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LIFESPAN ANNUAL REPORT 2014
55

Lifespan 2014 Annual Report - · PDF fileand we bring that expertise to our patients and into our communities in myriad ... we are forming new partnerships with physicians and payors

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Page 1: Lifespan 2014 Annual Report - · PDF fileand we bring that expertise to our patients and into our communities in myriad ... we are forming new partnerships with physicians and payors

LIFESPAN ANNUAL REPORT 2014

Page 2: Lifespan 2014 Annual Report - · PDF fileand we bring that expertise to our patients and into our communities in myriad ... we are forming new partnerships with physicians and payors

Delivering health with care.

Our Mission Principles

We are big.

We have the resources and partnerships to handle the nearly infinite range of health

challenges that can occur in our community of more than one million people.

We are personal.

We are focused…on you. We provide highly personalized care to each patient, who benefits

from the extensive knowledge and expertise of our collaborative teams of experts.

We are analytical.

We are evidence-based — assuring delivery of the most effective clinical care to our

patients, supported by rigorous analysis of processes and outcomes.

We are caring.

We never forget that our patients may feel vulnerable, so we consistently provide care

with kindness and empathy.

We are experts.

As an academically based health care system, our collective expertise is second to none,

and we bring that expertise to our patients and into our communities in myriad ways.

We are seekers.

To remain at the forefront of medical care, we continually engage in research that will

lead to the breakthroughs that will become tomorrow’s cures.

Lifespan Mission

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Lifespan Annual Report 2014

Lifespan Health Care System 4Letter 3

Clinical Services 14 Patient Safety and Quality of Care 22

Distinctions 30 Infrastructure 34

Promotions and Recruitment 36 Information Technology 40 Lifespan in the Community 42

Giving to Lifespan 44 Governance 49

Groundbreaking Research 24

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With Lifespan’s new mission, Delivering health with care, as our guide, we are taking steps to transform our

health care system into one that is truly integrated, seamless, and patient centered. Our commitment to our

patients is at the heart of everything we do, so over this past year we continued our work with our community

and academic physicians to improve the coordination of patient care with a renewed emphasis on the

importance of primary care. The health care landscape is changing rapidly around us and our entire business

model is being turned on its head. As we move from a world where we were financially rewarded for doing

“more” (the old “fee for service” world) to a new world where we will be rewarded for value (better outcomes

with lower costs), we are forming new partnerships with physicians and payors to collaborate, share risk,

coordinate care, measure outcomes and improve care.

We believe the essential foundation on which to build this transformative effort lies in the information

technology infrastructure of our health care system. Sharing patients’ medical information in a more seamless

way is a critical precursor to creating a value-based delivery system. It is the reason why management recom-

mended and the board endorsed a multi-year, multi-million-dollar project to replace the entire information

system architecture at Lifespan with a single enterprise-wide EHR called LifeChart. Although successfully

launched on March 29th of 2015, the lion’s share of the work required for that successful launch took place

in 2014. LifeChart will provide strong analytic capabilities that will enable Lifespan to analyze the care we

provide to entire populations of patients who share a specific disease or condition (such as cancer, cardiac

disease or osteoarthritis) and to look at general health care trends such as increasing rates of diabetes, obesity

or smoking. This is commonly known as population management, and we are building the capabilities

necessary to be successful in the future and target our scarce resources to areas where they will have the

most impact. The journey is just beginning, but as the leading health care system in the state and the region,

we are committed to leading the way.

In closing, we want to acknowledge and thank all the thousands of people who work at Lifespan. We

are proud to work alongside all the caregivers and staff who embody our mission of Delivering health with

care each and every day. Your work is extraordinary, noble and life-changing. For that, we say a collective and

heartfelt thank you.

Timothy J. Babineau, MDPresident and Chief Executive OfficerLifespan

Lawrence A. Aubin, Sr.ChairmanLifespan Board of Directors

LETTER FROM THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE CHAIRMAN OF THE BOARD

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LIFESPAN HEALTH CARE SYSTEM

LIFESPAN HEALTH CARE SYSTEM

Lifespan is a not-for-profit health care system in Providence, Rhode Island. It comprisesthree teaching hospitals of The Warren Alpert Medical School of Brown University:Rhode Island Hospital and its Hasbro Children’s Hospital, The Miriam Hospital, andBradley Hospital, the nation’s first psychiatric hospital for children; as well as NewportHospital, a community hospital with a broad spectrum of health services. Lifespan alsoincludes Gateway Healthcare, the largest provider of community-based behavioralhealth care in Rhode Island.

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Lifespan’s teaching hospitals are closely affiliated with The Warren Alpert Medical School of Brown University and train

nearly 600 residents and fellows each year, in more than 70

programs at Rhode Island, The Miriam, and Bradley hospitals.

The hospitals are also participating sites for an additional 200

residents and fellows who are based at other medical institutions.

Timothy J. Babineau, MDPresident and Chief Executive OfficerLifespan

The National Institutes of Health supports Lifespan’s

teaching hospitals with an average of more than $80 million

in research funding each year, making Lifespan hospitals among

the top recipients in the country. All Lifespan affiliates are

charitable organizations and depend on support from their

communities for programs and services. For more information

about Lifespan and its affiliates, visit www.lifespan.org.

5

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LIFESPAN HEALTH CARE SYSTEM

[$’s in thousands]

LifespanFinancial Performance

Total operating revenue $1,813,034

Total operating expenses $1,807,972

Income from operations $5,062

Net income $7,425

Net patient service revenue $1,619,390

Total assets 2,452,819

Research funding revenue $81,578

Statistical Digest

Employees 13,710

Licensed beds 1,155

Patient discharges 56,119

Emergency department visits 239,117

Outpatient visits 431,474

Outpatient surgeries 23,588

Inpatient surgeries 14,727

Home health care visits 5,158

Net cost of charity care and other community benefits

Charity care $45,390

Medical education, net $69,954

Research $17,202

Subsidized health services $26,099

Community health improvement services and community benefit operations $1,541

Unreimbursed Medicaid costs $20,371

Total cost of charity care and other community benefits $180,557

Rhode Island Hospital

Employees 7,094

Affiliated physicians 1,872

Licensed beds 719

Total assets $1,302,595

Patient discharges 33,987

Emergency department visits 148,059

Outpatient visits 220,684

Outpatient surgeries 12,271

Inpatient surgeries 9,097

Net patient service revenue $1,011,699

Research funding revenue $52,828

Net cost of charity care and other community benefits

Charity care $34,074

Medical education, net $55,916

Research $12,527

Subsidized health services $10,872

Community health improvement services and community benefit operations $776

Unreimbursed Medicaid costs $11,590

Total cost of charity care and other community benefits $125,755

The Miriam Hospital

Employees 2,705

Affiliated physicians 1,110

Licensed beds 247

Total assets $458,787

Patient discharges 16,033

Emergency department visits 61,382

Outpatient visits 135,421

Outpatient surgeries 6,957

Inpatient surgeries 4,586

Net patient service revenue $369,722

Research funding revenue $24,513

Net cost of charity care and other community benefits

Charity care $6,773

Medical education, net $12,335

Research $3,787

Subsidized health services $7,309

Community health improvement services and community benefit operations $403

Unreimbursed Medicaid costs $6,482

Total cost of charity care and other community benefits $37,089

Emma Pendleton Bradley Hospital

Employees 760

Affiliated physicians 99

Licensed beds 60

Total assets $121,641

Patient discharges 1,613

Outpatient visits 19,420

Home health care visits 5,158

Net patient service revenue $65,634

Research funding revenue $4,237

Net cost of charity care and other community benefits

Charity care $1,415

Medical education, net $1,703

Research $888

Subsidized health services $3,301

Community health improvement services and community benefit operations $85

Total cost of charity care and other community benefits $7,392

Newport Hospital

Employees 931

Affiliated physicians 288

Licensed beds 129

Total assets $329,854

Patient discharges 4,486

Births 444

Emergency department visits 29,676

Outpatient visits 55,949

Outpatient surgeries 4,360

Inpatient surgeries 1,044

Net patient service revenue $104,479

Net cost of charity care and other community benefits

Charity care $2,628

Subsidized health services $4,617

Community health improvement services and community benefit operations $277

Unreimbursed Medicaid costs $2,299

Total cost of charity care and other community benefits $9,821

Gateway Healthcare

Employees 762

Total operating revenue $45,017

Total operating expenses $52,772

Loss from operations $(7,755)

Net loss $(7,744)

Net patient service revenue $40,041

Total assets $35,502

LIFESPAN STATISTICS FISCAL YEAR 2014

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Established by Lifespan in 2012, Lifespan Physician Group,Inc. (LPG) is the largest multi-specialty physician practice in the

state, with nearly 400 employees – including 327 providers in

the areas of family medicine, obstetrics and gynecology, hospital

medicine, cardiology, ophthalmology, pediatrics, plastic surgery,

psychiatry and behavioral health – as of May 1, 2015.

LPG was organized as a new 501(c)(3) physician practice

in response to the changing health care environment that

encourages integration and shared risk. LPG is a physician-led,

Lifespan Physician Group, Inc.

physician-governed group practice whose purpose is to provide

high quality, innovative care to communities in Rhode Island

and elsewhere.

LPG brought various physician groups together to align

Lifespan hospitals and their affiliated physicians for the

purposes of supporting our academic mission and providing

outstanding value-based and innovative care.

Patricia RichardsVice President, Operations

Mark HasbrouckVice President, Business Development

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LIFESPAN HEALTH CARE SYSTEM

Rhode Island Hospital

The largest hospital in the state, Rhode Island Hospital wasfounded in 1863 and is a 719-bed, not-for-profit acute care

hospital. It is the principal teaching hospital of The Warren

Alpert Medical School of Brown University and is a nationally

and internationally recognized research and academic medical

center. Last year, Rhode Island Hospital received more than

$55 million in external research funding.

Rhode Island Hospital is the state’s only Level 1 trauma

center and has the state’s only accredited burn center. It also

provides a full range of treatment and diagnostic services, as

well as particular expertise in cardiology, diabetes, emergency

medicine, trauma, neurosciences, oncology and radiation

oncology, orthopedics, pediatrics, and surgery. Its pediatric

division, Hasbro Children’s Hospital, is the only facility in the

state that is dedicated to pediatric care.

With The Miriam Hospital, Rhode Island Hospital

founded the Lifespan health care system in 1994. For more

information, visit www.rhodeislandhospital.org.

Margaret M. Van Bree, MHA, DrPHPresident

Latha Sivaprasad, MDSenior Vice President and Chief Medical Officer

Barbara Riley, RNSenior Vice President and Chief Nursing Officer

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Hasbro Children’s Hospital, the pediatric division of Rhode

Island Hospital, is the premier pediatric facility for clinical care,

research, and education for southeastern New England. The

87-bed not-for-profit hospital offers a broad array of pediatric

services and programs, and it is at the forefront of minimally

invasive pediatric surgical care for congenital and acquired

children’s diseases.

Hasbro Children’s has the only pediatric emergency

department, Level 1 trauma center, Center for Pediatric

Imaging and Sedation, and pediatric critical care team in

Hasbro Children’s Hospital

southeastern New England, as well as the only ambulance

that operates 24 hours a day, every day.

The hospital encourages parents to participate in their

child’s care throughout the hospital stay.

Rhode Island/Hasbro Children’s Hospital is the

principal teaching hospital of The Warren Alpert Medical

School of Brown University. For more information, visit

www.hasbrochildrenshospital.org.

Margaret M. Van Bree, MHA, DrPHPresident

Phyllis A. Dennery, MDPediatrician-in-Chief

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LIFESPAN HEALTH CARE SYSTEM

The Miriam Hospital

Founded by the Jewish community in 1926, The Miriam Hospital is affiliated with The Warren Alpert Medical School of

Brown University. The 247-bed, not-for-profit teaching hospital

offers particular expertise in cardiology, oncology, orthopedics,

men’s health, bariatric surgery, minimally invasive surgery,

and robotic surgery. The Miriam is home to the Total Joint

Center, which uses the most advanced technologies for

joint replacement.

The Miriam Hospital is nationally known for its HIV/AIDS

research and its behavioral and preventive medicine research,

which includes weight control, physical activity, and

smoking cessation.

The Miriam has been designated a Magnet hospital for

excellence in nursing four times. It received more than

$23 million in research funding last year. Along with Rhode

Island Hospital, The Miriam was a founder of the Lifespan

health care system in 1994. For more information, visit

www.miriamhospital.org.

Arthur SampsonPresident

Thomas F. Tracy, MDSenior Vice President, Medical AffairsChief Medical Officer

Maria Ducharme, RN, MS, NEA-BCSenior Vice President, Patient CareServices, Chief Nursing Officer

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Emma Pendleton Bradley Hospital

Bradley Hospital is a nationally recognized center for children’s

mental health care as well as for training and research. The first

psychiatric hospital in the country devoted exclusively to children

and adolescents, Bradley was founded in 1931 and is today a

major teaching affiliate of The Warren Alpert Medical School

of Brown University.

