Gifford’s Oncology Program Receives American College of Surgeons Accreditation

Renewal marks hospital’s 49th year
of providing local quality cancer care

Commission on Cancer accredited programThe oncology program at Gifford Medical Center has received accreditation from the Commission on Cancer (CoC) of the American College of Surgeons.

Every three years the CoC accreditation program reviews hospital oncology services to ensure that they conform to commission standards and are committed to providing the highest level of quality cancer care (learn more here). After a rigorous evaluation process and on-site performance review, Gifford received accreditation through 2016.

“Our goal is to make sure people know that they can receive the same quality of care offered at larger hospitals close to home, with a support network they know,” said Rebecca O’Berry, vice-president of surgery and operations at Gifford. “The accreditation process is work for our entire oncology team, but it is worth the effort. Battling a cancer diagnosis is hard enough—I’m thankful that we can provide quality cancer care locally and decrease our patient’s travel time during treatment.”

One of smallest hospitals in nation to hold CoC accreditation, Gifford has done so since 1965. Gifford’s oncology services include:

  • Cancer care from experienced oncologist Dr. John Valentine
  • Compassionate and specially certified oncology nurses
  • Lab and diagnostic services
  • Advanced diagnostic technology, including stereotactic breast imaging
  • Patient navigator help with planning options for treatment and to coordinate care
  • Outpatient chemotherapy
  • Preventative cancer screenings
  • Hospital specialists, surgeons, and a robust palliative care program

For more information, visit www.giffordmed.org/Oncology, or call (802) 728-2322.

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Barre Serviceman Comes Home to Motorcycle Prize

Medic won Gifford’s Last Mile Ride Harley Davidson Raffle while Serving in Afghanistan

Cody Flanagan

From left to right, Wilkins Harley-Davidson owner Barbara Wilkins, co-owner John Lyon, Tim Flanagan, Vermont Lt. Governor Phil Scott, Gifford Administrator Joe Woodin; front: Cody Flanagan

When specialist Cody Flanagan, a medic with the U.S. Army 82nd Airborne Division, arrived home on holiday leave Sunday, a visit to Wilkins Harley-Davidson in Barre was high on his list of things to do.

He’d been waiting since August to climb onto the seat of a shiny new Harley Sportster 48, the raffle prize from Gifford Medical Center’s Last Mile Ride, an annual fundraiser to support patients in advanced illness or at the end of life.

Cody knew the bike well: his dad had taken him riding on the same model when he was a kid, and he’d posed with it for his senior photo in the Spaulding High School yearbook.

But he was surprised by a crowd the Wilkins family had gathered to welcome him in style on Tuesday afternoon. Gifford staff and volunteers, Wilkins staff, and even Vermont’s Lt. Governor Phil Scott cheered and enjoyed pizza and cake.

“Community support like this is really nice,” Cody said. “A surprise party was not expected!”

Last August he’d been in Afghanistan just a month, and was dealing with the recent loss of a battalion team member. Back home his father, Tim Flanagan, a respiratory therapist at Gifford, purchased four raffle tickets the night before participating in Gifford’s Last Mile Run.

“I bought four tickets and put two in Cody’s name,” Flanagan said. “The odds were 4 in 100 for a win, so I called him in Afghanistan to see if he would want the cash or the bike if we won.”

Cody wanted the bike, and when his name was pulled at the raffle drawing, one family’s joy rippled through to everyone witnessing the event.

“It really was an emotional moment,” says Linda Chugkowski, a Gifford board member who has done the Last Mile Ride for seven years. “Tim could hardly speak when Cody’s name was pulled— as the story moved through the crowd, people started clapping and then rose in a standing ovation. Tears were coming down all the faces.”

Tim Flanagan says it was a storybook ending. “It was meant to be. Now it’s so nice to have him home and safe. We can all sleep– we don’t have to worry about getting any calls.”

Gifford’s Last Mile Ride has grown to a two-day event that includes a timed 5K, one-mile walk, 38-mile cycle ride, and 80-mile motorcycle ride. Money raised at the ride goes directly to help patients with comfort measures, provides financial support to patients and families, and grants special wishes.

