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2014 & earlier

"Understanding Medicare Benefits"
[For Details Click Here]

NOVEMBER 15 (Sat),
10am - 12:30
Beach Club

Photo: Peggy Flentie

f.l.t.r.: Marjorie Stewart, Lisa Holt, Jane Meyer, Terri Osborne, Ursel Krumme & Lauren Newcomer

Saturday, May 10th, 2014 (1-3:30) in the Bay Club:

Time is Brain: Act FAST!
by Ursel Krumme, Health & Wellness Committee

May was Stroke Awareness Month. Over 130 attentive residents came to the Bay Club on May 10 to hear stroke experts and first responders cover stroke both as a medical event and condition as well as a logistic emergency which imposes serious transportation and decision pressures on first responders.

Featured speaker, Dr. David Tirschwell, Co-Director of Harborview's Stroke Center, highlighted risk factors, warning signs, early recognition and treatment of different types of strokes. He illustrated how a CT scan differentiates between the three types of stroke: (1) a TIA, transient Ischemic Attack lasting less that 24 hours, sometimes called a "mini-stroke"; (2) ischemic stroke where an artery supplyng blood to the brain becomes blocked, accounting for 80% of strokes; and (3) two types of hemorrhagic stroke: intracerebral hemorrhage, when an artery in the brain bursts filling the surrounding tissue with blood; and subarachnoid hemorrhage where blood goes into the area between the brain and thin tissues that cover it. He stressed that stroke treatment is time-critical: the earlier interventions begin, the better your chances of survival and recovery. For strokes caused by a clot, there is only a 4.5 hour-window from the time a person has symptoms to administer a “clot-buster” IV medication. For hemorrhagic strokes, time to treatment is also critical. Modifiable risk factors to control include high blood pressure, diabetes, coronary heart disease, atrial fibrillation, high cholesterol and smoking. A simple assessment to recognize if someone is having a stroke is FAST: Facial droop: ask the person to smile (both sides should move equally); Arms: ask person to close eyes and extend both hands palms up for 10 seconds (should move the same, one not drift downward); S: Speech: ask person to say simple sentence (no slurring, able to repeat correctly); T: Time: ask family last time normal /call 911. Acute, emergency-related protocols as they affect Port Ludlow residents were addressed by first responders from Port Ludlow Fire and Rescue, Airlift Northwest, and stroke managers from Harrison Medical Center and Jefferson Healthcare including their “Tele-Stroke” contacts at Harborview and Swedish. According to Fire Chief Brad Martin, there is a 20-minute response time to Port Ludlow with another 18-minutes to Seattle if the helicopter is called for high-intensity care transport. Two ICU-trained nurses monitor and treat the patient in flight. Air Care insurance is available for $ 79 per household.

If a resident is transported by ambulance to Harrison or Jefferson, the ER is notified enroute. After arrival, “Tele-Stroke” protocols are followed. Leanne Peterson shared that Harrison’s ER Physicians consult with Harborview’s neurologists by phone 24hrs/7days regarding a treatment plan based on the resident’s digitally-transmitted CT scan. Harrison is fully certified for indicated interventions for all types of strokes with exception of brain surgery. Paula Sorbel (Jefferson) and Sherene Schlegel (Swedish) described their two-way video-conferences to assess a resident’s stroke signs and symptoms by a neurologist along with CT scan. If criteria are met, the clot-busting thrombolytic is administered and resident transferred to Swedish.

Stroke remains the 3rd leading cause of death, but there is much you can do to be proactive. Maintain your blood pressure below 140/90; do not use tobacco products; lower your cholesterol; cut down on salt and fat; exercise daily; control your blood sugar, if diabetic; drink alcohol in moderation; find out if you have atrial fibrillation (Afib); complete your “File of Life.” The Wellness Committee is planning to make a DVD of the excellent presentations as well as educational handouts available. Other resources are on

Our second Spring Forum will be on Saturday, May 10, 2014

S T R O K E:


Management Protocols

and Rehabilitation


David Tirschwell M.D.
Co-Director, Harborview Stroke Center
Representatives from:
Harrison & Jefferson Hospitals,
Swedish TeleStroke Program,
PLFR Emergency Medical Services
and Airlift N.W.