Bradley Hospital offers a broad range of services for

psychological, developmental, and behavioral conditions in

children and teens, including inpatient, outpatient, residential,

and partial hospital programs. The Bradley Hasbro Children’s

Research Center brings together a multidisciplinary team, work-

ing to advance knowledge of children’s mental health through

federally funded research projects. The Bradley School is a fully

certified special education school.

Bradley Hospital became a partner in the Lifespan system

in 1996. It is located in East Providence, Rhode Island. For more

information, visit www.bradleyhospital.org.

Daniel J. WallPresident

Henry Sachs, MDVice President and Chief Medical Officer

Vareen O'Keefe Domaleski, EdD, MSN, NEA, BCVice President of Patient Care Services and Chief Nursing Officer

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LIFESPAN HEALTH CARE SYSTEM

Newport Hospital

Founded in 1873, Newport Hospital is a 129-bed communityhospital offering a full spectrum of services needed by the com-

munity, including an award-winning birthing center, emergency

department, surgical services, a renowned rehabilitation center,

a wound care program, diagnostic imaging, behavioral health,

and community-based practices for primary and specialty care.

Newport Hospital, located in Newport, Rhode Island, is

the only acute care hospital in Newport County. It has earned

Magnet designation for excellence in nursing three times. The

hospital became a partner in the Lifespan health system in 1997.

For more information, visit www.newporthospital.org.

Crista DurandPresident

Thomas McGue, MDVice President, Medical Affairs and Chief Medical Officer

Denise Sullivan, MSN, RNCVice President for Nursing and Chief Nursing Officer

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Gateway Healthcare

Since it was established in 1995 as a community mental health

center for residents of northern Rhode Island, Gateway Health-

care has expanded to include more than 40 locations across the

state. Gateway’s size and reach set it apart from other community-

based mental health and substance abuse organizations.

Gateway Healthcare provides more than $1.4 million in

free care each year to Rhode Islanders who are in need, and

reaches more than 15,000 people through residential, outpatient,

and community-based programs. Its network of affiliates

includes The Autism Project, Capital City Community

Centers, and FRIENDS WAY.

Gateway became a partner in the Lifespan health system in

2013. Its headquarters are in Pawtucket, Rhode Island. For more

information, visit www.gatewayhealth.org.

Richard LeclercPresident

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CLINICAL SERVICES

CLINICAL SERVICES

Our ability to continually improve patient care depends on a complex array of factors:the dedication with which we discern and adopt best practices; our desire to discovernew and innovative treatments; our determination to invest in state-of-the-art technology; and the willingness of clinicians at all Lifespan partners to think and workcollaboratively. Fiscal year 2014 saw examples of all these factors that demonstrateour pursuit of the best and safest care.

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The Cardiovascular Institute of Rhode Island Hospital and The Miriam Hospital expanded its services to Newport Hospital

to provide advanced cardiac care and expertise to the people of

Aquidneck Island. Newport Hospital welcomed three cardiolo-

gists to its staff during the course of the year; they join the 35

cardiologists and four surgeons who were already part of the

institute. The institute, now known as the Cardiovascular Insti-

tute at Rhode Island Hospital, The Miriam Hospital and Newport

Hospital, also brought new technology to the state, becoming

the first in Rhode Island to implant a leadless, implantable,

cardiac defibrillator (ICD). The device is the first subcutaneous

ICD for the treatment of patients at risk for sudden cardiac

arrest and is the only ICD that does not require electrical wires

to be placed in the heart.

The Cardiovascular Institute opened an atrial fibrillation

clinic, located at Rhode Island Hospital. The clinic provides

advanced care for patients with atrial fibrillation, with a focus

on stroke risk reduction. The clinic team includes cardiac

electrophysiologists, cardiothoracic surgeons, and specialized

nurses, who work together to diagnosis and manage the care of

patients with atrial fibrillation. The clinic offers radiofrequency

The Cardiovascular Institute brought newtechnology to the state, becoming the first

in Rhode Island to implant a leadless, implantable, cardiac defibrillator.

Samuel C. Dudley, Jr., MD, PhDChief of Cardiology

Frank Selke, MDChief of the Division of Cardiothoracic Surgery

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CLINICAL SERVICES

catheter ablation, novel cryoballoon technology, and advanced

convergent endocardinal-epicardial hybrid ablation, the latest

technology in implantable devices, left atrial appendage closure,

noninvasive electrophysiology procedures, and comprehensive

outpatient medication and device management and follow-up.

The Cardiovascular Institute also marked a milestone during the

course of the year: the institute’s physicians performed their

100th transcatheter aortic valve replacement (TAVR). The insti-

tute was the first in the state to offer the lifesaving option for

patients with severe aortic valve stenosis who are not candidates

for open heart surgery.

The Orthopedics Institute also expanded to include

Newport Hospital. Three orthopedic surgeons, located at New-

port Hospital, provide diagnostic, medical and surgical services

for patients who have injuries or disorders of the musculoskele-

tal system. They are supported by the institute’s clinicians at

Rhode Island, Hasbro Children’s, and The Miriam hospitals.

Lifespan Pharmacy opened a second location, in the main

lobby at The Miriam Hospital. Delivering prescription medication

to the patient’s bedside, enabling patients to be discharged

with any needed medications, and offering free home delivery

of medications, Lifespan Pharmacy was created to reduce

The Gamma Knife Center at Rhode Island Hospital acquired Perfexion. This precise andpowerful tool is considered to be the best noninvasive treatment for certain brain tumorsand vascular malformations of the brain. It is also a proven option for several neurologic

disorders such as trigeminal neuralgia, certain tremors, and obsessive-compulsive disorder.

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readmissions by making it easier for patients to receive medica-

tions and in that way comply with their discharge instructions.

The first Lifespan Pharmacy, which opened in 2013 on the

Rhode Island Hospital campus, received accreditation in 2014 as

a specialty pharmacy. The accreditation allows the pharmacy to

provide a greater level of clinical care to patients with more

complex pharmaceutical needs, such as cancer, multiple

sclerosis, and organ transplants.

In 2013, Lifespan established Lifespan School Solutions, a

new corporation under which all educational programs and

Bradley Schools operate. Bradley Schools has locations in Provi-

dence, Westerly, Wakefield, and Portsmouth. In 2014, Gateway

Healthcare’s schools were also consolidated under the corpora-

tion’s umbrella to streamline delivery of educational program-

ming across the Lifespan system. In all, the program serves

more than 400 children (pre-K through high school) from

around the region.

The Comprehensive Cancer Center at Rhode Island, The

Miriam and Newport hospitals opened the Upper Gastrointesti-

nal Multidisciplinary Clinic for the treatment of esophageal,

stomach, pancreatic, liver, and bile duct/gallbladder cancers.

It is the only program in Rhode Island dedicated to patients

with upper gastrointestinal malignancies. Services range from

basic screening to the most innovative treatments, including

leading-edge radiation oncology, advanced surgical techniques,

high-tech vascular interventional radiology, and access to

investigational therapies.

The center also opened the Thoracic Multidisciplinary

Clinic for the treatment of lung cancer and other cancers located

in the thorax or chest. It is the only program in the state devoted

to the care of patients with thoracic malignancies. The clinic

takes a comprehensive approach to complex cancer care while

focusing on quality of life and optimal lung function. Upon

diagnosis, patients meet with a team of physicians in all disci-

plines, including surgical oncology, medical oncology, diagnostic

imaging, pulmonary and critical care medicine, radiation

oncology, and palliative care.

And in related news, the first thoracic surgical procedure

using minimally invasive robotic technology was performed at

The Miriam Hospital. The technology allowed the surgeon to

remove and biopsy what turned out to be a benign tumor in the

patient’s mediastinum with just a few small incisions between

the ribs. Traditionally, surgeons would have to split the patient’s

breast bone or make a long, open-chest incision to access the

mediastinum, usually resulting in a week-long hospital stay and

two-month recovery period. The robot enables surgeons to

access the chest cavity and mediastinal tissues through tiny

incisions, providing better, three-dimensional visualization and

improved dexterity. Robot-assisted thoracic surgery has been

shown to result in significantly less postoperative pain, less

blood loss, less scarring, and shorter recovery times than

traditional open mediastinal surgery.

The Lifespan Ambulatory Care Center opened in East

Greenwich, making it easier for patients who live south of

Providence to access services close to home. The center includes

adult services such as the Comprehensive Cancer Center, the

Cardiovascular Institute and Ob-Gyn Associates; pediatric

specialties such as gastrointestinal medicine, child and adolescent

eating disorders, endocrinology, nephrology and pulmonology;

adult and pediatric rehab; as well as a Lifespan Laboratory and

Lifespan Medical Imaging.

The emergency departments at Rhode Island Hospital,

The Miriam Hospital, and Newport Hospital launched a program

to combat the opioid overdose epidemic that has affected Rhode

Island and many other states. The program includes the distri-

bution of intranasal naloxone rescue kits to overdose patients

and their families, as well as overdose prevention and response

The Thoracic Multidisciplinary Clinic is theonly program in the state devoted to

the care of patients with thoracic malignancies. The clinic takes a

comprehensive approach to complex cancer care while focusing on quality of

life and optimal lung function.

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CLINICAL SERVICES

education. Rhode Island and The Miriam hospitals also are

offering Anchor Recovery Coach addiction counseling. Earlier

in the year, The Miriam held a Rhode Island community forum

on drug overdose that drew hundreds. Speakers and participants

spanned health officials, law enforcement, the medical community,

addiction treatment providers, and parents who’ve lost children

to overdose.

Bradley Hospital partnered with Newport Hospital to

address the need for pediatric mental health care in Newport

County. The partnership brings a child psychiatrist and related

outpatient services to Newport Hospital as an extension of

Bradley Hospital. Services include psychiatric assessment and

treatment for children between three and seventeen years old.

Rhode Island Hospital partnered with the Women’s

Medicine Collaborative to open a women’s inpatient unit that

provides a full range of services for women with benign gyneco-

logic conditions or medical conditions during pregnancy and

postpartum, as well as women who require breast cancer surgery

and reconstruction, or comprehensive gynecologic cancer surgery

and treatment. The unit has been designed for women and

provides the most advanced minimally invasive treatments and

techniques, as well as telemetry capabilities and fetal monitoring

ability and technology. It has 14 private rooms, each equipped

with its own bathroom and shower, and a pullout sleep chair for

family members; also, a procedure room, a conference room and

a family lounge. In addition to gynecology, gynecologic oncology,

surgery, and obstetric medicine, the unit offers a complete range

of specialty services, including cardiovascular, diagnostic

imaging, gastrointestinal, interventional radiology, neurology,

and pulmonary.

Rhode Island Hospital also expanded the reach of its Center

for Primary Care. Previously known as the Medical Primary

Care Unit and located on the Rhode Island Hospital campus,

the Center for Primary Care was relocated in a newly renovated

building at 245 Chapman Street in Providence. In addition to

the patients already served in the Providence area, the center’s

physicians, residents, and staff expanded access within the com-

munity and are accepting new patients. The center embraced a

new model of care, one that is multidisciplinary and team-based

in its approach, and plans to seek patient-centered medical

home certification, which is a nationally recognized designation

for practices that care for their patients with a team-based

model and act as a centralized resource for comprehensive

medical care. The center also offers diabetes education classes

and a support group, a weekly yoga class, and a smoking

cessation workshop.

Rhode Island Hospital established a dedicated TIA unit

within its Andrew F. Anderson Emergency Center. Transient

ischemic attack (TIA) is a medical emergency that signals a high

risk of impending stroke. The evaluation of TIA in an emergency

setting offers the best opportunity to prevent disabling stroke.

Rapid evaluation helps the team determine each patient’s

immediate risk of stroke and deliver the most effective therapy

to reduce the likelihood of stroke.

Rhode Island Hospital’s department of radiation oncology

acquired the TrueBeam linear accelerator. The only one of its

kind in Rhode Island, TrueBeam offers additional radiosurgery

capabilities to patients, performing advanced forms of radiother-

apy with unprecedented speed and precision. It can be used

for frameless and frame-based treatment of brain tumors and

lesions, as well as treatment of cancer anywhere in the body,

including spine, lung, liver and prostate lesions. TrueBeam

delivers a higher dose of radiation energy to the affected site,

resulting in a shorter course of care.

The Gamma Knife Center at Rhode Island Hospital

acquired Perfexion, the most advanced stereotactic radiosurgery

technology available. This precise and powerful tool is considered

Bradley Hospital partnered with NewportHospital to address the need for pediatricmental health care in Newport County.

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to be the best noninvasive treatment for certain brain tumors

and vascular malformations of the brain. It is also a proven

option for several neurologic disorders such as trigeminal

neuralgia, certain tremors, and obsessive-compulsive disorder.

Rhode Island Hospital’s pediatric division, Hasbro Chil-

dren’s Hospital, initiated a new collaboration with Saint Anne’s

Hospital in Fall River, Massachusetts, ensuring that children and

adolescents from the Fall River/New Bedford area have access

to the highest quality specialty pediatric care in their own

community. In this collaboration, Hasbro Children’s Hospital

specialists work side by side with Saint Anne’s pediatricians

and family practitioners to ensure patients receive coordinated,

high-quality care.

