Community Partners


Helping Adults Make a Plan & Connect To Care

Community Partners help individuals and families to start a planning discussion, review Massachusetts planning documents to make a personal plan, and provide person-centered care in their community.

We partner with community service, faith and cultural groups, primary care practices, and health care organizations,  providing educational materials and proven programs. Community Partners also work together to build a network of coordinated care in their region. The Community Partners below offer a range of services to assist adults at different phases of health. A consumer should contact a Partner directly to determine if their services are right for you. We list Partner’s here as information, and do not endorse, refer to, or recommend services.

Here’s the full list of our Community Partners. Scroll down to check out their details.

All Care Hospice •Attorney Kathleen O’Connor • Attorney Elizabeth Myska • Attorney Maria C. Baler •Bedford Council on Aging  • Belmont Health Collaborative • Beverly Hospital, Lahey Health • Brookhaven Hospice •  Care Dimensions • Care One at Concord • Caregiver Homes • Carleton-Willard Village • Center for Health Impact • Central Massachusetts Agency on Aging • Circle Home, Inc. • ComForCareCooperative Elder Services • Curry College • Deborah Fins Associates • Elder Care Consultants of Choice  • Eldercare Resource Services • Eldercare Solutions of Greater Boston • Emerson Hospital  •  First Church of Cambridge • Good Shepherd Community Care • Greater North Shore Link • Hahn Home Healthcare • HESSCO • Harvard Vanguard Beverly Primary Care • HopeHealth •Ideal Healthcare Solutions • Illumination • Iora Primary Care • Overlook CARE • Kindred Hospitals of MassachusettsJoanne L. Erickson, AttorneyLahey Hospital & Medical Center, Lahey Health • Laura Silver Traiger, Attorney  • Law Offices of Timothy R. Loft •Levine-Piro Law •  Life Care Advocates  • Life Care Center of Acton• Life Care Center of Nashoba Valley • Lowell General Hospital • Mark Armstrong Attorney at Law • Masonic Health System • MetroWest Home Care & Hospice • Minuteman Senior Services • Minute Women Home Care • Mattson, O’Toole & Reed, LLC North Shore Elder Services • Norwell VNA and Hospice • Notre Dame Health Care• Old Colony Elder Services•  Old Colony Hospice & Palliative Care • Outer Cape Health Services • Overlook CARE Hospice • Parmenter Foundation • Parmenter Home Care & Hospice • Pepperell Council on Aging • Porchlight VNA • Regis College • Salter Healthcare • Seacoast Senior Resources • Seniorcare Inc. • Somerville-Cambridge Elder Services • Springwell •Stonebridge at Burlington • Sunrise Senior Living  • Susan Levin, All About Elders • The Briarwood Community • The Independent Living Center of the North Shore & Cape Ann • Tina Waugh MD, Family Medicine • Tribute Home Care • Tri-Valley, Inc. • Westwood Council on Aging • Wellesley Village Church

Curry College

Cathleen C. Colleran DNP, RN

Professor, Nursing and RN-BS Program Coordinator



Curry College School of Nursing is the first nursing school in Massachusetts to incorporate the Honoring Choices program into their nursing curriculum. The School of Nursing will incorporate the Honoring Choices program and tools into their RN-BS curriculum this summer, with plans to fold the program into the other nursing courses in the fall. Honoring Choices will benefit the RN students as they care for patients in a variety of heath care settings. They will use the health care planning tools to help patients make a plan to promote wellness, manage chronic illness and improve quality of life, and to have critical conversations about serious illness and end of life care.

Lowell General Hospital

Beverly Robinson


Lowell General Hospital is partnering with Honoring Choices to enhance their commitment to inform and empower their patients and families to make a health care plan starting with a Health Care Proxy. Lowell General includes the Honoring Choices Health Care Proxy and access to other planning information into their Admissions Packet. All patients who are admitted, in extended stay in the Emergency Department and in OB/Maternity will receive the health care planning information. Lowell General is also providing the planning information to all doctors and care processionals through their intranet. Doctors and clinicians can  download the Health Care proxy and offer to patients and families.

Brookhaven Hospice

Michele Clayborne, MSHS

Vice President, Operations



Brookhaven Hospice, located in Westborough, provides care to all age groups during the final stages of life. They have an experienced team of physicians, registered nurses, certified nurse aides, medical social workers, counselors, and trained volunteers available to help you and your family manage your illness. The staff has extensive training in the specific needs of veterans as they approach end of life, recently earning their 4th Star in the “We Honor Veterans” Program. Michelle Clayborne and her staff have made an additional commitment to their community by training all their Community Liaisons as Honoring Choices Health Care Planning Facilitators. As a  Facilitator, the Community Liaisons provide health care planning outreach and education and can offer in-depth planning discussions to adults and families throughout their health care journey and at the end of life.  Read more here.

Nashoba Nursing Service & Hospice

Shannon Pinkham LPN

978  425-6675


Nashoba Nursing Service & Hospice, located in Shirley, helps adults recover and regain their independence through the delivery of clinical experience and compassion. They work closely with each individual, their physician, family and/or caregiver,  to provide adults with the care needed to remain independent in their home as long as possible. They offer quality home health, hospice and community health to 15 member and surrounding towns in the North/West Middlesex and Worcester County areas.


Ruth Beckerman-Rodau, Chief Executive Officer

Contact: Hillary Tarr


Springwell is a private, non-profit organization that has been offering care coordination and in-home services since 1976 to individuals who need various degrees of support to live at home with dignity and independence.  Private pay as well as government subsidized support is offered.  We help people assess needs, identify supports and coordinate services.  The agency also helps individuals and their family members navigate the emotional, physical and financial maze of caregiving.  In addition, Springwell works with health care providers to support their goals to improve the health and satisfaction of their patients and members while reducing costs. By focusing on the intersection of health and social issues we ensure patients receive the community supports that help meet their health care goals.

Caregiver Homes

Gretchen Slevin, Clinical Team Lead, Auburn

508 523-9755


Caregiver Homes of Massachusetts’ community-based program helps families provide high-quality, 24-hour care at home for elders and people with disabilities in need of physical care and assistance. This assistance makes it possible for a family member or friend to become the primary in-home caregiver by providing them with the support and financial assistance they need. In Massachusetts, their Structured Family Caregiving model is known as Enhanced Adult Foster Care. The social workers and nurses are committed to engaging adults and their families and caregivers in health care planning discussions and providing care aligned with their choices.  Caregiver Homes in Auburn serves the Metrowest, North Central Worcester County and Worcester Central area.

All Care Hospice

Kristina Neumann, Vice President
781 598-2454


All Care Hospice, located in Lynn, specializes in providing a full continuum of in-home services through its VNA, Hospice and Private Care Services which supports independence, safety and caring.  From skilled nursing and rehabilitation therapy to hospice care and palliative care to private services, All Care offers solutions, resources and assistance to each patient and family ensuring quality of life at every phase of need. All Care’s  mission is to provide the highest quality, cost-effective health care to adults on the North Shore, Eastern MA, Greater Boston & Merrimack Valley.

Notre Dame Health Care

Karen M. Laganelli, MHA, Chief Executive Officer

Meg Coffin, Executive Directive of du Lac Assisted Living


“Getting good care as we age and at the end of life is very much a part of Catholic health care”, says Meg Coffin, Executive Director of du Lac Assisted Living, Notre Dame Health Care.  Sponsored by the Sisters of Notre Dame de Namur and opened in 1993, Notre Dame Health Care serves as a source of “renewal, refreshment, and healthy living” for adults and families in Worcester and Central Massachusetts. Notre Dame Health Care provides exceptional care for the whole person with concern for the social, physical, intellectual, emotional, and spiritual well being of their residents, patients, staff members, their families, and the community they serve.  Notre Dame Health Care “helps individuals achieve their own best level of wellness” through programs including assistance with aging in place, an assisted living residence, complex care management, educational resource center, licensed hospice provider, pediatric palliative care, post-acute recuperation, residential memory care, short-term rehabilitation, and a skilled nursing facility.  They invite you to visit their  beautiful campus at 555-559 Plantation Street, check out the Web site at, or call at 508-852-5800


Diana M. Franchitto, President & CEO

Contact: Ellen McCabe, RN, CHPN, Director of Professional Education
800 642-2423


HopeHealth is dedicated to enhancing the comfort and quality of life for adults and families experiencing the impact of serious illness and loss. Established in 1981 as Hospice of Cape Cod, they were one of the nation’s pioneer hospice programs. Today as HopeHealth, they deliver a wide range of services to thousands of people each year in 80 towns in eastern Massachusetts. HopeHealth’s family of services in Massachusetts includes Hope Hospice, Hope Care for Kids, Hope Dementia & Alzheimer’s Services and Hope Academy. McCarthy Care Center, located in Sandwich, serves as the area’s specially licensed hospice inpatient facility. The Massachusetts Pain Initiative is an affiliate of the organization. Learn more by calling (800) 642-2423 or visiting

Somerville-Cambridge Elder Services

 John O’Neill, Executive Director

Contact: Tiffany Bruschi-Barber, Director of Program Development


Somerville-Cambridge Elder Services (SCES) is the longest running elder agency in the Boston area, providing information and services that enable older adults and younger people with disabilities to remain at home and make informed healthcare decisions. Some of the agency’s unique programs include support for seniors with pets, 24/7 home care services, a concierge caregiver support program, and their hospital-to-home transitions program. You can read more at

Bedford Council on Aging

Alison Cservenschi, Director

12 Mudge Way, Bedford,

The Bedford Council on Aging’s mission is to enhance the health and well being of Bedford’s 3,619 residents 60 and older. They offer programs and services that benefit active residents who have just retired and seek new opportunities or residents who have been retired many years, or those who need assistance remaining in their homes, and many others. All Bedford residents are eligible for assistance with elder service coordination for themselves, their family members, or others.  Family members and caregivers are encouraged to attend with their loved ones.  Bedford COA provides a wide diversity of programs and activities that include supporting caregivers and families, daytrips for seniors, fitness classes and informational programs on health legal, financial and other issues. You can read more at or call 781-275-6825.

Greater North Shore Link

Teresa Arnold

Executive Director

The mission of Greater North Shore Link (formerly the Aging and Disability Resource Consortium of the Greater North Shore (ADRCGNS)) is to create a single, coordinated system of information and access for all persons seeking long-term services and supports, regardless of age, disability or income. The Greater North Shore Link uses the  “No Wrong Door” approach  so that all ADRCGNS, Inc. participating partner organizations serve as highly visible and trusted places people can turn for information on the full range of long-term support options.  Read more here.


