Twelve vibrantly colored abstract paintings by Vermont artist Alan Jacobs are currently on display in the Gifford Medical Center art gallery. The exhibit will run through September 23, 2015, and is free and open to the public.
Jacobs, a retired psychiatrist and psychoanalyst and self-taught artist, describes his process as being “more determined by a conversation between fingers, paint, canvas, and unreflective thought and impulses than by any conscious ideas.”
After moving to Vermont several years ago, he began to paint at the suggestion of his artist daughter. He started working with pastels, but moved on to oil on canvas. Jacobs
says that he trusts the viewer to connect and react to the recurrent colors and images in his work in their own unique way.
Jacobs’ work was displayed earlier this year in VTC’s Hartness Library.
Podiatrist Jonathan Bjork has joined Gifford Medical Center’s Randolph and Sharon clinics.
A board-certified podiatrist, he received a BS from St. Olaf College, a Doctor of Podiatric Medicine from Des Moines University, and completed his Podiatric Medicine and Surgery Residency at the William S. Middleton VA hospital in Madison, Wisconsin.
While in medical school, Bjork chose to specialize in podiatry because it would offer opportunities for a varied practice: performing surgery, working in a clinic, helping patients with rehabilitation, and treating sports injuries. He brings widespread clinical interests to his work, from rear foot and ankle surgery, flat foot reconstruction, and heel spur resection to diabetes-related infections, sports injuries, and treatment for bunions and hammertoes.
“I like to develop good, ongoing relationships with patients so I can get to know their needs and expectations,” said Bjork. “This allows me to consider a patient’s specific concerns when treating injuries or infections.”
Bjork and his wife have family near Boston and were looking to settle in a small town where they could raise their 4-month-old son. They have purchased a home near the hospital with a yard (space for a golden retriever) and easy access to the outdoor activities they love: skiing, mountain biking, and hiking.
“Randolph is a very warm and welcoming community,” said Bjork. “It is smaller than Platteville, Wisconsin, where I grew up, but it reminds me of my home.”
Bjork is the newest member of Gifford’s team of podiatrists, which includes Dr. Nicolas Benoit (Randolph), Dr. Samantha Harris (Berlin), and Dr. Paul Smith (Sharon). He is now accepting new patients at our Randolph and Sharon locations—call 728-2777 to schedule an appointment.
Randolph hospital joins list of top 25 percent of energy-efficient hospitals nationwide
Gifford Medical Center was notified this week that it has earned the U.S. Environmental Protection Agency’s (EPA’s) ENERGY STAR certification. The national certification signifies that the building meets strict energy efficiency performance levels set by the EPA and performs in the top 25 percent of similar facilities nationwide for energy efficiency.
Gifford’s Director of Facilities Doug Pfohl notes that while this EPA ranking does not include buildings outside of the main medical center campus in Randolph, energy efficiency has been incorporated into all improvements and new building projects at Gifford since the 1980’s. The hospital has previously ranked high in the national Healthier Hospitals Greenhealth program.
“It was a hospital goal to achieve ENERGY STAR rating this year, and we are very excited to be one of the first in Vermont to do so,” said Pfohl. “We needed an EPA rating of 75 or higher to qualify, and we actually achieved a rating of 81.”
Hospitals apply for the EPA rating by looking at energy use per square foot, taking into account factors such as number of hospital beds, number of employees, and climate. They are then ranked nationwide. Gifford’s ENERGY STAR rating was given after much coordination with Efficiency Vermont, creative design staff, and conservative energy upgrades. A detailed on-site inspection in July proved successful, with a rating above 75.
“I’d like to congratulate Gifford for achieving this prestigious certification,” said Liz Gamache, director of Efficiency Vermont. “We were pleased to work closely with them to help identify ways to reduce their energy costs and consumption; they are setting a great example for other medical facilities in the state.”
