Dr. Laura Barber Joins Chelsea Health Center

Gifford welcomes experienced primary care physician to community health center team

Dr. Laura Barber

Dr. Laura Barber

Dr. Laura Barber, MD, has joined the Chelsea Health Center, bringing more than 20 years of experience caring for families as a primary care physician.

When the private primary care group practice she had led in Abilene, Texas recently dissolved, rather than affiliate with a larger healthcare organization, Dr. Barber saw an opportunity to move to New England, where her son and sister live.

“When I visited the Chelsea Health Center, I liked what I saw,” she said. “I like to get to know people over a period of time, to work with entire families. This is the kind of patient-centered care I want to be doing.”

Barber earned a BS from Newcomb College of Tulane University, and an MD at the University of Texas Medical School, San Antonio. She completed her family practice residency at the Hendrick Medical Center in Abilene Texas, stayed on in private practice, and has been president of Abilene Primary Care Associates since July of 1996.

Born in Fort Worth, Texas, Barber often visited a small rural Eastern Texas town that inspired her first dreams of becoming a physician.

“I loved science and working with people, and medicine combined these interests. As it turned out, I can’t imagine doing anything else,” she said. “My first dream was to set up a practice over the post office in that small rural town I’d come to love as a child.”

That Texan town was later ruined by strip mining, but Barber and her sister, who has owned a cabin in Tunbridge since the early 80’s, say the area around Chelsea brings back memories of the rural community they had loved as children and “feels like home.”

The move cross-country makes sense in other ways as well. One of Barber’s three sons is working with a technology firm in Nashua, NH. And Barber and her husband, avid history buffs, have purchased the historic Federal-style Denison house in Royalton Village.

“I was up until midnight the night we purchased it, rubbing orange oil and bees wax on the dry, old wood paneling!” she said.

Dr. Barber is board-certified by the American Board of Family Practice and a fellow of the American Academy of Family Practice. At the Chelsea Health Center she joins physician assistant and Chelsea native Rebecca Savidge, and is now seeing new patients. Call for an appointment at 802-685-4400.

Alan Jacobs Exhibit at Gifford Medical Center’s Art Gallery

Alan Jacobs

Oil on canvas abstract by Alan Jacobs

Twelve vibrantly colored abstract paintings by Vermont artist Alan Jacobs are currently on display in the Gifford Medical Center art gallery. The exhibit will run through September 23, 2015, and is free and open to the public.

Jacobs, a retired psychiatrist and psychoanalyst and self-taught artist, describes his process as being “more determined by a conversation between fingers, paint, canvas, and unreflective thought and impulses than by any conscious ideas.”

After moving to Vermont several years ago, he began to paint at the suggestion of his artist daughter. He started working with pastels, but moved on to oil on canvas. Jacobs
says that he trusts the viewer to connect and react to the recurrent colors and images in his work in their own unique way.

Jacobs’ work was displayed earlier this year in VTC’s Hartness Library.

Gifford Welcomes Dr. Jonathan Bjork

Dr. Jonathan Bjork

Dr. Jonathan Bjork

Podiatrist Jonathan Bjork has joined Gifford Medical Center’s Randolph and Sharon clinics.

A board-certified podiatrist, he received a BS from St. Olaf College, a Doctor of Podiatric Medicine from Des Moines University, and completed his Podiatric Medicine and Surgery Residency at the William S. Middleton VA hospital in Madison, Wisconsin.

While in medical school, Bjork chose to specialize in podiatry because it would offer opportunities for a varied practice: performing surgery, working in a clinic, helping patients with rehabilitation, and treating sports injuries. He brings widespread clinical interests to his work, from rear foot and ankle surgery, flat foot reconstruction, and heel spur resection to diabetes-related infections, sports injuries, and treatment for bunions and hammertoes.

“I like to develop good, ongoing relationships with patients so I can get to know their needs and expectations,” said Bjork. “This allows me to consider a patient’s specific concerns when treating injuries or infections.”

