Susan Tubens, PA-C, has joined Twin River Health Center’s team, adding primary care to their patient-centered urology and OB/Gyn practices.
In 27 years as a physician assistant, Tubens has cared for patients with medical needs ranging from trauma to ongoing primary care. She and her husband, Gifford Obstetrician/ Gynecologist Sean Tubens, moved from Florida to Bethel, Vermont, after searching for a small and friendly community where they could practice medicine and enjoy the outdoors.
Primary care is a special interest of Tubens, who notes that an ongoing relationship with a provider who knows a patient’s health care goals and history can help them stay healthy. A strong believer in preventative medicine, she looks forward to caring for families in the White River community.
Tubens is currently seeing patients at the Twin River Health Center on North Main Street in White River Junction. Call 728-2777 to schedule an appointment today.
Materials clerk Tina Brady uses a new handheld scanning device to quickly inventory supplies on one of many carts located throughout the medical center. The device is a gift from the Gifford Medical Center Auxiliary and greatly improves the department’s efficiency.
The Gifford Medical Center Auxiliary is turning Thrift Shop earnings into major support for the community’s local hospital.
The Auxiliary has funded more than $19,000 worth of “wish list” equipment requests spanning multiple departments at the hospital and greatly benefiting patient care.
Lending library books for the Cardiac Rehabilitation Program
Multiple pieces of equipment, from IV poles to portable oxygen saturation monitors to cardiac chairs for the inpatient hospital units
A handheld scanning device for the medical center’s Materials Management Department
Pulse oximeters for primary care offices
Play equipment and furniture for The Robin’s Nest Child Enrichment Center
Lead shield aprons for the Sharon Health Center
A changing table and digital scale for the Twin River Health Center
The Auxiliary historically has awarded “wish list” items to the hospital, meaning departments put their wishes in the form of funding requests to the Auxiliary. Auxiliary board members review the list and award what they can. This round the board fully funded the “wish list.”
Materials Management was granted a “wish list” item for the first time in memory. The scanning device is used to inventory supplies around the medical center, explained department supervisor James Shodunke Jr. It replaces a 15-year-old unit that didn’t meet the department’s needs, so staff had been taking notes with pen and paper.
As a staff member counts supplies around the medical center with the new device, which the department had been trialing, prints a report back in the materials holding area showing supply needs, meaning other staff members can immediately begin filling that supply order. The change in the busy department means a task that previously could have taken an hour and 15 minutes now takes less than 30 minutes.
“It greatly improves our efficiency and expedites the restocking process, which reduces interruptions in patient care,” Shodunke said.
Gifford’s inpatient unit received the bulk – $11,500 – of this round’s funding.
“The staff and nursing leadership of Howell Pavilion (Gifford’s inpatient unit) are very thankful for the extremely generous grants given by the Auxiliary. Many patients will benefit from the numerous requests, such as sturdier chairs for patient rooms, electronic vital sign monitoring system and alternative treatments for pain. The gifts will be a big help for both patients and staff. We would like to thank the Auxiliary for all of their hard work and support by granting our many requests,” said Alison White, vice president of patient care services.
Auxiliary board members Ruth Lutz, treasurer, and Nancy Gray, historian, walked around the medical center on Wednesday making in-person announcements to department staff that they had been funded.
Lutz was excited by the response from the departments. “They were so pleased,” she said.
Gray found the experience rewarding because of the inside look she got at the medical center and its many, diverse services.
But Lutz and Gray were quick to point out that it wasn’t they who were making the gift to the medical center, but rather the full Auxiliary and all who shop at the Thrift Shop. “We’re so fortunate to be able to do this because of what the Thrift Shop brings in,” Gray said.
The following was published in our 2012 Annual Report.
Reflections on the past remind us of our roots and of how health care has changed in the past decades. Chief among those is the increasing role mid-level providers, such as nurse-midwives, nurse practitioners, and physician assistants, play in health care. Today, we have diverse physician-led health care teams in every area of medicine to encourage and support wellness.
Mid-level providers are extremely instrumental at birth, during hospital stays, in the primary care setting, specialty clinics, and even for our surgical patients. This team approach to care improves provider access and quality of care.
At Gifford, we are transitioning with great success to a team-based approach and are taking steps to ensure continued access to high-quality health care.
In 2012, some of those steps included new radiology services and technology, such as more interventional offerings, an upgraded 64-slice CT scanner, and a fluoroscopy room.
The midwifery team has expanded to the Twin River Health Center in White River Junction. Gifford’s approach to obstetrics and gynecology has grown to include more complicated cases.
The Blueprint Community Health Team has expanded and behavioral health is increasingly a part of Gifford’s offerings. Thanks to a generous gift from the Auxiliary, new CarePoint EKG transmission technology is available between our Emergency Department and ambulance services to identify heart attacks in the field and determine the best and fastest course of treatment.
Urology offerings have also grown and the Cancer Committee continues to expand. The Sharon Health Center sports medicine team has welcomed a nurse practitioner and second chiropractor.
These improvements are examples of the changes and quality upgrades we, as part of the health care team, can affect in an institution of the size and mindset of Gifford for the betterment of the community. Meld these improvements with Gifford’s foundation of patient care and advocacy, and we have a formula for success for decades to come.
Ovleto Ciccarelli, MD, Surgery Division
Martin Johns, MD, Hospital Division
Joshua Plavin, MD, MPH, Medicine Division
Our 2012 Annual Report included a month-by-month “Year in Review” section. Here is the third quarter excerpt.
Gifford’s first in a summer-long series of concerts in the park is led by Dick Ellis and the South Royalton Band.
