Caring Together2 0 1 0 A N N U A L P E R F O R M A N C E S U M M A R Y

A department of Maine Medical Center

2010 Annual Performance SummaryTable of ContentsMessage from the President .........................................................................................................................................................1Message from the CMO ..............................................................................................................................................................3Board of Directors .......................................................................................................................................................................4Board Sub-committees .................................................................................................................................................................5iCare Values .................................................................................................................................................................................7Clinical Programs Endocrinology & Diabetes ...................................................................................................................................................8 Family Medicine ...................................................................................................................................................................9 General Surgery, Trauma & Critical Care .........................................................................................................................11 Geriatric Medicine .............................................................................................................................................................12 Hospital Medicine ..............................................................................................................................................................13 Internal Medicine ...............................................................................................................................................................15 Lakes Region Primary Care ................................................................................................................................................16 Maine Children’s Cancer Program ....................................................................................................................................17 Neurology ...........................................................................................................................................................................19 Neurosurgery & Spine .......................................................................................................................................................20 Orthopaedic Trauma & Fracture Care ..............................................................................................................................21 Otolaryngology ...................................................................................................................................................................23 Pediatrics .............................................................................................................................................................................24 Pediatric Specialty Care ......................................................................................................................................................25 Pediatric Surgery .................................................................................................................................................................27 Urology ...............................................................................................................................................................................28 Women’s Health .................................................................................................................................................................29Financial Summary ....................................................................................................................................................................31Community Benefit ...................................................................................................................................................................32Service Excellence ......................................................................................................................................................................35Recognitions & Awards .............................................................................................................................................................37

In short, we are effectively blurring the lines between “management” and “physicians” and creating teams that are the measure of our true success.”

- Stephen J. Kasabian, President

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Message from the President

I am pleased to present to you our second annual Maine Medical Partners Performance Summary recalling the activities and outcomes for fiscal

year 2010. As we shared with you in our report last year, the organization continues to grow rapidly, both through growth in services and providers currently existing at MMP and through the addition of new practices to our organization (Neurology, Orthopaedic Trauma & Fracture Care and Otolaryngology). MMP now includes a total of 175 physicians across a significant number of specialties and sites serving communities local to Maine Medical Center and throughout the State of Maine.

Much more impressive than the sheer size and scale of MMP, however, is the growing sense of group and culture that has emerged predominantly in 2010. It can be seen through the many committees and efforts that underscore our work this past year. Whether it is the expanding efforts of our clinical planning committee helping us establish priorities for investments in new physician resources, our robust and comprehensive efforts to develop a planning process for primary care, our expanding commitments to quality and quality reporting or our dedicated efforts to meet new standards associated with electronic health records use as well as provider based entity status, our work has been both substantial and impressive.

The growing number of physicians and physician leaders engaged in these certainly underscore our future successes as we rise to meet new challenges in 2011 and beyond. In short, we are effectively blurring the lines between “management” and “physicians” and creating teams that are the measure of our true success.

With that said, we have much more to do and significant opportunities ahead of us. These include active engagement in the MMC-wide physician unification effort and an ever-expanding focus on doing our part to reduce cost and improve value for our most important constituents, our patients. I am confident that our practice is well prepared to excel at these efforts and challenges.

Please take a moment to review these materials so that you can both celebrate your own practices’ achievements and learn more about those of your colleagues. It is that collective sense of our multi-disciplinary group that is most important in defining our real ability to serve our patients. Thank you very much and well wishes for a happy and healthy 2011.

Stephen J. Kasabian PresidentMaine Medical Partners

...I am happy to report that with the collective effort of all our providers

and staff we met the challenge and, at times, exceeded the goals.”

- Kenneth A. Lombard, CMO

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Message from the CMO

D uring 2010 Maine Medical Partners has experienced dramatic changes that have placed us at the forefront of medical care for

our community. Sometimes these changes have come so quickly that we wonder whether we can respond effectively - but I am happy to report that with the collective effort of all our providers and staff we met the challenge and, at times, exceeded the goals. As we reflect on the year there are a few highlights that deserve special mention.

Our Quality and Patient Safety Committee has further refined their work during this year to not only foster the best in performance improvement but to also facilitate shared metrics for the coming year. Perhaps even more importantly, we are now actively collaborating on how to divide the tasks and share the lessons learned. The net effect is that our goals are now more coordinated than ever and the effort is more evenly allocated. We have also begun work to integrate our Quality and Patient Safety program with the Quality Council at Maine Medical Center to provide additional cohesion around shared goals and to reduce even further any redundancies in our most important efforts.

This past year also witnessed a tremendous effort from our primary care providers and staff to give guidance to the Primary Care Strategic Planning effort. Over the 8 months of active engagement both the strategic priorities and operational imperatives were outlined and forwarded to the consultant that will combine our work with the strategic planning efforts of Maine Medical Center on this topic. In addition, our work will be utilized along with the input of the MaineHealth members and affiliates as we plan for the needs of the entire region. Our highest compliments go out to all of the participants in this crucial endeavor.

Lastly, the combined effort of our medical leaders and practice leadership deserves special mention. Over a series of meetings they have been working to foster the development of better methods to measure and monitor our efforts to build a world-class multi-specialty group. The intent is to use metrics in our everyday work that will move us from doing a good job to doing a great, and ever improving, job. Rather than looking at what might be called “trailing indicators” we are striving, collectively, to use “leading indicators” of patient care access and quality to define our role in the medical community. To see how this has been embraced and carried forward by the participants is very heartening and bodes well for our future.

We have met both anticipated and unanticipated challenges in the past year but thanks to the combined effort of every individual we have truly moved forward into our future. I welcome this opportunity to acknowledge the talent and tenacity that makes us who we are at Maine Medical Partners!

Kenneth A. LombardChief Medical OfficerMaine Medical Partners

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Board of DirectorsOfficersPeter Bates, MD ...................................................................................................................................................... ChairmanAlbert G· Swallow III .................................................................................................................................................TreasurerMichael Pinette, MD ................................................................................................................................................ SecretaryStephen J· Kasabian ...................................................................................................................President & Registered Agent

Peter Amann, MDJohn Bancroft, MDLisa Beaule, MDRobert Bing-You, MDJoel Botler, MDWilliam Caron

Victoria Dalzell, MDRebecca Hemphill, MDEric Larsen, MDEugene Paluso, MDRichard PetersenJohn Pier, MD

Stephen Rioux, MDJohn Roediger, MDLynne Tetreault, MDRobert Winchell, MD

Members

Senior Management StaffStephen J· Kasabian ................................................................................................................................................ President Kenneth A· Lombard, MD ........................................................................................................................ Chief Medical OfficerMonica Russo ....................................................................................................................................Senior VP of OperationsJeffrey Kirby ....................................................................................................................................................... VP of FinanceGeorge Hunter .................................................................................................................................... VP of Human ResourcesJohn Bosse ........................................................................................... VP of Information Technology & Revenue Management

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Board Sub-committees

Jeffrey Aalberg, MDJoel Botler, MDElizabeth Campbell, RNMatthew Camuso, MDMary Ellen Corrigan, NPDayle Dewey, MDFred Emerson, MDRenee Fay-Leblanc, MDCarrie Gordon, MDJingJing Hu, MDRebecca Hunt, MD

Brian Jumper, MDJeffrey KirbyBrett Loffredo, MDKenneth A. Lombard, MDJacqueline Mador, RNBaird Mallory, MDEllen Murphy, NPChristopher Murry, DOPaul Muscat, MDJohn Pier, MDSamantha Read-Smith, MD

