Recognizing Employee Commitment

Annual Employee Awards

The following article appeared in our 2014 Annual Report.

Members of our Gifford family were recognized at the Employee Awards Banquet on October 18 at Vermont Technical College for their years of service. (Employees are recognized in five-year increments.)

Congratulations to these individuals and thank you to all for your dedication and service.

annual Gifford employee awards

5 YEARS
Diane Alves
Teresa Bradley
Amy Chiriatti
Eric Christensen
James Currie
Tammy Dempsey
Lyle Farnham
David Gehlbach
Tammy Gerdes
Marjorie Gewirz
Thom Goodwin
Lindsay Haupt
Cathy Jacques
Thomas Maylin
Megan McKinstry
Loretta Miller
Michael Minchin
Susan Moore
Megan O’Brien
Martha Palmer
Heather Pejouhy
Rella Rice
Matthew Shangraw
Paul Smith
Meghan Sperry
Debra Stender
Thomas Young

10 YEARS
Lori Barrett
Jamie Cushman
Amy Danley-White
Jennifer Davis
Nancy Davoll
Cynthia Legacy
Patricia Manning
Rhonda Schumann
Rebecca Jo Ward
Lisa Young

15 YEARS
Kathrine Benson
Sadie Lyford
Shelley McDonald
Kathleen Paglia
Dessa Rogers
David Sanville
Linda Sprague
Joseph Woodin
Carol Young

20 YEARS
Kenneth Borie
Louis DiNicola
Milton Fowler
Betsy Hannah
Jean Keyes
Cheryl McRae
David Pattison

25 YEARS
Dawn Beriau
Karin Olson
Renee Pedersen
Kathi Pratt

40 YEARS
Judith Santamore

Gifford’s Twin River Health Center Welcomes Susan Tubens, PA-C

Susan Tubens, PA-C

Susan Tubens, PA-C

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.

Primary Care Gets a Boost

The following article appeared in our 2014 Annual Report.

primary care in Randolph VT

Family nurse practitioner Christina Harlow shares a laugh with Mary Williams of Randolph Center during a recent visit.

A family unable to afford dental care. An uninsured mother-to-be. A loved one suffering from depression. These are some of the people who will be helped by Gifford’s new status as a Federally Qualified Health Center.

The memo to staff was dated November 7, 2013, and sprinkled with exclamation points. It came from administrator Joseph Woodin and was entitled “A Must Read!” The message: Gifford had just been named a Federally Qualified Health Center (FQHC)—an event that Woodin characterized as “some of the biggest news I have ever shared with staff since working at Gifford!”

Gifford's primary care

Christina Harlow consults with family medicine physician Dr. Marcus Coxon.

The FQHC designation is a coveted one, opening the gate to a stream of federal dollars for primary care. The funding comes from the Health Resources and Services Administration (HRSA), the primary federal agency for improving access to health-care services for people who are uninsured, isolated, or medically vulnerable. Of particular interest to Gifford: support for dental care and mental health services for Medicaid patients and the uninsured.

“This assistance from the federal government allows us to develop programs for dentistry, psychiatry, and mental health that are hugely important for the community,” says Medical Director of the Hospital and Medicine Divisions Dr. Martin Johns. “It also allows us to place a bigger focus on primary care. It means we can take better care of our Medicaid patients, offering them services that we couldn’t before because of finances, and that’s huge.

“We’re finding out almost weekly that we can offer things to patients that we didn’t even know about, let alone have the capacity to apply for. The designation was designed to help small groups of physicians serving in rural communities. Our mission has always been that.” Gifford's mission To qualify for FQHC status, a community health center must be open to all, regardless of ability to pay. It must offer a sliding fee scale with discounts based on patient family size and income in accordance with federal poverty guidelines. The federal money is intended to offset these obligations.

Over the past year, Gifford has laid the groundwork necessary to begin drawing on those funds. Among the steps: conducting a search for a psychiatrist to join the medical staff, working out agreements with area dentists to provide care to Medicaid patients, and completing a transition to electronic medical records.

“HRSA is really concerned that they make these health centers as feasible as possible,” says VP of Finance Jeff Hebert, “so there’s a lot of grant opportunity that impacts our financial stability. We get support every year as long as we keep up with the requirements.