Hasbro Children’s Hospital also opened its Fall River

specialty practice to provide more convenient, high-level multi-

specialty care to families in southeastern New England. A team

of practitioners from Hasbro Children’s Hospital ambulatory

clinics is now available to treat patients in a family-friendly

clinical space that is more easily accessible to families east of

Providence. The new space features five exam rooms and a

multipurpose treatment room, as well as a vibrant waiting room

with a children’s play area. Medical staff are able to perform

on-site EKGs and echocardiograms, as well as specimen collec-

tions. The clinic has also partnered with local laboratories to

provide laboratory services close to home.

Hasbro Children’s Hospital was designated a Level 1 pedi-

atric trauma center by the American College of Surgeons. The

three-year certification is the highest designation a trauma cen-

ter can receive. Level 1 trauma centers are designated academic

medical centers and provide a full range of services, including

conducting research and providing medical education. Rhode

Island Hospital, which was recertified a Level 1 trauma center,

and Hasbro Children’s Hospital are the only Level 1 trauma

centers in Rhode Island.

Orthopedic surgeons at Rhode Island Hospital and Hasbro

Children’s Hospital were the first in the state to use a new surgical

guidance system to enable more accurate, efficient placement

of spinal instrumentation in complex spine reconstructive pro-

cedures. FluoroNav, called “GPS for the spine,” allows surgeons

to place orthopedic screws more efficiently and also reduces the

amount of x-ray radiation exposure to patients by allowing real-

time monitoring of hardware insertion using three-dimensional

Hasbro Children’s Hospital was designated a Level 1 pediatric trauma center by the American College of Surgeons. The three-year certification is

the highest designation a trauma center can receive.

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CLINICAL SERVICES

models of the spine. While the FluoroNav technology can be

used in both adult and pediatric cases, it can be particularly

helpful in pediatric surgeries because the operating field is

much smaller than that of an adult. FluoroNav can also be used

for real-time imaging in several types of surgeries, including

tumor resection, pelvic reconstructions, trauma cases and many

others. The system is portable and can be moved among the

hospital’s pediatric and adult operating rooms as needed.

The Miriam Hospital launched the Minimally Invasive

Urology Institute. In coordination with University Urological

Associates, Inc., the institute provides innovative, cost-effective

minimally invasive care for patients with urological conditions.

The institute is led by three minimally invasive urology special-

ists and is organized around points of service, or where patients

receive their care, and the use of minimally invasive techniques

by disease state in the kidney, prostate, and bladder. The institute

focuses on three key areas: patient care (e.g., satisfaction, length

of stay, decreased infections); education of medical students,

residents, and fellows; and clinical and basic science research.

The program was enhanced with the acquisition of a new

daVinci surgical robot system.

The Miriam Hospital became the first in Rhode Island to

use ultraviolet technology to destroy pathogens that cause

serious illness. As antibiotic-resistant bacteria become harder to

fight, the hospital is using a new tool to disinfect patient areas—

the Xenex room disinfection system. Another measure to make

the hospital as safe as possible for its patients, the system uses

pulsed xenon ultraviolet technology to destroy highly infectious

pathogens such as Clostridium difficile, Methicillin-resistant

Staphylococcus aureus, noroviruses, and influenza. Because the

Xenex device is portable, it can be used in virtually every area

within the hospital when needed. It is also fast, enabling the

environmental staff to completely disinfect a patient room in

five to ten minutes.

Bradley Schools opened a new location in Providence that

allows the program to serve more students while providing a

convenient location for families in northern Rhode Island. The

new school replaces the school formerly located at the Bradley

Hospital campus in East Providence, and it currently has 13

classrooms and 113 students who come from 22 Rhode Island,

Massachusetts, and Connecticut school districts.

The Miriam Hospital launched the Minimally Invasive Urology Institute. In coordination with University Urological Associates, Inc., the institute provides

innovative, cost-effective minimally invasive care for patients with urological conditions.

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Finally, Newport Hospital established Newport Women’s

Health, a team of physicians located in Newport and Portsmouth

who provide individualized care for women of all ages. Services

include wellness and breast health, including routine Pap smears

and mammograms; family planning and contraception counsel-

ing; HPV vaccines and STD treatment; prenatal care, birth, and

postpartum care; care for menopausal problems including

osteoporosis, hormonal issues, and incontinence; pelvic

prolapse; and minimally invasive laparoscopic procedures.

Bradley Schools opened a new location inProvidence that allows the program toserve more students while providing aconvenient location for families in

northern Rhode Island.

Rhode Island Hospital partnered with theWomen’s Medicine Collaborative to open awomen’s inpatient unit that provides a fullrange of services for women with benign

gynecologic conditions or medical conditionsduring pregnancy and postpartum, as well as

women who require breast cancer surgery andreconstruction, or comprehensive gynecologic

cancer surgery and treatment.

Newport Hospital established Newport Women'sHealth, a team of physicians located in Newport and Portsmouth who provide individualized care

for women of all ages.

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PATIENT SAFETY AND QUALITY OF CARE

It may well be that the highest performing healthcare systems spend nearly as much time examiningtheir processes as their clinicians do examining theirpatients. And essentially for the same reason: tomake sure every patient receives the safest and highest quality care. Lifespan’s mission, Deliveringhealth with care, is our promise to patients that wewill treat them with respect, that we will do our bestto restore their health and, most fundamentally, thatwe will do all we can to ensure their safety.

PATIENT SAFETY AND QUALITY OF CARE

John Murphy, MDExecutive Vice PresidentPhysician Affairs

Cathy Duquette, PhD, RNExecutive Vice President Nursing Affairs

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23

At Lifespan, people at all levels in the system are involved in

patient safety. Every new employee is introduced to Lifespan’s

culture of safety, which relies on continual evaluation and

improvement of our systems and processes, and every employee

is required to undergo patient safety training each year. The

training emphasizes that all employees are responsible for

patient and worksite safety and must report safety events, near

misses, risks or hazards, variations in practice, and system weak-

nesses. All events are reviewed by the Lifespan Patient Safety

Department to determine what action is required. In 2014,

Lifespan changed the tool by which those events are reported,

replacing its old medical event reporting system, which was

rapidly becoming obsolete.

SafetyNet, the new system chosen after careful review of

various reporting systems, allows for prompt follow up on

patient safety events and enables us to identify and address

patient safety trends at local affiliates as well as across the

Lifespan system. The system utilizes powerful performance

improvement and patient safety tools developed by the Univer-

sity HealthSystems Consortium (UHC), an organization repre-

senting the nation’s leading academic medical centers and their

affiliated hospitals. As a UHC member, Lifespan will be able to

benchmark with and learn from other similar health care

institutions, and will also participate in the UHC Patient Safety

Organization so that the information entered in SafetyNet will

be protected as a patient safety work product. Nearly a year after

implementation, the data show success because SafetyNet is

being used at the same rate as the previous system.

Committees set and refine policies that are designed to

build safety into our processes and protocols and are congruent

with The Joint Commission’s national patient safety goals for

hospitals. Teams at Lifespan partners conduct daily briefings in

which potential problems affecting patient safety are identified

and mitigated. We conduct classes for our leadership, and we

appoint patient safety champions who are responsible for

discrete areas of our facilities. And we have been undergoing a

process called Operational Excellence, or OpX, which uses the

tools of Lean and Six Sigma to determine how we can improve

our processes to make them safer, more efficient, and more

effective while ensuring that our improvement efforts are

patient-centered. Lean eliminates extra steps, thus reducing

the likelihood of error, while Six Sigma reduces variations in the

process, which also minimizes error.

Early in fiscal year 2014, Newport Hospital became the

first Lifespan affiliate site to conduct an OpX “walk.” Hospital

leadership participated in training sessions, then returned to

their departments to work with physicians and staff to identify

and redesign work processes that needed to be improved or

eliminated. Subsequently, OpX walks were held in both clinical

and nonclinical areas throughout Lifespan, with encouraging

results. For example, the Cardiovascular Institute, which includes

35 physicians, 90 employees, and facilities at 7 locations, con-

ducted an OpX walk to improve patient access and experience,

enhance staff and physician engagement, and improve office

efficiency. Approximately 25 staff and physicians from the insti-

tute took part in the multiday project, working with a Lifespan

OpX team. The result of the exercise was increased access for

patients and physicians and standardization of medication

reconciliation forms, test orders, and patient forms, which

decreased the likelihood of medical error. Centralizing phone

reception and appointment scheduling, coordinating phone

coverage, and adding chairs to the check-in area were among the

large and smaller efforts designed to increase patient satisfaction.

And the institute’s staff also reported that the more than 20

changes ultimately made their jobs easier and more efficient.

To share success stories and to recognize those whose

efforts have resulted in lasting and positive change, the first OpX

at Lifespan Check-In and Report-Out was held at Rhode Island

Hospital and teleconferenced to the other partner hospitals. The

first event included the transformation at the Cardiovascular

Institute, as well as an OpX project conducted in the Compre-

hensive Cancer Center at The Miriam Hospital, one designed to

enhance patient and staff safety at Bradley Hospital, and one

designed to prioritize lab specimens in the high volume Rhode

Island Hospital/The Miriam Hospital laboratory, among others.

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GROUNDBREAKING RESEARCH

GROUNDBREAKING RESEARCH

This year once again, research funding for academic research across the Lifespan system surpassed $82 million, with a total of $82.898 million. Given the substantial national competition for biomedical and behavioral research funds, we are proud of thehigh-quality, innovative research reflected by this level of support.

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25

Among this year’s findings, Rhode Island Hospital researchers

discovered a protein that is essential for malaria-causing parasites

to escape red blood cells. Antibodies to this protein trap the par-

asite in the red blood cells, rendering them incapable of causing

further damage. This discovery could lead to the development

of a vaccine that would prevent the progression of Plasmodium

falciparummalaria, which kills one child every 15 seconds each

year in sub-Saharan Africa and Southeast Asia.

A researcher at the Cardiovascular Institute at Rhode Island,

The Miriam and Newport hospitals found that a simple blood

test can assess a person’s risk for sudden cardiac death. In this

country, cardioverter defibrillators are implanted in patients at

risk for sudden cardiac death, and it is estimated that about 60

percent of patients don’t actually need defibrillators. This test,

the first of its kind, will enable physicians in the United States to

determine which patients require the device. In developing

countries, defibrillators are implanted only when a cardiac event

has occurred – and only 10 percent survive the initial event.

This test would enable physicians in developing nations to

identify at-risk patients before a cardiac event. In a separate

study, the researcher also found that unfolded protein response,

A researcher at the Cardiovascular Institute at Rhode Island, The Miriam and

Newport hospitals found that a simpleblood test can assess a person’s risk for

sudden cardiac death.

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a condition usually associated with viral infections, diabetes and

obesity, is activated in heart failure and can increase the risk of

sudden cardiac death. The next step is to determine a way to

block the condition, which is a cell defense system designed to

shut down protein synthesis and respond when the cell makes

defective or foreign proteins, preventing cell death as a result of

accumulation of a large number of defective or unwanted proteins.

Researchers from Bradley Hospital identified a genetic

change in a recently identified autism-associated gene that may

provide further insight into the causes of autism. The findings

likely represent a definitive clinical marker for some patients’

developmental disabilities. Using whole-exome sequencing—a

method that examines exomes, the parts of genes that regulate

protein—the team identified a genetic change in a newly recog-

nized autism-associated gene, activity-dependent neuroprotec-

tive protein. The gene plays an important role in regulation of

early brain development. Recently, genetic changes in this gene

have been found to cause a novel genetic syndrome associated

with autism. Changes in this gene may be among the most com-

mon causes of autism. The findings are among the first resulting

in part from research conducted through the Rhode Island

Collaborative for Autism Research and Treatment, a first of its

kind consortium of institutions and agencies across Rhode

Island dedicated to autism research education and advocacy.

Rhode Island Hospital marked a first in the name of

research this year, becoming the first hospital in the country to

use Google Glass in an emergency department setting, as part

of a study to test the efficacy of the wearable technology for

real-time visual consults for patients who require a

dermatology consultation.

GROUNDBREAKING RESEARCH

A Rhode Island Hospital neurosurgeon wasawarded a $486,000 grant from the DorisDuke Charitable Foundation to researchbrain rhythms in Parkinson’s disease.Parkinson’s disease afflicts more than 1 out of 5,000 people in the United States.

Researchers from Bradley Hospital identifieda genetic change in a recently identifiedautism-associated gene that may providefurther insight into the causes of autism.

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27

A Rhode Island Hospital researcher studied an observa-

tional pain scale in cardiac surgery patients, and found that the

Critical-Care Pain Observation Tool (CPOT) provided an

accurate measure of a patient’s pain level. The study is the first

conducted in Rhode Island Hospital’s Clinical Nurse Scholar

Program, in which direct care nurses are mentored to serve as

principal investigators. Pain assessment is challenging in critically

ill patients who are intubated, sedated, and unable to verbalize

their needs. The CPOT was designed for use in intensive care

unit settings, and measures pain based on four behavioral indi-

cators in nonverbal patients: facial expression, body movements,

muscle tension, and compliance with the ventilator for intu-

bated patients or vocalization for extubated patients. The study

has resulted in the planned implementation of CPOT in all

intensive care units across the Lifespan system.

