Experienced hospitalist Dr. Robert Cochrane has joined Gifford Medical Center’s 24-hour hospitalist team.
Originally from Montreal, Dr. Cochrane’s first career was in engineering. Consulting work in the field brought him to the United States and soon he was considering a major career change.
“Medicine was just interesting to me,” he says, noting that his parents were aging and he found himself wanting to be “part of the solution” for them.
He took a few classes, loved it, and decided to fully pursue it.
He attended the pre-medicine post baccalaureate degree program at Duquesne University in Pittsburgh and then the University of Vermont College of Medicine. Dr. Cochrane went on to residency at Fletcher Allen Health Care and quickly found himself drawn to intensive care and sicker patients.
“I wanted to really be involved in more acute, sicker people,” says Dr. Cochrane, who went to work as a hospitalist – a doctor caring for hospitalized patients.
Board certified by the American Board of Internal Medicine and a member of the American College of Physicians, Dr. Cochrane worked for Apogee Physicians Group launching or working at hospitalist programs in medical centers across the state, including Northwest Medical Center, Springfield Hospital, Copley Hospital, and Porter Medical Center, as well as Alice Hyde Medical Center in Malone, N.Y.
The work with Apogee, a physician-owned business focused entirely on hospitalist medicine, meant switching jobs every few years, however. Dr. Cochrane of South Burlington was looking for more stability.
“I wanted to be in a community where I could stay for a long period of time and know the community well,” says Dr. Cochrane, who has now found that at Gifford.
Experienced nurse leader Alison White has joined Gifford Medical Center as its vice president of patient care services – a role that oversees the Hospital Division, including inpatient care, the Birthing Center, ob/gyn and midwifery practice, Emergency Department, nursing home and Adult Day Program.
A graduate of the bachelor’s degree nursing program at the University of Vermont and the master’s degree health care administration program at Independence University in Utah, White has spent her career in nursing and then nurse leadership.
Her nursing career focused on cardiac and dialysis patients – populations she loved because of the relationships formed with patients. “They grow to be your family,” she says.
White went on to serve as director of care management at Central Vermont Medical Center (CVMC), the director of regional care management and quality improvement for the Dartmouth Hitchcock Alliance, the director of clinical outcomes at CVMC and most recently vice president of quality, chief nursing officer and patient safety office at the Berlin-based hospital.
A motorcycle accident in August that nearly took her life left White reevaluating her priorities, however. She was seeking a better work/life balance, and says she has found that at Gifford.
“I felt like I hit the jackpot,” says White, who joined Gifford earlier this year. “The people are so open and warm and helpful and genuine, really genuine. Team comes through. It has a feeling of family. It doesn’t have a feeling of ‘corporateness,’ but at the end of the day the job gets done.
“I’m just so grateful to be here. I look forward every day to coming in.”
White succeeds Linda Minsinger, a long-time vice president who has transitioned to a new role: executive director of Gifford’s retirement community that will soon be under construction in Randolph Center and requires substantial planning.
“I think Alison is a great opportunity for Gifford’s Hospital Division. She comes with expanded current knowledge in the health care field and quality. I feel she will provide the staff and leaders with a new and different view of their roles,” says Minsinger, who is equally enthusiastic about her new role, which in part develops not just a community, but a culture “to ensure the residents and staff are happy and enjoy all the activities and opportunities that are offered.”
White lives in Barre with her husband Paul, a Vermont State Police captain. They have two children, Catie, 21, and Jeffrey, 18. White enjoys photography, volunteering at her church, serving on the Central Vermont Home Health and Hospice board and traveling in her free time.
Free health fair and diabetes expo focuses on chronic illness
Gifford chefs Ed Striebe, left, and Steve Morgan present at a past Diabetes Education Expo. The annual, free event is expanded this year to all with chronic illnesses and includes a health fair as well as presentations, including a cooking demonstration by Morgan.
Gifford Medical Center will hold a free Health Fair and Diabetes Education Expo on Friday, March 14 from 10 a.m. to 2 p.m. in the Randolph hospital’s Conference Center and visitors’ entrance.
The fair, redesigned from past years, is open to anyone with a chronic condition, not just those with diabetes. It does not require registration, and puts a strong emphasis on “Creating a Healthy Lifestyle” – the fair’s theme.
Gifford has held a Diabetes Education Expo for eight prior years. While the diabetes epidemic remains, organizers from Gifford’s Blueprint for Health team decided to expand the event this year to other conditions because so much of what is being discussed is applicable, explained Jennifer Stratton, Gifford certified diabetes educator.
