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IN CELEBRATION OF OUR SILVER ANNIVERSARY EST. 1993 INSIDE REPORT 2017-18
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MESSAGE FROM HURLEY MEDICAL CENTER PRESIDENT & CEO We at Hurley Medical Center continue to feel privileged by the number of patients and families that choose Hurley for their care. In addition, we are grateful to the physicians who choose Hurley as a partner in providing comprehensive and coordinated care to their patients. While healthcare has seen tremendous change, Hurley’s mission of excellence and service has not wavered in the last 110 years. Our commitment to the community and the mid-Michigan region in general is focused on access to safe, high quality patient care. Throughout Hurley Medical Center we have made significant investments in our staff, equipment and facilities to sustain this commitment and be your healthcare provider of choice. It is a privilege to be Genesee County’s healthcare leader, and a regional resource for specialty care. We don’t take this privilege for granted and we recognize that we are able to be this resource because of the outstanding generosity of the Hurley Foundation supporters. As we celebrate the 25th anniversary of the Hurley Foundation, we reflect on the exceptional partnerships that the Hurley Foundation has cultivated for the hospital. We recall that Hurley’s doors are open to everyone and that many of the unique specialty services that we provide are either unfunded or underfunded to some degree. As a result, when you support the Hurley Foundation you are taking an important step in keeping these services right here in our community and right here for you. Without the support of each and every individual that has provided a donation to the Hurley Foundation, we could not do all that we do. Thank you for helping us care for the patients who choose Hurley. Together, we are making a difference in the lives of individuals, day in and day out. Yours in good health,
Melany Gavulic, RN, MBA President & Chief Executive Officer
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MESSAGE FROM HURLEY FOUNDATION PRESIDENT In 2018, we celebrate the 25th anniversary of the Hurley Foundation. With that we need to kick off this year’s annual report with a tremendous THANK YOU to all who have supported the Foundation through direct donations, gifts-in-kind, volunteerism, supporting the Lobby Shop, or through sponsorship and attendance at one of our many events throughout the year. In whatever way you have chosen to be a part of our community in creating miracles and improving lives, we thank you and invite you to browse through this year’s Inside Report to see how collectively, we have all made a difference. The staff and volunteers of the Hurley Foundation are a special group of people. Their passion and commitment is seemingly endless. Like the medical center, the work of the Foundation is never done. We simply adapt, change, and create new and innovative ways to fulfill our purpose. In the end, however, it is always about the patient, their families, and our community. As Melany points out, being the healthcare leader is a privilege and one that is not taken lightly. The Hurley Foundation is proud to have been such an important part of Hurley’s history and looks forward to many more decades to come. We invite you to be part of our community of support. Whether you are an individual, a service club, or an employer who would like to find ways to give back to the community, the Hurley Foundation is right here. In the following pages you’ll see how others like you have chosen to be involved, how they are giving back and creating miracles. This silver anniversary is a milestone for sure, but it only marks the beginning of the great work that lies ahead of us. Thank you for taking the ride with us.
Sincerely,
Michael Burnett President, Hurley Foundation
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SILVER COATING CHILDHOOD Carefree spirits, firefly summers, birthdays and
toolbox of resources has grown. Impressive additions
fairytale realms are hallmarks of a happy childhood.
such as a Vecta Machine, which uses music, lights,
Yet childhood illness can rob children of the innocence
a bubble column and fiber optics to distract and
and fun most of their peers count on. That’s when
entertain during a procedure, and the Touch-2-Play
Hurley’s Certified Child Life Specialists go to work.
donated by a local softball team, a MOMS group and
Whether through music and art therapy or imaginative
a foundation started by the parents of a pediatric
play, they put hope and stability back into young lives
oncology patient, provide amazing experiences. But
interrupted by every family’s worst nightmare.
tried and true items like crayons, activity books and toys are equally important. All gifts to the program
“Play is such an important part of development for
come from the community. From former patients and
children” said Laura Parcels, Director of Hurley’s
their families, school children, businesses, church
Child Life Services. The Child Life team’s main goal is
groups, sororities and fraternities--even gamers (via
to ensure the hospital setting doesn’t cause a lapse
Extra Life) and a high school alumni group with a lot
in that development. Trained in child development,
of heart. Most donations go straight to the services,
Certified Child Life Specialists are uniquely equipped
which keeps them at Hurley.
to make the experience of being in the hospital less scary. They tell children what to expect, using age
“Without all of our generous donors and a very
appropriate language and concepts, along with
dedicated staff, we could not maintain the level of
medical play that allows kids to become familiar
services that we are currently able to sustain,” said
with the equipment that will be used during their
Parcels. Child Life Services are in high demand, but
procedures.
not paid for by insurance, which is why fundraising is so important to protect the program that protects
Thanks to money raised through the Children’s
childhoods. When it comes to healing and support in
Miracle Network and the Hurley Foundation, their
the hospital, Child Life Services is a child’s best friend.
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A COMMITMENT TO HELP A grant of $9,800 from the Martha Merkley-Elderly
Grant funds purchased items such as gait belts,
Charitable Trust helped Hurley expand its exceptional
magazine subscriptions, activity books, relaxation
care for seniors through the implementation of the
music and games, as well as thoughtful little touches
Hospital Elder Life Program (HELP). HELP is designed
like batteries for hearing aids, eyeglass wipes and
to prevent delirium, falls and functional decline and
large print books.
reduce readmissions for patients 70 and older. During the day, patients can engage with volunteers A group of specialized volunteers trained in senior-
in activities like cards, trivia, music or reading. At
specific caregiving keeps hospitalized elders
night, relaxation is promoted through music, dimmed
grounded in their surroundings. Volunteers help with
lights and a light massage. The program not only
daily visits, therapeutic activities, early mobilization,
meets basic needs for nutrition, fluids and sleep, but
non-pharmacologic sleep enhancement and other
aims to keeps seniors mentally sharp and as mobile as
measures to raise the standard on senior care. Studies
their physical condition will allow. The ultimate goal
show that senior patients do better if they feel more
is for seniors to return home at the maximum level of
at home.
independence.