The Lifespan Clinical Research Center offers a range of support services to researchers,such as study design and analysis, research nursing support, specimen processing and

storage, medical oversight, project management, and regulatory affairs support.

A Rhode Island Hospital researcher studied an observational pain scale in cardiac surgery patients, andfound that the Critical-Care Pain Observation Tool (CPOT)provided an accurate measure of a patient’s pain level.

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GROUNDBREAKING RESEARCH

Among the awards received this year, The Miriam Hospital’s

Centers for Behavioral and Preventive Medicine was awarded a

5-year, $2.8 million grant from the National Institute on Drug

Abuse, part of the National Institutes of Health, to further work

on the physiological impact of maternal smoking on fetal devel-

opment and behavior. The research involves the use of ultrasound

technology to identify real-time fetal markers of risk among

women who smoke during their pregnancies. The goal is to

determine whether maternal smoking will influence trajectories

of fetal behavior, stress response, and brain structures over

pregnancy, and if it could also predict infant neurobehavioral

deficits, such as attention and self-regulation deficits. Despite

the warnings and known health risks, approximately one in five

expectant mothers in the United States continues to smoke

during pregnancy.

The Bradley Hasbro Children’s Research Center received a

$3.4 million grant to study the behavioral health and associated

risk factors of adolescent offenders in the Rhode Island Family

Court system. The study, funded by the National Institute on

Drug Abuse, focuses on nonincarcerated, court-involved youth

and will monitor the risk behaviors the teens may develop, as

well as the underlying causes. Researchers will monitor the

development of drug use, HIV/STD risk behaviors, psychiatric

symptoms, and recidivism in the adolescent offender population

in the two years after the initial arrest or court contact. Findings

from the study may shape the way clinicians work with court-

involved youth, to help this population avoid developing

risk behaviors or breaking the law again.

The Miriam Hospital received a $2.4 million grant renewal

by the National Institutes of Health to continue research into

new treatments for HIV and AIDS. The Miriam Hospital is the

largest HIV/AIDS care provider in the state, treating more than

1,500 patients with HIV who are receiving ongoing care.

A Rhode Island Hospital neurosurgeon was awarded a

$486,000 grant from the Doris Duke Charitable Foundation to

research brain rhythms in Parkinson’s disease. Parkinson’s

disease afflicts more than 1 out of 5,000 people in the United

States. Those with the disease experience increasing motor

Rhode Island Hospital marked a first in the name of research this year, becoming the firsthospital in the country to use Google Glass in an emergency department setting.

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29

system symptoms, such as abnormally slow movements, rigidity

and tremors. Less apparent but equally disabling are cognitive

and psychiatric difficulties that can be prominent as the disease

progresses. The grant will support research directed at under-

standing how various neural oscillations contribute to or hinder

movement in humans with Parkinson’s disease. The goal is to

develop a more precise form of deep brain stimulation that

responds appropriately to undesirable brain states and “nudges”

them toward better ones.

To further support the 370 faculty and more than 550

employees involved in research, in 2014 Lifespan created the

Clinical Research Center. Based in the Coro Center, a 270,000-

square-foot complex that is home to the majority of the

research laboratories in the Lifespan health system, the Lifespan

Clinical Research Center offers a range of support services to

researchers, such as study design and analysis, research nursing

support, specimen processing and storage, medical oversight,

project management, and regulatory affairs support. The

creation of the center ties together many of the organization’s

existing resources but also establishes a formal structure and

setting to assist investigators.

While the main part of the center is located in the Coro

Center, a second outpatient unit is located in the RISE Building

near The Miriam Hospital campus. Other resources available to

investigators include a specimen processing laboratory, a

biobank, the Lifespan Medical Simulation Center, clinical moni-

toring, pilot/feasibility study sponsorship, and biostatistics con-

sultation services and data management. The Lifespan Clinical

Research Center is available both to investigators throughout

the Lifespan health system and to investigators affiliated with

other institutions throughout the region.

Since its launch, the Lifespan Clinical Research Center has

played a critical role in helping researchers manage important

clinical trials in the departments of medicine, neurology,

pediatrics, and emergency medicine.

Lifespan Medical Simulation Center, a resource available to researchers through

the Lifespan Clinical Research Center.

The Miriam Hospital received a $2.4 milliongrant renewal by the National Institutes of Health to continue research into new

treatments for HIV and AIDS.

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DISTINCTIONS

DISTINCTIONS

Validation of the quality care provided by our partners exists in many forms: patient outcomes, most importantly; our reputation in the communities we serve; our ability toattract outstanding physicians; the quality of applicants to the residency programs atour teaching hospitals; and, among others, the recognitions we receive from local andnational organizations. Over the past year, Lifespan affiliates were fortunate to be recognized with many awards for outstanding care by numerous organizations.

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31

Three Lifespan facilities were distinguished this year by theAmerican Association of Critical Care Nurses. Rhode Island

Hospital earned its second Silver Beacon Award for Excellence

from the American Association of Critical Care Nurses (AACN),

demonstrating that the AACN recognizes Rhode Island Hospital’s

commitment to excellence, dedication to providing the highest

quality nursing care, and focus on the patient care experience.

The silver award was conferred to the medical-surgical unit on

the third floor of the Cooperative Care Center in recognition of

the unit’s meeting or exceeding national quality standards for

improved patient outcomes and for a healthy work environment.

It was only the fourth medical-surgical unit in the United States

to earn a Beacon Award.

The Hasbro Children’s Hospital pediatric intensive care

unit (PICU) also earned a Silver Beacon Award for Excellence

from the American Association of Critical Care Nurses. The

hospital’s PICU is one of only 21 in the United States and one of

only three in New England to hold this designation. For patients

and families, the Beacon Award represents exceptional patient

care through improved outcomes and greater overall satisfaction.

For critical care nurses, the award indicates a positive and sup-

portive work environment with greater collaboration between

colleagues and leaders, higher morale, and lower turnover. And a

Silver Beacon Award for Excellence was given to The Miriam

Hospital’s intensive care unit, recognizing the exceptional patient

care provided by physicians, nurses and staff and manifested in

superior patient outcomes; and acknowledging, as well, practices

that follow the AACN’s six Healthy Work Environment Standards.

The Joint Commission, which accredits more than 20,000

health care organizations and programs nationwide, awarded a

Gold Seal of Approval to the Total Joint Center at The Miriam

Hospital. The certification recognizes the Total Joint Center’s

compliance with national standards for health care quality and

safety in disease-specific care, set by The Joint Commission. It

also acknowledges the center’s dedication to continuous compli-

ance with The Joint Commission’s state-of-the-art standards.

To receive this designation, The Miriam Hospital’s Total Joint

Center underwent a rigorous on-site review that evaluated its

compliance with standards of care specific to the needs of

patients and families, including infection prevention and control,

leadership, and medication management. The Joint Commission

also singled out Bradley Hospital, naming it one of the nation’s

Top Performers on Key Quality Measures for 2012. The distinc-

tion places Bradley Hospital among the top 33 percent of the

nation’s Joint Commission accredited hospitals reporting

accountability measure performance data for 2012. This was the

second consecutive year Bradley Hospital received this distinction.

The American College of Surgeons Commission on Cancer

honored the Comprehensive Cancer Center at Rhode Island

Hospital with its 2013 Outstanding Achievement Award. Rhode

Island Hospital was one of only 74 U.S. health care facilities with

Three Lifespan facilities, Rhode Island Hospital,Hasbro Children’s Hospital and The Miriam Hospital were distinguished this year by theAmerican Association of Critical Care Nurses.

The Joint Commission, which accredits more than20,000 health care organizations and programs nationwide, awarded a Gold Seal of Approval tothe Total Joint Center at The Miriam Hospital.

Hasbro Children’s Hospital was recognizedby the Children’s Hospital Solutions for

Patient Safety National Children’s Network.

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DISTINCTIONS

accredited cancer programs that received this national honor for

surveys performed in 2013. The award recognizes cancer pro-

grams that achieve excellence in providing quality care to cancer

patients.

The Miriam Hospital received a Get With The Guidelines-

Stroke Gold-Plus Quality Achievement Award for using American

Heart Association/American Stroke Association quality improve-

ment measures in the treatment of patients who have had a

stroke. The distinction, which recognizes evidence-based clinical

guidelines, acknowledges The Miriam’s commitment to clinical

excellence in the rapid diagnosis and treatment of stroke patients.

The hospital treats more than 600 stroke patients each year and

has received the Gold or Gold-Plus designation for stroke care

every year since 2008.

The Miriam Hospital was designated a Primary Stroke

Center by The Joint Commission for the fifth time. The advanced

certification was given in recognition of The Miriam Hospital’s

provision of the highest quality stroke care.

The Stroke Center at Rhode Island Hospital received the

Get with the Guidelines—Stroke Silver-Plus Quality Achievement

Award from the American Heart Association. The award

recognizes Rhode Island Hospital’s commitment and success

in implementing a high standard of care by ensuring that

stroke patients receive treatment according to nationally

accepted guidelines.

The American Psychiatric Association conferred its 2013

Bronze Award on Hasbro Children’s Hospital’s Partial Hospital

Program. The award is given to “recognize and publicize national

models of creative service delivery.” The hospital’s pediatric

partial hospital program is the only day treatment program in

New England for children with medical and emotional issues.

For the third time, the American Nurses Credentialing

Center designated Newport Hospital a Magnet hospital. Widely

considered the highest recognition hospitals can receive for

nursing, Magnet recognition is awarded for nursing services

that function “beyond the level of excellence,” as well as a hospi-

tal climate that supports those services. Magnet hospitals have

been shown to have improved clinical outcomes and

patient satisfaction.

For the second consecutive year, U.S. News & World Report

named The Miriam Hospital the top hospital in Rhode Island

and southeastern Massachusetts. The Miriam Hospital was

recognized as high performing in eight medical specialties:

cancer, diabetes/endocrinology, gastroenterology and surgery,

geriatrics, nephrology, neurology and neurosurgery, pulmonology,

and urology.

Hasbro Children’s Hospital was recognized by the Chil-

dren’s Hospital Solutions for Patient Safety National Children’s

Network for its efforts and commitment to improving safety

and quality for patients. The national organization, which

The Joint Commission named Bradley Hospitalone of the nation’s Top Performers on

Key Quality Measures for 2012.

For the third time, the American NursesCredentialing Center designated

Newport Hospital a Magnet hospital.

The Stroke Center at Rhode Island Hospital received the Get with the Guidelines—

Stroke Silver-Plus Quality Achievement Awardfrom the American Heart Association.

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33

focuses on creating a universally safe and healing environment

for children in hospitals across the country, aims to reduce

safety events such as surgical site infections, readmissions, and

adverse drug reactions.

Newport Hospital again earned Baby Friendly designation

from the World Health Organization (WHO) and the United

Nations Children’s Fund (UNICEF). The designation recognizes

the hospital’s commitment to and support of mothers who

breastfeed their babies. The Baby Friendly Hospital Initiative is

a global program of the WHO and UNICEF that encourages

and recognizes hospitals and birthing centers that offer optimal

care for infant feeding and mother-baby bonding.

Newport Hospital was recertified by The Joint Commission

as a Certified Advanced Stroke Center, indicating that the

hospital stroke team provides care that meets or exceeds the

commission’s standards.

Blue Cross & Blue Shield of Rhode Island named The

Miriam Hospital a Blue Distinction Center in Knee and Hip

Replacement. The Blue Distinction Centers for Specialty Care

program is a national designation awarded by Blue Cross and

Blue Shield companies to medical facilities that have demon-

strated expertise in delivering quality specialty care. The Total

Joint Center was also recognized by Aetna as an Institute of

Quality for Hip and Knee Replacement, in addition to being

designated a Blue Cross Center of Distinction and a United

Health Care Specialty Center for Joint Replacement.

For the 18th consecutive year, Rhode Island Hospital

received the Consumer Choice Award from the National

Research Corporation for excellence in patient care. Based on

NRC Ticker, the largest consumer survey on health care in the

United States, the award identifies hospitals selected by health

care consumers for having the highest quality and image in

more than 300 markets throughout the United States. Consumers

in the Providence, New Bedford and Fall River areas ranked

Rhode Island Hospital at the top of the list based on four

essential consumer metrics: best overall quality, best image/

reputation, best doctors and best nurses. Rhode Island Hospital

was the only hospital in the state to receive the Consumer

Choice Award.

The American Psychiatric Association conferred its 2013 Bronze Award on

Hasbro Children’s Hospital’s Partial Hospital Program.

For the 18th consecutive year, Rhode Island Hospital received the Consumer Choice Awardfrom the National Research Corporation for

excellence in patient care.

Blue Cross & Blue Shield of Rhode Island namedThe Miriam Hospital a Blue Distinction Center

in Knee and Hip Replacement.

Newport Hospital again earned Baby Friendly designation from the World Health

Organization (WHO) and the United Nations Children’s Fund (UNICEF).