While Gifford has steadily improved energy efficiency throughout the entire organization through low-occupancy settings for heat and electricity, improving kitchen ventilation equipment, and installing internal and external LED lighting, Pfohl said two recent large improvements contributed significantly to the hospital’s high rating:
• A new energy-efficient 90-ton chiller replaced an aging 50-ton unit, and structures were put in place for three new chillers to accommodate future air-conditioning upgrades; and
• An energy recovery unit was installed to capture return air and recondition it for re-use; this “climatized” air requires less energy to re-heat or re-cool.
ENERGY STAR was introduced by the EPA in 1992 as a voluntary, market-based partnership to reduce greenhouse gas emissions through energy efficiency. Facilities with ENERGY STAR certification use an average of 35 percent less energy than typical buildings and release 35 percent less carbon dioxide into the atmosphere. For more information about ENERGY STAR Certification for Commercial Buildings, visit www.energystar.gov/labeledbuildings
The following article appeared in our 2014 Annual Report.
Dr. Martin Johns
One evening when I was on duty, a 911-call patient was brought into the emergency room. The patient was unresponsive and unable to communicate.
I pulled up the electronic medical record and was able to see that he had been given a new medication when seen at a Gifford clinic earlier that day.
Clearly he was having a delayed allergic reaction, and because I could see exactly what medication he was given, I could immediately give him the appropriate antidote. If I had not had access to the information in EMR, I would have had to guess and start trying different medicines to counteract the reaction.
When another patient was confused about what medications they were taking, I pulled up their most immediate office note on EMR and made adjustments based on what had been done within the previous 24-hour period.
An important aspect of the new EMR system is that it allows medical information to follow the patient through transitions of care across all Gifford platforms: inpatient care, outpatient care in community clinics, radiology, and emergency room visits.
In the past, important information could be unavailable or even lost during these transitions—a clinic might be closed for the day, or important information not yet added to a patient’s record. Now, anyone caring for a patient can view important information and also update the record (adding a newly developed allergy or immunization) or note changes in clinical status.
The following article appeared in our 2014 Annual Report.
Detail of the new private patient rooms, including two hospice (garden room) suites.
“When you’re sick, you really want to be alone. And when you share a room it can be difficult to sleep when the other patient has visitors. When I was a patient in August I noticed that by the time a nurse rolled in the computer cart there was little room for anything else. It will be so nice to have the privacy and the extra space in the new rooms.” ~ Jack Cowdrey, Former Board Member
“Single occupancy rooms will make it easier for us to get patients more involved in their care. The increased privacy will allow nurses to “sign off” to the next nurse coming on right in the room with the patient, so they can be informed and involved in the process.” ~ Dessa Rogers, RN, Nurse Manager, Medical Surgical & Rehab Unit
“We bring radiology technology to the patients. It can be a challenge to navigate around beds, wheelchairs, walkers, and other equipment in the room, especially if the room is being shared. Sometimes we will wheel the portable x-ray in multiple times a day, and it can be disruptive to others in the room. The patients and family I talk with often share their difficulties with having two patients in one room. The new private rooms will really help with patient comfort, privacy issues, and visiting family and friends.” ~ Ben Cronan, Radiology Technologist
The following article appeared in our 2014 Annual Report.
As many community hospitals find themselves contracting—or even closing—because of external pressures, Gifford is developing models that will expand services to respond to community needs.
“FQHC resources allow us to expand existing medical services and to create new paths to help patients with behavioral health and dental issues,” says Dr. Martin Johns, medical director of the hospital and medicine divisions. “These areas can impact a patient’s general health, and need to be part of standard primary care.”
Integrating behavioral and dental health into primary care
A special behavioral care team (a psychiatrist, psychologists, social workers, and care managers) has been created to help link access to behavioral health services to primary care. This group will work directly in concert with primary care providers in their offices, so services can be seamlessly added to a patient’s care plan as needed. The new enhanced behavioral health services model will be offered at Gifford’s Randolph campus early in 2015, and will then expand to the community clinics.
