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Tuesday, December 21, 2010                                            RON HALLMAN, 388-4744

Porter Internal Medicine Seeking National Certification as a
“Patient-Centered Medical Home”

MIDDLEBURY--The staff of Porter Internal Medicine, with support from other members of the Porter Practice Management department, has nearly completed the first phase of a major new initiative in preparation for active participation in the Vermont Blueprint for Health program. The PIM practice anticipates being the first Porter owned practice to achieve certification as a “Patient-Centered Medical Home” from the National Committee for Quality Assurance (NCQA).

The patient-centered medical home is a model for care provided by physician practices that seeks to strengthen the physician-patient relationship by replacing episodic care based on illnesses and patient complaints with coordinated care and a long-term healing relationship.

The American College of Physicians, the American Academy of Family Physicians, the American Academy of Pediatrics and the American Osteopathic Association have jointly defined the medical home as a model of care where each patient has an “ongoing relationship with a personal physician who leads a team that takes collective responsibility for patient care”. The physician-led care team is responsible for providing all the patient’s health care needs and, when needed, arranges for appropriate care with other qualified physicians.

According to the NCQA web site, a medical home also emphasizes enhanced care through open scheduling, expanded hours and communication between patients, physicians and staff.

“NCQA’s Physician Recognition Programs identify physicians who deliver superior care using standards firmly rooted in medical evidence. To date, nearly 10,000 physicians nationwide have been recognized by NCQA in the areas of diabetes care, cardiovascular care, back pain care and practices that systematically provide preventive and chronic care” according to the NCQA web site.

Among the aspects of care measured by PCMH certification are:

  • Access and Communication
  • Patient Tracking and Registry Functions
  • Care Management
  • Patient Self-Management Support
  • Electronic Prescribing
  • Test Tracking
  • Referral Tracking
  • Performance Reporting and
  • Improvement
  • Advanced Electronic Communications

According to Porter Practice Management Vice President, Jean Cotner, PIM has been working toward certification since the beginning of July. They have had weekly meetings involving the leadership group at PIM (Lisa Quesnel, Office Manager, Brad Armstrong, Lead Physician, and Wendy Covey, Lead Nurse), along with PPM (Dawn Martin, Jean Cotner, or Melissa Moore).

“In addition to the leadership group, there have been meetings with all of the staff at PIM as they were working their way through some of the elements, and I have been so impressed by their commitment to this project and how they have all come together to do this” said Jean Cotner.

“The staff has worked their way through many different elements, sometimes documenting processes already in place, and sometimes needing to develop new processes, but they have done this in a way that has allowed them to achieving these required elements, while always focusing on improving patient all along the way.”
“This effort has really taken team work from the whole office to develop the new processes and sustain that work over a long period of time” she added.

According to Cotner, the staff at PIM has been extremely diligent about fine-tuning their processes and she says that strong inter-office communication throughout the practice has been the key to their success.

At least two other Addison County practices are well underway with these certification efforts, with a goal of having all three NCQA certified by July of 2011.


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Wednesday, August 18, 2010                                            RON HALLMAN, 388-4744

Porter Welcomes New Providers to our Community

Our Porter Practice Management Department, under the leadership of Jean Cotner, has been successful in recruiting many new providers to Addison County. Several of these providers have already started practicing in our area, or will begin working at Porter Hospital and one of our PPM practices in the weeks ahead.

On August 1st, Katherine J. Wagner, MD joined Addison Associates in Obstetrics and Gynecology. Dr. Wagner received her undergraduate degree from Middlebury College in 1998 and graduated from the UVM College of Medicine in 2006. She has served as a Senior Lab Technician and in the Sports Training Room at Middlebury College; as well as a dispatcher/receptionist in the Porter Hospital Emergency Department.

Also on August 1st, Michael S. Graham, MD joined Primary Care - Middlebury. Dr.
Graham received his undergraduate degree from St. Lawrence University in 2002 and graduated from New York Medical College in Valhalla, New York in 2007. He then did a Residency Training at UVM in Family Practice that was completed 2010.
He specializes in sports medicine and is also interested in adolescent/young adult health.

