2024 Annual Report Introduction
A Quality Focus
NMC’s Refreshed Strategic Plan
This year, NMC worked on refreshing our Strategic Plan with input from our Board of Directors, leaders, medical staff, and community partners.
The review of the plan allowed us to refocus and re-center ourselves on our three strategic pillars: Quality & Safety, Engagement and Stewardship. As you can see in the Strategic Plan document, we have three key goals: Zero preventable harm, a culture that engages and inspires, and achieving financial sustainability.
Each pillar documents our objectives and measures for the 2025-2027 timeframe.
Part of the strategic plan refresh process was a review and update of our values. You’ll see these expressed in the acronym: NMC C.A.R.E.S. We fulfill our mission of exceptional healthcare because we care so deeply for our patients and our people and that caring demonstrates how we are leaning in on quality and safety and the rest of the pillars.
In our values, compassion leads the way because it is at the root of everything we do as an organization. Adaptability is a key value because it is imperative that we be able to adjust to a shifting healthcare environment and embrace change. Respect is one of our HRO keys to success and is fundamentally important to our focus on diversity, equity, inclusion and belonging both as an employer and a healthcare provider. Excellence is what we aspire to as we embrace the High Reliability journey and strive to achieve safe, high-quality care. Last, but certainly not least: Service. That concept means we create a meaningful, engaging environment for our team to work in – we are in service to our patients, to each other, and to the community at large.
New Masks Provide More Comfortable Fit, Avoiding Pressure Injury
This past summer, NMC’s Respiratory Therapy Department launched the use of new bilevel positive airway pressure (Bi-PAP) masks for patients, as a way to prevent pressure sores. Bi-PAP is used to treat conditions that make breathing difficult like sleep apnea, Chronic Obstructive Pulmonary Disease or Congestive Heart Failure.
NMC’s Respiratory Therapy Manager Kevin Kehoe said that his team investigated a change after seeing a couple of instances where patients developed pressure injuries on their faces. Kehoe said that the traditional masks can be tough on patients because they need a tight fit and the humidity associated with the treatment means that skin can begin to break down.
Working with the Quality Department, Respiratory Therapy (RT) conducted patient rounding and talked to colleagues at other hospitals to find possible solutions. A new type of mask was suggested, tested, piloted and then adopted by the team.
Since the implementation of the new style of mask in August, there have been zero pressure injuries. Staff and patient reactions have been very positive as the new masks are more comfortable and easier to use
“This change speaks to NMC’s vision of quality care and empathy because we are providing quality masks, and quality care through those masks,” said Kehoe.
He applauded his staff for being flexible and open to the change, and for the Quality and Materials Management Departments for acting so quickly to research and implement the new masks.
The initiative is a good example of NMC’s ongoing Quality work that takes a “zero harm” approach to preventing conditions that could be acquired in the hospital setting.
NMC Achieves Hand Hygiene Goal
In June 2024, NMC achieved an ambitious goal, hitting 91 percent compliance with hand hygiene standards.
The achievement is a culmination of work that’s been underway for three years, with steady improvement from around 60% percent compliance to meet the goal of being better than 90%.
“This is a testament to what we can do when we stay focused on our goal, with patient safety in mind,” said Quality Director Anneke Merritt.
Infection Control Coordinator Courtney Hodet echoed that sentiment.
“A big shout out to everyone who has worked so hard to move us toward this goal,” she said. “It takes dedication and commitment and I’m proud that we’ve proved we can do this.”
Hand hygiene is an important tool in combatting infections. The World Health Organization (WHO) states:
The scientific evidence overwhelmingly demonstrates that appropriate hand hygiene is the single most effective action to stop the spread of infection, while integrated with other critical measures.
- Appropriate hand hygiene prevents up to 50% of avoidable infections acquired during health care delivery, including those affecting the health work force.
- The WHO multimodal hand hygiene improvement strategy has proved to be highly effective, leading to a significant improvement in key hand hygiene indicators, a reduction in health care-associated infections (HAIs) and antimicrobial resistance, and substantially helping to stop outbreaks.
Attention To Sepsis Leads
To Improved Scores
NMC tracks “bundle” compliance each month, and the trend shows steady upward movement.
Did you know that sepsis is the most common cause of death in US hospitals?
NMC has been focusing on making sure that our Emergency Department caregivers use best practice processes for identifying and treating sepsis. The work started by creating nursing and provider champions who built workflows and tools that make prompt detection and treatment easier.
Throughout the process, NMC has been tracking data to measure our compliance with a “bundle” – a grouping of treatment steps that should be taken, created by the The Centers for Medicare & Medicaid Services. The national average for hospital compliance with this bundle is 60 percent. The NMC data originally fell below that average, but our process improvements and steady focus have brought our compliance well above the national average for five of the first six months in 2024.
Our success in this area comes in part from the ED Champions who support the work. Nurse Manager Rachael Shepardson-Rudden and Nurse Practitioner Matt Boone were recognized in September for their tireless attention to this important quality measure.
What is sepsis?
When bacteria gets into a person’s body, it can cause an infection such as a urinary tract infection or pneumonia. If left untreated, these infections can cause sepsis. Sepsis is the body’s extreme response to the infection and triggers a chain reaction throughout the body. Bacterial infections cause most cases of sepsis, but they can also be the result of viral infections like the flu or COVID-19. Without timely treatment, sepsis can rapidly lead to tissue damage, organ failure, and death.
Rachael Shepardson-Rudden, ED Nurse Manager, and Matt Boone, NP were recognized for their exceptional sepsis compliance. Rachael supports nurses and providers to deliver quality care to sepsis patients and is an undeniable contributor to the success of NMC’s compliance scores. Matt also provides exceptional care to sepsis patients and has had no fallouts in approximately 18 months by using a very intricate and detail-oriented process.
Provider Spotlight
New Providers
Responding to community need for better access to specialty care, NMC brought on more than 20 new advanced practice providers and physicians in areas like cardiology, surgery, pulmonology, urology, orthopedics and more. We are fortunate to have had so many talented, passionate providers join our team!
Steven Anisman, MD
Cardiology
Adam Boise, NP
Emergency Dept
Benjamin Chaucer, MD
Pulmonology
Andrea Decker, PA
Urgent Care
Bradley Eisenberg, DO
Hospitalist
Caitlin Francis, PNP
Pediatrics
Jessie Gay, NP
Urgent Care
Luke Heald, NP
Urgent Care
Samantha Hunt, MD
Emergency Dept
Allicia Imada, MD
Orthopaedics
Carter Lindborg, MD
Orthopaedics
Liel Navi, MD
OBGYN
Brenda Neff, PNP (PD to FT)
Pediatrics
Beth Paquin, NP
Cardiology
Meghan Reilly, NP
Pediatrics
Andrew Robison, PA
Urgent Care
Jennifer Smith, PA
Hospitalist
Kevan Sternberg, MD
Urology
Gino Trevisani, MD
Surgery
Jacqueline Wilson, PA
Urgent Care
Susan Williams, NP
Urgent Care
Hear From Our Providers
Dr. Colleen Moran
Community Services
Dr. Moran is the Director of NMC’s Inpatient Pediatric Services. In this brief video she talks about the strength of services for children in families in our community, and how her team connects people to those resources.
Dr. Kelsey Sheahan
Gender Affirming Care
NMC Endocrinologist Dr. Kelsey Sheahan talks about an important part of her practice – care for gender identity transitions.
Dr. Liel Navi
NMC’s Family-Oriented Approach
Dr. Navi from Northwestern OBGYN talks about what makes NMC special – the family-oriented approach that bonds our teams together to provide exceptional care.
Dr. Anna Royer
Personalized Care at NMC
Dr. Anna Royer is a surgeon in our Northwestern Associates in Surgery practice. In this brief video she shares how NMC as a smaller hospital offers benefits of personalized care and quick scheduling for our patients.
Dr. Kevan Sternberg
Urology in Rural Vermont
Dr. Kevan Sternberg is a Urologist at NMC’s Northwestern Urology Services. In this brief video he shares how important Urology care is in rural settings.
Patient Care
Patient Stories
Compassionate Care Until the End
Northwestern Medical Center strives to provide patients and their families with the information and support they need to make some of the hardest decisions regarding their care. This personalized approach is what makes rural hospitals such important pillars in the community.
Robert [Bob] Neudecker, a patient of Amy Fox, NP, cared for during the final two years of his life was always given a choice during the most difficult conversations after suffering from multiple recurring medical issues.
“All we can do is ask what the patient would want if they could tell us. I encourage them to focus on dignity and quality of life,” Amy says. “That is really all any of us can hope for when our time comes. The goal is to add life to days, when days can no longer be added to life.”
With the support of NMC’s Care Management Bob was provided with options that worked for him and his family when it came to making plans for end-of-life care.
Patient Stories
Appendectomy of a Brave Teen:
NMC is ‘her hospital’
Story by Sarah Parsons West
Madden GraffBell, 14, underwent a successful appendectomy at NMC last February. Madden, now a freshman at BFA Fairfax, leads an active lifestyle including cheerleading and competitive running.
“Being in the ER was less dramatic than you see in movies or on television,” says Madden GraffBell, a 14-year-old freshman, who found herself at NMC’s Emergency Department in February of 2024.
“You don’t see that scary side,” she says, “Everyone was supportive and friendly.”
Experiencing acute abdominal pain while at school, Madden was evaluated by the school’s nurse. “She did a leg-drop test and had me stand on my tip toes,” says Madden.
The ‘tip toe test,’ called the Markle sign, refers to pain elicited when the patient drops from standing on their toes to their heels with a jarring landing. If abdominal pain is localized as the heels strike the ground, Markle sign is positive, indicating inflammation of, or near, the appendix.
