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.
Gifford completes its upgrade to electronic medical records (EMR). Throughout the year, Gifford primary care and specialty care outpatient practices moved from paper to electronic records as part of a federal initiative.
Gifford and the White River Valley Chamber of Commerce collaborate to hold the only local candidates’ debate for Senate and House of Representatives candidates.
Gifford employee Teresa Bradley and her niece, Krista Warner, once again hold a bowling tournament in memory of Teresa’s mom and Krista’s grandmother, Ruth Brown. Money raised supports Gifford’s Woman to Woman Fund and brings awareness to the importance of mammograms.
Gifford announces it has met its state-approved operating margin for the 15th consecutive year.
Gifford loses one of the greatest heroes of our time, Major Melvin McLaughlin. Affectionately known as “the Major” and “Major Mac,” he spent the last 40 years volunteering at the hospital, encouraging staff and patients with words of love and friendship. He will be greatly missed, but never forgotten.
Hannaford Supermarket in South Barre presented Project Independence with a gift certificate worth $1,500. The gift is used to offset the cost of groceries for the program which provides a daily breakfast, lunch, and snack for roughly 38 participants. When the store manager asked staff which nonprofit they should contribute to, the adult day program was at the top of their list.
Pediatrician Dr. Lou DiNicola receives the Green Mountain Pediatrician Award from the American Academy of Pediatrics Vermont Chapter. He was acknowledged for over 38 years of service as a Gifford pediatrician. Along with a plaque, Dr. DiNicola was presented a 7-foot-long handwritten scroll describing what makes him special.
Gifford once again invests $40,000 into the regional economy through the Gifford Gift Certificate program.
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.
Oral exams, medical screenings, and wellness and health access resources
No insurance, high deductibles, or lack of a primary care provider keeps many from getting medical care until they find themselves in an emergency room with a serious problem.
Gifford Health Care in Randolph is sponsoring a free Dental and Medical Health Access Day on Thursday, June 11, 2015 from 8 a.m. to 4 p.m., with free medical and dental health screenings and information about community resources that can help with access to care.
We know that regular primary care can help people manage many chronic conditions, and that dealing with health issues before they become serious can prevent expensive hospital visits. Research has linked gum disease and poor dental health to increased rates of heart disease, premature birth and low birth weights, osteoporosis, and other health problems.
On Dental and Medical Health Access Day, two local dentists (Dr. John Lansky and Dr. Chris Wilson) will give free oral exams, and Gifford primary care providers and pediatricians will provide free health screenings for registered participants. (Call 728-2781 to schedule an appointment.)
A day-long wellness fair, open to the general public, will offer information on preventative health programs and resources to help with access to medical and dental care, including:
Diabetes and diet
Vermont Blueprint for Health
Healthier Living Workshops
Other community resources
Refreshments will be served, and there will be a raffle for registered participants.
For more information, or to register for a free medical screening and oral exam, call Casey Booth at 802-728-2781.
Mobile MRI provider donates $2K to annual fundraiser for end of life care
Director of Ancillary Services Pam Caron, Gifford Administrator Joseph Woodin, AHCI President and Chief Operating Officer Dr. Donald N. Sweet, and Radiologist Jeffrey Bath, M.D.
American Health Centers Inc. (AHCI) has donated $2,000 to the Last Mile Ride, Gifford’s annual fundraiser to support services for those with advanced illness or needing end-of-life care.
AHCI brings affordable mobile magnetic resonance imaging (MRI) units to community hospitals throughout Vermont, New Hampshire, and Massachusetts. MRI is a safe and painless test that uses a magnetic field and radio waves to produce detailed pictures of the body, and differs from a CAT scan because it doesn’t use radiation. The AHCI mobile magnetic unit serves patients at Gifford health centers in Randolph, Sharon, and Berlin.
“American Health Centers has been bringing services to Gifford patients since 2001,” said President and Chief Operating Officer Dr. Donald N. Sweet, who visited the hospital to deliver the donation. “We are very pleased to be able to honor this partnership by supporting the unique end-of-life services funded by the Last Mile Ride.”
“We are so grateful to have AHCI’s sponsorship in this 10th anniversary year of the Last Mile Ride,” said Gifford Director of Development Ashley Lincoln. “Funds raised this year will support the construction of a second Garden Room suite for patients and their families, and help us to expand access to special services that comfort those in life’s last mile.”
Gifford’s Last Mile Ride is an annual weekend fundraiser that supports special end-of-life services: a session for family photographs, massage, Reiki, or music therapy to help with relaxation and pain management; or funds to make one final wish come true. This year the 1-mile walk, and a timed 5-k run will be on Friday, August 14; the motorcycle and bike rides will be on Saturday, August 15. Learn more or register at www.giffordmed.org.
Tom Wicker, journalist who appreciated Gifford care, is honored at naming event
Pam Hill, widow of journalist Tom Wicker, receives a sign that will mark Tom Wicker Lane, the road that leads into the new Menig Nursing Home in Randolph Center, Vermont.
More than 150 people gathered at the newly completed Menig Nursing Home in Randolph Center on May 20, 2015 to celebrate a milestone in Gifford’s “Vision for the Future” campaign.
