PHC_AR_Comp 0315 - Partners HealthCare

Partners HealthCare Annual Report 2010Imagine you wake up in the middle ofthe night and as you walk to the bathroom,your right arm goes numb and you can’tremember your name.The people of Partners HealthCare know what to do.

“Our mission will be our guide as weprovide the highest quality care that isaffordable to our patients and to society.”Our visionGary L. Gottlieb, MD, MBAPresident and CEO, Partners HealthCareTo dedicate ourselves to the delivery of superior care thatis patient- and family-centered, accessible, and equitable.To provide a coordinated, cost-efficient, and transparentcare model that will benefit patients across the continuumfrom prevention to long-term.To touch the communities we serve, local or global, withsustainable improvements in the care we provide with a keenfocus on underserved populations.To lead in research that fosters collaboration, bringingdiscovery to the patient’s bedside, and sharing those successeswith the world so future generations may benefit.To invest in education and training to nurture the nextgeneration of leaders who can carry forward the lessons learned.To promote the development of our workforce by creatingopportunities for achievement and advancement.To seek ways to deliver the highest quality health care to all.As we reflect on the past year and look to the future, we do with a senseof hope. We know each day we will improve the care that we provide toour patients and their families. And we believe that care must be affordablefor society. Our mission will be our compass as we accept a leading rolein helping to create solutions with political and business leaders, insurers,and the public.The ideas for our solutions, some of which we share in this annualreport, come from a strategic vision that Partners leadership developedin collaboration with teams from our remarkable institutions. We arededicating ourselves to the delivery of safe, effective, and coordinatedpatient- and family-centered care that will be efficient, accessible, andtransparent. As a health system blessed with many of the brightestminds in medicine, we will design a roadmap for success.With health care a popular topic in public conversations, we also see thisas a time to tell the story of the Partners mission. We have been relativelyquiet in the past, but we believe our voice needs to be heard. We cannotshy away from sharing our research breakthroughs that are changing lives,voicing our commitment to medical education that will support a newgeneration of health care providers, and defining our steadfast dedicationto the communities we serve.As always, our values will guide us. Our constellation of talent, our depth,and diversity will help us to carve a path that will forge our position asleaders in health care today, tomorrow and for generations to come.Jack Connors, Jr.Chair, Board of DirectorsPartners HealthCareTo find out more about Partners’ new Strategic Initiative,go to: Partners.org/newnoteworthy/StrategicInitiative.html1

Not all hospitals provide you with the same quality of care.When you arrive at the Massachusetts General Hospital Emergency Departmentwith symptoms of a stroke, you are moved through triage in minutes and a nurseimmediately alerts the stroke team that you need attention. You quickly are takento a radiology center located in the same area, where you are given a brain CAT scan.As soon as a stroke is confirmed, you are given tissue plasminogen activator, tPA.The tPA dissolves the clot and prevents you from being left with a lifetime ofdisability. To be most effective, it must be administered within three hours fromthe beginning of a stroke. Neurologists say that the longer the wait, the morelikely irreversible brain damage will occur.The four Partners hospitals that routinely handle stroke cases have achieved96–100 percent performance in prompt administration of tPA. The statewideaverage was 61.7 percent. In June 2010, the Massachusetts Department of PublicHealth found “wide variation among hospitals in the use of [this] powerfulstroke drug.”Your wife calls 911. You’ve had a strokeand you arrive at a Partners hospitalthat is ready and able to help you.Emergency care is continually improvingthroughout our system.The Emergency Department at Brigham