Beginning Jan. 1, federal law requires all Americans to have health insurance or face a tax penalty. Gifford has specially-trained staff called “navigators” available to help you sign-up for a health plan.
This information appeared in our Fall 2013 Update Community Newsletter.
Beginning on Jan. 1, federal law requires all Americans to have health insurance or face a tax penalty.
In the Green Mountain State, Vermont Health Connect is the new online marketplace where individuals, families and businesses with 50 or fewer employees can shop for, compare and purchase insurance plans.
Open enrollment for these plans began this October. Vermonters can determine their eligibility and enroll online. For those without computer access or needing in-person support, Gifford has resources to help.
Across the state, “navigators” have been trained and taken rigorous exams to provide one-on-one assistance with the Vermont Health Connect marketplace.
Gifford has three navigators through its Health Connections office, a part of the Vermont Coalition of Clinics for the Uninsured, as well as the medical center’s Blueprint for Health team.
A Vermonter without health insurance,
A Vermonter who currently purchases insurance yourself,
A Vermonter with Medicaid or Dr. Dynasaur,
A Vermonter with Catamount or the Vermont Health Access Program,
A Vermonter with “unaffordable” coverage provided by your employer, or
A small business with 50 or fewer people
and you need help understanding the exchange, get help by calling Gifford Health Connections at 728-2323.
Individuals who are fully enrolled by Dec. 16 will have health coverage starting Jan. 1.
Under Vermont Health Connect, an employer-sponsored plan is considered “unaffordable” if your premium for yourself is more than 9.5 percent of your household income. To learn more, call (855) 899-9600 or visit www.healthconnect.vermont.gov.
Cardiac rehabilitation nurse Annette Petrucelli shares a smile with patient Janet Kittredge. Besides getting stronger, one of Janet’s favorite parts of cardiac rehabilitation was the good times she had with staff. “I love those ladies,” says Janet. “They became friends and I couldn’t wait to get back to see them.”
This story appeared in our
Fall 2013 Update Community Newsletter.
Janet Kittredge of Hancock struggled to breathe for two years before miserably failing a cardiac stress test and being diagnosed with a 90 percent blockage of one of the arteries in her heart.
In April, she had a stent placed in the blocked artery at Fletcher Allen Health Care. Part of her follow-up care plan was cardiac rehabilitation at her home hospital, Gifford.
Janet remembers the day she started cardiac rehabilitation vividly. She was nervous. “It had been so long since I had been able to do anything,” she says.
For Janet, a walk out to the garage meant sitting and resting before returning to the house. Carrying in groceries meant pausing between trips. “I completely stopped walking. I just stayed in and pretty much all I did was watch TV.”
So faced with the treadmills, recumbent bike and arm ergometer that make up the cardiac rehabilitation gym, Janet was worried.
A welcoming staff and consistent monitoring of her pulse and heart rate put Janet more at ease and quickly she discovered that not only could she do some exercise, the more she came, the more she could do.
“I just got so excited. It made me feel so good. I walked taller. I felt younger. I just wanted to do more and more and get stronger,” says Janet, who found herself raising the difficulty level on her workouts before even being prompted by staff.
Janet finished her program in August. The 67-year-old Stanley Tool retiree is now back to the active life she once enjoyed. She is walking a mile and a half or more a day, shopping with her granddaughters and impressing her friends with the bounce in her step.
“I have totally gotten my life back. I feel 100 percent better. I have energy. I feel like doing things.”
“I can’t say it enough how much this changed my life. If I hadn’t had this rehab, I never would have gotten myself to this point.”
Cardiac rehabilitation is a 12-week outpatient exercise, education and nutrition program for people with coronary heart disease, angina, recovering from a heart attack or heart surgery, stent placement or other heart conditions. It is offered in a special gym space at Gifford and overseen by specially trained registered nurses. To learn more, call 728-2222 or ask your health care provider for a referral.
A Randolph Center resident, husband, and father, Dr. Christopher Soares joined the Gifford Medical Staff in 1993, spending his entire career to date in Randolph. Initially a Dartmouth-Hitchcock Medical Center provider, Dr. Soares opened his own practice, Soares Ocular Surgery, in 2007. In addition to caring for adults, he is also a pediatric ophthalmologist.
An avid cyclist, he has biked more than 40,000 miles, including from Canada to both the Grand Canyon and Mexico along the Pacific Coast Highway. Dr. Soares also enjoys kayaking, water skiing, boogie boarding, cross country and downhill skiing, ice skating, and more. He is originally from Massachusetts.
Below is his story as told in his own words, as featured in our 2012 Annual Report.