The 10th annual Last Mile Ride will be August 14 and 15, 2015. For more information, please contact Ashley Lincoln at alincoln@giffordmed.org.

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Podiatry care when you need it most

Emily Wheeler certainly didn’t want an injury so late in her pregnancy but was glad for the care she received

This article was published in Gifford’s Fall 2014 Update Community Newsletter.

Dr. Samantha HarrisEight months into her pregnancy, Emily Wheeler of Corinth didn’t expect to need a podiatrist.

But the unlikely happened. The day after her baby shower on a routine walk out her front door, she fell down her steps. Her first concern was for her baby and she rushed to Gifford’s Birthing Center for monitoring. Only after determining that her baby was fine did she go upstairs to the Emergency Department to have what she suspected was a broken ankle X-rayed.

She followed up with Gifford podiatrist Dr. Samantha Harris of the Gifford Health Center at Berlin. Dr. Harris confirmed Emily’s worry. Her ankle was fractured. She spent the last weeks of her pregnancy in an air cast and wheelchair.

Emily had never heard of Dr. Harris before. She is new to Gifford, but Emily was familiar with the Berlin health center. She was already going there for her prenatal care with Gifford’s midwives. Now she had another reason to go.

“She was really quick with the diagnosis and quick to give treatment,” says Emily, praising her new podiatrist. “The office there has been really great and Dr. Harris has been available.”

Emily delivered a healthy, 10-pound baby boy in August. Days later she headed back to Gifford Health Center at Berlin to get back on her feet once again and – now for a third reason – to have Owen’s first check-up.

About the health center
The Gifford Health Center at Berlin, located off Airport Road, offers a full spectrum of care, including family and internal medicine, help with infectious diseases, midwifery, neurology, orthopedics, urology, and podiatry.

About Dr. Harris
Dr. Harris joined Gifford in July from a practice in her native Tennessee. She got her start in medicine as a physical therapist and went on to attend Ohio College of Podiatric Medicine in Independence, Ohio. Her residency in podiatric medicine and surgery at Mercy St. Vincent Medical Center in Toledo followed.

A desire to start farming and produce maple syrup brought her to Vermont, and she found the right fit at Gifford, which is home to four podiatric surgeons working out of Gifford clinics in Randolph, Sharon, and Berlin.

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Dr. Lou DiNicola Honored By the Vermont Medical Society

Dr. Lou DiNicola

Dr. Lou DiNicola with award and scroll

Randolph pediatrician and former president of the American Academy of Pediatrics Vermont Chapter, Louis DiNicola, M.D., received the Green Mountain Pediatrician Award on Friday, November 14 at the chapter’s annual meeting in Montpelier.

Surrounded by approximately 50 of his Vermont colleagues, Dr. DiNicola was acknowledged for over 38 years of service as a Gifford pediatrician. The award is given annually to an outstanding pediatrician for their dedication and contribution to children’s health in the state.

“I was very surprised,” Dr. DiNicola said. “It humbles me when I am recognized. I do what I love; this is what makes me tick.”

The award was presented by long-time friend and colleague, Dr. Kim Aakre of Springfield. In addition to a plaque, she presented a 7-foot handwritten scroll, describing what makes Dr. DiNicola special. The scroll added even more emotion to the event.

DiNicola shared, “I lost a longtime neighbor and friend earlier in the day. This handmade gift has helped fill that hole in my heart; the timing was perfect.”

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Project Independence receives welcome donation from Hannaford

Gift to support purchase of groceries

Hannaford donation to Project Independence

Pictured from left: Hannaford store manager Jeannette Segale, Project Independence chef Pam, participants Paul, Diana, John and Project Independence executive director Dee Rollins.

Hannaford Supermarket in South Barre recently presented Project Independence with a much welcomed donation. Totaling $1,500 in gift certificates, the gift will be used to offset the cost of groceries for the program which provides a daily breakfast, lunch and snack for roughly 38 participants.

The supermarket chain, which operates in five northeast states, continually supports regional and local non-profit organizations. Recently six of Vermont’s fourteen Hannaford stores conducted a milk drive in conjunction with the Vermont Foodbank. When store manager Jeannette Segale asked her department managers what non-profit the South Barre store should contribute to, the adult day program was at the top of their list.