and Women’s Hospital (BWH) iscommitted to improving the patient and family experience while decreasing thedoor to doctor time. Patients are greeted, examined by a physician, and then ateam – doctor, nurse, and support staff – is responsible for the patient, and decideswhether to admit him or her to either BWH or Faulkner Hospital, a communityteaching affiliate of the Brigham.Newton-Wellesley Hospital leaders studied emergency visits to determine how toimprove the patient experience. Dividing visits into discrete segments, they foundways to move patients smoothly through the emergency process. Improvementsinclude eliminating the need for patients to provide information multiple times,gathering detailed information at the bedside, and posting wait times on thehospital’s web site and via smart phone applications.Emergency patients on the North Shore with stroke symptoms receive immediateand exceptional care from North Shore Medical Center at its community hospitalsin Salem and Lynn. Last year, both hospitals were recognized for superiorcompliance with nationally accepted standards of rapid diagnosis and treatmentof stroke patients in their emergency departments.3

Care redesign: focusing on people with commonbut expensive diseases.Partners clinical teams are currently focused on working to find better, morecost-effective ways to treat four common diseases: diabetes, cardiovasculardisease, colon cancer, and your condition: stroke. This new work builds onnearly a decade of quality improvement at Partners and will further advancethe implementation of evidence-based, patient-centered care.You are cared for by a Partners teamof doctors and nurses who providehigh-quality, coordinated care.High costs are driven by a small fraction of patients.Medicare patients can be sicker and have multiple conditions, which explainswhy 10 percent of Medicare patients in the U.S. are responsible for 70 percentof costs. Focusing on the four diseases mentioned above can help control costs.A breakthrough against runaway Medicare costs.Chronically ill, medically complex Medicare patients often need more care andsupport than can be given during a routine office visit. Massachusetts GeneralHospital (MGH) was selected by the federal Centers for Medicare and Medicaidto find a way to deliver a higher quality of care that would also reduce costs forMedicare patients in the study.By using nurse case-managers to coordinate patient care during all phases oftreatment, MGH saw a seven percent reduction in costs over three years, whileadmissions were reduced and deaths decreased measurably.As part of a care network, Partners member hospitals and doctors can effectivelyadopt successful, cost-saving strategies. In February of last year, Brigham andWomen’s Hospital joined MGH in its collaboration with Medicare and enrolledmore than 3,000 Medicare patients under the care of their primary care physicianpractices, including several at Brigham’s community teaching affiliate FaulknerHospital. A nurse care coordinator works with the patient’s primary care teamto identify and overcome any gaps in care.North Shore Medical Center has also adopted the type of case managementprogram that showed success at MGH. In 2010, North Shore Physicians Group,the medical center’s network of primary and specialty care physicians, enrolled1,500 patients who are being followed by nurse case-managers.5

Reducing 30-day readmissions.Once you leave the hospital, the last thing you want is to be readmitted. Asurvey of Massachusetts hospitals showed more than 10 percent of patientswere readmitted for the same or unrelated complaints within 30 days.For the hospital, this is also expensive. A congressional study found thatthree-quarters of readmissions are likely avoidable, often traced to transitionsfrom caregiver to caregiver, and from inpatient to outpatient care. Partners isworking to reduce preventable readmissions by improving training; focusingon communication with patients and their family members; identifying patientsat higher risk of readmission and working closely with them, and improvinghand-offs to sites where discharged patients will receive the next round of care.You’re back home, but your care continues.Find your strength at Spaulding or at home.If you are recovering from