The following article appeared in our 2014 Annual Report.
Dr. Martin Johns
One evening when I was on duty, a 911-call patient was brought into the emergency room. The patient was unresponsive and unable to communicate.
I pulled up the electronic medical record and was able to see that he had been given a new medication when seen at a Gifford clinic earlier that day.
Clearly he was having a delayed allergic reaction, and because I could see exactly what medication he was given, I could immediately give him the appropriate antidote. If I had not had access to the information in EMR, I would have had to guess and start trying different medicines to counteract the reaction.
When another patient was confused about what medications they were taking, I pulled up their most immediate office note on EMR and made adjustments based on what had been done within the previous 24-hour period.
An important aspect of the new EMR system is that it allows medical information to follow the patient through transitions of care across all Gifford platforms: inpatient care, outpatient care in community clinics, radiology, and emergency room visits.
In the past, important information could be unavailable or even lost during these transitions—a clinic might be closed for the day, or important information not yet added to a patient’s record. Now, anyone caring for a patient can view important information and also update the record (adding a newly developed allergy or immunization) or note changes in clinical status.
Jeffrey Bath and Alan Ericksen integrate medical imaging expertise into patient care
Dr. Jeffrey Bath
With the arrival of two new radiologists, Gifford Medical Center has created its first employee-staffed Radiology Department. Gifford previously contracted radiology services through outside private practices.
Radiologists are physicians who specialize in diagnosing and treating diseases and injuries using medical imaging techniques—X-rays, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound, Bone Density, Nuclear Medicine, and Mammography. They work closely with providers to provide accurate diagnoses and treatment recommendations.
“Having everyone on staff allows a seamless collaboration between the radiologists and our providers,” said Director of Ancillary Services Pam Caron. “We offer up-to-date diagnostic technology services to our patients, and having these physicians on staff strengthens our ability provide to personalized patient care close to home, with experts who are part of our community.”
Dr. Jeffrey Bath worked as a locum tenens at Gifford last summer and returned as a permanent employee in March. Previously he had a private practice affiliated with the North Adams (MA) Regional Hospital, which closed in 2014.
“I chose to specialize in radiology because I was attracted to the science side of medicine,” Bath said. “I like to troubleshoot and work closely with other providers to find the best way to deliver patient care.”
Dr Bath earned his BS and MD degrees from Tufts University and began training in Internal Medicine before changing to radiology. He completed a residency in Diagnostic Radiology at SUNY Upstate Medical University.
Dr. Alan Ericksen
Dr. Alan Ericksen joined Bath in Gifford’s Radiology department in May. He was partner and vice-president of Radiology Associates of Bennington (practicing at Southwestern Vermont Medical Center and Mary McClellan Hospital) before moving with his family to Tennessee in 2003, where he worked in practices that served several hospitals and as a locum tenens.
“After 12 years in Tennessee I really missed the country, so I am very glad to be back in Vermont,” Ericksen said. “I also enjoy meeting and talking with patients, which is possible in a small hospital setting like Gifford.”
Dr. Ericksen earned a BS from Houghton College and an MD from New Jersey Medical School. He completed a residency in internal medicine before deciding to become a radiologist, and then completed a diagnostic radiology residency (both at the Robert Wood Johnson Medical School).
A child prodigy whose artwork was displayed in the Met and Louvre, he says that radiology offered him a way to connect his interest in the visual with his interest in medicine. He still paints and exhibits, and also plays the French horn.
To learn more about Gifford’s Radiology department and the services offered visit www.giffordmed.org/Radiology or call 802-728-2214.
Physician Assistant Leslie Osterman has joined Gifford’s primary care team and is now seeing patients in the Randolph and Bethel clinics.
She previously worked for 10 years as respiratory therapist at Fletcher Allen, where she learned about patient care offered by physician assistants (PA). PA’s are specially trained to examine, diagnose, and treat patients under the supervision of a medical doctor (MD).
