North Shore Community Partners
North Shore Partners
- All Care Hospice
- Mark Armstrong, Attorney-at–Law P.C.
- Beverly Hospital
- Care Dimensions
- Circle Home, Home Health & Hospice Care
- Elder Services of the Merrimack Valley
- Greater Lynn Senior Services
- Greater North Shore Link
- Harvard Vanguard Beverly
- Independent Living Center of the North Shore & Cape Ann, Inc.
- Lahey Hospital & Medical Center
- Lawrence General Hosptial
- Lowell General Hospital
- Rabbi Carol Mitchell, Hospice Chaplain
- McDevitt Consulting
- North Shore Elder Services
- Pepperall Council on Aging
- Right at Home Boston and North
- Seacoast Senior Resources
- Seasons Hospice & Palliative Care
- Senior Care Inc.
- Stonebridge at Burlington
- Tina Waugh, MD; Family Medicine Associates,PC
- Winchester Hospital
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.
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 offers 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.” Attorney Armstrong helps clients in Middlesex and Essex Counties. Appointments are available at his office or other more convenient location.
Honoring Choices Site Coordinator
Martha Anastas, Center for Healthy Aging
Caring for a spouse or aging parent with memory loss and/or behavioral health problems can be stressful and confusing. At the Center for Healthy Aging, we are dedicated to providing the combined medical care and support services that you and your loved one needs. The Center is a multi-disciplinary, outpatient clinic providing psychological assessment and counseling, memory loss and driving assessments and assessing your loved one for balance and falls risk. The Center is conveniently located in Gloucester at Addison Gilbert Hospital and at Lahey Outpatient Center, Danvers. Read more here.
Care Dimensions is largest hospice and palliative care provider to adults and children with advanced illness in Massachusetts. As a non-profit, community-based leader in advanced illness care, Care Dimensions provides comprehensive hospice, palliative care, grief support and teaching programs in more than 95 communities in Eastern Massachusetts (North Shore, Metrowest-Boston and South Shore). Founded in 1978 as Hospice of the North Shore, Care Dimensions cares for patients – in their homes, in long-term care and assisted living communities, in hospitals or at our two inpatient hospice facilities, the new Care Dimension Hospice House in Lincoln, on the Waltham line, or at the Kaplan Family Hospice House in Danvers.
Circle Home, Home Health & Hospice Care
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. Please contact Eileen Malloy for further information at firstname.lastname@example.org
Elder Services of the Merrimack Valley
Elder Services of the Merrimack Valley, Inc. is a private non-profit agency founded by local advocates in 1974 to provide resources, information and services for elders and adults with disabilities who reside in 23 cities and towns within the Merrimack Valley. The agency’s goal is to enable individuals to maintain their independence and promote good health and wellbeing. We have a variety of services and programs to support people and their wish to remain living safely and securely in the community. We are respected as a leader in the field of elder care and demonstrate our commitment to older adults through our advocacy, education efforts and innovative services. Each day over 8,000 elders receive services or support from programs either managed or funded by Elder Services of the Merrimack Valley (ESMV). Most of our programs and services are targeted to elders in the greatest economic and social need. We have trained over 110 ESMV staff as Health Care Planning Ambassadors.
Greater Lynn Senior Services (GLSS) is the nonprofit Aging Services Access Point and Area Agency on Aging has been serving people age 60 and older and adults living with disabilities in Lynn, Lynnfield, Nahant, Saugus, and Swampscott, MA. GLSS serves over 4000 people every day with its consumer focused approach to promoting good health and well-being, providing meals, transportation, and home care services, and creating more livable communities for all. Among its many programs, GLSS offers the innovative Kiosks for Living Well, which are mobile, welcoming and colorful physical spaces that easily embed in places where folks in the community naturally go, like community centers, health centers, housing complexes, and so forth. Building on the concept of a “health center without walls”, the Kiosks incentivize consumers to become more engaged in health self-management by offering them easy access to a fun and comprehensive virtual technology (iN2L) as well as to nurses, social workers, falls prevention specialists, and peer advisors-right there at the site!—who deliver health education and monitoring supports in ways that “painlessly” help improve health behaviors and overall health outcomes. It’s a one-stop health education marketplace!
