The following article appeared in our 2014 Annual Report.
Members of our Gifford family were recognized at the Employee Awards Banquet on October 18 at Vermont Technical College for their years of service. (Employees are recognized in five-year increments.)
Congratulations to these individuals and thank you to all for your dedication and service.
Rebecca Jo Ward
The following article appeared in our 2014 Annual Report.
A message from Administrator Joe Woodin
FISCAL YEAR 2014 was a transformative one for Gifford as several long-term initiatives came to fruition—efforts that will not only benefit patients but also position Gifford well for the future in an era of health-care reform.
In November 2013, a very excited Senator Bernie Sanders called to say that Gifford had been designated a Federally Qualified Health Center. What we qualified for were federal funds that provide greater access to primary care—including dental and mental-health services—for Medicaid patients and the uninsured. By July, after a lot of hard work by our administrative team, we were ready to start drawing on those funds.
The Gifford Retirement Community now under construction in Randolph Center passed its final regulatory hurdle a month before the senator’s phone call, and ground was broken in the spring. Add to these developments the hospital’s conversion to single-patient rooms and Gifford’s transition to electronic medical records and you can see why we’ve titled this report “Building for the Future.” In the following pages, we discuss the new developments and relate them to the changing health-care landscape.
Last but not least, Gifford “made budget” for the fifteenth year in a row, a feat not replicated by any other hospital in Vermont. Achieving its state-approved operating margin is an indicator of Gifford’s health as a medical center, community organization, and employer, and credit for this achievement goes to the entire staff.
109th Annual Meeting celebrates forward-looking growth in programs and facility
Administrator Joe Woodin answers questions during Gifford Medical Center’s 109th Annual Meeting.
Nearly 100 community members gathered Saturday night for “Building for the Future,” Gifford Medical Center’s 109th Annual Corporators Meeting.
Reporting on an exciting and transformative year, administrators and board members highlighted the implementation of several long-term initiatives:
The new Menig Nursing Home, looking out over the green mountains in Randolph Center, will open—on time and on budget—mid-May 2015.
The hospital wing vacated by Menig will be converted into state-of-the-art private patient rooms to offer privacy for provider consultations and family visits, and to accommodate medical technology at the bedside.
A new organizational structure, created to reflect Gifford’s new Federal Qualified Health Center designation, will allow Gifford to offer enhanced preventative, dental, and behavioral health services to our patients.
“It’s been an extraordinary year,” Gifford Administrator Joe Woodin stated. “These initiatives strengthen the services we offer our patients and also position Gifford well for the future in an era of healthcare reform.”
Moving forward while making budget for the 15th consecutive year
After presenting the annual hospital report and a brief update on the uncertain state of Vermont’s healthcare policy, Woodin noted that Gifford has maintained ongoing fiscal stability while pushing ahead with these forward-looking initiatives. For the 15th consecutive year Gifford has made budget and achieved its state-approved operating margin. The culmination of years of research and planning, each of these new projects reflect Gifford’s commitment to providing quality community care for years to come.
New $5 million capital campaign launched Lincoln Clark, board treasurer and co-chair of the “Vision for the Future” campaign, announced the launch of the public phase of the $5 million capital campaign.
“As of tonight this campaign is no longer silent,” Clark told the group. “It has been a remarkable experience—we started two and a half years ago with a vision, research, and a community survey. We decided then to wait until we raised 60 percent before going public, and we’ve exceeded that goal. We hope to reach the campaign’s $5 million goal by December 31st of this year.”
The “Vision for the Future” campaign supports the hospital’s conversion to industry-standard private patient rooms, and the construction of the new Menig Nursing home in Randolph Center. Menig, one of only twelve nursing homes in Vermont to retain a five-star rating from the Centers for Medicare and Medicaid Services, will anchor the new Morgan Orchards Senior Living Community in Randolph Center.
Panel presentation describes a Gifford ready for tomorrow’s healthcare needs
A panel presentation looked at four recently implemented changes that will help Gifford provide for future community healthcare needs:
Dr. Martin Johns, medical director for Gifford’s FQHC and hospital division, talked about building the behind-the-scenes administrative structure now in place that will help Gifford provide expanded preventative, dental, and behavioral health services as a Federally Qualified Health Center.
