Central Maine Medical Center

Department	Name	Title	Expertise/Role
Executive Leadership	Steven G. Littleson, DBA	President and CEO	Oversees overall operations, strategic direction, and healthcare quality
Medical Leadership	Rebecca M. Brakeley, MD, FAA	Interim Chief Medical Officer	Focuses on medical quality, women’s and children’s health, and pediatric care
Hospital Management	Stephany Jacques, RN, MSN, OCN	President of Bridgton Hospital and Rumford Hospital	Leads hospital operations and regional healthcare service delivery
Business Development	Kara Aleixo Johnson, JD	Senior Vice President	Responsible for business and community development initiatives
Nursing Leadership	Michelle Kap, MS, RN	Chief Nursing Officer	Oversees nursing quality, safety standards, and patient care strategies
Human Resources	Richard Kropp, EdD, SPHR, SHRM-SCP	Senior Vice President, Chief People Officer	Focuses on workforce management and organizational culture
Finance	David Paulosky, MBA	Senior Vice President, Chief Financial Officer	Manages financial planning, budgeting, and fiscal operations
Legal and Compliance	Betsey Shew, Esq., CPHQ, CHC	Senior Vice President, General Counsel	Handles legal affairs, compliance, and quality certification
Emergency Medicine	Sheldon Stevenson	System Chief of Emergency Medicine	Oversees emergency services and patient care in critical situations
Finance	Kristen Peter	Vice President of Finance	Focuses on financial strategy and operations

| Department | Service or Program | Details | |-------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Financial Assistance | Free Care Program | Financial assistance for Maine residents at or below Free Care income levels. Assistance includes full or partial discounts for medically necessary care (non-cosmetic, non-elective) for eligible applicants. Income proof and MaineCare decision letters required. Contact Financial Advocate Team at (207) 786-1803. | | In-Home Care Services | Home Health Care Services | Services include nursing visits, physical therapy, occupational therapy, speech therapy, nutritional counseling, and personal care assistance. Medicare, Medicaid, and private insurance options available. Services must be physician-ordered. | | In-Home Care Services | Private Duty Nursing and Aide Services | Self-pay or insurance-assisted services covering personal care activities (bathing, grooming, meal preparation). Initial nurse assessment creates a care plan. | | Day Care Centers | None specified | Not directly provided at the hospital; alternative community resources like YWCA Central Maine and Pen Bay Hospital are accessible in nearby areas for childcare services. | | Palliative Care | Palliative Services in Home | Supports long-term or terminal illness patients with care management, symptom relief, and counseling. Physician referral required. | | Social Support | Behavioral Health and Counseling | Central Maine Healthcare connects patients with behavioral health resources, including substance use and mental health counseling. Additional help is extended for food, housing, LGBTQ+ support, and veterans´ services. | | Social Support | Financial Advocacy Services | Assistance with applications for MaineCare and other aid programs. Supports uninsured or underinsured patients in navigating payment and charity care options. |

| Payment Plan Option | Details | Requirements | Additional Information | |--------------------------------------------|-----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------| | Interest-Free Monthly Payment Plan | Interest-free, monthly payment plans to fit patient budgets | Patient-initiated enrollment through hospital services or portal | Payment options may require approval or financial questionnaire; available for hospital-administered plans| | Customizable Payment Plans | Zero-interest plans tailored for patient needs | No income requirements; based only on bill balance | Suitable for short-term bills or large expenses not exceeding 60 months | | Third-Party Financing | Medical credit cards or interest-bearing plans available for elective/semi-elective procedures| Credit check or approval required; some plans may charge deferred interest | Flexible repayment durations (up to 72 months possible, depending on the provider) | | ClearBalance® Zero-Interest Program | Revolving credit account for out-of-pocket expenses | No income or upfront payment requirement; revolving payment terms | Managed through ClearBalance program for out-of-pocket and deductible payments | | Hospital-Specific Programs | Individual hospitals may set up flexible payment arrangements based on their policies | May require financial assistance application and documentation | Varies by hospital; contact the financial office for specific outlines | | Upfront Payment Plans for Elective Care| Covers elective or pre-planned procedures with options for partial upfront costs | Includes credit-approved financing or insurance verification | Structured for non-emergency treatments such as cosmetic procedures or fertility services | | Extended Payment Terms | Allows longer payment periods (up to 18 months in some cases) | Hospital-determined eligibility | Typically interest-free for shorter-term payments; may require full payment within specified time frame | | Free Care Programs | Assistance for patients meeting income-based eligibility | Proof of income level and residency; application for approval | Only covers necessary medical treatments, excludes cosmetic/elective care |