John Reynolds, MDMonica RussoDoug Salvador, MDJanet Smith, RNAlbert G. Swallow IIILynne Tetreault, MDChristine Twining, MDRobert Waterhouse, MDRobert Winchell, MDMichael Yunes

Quality Committee

Peter Bates, MDRobert Bing-You, MD

William Caron Richard Petersen

Compensation Committee

Joseph Alexander, MDSamuel Broaddus, MDRenee Fay-Leblanc, MDGeorge HunterMark Integlia, MD

Jason Lachance, MDEric Larsen, MDKenneth A. Lombard, MD Abbie Graiver-MarrAlison Nathanson

Susan Pelletier Frederick Roediger, MDClifford Rubin, MDLynne Tetreault, MD

Recruitment & Retention Committee

Lynne Tetreault, MD (Chair) Peter Amann, MDGene Grindlinger, MD

Stephen J. KasabianJeffrey KirbyKenneth A. Lombard, MD

Michael Pinette, MDAlbert G. Swallow III

Finance Committee

Kenneth A. Lombard, MD (Chair)Joseph Alexander, MDPeter Amann, MDVictoria Dalzell, MD

Renee Fay-Leblanc, MDStephen J. KasabianJeffrey KirbyBaird Mallory, MD

Monica RussoAlbert G. Swallow IIIJoseph Wax, MD

Clinical Planning Committee

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iCare ValuesMaine Medical Partners is committed to service excellence. We are committed to the highest standards of professional and ethical conduct. “iCare” is far more than a set of standards. Our core values of Integrity, Compassion, Accountability, Respect and Excellence comprise who we are. iCare is how we interact with each and every person.

In 2010, we honored the following teams for their commitment to the iCare values:

The following individual staff members were also recognized by peers for their display of the iCare values:

Urology, Diabetes in Pregnancy Program, General Surgery, Trauma & Critical Care

Lakes Region Primary Care, Saco Pediatrics, South Portland Pediatrics, Cape Elizabeth Internal Medicine

Bethany Alsfeld, MAKaren Andrews, MAPam BelangerNan Boucher, NPCindy Brennan, MAMaureen BridgesLindsay BurnhamMary Ellen Corrigan, NPTricia CuritRebecca DeWeverPatricia Garvin, RNAngela Gautrea, MA

Brenda GerardoKathy HarrisLeslie Henderson, MAAllyson Howe, MDLinda Jodrie, MAHeidi JohnsonRachel KielAshley MacDonald, MAApril MartinThomas McInerney, MDJulie MontagueEllen Murphy, NP

Darlene Nason, MAFran RideoutSvea Robinson, MAMarybeth RoncaMelissa SageAlison Samitt, MDJessie Sherwood, RNKim ShumwayBrenda Sloan, MAJaki SmithJan Stilkey, NPGlenn Sylvester

Andrea TetreauKatie Thayer, MAJamie ThompsonSarah Trinward, MALori WadeZack WardCasey Wiggins, MAKaren WildeKathy WilliamsonStephanie WillisKim WinlingAshley Woodbury

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LeadershipMMC Department Chief........................................................................ Michael Roy, MDMedical Director ............................................................................ Robert Bing-You, MDDiabetes Center Director .................................................................... Irwin Brodsky, MD

Practice InformationMaine Medical Partners - Endocrinology & Diabetes Center specialists care for patients with glandular and endocrine problems, including thyroid disease, pituitary problems, disorders of growth and development, fertility problems, certain types of bone disease, diabetes mellitus and other hormone disorders.

Our ADA-recognized diabetes education program is offered by certified diabetes educators. Services include diabetes education and nutrition counseling, both in an individual and group setting, weight loss classes, pump training, and pre-diabetes classes.

Medical Director’s NoteIn 2010, we were fortunate to welcome Dr. Emily Wood Demetriou and Dr. Rahfa Zerikly to our growing team of Board certified physicians. Both physicians enjoy caring for patients with endocrinology and diabetic conditions.

In addition, we are pleased to announce that Dr. Irwin Brodsky has been named Director of the Diabetes Center. Under his leadership, we look forward to continual improvements in our care model as we strive to deliver patient centered care in a timely, efficient and best practice manner.

Finally, our Center was one of several MMP specialty sites to successfully implement the Epic electronic health record.

Site Location175 US Route 1 Scarborough, ME 04074

Robert Bing-You, MDIrwin Brodsky, MDEmily Wood Demetriou, MDDaniel Oppenheim, MD, PhDChristine Twining, MDRahfa Zerikly, MD

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LeadershipMMC Department Chief........................................................................ Ann Skelton, MDMedical Director ................................................................................. Peter Amann, MDAssociate Director .............................................................................Brett Loffredo, MD

Practice InformationMaine Medical Partners - Family Medicine is a group of Board certified physicians committed to keeping families healthy. Our physicians cover all aspects of family medicine in both inpatient and outpatient settings. We provide preventive care and physical exams, treat illnesses and injuries, provide telephone advice, help with emotional or behavioral issues, and coordinate care with specialists when needed.

Medical Director’s NoteMMP - Family Medicine has enjoyed a growing team of physicians in 2010. We were pleased to welcome Mary Connolly, MD, to our Gorham office. Dr. Connolly hails from Massachusetts and attended UMass Medical School after undergraduate studies at Harvard. She completed her residency training at Boston Medical Center through the Boston University Family Medicine Residency Program. She has special interests in OB/GYN and will work closely with the MMC Family Medicine physicians to provide obstetric care. Amy MacQueen, MD, joined our Scarborough office in September. Dr. MacQueen completed a Family Medicine residency and Sports Medicine Fellowship at Maine Medical Center. Her practice includes sports medicine consultations and non-operative management of many orthopedic conditions.

Continuing our teaching tradition, our physicians work closely with the MMC Family Medicine Residency Program. We precept regularly at the Family Medicine Centers and are attending physicians for the Family Medicine Resident inpatient service for a total of four months of the year.

Specialized patient services include suboxone treatment in Scarborough and integrative medicine in Gorham.

Family Medicine

Site Locations94 Main Street Gorham, ME 04038

Mary Connolly, MDBrett Loffredo, MDTiffany Segre, MD

96 Campus Drive, Suite 2C Scarborough, ME 04074

Peter Amann, MDNicole Cherbuliez, MDStephen Kirsch, MDAmy MacQueen, MDKristen Silvia, MD

We are committed to doing the right things for the right reasons. We are fair, open and honest

in our interactions with others.

Integrity

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LeadershipMMC Department Chief...................................................................... Brad Cushing, MDMedical Director ............................................................................ Robert Winchell, MD

Practice InformationThe team includes seven Board certified general surgeons who have additional qualifications in Surgical Critical Care and fellowship training in the care of the severely injured. A skilled group of specially trained and highly experienced mid-level providers rounds out the clinical team. Together, we fulfil four separate but interrelated missions:

Trauma Care: We operate Maine’s only verified Level 1 trauma center, providing care for injured patients throughout southern Maine and eastern New Hampshire. The trauma center is a critical component of the public safety net and a regional resource. Our trauma physicians hold positions of national leadership and are active in teaching, research, and system development.

Surgical Critical Care: The division provides comprehensive multidisciplinary evaluation and management of surgical patients with critical illness, serving as a regional resource for the management of the most critically ill from all over Maine and parts of New Hampshire. Our providers are actively involved in teaching and research, in addition to participating in and providing leadership in national and regional organizations.