The Briarwood Community

Daria Meshenuk

Director of Resident Services

(508) 852-2670


The Briarwood Community, located in Worcester, is a vibrant non-profit Continuing Care Retirement Community offering Independent Living in cottages and apartments, Assisted Living and Knollwood Nursing Center for rehabilitation services & long term care. Briarwood’s mission is to enhance the well-being, independence and personal fulfillment of its residents and other seniors by providing high quality, coordinated housing, health, wellness and supportive services consistent with the caring spirit of the founding churches. Their  continuum of care means that as you age or as your circumstances change, you have choices to transition from independent living to receiving additional support without ever leaving Briarwood.  As an Honoring Choices Community Partner, the dedicated staff helps adults make a personal plan based on individual values and choices.  To learn more about the Briarwood Community, call (508) 852-2670 or visit

First Church in Cambridge

Rev. Dan Smith, Senior Minister


For over 375 years, First Church in Cambridge Congregational, United Church of Christ, has welcomed pilgrims and pioneers, and adults, families and children to share in a faith journey. First Gathered in 1633-1636, First Church in Cambridge is considered to be the 11th oldest congregation in New England. First Church is an open and affirming community offering Sunday morning services include enrichment and learning opportunities for children and adults, community worship in the sanctuary, and a fellowship hour in the parish hall. First Church is deeply involved in helping support the needs of people in Cambridge and the surrounding communities. They offer a Nursery School, partner with interfaith communities, provide the First Church Shelter to the poor and homeless, and much more. To learn more, contact the Parish Administrator, Kirsten Manville, 617-547-2724 or visit their website at

Life Care Advocates

Emily B. Saltz, LICSW, Founder & CEO

Kate Granigan, LICSW, COO



Life Care Advocates, located in Newton, promotes dignity and independence for elders and adults with disabilities, while providing peace of mind for family members. Families are often faced with difficult and at times overwhelming decisions about which care and services are best for an aging parent or a person with a disability. Life Care Advocates match their clients and families with “the right Life Care Manager who will best serve their needs.” A Life Care Manager, also known as a Geriatric Care Manager, can provide a thorough assessment of an adult’s diverse needs and assist families in developing a comprehensive plan of care. They provide a professional unbiased perspective and can help adults and families solve problems when navigating what’s best for their loved one.  To learn more, contact Life Care Advocates at 617-928-0200, or visit their website at


Tri-Valley, Inc.

Marilyn L. Travinski, Executive Director/CEO


Tri-Valley, Inc., located in Dudley, is a private, non-profit agency providing information, referrals, and care management for elders and individuals with disabilities in South Central Massachusetts. The mission of Tri-Valley, Inc. is to promote and maintain an optimal level of independence, dignity and well-being for elders and individuals with disabilities by providing information, advocacy, in home care and access to quality community services and resources, as well as caregiver support.  You can contact them at 508-949-6640 or 1-800-286-6640 (toll-free within Massachusetts), or visit the website at

SeniorCare Inc.

Scott Trenti, Executive Director



SeniorCare Inc, located in Gloucester, provides a one-stop portal for information and services to elders and adults with disabilities on the Greater North Shore and Cape Ann.  SeniorCare provides many essential services for seniors including homecare, protective services, transportation,  money management, benefits specialist, Medicare & Medicaid insurance counseling, caregiver support, nutrition, and preventative health services. In addition, SeniorCare coordinates the Meals on Wheels program, feeding over 500 frail, homebound seniors each week. Senior Care is a federally designated Area Agency on Aging, and a state designated Aging Service Access Point (ASAP) and serves nine communities: Beverly, Essex, Gloucester, Hamilton, Ipswich, Manchester by-the-Sea, Rockport, Topsfield, and Wenham. To learn more call 978-281-1750, 866-927-1050 (Toll Free) or visit their website

Attorney Elizabeth Myska

Elizabeth L. Myska, Attorney, JD LLM

(508) 753-7681


Attorney Elizabeth Myska serves clients of all ages in the Worcester Community, regarding legal matters with respect to “home and hearth”. Attorney Myska, concentrates her practice on estate planning and real estate matters. She can provide assistance to clients whether seeking a full estate plan, or a single legal document. As an Honoring Choices Community Partner, Attorney Myska can assist adults to complete a Durable Power of Attorney and other planning documents as requested.  Attorney Myska holds a LLM, a Masters of Laws in Elder Law and Estate Planning.  To learn more, you can contact  Attorney Myska at (508) 753-7681, or visit her website at

Sunrise Senior Living

Michelle Stepinsky



Sunrise Senior Living will be the first Assisted Living provider in Massachusetts to bring Honoring Choices to all of our communities throughout the Commonwealth. Sunrise offers a full range of personalized senior living services, including independent living, assisted living, care for individuals with Alzheimer’s and other forms of memory loss, as well as nursing and rehabilitative services. Sunrise’s senior living services are delivered by team members who are trained to encourage independence, preserve dignity, enable freedom of choice and protect the privacy of residents. Sunrise operates more than 300 communities in the United States, Canada and the United Kingdom. To learn more about Sunrise, please visit For more information regarding Honoring Choices in Sunrise communities in Massachusetts, contact Laura Rudin Kurdi, at 781-223-8135 or

Carleton-Willard Village

Barbara A. Doyle, President and CEO



Carleton-Willard Village is a respected and progressive leader in providing comprehensive services and support for older adults. As a not-for-profit continuing care retirement community located in Bedford, Carleton-Willard Village offers seniors residential living units, supportive care, skilled nursing and rehabilitation services, the Ross-Worthen Center for Alzheimer’s Care, and an outpatient medical clinic for residents. The Carleton-Willard AT HOME program serves adults in surrounding communities who prefer to stay in their own homes as they age.  As an Honoring Choices Community Partner, the skilled and compassionate staff at the Village help adults to make a personal plan that reflects each individual’s values and choices, and revise and update their plans in order to receive quality care that honors their choices all through their lives. You can read more at

Porchlight VNA/Home Care

Holly Chaffee, President & CEO



“At Porchlight, we believe care should be given where you’re most comfortable-in your own home, where life is as you know it,” says Holly Chaffee, President & CEO.   Porchlight VNA/ Home Care is well-respected for their long standing 100 year commitment to serving adults in western Massachusetts. They provide short term and long-term care in your home and comprehensive resources for all home health needs, including: skilled nursing, therapies, 24-hour care, social work, maternal and child health.  With offices in Lee and Chicopee, they offer compassionate and person-centered care to adults in Berkshire, Hampden, and Hampshire Counties. Porchlight VNA is a free-standing non-profit and serves as the Board of Health for several towns in Berkshire County and regularly conducts community education and engagement programs. Porchlight VNA is rated five stars by the Centers for Medicare and Medicaid Services (CMS).  They have received several HomeCare Elite™ Awards of Excellence and MA Department of Public Health deficiency-free surveys demonstrating their commitment to quality and safety. Porchlight Home Care is an Accredited Agency by The Home Care Alliance of Massachusetts. To read more, please visit their website at www.

Outer Cape Health Services

Patricia Nadle, BSN, M.Ed.
Acting Chief Executive Officer


Outer Cape Health Services is a non-profit community health center which provides comprehensive primary care, walk-in care and specialty care at their three location in Provincetown, Wellfleet, and Harwich.  They offer a range of supportive services, to residents, workers and visitors, including internal medicine, family medicine, pediatrics and osteopathy.

Outer Cape Health also provides extensive outreach and support services through Healthy Connections, which helps uninsured people with publicly funded health insurance and social services programs. The staff at Outer Cape is committed to helping adults explore their care goals and choices, and deliver quality care that honors their choices when healthy, managing chronic illness, or coping with serious illness. Their mission simply is to promote the health and well being of all who live or visit the eight outermost towns of Cape Cod.

You can contact the staff at the Provincetown Health Center at 508-487-9395; the Wellfleet Health Center at 508-349-313; and the Harwich Health Center at 508-432-1400.

Harvard Vanguard Beverly

Deborah Shih, MD

Internal Medicine Chief

77 Herrick St. Suite 101  Beverly



Harvard Vanguard Beverly, previously The Medical Group, has been providing quality medical care to the residents of Salem, Danvers, Peabody, and other nearby cities and towns since 1972. The Beverly practice, located across from Beverly Hospital, provides primary care for adults and a wide range of medical specialty care. Medical advice is available to patients by telephone 24 hours a day, 7 days a week. All patients have access to adult and pediatric weekend and holiday urgent care at 6 regionally located practices (Braintree, Chelmsford, Kenmore, Peabody, Somerville, and Wellesley). The staff helps their patients access care planning information and documents, to know and honor their choices at every phase of health.  The practice is part of Atrius Health which includes Dedham Medical Associates, Granite Medical Group, and Harvard Vanguard Medical Associates and VNA Care. Read more here.

Attorney Maria C. Baler




“We help our clients plan to accomplish their goals, through all of life’s twists and turns, by providing comprehensive, customized legal advice in the areas of estate planning, elder law, and estate and trust administration” say  the attorneys of Samuel, Sayward & Baler LLC. As an Honoring Choices Community Partner, Attorney Maria C. Baler and Attorney Abigail  V. Poole  can help adults create or update a full estate plan or assist with a single planning document such as a Durable Power of Attorney or Will. They also offer assistance with long term care planning, applying for Medicaid (Mass Health), and probate matters. Their office is located on the Dedham-Westwood line. You can contact them by phone at 781/461-1020.

Westwood Council on Aging

Lina Arena-DeRosa, Executive Director

60 Nahatan Street, Westwood



The Westwood Council on Aging, a department of the Town of Westwood, is dedicated to serving seniors and assisting their families and friends with aging issues. In cooperation with other organizations, the Council on Aging serves both elders who are well and those with some degree of frailty.  The Council on Aging staff provides information on transportation services, homemaker services, housing, medical insurance including Medicare and Medicaid, financial assistance programs, volunteer opportunities, and many other aging-related subjects. In addition, the staff of the Council on Aging at the Westwood Senior Center works with local, state and federal agencies to bring you accurate, useful and up-to-date information. The Friendly Visitors Program provides a wide variety of support services to elderly residents of Westwood. Read more here


caregiver Homes

Mary Frugoli

Branch Manager,South Shore and Attleboro


Caregiver Homes, with offices in Braintree and  Attleboro, works closely with caregivers to assure they feel confident and secure in providing care for a loved one at home. Caregiver Home’s care team, including a nurse and care manager, will assess a family’s specific needs. The care team works closely with the adult caregiver  and their loved one to create a personalized care plan that addresses the needs of everyone involved. Through visits and ongoing communication, they help  the caregiver solve day-to-day challenges and anticipate and prepare for what’s ahead.  Read more about their services and eligibility here.

Laura Silver Traiger

Attorney Laura Silver Traiger

Starr Vander Linden LLP

Seven State Street,  Worcester



Laura Silver Traiger is an associate at the law firm of Starr Vander Linden LLP. Ms. Silver Traiger concentrates on the legal issues facing older and disabled clients, including estate and Medicaid planning, public benefits protection using special needs trusts, guardianships and estate administration. As a Community Partner, Attorney Silver Traiger offers to assist clients by drafting documents such as a Health Care Proxy or a Durable Power of Attorney, or other estate planning documents.