Medical leadership for mind, brain and body.

TM

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INFRASTRUCTURE

INFRASTRUCTURE

The relationship between our health care system and the community it serves is dynamic, as the needs and expectations of the community change over time in largeand small ways. Our goal is always to meet those needs and anticipate future needs in ways that surpass the community’s expectations.

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35

The relationship between our health care system and the com-munity it serves is dynamic, as the needs and expectations of the

community change over time in large and small ways. Our goal

is always to meet those needs and anticipate future needs in

ways that surpass the community’s expectations.

One example is the renovation of The Miriam Hospital’s

emergency department, which was an 18-month project. The

emergency department was last renovated in 1995 and was

designed to handle 30,000 visits per year. Today, over 60,000

patients are treated, and that number is expected to increase.

To accommodate the increase in patient visits, the emergency

department was expanded and designed to be more patient-

centered. It now features 55 private treatment rooms and 5

triage bays, improving patient privacy and making it possible

for clinicians to see more patients. An 18-bed procedural care

unit was created to facilitate the transfer and care of patients

who have been referred for cardiac service in the emergency

department. Each of the department’s treatment bays is large

enough to accommodate patients, families, staff, and modern

technology. The bays are also better able to support infection

control, reduce noise, and improve patient confidentiality. In

addition, there is a private family room, as well as expanded and

redesigned work stations for staff. Enhancements include an

additional pneumatic tube, scopes, ultrasound machines, and a

dedicated 64-slice CT scanner that speeds diagnosis time by 10

minutes per patient, accelerating treatment for stroke and other

life-threatening conditions. As a result of the renovation, the

process for patients is streamlined, wait times are shorter, and

the new design enhances collaboration among EMS providers,

physicians, and nurses.

Lifespan participated in a major effort designed to serve

the South Providence community and revitalize the South Prov-

idence neighborhood. Part of the Prairie Avenue Revitalization

Initiative was the renovation of an old factory building that had

been unoccupied since the 1980s. A commitment by Lifespan,

Walgreens pharmacy, and the Providence Community Health

Centers made possible the transformation of the old factory

into a vibrant medical-retail complex. The specialty services

now available at Prairie Avenue include Hasbro Children’s Hos-

pital’s renowned Neurodevelopment Center, Hasbro Children’s

Early Intervention program, and Families First CEDARR, a col-

laboration of Hasbro Children’s Hospital and Bradley Hospital

that provides comprehensive evaluation, diagnosis, assessment,

referral, and re-evaluation for children from birth to age 21. The

center also assures coordination of services, care planning, and

crisis intervention. The Lifespan Community Health Services

and Community Training Center, Lifespan’s Workforce and

Youth Development program, as well as Rhode Island Hospital’s

School of Medical Imaging were also relocated to Prairie Avenue.

For the convenience of patients, the department of plastic

surgery brought together most of its services in a convenient

location on the Rhode Island Hospital campus. Patients are now

able to access nearly all of the department’s physicians at the

Bayside Medical Building, which offers free parking adjacent to

the building. Services include general reconstruction; cosmetic

surgery; maxillofacial surgery; breast reconstruction; microvas-

cular surgery; hand surgery, including acute hand trauma and

reconstruction after injuries; burn care; complex facial bone

fractures; lower extremity reconstruction; and wound care.

In a partnership based on sound economic and ecological

reasoning, Lifespan and National Grid embarked on an energy

conservation program that supports implementation of energy

conservation measures at Lifespan hospitals. The partnership is

expected to save Lifespan approximately $1.3 million per year in

utilities costs. Construction costs are being funded through

National Grid incentives, rebates and utilities cost savings. A

multidisciplinary team from Lifespan will work with National

Grid’s engineers and planners over the next three years to

implement the energy conservation measures, which will

include lighting, HVAC, and building control system upgrades.

Along with the substantial monetary savings, an estimated

10,230 metric tons of carbon dioxide emissions will be eliminated

through overall energy conservation.

Lifespan’s efforts to be a responsible corporate citizen were

recognized by the Rhode Island Department of Health, which

presented Lifespan with an award for “Achievements in Energy

Savings from the Hospitals for a Healthy Environment.” The

award recognized Lifespan for the long-term environmental

benefits that will result from the conservation of electricity and

fuel related to the project noted above.

The Miriam Hospital was also recognized for its conserva-

tion efforts, winning the “Partner Recognition” award from

Practice Greenhealth, the nation’s leading health care member-

ship community that empowers its members to increase their

efficiencies and environmental stewardship while improving

patient safety and care. The award recognizes health care facili-

ties that have begun work on environmental improvements and

have achieved at least a 10-percent recycling rate for their total

waste stream.

Lifespan’s efforts to be a responsible corporate citizenwere recognized by the Rhode Island Department ofHealth, which presented Lifespan with an award for“Achievements in Energy Savings from the Hospitals

for a Healthy Environment.”

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PROMOTIONS AND RECRUITMENT

PROMOTIONS AND RECRUITMENT

The year brought a new president to one of the Lifespan partner hospitals,an appointment to a new position created to provide coordinated servicesacross the Lifespan system for our pediatric patients, and new leaders forimportant services.

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37

Phyllis A. Dennery, MD, is pedia-

trician-in-chief and medical direc-

tor of Hasbro Children’s Hospital.

She joined Lifespan in April 2015,

bringing more than 20 years of

experience in pediatric care, teach-

ing and research.

As pediatrician-in-chief and

medical director, she oversees all

pediatric clinical programs, such

as centers and clinics for pediatric

imaging, hematology/oncology,

asthma and allergies, neurodevel-

opment and cardiology. She also serves as the chair of pediatrics

at The Warren Alpert Medical School of Brown University.

Prior to joining Lifespan, Dennery served as the chief of

the division of neonatology and newborn services at Children’s

Hospital of Philadelphia and the University of Pennsylvania. In

Philadelphia, she managed more than 300 neonatal intensive

care beds in 11 hospitals as well as 90 medical faculty and staff

members and 18 fellows. Dennery’s research on lung problems

and other medical conditions among newborns has been funded

by the National Institutes of Health for 24 consecutive years.

Dennery is a member of the Institute of Medicine, the

American Physiological Society, and the American Pediatric

Society and also serves as an associate editor of the influential

journal Pediatrics. She has received numerous awards during her

career, including the 2014 Marion Spencer Fay Award, Best

Doctors in America and the Alfred Stengel Health System

Champion Award. Dennery was recently elected to the

Association of American Physicians (AAP), one of the

highest honors in academic medicine.

She earned her bachelor’s degree in biology/genetics from

McGill University and her medical degree from Howard Univer-

sity. Dennery completed her pediatric residency at Children’s

Hospital Medical Center in Washington, DC and a postdoctoral

fellowship in neonatology at Case Western Reserve University in

Cleveland, Ohio.

Following a national search that

spanned six months, Crista Durand

was appointed president of Newport

Hospital. Previously, she was the

vice president of strategic planning,

marketing, and business develop-

ment at Lawrence + Memorial

Hospital (L+M) in New London,

Connecticut, a 280-bed acute care

hospital, where she led both the

strategic and master facility planning

efforts. She also led the development

and startup of several new centers of excellence and played a key

role in recruiting new physicians. In addition, she was integral

in the analysis and execution of L+M’s acquisition of Westerly

Hospital. Prior to joining L+M, Durand was the chief financial

officer and senior vice president at Day Kimball Hospital in

Putnam, Connecticut. As the hospital’s chief financial officer,

Durand developed financial models that incorporated short-

and long-term cash flow needs, debt capacity, and cash flow

targets, all in support of the hospital’s strategic imperatives.

Durand earned a master’s degree in business administration

from Nichols College in Dudley, Massachusetts. She is a member

of the American College of Healthcare Executives and the

Connecticut chapter of the Healthcare Financial Management

Association, and is a board member of the Center for

Hospice Care.

Patricia Flanagan, MD, was named

interim pediatrician-in-chief of

Hasbro Children’s Hospital when

Robert Klein, MD, retired after

serving six years as pediatrician-

in-chief of Hasbro Children’s

Hospital. Flanagan had been

associate pediatrician-in-chief since

2012; she also serves as chief of

clinical affairs and is a professor

and vice chair of pediatrics at The

Warren Alpert Medical School of

Brown University.

With the appointment of Lenworth

N. Johnson, MD to deputy chief of

ophthalmology and director of

neuro-ophthalmology at Rhode

Island Hospital, the hospital became

the only facility in the state to offer

a continuum of neuro-ophthalmic

services. Johnson received a com-

bined bachelor of science/doctor of

medicine degree from Rensselaer

Polytechnic Institute and Albany

Medical College in New York. He

completed an internal medicine

residency and a neurology residency at the University of Califor-

nia, Irvine; and an ophthalmology residency at Albany Medical

Center. Johnson then completed a neuro-ophthalmology fellow-

ship at the Jules Stein Eye Institute at UCLA School of Medicine

in Los Angeles, California. Prior to joining Rhode Island Hospi-

tal, Johnson was a professor of ophthalmology and neurology at

the Mason Eye Institute at the University of Missouri School of

Medicine. He also served as ophthalmology residency programCrista DurandPresidentNewport Hospital

Patricia Flanagan, MD Interim Pediatrician-in-ChiefHasbro Children’s Hospital

Phyllis A. Dennery, MDPediatrician-in-ChiefHasbro Children’s Hospital

Lenworth N. Johnson, MD Deputy Chief of Ophthalmology Rhode Island Hospital

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PROMOTIONS AND RECRUITMENT

director and director of the neuro-ophthalmology service.

Board certified in neuro-ophthalmology and a fellow of the

American Academy of Ophthalmology, Johnson has published

over 100 peer-reviewed articles and is the recipient of numerous

awards and honors.

Johnson’s areas of expertise include: vision loss, double

vision, blepharospasm, hemifacial spasm, optic neuritis, nonar-

teritic anterior ischemic optic neuropathy, pseudotumor cerebri,

idiopathic intracranial hypertension, multiple sclerosis, pupil

disorders, brain tumors, nystagmus, headaches, migraine,

traumatic brain injury and unexplained vision loss.

Abrar Qureshi, MD, MPH was

appointed chief of the department

of dermatology at Rhode Island

Hospital. Qureshi is responsible

for managing clinical services, edu-

cation and research activities, and

administration of the department

of dermatology. He is also the chair

of dermatology at The Warren

Alpert Medical School of Brown

University. Qureshi came to Rhode

Island Hospital from Brigham &

Women’s Hospital and the Dana-

Farber Cancer Institute, both in

Boston, where he was associate physician in the department of

dermatology. He also has held academic appointments at

Brigham & Women’s Hospital, Massachusetts General Hospital,

and the Boston Veterans Administration Hospital. Qureshi

received his medical degree from Aga Khan University in

Karachi, Pakistan, and his master of public health in clinical

effectiveness from the Harvard School of Public Health. He

completed his internship in internal medicine at Beth Israel

Deaconess Medical Center, his residency in dermatology in the

Combined Harvard Residency Training Program and a research

fellowship at Massachusetts General Hospital.

Qureshi has received numerous awards, including the

Outstanding Service Award and Diversity Mentorship Award

from the American Academy of Dermatology. He is a member

of many professional organizations, including the Society for

Investigative Dermatology, the Society for Epidemiology

Research, the American Dermato-Epidemiology Network, the

American Association for Cancer Research and the North

American Rheumatic Dermatologists. His research interests

include teledermatology, skin cancer, vector-borne illnesses,

and psoriasis.

Henry Sachs, MD, was appointed

medical director of child psychiatry

and behavioral health at Lifespan.

In this position Sachs will integrate

and coordinate Lifespan’s signifi-

cant clinical resources for child

psychiatry and behavioral health,

improving our ability to provide

comprehensive patient care across

the Lifespan system. A board-certi-

fied child and adolescent psychia-

trist, Sachs received an under-

graduate degree in psychology

before attending the Dartmouth-

Brown Medical Program, receiving his MD in 1988. After com-

pleting an internship at Dartmouth-Hitchcock Medical Center

and a residency and fellowship in the Brown University depart-

ment of psychiatry and human behavior, he joined the clinical

staff at Bradley Hospital in 1993 as an attending psychiatrist on

the Center for Autism and Developmental Disabilities. In 2007

he became the medical director of Bradley Hospital and director

of the child and adolescent program. Sachs is clinical assistant

professor in the department of psychiatry and human behavior

in The Warren Alpert School of Medicine of Brown University.

Sachs’ research interests are in the areas of sleep and

autism. He co-chairs the Rhode Island Collaboration for Autism

Research and Treatment (RI-CART), a multi-institutional

research group composed of hospitals, community agencies,

and Brown University. He also serves on the executive committee

of several community boards, including a community mental

health center, a children's residential program, and a shelter

for the homeless.

Gaylon Stockman was

appointed Lifespan’s chief

information security officer.

