Gifford Medical Center in Randolph has been named among the nation’s top 100 performing Critical Access Hospitals by iVantage Health Analytics.
iVantage has developed what it calls a Hospital Strength INDEX and for 2014 measured 1,246 Critical Access Hospitals across the nation on 66 different performance metrics, including quality, patient outcomes and satisfaction, affordability, population health and hospital financial strength.
After weighing all of those factors, Gifford for 2014 has been named among the Top 100 Critical Access Hospitals in the nation – meaning it does well in a variety of areas as compared to its peers.
“Rural health care …. plays a vital role for communities across America, serving nearly 80 million people. The services provided in rural America are similar to those needed in any major metropolitan area, yet the volumes and economic resources provide little economies of scale, making for little benefit from scale. These Top 100 Critical Access Hospitals exhibit a focused concern for their community benefits and needs, regardless of scale, reimbursement and people’s ability to pay,” said John Morrow, executive vice president of iVantage.
Gifford was founded in 1903 and is part of Vermont’s non-profit health system. A 25-bed hospital in Randolph, it has eight outlying health centers meeting community members’ health needs where they live and work.
For the last 14 consecutive years, Gifford has met its state-approved budget and operating margin – a unique feat amid challenging economic times. At the same time, Gifford has embraced community health improvement initiatives that benefit patients, such the Vermont Blueprint for Health and by achieving Federally Qualified Health Center status.
A Critical Access Hospital is a hospital certified to receive cost-based reimbursement from Medicare. This program is intended to reduce hospital closures in rural areas, promotes a process for improving rural health care and focuses on community needs. Federally Qualified Health Centers are also nationally designated, but rather than inpatient care support outpatient primary care, including mental and dental health.
“What is interesting about this evaluation is that it looks at so many different indicators, all publicly available data, and combines them into a comprehensive evaluation. This year factors also grew to include the health of our community – a vital area where Gifford as a Critical Access Hospital and a Federally Qualified Health Center excels,” said Ashley Lincoln, Gifford director of development and public relations.
“These findings tell our community that we not only have a strong, high-quality local health care provider but that Gifford is well positioned for health care reform,” Lincoln added.
Springfield and Copley hospitals in Vermont also made the list.
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.
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.
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.
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.
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.
Members of Gifford’s breast care team pose in this file photo. They are, from left, certified breast sonographer Terri Hodgdon, certified mammogram technologist Cheryl Jewkes, board certified radiologist Dr. Scott Smith, certified breast sonographer Kim Nelson and patient care navigator Brittany Kelton.
Gifford Medical Center’s mammography and nuclear medicine departments have both been awarded three-year reaccreditations by the American College of Radiology.
The American College of Radiology calls their recognition the “gold seal of accreditation” and notes it represents the highest level of image quality and patient safety.
The accreditation is awarded only to facilities meeting American College of Radiology practice guidelines and technical standards after a peer-review evaluation by board certified physicians and medical physicists who are experts in the field. Assessed are image quality from actual patient images taken (without sharing patient names), personnel qualifications, facility equipment, quality control procedures and quality assurance programs.
Quality control procedures include daily, weekly and monthly checks of machines to determine they are functioning optimally.
Gifford submitted its records for review for reaccreditation for both mammography and nuclear medicine in January and heard back on March 26.
The recognition, says Nuclear Medicine Manager Tera Benson, tells patients “we’re dedicated to providing the best quality image.”
In addition, it ensures that Gifford is following not just what it deems the best standards for care, but national standards for care.
“We are fortunate to receive a lot of positive feedback from patients regarding the courtesy of our staff or the speed with which we complete exams like mammograms. This accreditation is a recognition of all the work that occurs behind the scenes to ensure patients not only have a great experience, but the highest quality imaging as well,” said Director of Ancillary Services Pam Caron, who praised her team’s hard work.
According to the American College of Radiology’s Web site, Gifford is one of seven Vermont facilities with an accredited nuclear medicine program. The closest other programs are larger hospitals in Burlington and Rutland, as well as Dartmouth-Hitchcock Medical Center in New Hampshire. A greater number of mammography programs are accredited.
The following is an excerpt from our 2013 Annual Report: A Recipe for Success.
The theme of this year’s Annual Report is a Recipe for Success. Without question, Gifford had that recipe in 2013! We continued to gain great recognition for what we’ve done, while taking major strides to position ourselves to do even more in the future.