Ms. Traiger is an active member with the National Academy of Elder Law Attorneys, currently serving as its President-Elect. In 2014, she was named MassNAELA’s Member of the Year and in 2015, she was awarded the Deborah H. Thomson Advocacy Award relative to her work in filing legislation to help keep elders in their homes. She is also involved with the Worcester County Bar Association, currently serving as Co-Chair of the Probate Committee, and the Greater Worcester Alzheimer’s Partnership. She also serves on the advisory committee for the money management program of Elder Services of Worcester and mentors for the Elder Law project of the Women’s Bar Foundation.

You can contact Attorney Silver Traiger at Starr Vander Linden LLP,  Seven State Street,  Worcester, 508-754-8882.

Central Massachusetts Agency on Aging

Robert Dwyer, Executive Director

508-852-5539; 1-800-244-3032


“Honoring Choices is about honoring life”, says Robert Dwyer, Executive Director, Central Massachusetts Agency on Aging. “Respecting the dignity and autonomy of each individual in the Commonwealth, Honoring Choices assists us in making Massachusetts a better place to live for the whole of our lives. Central Massachusetts Agency on Aging is pleased to work for the betterment of us all.”

Central Massachusetts Agency on Aging (CMAA) is dedicated to understanding the needs of older adults, and seeking to be sure that those needs are met by way of the Older Americans Act. Located in West Boylston, CMAA provides education and outreach to older persons and their caregivers to inform them of local services and programs that can assist them to remain safely and securely in their communities. Their mission is to enhance the quality of life for area older persons and caregivers.

CMAA offers “The Guide to Elder Services,” a comprehensive directory of elder and caregiver programs throughout Central Massachusetts. This online database contains 859 agencies and 1163 program you can search by name or region.

In collaboration with other organizations, CMAA provides a “Family Caregiver Guide” of agencies committed to assisting older adults and individuals with disabilities and caregivers, in 61 cities and towns in Central MA.

You can learn more at

Minute Women Home Care

Ryan McEniff, Presdient

Minute Women Home Care

844- 237-8227


“In 2011, I lost my mother to cancer and my family needed home care and hospice services to help keep my mom at home,” says Ryan McEniff, President, Minute Women Home Care.  “With those experiences, we understand how stressful, emotional, and important a decision like this can be, and with each case, we take our personal experiences into account when hiring and placing caregivers into your home.”  Minute Women, located in Lexington, has been providing home care services for over four decades. As a family owned and operated business they offer home care services that include personal care services, home helper care, Dementia and Alzheimer’s Services, Private Caregivers, Nursing Care and more. Minute Women is an Accredited Agency by The Home Care Alliance of Massachusetts. You can read more at

Emerson Hospital

Maragret Foley

133 Old Road Nine Acre Corner, Concord


Contact:  Margaret Foley MSNRN, Director Care Management


Emerson Hospital, located in Concord, is a private, non-profit, acute care medical center providing services to more than 300,000 people in 25 surrounding towns. Founded in 1911, its mission is to make high-quality health care more accessible to those who live and work in their community. Emerson Hospital has over 300 primary care doctors and specialists, and collaborates with many Boston-area health care systems to bring its community the best possible care. As a Honoring Choices Community Partner, the Care Management Team is launching the “Who’s Your Agent” Program with every inpatient to open the door to lifelong planning discussions. The staff uses the discussion materials and planning documents to help ensure their patients receive quality care that matches their values and choices.  The Care Management Team is working collaboratively with Admissions, Nurses, and Physicians to roll-out the program hospital-wide. They are joined by their Patient & Family Advisory Council to help educate patients, families and the community.  Emerson will also offer a “Who’s Your Agent?” outreach component to invite in adults and families from the surrounding community for a free health care planning discussion with the care management team by appointment. For more information, contact Margaret Foley MSNRN, Director Care Management

Circle Home

Rachel Chaddock, Executive Director



Circle Home (formerly the Visiting Nurse Association of Greater Lowell) provides home health care and hospice services for people of all ages and neighborhoods in Greater Lowell, Greater Lawrence, and southern New Hampshire. They offer care at home for people who are expected to fully recover from an illness or injury, for people who need treatment and teaching to manage a lifelong chronic disease, and for people with advanced illness who are seeking a peaceful life closure. Services include specialty nursing, rehabilitation therapies, medical social services, and home health aide assistance. Hospice and a palliative care team provides care for people with advanced illness, with support for their family caregivers. Circle Home’s community wellness services include free “drop in” senior health clinics, fall prevention clinics, presentations to community groups, and collaborations with others in community health activities. As an Honoring Choices Community Partner, the staff will offer the “Who’s Your Agent?” Program to encourage every adult to make decisions about care goals, to write down those choices, and to communicate with their Agent, their family and their health care providers. Please contact Eileen Malloy for further information at


Mary Jean McDermott, Executive Director

 (781) 784-4944


“Supporting consumers and families with the information they need to make informed choices to age well is an important part of the work we do at HESSCO” says Mary Jean McDermott, Executive Director. “The Honoring Choices program is another educational tool for important decision making.” HESSCO, which stands for Health & Social Services Consortium, provides support and services for elders, individuals living with a disability and their caregivers. Their mission is to help adults remain safe and independent at home for as long as possible. HESSCO is located in Sharon and serves 12 area towns. As a Massachusetts Aging Services Access Point and Area Agency on Aging, HESSCO collaborates with physicians, hospitals, Councils on Aging, Visiting Nurse Associations, and many other provider agencies to ensure adults have access to needed services for the best possible outcome. For more information, call (781) 784-4944 or at

Village at Proprietors Green

Colleen Ferguson, Executive Director

(781) 834-7885


The Village at Proprietors Green, a Welch Healthcare & Retirement Group located in Marshfield, is a vibrant all-rental senior living retirement community, offering independent living, assisted living, and assisted living memory care. In independent living the focus is on hospitality and amenities. In assisted living, personal care services are emphasized. The community’s Memory Care Program creates more joyful moments through a secure, supportive neighborhood with specialized care for those living with Alzheimer’s or related dementias. The staff has a long-standing commitment to helping older adults and families understand their right to make a personal health care plan that reflects individual care goals, values and choices, and works diligently to respect and honor choices about care. For more information, contact Joann Hicks at

Life Care Center of Acton

Christopher Foye, Executive Director

 (978) 263-9101


“We care for the whole person and their family while they are with us,” says Ann Ann Rosas, Director of Admissions & Marketing. “Coming to a Skilled Nursing Facility after a hospital stay is an important way to continue care after an illness or event, and can provide the bridge to get home safely and healthy.” Life Care Center of Acton focuses on short term rehabilitation and 24-hour long-term skilled nursing care. They offer physical, occupational and speech therapy on an inpatient basis. Their two in-house physicians, Dr. Gary Asher and Dr. Christine Beck, work with the rehabilitation and nursing teams to create unique patient care plans based on each individual’s needs and goals, to help each individual obtain as much independence as possible. Life Care Center of Action is part of the Emerson Hospital’s Care Transition Team, working together to strengthen coordination of care and safer transitions for all adults in the community. For more information contact Ann Rosas, at  (978) 263-9101 Read more here.

AZA Care Management and Home Care

Audrey Zabin, M. ED., LSW CMC, Founder

(617) 254-9800


“AZA Care Management and Home Care (AZA) is committed to making a meaningful difference in the quality of life for our clients,” says Audrey Zabin, founder and principal. “Our professional and compassionate Care Managers are experts at assessing the needs of elders, disabled adults and those suffering from psychiatric illness.”  The Care Mangers implement comprehensive care plans that embrace the most secure and supportive environment, with respect for the dignity and independence of their clients and peace of mind for their loved-ones. Audrey Zabin, M. ED., LSW CMC, founded AZA in 1995 and has dedicated her professional career to advocacy and care for her clients.  AZA also employs trains and supervises its own team of certified Home Health Aides to provide the optimum in continuity and care.  You can read more here.

Care One At Concord

Susan Driscoll, Executive Director

978 202-3503

Care One at Concord is part of a family owned company which offers adults and families post-acute rehabilitation, medical management programs, and long term care. Their Interdisciplinary Care Team works together to create a personalized health care plan for each resident. Care One’s Dementia Specialty Care Unit assists residents with Alzheimer’s Disease and Related Dementias to function at their best ability.  Care One at Concord is a member of the Emerson Hospital Care Transitions Team, working together with local care providers to coordinate quality care for adults and families in their community.

As an Honoring Choices Community Partner, the Care One team incorporates health care planning information and tools into the initial assessment and on-going care of their residents. The team uses the  “Who’s Your Agent?” program to help competent adults exercise their right to choose a Health Care Agent, and to open the door to planning discussions to ensure the team understands and can honor an individual’s care choices.

CareOne at Concord is located 57 Old Road to Nine Acre Corner, Concord.

Read more here.

Old Colony Elder Services

Diana L. DiGiorgi, Executive Director

 (508) 584-1561


“Consumer choice is a priority for us”, says Diana L. DiGiorgi, Executive Director, Old Colony Elder Services.  “Our mission is to support the independence and dignity of elders and individuals with disabilities by providing essential information and services that promote healthy and safe living.”  Since 1974, Old Colony Elder Services (OCES) has provided a variety of services to individuals most-in-need living in southeastern Massachusetts.  They offer people options to receive care at home as well as provide additional information on nutrition, personal care, chronic disease self-management and health insurance benefits. Through their programs they offer significant life-supporting care contributing to an individual’s ability to live within the community as independently as possible for as long as possible while preserving dignity and quality of life.

As an Honoring Choices Community Partner, OCES staff will use the “Who’s Your Agent?” program to encourage older adults, people with disabilities, their caregivers and families to engage in health care planning discussions and connect them to care that will honor their choices. We will offer community presentations to help inform and empower the wider community about health care planning and will collaborate with other Community Partners on these issues.

Read more about OCES here.

Levine-Piro Law

Carolyn Romano, Esq. and

Christine Boutin, Esq.

(978) 637-2048


“At Levine-Piro Law, we are committed to providing representation in elder law matters that is accessible and compassionate,” says Attorney Romano and Attorney Boutin. “We pride ourselves on our dedication to keeping our services efficient and affordable.” Their elder law practice, located in Maynard,  focuses on estate planning and Medicaid planning as well as guardianships and conservatorships.

As an Honoring Choices Community Partner, they welcome all prospective clients to call for a free ten-minute phone consultation, whether the goal is a single document, such as a Durable Power of Attorney, or a complete estate plan. Attorney Boutin is a member of the National Association of Elder Law Attorneys (NAELA).

Levine-Piro Law is located at 63 Great Road #101, Maynard, MA.

Read more here.

