Gifford Named a Top 100 Critical Access Hospital in the Nation

Gifford facadeGifford 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.

Gifford Breaks Ground on Senior Living Community

Randolph senior center

Officials break ground Tuesday afternoon on Gifford Medical Center’s senior living community in Randolph Center. From left are Dan Smith from builder HP Cummings Construction Co., Gifford nursing home administrator Linda Minsinger, Gifford board Chairman ¬¬Gus Meyer, Gifford Administrator Joe Woodin, Gifford Vice President of Operations and Surgery Rebecca O’Berry and retired Gifford plant operations director Theron Manning.

Amid cloudy skies and unseasonably chilly temperatures, a crowd of more than 100 turned out Tuesday afternoon to show their support as officials from Gifford Medical Center officially broke ground on a much-anticipated Senior Living Community.

For more than two years Gifford in Randolph has been working to gain approvals and move forward with a project that includes the reconstruction of its 30-bed nursing home, the Menig Extended Care Facility, on 30 picturesque acres in Randolph Center. Later phases of the project would include up to 100 independent living units and 20 assisted living beds.

Plans additionally call for renovations at the hospital. Once Menig moves, the current nursing home at Gifford will be renovated into 25 private inpatient rooms for patient safety and privacy. The hospital now has shared rooms.

Gifford earned Act 250 approval for the first two phases of the project – the new 30-bed nursing home and 40 independent living units – last August and Certificate of Need approval for both the new nursing home and hospital renovations from the Green Mountain Care Board in October.

Spring construction was planned and on Tuesday hospital officials along with the contractor HP Cummings Construction Co., architect MorrisSwitzer, and engineer DuBois & King broke ground on the new nursing home.

“It is a great occasion to celebrate this next step,” said Gifford Administrator Joseph Woodin. “To be able to put the shovel to the ground, we’ll remember this.”

Woodin noted the nursing home’s history and track record.

Gifford opened the Menig Extended Care Facility in 1998 after a local for-profit nursing home, 53-bed Tranquility Nursing Home, was “closed” by the state for quality concerns.

Since it has opened, Menig has won numerous state and national awards for quality, including being named one of the country’s 39 best nursing homes in 2012 by U.S. News and World Report. The only nursing home in all of Orange County, Menig has a significant waiting list – about 100 people – for care.

Randolph senior living

Gifford Administrator Joseph Woodin addresses a crowd of more than 100 at Tuesday’s groundbreaking for Gifford’s senior living community in Randolph Center.

It’s nursing home officials’ hope that by adding assisted living units, some of that waiting list will be diminished. The medical center has also seen community members move outside of the area for independent living options.

Ashley Lincoln, Gifford’s director of development, called the project “both personally and professionally exciting.” “It is an opportunity for Gifford to carry on its tradition of meeting the community’s care needs, and it will allow more of our senior family and friends to remain in the region where they have grown up.”

The project, said Gifford Board of Trustees Chairman Gus Meyer, is a step forward for the hospital and the community.

“It has long been true in health care, if you stand still, you’re going to lose,” Meyer said.

And while Tuesday’s groundbreaking was for the new nursing home phase of the project, the complete plans are what excite Meyer.

“It’s not just a nursing home moving up on the hill. It’s all the renovations that are going to occur at the hospital,” he said, “and independent and assisted living come behind. We’re really excited about that, and we’re really excited to do this in a way that makes sense financially and that makes sense for our communities.

“This is all a part of Gifford becoming even more involved in the health of our communities, … and doing all we can to realize our vision of having the healthiest communities that we can.”

Construction on the new nursing home is expected to take about a year. Renovations at the hospital will follow.

Sharon Health Center Expands

Podiatrist Dr. Rob Rinaldi

Surrounded by Sharon Health Center staff, podiatrist Dr. Rob Rinaldi cuts a ribbon on the sports medicine clinic’s expansion. Dr. Rinaldi has been with the center since it opened in 2005. This is the second expansion.