“We have so much respect for what Project Independence does, for the care they give our elders. We wanted to recognize that,” says Seagle. “We’re always looking for a way to give back to the community.”

For a company whose core business is food, their involvement with the adult day program is one of mutual support. The two have shared a long and satisfying relationship, with the program purchasing the bulk of their groceries from the supermarket, many of which are funded through the center’s Adopt-a-Grocery Week program. Started in 2013, the program is a fundraising effort in which donors can sponsor an entire week’s worth of groceries. Since its inception, it has raised over $7,000 to defray the cost of food.

“Hannaford has been a partner of Project Independence for many years and many of our participant’s families shop there,” says Project Independence director Dee Rollins. “Hannaford truly understands the needs of our elders and supports us with all their hearts in providing the services our participants receive. We are very thankful for their support.”

Partnerships such as the one with Hannaford, along with the Vermont Foodbank, ensure the center maintains its commitment to providing healthy, fresh and delicious home style meals for their participants.

Rollins also noted that Hannaford is not only an excellent partner when it comes to feeding their participants; they are supportive of the program as a whole. Recently they shared with Rollins how they’re just as excited about the recent merger with Gifford as Project Independence is. It’s a merger that secures the future of the organization’s continued care of area elders.

For more information on the Adopt-a-Grocery Week program, please call Project Independence at (802) 476-3630.

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Gifford and Project Independence merger official

Two organizations solidify commitment
to the care of area seniors

Dee Rollins and Linda Minsinger

Project Independence executive director Dee Rollins joins ribbons with Linda Minsinger, Executive Director of Gifford Retirement Community.

On September 30th, Project Independence and Gifford Retirement Community, part of Gifford Health Care in Randolph, officially merged in a ceremony and celebration held at the Barre-based adult day program.

The ribbon joining ceremony was attended by representatives from both organizations, participants and their families, dignitaries, and special guests, including Project Independence founder Lindsey Wade.

The merger comes after years of struggle for the independent adult care program, Vermont’s oldest, which faced flood recovery efforts in 2011 in addition to other facility issues and financial woes.

“It is very hard in these changing times in health care for a stand-alone nonprofit to make ends meet,” says Project Independence executive director Dee Rollins. “Merging with Gifford allows us to be off the island with more supports and resources so we can grow our services for our elders and caregivers. Gifford is the right and best partner Project Independence could imagine.”

While still responsible for their own bottom line and fundraising efforts, Project Independence now has the resources and backing of the financially stable Gifford to help maintain ongoing services.

Joe Woodin, Dee Rollins and Steve Koenemann

Gifford CEO Joe Woodin officially welcomes Project Independence to the Gifford family, shaking hands with board president Steve Koenemann and executive director Dee Rollins.

And the center is already experiencing the benefits of being part of a larger organization through savings in expenses and access to a wider range of resources.

For example, Project Independence is now able to utilize purchase point buying for a savings on supplies and groceries while also benefiting from the services of established Gifford departments such as billing, payroll, human resources, marketing, and others.

For Gifford, the merge is an opportunity to expand on its commitment to the region’s seniors. Already home to an award-winning nursing home and a successful adult day program located in Bethel, Gifford has a strong foundation in caring for the aging.

It’s a foundation they are building upon with the creation of a senior living community in Randolph Center. This new community will include a nursing home, assisted living and independent living units.

Construction on the campus began this past spring with work focusing on infrastructure and the building of a new Menig Extended Care facility, the 30-bed nursing home currently connected to the main hospital.

Current Menig residents are expected to transition to the new facility when construction is completed in the spring of 2015, a time that will also see the ground breaking of the first independent living facility.

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Gifford’s Record of Success Continues for 15th Straight Year

Randolph hospital ‘makes’ budget, operating margin

Gifford 2014 budget

President Joseph Woodin and CFO Jeff Hebert announce via video that Gifford closed the books with a 3.2% margin for the 2014 fiscal year.

In a feat that has not been replicated by any other hospital in Vermont, Gifford Medical Center announced that it has achieved its state-approved operating margin for the 15th straight year, by managing its expenses and the budget process.