Burn Care: The division staffs Maine’s only Burn Center, providing both inpatient and outpatient care to burn patients from throughout the state.

Emergency and Elective General Surgery: Our physicians are all highly skilled and experienced general surgeons, providing surgical care for urgent problems from the Emergency Department, the inpatient service, or patients referred from outside hospitals. In addition, the division operates the surgical clinic at Maine Medical Center, providing surgical care and endoscopy to all members of the community, regardless of ability to pay.

Medical Director’s NoteDuring 2010 our founding member, Dr. David Clark, transitioned to an innovative new role combining full-time funded research with ongoing clinical involvement in trauma care. Dr. Clark’s position has been filled by Dr. Kristen Sihler, previously an Assistant Professor of Surgery at the University of Michigan. Along with her specialty expertise, Dr. Sihler brings an interest in rural surgery and systems of regional emergency coverage. This year is also notable for our successful re-verification as Maine’s only Level 1 trauma center; culminating nearly six months of exhaustive preparation by the entire division.

Site Location887 Congress Street, Suite 210 Portland, ME 04102

David Ciraulo, DODavid Clark, MD Brad Cushing, MDVirginia Eddy, MDGene Grindlinger, MD Kristen Sihler, MD Robert Winchell, MD

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LeadershipMMC Department Chief........................................................................ Michael Roy, MDMMC Adult Inpatient Medical Director .....................................................Joel Botler, MDMedical Director .............................................................................. Heidi Wierman, MD

Practice InformationMaine Medical Partners - Geriatric Medicine physicians are Board certified in geriatrics and specialize in the care of the elderly. Our care team is comprised of physicians and nurse practitioners who provide ongoing, primary care in four area nursing homes and seven assisted living facilities. In addition, our geriatricians are also available at New England Rehabilitation Hospital of Portland, Hospice of Southern Maine, and MMC for inpatient and outpatient Geriatric consultation.

Medical Director’s NoteMMP - Geriatric Medicine has continued to grow over the last year. Our goal remains to provide expert geriatric care to the most vulnerable elderly; provide education to fellows, residents, medical students and the community; and perform research that will continue to help guide our ability to provide expert care in the future. Dr. Sarah Hallen received a Geriatric Academic Career Award (GACA) which provides support for education, research, and professional development.

Our geriatricians help support MMC’s educational mission through teaching of geriatric fellows as well as internal medicine, family medicine and gynecology residents. Geriatricians participated in an education block with the first Tufts Medical School class and look forward to ongoing involvement in this arena. They also participate in interdisciplinary educational opportunities to support nursing, therapeutic recreation, and social work students. In addition, mid-level providers participated for the first time in a preceptorship for a UMass - Boston nurse practitioner student’s clinical experience. Research continues to be an area of development with projects under way surrounding hospital falls prevention, early mobilization of intensive care elders, mortality prediction, cancer treatment disparities in the aged, and feeding tube indications.

Over the next year we will continue to provide high quality geriatric care while exploring ways of improving transitions in care through the use of home visits, ongoing involvement in quality improvement and striving to become productive in research to enhance the knowledge of geriatrics. We will also continue to explore opportunities to disseminate geriatric interdisciplinary education throughout Maine.

Site Location66 Bramhall StreetPortland, ME 04102

Robert Anderson, MD Sarah Hallen, MDSamuel Maghuyop, MDThomas Morrione, MDWilliam Wadland, MD

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LeadershipMMC Department Chief........................................................................ Michael Roy, MDMedical Director .....................................................................................Joel Botler, MDAssociate Medical Director ................................................................... Ben Cowan, MD

Practice InformationThe internists of Maine Medical Partners - Hospital Medicine provide care to adults in the inpatient setting. Our hospitalist physicians are faculty and serve as teaching attendings for the internal medicine residency program. Some of our physicians have prior ties to MMC, while many bring in influences, training and expertise from other institutions.

Medical Director’s NoteIn fiscal year 2010 the group continued to be the major source of clinical activity within Adult Inpatient Medicine providing more than half of the 6,000 discharges. The hospitalist program successfully piloted a new Hip Fracture Co-Management Service with Orthopedics improving outcomes related to time to the OR and length of stay. In addition HM began a new program in the Emergency Room called the AIM Lead Physician facilitating flow in the ER. Hospital Medicine continued to have an enhanced role in teaching, providing all overnight attending coverage for the general medicine teaching teams.

We played champion or supporting roles in the adoption and improvement of information technology tools including electronic billing and audits, internal medicine sign-out and discharge summary tab and utilization of SCM’s Rx writer. Hospital medicine has been instrumental in spreading Rx Writer through AIM. In addition Hospitalists have played a key role in improving transitional care of patients from Hospital to Home through participation in Microsystems teams.

As part of our quality measures in the past year, we achieved and maintain excellent performance in medication reconciliation, patient satisfaction, utilization of Rx Writer and oversight and review of Internal Medicine Discharge Summaries. Our focus for FY11 includes CHF core measures, hospital flow including early discharge orders on day of discharge, and reduction in 4 day readmissions.

Site Location Pavilion 222722 Bramhall StreetPortland, ME 04102

Lisa Almeder, MDIoan Mihai Cosma, MD Ben Cowan, MD Michele Delenick, MD Farshid Firoozbakht, MDSarah Hallen, MD JingJing Hu, MD Marc Jacquet, MDMadeleine Martindale, MDTina Piraino, DO Stephen Raph, MD Samantha Read-Smith, MD Cliff Rubin, DORobert Trowbridge, MD Burt Yankiver, MD

We interact with others in a way that fosters an environment of care and understanding.

Compassion

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LeadershipMMC Department Chief........................................................................ Michael Roy, MDMedical Director ......................................................................... Rebecca Hemphill, MDAssociate Medical Director ........................................................ Renee Fay-Leblanc, MD

Practice InformationMaine Medical Partners - Internal Medicine physicians are Board certified internists. Our physicians cover all aspects of adult medical care in both the inpatient and outpatient setting. We offer an integrated approach to patient care, taking each patient’s physical, social, and psychological needs into consideration, while promoting health and preventing disease.

Medical Director’s NoteThis past year has seen continued excellence in MMP - Internal Medicine.

Quality: Our team has excelled in providing high quality care, as demonstrated by our ongoing excellent performance in many quality reporting programs. These include the Maine Medical Center Physician Hospital Organization Clinical Improvement Registry, which reports and rewards on quality measures in the areas of diabetes, cardiovascular disease, asthma, depression and preventive care. We are recognized by NCQA in the areas of diabetes care and heart/stroke care. Our Cape Elizabeth office has recently received recognition as a Bridges to Excellence Physician Office link site. Finally, our Westbrook site was chosen as a participant in the Maine Patient-Centered Medical Home Pilot.

Education: Our physicians continue to be a backbone of the education program for residents in internal medicine at Maine Medical Center. In the inpatient arena, we staff one of the four general medicine teaching services, working closely with residents and medical students caring for hospitalized adult patients on the Adult Inpatient Medicine (AIM) service. In addition, our faculty serve as preceptors and mentors to the internal medicine residents in their continuity clinics, located at the Bramhall campus Outpatient Department as well as at our offices in Cape Elizabeth and Falmouth. Thomas Gearan, MD, who practices at our Falmouth office, was recently named the new Internal Medicine Residency Program Director.

