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Strategic solutions for Maine’s health care needs A N N U A L R E P O RT 2 0 0 5

Strategic solutions for Maine’s health care needs · care, and improve the health status of people who are uninsured. • Another project focused on expanding access to Portland’s

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Page 1: Strategic solutions for Maine’s health care needs · care, and improve the health status of people who are uninsured. • Another project focused on expanding access to Portland’s

S t r a t e g i c s o l u t i o n s f o r M a i n e ’ s h e a l t h c a r e n e e d s

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Page 2: Strategic solutions for Maine’s health care needs · care, and improve the health status of people who are uninsured. • Another project focused on expanding access to Portland’s

St ra t e g i c s o lu t i on s f o rMaine’s health care needs

THE MAINE HEALTH ACCESS FOUNDATION (MEHAF), ESTABLISHED

IN APRIL 2000, IS THE STATE’S LARGEST PRIVATE HEALTH CARE

FOUNDATION. MeHAF’s mission is to promote affordable and

timely access to comprehensive quality health care, and improve

the health of every Maine resident, WITH A SPECIAL EMPHASIS ON

ADDRESSING THE NEEDS OF PEOPLE IN MAINE WHO ARE UNINSURED

AND MEDICALLY UNDERSERVED.

Page 3: Strategic solutions for Maine’s health care needs · care, and improve the health status of people who are uninsured. • Another project focused on expanding access to Portland’s

M e s s a g e f r o m t h e P r e s i d e n t & C E OThe Maine Health Access Foundation (MeHAF) is Maine’s largest health care philanthropy. Toachieve our mission we must wisely invest our resources in strategies and programs that moveMaine toward universal access to high quality care. Like dropping a small stone into a Maineriver, our grants generate ripples of positive change that extend well beyond the initial entrypoint. This dynamic is neither linear nor predictable. Often the pace of change is slow, requiringyears of planning and support to achieve our goals. Occasionally, opportunities arise suddenly,demanding immediate support and action to advance our goals. Fortunately, MeHAF is well positioned to act effectively under both scenarios. In 2005, MeHAF provided $5.14 million ingrants and contracts to support an array of programs and strategies that expand comprehensivecoverage and care, particularly for people in Maine who are uninsured and medically underserved.Most of the 2005 grants listed in this report funded multi-year projects. Some, like the project toassist low-income seniors applying for Medicare D, required thoughtful and quick action toaddress a critical emergent issue. Balancing these approaches is the key to strategic philanthropy.MeHAF is proud of our capacity to be both a sustained partner pushing long term change, and entrepreneurial enough to seize unique opportunities for action that improve health andhealth care in Maine.

M e s s a g e f r o m t h e C h a i r o f t h e B o a r d As a physician in private practice, I’ve listened intently for decades to ongoing national and local debates about reforming health care in America. I understand from the front lines the challenges and gaps in our health care system, particularly the need to expand health care accessand ensure high quality care for all. I’m proud that Maine and MeHAF are at the forefront oftesting innovative statewide strategies to reform health care and improve the health of people inour state. We’ve supported bold solutions and creative ideas at the grassroots level. On March 7,2006, MeHAF held a showcase in the Statehouse Hall of Flags to celebrate a sample of theexciting and ground-breaking impact of our grantees’ community-based strategic solutions. The event underscored how MeHAF grants nurture great ideas that arise from and are implemented by committed leaders in every county in Maine. These projects stimulated wide-reaching ripples of change that touch the lives of every person in the state. In a time of nationalsilence on strategies to expand access to high quality health care, it’s the home grown messagesand solutions that are worthy or our attention, praise, and support. On behalf of MeHAF, myprofessional physician colleagues, and my patients, I want to thank MeHAF grantees for theirinspiring work and commitment to improving health and health care in Maine.

Maroulla S. Gleaton, MDBoard Chair

Wendy J. Wolf, MD, MPHPresident & CEO

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Page 4: Strategic solutions for Maine’s health care needs · care, and improve the health status of people who are uninsured. • Another project focused on expanding access to Portland’s

From the beginning, MeHAF’s grants and programs have focused on expanding access to comprehensive health care across Maine, particularly for people who are uninsured and medically underserved.Over the last four years, MeHAF has awarded grants totaling $17 million to more than 120 organizations. These projects touchevery region of Maine for the purpose of expanding models of betterhealth coverage and care.