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CHILDREN’S MIRACLE NETWORK HOSPITALS The Hurley Foundation is proud to be part of the Children’s Miracle Network Hospitals organization which was created in 1983 by Marie Osmond and John Schneider. This is a system of 170 children’s hospitals throughout the United States and Canada. Not EVERY children’s hospital belongs. You have to be invited and that opportunity was extended to Hurley in 1990. We were asked to join because we offer the most outstanding pediatric care in our 15-county region and because we agree to care for ALL children, regardless of their family’s ability to pay. Ten million children and their families are served by Children’s Miracle Network Hospitals EVERY year...that’s more than ANY other children’s cause. This makes us the largest children’s charity in the world! Even though Hurley is located in Flint, our pediatric services extend to 15 counties including Saginaw, Bay City, Midland as far north as Alpena over to Mt. Pleasant on the west, counties in the Thumb, and all of Genesee and Shiawassee Counties. This is where children receive the very best medical care possible. Helping to make all of this possible are amazing national CMN Hospitals partners like Speedway, Walmart, Sam’s Club, Rite Aid, Dairy Queen, Credit Unions for Kids, ACE Hardware, Panda Express, IHOP, Kiwanis and others.
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THE POWER OF 1992 was a Leap Year. Renee and Carl Diener were
“Two wonderful ladies that came and rocked
having quadruplets. They chose Hurley Medical
the babies while I did things around the house.
Center for the birth, since Hurley had the best NICU
They were a godsend.”
around—back then as well as now. Having worked there part-time as a social worker, Renee had seen
Fast-forward 25 years, and the kids are doing fine.
firsthand what they could do. In the silvery light of a
Nicholas and Rachel are graduates of Saginaw Valley
February morning, four tiny babies were born about a
State University, Katherine is studying education at
minute apart, making their appearance 12 weeks early
the University of Michigan Flint campus, and Robert
on a date that would occur only once every four years.
just graduated from a dual program with the school
These Leap Year babies, the second set of quadruplets
district and the Iosco Regional Educational Service
ever to be born in Genesee County, would join the
Agency (RESA) center. He communicates via a speech-
ranks of our 1993 Miracle Children.
generating device, which helps him participate with Shoreline Players, a local community theater group. He
Ranging between 1 – 2 ½ pounds, the babies were
also loves to travel and try new restaurants.
kept in the NICU for months. The last to come home was Robert, who had developed cerebral palsy
When we approached Renee after all these years, she
resulting from a brain bleed. He would leave the NICU
was gracious and eager to talk with us. “Any chance to
after three months, but would need to be seen by
brag about our kids, right?” she said.
many specialists and receive follow-up care at Hurley’s Developmental Clinic.
We couldn’t have put it better. At the Hurley Foundation, we’ll take any chance to help the children
“It was chaotic to say the least,” Renee said of bringing
in our care to thrive. Nothing makes us prouder than
the kids home. Luckily, she had help. In addition to
the thought of them making their way out there in the
the family members who came to her aid were two
world, their proud parents and communities looking
volunteers of Hurley’s Foster Grandparent program:
on. That’s the standard by which we measure our
Willie Mae and Julia.
progress on this Silver Anniversary.
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BY ANY STANDARD
In 1996, at the age of 14, Stephen Case
Mississippi. He went on to complete his
was diagnosed with Acute Lymphoblastic
PhD at the University of Notre Dame.
Leukemia (ALL). He endured two-and-a-half
Now married, Stephen has experienced
years of grueling chemotherapy and more
yet another miracle. Although one of his
than 50 hospital stays, only to receive a
chemotherapy drugs was shown to cause
diagnosis of Hodgkin’s Lymphoma in 1999.
sterility, and doctors had prepared him for the worst, today Stephen is the proud father
Through it all, Stephen managed to stay
of four: twins, Jack and Baylor (11), Charlotte
positive. Although his hospitalizations
(9), and Harper (6). He is also a professor
caused him to miss school, he maintained
and planetarium director at Olivet; associate
a 4.0 grade point average and was named
director of the university’s honors program;
Valedictorian of Swartz Creek High School.
author of short stories, a science fiction novel, and a history of astronomy text; and a
He received a full scholarship to Olivet
man trying to maintain the sense of wonder
Nazarene University and fulfilled a childhood
and optimism instilled during his illness.
dream spurred by visits to Flint’s Longway Planetarium, of working in the campus
“I feel like everything that’s come after
planetarium and observatory. Accepted to
my diagnosis has been a bonus,” he
the Oxford Honors program, Stephen studied
said. “I want to share the excitement
for a semester in England, then earned a
of being alive in a big universe with my
Fellowship in Physics to the University of
family, my students and my readers.”
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Tanaya Nelson (Nay Nay) was only two years old when she was diagnosed with Stage Four Neuroblastoma. The mass covering her vital organs was as big as her stomach, requiring chemotherapy at Hurley, followed by a stem cell transplant at Detroit Children’s Hospital. Her family credits their faith in God and the amazing medical teams for Tanaya’s full recovery. Her mom said, “I would recommend Hurley because it’s so personal. Your child is made to feel like they’re the only child in the doctor’s care.” This year Tanaya turned 18 and graduated Tanaya’s resilient spirit shines through!
from Reynoldsburg High School in Ohio. Next stop: Youngstown State University to study nursing and help children beat cancer like she did.
Doni Hoffa’s life changed forever in 2003 when she was struck by a car while jogging near her home in Almont. The impact hurled her across the windshield into a ditch. Rushed to Hurley, she underwent surgery to insert a brain pressure monitor and was brought to the Pediatric Intensive Care Unit (PICU). The outgoing athlete with the exceptional grades was in a coma, fighting for her life. While Doni had no broken bones, she suffered a traumatic brain injury. After 29 long days in the PICU, Doni was transferred to Hurley’s Inpatient Pediatric Rehabilitation Unit, where she concentrated on getting better as her senior year flew by without her. Despite being voted prom queen by her class, she’d missed Mike and Doni Flinn
her prom. So the team at Hurley threw her one, complete with dress, hair, make-up, crown and her boyfriend—Mike Flinn.
Fast forward: She and Mike are married and the proud parents of two beautiful children. Doni is a Certified Registered Nurse Anesthetist and earned a Master of Science in Nurse Anesthesiology from the University of Detroit Mercy. She sets a new standard of delivering excellent patient care because of her belief: “Never give up. I thank God every day for my family, Hurley and Children’s Miracle Network. I am forever grateful.”