“I had to hold my hands over my stomach,” Madden says of the pain, “I needed to lean over onto the table, and couldn’t sit up straight.”
Madden’s mother was called when the school’s nurse suggested Madden be taken to NMC’s Urgent Care for her abdominal pain. Arriving at NMC around 3 pm, things moved quickly.
“We were triaged immediately, they flagged us through” says Jess Graff, Madden’s mother. “They were very nice to us and kept things calm, as they whisked us off to the ED.”
Madden was again tested by lying on her back, lifting her right leg against the resistance of the physician’s hand, an assessment known as the Psoas sign. This motion causes friction of the psoas muscle over the inflamed appendix, presenting pain. Bloodwork and an ultrasound confirmed an infected appendix.
“One thing that really stood out in the ED, was that every staff member addressed Madden equally as the patient. They didn’t just speak to me as the parent, which helped give Madden ownership over her own body,” Jess says.
“They gave me options, instead of just talking to my mom, they talked to me. Because it was my choice, they gave me the options,” says Madden.
Nursing Pathway Program
Current employees from various departments at NMC embarked on a three-year educational pathway to registered nursing.
Northwestern Medical Center has welcomed seven new nurse apprentices into their pre-requisites at Community College of Vermont (CCV). This marks the second of three nursing cohorts which are funded by a grant from the Agency of Human Services.
In the fall of 2024, 13 current employees from various departments at NMC embarked on a three-year educational pathway to registered nursing. Once completed and they have received their license, they have committed to work at the hospital for three years as an RN.
The Nursing Pathway Program is a strategic partnership among Northwestern Medical Center, Vermont Talent Pipeline (VBR Foundation), Vermont State University (VTSU), Community College of Vermont (CCV), and Vermont Student Assistance Corporation (VSAC) to address critical workforce skill gaps in Vermont.
Groups Make Progress on Patient Experience
- Albin Voegele of St. Albans
- Karrie Sweet of East Fairfield
- Robyn Klein of Highgate Center
- Winnie Wilkinson of St. Albans
- Tanya Wells-Lahaie of Georgia
- Dorothy Michelson of Milton
- Rissa Lynn Michelson of Milton
In 2024, the group learned about and provided feedback on a number of NMC initiatives, including the Care Partner Framework, Social Drivers of Health, NMC’s dress code, workplace violence initiatives, and cultural sensitivity around hospital food offerings.
NMC’s Patient Experience Taskforce also continued its work in 2024. This group is comprised of physicians from many departments around the hospital and is focused on improving the patient experience.
Themes the group has discussed include:
- Work on patient and family perception are in addition to work that needs to be done on evidence-based medicine and process improvement, not instead of.
- Patients do not assess their care as providers do, they measure quality based on how well providers listen, seem to care, take the time, and explain things clearly.
- Providers are very high performing individuals, but patients experience us as a whole.
- Success depends on us viewing ourselves as part of an integrated system.
- As providers, we are inherent leaders of this system who should talk about and model successful strategies.
In the coming months, the group will focus on strategies to address patient feedback about how well providers did in treating patients with courtesy and respect, listening carefully, and explaining things in a way that could be understood.
NMC Pilots Medical Respite Bed Program
Northwestern Medical Center launched a medical respite bed program that provides short-term housing for patients in need. The program is funded by a $200,000 grant from the Vermont Department of Health that aims to address health inequities and support access to healthcare for people in need.
So far, the program has housed 5 community members in two apartments since February of 2024. The services patients have access to while in the program are tailored to each participant’s needs.
Offering housing may seem an odd endeavor for a hospital, but Amanda Wilson NMC’s Manager of Care Management said it ties closely to health.
“Housing is incredibly important,” she said. “Our basic needs have to be met-we need to know where we are going to sleep before we can worry about much else. Maslov’s hierarchy of needs also demonstrates that it’s not just housing, it’s safe housing.”
Pediatric Developmental Clinic
In 2024, NMC’s Pediatric Developmental Clinic experienced incredible growth, thanks in part to an Innovation Grant from the Vermont Early Childhood Fund. The grant made it possible for the clinic to increase staffing and offer more appointments and services.
Building Bright Futures featured the clinic expansion in a blog post by Ali Dieng, the BBF Regional Manager for Chittenden, Franklin and Grand Isle Counties.
Katie Shattuck, NP working with a child in the Pediatric Developmental Clinic.
Here is an excerpt from that piece:
“The funding has allowed an explosion of growth that would not have been possible otherwise,” said Dr. Colleen Moran, an inpatient pediatrician at NMC. She explained that the VECF grant eliminated the risks of a quick expansion and gave the clinic the opportunity to work through logistical issues. “The grant has allowed us to expand with a safety net.”
“It’s going fantastic,” said Katie Shattuck, an inpatient pediatric Nurse Practitioner at NMC. “Only a year ago, the clinic was just in the planning stages. We started on a shoestring and a dream in September 2023 in collaboration with Northwestern Counseling & Support Services (NCSS), who provided a support staffer. We started out offering autism assessments two days a month. The VECF grant has allowed us to expand that to four days a month for initial assessments plus a fifth day each month for feedback appointments.”
Stats from NMC’s Rehab Service Team
Northwestern Medical Center’s Physical Therapy team has been growing! The group includes physical, occupational and speech therapy and more – and onboarded three new therapists since August 2023. Here’s a look at some of their key stats.
Locations
- Enosburg
- Georgia
- St. Albans (Branon’s Pool)
- St. Albans (Cobblestone Health Commons)
We Can Treat
- Orthopedics
- Concussion/Head Injury Management
- Lymphedema Management
- Pelvic Health /Incontinence
- Vestibular/Vertigo Treatment
- Dry Needling
- Driver Safety
- Aquatic Therapy
- Cardiac Rehabilitation
- Pulmonary Rehabilitation
- Work Hardening/Conditioning
- Fall Prevention & Balance Training
- Driver Safety
We Have A Team Of
High Patient Satisfaction
Northwestern Rehab Services uses a web-based system to ask patients often about their experience. Three months of data at the end of fiscal year 2024 showed these results the following levels of satisfaction reported by patients:
- Tell a friend = 99%
- Overall Results = 98%
- Treatment for Condition = 98.6%
- Courtesy & Respect = 99.8%
- Appointment Availability = 98%
- Input to Goals created = 98%
DAISY Award Winners
Jacqueline Domingue, RN
Jacqueline Domingue, RN of Northwestern Medical Center was honored this year in May with The DAISY Award® For Extraordinary Nurses. The award is part of the DAISY Foundation’s programs to recognize the super-human efforts nurses perform every day. Jacqui was presented with this award at an event on Wednesday, May 8, fittingly during NMC’s Nurses Week celebrations!
The nomination submitted read: “Over the years myself and my kids have been to NMC a few times, we have had many nurses but no one like Jacqui. Jacqui goes above and beyond for her patients, she not only does an amazing job at her job, but she also is ALWAYS kind and caring, not once has she ever not been kind. She always has a smile on her face and makes you feel at home which is huge especially when being in the ER is the scariest of times, Jackie makes you feel at ease and calms your nerves. She may not know us, but we want her to know we know her and she has had a big impact in our lives during the most difficult times. Thank you!”
Angie Aulis, RN
Angie Aulis, RN of Northwestern Medical Center’s Family Birth Center was honored this year in August with The DAISY Award® For Extraordinary Nurses. The award is part of the DAISY Foundation’s programs to recognize the super-human efforts nurses perform every day. The award was presented to Angie at an event on Thursday, August 29 in NMC’s Courtyard Café.
The family who nominated her was present to thank her for her exceptional care. Their experience at NMC was not an easy one and yet they said they were welcomed and treated like royalty. Angie never left their side, and gave them and their baby outstanding, compassionate care.
Culture
Growing Your Career at NMC
This year, NMC created a video that features five team members who have advanced their careers at the hospital, starting in one position and moving onward to others. Watch the video to hear about how NMC is a great place to explore your career paths, to grow and develop with support and encouragement from the organization.
Survey Shows Improvements in Staff Engagement
Every two years, NMC conducts an Employee Engagement and Culture of Safety Survey to evaluate how staff feel about the organization and the work environment. Following the previous survey, NMC worked on action plans to address identified issues, and shared progress with staff regularly.
2024’s survey had a 72% response rate with 441 respondents. Our overall engagement score increased from 3.62 in 2022 to 3.89 in 2024 resulting in a 20% percentile increase in our overall engagement results as compared to other hospitals nationally.
The survey showed increases in overall engagement questions demonstrating that team members have a personal investment in the organization and their job, as influenced by their work environment. These six questions comprise the engagement score.
Overall, NMC saw increases in all categories of the engagement survey, an encouraging result.
Progress On Diversity, Equity, Inclusion and Belonging at NMC
This year, NMC focused on three major projects on Diversity, Equity, Inclusion and Belonging: SOGI Data Collection, Equity Review of Policies and Team Member Resource Groups.
SOGI Data Collection
This project aims to create a consistent and respectful way for collection data from patients about Sexual Orientation and Gender Identity (SOGI). Gathering SOGI data will help NMC evaluate the care we deliver and ensure that we are meeting our mission of providing exceptional care for our community. In order for care to be exceptional, it must be inclusive, welcoming and supportive for all people. Learning about how to create inclusive processes also helps build a strong workplace culture where LGBTQ+ employees feel valued and welcome.
NMC is starting to update our Electronic Medical Record to collect more inclusive data, and this year rolled out organization-wide training to help NMC staff know how to make NMC a more welcoming space for our LGBTQ+ patients and colleagues.
Work will continue into the next year with the launch of the data collection process still to come.