May 10, 2014
1 - 3:30 pm (with break)
Bay Club
120 Spinnaker Place, Port Ludlow 98365


Forums are free and open to the public
Sign-up sheets at Bay and Beach Clubs or call 360.437.9935
Resources for this Forum are available at
Questions? Email:

Click for print version

Our Aging Brain: Spring 2014 Forums on Dementia & Stroke

The Village Council’s Health Committee has not been idle over the Winter. One-on-one Counseling sessions, held monthly with SHIBA/ Health Information volunteers, are being well received (details for March 12th in this issue). A Spring Forum Series on "Aging of the Brain" has now been scheduled.

The first event, "Understanding Dementia and Early Interventions," on April 5th (1 p.m. Beach Club) will focus on the catastrophic decline of the brain occurring with dementia, including Alzheimer's, and what we can do should a family member or someone we know become affected. Gail Bosch, RPh., a Certified Geriatric Pharmacist who has lectured extensively on Alzheimer‘s Disease and related dementias including in Port Ludlow in 2010, is our featured speaker. She will share the latest information and research on early recognition and treatments, including medications to slow down the disease process. Accompanying her is Jenny Eidsmoe from Seattle‘s office of the Alzheimer‘s Association, who will share information on interventions for the early changes in communication and daily activities in individuals suffering from this disease.

The second Forum, "Stroke: Prevention, Management Protocols and Rehabilitation," has been scheduled during Stroke Awareness Month for May 10th (1p.m. Bay Club). It focuses on what happens to the brain during and after a stroke and how to respond quickly to minimize the debilitating consequences. Dr. David Tirschwell, Co-director of Harborview's Stroke Center, is our featured speaker covering risk factors, warning signs, early recognition and treatment of different types of strokes. Panelists will then discuss what is happening at local hospitals, EMS services and Airlift NW. The last Stroke Forum in Port Ludlow was in 2005. After many recent medical and organizational changes, residents will be better informed about what is happening after a stroke and what decisions will have to be made at which stage.

To understand dementia and stroke we need to study brain structure and function. We plan to make educational handouts available demonstrating how the brain is affected by the underlying disease process(es). Preparatory resources and contacts are available at Sign-up sheets at both club. [Announcement for the Voice, March 2014]

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First Spring Forum 2014: Saturday, April 5, 2014 (1-3:30p.m.) in the Beach Club:

You may have missed the Forum on Dementia and Alzheimer's Disease but are interested in some of the materials presented:
Click here for our "Aging Brains" Page.

The Forum also has been video-taped. If you are a resident of Port Ludlow, you may check out the disk(s) by sending an Email to, so that convenient arrangements can be made.

The Duties of the Health & Wellness Forum Committee include quite diverse activities, from recruiting speakers (here Gail Bosch and Jenny Eidsmoe at the April 2014 Dementia Forum) to cleaning up afterwards (here at the Beach Club)

Click for print version

Are You Up to Date on Health Care Reform Changes?
By Ursel Krumme, Co-Chair PLVC Health & Wellness Committee

On November 16, PLVC Health and Wellness Committee’s forum on “Medicare & the Affordable Care Act” updated residents on what’s new and what’s coming in 2014. The two presenters were Carolyn Smith, SHIBA: Statewide Health Insurance Benefits Advisors’ field supervisor with the Washington State Office of the Insurance Commissioner and Lauren Newcomer, RN, BSN, Director of Quality and Improvement at Harrison Medical Center. In case you missed it, here are some highlights. A DVD is available in a binder at the Beach and Bay Clubs for residents interested in using their laptops to hear what was covered.

According to Carolyn Smith, health care costs have risen from 1.6 trillion a year in 2000 to 2.9 trillion in 2010, just ten years later. Persons with chronic conditions account for 84% of these costs, 2.3 trillion, mostly through hospitalizations and prescriptions. She stressed the intent of the Affordable Care Act is to drive down costs for care through new innovative approaches by focusing on quality rather than quantity of services and mandating better coordination.