On August 16th, Sepinoud Bazel, MD also joined Primary Care - Middlebury.
Dr. Bazel received her undergraduate degree from Muhlenberg College, Allentown Pennsylvania in 2003 and graduated from Drexel University College of Medicine in 2007. She then did a Residency Training at the University of Connecticut in Family Medicine that was completed in 2010.

At the end of September, Laura Wilkinson, FNP, MSN will join Dr. Brad Armstrong at Porter Internal Medicine. Ms. Wilkinson received her undergraduate degree from UVM in 2001 and graduated from the University of North Carolina in Chapel Hill in 2005.
She has served as a clinical nurse in a North Carolina Maternity Care Unit from 2001 to 2005 and then as a House Manager at the Vermont Respite House in Williston from 2000 to 2001.

At the beginning of October, Naomi Hodde, MD will also join Porter Internal Medicine.
Dr. Hodde received her undergraduate degree from Middlebury College in 1994 and graduated from Temple University School of Medicine in Philadelphia, Pennsylvania in 2002. She then did a Residency Training in Internal Medicine at the University of Washington, Seattle. She is Board Certified in Internal Medicine. She has done clinical training/research in a rural southern African Hospital in 2002. She also served as a Hospitalist at the Evergreen Medical Center in Kirkland, Washington from 2008 to the present before coming to Vermont.

Each of these new providers is currently accepting new patients. More information can be obtained by calling the individual practices listed above.


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Thursday, June 10, 2010                                            RON HALLMAN, 388-4744

Porter Auxiliary Approves $28,000 in Contributions

MIDDLEBURY--The Porter Medical Center Auxiliary Board of Directors approved $28,000 in contributions at their monthly meeting on June 9th. The contributions include $15,000 to Helen Porter Rehabilitation & Nursing Center for a new “Decentralized Dining” Project, $1,000 toward an improvement project for Libby’s Trail (Porter’s handicapped accessible nature trail), $6,000 for an exam Table for Porter’s new Palliative Care Practice and $6,000 for the hospital’s Lifeline Program. The source of these funds are the Round Robin Upscale Resale Shop, the annual Kentucky Derby Day benefit and membership dues.

“We are extremely grateful for these outstanding contributions from the Porter Medical Center Auxiliary in support of these important projects and programs that benefit our patients, residents and the community we serve”, said PMC President, James Daily.

The $15,000 HPHRC donation will support a project that is central to the new “Culture Change” efforts to transform Helen Porter into a more home-like environment. The $1,000 contribution for Libby’s Trail, created in memory of Elizabeth Brakeley by her family, will provide resources for a general maintenance project to ensure that this trail is in good condition for the residents of Helen Porter or other community members to enjoy. The Lifeline funds are used to allow Porter to provide this in-home emergency response program to local people regardless of their ability to pay the monthly subscription fee, and the additional $6,000 will be used at Helen Porter to acquire a special exam table for residents who also are patients of the Palliative Care practice.

The Porter Medical Center Auxiliary is a membership organization open to everyone in our community. Information about membership can be obtained by calling the Porter public relations office at 388-4738.


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May 24, 2010                                                                RON HALLMAN, 388-4744

MIDDLEBURY—Every student who will graduate next month from area High Schools will be celebrating a significant milestone and accomplishment in their life and academic career. But four young women, Mae Murdock (Shoreham), Alex Sears (Cornwall), Ashley Tatro (Bristol), and Kali Trautwein (Middlebury) will be celebrating a very special accomplishment. These graduating seniors were also enrolled in the Health Careers Program at the Patricia A. Hannaford Career Center (PAHCC), a 2-year program designed to provide them with skills and experiences that have prepared them to pursue a career in a variety of health professions, according to the program instructor Rita Wells, RN, MSN. “Health Careers is a dual enrollment program with the Community College of Vermont (CCV), meaning that students who successfully complete the 2-year curriculum at PAHCC will graduate from High School with college credits from CCV in Medical Terminology and Human Biology.