Louie & Stevie Flinn
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FOR A LIFE OF SUCCESS Tyler Lowe was born on July 27, 1993, a happy,
Coping with sickle
healthy child. All that changed in 1998, when he
cell had sparked
was hospitalized with pneumonia. Tyler’s bloodwork
Tyler’s interest in
revealed a stunning diagnosis: sickle cell disease.
science, leading him to major in
Sickle cell disease is caused by a defect in blood
Biology at Ferris
hemoglobin, resulting in sickle-shaped blood cells.
State University. In
Unlike healthy donut-shaped cells, these can get stuck
2014 he initiated
in a child’s blood vessels, blocking the flow of oxygen
a program at
and causing inflammation and pain. If the vessels
Diplomat Pharmacy
to the brain are blocked, there is a risk of stroke.
that focused on medication
Tyler had inherited the trait from his parents, Shaun
adherence in patients with sickle cell disease. He
and Jeff. While treatable, Tyler’s illness had no
became an advocate for the Sickle Cell Association,
cure in sight. His care team at Hurley recognized
and today lives in Charlotte, North Carolina. At 25, he
the toll the illness was taking on the entire family.
is an Assistant Events and Facilities Coordinator for
On top of medical care, they provided emotional
the Huntersville Department of Parks and Recreation.
support for Tyler’s parents and two younger sisters,
He manages his illness and makes the most of every
Taylor and Peyton. As is often the case with serious
day, living by his favorite scripture, Proverbs 3: 5-6:
illness, Tyler’s sickle cell brought the family closer.
“Trust in the LORD with all thine heart, and lean not unto thine own understanding; in all thy ways
“I appreciate him so much more,” Jeff said. “I
acknowledge him, and he shall direct thy paths.”
understand that life is short and we don’t take anything for granted.” These words took on a deeper
With the help of his amazing family, his positive
meaning when Shaun passed away in 2016 at the
attitude, his religion and the specialists at
age of 51. The family had yet another reason to draw
Hurley Children’s Hospital, Tyler has set
together, finding comfort through their faith in God.
the standard for a successful life.
Tyler, Shaun and his sister, Taylor
Shaun, Tyler and Jeff Lowe (2007)
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HEALING THROUGH ART Famed photographer William Wegman and RxArt partnered with Hurley Medical Center to bring 22 of Wegman’s beloved Weimaraner photographs to the Burn Unit at Hurley. The beautifully framed photographs turned the hallways and waiting area of the fifth floor into a healing art exhibit. This unique project, conceived to provide comfort to burn patients and their families, was showcased in a ribbon cutting ceremony hosted by the Foundation.
THANK YOU, CREDIT UNIONS FOR KIDS In December, Hurley
$20,000 from the Sheppy Dog Fund and its generous
supporters rallied votes
advisor, Dr. Alan Klein, a Hurley pediatric dentist.
for their hometown
Contest winnings provided a special treatment room
favorite, helping Hurley
at Hurley Children’s Hospital for pediatric victims of
Children’s Hospital
abuse, whether it be physical, sexual, neglect or child
beat out larger CMN
trafficking-related. Designed with these young victims
Hospitals to achieve
in mind, the room assures them an environment of
FIRST place in the
privacy and comfort as they are treated and their
“Vote for Miracles”
voices heard. It includes an interactive gaming system
contest presented by Credit Unions for Kids. The
sponsored by ELGA Credit Union, which provides a
$50,000 prize was sweetened by an additional
distraction when needed.
NURTURING A SENSE OF HOME February marked the big reveal of renovations made
bedside of their loved one, bolstering recovery and
to the 11th floor, expanding Hurley’s capability to offer
incorporating a sense of home into the exceptional
private rooms to pediatric patients. The new pediatric
care Hurley offers—and it was all made possible with
unit features 14 private rooms and other family-friendly
donations through the Foundation. The new space also
touches to put children at ease during their hospital
includes a children’s playroom, a teen gaming room,
stay. This ability to offer private rooms with greater
a nutrition center and a meeting space for staff and
frequency allows parents or caregivers to stay at the
families.
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Families enjoyed the Dairy Queen Miracle Picnic at Sloan Museum, benefiting Hurley’s Child Life Services. Thank you to our Title Sponsor, Dairy Queen, along with our Presenting Sponsors: Sovita Credit Union, CO-OP Miracle Match and Credit Unions for Kids. Thanks to support from other local sponsors and donors, miracle families and guests had a wonderful time.
BOWLING FOR MIRACLES On behalf of the Hurley Foundation, a big thank you goes out to all of the friends and families who participated in the annual CMN Hospitals Bowlathon on May 19 at Colonial Lanes in Flushing. No matter the actual scores, you all bowled a 300, because good times, good company and a good cause adds up to the perfect game!
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MIRACLE Steve and Charron Hughes (Dairy Queen owners/operators of Clio and Birch Run) were the lucky winners of a drawing at their International Dairy Queen conference. The prize? A $138,449.71 donation to Hurley Children’s Hospital’s Child Life Program. Important equipment as well as fun items are being purchased. Thank you, Dairy Queen!
RADIOTHONS HELPING KIDS Thanks to Nate, April, Bob and Mackenzie from the 102.5 WIOG “Cares for Kids” Radiothon and to Tim and Steve from the NASH FM 95.1 “Cure Kids Cancer” Radiothon for all their hard work to help us raise funds for Hurley kids! For the first time ever, we enjoyed two amazing Radiothons broadcasting live from Hurley Children’s Hospital on February 8 and 9. Together, they raised a combined total of $93,596.66 for our kids! We’d like to thank all of the listeners, volunteers and sponsors who made this possible.
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IN HEALTH On October 5, 2017, the Hurley Foundation hosted the 2nd Annual Pink Night Palooza event in partnership with Financial Plus Credit Union. The dazzling fundraiser benefited Hurley’s Breast Cancer Navigator Fund, assisting patients on their 2017
FO U N D I N G S P O N S O R
recovery journey with financial, spiritual and emotional support. In addition to friendship and celebration, the event featured delicious appetizers, pink cocktails and distinctive entertainment ranging from an iconic bra fashion show to dancing and auctions.
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LEAVING A SILVER LEGACY
REMEMBERING WADE A. PYLES 5.11.69-9.8.18 For all the progress made this year, the Hurley Foundation and the entire community have suffered an extraordinary loss with the sudden passing of Wade A. Pyles. A devoted Hurley supporter and community advocate, Wade was all about relationships in both business and his personal life. He was a passionate force in support of Pink Night Palooza for many years and devoted boundless energy to many other causes held close to his heart. Wade valued connections and was always willing to help out a friend or any worthy cause. While it is a great tragedy to have lost such a valued member of the Hurley family, his legacy of generosity and communitymindedness will live on in all who knew him.