Equity Review of Policies
This project builds a process to apply an equity lens when creating or reviewing hospital policies. The team working on this project created a standard checklist that leaders can use as a guide to help them consider the impacts the policies could have.
The team tested the process by applying the checklist to a number of policies for review. Next steps include rolling out the process across the organization.
Resource Groups for Staff
This project built a framework for employee resource groups (ERG) at NMC. ERGs are voluntary, employee-led, employer-recognized groups of people who join together based on shared interests or life experiences to create a positive and safe space for collegiality and support, personal and professional development and allyship. These groups, which NMC will call Team Member Resource Groups (TRGs), promote diversity, equity, inclusion and belonging.
The team working on this project outlined roles for TRG organizers, the process for creation, membership criteria and other infrastructure. NMC will soon pilot the first TRG on the topic of body image.
Other DEIB Work
In addition to these three main areas of focus, NMC also continued exploring diversity topics through regular training offerings, celebration of diverse holidays, and participation in St. Albans first-ever Pride Parade. Two of the most impactful trainings for the year included sessions on the LGBTQIA+ community and the recovery community where people with lived experiences shared their powerful personal stories.
Another impactful happening on our campus this year was the raising of the flag of the Abenaki Nation of Missisquoi on Indigenous Peoples Day. We were fortunate to have Abenaki Chief Brenda Gagner and the youth from the Circle of Courage after school program join us to conduct a ceremony to honor the flag and all that it represents.
Getting Creative as an Employer, Expanding Career Opportunities
Given the changing employment landscape, it is important for employers to evolve and innovate in how they recruit and retain employees. To address this, NMC has created several new programs to grow our teams and foster relationships with community partners. Here is a snapshot from three this year:
Nursing Pathway Program
The Nursing Pathway Program is a strategic partnership between Northwestern Medical Center, Vermont Talent Pipeline (VBR Foundation), Vermont State University (VTSU), Community College of Vermont (CCV), and Vermont Student Assistance Corporation (VSAC) to address critical workforce skill gaps in Vermont. Advisors from CCV, VSAC, and VTSU participated in the celebration, emphasizing the importance of wraparound support services for employees in this program.
In the fall of 2024, 13 employees from various departments of NMC are embarking on a three-year educational pathway to registered nursing. Upon completion and licensure, they have committed to working at the hospital for three years as an RN.
EVS Aide Program
In partnership with Northwestern Counseling & Support Services, NMC hired individuals NCSS works with into a new role at NMC – the Environmental Services Aide. The Aides clean public and administrative spaces and meeting areas – places that give an important first impression to our patients.
The program is an example of NMC developing our own workforce and is important work in strengthening our partnership with NCSS, building relationships with community members and offering opportunities to help build job skills. The EVS Aides may stay in these roles over time, or advance to EVS Tech positions in the future, and onward to become an EVS Specialist in custodial work, an EVS Lead or other positions at NMC.
Pilot Program with BFA Student
In 2024, NMC piloted a partnership with BFA St. Albans to trial volunteer work by students with developmental disabilities. The intent is to provide meaningful volunteer experience for the students, furthering their independence and supporting NMC’s work needs.
Riley Bascom is NMC’s first volunteer student. He is a 19-year-old young man who lives in St. Albans with his mother and his younger brother. He currently attends BFA St. Albans, where he is a member of the Community Integration Program (CIP) and participates in Special Olympics Unified Sports.
This pilot is a good example of how NMC brings our mission to life and builds a welcoming, inclusive and exceptional environment!
Zero Tolerance: NMC Working to Reduce Workplace Violence
NMC is working on several initiatives to address the increase in workplace violence we are seeing here, which mirrors increases across the state and nation. The work is important because we value our employees so deeply, and we know that in order to provide exceptional care, they must feel safe and secure.
These initiatives include:
- Implementation and training with the AVADE – a nationally recognized workplace violence prevention program.
- An info session with State’s Attorney Bram Kranichfeld on the prosecution process
- Updating NMC’s Use of Force Policy
- Investment in a new physical shielding tool to help subdue violent individuals
- Revamping the “Code Green Team,” a de-escalation process
- Publication of a news article by the St. Albans Messenger highlighting the issue and building community awareness
- Upcoming installation of panic buttons/duress alarms and lockdown systems in the Emergency Department
- Upcoming installation of Securitas Alarm Boxes
- A survey on workplace violence to gather data for informed decision-making
- Creation of signage to be hung in locations across the organization.
NMC Welcomes New Chief Nursing Officer
In July 2024 NMC welcomed a new Chief Nursing Officer, Michelle Buck, DPN, RN, FACHE. Michelle brought experience from both large and small hospitals in rural environments, most recently at Dartmouth Hitchcock Medical Center where she was the Vice President of Inpatient Nursing. She has 28 years of experience in nursing with expertise in resource allocation, operations, capacity management, nursing shared governance, nursing practice, and patient flow.
Reinvigorating Shared Governance at NMC
As the new CNO, one of Michelle Buck’s priorities is infusing new energy into the hospital’s Shared Governance structure for nursing, called Clinical Practice Governance, (CPG) at NMC.
Planning work in fiscal year 2024 calls for training to learn how other hospitals around the country are using shared governance, gathering internal input through a survey and listening sessions, determining the organizational structure and then elections to councils. All these steps would ensure that NMC’s approach is built with input and guidance from nurses all around the organization.
“I believe that the professionals at the bedside have the solutions,” said Buck. “They should be deeply involved in solving the problems of the workplace. The old concept of the “leader” needing to make the decisions is no longer the future, quite frankly, of any organization. When you give nurses a voice, they feel valued, they feel ownership, and they will do great things.”
Engagement
Solar Eclipse: NMC Prepares, Then Enjoys
For the solar eclipse in April, NMC used its Incident Command structure to prepare for what was anticipated to be a large influx of visitors to the area. NMC wanted to ensure that the hospital services would be uninterrupted, and ready to handle any situation that large crowds could create.
While many people were taking the day off, NMC increased staffing to be prepared. Because of the importance of keeping the hospital accessible, traffic flow on campus was limited to people who work at NMC, or who were needing hospital and clinic services.
The eclipse did draw travelers to Vermont, but Franklin County saw very manageable traffic and crowds who enjoyed the celestial spectacle. Some NMC team members stepped away from work to watch, gathered on the front lawn and other green spaces around the hospital.
NMC’s Auxiliary and Volunteer Programs
The NMC Auxiliary was formed by and for people who have a common commitment to the goals of the hospital and a concern for the health of the communities it serves. With 186 members, the NMC Auxiliary ‘s Mission is to support NMC through fund-raising and positive community relations.
In 2024, the NMC Auxiliary donated $10,000 to the hospital in support of NMC’s Emergency Department renovation project, specifically to enhance the break room for Emergency Department staff. In addition, in September the Auxiliary donated $31,000 to NMC’s Restaurant and Catering team to purchase a new meal delivery system to replace disposable plates, cups, and silverware which have been used since the pandemic. Auxiliary members voiced their support for the improvement in patient experience, the increased efficiencies and reduction in waste.
NMC has a team of 81 volunteers who contributed a total of 12,419+ hours from January to September 2024. They help the organization be a welcoming place that is easy to navigate. Volunteers at NMC serve as greeters at information desks, couriers, help in the Gift Gallery and Courtyard Café, and much more.
Investing for a Healthier Community
As a not-for-profit organization and as one of the largest employers in the region, NMC carries a responsibility (formal and informal) to help address critical issues which impact community health that go beyond the direct care NMC provides. We do so through our ‘community benefit investments’ (a term of the Internal Revenue Service – IRS) to help our community achieve a healthier future.
NMC’s vision calls on us to “partner to improve the wellness of our community.” Investing in wellness and prevention to prevent illness and chronic disease and reduce the demand for costly medical treatments is a vital part of bending the cost curve in healthcare long term and improving the quality of life. The return on these investments is long-term and it is real. The national Prevention Institute says, “For every dollar we spend on prevention we see a 5 to 1 return on investment in just 5 years. We simply can’t fix our economy without it.”
On top of these focal efforts relating to community benefit, NMC provides funding to key community partners working on priorities identified in the Community Health Needs Assessment such as housing, food insecurity, mental health, and community belonging.
These agencies have a positive impact in areas outside NMC’s direct expertise, but which impact the lives of our patients and our staff. Some of the organizations NMC supported with donations in fiscal year 2024 include:
During June’s Pride Month celebrations, NMC presented a $1,600 donation to the St. Albans Pride Corps. The funds were raised during NMC’s Hospital Week celebration in May when the organization did a basket raffle. Baskets were put together by teams who chose a local nonprofit to donate funds to if they won. The basket donated by NMC’s Senior Leaders won and they had chosen the SAP Corps! Pictured here are some of NMC’s Senior Leaders along with SAP Corps board members Kurt Hersey and Scott Bushey.
- The Afterglow Foundation
- Age Well
- American Heart Association
- BFA St. Albans
- Champlain Valley Office of Economic Opportunity
- CIDER
- Fairfield Community Center
- Girls on the Run Vermont
- Healthy Islands and Community Support
- Martha’s Kitchen
- Milton PTA
- Nordic Spirit Soccer Club
- Northern Forest Canoe Trail
- Prevent Child Abuse Vermont
- Rotary Club of St. Albans
- Special Olympics
- Spectrum Youth Family Services
- St. Albans Pride Corps
- Swanton Recreation Commission
- Tim’s House / Samaritan House
- Town of Georgia
- Town of Highgate
- United Way of Northwest Vermont
- UVM Foundation
- Vermont Family Network
- Vermont Futures Project
- Vermont Maple Festival
- Vermont Recovery Network
- Vermont State Colleges
- Vermont Voltage
No single individual or agency can tackle the challenges of our community alone and NMC is proud to collaborate with these great partners as we work collectively towards a healthier future for all.