Experienced certified nurse-midwife Ellen McAndrew returns to Gifford, expanding midwifery care to the Twin River Health Center in White River Junction.
Anesthesiologist Dr. Nazek Shabayek joins the surgery team. She previously practiced for more than 25 years in Tennessee and Connecticut.
Gifford holds the 1st Annual Randolph Antique and Artisans’ Fair in the park.
A Babysitter’s Training Course in The Family Center teaches youth how to be safe, responsible, and successful babysitters.
With the addition of Gifford nurse practitioner Sheri Brown, the Gifford Health Center at Berlin begins offering family care in addition to midwifery, orthopedics, podiatry, and soon neurology.
Family nurse practitioner Andrea LaRosa joins the Sharon Health Center sports medicine team.
A “Home Alone and Safe” course in The Family Center helps children ages 8-11 be better prepared for home-alone situations.
A one-night CPR class is offered to family and friends of infants and children, with subsequent classes in November and February.
The seventh annual Last Mile Ride, held on the third Saturday in August, raises $54,000 for end-of-life and advanced illness care. The ride, which this year also includes a 5K, attracts 225 motorcyclists, 60 runners/walkers, and 20 cyclists.
Free classes are offered and soon a support group starts for the state’s many home caregivers.
Healthier Living Workshops – free six-week classes for the chronically ill – are offered through the year at Gifford. A new workshop focuses on chronic pain.
Chiropractor Dr. Andrea Kannas joins the Sharon Health Center’s sports medicine team.
Certified Diabetes Educator and Registered Dietitian Jennifer Stratton strives to help those on a budget better grapple with eating healthy during a free talk titled “Eating Right When Money’s Tight”. The talk is followed up with visits to the grocery store and local food shelf, where Stratton offers hands-on shopping tips.
The medical center once again ends its fiscal year on budget and having met its state-approved operating margin. It is the 13th consecutive year of fiscal success. This feat is unique to Gifford and representative of its teamwork and commitment to care.
Our 2012 Annual Report included a month-by-month “Year in Review” section. Here is the second quarter excerpt.
To support patient needs, the Blueprint team grows to include a behavioral health specialist (social worker) and a second care coordinator.
Gynecologist Dr. Ellamarie Russo-DeMara of the Bethel and Twin River health centers leads a free women’s health talk at the Montshire Museum on menopause and genetic testing for breast and ovarian cancers.
Gov. Peter Shumlin visits the Menig Extended Care Facility to offer thanks to the state’s top nursing home, calling it a “tribute to the community”. “We’re proud of you. Thank you from the bottom of our hearts,” the governor said to residents, families, and staff members. The governor’s visit came in the wake of the U.S. News Report “2012 Honor Roll” listing.
Joining Gov. Shumlin are Vermont Disabilities, Aging and Independent Living Commissioner Dr. Susan Wehry, Vermont Health Care Association Executive Director Laura Pelosi, Division of Licensing and Protection Director Suzanne Leavitt, and Assistant Director Fran Keeler.
Gifford provides free assistance with advance directives in conjunction with National Healthcare Decisions Day.
Gifford’s more than 200 volunteers are honored with a luncheon served by hospital managers, prize awards, musical performances, and more.
Dr. Sandy Craig joins the hospitalist team, having previously practiced at The Health Center in Plainfield for many years.
Employees raise $455 for the March of Dimes by donning “Blue Jeans for Babies”. At the same time, the Vermont Chapter of the March of Dimes recognizes Gifford with a Leadership Legacy award for its commitment to prenatal, birth, and newborn care, and its support of the non-profit organization working to prevent birth defects, premature births, and infant mortality.
Long-time pediatrician Dr. Lou DiNicola receives a national award for his work around childhood immunizations.
Dr. DiNicola is recognized by the Centers for Disease Control and Prevention’s National Center for Immunization and Respiratory Diseases and the CDC Foundation as the first ever “CDC Childhood Immunization Champion” for the state of Vermont.
Ob/gyn Dr. Anne Galante joins the women’s health team full-time. She had worked as a locum tenens, or part-time contracted, provider at Gifford since 2009.
Menig residents celebrate a “Day of Play” with representatives of the Vermont Department of Disabilities, Aging and Independent Living. The day celebrated Older American’s Month and included a scavenger hunt.
The Robin’s Nest Child Enrichment Center holds its annual preschool graduation, complete with caps and gowns.
Gifford and Valley Rescue Squad Inc. move forward with the formation of a new non-profit aimed at stabilizing ambulance costs and maintaining or improving quality through a new non-profit to be called Supporting Ambulances for Vermont Emergencies (SAVE).
A free men’s health talk by general surgeon Dr. Ovleto Ciccarelli and urologist Dr. Richard Graham address colorectal health, prostate cancer, and erectile dysfunction.
For an eighth consecutive year, the Menig Extended Care Facility receives a Nursing Home Quality Recognition from the Vermont Department of Disabilities, Aging, and Independent Living.
A free talk on Medicare insurance, why it’s important, why participating in Medicare Part B is beneficial, and what one’s choices are under Medicare Part D is offered.
The Commission on Cancer of the American College of Surgeons grants accreditation with commendation to the cancer program at Gifford. Gifford’s cancer program, which includes outpatient chemotherapy, has been accredited since 1965.
Family nurse practitioner Emily LeVan joins the Bethel Health Center.
Gifford is awarded a Hospital of Choice Award from The American Alliance of Healthcare Providers for “courteous, compassionate, and caring services for patients, family, and the community.” The ranking places Gifford among “America’s most customer-friendly hospitals”.