KEEPING IT CLASSIC On September 11, 2017, the Hurley Foundation hosted its 33rd Annual Trauma Center Golf Classic at the Flint Golf Club, benefiting Hurley’s Level 1 Trauma Center and Burn Unit. The event included a full Honor Guard Ceremony that reinforced the patriotic theme while honoring the anniversary of 9/11. Trauma Ambassador and guest speaker, Lt. Jeff Neville, shared his gripping story of surviving the Bishop International Airport attack. His account ended the day on a meaningful note, driving home the importance of Hurley’s exceptional trauma services.
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IN THE PICU In March 2018, community members and Hurley supporters stepped out for a night of glamour 1920s style, at the 37th Hurley Benefit Ball, Speakeasy Soirée. Guests indulged in a speakeasy inspired cocktail hour followed by a dinner fit for socialites, with dancing to live entertainment, casino games and a silent auction. Proceeds benefited Hurley Children’s Hospital’s Pediatric Intensive Care Unit, upgrading all aspects of pediatric care for our most critically ill young patients.
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As the first-ever Steering Committee Chair, Alison
exception. She worked as assistant to the president
Dedrick heads a group that combines the members
of the auxiliary for one year before being appointed
of the recently dissolved auxiliary and the Volunteer
committee chair in May, learning the ins and outs of
Corps of Hurley Medical Center. With the committee
Hurley service. “Customer service is imperative with
still in its honeymoon stage, Alison is poised to launch
any job in the hospital, but especially with us,” she
her vision for the future. High on the to-do list is
said. Based on her six years as a volunteer, Alison
increasing numbers and reaching out to more age
believes her group capable of exceeding expectations
groups, including students.
in that regard.
“We’re really the face of the hospital,” she said. “If
“We can empathize with the patients’ families. I don’t
we can provide a really good experience for patients
think there’s one of us who hasn’t had someone in
and their families, they’ll be more likely to come
the hospital. We take pride in Hurley. We wouldn’t be
back.” Volunteers serve in the surgical lounge, the
here if we didn’t.”
catheterization lab, admitting, the GI lab, and the Lobby Shop, to name just a few areas. As greeters,
“I look forward to coming to Hurley,” she added,
they are that all-important first impression and a
admitting that she was back helping in the surgical
human touch. They cuddle preemies overnight, walk
lounge within two weeks of her own surgical
those who seem uncertain to where they need to
procedure. Actions speak louder than words. Hers
go and give families vital information as liaisons in
assure us that the committee is headed in the right
the Emergency Department. Training often occurs
direction.
“on-the-job”, and Allison’s new assignment is no
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HONORING THE AUXILIARY LEGACY As the Hurley Medical Center Auxiliary is reborn after 61 years in the all-encompassing Volunteer Corps, we celebrate their longstanding legacy. The Hurley Medical Center Auxiliary began in 1956, when a group of 103 women from the community banded together with the purpose to promote and advance the welfare of Hurley through the interpretation of the hospital to the public through service to the hospital and its patients. Throughout the last years, the Auxiliary left its mark on this organization. They have displayed exemplary commitment to service and fundraising, and their legacy will live on through the renewed vision of the Volunteer Corps.
1966 1981
1983 1986
1989 1997
1998 2003
2005 2006
2008
2016 2018
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The concept behind our Food FARMacy is
said Gunsorek. “Our numbers have increased
simple. If so many medical conditions are
considerably.” From 60 visitors in the first
caused or worsened by not having access to
month to 877 people one year later, they’re
healthy foods, let’s approach the problem from
not just supplying healthy foods for the
the ground up. Let’s get local farmers involved.
community, but also providing much needed
Let’s enlist the help of medical providers to
education regarding nutrition and managing
identify the level of need during office visits.
medical conditions. And they’re serving it up
Before you know it, you have a system of
without sacrificing anyone’s dignity. “Because
screening for food insecurity that enables
we are grant funded, we don’t have to make
doctors and their staff to prescribe healthy
people jump through all the hoops,” said
food for whole households. “A lot of people
Gunsorek.
are fed on a very little amount of money,” said Susanne Gunsorek, a dietitian who coordinates
“That helps us build a nice rapport. We get
the Food FARMacy. “It wouldn’t work without
to know their families and encourage them to
our volunteers and food bank supplies.” Or
come once a month.” Little by little, Gunsorek
without a grant of $85,800 from the Michigan
and her team can sneak in some information
Health Endowment Fund in April 2018, which
about food groups or the diabetes classes
provides program funding for the entire year,
offered just down the hall at Hurley’s Adult
including enough to hire a part-time employee
Diabetes Education Center.
to help with the increasing number of customers. Every third Thursday, a semi pulls
“These casual conversations seem more
up with six flats of food, a shipment that can’t
effective,” she said. “We have the opportunity
even fit through the door. Everyone helps bring
to really personalize it, and our visitors are so
in the groceries--volunteers, employees from
appreciative and thankful.”
neighboring offices, workers at the Diabetes Center and often people that just happen to be standing there. The grant expanded the partnership to other agencies and also allowed for emergency takehome food bags to be offered on discharge for patients with an immediate need. “That really pumped a lot of life into our organization,”
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Twenty-six-year-old Kadira Sahic had been to Flint
moved to Flint and devoted a year to volunteering for
twice for concerts at The Machine Shop. When news
myriad programs such as the Hurley Food FARMacy,
of the water crisis broke, she was watching from
a first in the region and a way to connect the food
suburban Ohio, where she had a house, a promising
insecure with proper nutrition. Rotating between the
career and many friends. She also had an urgent
Hurley Children’s Center and other sites, she enrolls
need to help. “I’m fortunate to have the means to do
families in Double Up Food Bucks and Early Head
something,” she said. “So I did.”
Start programs, helping put healthy food on tables and kids primed for learning into classrooms. With
But donating money and bottled water wasn’t enough
these interventions, Kadira and other community
for Kadira.
partners hope to empower residents with resources to beat the long-term effects of lead exposure.
She found her humanitarian sweet spot through a volunteer organization that matched her with the
Not only has Kadira transformed lives within her
Pediatric Public Health Initiative (PPHI), a response to
adopted Flint community, she has transformed her
Flint’s lead exposure coordinated by Michigan State
own life—all because of her determination to be the
University and Hurley Children’s Hospital. Kadira
silver lining when dark clouds rolled in.