Service: Our physicians are active participants throughout the health care community, contributing to the MMC Center for Performance Improvement, the MaineHealth Ambulatory EMR rollout, MaineHealth clinical integration, the Portland Free Clinic and the development of the MMC/Tufts University Medical School program. Finally, Richard Engel, MD, from our Westbrook office has been serving as the governor for the Maine Chapter of the American College of Physicians, representing our interests throughout the state and at a national level.

Internal Medicine

Site Locations5 Bucknam Road, Suite 2BFalmouth, ME 04105

Elizabeth Eisenhardt, MD Tevis Gearan, MD Thomas Gearan, MDRebecca Hemphill, MD

96 Campus Drive, Suite 2BScarborough, ME 04074

J. Timothy DeGrinney, MDBenedict Farino, MDChristine Freme, MDEric Mukai, MD

155 Spurwink AvenueCape Elizabeth, ME 04107

Renee Fay-Leblanc, MDThomas McInerney, MD John Reynolds, MDChristopher Wellins, MD

1 Harnois AvenueWestbrook, ME 04092

Richard Engel, MD Stephen Hayes, MD Donald Medd, MD Robert Sturges, MD

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LeadershipMMC Department Chiefs .......................................John Bancroft, MD & Michael Roy, MDMedical Director .............................................................................. Eugene Paluso, MD

Practice InformationMaine Medical Partners - Lakes Region Primary Care offers our community a multi-specialty team that provides medical care for every age. Our practice is comprised of Board certified physicians in both pediatrics and internal medicine. The team is rounded out by a pediatric nurse practitioner and a physician assistant.

Medical Director’s NoteOur office has recently undergone a physical expansion to better serve our patients. The additional space will also allow for future growth, to serve the needs of our community.

Our commitment to medical education remains strong. We serve as a continuity site for the MMC Medicine and Pediatric Residency Program. Students from the University of Vermont spend time with our physicians during ambulatory outpatient pediatric rotations. We look forward to expanding these teaching programs in the upcoming years.

Lakes Region Primary Care was a pilot site for the Maine Health initiative to implement the new ambulatory electronic medical record program, Epic. We have been utilizing the Epic program for 2 years and have enjoyed the benefits this brings to our patients.

We have engaged over the past year in the AAP Chapter Quality Network (CQN) Asthma Pilot Project. The AAP provided the Alabama, Maine, Ohio, and Oregon chapters with tools, resources, and technical support to lead this quality improvement effort. Our participation in this national initiative has assisted us in developing more accurate guidelines for capturing, reporting and utilizing information related to our asthmatic population. We will continue to develop this process and employ the successes with all patients living with chronic illness.

Our providers and staff continue to focus on ways in which we can better serve our patients’ needs. Improvements implemented in 2010 include adding Register Nurses, modifying providers’ schedules to accommodate the acute, same day visits, expanding outpatient office hours to include Saturday appointments and installing a new telephone system.

Site Location584 Roosevelt TrailWindham, ME 04062

Stephen Donnelly, DO Fred Emerson, MDJill Kerekes, MD Melanie Murray, MDEugene Paluso, MD

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LeadershipMMC Department Chief......................................................................John Bancroft, MDMedical Director ....................................................................................Eric Larsen, MD

Practice InformationThe Maine Children’s Cancer Program (MCCP) is comprised of four pediatric hematology/oncology physicians, a nurse practitioner, and a team of specialized nurses, social workers and research associates, who offer specialized treatment and a wealth of resources to young patients and their families.

Complementing the outstanding clinical expertise of our staff, MCCP has an exceptionally strong research program. It is a member of the Children’s Oncology Group (COG)—the premier childhood cancer research organization with more than 220 member institutions worldwide. We also collaborate extensively with the Dana-Farber Cancer Institute and St. Jude Cancer Research Hospital to offer our patients the very latest and best therapies.

Medical Director’s NoteIn 2010, we continued our tradition of collaboration with local, regional and national colleagues to enhance and improve care delivery. Examples include: Dr. Chaleff’s work with the neuro-oncology program at Children’s Hospital Boston and regular attendance at the multi-disciplinary tumor board of this group; Dr. Larsen’s work as chairman of the Maine Medical Center’s Institutional Review Board, Medical Director of Oncology Research for the Maine Medical Center Cancer Institute, and study Chair of COG’s AALL0232 High Risk Acute Lymphoblastic Leukemia therapeutic clinical trial; Dr. Rossi’s work to develop the Department of Health and Human Services Section 340B program for Maine Medical Center’s Hemophilia Program; Dr. Speckhart’s efforts to build a Post Therapy Program that oversees the ongoing comprehensive care of patients who have successfully completed cancer therapy and are now facing chronic toxicities associated with their therapy and Christine Shaffer, FNP work with the inpatient pharmacy, nursing staff, and physicians on a number of critical initiatives designed to improve both safety and the quality of the care we deliver to our patients.

Our program holds a biweekly Tumor Board Conference in association with the Pediatric Oncology Program at the University of Vermont via teleconference. We have recently added the program at Eastern Maine Medical Center and we actively engaged in discussions with Boston Floating Hospital to add them on as well.

Finally, we were awarded a $100,000 competitive grant from the Hyundai Hope on Wheels Program to develop a telemedicine component for our program. In the upcoming year, we will seek to establish teleconferencing capabilities at key clinical sites in the state and to develop portable teleconferencing systems to be used directly by children and families in their homes.

Site Location100 Campus Drive, Unit 107 Scarborough, ME 04074

Stanley Chaleff, MD Eric Larsen, MDAnn Rossi, MD S. Ashley Speckhart, MD

AccountabilityWe assume responsibility for our actions.

We empower all employees by promoting personal responsibility and encouraging creative

thinking and innovation.

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LeadershipMMC Department Chief........................................................................ Michael Roy, MDMedical Director ........................................................................ John Kelly Sullivan, MDDivision Director.............................................................................. Stephen Rioux, MD

Practice InformationMaine Neurology joined Maine Medical Partners in March 2010 following 23 years of private practice. The decision to forge this alliance and join this multi-specialty medical group was in keeping with our shared values and philosophy of medical care. MMP Neurology is the largest neurological practice in Maine, offering a comprehensive range of services for adults and children.

Our practice offers the clinical expertise of 12 board certified Neurologists, most with additional subspecialty certification, and three nurse practitioners. Specialty care is available for Epilepsy, Memory Disorders, Movement Disorders, Multiple Sclerosis, Neuromuscular Disease, Pediatrics, Peripheral Neuropathy/Disc Disease/Nerve Injury, Sleep, Stroke, Vertigo and Dizziness.

We have an in house MRI unit to ensure timely access and state of the art imaging for our patients. Our registered MRI technologists skillfully perform vascular, neurological and spinal imaging. Our MRI department provides services to more than 250 patients each month and has recently achieved three-year accreditation by the American College of Radiology (ACR).

Earlier this year the END/Vascular Lab earned Accreditation by the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL). The lab attained this recognition for its commitment to providing a high level of patient care and quality testing for the diagnosis of vascular disease. The Electrodiagnostic Lab is one of two accredited EEG labs in the state.

Medical Director’s NoteWe anticipate that we will be expanding our neurology team by five physicians over the next five years. We are currently recruiting for Pediatric Neurology, Movement Disorder, Stroke, Critical Care and Neuromuscular Disease.