When podiatrist Dr. Rob Rinaldi retired to Vermont, he didn’t envision continuing to practice medicine and certainly not for a hospital.

But Dr. Rinaldi found a cause worthy of coming out of a retirement. Working with Gifford Medical Center in Randolph, he helped create not only the vision – but the heart – behind the abundantly successful Sharon Health Center sports medicine clinic.

He has been such a positive influence that on Thursday at a ribbon cutting for an expansion to the health center, Gifford Administrator Joe Woodin unveiled a new sign recognizing Dr. Rinaldi and his Italian heritage. “Casa Rinaldi” reads the sign positioned beside the clinic’s front door.

It brought a surprised Dr. Rinaldi to laughter and tears.

Originally built in 2005, the Sharon Health Center got its start as both a primary care and sports medicine clinic, but quickly the sports medicine practice bloomed. In 2008, a 2,200-square-foot addition was added to the original 2,700-square-foot building.

In October, a third and final planned expansion got under way to better meet patient demand. It was that recently completed expansion, this time 2,600 square feet, that clinic staff and hospital administrators celebrated with a ribbon cutting.

On hand were staff, members of the public, and those involved in the project.

Casa Rinaldi

Podiatrist Dr. Rob Rinaldi, right front, reacts to Gifford Administrator Joe Woodin’s, left, announcement that a new sign names the building “Casa Rinaldi.”

Woodin praised the now retired Theron Manning, Gifford’s former director of facilities, as well as the project architect, Joseph Architects of Waterbury, and builder Connor Contracting, Inc.

All three phases of the building have had the same architect and contractor. “The fact that we have a consistent architect and builder, it looks like it has always been there,” Woodin said of the expansion.

“You stand back and look at this building and you can’t tell new from old,” agreed John Connor of Connor Contracting.

And Woodin praised Dr. Rinaldi and the complete Sharon Health Center sports medicine team.

“Thank you,” said Woodin. “You care for patients so well. The stories that come out of here. You save people (from debilitating injuries).”

“This started with a vision,” Dr. Rinaldi explained, noting that since many people have contributed to the health center, but the vision has remained.

Casa Rinaldi

“Casa Rinaldi”

That vision focuses on athletes, which Dr. Rinaldi described as “anyone who is doing a consistent exercise to reach a goal.” Sure, he said, the clinic attracts world class athletes on a regular basis. But if someone is walking a dog every day and feeling pain, the clinic is there for that athlete as well.

Overall the goal is to get athletes of all abilities back to the activities they love.

Dr. Rinaldi has been joined in his love of caring for athletes over the years by physical therapists, chiropractor Dr. Hank Glass, sports medicine physician Dr. Peter Loescher, certified athletic trainer Heidi McClellan, a second podiatrist, Dr. Paul Smith, and, the latest addition to the team, a second chiropractor, Dr. Michael Chamberland. A second sports medicine physician is expected to join the practice in September.

The first addition added physical therapy gym space and X-ray technology. This latest expansion adds more gym space, a third physical therapy treatment room, four new exam rooms, a start-of-the-art gait analysis system and wall mounted flat screens for viewing ultrasounds.

Visit the Sharon Health Center, a.k.a. Casa Rinaldi, at 12 Shippee Lane, just off Route 14, in Sharon. Call 763-8000.

Gene Parent in Gifford Gallery

Gene Parent in Gifford GalleryLocal artist Gene Parent’s watercolors, pen and ink drawings, pastels and more are in the Gifford Gallery until May 28.

Largely self-taught, Parent is a fourth-generation Vermonter who spent his youth in Richmond. He now lives in Brookfield with his family.

A member of the Vermont Watercolor Society, The Pastel Society and The Paletteers, Parent brings of diverse show of Vermont landscapes, farm animals and more in a variety of media.

Perhaps best known for his watercolors, he has received many first and second place awards for his works. He has shown throughout northern Vermont, including solo shows at Copley Woodlands in Stowe, the Cobblestone Café in Burlington, LaBrioche in Montpelier, the Chelsea Public Library, the Kellogg-Hubbard Library in Montpelier, the Good Shepherd Episcopal Church in Barre and at Gifford.