In 2013, as we awaited permits for the senior retirement community, we undertook important expansions to the Kingwood and Sharon health centers. Ultimately, the senior retirement Act 250 permits and Certificate of Need were granted, making us ready to break ground for the new nursing home in the spring of 2014, with independent and assisted living options to follow. Moving the nursing home will enable us to renovate our inpatient unit, with single-patient rooms that will significantly improve health safety and comfort for patients using that facility.
In addition, we earned designation as a Federally Qualified Health Center. This will enable us to expand our core commitment to primary care, including new initiatives and collaborations to extend dental and mental health services to underserved areas.
As we have pursued these plans for the future, Gifford has continued its commitment to patient care and furthering the health of our communities. We are extremely proud that Dr. Lou DiNicola was given the Physician Award for Community Service by the Vermont Medical Society. We are delighted that Major McLaughlin was named the national Outstanding Senior Volunteer. We are humbled by the continued recognition of the Menig Extended Care Facility.
As we reflect on these accomplishments and look forward with tremendous anticipation to 2014, it is an honor for the Board to serve an organization that continually goes above and beyond. Even as we experience constant change in today’s health care environment, we have great confidence that Gifford’s ever-evolving recipe will generate success this year and for many more to come.
Joseph Woodin, Gifford’s administrator, speaks at Saturday’s Annual Meeting of the medical center’s corporators. Woodin outlined a year of success.
If there was any doubt that Randolph’s local hospital – Gifford – stands above when it comes to commitment to community and financial stability, it was wholly erased Saturday as the medical center held its 108th Annual Meeting of its corporators.
The evening gathering at Gifford featured an overview of the hospital’s successful past year, news of spectacular community outreach efforts, a video detailing employees’ commitment to caring for their neighbors and a ringing endorsement from Al Gobeille, chairman of the Green Mountain Care Board and the evening’s guest speaker.
Diane and William Brigham, corporators, arrive at Gifford’s 108th Annual Meeting.
For Gifford, 2013 brought a 14th consecutive year “making” budget and operating margin, new providers, expanded services including urology and wound care, expanded facilities in Sharon and Randolph, a designation as a Federally Qualified Health Center and all permits needed to move forward on the construction of a senior living community in Randolph Center and private inpatient rooms at Gifford.
The Randolph medical center also collected a ranking as the state’s most energy efficient hospital, an award for pediatrician Dr. Lou DiNicola, national recognition for Outstanding Senior Volunteer Major Melvin McLaughlin of Randolph and, noted Board Chairman Gus Meyer, continued national accolades for the Menig Extended Care Facility nursing home.
Al Gobeille, chairman of the Green Mountain Care Board, speaks at Gifford’s 108th annual corporators meeting on Saturday evening at the Randolph hospital.
“In the meantime, we’re faced with an ever-changing health care landscape,” said Meyer, listing accountable care organizations, payment reform initiatives and a burgeoning number of small hospitals forming relationships with the region’s two large tertiary care centers.
For some small hospitals, these shifts cause “angst.” “We like to think it brings us possibility,” said Meyer. “As both a Critical Access Hospital and now a Federally Qualified Health Center, Gifford is particularly well positioned to sustain our health as an organization and continue to fulfill our vital role in enhancing the health of the communities we serve.”
Joan Granter, left, and Irene Schaefer, corporators, arrive at Gifford’s 108th Annual Meeting.
The FQHC designation brings an increased emphasis on preventative care and will allow Gifford to invest in needed dental and mental health care in the community, Administrator Joseph Woodin said.
Gifford is but one of only three hospitals in the country to now be both a Critical Access Hospital and Federally Qualified Health Center.
“Congratulations! You’re a visionary,” said Gobeille in addressing Gifford’s new FQHC status. “It’s a brilliant move. It’s a great way to do the right thing.”
And Gifford is doing the right thing.
Gobeille was clear in his praise for Gifford’s management team and its commitment to stable budgets, without layoffs or compromising patient care.
Marjorie and Dick Drysdale, corporators, arrive at Gifford’s 108th Annual Meeting.
Gifford’s commitment also extends to the community.
In a major announcement, Woodin shared that thanks to the William and Mary Markle Community Foundation, Gifford will grant a total of $25,000 to schools in 10 area towns to support exercise and healthy eating programs.
Gifford annually at this time of year also hands out a grant and scholarship. The 2014 Philip Levesque grant in the amount of $1,000 was awarded to the Orange County Parent Child Center. The 2014 Richard J. Barrett, M.D., scholarship was awarded to Genia Schumacher, a mother of seven and breast cancer survivor who is in her second year of the radiology program at Champlain College.