GRANTS LEAD TO FOOD FARMACY EXPANSION The Community Foundation of Greater Flint supported the development of the Food FARMacy through a grant of $50,500 from the Arthur L. Tuuri Health Fund. A $85,800 grant from the Michigan Health Endowment Fund has expanded screenings and referrals to include Hamilton Community Health Network, Genesee Community Health Center, Mott Children’s Health Center, Genesys Downtown Flint Health Center and Family Health Center and Wellness Services, Inc. Emergency “take home food bags” are also offered to families with urgent needs.
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A CATALYST FOR ACTION The presentation contained sobering statistics such as: families with food insecurity may forgo up to 100 meals a month, and 74.9% of cases must decide between paying for medicine or food. For Hurley, community outreach has always been a priority in providing coordinated care, resulting in innovative programs. In its 11 months of operation, the Hurley Food Alisa Craig, Administrator for Wellness and Population Health, accompanied Melany Gavulic, President and Chief Executive Officer, to Washington, D.C. for a policy briefing focusing on food insecurity. Invited by America’s Essential Hospitals because of Hurley’s strong history as an essential hospital, the duo shed some light on the grim reality facing many Genesee County families who do not have the means to buy healthy food and often have to make very difficult choices. Hurley provided an overview of the hospital’s initiatives to combat food insecurity, including their grant-funded Food FARMacy.
FARMacy has helped over 800 patients and 2,400 household members by providing them with healthy food and resources to assist them long-term. Patients are referred via their physician office or inpatient unit and receive up to six visits. “Eventually, I envision health plans partnering with us,” Craig said when questioned by a Senate Finance Committee member on the sustainability of such programs. With the cost of hunger at roughly $42,400 per U.S. citizen over a lifetime, providing resources for the food insecure makes economic and moral sense to improve our community’s health outlook.
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Hurley’s culture of volunteerism shines through with
the Food FARMacy at the same time, with every hour
the huge turnout at every event. When Jordan Liechti
of service translating to five pounds of food. “This is
became the new Director of Volunteer Services, she
not only helpful to our FARMacy, but also a great way
was not only impressed by this culture of service,
for employees from all departments to come together
but was inspired to take it to the next level. Joining
and do team building,” said Jordan. “We are all so
forces with Alisa Craig, Director of Wellness Services,
proud of this organization and what it represents. We
and Susanne Gunsorek, Food FARMacy Coordinator,
actually have a lot of fun with one another doing this
they came up with “HMC Employees Work the Food
volunteer work.”
Bank,” which merged Hurley’s partnership with the Food Bank of Eastern Michigan, their support of the
Together, over 150 HMC Employees and their friends
Food FARMacy and our employees’ desire to serve.
and family have donated 330 hours, totaling 1,650
Throughout 2018, Wellness and Volunteer Services
pounds of food earned for the Food FARMacy.
hosted three evenings where employees and their friends and family helped at the Food Bank, stocking
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PROVIDING OUTREACH & HOPE
TO VICTIMS
A grant from Michigan’s Department of Health and
if they are merely referred. The TRC team members
Human Services allowed Hurley Medical Center to
accompany them and help wherever needed.
establish a Trauma Recovery Center (TRC) — the
“A lot of time people allow the trauma to define who
first in Michigan. The TRC serves victims of violent
they are,” said Trisha Bryan, Program Coordinator.
crimes and ensures their care continues after leaving
“We’re saying it’s not who you are. It’s just a chapter in
Hurley. The $365,927 grant empowers Hurley to hire
your life--and one day you can say you got through it.”
staff and solidify partnerships with other local service organizations with the goal of providing victims
By providing emergency stabilization, psychotherapy,
a familiar face to walk them through all stages of
education and employment resources, and assistance
recovery. In addition to coordinating immediate crisis
navigating victim compensation, TRC professionals help
support alongside medical care, the TRC team follows
victims rebuild their lives.
up with patients after discharge. Most victims struggle with symptoms such as anxiety and the inability to focus, making it difficult to take advantage of services
Pictured above (left to right): Front row - Trisha Bryan, Program Coordinator; Tia Coles, Lead Social Worker Middle row - Rojon Hastings, Care Coordinator; Chia Morgan, Care Coordinator; Seon Thompson, Social Worker; Jessica Peplinski, MSW Intern Back row - Arthur Taylor, Care Coordinator; Levellyn Hunter, Care Coordinator
NURSE FAMILY PARTNERSHIP: MAKING CARE PERSONAL Since 2015, Hurley Medical Center has been a provider of Nurse-Family Partnership® (NFP), a nurse home visiting program that supports first-time mothers living in poverty. Nurses meet one-on-one with women throughout their pregnancy until their baby’s second birthday. Funded by grants from the Michigan Department of Health and Human Services and the Community Foundation of Greater Flint, this program aims to reduce preterm births, increase inter-conception health and reduce hospitalizations for child injuries.
27
HURLEY RECEIVES OVER $500K IN GRANTS TO SUPPORT VIDEO INTERACTION PROJECT Hurley Medical Center, in partnership with
“As an organization, it is our goal to
New York University Langone Health and
do everything we can to reduce the
Michigan State University’s Pediatric Public
developmental impact that the water crisis
Health Initiative (PPHI), has launched the Video
may have had on the children in Flint,
Interaction Project (VIP) at Hurley Children’s
Michigan,” said Dr. Lauren O’ Connell, a
Center in Flint.
Developmental-Behavioral Pediatrician at Hurley who is leading the VIP initiative in Flint
VIP is an evidence-based parenting program
and is also a member of the PPHI.
that uses pediatric health care, videotaping and developmentally-appropriate toys and
VIP was developed by Dr. Alan Mendelsohn
books to help parents engage in activities
and colleagues at NYU Langone Department
such as pretend play and reading to
of Pediatrics and has been delivered and
strengthen early development and literacy
researched since 1999 in New York City.
in their children. Enhancing parent-child interactions and early child development gives
“VIP is designed to encourage critical
at-risk children increased opportunities for
interactions between parents and children
achievement and success in school and in life.
through playing or reading by providing parents with one-on-one sessions with a
Hurley has received $384,500 in grants from
parenting coach during their routine pediatric
the Foundation for Flint as well as $150,000
check-ups in infancy, when babies’ brains are
in grants from The Hagerman Foundation to
developing rapidly,” said Dr. Mendelsohn,
support the first two years of the program.