A third college course can be completed independently by the student for a potential of 9 college credits by the time they graduate high school. In addition, the students are certified in Basic Life Support, First Aid, and have the potential to become licensed as a Nursing Assistant (LNA) by the Vermont Board of Nursing,” Ms. Wells said. “It offers the students a tremendous start in pursuing a career in health care, and none of this would be possible without the wonderful collaboration between PAHCC and Porter Medical Center.”

Three years ago, Porter and PAHCC resurrected the Health Careers Program in order to provide local high school students with exposure and opportunities that could lead to professional careers in the health field. The classroom and lab component is provided at PAHCC and the hands on experiences are offered at both Porter Hospital and Helen Porter Rehabilitation & Nursing Center.

“Our students rotate through every clinical area of the hospital, which gives them an incredible overview of various disciplines and the relationship between departments. It provides the students an opportunity to experience what it might be like in a particular area and help them decide their path as a health professional,” Wells said. “Thanks to the efforts of HPHRC administrator Neil Gruber; the Hospital’s administrator James Daily and Vice President for Patient Care, Pat Jannene; as well as Steve Boudah and Karen Herrmann from the Volunteer Department; our students have had doors opened to them that have provided invaluable experiences,” added Wells.

Wells also expressed appreciation to the Hannaford Career Center and Porter Hospital board of directors for the commitment of organizational resources and the recognition of both the contributions this is making to our local youth, but also the wisdom of attracting local students to health careers. “These young people will go off to college to become nurses, doctors, therapists, etc. and many will return to Addison County for their professional career – it is a win-win situation.”

As part of the senior curriculum, these students also venture out of the region for exposure to national health issues. Last month, the students traveled to Washington, D.C. where they attended a national conference on kidney disease at the National Institutes for Health, observed physical therapy sessions with returning military personnel at the Walter Reed Medical Center, and had a private meeting with Senator Bernie Sanders to discuss national health care reform.

In addition to the four seniors who have completed the 2-year program, there are six students who will be completing their first year in June. They are senior Brittany Thompson (MAUHS), who will be attending nursing school in the fall; and juniors Alix Bradley, Nina Edson, Lillian Hamilton, Leah Norris and Kimberly Shaw. “Their commitment certainly showed during a recent visit to HPHRC on prom night to visit the residents in their gowns and bring them flowers,” Ms. Wells stated. Also according to Wells, interest in this successful program is growing. “I had nearly double the number of applicants from students wanting to enter the program next fall, than I could accept; but I encourage all students interested in a health career to keep working hard and follow their passion. Those that couldn’t be accepted can re-apply next year.”

”It is so incredible to live in a community where this level of collaboration exists and where everyone is focusing on what is good for our students and what is best for the future of our local, regional and national health care work force,” Wells said. “After all, these students will be our future health care providers.”


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April 8, 2010                                                                RON HALLMAN, 388-4744

Porter Hospital Receives Komen Grant for Cancer Screening Program

MIDDLEBURY--Porter Hospital has received a grant of $5,000 from the Susan G. Komen Foundation in support of Porter’s Breast Cancer Screening and Education Program and a new collaborative effort with the Open Door Clinic of Addison County. The grant will allow Porter to serve women with low cost or free screening mammography services who come to the program either via a new series of Women’s Clinics sponsored by the Open Door Clinic, or via Porter’s established network of primary care physician referrals.

The Porter Hospital Breast Cancer Screening and Education Program provides free or low-cost screening mammography services to area women who do not have health insurance, do not qualify for any other type of program that covers this screening, and/or who have such high deductibles that they would not avail themselves of this important screening service.

This year’s grants from the Komen Foundation are targeted to supporting new collaborations that will extend to additional providers of services the opportunity to utilize Susan G. Komen resources to improve early detection services according to Porter’s Vice President for Development Ron Hallman.

