25 new inpatient rooms offer privacy, supportive environment for faster healing
Gifford Medical Center celebrated the opening of 25 new private inpatient rooms on December 17, 2015. The new unit brings an upgraded standard of inpatient care unusual for a small community hospital in Vermont.
“It really is amazing that a health care facility of our size can provide this level of modern care to our community,” Administrator Joseph Woodin told a group of supporters gathered for an opening ceremony. “The private room model is now standard for new construction, but renovating older units is often expensive and takes years to complete. We began planning for this nearly ten years ago, and have been able to complete our project on time, on budget, and with very little disruption for patients and staff.”
Private rooms reduce infections and stress, allow medical teams to bring technology and service directly to the bedside, and give patients the privacy they need for bedside consultations and family visits. This model of care has been shown to improve sleep, reduce stress, promote healing, and shorten hospital stays.
Careful planning, creative use of existing space, and input from staff throughout the construction process allowed the hospital to incorporate important upgrades to the new inpatient unit including:
• Two larger rooms for patients unable to move easily have overhead lifts that can glide into special in-room showers to accommodate bathing
• Two isolation rooms with an enclosed entry can be used for patients with airborne infections
• Two end-of-life care rooms open onto a courtyard garden and have adjoining space for visiting family members and friends
• A physical therapy room with outside access allows recovering patients to practice getting in and out of cars before leaving for home
• New wound-care tub room
• Centralized nursing station to promote teamwork and promote better communication
• Comfortable family waiting room with furniture that extends to accommodate sleeping
• A restful décor with paintings and photographs by local artists, gentle lighting, and hallway visitor hand-washing stations.
The long-term strategic planning behind this project began nearly fifteen years ago, when a new addition was built to house Menig Extended Care. Because it was built to hospital (not nursing home) standards, that space could be converted into the new private rooms when the Menig Nursing Home relocated to a new building in Randolph Center last spring.
The new Menig Nursing Home and private patient rooms are part of a three-phased project supported by the “Vision for the Future” capital campaign. The last phase of renovations will create a new centrally located Birthing Center, scheduled to open in June 2016.
“This is the largest fundraising effort in Gifford’s 112-year history. Thanks to generous community support and our dedicated volunteer campaign steering committee, we are $800,000 from our $5 million campaign goal,” said Development Director Ashley Lincoln. “Years of creative planning and good fiscal stewardship made it possible for us to create industry standard private rooms, respond to a real need for senior housing, and upgrade our popular Birthing Center in this one project. It has been so satisfying to see the finished projects open and operating this year!”
On December 18th, every employee on Gifford’s main campus arrived to find a bag filled with four homemade cookies and a homemade caramel, either waiting on their desk or hand-delivered by an amazing Christmas spirit wearing a bright red reindeer nose.
Katelyn Duprey, a RN on HP, worked the night shift last night. After her shift ended, she pushed a cart overflowing with treats to every section of the hospital, making sure she left a bag for each staff member.
It took 48 batches of cookie dough and 7 batches of caramel to fill the 465 bags. Duprey and her mother Gloria started baking on Monday morning, helped by two friends, and they finished filling the last bag at 3 p.m. on Thursday afternoon.
“I made up all the cookie dough in advance and we worked on a rotation system,” she explained. “Two trays of cookies in the oven, two trays cooling, and 2 trays lined with dough, ready to bake. “
Duprey began working at Gifford just before Christmas in 2013. Last year she made Christmas cookies for her co-workers on the HP/TCU units, adding extras for others in the hospital.
“I thought I gave out cookies to the entire hospital last year, but then I realized this year there were so many more here on the main campus!” she said. “So I counted up all the employees on the address book to make sure I had enough.”
“This tastes like Christmas in a cookie!” lab technician Susan Gallagher said, as she helped with the distribution cart Friday morning.
Duprey says comments like this, and the surprised reaction of people receiving an unexpected “goodie bag”, makes all the work worthwhile.
She said by far the best reaction this year came from Administrator Joe Woodin, who was uncharacteristically at a loss for words when given his gift.
“He just stood there looking at all the bags and saying, “Impossible! Impossible!” Duprey said.
Barbara E. Quealy, RN, MBA, has joined Gifford Medical Center’s senior leadership team as Chief Operating Officer (COO). She will lead Gifford’s hospital-based operations and report directly to Administrator Joseph Woodin.
“We are very happy to have Barbara join our Gifford team,” said Woodin. “Because of her early experiences as an RN, and in key leadership positions in small critical access hospitals, she understands how important collaboration and communication is to delivering quality patient care.”
Quealy was most recently vice president of Physician and Ancillary Services at the Huggins Hospital in Wolfboro, NH, where she oversaw the operations of the primary care and specialty practices, medical imaging, cardiopulmonary, laboratory, and rehabilitation departments. Previously she was vice-president of Physician Services at Monadnock Community Hospital in Peterborough, NH.