NMC Raises $30,000 for the United Way
In the fall of 2023, Northwestern Medical Center celebrated the season of giving with another successful United Way Campaign, raising $30,000 for the United Way of Northwest Vermont.
The campaign included a departmental challenge, rewarding teams that had the greatest participation in the campaign. Winning teams included the Quality Department, IT and the Emergency Department.
New in 2023, the campaign’s grand prize was a premiere reserved parking spot on campus, good for one year. Kelly Connolly, an OR Scheduling Assistant was the winner!
Back by popular demand, the annual cookie sale was once again whipped by by Executive Chef Carrie Consentino and raised an astounding $4,200 for the campaign. That’s a lot of cookies!
Happenings Around the Hospital
Over the course of 2024, NMC hosted a variety of events for our team members. From hospital and nursing week, to raising awareness by wear color days and celebrating our team members’ achievements and milestones. In the photo gallery below, see a variety of highlights from these events over the year.
Community Events
Stewardship
NMC’s Financial Update
NMC continues to believe that providing high-quality and safe care to patients and taking great care of our team leads directly to financial stewardship. It is vitally important for non-profit organizations like NMC to achieve a positive operating margin so that we can reinvest in the business. Those investments come in the form of equipment, technology, and space. It is a cycle that ensures NMC will be here to serve the community for many years to come.
Unfortunately, NMC lost money from operations in FY’24. Wage pressures and workforce shortages continue to play a significant role in our organization. We are grateful to our employed team members that have chosen NMC or who have stayed at NMC. We are also grateful to the traveling staff that have helped bridge our workforce gaps. Each person working at NMC contributes directly or indirectly to the care of our patients. NMC is fortunate to have investments and cash reserves to help offset nearly a decade of losses, but we must implement changes to become financially sustainable for the future.
NMC’s FY’25 budget was not approved by the Green Mountain Care Board and represents a significant challenge to overcome. NMC is working on an action plan that outlines changes to remain financially sustainable. In FY’25, NMC will focus on playing an active role in healthcare reform efforts happening within Vermont. We believe that Vermont needs access to affordable housing, reliable transportation, high-quality education and accessible healthcare for all to thrive.
Healthcare Reform Moving Forward in Vermont
Vermont is increasingly focused on the topic of health care reform. In 2024, the State of Vermont Agency of Human Services applied for, and was selected to participate in, a new federal program called the Advancing All-Payer Health Equity Approaches and Development model (AHEAD). The new model would begin in 2026, and more information can be found HERE.
In addition, the Vermont Legislature passed Act 167 in 2022 to fund research into how to improve health system sustainability and hospital financial health. In collaboration with the State of Vermont Agency of Human Services, the Green Mountain Care Board engaged a consulting group named Oliver Wyman to investigate and provide a set of recommendations. The full report can be found HERE.
The recommendations include significant changes for Vermonters.
As these efforts advance, we will do our best to keep you informed, highlight ways to learn more, and share opportunities to provide input to help ensure continued access to quality local healthcare in our community.
NMC By The Numbers
A few stats about the care provided by NMC In FY2024
Hospital Admissions
Inpatient Lab Tests
Outpatient Lab Tests
Urgent Care Visits
Diagnostic Imaging Tests
Specialty Practices Visits
Emergency Room Visits
Collaborative Health Network Continues to Grow
As a founding partner of the New England Collaborative Hospital Network (NECHN), NMC was pleased to welcome Cottage Hospital of Woodsville, NH and Adirondack Health of Saranac Lake NY.
NE-CHN offers independent hospitals, and their community care partners a structure, similar to large network systems, enabling them to achieve cost savings related to group purchasing and shared administrative functions without giving up control to a large health system that can often create challenges for rural patient care, local community focus and cultural alignment.
The organization grew in 2024 from its original participants which included Copley Hospital and Brattleboro Memorial Hospital in addition to NMC.
Financial Report
*Unaudited data
Recognition and Milestones
Melinda White Recognized with NMC’s Community Service Award
NMC’s Board of Directors recently honored Melinda White as the recipient of NMC’s 2024 Community Service Award in recognition of her devoted service to NMC and our patients.
Melinda was nominated by Emergency Department Director JoAnn Manahan, RN, who has worked with her in the ED in her role as a Recovery Coach, helping people battling substance use disorders.
“Getting to know Melinda has been a pleasure,” said Manahan. “She brings genuine empathy, compassion, extreme knowledge and hope to every patient (client) that she meets,” she said. “She has opened my eyes, and the ED’s eyes, to all that is going on in Franklin County to support those dealing with addiction.”
Dr. Katie Montagne Earns the Deogracias P. Esguerra Award
Dr. Katie Montagne, Anesthesiologist, was honored with the Deogracias “Deo” P. Esguerra, MD Service Award at NMC’s Medical Staff Appreciation event held in October.
The award was created in 2011 to honor a provider with a “passion for excellence and dedication to the patients of our community.” Its namesake, Dr. Esguerra, was known as a caring, passionate and inspirational physician who loved both the science and art of medicine.
Peter Wright, Chief Executive Officer of NMC, said, “We are grateful for the commitment, dedication, and leadership Dr. Montagne has and continues to provide NMC and the patients we serve. I am enjoying working and partnering with her each and every day. And to be recognized by one’s peers is truly a heartwarming experience.”
Medical Staff Awards
Each Fall, NMC honors members of the medical staff who have reached milestone anniversaries with the hospital in five-year intervals. Med staff are recognized at a special dinner in their honor, and during the ceremony clinical awards are given out as well. In 2023, Dr. Kahren Aydinyan of Northwestern ENT and Katie Shattuck, PNP of NMC’s Inpatient Pediatrics team won top honors!
2024 Board of Directors
Jake Holzscheiter
Immediate Past President
John Casavant
President
Barb Toof
Vice President
Dawn Bugbee
Treasurer
Corey Parent
Secretary
Anna Royer, MD
Medical Staff President
Erin Creley
Member
Nick Hadden
Member
Meredith L Roberts, RN, BSN, MSN, PhD
Member
Coleen Condon
Member
Karyn Rocheleau
Member
Vaughn Comeau
Member
Special thanks to Matt Habedank who stepped down from NMC’s Board of Directors in after being promoted to Director of the Early Childhood and School-Based Division of NCSS. The new role conflicted with his NMC Board duties, and so he left our board in June of 2024.
NMC Medical Directors
Louis Dandurand, MD, Medical Director, Emergency
Tracy Hagerty, MD, Medical Director, Cardiology
Joshua Kallen, MD, Medical Director, Radiology
Katie Montagne, MD, Medical Director, Anesthesia
Colleen Moran, MD, Medical Director, Inpatient Pediatrics
Sharon Stoll, MD, Medical Director, Urgent Care
Bradley Eisenberg, DO, Medical Director, Hospitalist
Lowrey Sullivan, MD, Medical Director, OBGYN/FBC
Thomas Suppan, MD, Medical Director, Laboratory Services
Medical Executive Committee
Anna Royer, MD, President of the Medical Staff
Katie Montagne, MD, Vice President
Colleen Moran, MD, Secretary (Chief of OBGYN & Pediatric Service)
Lowrey Sullivan, MD, Immediate Past President
Aaron Brillhart, MD, Chief of Emergency Service
Heather Shenk MD, Chief of Medicine Service
Kahren Aydinyan, DO, Chief of Surgical Service
Katherine Shattuck, PNP, OBGYN & Pediatric Service Representative
Judy Fingergut, MD, Physician Member at Large
Lucas Carter, PA, APP Member at Large
Senior Leadership Team
Peter J. Wright, FACHE, President and Chief Executive Officer
Jonathan Billings, FACHE, Chief Operating Officer
Stephanie Breault, Chief Financial Officer
Michelle Buck, DPN, RN, FACHE, Chief Nursing Officer
Ryan Hamel, Chief People Officer
Wayne Hobbs, Chief Ambulatory Officer
John Minadeo, MD, Chief Medical Quality Officer
Leadership List
Abbie Neville
Manager of Clinical Informatics
Adam Thompson
Manager of Facilities
Alisha Sawyer
Manager of Organizational Dev
Amanda Wilson
Manager of Care Management
Anna Gabaree
Director FBC
Anneke Merritt
Director of Quality
Carrie Consentino
Manager of Food Service
Chelsey Lawyer
Manager Materials Management
Chris Lamson
Director of Information Systems
Christopher Bouchard
Manager of Environmental Services
Corey Rivers
Nurse Manager Med Surg
Courtney Leduc
Director of Clinical Practice
Danielle Boudro
Director of PCU
Director Laboratory Services
Devin Bachelder
Decision Support and Budget Manager
Emily Allen
Nurse Manager ICU
Erica Coburn
Director of Diagnostic Imaging
George Gattullo
Director of Facilities/ Support Services
Jake Ashline
Informatics Supervisor
Jennifer Howrigan
Controller
Jessica Aboelezz
Director of Pharmacy
Jessica Frost
Manager of Population Health
Jill Torrey
Director of Business Operations Surgical
JoAnn Manahan
Director Emergency Department
Karen Staniels
Director of Business Operations Medical
Kate Merchant
Director Patient Care Services
Katharine Laddison
Director of Communications
Katherine Winchester
Manager of Volunteer Services
Keith Ellery
Safety, Security and Emergency Preparedness Manager
Kelly Campbell
Director of Professional and Organizational Development
Kevin Kehoe
Manager of Respiratory Therapy
Kristy Cushing
Director of Rehab Services
Megan Smith
Director of Revenue Cycle/ Privacy Officer
Morenike “Reni” Lambo
Risk Manager
Rachael Shepardson-Rudden
Nurse Manager, ED
Susan Couture
Director Surgical Services
Trevor LaChapelle
Manager of Central Sterile
Team Member Leadership Group
Emily Ledoux
Medical Assistant
Robyn LaRose
Patient Access Coordinator
Katelyn Rae
Respiratory Therapist
Therese Tucker
Payor Credentialing Specialist
Susan Casavant
Occupational Therapist
Jonathan Newhard
Chef
Molly Pike
Medical Assistant
Dan Shedrick
Information Systems Support Analyst
NMC Auxiliary Board Members
Maris Rock
President
Vice President
Vacant
Pat King
Recording Secretary
Linda Rowden
Treasurer
Andrea Wells
Interim Corresponding Secretary
Hospital Liaison
Katherine Winchester
Auxiliary Chairs
Bonnie Evans
Fundraising
Katherine Winchester
Gift Gallery Manager
Bonnie Evans
Hospitality
Maris Rock
Membership
Fran Beauchemin
Nominating
Bev LeClair
Sunshine Cards
All Board Members
Parliamentarian/Bylaws
Kate Laddison
Program
Kate Laddison
Publicity
Board of Incorporators
The NMC Incorporators is a group of up to 128 local residents from throughout northwestern Vermont who serve as a formal connection between the hospital and the community we serve. The Incorporators meet twice a year with primary functions being electing the Board of Directors, approving the corporate bylaws, and acting as ambassadors and advocates.