| Department/Service | Description | |---------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Financial Counseling | Central Maine Medical Center provides financial assistance to patients, which includes free care for Maine residents below certain income levels and guidance on eligibility for other assistance programs. Financial counselors are available to help determine qualifications for free care and discounts. | | Cost Estimates | The hospital offers a Price Estimate Tool that allows patients to estimate the cost of procedures and out-of-pocket expenses based on insurance coverage or self-pay status. This provides transparency in treatment costs before starting care. | | Payment Plans | Interest-free monthly payment plans are available for patients unable to pay in full. | | Discount Programs | Discounts are provided for self-pay patients and those who qualify under the program guidelines. The hospital offers prompt payment discounts as well. | | Eligibility for Financial Assistance | Assistance is based on income, household size, and the Federal Poverty Level. Patients can schedule an appointment with financial advocates to apply for free care or discounted care. Income documentation is required for the application. | | Guidance on Insurance and Benefits| Financial advocates assist patients with updating insurance information, understanding bills, and exploring financial support programs, including MaineCare and other public assistance programs. | | Excluded Services | Free care does not cover services deemed not medically necessary, such as cosmetic procedures, fertility services, and other similar cases. | | Contact Information | For assistance, patients can contact the financial counselors or customer service team at (207) 795-2237, Option 3, or schedule an in-person meeting. |

markdown | Category | Details | |------------------------------|-------------------------------------------------------------------------------------------------------| | Physical Accessibility | Accessible entrances, ramps, elevators, and wheelchair-friendly facilities across the hospital. | | Assistive Devices | TTY devices, amplified listening devices, hearing-aid compatible phones, special nurse call bells, baby cry alarms, alerting devices for doors/phones, visual aids like page magnifiers, and more. | | Communication Aids | Live interpreters, video remote interpreting (VRI), over-the-phone interpreting (OPI), written materials in alternate formats (Braille, large print, audio recordings), and translated documents. | | Priority Services | Reasonable modifications for individuals with disabilities, prioritized auxiliary aids, and access programs/services. | | Staff Training | Training on diversity, equity, and inclusion initiatives, emphasizing respectful and inclusive care for all patients. |

Department	Service	Description	Accessibility
Bariatric Surgery	Online Consultations	Telehealth services for initial evaluation and follow-up care.	Smartphone, computer, or tablet access.
Family Medicine	Telemedicine	Virtual care visits for routine check-ups, sick visits, and chronic condition management.	Available in multiple practice locations across Central Maine.
Gastroenterology	Specialized Telehealth	Consult with specialists remotely for gastroenterological concerns.	Virtual consultations with reminders via text and email.
Neurology	Telehealth Consultations	Remote visits for neurological evaluations and treatment plans.	Accessible through telehealth platforms.
Obstetrics-Gynecology	Telemedicine	Virtual prenatal and postnatal care consultations.	Smartphone, computer, or tablet.
Orthopedics	Remote Consultations	Telehealth for pre-operative and post-operative care.	Virtual access with appointment scheduling.
Critical Care	Remote Monitoring Tools	Continuous monitoring of patients in ICU using telemonitoring.	Connectivity across hospital systems.
Pediatrics	Telehealth Visits	Online consultations for pediatric care, including general health concerns.	Parental scheduling through online platforms.
Primary Care	Virtual Appointments	Routine medical visits for all ages conducted remotely.	Flexible appointment scheduling online.
Specialty Clinics	Inter-Hospital Consultations	Expanded telehealth for immediate specialty care.	Integration across rural and regional facilities.
Patient Support	Patient Portal (myHealthlink)	Online platform to schedule appointments, access medical records, and communicate with care teams.	Available for all patients with easy online account creation.
Surgical Services	Telehealth Follow-Up	Post-surgical follow-up consultations via telemedicine platform.	Secure teleconferencing tools.
Mental Health	Virtual Therapy	Telehealth sessions for mental health support and therapy.	Accessible via secure video consultations.