In a “reality TV” video announcement sent to staff on Monday, November 3, President Joseph Woodin and CFO Jeff Hebert announced what auditors have confirmed – Gifford closed the books with a 3.2% margin for the 2014 fiscal year.

“This is all thanks to the hard work and dedication of our staff,” said Woodin. “Without their diligent focus, always trying to manage quality and costs, we would not be able to have accomplished this.”

An operating margin is the money the medical center makes above expenses – needed to reinvest in programs, staff and facilities. Sixteen years ago, Gifford ended the fiscal year with a negative 16% margin ($2.9 million loss), after having lost money 4 out of 5 years. At that time, the future of the hospital was uncertain, with some state officials even asking if the hospital should be closed.

Today, Gifford is known as one of the most successful and innovative hospital and health care organizations in New England. They are designated a CAH (Critical Access Hospital), as well as an FQHC (Federally Qualified Health Center); one of only three in the nation to carry that dual designation. They also operate a nursing home (Menig) that is rated one of the top 1% in U.S., and are currently constructing the first phase of a five-phase senior living community in Randolph Center, VT.

Consistently achieving the operating margin can be an indicator of an organization’s success. Despite record shortfalls in revenue for Vermont hospitals, including Gifford, Woodin noted the medical center was able to make up for revenue shortfalls through managing expenses and due to support from federal programs like 340B, a drug pricing program that in part generates revenue when Gifford patients fill non-generic, non-narcotic prescriptions at participating pharmacies.

“This news is exciting for Gifford and for the community,” said Woodin. “It is an indicator of Gifford’s health as a medical center, community organization, and employer. Primarily it means we’re stable, and we’re able to provide consistent care and services without facing cuts and uncertainty.”

The achievement is especially remarkable within the current economic climate and amid so many changes in health care, hospital officials also noted.

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Putting locals to work in Randolph Center

Senior living community progressing

This article was published in Gifford’s Fall 2014 Update Community Newsletter.

Randolph senior living community

When Gifford conceptualized and received all necessary permits to construct a senior living facility in Randolph Center, it was certain that local people would benefit. The region’s seniors would have a local place for nursing home care, independent living, and one day assisted living.

What wasn’t necessarily known when the project went out to bid in the spring, however, was how many other locals might benefit.

Randolph senior living communityThe crew at W.B. Rogers Inc. is a prime example. The local excavation contractor bid for and won the job to do the site work for the first phase of the project.

The project is the biggest in manager Geoff Gilman’s time with the family business, even trumping the eight miles of Bethel roads the company rebuilt immediately following Tropical Storm Irene.

W.B. Rogers Inc. got its start more than 40 years ago in 1968. Today, three generations work with the company, along with plenty of others. With 16 employees, W.B. Rogers brought on extra staff to work on Gifford’s project, which began in May. “We’ve employed quite a few more people,” Gilman said.

“Everybody who works for us lives in Randolph or a surrounding town, so it’s really keeping the income right here in this area,” added Gilman, whose father Charlie owns the business.

As community members pass by the site on Route 66 in Randolph Center, many have been surprised by the amount of equipment on site. Others have been surprised it’s locally owned. W.B. Rogers, which does jobs from the very small to the very large, owns about two dozen pieces of equipment, from excavators to loaders to backhoes to bulldozers to dump trucks.

Randolph senior living communityWith equipment stored in Randolph and an office in Bethel, Gilman notes a local contractor is also the contractor you know. He’s readily available, has built a reputation through his previous work at Gifford and many other local projects, and works hard to do a good job for his community.

“I take pride in my work. I like to see everything look nice. I treat these jobs like they are my own,” Gilman said.

After a long summer in the sun, he’ll also be glad to be done with it. “I was glad to get it. I’ll be glad to finish it,” he said.

W.B. Rogers will be on-site on the property until the ground freezes, finishing some grading and building an access road and then return in the spring for final grading and seeding.

The first phase of the project, which is the reconstruction of Gifford’s 30-bed Menig Extended Care Facility nursing home on the site, is expected to be done by May 2015.