stroke, rehabilitation can be the longest stretch on yourroad to recovery. Spaulding Rehabilitation Network, ranked fourth nationally byU.S.News & World Report, operates six inpatient facilities and 23 outpatient clinicsin eastern Massachusetts, allowing patients to receive expert therapy withouthaving to travel long distances.The caregivers at Partners HealthCare at Home use advanced medical tools andtechnologies to provide in-home care through highly trained nurses, therapists,home health aides, and other professionals. They work closely with one anotherand with you and your family to make sure that you regain your strength as soonas possible.Following patients home.Patients enrolled in North Shore Medical Center’s Heart Failure Programbenefit from very personal, intensive disease management and are less likely tobe readmitted to the hospital. The program is an example of a wellness approachthat makes caregivers responsible for the health of certain high-cost patientsoutside the walls of the hospital, in a way that can help reduce costs.9

Your house is not your only home.Your care may be delivered or coordinated through a “medical home,” aninnovative model for ensuring efficient, comprehensive care. Your primary carephysician leads a medical team that takes responsibility for all of your care, andhelps you navigate the health care system. For a stroke patient, your medical homephysician assesses you, provides care, coordinates with specialists such as neurologistsand rehabilitation experts, and also arranges mental health services for emotionalissues that can arise after stroke.As you return to your routine, you have newways to stay in touch with your primary careteam to assure your continued recovery.Creative ways to improve the doctor-patient relationship.The Massachusetts General Hospital Ambulatory Practice of the Future, a primarycare practice for MGH employees and their spouses that brings new technology tomedicine, opened its doors in July 2010. In this new approach, patients are moreinvolved in their care and are followed by a highly collaborative, interdisciplinaryteam. The physical spaces of the medical office and exam rooms have been altered tobenefit both patient and caregiver. The goal is to keep patients healthy by deliveringcustomized, continuous care to patients, with better outcomes at lower costs.Stay in closer touch by computer.Through online portals like Patient Gateway, you have an efficient way to stay intouch with your physician or care team. Partners is using technology to connect youto your doctor through the internet so you can ask questions, access your medicalrecords, check lab results, and make appointments. This will allow doctors andnurses to handle routine matters quickly, leaving time to focus on patients withmore complicated conditions. The portal virtually pays for itself in efficiency.11

Some of the many ways Partners makes a difference.We are the single biggest private employer in the state, providing 54,000 jobs.We bring millions in NIH dollars to the state. Massachusetts General andBrigham and Women’s Hospitals are the top two independent hospitals receivingNational Institutes of Health research funds; much of this supports work in lifesciences, genetics, and personalized medicine.We provide and support mental health and substance abuse services, despitelosses of nearly $60 million; we have added capacity while many others have closedbeds for financial reasons.We support 21 community health centers with capital investments of $83 millionsince 1994; they care for 325,000 low-income patients.We’ve committed $40 million to the state to reduce health premiums forsmall businesses.We deliver free and reduced-rate care for 120,000 patients without the meansto pay; the value of this care is more than $330 million annually.The Kraft family gift of $20 million will improve access to and quality of carefor the neediest people in Massachusetts, across New England, and throughout theU.S. The Kraft Family National Center for Leadership and Training in CommunityHealth will create a fellowship program to train a new generation of community-basedphysician leaders. The funds, given by Robert and Myra Kraft and their family, willalso support community cancer treatment programs.Massachusetts