“Most people who have chronic conditions have something in common,” Stratton said. “I also wanted to open it up to those with pre-diabetes to help prevent diabetes from actually happening.”
The day includes vendor booths and a health fair open throughout the 10 a.m. to 2 p.m. event. Vendor booths are located in the hospital’s visitors’ entrance south of the hospital near the Gift Shop. Vendors this year are local community resource agencies and organizations talking about services and help available locally.
Health fair booths are in one of the hospital’s conference rooms and include blood pressure checks, foot checks, glucose monitoring, goal-setting guidance and guidance on healthy lifestyle choices, physical therapy exercises, tobacco cessation help, diabetes education, information on support groups, and more. The booths are operated by experts from Gifford as well as local dentist Dr. John Westbook and local optometrist Dr. Dean Barelow.
Special presentations will also be offered in a second conference room, including a 10-10:45 a.m. talk by Stratton on “Advances in Diabetes Management;” an 11-11:30 a.m. talk on “Using Herbs to Complement Your Diabetes Wellness Plan” by Sylvia Gaboriault, a registered dietitian and certified diabetes educator; and a 1-1:30 p.m. cooking demonstration on “Sugar ‘Less’ Baking” with Gifford chef Steve Morgan.
Participants may drop in or stay all day. A couple of raffle drawings will be offered and the hospitals’ cafeteria will be open for those wishing to buy lunch.
Learn more by calling Gifford’s Blueprint team at (802) 728-7710. Gifford Medical Center is located at 44 S. Main St. (Route 12) in Randolph. Drive past the hospital, south on Route 12, and take the entrance just after the medical center to access the visitors’ entrance. The Conference Center is marked with a green awning. For handicapped accessibility, go in the main entrance marked “Registration” and take the elevator to the first floor.
The deadline to sign-up for health insurance through the state’s new online marketplace – Vermont Health Connect – is March 15.
To help more of this region’s residents meet the deadline, Gifford Medical Center has organized two special days – March 6 and March 13 from 9 a.m. to 4 p.m. – when extra “navigators” will be available to help people sign-up for insurance.
On hand will be navigators from Gifford’s Blueprint for Health team, Gifford’s Health Connections office (which is part of the Vermont Coalition of Clinics for the Uninsured), and from Bi-State Primary Care.
“For those who haven’t already signed up, the deadline is looming, meaning people must act now. We have been signing people up for months and will continue to do so until the deadline, but wanted to make this extra push to help those who haven’t yet chosen an insurance plan,” said Health Connections caseworker Michele Packard.
For Vermonters not offered insurance through their employer, Vermont Health Connect is how insurance is now sold in the state. This includes Vermonters who:
do not have health insurance;
currently purchase insurance for themselves;
have Catamount or Vermont Health Access Program; or
are offered “unaffordable” coverage by their employers.
Signing up for health insurance is a requirement under federal health care reform efforts. Those who do not sign up may face a federal tax penalty.
Appointments at Gifford’s special March 6 and 13 events are preferred, but walk-ins are welcome. Call the Health Connections office 728-2323 to sign up for an appointment. On the day of your appointment or when walking in, use the main entrance. Private one-on-one discussions are being held in the primary care doctor’s office area. Look for signs and ask for directions.
Each year, too many people are killed or seriously injured by severe weather, despite advance warning. In 2012, more than 450 people in the United States were killed and more than 2,600 were seriously injured by severe weather. Seven events in 2013 accounted for losses over $1 billion each, with loss of lives and serious injuries.
Preparing for severe weather doesn’t have to be complicated or expensive.
The National Oceanic and Atmospheric Administration (NOAA) and the Federal Emergency Management Administration (FEMA) will highlight the importance of preparing for severe weather before it strikes during National Severe Weather Preparedness Week, March 2-8, 2014. They ask that you “Be a Force of Nature” by knowing your risk, taking action, and being an example where you live.
Know Your Risk: Identify and understand the types of hazardous weather that can impact where you work and live. Here in New England, we can have severe winter weather, including snow, ice, wind, and cold. Rain/thunder storms, flooding, hurricanes, tornadoes, hot weather, and drought are also likely events.
Take Action: Bookmark weather.gov to get the latest forecast information. Obtain a NOAA weather radio; there are affordable models that run on AC, battery, solar, and/or hand crank power. Learn about Wireless Emergency Alerts (see below). Create or update your family emergency plan and disaster supplies kit(s).