“Art brings me intimately closer to everything I paint, from the rustling leaves to the flutter and song of little birds, the subtle sounds of running water and the distant mournful calls of a fledging crow,” Parent says. “I enjoy several media. Watercolors are the most exciting and challenging and pen the most fun, followed by pencil sketching.

Parent’s show is free and open to the public. The Gifford Gallery is just inside the main entrance of the Randolph hospital at 44 S. Main St. Call Gifford at (802) 728-2324 for more information.

Starr Strong, Dr. Brian Sargent Say Goodbye

Chelsea community welcomes new caregivers

Roger Sargent and Rebecca Savidge

Chelsea Health Center patient Roger Sargent of Tunbridge chats with his new physician assistant, Rebecca Savidge.

The metaphorical passing of the baton at the Chelsea Health Center Thursday afternoon was reminiscent of the perfect race. There was unparalleled effort, emotion and cheers of support.

On Thursday Chelsea welcomed new caregivers Dr. Amanda Hepler and Rebecca Savidge, both family medicine providers, and said goodbye to Dr. Brian Sargent and physician assistant Starr Strong.

Dr. Sargent is transitioning to full-time Emergency Department work, something that will allow him more time for sugaring, pruning apple trees and deer hunting, he said.

Strong is retiring after 21 years.

Ernest Kennedy and Starr Strong

Ernest Kennedy of Chelsea hugs retiring Chelsea Health Center physician assistant Starr Strong. To Kennedy, Strong is more than the local caregiver. She was the dear friend of his daughter Judy Alexander, who lost her battle with cancer on Sunday.

Community-owned, the health center is part of Gifford Health Care. Gifford Medicine Division Medical Director, and former Chelsea doctor, Josh Plavin introduced the outgoing and incoming teams.

Dr. Hepler comes to Chelsea from New Hampshire and, before that, a very rural practice in Maine. She was looking to find that again and has in Chelsea. “It’s been great so far. Everyone’s been very welcoming,” said the warm hearted Dr. Hepler.

“I think you grew up in this clinic,” Dr. Plavin said of Savidge.

“With Dr. Plavin,” she replied, indicating he was her caregiver.

Dr. Josh Plavin and Dr. Amanda Helper

Gifford Medicine Division Medical Director Dr. Josh Plavin introduces new Chelsea family physician Dr. Amanda Hepler.

“Which is not making me feel old at all,” he said.

Savidge practiced in Plainfield before coming home to Chelsea. “I appreciate the community letting me come back to the community as a provider,” she said to the standing room only crowd gathered in the health center’s waiting room.

Savidge thanked Dr. Sargent and Strong for building such an outstanding clinic and acknowledged that she and Dr. Hepler had some big shoes to fill.

Dr. Brian Sargent speaks

The crowd laughs as Dr. Brian Sargent says a warm goodbye to Chelsea patients. He has transitioned to full-time Emergency Department work at Gifford.

“I want to thank you all for trusting me with your care. Like Amanda, I’ve felt very welcome,” said Dr. Sargent who has practiced in Chelsea for five years.

But even for Dr. Sargent, the day was about Strong. “She’s (Strong has) been a joy to work with and a good friend. You won’t find a more compassionate person on the planet,” he said.

“Starr taught me about community,” Dr. Plavin added. “Starr taught me about relationships, as well as medicine, and is really the rock that has been the continuous presence all of this time. Starr is the Chelsea Health Center.”

Starr Strong and Virginia Button

Starr Strong, retiring Chelsea physician assistant, is embraced by patient Virginia Button of Chelsea.

Her patients who were present – and there were many – agreed.

“She’s been my doctor forever,” said Roger Sargent, a Tunbridge resident who has already transitioned his care to Dr. Hepler and Savidge. “I think she (Strong) has a nice lady taking her place, two of them.”