General Hospital this year celebrates its bicentennial, marking astoried tradition of compassionate caregiving, groundbreaking research, educationalexcellence, and improvements to the health of local communities. The third-oldestgeneral hospital in the country and the oldest teaching hospital of Harvard MedicalSchool, the MGH was chartered in 1811 as a general hospital that would care for thecity’s sick and poor while providing a place for physicians to learn the art of medicine.Today, the MGH continues to uphold and fulfill this important mission.McLean Hospital is also commemorating its 200th anniversary, founded at thesame time as MGH in 1811; it is today the top-rated independent psychiatric hospitalin the nation.Nantucket Cottage Hospital is celebrating its 100th birthday in 2011, honoring itspast while looking forward to its future as a member of the Partners HealthCare family.It is the island’s only year-round hospital serving a resident population of 10,000, whichswells to 50,000 in the summer.Martha’s Vineyard Hospital welcomed over 2,300 supporters and communitymembers to their new hospital at an opening ceremony on April 11, 2010. In aremarkable five-year grassroots campaign to rebuild the hospital, every dollar wasgenerously donated by the island community.Eleven Nobel Laureates are numbered among our nationally-respected physicians,as well as 87 members of the prestigious Institute of Medicine, and three winners ofthe Lasker Prize, called “the American Nobel Prize.”Well over a century after MGHharnessed the power of ether, shownin this landmark painting of thehospital’s Ether Dome operatingtheatre, today’s faculty continues tounlock the mechanisms of anesthesia,and trains leading anesthesiologists,medical students, and practicingclinicians. Emery Brown, M.D.,Ph.D. (inset), of the MGHDepartment of Anesthesia,Critical Care, and Pain Medicine,was interviewed recently by TheNew York Times on his researchinto how anesthesia works and howto administer it safely.In 1954, Joseph Murray,M.D., a Brigham surgeon,won a Nobel Prize for leadinga team that performed theworld’s first successful humanorgan transplant (inset).In 2011, a Brigham team of30 specialists led by BohdanPomahac, M.D., built on thetradition of Dr. Murray andperformed the first successfulfull face transplant in theU.S., continuing the hospital’snational leadership intransplantation.13

Partners HealthCare LeadershipPartners HealthCare is an integrated healthFOUNDING MEMBERS:MEMBERS:Partners TrusteesPartners Officerssystem founded in 1994 by Brigham andWomen’s Hospital and MassachusettsGeneral Hospital. In addition to its twoacademic medical centers, the Partnerssystem also includes community andspecialty hospitals, community healthcenters, a physician network, home healthand long-term care services, and otherhealth-related entities. Partners is one ofthe nation’s leading biomedical researchorganizations and a principal teachingaffiliate of Harvard Medical School. PartnersHealthCare is a non-profit organization.Brigham and Women’s HospitalMassachusetts General HospitalBrigham and Women’s Physicians OrganizationFaulkner HospitalMartha’s Vineyard HospitalMassachusetts General Physicians OrganizationMcLean HospitalMGH Institute of Health ProfessionsNantucket Cottage HospitalNewton-Wellesley HospitalNorth Shore Health SystemNorth Shore Medical Center:Salem HospitalUnion HospitalMassGeneral for Children at North Shore Medical CenterNorth Shore Physicians GroupPartners Community HealthCare, Inc.Partners Community Health Centers:Jack Connors, Jr.ChairAnne M. FinucaneCharles K. GiffordGary L. Gottlieb, M.D., M.B.A.Albert A. Holman, IIIProfessor Jay O. LightMaury E. McGough, M.D.Carol C. McMullenCathy E. MinehanJames J. Mongan, M.D.