Bjork and his wife have family near Boston and were looking to settle in a small town where they could raise their 4-month-old son. They have purchased a home near the hospital with a yard (space for a golden retriever) and easy access to the outdoor activities they love: skiing, mountain biking, and hiking.

“Randolph is a very warm and welcoming community,” said Bjork. “It is smaller than Platteville, Wisconsin, where I grew up, but it reminds me of my home.”

Bjork is the newest member of Gifford’s team of podiatrists, which includes Dr. Nicolas Benoit (Randolph), Dr. Samantha Harris (Berlin), and Dr. Paul Smith (Sharon). He is now accepting new patients at our Randolph and Sharon locations—call 728-2777 to schedule an appointment.

Gifford’s Last Mile Ride Raises $104 K for End-of-Life Care

Two-day event exceeds 10th anniversary fundraising goal

Last Mile Ride 2015

Vermont Combat Veteran road guard leader and top LMR fundraiser Reg Mongeur, ride leader Orange County Sheriff Bill Bohnyak, and LMR co-founder and former road guard leader Charlie Amico.

More than 385 Last Mile Ride participants joined together to raise $104,000 to support Gifford Medical Center’s end-of-life services on Friday and Saturday, exceeding the event’s ambitious 2015 goal of $100,000.

“The enthusiasm, spirit, and selfless efforts of all of you—volunteers, staff, participants, donors, and Combat Vet road guards who keep our event safe—have helped us to raise more than $300,000 over the years for end-of-life services,” Gifford’s Director of Development Ashley Lincoln told the crowd as she announced this year’s record-breaking figure. “Thanks to you we’ve exceeded our $100,000 goal allowing us to provide comfort and support to families when they are feeling most vulnerable.”

Lincoln went on to share that there will be a second garden room suite created during the hospital’s current renovations.

Started in 2006 with just 74 motorcyclists, the Last Mile Ride has grown into two days of fundraising activities that include a timed 5K, a one-mile walk, a 35-mile bicycle ride, and an 87-mile motorcycle ride. Last Mile Ride funds bring patients alternative therapies like Reiki, massage, and music therapy to help with pain management. They also provide unique services to support family members: providing meals for those spending last moments with loved ones in the hospital’s Garden Room, helping with transportation costs for far-away family, or arranging for photographs or a patient’s special last wish.

Last Mile Ride 2015Humidity was high and temperatures were in the 80’s for both evening and day events, but participants remained spirited and energetic. Some came to honor a friend or loved one, many came to “give back” for a Garden Room or special end-of-life experience, wanting to make sure others will have the same support and comfort during “life’s last mile.”

Firefighters Nick Benson and Ryan Kennedy braved the heat in full gear to honor Benson’s mother Roxanne Benson (a long-time LMR supporter who died last May) and Kennedy’s father-in-law Jimmy Boulter (who died in the garden room in 2011). Kennedy is a member of the Chelsea Fire Department. Benson grew up in Chelsea but now works for the Barre Fire Department. Benson explained their outfits: “My mom was big into getting me into fire services. She was a first responder with First Branch Ambulance and also a big supporter of Last Mile ride. I’m not mature enough to own a motorcycle,” Benson joked, “but I’m confident I can walk in this gear. I think we’re going to make this a tradition!”

After the race Friday evening, rain showers helped to cool the 179 hot runners and walkers as they gathered for prizes awarded to top fundraisers: Lindsay Haupt (5K) and Louise Clark (walk) received a gift card to Dick’s Sporting Goods and a Stateline Sports sneaker voucher. Chris Gish was the top male 5K finisher and Sara Lewis was the top female 5K finisher. Total race results are listed at http://www.begoodsports.com/results-gifford-last-mile-ride-5k-2015/.

On Saturday, heavy rain held off until after the famous outdoor barbeque lunch, where 206 bicyclists and motorcyclists sat at long tables to share stories, welcome newcomers to the Last Mile Ride community, and receive raffle, door, and fundraising prizes.