Virginia Button embraced Strong and didn’t let go.

“I’ve been with Starr since she’s been at the health center,” she said, tearing up. “It’s like you’ve lost part of your life.”

Joe Woodin and Starr Strong

Gifford President Joe Woodin and Starr Strong share a laugh.

But Button was optimistic.

“I’m sure the two that are here will fill her shoes,” she said, “eventually.”

Ernest Kennedy gave Strong three hugs. One for himself, one for his wife and one for his daughter, the late Judy Alexander, Strong’s dear friend and a former nurse at the Chelsea Health Center who passed away Sunday and whose loss was felt at Thursday’s gathering.

Kennedy was there to offer his support for Strong, who moved into Alexander’s home during a final days to provide constant vigil, but he wasn’t exactly supportive of Strong’s decision to retire. “She’s not old enough, and we need her.”

Strong disagreed, but not before expressing her thanks for the community’s support.

“I can’t tell you how rich I feel. I’m more grateful than I can tell you. The relationships we have when we go in and sit down and close the (exam room) door; that is a sacred spot.”

She is finally able to step away from those relationships, she says, because she is leaving her patients in the “graceful, beautiful and knowledgeable hands” of Dr. Hepler and Savidge. “It gives me joy in my heart rather than sadness in my soul,” Strong said.

Naturopath Offering Prenatal Series at Gifford

Erica Koch

Erica Koch

Naturopathic physician Dr. Erica Koch leads a Prenatal Health Series at Gifford for pregnant women and expectant families beginning May 15.

The series includes four Thursday classes that participants can take individually or as a whole. They are “Nutrition during Pregnancy” on May 15, “Herbal Medicine, Vitamins and Minerals during Pregnancy” on May 22, “Movement and Regeneration” on May 29 and “Mind/Body Medicine” on June 5.

“Nutrition during Pregnancy” covers eating well, meeting nutritional needs, food as medicine, environmental toxins and chemicals to avoid, food cravings and how to address them, and how to shop for food.

“Herbal Medicine, Vitamins and Minerals during Pregnancy” looks at nutrients to promote and maintain good health, and manage symptoms such as headaches, muscle spasms, fatigue, nausea and constipation. It also looks at herbs to avoid during pregnancy and breastfeeding.

“Movement and Regeneration” with guest teacher Amy LePage focuses on yoga sequences to improve energy, relieve discomfort, aid in digestion and prepare for birth. The class also teaches breathing exercises to encourage relaxation and reduce stress.

Finally, “Mind/Body Medicine” teaches stress reduction and how to build resilience, increase awareness and support labor. It gives participants the tools to begin a daily self-care practice.

“These classes are for anyone who is interested in promoting health during pregnancy and managing symptoms naturally. The goal is to empower people with the knowledge and practices of a healthy lifestyle. Pregnant women have different needs and knowing how to address them in a safe and effective way is important. Women who are trying to conceive, who are pregnant, their partners and practitioners are all welcome to attend,” said Dr. Koch.

Dr. Koch is an experienced naturopathic doctor, educator, gardener and co-founder of Whole Systems Health, a non-profit organization focusing on nature-based education, health and resilience. She earned her doctor of naturopathic medicine degree from the National College of Natural Medicine, where she completed advanced training in women’s health and midwifery. She also holds a master’s degree from Rutgers University.

The classes will be held from 5-8 p.m. at Gifford in The Family Center beside Gifford Ob/Gyn and Midwifery at 38 S. Main St. (off Route 12) in Randolph.

Dr. Koch offers a sliding scale fee of $50-$75 for each class plus a $10 materials fee. E-mail her at erica.koch.nd@gmail.com to sign up or with questions.

Gifford Offering a Variety of Trainings Focused on Children

Gifford eventsGifford Medical Center is offering a handful of upcoming trainings aimed at children and families.

On Thursday, May 8, the Randolph hospital will offer a non-certification Infant and Child CPR course for families, friends and caregivers of babies and children. Classes are presented by an instructor certified by the American Heart Association. The free class is from 6-8 p.m. Call 728-7710 to sign up.