The continued use of “Gifford Gift Certificates,” encouraging local spending during the holiday, invested about $40,000 in the regional economy in December. “These small stores appreciate it. It really does make a difference,” noted Woodin, who also detailed Gifford’s buy local approach and many community outreach activities in 2013, including free health fairs and classes.
The community in turn has invested in Gifford. The medical center’s 120 volunteers gave 16,678 hours in 2013, or 2,085 eight-hour workdays. Thrift Shop volunteers gave another 6,489 hours, or 811 workdays. And the Auxiliary, which operates the popular Thrift Shop, has both invested in equipment for various Gifford departments and made a major contribution toward the planned senior living community that will begin construction in May.
Outgoing Gifford board member David Ainsworth arrives with wife Peggy to Saturday’s 108th Annual Meeting of the Corporators.
The night also brought new members to the Gifford family.
Corporators elected two new of their own: Matt Considine of Randolph and Jody Richards of Bethel. Considine, the director of investments for the State of Vermont, was also elected to the Board of Trustees and Lincoln Clark of Royalton was re-elected.
Leaving the board after six years was Sharon Dimmick of Randolph Center, a past chairwoman, and David Ainsworth of South Royalton after nine years.
‘Recipe for Success’
“Recipe for Success” was the night’s theme and built around a fresh-off-the-press 2013 Annual Report sharing patient accounts of Gifford staff members going above and beyond. The report, now available on www.giffordmed.org, credits employees’ strong commitment to patient-care as helping the medical center succeed.
Taking the message one step further, Gifford unveiled a new video with staff members talking about the privilege of providing local care and the medical center’s diverse services, particularly its emphasis on primary care. The video is also on the hospital’s Web site.
Gus Meyer, chairman of Gifford’s board, honors retiring board members David Ainsworth and Sharon Dimmick.
Health care reform
Shifting resources to primary and preventative care is a key to health care reform initiatives, said a personable and humorous Gobeille, who emphasized affordability.
“We all want care. We just have to be able to afford care,” he said. “In the two-and-a-half years I’ve been on the board, I’ve grown an optimism that Vermont could do something profound.”
Gobeille described what he called “two Vermonts” – one where large companies providing their employees more affordable insurance and one where small businesses and individuals struggle to pay high costs. “The Affordable Care Act tries to fix that,” he said.
The role his board is playing in the initiatives in Vermont is one of a regulator over hospital budgets and the certificate of need process, one as innovator of pilot projects aimed at redefining how health care is delivered, and paid for, and as an evaluator of the success of these initiatives as well as the administration and legislators’ efforts to move toward a single-payer system.
Audience members asked questions about when a financing plan for a single-payer system would be forthcoming (after the election, Gobeille said), about how costs can be reduced without personal accountability from individuals for their health (personal accountability absolutely matters, he said) and how small hospitals can keep the doors open.
Gobeille pointed to Gifford’s record of financial success and working for the best interests of patients and communities as keys. “I don’t think Gifford’s future is in peril as long as you have a great management team, and you do,” Gobeille said.
Gifford’s Blueprint for Health Team has expanded to include additional mental health and addiction counselors offering one-on-one care at all Gifford primary care locations. In this file photo, from left, care coordinator Keith Marino, Health Connections (financial assistance) case worker Michele Packard and certified diabetes educator Jennifer Stratton discuss a patient at the Bethel Health Center.
In 2012 as part of the federal Patient Protection and Affordable Care Act, Gifford Medical Center completed a Community Needs Assessment.
Less than two years later, the Randolph-based medical center has already made huge strides addressing many of the needs found in that study.
In a survey of Town Meeting attendees in nine communities in 2012 plus feedback from other groups, community members’ described their priorities for a healthy community, perceived health problems and risky behaviors in the community, and their health needs or lacking services.
Among factors for a healthy community were good jobs and a healthy economy, access to health care, good schools, and healthy behaviors and lifestyles. Top health problems listed by survey respondents included addiction, obesity, and unhealthy lifestyle choices. Top health needs, or services community members have tried unsuccessfully to access, within the community were assisted living and nursing home care, alcohol and drug counseling, and dental care.
Today, Gifford is preparing to break ground in the spring on a senior living community in Randolph Center that will, over time, provide a full spectrum of housing options including the relocation of its award-winning nursing home and newly created assisted and independent living. Gifford has earned the coveted Federally Qualified Health Center (FQHC) designation, making it one of only three hospitals in the country to be both a Critical Access Hospital and an FQHC. This means expanded access to care, including dental and mental health care. And the medical center’s Vermont Blueprint for Health Team has greatly expanded over the past year to include more mental health and addiction counselors, providing services at all Gifford primary care locations.