Raising a family of three children has tremendous rewards. After 20 years my last child is finishing college and preparing to enter an exciting new phase in her life. My two boys are finished with college and have started careers. All three have expressed their gratitude for the opportunities they were given while growing up. All three realize my wife and I love them unconditionally and we gave our all raising them the best way we knew how.
Working as an ophthalmologist in Randolph for nearly 20 years has similar rewards. In the early years, just like parenting, you are learning and developing your skills. People are glad that you are in town and they do not have to travel a great distance to get eye care. You develop a friendship with the patients. This friendship grows with the years. As the years go by, your skill sets expand and more patients come for care. All the while, friendships continue to grow. As a doctor’s experience and confidence grows, so do the positive outcomes. Challenging cares are taken on and the outcomes are even more rewarding.
At left – Dr. Soares, dressed in scrubs, is often seen riding his bicycle through Randolph. Right – an updated portrait of Dr. Soares.
That is certainly true in the case of Nathan Wheeler.
Nathan is a young man who last year tripped, fell, and hit his head on a piece of furniture, severely injuring his left eye. He had torn an essential eye muscle in half. Nathan had already been seen by two ophthalmologists and an oculoplastic specialist after an emergency room visit, and was finally referred to my practice three days after the injury. I explained to him and his family the seriousness of the injury and that several surgeries might be required. The first surgery was performed that very night in a Gifford operating room. It lasted four hours. I’ll spare you the details, but I was able to locate the muscle stumps and sew them back together.
A month later, Nathan was seeing well but required one more surgery to align his vision when looking down. This second surgery was also a success. Nathan’s vision was restored and he was able to return to work with no restrictions.
In Vermont fashion, I had done the job before me, to the best of my ability, but when I came home after that first surgery, I was distraught. In fact, I was nearly in tears. I had been in that OR for hours and I wasn’t sure if I had even helped Nathan. At the time, I didn’t know what I had accomplished.
Later, I researched more on the procedure and found that what I had accomplished was rarely, if ever, done by others. My case was so unique that I was asked to present it to a group of pediatric and adult strabismus specialists at the Massachusetts Eye and Ear Hospital. Of the 50 doctors in the room, none had ever attempted to find a ruptured muscle and suture it back to the remaining muscle.
Needless to say, Nathan was thrilled with the results and has sent patients to me ever since, some looking for “miracles”. I can’t perform miracles, but every week I am blessed to receive the gratitude of at least one patient. This appreciation for what I do energizes me and keeps me committed to offering the best eye care possible.
~ Christopher Soares, M.D.
Soares Ocular Surgery ophthalmologist
Dr. Soares examines patient Nathan Wheeler, whose injured eye he restored through a series of tough and rarely attempted surgeries. And a grateful Nathan has been referring patients to Dr. Soares ever since.
The following was published in our 2012 Annual Report.
Above left – Robin Palmer, Tammy Hooker and Ashley Lincoln – the team lucky enough to be charged with coordinating the Last Mile Ride each August, post for a photo. Above right – Jack Cowdrey, Chair of the Development Committee and one of the chase-truck drivers for the Last Mile Ride.
In this year’s Annual Report, we are fortunate to read stories from our long-time providers. Gifford is also fortunate to have many long-term supporters. Many of their names follow, but it is hard not to pull out one group for its remarkably long-standing relationship. That group is the Gifford Medical Center Auxiliary.
In 2012, the now 106-year-old Auxiliary continued its support of Gifford programs and services, including “wish list” items awarded to individual hospital departments looking to improve care through new technology or training materials.
As these “wish list” gifts are distributed, there are often tears of thanks and happiness from the receiving department staff members. This speaks volumes to how much these gifts – and the Gifford Auxiliary – mean to the medical center and its patients.
Other major supporters in 2012 included those who gave to the Last Mile Ride. Now in its seventh year, this charity motorcycle ride raised a record $54,000 for end-of-life care and services. This year’s event brought a new run/walk and thus many new participants. Top among them was Todd Winslow and Lu Beaudry who raised more than $5,000 in memory of Todd’s mother, Joyce (read more about the Winslow family in our Donor Profile). The event was our largest individual fund-raiser to date.
The motorcycle ride is just one way to support Gifford. Many offer their community medical center financial support each year through an annual gift to the hospital or a special purpose fund. Others include Gifford in their will or trust, while still others choose a charitable gift annuity where they receive a predictable return on their investment.
Increasingly, community members are also expressing tremendous interest in our planned senior living community. That interest and enthusiasm has come in the form of financial support as well as interested residents. This project shows so much promise, and it is our utmost honor to be working to provide a solution to a serious problem in our region – a lack of local housing alternatives for those wanting to age in place, in their communities, rather than having to travel great distances.