“We are looking forward to working closely with the Open Door Clinic as they expand their “women’s health care clinics” from two per year to four per year specifically through greater outreach to area women to inform them of the availability of these free or low-cost mammography services”, he said. The grant funding will be used for direct patient care services (screening mammograms) for the women who come to this long-established program via this new collaboration.

The Open Door Clinic plans to provide four Women's Health Clinics in Addison County for un/underinsured women over the next year. According to ODC executive director, Julie Arel, these clinics will ensure a high-quality, woman-friendly environment in which to receive comprehensive health services for women who are underserved and doubles the number currently offered while expanding to include the town of Bristol as a clinic site.

“In 2007, 13% of all women in Vermont were uninsured, and the National Women's Law Center reports that women are even more vulnerable when uninsured or underinsured than are men” she said. “Women need to spend a greater share of income on health needs by virtue of earning less than men, are underinsured at higher rates, and are more likely to suffer from a chronic condition requiring ongoing care”. She added that the ODC provides women ongoing access to healthcare through their regular weekly clinics as needed. However, she says that the Women's Health Clinics offer something more. “It is an environment where women are assured of seeing providers that are all women themselves, they are encouraged to apply for insurance and seek stable ongoing care for themselves and we try to empower women to understand their need to be actively engaged in their healthcare and to identify ways to better manage their health through prevention” she said.

In addition to a stronger emphasis on access to screening mammography services, this project addresses a variety of health needs of women through the direct provision of healthcare by volunteer physicians and nurses (the majority of whom are employees of Porter Hospital). This includes preventative women's healthcare and attendant lab tests such as pap tests, evaluation of acute or chronic illness, referral to specialists for cardiovascular, gynecologic, orthopedic and other needs, access on-site to physical therapy, and HIV/AIDS counseling and testing offered anonymously.

At these clinics, women not only will receive healthcare provided by the all-female staff and volunteers, but also receive assistance completing applications for health insurance, information and counseling from a dietician, smoking cessation services and nicotine replacement therapy, and have access to ongoing case management support.

“Un/underinsured, high risk and vulnerable women residents of Addison County (and some surrounding towns) who lack access to health care is the target population” she said. “In 2009, 418 women were served through the ODC, an 11% increase over 2008 numbers, and it is estimated that the four clinics proposed will serve approximately 70 women.” All eligible women seen at the clinics will be assisted in filing an application for state insurance through Green Mountain Care and will be enrolled in Vermont’s Ladies First Program and offered smoking cessation services if appropriate. One of the primary and ongoing goals is to find every patient who comes to one of the Open Door Clinics a permanent “medical home” in an existing, local primary care practice.

“Earlier preventive care, including mammograms, can mean the difference between an easily treatable illness and long-term morbidity, high healthcare costs, and even death due to delayed treatment,” Arel said. “We are pleased to be partnering with Porter Hospital in this grant-supported effort to enhance access to important services for the women of our community.”


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April 7, 2010                                                                RON HALLMAN, 388-4744

Helen Porter Receives Grant for New Culture Change Efforts and Programs

MIDDLEBURY--Helen Porter Rehabilitation & Nursing Center has received a grant of $23,700 from the State of Vermont in support of its efforts to pursue a new “transformational project” to define, implement and evaluate an innovative model of resident care.

The grant comes from the “Enhancing Quality of Life” program via the Vermont Department of Disabilities, Aging and Independent Living (DAIL) and will support Helen Porter’s efforts to work collaboratively with their board, physicians, residents, families, staff and the broader Addison County community to change their long- established “medical model” of care to a new “social model/person-centered model” according to Helen Porter administrator Neil Gruber. “Our overarching goal is to pursue a culture change within our organization to enhance the quality of life for our residents and build a positive community that fosters high quality and compassionate care in a manner that promotes independence, respect and dignity”, he said.