Among Gifford’s free community services is a chronic illness support group. Here Gifford pharmacist Jane McConnell provides medication advice to past participants.
“Each of these major initiatives, which have taken substantial work, targets an identified community health need. Meeting these needs and addressing the community’s feedback defines the future of Gifford and its expanding role,” says Ashley Lincoln, director of development and public relations at Gifford.
The Community Needs Assessment process is required every three years, but Gifford’s efforts are ongoing. The medical center continually provides community outreach initiatives to meet care needs, many of which are offered for free. These include classes, support groups, and health fairs. Additionally, many initiatives support local economic health, including a buy local approach.
The medical center also continues community outreach daily through a boots-on-the-ground approach that has Blueprint Community Health Team working directly with individuals and community organizations to address health and socioeconomic needs, particularly for the chronically ill.
“The Blueprint for Health is a statewide initiative. Gifford has placed extra focus on meeting community members’ needs so they can successfully manage their health,” says Blueprint Project Manager LaRae Francis. “This approach means not waiting months or years for needs to be determined, but matching resources and needs today to create an ongoing healthier community for all.”
A grant from through the Vermont Department of Health helped support the costs of the 2012 report. The full report is available on Gifford’s website in the “About Us” section under Community Reports.
RANDOLPH – Nonprofit community organizations have an opportunity to apply for a $1,000 grant.
Gifford Medical Center is seeking applications for the annual Philip D. Levesque Memorial Community Award – a grant established in memory of the hospital’s late administrator.
Applications for the $1,000 grant are due to the hospital by Feb. 17.
The grant was established by Gifford’s Board of Trustees in 1994 in memory of Levesque, Gifford’s beloved president and chief executive officer from 1973-1994.
The award is given annually to an agency or organization involved in the arts, health, community development, education, or the environment in Gifford’s service area in recognition of Levesque’s commitment to the White River Valley.
“Phil was an admired leader who was dedicated to community service and improving our area. We’re excited to be able to carry on his legacy through this grant, and encourage community organizations to apply,” said Ashley Lincoln, Gifford director of development and public relations.
The hospital first awarded the grant in 1995. Past recipients include the Rochester Area Food Shelf; the South Royalton School’s Recycle, Compost and Volunteer Program; the Bluebird Recovery Program; Kimball Library in Randolph; Bethel’s Project Playground; Chelsea’s Little League field; the Rochester Chamber Music Society; the Royalton Memorial Library; the Tunbridge Library; the White River Craft Center; Safeline; Interfaith Caregivers; the Chelsea Family Center; the Granville Volunteer Fire Department; the Quin-Town Center for Senior Citizens in Hancock; and The Arts Bus Project.
A committee of hospital staff and Levesque’s family will review the applications and choose a winner. The announcement of the grant recipient will be made at Gifford’s Annual Meeting in March.
Contact Lincoln at (802) 728-2380 or firstname.lastname@example.org for application guidelines, or click here. Send completed applications by Feb. 17 to The Philip D. Levesque Memorial Fund, Gifford Medical Center Development Office, 44. S. Main St., Randolph, VT 05060.
For a 14th consecutive year, Gifford Medical Center in Randolph has completed its fiscal year “in the black” and on budget.
Gifford Administrator Joseph Woodin made the announcement to staff on Friday following a detailed auditor’s review of the hospital’s 2013 fiscal year finances. The fiscal year ended Oct. 31.
Specifically, the medical center achieved both its state-approved budget and operating margin. An operating margin is the money the medical center makes above expenses – usually by 2 to 3 percent – to reinvest in programs, staff and facilities.
Achieving the operating margin can be an indicator of an organization’s success. “No margin, no mission” is a saying often used within non-profits. Gifford has made both its budget and margin each of the last 14 years – a major feat among Vermont hospitals. Continue reading →
RANDOLPH – Emergency medicine physician Dr. A. Nicole Thran has joined Gifford Medical Center full-time, providing care in the Randolph hospital’s 24-hour Emergency Department.
A native of New York City, Dr. Than attended Tufts University in Medford, Mass., earning her bachelor’s degree in biology. She went on to medical school at Vanderbilt University in Nashville. Her internship and residency in emergency medicine were at the University of Massachusetts in Worcester.
Dr. Thran has worked in emergency medicine since 1991 at hospitals in Connecticut, Virginia, Rhode Island, Oklahoma and, since 2012, in Vermont at Rutland Regional Medical Center and Brattleboro Memorial Hospital. There she was what is known as a locums tenens physician. Continue reading →