Gifford has established relationships with local dentists so that people coming to primary care providers with unmet dental conditions can receive care. This program will hopefully expand to include additional dental providers and other FQHC and federal programs services.
Rising to the challenge of increased substance abuse
Medical centers across the country are struggling to meet the needs of people with alcohol and substance dependency problems. FQHC funding is allowing Gifford to expand existing Vermont Blueprint for Health services so providers can better address the special needs of those who are opiate dependent and want to avoid substance abuse.
The following article appeared in our 2014 Annual Report.
Legacy photos (right) are one service the Last Mile Ride funds provide. These photographs, taken by a professional photographer, offer the family an opportunity to capture a few of those last few precious moments at the end of life.
The new private patient room conversion project will allow Gifford to create a second Garden Room suite for end-of-life patients.
This patient room, with French doors that open onto a courtyard garden, has an attached larger room where families can gather to support and comfort the patient and each other in this period of transition.
“A second garden room will double our capacity to care for end-of-life patients and their loved ones,” said John Young, Palliative Care certified nurse. “The Garden Room suite creates a space where families and loved ones can visit, share, interact, or just be present with each other at a time when that is needed. A dying loved one can rest, listen to music, be quiet or visit with loved ones in the attached less noisy and congested space.”
Last Mile Ride (LMR) funds support special services for patients in advanced illness and at the end of life, whether they are at home or staying in the Garden Room suite. These services include massage, acupuncture and Reiki for pain management, music therapy, and help with special wishes and one-time gifts. LMR funds also help make it possible for families and friends to focus on their loved one, providing food, transportation funds if needed, bereavement help, and professional photographs of this special time together.
For patients in this time of transition, the Garden Room adds an option to dying at home or in a nursing home. Dr. Cristine Maloney, lead provider for Gifford’s Palliative Care Program, notes that when families are caring for a loved one at home, the Garden Room can offer a comforting back-up option if things become too difficult.
“This chapter of a patient’s life has great power and poignancy, and surviving family and friends remember vividly how a death is handled,” said Maloney. “We want to help this go as well as possible and in keeping with a person’s goals and wishes.”
Market and grilled offerings prepared by nonprofit agencies at each performance
Jeanne & the Hi-Tops entertain the crowd at last year’s concert in Gifford Park. They will return on August 4th, 2015 as part of the 4th Annual Community Concert Series.
Gifford and the White River Valley Chamber of Commerce are once again partnering to offer a summer concert series in Gifford Park.
This is the fourth year that the popular six-week concert series will be offered. Weekly community markets will return, with local vendors selling farm products, flowers, baked treats, and crafts. New this year will be weekly offerings from the grill prepared by a different nonprofit agency during each performance.
Starting on Tuesday, July 7th, and continuing for the next six Tuesdays, a different family-friendly concert will start at 6 p.m. in Gifford’s park (front lawn) on Route 12 in Randolph. Families can bring lawn chairs and picnic blankets for an evening of fun and music that ends around 7:30 p.m.
The concerts are weather-dependent and may be canceled or rescheduled if there is significant rain. Look for updates on Gifford’s and the Chamber’s websites and Facebook pages. Cancellations will also be noted with signage near the park.
The 2015 concert schedule:
JULY 7: South Royalton Band; Grilling by Potters Angels rescue JULY 14: Jennings & McComber (Green Mt Indie Folk); Grilling by Orange County Sheriff’s Dept. JULY 21: Dave Keller Band (Smooth New Jazz); Grilling by Stagecoach JULY 28: Sol Food (New Orleans Brass Band); Grilling by White River Valley Ambulance AUG 4: Jeanne & The Hi-Tops (Old Time Rock & Roll); Grilling by Randolph & Bethel Rotarians AUG 11: Possum Haw (Folk Music/Bluegrass/Country); Grilling by Randolph Center Fire Dept.
The 2015 Summer Concert Series on Gifford Park is brought to you by the Frankenburg Agency, Gifford Auxiliary, Chuck Adams Builders, and Gillespie Fuels and Propane.
