Annual Report
2004
Throughout his lifetime, Dan Hanley tackled problems with an eye to operationalizing solutions. The Trust recognizes that Dan would have wanted anything accomplished by the Trust to be real and meaningful. The second year of the Trust (2004) was very successful in engaging others in the vision of the Trust and obtaining sponsorship and financial commitment from several health care organizations.
This report provides a summary of the work accomplished in 2004 related to the infrastructure of the Trust, the annual Hanley Health Care Forum, the annual Dan Hanley Leadership Award, the Hanley Trust Fellows Program, and fund raising.
Hanley Trust Infrastructure
During 2004, a part-time Executive Director was hired to assist the Trust in establishing a more formal organization and in developing the Trust’s programs.
A Board of Directors was established and governing principles were developed and adopted. An Executive Committee of the Board was developed as well as ad hoc Forum and Award committees comprised of Hanley Trust Board members and other interested parties.
During 2004, the Hanley Trust has become known as one of the stakeholders in the Maine health care community.
The Annual Hanley Leadership Forum
The June 2004 Forum focused on developing a Maine collaborative model for adopting and implementing screening and risk factor reduction guidelines as they are released nationally for implementation. Statewide participants in the Forum represented payors, hospitals, practitioners (physicians, nurses, rural health centers), health care delivery systems (PHO's, home health agencies), public health groups and community based Healthy Maine Coalitions, state agencies (Bureau of Health, Governor's Office on Health, Policy and Finance, Legislature), employers, health educators, and quality assurance coordinators.
The 2004 Forum was program oriented and efforts were made to involve all members of the health community, not just direct caregivers, and to include representatives from many areas both urban and rural in the state. It was believed that the Trust and its Leadership Forum could be particularly helpful in this regard, by providing a high-level but neutral arena in which top health care leaders are encouraged and supported to forge substantive agreements about policy, collaboration, and resources.
The new Obesity Guideline was used as a test guideline for developing a model for: 1) advancing adoption of the obesity guideline in primary care, acute care, and community settings and 2) identifying and building a generic model that can be used by Maine's healthcare leadership in developing, recommending, and supporting an implementation approach for other guideline as they are released.
The 2004 Forum participants adopted the following vision and recommendations for action:
Vision
A comprehensive statewide Healthy Weight Initiative improves health and quality of life for Maine people.
Strategies for Action
- Develop a statewide Healthy Weight Coalition.
- Develop and gain endorsement of standardized protocols and tools for implementation of the Obesity Guideline.
- Address healthy weight in health plan benefits packages.
- Put a statewide tracking system in place with baselines.
- Implement the Obesity Guideline and healthy weight initiatives across health care, employer, and community-based settings.
- Develop and implement public education plans.
- Address healthy weight at the policy level and through the Dirigo Process.
- Develop and implement pilot projects and initiatives.
Based on the Action Plan adopted at the 2004 Forum, the Hanley Trust has entered into a contractual relationship with the Maine Center for Public Health to expand the mission of the Maine Harvard Prevention Research Center on Nutrition and Physical Activity to include adults. The Center has expanded its Steering Committee membership to include three additional members recommended by the Hanley Trust, a day long symposium on obesity is being planned for May 2005, the Bureau of Health has contributed funds to join the Hanley Trust efforts in this area and other funding sources are being approached to gain support for pilot sites to implement the obesity guideline. The Maine Primary Care Association is also working closely with this initiative as they develop a protocol for implementing the obesity guideline in their rural health centers.
The Dan Hanley Leadership Award
The Hanley Leadership Award is intended to recognize an individual whose innovative work is making a difference in Maine health care, that will stand the test of time, and who reflects all of the values exemplified by Dr. Hanley (i.e., collaboration and inclusion, courage, hard work, innovation, kindness, and leadership). Based on the first two years’ experience, the Hanley Award is considered highly prestigious within Maine’s health care community. The annual award gives the Trust a powerful opportunity to “put a face on” and publicize the kinds of commitment and work we are seeking to promote in Maine.
Carolyn Clancy, M.D., Director of the Agency for Healthcare Research and Quality (AHRQ) was the keynote speaker at the luncheon. Dr. Clancy addressed the role of her agency in providing scientific evidence to improve outcomes, quality, and safety of health care.
Dr. Jack Wennberg was the recipient of the 2004 award. Dr. Wennberg is the Peggy Y. Thomson Chair of the Center for Evaluative Clinical Services at Dartmouth Medical School. Dr. Wennberg has a long history with Maine starting in the early 1970’s when he worked with Dan Hanley, John Putnam, and David Soule to establish a statewide hospital discharge database. Jack was among the first to develop population-based research of healthcare utilization, noting significant variations in physician practice patterns in Maine. This work led to three articles on small area variation published in 1976 in the Journal of the Maine Medical Association under the guidance of its editor, Daniel Hanley, MD. This seminal work was the springboard for Dan’s formation of the Maine Medical Assessment Program. Dr. Wennberg’s early work and Dan’s ability to act on this work helped to establish the reputation of Maine physicians nationally. Dr. Wennberg is renowned for his work on geographic variations of healthcare delivery and has published numerous articles in the world’s best medical journals. Jack Wennberg truly exemplifies the qualities so admired in Dan Hanley: collaboration and inclusion, courage, hard work, innovation, kindness, and leadership.