Dr. Lou DiNicola, pediatrician, described the challenges staff faced while transitioning to a federally mandated Electronic Medical Record system. Now that the transition is complete, the benefits are clear: greater efficiency and improved patient care.
Alison White, vice president of Patient Care Services, talked about how important private patient rooms are for provider consultations, improved patient care, and how they will help bring medical technology to patients’ bedside.
Linda Minsinger, executive director for the Gifford Retirement Community, talked about plans for the new Morgan Orchard Senior Living Community in Randolph Center.
Gifford scholarships and awards presented
Bailey Fay was awarded the Dr. Richard J. Barrett Health Professions Scholarship, a $1,000 award for a Gifford employee or an employee’s child pursuing a health care education. Laura Perez, communications director of the Stagecoach Transportation Services, accepted the $1,000 Philip D. Levesque Memorial Community Award, given annually in recognition of his personal commitment to the White River Valley.
Retiring board member Randy Garner was presented with a gift to honor his 12 years of service at Gifford Medical Center’s 109th Annual Meeting. Vice-President of the board Peter Nowlan looks on.
For the second year of a two-year commitment, the $25,000 William and Mary Markle Community Grant was given to schools in Gifford’s service area to promote exercise and healthy eating and lifestyles.
Board of trustees and directors election and service recognition
During the corporators business meeting, retiring member Randy Garner was presented with a gift to recognize his 12 years of service, and retiring board member Fred Newhall was recognized for his three years of service.
The following slate of new corporators were elected: Brad Atwood (Sharon); Rob and Linda Dimmick (Randolph Center); Dee Montie & Murray Evans (Brookfield); Joan Goldstein (South Royalton); Kelly Green (Randolph); Kate Kennedy (Braintree); Doreen Allen Lane (Berlin); Larry and Susan Trottier (South Royalton); Clay Westbrook (Randolph)
The following were elected officers of the board of directors: Gus Meyer, chair; Peter Nowlan, vice chair; Barbara Rochat, secretary; Lincoln Clark, treasurer.
Emma Schumann, executive director of the White River Valley Chamber of Commerce (left) with Ashley Lincoln, director of Gifford’s development and public relations.
On February 6, Gifford received the 2015 Business Excellence in Sustainability award from the White River Valley Chamber of Commerce.
This award recognizes remarkable efforts to sustain and support the communities of the White River Valley, and was given to Gifford for its holiday gift certificate program.
The program, which distributes gift certificates redeemable at local businesses, allows Gifford to thank employees for their dedication and hard work while contributing to the economic health of the community it serves. Historically, within three weeks in December, Gifford employees spend nearly $40,000 at locally owned community businesses from Chelsea to Rochester, Sharon to Barre, and towns in between.
“For 14 years I have had the privilege of organizing this program, and I can honestly say that it is one of the more rewarding parts of my job. Some Gifford staff members have cried when they received their gift certificates,” said Ashley Lincoln, director of Development and Public Relations at Gifford. “Over the years many business owners have also told me how much Gifford’s support has meant to them during the slow winter months.”
Community has always been important to Gifford. Along with the gift certificate program, the medical center offers scholarships and grants each year to support area businesses and schools; during the growing and harvest season meals include produce from local farmers; and careful consideration of the community needs is considered when planning projects like the new senior living community being developed in Randolph Center.
Lincoln adds, “Nourishing and building healthy, sustainable communities ensures that we will be able to continue to provide quality local care for years to come.”
Gifford is now accepting applicants for the Philip D. Levesque Memorial Community Award.
The $1,000 grant is given annually to an agency or organization involved in arts, health, community development, education or the environment in Gifford’s service area in recognition of Levesque’s commitment to the White River Valley.
The award has been awarded to a variety of organizations including: Orange County Parent Child Center; Quin Town Senior Center; Rochester, Hancock & Granville Food Shelf; South Royalton’s School Recycle Compost and Volunteer Program; Bluebird Recovery Program; Kimball Library; Bethel’s Playground Project; Chelsea’s Little League Field; Rochester’s Chamber Music Society; Royalton Memorial Library; Tunbridge Library; White River Craft Center; Safeline, Interfaith Caregivers; the Chelsea Family Center and the Granville Volunteer Fire Department.