Department	Educational Programs	Details
Family Medicine	Core Clerkship & Electives	Third-year core clerkships for UNECOM and fourth-year electives available to U.S., Canadian, and offshore medical students. Includes rural training opportunities and personalized education plans.
Pediatrics	Subspecialty Rotations	Numerous pediatric subspecialty rotations available, including acting internships and opportunities in inpatient and outpatient care.
Geriatrics	Selective Rotations	Compact and comprehensive training in caring for frail elderly populations, including hospice and palliative care.
Osteopathic Manipulative Medicine (OMM)	Osteopathic Recognition	Longitudinal curriculum including rotations in Family Medicine and Internal Medicine, dedicated OMM clinics, and didactic presentations. Includes hands-on OMM training for DO residents.
Rural Medicine	Maine Track Program	Innovative program in collaboration with Tufts University School of Medicine, focusing on training students in rural and community-based medicine, as well as tertiary care settings.
Hospital Medicine	Fellowship and Rotations	Fellowship in hospital medicine and clinical rotations for medical students, focusing on inpatient care and personalized learning experiences.
Integrative Medicine	Selective Rotations	Training in alternative and complementary therapies integrated with conventional care, emphasizing patient-centered approaches.
Academic Medicine	Elective Rotations	Opportunities for teaching, research, and scholarly work, including didactic teaching, peer reviews, and conference presentations.
Subspecialty Rotations	Advanced Electives	Fourth-year advanced electives open to medical students, offering diverse experiences in specialized medical fields.

Department	Research Focus	Details	Impact
Cardiology	Clinical Trials	Evaluation of cardiovascular procedures and outcomes through shared decision-making research. Involves data from Medicare and SEER-Medicare.	Improves decision-making for healthcare professionals and enhances cardiovascular treatment protocols.
Cancer	Oncology Clinical Trials	Development of targeted therapies, immunotherapies, and advanced chemotherapy regimens for various cancer types.	Provides healthcare professionals with cutting-edge treatments and expands local access to innovative oncology care.
Genetics	Molecular Medicine and Genetics	Research on the molecular basis of human diseases to develop diagnostics and personalized medicine.	Advances research capabilities and clinical applications for genetic disorders treatment.
Internal Medicine	Resident Research	Studies focused on clinical epidemiology, translational research, and data analysis by residents.	Facilitates skill development in research and enhances evidence-based practice among medical professionals.
Pediatrics	Clinical Trials	Trials on pediatric diseases, including Hodgkin lymphoma and neurocognitive protection during radiotherapy.	Improves pediatric oncology treatments and supports healthcare professionals in specialized pediatric care.
Psychiatric Research	Mental Health Clinical Studies	Investigation into psychiatric outcomes and innovative mental health interventions.	Enables the development of advanced mental health care practices and promotes physician expertise in psychiatry.
Surgery	Oncology-focused Procedures	Multi-disciplinary approaches to surgical oncology and diagnostics, integrating gastroenterology and OB/GYN expertise.	Optimizes surgical interventions for cancer, benefiting both patients and surgical teams through integrated care.

Department	Affiliations	Professional Development Programs
Cardiology	American Heart Association, American Stroke Association, Joint Commission	Stroke Gold Plus Quality Achievement, Advanced Primary Stroke Accreditation, Cardiac Rehabilitation Certification
Critical Care	Accreditation Council for Continuing Medical Education (ACCME)	Interprofessional Continuing Education (IPCE) programs
Nursing	American Nurses Credentialing Center (ANCC)	Continuing Nursing Education, Joint Accreditation for Continuing Education
Oncology	National Comprehensive Cancer Network (NCCN)	Multi-disciplinary cancer care education programs
Orthopedics	American Academy of Orthopaedic Surgeons (AAOS)	Specialized training and clinical practice advancement
Women’s Health	American College of Obstetricians and Gynecologists (ACOG)	Education on maternal health and preventative care
Trauma	American College of Surgeons Committee on Trauma (ACS-COT)	Trauma care training and advanced resuscitation programs