Stockman will direct development,

implementation, and oversight of

Lifespan’s information technology

security infrastructure in compli-

ance with industry best practices

and local, state, and federal regula-

tions. Prior to joining Lifespan,

Stockman was the corporate

information security officer at

UnityPoint Health in Des Moines,

Iowa, where he developed an enterprise-wide security framework

for the organization’s more than 24,000 employees, 15 hospitals,

and 280 clinics. In addition, he was an adjunct professor at

William Penn University, where he focused on business leader-

ship, programming, HIPAA, and information security. Prior to

Abrar Qureshi, MD, MPH Chief of DermatologyRhode Island Hospital

Henry Sachs, MDMedical Director of Child Psychiatry and Behavioral Health Lifespan

Gaylon StockmanChief Information Security OfficerLifespan

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joining UnityPoint Health, Stockman was the network security

and privacy officer for Huntsville Hospital in Huntsville, Alabama.

He also has served as the senior computer scientist at Analytical

Services, Inc., as senior computer scientist and project leader for

Science Applications International Corporation, and program

manager for modeling and simulation for Quality Research

Modeling, Simulation and Training Group. All are located in

Huntsville. Stockman earned his bachelor’s degree in computer

science from Mississippi College in Clinton, Mississippi, and his

master’s degree in business administration from the American

Public University System in Charles Town, West Virginia. He is a

member of the Information Systems Audit and Control

Association, among others.

Margaret M. Van Bree, MHA,

DrPH is president of Lifespan’s

largest hospital, Rhode Island

Hospital, and its pediatric divi-

sion, Hasbro Children’s Hospital.

A talented, energetic and deeply

experienced executive, she joined

the staff in January 2015 after a

nationwide search.

As president, she directs the

overall planning, development,

operation and ongoing evaluation

of the hospitals and provides sen-

ior executive direction and leadership to advance the hospital’s

mission of Delivering health with care to the southern New

England community.

Van Bree most recently was the senior vice president and

chief executive officer of the 864-bed St. Luke’s Medical Center,

the flagship hospital of St. Luke’s Health System and the primary

adult private teaching hospital for Baylor College of Medicine.

She has also served as chief operating officer at a number of

academic medical centers, including the University of Wisconsin

Hospital and Clinics, the University of Virginia Health System,

and the University of Minnesota Medical Center-Fairview and

Amplatz Children’s Hospital. At each of these institutions,

Van Bree demonstrated her skill in implementing innovative

approaches to quality and in advancing and elevating critical

service lines.

Among the many recognitions she has received, the most

notable are Becker’s Hospital Review’s 130 Women Hospital and

Health System Leaders to Know and 100 Leaders of Great

Hospital in America. She is a member of a number of organiza-

tions, such as the University of Minnesota MHA Alumni Associ-

ation/Foundation board of directors, the American College of

Healthcare Executives (ACHE) Southeast Texas Chapter board

of directors, and a fellow of the ACHE.

Van Bree earned a doctoral degree in health systems man-

agement from Tulane University, a master’s degree in health care

administration from the University of Minnesota, and a bache-

lor’s degree in community health education from the University

of Wisconsin-La Crosse.

A critical step in the development

of a system-wide pediatric service

line was the appointment of

Tracey Wallace to the newly cre-

ated position of vice president of

pediatric services. As vice president

of pediatric services, Wallace has

been charged with the integration

and coordination of pediatric

physical and mental health services

throughout Lifespan, so that both

the physical and behavioral health

needs of pediatric patients will be

identified and addressed. Prior to this appointment, Wallace was

the administrative director of operations and business develop-

ment for Hasbro Children’s Hospital, leading the financial and

operational oversight of all the ambulatory clinical and academic

pediatric programs of the department of pediatrics, as well as

the hemophilia treatment center. She has also played a key role

in organizing outreach programs, which has resulted in the

expansion of Hasbro Children’s Hospital’s satellite clinics in East

Providence, East Greenwich, and Fall River. As vice president of

pediatric services, Wallace will work collaboratively with the

chief of pediatrics, the chief of pediatric surgery, and Lifespan’s

psychiatry and mental health providers to develop a pediatric

service line across Lifespan.

Wallace holds a bachelor’s degree in economics from

Westfield State College and received a master’s degree in busi-

ness administration from Salve Regina University. She is a mem-

ber of the Association of Administrators in Academic Pediatrics

and the American College of Healthcare Executives.

39

Margaret M. Van Bree, MHA, DrPHPresidentRhode Island Hospital

Tracey Wallace Vice President, Pediatric ServicesLifespan

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INFORMATION TECHNOLOGY

INFORMATION TECHNOLOGY

A massive effort throughout the year, involving all Lifespan partners,has been a rebuilding of Lifespan’s entire information technologyplatform and infrastructure.

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41

A massive effort throughout the year, involving all Lifespanpartners, has been a rebuilding of Lifespan’s entire information

technology platform and infrastructure. LifeChart will create a

single record for each patient that may be accessed by clinicians

throughout Lifespan. Over the past decade or so, Lifespan has

added some systems and upgraded others, creating a patchwork

that clinicians have had to navigate in order to find complete

information. One great advantage of the new system is that all

the patient’s information will be located in one place, so clini-

cians will no longer have to click in and out of different systems

to find information. Community physicians will be able to view

information about patients who have had inpatient stays or

outpatient visits at Lifespan facilities. Our patients will be able

to access their own information through a portal. Our research

enterprise will be enhanced by the ability to identify more easily

patients who are suitable for appropriate clinical trials. When

the project goes live early in 2015, Lifespan will be the only

health care system in the state that will have a single enterprise

electronic health record that spans both inpatient and outpatient

services—a distinction that affirms our commitment to meeting

the health needs of our community.

Throughout fiscal year 2014, hundreds of people worked

thousands of hours identifying, validating, testing, learning, and

training to make sure the project is on time and on budget.

Among those supporting the team building the system and

tailoring it to suit our needs are shared services staff who

identified spaces for building and training; facilities staff who

completed the necessary multimillion-dollar power upgrade;

clinicians and staff who joined teams to test the system; the

nearly 1,000 employees who have become superusers in order to

support LifeChart users when the system goes live; marketing

and communications staff who have provided updates to the

Lifespan community, created tool kits that will be needed by the

LifeChart users and information that will help staff explain the

new patient portal to patients at all our facilities; and many,

many more. It’s safe to say that virtually every department has

been involved or will be involved, but we are confident that

when the system is implemented, it will be a quantum leap in

communication among clinicians and in eliminating the frag-

mentation that hampers optimal care.

Despite the many hours, the large number of staff, and

the enormous effort necessary to keep LifeChart on track, other

important projects were underway in 2014. Since 2011, Lifespan

has been preparing for the nationwide switch to ICD-10, the latest

medical coding system, which happens on October 1, 2015. All of

Lifespan’s applications were evaluated to determine which ones

would need upgrades and what kind of upgrade would be needed

to make the application ICD-10 compliant. As we mitigated these

barriers to ICD-10, we also identified and improved issues related

to clinical processing.

At Hasbro Children’s Hospital, an important, interactive

patient system was upgraded. The GetWellNetwork is designed

to engage a patient in his/her care, allowing patients to access

games and entertainment by patients and enabling the hospital

to deliver information to a patient’s bedside, using functions

such as a Question of the Day, educational programs specific to

managing a child’s diagnosis, or the Discharge Pathway program

that automates and helps guide expectations for discharge. In

addition to improving the patient experience, GetWellNetwork

hosts a management console that provides the hospital’s leader-

ship with valuable feedback on service delivery as well as opera-

tional and regulatory compliance.

And a new option is now available to patients and visitors

at The Miriam Hospital. For the past eight years, the hospital

has offered valet parking; now, patients and visitors who choose

to do so can receive a valet ticket that has been printed with a

phone number they can text when they’re ready to leave. When

the text is received, the car is retrieved and is ready and waiting

when the patient or visitor arrives in the lobby.

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LIFESPAN IN THE COMMUNITY

LIFESPAN IN THE COMMUNITY

As Rhode Island’s first and largest health care system, we have always felt a uniqueresponsibility for the health of the people in our community—a responsibility that extends well beyond the walls of our facilities. It encompasses prevention of illness,wellness education, and training that can save lives when a clinician isn’t nearby. Soour programs are myriad and the places in which they are conducted, from the sandsof our beaches to spaces in our cities, are as varied as southeastern New England.

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43

As Rhode Island’s first and largest health care system, we have

always felt a unique responsibility for the health of the people in

our community—a responsibility that extends well beyond the

walls of our facilities. It encompasses prevention of illness, well-

ness education, and training that can save lives when a clinician

isn’t nearby. So our programs are myriad and the places in

which they are conducted, from the sands of our beaches to

spaces in our cities, are as varied as southeastern New England.

During the course of the year, Lifespan Community

Health Services’ outreach specialists and nurses administered

flu, Tdap, and pneumonia vaccinations to more than a thousand

people. We organized blood pressure and cholesterol screenings

and participated in a diabetes screening that, along with glucose

screenings, featured stroke risk and mental health assessments.

In total, 407 community members from Providence and Paw-

tucket were screened at six locations. Our SunSmarts events

once again brought skin cancer screening to the Ocean State’s

beaches; this year more than 300 were screened during five

events. And our second See, Test & Treat event provided women

with screenings for breast and cervical cancer; we hope to

build on the success of the 2014 event with another event

sometime in 2015.

The outcome of heart attack and stroke depends in large

part on how quickly they are treated. Consequently, one focus of

our work in the community is training the public to save lives.

Our Train the Trainer programs are held in high schools around

the state, training teachers to become certified CPR instructors.

These educators, in turn, prepare high school students to

become CPR certified before they graduate. The goal is to

have every student in Rhode Island CPR certified before high

school graduation.

It is estimated that improved access to automated external

defibrillators (AEDs) could save up to 50,000 lives nationwide

every year. Our automated external defibrillator program

awards AEDs to towns around the state and trains people in

their use. We also follow up with communities and organizations

that have received AEDs in the past, to ensure that the equipment

remains fully functional. These efforts support the drive to

create Heart Safe Communities in our state.

Lifespan experts go into schools to present information on

bullying, heart health, the dangers of smoking and other topics.

Another program targeting youngsters in our community is the

Power Lunch reading program, in which Lifespan employees

travel weekly to three partner schools in order to read with ele-

mentary school students who struggle in this area. For parents

and others who care for children, we offer Parenting Matters, a

one-day conference consisting of 31 workshops plus a keynote

speaker; our Temas Familiares is held for Spanish speakers in

our area. Speaking of Kids, which brings the expertise of

Bradley Hospital clinicians to parents and caregivers, is held

every quarter and addresses topics from autism and obsessive-

compulsive disorder to bullying and teaching children how to

solve problems. And the Bradley Conference is designed to

provide education for psychologists, social workers, and other

professionals; topics focus on behavioral health populations and

treatments.

In 2014, Lifespan Community Health Services moved to

Prairie Avenue building in South Providence. This move will

enable us to expand our programs and the services we offer.

We also will be able to offer our classes and workshops on site,

increasing the number of people who can benefit from them.

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GIVING TO LIFESPAN

GIVING TO LIFESPAN

Each year, thousands of generous supporters donate to our institutions, providingcritically needed funds to help sustain our mission of Delivering health with care,and 2014 was no exception. From individual donors to private foundations and largecorporations, we are grateful for everyone’s generosity. Here are some of thefundraising highlights of fiscal year 2014.

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45

Hasbro Children’s Hospital

Celebrating twenty years of Hasbro Children’s

Hospital, the Monopoly Ball in March 2014

raised a record $1.4 million. Guests enjoyed

a performance by comedian Kathleen

Madigan through the generosity of title

sponsor Hasbro, Inc. The event also featured

Hasbro, Inc.’s award-winning employee band,

Toys 2 Men, and Boston-based musicians, The FAM, who pre-

miered the song “All for One” with the Rhode Island Children’s

Chorus. Chaired by Dolph and Maureen Johnson, and honorary

chairs Brad and Dory Faxon, Brian and Barbara Goldner, and

Vivien and Alan Hassenfeld, presenting sponsors included Alex

and Ani, Belcourt of Newport, Carolyn’s Sakonnet Vineyard,

and the CVS Caremark Charity Classic and CVS Pharmacy.

Dunkin’ Donuts raised $125,580 through its annual Iced

Coffee Day and made a five-year, $1 million commitment to

Hasbro Children’s Hospital to establish the “4-Safety” program.

Hasbro Children’s Hospital Radiothon, in partnership with

Cumulus Providence radio stations and Children’s Miracle

Network Hospitals (CMNH), raised $581,887. CMNH partners,

including Walmart, Sam’s Club, and Rite Aid, also raised more

Rhode Island Hospital

In November 2013, Rhode

Island Hospital’s 150th

Anniversary: A Celebration

of Caring highlighted the

hospital’s accomplishments

and spotlighted the future

of Rhode Island’s premier academic medical center. The event

raised $650,000 to support exceptional clinical care, research, and

education. The honorary tri-chairs were Elfriede A. Collis;

Michael G. Ehrlich, MD; and Barbara P. Riley, RN, MS, NEA-BC.