“I was drawn to the PA’s more holistic approach to patient care, their focus on preventive medicine, and the way they act as a resource for their patients,” she said. “I also liked the PA’s team approach in sharing knowledge and decision making.”
Osterman decided to pursue a career in primary care and returned to school, getting her BA at Johnson State and taking additional classes at CCV before entering Franklin Pierce University. She graduated last spring with masters of Physician Assistant Studies.
As part of her training she completed rotations in area facilities including smaller hospitals in New London, Plainfield, St. Albans, and at UVM and DHMC. She did three rotations at Gifford (in pediatric and adolescent care, surgery, and obstetrics and gynecology), where she was especially impressed by the staff’s friendliness and commitment.
“Gifford takes a great approach to patient care and really seems to care about the community, which is important to me,” she said. “Since I am especially interested in practicing primary care in a rural setting, this is a good fit for me.”
Establishing an ongoing relationship with a primary care provider is one of the best things people can do to stay healthy. Someone who knows your health history and habits can recognize changes in your health and more accurately diagnose and treat serious conditions. Primary care providers can also help find a specialist and coordinate care should you become ill or seriously injured.
The following article appeared in our 2014 Annual Report.
The White River Valley Chamber of Commerce and Gifford once again partner to offer concerts and now a farmer’s market on Tuesday evenings throughout the summer in the Gifford Park. Two community barbecues — one by Stagecoach and one by the Randolph Center Fire Department — also draw a crowd.
Podiatrist Dr. Samantha Harris joins the Gifford Health Center at Berlin, providing full spectrum surgical and non-surgical podiatric care.
Gifford’s midwives hold an open house to introduce their new team to the community.
After working at Gifford since January as a locum tenens physician, orthopedic surgeon Dr. Kenyatta Norman makes her position permanent.
A “Heartsaver CPR” certification course is offered to the community.
JP’s Flea Market, formerly the Randolph Antique and Artisans Fair, is held in the Gifford park on Aug. 9. Cars line the street looking for deals and meals.
The ninth annual Last Mile Ride raises a record $60,000 for end-of-life care. This year’s event is spread over two days and attracts a record 386 participants.
Sue Schoolcraft of Randolph gains media recognition statewide for her work to make personalized quilts for Menig residents. Her work is supported by the Last Mile Ride.
Ob/Gyn Dr. Sean Tubens joins the Gifford Ob/Gyn and Midwifery team from his hometown of Baltimore, bringing total laparoscopic hysterectomies to Gifford for the first time.
Dr. Melissa Scalera, an Ob/Gyn, joins Gifford’s women’s health team, providing complete gynecologic and obstetrics care in Randolph.
Colorado couple, sports medicine physician Dr. Nat Harlow and family nurse practitioner Christina Harlow, join Gifford’s Sharon sports medicine and Randolph primary care practices respectively. Dr. Harlow is fellowship trained. Christina holds a doctor of nursing practice degree.
Family nurse practitioner Jeff Lourie joins the Gifford Health Center at Berlin.
Project Independence of Barre officially merges with Gifford.
The following article appeared in our 2014 Annual Report.
Gifford employee Cindy Legacy, who shared her weight loss story in the 2013 annual report, starts a popular “Weight Loss Support Group” at Gifford on Wednesday evenings.
Gifford volunteers are celebrated at a luncheon. In 2013, 120 volunteers gave 16,678 hours to Gifford or 2,085 eight-hour days. Auxiliary volunteers working at the Thrift Shop gave another 6,489 hours or 811 eight-hour days. The celebration’s theme was “Hats Off to You.”
Gifford is named a Top 100 Critical Access Hospital in the nation by iVantage Health Analytics. iVantage used what it calls a Hospital Strength INDEX to compare Gifford against 1,246 Critical Access Hospital nationwide on 66 different performance metrics.
Starr Strong retires from the Chelsea Health Center after 21 years. She was the first physician assistant Gifford ever hired. An open house recognizes both Starr’s contributions and welcomes new providers to the clinic, which is packed for the event.