On Saturday, May 10 from 9:30 a.m. to noon will be a training for children ages 8-11 called “Home Alone and Safe.”

Designed by chapters of the American Red Cross, this course is offered by instructor Jude Powers and teaches children how to respond to home alone situations, including Internet safety, family communications, telephone safety, sibling care, personal and gun safety, and basic emergency care. Children will role play, brainstorm, watch a video, take home a workbooks and handouts, and earn a certification upon completion.

The cost to participate is $15. Call Powers at 649-1841 to join.

And then on Saturday, May 17 from 9:30 a.m. to 1 p.m. a Babysitter’s Training Course will be offered. Again offered by Powers, the course teaches budding babysitters how to be safe, responsible and successful. It covers good business practices, basic care, diapering, safety, play, proper hand washing, handling infants, responding to injuries, decision making in emergencies, action plans and much more.

Communication skills are emphasized along with being a good role model, and participants receive a certification card upon completion of the course and reference notebook to take home.

There is a $20 fee to participant and participants should bring their lunch. Call Powers at 649-1841 to join.

All these events are being held in The Family Center, beside Gifford Ob/Gyn and Midwifery at 38 S. Main St. (Route 12) in Randolph. Registration is required as seating is limited.

For more information and directions, visit www.giffordmed.org.

Hats Off to Gifford Volunteers

Volunteer Appreciation Luncheon

Pictured here, from left, are volunteers Irene Schaefer and Phyllis Roberts.

Gifford Medical Center’s hats were off, well technically on, in recognition of its volunteers at an annual appreciation luncheon Monday. The “Hats Off to You” hat-themed event welcomed 70 of Gifford’s hospital and Auxiliary volunteers.

In all, Gifford had 120 volunteers in 2013 who gave 16,678 hours to the non-profit medical center, or 2,085 eight-hour days. Auxiliary volunteers working at the Thrift Shop gave another 6,489 hours, or 811 eight-hour days.

Volunteer Coordinator Julie Fischer noted that the number of volunteers and volunteer hours was remarkable. “We are amazing,” she said.

Volunteer Appreciation Luncheon

Pictured here, from left, are volunteers Beth Kittel and Joan Granter.

In recognition of their year of service, volunteers were treated to a delicious lunch, door prizes from 17 area businesses, favors, accolades, a presentation from hospital president Joseph Woodin and even an impromptu round of singing “You Are My Sunshine” from managers working as servers at the event.

Managers, wearing hats in appreciation of the volunteers, came from different areas of the hospital and offered heartfelt thanks.

“Thank you for helping to enrich the lives of the residents,” said Terry MacDougal, Menig Extended Care Facility activities director. Menig is Gifford’s nursing home.

Volunteer Appreciation Luncheon

Pictured here, from left, are volunteers Donna Bosworth, Shirley Russell and Elizabeth Mahaffy.

“What you bring is just enormous,” agreed Menig Director of Nursing Brooks Chapin.

Volunteers were thanked for their remarkable gift of time, for offering support to staff as well as patients, for their warm smiles and for their hugs. “You bring peace, comfort and stability to the organization,” Woodin said.

Woodin went on to share the latest on Gifford’s plans to build a senior living community in Randolph Center and private inpatient rooms at the medical center. Gifford hopes to break ground on the first phase of the project, a new nursing home in Randolph Center, next month.

Volunteer Appreciation Luncheon

Pictured here, from left, are volunteers David and Lori Peirce.

Volunteers were enthusiastic about the plans, which have already garnered remarkable support from the Gifford Auxiliary. The Auxiliary has pledged $650,000 to the project.

One other remarkable achievement of 2013 for Gifford volunteers was the recognition of Major Melvin McLaughlin as Vermont’s and the nation’s Outstanding Senior Volunteer. McLaughlin earned a round of applause from his fellow volunteers.