The $5 million campaign has raised $3.5 million to support the construction of the new facility, and will now focus on the second phase of the project, the creation of private patient rooms in the vacated space on the hospital campus.
“We wanted these generous early donors to be able to see firsthand the significance of their support for our campaign,” said Gifford Development Director Ashley Lincoln. “This is the beauty of giving locally—you are able to really see the impact you make.”
Guests toured the new building in advance of the official ribbon cutting ceremony on June 9. The spacious hill-top facility, with breathtaking views of the Green and Braintree mountains, anchors a senior living community that will also include independent and assisted living units.
A highlight of the evening was the naming of Tom Wicker Lane, the road leading into the new Menig. An anonymous donor wished to honor a loved friend and asked that the entry lane be named for Wicker, an author and journalist whose writings chronicled some of the most important events of post-WW II America.
A journalist and political columnist for the New York Times, Wicker covered eight presidents and wrote during a tumultuous period that included the assassination of President John F. Kennedy, the Viet Nam war and the Watergate scandal. A Time to Die, one of the 20 books he wrote, explored the Attica Prison uprising and was later made into a movie starring Morgan Freeman.
After a writing career that spanned nearly 50 years, Wicker retired to Austin Hill Farm in Rochester, VT. He died at home in 2011, at the age of 85.
“In retirement, as his health began to slip, Tom came to know another of Vermont’s assets: that was Gifford,” Pam Hill, his wife of 37 years, wrote in remarks delivered by Gifford Administrator Joe Woodin. “He liked the excellent care, the easy comfort and beauty that assured him he was still in Vermont. He spent some of his last days at Gifford; for him it became a life-giving extension of his beloved Austin Hill Farm.”
Renovation of the old Menig wing of the hospital will start in June, with minimum disruption to patients. The 25 new private patient rooms are expected to be ready in approximately nine months.
“This is the largest campaign Gifford has undertaken in its 110 years. And we still have $1.5 million to go!” campaign Co-Chair Lincoln Clark said as he thanked the crowd for their early support. “Now, as we begin the public part of our campaign, we will need your help again in telling everyone you meet what an important project this is and what it will mean to our community.”
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.
The following article appeared in our 2014 Annual Report.
Back (left to right) Linda Morse, Peter Nowlan, Sheila Jacobs, Paul Kendall, Matt Considine, and Lincoln Clark. Front: Jody Richards, Barbara Rochat, Gus Meyer, Dr. Ellamarie Russo-DeMara, Randy Garner, Sue Sherman, Joe Woodin, Carol Bushey, and Linda Chugkowski. Not pictured: Bill Baumann, Fred Newhall, and Bob Wright.
Volunteer board leads Gifford with vision, passion and energy
2014 was a year of great excitement for Gifford, as several projects moved from the planning stage into actual implementation. Our FQHC status, new senior living community, and the much-needed upgrade for inpatient rooms are all visible signs of Gifford’s readiness for quality community care in a larger landscape of changing healthcare reform.
Each of these accomplishments was built on years of behind-the-scenes planning. None of them would have been possible without the dedicated work of our 16 volunteer board members, who last year alone collectively gave more than 2,500 hours of their time to meetings and subcommittee activities. Board members bring passion and energy to the challenge of balancing the work that translates our mission (providing access to high-quality care to all we serve) with anticipating and planning for future healthcare needs.
“Gifford is woven into the fabric of this community. For more than 100 years generations have had the benefit of local access to quality care,” says board secretary Robert Wright, who was born at Gifford and now lives in Brookfield. “Gifford has been able to maintain that identity and also grow with the times, attracting highly skilled people and successfully investing in the equipment and facilities needed to provide the quality of care that people expect.”
Board members are recruited from across the community and have worked in various businesses and civic organizations. This diverse perspective keeps Gifford’s vision grounded in the community it serves, with a distinctive small town commitment to quality.
Board work is demanding, but members say learning about the hospital and participating in decisions that will shape the future of healthcare in their community is rewarding.
“It is by far the most rewarding volunteer activity that I have ever done,” says Randolph resident Randy Garner. “Gifford has shown me the model of being an actively engaged board member, and seeing the results of the board’s actions is extremely gratifying.”
Others want to give back to their community: “I joined the board because Gifford is community focused, a small town hospital that provides excellent healthcare and uses the latest technology,” says Northfield resident Linda Chugkowski. “I feel proud and privileged to be promoting the hospital during these troubled health care times.”
The job description for a Gifford board member might read: part planner, policy-maker, visionary, realist, promoter, cheerleader, and community advocate. It requires the ability to bring a pragmatist’s eye to sustaining robust primary care and a visionary’s openness to future possibilities. When asked what makes the institution unique, you’ll get the clear answer of a realist:
“Gifford is unique in that they are a small Critical Access Hospital and FQHC facility with niches that they do better than anyone else, like primary care, podiatry and sports medicine,” says Brookfield resident Carol Bushey. “They will never compete with the large hospital, but they will continue to do what they do better than anyone long into the future.”
But new possibilities and future community roles for Gifford are always part of the planning:
“I am excited to see the direction Gifford is going with the senior living community and hope that this continues to all levels so Randolph will have a place where folks can comfortably live out their lives,” says Garner. “Gifford will continue to be on the forefront of quality care with a small town feel.”