Janis Appel
Judy Ashley
Dr. Lorne Babb
Reginald Beliveau
Leon and Anne Berthiaume
Robert Bessette
Steven Broer, PsyD
Dr. Gregory Brophey
Jacqueline Brosseau-Cyr
Lawrence Bruce
Dawn Bugbee
John Casavant
Jane Catton
Sandra Chagnon
Paul Clark
Donald Collins
Vaughn Comeau
Coleen Condon
Dr. Michael Corrigan
Erin Creley
David and Erica Debellis
Dustin Degree
Christopher Dermody
Lynn Desautels
Dr. Richard Dickinson
Dr. Grace Dickinson-Branon
Catherine Dimitruk
Hibbard Doe
David Ducham
John Edwards
Nancy Fiske
Elaina Fontes
Bradley Gabree
Andrea Gagner
Steven Gagner
Thomas Gallagher
Elizabeth Gamache
Peter Garceau
Valdemar and Bridget Garibay
Clement Gervais
Elysia Gingue
Nilda Gonnella-French
John Gorton
Leon Graves
Monica Greene
Matthew Habedank
Nicholas Hadden
Joe Halko
Christina Hamel
John and Lisa Hango
Rett Heald
Hector Hill
Jacob Holzscheiter
Jacqui Hood
Bridget Howrigan Rivet
Paula Kane
Celeste Kane-Stebbins
Kathleen Keenan
Dana Kittell
Michelle Lawrence
Chelsey Lawyer
Jeffrey Levesque
Betsy Liley
Sally Lindberg
Danielle Lindley-Mitchell
Deborah Loughlin
Adam Luneau
David Mahoney
Jim Manahan
JoAnn Manahan
Kevin Manahan
Steve Marshall
Mike McCarthy
Janet and Michael McCarthy
Ralph McNall
Dr. John Minadeo
Sheri Moore
Dr. Joseph and Judy Nasca
William O’Connor
Corey Parent
Pamela Parsons
Peter Perley
Albert and Marcia Perry
Keith Ploof
Susie Posner Jones
Kristin Prior
Maris Rock
Dr. Dennis Sanders
Dr. William Roberts
Donna Roby
Karyn Rocheleau
Brian Savage
Chip Sawyer
Kevin and Karen Scheffler
Dr. Marietta Scholten
John and Mary Schreindorfer
Sherry Scott
Kristina Senna
Albert and Sally Severy
Heather Skilling
Tami St. Marie
Stephen Stata
Molly Stata Comeau
Kathy Tabor
Patrick Talcott
Barb Toof
Thomas Traber
Paula Tremblay
Edward J. Tyler, III
Lynn Vallee
Howard Van Benthuysen
Daniel Vanslette
Albin Voegele
James Walsh
Penny Wright
Dr. Frank and Judy Zsoldos
Gifts from Our Community: Annual Donors
Individuals
David and Sarah Allerton
Ronald Anstey
Shari Bashaw
Arjel Bautista
Courtright Beard
Cindy Benen
Jonathan & Marilyn Billings
Brian Bouchard
Kiersten Bourgeois
Steve Bourgeois
Karen Bouthillette
Dan Bovat and Lise Gagner
Adam Branon
Stephanie Breault
Dr. Kevin Brown
Lawrence Bruce
Alton and Lorraine Bruso
Scott Burleson
William Cain
Stacie Callan
Elaine Charron
John Chesarek
Michelle Cioffi
Coleen Condon
Carla Desnoyers
James Dickmann
Natalie Dishaw
David Ducham
John Edwards
Jean Fairchild
Valdemar and Bridget Garibay
Gary Gilmond
Wallace and Natalie Good
Leon Graves
Nicholas Hadden
Ryan and Kevin Hamel
John and Lisa Hango
Kent Henderson
Peter Hofstetter
Derek Hoy
James Hughes
Carol Jones
Patricia King
Scott Kline
David Knightes
Victoria McDonough
Ronald and Linda McNall
Dr. John Minadeo
Tina Mueller
Dr. Joseph and Judy Nasca
John Newton
Dr. Paul Newton
Christopher Payne
Dean Pelkey
Dan Petherbridge
Loretta Pigeon
Randall Pratt
Michael Quarella
Devin Quinlan
Chip and Alisha Sawyer
Nicholas Shultz
Carol Streeter
Heather Streeter
Kathy Tabor
Jason Thibault
Daniel Thompson
Donald Tinney
Margaret Walsh
Katherine Winchester
Peter Wright
Dr. H. Taylor and Marsha Yates
Mary Lou Zakrzewski
Dr. Robert and Sandy Zelazo
Dr. Frank and Judy Zsoldos
Businesses & Organizations
AA St. Albans Group
Bellows Free Academy
Bernstein Private Wealth Management and Darius Sidebotham
CBA Blue
Coca-Cola Beverages Northeast
Connor Contracting, Inc.
Cross Consulting Engineers PC
Dickinson & Branon Dental Care
Driven Marketing Solutions
E4H
Handy Toyota / Handy Chevrolet
Hannaford’s Bags 4 My Cause
Jeff’s Maine Seafood
Kinney Drugs Foundation
Kissane Associates
Kittell Branagan & Sargent
M&T Bank
Marshall & Marshall
McSoley McCoy & Co.
Missisquoi Valley Union High School
NCSS
Northeast Delta Dental
Northern Tier Center for Health
Northwestern Medical Center Auxiliary
Nucar Vermont
Open Approach
Ovation Healthcare
Peoples Trust Company
Run for Jim Event
Suncrest Health Care Communities
Tenth Crow Creative
The Bottomless Toy Chest
The Richards Group
Tyler Place
Union Bank
Versatile
VNA & Hospice of the Southwest Region
In Memory Of
Vermont Rail System
Jay and Celia Hardwick
Loree Garceau and Ian Webb
Nancy Desany
Tony and Shelly Curran
In Memory of Leon Beliveau
Jack & Lynn Russell
John and Rhonda Kjos
Kathleen Collins
Katharine Laddison
Sherry Scott
Dawn Bugbee
John and Paula Johnson
Joyce LaMonda
Mark and Jeanette Cadieux
Frank and Kaye Mehaffey
Jennifer Gaffney
Mary Ann McDermott
Carol Benway
John Quinn
Kathryn Shanahan
Jack Eldridge
Kevin Smith’s Sports Connection
In Memory of Mark and Virginia “Ginger” Gagnon
Mark and Jeanette Cadieux
Dickinson & Branon Dental Care
Barbara Toof
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1-800-340-5877
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ENGLISH
Northwestern Medical Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Northwestern Medical Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Attention: You have the right to an interpreter at no cost to you.
Northwestern Medical Center:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, contact Amanda Wilson, Manager of NMC’s Care Management Department at 802-524-1001.
If you believe that Northwestern Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with NMC’s Compliance Officer: Alisha Sawyer, 133 Fairfield Street, St. Albans, VT, 0578, nmccompliance@alertline.com or 1-800-340-5877. If you need help filing a grievance, Alisha Sawyer is available to help you. If you would like to submit a complaint to NMC about these services or any other services, contact our Patient Relations Department by email at patientrelations@nmcinc.org.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Español (Spanish)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
Northwestern Medical Center cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Northwestern Medical Center no excluye a las personas ni las trata de forma diferente debido a su origen étnico, color, nacionalidad, edad, discapacidad o sexo.
Northwestern Medical Center :
- Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes:
- Intérpretes de lenguaje de señas capacitados.
- Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles, otros formatos).
- Proporciona servicios lingüísticos gratuitos a personas cuya lengua materna no es el inglés, como los siguientes:
- Intérpretes capacitados.
- Información escrita en otros idiomas.
Si necesita recibir estos servicios, comuníquese con Jamie Pinkham.