Department	Certification/Program	Accrediting Body
Cardiology	Chest Pain Center Accreditation	American College of Cardiology
Cardiology	PCI (Heart Attack Center) Accreditation	National Society of Chest Pain and PCI Center
Cardiology	Stroke Gold Plus Quality Achievement Award	American Heart Association
Cardiology	3-Star Quality Rating for Heart Surgery	Healthgrades
Cardiology	Accreditation for Echocardiography	Intersocietal Commission for the Accreditation of Echocardiography Laboratories
Nursing	RN to BSN Accreditation	Commission on Collegiate Nursing Education
Nursing	Licensed Practical Nurse Certification	Maine State Board of Nursing
Radiologic Technology	Associate of Applied Science Degree in Radiologic Technology	Joint Review Committee on Education in Radiologic Technology
Cardiac Rehabilitation	Program Certification	American Association of Cardiovascular and Pulmonary Rehabilitation
Vascular	Accreditation for Vascular Laboratories (Extracranial Cerebrovascular Testing, Peripheral Arterial Testing)	Intersocietal Commission for the Accreditation of Vascular Laboratories
Cardiology	Blue Distinction Center for Cardiac Services	Anthem Blue Cross Blue Shield
Sonography	Advanced Certificate Program	Accreditation Commission for Education in Nursing
Mammography	Advanced Certificate Program	Accreditation Commission for Education in Nursing

Department	Internship/Observation Opportunity
Administration	MaineHealth Summer Internship Program provides hands-on experience in administrative tasks.
Cardiovascular Services	Clinical rotations and immersive experiences available in cardiovascular care.
Family Medicine	Third-year core clerkships and fourth-year elective rotations through the Family Medicine Residency Program.
Hospital Medicine	One-year Hospital Medicine Fellowship with clinical and quality improvement training.
Nursing	Nurse Residency Program for new graduate nurses, offering a 12-month structured training and mentoring experience.
Public Health	Opportunities to assist with operations and research projects in public health-related activities through MaineHealth internships.
Research	Research-focused internships via the MaineHealth Institute for Research, involving application-based participation.

Award	Description
2024 IPRO Quality Award	Recognized for commitment to improving patient outcomes, reducing readmissions, and enhancing transition plans from hospital to home.
Maine Hospital Association Caregiver of the Year Award	Given to the Trauma Response Team for exceptional care during the Lewiston mass shooting in October 2023.
Get With The Guidelines® – Stroke GOLD PLUS	Stroke Gold Plus Quality Achievement Award for ensuring stroke patients receive nationally recognized treatment.
Chest Pain Center Accreditation	Recognized by the American College of Cardiology for quality care in managing chest pain.
Women’s Choice Award® – America’s Best Hospitals Heart Care	Recognized as one of the best hospitals in heart care for women.
IBM Watson Health Top 50 Cardiovascular Hospitals	Named among the Nation’s 50 top cardiovascular hospitals.
Cigna Center of Excellence	Distinctions for Cardiac Catheterization, Angioplasty, and Heart Surgery.
Three-Star Quality Ratings by Healthgrades	Rated for exceptional care in carotid artery surgery, peripheral bypass surgery, heart attack care, CABG, and valve replacement surgery.
The DAISY Award	Given quarterly to extraordinary nurses for compassionate, high-quality patient care.
The SUNSHINE Award	Recognizes outstanding clinical team members who provide exceptional patient support and caregiving.

Department	Residency/Specialty Training Offered
Cardiology	Specialty training available through affiliated Rumford Hospital clinics.
Family Medicine	ACGME-certified residency with rural track, integrated medicine, and wilderness medicine focus.
Geriatrics	Specialized training integrated within residency program tracks.
Integrative Medicine	Incorporated within Family Medicine Residency curriculum.
Neurology	Specialty training offered through Rumford Hospital´s clinics.
Orthopedics	Covered by the Orthopedic Institute at Central Maine Healthcare.
Pulmonology	Specialty rotations available at Rumford Hospital clinics.
Sports Medicine	Emphasis available in residency program.
Women’s Health	Training integrated into both inpatient and outpatient residency experiences.

