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.
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.
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.
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.
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.
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.
Experienced nurse leader Alison White has joined Gifford Medical Center as its vice president of patient care services – a role that oversees the Hospital Division, including inpatient care, the Birthing Center, ob/gyn and midwifery practice, Emergency Department, nursing home and Adult Day Program.
A graduate of the bachelor’s degree nursing program at the University of Vermont and the master’s degree health care administration program at Independence University in Utah, White has spent her career in nursing and then nurse leadership.
Her nursing career focused on cardiac and dialysis patients – populations she loved because of the relationships formed with patients. “They grow to be your family,” she says.
White went on to serve as director of care management at Central Vermont Medical Center (CVMC), the director of regional care management and quality improvement for the Dartmouth Hitchcock Alliance, the director of clinical outcomes at CVMC and most recently vice president of quality, chief nursing officer and patient safety office at the Berlin-based hospital.
A motorcycle accident in August that nearly took her life left White reevaluating her priorities, however. She was seeking a better work/life balance, and says she has found that at Gifford.
“I felt like I hit the jackpot,” says White, who joined Gifford earlier this year. “The people are so open and warm and helpful and genuine, really genuine. Team comes through. It has a feeling of family. It doesn’t have a feeling of ‘corporateness,’ but at the end of the day the job gets done.
“I’m just so grateful to be here. I look forward every day to coming in.”
White succeeds Linda Minsinger, a long-time vice president who has transitioned to a new role: executive director of Gifford’s retirement community that will soon be under construction in Randolph Center and requires substantial planning.
“I think Alison is a great opportunity for Gifford’s Hospital Division. She comes with expanded current knowledge in the health care field and quality. I feel she will provide the staff and leaders with a new and different view of their roles,” says Minsinger, who is equally enthusiastic about her new role, which in part develops not just a community, but a culture “to ensure the residents and staff are happy and enjoy all the activities and opportunities that are offered.”
White lives in Barre with her husband Paul, a Vermont State Police captain. They have two children, Catie, 21, and Jeffrey, 18. White enjoys photography, volunteering at her church, serving on the Central Vermont Home Health and Hospice board and traveling in her free time.
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.
In between birth and death there is a dash. You know: the diminutive line on a tombstone or obituary indicating all those years of life between birth and death.
Linda Morse made “The Dash” famous in a poem by the name that challenges us to reflect on how we live our dash.
On Dec. 5, Gifford Medical Center picks up the discussion with “The Dash: Quality of Life Matters.”
The free discussion open to all is a continuation of last winter’s popular education series on death and dying and reopens a new series expected to last into the spring, explains organizer Cory Gould, a mental health practitioner and member of Gifford’s Advanced Illness Care Team.
The talk will include interviews with pre-selected participants on their quality of life. For example, Dr. Daniel Stadler, assistant professor of medicine and an internist with special interests in geriatrics and palliative care at Dartmouth-Hitchcock Medical Center, will interview a woman in her 90s about her life experiences.
Other discussion points during the 5-6:30 p.m. event will focus on:
What do we mean by “quality of life?”
How do you measure it?
Is your quality of life different than someone else’s quality of life?
Does quality of life change over time?
How does one’s quality of life relate to the quality of one’s death?
“There’s a truism that’s been repeated over and over again and that is that people die as they lived,” says Gould. “We want to involve participants in a discussion of the question: ‘What gives life meaning for you?’”
Following this free talk, other talks are planned on advance directives; what dying looks like; a “death café” or open discussion about death; and a discussion on death with dignity versus assisted suicide.
Speakers will explore the concepts but there will be ample opportunity for group discussion and sharing.
Last year, the popular series included sessions on starting the conversation of end of life and preparing for death, such as through Advance Directives; what is a “good” death; and various aspects of grief.
Prior attendance at discussions is not required and all are welcome.
No registration is required for this free educational discussion. Gould can be reached at (802) 728-7713 to answer questions.
The talk will be held in the Gifford Conference Center. The Conference Center is on the first floor of the hospital and marked with a green awning from the patient parking area. For handicapped access, take the elevator from the main lobby to the first floor. For directions to the medical center and more, visit www.giffordmed.org.
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 →
Gifford Medical Center’s plans to create a senior living community in Randolph Center and renovate the Randolph hospital to have private inpatient rooms cleared a final permitting hurdle Thursday when it earned Certificate of Need approval from the Green Mountain Care Board.