Assistant Professor of Pediatrics and Population Health at NYU University School
PPHI is a joint initiative between Michigan
of Medicine. “We are thrilled to partner with
State University and Hurley Children’s Hospital
Hurley to bring VIP to the children and families
with a vision to build a model public health
in Flint.”
program to mitigate the impact of the Flint water crisis and improve outcomes of Flint
VIP will ultimately serve up to 300 young
children through community and clinical
children receiving care at Hurley. For more
programs, childhood health policy and
information, visit www.videointeractionproject.
advocacy, and research.
org.
KOHL’S SUPPORTS HEALTHY KIDS A grant of $250,000 from Kohl’s continued the Kohl’s Healthy Kids program, which delivers wellness initiatives to kids. Nutrition counseling and education, access to fitness programs, school assemblies, farm-to-table activities, and free days at the Flint Children’s Museum are among the innovative ways in which this partnership engages local families in activities to improve community health.
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JAMES J. HURLEY SOCIETY: LINKING LEGACIES Extraordinary foresight. That’s what James J. Hurley had when he conceived of a hospital built to serve citizens of Flint and the surrounding area, regardless of their ability to pay. The James J. Hurley Society recognizes the special people who share this foresight. Making a planned gift to the Hurley Foundation ensures that vital resources will be available to meet complex healthcare needs. Several approaches for giving are available, enabling donors to find the perfect fit to meet their financial goals while achieving their charitable aspirations. By joining others who have taken this step, you become the link between a legacy of impacting community health and a future where miracles continue to happen at Hurley.
The Hurley Foundation gratefully acknowledges the support of the James J. Hurley Society members including those who wish to remain anonymous. +R. Roderic Abbott, M.D.* & Margaret Setter-Abbott, M.D. Mostafa & Antonietta Abuzeid +Suresh Anne, M.D. & Aruna Anne, M.D. Edward B. Aribisala +Dr. Amitabha & Meena Banerjee +Mr. & Mrs. Richard A. Barnett Carl & Karen Bekofske Elizabeth A. Benson Barry B. Boike Susan Steiner Bolhouse James R. * & Dorothea W.* Bolton +Herbert J.* & Mrs. Nancy Booth Dr. Michael C. Boucree Philip J.* & Sally J.* Braun Dr. & Mrs. Wayne J. Breece +Leonard & Pamela Calderone Rick Carter +David & Angie Christenson Frank E. & Beverly A. Clark John Clark +Mr. Daniel J. Coffield +Dr. & Mrs. Samuel R. Dismond Mr.* & Mrs.* David T. Dort +Thomas M. Dreyer +Verdell Duncan +Doris L. Dutcher* +Mr. & Mrs. Phillip C. Dutcher +Emily Edwards Dolores C. Ennis +Mark A. Folts Mr. & Mrs. Glenn A. Fosdick Dean & Debra Frick Paul & Anne Fuhs Ms. Melany Gavulic +Daniel M. George +James E. Graham, Jr., M.D. +Drs. Michael Lechner & Melissa Hamp Carol L. Hartley Dr. Samantha R. Hauff Dr. & Mrs. John Hebert, III
Agnes Henige-Taylor +Susumu Inoue, M.D. Dr. & Mrs. Michael Jaggi +Rita MacGregor Jeric & David MacGregor Johnston +Robert V. Jewell Tonya Ketzler Mr.* & Mrs. Peter D. Kleinpell Mr. & Mrs. Albert J. Koegel Mr. & Mrs. Ron D. Lammy II +Tom* & Renee Landaal +Dr. Billie* & Mrs. Nina M. Lewis + Dr. Vivian M. Lewis* Karen M. Lopez +Alice Lorenz +William Copeland* & Pamela Y. Loving Colleen Conroy Mansour Ardis Hunter Martin*, R.N. Carl E. Mason* Dr. Berton & Mary Lou Mathias Richard C.* & Gerri M.* McCormick Bill & Linda McGregor Patrick J. McGuire Thomas* & Nancy McWhirter Matt & Kelley Miller Patrick H. Milostan Mr. & Mrs. William H. Moeller Raymond* & Betty* Morris Xavier Mousset, M.D. +Dr.* & Mrs. Willys F. Mueller, Jr. +AppaRao Mukkamala, M.D. Janet H. Mulcrone +Reverend Jean T. Munro James & Pam Murdock Patrick Naswell & Kerece Domerese Diane P. Nelson* +James Neubeck, M.D. +Brian M. Nolan, M.D. Dr. Farouck* & Gloria Obeid John & Debra Oberpeul Mr. & Mrs. Miles Owens Kate Pate +Judith Potter Andrea R. Price Helen R. Pritchard* Rev. Lewis Randolph Dr. & Mrs. Conrad Reinhard +Ethel B. Rice*
Dr. Theodosia Robertson Dr. & Mrs. Michael Roebuck +Hugh A. Rose* & Bambi L. Rose* +Dr. Milton* & Marlene* Rosenbaum Ms. Linda K. Rutherford +Ramona Sain & William J. Khouri +Judy Y. Samelson & Bob Emerson Dr. Milton & Susan Saunders +Tamara J. Savage Edward C. Schleg +Dr. Paul & Phyllis Schroeder +Joseph Schwartz* +Catherine M. Shaker Phillip Shaker* Philip & Ardele Shaltz +Georgia M. Shaw* +Carolyn Skaff Susan K. Smith Attorney William D. Smith James A. Smock Family Mr. & Mrs. Julius D. Spears, Jr. +Mark J. Spencer Alan J. & Mary A. Storm Mr. David & Dr. Janet Swenson Mr. Jay Richard Taylor & Dr. D. Kay Taylor Troy T.* & Barbara* Terry +Hemant T. Thawani, M.D. Ann Thibodeau-Ashford, PA-C Dr.* & Mrs. Charles A. Thompson +Gary L. Townsend M. Rao Tummala Allen F. Turcke, M.D. +Dr.* & Mrs.* Arthur L. Tuuri Byrnece Vivian* Tyree R. Walker Patrick R. Wardell +Richard R. Warmbold, Ph.D. Steve & Linda K. Welsh Mr.* & Mrs. James C. Wheeler Mrs. Sharon J. Williams Joe & Jan Wilson Cass & Michelle Wisniewski +Larry J. Young, M.D. +George Y. Zureikat, M.D. * In remembrance + Founding Member
29
THANK YOU TO THE FOLLOWING COMMUNITY SPONSORS FOR THEIR GENEROUS SUPPORT OF HURLEY FOUNDATION EVENTS. ABC 12 WJRT Absolute Home Health Care and Hospice Advanced Cardiovascular Clinic, PC Advomas Aileron LTD Al Serra Auto Plaza American Solutions for Business Antcliff Windows & Doors Associated Radiologists of Flint, PC Dr. Mona Hanna-Attisha At Your Service Valet Mary R. Balester Barnett Financial & Tax Bershire Hathaway Binson’s Medical Equipment and Supplies Bishop International Airport Blessing Co. Blue Cross Blue Shield of MI - Detroit Brady Events & Marketing Brady’s Business Systems Brown & Brown of Central Michigan, Inc. Brown & Brown of Michigan, Inc. Mike and Karin Burnett
Collaborative Radiation Oncology - Drs. Kocheril & Shah Pathology Associates, PC CO-OP Miracle Match Program Cork on Saginaw Alisa M. Craig Patty & Greg Creighton
Dairy Queen Dee Cramer, Inc.