Site Location49 Spring Street Scarborough, ME 04074

John Belden, MD Biljana Beretich, MD Eric Dinnerstein, MDHeidi Henninger, MD Leonard Kaminow, MD Peter Morrison, MDPaul Muscat, MD Stephen Rioux, MD Tamara Schwartz, MD Megan Selvitelli, MD John Kelly Sullivan, MD Richard Sullivan, MD

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LeadershipMMC Department Chief...................................................................... Brad Cushing, MDMedical Director ................................................................................ Konrad Barth, MDAssociate Medical Director .......................................................................John Pier, MD

Practice InformationMaine Medical Partners - Neurosurgery & Spine offers the clinical expertise of fellowship-trained and Board certified neurosurgeons. Our specialists encompass all aspects of brain and spine treatment, and each physician is on the leading edge of his or her respective specialty.

Medical Director’s NoteRobert Ecker, MD, an endovascular neurosurgeon, joined MMP - Neurosurgery & Spine in August of 2010. His addition to the group brings comprehensive endovascular diagnosis and treatment to Maine Medical Center and benefit patients throughout northern New England.

Quality: Working with the Neurosciences Institute, we have helped create a balanced scorecard for gathering and reporting data on surgical inpatient activity at MMC. The group is currently in the process of implementing a Web-based patient health questionnaire for the outpatient environment that will provide valuable data with respect to the etiology and efficacy of surgical and non-surgical treatments for spine patients.

Research: We are committed to supporting research and development in the neurosciences through our involvement in a number of grant-funded research studies and databases. We are the only group in the country to participate in clinical trials for a new medication designed by a leading drug manufacturer to aggressively treat malignant brain tumors. The practice has also established a number of databases to collect retrospective data on brain tumor, aneurysm, epidural steroid injection, burst fracture, and odontoid fracture patients. The valuable data and information generated from these efforts will be used to improve the group’s ability to meet the treatment needs of patients.

The group’s priorities for fiscal year 2010 supported the continued ability to meet or exceed the goals defined by the MMC Neurosciences strategic plan. These priorities include improving on evidence based clinical treatment algorithms and surgical patient selection criteria analysis, and sharing best practices among providers. The formalization of the group’s shared decision making processes, in collaboration with the CORE team, and the design and implementation of a SDM pilot study was also a priority for FY10.

Site Locations49 Spring Street Scarborough, ME 04074

Joseph Alexander, MD Nancy Ball, MD Konrad Barth, MDDouglas Buxton, MD William D’Angelo, MD Rajiv Desai, MDRobert Ecker, MDJeffrey Florman, MD Elwood Fox, DOGenevieve Hall, MDJohn Hall, MD John Pier, MDAlicia Smilowicz, MD Lee Thibodeau, MDJohn Wahlig, MDJames Wilson, MD

121 Medical Center Drive, Suite 3500Brunswick, ME 04011

George Roth, MD

46D First Park DriveOakland, ME 04963

Robert Keller, MD

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LeadershipMMC Department Chief...................................................................... Brad Cushing, MDMedical Director ........................................................................ Raymond R· White, MD

Practice InformationThis division of Maine Medical Partners provides orthopaedic trauma and fracture care to both adults and children. The team includes two Board certified orthopaedic surgeons specializing in management of complex fractures and fracture related problems. Also included in the team are two highly trained and experienced mid-level providers. The surgeons provide guidance and care to physicians and patients throughout the state of Maine and New Hampshire. We provide emergency room coverage and physician requested consultations 24 hours per day, 365 days per year.

This newly created division is part of Maine’s only Level 1 trauma center.

The office provides both operative and non surgical care for fractures. Our long time cast technician also fabricates custom made orthotics that are fitted and available for patients to take home the same day of their appointment.

Medical Director’s NoteThe goal of this division is to continue to develop and expand its leadership role as a regional resource for orthopaedic injuries. We are working to develop high efficiency operating rooms. We continue to be active in the AO Foundation as faculty and chairmen of numerous AO courses. We have also coauthored a chapter in a book published by the American Academy of Orthopaedic Surgeons (AAOS) titled Orthopaedic Knowledge Update and revised the AO Foundation’s online surgical reference section on Fixation of Tibial Shaft Fractures.

In support of the programmatic goals, we are actively recruiting a third Board certified orthopaedic surgeon and two additional experienced mid-level providers.

Site Location335 Brighton Avenue, Suite 200 Portland, ME 04102

Matthew R. Camuso, MD Raymond R. White, MD

RespectWe treat others with dignity and compassion. We honor diversity, individuality and personal

and professional differences.

23

LeadershipMMC Department Chief...................................................................... Brad Cushing, MDMedical Director ........................................................................... John H∙ Roediger, MDDivision Director.....................................................................Frederick C∙ Roediger, MD

Practice InformationOur multi-disciplinary team provides medical and surgical care to all ages. It is composed of Board certified Otolaryngologists, Audiologists, and a Physician Assistant. With services provided in four satellite locations, we partner with local physicians and hospitals to provide the highest quality of care in the Waterville, Norway, Bridgton, and Biddeford communities.

Medical Director’s NoteServices provided include comprehensive management of conditions such as hearing disorders, sinus disease, head and neck cancers, and pediatric conditions. In addition, we offer two multi-disciplinary specialty clinics; The Voice Center, where physicians and speech pathologists work together to treat voice disorders and The Aerodigestive Clinic, which is a collaborative between MMP - Otolaryngology and Pediatric Specialty Care physicians. Our service utilizes the latest in medical and surgical techniques to provide the very best options to the people of Maine.

Teaching: We are dedicated to the advancement of medical education at Maine Medical Center. Our physicians are active participants in the education of Family Medicine and Pediatric Residents. They hold academic appointments to the University of Vermont Medical School, the University of New England College of Osteopathic Medicine and Tuft’s Medical School.

Quality: Our practice is dedicated to improving the quality of care delivered throughout the State of Maine as demonstrated in our continued involvement in the Physician Hospital Organization Specialty Quality Initiatives and the Pediatric National Surgical Quality Improvement Program. Our newest initiatives include work on newborn hearing, pediatric tracheotomy care, management of obstructive sleep apnea in bariatric surgery candidates, and providing hearing screenings to local communities.

Site Location1250 Forest Avenue, Suite 301 Portland, ME 04103

Christopher B. Murry, DO Frederick C. Roediger, MD John H. Roediger, MD

24

LeadershipMMC Department Chief......................................................................John Bancroft, MDMedical Director ............................................................................. Lynne Tetreault, MDAssociate Medical Director ................................................................... John Girard, MD

Practice InformationMaine Medical Partners pediatricians are committed to keeping children healthy. We provide preventive care and physical exams, treat illnesses and injuries, provide telephone advice, help with emotional or behavioral issues, and coordinate care with pediatric specialists when needed.

In addition to patient care, our pediatricians are faculty of the University of Vermont Medical School and teach medical students and pediatric residents at Maine Medical Center. We are on staff at the Barbara Bush Children’s Hospital at Maine Medical Center and Mercy Hospital. In 2010, some of our physicians became preceptors for the MMC Tufts Medical School students.

Medical Director’s NoteOur pediatricians and office staff are proud to have been recognized by the National Center for Quality Assurance and Bridges to Excellence. We also received “practice of distinction” recognition by the MMC Physician Hospital Organization for the care of children with asthma. We remain active participants in the Let’s Go Initiative, Mental Health Initiative, the First Tooth Program and the Maine AAP Asthma Collaborative; demonstrating our ongoing commitment to improving the health and wellbeing of the children we care for.

2010 marked a full year of using the Epic electronic health record. We have recognized tremendous benefits, including access to complete and comprehensive patients’ records during evenings and weekends.