The following generous gifts were among those Rhode Island

Hospital received in fiscal year 2014: The Champlin Foundations

granted $850,000 to support the purchase of interventional

radiology equipment; an anonymous donor gave $472,000 for

orthopedics research; Herbert G. Townsend Trust gave $222,367

for the Rhode Island Hospital Fund for Excellence; T.T. Lee

donated $210,000 for tissue regeneration research; The Frederick

H. Prince Trust gave $200,000 for the Frederick Henry Prince

Memorial Endowment; the Rhode Island Hospital Guild gave

$100,000 for the Norman Prince Neurosciences Institute and

$25,000 for the Friends of Nursing Fund; Rosalyn K. Sinclair

donated $100,000 to the Samuels Sinclair Dental Center;

The Faxon Foundation, through the Fax and Friends Golf

Rhode Island Hospital’s 150th Anniversary: A Celebration of Caring. TomRyan; Ted Fischer; Timothy J. Babineau, MD; Paul Salem; and Brad Faxon.

Invitational, raised $80,435 for advanced neurological ICU

equipment; an anonymous donor gave $70,000 to support the

Young Adult Behavioral Health Program; and the Stein/Bellet

Foundation continued their support of the Stein/Bellet

Orthopedic Trauma Research Fellowship at Rhode Island

Hospital with a gift of $65,000.

Hasbro Children’s Hospital Radiothon: 2014 Children’s Miracle Network Hospitals’Rhode Island Champion, Grace Gallonio.

than $367,000 for Hasbro Children’s Hospital through a range

of fundraising efforts. The Hasbro Children’s Hospital Golf

Invitational raised more than $260,000. Hasbro, Inc. donated

the sales revenue from “Monopoly: The Ultimate Rhode Island

Edition” to Hasbro Children’s Hospital. Additional gifts to Hasbro

Children’s Hospital included: $138,888 from Kohl’s through its

Kohl’s Cares® Kids on the Go program; $115,000 from the

National Guard Association of Rhode Island; and $144,000

from The Tomorrow Fund to benefit pediatric oncology services.

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GIVING TO LIFESPAN

The Miriam Hospital

In April, The Miriam Hospital’s annual gala

and auction transformed Rhodes on the

Pawtuxet in Cranston into a chic New York

City arts setting with an “Experience SoHo”

theme. Chaired by Susan and David Bazar,

the event raised $612,375 to support The

Miriam Fund for a New Generation and

innovative clinical research trials for cancer

patients at The Leonard and Adele R. Decof

Family Comprehensive Cancer Center at The Miriam Hospital.

Title sponsors were Amica Insurance and Nortek. Platinum

sponsors were GTECH, Med Tech Ambulance Service, and

Roberts Carroll Feldstein & Peirce Attorneys at Law.

September featured The Miriam People Dinner, chaired by

Robin and Jim Engle. Held at the Providence Marriott, the dinner

brought together nearly 150 members of The Miriam People

Society—donors who have made annual gifts to The Miriam of

$1,000 or more or have given $25,000 or more throughout their

lifetime. The event’s keynote speaker, Jack A. Elias, MD, Dean of

Medicine and Biological Sciences at The Warren Alpert Medical

School of Brown University, spoke about the ever-changing

health care environment, the importance of collaboration,

and integrating the missions of an academic medical center to

deliver the best care possible to patients and their families.

The year 2014 also marked the successful completion of

an $8.5 million campaign to renovate the hospital’s emergency

department and a celebration to mark its redesign, including a

welcoming and streamlined space with significant patient

privacy improvements. Additionally, The Miriam Hospital

Foundation received a generous $1 million gift from the

Estate of Grace Alpert to establish an endowment to fund

neurosciences research at The Miriam.

The Miriam Hospital Gala and Auction. Hospital president Arthur Sampson,David and Susan Bazar, Alan and Marianne Litwin.

Bradley Hospital

On June 6, friends and supporters of

Bradley Hospital packed Rhodes on

the Pawtuxet with “A Passport to

Rome” for the Bravo, Bradley! gala

and auction. Chaired by Bill and Tina

Carr, the event raised a record $401,486 to help advance Bradley

Hospital’s pioneering pediatric mental health care, education,

and research, with the live auction and Fund-a-Need supporting

the expansion of the hospital’s outpatient programs. Play4Kids

Golf Tournament debuted on July 28 and raised nearly $45,000

to also support the outpatient program.

The van Beuren Charitable Foundation awarded Bradley

Hospital, in collaboration with Newport Hospital, a grant of

$82,000 to continue support of the Newport Child and Adoles-

cent Behavioral Health Clinic, which they helped establish in

2012. The clinic provides pediatric outpatient psychiatric

services to families of Newport County whose children struggle

with emotional and psychological problems. Additionally, the

success of the 2014 CVS Caremark Charity Classic resulted in a

generous unrestricted $25,000 gift for Bradley Hospital.

Tina and Bill Carr, Bravo, Bradley! 2014 co-chairs, with Bradley HospitalFoundation Board Chair David Brown and his wife, Susan.

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47

Newport Hospital

Newport Hospital’s summer gala and

auction, Swinging on a Star, welcomed

330 supporters and raised $430,606.

Held at Ochre Court, the event was

co-chaired by Anne and Matt Hamilton

and Ginny and Jim Purviance. Top

sponsors included The Schochet

Companies; Nicholas and Shelley

Schorsch; BMW of Newport; Dorrance

H. Hamilton; Juliette Clagett McLen-

nan; Newport Emergency Physicians, Inc.; Newport Hospital

Auxiliary; Newport Hospital Medical Staff; John and Linda

Purdy; Ginny and Jim Purviance; Archie and Helene van Beuren;

and Diane Wilsey. The event introduced Newport Hospital’s

incoming president, Crista F. Durand. Funds generated through

both the live auction and fundraising blitz supported the hiring

of a patient navigator at the Comprehensive Cancer Center

at Newport Hospital.

The Three Angels Fund’s 5th annual summer benefit,

organized by members of the Bulk and Pine families, raised over

$30,000 for the outpatient IV therapy program, bringing the

total this remarkable family has raised for the hospital since

2010 to more than $140,000. The second Small Island – Big

Hearts golf tournament was held in May by friends and family

of brothers Marshall and Bruce Johnson, raising over $13,000.

Funding of $55,980 was awarded to nine community

organizations through the Frederick Henry Prince Memorial

Fund at Newport Hospital. The fund was established in 2010

by a $3 million gift from the Frederick Henry Prince 1932 Trust,

conferred by Elizabeth Prince and her children, Guillaume

de Ramel, Régis de Ramel, and Diana Oehrli.

Gateway

In April 2014, The Autism Project’s 12th Annual Imagine Walk

and Family Fun Day took place Goddard Park. Held in con-

junction with National Autism Awareness month, the event has

cumulatively generated over $1 million in support of important

autism programs. The Friends Way annual Diamond in the Sky

Gala took place in May and honored Richard Beretta, Esq., with

the Michael Wiggins, MD Leadership Award. The Volunteer of

the Year Award was presented to Margaret Pilkington Riley.

More than 1,100 toys and thousands of dollars in gift

cards were collected and distributed to hundreds of families in

need during the season of giving as part of Gateway’s annual

Light of Hope initiative. Gateway’s 11th Annual Golf Classic

took place in August at the Alpine Country Club. The title

sponsor was Cox Business, and Adler Pollock & Sheehan,

Marcum, RICOH, and Davis & Lentz were Platinum Sponsors.

Gateway’s New Hope for Families Program received a

$25,000 grant from the Luke Charitable Foundation. A $10,000

grant was received from an anonymous donor in support of its

Adventures in Learning Program. Hasbro Children’s Fund

continued to be a generous supporter of Friends Way, granting

$10,000 toward child bereavement program support.

The Brown football team at The Autism Project's Imagine Walk

Newport Hospital supportersMatt Hamilton and Norey Cullenat Swinging on a Star.

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LIFESPAN PHYSICIAN CHIEFS

William G. Cioffi, MD, FACSSurgeon-in-ChiefBeardsley Professor, and Chair, Department of SurgeryThe Warren Alpert Medical Schoolof Brown University

John J. Cronan, MDRadiologist-in-ChiefFrances Weeden Gibson Professor,and Chair, Diagnostic ImagingThe Warren Alpert Medical Schoolof Brown University

Phyllis Dennery, MDPediatrician-in-ChiefHassenfeld Professor, and Chair,Department of PediatricsThe Warren Alpert Medical Schoolof Brown University

Curt Doberstein, MDInterim Neurosurgeon-in-ChiefAssociate Professor of Neurosurgery(Clinical), and Interim Chair, Department of NeurosurgeryThe Warren Alpert Medical Schoolof Brown University

Michael Ehrlich, MDSurgeon-in-ChiefVincent Zecchino Professor and Chair The Warren Alpert Medical Schoolof Brown University

Karen Furie, MDNeurologist-in-ChiefKennison Professor of ClinicalNeuroscience, and Chair, Department of NeurologyThe Warren Alpert Medical Schoolof Brown University

Abrar A. Qureshi, MD, MPHDermatologist-in-ChiefProfessor and Chair, Departmentof DermatologyThe Warren Alpert Medical Schoolof Brown University

Louis Rice, MDChief of MedicineJoukowsky Family Professor ofMedicine, and Chair, Department of Medicine Professor of Molecular Microbiology and Immunology The Warren Alpert Medical Schoolof Brown University

Brian J. Zink, MDPhysician-in-ChiefEmergency MedicineIannuccilli Professor, and Chair, Department of Emergency Medicine The Warren Alpert Medical Schoolof Brown University

LIFESPAN PHYSICIAN CHIEFS

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49

GOVERNANCE 10.1.2013 – 9.30.2014

Lifespan

Emma Pendleton Bradley Hospital

Gateway Healthcare

Newport Hospital

Rhode Island Hospital/Hasbro Children’s Hospital

The Miriam Hospital

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GOVERNANCE

Lifespan Board of Directors

Officers

Scott B. LauransChair

Lawrence A. Aubin, Sr.Vice Chair

Timothy J. Babineau, MDPresident and Chief Executive Officer

Directors

Thomas F. Anders, MDSr. M. Therese Antone (10/1/2013 – 12/9/2013)

Emanuel BarrowsDavid A. BrownPeter CapodilupoEllen A. CollisMichael G. Ehrlich, MDJonathan D. FainEdward D. Feldstein Jason M. Fowler (resigned 6/30/2014)

David S. Gorelick, MDMichael L. HannaPamela A. Harrop, MDDayle H. Joseph, EdD (10/1/2013 – 12/9/2013)

Marie J. LangloisBertram M. Lederer (10/1/2013 – 12/9/2013)

Alan H. LitwinStephen P. Massed (10/1/2013 – 12/9/2013)

Steven M. ParéLloyd J. RobertsonLawrence B. SadwinFred J. Schiffman, MDThe Honorable Bruce M. Selya (10/1/2013 – 12/9/2013)

Shivan SubramaniamBrian Zink, MD

Lifespan Foundation Board of Trustees

Officers

Timothy J. Babineau, MDPresident

Scott B. LauransChair

Mary A. WakefieldTreasurer

Kenneth E. ArnoldSecretary

Director(s)

Kenneth E. ArnoldTimothy J. Babineau, MDScott B. LauransMary A. Wakefield

Lifespan Executive Management

Timothy J. BabineauPresident and Chief Executive Officer

Kenneth E. ArnoldSenior Vice PresidentGeneral Counsel

Nancy BarrettVice PresidentInformation Services

Jane BrunoVice PresidentMarketing and Communications

Carole M. CotterSenior Vice PresidentChief Information Officer

Nicholas P. DominickSenior Vice PresidentShared Services

Howard DuludeVice PresidentHuman Resource Operations and Lifespan Health

Cathy E. Duquette, PhD, RNExecutive Vice PresidentNursing Affairs

Joan FlynnVice PresidentRisk Management

Richard J. Goldberg, MDSenior Vice PresidentPsychiatry and Behavioral Health

Thomas IgoeVice PresidentAudit and Compliance

Ann M. KashmanianSenior Vice PresidentFinance

Nadeen LaFleurVice PresidentPatient Financial Services

Frederick J. MacriExecutive Vice PresidentSystem Operations

Mark MontellaSenior Vice PresidentExternal and Strategic Affairs

John B. Murphy, MDExecutive Vice PresidentPhysician Affairs

Paul PierannunziVice PresidentFinance

Thomas C. PearsonVice PresidentFinancial Support

Marc ProtoVice PresidentContracting

Karen Rosene-Montella, MDSenior Vice PresidentWomen’s Services and Clinical Integration

Rachel SchwartzVice PresidentPlanning

Peter Snyder, PhDSenior Vice PresidentChief Research Officer

Mary A. WakefieldExecutive Vice PresidentChief Financial Officer

Emma Pendleton Bradley Hospital FoundationBoard of Trustees

Officers

David A. BrownChair

Charles H. BoisseauSecretary

Daniel J. Wall +President and Treasurer

Trustees

Thomas F. AndersTimothy J. Babineau, MD +Christine H. CarrJoseph L. Dowling, Jr., MDPatricia J. Flanagan, MDGregory K. Fritz, MDDonald P. GalamagaJeffrey HirshThe Honorable Patrick J. KennedyDavid KohlhammerScott B. Laurans +Bruce LeonardDeidre DuBois MadeiraJozy MainelliStephen O. MeredithKaryn MontiStacie T. NorrisCarol A. PetersonLawrence B. Sadwin