A Boston native, she began working as a candy-striper when she was fourteen, worked as a nurses’ aide through high school and college, and worked for 10 years as an RN in intensive care, cardiac care, and cardiac rehab units before moving into hospital administration. Quealy says she was attracted to Gifford’s commitment to community and strong financial performance, and because she could be an administrator and still interact with patients and their families.
“I began my career in nursing and learned early on the importance of these relationships. Because of this I’m able to bring the patient care conversation to the highest levels of an organization,” she said. ´“At Gifford I’ve been especially impressed by the attention to patient care, and the team work and collaboration I see in all areas of the organization.”
Quealy recently served as vice president of the NH Medical Group Management Association. She received a Masters of Business Administration at Franklin Pierce University, an Associates of Science in Nursing at North Shore Community College, and a Bachelor of Arts at Boston College.
Her new position at Gifford brings her closer to family (one of her two grown sons lives in St. Albans, VT), and she says she immediately felt comfortable here. She and her husband have already purchased land in Randolph, where they are building a home.
Exhibit Features Art and Photographs by Joann and Lou DiNicola
Provided courtesy of artist; “Lincoln Farm Pumpkins,” by Randolph artist Joann DiNicola
An exhibit of works by artist Joann DiNicola and photographer Lou DiNicola is on display through January 6, 2016, at the Gifford Medical Center art gallery.
Joann “Rig” DiNicola taught art in the public schools for 29 years and now works out of The Arte di Luna Studio in Randolph. She is a signature member of the Vermont Watercolor Society and a member of the Northern Vermont Artists Association, the Valley Arts Foundation, and the Bryan Memorial Gallery in Jeffersonville, VT
“Portraits of people, animals, and old vehicles are favorite subjects for me, but I am always on the watch for inspiration wherever it may be found,” she said. “I work in a variety of media: transparent watercolor, pastels and acrylic paint, and photography.”
Provided courtesy of artist; “Waiting,” by Randolph photographer Lou DiNicola
Lou DiNicola, who is also a pediatrician at Gifford, had his first camera at 13 and has been taking pictures ever since. After moving to Vermont in 1976 to begin his career in medicine, he continued with photography in his spare time. For more than 40 years he worked with film, mostly in landscape and nature photography, but now works exclusively in digital format.
“With digital format I have control over the entire process, and in composing, editing, printing, and framing I can present something that is my own work,” he said. “My passion is to use my camera to capture a moment in time that will linger in the minds of the viewer, hopefully evoking a renewed sense of wonder of the world around us.”
This exhibit is free and open to the public, and will be displayed through January 6, 2016. The gallery is located just inside the hospital’s main entrance at 44 S, Main St. (Route 12) in Randolph. Call Gifford at (802) 728-7000 for more information.
Emergency medicine physician Dr. Scott Rodi has been appointed Gifford Medical Center’s Emergency Department and Hospital Division Medical Director.
For the past 15 years Rodi has worked at Dartmouth-Hitchcock Medical Center, where he has been the Medical Director and Section Chief of Emergency Medicine. He is Associate Professor of Medicine at the Geisel School of Medicine, and since 2007 has also worked part-time in Gifford’s Emergency Department.
“I came to Gifford initially because I wanted to work in a rural community hospital and to work more directly with patients, which was difficult in a teaching hospital,” Rodi said. “Gifford’s community focus resonates with me, and I enjoy working with an administration that is so accessible.”
A native of San Diego, CA, Rodi first came to the East Coast to attend Dartmouth College, where he earned a Bachelor of Arts (BA) in Biology. He went on to Cornell University Medical College, where he earned an MD, and then returned to Dartmouth‘s Center for Evaluative Clinical Sciences for a Master of Public Health. He completed his residency in Emergency Medicine at UCLA Medical Center, and trained in Orthopedic Surgery in the Hospital for Special Surgery in New York, and in General Surgery at Cottage Hospital in Santa Barbara, CA.
While at Dartmouth Rodi founded the Center for Rural Emergency Services and Trauma (an outreach program aimed at Critical Access Hospital Emergency Departments) and was involved in the early development of tele-emergency medicine. He has been named New Hampshire Magazine’s Top ED Doctor annually since 2010, and his clinical interests include emergency department management, rural emergency care delivery, and telemedicine.
Dr. Rodi comes from a long line of doctors (his father, grandfather, and great-grandfather were all physicians), and said because of this it seemed inevitable that he would practice medicine: “I saw that it offered opportunities to do meaningful work and be steadily employed.” Married with three daughters, he lives in Lyme NH, where he is currently working on building an Annapolis Wherry rowing shell.