In 2011, we look forward to ongoing participation in learning collaboratives and improving our quality outcomes. Of significance is our participation in the Maine Patient-Centered Medical Home Pilot three year initiative. Under the leadership of Thomas Brewster, MD, our Westbrook location will be starting their 2nd year in this new model for care delivery.

Pediatrics

Site Locations5 Bucknam Road, Suite 2AFalmouth, ME 04105

Dayle Dewey, MDPoh-Yong Chang, MDKaren Emery, MD Nicholas Fowler, MD Allison Landes, MD

1577 Congress StreetPortland, ME 04102

Steve Blumenthal, MDJennifer Dubail, MD John Goodrich, MD Timothy Hawkins, MD

4 Scammon Street, Suite 51Saco, ME 04072

Robert Faucette, MD Lynne Tetreault, MD

75 John Roberts Road, Unit 8BSouth Portland, ME 04106

Russell Britton, MDMadonna Browne, MD J. Daniel Miller, MDErin Morneault, DOSteve Osborne, MDEileen Poulin, MD Laura Schwindt, MD

1 Harnois AvenueWestbrook, ME 04092

Thomas Brewster, MDJohn Girard, MDJane Ho, MD Brian Youth, MD

25

LeadershipMMC Department Chief......................................................................John Bancroft, MDMedical Director ..............................................................................Victoria Dalzell, MDAssociate Medical Director ............................................................... Carrie Gordon, MD

Practice InformationMaine Medical Partners - Pediatric Specialty Care includes developmental-behavioral health, endocrinology and diabetes, genetics, gastroenterology, infectious disease, integrative medicine, nephrology, and pulmonary medicine.

Medical Director’s NoteNew Clinical Programs: The Developmental-Behavioral Health division initiated a NICU follow-up clinic under the direction of Michele Rock, DO. A new multidisciplinary program, the Aerodigestive Clinic, was initiated to provide patients with an opportunity to have initial evaluation, and management of follow-up care with 3 pediatric specialties: Gastroenterology, (Cheryl Blank, DO) Otolaryngology, (Chris Murry, DO) and Pulmonary Medicine (Tom Mellow, MD) on the same clinic day through coordinated, sequential visits. The Aerodigestive Clinic received MMC IRB approval recently. The Genetics division welcomed the new Metabolic Clinic Coordinator, Caroline Bowman, RD to their program this year, and is now providing services to the Bangor area. The Endocrinology division has added a new Nurse Practitioner, Toni Eimicke, FNP to their staff.

Education and Research: The Integrative Medicine (IM) program obtained a grant from the Osteopathic Heritage Foundation to teach IM fellows and students the art of osteopathic manipulation in children with chronic diseases. Pediatric Specialty Care welcomed our new Clinical Research Coordinator, Carrie Gill to our practice. The Cystic Fibrosis program participated in its first Phase II research trial, the Vertex study. This study is an oral CFTR Modulator Phase II trial.

Quality: Pediatric Specialty Care worked on numerous quality initiatives this year. Each division developed specialty specific measures and tracked their progress on reaching quality targets. The division of Gastroenterology continues to make great progress in managing IBD care thru it’s participation in the Improved Care Now National Learning Collaborative and are often seen brainstorming, huddling or planning rapid cycles of change exploration.

Site Locations887 Congress StreetPortland, ME 04102

John Bancroft, MDCheryl Blank, DO Anne Marie Cairns, DORebecca Carey, MDMichael Dedekian, MDOliver Fremont, MDAnna Furr, MDCarrie Gordon, MDMatthew Hand, DOMark Integlia, MDKenneth Lombard, MD Carol McCarthy, MD Thomas Mellow, MDAlan Morris, MDJerrold Olshan, MDLorna Seybolt, MD

1577 Congress StreetPortland, ME 04102

Victoria Dalzell, MDCarol Hubbard, MDMichele Rock, DO Wendy Smith, MDRosemarie Smith, MD

ExcellenceWe work as a team and strive for the highest

standards of quality. We embrace change as a vehicle for continual improvement.

27

LeadershipMMC Department Chief...................................................................... Brad Cushing, MDMedical Director ................................................................................ Baird Mallory, MD

Practice InformationOur team is comprised of three practicing surgeons, one emeritus surgeon, two nurse practitioners, and three full-time office staff working to provide outstanding surgical care to the children of Maine, southern Vermont and southern New Hampshire. Services include minimally invasive surgery of the chest and abdomen, bariatric surgery consultation, neonatal surgery, gastric and intestinal surgery.

Medical Director’s NoteEducation, Research and Publication: Pediatric Surgery participates in a national children’s surgical database, Pediatric NSQIP (National Surgery Quality Improvement Project). Albert Dibbins, MD, is the Physician Champion for this effort. Dr. Baird Mallory and Jeannie Ross, PNP started a high school student led trauma prevention program. Drs. Dibbins and Mallory retrieved data to establish a 30 year Pediatric Surgery data base for future outcome studies. Dr. Mallory submitted one manuscript for publication and Janice Dudley, PNP and Dr. Ian Neilson did an institutional presentation this year. Pediatric Surgery hosted a state wide nursing educational day and a state wide physician educational day on Pediatric Surgery at last fall’s AAP meeting. Participants in leading sessions included Janice Dudley, PNP, Jeffrey Halter, MD, Baird Mallory, MD, Ian Neilson, MD and Jeannie Ross, PNP. Pediatric Surgery participated in the launch of an institute wide Vascular Access Team with Dr. Mallory’s involvement in planning and implementation.

Quality: Several quality initiatives were completed this year in the areas of Emergency Preparedness Education and Patient Satisfaction with Care. Targeted efforts included: developing and implementing a system for post-op follow up phone calls, OR and NICU briefings to improve communication, the development and implementation of patient pre and post operative education packets and IBD Outcomes Analysis. To enhance their quality improvement knowledge base and skill set, the team participated in a six months intensive Clinical Microsystems quality improvement training program.

Division expansion: Pediatric Surgery initiated recruitment for a fourth surgeon and a part time medical assistant to join their team. In addition, we are proud to announce that Dr. Mallory became a member of the NACHRI, Chiefs of Surgery and Directors of Children’s Hospitals Association.

Site Location887 Congress Street, Suite 300Portland, ME 04102

Jeffrey Halter, MDBaird Mallory, MDIan Neilson, MDAlbert Dibbins, MD Surgeon Emeritus

28

LeadershipMMC Department Chief...................................................................... Brad Cushing, MDMedical Director ...................................................................................Lisa Beaule, MDDivison Director ......................................................................... Samuel Broaddus, MD

Practice InformationOur physicians provide state-of-the-art treatment for neonates to older adults. We treat a wide variety of urological conditions including urological cancers, stones, urinary incontinence, male infertility and impotence, urinary infections, and congenital anomalies in infants and children, among others.

Medical Director’s NoteWe are the regional leaders in the surgical management of prostate cancer, with the most experience in da Vinci® robotic-assisted laparoscopic prostatectomies. Our surgeons recently performed our 1000th robotic procedure. This comes on the heels of being selected as one of five model prostate cancer programs in the nation by the Association of Community Cancer Centers. Our surgeons also perform a variety of complex genito-urinary laparoscopic and open procedures. Early in 2010, we went through our first residency match process and received 150 applicants for the single PGY-1 position. In July, we welcomed our first PGY-2 resident as part of the ACGME-approved residency in urology.