Health insurance coverage is the most significant factor determining who has ready access to health care. Yet coverage alone does notassure access. Moving Maine’s health care system toward universalaccess requires sustained support for strategies that expand coverageas well as promoting innovative ideas that drive our delivery systemtoward more responsive, readily accessible and higher quality care.In 2005 alone, MeHAF awarded $5.14 million to over fifty separatenot-for-profit and public organizations dedicated to advancingstrategies that expand both coverage and care across Maine.

Advancing Care for Maine’s Uninsured: In 2005, MeHAF supported an array of creative projects directly focused on expanding coverage and care for people who are uninsured.• With MeHAF support, Maine’s innovative community-based

uncompensated care programs showed that providing free or low-cost care in carefully structured care management programs can actually decrease inappropriate emergency roomuse, promote better use of preventive services, lower the cost ofcare, and improve the health status of people who are uninsured.

• Another project focused on expanding access to Portland’s immigrant and refugee populations. Local community leadersand health workers have tailored outreach and care managementstrategies to specifically overcome cultural barriers to care.

These exciting programs convincingly demonstrate that using existingcommunity resources and better care management can achieve both lower costs and improved health and health care for some ofMaine’s most vulnerable people. MeHAF is continuing to work withthe leaders of these programs to replicate these successful models toserve other areas in Maine.

Strengthening Our Health Care System: Over the last three years,MeHAF has worked to expand Maine’s safety net and draw $2.2 million in new federal dollars to the state.• With MeHAF’s support, two existing safety net providers

received “Federally Qualified Health Center” status in 2005.This included a critical access health center in Vinalhaven thatserves residents in three island communities.

• Another key component of MeHAF’s coverage and care initiative helped bring the “mind” and “mouth” back into thebody in the delivery of health care. Frequently, oral and mentalhealth are delivered separate from physical health care services.MeHAF supported projects that directly expand and integratemental and oral health care services, frequently linking them inprimary care settings. MeHAF grants supported demonstrationprojects that yielded a 25 percent increase in the capacity ofMaine’s oral health safety net, and helped bridge the gapbetween mental and physical health care services.

MeHAF will continue support for efforts to integrate mental andphysical health through a major initiative to be launched in 2006.

Advancing Statewide Solutions: MeHAF is proud to support projects with small beginnings, including the ambitious efforts oflocal groups responding to community needs. We’re equally proud of projects that start with a broad vision that aspires to move theentire state forward.• In 2005, MeHAF supported a blend of small and large projects

to promote access to affordable pharmaceuticals for people whoare uninsured or have low-incomes. Through these projects, low-income Mainers received over 10,000 free prescriptions for needed medications. MeHAF also supported a partnership initiative between the State and Area Agencies on Aging, tohelp thousands of elderly Mainers receive direct assistance tounderstand their options and sign up for the most appropriateplan under the new federal Medicare Part D pharmacy benefit.

• In collaboration with the Maine Center for Disease Control and Prevention and the Quality Forum, MeHAF contributedsupport to develop a statewide uniform, patient-centered healthinformation technology system that will allow health professionalsthroughout Maine to access clinical information from all Maine hospitals, clinics, pharmacies and other provider sites when caringfor a patient. Sharing such information will improve the qualityof care delivered, avoid dangerous and costly errors, and reduceadministrative health-related costs. Under the direction of theMaine Health Information Center, this effort, called the “MaineHealth Information Network Technology Project,” has engagedstakeholders across the State, evaluated an array of technologymodels, and developed the business case for moving forward.

Listening to Maine People to Develop Informed Policies &Solutions: Achieving our goal of universal access requires the support and engagement of every person in Maine. From MeHAF’searly days, we have worked hard to encourage broad public engage-ment, beginning with seven regional forums that were central inframing the Foundation’s initial activities and our ongoing philosophy.• In 2005, MeHAF continued this approach through a project

organized by the Governor’s Office of Health Policy and Financeand the advisory group that oversees the development ofMaine’s new State Health Plan. The “Tough Choices: 21stCentury Town Hall” event was designed to solicit input fromevery day people, gathering grassroots level advice to guide the

Advancing Coverage and CareCumulative MeHAF Grant Awards to Date

(2002-2005)

in M

illio

ns

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future of Maine’s health care system. Using the latest informationtechnology, 300 people drawn from all demographic, professionaland geographic sectors of Maine engaged in a day long, deep,interactive discussion about health and health care. Their viewswere recorded and, as a group they voted on options to conveytheir preferences and values. This bold and instructive experi-ment illustrated the continued need for civic engagement, publicinformation, and techniques to obtain our collective ideas onhow best to attain the type of health care we all want for Maine.