(through December, 2009)G. Marshall Moriarty, Esq.Gary A. Spiess, Esq.Henri A. TermeerDorothy A. TerrellDavid A. ThomasAndrew L. Warshaw, M.D.Beverly Woo, M.D.Gary L. Gottlieb, M.D., M.B.A.PresidentChief Executive OfficerAlbert A. Holman, IIITreasurerPatricia M. SalamoneSecretaryBWH Health Centers:Brookside Community Health CenterSouthern Jamaica Plain Health CenterMGH Health Centers:Charlestown HealthCare CenterChelsea HealthCare CenterRevere HealthCare CenterIndependently Licensed Health Center:(relationship with MGH)*North End Community Health CenterIn addition, Partners is affiliated with 15 communityhealth centers which are operated independently or underlicense from other hospitals.Partners Continuing Care:Spaulding Rehabilitation NetworkSpaulding Rehabilitation HospitalSpaulding Hospital CambridgeSpaulding Hospital North ShoreSpaulding Rehabilitation Hospital Cape CodSpaulding Nursing & Therapy Center North EndSpaulding Nursing & Therapy Center West RoxburyClark HousePartners HealthCare at HomeMAJOR TEACHING AFFILIATE OF:Harvard Medical School*The NECHC has a unique governance structure and affiliationarrangement with MGH (most recently revised in 2007) reflectingthe health center’s historic independence.21

Partners HealthCare LeadershipBoard ChairsLeadershipChief Medical OfficersG. Marshall Moriarty, Esq.Brigham and Women’s HospitalRobert A. Barbieri, M.D.Brigham and Women’s PhysiciansOrganizationMary Ann TynanFaulkner HospitalTimothy D. SweetMartha’s Vineyard HospitalCathy E. MinehanMassachusetts General HospitalDavid F. Torchiana, M.D.Massachusetts GeneralPhysicians OrganizationDavid S. BarlowMcLean HospitalGeorge E. Thibault, M.D.MGH Institute of Health ProfessionsStephen C. AndersonNantucket Cottage HospitalCarol McMullenNewton-Wellesley HospitalMaury E. McGough, M.D.North Shore Health SystemGary A. Spiess, Esq.North Shore Medical Center(through January, 2010)Richard E. HolbrookNorth Shore Medical Center(from January, 2010)Sharon L. SmithPartners Community HealthCare, Inc.Stanley J. LukowskiPartners Continuing CareSpaulding Rehabilitation NetworkPartners HealthCare at HomeHamilton N. ShepleySpaulding Rehabilitation Hospital Cape Cod(through November, 2010)Elizabeth G. Nabel, M.D.Brigham and Women’s HospitalAllen L. Smith, M.D., M.S.Brigham and Women’sPhysicians OrganizationDavid J. TrullFaulkner HospitalTimothy J. WalshMartha’s Vineyard HospitalPeter L. Slavin, M.D.Massachusetts General HospitalDavid F. Torchiana, M.D.Massachusetts GeneralPhysicians OrganizationScott L. Rauch, M.D.McLean HospitalJanis P. Bellack, Ph.D., R.N., F.A.A.N.MGH Institute of Health ProfessionsSylvia GetmanNantucket Cottage Hospital(through June, 2010)Margot Hartmann, M.D.Nantucket Cottage Hospital(from October, 2010)Michael S. Jellinek, M.D.Newton-Wellesley HospitalRobert G. NortonNorth Shore Medical CenterThomas H. Lee, M.D.Partners CommunityHealthCare, Inc.David E. StortoPartners Continuing CareSpaulding Rehabilitation NetworkPartners HealthCare at HomeMaureen Banks, R.N., M.S.,M.B.A., C.H.E.Spaulding Rehabilitation Hospital Cape CodSpaulding Hospital CambridgeSpaulding Hospital North ShoreChristopher Attaya, M.B.A., F.H.F.M.A.Partners HealthCare at Home(through October, 2010)Carol W. Sim, R.N., M.P.H.Spaulding Rehabilitation Hospital Cape Cod(through September, 2010)Anthony D. Whittemore, M.D.Brigham and Women’s HospitalJessica C. Dudley, M.D.Brigham and Women’sPhysicians OrganizationStephen C. Wright, M.D.Faulkner HospitalPieter Pil, M.D.Martha’s Vineyard HospitalBritain W. Nicholson, M.D.Massachusetts General HospitalTimothy D. Ferris, M.D.Massachusetts GeneralPhysicians OrganizationJoseph Gold, M.D.McLean HospitalGeorge P. Butterworth, M.D.Nantucket Cottage HospitalLeslie G. Selbovitz, M.D.Newton-Wellesley HospitalMitchell S. Rein, M.D.North Shore Medical CenterJennifer Daley, M.D., F.A.C.P.Partners Community HealthCare, Inc.(through March, 2010)Joanne Nowak, M.D.Partners Hospice(through July, 2010)David Lowell, M.D.Spaulding Rehabilitation Hospital Cape CodMaurice Greenbaum, M.D.Spaulding Hospital North Shore(through April, 2010)Charles Pu, M.D.Spaulding Hospital North Shore(from April, 2010)Jonathon Schwartz, M.D.Spaulding Hospital CambridgeRoss D. Zafonte, D.O.Chief of Physical Medicineand Rehabilitation, Vice Presidentof Medical Affairs, Research,and EducationSpaulding Rehabilitation Network23