Medicare beneficiaries should take advantage of the expanded free preventive services such as screenings for breast cancer (mammogram), cardiovascular disease (tests for cholesterol, lipid and triglyceride levels), cervical and vaginal cancer (Pap test and pelvic exam), colorectal cancer (colonoscopy), prostate cancer (PSA test and digital rectal exam), diabetes (fasting blood glucose tests), bone measurements (Dexa-scan for osteoporosis), depression, and glaucoma. Also fully covered are obesity screening and counseling, medical nutrition therapy, diabetes self-management training, alcohol misuse screening and counseling, tobacco use cessation counseling, immunizations (flu, pneumonia, hepatitis B shots), and a yearly wellness check-up with your primary care physician. The “doughnut hole” for Medicare Prescriptions Part D will also be gradually eliminated.

Carolyn Smith stressed that in Washington State the Health Benefit Exchange’s online marketplace has worked well. From October to November 10 there were over 3 ½ million visitors to its website with 145,183 new accounts created during the six-week period. The Health Exchange also received funding for training in-person navigators which included background checks. In the State, there are now 450 SHIBA volunteers who already assisted 60,000 people. The telephone number to call for assistance is 1-800-562-6900.

The ACA is Not Just About Insurance Coverage!

Lauren Newcomer detailed the health care reform initiatives implemented at Harrison Medical Center to control costs and ensure quality of in-patient acute care. She highlighted a less well known section of the 2010 Affordable Care Act, the “Hospital Value-Based Purchasing program” (HVBP), which bases Medicare payment to hospitals on how they score on 12 clinical quality measures, 8 patient care experiences plus mortality rates. She used the example of a heart failure patient whose clinical quality measure “Discharge Instructions” must now include daily self-recordings of weight, blood pressure, heart rate, activity and symptoms on a “Heart Failure Log.” Discharged patients must also figure out their “Heart Failure Zone” from their self-recordings and add it to their daily log: (1) the “Green Zone=All Clear” if their condition is under control; (2) the “Yellow Zone=Caution” if they need to call the doctor; or (3) the “Red Zone=Danger” if they must see a physician right away or call 911.

The speaker shared that patient experience measures correlate well with care outcomes. Residents can expect to receive a patient satisfaction survey once at home. Questions such as “how often was your pain well controlled” are asked with four options to respond: “always,” usually,” “sometimes“ or “never.” Importantly, for a patient’s score to count for reimbursement, only “always” must be selected. For the past two years, Harrison has received money back from Medicare because it has performed better on these measures than 50% of hospitals nation-wide []

Lauren Newcomer pointed out that approximately 20% of hospitalizations are re-hospitalizations within 30 days of discharge of which up to 76% are potentially avoidable. She indicated re-hospitalizations may signal a failure in the hospital discharge procedures, patients’ ability to manage self-care, or the quality of care in the next setting. In order to reduce its hospital re-admission rates, Harrison partnered early on with other healthcare organizations as part of the Kitsap County Cross Continuum Care Transitions Project.(KC4TP). One of the first projects KC4TP implemented was expanding the use of the “Heart Zones” tool beyond the hospital to skilled nursing facilities and home health agencies. Heart failure patients now received consistent follow-up teaching of self-monitoring and assessments of their conditions in these settings after discharge from the hospital.

Individual, one-on-one Counseling Sessions

In collaboration with the Health and Wellness Committee, two local SHIBA volunteers, Phyllis Waldenberg and Judy McCay, spearheaded four follow-up clinics for one-on-one counseling with residents Wednesday afternoons. Free and unbiased individual assistance was provided covering’ Medicare Part D prescription plans, Medigap Part B Supplement plans, or insurance plans on the Health Exchange if under 65. These sessions were held after the Forum in November and December alternating between the Bay and Beach Clubs. Health & Wellness volunteers also assisted residents with navigation of free, credible, and reliable online medical databases.