The $5.14 million awarded in 2005 marks the third and final year offunding for MeHAF’s focus on expanding models of coverage andcare. Although universal access is still an ambitious aspiration, manyof the projects we funded yielded exciting results and have taken uscloser to that goal. MeHAF’s grantees have shown that well-framedstrategies can improve our health care system and open doors thathave often shut out Mainers, including our neighbors who lack coverage, live in rural and remote areas, require specialized services,or face cultural barriers that impede access to our health care system. Building on that foundation of knowledge and enhancedunderstanding, MeHAF will move forward with a targeted set of priorities to continue the pursuit of universal access and improvedhealth for the people of Maine.

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Since our inception, MeHAF has advanced a mission-driven and results-oriented approach to support strategic solutions to Maine’s health careneeds. From 2002 to 2005, the Foundation primarily funded projects focused on developing, replicating or expanding models of comprehensivecoverage or care for people who are uninsured and medically underserved. Within this focus area the outstanding work of our granteestaught us important lessons that helped clarify our focus, identify how we can improve our work, and define priority areas for the next phaseof our near and long-term funding priorities.

Moving forward, the Board of Trustees will direct the Foundation’s energy and resources on transforming our fragmented health care system,zeroing in on solutions that attack the root causes of some of our most vexing problems. Transforming health care is an ambitious goal. We’llneed partners from all sectors in Maine if we’re going to create an integrated, patient-centered system that aligns incentives within the realityof finite health care resources. This bold, long-term strategy remains centered on MeHAF’s overarching mission and purpose – improvingaccess to high quality comprehensive care for all people in Maine, particularly those who are uninsured and medically underserved.

How will this next phase of the Foundation’s activities begin? Envisioning and achieving a transformed health system will require a fundamental shift in MeHAF’s grantmaking and other program activities. Moving forward, the staff will engage in much more “up front” workwith key stakeholders to insure our priorities can truly drive system-level change. This process will include collecting all of our best thinkingand efforts, developing specific goals, objectives, outcomes and benchmarks for each initiative, and promoting inter-organizational solutions.As such, our funding will target projects that reach across organizations and traditional partners. To achieve our objectives, MeHAF will usean array of funding strategies, including competitive RFPs, contracts, collaborative agreements, and focused work with consultants.

As we move forward, activities related to MeHAF’s new priorities will continue to be evaluated in the light of their potential to advance ourmission and improve the health of people in Maine. In addition, wherever possible, MeHAF’s work will advance key strategies and goals withinMaine’s new State Health Plan to attain the goal of making Maine the healthiest state in the nation.

Moving Forward

MeHAF’s New Priorities

SHORT-TERM PRIORITIES (2006-2010)

• Strengthen and expand the quality, capacity, efficiency, service capabilities and reach of Maine’shealth care safety net.

• Improve publicly funded health care programs through initiatives (including changes in programstructure and reimbursement) that align incentivesand promote quality through evidence-based and outcome-oriented care.

LONG-TERM PRIORITIES (2006-2020)

• Advance innovative health care delivery and caremanagement systems that address patient needs andpromote patient-centered care in a way that fully integrates primary and specialty care providers, otherkey health care team members, and public health and local community-based resources.

• Promote activities that bring the public and key stakeholders together to make critical, informed choices about the equitable and strategic use ofMaine’s finite health care resources.

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Organization City Project Title Amount

American Cancer Society, New England Division Topsham Using Patient Navigators to Improve Quality and Access to Treatment for Cancer Patients in Rural Maine $199,916.00

Blue Cross and Blue Shield of Massachusetts Foundation, Inc. Boston, MA 2005 Health Care Fellowship $4,500.00

Calais School Department Calais Mental Health Matters: Access for Adolescents $60,200.00

Casco Passage Portland Evaluation of 2003A Major Grants $20,000.00

Casco Passage Portland Evaluation of 2002-2004 Discretionary Grants $28,783.00

Center for Telehealth & E-Health Law Washington, DC Analysis of Telehealth Policy for MaineCare $68,000.00