Anesthesiologist Anthony Fazzone, M.D., M.S. has joined Gifford Medical Center in Randolph. He brings nearly 20 years of experience and has worked at several area hospitals, including the University of Vermont Health Care System, Springfield Hospital, and the Catholic Medical Center in Manchester, NH.
Dr. Fazzone attended Georgetown University (where he earned his M.D. and a master of science in Physiology) and received a master of science in Human Nutrition from Columbia University. He completed his residency in Anesthesia at Fletcher Allen Health Care, and residencies in Surgery at Abington Memorial Hospital and Dartmouth-Hitchcock Medical Center.
Board-certified by the American Society of Anesthesiologists, Fazzone was first drawn to physiology (the normal functions of living systems) and says moving on to medicine and anesthesiology was a natural extension of this interest.
“Anesthesia alters how the body functions, so understanding how the heart, lungs, and neurological systems work helps us take a personalized approach with each patient,” he says. “I can often use regional anesthesia (nerve blocks, spinal taps, and epidurals) to help patients avoid high doses of medication and provide pain relief for patients after surgery.”
Fazzone has most enjoyed his work in smaller hospitals like Gifford because he has time to meet with patients to develop ongoing relationships. After his residency at UVM he knew he wanted to settle in Vermont, and says the Randolph area reminds him of the rural part of western Connecticut where he grew up. He enjoys mountain biking, snowboarding, and in summer relaxes by kite-boarding on Lake Champlain.
Funds raised through sales at popular volunteer-staffed community Thrift Shop
Members of Gifford Medical Center’s Auxiliary at their quarterly membership luncheon on November 15, 2015. (Photo credit: Bob Eddy)
Gifford Medical Center’s Auxiliary announced a million-dollar gift to the hospital’s Vision for the Future campaign at the organizations quarterly membership luncheon on November 15, 2015.
Funds for the generous gift were raised through sales at the popular volunteer-staffed Thrift Shop in Randolph.
The Vison for the Future campaign is raising funds to support a multi-phased project that built the new Menig Nursing Home in Randolph Center (which opened last spring), 25 private inpatient rooms (which will open mid-December), and an updated and more centrally located Birthing Center in the hospital (planned to open next spring). The campaign needs just $800,000 to close the $5 million campaign, and hopes the Auxiliary’s gift—created through hard work and small-dollar sales—will inspire others to invest in the hospital’s future.
“This gift represents an overwhelming generosity of time and resources,” said Gifford Administrator Joseph Woodin, who noted that over the years the Auxiliary has supported strategic projects (including the original Menig Extended Care wing, the Philip Levesque Medical Building, and the employee day care center) as well as annual departmental “wish list” items not included in the hospital budget. “The Auxiliary is a key part of Gifford’s success, and truly adds tremendous value to our community.”
The Thrift Shop first opened its doors in 1956 and has been providing clothing and household items to bargain hunters and those in need ever since. The 148-member Auxiliary runs the Thrift Shop, with some paid staff and many dedicated volunteers who sort through donations, clean and mend clothes, price items, stock shelves, and staff the store. Each year the Auxiliary also funds scholarships for college students pursuing health careers, financial aid for students enrolled in LNA programs, and supports other community outreach programs.
Auxiliary President Margaret Osborn says the Thrift Shop’s success can be measured in terms of money raised, but also by the enthusiasm of the volunteer workers, the creativity of employees, and the many community customers and donors.
“This million dollar gift reflects our community’s enthusiasm for re-gifting their possessions through the thrift shop, helping to ensure that we have high-quality local hospital care and good merchandise at prices everyone can afford—from fire victims to frugal shoppers,” said Osborn. “We provide an effective, simplified process that gets unused goods out to those who can use them. At the same time we offer tremendous opportunities for people with vitality and skills who want to give time to community service.”
Woodin also notes the many layers of the Thrift Shop’s community contributions. “We are so fortunate to have this unique community resource,” he said. “It helps the hospital, it helps people with limited resources, it keeps unused items from cluttering homes and out of the landfill, and it offers everyone the joy that comes with finding a good bargain. That’s a universal gratification!”
To volunteer or learn more about the Thrift shop, call (802) 728-2185. For more information about Gifford’s Vision for the Future campaign, call Ashley Lincoln at 728-2380 or visit http://www.giffordmed.org/VisionfortheFuture.
(L to R) Gifford Retirement Community Executive Director Linda Minsinger, VP of Operations and Surgical Services Rebecca O’Berry, and Facilities Director Doug Pfohl
Gifford will work with Wiemann Lamphere Architects as they move into the second stage of building independent living apartments at the new Morgan Orchards Senior Living Community in Randolph Center, Vermont.
