Cutler Institute for Health and Social Policy

Patient Safety Academy announces 2013 Rising Tide Award recipients

The Patient Safety Academy has announced the recipients of the inaugural Rising Tide Award, which recognizes individuals or organizations who have demonstrated outstanding achievement and commitment to best practices in patient safety. Recipients of the 2013 Rising Tide Award include: Linda Brady of Maine Medical Center; Kathy Day of Maine Quality Counts; and Douglas Salvador of Maine Medical Center.

Linda Brady, BSN, RN, of Scarborough serves in the Neonatal Intensive Care Unit (NICU) at Maine Medical Center (MMC). Brady recently led an interdisciplinary NICU Central Line Committee to review central line practices at MMC as compared to practices at other institutions. She ensured that all nurses, nurse practitioners, and providers were trained in accurate and complete documentation for central line practices. Overall, Brady’s work has contributed to a nonexistent rate of central line blood stream infections at the MMC NICU. She has served as a driving force in determining best practices and educating staff to provide evidence-based care of patients with central lines in the NICU.

Kathy Day, RN, of Bangor is a patient safety activist and advocate and currently serves as a consumer representative for the Maine Quality Counts Consumer Advisory Council, where she works to transform health and healthcare in Maine. In her work as an activist, she has initiated several patient safety campaigns and has advocated for hundreds of individual patients at the national, regional, and state level. Day is an affiliate of the Consumer’s Union Safe Patient Project and Northeast Voices for Error Reduction (NEVER) and volunteers with the Maine Critical Access Hospital Patient Safety Collaborative.


Douglas Salvador, MD, MPH, of Cape Elizabeth serves as vice president of quality and patient safety at Maine Medical Center, where he leads the Center for Performance Improvement and efforts to strengthen performance improvement, quality, patient satisfaction, and patient safety. Salvador has worked tirelessly to promote a culture of patient safety both at MMC and throughout health organizations in the state, recently teaching a team training program to more than 3500 Maine health care team members, residents, and students. His leadership and dedication to patient safety have contributed to the State of Maine being recognized as a leader in delivering safe, high quality care.

The Rising Tide Awards will be presented on Sept. 13 at 3:15 p.m. after the closing session of the 2013 Patient Safety Academy, which will be held on the University of Southern Maine Portland campus.

The Patient Safety Academy, now in its fourth year, is organized by staff at the USM Muskie School of Public Service and sponsored by the Maine Center for Disease Control and Prevention Rural Health and Primary Care Program. This full-day event provides knowledge- and skill-building workshops for health care professionals from Maine and area hospitals, physician practices, pharmacies, long-term care facilities, agencies, organizations, and advocacy groups.

The 2013 Academy plenary speaker is Jonathan Welch, MD, MSc, instructor of medicine at Harvard and attending emergency physician at the Brigham and Women's Hospital in Boston. Welch is the author of the recent Health Affairs article, “As She Lay Dying: How I Fought to Stop Medical Errors from Killing My Mom.”

The Patient Safety Academy begins at 9 a.m., Friday, Sept 13. Registration is required; individual registration cost is $50, with a discounted rate of $25 for students. For more information or to register: or contact Judith Tupper, (207) 228-8407,

Cutler Institute awarded $600,000 to help youth raised in foster system

Marty Zanghi

USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.

The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.

"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.

The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.

Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.

"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."

It doesn't have to be that way, though.

"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."

The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.

The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.

In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.

After the first year, the program is expected to grow.

"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.

New Chartbook on the Use of Maine's Long Term Services and Supports (LTSS)

Long Term Services and Supports Cover page image

Long term services and supports (LTSS) are a vital lifeline for the thousands of Maine adults who need them, and they account for a significant portion of the state's Medicaid (MaineCare) budget.This Chartbook prepared by the research staff at the USM Muskie School, provides information on all Maine adults who use LTSS: older adults; adults with physical disabilities; adults with intellectual disabilities/autism spectrum disorder or other related conditions; and adults with acquired brain injury.

The information provided in this Chartbook about the demographic trends that impact Maine's service system as well as data on the typical MaineCare service utilization and expenditures of different LTSS populations will inform the discussion among policymakers, providers, consumers, and advocates as they work together to ensure that Maine’s system of LTSS meets the needs of all its citizens.

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