Community Health and Counseling Services Bangor Telespeech Therapy in Rural Maine $199,998.00

Consumers for Affordable Health Care Foundation Augusta Protecting Access to Affordable, Quality Health Care: A Policy Analysis and Public Education Initiative $92,178.00

Crisis & Counseling Centers, Inc. Augusta Crisis OutReach - Proactive Resolution and Prevention of Crisis $175,465.00

Division of Public Health, HHS Dept., City of Portland Portland Improving Access and Utilization of Health Care Among Portland's Immigrant and Refugee Population $199,996.00

Eastern Maine Healthcare Systems Bangor Eastern Maine Transportation Collaborative - Implementation $97,776.00

Eastern Maine Healthcare Systems, Institute forMedical Improvement Bangor Improved Care for Chronic Obstructive Pulmonary Disease (COPD)

Patients in Rural Maine $199,306.00

Family Planning Association of Maine Augusta EC At-The-Counter: Implementing Statewide Pharmacy Access to Emergency Contraception $80,011.00

Family Planning Association of Maine Augusta Reach Out: Increasing Voluntary Utilization of and Access to Reproductive Health Care Services $200,000.00

Frannie Peabody Center Portland York County Integrated HIV/STD Testing Project: An Outreach-based Intervention $68,876.00

Governor’s Office of Health Policy & Finance Augusta Tough Choices in Health Care Town Meeting $389,007.00

HealthWays/Regional Medical Center at Lubec, Inc. Lubec Northern Maine Health Network - Transitions With Care $100,000.00

HealthWays/Regional Medical Center at Lubec, Inc. Lubec Telepharmacy Demonstration Project $200,000.00

John Snow, Inc. (JSI) Boston, MA Environmental Scan of the Maine Health Care Safety Net $49,460.00

Maine Center for Public Health Augusta Dirigo Policy Analysis and Advocacy $73,886.00

Maine Equal Justice Partners, Inc. Augusta Protecting and Maximizing Health Care Coverage for Low-Income People in Maine $124,074.00

Maine Health Information Center, Inc. Manchester Maine Health Information Network Technology(MHINT) Project $100,000.00

Maine Medical CenterMMC Research Institute/Center for Tobacco Independence Portland Practice to Policy: Analysis Tobacco Treatment Use in Maine $155,443.00

Maine Primary Care Association Augusta HRSA FQHC Application Development Technical Assistance $36,567.00

MaineGeneral Health Augusta CarePartners: Transitioning to Dirigo $100,000.00

MaineHealth Portland Expanding Outreach to the Uninsured Through CarePartners $105,982.00

MaineHealthCenter for Outcomes Research & Evaluation Portland Improving Access to Behavioral Health Services in

Primary Care $160,199.00

MedHelp Maine Biddeford Prescription Assistance Program Development $200,000.00

Medical Care Development Augusta Watch Your Mouth Maine (WYM/ME) $200,000.00

Mount Desert Island HospitalHealthy Acadia Coalition Bar Harbor Community Care Program $176,870.00

NAMI-Maine Augusta Project Crisis Intervention Team $198,852.00

Penobscot Community Health Center Bangor Integrated Medical, Mental Health and Substance Abuse Services For People Who Are Homeless $162,431.00

2005 Grants

Major Grants & Contracts

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State of Maine, Department of Corrections Augusta Implementing Continuous Quality Improvement Process for BehavioralHealth Services to Adult Prisoners in the Maine Department of Corrections $48,919.00

State of Maine, DHHS, Pharmacy Unit Augusta Medicare Part D Assistance for Low-Income Seniors and the Disabled $144,523.00

Strategic Choices Greenfield, MA Scan of Federal Funding Opportunities $2,000.00

Strategic Choices Greenfield, MA HCAP Application Development Technical Assistance $10,000.00

Strategic Choices Greenfield, MA HRSA FQHC Application Development Technical Assistance $29,000.00

T2 Strategy Bar Harbor Evaluation of 2003A Major Grants $17,573.00

University of Maine/Margaret Chase Smith Center for Public Policy Orono Evaluation of 2003A Major Grants $12,364.00

USM/Center for Continuing Education Portland Pathways to Health Care Higher Education $81,007.00

USM/Edmund S. Muskie School of Public Service, Institute for Health Policy Portland Needs Assessment Technical Assistance Project $14,181.00

