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.”
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.
Two organizations solidify commitment
to the care of area seniors
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.
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.
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.
This article was published in Gifford’s Fall 2014 Update Community Newsletter.
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.
The 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.
With 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.
This article was published in Gifford’s Fall 2014 Update Community Newsletter.
Each 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.
This article was published in Gifford’s Fall 2014 Update Community Newsletter.
In 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.
This article was published in Gifford’s Fall 2014 Update Community Newsletter.
Gifford’s women’s health team has grown to include two new ob/gyns.
Dr. Sean Tubens and Dr. Melissa Scalera have joined gynecologist Dr. Ellamarie Russo-DeMara, as well as Gifford’s certified nurse-midwife team, in caring for women.
Dr. Sean Tubens
Dr. Tubens is a native of Baltimore who joined the U.S. Marines out of high school. He went on to work in his father’s trade – as a hairdresser – before illness took his parents’ lives just months apart. Dr. Tubens found himself wanting to do more and pursued a career in medicine.
He attended Towson University in Baltimore, graduating magna cum laude in just three years while working full-time. He went on to Ross University School of Medicine in Dominica in the West Indies and New Jersey and completed his ob/gyn residency at Bayfront Medical Center in St. Petersburg, Fla. During his residency, he worked exclusively on high risk pregnancies and performing gynecologic
His work at Bayfront earned him recognitions for excellence in laparoscopic surgery, excellence in reproductive endocrinology and as outstanding resident teacher of the year.
When it came time to look for a job, Dr. Tubens looked for a warm and friendly community where he and his wife could settle with their two huskies.
He has found that in Vermont and at Gifford.
“People are so welcoming. They smile. That’s very attractive,” said Dr. Tubens. “We hope we can spend the rest of our lives here.”
Dr. Melissa Scalera
A native of New Jersey, Dr. Scalera was the first person in her immediate family to go to college. She earned her bachelor’s degree in psychology from Williams College located just three miles south of Vermont in Williamstown, Mass. She worked at a direct marketing company that made and sold leather books before deciding that she wanted a change.
“I want to be a doctor,” she decided, quit her job, and moved in with her parents. With no science classes to her credit, she did two years of post-baccalaureate studies in the pre-medical curriculum at nearby Seton Hall University in South Orange, N.J., before attending the New Jersey School of Medicine at the University of Medicine and Dentistry in Newark. She went on to residency at Albany Medical Center in nearby New York.
Since then she has worked for 13 years as an ob/gyn physician in Washington, Texas, Oregon, Pennsylvania, New Zealand, and North Carolina. A love of snow and skiing has brought her and her family to Vermont, and to Gifford.
“Gifford,” she says, is “a really fantastic match for me.”
A new team
Dr. Scalera brings a love of all things ob/gyn to the practice. Dr. Tubens is a new resource in high-risk pregnancies, gynecologic surgery as well as office procedures. Specifically, Dr. Tubens offers urogynecology procedures for uterine prolapse, bladder and rectal prolapse, and urinary incontinence. He also performs total laparoscopic hysterectomies – something not previously offered at Gifford.
Dr. Tubens and Dr. Scalera are currently working exclusively in Randolph. Their skills meld nicely with Dr. Russo-DeMara, who focuses on gynecologic and menopause care. Dr. Russo-DeMara works out of Gifford’s Bethel and White River Junction practices. Joining them are Gifford’s midwifery team, which focus on prenatal care and births as well as well-woman care in Randolph and Berlin.
“This new team is providing comprehensive women’s health medical and surgical services, from contraception to menopause management and everything in between,” explained Alison White, Gifford vice president of patient care services.
The White River Valley Chamber of Commerce and Gifford Medical Center are collaborating to bring a local candidates’ debate to Randolph on Tuesday, Oct. 21.
Invited to the debate are Orange County senate candidates and candidates vying for two different House of Representative districts.
In the Senate race are Mark MacDonald, the Democratic incumbent, and challenger Robert Frenier, a Republican. One seat is up for grabs.