The 5-0 decision was the final approval needed for the project to move forward.
“We’re ecstatic. This project has been years in the making and we’re excited to be moving forward. Our community is in dire need of more senior care and housing options and patients will benefit from the private room model, which is proven to enhance patient safety and satisfaction,” said Gifford Administrator Joseph Woodin, who was on hand in Montpelier Thursday to hear the board’s unanimous vote.
As part of the project, Gifford will move its 30-bed, award-winning nursing home, the Menig Extended Care Facility, to 30 stunning acres in Randolph Center. When the new nursing home is built, current nursing home rooms at the downtown medical center will be converted into private hospital rooms.
Independent and assisted living options will be added over time in Randolph Center to create a vibrant senior living community. Up to 150 total units are planned. The project’s first phase calls for the reconstruction of the 30-bed nursing home and a 40-unit independent living facility. Later phases, including 60 more independent living units and 20 assisted living units attached to the nursing home, are spread over 20 years.
Faced with facility constraints and a great number of inefficient older buildings in its downtown location, Gifford has been planning for this project for years. Many options were considered, including rebuilding the entire medical center. Looking at the most affordable, least disruptive option, the hospital finalized its plans in 2011 and filed for Act 250 approval under select criteria on Oct. 3, 2011.
Significant discussions on the use of “prime agricultural soils” for the development delayed discussions and approval on those criteria did not come until Jan. 3 of this year. Full Act 250 approval was sought on April 2, 2013, and awarded Aug. 13. Randolph Development Review Board approval also came earlier this year.
The hospital first filed its Certificate of Need application on Oct. 3, 2012. After the initial detailed review, Gifford resubmitted a revised application in May. A final hearing was held just last month on Sept. 26 and a verbal decision issued on Oct. 10.
A written decision was released late Monday. In it, the board finds the project has met all Certificate of Need criteria, including regarding cost, need, quality and access, and public good. “Gifford has demonstrated that the project serves the public good by enhancing services, improving quality of care and increasing customer satisfaction,” the five-member board wrote.
“We appreciate the Green Mountain Care Board’s thoughtful review and support of this project. The board clearly saw the need and the vision. Due to this decision, we will soon be able to better meet the needs of our community,” said Woodin, who also thanked community members for their support.
“It’s very exciting for all of us, for the staff, for the residents of Menig as well as those who will live in independent and assisted living. Thank you very much for the time, effort and all of the work folks have put into this.”
The hospital plans to begin construction on the Randolph Center nursing home in the spring.
95-year-old Major Melvin McLaughlin warmly celebrated
From left, Patrice Thabault of Home Instead Senior Care presents 2013 Outstanding Senior Volunteer Major Melvin McLaughlin and Gifford Administrator Joseph Woodin with a $5,500 in recognition of McLaughlin to support a charity of his choice, Gifford.
Randolph’s Maj. Melvin McLaughlin has spent more than 40 years selflessly volunteering at his local medical center, Gifford. On Wednesday that volunteerism was recognized – big time.
The 95-year-old retired U.S. Marine, fondly known as “Major,” was named the country’s 2013 Outstanding Senior Volunteer by Home Instead Senior Care.
Home Instead is the world’s largest provider of non-medical, in-home care services for seniors. Last year it launched the Salute to Senior Service Contest to recognize senior volunteerism.
Nominated by the staff at Gifford for his daily visits to the hospital, McLaughlin was named the Vermont winner of the contest last month and on Wednesday at noon at Gifford in Randolph was recognized as the national winner.
“Home Instead wants to encourage a positive outlook on aging,” Vermont franchise owner Patrice Thabault noted in presenting the award. “The Major and other (senior) volunteers are really changing the face of aging in the United States.”
With the recognition came a $5,500 check ($500 as the state winner and $5,000 as the national winner) from Home Instead to Gifford, the charity that McLaughlin chose to recognize with his award.
Representatives of VA Medical Center, from left, Chief of Voluntary Services Karen Campbell and Patient Services Manager Wendy DeCoff, present 2013 national Outstanding Senior Volunteer Major Melvin McLaughlin of Randolph with a Courage of Valor award. The award is for World War II veterans who are VA patients.
The gifts didn’t stop at the national recognition, however.
Hearing about McLaughlin’s honor, VA Medical Center Chief of Voluntary Service Karen Campbell attended Wednesday’s presentation to honor McLaughlin, a long-time VA patient, with its Courage of Valor award.