Residents overwhelmingly gave a “thumbs up” positive response for the counseling sessions, and plans are underway to offer more. Stay tuned for announcements in the Voice regarding future dates, time and place for upcoming combined SHIBA/ Health Information Counseling sessions in 2014. A more detailed description of what will be covered is found in the December Voice issue p. 19. If you have any questions or need more information, please contact Kathy Traci at 301-5378 or

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Information & Educational Resources for above Forum [Click!]

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These are topics presently considered for "Forums" for the 2013- 2014 Program Year. Please send us your suggestions [krumme(at)comcast(dot)net]; or leave them at the Port Ludlow Village Council booth at the Market by the Marina (Fridays 1-5pm starting May 31, 2013)]
- Back Pain Management/Rehab (October 22, 2013)
- Update on Medicare & Affordable Care Act (Nov 16, 2013)
- TeleStroke Protocols & Rehab (March 2014, stay tuned)
- Dementia & Early Intervention (Spring 2014)
- Electronic Patient Records (Spring or Fall 2014)
- Elder Health Care Laws
- Alternatives to Aging at Home

Archives (since 2011)

2011-2013 Forum Flyers (Slide Show)

The 2013-14 Forum Series began on October 22 with
"Back and Spinal Issues. Prevention, Management and Rehabilitation"
Click for more Information

PHOTO: Peggy Flentie

Dr. Christopher Kain locates the incision point for minimally invasive
spinal surgery at Health Forum on October 22, 2013 in the Beach Club

Back and Spinal Issues: Prevention, Management and Rehabilitation

Are you part of the 50% of Americans that experience back pain each year? Your back and spine protect your nervous system, provide movement, absorb shock, and supply strength and endurance for your body. How can you prevent yourself or someone close to you from becoming the next back pain and spine injury victim? Join us for the Port Ludlow Village Council Wellness Committee’s fall forum, “Back and Spinal Issues: Prevention, Management, and Rehabilitation.” Tuesday, October 22 from 6-8 p.m. at the Beach Club.

Michael Haberpointner, PT, DPT, owner and Physical Therapist at Active Life Physical Therapy in Port Ludlow, has been serving the community since 2005. He specializes in spinal rehabilitation, balance disorders, and back pain. Dr. Haberpointner will be discussing diagnosis and treatment techniques in the management and prevention of low back pain.

Christopher Kain, MD, FAAOS, FNASS from West Sound Orthopaedics in Silverdale offers conservative and comprehensive spinal care for all regions of the spine. Dr. Kain has provided services in the Kitsap Medical Community since 1991 and specializes in spine surgery, General Orthopaedic injuries and disorders. He will discuss advances in spine health—including the cutting edge technology of operations, surgical approaches and Minimally Invasive Spinal Surgery procedures (MISS).

It is free and open to the public! Bring a friend! Questions? Email or call 360-437-9935 or 206-605-1957.


Download Full-Text Flyer for this Forum (designed by Angela Gregory; pdf)

(Forum Resources - Click!)

Please join us for another PLVC Wellness Forum:

Tuesday, May 14, 2013
1:30 p.m. - 3:30 p.m. in the Bay Club: 120 Spinnaker Place

Heart Attack Protocols
and Rehabilitation:

"Time is Muscle - Muscle is Life"


Click picture for video

Dr. David Tinker,
Kitsap Cardiology & Harrison Medical Center

  • Tim Manly, Paramedic, Port Ludlow Fire & Rescue

  • Judy King R.N., Jefferson Healthcare: Cardiac Rehabilitation Coordinator

    Educational Resources for this Forum at:

    Port Ludlow Cardiac Patient Cases & Testimonials (Click)

    Free of charge.
    Contact: Tom Boughner, 437-9884 or Peggy Schafran, 437-9935

    Wellness Committee Web Site:

  • Pre-Diabetes & Diabetes: Prevention & Control
    [Feb 28, 2013, 1:30pm in Beach Club]
    Related Resources (Click!)