Department	Residency/Specialty Training Opportunities
Family Medicine	ACGME-certified 7-7-7 program with osteopathic recognition track and rural training. Includes tracks in integrative medicine, sports medicine, geriatrics, neuromusculoskeletal medicine, public health, and more.
Rural Training	MERGE Collaborative partnership offering 30+ rural training sites in Maine. Includes rotations at Rumford Hospital and mentoring in rural health.
Hospital Medicine	Fellowship program focused on hospital medicine for advanced training in inpatient care.
Wilderness and International Medicine	Training opportunities integrated into the residency program with a focus on global and wilderness medicine experiences.
Integrative Medicine	Specialty training in integrative care as part of the Family Medicine Residency program.
Sports Medicine	Focus area within the Family Medicine Residency program tailored to sports medicine practice.
Geriatrics	Specialized geriatrics track within the Family Medicine Residency program for advanced training in elder care.
Medical Students	Clinical and educational training opportunities for third and fourth-year medical students rotating at the center.

| Service/Support Option | Details | |----------------------------------------|------------------------------------------------------------------------------------------------------------------------------| | Financial Assistance Program | Offers free or discounted care for uninsured patients with incomes up to 200% of Federal Poverty Guidelines (FPL); partial discount for those between 200%-250% FPL. Applications available through the Financial Services Office or online. | | Emergency Care Guarantee | Provides necessary emergency and medically required care regardless of ability to pay. | | Discounted Services | Eligible uninsured individuals can receive discounts equal to or greater than those provided to insured patients, under the Amount Generally Billed (AGB) guidelines. Discounts range from 50-100% based on income and eligibility. | | Payment Plans | Enables patients to make monthly payments on outstanding balances while their financial status is reviewed. | | Guidance for Alternative Insurance| Patients are assisted in applying for programs like MaineCare and marketplace insurance plans via CoverME.gov or other state resources. Financial advocates help evaluate eligibility. | | Eligibility Criteria | Based on household income as defined by Federal Poverty Levels. Proof of income, tax returns, and other documents required for applications. | | Application Support | Financial advocates provide in-person or over-the-phone assistance. Applications and policy information are available in multiple languages. | | Limitations on Free Care | Some services, such as cosmetic procedures, bariatric services, sterilization, and fertility treatments, are not covered under free care policies. |

Department	Institution/Organization	Collaboration Details	Affiliated University/Research Center
Cardiology	Central Maine Heart and Vascular Institute	Offers specialized care including advanced diagnostic and surgical procedures.	MaineHealth
Digital Pathology	Spectrum Healthcare Partners	Partnership to implement AI-driven pathology through Pramana’s scanners.	Pramana, Spectrum Healthcare Partners
Oncology	New England Cancer Specialists	Provides access to clinical trials, advanced chemotherapy, and expert opinions.	Dana-Farber Cancer Institute
Orthopedics	Central Maine Orthopaedics	Specialized focus on outpatient orthopaedic surgery and care.	Spectrum Healthcare Partners
Research	Clinical Trials Office	Coordinates investigator-led and industry-sponsored studies in multiple fields such as cardiology and oncology.	Maine Medical Center Research Institute (MMCRI)

markdown | Department | Program Description | |-----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Clinical Mentorship | Central Maine Medical Center offers the Nurse Residency Program, a 12-month mentorship initiative for nurses with less than one year of experience. It includes organizational onboarding, skill development, scheduled professional development sessions, and regular mentorship. | | Graduate Medical Education | A structured mentorship model supports trainees in residency and fellowship programs, providing voluntary faculty mentors, mentee-driven pairings, facilitated meetings, and regular relationship evaluations, fostering career development and retention. | | Hospital Medicine | A one-year Hospital Medicine Fellowship emphasizes mentored quality improvement projects, leadership roles, and teaching opportunities. Fellows gain mentorship across critical care, medical subspecialties, and palliative care rotations. | | Advanced Practice Providers | Centralized clinical mentorship and educational pathways are available for students in APP degree programs, ensuring practical experience, collaboration with mentors, and readiness for the APP workforce. | | Nursing Education | Nurse mentorship focuses on retention and professional development through structured programs, protected mentorship time, mentor training, ongoing leadership support, and accountability measures to ensure success over 6-12 months. | | Volunteer Program | A Junior Volunteer Program provides mentorship opportunities for high school students (ages 14-17), exposing them to various roles in healthcare and fostering interest in medical careers under professional guidance. | | Clinical Pastoral Education | A 12-week Clinical Pastoral Education (CPE) program integrates pastoral care learning with practical mentorship in spiritual care. It offers personalized supervisory conferences and guided professional growth in health care settings. |