According to Gruber, this process of “culture change” will not simply be a cosmetic improvement intended to improve how our organization appears internally and externally—it truly will impact and change the fundamental way that residents, families, staff and community experience the organization via very specific changes.

“The basis for this culture change project is our sincere belief that the traditional model of nursing home care and the current perspectives, interactions and relationships that exist within our facility and many others does not represent the very best environment for providing the highest quality resident care” he said.

“We have presented to our board of directors our plans to embark on an intensive period of transformation over the next several months that began with the drafting of a new Mission Statement and Vision Statement to serve as the foundation for our work. These statements will be our reference points and guide the many concrete actions, decisions and changes that we will pursue” Gruber said.

He added that these statements are being developed in concert with residents, families and staff, and will be based on a core list of “values”. “In our preliminary conversations with these internal members of our HPHRC family, the initial list of these values include: respect for each person as an individual, promoting the highest level of dignity for residents, promoting greater collaboration and teamwork, ensuring autonomy and independence, building a positive community, fostering healthy relationships and pursuing excellence in everything we do”.

The project coordinator, Nancy Schaedel, is excited to have received this grant and is very enthusiastic to implement a number of new initiatives. “As we move forward, we do so in order to create a safe and caring environment, which fosters both positive relationships and a sense of community. We envision a home filled with love, dignity and quality service, and working together as a team to ensure a sense of collaboration and open communication, where every person is valued as an individual and as a member of a larger community” she said.

Beyond creating new Mission, Vision and Value statements, HPHRC will undertake a comprehensive effort to educate residents, family and staff about what “culture change” is and how to accomplish it. “Changing from a medical model to a social and person- centered care model will require that we change our appearance, philosophy and language, such as changing our terminology from “nursing units” to “neighborhoods” and giving these new neighborhoods names as selected by our residents, families and staff,” Gruber said.

“In our early conversations with our residents, families and staff about our plans to move forward with this project, we have received some important and specific feedback that could define our efforts including: less noise on the units, quicker answers to call bells, more privacy, freedom to eat what they want and knowledge of menu prior to meal service, a coffee shop that is always open, freedom to sleep as late as they want, clutter free hallways, and mirrors at wheelchair height,” he said.

Although the implementation of this culture change transformation will encompass many specific activities, outreach efforts, a new “wellness programs”, etc…over time, one of the primary programmatic changes Gruber envisions is the establishment of a new end- of-life “Namaste Care Program” for residents with Dementia. This program will be modeled on the highly successful program at the Vermont Veterans Home and will address the physical, spiritual and psychological needs of the residents.

In anticipation of this new program, the administration of HPHRC has already identified a physical space within the facility that can easily be transformed to serve as the Namaste Care unit. They also have received a donation of $4,500 from the family of one of their residents that Gruber anticipates using these funds to support the creation of this space.

According to Schaedel, this Namaste Care Program has been successfully implemented in several nursing homes and hospice organizations. She says that Namaste Care strives to maintain the highest quality of life possible for individuals with severe and terminal dementia. This care involves the creation of a special room that provides a quiet, peaceful environment for residents in the last stage of their disease. Meaningful activities are individualized for each resident and a continuous presence of staff members provide both physical and sensory stimulation. This “high-touch” care can be taught to all staff as well as family members. “The family members, particularly, appreciate the attention given to their loved ones,” she said.

She added “The need for programs that would be suitable for individuals with severe and terminal dementia is strong if we are to prevent them from progressing into a vegetative state and help them to continue to enjoy personal contact and stimulation.”

Schaedel says that Namaste Care provides residents and their families with quality care that addresses not only physical but also emotional and spiritual needs. “It reminds us that individuals with advanced dementia should not be isolated in their rooms, but need to live their last days in a pleasant environment receiving loving care from all staff and families,” she said.

The Components of our Namaste Care Program will include development of a personalized mission statement, development of criteria to determine which residents would benefit, staff selected based on the desire to work with Namaste Care residents, special education and training, soothing and comfortable environments, comfort care approaches, special programming, and grief comfort and bereavement service referrals.