Elder Care Consultants of Choice, LLC

Meredith Patterson, MSW, LICSW, CMC



“Making informed decisions from a position of empowerment and control is an important goal for many individuals”, says Meredith Beit Patterson, MSW, LICSW, CMC, founder Elder Care Consultants of Choice.  Ms. Patterson has  been guiding families through the challenges of aging for over 25 years. She and her colleagues provide comprehensive assessments and make recommendations to maximize clients’ independence and quality of life, while minimizing stress on families.  Contingency plans are developed to respond to life’s unexpected changes.

“We encourages people to converse, to consider, and to decide on their wishes” utilizing the tools developed by Honoring Choices.  Ms Patterson believes the costs of not planning ahead are enormous:  loss of self-determination, imposition of burden on others and risk of poor decision-making in the context of crisis.  “In partnering with Honoring Choices, we will continue to educate clients, families, friends and others to ensure that their voices are heard.”

Elder Care Consultants of Choice, is located at 10 Concord Crossing, Suite 210 Concord, Massachusetts.


Mattson, O’Toole & Reed, LLC

Michelle M. Reed, Esq., LL.M.

Kendra M. O’Toole, Esq., LL.M.

(339) 205-2922


“We strive to understand the uniqueness of every individual, family and business, and their distinct legal needs and goals,” say Attorneys Michelle Reed and Kendra O’Toole, partners at Mattson, O’Toole & Reed, LLC in Weymouth. They assist adults and families with estate planning, long term care planning, guardianship and conservatorship. They also assist with Medicare (Mass Health) application and appeals, and applying for home and community based long-term care assistance.

As an Honoring Choices Community Partner, they offer adults and families the choice to complete a single planning document, such as a Durable Power of Attorney, or to work together to create a full estate plan at a cost to be negotiated privately by the client and the attorney.  Attorneys Reed and O’Toole also work in collaboration with their fellow South Shore Community Partners to help adults access legal services as needed. Read more here.

ComForCare Home Care

Jenn Quinn | Owner/President



“I am passionate about educating families and the wider community about health care planning, and sharing effective information and tools for supporting loved ones with dementia,” says Jenn Quinn, Owner/President of ComForCare. Based in Westford and serving the 18 surrounding communities, ComForCare provides non-medical home care services to adults and families with the mission of promoting independence and quality of life. “From companionship to end of life care, the ComForCare team is dedicated to delivering high quality, individualized care for our clients and tools and resources to support families.”  Talking with clients and families about making a health care plan is part of ComForCare’s initial assessment. As an Honoring Choices Community Partner, the staff will offer the “Who’s Your Agent?” educational materials and discussion guides in addition to their materials and services. ComForCare offers a variety of educational workshops, support groups, music sessions and webinars. Read more here.


Kindred Hospitals of Massachusetts

Sharon Fawcett, ACM

Area Director of Care Management



Kindred Healthcare is the largest diversified provider of post-acute care services in the United States. Kindred hospitals are transitional care hospitals providing specialized, long-term acute care for medically complex patients requiring continued care and extended recovery time. Kindred hospitals offer expertise in acute cardiac and pulmonary medicine, dialysis, wound care, infectious disease and rehabilitation following long-term illness. Their staff of physicians, nurses, rehabilitation, and respiratory therapists provides individualized care for each patient using a collaborative and interdisciplinary approach. Named a Fortune magazine “Most Admired Company” for six years, Kindred’s mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident and family member.
As an Honoring Choices Community Partner, the staff at Kindred Hospital Boston, Kindred Hospital Boston – North Shore, and Kindred Hospital Northeast – Stoughton help patients and families understand a patient’s medical outlook and choices for care and offers access to Massachusetts planning tools to document their care choices. Sharon Fawcett, LICSW, ACM, the Area Director of Care Management and a Health Care Planning Facilitator, will help to build a health care planning information program to support the work of the care management and interdisciplinary teams caring for patients.

Read more here.

Joanne L. Erickson, Attorney

Attorney Joanne L. Erickson


“Planning and advocacy can make all the difference in a person’s quality of life. With the proper tools in hand, clients can ensure that their wishes are respected throughout the course of their lives no matter what their age or needs may be, says Attorney Joanne L. Erickson of Braintree. “For those who are developmentally and intellectually challenged, more specific tools may be needed but the goal of respecting a person’s wishes is always the touch point from which all discussions begin.”

Attorney Joanne L. Erickson, Erickson & Associates, LLC, concentrates her practice in fiduciary work.  She assists clients in guardianships and conservatorships, and she also serves as fiduciary in private and court appointed cases.  Attorney Erickson also represents developmentally and intellectually disabled individuals. She does estate planning with a focus on Special Needs and Supplementary Needs Trusts, as well as long term care planning.

Joanne is currently the President of the Board of Directors at The Arc of the South Shore in Weymouth, Massachusetts where she has been a member for the past several years. She supports their mission to provide the highest quality services and advocacy for children and adults with cognitive, physical and other intellectual and developmental disabilities. This includes protecting their right to participate fully in their communities and to honor their human rights in all aspects of their lives.

As an Honoring Choices Community Partner, Attorney Erickson is able to help adults and families complete documents such as a Health Care Proxy or a Durable Power of Attorney, or other estate planning documents.

Read more here.

Hahn Home Healthcare Inc.

Jennifer Nosalek

Director of Community Relations



Hahn Home Healthcare, located in North Easton offers spectrum of home care services “focused on providing genuine peace of mind to clients of all ages”. It was founded by Larry Fleischman as the result of a personal family situation — the need to care for Larry’s uncle, Irving Hahn, in his own Westchester New York home. His search to find competent, caring, affordable assistance had turned up very little. Hahn Home Health Care was established, in honor of Irving Hahn, to provide specialized home care services for clients of all ages on the south shore of Massachusetts.  Hahn Home Health Care offers companion, personal and nursing services.

As a Honoring Choices Community Partner, Jennifer Nosalek, Director of Community Relations and a Health Care Planning Facilitator, will lead the agency in offering health care planning information and tools to individual and families on the South Shore.

Read more here.

Old Colony Hospice & Palliative Care

Toni Eaton, RN, BSN, MS

President and CEO

 800-370-1322 | 781-341-4145


For over 35 years, Old Colony Hospice’s team of registered nurses, social workers, counselors, hospice aides, nutritional consultants and volunteers has been providing caring, compassionate hospice care to patients and their loved ones in partnership with the patient’s primary care physician.

Old Colony Hospice is a non-profit, Medicare certified, accredited health care organization, providing hospice care, palliative care, grief support services and spiritual care to adults and families. They serve 45 Massachusetts cities and towns on the South Shore. Their staff is focused on meeting the physical, spiritual, and psychosocial needs of patients with advanced disease, and ensuring that their loved ones can live where they are most comfortable and enjoy the highest quality of life possible for their entire life.

As an Honoring Choices Community Partner, the staff will use the “Who’s Your Agent?” program to engage adults and their families in health care planning discussions and connect adults to care that honors their choices. They will also offer community presentations to help inform and empower the wider community to make a health care plan and activate their plan with their health care providers.

You can read more about Old Colony Hospice here.


Norwell Visting Nurse Association and Hospice

Meg Doherty, RN MSN ANP-BC MBA

Executive Director/CEO

120 Longwater Drive, Norwell


Since 1920, Norwell Visiting Nurse Association (NVNA) has faithfully provided essential home care services to adults and families in Boston’s South Shore. In 2008, NVNA expanded its services to include hospice to enable patients to receive the full continuum of care with familiar caregivers.

“We saw that many patients when transitioning to hospice care had to give up beloved caregivers with whom they enjoyed long relationships”, says  Meg Doherty, RN MSN ANP-BC MBA, Executive Director/CEO.  “At a time when patients need less disruption and more support and comfort care, we felt this was one of many key reasons the hospice program was a “must” initiative for our agency.”

The Hospice program has evolved to include several non-clinical facets that enhance the patients’ well- being as well as spiritual and emotional needs. These include a Pet Therapy Program, a Veteran’s Recognition Program, and our latest Legacy Project through an affiliation with StoryCorps, a national initiative to record people’s life histories and stories.  Additionally, they opened the first non-profit, hospice residence to serve the South Shore region. The Pat Roche Hospice Home is located atop Turkey Hill in Hingham.

Serving 27 communities, NVNA and Hospice has always been focused on the whole patient experience, which includes helping patients’ families and caregivers. They offer numerous support groups to families and caregivers for specific diseases, caregivers in general, and bereavement services.

Recently, NVNA and Hospice reached out to a small cancer support organization on the brink of dissolving and took it under its wing to enable it to become a chapter in the national Cancer Support Community (CSC) organization. All services through CSC are provided at no cost to participants who include anyone impacted by cancer: diagnosed, family members and caregivers. It is the only such chapter in New England.

As an Honoring Choices Community Partner, NVNA and Hospice’s multi-disciplined staff helps individuals and families access healthcare planning information and Massachusetts planning tools to make a personal health care plan. The Palliative Care and Hospice teams will offer the Honoring Choices “Who’s Your Agent?” program to help adults and families engage in health care planning discussions as an individual’s health needs and priorities change, and to receive the best possible care at every phase of health.

You can read more about NVNA and Hospice here.


Gretchen Daggett, M.A. & Richard Daggett


339 Bishops Forest Drive, Waltham


For over 40 years, Gretchen and Richard Daggett have offered an array of personal and professional development programs and coaching services to individuals, couples and organizations.

“We create a safe space, provide techniques and tools, and combine our compassion and structure to aid adults in creating a life you love”, say Gretchen and Richard,  co-founders of Illumination, “be it for your life-work, retirement, relationships, personal well-being, or health care planning and end of life issues.”  The mission of Illumination is to support all people “to live with purpose, passion, balance and peace.”

Gretchen and Richard focus their coaching primarily on the life aspects an individual chooses to develop currently, either individually or as a committed couple.  They use specific tools and techniques which include structured self-assessments, conscious communications skills, career development strategies, yoga and meditation, life and retirement planning for your next chapter, stress reduction, moving through grief and loss, & finding peace within.

Gretchen and Richard are Honoring Choices Health Care Planning Facilitators. They offer the Honoring Choices “Who’s Your Agent?” program presentation to churches and neighborhood groups to help open the door to health care planning discussions. As Facilitators, they can also offer private sessions to help adults and their loved one make a health care plan. They create a safe space for individuals to learn about the variety of health care planning tools and have authentic conversations with their loved ones.

You can read more about Illumination here.


New England Quality Innovation Network-Quality Improvement Organization

Lynne Chase, Massachusetts Program Director

Contact Person: Sheryl Leary

 877-904-0057 ext 3218


“As the Centers for Medicare & Medicaid Services’ (CMS)  Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for New England, we have an opportunity to partner with providers and stakeholders across the continuum to help improve quality of care and health outcomes in Massachusetts and share best practices throughout New England,” says Lynne Chase, Massachusetts Program Director for the New England QIN-QIO.

