Spaulding Nursing & Therapy Center North End

George Gougian
Executive Director
Mr. Gougian is the Executive Director at Spaulding Nursing and Therapy Center North End. He received his bachelor of arts in political science from the University of Massachusetts Amherst, followed by his master of public health administration, health care policy and administration from  American University in Washington, DC.

Mr. Gougian has over 20 years of experience in the healthcare field, focusing on clinical care processes, healthcare regulations, reimbursement rules and personal management concepts.

Mark Yurkofsky, MD, CMD
Medical Director  
Dr. Yurkofsky has over 20 years of experience working in the long term care setting. He is board certified in internal medicine and geriatrics as well as in palliative and hospice medicine. Dr. Yurkofsky has a special interest in improving care transitions and working with interdisciplinary care teams. He is recognized by the American Medical Director’s Association as a certified medical director in long term care.

Terrence O'Malley, MD
Primary Attending Physician for Sub-acute Services
Dr. O’Malley is an internist/geriatrician who specializes in the care of nursing home patients.  He graduated from Amherst College and Cornell University Medical College followed by training in Primary Care Medicine at the Massachusetts General Hospital.  He is on the teaching faculty at MGH and HMS, where he provides clinical care and supervises medical students, house staff and geriatric fellows. 

He is the Medical Director of Non-Acute Care Services for Partners HealthCare System, an integrated network and Pioneer ACO, where he focuses on improving transitions of care and the exchange of clinical information at transitions.  He is co-PI of an ONC Challenge Grant, IMPACT (Improving Massachusetts Post Acute Care Transitions), and is the lead for Evaluation.  This research is measuring the impact of the electronic exchange of essential clinical data at the time of a care transitions among acute and non-acute care sites on the utilization of healthcare services.

He co-chairs the Long Term and Post Acute Care Sub-workgroup within the Standards and Interoperability Framework at the Office of the National Coordinator for Health Information Technology and is one of the Leads of the Longitudinal Coordination of Care Workgroup which are creating a standard national data set for transitions of care to be part of Meaningful Use Stage 3 and the framework for the exchange of a longitudinal care plan. 

He has published numerous articles on transitions of care and quality measurement, and lectures frequently on these topic at the local, regional, and national level, 

Laurie Flynn, RN
Director of Nursing
Ms. Flynn has been a nurse for 26 years with the last 18 years having worked in Long Term Care for Partners Continuing Care. She earned her BSN in Nursing from St Joseph’s College, ME. She is currently seeking her Master’s degree from Endicott College in Beverly for Nursing Administration. She has previously been Director of Nursing for the Spaulding North Shore TCU. Laurie enjoys working collaboratively with the interdisciplinary team to improve patient outcomes and assuring quality of life for the residents.

Julie Litwinowich
Rehabilitation Manager 
Julie is the Rehabilitation Manager for Spaulding Nursing and Therapy Center North End. She is an advanced clinician Occupational Therapist. She has over twelve years of clinical experience, serving the Spaulding Network for over nine years. Julie has clinical experience in Intensive Care Unit/Neuro Intensive Care Unit acute care, Inpatient Rehabilitation, Skilled Nursing, and Outpatient care. She has extensive experience in orthopedics/trauma, neurology, geriatrics, brain injury, vent weaning, and outpatient hand therapy.

Julie earned her B.S. in Occupational Therapy from Quinnipiac University. 


Spaulding Nursing & Therapy Center North End Information


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