    There are an astonishing 25.8 million people who have diabetes in the United States. Another 79 million have prediabetes. Diabetes is the number one cause of kidney failure in the world. It is the number one cause of blindness in people ages 20-74 in the U.S. With these ever growing numbers, it is important to learn as much as we can about this disease.

    Please join us on Thursday, February 28th, 1:30 - 3:30 p.m. at the Beach Club for our Wellness Forum on how to prevent and control prediabetes and diabetes. Our three knowledgeable presenters will be Amber Benner, Irene Marble and Wes Schott, all from Jefferson Healthcare.

    Amber Benner, RN, BSN, has been with Jefferson Healthcare for the last 21 years. She has worked in several inpatient nursing departments and as a cardiac rehabilitation case manager in outpatient wellness. As a Certified Diabetes Educator, she has been educating clients with diabetes since 2003.

    Irene Marble is a Registered Dietician and Certified Diabetes Educator. She has taught many patients the nutritional value of food and assisted them in making healthier choices. Irene often speaks at healthcare forums and stresses how diet and nutrition affect the quality of life.

    Wes Schott, ARNP, practices at the Port Ludlow Clinic and has a MS in Nursing. Wes has worked in a variety of healthcare settings for more than 20 years. He provides high quality primary care and sub-specializes in endocrine disease management and diabetes using available advanced therapies.

    Bring a friend and your questions! For more information please refer to


    "Health Care Coverage (Medicare etc.):

    What's New and What's Coming"

    (November 14, 2012)

    Resources & Presentations related to Nov. 14 Wellness Forum
    1. Handout related to Chewon Lee's presentation (Click!)

    2. Lauren Newcomer's PowerPoint presentation
      1. "Medicare Cost Saving Initiatives: The Impact of Health Care Reform" (as pdf)
      2. Heart Zones: Heart Failure Discharge Instructions

    3. MEDICARE RESOURCES related to November 14 Wellness Forum
    4. Medicare Resources


    Click for higher resolution PDF Verson of this Flyer

    Wellness Forum
    There’s been a lot of talk about health care coverage. It hasn’t been easy to sort truth from fiction. Find out what you need to know now during the current Medicare open enrollment period, and how changes mandated by the Affordable Care Act will affect you and your health care. Please join us for a Wellness Forum on health care coverage sponsored by the Port Ludlow Village Council, Wednesday, November 14th, 10 am to noon at the Bay Club. Our three presenters will be: Marjorie Stewart, SHIBA Coordinator (Statewide Health Insurance Benefits Advisors) with the Olympic Area Agency on Aging; Chewon Lee, Strategic Partnership Development Specialist with the Office of the Insurance Commissioner for Washington State; and Lauren Newcomer, RN, BSN, Director of Quality and Operational Improvement for Harrison Medical Center. We will learn from these experts what both the state and hospitals are doing to meet the new requirements. Bring your friends and your questions. Light refreshments will be served. For more information and 'Forum Resources', please visit

    Topics of Interest, suggested at April 2011 Meeting

    At the April 5 organizational meeting of (largely) health professionals at the Bay Club, in preparation of the PL Wellness Committee, the following topics were suggested by the audience for future forums
    1.	Diet & Nutrition 			
    2.	Dementia 				
    3.	Wholeness of Wellness  		
    4.	Finding Internet Medical Sources      
    5.	Hospice 				
    6.	How To Choose a Caregiver  	
    7.	Heart Attack and Stroke Protocols	              
    8.	EMT and Paramedic Protocols in PL
    	Possibly combine 7 & 8 as panel          
    9.	Chronic Conditions 			
    10.	Support For Caregivers 		
    11.	Wellness & Health Websites 	
    12.	Case Management 			
    		What Is It/ Who Needs It
    13.	Palliative Care/ Hospice		
    14.	Fall Prevention 			
    15.	Understanding MEDICARE/Ins.	
    16.	Crime Prevention/Elder Abuse	
    17.	Legal Documents and Aging               
    18.	Wellness Programs	