Waldo Community Action Partners Belfast No Cavities for ME $57,940.00

Western Maine Community ActionTri-County Health Services East Wilton At Your Cervix...A Universal Cervical Cancer Screening Project $138,897.00

York County Community Action CorporationSpruce Street Health Center Sanford

Project to Address the Connection between Adverse ChildhoodExperiences and Adult Health AmongSpecial Populations

$165,260.00

York County Community College Foundation Wells Associate in Science – Nursing Degree Program $64,000.00

Youth & Family Services, Inc. Skowhegan Integrated Care in a Small County Jail $53,078.00

Total Major Grants & Contracts (46) $5,066,518.00

Organization City Project Title Amount

Cary Medical Center Caribou Maine Benzodiazepine Study Group Annual Conference $2,000.00

Cumberland County Government Portland Divert to Treatment (DOT) Evaluation Design $9,998.00

CyberSeniors.org PortlandCyberHealth: Training Blind and Visually Impaired Seniors How to Access and Use Online Health Resources

$10,000.00

Downeast Health Services, Inc. Ellsworth Expansion of 4th Operatory at Maine Coast Dental Clinic $9,614.00

Grantmakers In Health Washington, DC The Art & Science of Health Grantmaking $5,000.00

Hardy Girls Healthy Women, Inc. Waterville Ugly Ducklings $5,000.00

Maine Boys to Men Portland The Boys to Men Conference $2,985.00

Mainely Girls Camden Eating Disorders Treatment Training $1,000.00

New England Rural Health RoundTable Bow, NH Rural Data for Action $5,000.00

Physicians for Social Responsibility/Maine Portland Domestic Violence Screening Project $4,500.00

Platform Shoes Forum Rockland The X5-Challenge $5,000.00

Redington-Fairview General Hospital Skowhegan Linking Workplace Wellness and Primary Care To Small Business -Lessons Learned $7,350.00

Spring Harbor Hospital Westbrook Anti-Stigma Newsletter for Mental Illness Awareness Week $2,000.00

University of New England Biddeford 2005 Spring Symposium - Practice Dilemmas: Depression Along the Continuum from Childhood to Senior $1,000.00

USM/College of Nursing and Health Professions Portland 4th Maine Nursing Summit $2,000.00

Discretionary Grants

Total Discretionary Grants (15) $72,447.00

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Responsible StewardshipMeHAF’s grants and programs are supported by the investment income generated by the Foundation’sendowment. Under the capable stewardship ofMeHAF’s Finance Committee, which includes individuals with special expertise in finance and investments, the MeHAF endowment has grown significantly since our inception in April 2000.

The Finance Committee establishes the Foundation’sinvestment policies, guides the strategic investment ofthe endowment, and monitors the performance of theinvestment portfolio.

In consultation with investment consultants from Prime,Buchholz and Associates, the Finance Committee hasstructured MeHAF’s investment portfolio to provide for current grantmaking needs and preserve the fund’spurchasing power over the long term. As such, theFinance Committee employs a diversified mix of assetclasses to meet long-term return goals, provide for current liquidity requirements, and minimize risk. The Foundation’s endowment includes:

• Domestic equities (34%),• Foreign equities (22%), • Absolute return (19%), • Real assets (10%), and• Fixed income/cash (15%).

April 2000

2000

2001

2002

2003

2004

2005

$81.7

$84.8

$87.8

$81.1

$96.5

$102.9

$105.3

Left to right: Ramelle Hieronymus*, Neil Rolde, Ken Hews, Peter Fackler, Lee Webb, Wendy Wolf, Mark Kaplan, Greg Johnson*Not pictured: Warren Kessler, Chair; Kit St. John, and Bonnie Vaughan

*Investment Consultants, Prime Buchholz & Associates

MeHAF’s Endowment Since Inception(in millions)

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Statement of Financial Position

AssetsGeneral fund cash and cash equivalents $ 141,641 $ 77,474

General fund investments, fair value 107,147,094 104,762,485

Prepaid expenses and deposits 12,331 14,274

Property and equipment – net 54,594 44,190

Total Assets $ 107,355,660 $ 104,898,423

Liabilities and Net AssetsLiabilitiesGrants payable $ 1,637,468 $ 1,670,167

Accounts payable and accrued liabilities 100,255 90,012

Deferred tax liability 234,000 206,000

Total liabilities $ 1,971,723 $ 1,966,179

Net AssetsUnreserved Fund Balance 105,383,937 102,932,244

Total Net Assets $ 105,383,937 $ 102,932,244

Total Liabilities & Net Assets $107,355,660 $ 104,898,423

Statement of Activitiesand Changes in Net Assets

2005 2004

2005 2004

ConsultantsGeneral CounselElizabeth M. Sellers, Esq.Bernstein, Shur, Sawyer and Nelson