Sen. Bernie Sanders (I-Vt.) and officials from the Health Resources and Services Administration release a video holding up Gifford as a national model for primary care.
Sharon Health Center staff members cut a ribbon on their newly expanded health center. Added are 2,600 square feet and a sign beside the front door declaring the building “Casa Rinaldi” in honor of podiatrist Dr. Rob Rinaldi who helped create the vision behind the popular sports medicine clinic.
New technology is also offered, such as a state-of-the-art Noraxon gait and movement analysis system, and a large wall-mounted monitor for a better look at live ultrasound imaging.
Ground is broken on a much-anticipated senior living community in Randolph Center. More than 100 are on hand to witness the start of the first phase of the project — a new, 30-bed nursing home to replace the current Menig Extended Care Facility.
A second “Infant and Child CPR” course is held, along with a second “Home Alone and Safe” course, a second “Babysitter’s Training Course” and another “Quit In Person” group smoking cessation series.
“Low Impact Water Aerobics for Chronic Conditions” is offered at Vermont Technical College’s pool for free for those with an economic need and chronic condition who are struggling to exercise.
Gifford announces that it will merge with Barre adult day program, Project Independence, at the end of September. Project Independence is the state’s first adult day program and serves 23 towns in Washington and northern Orange counties, providing an essential community resource.
The non-profit organization was facing financial struggles following flooding in 2011. A merger with Gifford means shared staff and reduced costs for the organization, allowing it to keep operating. The boards of both non-profits agreed to the merger in May.
Gifford is the first hospital in Vermont to “go live” with the Vermont Department of Health interface for syndromic surveillance. The interface is part of federal meaningful use criteria.
Renovations begin on Gifford’s third floor specialty clinics to group medical secretaries, nurses, and patient waiting for improved efficiency and a modern model of care.
The following article appeared in our 2014 Annual Report.
The first baby of the year is born to Casandra Perry of Bethel. Baby Bryden is welcomed on Jan. 2 at 3:48 a.m.
A “Matters of the Heart” series is offered monthly all year long for heart patients, or anyone looking to improve his or her heart health. Also offered: Chronic Conditions Support Group, Caregiver Support Group, Diabetes Group Education Classes, childbirth classes, and a new Mood Disorder Support Group.
A “Quit In Person” tobacco cessation class helps those addicted to smoking or other tobacco products to quit.
A “Chronic Pain Healthier Living Workshop” is offered at the Randolph House. The six-week free series addresses coping with chronic pain.
Experienced nurse leader Alison White joins Gifford as vice president of patient care services – a role that oversees the Hospital Division, including inpatient care, the Birthing Center, Ob/Gyn and Midwifery, the Emergency Department, Menig nursing home, and Adult Day Program.
After considerable input from providers, staff, and clergy, the Gifford board passes a policy implementing the Patient Choice at End of Life law. The policy allows willing primary care providers to prescribe lethal prescriptions but prohibits use of such prescriptions in the hospital setting.
An educational event shares Gifford’s “Vision for the Future” with Corporators. The vision focuses in part on constructing a senior living community in Randolph
The Gifford Medical Center Auxiliary awards $19,000 to various Gifford departments, including equipment for inpatient units, pulse oximeters for primary care offices, play equipment and furniture for The Robin’s Nest Child Enrichment Center, and a handheld scanning device for Materials Management.
Experienced hospitalist Dr. Robert Cochrane joins Gifford’s hospitalist (inpatient care) team.
An “Infant and Child CPR” class helps new parents and families learn lifesaving techniques.
A “Home Alone and Safe” course teaches children 8-11 how to respond to home alone situations.
A “Babysitter’s Training Course” is held for area pre-teens and teens seeking greater expertise in safe child care.
Chiropractor Dr. Michael Chamberland joins the Sharon Health Center sports medicine team.
A “Healthier Living Workshop” series begins, providing the chronically ill free information on improving their health.
A second “Quit In Person” tobacco cessation class is held, this time at the Gifford Health Center at Berlin.