Businesses generously donating door prizes and favors to the volunteers were Belmains, Blue Moon, Central Supplies, Chef’s Market, Cockadoodle Pizza Café, Dandelion Acres, Holiday Beauty Salon, Onion Flats, Randolph Village Pizza, The Harrington House, Tozier’s, One Main Tap and Grill, Bethel Village Sandwich Shop, Sidewalk Florist, Drop Dead Gorgeous hair salon, the Aiken family of Bethel and Freedom Foods.

One Cup of Sugar: Primary Care

The following is an excerpt from our 2013 Annual Report: A Recipe for Success.

one cup of sugar

When Donna Shephard of Rochester came with her husband, Dick, for an appointment at Gifford primary care on her 72nd birthday in April, nurse Dorothy Jamieson had cake, cupcakes, a crown and lei waiting as a surprise. Donna, who has Parkison’s and regularly visits Gifford, was appreciative of the birthday surprise but more so of the care that Dot
routinely provides.

“I love her. She’s the best nurse that you (could) ever see. You don’t get them like that. She’s so gentle and nice and friendly. She puts a smile on anyone’s face.”
~ Donna Shepard

Donna Shephard

Nurse Dorothy Jamieson with Dick and Donna Shepard

Family Physician with Commitment to Rural Medicine Joins Chelsea Practice

Dr. Amanda Hepler

Dr. Amanda Hepler

Pennsylvania native Amanda Hepler knew from a young age that she would become a doctor.

“Pretty much from when I was very little, I wanted to be a doctor,” says Hepler, whose mother was a radiology technologist and often the go-to person for medical questions.

At Grove City College in Pennsylvania, Hepler studied molecular biology. Medical school at Jefferson Medical College of Thomas Jefferson University in Philadelphia followed. Her residency in family medicine was at Latrobe Family Medicine Residency, also in Pennsylvania.

When it came time to start work, Dr. Hepler looked for a rural practice and found it at Rangeley Family Medicine in a community of 1,200 in Maine. There for four years, Dr. Hepler was the lone physician, caring for all ages, doing home visits and addressing emergencies as they arose.

From Maine, Dr. Hepler went to work at Cheshire Medical Center, part of Dartmouth-Hitchcock Keene, in New Hampshire. The role meant working in a multi-physician practice, overseeing nurse practitioners and physician assistants, caring for patients in a skilled nursing facility and working to meet quality goals as part of an Accountable Care Organization. It lacked one thing, however: rural roots.

It’s Dr. Hepler’s passion to care for whole families.

“I always pictured myself working in a rural area,” Dr. Hepler said. “Family medicine is called family medicine because you’re supposed to be taking care of a whole family. You can learn a lot more about a person from first-hand experience with a family. You have a true family history.”

Dr. Hepler is now rediscovering her passion for rural medicine as the latest member of the Chelsea Health Center team.

The rural clinic is part of Gifford Health Care and was recently named a Federally Qualified Health Center by the Health Resources and Services Administration, part of the U.S. Department of Health and Human Services.

“It just felt right,” says Dr. Hepler of joining the Chelsea team, which includes physician assistant and Chelsea native Rebecca Savidge and physician assistant Starr Strong, a veteran Chelsea caregiver who will soon retire.

Dr. Hepler is board certified by the American Board of Family Medicine and a member of the American Medical Association and the American Academy of Family Physicians.

A kind and compassionate caregiver who quickly creates a relaxing environment, Dr. Hepler works hard to listen to patients, get to know them and help them make the best decisions to improve their health. She has special clinical interests in caring for whole families, women’s health, diabetes management and caring for children.

Dr. Hepler is currently living in Randolph while she searches for a home for her and her dog, Cosmo, closer to Chelsea. (She notes patients have already been helpful and welcoming as they call with leads on rentals.) In her free time she enjoys snowshoeing and hiking with her dog, kayaking, and flower and vegetable gardening.

Dr. Hepler is now seeing new patients. Call her at the Chelsea Health Center at (802) 685-4400.