As always, the Development Department is available by calling 728-2380 to discuss the many ways to support Gifford. Your investment truly makes a difference and the impact is far-reaching. Please don’t hesitate to ask us your questions or visit our website, www.giffordmed.org, to discover ways you can leave your legacy. New this year, we have included an option for online giving opportunities.
On behalf of Gifford, thank you. We appreciate your friendship.
Elaine Soule’s relationship with Gifford began at birth, and possibly before. Her mother graduated from the nursing school in 1923 and worked under hospital founder Dr. John P. Gifford. Elaine was born at the Randolph hospital in 1933.
Raised in Randolph Center, she attended local schools and married the summer following high school graduation. His career in the U.S. Air Force took them around the country and beyond. Elaine’s own six children were born on military bases in New York, Oklahoma, New Hampshire, Bermuda, Louisiana, and Maryland.
In 1971, after 20 years of military life, the family returned to Randolph. Before the families’ furniture had even arrived, Elaine had landed a job at Randolph National Bank. She started out typing signature cards and eventually became a branch manager of what was Randolph Savings and Loan, then Vermont Federal and finally Vermont National over her 28-year career.
Along the way, Elaine worked at Gifford on weekends from 1990-1995 in patient registration. After retiring from the bank in 1998, she came to work at Gifford in 2001 as the volunteer services coordinator.
“I have always felt close to Gifford,” says Elaine, who served on the hospital Board of Trustees for nine years in the 1990s.
So when Elaine retired in 2006 after five years as volunteer services coordinator to undergo cancer treatment, she knew she’d be back. “I knew I’d come back to volunteer, because I wanted to be part of this place,” says Elaine. “I just loved the Gift Shop. I’d loved volunteering. I thought it was a way to continue to be involved with Gifford after I retired.”
For months, Elaine came to Gifford as a patient for chemotherapy treatments. “My cancer treatments were wonderful,” Elaine says, calling the staff “so compassionate”. When her treatments ended in early 2007, Elaine continued her trips to Gifford – this time as a volunteer two days a week in the Gift Shop.
“Now I don’t have to be here, but I choose to be here,” she says from her post behind the desk of the boutique. “I think the volunteers at the Gift Shop are great. I hope we serve a purpose. I think we do.”
For Elaine, now 79, it is about staying active and connected in her community and at her community hospital. “I love it because it gets me out of the house to meet people and I feel that I am contributing to Gifford in a small way,” she says.
Gifford Medical Center’s plans to create a senior living community in Randolph Center and renovate the Randolph hospital to have private inpatient rooms cleared a final permitting hurdle Thursday when it earned Certificate of Need approval from the Green Mountain Care Board.
The 5-0 decision was the final approval needed for the project to move forward.
“We’re ecstatic. This project has been years in the making and we’re excited to be moving forward. Our community is in dire need of more senior care and housing options and patients will benefit from the private room model, which is proven to enhance patient safety and satisfaction,” said Gifford Administrator Joseph Woodin, who was on hand in Montpelier Thursday to hear the board’s unanimous vote.
As part of the project, Gifford will move its 30-bed, award-winning nursing home, the Menig Extended Care Facility, to 30 stunning acres in Randolph Center. When the new nursing home is built, current nursing home rooms at the downtown medical center will be converted into private hospital rooms.
Independent and assisted living options will be added over time in Randolph Center to create a vibrant senior living community. Up to 150 total units are planned. The project’s first phase calls for the reconstruction of the 30-bed nursing home and a 40-unit independent living facility. Later phases, including 60 more independent living units and 20 assisted living units attached to the nursing home, are spread over 20 years.
Faced with facility constraints and a great number of inefficient older buildings in its downtown location, Gifford has been planning for this project for years. Many options were considered, including rebuilding the entire medical center. Looking at the most affordable, least disruptive option, the hospital finalized its plans in 2011 and filed for Act 250 approval under select criteria on Oct. 3, 2011.
Significant discussions on the use of “prime agricultural soils” for the development delayed discussions and approval on those criteria did not come until Jan. 3 of this year. Full Act 250 approval was sought on April 2, 2013, and awarded Aug. 13. Randolph Development Review Board approval also came earlier this year.
The hospital first filed its Certificate of Need application on Oct. 3, 2012. After the initial detailed review, Gifford resubmitted a revised application in May. A final hearing was held just last month on Sept. 26 and a verbal decision issued on Oct. 10.