Lincoln honored Randolph volunteer Reg Mongeur. A Vermont Combat Veteran’s road guard for all ten years of the event, he took over organizing the guards when co-founder Charlie Amico stepped down. Mongeur came to the event after several of his relatives died in the Garden Room, and soon became a top fundraiser, often sitting at a table in front of Shaw’s to spread the word about Last Mile Ride services and solicit donations.

Last Mile Ride 2015“Reg has done phenomenal work for Last Mile Ride,” Lincoln said. “He served his country in Viet Nam, came home, worked hard, raised a family, and now works hard serving our community.” Poking fun at Mongeur, Lincoln shared that he is well-known as he “hounds us on Facebook and Shaw’s” raising awareness and support for the event. “Reg will be turning his motorcycle keys in, but thankfully remains committed to our event.”

Last Mile Ride Raffle prize winners were:

• Annette Sargent of Roxbury, who won the Harley-Davidson donated by Wilkins Harley-Davidson in South Barre

• Dr. Josh Plavin of Randolph, who won the bicycle donated by Green Mountain Bicycle Express in Northfield

• Wendy Wells of Randolph Center, who won the quilt made by Gifford nursing staff

• Ronald Warner of Randolph, who won the toolbox donated by Randolph Auto Supply

Ten riders raised over $1,000, with the top fundraisers being Reg Mongeur, Linda Chugkowski and Robert Martin, Chip Milnor, and Todd Winslow. Top fundraiser prizes were: four tickets to NH Speedway, four tickets to The Great Escape, a Gondola Ride and lunch at Stowe Mountain Resort, and the Local Prize Package (two tickets to the New World Festival, one-night stay at the Three Stallion Inn, and a gift certificate to Saap Restaurant).

Generous business support played a huge role in the event’s success. Forty-six businesses sponsored this year’s event, with major sponsors including Be Good Sports, The Frankenburg Agency, Froggy 100.9, Gillespie Fuels and Propane, HP Cummings, Lucky’s Trailer Sales, Mascoma Savings Bank, Northfield Savings Bank, and Wilkins Harley-Davidson.

As the rumble of the bikes rang through the towns, riders enjoyed support along the route from cheering community members, including local fire departments and the White River Valley Ambulance. Rider safety was ensured by volunteers from the Green Mountain Bike Patrol, the Combat Veterans Motorcycle Association, and ride leader Orange County Sheriff Bill Bohnyak.

Read More about Gifford’s Last Mile ride on Gifford’s website at www.giffordmed.org/lastmileride. The 2016 Last Mile Ride will be Friday August 19, and Saturday August 20.

Gifford Medical Center Earns EPA ENERGY STAR Certification

Randolph hospital joins list of top 25 percent of energy-efficient hospitals nationwide

Gifford exteriorGifford Medical Center was notified this week that it has earned the U.S. Environmental Protection Agency’s (EPA’s) ENERGY STAR certification. The national certification signifies that the building meets strict energy efficiency performance levels set by the EPA and performs in the top 25 percent of similar facilities nationwide for energy efficiency.

Gifford’s Director of Facilities Doug Pfohl notes that while this EPA ranking does not include buildings outside of the main medical center campus in Randolph, energy efficiency has been incorporated into all improvements and new building projects at Gifford since the 1980’s. The hospital has previously ranked high in the national Healthier Hospitals Greenhealth program.

“It was a hospital goal to achieve ENERGY STAR rating this year, and we are very excited to be one of the first in Vermont to do so,” said Pfohl. “We needed an EPA rating of 75 or higher to qualify, and we actually achieved a rating of 81.”

Hospitals apply for the EPA rating by looking at energy use per square foot, taking into account factors such as number of hospital beds, number of employees, and climate. They are then ranked nationwide. Gifford’s ENERGY STAR rating was given after much coordination with Efficiency Vermont, creative design staff, and conservative energy upgrades. A detailed on-site inspection in July proved successful, with a rating above 75.