Be an Example: Tell your friends and family what you have done to be “weather-ready.” Share your preparedness story on Facebook. Tweet your preparedness with hashtag #ImaForce.
Wireless Emergency Alerts (WEA): WEA are emergency messages sent by authorized alerting authorities through your mobile carrier. Alerts will include extreme weather alerts, local emergencies requiring evacuation or immediate action, AMBER alerts, and Presidential alerts during a national emergency. It will have a special tone and vibration, both repeated twice, and will look like a text message. The message will show the type of alert, the time of the alert, any action you should take, and the issuing agency. The message will be no more than 90 characters. Most newer devices are WEA capable; some older ones are not WEA capable. For more information on devices and carriers visit: www.ctia.org/wea. WEA messages are offered for free by the wireless carriers; you will not be charged for them and they will not count toward limits on your plan. You are not being tracked; messages are broadcast from cell towers in the areas of the threat. Even if you are not in your home area, you will get the alert. Likewise, if you enter an area of alert, you will receive it when you enter the area. WEA messages are not affected by network congestion.
Preparing for severe weather will also help prepare you and your family for other emergency events, whether they are climate-related, technological, or terrorism. Any degree of preparedness is beneficial. The more prepared you are, the better off you’ll be and the more likely you can be part of the solution instead of part of the burden. For every dollar spent for preparedness, statistics show $7 is saved. Information on emergency preparedness can be obtained from the American Red Cross, FEMA, the Centers for Disease Control and Prevention, the Vermont Division of Emergency Management and Homeland Security (VT DEMHS), formerly Vermont Emergency Management (VEM), and others.
Brad Salzmann is an orthopedics physician assistant at Gifford in Randolph. He also has a master’s degree in disaster medicine and management, and serves as part of the national Disaster Medical Assistance Team based in Worcester, Mass.
Materials clerk Tina Brady uses a new handheld scanning device to quickly inventory supplies on one of many carts located throughout the medical center. The device is a gift from the Gifford Medical Center Auxiliary and greatly improves the department’s efficiency.
The Gifford Medical Center Auxiliary is turning Thrift Shop earnings into major support for the community’s local hospital.
The Auxiliary has funded more than $19,000 worth of “wish list” equipment requests spanning multiple departments at the hospital and greatly benefiting patient care.
Lending library books for the Cardiac Rehabilitation Program
Multiple pieces of equipment, from IV poles to portable oxygen saturation monitors to cardiac chairs for the inpatient hospital units
A handheld scanning device for the medical center’s Materials Management Department
Pulse oximeters for primary care offices
Play equipment and furniture for The Robin’s Nest Child Enrichment Center
Lead shield aprons for the Sharon Health Center
A changing table and digital scale for the Twin River Health Center
The Auxiliary historically has awarded “wish list” items to the hospital, meaning departments put their wishes in the form of funding requests to the Auxiliary. Auxiliary board members review the list and award what they can. This round the board fully funded the “wish list.”
Materials Management was granted a “wish list” item for the first time in memory. The scanning device is used to inventory supplies around the medical center, explained department supervisor James Shodunke Jr. It replaces a 15-year-old unit that didn’t meet the department’s needs, so staff had been taking notes with pen and paper.
As a staff member counts supplies around the medical center with the new device, which the department had been trialing, prints a report back in the materials holding area showing supply needs, meaning other staff members can immediately begin filling that supply order. The change in the busy department means a task that previously could have taken an hour and 15 minutes now takes less than 30 minutes.
“It greatly improves our efficiency and expedites the restocking process, which reduces interruptions in patient care,” Shodunke said.
Gifford’s inpatient unit received the bulk – $11,500 – of this round’s funding.
“The staff and nursing leadership of Howell Pavilion (Gifford’s inpatient unit) are very thankful for the extremely generous grants given by the Auxiliary. Many patients will benefit from the numerous requests, such as sturdier chairs for patient rooms, electronic vital sign monitoring system and alternative treatments for pain. The gifts will be a big help for both patients and staff. We would like to thank the Auxiliary for all of their hard work and support by granting our many requests,” said Alison White, vice president of patient care services.
Auxiliary board members Ruth Lutz, treasurer, and Nancy Gray, historian, walked around the medical center on Wednesday making in-person announcements to department staff that they had been funded.
Lutz was excited by the response from the departments. “They were so pleased,” she said.