Grand Blanc Gymnastics Company
Dickerson Mechanical, Inc. DiClemente Siegel Design Inc.
Dodds-Dumanois Funeral Home & Cremation Center Dort Federal Credit Union Dr. Wax Orthodontics
Hall Render Halo Burger Hamilton Community Health Network Donna Dodds Hamm Hamo Law Firm
Fabris Pearce Tile & Terrazzo, Inc.
Flint Symphony Orchestra Flint Youth Theatre Frankenmuth River Place Shops Beth M. Friedt
Ottenwess, Taweel, & Schenk, PLC
Heartland Fostorian Henry Ford Health Systems Holiday Inn Flint
McLaren Regional Medical Center Medwest Associates, Inc. Dr. Leo & Jennifer Mercer Merchants & Medical Credit Corporation Dr. & Mrs. Joe & Cathy Metz Michigan Health Specialists Michigan Internal Medicine & Pediatrics, PC Michigan MedicineUniversity of Michigan Emergency Medicine
Stephens Wealth Mgt Group John A. Stewart Dr. Kirk Stucky
Oxford Healthcare Technology
Suski ChevroletBuick Birch Run
Painting with a Twist
Swartz Ambulance Service
Mattie L. Pearson
Swartz Funeral Home
Keith and Becky Poniers
Greater Flint Imaging
Heartland Home Healthcare & Hospice
Flint School of Performing Arts
OrthoMichigan
McGuirk Realty, Inc.
Health Alliance Plan - Flint
Flint Institute of Music
Dr. Nkechi N. Onwuzurike
Plante & Moran, PLLC
Elite Lawn & Landscape
Chemical Bank & Trust
Drs. Bobby Mukkamala & Nita Kulkarni
Onix
William D. McGregor
ELGA Credit Union
Flint Firebirds Foundation
OB GYN Associates
Grand Blanc Obstetrics & Gynecology, PC
Drs. Mona Hardas & Samasandrapalya Kiran
CDW Healthcare
Spectrum Pharmaceuticals
Pioneer State Mutual Insurance
Electrical Workers Union Local #948
Flint Crepe Company
Mass Transportation Authority
Sovita Credit Union
Nordic Consulting Partners, Inc.
McAlvey, Merchant & Associates
Hansen Funeral Home
Cason Home Loans
Mail Room Service Center, Inc.
Dr. Brian M. Nolan
Grand Blanc Huntsman Club
Edward Jones Investments
FirstLight Home Care
MacMillan Associates, Inc.
Sorrento’s Food & Spirits
Physician Coverage Services, PC
Hanba & Lazar, PC
Fairly Painless
Landaal Packaging Systems
Niles Construction Services, Inc
Matlock Financial Services
Eclections
Dave and Kristy Cantleberry
Coley Canteen Food Services
Genesys Hurley Cancer Institute
GM
Financial Plus Credit Union
Cline, Cline & Griffin
Kitch, Drutchas, Wagner, Valitutti, & Sherbrook
Data Strategy
Calvin & Company, Inc.
Christenson & Fiederlein, PC
Genesee Valley Center
Giarmarco, Mullins & Horton, P.C.
Diplomat Specialty Pharmacy
KARE-THER Massage Therapy Kaufman, Hall & Associates, LLC
Cumulus Broadcasting
Digestive Endoscopy Center of MI PLLC
JP Morgan Chase & Co. Bloomfield Hills
Genesee Medical Anesthesia, PC
Tristam H. Cumming
Chanda Jones of Faith City Church
Chemical Bank - Midland
Gazall, Lewis & Associates Architects
Genomic Health Oncotype Dx
C & L Ward Bros Co. Inc.
Dr. Sherry Cavanagh
Andrew & Melany Gavulic
Dr. George S. Predeteanu Principal Financial Group Professional Medical Corporation Professional Specialties, PLLC Puzzler’s Pub Radiology Department Hurley Medical Center Dr. Yaseen Rafe’e Rayburn Real Estate Regional Medical Imaging RE/MAX EDGE - Ryan Eashoo
Teachout Security Solutions The Doctors Company The Health Law Partners, PC The Horizon Group of Raymond James The Hurley Medical Center Team of Geriatric Nurse Specialists and the 6E Nursing Staff The Law Office of Nicholas R. Robinson The Rybar Group, Inc. The State Bank The Williams Firm, P.C. Tri-City Construction, LTD., Inc. UA Local Union #85 University of Michigan-Flint
Michigan Planners, Inc.
Rosemary K. Ryan
Michigan State University College of Human Medicine
Dr. Elna N. Saah
Valley Area Agency on Aging
Dr. Elmahdi Saeed & Manal Ahmed
Vic Canever Chevrolet, Inc.
Schindler Elevator Corporation
Weinstein Electric Co.
Dr. Donald J. Scholten
Wendia North America
Serendipity Wellness Spa
Whaley Children’s Center
Sharky’s Sports Bar
Cass and Michelle Wisniewski
Ronald Hubble
Michigan Vascular Center
Huntington National Bank
Raouf A. Mikhail, MD
Hurley Medical Center Auxiliary/ Volunteer Corps
MLive Media Group
Hurley Medical Center’s Service Line Administrators
Cara M. Moore
Molina Healthcare of MI Sheila L. Moore
Dr. Mahesh Sharman Punam Sharman, MD- Michigan Internal Medicine & Pediatrics, PC
Wolverine Fire Protection Co.