Tax AccountantDrew Cheney, CPABaker Newman & Noyes, LLC

AccountantsJohn Davison and Al SmithMaine Health Information Center

AuditorsLinda Roberts, CPA Alyssa J. Kurtz, CPABerry Dunn McNeil & Parker

CommunicationsJohn Spritz

Graphic Design and ProductionAriel Creative

Support and RevenuesNet realized and unrealized gains $ 5,582,771 $ 8,480,332

(losses) on investments

Investment income, net of fees 2,719,341 2,364,058

Other income: Miscellaneous 115 32,673

Other income: Fund transfer $ 0 1,659,877from AHS Liquidating Trust

Total Support & Revenue $ 8,302,227 $ 12,536,940

ExpensesGrants and program expenses, $ 5,081,414 $ 5,445,857

net of refunds of unspent amounts

Administrative expenses 661,547 584,225

Depreciation 23,973 27,275

Excise tax expense 83,600 67,673

Total Expenses $ 5,850,534 $ 6,125,030

Change in Net Assets $ 2,451,693 $ 6,411,910

Net Assets, beginning of year $102,932,244 $ 96,520,334Net Assets, end of year (Dec 31) $105,383,937 $ 102,932,244

Audited financial statements are available upon request to the MeHAF office.

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Board of TrusteesMeHAF’s statewide Board of Trustees bringstremendous energy, expertise and stewardship to governing the Foundation. Board members represent a rich variety of professional and personal experiences, including clinical deliveryof health care, administration, finance, business,law, health policy, advocacy and philanthropy.The Foundation’s by-laws specify that the Boardmust include persons with special knowledge,expertise and skills in investments and assetmanagement, health care finance, non-profitadministration, and delivery of health care services. Trustees are drawn from all regions ofthe state, and the Board strives to represent thedemographic, professional and philosophicaldiversity that characterizes Maine.

Seven of our fifteen Trustees have served onMeHAF’s Board since its inception in January2001, when they were appointed by the StateAttorney General. In 2005, three new Trusteesjoined the Board: Neil Rolde, Cheryl Rust andLee Webb. The Foundation is fortunate toattract distinguished and recognized leaders toserve as stewards of MeHAF’s resources and toset the course for the Foundation’s grantmakingand program activities.

Maroulla S. Gleaton, MDBoard ChairAtlee Gleaton Eye Care

Kevin P. GildartBoard Vice ChairVice President Human Resources Bath Iron Works

Wesley DavidsonBoard SecretaryExecutive DirectorAroostook Mental Health Center

Warren Kessler, MPHBoard Treasurer

Anne Brown, MD, FACPCommunity ClinicalServices

Jack Comart, Esq.Litigation DirectorMaine Equal JusticePartners

Laurie Eddy, MSN, FNP,NP-C

Lani Graham, MD, MPHMedical DirectorOffice of Public HealthEmergency Preparedness

Richard MarstonFraser Papers

Lisa Miller, MPHSenior Program OfficerThe Bingham Program

Charlene RydellHealth Policy AdvisorOffice of Congressman Tom Allen

Diana Scully, MSWDirector, Office of Elder Services, DHHS

Neil Rolde

Lee WebbSenior FellowMargaret Chase SmithCenter

Cheryl Lee RustOwner, Le Garage

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MeHAF is served by a statewide Community Advisory Committee(CAC) comprised of thoughtful and highly knowledgeable people drawnfrom many sectors and geographic areas. The CAC assists the Boardwith activities such as guiding the Foundation’s periodic needs assess-ments, identifying critical issues that align with and promote MeHAF’smission and priorities, and reaching out to MeHAF’s broad group ofstakeholders. CAC members serve jointly with Trustees on the MeHAFFinance, Grants, Emerging Issues, Board & CAC Development, andStrategic Planning Committees. Two-thirds of the CAC members mustrepresent the interests of MeHAF’s target population, people in Mainewho are uninsured and medically underserved.