Gray found the experience rewarding because of the inside look she got at the medical center and its many, diverse services.
But Lutz and Gray were quick to point out that it wasn’t they who were making the gift to the medical center, but rather the full Auxiliary and all who shop at the Thrift Shop. “We’re so fortunate to be able to do this because of what the Thrift Shop brings in,” Gray said.
Gifford’s Blueprint for Health Team has expanded to include additional mental health and addiction counselors offering one-on-one care at all Gifford primary care locations. In this file photo, from left, care coordinator Keith Marino, Health Connections (financial assistance) case worker Michele Packard and certified diabetes educator Jennifer Stratton discuss a patient at the Bethel Health Center.
In 2012 as part of the federal Patient Protection and Affordable Care Act, Gifford Medical Center completed a Community Needs Assessment.
Less than two years later, the Randolph-based medical center has already made huge strides addressing many of the needs found in that study.
In a survey of Town Meeting attendees in nine communities in 2012 plus feedback from other groups, community members’ described their priorities for a healthy community, perceived health problems and risky behaviors in the community, and their health needs or lacking services.
Among factors for a healthy community were good jobs and a healthy economy, access to health care, good schools, and healthy behaviors and lifestyles. Top health problems listed by survey respondents included addiction, obesity, and unhealthy lifestyle choices. Top health needs, or services community members have tried unsuccessfully to access, within the community were assisted living and nursing home care, alcohol and drug counseling, and dental care.
Today, Gifford is preparing to break ground in the spring on a senior living community in Randolph Center that will, over time, provide a full spectrum of housing options including the relocation of its award-winning nursing home and newly created assisted and independent living. Gifford has earned the coveted Federally Qualified Health Center (FQHC) designation, making it one of only three hospitals in the country to be both a Critical Access Hospital and an FQHC. This means expanded access to care, including dental and mental health care. And the medical center’s Vermont Blueprint for Health Team has greatly expanded over the past year to include more mental health and addiction counselors, providing services at all Gifford primary care locations.
Among Gifford’s free community services is a chronic illness support group. Here Gifford pharmacist Jane McConnell provides medication advice to past participants.
“Each of these major initiatives, which have taken substantial work, targets an identified community health need. Meeting these needs and addressing the community’s feedback defines the future of Gifford and its expanding role,” says Ashley Lincoln, director of development and public relations at Gifford.
The Community Needs Assessment process is required every three years, but Gifford’s efforts are ongoing. The medical center continually provides community outreach initiatives to meet care needs, many of which are offered for free. These include classes, support groups, and health fairs. Additionally, many initiatives support local economic health, including a buy local approach.
The medical center also continues community outreach daily through a boots-on-the-ground approach that has Blueprint Community Health Team working directly with individuals and community organizations to address health and socioeconomic needs, particularly for the chronically ill.
“The Blueprint for Health is a statewide initiative. Gifford has placed extra focus on meeting community members’ needs so they can successfully manage their health,” says Blueprint Project Manager LaRae Francis. “This approach means not waiting months or years for needs to be determined, but matching resources and needs today to create an ongoing healthier community for all.”
A grant from through the Vermont Department of Health helped support the costs of the 2012 report. The full report is available on Gifford’s website in the “About Us” section under Community Reports.
RANDOLPH – Nonprofit community organizations have an opportunity to apply for a $1,000 grant.
Gifford Medical Center is seeking applications for the annual Philip D. Levesque Memorial Community Award – a grant established in memory of the hospital’s late administrator.
Applications for the $1,000 grant are due to the hospital by Feb. 17.
The grant was established by Gifford’s Board of Trustees in 1994 in memory of Levesque, Gifford’s beloved president and chief executive officer from 1973-1994.
The award is given annually to an agency or organization involved in the arts, health, community development, education, or the environment in Gifford’s service area in recognition of Levesque’s commitment to the White River Valley.
“Phil was an admired leader who was dedicated to community service and improving our area. We’re excited to be able to carry on his legacy through this grant, and encourage community organizations to apply,” said Ashley Lincoln, Gifford director of development and public relations.
The hospital first awarded the grant in 1995. Past recipients include the Rochester Area Food Shelf; the South Royalton School’s Recycle, Compost and Volunteer Program; the Bluebird Recovery Program; Kimball Library in Randolph; Bethel’s Project Playground; Chelsea’s Little League field; the Rochester Chamber Music Society; the Royalton Memorial Library; the Tunbridge Library; the White River Craft Center; Safeline; Interfaith Caregivers; the Chelsea Family Center; the Granville Volunteer Fire Department; the Quin-Town Center for Senior Citizens in Hancock; and The Arts Bus Project.