Si considera que Northwestern Medical Center no le proporcionó estos servicios o lo discriminó de otra manera por motivos de origen étnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona: Jamie Pinkham – Manager of Care Management, 133 Fairfield Street, St.Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Puede presentar el reclamo en persona o por correo postal, fax o correo electrónico. Si necesita ayuda para hacerlo, réclamation Jamie Pinkham – Manager of Care Management está a su disposición para brindársela. También puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electrónica a través de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente dirección o por teléfono a los números que figuran a continuación:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
繁體中文(Chinese)
注意：如果您使用繁體中文，您可以免費獲得語言援助服務
Northwestern Medical Center 遵守適用的聯邦民權法律規定、不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。NMC 不因種族、膚色、民族血統、年齡、殘障或性別而排斥任何人或以不同的方式對待他們。
NMC:
- 向殘障人士免費提供各種援助和服務、以幫助他們與我們進行有效溝通、如：
- 合格的手語翻譯員
- 以其他格式提供的書面資訊（大號字體、音訊、無障礙電子格式、其他格式）
- 向母語非英語的人員免費提供各種語言服務，如：
- 合格的翻譯員
- 以其他語言書寫的資訊
如果您需要此類服務，請聯絡 Jamie Pinkham.
如果您認為 Northwestern Medical Center 未能提供此類服務或者因種族、膚色、民族血統、年齡、殘障或性別而透過其他方式歧視您，您可以向 Jamie Pinkham – Manager of Care Management 提交投訴，郵寄地址為133 Fairfield Street, St.Albans, VT, 05401，電話號碼為 802-524-5911、TTY（聽障專線）號碼為 800-253-0191，傳真為，電子信箱為 jpinkham@nmcinc.org。您可以親自提交投訴，或者以郵寄、傳真或電郵的方式提交投訴。如果您在提交投訴方面需要幫助，Jamie Pinkham – Manager of Care Management 可以幫助您。 您還可以向 U.S. Department of Health and Human Services（美國衛生及公共服務部）的 Office for Civil Rights（民權辦公室）提交民權投訴，透過 Office for Civil Rights Complaint Portal 以電子方式投訴：https://ocrportal.hhs.gov/ocr/portal/lobby.jsf，或者透過郵寄或電話的方式投訴：
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019、800-537-7697 (TDD)（聾人用電信設備）
Tiếng Việt (Vietnamese)
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-877-696-6775.
Northwestern Medical Center tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính. NMC không loại trừ mọi người hoặc đối xử với họ khác biệt vì chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính.
NMC:
- Cung cấp dịch vụ hỗ trợ miễn phí cho những người khuyết tật để giao tiếp với chúng tôi có hiệu quả, như:
- Thông dịch viên ngôn ngữ ký hiệu đủ năng lực
- Thông tin bằng văn bản ở các định dạng khác (chữ in lớn, âm thanh, định dạng điện tử có thể tiếp cận, các định dạng khác)
- Cung cấp miễn phí các dịch vụ ngôn ngữ cho những người có ngôn ngữ chính không phải là tiếng Anh, như:
- Thông dịch viên đủ năng lực
- Thông tin được trình bày bằng ngôn ngữ khác
Nếu bạn cần những dịch vụ này, hãy liên hệ Jamie Pinkham.
Nếu bạn tin rằng Northwestern Medical Center không cung cấp những dịch vụ này hoặc phân biệt đối xử theo cách khác dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính, bạn có thể nộp đơn khiếu nại với: Jamie Pinkham – Manager of Care Management, 133 Fairfield Street, St.Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Bạn có thể trực tiếp nộp đơn khiếu nại hoặc gửi qua đường bưu điện, chuyển fax, hoặc email. Nếu bạn cần trợ giúp nộp đơn khiếu nại, Jamie Pinkham – Manager of Care Management, sẵn sàng giúp bạn. Bạn cũng có thể nộp đơn khiếu nại về dân quyền lên U.S. Department of Health and Human Services (Bộ Y Tế và Dịch Vụ Nhân Sinh Hoa Kỳ), Office for Civil Rights (Văn Phòng Dân Quyền) bằng hình thức điện tử qua Office for Civil Rights Complaint Portal, có trên trang https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, hoặc qua đường bưu điện hoặc bằng điện thoại tại:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.
Northwestern Medical Center 관련 연방 공민권법을 준수하며 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 차별하지 않습니다. NMC은(는) 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 누군가를 배제하거나 다른 방식으로 대우하지 않습니다.
NMC:
- 장애인들이 저희와 효과적으로 의사소통할 수 있도록 다음과 같은 무료 지원과 서비스를 제공합니다.
- 자격있는 수화 통역자
- 다른 형식의 서면 정보(큰 활자, 음성, 사용 가능한 전자 형식, 기타 형식)
- 주로 사용하는 언어가 영어가 아닌 이들에게는 다음과 같은 무료 언어 서비스를 제공합니다.
- 자격있는 통역자
- 다른 언어로 작성된 서면 정보
이러한 서비스가 필요하면 Jamie Pinkham에게 문의하십시오. 노스 웨스턴 메디컬 센터가 인종, 피부색, 출신 국가, 연령, 장애 또는 성별에 따라 이러한 서비스를 제공하지 못하거나 차별을 당했다고 생각되는 경우 Jamie Pinkham – 케어 매니지먼트 매니저 , 133 Fairfield Street, St. Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. 직접 또는 우편, 팩스 또는 이메일로 신고 할 수 있습니다. 불만 사항을 제기하는 데 도움이 필요하면 Jamie Pinkham – 케어 매니지먼트 매니저가 귀하를 도와 드릴 것입니다. 귀하는 미국 보건 복지부 민권 사무소에 민권 침해 신고서 (https://ocrportal.hhs.gov/ocr/portal/lobby)를 통해 전자 민원을 제출할 수 있습니다. .jsf 또는 우편 또는 전화로.
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Tagalog
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.
Northwestern Medical Center sa mga naaangkop na Pampederal na batas sa karapatang sibil at hindi nandidiskrimina batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian. Ang NMC ay hindi nagtatangi ng mga tao o hindi nagpapakita ng ibang pakikitungo dahil sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian.
Ang NMC ay:
- Nagbibigay ng mga libreng tulong at serbisyo sa mga taong may kapansanan upang mahusay silang makipag-ugnayan sa amin, gaya ng:
- Mga kwalipikadong interpreter ng sign language
- Nakasulat na impormasyon sa iba pang mga format (malaking print, audio, mga naa-access na electronic na format, iba pang mga format)
- Nagbibigay ng mga libreng serbisyo sa wika sa mga taong hindi Ingles ang pangunahing wika, gaya ng:
- Mga kwalipikadong interpreter
- Impormasyong nakasulat sa iba pang mga wika
Kung kailangan mo ng mga serbisyong ito, makipag-ugnayan sa Jamie Pinkham.
Kung naniniwala ka na Northwestern Medical Center ay nabigo upang magbigay ng mga serbisyo o discriminated sa ibang paraan sa batayan ng lahi, kulay, bansang pinagmulan, edad, kapansanan, o kasarian, maaari kang magsampa ng karaingan sa: Jamie Pinkham – Manager of Management Care , 133 Fairfield Street, St. Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Maaari kang magsampa ng karaingan sa tao o sa pamamagitan ng koreo, fax, o email. Kung kailangan mo ng tulong sa pag-file ng reklamo, Jamie Pinkham – Manager of Care Management ay magagamit upang makatulong sa iyo. Maaari mo ring magsampa ng civil complaint karapatan sa US Department of Health and Human Services, Office for Civil Rights, sa elektronikong paraan sa pamamagitan ng Office for Civil Rights Complaint Portal, na makukuha sa https://ocrportal.hhs.gov/ocr/portal/lobby .jsf, o sa pamamagitan ng koreo o telepono sa:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Русский (Russian)
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.
Northwestern Medical Center соблюдает применимое федеральное законодательство в области гражданских прав и не допускает дискриминации по признакам расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола. NMC не исключает людей и не относится к ним по-разному из-за расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола.
NMC:
- Для эффективного взаимодействия предоставляет безвозмездную помощь и оказывает услуги людям с ограниченными возможностями, а именно:
- услуги квалифицированных сурдопереводчиков;
- письменную информацию в других форматах (крупный шрифт, аудио формат, доступные электронные форматы, прочие форматы).
- Предоставляет бесплатные услуги перевода людям, для которых английский не является основным языком, а именно:
- услуги квалифицированных переводчиков;
- письменную информацию на других языках.
Если вам нужны эти услуги, обратитесь к Саре Джемли.
Если вы считаете, что Северо-западный медицинский центр не смог предоставить эти услуги или подвергся другой дискриминации по признаку расы, цвета кожи, национального происхождения, возраста, инвалидности или пола, вы можете подать жалобу в отношении: Сары Джемли – , 133 Fairfield Street, St. Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Вы можете подать жалобу лично или по почте, факсу или электронной почте. Если вам нужна помощь в подаче жалобы, Сара Джемли (Jamie Pinkham) – менеджер по уходу за пациентами поможет вам. Вы также можете подать жалобу о нарушении гражданских прав в Департамент здравоохранения и социальных служб США, Управление по гражданским правам, в электронном виде через портал для подачи жалоб в отношении гражданских прав, доступный по адресу https://ocrportal.hhs.gov/ocr/portal/lobby .jsf, или по почте или по телефону:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
العربية (Arabic)
تنبيه: إذا كنت تتحدث الإسبانية ، فلديك خدمات مساعدة لغوية مجانية.
يتوافق مركز Northwestern Medical Center مع قوانين الحقوق المدنية الفيدرالية المعمول بها ولا يميز على أساس العرق أو اللون أو الجنسية أو العمر أو الإعاقة أو الجنس. لا يستبعد مركز نورث وسترن الطبي الناس أو يعاملهم بشكل مختلف بسبب العرق أو اللون أو الجنسية أو العمر أو الإعاقة أو النس.
المركز الطبي الشمالي الغربي:
- يوفر المساعدة والخدمات المجانية للأشخاص ذوي الإعاقة للتواصل معنا بشكل فعال ، مثل ما يلي:
- تدريب مترجمي لغة الإشارة.
