richards Group
River Meadow Campground
Rockingham Research, Inc.
Roedel Companies
St. Denis Parish
St. Joseph Hospital
St. Mary’s Bank
Salix Pharmaceuticals
SBCollins, Inc.
Schubert Family Limited Partnership
Service Credit Union
Shamrock Foods Company
Sig Sauer, Inc.
Sirius American Insurance Corporation
SkillSoft Corporation
Somersworth Professional Firefighters Local 2320
South County Pulmonary Medicine
Spirit of Children Fund
STA Communications
Stave Puzzles
Stellar Restaurant Group
Stryker Craniomaxillofacial
Sulloway & Hollis, PLLC
Summit Distributing LLC
Fred Swymer Memorial Fund
Synergy-Salem LLC
Systems & Communications Sciences, Inc.
Target
Team Alzheimer’s
Team Athletes Multisport Partnership, LLC
Thermal Dynamics Corporation
Timken Aerospace
Total Image, Inc.
TransCanada
Truman Charitable Fund
Trumbull Hall Troupe
Turner Construction Company
United Way of Massachusetts Bay and Merrimack Valley
The Utility Club of Lyme
R.L. Vallee, Inc. dba Maplefields
Vectronix
Vermont Mutual Insurance Group
VFW Ladies Auxiliary Department of New Hampshire
Von Bargen’s Jewelry
VP Resales LLC
The Walking Company
Wal-Mart Stores
Water Country
WellPoint, Inc.
Wells River Savings Bank
WesBell Electronics
Western Massachusetts Epilepsy Awareness Committee
Frank W. Whitcomb Construction
White Mountains Insurance Group, Ltd.
John Wiley & Sons, Inc.
Wolverine Worldwide
Young’s Propane
Your Kitchen Store
If we have omitted, misspelled, incorrectly recorded or improperly categorized a name, please accept our sincere apologies and notify us at 603.653.0726 or email [email protected].
ORGANIZATIONS (continued)
34 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.
CREDITS Editors
Victoria McCandless Kate Villars
Design
Erin Higgins David Jenne
Writers
Michael Barwell Tim Dean
Jennifer DurginVictoria McCandless
Kate Villars
Photography Mark Washburn
Unless otherwise noted
Published by Dartmouth-Hitchcock / Communications and Marketing
All contents © 2013.
NORRIS COTTON CANCER CENTER | CHILDREN’S HOSPITAL AT DARTMOUTH-HITCHCOCK
LEBANON • CONCORD • KEENE • MANCHESTER • NASHUA • BENNINGTON, VT
Improving the Lives of the People and CommunitiesWe Serve for Generations to Come
CREATING A SUSTAINABLE HEALTH SYSTEM