Partners HealthCare LeadershipChiefs of ServiceFounding HospitalsRobert L. Barbieri, M.D.Chairman, Dept. of Obstetricsand GynecologyBrigham and Women’s HospitalMichael Gimbrone, M.D.Chairman, Dept. of PathologyBrigham and Women’s HospitalJay R. Harris, M.D.Chairman, Dept. ofRadiation OncologyBrigham and Women’s HospitalThomas S. Kupper, M.D.Chairman, Dept. of DermatologyBrigham and Women’s HospitalJoseph Loscalzo, M.D., Ph.D.Physician-in-Chief andChairman, Dept. of MedicineBrigham and Women’s HospitalA. John Popp, M.D., F.A.C.S.Chairman, Dept. of NeurosurgeryBrigham and Women’s HospitalMartin A. Samuels, M.D.Chairman, Dept. of NeurologyBrigham and Women’s HospitalSteven E. Seltzer, M.D.Chairman, Dept. of RadiologyBrigham and Women’s HospitalDavid A. Silbersweig, M.D.Chairman, Dept. of Psychiatryand Institute for the NeurosciencesBrigham and Women’s HospitalThomas S. Thornhill, M.D.Chairman, Dept. ofOrthopedic SurgeryBrigham and Women’s HospitalCharles A. Vacanti, M.D.Chairman, Dept. of Anesthesiology,Perioperative and Pain MedicineBrigham and Women’s HospitalRon M. Walls, M.D.Chairman, Dept. ofEmergency MedicineBrigham and Women’s HospitalMichael J. Zinner, M.D.Surgeon-in-Chief and Chairman,Dept. of SurgeryBrigham and Women’s HospitalDennis A. Ausiello, M.D.Physician in Chief andChief of Medical ServicesMassachusetts General HospitalAlasdair K. Conn, M.D.Chief of Emergency ServicesMassachusetts General HospitalDavid E. Fisher, M.D., Ph.D.Chief of DermatologyMassachusetts General HospitalDaniel A. Haber, M.D., Ph.D.Director, MGH Cancer CenterMassachusetts General HospitalLeonard B. Kaban, D.M.D., M.D.Chief of Oral and Maxillofacial SurgeryMassachusetts General HospitalRobert E. Kingston, Ph.D.Chief of Molecular BiologyMassachusetts General HospitalRonald Kleinman, M.D.Chief of the Pediatric ServiceMassGeneral Hospital for ChildrenKeith D. Lillemoe, M.D.Surgeon in Chief and Chiefof Surgical ServicesMassachusetts General Hospital(from May, 2011)Jay S. Loeffler, M.D.Chief of Radiation OncologyMassachusetts General HospitalDavid N. Louis, M.D.Chief of PathologyMassachusetts General HospitalRobert L. Martuza, M.D.Chief of NeurosurgeryMassachusetts General HospitalW. Scott McDougal, M.D.Chief of UrologyMassachusetts General HospitalJoan W. Miller, M.D.Chief of OphthalmologyMassachusetts General HospitalJoseph B. Nadol Jr., M.D.Chief of OtolaryngologyMassachusetts General HospitalJerrold F. Rosenbaum, M.D.Chief of PsychiatryMassachusetts General HospitalHarry E. Rubash, M.D.Chief of Orthopaedic SurgeryMassachusetts General HospitalIsaac Schiff, M.D.Chief of the VincentObstetrics & Gynecology ServiceMassachusetts General HospitalJames H. Thrall, M.D.Chief of RadiologyMassachusetts General HospitalJoseph P. Vacanti, M.D.Chief of Pediatric Surgeryand Surgeon in ChiefMassGeneral Hospital for ChildrenAndrew L. Warshaw, M.D.Surgeon in Chief and Chiefof Surgical ServicesMassachusetts General Hospital(through May, 2011)Jeanine Wiener-Kronish, M.D.Chief of AnesthesiaMassachusetts General HospitalAnne B. Young, M.D., Ph.D.Chief of NeurologyMassachusetts General HospitalRoss D. Zafonte, D.O.Chief of Physical Medicine and RehabilitationMassachusetts General HospitalPartnersRonald Kleinman, M.D.Chair, Partners PediatricsScott L. Rauch, M.D.Chair, Partners PsychiatryAnd Mental HealthHarry E. Rubash, M.D.Co-Leader, Partners OrthopedicsThomas S. Thornhill, M.D.Co-Leader, Partners OrthopedicsCommunity HospitalsHilary A. Aroke, M.D.Chief of Infectious DiseaseNorth Shore Medical CenterEdward N. Bailey, M.D.Chair of PediatricsMassGeneral for Children atNorth Shore Medical CenterBruce A. Beckwith, M.D.Chair of PathologyNorth Shore Medical Center(from April, 2010)Bart Blaeser, D.M.D., M.D.Chief of Oral SurgeryNorth Shore Medical CenterAlain A. Chaoui, M.D.Chair of Family PracticeNorth Shore Medical CenterPaul M. Copeland, M.D.Chief of EndocrinologyNorth Shore Medical CenterNoel P. DeFelippo, M.D.Chief of UrologyNorth Shore Medical CenterDean M. Donahue, M.D.Chief of Thoracic SurgeryNorth Shore Medical CenterRobert Freedman, M.D.Chief of OpthalmologyNorth Shore Medical CenterTerry J. Garfinkle, M.D.Chief of OtolaryngologyNorth Shore Medical CenterRichard D. Goodenough, M.D.Chief of Vascular SurgeryNorth Shore Medical CenterAnthony J. Guidi, M.D.Chair of PathologyNorth Shore Medical Center(through March, 2010)Joseph O. Jacobson, M.D.Chair of MedicineNorth Shore Medical Center(through March, 2011)Mitchell S. Jacobson, M.D.Chief of NephrologyNorth Shore Medical Center(from January, 2011)Bimal P. Jain, M.D.Director of Pulmonary/Intensive CareNSMC Union HospitalWilliam V. Kastrinakis, M.D.Chief of General SurgeryNorth Shore Medical CenterBarrett T. Kitch, M.D.Chief of Critical Care MedicineNorth