MeHAF’s staff brings an array of professional experience and expertise in health care, philanthropy and administration to the Foundation’soperations. As a statewide philanthropy, the MeHAF staff travel throughout the state, meeting new and established grantees, providingtechnical assistance and training seminars in grant writing. The staff iscommitted to working closely with grantees and other key constituents to move MeHAF closer to attaining our mission.

Wendy J. Wolf, MD, MPH, President & CEO, has guided MeHAF since November 2001. Prior to joining the Foundation, Dr. Wolf served as a Senior Advisor in both the Health Resources and ServicesAdministration and the Agency for Healthcare Research and Qualitywithin the U.S. Department of Health and Human Services. Dr. Wolf is a pediatric cardiologist who practiced, taught and conductedresearch at the University of Texas medical school system for nearlytwenty years. She has authored numerous scientific publications and ishighly regarded as an educator and speaker on health care issues.

Community Advisory Committee

David Steven Rappoport, MS, MA, Senior Program Officer, joinedMeHAF in 2002. Prior to joining MeHAF, he was part of a consultingfirm that worked with clients throughout the U.S. on AIDS and homelesshousing. David served as an administrator in a public hospital and managed clinical trials.

Kimberly Crichton, JD, Program Officer, previously worked as an advo-cate on health care policy issues. She enjoys working with people and feelsthis is one of the best parts of her current position. Kim is a proud Mainenative who grew up in Bangor and attended college in Lewiston.

Leslie Goode, MHS, Program Officer, joined MeHAF in July 2005 fromPhiladelphia where she served as Vice President for Communications at the American Board of Internal Medicine and helped launch theABIM’s Foundation. Previously, she worked in Washington, D.C. in several capacities related to health policy and public health. A native of Los Angeles, she received her Masters degree in public health fromJohns Hopkins University and Bachelors degree from Smith College.

Catherine Luce, Grants Associate, has been with MeHAF since spring2002. Prior to joining the Foundation, she served as the Office Managerfor the Consumers for Affordable Health Care Foundation. Cathy, anative Mainer, has also been a small-business owner, aquatics director, and stay-at-home mother for her three children.

Margaret (Maggie) Ricker, Administrative Assistant, previously workedfor the Maine Commission for Women, Catholic Charities Maine, andMaine Children’s Alliance. She has also served as Board President for thestatewide Maine Coalition Against Sexual Assault.

The MeHAF Staff

Deborah Curtis, MPHCAC ChairAssociate DirectorMaine Equal Justice PartnersStephanie Walstedt, RNC, NPCAC Vice ChairIndependent Nurse PractitionerKolawole Bankole, MD, MSMinority Health Program CoordinatorCity of PortlandPeter Doran, PhDBarbara Ginley, MPHExecutive DirectorMaine Migrant Health ProgramMary Ann GleasonDirector of Health ServicesYork County Community ActionCorporation

Sophia GliddenDirectorOffice of Rural Health and Primary CareDepartment of Health and Human Services Kenneth Hews, FHFMA, CHEExecutive Vice PresidentEastern Maine Healthcare SystemsMary Jude, FNP-C, PA, MSN, MPHDirector of DevelopmentPenobscot Community Health Center and Tribal Infectious Disease & BioterrorismEpidemiologist/Medical OfficerVictoria Kuhn, MBA, FAHM, CAC, FLMI, ACSOrganization StrategistAnthem Blue Cross and Blue Shield

Dorothy MerrickSenior AdvocateWayne Myers, MDLuc NyaMulticultural CoordinatorDepartment of Health and Human ServicesKaren O’Rourke, MPHVice President of OperationsMaine Center for Public HealthLisa PohlmannAssociate DirectorMaine Center for Economic PolicyKandyce Powell, MSN, RNExecutive DirectorMaine Hospice Council, Inc.

Valerie Ricker, MSN, MSDirector Division of Family HealthDepartment of Health and Human Services Jonathan SpraguePresidentRocky Coast ConsultingMeredith Tipton, PhD, MPHAssociate DeanUniversity of New England College of Osteopathic MedicineRomaine TurynResearch AssociateMuskie School of Public Service, Institute of Health PolicyBonnie Vaughan, RDH, MEd, MBA

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150 Capitol Street, Suite 4 • Augusta, Maine 04330www.mehaf.org • 207 620-8266