The project began this May. Since then, water and sewer lines, drainage pipes, fire hydrants, light pole bases, and power have all gone in. Concrete has been placed, walls have gone up, and the site is getting ready for a winter of interior work.

Once complete, nursing home residents will move from their current home at Gifford to the new nursing home. The current facility will then be renovated into new industry-standard private inpatient rooms.

Later phases of the senior living community call for first 40 independent living units and then more independent living units and assisted living units to follow.

For Gifford, employing local contractors like W.B. Rogers means supporting not just seniors but the local workforce.

“Gifford is successful when our community is successful. It’s a partnership, and we do try very hard to be a good community partner,” said Gifford Director of Facilities Doug Pfohl.

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Giving

This article was published in Gifford’s Fall 2014 Update Community Newsletter.

Gifford givingEach year, we ask our friends to consider supporting Gifford. As a nonprofit community hospital, Gifford truly appreciates your gifts. With your support, we are able to provide high quality patient experiences.

But did you know there are other ways to support the hospital that could be more beneficial for you? Gifford has planned giving options that help the medical center while also providing for your financial future. Including Gifford in your will, for example, means you’re leaving a lasting legacy. A charitable gift annuity means you will receive a fixed income for life.

Gifford is a stable, growing organization with a strong infrastructure; in other words, we’re a safe investment. When it comes to charitable gift annuities, the hospital has set aside assets to secure our promise to pay the annuity, and your return is not affected by market volatility.

There are many ways to invest in your community medical center. Please consult with your financial advisor and interested family members about these options before making a gift. It would be my pleasure to provide you more details with absolutely no obligation from you. Please call me at 728-2380 to begin the discussion.

It’s our job here at Gifford to provide the best care possible to patients. It’s my job to help support that outstanding care by connecting community members like you with Gifford. For many, it will be a friendship of shared values and financial security that will last for years to come.

I look forward to beginning that friendship with you.

~ Ashley Lincoln, Director of Development

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State-of-the-art gait analysis system is only one in Vermont

This article was published in Gifford’s Fall 2014 Update Community Newsletter.

Gifford gait analysis systemIn his 50-year career, Sharon Health Center podiatrist Dr. Rob Rinaldi was always pretty certain that his gait analysis skills were spot on.

In his early years in private practice in Connecticut, he analyzed an athlete’s gait through observation. Next came a high-speed Nikon camera. Dr. Rinaldi would take pictures, develop the images, and study them for what the industry calls foot strike and toe off.

A video camera followed, and then most recently the Sharon Health Center had a treadmill, video camera, and monitor set-up. “I really thought we were cutting-edge,” says Dr. Rinaldi.

That is, until the clinic purchased a Noraxon MyoPressure Lab – a state-of-the-art gait and movement performance system – as part of its recent renovations and expansion.

Now providers at the Sharon clinic are using the new technology to diagnose problems, come up with treatment plans, and improve patient outcomes.

The new system includes a treadmill with a force plate that can analyze pressure, show that on a monitor, and immediately print out those results, showing where someone is putting pressure on his or her feet both walking and running, and with and without shoes.

It has two video cameras that can show live images on a computer monitor or be recorded. The health center is also using its original camera, meaning three video cameras are really at work monitoring gaits. And it has a surface EMG to measure muscle activation patterns throughout the body.

Gifford is the only hospital in Vermont with the technology. In fact, one would have to drive to Boston’s Children’s Hospital in Waltham, Mass., or to White Plains, N.Y., to find the closest other such systems.

Dr. Rinaldi is using the new technology for every sports analysis and for individuals at risk of falling. The health center’s other providers – including podiatrists, chiropractors, and sports medicine physicians – are using it as well to look at muscles, joint angles, alignment, and to train athletes.

The results of the Noraxon analysis lead to treatment plans, including sharing information with in-house physical therapists.

“We’ve always felt our success was based on a team approach. Now we’re able to quantify and graphically share information (among the team),” Dr. Rinaldi says.

“What I have found is my outcomes seem to be better,” he says. In some instances, he’s also offering more conservative treatments to surgery.

The Sharon Health Center is a renowned, multi-discipline sports medicine practice located off Route 14 in Sharon. Call the center at 763-8000.

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