“As we move forward with this effort and these internal improvements, we envision that we will do so in communication and collaboration with other area organizations” Gruber said. “We have had preliminary conversations, for example, with members of the “Addison Respite Care Home” organization (which is developing plans for improving services to area people in hospice care), the “Living Well” organization in Bristol (which offers a variety of outreach programs and services to improve the quality of life of elderly people such as their “Living Arts” program), and others” Gruber said.

As a part of the culture change project and the implementation of the Namaste Care Program, Gruber says that Helen Porter will actively engage these organizations and others in our community in an ongoing dialogue regarding how we can collaborate with programming or long-term projects that will enhance and/or increase services available to the residents of HPHRC and the elderly population of Addison County more broadly.

“We are very excited to have received this grant, and we believe that our project will greatly improve the quality of resident care at HPHRC, and also serve as a model for other Vermont nursing homes” Gruber said.


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Friday, March 17, 2010                                                 RON HALLMAN, 388-4744

Porter Hospital to Offer Diabetes Wellness Fair

Middlebury--Porter Hospital will be hosting a free community health fair focusing on topics of importance to people with Diabetes on Saturday, March 27th from 10:00 a.m. – 2:00 p.m. in the Collins Building conference area.

The “Diabetes Wellness Fair” will feature speakers covering important topics including “Diabetes and Depression” to “Taking Control of your Diabetes”, as well as cooking and exercise demonstrations, food sampling, nutrition information and door prizes. Free blood pressure checks and blood glucose screenings will be available as well.

This event is made possible via the generous financial support from the Vergennes Union High School senior class of 2009, which donated $2,500 last spring in memory of their classmate, Taylor Vigne, who succumbed to Type 1 Diabetes at the age of 13 in 2005.

“We are proud and pleased to organize this community health event thanks to the thoughtful generosity of the VUHS seniors, and we hope that many members of our community will participate and learn more about how to better manage their Diabetes”, said Elaine Coon who is organizing the event for Porter. For more information call 388-4776 or 388-4723. This event is free and open to the entire community.


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Friday, March 8, 2010                                                 RON HALLMAN, 388-4744

Hospital Sees Improvement in 2010 CMS Quality Indicator Scores

MIDDLEBURY--During the first five months of its current fiscal year, Porter Hospital has recorded significant improvements in its “Core Quality Measures” scores for the major diagnostic groups reported annually by the Centers for Medicare and Medicaid Services (CMS).

Since 2005, CMS has been collecting data from hospitals throughout the United States on 31 “Quality Measures” and publishing this data annually in order to “provide information to consumers and encourage hospitals and physicians to improve quality of care” according to their web site. These 31 indicators are divided into four groups or “core measures” that have gained widespread public attention in recent years, as they are generally reported to the media on a state- by-state basis each spring. These four core measures are: Surgical Care Infection Prevention, Community Acquired Pneumonia Care, Congestive Heart Failure Care and Acute Myocardial Infarction (AMI) Care.

Although Porter Hospital has had only one patient during the current fiscal year who met the clinical criteria for the AMI Quality Indicator given the limited number of patients who would receive these services in a small community hospital, Porter’s scores for the other three indicators are 100% (Surgical Care Infection Prevention), 100% (Congestive Heart Failure) and 90% (Community Acquired Pneumonia). These scores reflect how well an individual hospital performs in “meeting specific goals for a variety of individual care components based on nationally accepted standards of care and current evidence for best clinical practice”, according to Pat Jannene, Vice President for Patient Care.

“We are extremely gratified by the results this fiscal year in our quality indicators scores that are a direct result of the hard work by our nurses, physicians and other clinical staff who have worked together to review and improve our processes of care”, she said. “These measures focus on how well we document the specific procedures and treatments within these diagnostic categories, and we have provided education, developed new processes, established concurrent reviews and redeployed staff resources to positively affect change and improve our results”, she said.