Community organizations are encouraged to apply. Applications are due by Monday, February 16th. Click here to download the grant application.
The announcement of the 2015 grant recipient will be made at Gifford’s Annual Meeting on March 7th.
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.”
The following is an excerpt from our 2013 Annual Report: A Recipe for Success.
At this year’s annual Employee Awards Banquet, the following employees were honored for their years of dedication and service to Gifford and its patients.
(Employees are honored on their 5-, 10-, 15-, etc., year anniversaries.)
Gifford Medical Center in Randolph has been named among the nation’s top 100 performing Critical Access Hospitals by iVantage Health Analytics.
iVantage has developed what it calls a Hospital Strength INDEX and for 2014 measured 1,246 Critical Access Hospitals across the nation on 66 different performance metrics, including quality, patient outcomes and satisfaction, affordability, population health and hospital financial strength.
After weighing all of those factors, Gifford for 2014 has been named among the Top 100 Critical Access Hospitals in the nation – meaning it does well in a variety of areas as compared to its peers.
“Rural health care …. plays a vital role for communities across America, serving nearly 80 million people. The services provided in rural America are similar to those needed in any major metropolitan area, yet the volumes and economic resources provide little economies of scale, making for little benefit from scale. These Top 100 Critical Access Hospitals exhibit a focused concern for their community benefits and needs, regardless of scale, reimbursement and people’s ability to pay,” said John Morrow, executive vice president of iVantage.
Gifford was founded in 1903 and is part of Vermont’s non-profit health system. A 25-bed hospital in Randolph, it has eight outlying health centers meeting community members’ health needs where they live and work.
For the last 14 consecutive years, Gifford has met its state-approved budget and operating margin – a unique feat amid challenging economic times. At the same time, Gifford has embraced community health improvement initiatives that benefit patients, such the Vermont Blueprint for Health and by achieving Federally Qualified Health Center status.
A Critical Access Hospital is a hospital certified to receive cost-based reimbursement from Medicare. This program is intended to reduce hospital closures in rural areas, promotes a process for improving rural health care and focuses on community needs. Federally Qualified Health Centers are also nationally designated, but rather than inpatient care support outpatient primary care, including mental and dental health.
“What is interesting about this evaluation is that it looks at so many different indicators, all publicly available data, and combines them into a comprehensive evaluation. This year factors also grew to include the health of our community – a vital area where Gifford as a Critical Access Hospital and a Federally Qualified Health Center excels,” said Ashley Lincoln, Gifford director of development and public relations.
“These findings tell our community that we not only have a strong, high-quality local health care provider but that Gifford is well positioned for health care reform,” Lincoln added.
Springfield and Copley hospitals in Vermont also made the list.
The following is an excerpt from our 2013 Annual Report: A Recipe for Success.
The theme of this year’s Annual Report is a Recipe for Success. Without question, Gifford had that recipe in 2013! We continued to gain great recognition for what we’ve done, while taking major strides to position ourselves to do even more in the future.
In 2013, as we awaited permits for the senior retirement community, we undertook important expansions to the Kingwood and Sharon health centers. Ultimately, the senior retirement Act 250 permits and Certificate of Need were granted, making us ready to break ground for the new nursing home in the spring of 2014, with independent and assisted living options to follow. Moving the nursing home will enable us to renovate our inpatient unit, with single-patient rooms that will significantly improve health safety and comfort for patients using that facility.
In addition, we earned designation as a Federally Qualified Health Center. This will enable us to expand our core commitment to primary care, including new initiatives and collaborations to extend dental and mental health services to underserved areas.
As we have pursued these plans for the future, Gifford has continued its commitment to patient care and furthering the health of our communities. We are extremely proud that Dr. Lou DiNicola was given the Physician Award for Community Service by the Vermont Medical Society. We are delighted that Major McLaughlin was named the national Outstanding Senior Volunteer. We are humbled by the continued recognition of the Menig Extended Care Facility.
As we reflect on these accomplishments and look forward with tremendous anticipation to 2014, it is an honor for the Board to serve an organization that continually goes above and beyond. Even as we experience constant change in today’s health care environment, we have great confidence that Gifford’s ever-evolving recipe will generate success this year and for many more to come.