One of its leading initiatives, “Coordination of Care”, helps support the Safe Transitions Community Coalitions to identify and address opportunities to  improve care transitions  and reduce hospital readmissions.  Honoring Choices has partnered with Sheryl Leary, LSW, lead for the Massachusetts Coordination of Care effort.  Ms. Leary says, “this partnership will help us better address end of life care issues, a critical opportunity identified by the Community Coalitions.”

You can view their webinar, “Ensuring Every Transition is a Safe Transition – A Community Approach”, which outlines New England QIN-QIO’s mission to convene coalitions of providers, patients and other stakeholders to work together to improve care coordination and ensure that every transition is a safe transition.

As an Honoring Choices Community Partner, the NE QIN-QIO will provide health care planning information and proven programs to care providers. Working in partnership with their patients, providers will use the tools to open up health care planning discussions and provide person-centered care that promotes everyday wellness and honors a patient’s values and choices. Health care providers, care professionals and community groups can collaborate with Honoring Choices Community Partners to broaden their network and coordinate lifelong care for adults in their community.

Read more here.

Stonebridge at Burlington

Mary Lou Doyle, Executive Director

50 Greenleaf Way, Burlington



“Live Well and Love Life is not just our mission, but our everyday commitment to empower adults to understand and make health care choices that are right for that person as an individual,” says Mary Lou Doyle, Executive Director of Stonebridge.  “Being a part of Honoring Choices helps us guide our residents in communicating those choices to their families and care providers for the best life possible.”

Stonebridge at Burlington is the first assisted living community to fully implement the Honoring Choices ‘Who’s Your Agent?’ program, to help adults open the door to health care planning conversations for everyday wellness and person centered care.  Stonebridge is part of The Northbridge Companies, based in Burlington, which owns or manages 11 senior living residences in Massachusetts, New Hampshire and Maine. Stonebridge at Burlington offers independent living, assisted living, and the Avita Program for those with memory impairment.

As a Community Partner, Stonebridge’s Resident Care Director, Kristen Alcorn, RN, and her nursing team, make care planning a routine part of the assessment process when a resident first arrives at Stonebridge. The goal is to let residents know about their rights and the benefits of customizing their personal plans in regards to how they live, and how they are cared for. All are welcome to take part in the Who’s Your Agent? program, and to use the tools provided to guide discussions with their families about everyday wellness and quality care as their health needs and choices for care change over time.

For more information, contact  Diane Robinson, Area Community Outreach Liaison, at 781.272.0080.

To read more about Stonebridge at Burlington, click here.

Seacoast Senior Resources

Celeste Ricci–Trahan, LICSW



“Navigating the waters of today health care system with a senior who is working to maintain their independence can be difficult journey”, says Celeste Ricci–Trahan, LICSW, Seacoast Senior Resources. “Whether the elder wants to stay at home or seek a more accommodating living environment, these  delicate conversations with family can often be assisted by a professional who can not only provide essential information but can act in a mediation capacity if needed.” As a Geriatric Care Manager with thirty years experience in the health care field, Ms. Ricci–Trahan helps families assess an elder’s physical, medical, cognitive, emotional and social needs, and develops a customized plan to best meet those needs.  “The discussion will always start and focus around the individual’s wishes, but would also be open to all loved ones expressing concerns regarding this process”, says Ms. Ricci–Trahan.  Seacoast Senior Resources is located on the border of New Hampshire and Massachusetts, and provides services to Massachusetts adults and families on the North Shore and Merrimack Valley.


As an Honoring Choices Community Partner, Ms. Ricci–Trahan engages adults and families in the health care planning process using the Honoring Choices “Who’s Your Agent?” program.  Ms. Ricci–Trahan can help adults to understand  and exercise their right to choose a Health Care Agent and to communicate the kind of care they want in Massachusetts planning documents. You can read more about Seacoast Senior Resources at

Tribute Home Care

Arona Bauer, MSW, LICSW, Executive Director

24 Cambridge Street, Charlestown



“We provide care at a time in people’s lives when meaningful and reassuring human connection couldn’t matter more,” says Arona Bauer, LICSW, Executive Director of Tribute Home Care. “The relationship that a client can build with a caregiver makes an incredible impact, and that’s especially true at the end of life.”

Tribute believes that when caregivers are equipped, inspired, and embraced, their relationships with clients can be deep, even transforming. Tribute works to build a community of support and gratitude, and to celebrate the role of caregivers in improving lives and lifting spirits. “This makes all the difference in the lives of our clients,” says Ms. Bauer.

Tribute’s caregivers provide help with personal care, assistance with housekeeping, companionship, assistance with medication, safety supervision, dementia care, end of life care, and live-in services. Pricing is available on the website at

As a Community Partner, Tribute will help increase access to health care planning information and Massachusetts planning tools. Ms. Bauer will engage clients and their families in health care planning discussions that will be incorporated in their care plans, and assist them connect to the care that honors the individual’s priorities and choices.

Read more here.

Iora Primary Care

Nancy Cibotti, MD, Medical Director



“We are so glad to partner with Honoring Choices,” says Nancy Cibotti, MD, Medical Director, Iora Primary Care, “to help provide our care team with health care planning tools to educate and empower our patients.”

Iora Primary Care gets to know patients as true individuals and provides a unique combination of care, support, and inspiration to help each patient live their best life. Iora practices provide the type of health care that patients deserve—highly personalized, friendly and expert care, delivered by a team that is passionate about managing health in a better way.

Care Teams include a doctor, a Health Coach, and, depending on a patient’s needs, a Behavioral Health Specialist. Iora Primary Care patients have 24/7 access to their care teams by phone that  guarantees same or next day visits for urgent needs.

As an Honoring Choices Community Partner, the Iora team in Burlington incorporates Honoring Choices health care planning information and tools. The team uses the  “Who’s Your Agent?” program to help patients exercise their right to choose a Health Care Agent, and open the door to early and on-going planning discussions for person-centered care all through their lives.

Read more about Iora Primary Care here.

Ideal Healthcare Solutions

Patricia Walker, CEO

781 562-0468


Ideal Healthcare Solutions is a nurse practitioner group that delivers  primary and acute care to elders wherever they call home. A group of 22 skilled nurse practitioners make house calls at a person’s home or at a care facility. They offer skilled and timely care that often serves to fill the gap for all elders, but especially the frail, chronically ill, disadvantaged, and short-term rehabilitation patients.

Ideal Healthcare Solutions was founded in 2009 by Patricia Walker, MSN, FNP, BC, and Priscilla Nwachukwu, MSN, ANP, BC. Located in Easton, they provide comprehensive care to adults within a 100 mile radius of Boston. Their goal is to offer cost-effective, holistic care  when it is needed which often can  reduce the need for acute hospitalization. The nurse practitioners work collaboratively with patients, their families and other members of the health care team to provide a personalized and coordinated program of  care. Health insurance is accepted; please call for details.

As a Community Partner, the nurse practitioners will build-in routine health care planning discussions with their patients and families. Honoring Choices provides health care information and Massachusetts planning tools, and a staff education workshop to enhance the knowledge and skills of the nurse practitioners. They provide on-going conversations and are able to help patients as health needs and care preferences change over time.

Ideal Healthcare Solutions is located at 50 Oliver Street, North Easton.  For more information,  contact Bethanne Higgins at 781 562-0468.


Minuteman Senior Services

Joan Butler, Executive Director



“Everyone should be able to make informed decisions about their own lives,” says Joan Butler, Executive Director of Minuteman Senior Services, “and access care which helps them live in the setting of their choice.”

Minuteman Senior Services is a non-profit agency and the hub of a network of support services that helps keep people independent in their own home and community. For over 40 years Minuteman Senior Services has been helping older and disabled adults age with independence and dignity, and supporting caregivers, both local and long distance, “who want to do the right thing for their loved ones and need help and advice as they balance the competing demands of family, work and self”.  They offer over 20 different programs and services, including Meals on Wheels, personal care assistance, Medicare benefits counseling and care management for everyone.  Their newest program, Minuteman By Your Side (MBYS), is a fee based comprehensive care management service with an expanded reach serving adults 18 years of age and older.  MBYS works in partnership with the family – coordinating services, supporting the emotional needs of the family, and managing the care over the short or long-term. Minuteman Senior Services is located in Bedford and serves 16 towns north and west of Boston.

As a Community Partner, the staff informs and empowers consumers to exercise their right to make health care choices, to communicate their choices in Massachusetts planning documents, and connects adults to quality care that is consistent with each individual’s values and choices. Consumers and families can access free health care planning information and Massachusetts planning tools on the Minuteman Senior Services website.

You can reach Minuteman Senior Services by calling toll-free 888-222-6171 or learn more about their services and service area on their website at


Wellesley Village Church

United Church of Christ, Congregational

2 Central Street, Wellesley

781 235-1988


“The health care planning workshop opened up and deepened the way we care for each other”, says Liz Garrigan-Byerly, Associate Pastor, Wellesley Village Church. Honoring Choices worked closely with Associate Pastor Garrigan-Byerly and The Ministry of Last Things Team (pictured here)  to offer a two hour Saturday morning workshop to its church members in the Fall of 2014. The workshop was designed to help adults learn about health care planning and Massachusetts planning documents, and to share experiences in small group discussions.  It was an inspirational and empowering Saturday morning as church members explored topics together to ‘make a plan’, and to help each other on their personal journey. Associate Pastor Liz Garrigan-Byerly talks about the experience in a short video here.

As a Community Partner, the Village Church will build-in a health care planning program so church members can continue to access information and tools, and help each other. The church is hosting a second workshop in February 2015 for its members. Additionally, plans are underway to offer health care planning information and tools to adults and families in the greater community.

Read more about the Wellesley Village Church


Good Shepherd Community Care

Timothy Boon, President and CEO


For over 37 years, Good Shepherd has provided compassionate hospice and palliative care to the Greater Boston community, and helped adults and families navigate the transition at the end of life.  “The final stage of life can be an important time of growth and development for the individual and loved ones,” says Timothy Boon, President and CEO, Good Shepherd Community Care. “We have learned that honest communication with families and communities is a crucial component in any plan to ensure a comfortable, peaceful and meaningful end-of-life experience.”

Founded as Hospice of the Good Shepherd in 1978, they were the original Massachusetts hospice. Although the name has changed to Good Shepherd Community Care to reflect the growing diversity and depth of organizational programming, they remain an independent, non-profit, non-sectarian organization.

Good Shepherd provides access to skilled, comprehensive care to all people in their service area with life-limiting illnesses living in their homes, nursing homes, and in assisted living facilities, while also providing support to their families.  Good Shepherd provides leadership and educational events to raise awareness and community dialogue around end-of-life issues through the Good Shepherd Institute.  Additionally, they offer a Russian hospice program, Krug Zaboty, providing culturally competent end-of-life care to the Russian-speaking community, and Good Shepherd Pedi Pal Program, primarily home-based care for children age 18 and younger who have a life-limiting illness.