    Educational Forums actually held or scheduled between 2011 and 2014

    Oct 12, 2011:Balance & Fall Prevention
    Jan 11, 2012: How to Survive as a Family Caregiver
    March 7, 2012: Improving Quality of Life with Palliative Care
    April 11, 2012: Coffee with Hospital CEOs (Harrison & Jefferson)
    10am-noon, Beach Club (Please sign up!)
    June 6, 2012: Senior-Friendly House Remodeling (6-8pm, Bay Club)
    Sept 24, 2012:Return to an Active Life: The Importance of Exercise as We Age
    Nov 14, 2012:Health Care Coverage (Medicare etc): What’s New and What’s Coming
    Feb 28,2013: Preventing Pre-Diabetes and Diabetes
    May 14,2013: Heart Attack Protocols and Rehabilitation
    Oct22, 2013: Back & Spinal Issues: Prevention, Management & Rehabilitation
    Nov 16,2013: Updates on the Affordable Care Act & Medicare
    April 5, 2014: Understanding Dementia & Early Intervention
    May 10, 2014: Stroke: Prevention, Management Protocols & Rehabilitation
    April 11, 2015 High Incidence Cancers: Navigating Options & Resources From Diagnosis to Survivorship
    Nov 14, 2015 NEVER ASSUME THERE IS GOOD COMMUNICATION: The Need for Patient Advocacy Continues after You Leave the Hospital

    Admission to these Forums is free. Some of the Forums require prior Registration.

    Suggestions for Future Forum Topics and Presenters are always welcome!


    Health & Wellness Forums 2011 - 2013

    Navigate & Search!

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    Ursel Krumme, Committee Co-Chair, accepts a disk of the video which James Jenkins ("JJ") produced at the Medicare Forum in Nov. 2013 covering both presentations.

    We miss you, JJ!
    CLICK for Obituary in PTLeader

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    Our expert photographer Peggy Flentie (r) together with committee members & forum organizers Karen Gebala (ctr) & Ursel Krumme (l)

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    Our November 2014 Medicare Forum

    (through Peggy Flentie's Lens)

    Photos: Peggy Flentie

    10 a.m.: Almost all seats are filled, Bob Azen makes a last minute Adjustment to the Microphone, Let the Forum begin...

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    Marjorie Stewart from the O3A Offices in Sequim introduces SHIBA Volunteers and our "Long-Term Care Ombudsman"

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    Terri Osborne, SHIBA Volunteer Trainer for our County initiated the Medicare Discusssion: Do you know the Difference between being an Inpatient or an "observed" Outpatient when waking up in a Hospital Bed? Good to find out!

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    Jane Meyer: Did you know that we have an "Ombudsman" for Long-Term Care and Advocate for Patients' Rights in our County?

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    Lauren Newcomers from Harrison Medical Center staffed the Harrison Table and and was one of our Forum Presenters covering Quality Issues during the Patient Transition Process

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    Lisa Holt introduced us to the Concept and Practice of "Home Health" at Jefferson Healthcare

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    As Part of Lisa Holt's Presentation, Mitzi Hazzard explains Jefferson Healthcare's "Swing-Bed" Program

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    "Mayor" Terry Umbreit, also President of the Village Council organizes the many Handouts he received as a Member of the Audience

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    Kate Burke, Chief Marketing Officer at Jefferson Healthcare, with some of her many educational Resources from her Organization

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    Volunteers Nancy McGonagle and Barbara Smith distribute Information Materials at the SHIBA Table

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    Shirley Peck & our Expert Nutritionist Autumn Pappas are responsible for serving healthy Refreshments during the Break.

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    First Forum Co-Chair (2011-13)

    Tom Boughner
    2011 - 2013

    Peggy Schafran
    2011 - 2014

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    The Poster was created by Val Vogt

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    Learn about Who Needs A Flu Vaccine.

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    PHOTO: G.Krumme
    The two Hospital CEOs, Mike Glenn (Jefferson Healthcare, on the left), and Scott Bosch (Harrison MC, on the right) with Peggy Schafran, one of the founding members of the Wellness Committee (April 11, 2012 at the Beach Club)


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