“They don’t necessarily have the time, but they always have the heart,” Campbell said of volunteers, “and, boy, do you have that.”
Fran Keeler of Vermont Department of Disabilities, Aging and Independent Living (DAIL) read a letter of commendation from DAIL Commissioner Susan Wehry. “Your more than 40 years of dedicated service … is appreciated. You’re an inspiration to us,” Wehry wrote.
Sen. Bernie Sanders sent his own letter of congratulations, thanking McLaughlin “for demonstrating such generosity and goodwill over the past four decades.”
Sen. Patrick Leahy sent McLaughlin a flag that had flown over U.S. Capitol.
And Gifford Administrator Joseph Woodin unveiled a granite plaque anonymously donated and featuring the words McLaughlin says to each patient, nursing home resident, and staff member he visits at Gifford: “Has anyone today told you that they love you?” McLaughlin then answers, “God does and I do too.”
The plaque of Barre granite now sits in the hospital’s visitors’ entrance as a permanent fixture for all to see.
Major Melvin McLaughlin, the nation’s 2013 Outstanding Senior Volunteer, is surrounded by his three daughters, from left, Sally Truckenbrod of Bethel, Nancy Stevens of Raleigh, N.C., and Audrey Rhoades of Washington, N.H. The daughters surprised him by all attending a July 3 celebration of McLaughlin’s national recognition. It is the first time the family was all together since McLaughlin’s wife’s passing almost four years early to the day. She died on July 4 and was a resident of the Menig Extended Care Facility at Gifford, where McLaughlin still volunteers.
McLaughlin first moved to Randolph in 1967 after retiring from 25 years with the U.S. Marines, serving in World War II, Korea, and the infancy of Vietnam. He built a home and a second for one of his daughters, Sally, and then found himself with free time. He started volunteering at Gifford on Thursdays, delivering the local newspaper to patients.
Later, he took patient meal orders on a clipboard and then several years ago began making general rounds seven days a week, visiting with patients and staff alike, offering his telltale phrase of love, plenty of hugs, a positive attitude, and plenty of gratitude.
Woodin called that gift of love an intangible, but a powerful gift that anyone can afford. The fact that that gift and lesson on experiencing love comes from a tough Marine makes it all the more powerful.
Woodin sought to return the favor by asking the large crowd in attendance at Wednesday award announcement to honor McLaughlin with a warmly and loudly delivered, “We love you, Major.”
“My cup runneth over,” Major said in response, encouraging all in attendance to live each day with only gladness, no shame. “Thank you, Lord, for your blessings. I am a rich man.”
Read much more about McLaughlin on the Salute to Senior Service Web site, www.salutetoseniorservice.com, and look for him in Thursday’s Randolph Fourth of July Parade. He is the grand marshal.
RANDOLPH – At some point in life, driving may become more challenging or perhaps too challenging. “Keeping the Keys” is a free workshop by AAA that offers tips for safe driving longer. And Gifford Medical Center is bringing the talk to the Randolph area.
AAA Northern New England traffic safety specialist Rayette Hudson of Maine will offer the free workshop on June 18 in the Gifford Conference Center from 5-6:30 p.m.
Gifford Blueprint Project Manager LaRae Francis helped organize the talk. The talk is being held during Safe Driving Month.
The discussion targets drivers ages 50 and over as well as families of aging drivers. Discussed will be adjusting to natural changes in driving ability, keeping driving skills sharp and safe driving as long as possible.
“Everyone ages differently,” notes Francis. “Just because you hit a certain age, it doesn’t mean it’s time to take away your keys. But what are some signs to look for? How do you prolong safe driving? How do you choose a car for a senior?”
According to data from AAA, older drivers are actually among the safest drivers. They’re less likely to speed, less likely to drive after drinking, more likely to wear their seatbelts and avoid high risk driving situations, such as driving at night or in poor weather conditions.
Increasing age, however, is generally associated with a decline in functional abilities, such as vision and reaction time. An increase in medical conditions and consequently the number of medications taken can also both impact driving abilities.
Statistically, older drivers have lower crash rates per miles driven than young drivers. But because of their fragility, drivers age 85 and older are more likely to be involved in fatal accidents.
While the goal of the talk is to keep drivers on the road as long as possible to maintain quality of life and independence, the talk will open the door to discussions on when it is time for some drivers to relinquish the keys, Francis notes.
To join the discussion, register with Zach Bean at the Kingwood Health Center at 728-7100, ext. 6, by June 14.