The initiatives that led to these most recent positive results were launched nearly a year ago, when the CMS indicator data for 2008 showed that Porter Hospital had not scored as well as other Vermont hospitals on these four core measures relative to documentation and performance. Although these new programs and efforts were developed and implemented within weeks of the release of the 2008 scores, most of the data for the 2009 scores had already been collected due to the significant “lag time” between the collection and reporting of this data. Thus, the improved quality indicator scores for fiscal year 2010 will not be published until the spring of 2011.

“Every member of our clinical staff was disappointed by the 2008 scores, and we realized that by the time we became aware of these results, most of the data for 2009 had already been submitted”, Jannene said. “Therefore, we decided that it was going to be one of our highest priorities for 2010 to ensure that any quality indicator scores for Porter Hospital are a true indication of the outstanding care we provide each and every day”, she said.

“We thought that it was important to share with our community the most current information available and demonstrate the significant improvements we are now seeing across the board in these publicly reported quality measures”, said Dr. Ben Rosenberg, President of the Porter Hospital Medical Staff and a member of the Porter board. “Given the lag time in the reporting by CMS on a national level, we wanted to share with our local community the data for fiscal year 2010 and all of the new resources that have been put into place to maintain these positive outcomes in the future”, he added.

Looking further ahead, CMS plans to continue to add new quality measures that will capture results related to outpatient services and radiology services. “Now that we have built up the infrastructure and our internal resources to respond to these new requirements as they come down the road, we feel that our data will continue to demonstrate our long standing commitment to providing the highest level of quality care for all of our patients”, Jannene said.

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Monday, March 5, 2010                                              RON HALLMAN, (802) 388-4744

MIDDLEBURY--The 2010 Annual Meeting of Porter Medical Center will be held on Thursday evening, March 25th at 7:00 p.m. in room 216 of the John M. McCardell, Jr. Bicentennial Hall on the campus of Middlebury College. The meeting is free and open to the public.

The guest speaker for Porter’s annual meeting will be Dr. Diana Barnard, who will report on the new “Partners in Palliative and Home Care” practice and share her insights and experiences in helping to develop this innovative new program and why it is an important new resource for our Addison County community. According to PMC board chairman, Joe Sutton, there is a very strong interest throughout our community in the development of end of life care and palliative care services that recognize and support the very real and special issues faced by patients and families during this phase of health care delivery. “I am confident that Dr. Barnard’s presentation will be informative and contribute to a very interesting annual meeting program,” he said.

In addition to the remarks by Dr. Barnard, brief reports will be provided by Sutton, PMC President, James L. Daily and Medical Staff President Dr. Ben Rosenberg regarding the work of Porter Medical Center during the past year, and related topics of importance to our organization and community.

For more information call the Porter Medical Center public relations office at 388-4738.

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Monday, January 11, 2010                                       RON HALLMAN, 388-4744

MIDDLEBURY--Two long time and popular Middlebury medical practices have merged and relocated to a new office on Exchange Street.

Cedar Ledge Family Practice, most recently at 99 Court Street, and Champlain Valley Family Health, formerly on the campus of Porter Hospital, have consolidated their practices into a single practice named Primary Care - Middlebury. As of January 13th, this practice began operations in Catamount Park on Exchange Street in Middlebury.

“We are very excited to have moved into a brand new, larger and more modern medical office space with lots of convenient parking for our patients and much improved exam and clinical areas for our staff”, said Porter Vice President for Practice Management Jean Cotner.

Although operating out of a new space with a new practice name, all of the providers names are familiar members of the Middlebury medical community. They include physicians Tim Cope, Maja Zimmerman, Scott Smith and Jessica Rouse, as well as mid-level practitioners Tom Beauregard and Alison Parker. During the summer of 2010, a fifth physician, Dr. Michael Graham, will join the practice.

The telephone numbers for the new practice are 388-6777 or 388-7185.


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