Gifford’s Health Connections office and Blueprint for Health team partner with Bi-State Primary Care to offer free help signing up for Vermont Health Connect. Help is available each weekday, but on March 6 and March 13 extra “navigators” come to Gifford to help even more people sign-up in advance of a March 15 deadline.
Gifford’s annual Diabetes Education Expo is merged with a Health Fair for all chronically ill and offered on March 14.
Gifford holds its 108th Annual Meeting of its corporators, announcing achievements of 2013, unveiling a new video about Gifford, and hearing a special presentation from Green Mountain Care Board Chairman Al Gobeille. Corporators elected Matt Considine of Randolph to the board and re-elect Lincoln Clark of Royalton. Grants were announced, including $25,000 in William and Mary Markle Community Foundation funds to 10 area towns’ schools to support exercise and healthy eating programs. The Philip D. Levesque Memorial Community Award, in memory of Gifford’s late president, is awarded to the Orange County Parent Child Center.
Gifford staff raise $520 for the March of Dimes by wearing “Blue Jeans for Babies”.
Gifford’s mammography and nuclear medicine departments earn three-year, national re-accreditations from the American College of Radiology.
Certified nurse-midwife and women’s health nurse practitioner April Vanderveer joins Gifford’s 24-hour midwifery team.
Steven S. Mustoe, D.C. has joined the Sports Medicine clinic at the Sharon Health Center. A board-certified chiropractor, he has practiced for the last 18 years in Brattleboro, VT and Charlottesville, VA.
Mustoe became a chiropractor because of his own experience with an injured back. “The only relief doctors could offer was through medication. When I went off drugs, the pain returned,” he said. “I eventually found a chiropractor who helped me heal. To be able to relieve someone’s pain like that is an amazing thing!”
Originally from London, England, he received a Doctor of Chiropractic degree at Life Chiropractic West in California after relocating to the States to be with his wife, Gail. The two met 25 years ago when Mustoe was a tour guide on a seven-week bus tour through Europe. They’ve been together ever since, and now have two children.
After years in private practice, Mustoe looks forward to collaborating with a multidisciplinary sports medicine team that includes podiatry, general sports medicine, and physical therapists. He is also excited about the equipment and technology at the Sharon center—a physical therapy gym space; x-ray technology and mounted flat screens for reviewing radiological exams; physical therapy treatment rooms; and a state-of- the-art gait analysis system.
His special interest is in helping people regain the ability to enjoy their life: as an athlete, an injured veteran, or someone unable to perform daily tasks.
“I tend to work gently, to listen to people and then help with function as well as pain,” he said. “You don’t have to be an athlete—maybe what’s important to you is to be able to play with the grandchildren in the back yard.”
Dr. Mustoe is now seeing patients at the Sharon Health Center. Call 763-8000 to schedule an appointment.
When Christina DiNicola, MD, FAAP started practicing in Gifford’s Pediatrics department this spring, she returned to work next to the mentor she had “job shadowed” before heading off to Stanford University in the fall of 1994. Today that mentor, Dr. Lou DiNicola, is not only her colleague but her father-in-law.
“I always knew I wanted to practice medicine, but that long-ago summer with Lou confirmed that I wanted to work in Pediatrics,” she said. “Last fall, I was about to sign into a partnership that would mean committing to living in Philadelphia when the Gifford position opened up, but we knew this was the right move for our family. I felt like I was coming home!”
DiNicola has worked in a range of communities (including suburban New Jersey, inner city Philadelphia, rural Appalachia, and on a Navajo reservation in Arizona), and with several national organizations including the National Multiple Sclerosis Society and Families USA. She was director of the Integrative Pediatrics program at the Thomas Jefferson University and Hospital in Philadelphia, and founder and medical coordinator of the Reach Out and Read Program at South Philadelphia Pediatrics.
After that summer internship in Randolph, she attended Stanford University and graduated with a BA in human biology (concentration in Children, Family & Public Policy). She received a certificate of completion in the Children & Society Curriculum from the Stanford Center on Adolescence, and earned her medical doctorate degree at the University of Medicine and Dentistry-Robert Wood Johnson Medical School. Her residency training in pediatrics was at The Children’s Hospital of Philadelphia, and she is board certified in pediatrics.