Shore Medical Center(from December, 2009)Kevin M. Koshy, M.D.Chief of NephrologyNorth Shore Medical Center(through January, 2011)Andrew H. Leader-Cramer, M.D.Chief of NeurologyNorth Shore Medical CenterMark A. Lewis, M.D.Chief of DermatologyNorth Shore Medical CenterWilliam Lloyd, M.D.Chief of RheumatologyNorth Shore Medical Center(through January, 2011)Everett Tyronnie Lyn, M.D.Chair of Emergency MedicineNorth Shore Medical CenterJames A. MacLean, M.D.Chief of Allergy/ImmunologyNorth Shore Medical CenterMaury E. McGough, M.D.Chief of Primary CareNorth Shore Medical CenterMichael M. Medlock, M.D.Chief of NeurosurgeryNorth Shore Medical Center25

Partners HealthCare LeadershipChiefs of ServiceCommunity Hospitals (continued)James F. McIntyre, M.D.Chair of Radiation OncologyNorth Shore Medical CenterJoseph Miaskiewicz, M.D.Chief of Hospitalist MedicineNorth Shore Medical CenterWilliam J. Murzic, M.D.Chief of Orthopedic SurgeryNorth Shore Medical CenterAlbert Namias, M.D.Chief of GastroenterologyNorth Shore Medical CenterPaul S. Peicott, D.P.M.Chief of PodiatryNorth Shore Medical CenterProdyut Poddar, M.D.Chief of Thoracic SurgeryNSMC Union HospitalAllyson L. Preston, M.D.Chair of Obstetrics and GynecologyNorth Shore Medical CenterKeith W. Rae, D.M.D., M.D.Chief of Plastic SurgeryNorth Shore Medical CenterDavid J. Roberts, M.D.Chief of CardiologyNorth Shore Medical CenterMarc S. Rubin, M.D.Chair of SurgeryNorth Shore Medical CenterMark A. Schechter, M.D.Chair of Psychiatry andMental HealthNorth Shore Medical CenterJoel H. Schwartz, M.D.Chief of Hematology/OncologyNorth Shore Medical CenterM. Christian Semine, M.D.Chair of RadiologyNorth Shore Medical CenterNeil S. Shore, M.D.Director of Pulmonary/Intensive CareNSMC Salem HospitalGlynne D. Stanley, M.D.Chief of AnesthesiaNorth Shore Medical CenterKhalid Syed, M.D.Chief of RheumatologyNorth Shore Medical Center(from January, 2011)Thomas J. VanderSalm, M.D.Chief of Cardiac SurgeryNorth Shore Medical CenterJames Gessner, M.D.Chief of AnesthesiologyFaulkner HospitalPardon R. Kenney, M.D.Chief of SurgeryFaulkner HospitalRichard E. Larson, M.D.Chief of Emergency MedicineFaulkner HospitalStephen Pochebit, M.DChief of PathologyFaulkner HospitalBethany Richman, M.D.Interim Chief of RadiologyFaulkner HospitalMartin A. Samuels, M.D.Chief of NeurologyBrigham and Women’s/Faulkner HospitalsDavid A. Silbersweig, M.D.Chief of PsychiatryBrigham and Women’s/Faulkner HospitalsMichael Wilson, M.D.Chief of OrthopedicsFaulkner HospitalStephen C. Wright, M.D.Chief of MedicineFaulkner HospitalAvraham Almozlino, M.D.Chief of NeurologyNewton-Wellesley HospitalMary Chris Bailey, M.D.Chief, PediatricEmergency Medicine(from April, 2010)Joel Bass, M.D.Chair of PediatricsNewton-Wellesley HospitalThomas L. Beatty, M.D.Chair of Obstetrics and GynecologyNewton-Wellesley HospitalDennis J. Beer, M.D.Chief of Pulmonary MedicineNewton-Wellesley HospitalMark R. Belsky, M.D.Acting Chair, Department of OrthopaedicsNewton-Wellesley Hospital(from January, 2011)Joanne Borg-Stein, M.D.Chief of Physical Medicine& RehabilitationNewton-Wellesley HospitalJohn A. Buehler, D.M.D.Chief of Oral SurgeryNewton-Wellesley HospitalHerbert Cares, M.D.Acting Chief of NeurosurgeryNewton-Wellesley HospitalThomas Cunningham, M.D.Chief of General Internal MedicineNewton-Wellesley HospitalRichard L. Curtis, M.D.Chief of GastroenterologyNewton-Wellesley HospitalHenry D’Angelo, M.D.Chair of Family MedicineNewton-Wellesley HospitalSandra M. Fitzgerald, M.D.Chair of PsychiatryNewton-Wellesley HospitalLawrence S. Friedman, M.D.Chair of MedicineNewton-Wellesley HospitalHenning Gaissert, M.D.Chief of Thoracic SurgeryNewton-Wellesley HospitalDon L. Goldenberg, M.D.Chief of RheumatologyNewton-Wellesley HospitalAnthony J. Guidi, M.D.Chair of PathologyNewton-Wellesley HospitalEric Hazen, M.D.Chief of Child and Adolescent PsychiatryNewton-Wellesley Hospital(from February, 2011)Esther J. Israel, M.D.Chief of Pediatric GastroenterologyNewton-Wellesley HospitalJacob Joffe, M.D.Chair of AnesthesiologyNewton-Wellesley HospitalArthur Kennedy, M.D.Chief of GeriatricsNewton-Wellesley HospitalChristopher Kwolek, M.D.Chief of Vascular SurgeryNewton-Wellesley HospitalJeffrey Lamont, M.D.Chief of UrologyNewton-Wellesley HospitalMark Lemons, M.D.Chair