A committee of hospital staff and Levesque’s family will review the applications and choose a winner. The announcement of the grant recipient will be made at Gifford’s Annual Meeting in March.
Contact Lincoln at (802) 728-2380 or firstname.lastname@example.org for application guidelines, or click here. Send completed applications by Feb. 17 to The Philip D. Levesque Memorial Fund, Gifford Medical Center Development Office, 44. S. Main St., Randolph, VT 05060.
Rochester’s Barb DeHart is quick to sidestep the title “photographer,” but that doesn’t mean she won’t capture your eye.
DeHart is a retired business owner. She had a company that manufactured equipment for the electronics industry for three decades in Burlington, Mass. She retired to Rochester, Vt., and following the death of her husband in 1999 began investing more time in traveling.
“The photography sort of came along secondary,” says DeHart, who with little more than a basic point-and-shoot camera captured penguins on the Falkland Islands of Antarctica, polar bears in the Arctic Circle in Norway and on the Hudson Bay in Manitoba, Canada, and brown Kodiak bears and cubs in Alaska.
Unexpected visitor (photo provided)
DeHart brought the images of never-seen-in-Vermont, frolicking wildlife home, printed them and hung them on her wall.
Friends took one look and encouraged her to do more with the stunning images.
Last fall, some of her works were part of the Middlebury Arts Walk.
Still DeHart downplays them.
“I’m not a professional at all. My byline is ‘Photos for Fun.’ It’s just to make people smile,” she says self-consciously.
Her nerves stem from presenting her works for the first time in a gallery show. Beginning Wednesday afternoon, DeHart’s images of penguins, polar bears and Kodiak cubs will be in the Gifford Medical Center art gallery in Randolph.
Cubs playing (photo provided)
The show runs two months, until March 26, and is free and open to the public.
“It’s kind of overwhelming,” says DeHart, who in her regular life is a Rochester Budget and Finance Committee member, chairwoman of the Trustees of Public Funds and a justice of the peace.
Going forward, DeHart will continue to travel. She has a trip planned that will mean seeing more polar bears. And she will continue to take photos.
“It’s become a new hobby. Maybe it will become an avocation. But it’s been fun,” DeHart says.
Join the fun. See her show “Penguins, Polar Bears and Kodiak Cubs” from Jan. 29-March 26 at Gifford. The gallery is located just inside the hospital’s main entrance at 44 S. Main St. (Route 12) in Randolph. Call Gifford at (802) 728-7000 or Volunteer Coordinator Julie Fischer at (802) 728-2324 for more information.
The following was published in our 2012 Annual Report.
Reflections on the past remind us of our roots and of how health care has changed in the past decades. Chief among those is the increasing role mid-level providers, such as nurse-midwives, nurse practitioners, and physician assistants, play in health care. Today, we have diverse physician-led health care teams in every area of medicine to encourage and support wellness.
Mid-level providers are extremely instrumental at birth, during hospital stays, in the primary care setting, specialty clinics, and even for our surgical patients. This team approach to care improves provider access and quality of care.
At Gifford, we are transitioning with great success to a team-based approach and are taking steps to ensure continued access to high-quality health care.
In 2012, some of those steps included new radiology services and technology, such as more interventional offerings, an upgraded 64-slice CT scanner, and a fluoroscopy room.
The midwifery team has expanded to the Twin River Health Center in White River Junction. Gifford’s approach to obstetrics and gynecology has grown to include more complicated cases.
The Blueprint Community Health Team has expanded and behavioral health is increasingly a part of Gifford’s offerings. Thanks to a generous gift from the Auxiliary, new CarePoint EKG transmission technology is available between our Emergency Department and ambulance services to identify heart attacks in the field and determine the best and fastest course of treatment.
Urology offerings have also grown and the Cancer Committee continues to expand. The Sharon Health Center sports medicine team has welcomed a nurse practitioner and second chiropractor.
These improvements are examples of the changes and quality upgrades we, as part of the health care team, can affect in an institution of the size and mindset of Gifford for the betterment of the community. Meld these improvements with Gifford’s foundation of patient care and advocacy, and we have a formula for success for decades to come.
Ovleto Ciccarelli, MD, Surgery Division
Martin Johns, MD, Hospital Division
Joshua Plavin, MD, MPH, Medicine Division