Emma Pendleton BradleyHospital Executive Management

Daniel J. WallPresident

Henry T. Sachs, III, MDChief Medical Officer

Gregory K. Fritz, MDAcademic Director

Vareen O’Keefe-Domaleski, MSN,EdD, NEA, BCChief Nursing Officer

Emma Pendleton Bradley Hospital Medical Leadership

Henry T. Sachs, III, MDChief Medical Officer

Geanina Oana Costea, MDUnit ChiefChildren’s Program

Elizabeth A. Forbes, MDDirectorPediatrics

Karyn J. Horowitz, MDDirectorOutpatient Services

Jeffrey Hunt, MDUnit ChiefAdolescent Program

J. Zen Meservy, MDUnit ChiefCenter for Autism and Developmental Disabilities

Dale F. Radka, MDDirectorBradley School Program

Emma Pendleton Bradley Hospital Medical Staff Association

Jeffrey Hunt, MDPresident

Brady Case, MDVice President

Gateway Healthcare FoundationBoard of Trustees

Officers

Lloyd J. RobertsonChair

Dr. Gowri AnandarajahVice Chair

Al MarcianoTreasurer

John MicroulisSecretary

Henry T. Sachs, III, MDAssistant Secretary

Trustees

Timothy J. Babineau, MD +Richard BerettaJames BurdickMark FieldsScott B. Laurans +Richard H. Leclerc +Steven M. ParéThomas L. RossJohn TicknerCarolyn TraxlerCheryl Weesner

Gateway HealthcareExecutive Management

Richard H. LeclercPresident

Scott DiChristoferoVice PresidentFinance Chief Financial Officer

Dorothy YeamenVice PresidentAdministrative Services

Gateway Healthcare Medical Leadership

Stephen L. Chabot, MDMedical Director

David Savitzky, MDAssociate Medical Director

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51

Newport Hospital Foundation Board of Trustees

Officers

Peter CapodilupoChair

David S. GordonVice Chair

Suzette D. SchochetSecretary

Trustees

Sr. M. Therese AntoneTimothy J. Babineau, MD +William J. CorcoranNorey Dotterer CullenCrista F. Durand +Rita B. GewirzPatricia Norton KidderScott B. Laurans +Juliette C. McLennanChristopher S. Ottiano, MD(through 8/2014)Sandra J. PattieJames A. PurvianceKathleen H. RossArthur J. Sampson (Interim President through 7/31/2014) +

Charles L. Stengel, MDOrest Zaklynsky, MD

Newport HospitalExecutive Management

Arthur J. SampsonInterim President

Crista F. Durand (as of 8/1/2014)President

Barbara J. ArcangeliVice PresidentHuman Resources

Thomas E. McGue, MD, FAAFPVice PresidentMedical Affairs and Chief Medical Officer

Denise A. Sullivan, MSN, RNCVice PresidentNursing Services and Chief Nursing Officer

Newport HospitalMedical Leadership

Matthew J. Thran, MD ChairmanAnesthesiology

William Martland, MDChairmanDiagnostic Imaging

Glenn Hebel, MDChairmanEmergency Medicine

Thomas Fantes, MDChairmanFamily Practice

Eric Radler, MD ChairmanHospital Medicine Section andInterim Chairman Medicine

Triste Coulombe, MDChairmanObstetrics and Gynecology

Michael Staebler, MDChairmanOrthopedics

Dariusz Stachurski, MDChairmanPathology

Keivan Ettefagh, MDChairmanPediatrics

Heather Hall, MDChairmanPsychiatry

John Heffernan, MDChairmanSurgery

Newport HospitalMedical Staff Association

Eric Radler, MDPresident

J. Andrew Dreslin, MDPresident - Elect

Jeffrey T. Gaines, MD Secretary/Treasurer

Newport Hospital Auxiliary

Joan MasonPresident

Nancy ScottVice President

Joseph BrinzaTreasurer

Norma GreeneRecording Secretary

Kay SmythCorresponding Secretary

Rhode Island Hospital Foundation Board of Trustees

Officers

Roger N. BeginChair

Ralph V. Fleming, Jr.Vice Chair and Secretary

Ellen A. CollisTreasurer

Trustees

Lawrence A. Aubin, Sr.Timothy J. Babineau, MDJames L. Carr, Jr.Michael D’AmbraThomas M. Drew, MDEdwin G. Fischer, MDKristen HaffenrefferEdward O. Handy, IIIDolph JohnsonMichael W. JoukowskyScott B. Laurans +Joseph J. MarcAureleElizabeth J. PerikJames A. ProcacciantiDiane N. Weiss

Rhode Island HospitalExecutive Management

Timothy J. Babineau, MDPresident

Frederick J. MacriExecutive Vice PresidentChief Operating Officer

Nicholas P. DominickSenior Vice PresidentDiagnostic and Support Services

Mark HasbrouckVice PresidentBusiness Development

Ann M. KashmanianSenior Vice PresidentFinancial Operations andCare Management

Thomas MagliocchettiVice PresidentFacilities Services

Thomas C. PearsonVice PresidentFinancial Support

Barbara P. Riley, RN, MSSenior Vice PresidentChief Nursing Officer

Karen Rosene-Montella, MDSenior Vice PresidentWomen’s Services and Clinical Integration

Latha Sivaprasad, MDSenior Vice President andChief Medical Officer

Louis J. SperlingVice PresidentHuman Resources

Tracey L. WallaceVice PresidentPediatric Services

Mary A. WakefieldExecutive Vice PresidentChief Financial Officer

Rhode Island HospitalMedical Leadership

Arthur A. Bert, MDAnesthesiologist-in-ChiefAnesthesiology

Abrar Qureshi, MDDermatologist-in-ChiefDermatology

John J. Cronan, MDRadiologist-in-ChiefDiagnostic Imaging

Brian J. Zink, MDPhysician-in-ChiefEmergency Medicine

John B. Murphy, MDPhysician-in-ChiefFamily and Community Medicine

Christina Bandera, MDPhysician-in-ChiefGynecology and Obstetrics

Louis B. Rice, MDPhysician-in-ChiefMedicine

Karen Furie, MDNeurologist-in-ChiefNeurology

Curtis E. Doberstein, MD (interim)

Surgeon-in-ChiefNeurosurgery

Michael E. Migliori, MDOphthalmologist-in-ChiefOphthalmology

Michael G. Ehrlich, MDSurgeon-in-ChiefOrthopaedics

Brian E. Duff, MDOtolaryngologist-in-ChiefOtolaryngology

Douglas Anthony, MD, PhD Pathologist-in-ChiefPathology and Laboratory Medicine

Patricia J. Flanagan, MD (interim as of 7/1/2014)

Robert B. Klein, MD (retired 6/30/2014)

Pediatrician-in-ChiefPediatrics

Paul Y. Liu, MDSurgeon-in-ChiefPlastic Surgery

Richard J. Goldberg, MDPsychiatrist-in-ChiefPsychiatry and Behavioral Medicine

David E. Wazer, MDOncologist-in-ChiefRadiation Oncology

William G. Cioffi, MDSurgeon-in-ChiefSurgery

Rhode Island HospitalMedical Staff Association

Martha Mainiero, MD President

Pamela Harrop, MD President - Elect

Charles McCoy, MD Treasurer

Daniel Levine, MD Secretary

Rhode Island Hospital Guild

Mary KilloranPresident

Paula A. Tartaglione-HallFirst Vice President

Ann RiveraSecond Vice President

Nancy SeavorTreasurer

RenaMarie DiMuccioSecretary

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GOVERNANCE

Hasbro Children’s Hospital Advisory Council

Co-Chairs

Alan G. HassenfeldRobert B. Klein, MD

Council Members

Lawrence A. Aubin, Sr.Timothy J. Babineau, MDRoger N. BeginEileen Howard Boone Elizabeth Burke BryantWayne S. CharnessJeanne S. CohenKaren DavisSara DavisKaren G. DelPonte, Esq.Bradford S. DimeoDeanna V. Donnelly Renée Evangelista, Esq.Dory R. FaxonSamara FeldmanEdwin N. Forman, MDJames M. GilbaneBarbara HaynesLauren HudsonSamantha LomowAngela MooreGary L. MooreStephen J. OlsonJames A. ProcacciantiCarolyn RafaelianKatina Robison, MDCatherine A. SolomonAlice M. TischThomas F. Tracy, Jr., MDRobert K. VincentKyle Wohlrab, MD

Norman Prince NeurosciencesInstitute Advisory Council

Leadership Team

John A. Robson, PhD Karen Furie, MDSteven A. Rasmussen, MD

Co-Chairs

Edwin G. Fischer, MDMichael W. Joukowsky

Members

Timothy J. Babineau, MDGuillaume de RamelScott C. Donnelly David M. Dooley, PhD Bradford J. Faxon, Jr.Edward F. Fischer Charles Gustin Thomas M. HagertyRichard G. HoranRichard Murphy, PhDPaul O’ReillyJonathan C. RobertsThomas M. RyanPaul J. SalemNeil D. Steinberg Diane N. WeissLaurie L. White

The Miriam Hospital Foundation Board of Trustees

Officers

Alan H. LitwinChair

Marie J. LangloisVice Chair

Almon HallTreasurer

Susan H. KaplanSecretary

Arthur J. SampsonPresident

Trustees

Timothy J. Babineau, MD +Susan BazarMitzi BerkelhammerJeffrey G. BrierJerrold N. DorfmanJonathan L. Elion, MDH. Jack FeibelmanEdward D. FeldsteinSuzanne R. GilsteinNeil R. Greenspan, MDSidney F. Greenwald ++Alan G. HassenfeldArthur Hurvitz ++Steven J. IssaMary Jo KaplanPhilip KyddScott B. Laurans +Bertram M. Lederer +++David F. RamponeJerrold A. SalmansonArthur J. Sampson +Steven Schechter, MDSamuel K. SulsLisa E. Weingeroff

Management Liaison

Deborah Gilstein JaffeChief Development Officer

The Miriam HospitalExecutive Management

Arthur J. SampsonPresident

Frank J. ByrneVice PresidentFinance

Sandra W. ChengVice President Support Services

Maria P. Ducharme, MS, RN, NEA-BC Senior Vice President Patient Care Services and Chief Nursing Officer

Ann M. KashmanianSenior Vice PresidentFinancial Operations and Care Management

Nancy J. McMahonVice President Human Resources

Patricia H. RichardsVice President

Thomas F. Tracy, Jr., MD Senior Vice President Medical Affairs and Chief Medical Officer

Mary A. WakefieldSenior Vice President and Chief Financial Officer

The Miriam HospitalMedical Leadership

Arthur A. Bert, MDAnesthesiologist-in-ChiefAnesthesiology

Abrar Qureshi, MDDermatologist-in-ChiefDermatology

John J. Cronan, MDRadiologist-in-ChiefDiagnostic Imaging

Brian J. Zink, MDPhysician-in-ChiefEmergency Medicine

Martin M. Miner, MD Physician-in-ChiefFamily and Community Medicine

Louis B. Rice, MDPhysician-in-ChiefMedicine

Karen Furie, MDNeurologist-in-ChiefNeurology

Curtis E. Doberstein, MD (interim)Surgeon-in-ChiefNeurosurgery

Christina Bandera, MDPhysician-in-ChiefGynecology and Obstetrics

Michael G. Ehrlich, MDSurgeon-in-ChiefOrthopaedics

Douglas Anthony, MD, PhD Pathologist-in-ChiefPathology and Laboratory Medicine

Paul Y. Liu, MDSurgeon-in-ChiefPlastic Surgery

Richard J. Goldberg, MDPsychiatrist-in-ChiefPsychiatry and Behavioral Medicine

David E. Wazer, MDRadiation Oncology

William G. Cioffi, MDSurgeon-in-ChiefSurgery

The Miriam HospitalMedical Staff Association

Valerie A. Thomas, MDPresident

Matthew Vrees, MDVice President

Eric Walsh, MDTreasurer

David Marcoux, MDSecretary

The Miriam HospitalWomen’s Association

Officers

Robin Engle (5/2013-5/2014)Sharon Ferreri (5/2014-5/2015)President

Vice Presidents

Cynthia Schwartz (5/2013-5/2015)Program DevelopmentSpecial Events

Marianne Litwin (5/2013-5/2015)Membership

Treasurers

Sharon Ferreri (5/2013-5/2014)Susan Guerra (5/2014-5/2015)Marilyn Myrow (5/2013-5/2015)Recording Secretary

Barbara Sheer (5/2013-5/2015)Corresponding Secretary

+ Ex-Officio++ Life Trustee+++ Chair Appointed Trustee

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167 Point StreetProvidence, Rhode Island 02903

Lifespan.org

Rhode Island Hospital/Hasbro Children’s Hospital

The Miriam Hospital

Emma Pendleton Bradley Hospital

Newport Hospital

Gateway Healthcare