Program expansions have included the employment of our seventh partner, Dr. Peter Steinberg, who joined us after completing a laparoscopic and endourologic fellowship at Montefiore Medical Center. We have also hired a part-time office-based urologist in late 2010, and eagerly await the arrival of two additional colleagues in mid-2011, who will bring further expertise in infertility and robotic surgery.

Research: The Maine Cancer Foundation-funded grant entitled “Predicting Quality of Life Outcomes after Prostate Cancer Treatment” has Moritz Hansen, MD as co-investigator with Amy Haskin, MD of the MMC Center for Outcomes Research and Evaluation (CORE). Translational research efforts are being supported by linking the MMC prostate cancer clinical database to available de-identified tissue bank specimens. This will allow important collaborations in urologic oncology between basic scientists at the Maine Medical Center Research Institute and the clinicians at MMP - Urology. Research interests remain active in techniques of risk communication, shared decision-making, cost effectiveness, and learning rate analysis. MMC was also recently awarded a NCCCP grant by the National Cancer Institute with funding for a state-wide bladder cancer initiative led by Dr. Craig Hawkins.

Site Location100 Brickhill RoadSouth Portland, ME 04106

Lisa Beaule, MD Samuel Broaddus, MDBrian Jumper, MD Thomas Kinkead, MDCraig Hawkins, MD Moritz Hansen, MD Peter Steinberg, MD

29

LeadershipMMC Department Chief.....................................................................Hector Tarraza, MDMedical Director .............................................................................Michael Pinette, MDMMC Associate Chief .......................................................................... John Pulvino, MD

Practice InformationMaine Medical Partners - Women’s Health specialties include: maternal-fetal medicine, general obstetrics and gynecology, gynecologic oncology, reproductive endocrinology and infertility, and urogynecology.

Medical Director’s NoteThe urogynecology division expanded with the addition of Katherine Beach, NP. This high-volume practice offers comprehensive services for the treatment of pelvic organ prolapse and female urinary dysfunction, and is expanding services through a collaborative effort with Miles Memorial Hospital.

Gynecologic Oncology participated in numerous GOG clinical trials during the year. Our physicians have been active leaders within the MaineHealth community, including serving on the MaineHealth Oncology Surgical Services Committee, contributing to the Gynecologic Cancer Screening Guidelines Group, and working with the Maine Cancer Consortium.

Reproductive Endocrinology & Infertility relocated the practice and continues to offer evaluation and treatment of hormonal issues related to the female and male reproductive systems, provides evaluation and management of a broad range of reproductive endocrine issues including menstrual disorders (such as polycystic ovary syndrome and hypothalamic amenorrhea), menopause, prolactin and adrenal disorders, male hypogonadism, and thyroid disorders in women, particularly during pregnancy.

Maternal-Fetal Medicine developed a comprehensive diabetes & pregnancy program in collaboration with the Endocrinology & Diabetes Center. Over 1,000 patients were seen during the first year. Services offered include consultation during pregnancy, glucose management, certified nutrition counseling and diabetic education.

Program Growth: The Maternal-Fetal Medicine division performed over 42,000 diagnostic studies, 5,000 consults, assumed the total care of high-risk obstetrical patients, and handled over 400 transports from hospitals throughout Maine and New Hampshire. With the growing demands of the practice, Rebecca Hunt, MD was hired to help support the obstetric service, and to develop a family planning resource for the greater community. We established a telemedicine obstetrics center at St. Mary’s Regional Medical Center to provide patient ultrasounds and consultation services to their physicians. We also expanded the number of patients seen for ultrasound and consultations in the Waterville community. Locally, regionally and nationally, MMP - Women’s Health continues the tradition of leadership in health care for women.

Site Locations887 Congress Street, Suite 200Portland, ME 04102

Jacquelyn Blackstone, DORebecca Hunt, MDMichael Pinette, MDJohn Pulvino, MDDaniel Spratt, MDJoseph Wax, MD

100 Brickhill Avenue, Suite 203South Portland, ME 04106

Mary Brandes, MD

102 Campus Drive, Unit 116 Scarborough, ME 04074

Christopher Darus, MDJason Lachance, MDLaurie Small, MDHector Tarraza, MD

2010 Annual Performance Summary | Financial Summary

31

2006 2007 2008 2009 2010

# of physicians 96 115 123 142 153

Physician FTEs 73.42 96.65 106.40 124.33 137.74

Non-physician provider FTEs 12.77 23.88 27.86 37.29 46.04

Staff FTEs 307.88 368.56 396.49 435.44 486.48

# of site locations 22 26 28 30 31

# of specialties 23 26 28 28 29

Total RVUs 701,921 1,078,909 1,248,505 1,380,790 1,542,922

Work RVUs 329,322 522,858 647,280 712,281 783,058

Office Visits 171,645 193,666 194,859 212,382 225,081

Nursing Home Visits 2,020 3,369 5,232 5,764 6,356

Hospital Visits 29,331 47,615 49,866 52,617 54,415

Surgical Procedures 15,884 28,077 35,550 43,871 48,894

Hospital Based Volume % 42% 38% 41% 41% 42%

Office Based Volume % 58% 62% 59% 59% 58%

Payer Mix:

MaineCare 22% 19% 19% 20% 19%

Medicare 15% 20% 20% 23% 25%

Other 63% 61% 61% 58% 56%

Free Care $728,229 $740,506 $975,871 $1,108,473 $1,841,947

Bad Debts $1,087,556 $1,605,031 $1,971,182 $2,752,342 $3,157,833

HISTORICAL FINANCIAL PERFORMANCE COMPARISON

Financial SummaryMaine Medical Partners has remained true to our commitment to meeting the healthcare needs of our community. Through difficult economic times, our multi-specialty group has grown to include new physicians, new services and new locations. We have expanded access to care in both the inpatient and outpatient settings in an effort to ensure all patients receive the care they need in a timely manner.

32

Medical Education• Dr. Thomas Morrione gave a community

presentation on the Geriatric Assessment at The Lodge at OceanView in January 2010 and also spoke at Scarborough High School’s Career Day in March.

• Kathy Stout, a nurse practitioner at Geriatric Medicine, gave a community presentation on End of Life Care at The Lodge at OceanView.

• Dr. Sarah Hallen gave a community talk for the Learning Resource Center on Memory Issues in February 2010.

• Geriatric Medicine and MMC Division of Geriatrics hosted the Annual Geriatrics Day conference in April 2010, featuring Dr. Daniel Mendelson discussing hip fractures and Dr. Donna Fick discussing delirium and dementia. Our own Dr. Thomas Morrione also presented one of the five breakout sessions on Vitamin D Deficiency and Osteoporosis.

• Cynthia Stevens, a nurse at Maine Children’s Cancer Program, organized a conference on November 3, 2010 titled Children with Brain Tumors: Living and Learning! held at MMC. The day-long conference was geared towards community teachers, psychologists, school nurses, therapists, and parents of tumor patients.

• Neurosurgery & Spine held the 3rd Annual Neurovascular and Spine Conference on November 9, 2010 at the USM Abromson Center. This conference focused on Spine Care in Maine with a special focus on advancements in vascular and spine treatments.

• General Surgery, Trauma & Critical Care held the 28th Annual Maine Committee on Trauma Conference at the Samoset Resort in November 2010. At this conference, Dr. Robert Ecker of Neurosurgery & Spine was invited to speak on bilateral hemicraniectomy for severe traumatic brain injury in soldiers from the wars in Iraq and Afghanistan.