MacDonald of Williamstown is a farmer and former teacher who served a term in the Senate in the 1990s and has then held the post since 2003. Frenier is a Chelsea business owner.
Orange-Washington-Addison state representatives Patsy French and Marjorie Ryerson, both Democrats from Randolph, are facing Republican challenger Charlie Russell of Randolph Center. Two seats serving the towns of Roxbury, Granville, Brookfield, Braintree, and Randolph are on the ballot.
French has served since 2003 and is a former teacher and co-manager of rental property with her husband. Ryerson, a poet, writer and editor, was appointed by the governor a year ago following the death of former Rep. Larry Townsend. A former dairy farmer, Russell is running a write-in campaign.
In the Orange-Windsor-1 district, incumbent Democrat Sarah Buxton is facing Republican David Ainsworth, a Royalton dairy farmer who held the seat from 2007-2010. Buxton of Tunbridge, a regional coordinator for the Building Bright Futures Council, has filled the seat since 2011 – twice before beating Ainsworth in incredibly narrow races, including one election that was decided by just one vote. The lone seat represents Royalton and Tunbridge.
Buxton is trying to rearrange her work schedule to attend. All other candidates have confirmed they will be attendance.
Gifford Administrator Joseph Woodin will serve as moderator for the debate and Chamber Director Emma Schumann will assist him.
The event starts at 6 p.m. Those in attendance are invited to submit questions and enjoy refreshments from 6-6:30 p.m. The debate will be from 6:30-8 p.m. in the Route 12 hospital’s Conference Center. In addition to audience members’ questions, the debate is expected to focus on business and health care.
“Our state representatives and senator are our voices in Montpelier. As we near the election, it is important to give these individuals who are striving to represent us a chance to share their views and tell us why we should choose them on Nov. 4,” said Schumann. “We hope our communities’ members turn out to ask questions and hear our candidates’ positions on important local and state issues.”
This is the first – and possibly only – debate the candidates will face in Randolph.
The medical center is located at 44 S. Main St. in Randolph. The Conference Center is marked with a green awning. For handicapped accessibility, use the main entrance and take the elevator to the first floor.
Family nurse practitioner Jeff Lourie has brought his passion for primary care to the Gifford Health Center at Berlin.
A Cape Elizabeth, Maine, native, Lourie attended The Evergreen State College in Olympia, Wash., earning his bachelor’s degree in organic chemistry. He went on to work in a research lab studying organic chemical synthesis before discovering that what he really wanted to do was help people – hands on.
He became a certified nursing assistant in his native Maine, and then went on to pursue his family nurse practitioner degree at the University of Southern Maine in Portland.
From there he was certain of his career path: rural, primary care.
“It’s where you can really make a difference,” he says of primary care, noting that difference comes in the bonds formed with whole families. “When you see two, three, four generations of families, you really get to understand why things happen.”
Lourie worked for three years at a rural family practice in Wilton, Maine, before moving with his wife, Emily, to her native Vermont in 2013. The couple moved to Barre and Lourie went to work at Berlin Family Practice as a practitioner for Fletcher Allen Health Care.
This month he joined the Gifford Health Center at Berlin, part of Gifford Health Care in Randolph.
In Berlin, Lourie works with family nurse practitioner Tara Meyer in providing primary care at the multi-specialty health center located just off Airport Road.
Board certified by the American Academy of Nurse Practitioners, Lourie is a member of the American Nurses Association, the American Association of Nurse Practitioners, and is on the board of The Vermont Nurse Practitioners Association.
He brings clinical interests in diabetes management, weight loss, preventative care, and pediatrics to the health center. He is also a certified medical examiner for those seeking a commercial driver’s license.
As a primary care provider, Lourie sees his role in part as a motivator and in part as an advocate for patient goals.
“My goal is to partner with patients,” he says. “I want to work on the issues that they want to work on.”
Lourie is seeing new patients of all ages. Call him at the Gifford Health Center at Berlin at (802) 229-2325.