DiNicola says she brings a personalized, yet evidence-based approach to her practice, and stresses building healthy habits early on to prevent disease and mental health issues later in life. She especially enjoys helping families understand the direct connection between mental and physical wellbeing, and to use self-relaxation techniques like deep breathing, yoga, progressive muscle relaxation, or other mind/body techniques that can help with anxiety, depression, or sleep issues. She prefers using a team oriented approach in partnership with families to create the best health outcomes for her patients.
When the DiNicola family’s moving van arrived in Randolph on April 1, 2015, the “meant-to-be” nature of her new position was highlighted by the fact that the chance encounter that connected her to Gifford and her subsequent career in Pediatrics had occurred on April 1st exactly 21 years ago.
Christina DiNicola was visiting a friend when she met Damian DiNicola on April Fool’s Day in the Randolph High School parking lot in 1994. She returned home to New Jersey with a prom date, and the two have been together ever since.
Dr. Andrew Erickson has joined Gifford Medical Center, adding a fourth provider to the hospital’s general surgery team.
He most recently worked as a surgeon at a Mid Valley Hospital, a rural community hospital in Omak, Washington; and as a general and acute care surgeon at the Franklin Square Medical Center in Baltimore, MD.
Born and raised in Seattle, Erickson earned a BS in physics at the University of Washington, where he also competed in national collegiate cycling championships. Before moving on to graduate school, he took a year off to work as a bike messenger in Boston. A physician from one of the city’s larger hospitals was among the avid cyclists he met that year, and he began to consider a career in medicine.
“I felt more social than most physics majors, and I knew I wanted to interact more with people than with particle detectors and telescopes,” he said. “Being a surgeon seemed like a good fit. I enjoy people and the problem-solving involved in fixing bikes and machines—a surgeon helps people by solving problems and fixing things in the body.”
Erickson returned to Seattle, took premed courses, and received a Doctor of Medicine at the University of Pittsburgh School of Medicine. He completed his general surgery residency was at the Washington Hospital Center in Washington, DC, where he gained experience in emergency general surgery, transplantation, and cardiovascular surgery.
Erickson and his wife, Gifford Ob/Gyn Elizabeth Nigrini, have been looking for a small community where they could raise their two young daughters and easily access the hiking, biking, and skiing that the family enjoys. They were drawn to Gifford because they felt the hospital was responding to changing healthcare needs in a thoughtful and proactive way, and offered opportunities to provide service to central Vermont.
Dr. Erickson brings to his work an enthusiasm for minimally invasive (laparoscopic) surgery. He likes to partner with his patients, clearly explaining the problem and available options, so that together they can find an approach that works for the patient. To learn more about Gifford’s General Surgery program, visit www.giffordmed.org or call the General Surgery office at 802-728-2430.
The following article appeared in our 2014 Annual Report.
Medical Staff President Dr. Ellamarie Russo-DeMara
As president of the Medical Staff I have witnessed firsthand the hard work and dedication not only of our medical team, but of all those behind the scenes who make Gifford a place where patients are a priority.
With economic and healthcare issues front and center in our daily news, it’s reassuring to work for an organization that is fiscally stable without sacrificing quality of care. I know I speak for the entire health care team when I say how fortunate we are to have our new FQHC designation, which will allow us to provide much needed dental and mental health services to our community.
Gifford continues to lead the way in its vision for the future of providing quality care for our community. At the forefront of that vision is the creation of a new Senior Living Community, where our seniors can be cared for in a home-like setting.
As part of this process we are fortunate to be able to “rejuvenate” our existing space into private, more comfortable rooms that will allow us to improve the efficiency and quality of the care we offer our patients.
It has been an exciting year of planning and creating new ways to provide access to the high-quality care we offer through all stages of life—from newborn through to nursing home resident.