As an Honoring Choices Community Partner, Good Shepherd offers health care planning information and Massachusetts planning documents to adults and families they serve.  We are working collaboratively to enhance the community dialogue about end-of-life conversations and offer practical tools to help protect the rights of adults, their Health Care Agents and Guardians, to honor an adult’s values and choices.

Good Shepherd is located at 90 Wells Avenue Newton. For more information call 617.969.6130 or view their website at

Attorney Kathleen ("Kitty") M. O'Connor

201 Great Road, Suite 303, Acton

(978) 266-0101


“One of my goals is to help clients become educated consumers,” says Attorney Kathleen (“Kitty”) M. O’Connor, “to gain a better understanding of their specific concerns and possible solutions, and choose what they need and how much help I can offer.”  Attorney O’Connor is a partner at Eckel, Morgan, & O’Connor LLC with a principal office in Acton. Ms. O’Connor’s practice focuses on estate planning, probate administration, elder law including Medicaid and long-term care planning, guardianships, and probate litigation. She has been an active member of  the Women’s Bar Association, including serving as President in 2007-2008, and served for a number of years on the Board of Trustees of the Women’s Bar Foundation, which advances social and economic justice by providing low-income women with access to legal representation, among other programs.

As an Honoring Choices Community Partner, Attorney O’Connor helps adults and families with estate planning, health care planning, and elder law issues.

“A client can choose to complete a single planning document like a Will or a Durable Power of Attorney, or may wish to work together to create a full estate plan.” Attorney O’Connor takes a holistic approach when helping adults and families as we age where “the client’s individual needs are carefully reviewed to ensure that all of the elder’s needs and goals are properly addressed.”  You can contact Attorney O’Connor at (978) 266-0101, at or learn more about Attorney O’Connor and the firm by visiting the website at http://www.eckel-law.

Belmont Health Collaborative

Stacey Hammerlind, RN,CCM,CDP




Belmont Health Collaborative is an all-volunteer organization which seeks to offer health education services to all members of the community. The goal is to inform, empower, and engage through interactive seminars, small group discussion, art projects, and expert instruction.

As an Honoring Choices Partner, we will help adults and families access free health care planning information through our educational events and via outreach at community events. This partnership helps us fulfill our mission of collaboration and public education.

On Thursday, December 11, the Belmont Health Collaborative  will host a panel discussion on “Living with Loss”. We will explore grief, recovery, loss and hope. you can learn more at

For further information or to become involved, please call Stacey Hammerlind at 617-932-9310 or email shammerlind@BelmontHealth.Com

The Law Offices of Attorney Timothy R. Loff

Timothy R. Loff, Esq. and

Clarence D. Richardson, Jr., Esq.

(617) 332-7021


“Our mission is to provide competent advice and solutions to difficult problems in a personal, caring and expedient way,” says Tim Loff, Law Offices of Timothy R. Loff, located in Newton. Attorney Loff and associate Attorney Clarence D. Richardson Jr., provide individuals and families with the “information necessary to make important decisions about their financial and healthcare plans,” and offer support and counsel for elders and their families.  They specialize in Elder Law, Estate Planning and Healthcare Planning, Guardianship and Conservatorships, Long Term Care Planning, Probate matters and more.

Attorney Loff has been in practice for over 36 years and is very involved in the community. He works with the West Suburban Alzheimer’s Partnership, the Waltham Elder Service Providers, the Newton Inter-Agency Council on Aging, and is a member of the Advisory Council of the West Suburban Elder Services Money Management program. Tim presents on legal issues for local organizations including many of the metro west area Councils on Aging, and the Waltham Police Department’s Seniors Academy for Education.

As an Honoring Choices Community Partner, Attorney Loff is “happy to work with adults to complete an individual document, such as a Durable Power of Attorney, or any other care planning documents.” Attorney Loff and Attorney Richardson offer a free 30 minute consultation where you can ask questions and discuss the services you want, whether it’s completing just one planning document or working with them on estate planning and healthcare planning. You can read more about their services, pricing, and their approach to working with individuals and families at their website.

Additionally, Attorney Loff has generously contributed  “Insider Tips on the Durable Powers of Attorney”, a consumer friendly article to help you understand some of the most commonly asked questions about this important legal document.

The Law Offices of Timothy R. Loff is located at 1087 Beacon Street, Suite 201, Newton, MA.

Pepperell Council on Aging

Beth Selinger, Outreach Coordinator

37 Nashua Road, Pepperell



The Pepperell Council on Aging is dedicated to providing services and programs for senior citizens that will promote independence, dignity, and well being. They provide a friendly gathering place for seniors in Pepperell to enjoy social, recreational, health and educational activities. They make referrals for services, home visits and provide updated information to enrich and enhance their lives. They offer fitness classes, fuel assistance, Meals on Wheels, volunteer opportunities, Alzheimer’s and Dementia referral sources, and much, much more that meet the needs of Pepperell’s older adult population.

As an Honoring Choices Committee Partner, Beth Selinger, the Outreach Coordinator, will offer free health care planning information and Massachusetts planning documents to all seniors and their families. Ms. Selinger will also provide community presentations and a 3-month educational series to cover health care planning topics, such as “Who’s Your Agent?’, choosing an advocate with the legal power to help get you good care all through your life; “Make A Plan”,  a easy to use 3-Step Planning Guide to explore your choices for care, write down your choices in a plan, and connect to quality care by putting your plan in action with your doctors and care providers ; “Let’s Talk about MOLST?” information about the MOLST form and choosing the life-sustaining treatment you want and do not want.

To learn more you can contact the Pepperall Senior Center at 978-433-0326, or visit their website at

The Independent Living Center of the North Shore and Cape Ann, Inc.

Mary Margaret Moore, Executive Director



The Independent Living Center of the North Shore and Cape Ann, (ILCNSCA) is a service and advocacy center run by and for people with disabilities. ILCNSCA supports the struggle of people who have disabilities to live independently and participate fully in community life.

“We welcome people of any age, with any type of disability, who live and work or wants to live and work in the 25 communities between Melrose and Rockport”,  says Mary Margaret Moore, Executive Director. The staff provides self-advocacy services designed to help each person develop the skills and knowledge necessary to achieve personal independence.

The Center provides information and referrals to essential local, statewide and federal services and resources for individuals and their families, the general public, and representatives of human service agencies. They offer Independent Living Skills Development, which provides guidance for a person with a disability to obtain the life skills necessary to function in today’s complex society. The Center provides assistance with benefit application and appeal; health maintenance; emergency planning and preparedness; housing search; landlord/tenant relations; financial management; transportation access; civil rights; individual advocacy; consumer-directed Personal Assistance management tips, and whatever the person requests to reach their chosen independent living goals in their mode of communication and in their best style for learning.

They offer Peer Counseling to help children, adolescents, adults and seniors to “increase confidence and assertiveness in coping with the daily challenges of living independently”, says Ms. Moore. The Center’s Option Counseling Program helps individuals with questions regarding long term care and possible options for either living in the community or in a nursing home, as well as for what is available to leave an institution and return to the community. The Options Coordinator is available by phone or can visit an individual wherever they reside.

Advocacy and supporting collective action by people with disabilities aimed at positive social change is a large part of their mission. “We are brothers and sisters fighting for social justice to help all individuals reach their goals”, says Ms. Moore. The Center works to eliminate discriminatory barriers and create a supportive and fully accessible community environment.

As an Honoring Choices Community Partner, the staff will offer health care planning information and planning tools to individuals and their family members, health care agents and guardians. The staff will add a “Health Care Planning” component to their introductory meeting to ensure every adult understands their choices and can exercise their right to make a plan and access good care.

The Independent Living Center is located at 27 Congress Street, Suite 107, Salem, and is open Monday through Friday 9-5 pm and serves the twenty municipalities from Melrose to Rockport.  For more information, call 978-741-0077or visit the website at


Life Care Center of Nashoba Valley

Ellen Levinson, Director

 978 486-3512


Life Care Center of Nashoba Valley prides itself both on its reputation for high quality care and its warm atmosphere.  Located in Littleton, the center offers post-hospital rehabilitation, with specialized expertise in post-stroke, orthopedic, and pulmonary rehabilitation and wound care.  Unlike most other skilled nursing centers, it has significant physician presence: a full-time internist/geriatrician, and regular consultants in orthopedic surgery, pulmonology, and rehabilitation medicine. That expertise and some of the most up-to-date equipment helps to ensure the most effective care possible so that patients can return home quickly.

It also offers long term care and has a Memory Support Unit which provides extensive family support and a person-centered approach to care.  The dedicated and compassionate staff work with families to provide superior care and the highest possible quality of life for those who come to live there.

Families are welcome any time to enjoy the expansive grounds. The center is pet-friendly and has a small animal enclosure featuring llamas, alpacas, goats and chickens for patients and visitor enjoyment. Life Care Center also welcomes families in the surrounding communities to share in events. For example, each year, as the weather heats up, the llamas and alpaca have their coats sheared. They enjoyed a large turnout of local families, residents and their families, and staff at the event.

As an Honoring Choices Community Partner, the staff offers health care planning conversations to patients and their families. A Certified Health Care Planning Facilitator is on site to offer in-depth and ongoing discussions for adults and families to make a health care plan for the best care possible that honors an individual’s values and choices. Additionally, the staff will extend and enhance their work in the community by offering talks and events on a variety of health care planning topics. Their goal is to offer the community free and easy access to health care planning information to get started on making a plan for person-centered care throughout their lifetime.

Read more here

North Shore Elder Services

Paul J. Lanzikos, Executive Director



For 38 years, North Shore Elder Services has provided information, support and solutions for elders and their families on the North Shore. Their vision for each individual is simple: To live as independently as possible, in the location of their choice, for as long as possible.

Their team of specialists, with access to hundreds of resources for home care and community services, expertly address the growing and complex needs of older adults, their family members and caregivers, and adults with disabilities.

Their staff is dedicated to “Life. Made Easier.” They help guide elders to find information and solutions regarding health care, housing, nutrition, financial matters, protective issues, transportation, home care options and more, for the best quality of life and the most natural transitions possible. They strive to help each community member improve and maintain the life they want.

North Shore Elder Services has deep roots in the community. For over three decades they have collaborated with area professionals to share resources, coordinate services, and be responsive to the changing community need. They have initiated innovative programs such as the “At Your Side Program”, where volunteer community advocates help elders to understand and navigate the health care system; “Over the Rainbow Coalition”, a resource for lesbian, gay, bisexual and transgender elders, and “North Shore Center for Hoarding and Cluttering”, and much more.

As a Community Partner, they will offer free health care planning information and tools so every adult has access to early and on-going planning that honors their values and choices. With their long standing commitment to North Shore elders and their families, partnering with Honoring Choices will enhance community outreach and create a stronger network of person-centered care within their community.