Gifford ranks first in Vermont for energy efficiency among hospitals
Gifford electricians Stu Standish and Frank Landry, part of the Randolph hospital’s facilities team, replace 250-watt metal halide parking lot lights with 78-watt LEDs. Gifford is the most energy efficient hospital in Vermont and is striving to do even better by becoming the first Vermont hospital to earn the “Energy Star” label. (Provided: Robin Palmer)
Already the most energy efficient hospital in the state, Gifford Medical Center is striving to become the first hospital in Vermont to earn a national “Energy Star” rating by the end of 2014.
The Energy Star label is a program by the U.S. Environmental Protection Agency that benchmarks energy use. For hospitals that means looking at energy use per square foot and then taking into account factors such as number of hospital beds, number of employees and climates. Hospitals are then ranked nationwide.
No Vermont hospital has achieved the 75th percentile ranking required for the Energy Star rating. Gifford is currently at 65 percent and as such, the most energy efficient hospital in Vermont.
The Randolph medical center would have to reduce its energy usage by 6 percent to reach the 75th percentile. Despite Gifford’s record of energy efficiency, Tim Perrin at Efficiency Vermont and Gifford’s Director of Facilities Tyson Moulton say further reduction is attainable.
In fact, energy efficiency projects are already under way.
Last month, electricians at Gifford changed out parking lot lights from 250-watt metal halide bulbs to more efficient 78-watt LEDs.
Other projects planned include replacing a large kitchen stove hood with one that runs on demand using heat sensors rather than running more constantly. In addition to electricity savings, the hood would remove less air that has already been heated or cooled. Heating and ventilation systems in parts of the building are also being rebalanced to run more efficiently.
The projects, noted Moulton, are part of an ongoing energy efficiency plan at the hospital and relatively small in scale because of work that has already taken place.
“We have a history of energy efficiency,” Moulton said.
Moulton gives a couple of examples. A project in the 1980s focused on recapturing some exhaust heat from the medical center’s inpatient unit to reclaim energy. The building’s pumping system has been simplified to replace many smaller pumps added over time with fewer larger pumps, and domestic hot water and chilled water for coolant systems have also been converted to demand-based systems.
Gifford Director of Facilities Tyson Moulton, right, poses with his predecessor, Theron Manning, on the rooftop of the Randolph medical center. In the background are heating, ventilation and air conditioning units. Over decades of work, Manning set the stage for Gifford to become the state’s most energy efficient hospital. Working with Efficiency Vermont, Moulton is carrying on the tradition as Gifford now strives to earn an “Energy Star” rating. (Provided: Robin Palmer)
Moulton credits former facilities head Theron Manning with the decades-long work that has led to Gifford’s top energy efficiency rating.
The ranking, however, does not include buildings outside of the main medical center, namely older homes that have been converted into office space surrounding the medical center and Gifford’s eight outlying community health centers.
The benchmarking of Vermont hospitals is by Efficiency Vermont, which has been reaching out to medical centers to reduce energy usage. Efficiency Vermont helped Gifford audit and identify lower cost ways to reduce energy consumption last year when the medical center and other large Vermont employers participated in a voluntary “Energy Leadership Challenge.”
Gifford is also part of the national Healthier Hospitals Initiative. Vermont is the first state in the nation to have all hospitals join the initiative, which includes energy reduction.
Efficiency Vermont, Vermont hospitals and the Vermont Association of Hospitals and Health Systems worked collaboratively on the Healthier Hospitals Initiative.
“We have been very impressed with the work that Gifford has done to manage energy usage and promote sustainability,” Richard Donnelly of Efficiency Vermont said in announcing that all Vermont hospitals had signed on to the initiative.
“Energy efficiency is always part of projects,” Moulton said. “When we replace fixtures and equipment, we look at what we can do to be energy efficient.”
That look toward energy efficiency is done both from a costs’ perspective to save the non-profit, patient-focused medical center money and to reduce its impact on the environment, particularly when it comes to non-renewable energy.
“Both electricity and oil are very expensive,” said Moulton. “Most of Vermont’s electricity, however, is from a hydroelectric, which is renewable. Oil is a limited resource.”