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.
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.
Independent Living Center of the North Shore & Cape Ann, Inc.
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 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 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.
Lahey Hospital & Medical Center
Elizabeth J. Collins, MD
Palliative Care Medical Director
In 2014, 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.To read more, visit LaheyHealth.org.
Lawrence General Hosptial
Chetan Dodhia, MD
Hospitalist Medical Director
Nicole Garabedian RN, MSN, Director of Clinical Operations,
Post Acute Command incidnet Work Group
We are working with Chetan Dodhia, M.D., Hospitalist Medical Director and Post Acute Incident Command Work group as they help patients with everyday health and through the COVID-19 pandemic. We provided a “Engaging Adults in Proactive Planning Conversations from Simple to Serious Illness”, for useful strategies to open conversations and document care choices to hospitals, providing the HCM Getting Started Tool Kit to start a simple conversation, and how to flow into a what matter most conversation using the Ariadne Labs Serious Illness Conversation Guides. We are supporting their unique Post Acute Incident Command Work group, collaborating with over 30 health and community organizations, convened by Lawrence General Hospital and the Quality Improvement Organization. "The group meets efficiently twice/weekly to quickly respond to patient needs for current and potential Covid-19 surges," says Nicole Garabedian RN, MSN, Director of Clinical Operations, Lawrence General Hospital, "establishing shared standards of care to ensure safe transitions across the continuum." A collaborative Dashboard keeps everyone updated! Learn more contact. Nicole.Garabedian@lawrencegeneral.org
Lowell General Hospital
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.
Rabbi Carol Mitchell
Rabbi Carol Mitchell
Individual Partner Contributor
Rabbi Mitchell is Chaplain for Compassionate Care Hospice serving eastern Massachusetts. She also works with assisted living facilities and local Temples counseling, leading services and holiday programs and teaching classes. For over ten years, she has spoken and taught about Jewish culture, traditions, practices and end-of-life to various organizations. Rabbi Mitchell is active in Temple Beth Elohim’s Religious Practices and Caring Community Committees. She supports individuals and families through all life cycle events. She is blessed in having a loving husband, four children and seven grandchildren. Rabbi Mitchell contributed an informational and heart-warming Q/A article, "The Greatest Gift: To be Comfortable and at Peace". CLICK HERE to read.
"I am dedicated to holding space for individuals, families and community groups open to contemplation of mortality, aging with imperfect health and planning for end of life care", says Julianne McDevitt, RN, McDevitt Consulting. Ms. McDevitt is an End of Life Specialist offering community presentations and workshops, Care Coordination and Advance Care Planning facilitation services for individuals and families.
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 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.
Pepperall Council on Aging
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. They offer free health care planning information and Massachusetts planning documents to all seniors and their families.
“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.
Seasons Hospice & Palliatve Care
Seasonal Hospice and Palliative Care, mission is to engender hope in the lives of its patients and their family members at the end of life. Located in Norwood and Burlington, Season’s offers 24 hours care and can provide regular visits by registered hospice nurses with specialized training and expertise in pain and symptom management, visits by hospice aides to provide additional personal care and attention, spiritual and alternative psychosocial support for patients and families, and much more. The Season’s staff have become Health Care Planning Ambassadors to start meaningful planning conversation with adults and families. You can read more here.
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.
Stonebridge at 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.
Dr. Tina Waugh, Family Medicine Associates, PC
Dr. Tina Waugh
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. 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.”
Winchester Hospital is committed to providing it’s staff and patients with health care planning information and planning tools to ensure everyone gets the best possible person-centered care at every phase of health. Karen Keaney, Director of Emergency Services, is the Honoring Choices site coordinator, helping to educate the dedicated care professionals & staff. We are also working with Sue Mizer, Director of Oncology Service Line at the Center for Cancer Care, and John Davis an ACO Social Worker who engages patients and families in discussion about health care planning.