Gifford exterior“I’d like to congratulate Gifford for achieving this prestigious certification,” said Liz Gamache, director of Efficiency Vermont. “We were pleased to work closely with them to help identify ways to reduce their energy costs and consumption; they are setting a great example for other medical facilities in the state.”

While Gifford has steadily improved energy efficiency throughout the entire organization through low-occupancy settings for heat and electricity, improving kitchen ventilation equipment, and installing internal and external LED lighting, Pfohl said two recent large improvements contributed significantly to the hospital’s high rating:

• A new energy-efficient 90-ton chiller replaced an aging 50-ton unit, and structures were put in place for three new chillers to accommodate future air-conditioning upgrades; and

• An energy recovery unit was installed to capture return air and recondition it for re-use; this “climatized” air requires less energy to re-heat or re-cool.

ENERGY STAR was introduced by the EPA in 1992 as a voluntary, market-based partnership to reduce greenhouse gas emissions through energy efficiency. Facilities with ENERGY STAR certification use an average of 35 percent less energy than typical buildings and release 35 percent less carbon dioxide into the atmosphere. For more information about ENERGY STAR Certification for Commercial Buildings, visit www.energystar.gov/labeledbuildings

A Message from the Medical Director of the Hospital and Medicine Divisions, Dr. Martin Johns

The following article appeared in our 2014 Annual Report.

Dr. Martin Johns

Dr. Martin Johns

One evening when I was on duty, a 911-call patient was brought into the emergency room. The patient was unresponsive and unable to communicate.

I pulled up the electronic medical record and was able to see that he had been given a new medication when seen at a Gifford clinic earlier that day.

Clearly he was having a delayed allergic reaction, and because I could see exactly what medication he was given, I could immediately give him the appropriate antidote. If I had not had access to the information in EMR, I would have had to guess and start trying different medicines to counteract the reaction.

When another patient was confused about what medications they were taking, I pulled up their most immediate office note on EMR and made adjustments based on what had been done within the previous 24-hour period.

An important aspect of the new EMR system is that it allows medical information to follow the patient through transitions of care across all Gifford platforms: inpatient care, outpatient care in community clinics, radiology, and emergency room visits.

In the past, important information could be unavailable or even lost during these transitions—a clinic might be closed for the day, or important information not yet added to a patient’s record. Now, anyone caring for a patient can view important information and also update the record (adding a newly developed allergy or immunization) or note changes in clinical status.

Gifford’s New Single Occupancy Rooms

The following article appeared in our 2014 Annual Report.

new private patient rooms at Gifford

Detail of the new private patient rooms, including two hospice (garden room) suites.

Jack Cowdrey“When you’re sick, you really want to be alone. And when you share a room it can be difficult to sleep when the other patient has visitors. When I was a patient in August I noticed that by the time a nurse rolled in the computer cart there was little room for anything else. It will be so nice to have the privacy and the extra space in the new rooms.”     ~ Jack Cowdrey, Former Board Member Dessa Rogers

“Single occupancy rooms will make it easier for us to get patients more involved in their care. The increased privacy will allow nurses to “sign off” to the next nurse coming on right in the room with the patient, so they can be informed and involved in the process.” ~ Dessa Rogers, RN, Nurse Manager, Medical Surgical & Rehab Unit Ben Cronan

“We bring radiology technology to the patients. It can be a challenge to navigate around beds, wheelchairs, walkers, and other equipment in the room, especially if the room is being shared. Sometimes we will wheel the portable x-ray in multiple times a day, and it can be disruptive to others in the room. The patients and family I talk with often share their difficulties with having two patients in one room. The new private rooms will really help with patient comfort, privacy issues, and visiting family and friends.” ~ Ben Cronan, Radiology Technologist

A Message from the Executive Director of Gifford Retirement Community Linda Minsinger

The following article appeared in our 2014 Annual Report.

Executive Director of Gifford Retirement Community Linda Minsinger

Executive Director of Gifford Retirement Community Linda Minsinger

Vermont has a huge need to figure out how to care for its seniors. Isolation is one of the biggest problems of aging in a rural area. Humans are meant to be with humankind. We proved that years ago when we tried to understand how much touch people need as a baby; when you don’t get it, you fail.