Read more North Shore Elder Services at

For questions or more information, contact Rhonda Gauthier, Director of Community Services , at 978-624-2220,

Deborah Fins Associates, P.C.

Debbie Fins, LICSW, CMC



Since 1995, Deborah Fins Associates, PC in Worcester, provides personalized and compassionate elder care management services while being mindful of the financial costs of care. Debbie Fins, LICSW and certified geriatric care manager, and Susan Ritz, a registered and licensed occupational therapist and certified geriatric care manager, act as your partners in elder care management to help elders and their families navigate the aging process. They place elders at the center of all discussions and care planning, where wishes and goals are primary.

Drawing on 35 years of professional experience, Debbie Fins and Susan Ritz offer a range of services that include a comprehensive functional assessment of a loved one, elder care plan development to coordinate your caregiver support team, and provide guidance in selecting appropriate care ranging from in-home support, to an assisted living or nursing home facility. They also help identify resources for financial support, prepare Mass Health and other benefit applications and insurance documents, and refer to other elder care professionals for needed services.

Debbie and Susan respect that each family approaches care decisions within the framework of their individual care goals, history, and culture. As a Community Partner, they utilize Honoring Choices materials and tools to offer elders and families in-depth, on-going planning conversations. They help elders and their families put their personal plans into action with their agents and care providers, to ensure choices for care are well understood and can be carefully honored. They will continue to work in their community to broaden access to early and on-going health care planning, and to strengthen the network of person-centered care for elders and their families.

Read more at Deborah Fins Associates, P.C

and at Deb’s Blog

Eldercare Resource Services

Debbie Gitner and Linda Sullivan


Eldercare Resource Services provides expertise and compassion in helping you plan for the best possible care for your loved one.  Eldercare Resource Services located in Framingham and Marlboro, is the team of Geriatric Care Managers, Debbie Gitner, Licensed Certified Social Worker and Linda Sullivan RN CMC. They partner to assist families in investigating, assessing, and recommending the medical and non-medical resources required for the care of seniors.  Debbie and Linda have extensive experience in working with the geriatric population, and know the “ins and outs” of long-term care. Debbie and Linda are both well connected within the medical field and can help families navigate the new changes, and how it may effect their benefits. They are strong advocates for their clients, delivering the information and resources necessary to make informed decisions about care options to ensure a loved one will receive quality care.

As an Honoring Choices Community Partner, Debbie and Linda engage adults and their families in health care planning discussions. They explore the care that is right for each person, and help adults understand and complete planning documents.  They help adults find the care and resources that honor their preferences and choices for care.  Within their broad network, they will educate and inform their collaborative associations on the use of Honoring Choices as a valuable resource.

Read more

Woburn Rehabilitation and Nursing Center

Cheryl Evangelista, Executive Director

Contact: Pam Gelardi RN


Woburn Rehabilitation and Nursing Center provides short-term rehabilitative care after surgery or illness to help adults regain the ability to live independently in their community. The Center offers complex medical (including oncology), post-surgical IV therapy, pain management, wound management, complex rehabilitation and daily therapy services including physical, occupational, and speech therapy. For adults requiring long-term care, the Woburn Nursing Center provides an intensive skilled nursing program that includes hospice care.

In partnering with Honoring Choices, Woburn Rehabilitation and Nursing Center enhances their long-standing commitment to provide each patient and each patient’s family with personalized care. Cheryl Evangelista, RN, BSN, NHA, Woburn’s Executive Director, has dedicated an experienced nurse, Pam Gelardi, to champion health care planning and place it at the forefront of patient and family-centered care.

Ms. Gelardi, RN, is also a Certified Health Care Planning Facilitator, having recently completed the training with Honoring Choices.  Working closely with other members of the Woburn health care team, Ms. Gelardi offers patients and families the opportunity to have more in-depth and ongoing health care planning discussions to fully understand their medical condition and their care options, explore concerns and answer questions, and help provide the appropriate care. Ms. Gelardi helps patients revise and update their plans, and if appropriate, consider the MOLST form, a new communication tool for patients with advanced illness.

Wayne Saltsman, MD, Medical Director at Woburn says, “The staff takes the time to help all patients understand their health care at this juncture, and can add appropriate resources adults and families may not have had the time or opportunity to consider or put in place.”  Dr. Saltsman,  MD, PhD, CMD, FACP is  the Section Chief of Geriatric Transitional Care affiliated at Lahey Hospital and Medical Center, Medical Director at Woburn Nursing Center, and is also an Honoring Choices Community Partner. Working together as partners, Lahey Health and Woburn Rehabilitation and Nursing Center can strengthen the network of person and family-centered care in their community.

Woburn Rehabilitation and Nursing Center is part of Salter HealthCare, a family-owned and operated health care provider founded in 1956. Salter HealthCare operates Aberjona, Winchester and Woburn Rehabilitation and Nursing Centers.



Mark Armstrong

Mark Armstrong Attorney at Law, P.C.



Attorney Mark Armstrong assists adults with various legal issues and offers full representation in Special Needs Planning, Estate Planning, Guardianship, Conservatorship, Probate, Family Law, and general legal matters.

Attorney Armstrong strongly believes all adults should have a health care plan. He supports an individual’s choice to complete documents like the Health Care Proxy and a Personal Directive (Living Will) without an attorney, or have the help of an attorney in completing a health care plan.

Attorney Armstrong is a qualified Limited Assistance Representation (LAR) Attorney. He is able to offer clients limited assistance, to help client’s complete part, but not all, of a legal matter, where the attorney agrees to do one or more tasks and the client agrees to perform all the other parts of the legal matter. In regards to health care planning for instance, adults can seek legal help to complete just one planning document or if they prefer, choose several types of assistance in making a plan. In this way, the client chooses which service(s) are desired at that time and pays for only that service.

A Durable Power of Attorney is an essential legal document in a health care plan, in which legal help is generally recommended. As a Community Partner, Attorney Armstrong will offer help with completing a Durable Power of Attorney as a single document within a health care plan, at a cost to be negotiated privately by the client and the attorney.  Attorney Armstrong will also work in collaboration with other Community Partners to offer services to complete a Durable Power of Attorney and/or other planning documents, and is available to help with other planning services as well.

Attorney Armstrong comments, “I am privileged to partner with Honoring Choices Massachusetts in supporting personal choice in medical and legal matters. The Honoring Choices model is in alignment with attorney-client conversations regarding issues surrounding incapacity, life planning, and the effect client decisions can have on families.”  Adults and families can seek Attorney Armstrong’s legal services for  full or limited representation in creating a personalized plan.

Attorney Armstrong helps clients in Middlesex and Essex Counties. Appointments are available at his office or other more convenient location.


Care Dimensions

Diane Stringer, President and CEO

888- 283-1722


Care Dimensions provides care, compassion, and expertise for adults and families living with advanced illness. Formerly Hospice of the North Shore serving the community since 1978, they recently changed their name to reflect their continued commitment to providing multi-dimensional care that includes hospice, palliative care and comprehensive support services.

The staff at Care Dimensions assists adults and families in navigating the complexities of advanced illness, and provides individualized care that honors each person’s choices. They help family members and caregivers manage the everyday challenges of a loved one with an advanced illness, and work to improve the quality of life for all.

Care Dimensions meets adults and families where they are, whether at home, in a care facility or hospital, and can provide a smooth transition to a continuation of essential care.

They provide hospice services to meet the needs of the whole person integrating physical, emotional, social and spiritual support. They offer an in-patient level of care at their hospice facility, The Kaplan Family Hospice House.  Kaplan House, located in Danvers, is a home-like setting where hospice staff provide round the clock care to patients, and where family is welcome 24 hours a day.

Care Dimensions offers palliative care focused on providing patients with relief from the symptoms, pain, and stress of a serious illness at any age, with any diagnosis, and at any stage of health.

They offer comprehensive bereavement support and counseling for adults and children to help those affected by directly by loss or wanting to comfort a loved one who is grieving. Services are offered at the Bertolon Center for Grief & Healing, at their offices in Wellesley and other community locations.

Care Dimensions wants to ensure every person who is eligible for the hospice benefit has access to that care. They educate the community on the importance of thinking about their health care before a crisis situation, and understanding what services are available to improve quality of life and extend precious time with family and friends.

Read more about Care Dimension at

Massachusetts Senior Care Association and Massachusetts Senior Care Foundation

Carolyn Blanks, Executive Director

Mass Senior Care Foundation


Massachusetts Senior Care Association and its research and education affiliate Massachusetts Senior Care Foundation are committed to advancing excellence and high quality long term care for older adults and people with disabilities.

Massachusetts Senior Care Association’s mission is to improve the quality and delivery of long term care services through research, education and advocacy.  As a professional trade association, they support their 450 members comprised of assisted living residences, nursing facilities, continuing care retirement communities and other organizations, with comprehensive services and resources.

Mass Senior Care’s website provides consumers with extensive information on care options to find the right care and support services for older adults and adults with disabilities. They offer a “Find a Facility” search tool of their members to learn more about care options in communities throughout the state.

Working together with Honoring Choices, Mass Senior Care can provide greater access to health care planning information and Massachusetts planning tools, and enhance the skills and knowledge of the care providers within their member organizations. Care providers can use the information and tools to engage adults and families in on-going health care planning conversations to help ensure each person’s care choices are well defined and honored.

In addition to the resources Mass Senior Care Association offers, adults and families, as well as Honoring Choices Community Partners, will benefit from the innovative work of Massachusetts Senior Care Foundation.

Massachusetts Senior Care Foundation is at the forefront of addressing some of the toughest issues impacting the health and safety of older adults and people with disabilities. The Foundation partners with colleagues to inspire leadership and improve person-centered care. Some of their initiatives include:

  • Medication Safety in nursing facilities, and reducing the atypical use of anti-psychotic medication in treating patients with dementia;
  • Care Transitions Education Project which empowers nurses to lead and improve care transitions to reduce high rate of unnecessary re-hospitalization;
  • Senior Fall Prevention which raises awareness of the harmful impact of senior falls and provides successful prevention strategies

The Foundation also offers an annual Scholarship Program to long term care staff to meet their professional goals and build their knowledge and skills through continuing education. They have awarded nearly $2.5 million dollars in scholarships to over 1,400 long-term care staff.

We are so pleased to be working with Carolyn Blanks, Executive Director of Mass Senior Care Foundation to support the entire organization and collaborate on projects to further our shared mission.