- المعلومات المكتوبة بتنسيقات أخرى (طباعة كبيرة ، صوت ، تنسيقات إلكترونية يمكن الوصول إليها ، تنسيقات أخرى).
- يوفر خدمات لغة مجانية للأشخاص الذين ليست لغتهم الأم هي الإنجليزية ، مثل ما يلي:
- المترجمين الفوريين المدربين.
- معلومات مكتوبة بلغات أخرى.
إذا كنت بحاجة إلى تلقي هذه الخدمات ، فاتصل بـ Jamie Pinkham.
إذا كنت تعتقد أن Northwestern Medical Center لم يقدم هذه الخدمات أو تميز ضدك بأي طريقة أخرى على أساس العرق أو اللون أو الجنسية أو العمر أو الإعاقة أو الجنس ، فيمكنك تقديم شكوى إلى الشخص التالي: Jamie Pinkham -Manager of Care Management, 133 Fairfield Street, St. Albans, VT, 05401, 802-524-5911, 800-253-0191 ، jpinkham@nmcinc.org. يمكنك تقديم المطالبة شخصيا أو عن طريق البريد أو الفاكس أو البريد الإلكتروني. إذا كنت بحاجة إلى مساعدة للقيام بذلك ، فستطلب من جان سودر – مدير إدارة الرعاية – تحت تصرفك تقديم ذلك. يمكنك أيضًا تقديم مطالبة بالحقوق المدنية لدى مكتب الحقوق المدنية التابع لوزارة الصحة والخدمات الإنسانية الأمريكية. U.S. إلكترونيًا عبر بوابة شكاوى مكتب الحقوق المدنية ، وهي متاحة على الموقع https://ocrportal.hhs.gov/ocr/portal/lobby.jsf ، أو بالبريد على العنوان التالي أو عبر الهاتف على الأرقام المدرجة أدناه:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Kreyòl Ayisyen (Haitian Creole)
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.
Northwestern Medical Center konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. NMC pa ekskli moun oswa trete yo nan fason ki diferan akoz ras, koulè, peyi orijin, laj, enfimite oswa sèks yo.
NMC:
- Bay èd ak sèvis gratis pou moun ki andikape pou yo kominike avèk nou nan fason ki efikas, tankou:
- Enèprèt langaj siy ki kalifye
- Enfòmasyon ekri nan lòt fòma (gwo lèt, odyo, fòma elektwonik ki aksesib, lòt fòma)
- Bay sèvis lang gratis a moun lang prensipal yo pa Anglè, tankou:
- Enèprèt kalifye
- Enfòmasyon ki ekri nan lòt lang
Si ou bezwen sèvis sa yo, kontakte Jamie Pinkham.
Si ou kwè ke Northwestern Medical Center te echwe pou pou bay sèvis sa yo oswa fè diskriminasyon nan yon lòt fason sou baz ras, koulè, orijin nasyonal, laj, andikap, oswa sèks, ou ka depoze yon plent ak: Jamie Pinkham – Manadjè nan Jesyon Swen , 133 Fairfield Street, St Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Ou ka depoze yon plent an pèsòn oswa pa lapòs, faks, oswa voye yon imèl. Si w bezwen èd ranpli yon plent, Jamie Pinkham – Manadjè nan Jesyon Swen se disponib nan ede ou. Ou kapab tou pote yon plent dwa sivil ak US Department of Sante ak Sèvis Imen, Biwo pou Dwa Sivil, elektwonikman nan Biwo pou Dwa Sivil Plent Portal, ki disponib nan https://ocrportal.hhs.gov/ocr/portal/lobby .jsf, oswa pa lapòs oswa telefòn nan:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Français (French)
ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.
Northwestern Medical Center respecte les lois fédérales en vigueur relatives aux droits civiques et ne pratique aucune discrimination basée sur la race, la couleur de peau, l’origine nationale, l’âge, le sexe ou un handicap. NMC n’exclut et ne traite aucune personne différemment en raison de sa race, sa couleur de peau, son origine nationale, son âge, son sexe ou son handicap.
NMC:
- Fournit gratuitement des aides et services aux personnes handicapées afin de permettre une communication efficace avec nous, par exemple:
- Interprètes qualifiés en langue des signes
- Informations écrites dans d’autres formats (gros caractères, audio, formats électroniques accessibles, autres formats)
- Fournit gratuitement des services linguistiques aux personnes dont la langue principale n’est pas l’anglais, par exemple:
- Interprètes qualifiés
- Informations écrites dans d’autres langues
Si vous avez besoin de ces services, contactez Jamie Pinkham.
Si vous pensez que NMC n’a pas fourni ces services ou a fait preuve d’une autre forme de discrimination basée sur la race, la couleur de peau, l’origine nationale, l’âge, le sexe ou le handicap, vous pouvez déposer une réclamation auprès de : Jamie Pinkham – Manager of Care Management, 133 Fairfield Street, St. Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Vous pouvez déposer une réclamation en personne ou par courrier, télécopie ou e-mail. Si vous avez besoin d’aide pour déposer une réclamation Jamie Pinkham – Manager of Care Management se tient à votre disposition pour vous y aider. Vous pouvez également déposer une réclamation concernant vos droits civiques auprès de l’U.S. Department of Health and Human Services (Département de la Santé et des Services Sociaux des États-Unis), Office for Civil Rights (Bureau des Droits Civiques), par voie électronique via l’Office for Civil Rights Complaint Portal, disponible à l’adresse https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, par courrier ou par téléphone à :
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Polski (Polish)
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.
Northwestern Medical Center postępuje zgodnie z obowiązującymi federalnymi prawami obywatelskimi i nie dopuszcza się dyskryminacji ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć. NMC nie wyklucza żadnych osób i nie stosuje różnego traktowania ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć.
NMC:
- Zapewnia bezpłatną pomoc i usługi osobom niepełnosprawnym w celu umożliwienia skutecznej komunikacji, na przykład:
- Wykwalifikowanych tłumaczy języka migowego
- Informacje na piśmie w różnych formatach (duży druk, audio, dostępne formaty elektroniczne, inne formaty)
- Zapewnia bezpłatne usługi językowe dla osób, dla których angielski nie jest pierwszym językiem, na przykład:
- Wykwalifikowanych tłumaczy
- Informacje na piśmie w innych językach
Jeśli potrzebujesz tych usług, skontaktuj się z Jamie Pinkham.
Jeśli uważasz, że Northwestern Medical Center nie świadczy tych usług lub dyskryminuje w inny sposób ze względu na rasę, kolor skóry, pochodzenie krajowe, wiek, niepełnosprawność lub płeć, możesz złożyć skargę: Jamie Pinkham – menedżer ds. Opieki , 133 Fairfield Street, St. Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Możesz złożyć skargę osobiście lub pocztą, faksem lub pocztą elektroniczną. Jeśli potrzebujesz pomocy zgłaszającej skargę, możesz pomóc Jamie Pinkham- menedżer ds. Zarządzania. Możesz także złożyć skargę o naruszenie praw obywatelskich z amerykańskim Departamentem Zdrowia i Opieki Społecznej, Biurem Praw Obywatelskich, drogą elektroniczną za pośrednictwem Biura ds. Skarg dotyczących naruszeń praw obywatelskich dostępnej pod adresem https://ocrportal.hhs.gov/ocr/portal/lobby .jsf lub pocztą lub telefonicznie pod adresem:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Português (Portuguese)
Northwestern Medical Center cumpre as leis de direitos civis federais aplicáveis e não exerce discriminação com base na raça, cor, nacionalidade, idade, deficiência ou sexo. NMC não exclui ou trata de forma diferente devido à raça, cor, nacionalidade, idade, deficiência ou sexo.
NMC:
- Faculta ajuda e serviços gratuitos a pessoas com dificuldades de comunicar de forma eficaz connosco, tais como:
- Intérpretes de língua gestual qualificados
- Informação escrita noutros formatos (impressão maior, áudio, formatos electrónicos acessíveis, outros formatos)
- Faculta serviços linguísticas grátis a pessoas cuja língua principal não é inglês, tais como:
- Intérpretes qualificados
- Informação escrita noutros idiomas
Se você precisar desses serviços, entre em contato com Jamie Pinkham.
Se você acredita que o Northwestern Medical Center não forneceu esses serviços ou discriminado de outra maneira com base em raça, cor, origem nacional, idade, deficiência ou sexo, você pode registrar uma queixa com: Jamie Pinkham- Gerente de Cuidado , 133 Fairfield Street, St. Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Você pode registrar uma queixa em pessoa ou por correio, fax ou e-mail. Se você precisar de ajuda para apresentar uma queixa, Jamie Pinkham- Gerente de Gerenciamento de Cuidados está disponível para ajudá-lo. Você também pode registrar uma queixa de direitos civis com o Departamento de Saúde e Serviços Humanos dos EUA, Office for Civil Rights, por meio eletrônico através do Office for Civil Rights Complaint Portal, disponível em https://ocrportal.hhs.gov/ocr/portal/lobby .jsf, ou pelo correio ou telefone em:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Italiano (Italian)
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti.
U.S. Department of Health and Human Services (HHS, Dipartimento statunitense per la salute e i servizi umani) è conforme a tutte le leggi federali vigenti in materia di diritti civili e non pone in essere discriminazioni sulla base di razza, colore, origine nazionale, età, disabilità o sesso. HHS non esclude le persone o le tratta diversamente a causa di razza, colore, origine nazionale, età, disabilità o sesso.