The Hanley Fellows Program
The Hanley Trust firmly believes that one of the most powerful investments we can make to improve health outcomes in Maine is in fostering value-driven, collaborative, evidence-based health care leadership. This is the rationale for the Trust’s newest initiative, the Hanley Fellows Program, whose goal is to nurture and mentor the next generation of Maine’s health care leaders. There is currently no organized opportunity in Maine for emerging health care leaders to network and be mentored by leaders outside of their respective organizations.
Every two years, the Trust plans to select 3 to 5 Hanley Fellows, who will be emerging health professionals who have completed their formal professional education and are working in a Maine health care organization or practicing medicine in Maine.
Initially, Hanley Trust Board members will nominate candidates for the Fellows Program and three to five Fellows will be selected every two years. The established Fellows Committee will do the initial review including personal interviews, reference checking, and establishing there will be commitment and support for the candidate from the candidate’s employer. The Committee will recommend to the Hanley Trust Board the Fellows for the upcoming year. The Trust Board will make the final determination.
Each Fellow will be assigned a mentor after discussions with both the mentor and Fellow. Every attempt will be made to match the mentor and Fellow based on interests and similar styles. The work with the mentor will be focused on the work of the mentor and real life working experiences.
The twenty-four month Fellows program will be divided into three segments. It is estimated that the time required of a Fellow will be approximately 1 – 2 days a month including all meetings. This amount of time amounts to approximately 5 –10% of a FTE.
Funding
The Trust is very appreciative of the financial support it has received form individual and organizations to date. The financial support is a great tribute to the work Dan Hanley did and support for the work of the Trust.
The Dan Hanley Memorial Trust Supporters
2002- 2004
Gold Medal Sponsors - $5,000 and greater
| Anthem | Medical Mutual Insurance Company of Maine |
| Bakken Foundation | Maine Health Access Foundation |
| Betterment Fund | Peoples Bank |
| Bingham Program | Maria Hanley |
| Cumberland County Medical Society | Helen Johnson |
Silver Medal Sponsors - $1,000 - $4,999
| Maine Health Information Center | Sharon (Hanley) Vitousek, M.D. |
| Maine Health Management Coalition | Robert Baldwin |
| Maine Medical Association | Connie Chisolm |
| Maine Osteopathic Association | Judith Flynn |
| Medical Care Development | Sheila Hanley |
| MaineHealth | Richard Reddy |
| Sean Hanley, M.D. | H. Allen Ryan |
| Daniel Hanley, M.D. | John Wasileski |
| Robert McAfee, M.D. |
Bronze Medal Sponsors – up to $999
| John Andrews | Richard Dillihunt |
| Ms. Barbara Arnold | Mrs. Carrey Donovan |
| Mr. & Mrs. Peter Barnard | Mrs. Emerson Drake |
| Mr. &; Mrs. Andre Benoit | John Duff |
| Nelson Blackburn | Steven Frost |
| Mathew Branche | Dan J. Gacetta |
| Carl Brinkman | Albert Gibbons |
| William Carney | Mrs. Katherine Gibbons |
| Mrs. Mary Wilson Carpenter | Bernard Givertz |
| Richard Chamberlin | Gerard Goldstein |
| Honorable Frank Coffin | Philip Good |
| Andrew Iverson | Mrs. Jotham Pierce |
| Mrs. Judy Kamin | Mr. & Mrs. John Putnam |
| Robert Keller | Michael J. Quinlan |
| Francis I. Kittredge | Patricia Quinlan |
| Harry Kubetz | Thomas M. Quinlan |
| Elroy O. Lacasse | Fred Radke |
| Dr. & Mrs. John LaCasse | Mrs. Lawrence F. Rakovan |
| Samuel Ladd | Frank Read |
| Mr. & Mrs. Robert Leonard | Roger Renfrew |
| Ms. Cetta Leonardi | Hugh Robinson |
| Mr. & Mrs. John Leslie | Dr. Sharon Rosen |
| Dan Levine | Mr. & Mrs. Kenneth Ryan |
| John Libby | William Saltonstall |
| Mr. & Mrs. Thomas Libby | Dr. Robert Scalettar |
| Michael Linkovich | Hubert S. Shaw |
| Mrs. Helen Longley | Terrance Sheehan, M.D. |
| David Lovely, M.D. | Sanford Sistare |
| Mr. & Mrs. James W. MacAllen | Mr. & Mrs. John St. Onge |
| William MacVane | Mrs. Jan Stowell |
| Mr. & Mrs. George Marcus | Mr. & Mrs. John Sullivan |
| Thomas Martin | Walter Szumoski |
| Robert K. Maxwell | Clayton Thomas |
| Buell Miller | Robert Timothy |
| Stephen Monaghan | Dr. Meredith Tipton |
| Mr. & Mrs. Robert Morrell | Mr. & Mrs. Harry Warren |
| Edward Morse | Richard Whitmore |
| Lawrence Mutty | Theodore Wilson |
| Austin Nichols | George Wood |
| Dan Onion | Mrs. William B. Wright |
| Mr. & Mrs. Herb Paris | Elihue York |
| Douglass Pennoyer |