A written decision was released late Monday. In it, the board finds the project has met all Certificate of Need criteria, including regarding cost, need, quality and access, and public good. “Gifford has demonstrated that the project serves the public good by enhancing services, improving quality of care and increasing customer satisfaction,” the five-member board wrote.
“We appreciate the Green Mountain Care Board’s thoughtful review and support of this project. The board clearly saw the need and the vision. Due to this decision, we will soon be able to better meet the needs of our community,” said Woodin, who also thanked community members for their support.
“It’s very exciting for all of us, for the staff, for the residents of Menig as well as those who will live in independent and assisted living. Thank you very much for the time, effort and all of the work folks have put into this.”
The hospital plans to begin construction on the Randolph Center nursing home in the spring.
The following was featured in our 2012 Annual Report.
Our effectiveness as a medical home has grown this year with the expansion of health care teams and our collaboration with the Vermont Blueprint for Health. But at the heart of these teams are Gifford’s long-established primary care practices. In each of our health team locations, we have providers and support staff whose relationships with the community run deep.
Take Starr Strong, for example. For 19 years, Starr has committed herself to the people of Chelsea – first under the mentorship of Dr. Brewster Martin and now as a mentor in her own right.
With humility and compassion, family physician Dr. Ken Borie has cared for the people of Randolph for 32 years. The humanity he brings to medicine is an example for all, including the many medical students who he guides through the family medicine portion of their clinical studies.
And Dr. Lou DiNicola, a local pediatrician for 36 years, has been among the foremost leaders in this state when it comes to children, advocating at every turn for their health, safety, and welfare.
Those of us enjoying long-standing relationships with Gifford and with our central Vermont community consider ourselves fortunate to know and work with these practitioners and their support teams. Such stability, and depth, builds our medical homes into more effective tools for helping our patients.
~ Marcus Coxon
Medical Staff President & family physician
This image is an example of photographer Lisa Wall’s work, now on display in the Gifford Medical Center art gallery in Randolph. (Photo provided)
Local photographer Lisa Wall has returned to the Gifford Medical Center art gallery
Wall is a Randolph resident and the owner of a hair salon, Drop Dead Gorgeous, which she opened in Randolph in 2003.
She has been taking photos since high school, including two years spent at the Randolph Area Vocational Center (now the Randolph Technical Career Center) studying graphic arts with an emphasis on photography and dark room skills.
She went on to cosmetology school but never gave up photography.
“My camera never leaves my side. (It is) always ready for whatever nature might present to me,” says Wall, who also gardens, fishes, hikes and cooks.
Wall works under the name Looking Glass Photography.
The Gifford 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.
Above left – Peter and Joyce Winslow. Above right – Pictured at Magee is Peter and sons Todd and Dale. Not present is son Scott. Together they support community organizations, including Gifford.
Joyce Winslow instilled in her sons the value of giving.
“My mom told me there were two places in town that you need to take care of, because they can’t be replaced, and those are the hospital and Chandler,” Todd Winslow recalls.
For Joyce’s husband, Peter, the value of giving also came early on in life. During his childhood, his own mother went out of her way to give to the less fortunate. During their marriage, Peter and Joyce, in spirit and action, carried on that tradition.
The family nurturer and steadfast promoter of harmony, Joyce gave smiles and kindness to her children, their friends, and the customers she met at family-owned Belmains where she worked for more than 30 years. She was so thoughtful, says Peter, that if someone needed clothing, she’d take clothes right out of her own closet to give.
Together Joyce, Peter, their sons, and their first business – Magee Office Products, also in Randolph – have for years supported a variety of Vermont organizations, including annual gifts to Gifford. “We were a family of giving,” says Peter, who moved his family to Randolph in 1959.
When Joyce passed away in Gifford’s Garden Room 52 years later in November of 2011, it stands to reason that this family of giving once again considered how they could support their community. They designated both Gifford and Chandler for memorial donations in Joyce’s name. Memorial gifts soon came in great numbers.
The following summer Todd took up his mother’s memory once again as a participant in Gifford’s annual Last Mile Ride, a charity motorcycle ride for end-of-life care. Todd collected donations in Joyce’s name totaling more than $5,000 – the most money raised by a rider that year, or any year.
Todd credits the quality of the Garden Room and Gifford as two reasons behind the giving. “Most towns don’t have a hospital like Gifford,” he says.
But the real motivator was surely his mother.
“I really think it was because of my mom,” Todd said after the charity motorcycle ride in August. “One guy (I asked for a donation) said, ‘How can you not say yes?’”
In Joyce’s memory and for the good of their community, the Winslow family has made a tradition of saying yes.