It’s the same with seniors. We want everyone to treasure our seniors as much as we treasure our babies.

Adult day care is a cost-effective way to help seniors age. Yet it has been underdiscussed and underplanned. The state of Vermont only wants one adult day-care center per county. That doesn’t make sense. Orange County has two sets of mountains. It takes me an hour and a half to get from Bradford to Randolph—that’s still in my county. It’s unfair to ask fragile seniors to sit on the bus for an hour and a half.

The state puts a lot of money into nursing homes, so there isn’t much left over for other programs. Adult day gets what we call “budget dust.” We should be trying to figure out how to have fewer people in nursing homes. Let’s tip this pyramid upside-down.

When someone is diagnosed with early-stage Alzheimers, that’s the time to start. The earlier you get them into social situations, the better it will be for them and for their caregivers in the long run.

Enhanced Response to Community Need

The following article appeared in our 2014 Annual Report.

Randolph VT hospitalAs many community hospitals find themselves contracting—or even closing—because of external pressures, Gifford is developing models that will expand services to respond to community needs.

“FQHC resources allow us to expand existing medical services and to create new paths to help patients with behavioral health and dental issues,” says Dr. Martin Johns, medical director of the hospital and medicine divisions. “These areas can impact a patient’s general health, and need to be part of standard primary care.”

Integrating behavioral and dental health into primary care
A special behavioral care team (a psychiatrist, psychologists, social workers, and care managers) has been created to help link access to behavioral health services to primary care. This group will work directly in concert with primary care providers in their offices, so services can be seamlessly added to a patient’s care plan as needed. The new enhanced behavioral health services model will be offered at Gifford’s Randolph campus early in 2015, and will then expand to the community clinics.

Gifford has established relationships with local dentists so that people coming to primary care providers with unmet dental conditions can receive care. This program will hopefully expand to include additional dental providers and other FQHC and federal programs services.

Rising to the challenge of increased substance abuse
Medical centers across the country are struggling to meet the needs of people with alcohol and substance dependency problems. FQHC funding is allowing Gifford to expand existing Vermont Blueprint for Health services so providers can better address the special needs of those who are opiate dependent and want to avoid substance abuse.

The Garden Room

The following article appeared in our 2014 Annual Report.

The Garden Room

Legacy photos (right) are one service the Last Mile Ride funds provide. These photographs, taken by a professional photographer, offer the family an opportunity to capture a few of those last few precious moments at the end of life.

The new private patient room conversion project will allow Gifford to create a second Garden Room suite for end-of-life patients.

This patient room, with French doors that open onto a courtyard garden, has an attached larger room where families can gather to support and comfort the patient and each other in this period of transition.

“A second garden room will double our capacity to care for end-of-life patients and their loved ones,” said John Young, Palliative Care certified nurse. “The Garden Room suite creates a space where families and loved ones can visit, share, interact, or just be present with each other at a time when that is needed. A dying loved one can rest, listen to music, be quiet or visit with loved ones in the attached less noisy and congested space.”

Last Mile Ride (LMR) funds support special services for patients in advanced illness and at the end of life, whether they are at home or staying in the Garden Room suite. These services include massage, acupuncture and Reiki for pain management, music therapy, and help with special wishes and one-time gifts. LMR funds also help make it possible for families and friends to focus on their loved one, providing food, transportation funds if needed, bereavement help, and professional photographs of this special time together.

For patients in this time of transition, the Garden Room adds an option to dying at home or in a nursing home. Dr. Cristine Maloney, lead provider for Gifford’s Palliative Care Program, notes that when families are caring for a loved one at home, the Garden Room can offer a comforting back-up option if things become too difficult.

“This chapter of a patient’s life has great power and poignancy, and surviving family and friends remember vividly how a death is handled,” said Maloney. “We want to help this go as well as possible and in keeping with a person’s goals and wishes.”