The Colchester, Vermont design firm will build on Gifford’s original design concept to create a vibrant neighborhood for the 25-acre campus, which includes the new Menig Nursing home and planned future assisted living.
“Wiemann Lamphere has worked on many housing projects and brings specific expertise in designing for seniors in independent living facilities,” said Gifford’s Vice President of Operations and Surgical Services Rebecca O’Berry. “They are an energetic and enthusiastic team who approached our project with creative ideas on how to encourage community interaction while incorporating nature and energy conservation into the design.”
The three-story, 49-apartment building will use internal common spaces (including a proposed dining room, library, fitness area, lounges, and sunroom) to encourage community interaction, and external gathering spots (a proposed campus green, orchard, gardens, and extensive nature trails) to strengthen the neighborhood feel of the campus.
Groundbreaking for the independent living apartments is anticipated in the spring of 2016, with an anticipated move-in date in late spring 2017.
“We are pleased to be working with Gifford to develop much needed senior housing opportunities in central Vermont and look forward to making the most of the wonderful views on the site,” said Weimann Lamphere President David P. Roy. “We have a passion for sustainability, and a drive to create healthy, invigorating spaces for people to live their lives to the fullest.”
This article was published in our Cancer Program 2014 Annual Report.
Cancer treatment can be a complicated and lengthy process. It takes time to absorb and process information, and most patients find it helpful to return to reports, schedules, and resource listings at home, so they can bring back questions they didn’t ask when meeting with their provider.
Since cancer patients often see multiple specialists, a lot of paperwork is accumulated along the way. Patients who feel informed and involved in their treatment are less stressed, but things can quickly feel overwhelming.
This year Gifford’s Cancer Program initiated new efforts to improve communication, personalize support services, and simplify processes so patients will have the help they need at a time when life can feel out of control.
Patient Information Binder: Each patient starting cancer treatment at Gifford is given an 11 x 13 inch zippered binder with five multicolored section dividers to organize care team contact information, treatment plans, information on care at home, support services available at Gifford, and general cancer information and community resources. Other folders and pockets can store reports, medication lists, appointment schedules, and important treatment information.
“It helps keep life-with-cancer organized,” said Jessica Spencer, an oncology nurse who helped design the binder. “It also has lots of information and resource listings, so patients have a place to turn to when they are not at the hospital.”
Our oncology nurses have also found that using the binder with patients can help identify support services a patient may need earlier in their treatment process.
New Psychosocial Screening Tool: There are aspects of cancer care that go beyond actual medical treatment and oncology nurses, who establish ongoing relationships with patients as they take blood tests, administer medication or chemotherapy, and monitor treatment, are often the first to learn about patients who need extra support.
A new psychosocial screening discussion with patients at their initial treatment session now helps nurses identify and track these needs more effectively. The completed forms are reviewed and referred to a social worker for further follow up if needed. Patients have received assistance with insurance issues, finances, transportation or housing needs, or emotionally adjusting to their illness.
Click here to read our full Cancer Program 2014 Annual Report.
Ellen Bando, PA-C has joined Gifford’s Pediatrics team, bringing 15 years of experience with pediatric and adolescent patients.
She most recently worked at the Winslow Indian Health Care Center in AZ, where she spent 5 years as part of a medical team providing outpatient care for Native American patients, and working a mobile medical van that brought preventive and screening services to remote communities on the Navajo Reservation.
Bando knew when she graduated from college that she wanted to help underserved rural communities, and first worked in hospital administration.
“I was disturbed by the inequality I saw in access to medical care, and decided that I wanted to make a difference by taking care of patients directly,” said Bando. “I began as a lab technician, and then at age 30 decided to train to be a physician assistant.”
She received a master of Medical Science from the Emory University School of Medicine Physician Assistant Program, completing rotations in pediatrics, family medicine, ob/gyn, inpatient and outpatient internal medicine, emergency medicine, and surgery. She also completed elective clinical service in rheumatology, newborn medicine, and pediatrics, and worked on the Navajo Reservation.
An NCCPA-certified physician assistant, Bando has provided a wide spectrum of primary care services to children and their families, and she has a special interest in pediatric and adolescent care. Other clinical interests include pediatric obesity, adolescent health, and cross-cultural medicine.
Bando practiced at Upper Valley Pediatrics in Bradford VT before accepting her most recent position in Arizona. Wanting to be closer to family in Hartford, VT, she began to look for a position in a rural Vermont community where she could settle with her family. The position at Gifford was a good fit, and she has already purchased a home nearby.
“Patient-centered care is the heart of medicine—I’ve always practiced in a small community where people can get to know you and you can get to know them,” says Bando. “My work with Navajos taught me to be a good listener. I listen to what my patients say and then try to be their advocate.”
To schedule an appointment, please call 802-728-2777.