HHS:
- Offre sostegni e servizi gratuiti alle persone affette da disabilità per comunicare con noi in modo efficace, quali:
- Interpreti qualificati nella lingua dei segni
- Informazioni scritte in altri formati (stampe a grandi caratteri, audio, formati elettronici accessibili, altri formati)
- Offre servizi linguistici gratuiti alle persone la cui lingua primaria non è l’inglese, quali:
- Interpreti qualificati
- Informazioni scritte in altre lingue
In caso si necessiti di tali servizi, contattare Jamie Pinkham.
In caso si ritenga che Northwestern Medical Center non abbia offerto tali servizi o abbia posto in essere discriminazioni in altri modi sulla base di razza, colore, origine nazionale, età, disabilità o sesso, è possibile presentare una vertenza a Jamie Pinkham- Manager of Care Management, 133 Fairfield Street, St.Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. È possibile presentare una vertenza di persona o a mezzo posta, fax oppure e-mail. In caso si necessiti di aiuto per la presentazione della vertenza, Jamie Pinkham – Manager of Care Management è disponibile a fornire assistenza. È altresì possibile presentare un reclamo per i diritti civili allo U.S. Department of Health and Human Services (Dipartimento statunitense per la salute e i servizi umani), Office for Civil Rights (Ufficio per i diritti civili), elettronicamente mediante il Office for Civil Rights Complaint Portal, disponibile all’indirizzo https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, oppure a mezzo posta o telefono all’attenzione di:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.
Northwestern Medical Center erfüllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab. lehnt den Ausschluss oder die unterschiedliche Behandlung von Menschen aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab.
NMC:
- Bietet kostenlose Hilfe und Dienstleistungen für Menschen mit Behinderung zur effektiven Kommunikation, wie z. B.:
- Qualifizierte Gebärdensprachen-Dolmetscher
- Schriftliche Informationen in anderen Formaten (große Ausdrucke, Audio, zugängliche elektronische Formate, sonstige Formate)
- Bietet kostenlose Sprachdienste für Menschen, deren Hauptsprache nicht Englisch ist, wie z. B.:
- Qualifizierte Dolmetscher
- Schriftliche Informationen in anderen Sprachen
Sprachen Sollten Sie diese Dienstleistungen benötigen, so wenden Sie sich an Jamie Pinkham.
Sollten Sie der Ansicht sein, dass Northwestern Medical Center es versäumte, diese Dienstleistungen anzubieten, oder auf sonstige Weise aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht diskriminierte, so können Sie eine Beschwerde einreichen bei: Jamie Pinkham – Manager of Care Management, 133 Fairfield Street, St.Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Sie können eine Beschwerde persönlich oder per Post, Fax oder E-Mail einreichen. Sollten Sie Hilfe beim Einreichen einer Beschwerde benötigen, so steht Ihnen Jamie Pinkham – Manager of Care Management gerne zur Verfügung. Sie können ebenfalls eine Menschenrechtsbeschwerde einreichen bei: Department of Health and Human Services (U.S.-Gesundheitsministerium), Office for Civil Rights (Amt für Bürgerrechte), elektronisch über das Office for Civil Rights Complaint Portal, zugänglich über https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, oder per Post oder telefonisch an:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
日本語(Japanese)
注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。
Northwestern Medical Center は適用される連邦公民権法を遵守し、人種、肌の色、出身国、年齢、障害、または性別に基づく差別をいたしません。HHS は人種、肌の色、出身国、年齢、障害、または性別を理由として人を排除したり、異なる扱いをいたしません。
NMC:
- 効果的にコミュニケーションを図るため、障害のある人に以下の支援やサポートを無料で提供いたします。
- 資格ある手話通訳者
- その他形式の文字情報（大きな活字、音声信号、手軽な電子形式、その他）
- 英語を母語としない人へ以下の言語サービスを無料で提供いたします。
- 資格ある通訳者
- 英語以外の言語で書かれた情報
これらのサービスが必要な場合は、Jamie Pinkham にお問い合わせください。
ノースウェスタン医療センターが人種、色、国籍、年齢、身体障害、または性別に基づいてこれらのサービスの提供に失敗したり、別の方法で差別を犯したと思われる場合は、次のような苦情を申し立てることができます：Jamie Pinkham- 、133 Fairfield Street、St. Albans、VT、05401、802-524-5911、800-253-0191、jpinkham@nmcinc.org。あなたは苦情を直接、郵便、ファックス、または電子メールで提出することができます。あなたが苦情を申し立てるのを助ける必要がある場合は、Jamie Pinkham – Care Managementのマネージャーがあなたを助けるために利用可能です。また、米国保健福祉省、民間人権局に民事訴状を提出することもできます（https://ocrportal.hhs.gov/ocr/portal/lobbyにある公民権告訴局向けに電子的に申し立ててください）。 .jsf、またはメールまたは電話で：
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با .1-877-696-6775 تماس بگیرید
Northwestern Medical Center از قوانین حقوق مدنی فدرال مربوطه تبعیت می کند و هیچگونه تبعیضی بر اساس نژاد، رنگ پوست، اصلیت ملیتی، سن، ناتوانی یا جنسیت افراد قایل نمی شود.
NMC بر اساس نژاد، رنگ پوست، اصلیت ملیتی، سن، ناتوانی یا جنسیت افراد ایشان را از خدمات محروم نمی کند و با آنها برخورد متفاوتی ندارد.
:NMC
- برای افرادی که ناتوانی دارند، برای برقرار کردن ارتباط موثر، کمک هایی بطور رایگان فراهم می کند، مانند:
- مترجمین واجد شرایط زبان اشاره
- اطلاعات نوشتاری به فرمت های دیگر (چاپ با حروف درشت، صوتی، فرمت های الکترونیک قابل دسترسی ساده، و فرمت های دیگر)
- برای افرادی که زبان اولیه شان انگلیسی نیست خدمات زبانی رایگان ارایه می کند، مانند:
- مترجمین شفاهی واجد شرایط
- اطلاعات نوشتاری به زبانهای دیگر
اگر شما نیاز به این خدمات، با سارا تماس Pinkham.
اگر فکر می کنید که مرکز پزشکی نورث وسترن موفق به ارائه این خدمات و یا تبعیض در راه دیگری بر اساس نژاد، رنگ پوست، ملیت، سن، معلولیت و یا رابطه جنسی، شما می توانید یک شکایت با فایل: سارا Pinkham- مدیر مدیریت خدمات ، 133 فیرفیلد خیابان، سنت آلبانز، VT، 05401، 802-524-5911، 800-253-0191، jpinkham@nmcinc.org. شما می توانید یک شکایت در شخص و یا از طریق پست، فکس و یا ایمیل کنید. اگر شما نیاز به کمک پر کردن شکایت، سارا Pinkham- مدیر مدیریت مراقبت های موجود به شما کمک کند. شما همچنین می توانید شکایت حقوق مدنی با وزارت بهداشت و خدمات انسانی، دفتر حقوق مدنی در https://ocrportal.hhs.gov/ocr/portal/lobby فایل، به صورت الکترونیکی از طریق دفتر برای شکایت حقوق مدنی پورتال، در دسترس .jsf، یا از طریق پست و یا تلفن در:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Oroomiffa/Cushite
XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama.
Northwestern Medical Center seera hawwaasummaa Feederaalaan kan wal simu ta’ee sanyii, bifa, dhiigaan, uumriidhaan, yookiin koorniyaadhaan kan wal hin loognee dha. Northwestern Medical Center namoota yookiin sanyii sanyiidhaan, bifaan, dhiigaan, umriidhaan, hir’ina qaamaan yookiin koorniyaadhaan adda hin baasu.
Northwestern Medical Center :
•Namootni hir’ina garaagaraa qaban bifa gaarii ta’een nu waliin haasa’uu akka danda’aniif deeggarsa fi tajaajila tolaa kennaafii, kanneen akka:
○ Namoota afaan mallattoo haalaan hiikkuu danda’an
○ Odeeffannoo barreeffamaa foormaatii adda ta’een (barreeffama guddaadhaan, sagaleedhaan, foormaatii eleektirooniksii argamuu danda’uun, foormaatii biroo)
•Namoota afaan dhalootaa isaanii afaan Ingiliffaa hin taaneef tajaajila afaanii tolaa dhiheessuufi, kanneen akkaL:
○ Warra dandeettii afaan hiikuu gahaa ta’e qaban
○ Odeeffannoo afaanota birootiin barraahe
Tajaajila kana yoo barbaadde, Jamie Pinkham qunnamaa Kana yoo itti amante Northwestern Medical Center tajajila kana kennuudhaaf hin dandeenye yookiin tajaajila kana kennuu hin dandeenye yookiin sanyiidhaan ,bifaan, dhiigaan, umriidhaan, hiri’ina qaamaan, ykn koorniyaadhaanii fi kanneen birootiin looguu, komii keessan kanneen armaan gadiitiin dhiheessuu ni dandeessu: Jamie Pinkham – Manager of Care Management, 133 Fairfield Street, St.Albans, VT, 05401, 802-524-5911, 800-253-0191, jpinkham@nmcinc.org. Komii namaan, yookiin poostaadhaan, faaksiidhaan, yookiin e-mail dhaan dhiheessuu ni dandeessa. Komii guutuudhaaf gargaarsa yoo barbaadde Jamie Pinkham – Manager of Care Management si gargarudhaaf qophii dha. Komiiwwan mirga namoomaa U.S. Department of Health and Human Services (Kutaa Fayyaa fi Tajaajila Namoomaa U.S), Office for Civil Rights (Waajjira Mirga Hawwaasummaa) eleektirooniksiidhaan the Office for Civil Rights Complaint Portal, kunis kan argamu https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, ykn poostaadhaan yookiin bilbilaan :
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-868-1019, 800-537-7697 (TDD) Foormiin komiidhaa kan argamu http://www.hhs.gov/ocr/office/file/index.html irratti dha.