Dr. Susumu Inoue
Alex & Sylvia Murray
InstaLube
Annette M. Napier
Interactive Health Solutions, Inc.
Patrick N. Naswell
Siwek Construction Jim & Janine Smoltz
Jazzercise
John Nellis & Sarah Rapson
Sodexo
YMCA of Greater Flint
John E. Green Company
TRANE MidMichigan
Sorensen Gross Construction Co.
Zimmer Biomet Great Lakes
Dr. Kristoffer & Megan Wong & Family Yeo & Yeo, P.C.
30 30
CARL BEKOFSKE
SUSAN BORREGO, PH.D.
CHARLOTTE P. EDWARDS
THOMAS JAMES
CHRISTOPHER J. FLORES
REV. HERBERT MILLER
HARRIET SCOTT
PHILIP SHALTZ
31 31
JASON CAYA
JESSIE L. COLLINS
MARILYN FULLER
BRIAN NOLAN, M.D.
FRANCES GILCREAST
REV. DANIEL SCHEID
RONALD STEWART, DDS
32 32
CARL BEKOFSKE
SUSAN STEINER BOLHOUSE
CORNELIUS (KIP) DARCY
WILLIAM H. MOELLER
PHILLIP C. DUTCHER Founding Member Emeritus
DR. VICTOR B. RABINKOV
PHILIP W. SHALTZ
ANGELA SHOOK
GREGORY G. VIENER
33 33
MICHAEL BURNETT
LINDSAY CLARK
MELANY GAVULIC
MARCUS A. RANDOLPH
DONNA DODDS HAMM
IRA A. RUTHERFORD, III
ANDREW D. SUSKI
RICHARD R. WARMBOLD, PH.D. Founding Member Emeritus
LYNNE A. TAFT-DRAPER
GLENN A. WILSON
34
The Inside Report is a team effort comprised of the Hurley Foundation and Hurley Medical Center’s Marketing Department.
HURLEY FOUNDATION PRESIDENT
DESIGN & PRODUCTION MANAGERS
Michael Burnett
Steffany Hillis Jeremy Eads
HURLEY MEDICAL CENTER PRESIDENT & CHIEF EXECUTIVE OFFICER Melany Gavulic
FOUNDATION PROJECT MANAGERS/EXECUTIVE EDITORS Jordan E. Liechti Elizabeth Wenstrom-Williams
MARKETING PROJECT MANAGER Laura R. Jasso
CONTRIBUTING WRITERS Peggy Agar Karima Amlani Kelsey Drews Laura Jasso Jennifer Kreft Jordan E. Liechti Renee Shaw Sydney Shegos Linda Tracy-Stephens Elizabeth Wenstrom-Williams
PHOTOGRAPHER Douglas Pike
HURLEY FOUNDATION STAFF Karima Amlani, Development & Events Associate Michael Burnett, Foundation President Patricia Creighton, Development Assistant Jordan E. Liechti, Director of Volunteer Services Rebecca Phillips, Data Manager Michelle Reed, Lobby Shop Manager Renee Shaw, Grant Writer & Administrator Linda Tracy-Stephens, Children’s Miracle Network Hospitals Director Elizabeth Wenstrom-Williams, Foundation Manager
HURLEY MARKETING DEPARTMENT Peggy Agar, Marketing & Media Specialist Jeremy Eads, Graphic Design Specialist Steffany Hillis, Marketing & Communications Specialist Laura Jasso, Interim Administrator for Marketing & Community Relations Jennifer Kreft, Copywriter Douglas Pike, Media Production Specialist Patricia Uhde, Marketing Logistics Coordinator
INTERNS Kelsey Drews Melanie Fiederlein Sydney Shegos
35
HURLEY MEDICAL CENTER MEMBERSHIPS ■■ American Hospital Association ■■ Michigan Health and Hospital Association ■■ America’s Essential Hospitals ■■ National Association of Children’s Hospitals
LICENSES ■■ Michigan Department of Community Health, Bureau of Health Systems ■■ Centers for Medicare and Medicaid Services (CMS)
ACCREDITATIONS ■■ The Joint Commission (TJC) ■■ Accreditation Council for Graduate Medical Education (ACGME) ■■ Nurses Improving Care for Healthsystem Elders (NICHE) Accreditation from the Hartford Institute of Geriatric Nursing at New York University ■■ Michigan State Medical Society and Accreditation Council for Continuing Medical Education
AFFILIATIONS & PARTNERSHIPS ■■ Children’s Miracle Network Hospitals ■■ Detroit Children’s Hospital
■■ University of Michigan Mott Children’s Hospital ■■ University of Michigan School of Dentistry ■■ United States Military: Special Operations Combat Medics
VERIFICATIONS ■■ The American College of Surgeons as a Level I Trauma Center and Level II Pediatric Trauma Center ■■ The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists as a Level III Neonatal Intensive Care Unit ■■ The American Academy of Surgeons as a Bariatric Surgery Center of Excellence ■■ The American College of Surgeons Commission on Cancer for the Community Hospital Comprehensive Cancer Program ■■ Blue Cross Blue Shield Center of Excellence for Hip and Knee Replacement ■■ TJC certified Primary Stroke Center
HURLEY FOUNDATION One Hurley Plaza– Flint, MI 48503 810.262.9667 www.hurleyfoundation.org
■■ Henry Ford Health System
HURLEY MEDICAL CENTER
■■ Michigan State University College of Human Medicine
One Hurley Plaza– Flint, MI 48503 810.262.9000
■■ Mott Children’s Health Center
www.hurleymc.com
■■ University of Michigan-Flint ■■ University of Michigan Health Systems
facebook.com/HurleyMedicalCenter twitter.com/HurleyMedical
ONE HURLEY PLAZA FLINT, MI 48503
Non-Profit Org. US Postage PAID Flint, MI Permit #110
2019 FOUNDATION EVENTS For more information call 810.262.9667 or visit hurleyfoundation.org
CK 105.5 & NASH FM RADIOTHONS February 2019
DAIRY QUEEN MIRACLE PICNIC July 2019
BENEFIT BALL March 2019
GOLF CLASSIC September 2019
BOWLATHON May 2019
PINK NIGHT PALOOZA October 2019