of Emergency MedicineNewton-Wellesley HospitalMichael A. Lew, M.D.Chief of Infectious DiseasesNewton-Wellesley HospitalWilliam LoVerme, M.D.Chief of Plastic SurgeryNewton-Wellesley HospitalSteven Miller, M.D.Chair of RadiologyNewton-Wellesley HospitalFrederick Millham, M.D.Chair of SurgeryNewton-Wellesley HospitalTimothy O’Connor, M.D.Chief of Hematology/OncologyNewton-Wellesley HospitalSteven Pestka, M.D.Chief, Hospitalist ServiceNewton-Wellesley HospitalFrancis Renna, M.D.Chief of DermatologyNewton-Wellesley HospitalMark F. Rounds, M.D.Chief of OtolaryngologyNewton-Wellesley HospitalJoel J. Rubenstein, M.D.Chief of CardiologyNewton-Wellesley HospitalDaniel P. Ryan, M.D.Chief of Pediatric SurgeryNewton-Wellesley HospitalDavid Slovik, M.D.Chief of Endocrinology/DiabetesNewton-Wellesley HospitalJill Smith, M.D.Acting Chief of OphthalmologyNewton-Wellesley HospitalRichard E. Wilker, M.D.Chief of NeonatologyNewton-Wellesley HospitalHenry M. Yager, M.D.Chief of NephrologyNewton-Wellesley HospitalSpecialty HospitalsScott L. Rauch, M.D.Psychiatrist in ChiefMcLean HospitalRoss D. Zafonte, D.O.Chief of Physical Medicineand Rehabilitation, Vice Presidentof Medical Affairs, Research, and EducationSpaulding Rehabilitation NetworkRichard L. Zaniewski, D.O.Chief of Rehabilitation MedicineSpaulding Hospital North Shore27

Partners HealthCare LeadershipChief Nursing OfficersJacqueline G. Somerville, R.N., Ph.D.Senior Vice President,Patient Care Services andChief Nursing OfficerBrigham and Women’s Hospital(from January, 2011)Mairead Hickey, Ph.D., R.N., F.A.H.A.Chief Nursing Officer and SeniorVice President, Patient Care Services(through August, 2010)Executive Vice President andChief Operating Officer(from September, 2010)Brigham and Women’s HospitalJudy Hayes, R.N., M.S.N.Vice President of Nursing,Chief Nursing OfficerFaulkner HospitalCarol Bardwell, R.N., B.S.N., M.S.N.Chief Nurse ExecutiveMartha’s Vineyard HospitalJeanette Ives Erickson, R.N., M.S.Senior Vice President for PatientCare Services and Chief NurseMassachusetts General HospitalLinda M. Flaherty, R.N., P.C.Senior Vice President forPatient Care ServicesMcLean HospitalJane Bonvini, R.N., B.S.N.Patient Care Services OfficerNantucket Cottage HospitalElaine Bridge, R.N., M.B.A.Senior Vice President for PatientServices and Chief NurseNewton-Wellesley HospitalBeatrice Thibedeau, R.N.Senior Vice President,Patient Care Services and Chief Nursing OfficerNorth Shore Medical CenterJoanne Fucile, M.S.N., C.R.R.N., O.C.N.Vice President, Patient Care ServicesChief Nursing OfficerSpaulding Rehabilitation NetworkPartners Senior ManagementJoseph D. Alviani, Esq.Vice President, Government Affairs(from November, 2010)Dennis A. Ausiello, M.D.Chief Scientific OfficerPeter R. BrownChief of StaffLee A. ChelminiakVice President, Public AffairsChristopher H. ColecchiVice President, ResearchVentures and LicensingDennis D. CollingVice President, Human ResourcesLynne J. EickholtVice President, Business Planningand Market DevelopmentMatthew E. FishmanVice President, Community HealthMichael Gimbrone, M.D.Harvard Medical School Dean forAcademic Programs at PartnersJohn P. Glaser, Ph.D.Vice President andChief Information Officer(through July, 2010)Thomas P. Glynn, Ph.D.Chief Operating OfficerMaureen GogginDirector, Government RelationsBrent L. Henry, Esq.Vice President and General CounselSheridan L. KassirerVice President, Quality Managementand Clinical ProgramsPeter K. MarkellVice President, FinanceDavid McGuireVice President, Managed CareContracting and FinanceJames NogaInterim Chief Information Officer(from July, 2011)Allen PeckhamChief Development OfficerJay B. PieperVice President, Corporate Developmentand Treasury AffairsDavid E. StortoVice President,Non-Acute Care ServicesDebra F. Weinstein, M.D.Vice President, GraduateMedical EducationKathryn E. WestVice President,Real Estate and Facilities

800 Boylston Street, Boston, MA 02199-8001(617) 278-1000 www.partners.orgFOUNDING MEMBERS: Brigham and Women’s Hospital • Massachusetts General HospitalMEMBERS: Faulkner Hospital • Martha’s Vineyard Hospital • McLean HospitalNantucket Cottage Hospital • Newton-Wellesley Hospital • North Shore Medical CenterPartners HealthCare at Home • Partners Community HealthCare, Inc. • Spaulding Rehabilitation Network