• General Surgery, Trauma & Critical Care continued to provide numerous courses to 3rd year medical students, residents, and doctors. These courses include Advanced Trauma Operative Management, Advanced Trauma Life Support, and Fundamental Critical Care Support.

• Tammy Lachance and Julie Ontengco of General Surgery, Trauma & Critical Care implemented a Rural Trauma Team Development Course. This is the first of it’s kind in the state of Maine.

Community BenefitFree CareMaine Medical Partners has a policy of free care and financial assistance that is easily understood, prominently posted, and publicly available. For patients whose family income is at or below 175% of the Federal Poverty Level, free care is 100% of their billed amounts. MMP uses simple application procedures for free care and financial assistance that do not intimidate or confuse applicants. Employees who work in the practice, billing, accounts receivable, or patient services at MMP are fully informed and educated about all financial assistance policies. Total free care of $1.8 million was provided by MMP in fiscal year 2010.

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Volunteer Service• Dr. Irwin Brodsky volunteered at the Mid Coast

Hunger Prevention Program; transporting food to their pantry each Sunday.

• Dr. Ben Farino, Dr. Renee Fay-Leblanc, Dr. Brett Loffredo, Dr. Thomas McInerney, and Dr. Christopher Wellins volunteered their time at the Portland Free Medical Clinic.

• Dr. Samuel Broaddus is a member of Konbit Sante Board of Directors and provided volunteer medical leadership and surgical services in Haiti.

• Cape Elizabeth Internal Medicine, Scarborough Family Medicine, and Scarborough Internal Medicine supported Project Grace by adopting families during the holidays as well as providing backpacks for school children.

• Endocrinology & Diabetes Center and Cape Elizabeth Internal Medicine collected food donations over the holidays to support the South Portland Food Cupboard.

• General Surgery, Trauma & Critical Care participated in Kids Safety Day at the Portland Expo as well as the Car Seat Voucher Program, where they provided car seat installation education and donated seats given to families in need within the community.

• Urology held the 2nd Annual Portland Sea Dogs Father’s Day 5K Road Race on June 20, 2010 raising a total of $11,500 to fight prostate cancer in Maine. Urology physicians also volunteered their time and

expertise to offer free prostate cancer screenings during Prostate Cancer Awareness Week.

• Pediatric Surgery developed a prototype with Falmouth High School for a student led trauma prevention course taught by seniors to junior high school students.

• Dr. Amy MacQueen of Scarborough Internal Medicine volunteered her time at medical stations during the Maine Marathon.

• Heidi Wierman of Geriatric Medicine has served as a volunteer Board Member for Home Health Visiting Nurses of Southern Maine since October.

• Pediatric Specialty Care Division of Diabetes, co-sponsored a Family Apple Picking Day for patients and their families with the American Diabetes Association (ADA). Dr. Jerry Olshan also volunteered his time at an ADA camp.

• Mary Zamarripa, RD, CDE of Pediatric Specialty Care division of Diabetes participated in a bicycle race for the Juvenile Diabetes Research Foundation. Dr. Alan Morris also participated in a walk to support the same cause.

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Service ExcellenceChampions of ChangeThis year, a quality improvement training program was designed, implemented and completed in the second week of January 2011. This program is called Champions of Change.

The Champions of Change program was designed to teach 32 participants across 16 sites the skills they need to conduct quality improvement projects. The program participants were Patient Service Representatives, Clinical Managers, Medical Assistants, Nurses and Practice Managers.

These participants became the quality improvement champions within their sites and now guide others in how to apply the tools of quality improvement to any process.

The MMP Quality Program framework for FY11 was strategically aligned with the Champions of Change program. With this new framework, we have projects with a clear patient centered focus, greater collaboration within and between sites, greater knowledge of quality improvement methodologies and a measurable increase in efficiencies.

Care TransitionsIn early 2010, we developed and implemented a Care Transitions Program with the goal of promoting a safe and effective transition for patients from the inpatient setting to home. Specific areas of focus include:

• Reduce rehospitalization and avoidable Emergency Department visits• Reduce medication discrepancies• Increase follow-up with the PCP post discharge• Increase patient awareness of complications and when to seek treatment

The program was launched in May 2010 for MMP patients discharged from the Medicine Service to home. In September, this was expanded to included patients discharged from the Surgical Service to home.

COMPLETE CONTACT OF MMP PATIENTS DISCHARGED FROM MMC BETWEEN MAY 14, 2010 & NOVEMBER 29, 2010

COM

PLET

E CO

NTA

CT W

ITH

PAT

IEN

T

Average 62

May-10

Jun-10Jul-1

0

Aug-10

Sep-10

Oct-10

120

100

80

60

40

20

0

4452 50

70

101

57

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Recognitions & AwardsDemonstrating our commitment to Excellence, the following sites and individuals received special recognition in 2010:

• General Surgery, Trauma & Critical Care led the efforts to achieve re-certification for MMC’s Level 1 Trauma Center.

• Maine Children’s Cancer Program was awarded a $100,000 grant from the Hyundai Hope on Wheels Program to develop a telemedicine program.

• Pediatric Specialty Care division of Integrative Medicine was awarded a grant from the Osteopathic Heritage Foundation to teach Integrative Medicine fellows and students the art of osteopathic manipulation in children with chronic diseases.

• Pediatric Specialty Care division of Pulmonary Medicine was awarded a $75,000 grant to develop clinical research in Cystic Fibrosis patients.

• Internal Medicine, Family Medicine, and Lakes Region Primary Care achieved Blue Ribbon status with the Bridges to Excellence program in the areas of Diabetes Care, Heart Disease Care and Office Systems.

• Pediatrics achieved Blue Ribbon status with the Bridges to Excellence program in the areas of Immunizations, Asthma Care and Office Systems.

• Endocrinology & Diabetes Center and Neurosurgery & Spine achieved Blue Ribbon status with the Bridges to Excellence program in the area of Office Systems.

• Dr. Sarah Hallen received a Geriatric Academic Career Award which provides support for education, research and professional development.

• Dr. Thomas Gearan was named Internal Medicine Residency Program Director.

• Dr. Wendy Smith is the incoming Vice Chair of the American College of Medical Genetics Professional Practice and Guidelines Committee.

• Dr. Samuel Broaddus received the 2010 Surgical Volunteerism Award of the American College of Surgeons for his service, critical research, and ongoing advocacy for Haiti. This award came with a $5,000 donation award to Konbit Sante.

• Dr. Matthew Hand gained national recognition with one of the patients cared for by the Pediatric Specialty Care division of Nephrology, being featured in several documentaries and television programs last year, including the well known “20/20” and the Oprah Winfrey show.

ADMINISTRATIVE OFFICEMaineHealth Professional Park

301C US Route 1Scarborough, ME 04074

Phone: (207) 396-8600

Fax: (207) 396-8632

www.mainemedicalpartners.org

INTEGRITYWe are committed to doing the right things for the right reasons. We are fair, open and honest

in our interactions with others.

COMPASSIONWe interact with others in a way that fosters an

environment of care and understanding.

ACCOUNTABILITYWe assume responsibility for our actions. We empower all employees by promoting personal responsibility and

encouraging creative thinking and innovation.

RESPECTWe treat others with dignity and compassion. We honor diversity, individuality and personal

and professional differences.

EXCELLENCEWe work as a team and strive for the highest standards of quality. We embrace change as a

vehicle for continual improvement.

Maine Medical Partners core Values