Jeffrey Bath and Alan Ericksen integrate medical imaging expertise into patient care
Dr. Jeffrey Bath
With the arrival of two new radiologists, Gifford Medical Center has created its first employee-staffed Radiology Department. Gifford previously contracted radiology services through outside private practices.
Radiologists are physicians who specialize in diagnosing and treating diseases and injuries using medical imaging techniques—X-rays, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound, Bone Density, Nuclear Medicine, and Mammography. They work closely with providers to provide accurate diagnoses and treatment recommendations.
“Having everyone on staff allows a seamless collaboration between the radiologists and our providers,” said Director of Ancillary Services Pam Caron. “We offer up-to-date diagnostic technology services to our patients, and having these physicians on staff strengthens our ability provide to personalized patient care close to home, with experts who are part of our community.”
Dr. Jeffrey Bath worked as a locum tenens at Gifford last summer and returned as a permanent employee in March. Previously he had a private practice affiliated with the North Adams (MA) Regional Hospital, which closed in 2014.
“I chose to specialize in radiology because I was attracted to the science side of medicine,” Bath said. “I like to troubleshoot and work closely with other providers to find the best way to deliver patient care.”
Dr Bath earned his BS and MD degrees from Tufts University and began training in Internal Medicine before changing to radiology. He completed a residency in Diagnostic Radiology at SUNY Upstate Medical University.
Dr. Alan Ericksen
Dr. Alan Ericksen joined Bath in Gifford’s Radiology department in May. He was partner and vice-president of Radiology Associates of Bennington (practicing at Southwestern Vermont Medical Center and Mary McClellan Hospital) before moving with his family to Tennessee in 2003, where he worked in practices that served several hospitals and as a locum tenens.
“After 12 years in Tennessee I really missed the country, so I am very glad to be back in Vermont,” Ericksen said. “I also enjoy meeting and talking with patients, which is possible in a small hospital setting like Gifford.”
Dr. Ericksen earned a BS from Houghton College and an MD from New Jersey Medical School. He completed a residency in internal medicine before deciding to become a radiologist, and then completed a diagnostic radiology residency (both at the Robert Wood Johnson Medical School).
A child prodigy whose artwork was displayed in the Met and Louvre, he says that radiology offered him a way to connect his interest in the visual with his interest in medicine. He still paints and exhibits, and also plays the French horn.
To learn more about Gifford’s Radiology department and the services offered visit www.giffordmed.org/Radiology or call 802-728-2214.
Physician Assistant Leslie Osterman has joined Gifford’s primary care team and is now seeing patients in the Randolph and Bethel clinics.
She previously worked for 10 years as respiratory therapist at Fletcher Allen, where she learned about patient care offered by physician assistants (PA). PA’s are specially trained to examine, diagnose, and treat patients under the supervision of a medical doctor (MD).
“I was drawn to the PA’s more holistic approach to patient care, their focus on preventive medicine, and the way they act as a resource for their patients,” she said. “I also liked the PA’s team approach in sharing knowledge and decision making.”
Osterman decided to pursue a career in primary care and returned to school, getting her BA at Johnson State and taking additional classes at CCV before entering Franklin Pierce University. She graduated last spring with masters of Physician Assistant Studies.
As part of her training she completed rotations in area facilities including smaller hospitals in New London, Plainfield, St. Albans, and at UVM and DHMC. She did three rotations at Gifford (in pediatric and adolescent care, surgery, and obstetrics and gynecology), where she was especially impressed by the staff’s friendliness and commitment.
“Gifford takes a great approach to patient care and really seems to care about the community, which is important to me,” she said. “Since I am especially interested in practicing primary care in a rural setting, this is a good fit for me.”
Establishing an ongoing relationship with a primary care provider is one of the best things people can do to stay healthy. Someone who knows your health history and habits can recognize changes in your health and more accurately diagnose and treat serious conditions. Primary care providers can also help find a specialist and coordinate care should you become ill or seriously injured.