Read more about Mass Senior Care Association
and the Mass Senior Care Foundation

Certified Geriatric Care Manager

Susan Lewin

Generations, All About Elders



Susan Lewin and the team at Generations, All About Elders helps families craft a plan for their loved ones to get the specialized health care services they need.  As Certified Geriatric Care Managers, Susan Lewin and her partner Esther W. Rothkopf, guide adults through an abundance of eldercare options to find the right care. “We help people navigate through the unknowns and a complex system, and evaluate and select choices to keep an elder safe, healthy, and independent for as long as possible, in a cost effective way”, says Ms. Lewin. The team also helps adults and family members create a personal health care plan and connect them to appropriate services which include choosing an assisted living residence, or returning home after a medical stay.

Ms. Lewin, BA, MSW, LICSW, CMC, is a Fellow in the National Association of Professional Geriatric Care Managers, a special position that honors long-term dedication and expertise. As an Honoring Choices Community Partner, she will reach out to her extensive network in her daily professional contacts and through speaking engagements, to help build a stronger continuum of care in her community.

Read more about Generations, All about Elders

Parmenter Community Health:Home Care and Hospice

Denise McQuaide, Chief Executive Officer

508- 358-3000


Parmenter Community Health: Home Care and Hospice in Wayland has been providing caring, compassionate services to the Metrowest  community for over 60 years. Their clinicians provide home care services including nursing, rehabilitation, home health aide and mental health services.  The hospice care team is there for those at the end of life  ‘where ever they may call home’; in their house, in a facility or at the Parlin Hospice Residence.  Parmenter Home Care & Hospice has a deep and long standing commitment to helping its community members and in turn,  the community has generously supported Parmenter which led them to  establish the Parmenter Foundation. The Foundation works to support all the programs and services of Parmenter Community Health, as well as new initiatives. Their missions are united in carrying out the vision established many years ago- provide exceptional ‘Care for Life’ for our community.


The Parmenter Foundation

Cynthia Mayher, Executive Director

508 358-3000 x233


The Parmenter Foundation supports the work of Parmenter Community Health Care, an independent, non-profit health care agency in Wayland providing visiting nurse services, rehabilitation care, palliative care, Hospice care and community services for the Metrowest area. In addition, The Parmenter Foundation has two new initiatives that support the mission of Parmenter Community Health: Camp Erin Boston and the Advance Care Planning Initiative. Camp Erin Boston, is weekend overnight bereavement camp for children 6 through 17 who have experienced the death of someone close to them. The Advance Care Planning Initiative seeks to increase community awareness of the importance of advance care planning, “through outreach and engagement with residents, organizations, faith communities, senior support systems, and healthcare providers.” The Parmenter Foundation is committed to working in collaboration with local community groups to improve education and coordination of services in their community. The Parmenter Foundation primarily serves communities in Wayland, Weston and Sudbury, and all of the Metrowest. Contact Cindy Mayher, Executive Director, to learn more about working together as a community to ensure we honor every adult’s wishes for end of life care. Visit The Parmenter Foundation’s website.

Center for Health IMPACT

Joanne L. Calista, Executive Director


Center for Health IMPACT, formerly know as Central Massachusetts Area Health Education Center, Inc., is a non-profit organization dedicated to enhancing access to quality health care, promoting workforce development, and eliminating health disparities. Founded in 1982, Center for Health IMPACT advocates for improved quality of care for all Massachusetts adults, including those who are recent immigrants, non-native English speakers, and adults in under served populations.

Center for Health IMPACT is a recognized leader in providing certificate courses tailored to public health professionals including Community Health Workers. Community Health Workers provide a vital resource utilizing their health care skills and an understanding of the language and cultures of the communities they serve, to deliver quality person-centered care to adults and families. Center for Health IMPACT helps prepare Community Health Workers to serve as a bridge between the health care system and the community member, offering health resources, information, and links to other health care services.

Center for Health IMPACT trains medical interpreters to facilitate communication between patient and provider and improve access to quality care. Center for Health IMPACT offers multilingual interpreter and translation services, community-based training for medical students and residents, specialized training for health professionals on a variety of health care issues, and health career recruitment programs aimed at under served multilingual and multicultural communities.

Additionally, Center for Health IMPACT provides a Healthy Aging Initiatives program to improve quality care for older adults and adults nearing the end of life.

Center for Health IMPACT is well connected to health care and non-profit organizations in the Worcester area, and supports local, statewide and national community-based coalitions advocating for appropriate health service delivery systems.

Read more about Center for Health IMPACT here

Masonic Health System


Masonic Health System (MHS) believes every person has the ability to live a fulfilled life. As one of the largest providers of health and aging services in Massachusetts, MHS works with each person to make personal growth a natural part of his or her daily life, whether at home or in a community setting.

Masonic Health System (MHS) and its subsidiaries, The Overlook Life Care Community, The Overlook at Northampton, Overlook Care at Home and Overlook CARE, have been providing the premier health and wellness services to the residents of Massachusetts for over a century.   MHS’ fully integrated continuum of health care includes Independent Living, Short-term Rehabilitation Services, Post-acute Care Services, Long-term Care, Care Management, Hospice Services, Health and Wellness Services, and more.

MHS is offering three new initiatives to better help adults understand health care planning and connect to quality care. The Center for Living Well, located on the Charlton campus, offers a monthly group discussion series to provide residents with up-to-date health care information, planning tools, and the opportunity to share their experiences. The educational group discussion series includes topics like, “What’s in Your Health Care Plan?”,  ‘Working in Partnership with your Doctors to Prolong Good Health’; ‘Palliative Care and Pain Management’; “When to Talk to Your Doctor about MOLST”, and other wellness related topics. Ted Aransky M.Ed., LSW, Geriatric Care Manager, leads the group discussions.

Mr. Aransky is also a Certified Health Care Planning Facilitator and offers individual sessions for adults who want to engage in health care discussions and make a meaningful health care plan.

Masonic Health System offers an InfoSource hotline, a free service for Massachusetts adults and their family members who have questions about health and services for seniors. As part of MHS’s commitment to building a strong network, MHS has generously offered to connect Massachusetts adults seeking health care planning assistance to Honoring Choices Community Partners throughout the state. The InfoSource staff will connect an adult to a Community Partner in their region who can provide assistance with health care planning and care.

Read more about Masonic Health System at

Lahey Health


Lahey Health is the first health system in the Commonwealth to partner with Honoring Choices Massachusetts to further their mission of helping patients and doctors work in partnership for quality personalized care that honors every patient’s values and choices.

“Clinicians throughout Lahey Health have long honored and respected the health care choices of the patients and families we are privileged to serve,” said Gregory Bazylewicz, MD, Chief Network Development Officer for Lahey Health. “Partnering with Honoring Choices Massachusetts will foster patient-clinician dialogue about the patient’s health care plan, ensuring that the patient and his or her wishes remain at the center of all that we do.”

The Honoring Choices model will support Lahey Health clinicians in facilitating discussions with patients and their families to help each individual create a personal health care plan. The health care plan becomes an integral part of a patient’s medical record. The patient and clinician can review, revise and add to a patient’s plan as health needs and patient preferences change, helping the clinician offer quality, personalized care throughout a patient’s life.

As a Honoring Choices Community Partner, Lahey Health will work collaboratively with other partners in their community to build a strong network of quality, coordinated care for patients and their families.

The Honoring Choices model will be incorporated in the clinical settings at Lahey Health’s acute care hospitals and affiliated providers and physician groups, which includes Lahey Hospital & Medical Center—a teaching hospital of Tufts University School of Medicine—and Lahey Clinic physician group with practices in Burlington, Peabody and other locations throughout northeastern Massachusetts; Beverly Hospital; Addison Gilbert Hospital in Gloucester, Mass.; Lahey Health Senior Care and Lahey Health Behavioral Services as well as more than 30 primary care physician practices and multiple outpatient and satellite specialty care facilities.

To read more about Lahey Health, visit

Regis College School of Nursing


The Regis College School of Nursing is the first major academic institution in the state to incorporate the Honoring Choices Massachusetts health care planning model into its nursing school curriculum. Recognized by the National League of Nursing as a Center of Excellence in Nursing Education, the Regis College School of Nursing will integrate health care planning and end of life care issues into its theoretical framework and clinical practice for undergraduate and graduate nursing students.

Dr. Penelope Glynn, Dean of School of Nursing, Science & Health Professions states that working together with Honoring Choices “can help us meet a critical need for health care planning by ‘educating the educators’, who will in turn practice in settings where they will use their skills and training to help patients engage in health care planning discussions for the best care possible.” As Nurses and Practitioners, Regis students will be prepared to lead the way in helping to ensure that a patient’s values and choices for care are well understood and carefully honored.

The Regis College School of Nursing, Science and Health Professions, located in Weston, is the academic home for numerous undergraduate and graduate health professions programs. Studies include health and fitness studies, nursing, medical imaging, public health, social work, gerontology, health informatics, science, and regulatory and clinical research management. Read more at Regis College.

Overlook CARE

Jennifer Warren



Overlook CARE offers seniors and families help in a crisis and ongoing assistance in determining what care is needed throughout different stages of health. The Care Managers assist their clients wherever they reside, whether in their home or in an Assisted Living or other type of residence. The Care Managers provide a comprehensive assessment of an individual’s situation, make recommendations based on the care needed and a person’s preferences, and coordinate resources and care providers to deliver that care. Overlook CARE has offices in Hingham, Dedham, and Charlton and has been providing professional care management since 1999 to individuals and families in Norfolk and Plymouth counties. Overlook CARE is part of the Masonic Health System of Massachusetts. Read more here.

Family Medicine Associates, PC

Dr. Tina Waugh

Beverly, MA

(978) 927-7727


Dr. Tina Waugh, a family practice practitioner and primary care physician, helps to run a busy and diverse family practice group in Beverly with Dr. Gregory Snyder and Dr. Gail Ellis. Dr. Waugh makes health care planning a routine part of her practice because, as she says, “I see it as part of my checklist at the physical exam- check the vital signs, any changes in the family’s medical history, diet, exercise,”and I also ask, “have you done health care planning? ” Dr. Waugh has this conversation with every patient, 18 years old and older, at their annual physical examination. Choosing to make this conversation a routine part of the annual exam is rooted in Dr. Waugh’s strongly held belief “that every patient should have a Health Care Proxy, so I know who you want me to talk to if I can’t speak to you myself.” She also believes that by talking about this during every physical exam, the topic becomes something that patients expect her to talk about, and feel comfortable bringing up at other visits if they feel the need to.

Dr. Waugh welcomes patient questions about making a health care plan and their preferences and choices for care. She talks with each patient about where to find planning documents like a Health Care Proxy and personal directive, and how to fill them out. Patients back bring the completed documents and Dr. Waugh scans a copy into their medical records. Dr. Waugh can easily pull up a patient’s planning documents in her Electronic Medical Record and refer to it at the patient’s next visit. She checks with the patient to see if there have been any changes in their medical condition or preferences for future care, and if so “we can make changes and keep the documents very current.”

Dr. Waugh is the 2010 recipient of the Dr. Philip D. Herrick Award for her dedication to her patients, her leadership and outstanding medical care and community service.