“Probably the biggest benefit is that we get bigger reimbursement for our Medicaid patients. Reimbursement is cost-based, and not fee-based, so instead of paying a percentage of the fee for x, y, and z, the government looks at how much it costs to provide those services. It’s a better reimbursement methodology for Medicaid.” Other perks of the designation are: insurance coverage for primary care physicians and relief from staggering medical-school debt, a powerful recruitment incentive.

IF IT WALKS LIKE A DUCK

Dr. Marcus Coxon

The new FQHC designation allows primary care physicians like Dr. Marcus Coxon (left) to offer Gifford patients increased access to mental and dental health services.

The Gifford model is an unusual one: a community health center with satellite clinics and a small hospital at its hub. As such, it provides both primary and critical care to a rural population. It would thus seem eligible for both FQHC funding and the benefits it receives as a Critical Access Hospital, a designation conferred in 2001. But would the feds see it that way?

The FQHC “duck test” was a laborious application process that involved many hospital departments and years of preparation, followed by months of waiting. With acceptance, Gifford the health center became the “parent” of Gifford the hospital—one of only three FQHC/CAHs in the country.

“Our primary-care services—which include internal medicine, family practice, pediatrics, and ob-gyn—are all part of that community health center parent,” explains Woodin.

“The concurrent designation is tremendous for us,” says Johns. “It enables us to provide the most possible benefit to the community while being a small hospital, and it protects us from a lot of the changes going around the state and the region with regard to accountable care: As an FQHC, we cannot be purchased by or absorbed by a larger organization.”

“I look at health-care reform as being primary-care focused,” says Hebert. “It’s that primary-care provider who keeps you healthy and works with you to make sure you as a patient are getting what you need. If you’re prompting that patient to come in for a physical, and to develop healthy behaviors, you’re going to keep that patient a lot healthier at a manageable level than a model that doesn’t focus on primary care. I use myself as an example of what not to do: I only go to a health-care provider when I get to the point when I’m ready to go into the hospital and that’s an extremely expensive proposition. It’s not as efficient, and you as a patient aren’t as satisfied because you’re looking at a long recovery time. By making Gifford Health Care the parent of our organization, we’ve set ourselves up for the future, and I feel we’re in a really good place.”

After eight months of administrative work, Gifford was ready to start drawing on its new funds. The first bill went out in July. “It’s probably going to take most of 2015 to really understand all the levers and dynamics,” says Woodin.

“My thanks and appreciation go out to the staff behind the scenes who made this happen. It was a huge amount of work, and yet strategically, it positions us well, given health-care reform both in the state of Vermont and nationally. It helps us to have the right focus again around primary care, taking care of Medicaid and the uninsured, and looking to build from there.”

Gifford’s Dr. Rob Rinaldi Honored

Podiatrist/sports medicine advocate celebrated for His 12 years at Sharon Health Center

Dr. Rob Rinaldi

Dr. Rinaldi

Gifford staff gathered on March 25 to celebrate podiatrist Dr. Rob Rinaldi’s 12 years of service to an expanding community of athletes, and to wish him well as he transitions to new roles in the organization.

The party featured a cake shaped like a foot, lots of foot jokes, and heartfelt stories about Rinaldi’s many contributions and roles at Gifford: as generous mentor, sports medicine advocate, surgeon, and the force behind the very successful Sharon Health Center and sports medicine clinic.

“I flunked the first time I retired!” Rinaldi quipped, explaining that he missed seeing patients when he left a thriving Connecticut practice and retired to his farm in Chelsea in 2000. So when Gifford Administrator Joe Woodin approached him about expanding sports medicine at Gifford, he was receptive: “I didn’t want to sound too anxious, so I said yes!”

Rinaldi helped design the first phase of the Sharon Health Center, which opened in 2005. By 2008 a 2,200 square foot expansion was added to accommodate the thriving sports medicine clinic, and a final planned 2,600 square foot expansion was added in 2014.

Today, athletes come from all over the Upper Valley to the center, which includes a physical therapy gym space; x-ray technology and mounted flat screens for reviewing radiological exams; physical therapy treatment rooms; and a state-of- the-art gait analysis system. The sports medicine team includes: Michael Chamberland, DC (chiropractic/sports medicine); Paul Smith, DPM (podiatry/sports medicine); Nat Harlow, DO; and Peter Loescher, MD (sports medicine); and a team of physical therapists.

“Rob brought years of business experience to the creation of Sharon Health Center,” Woodin said. “But he also brought his pride in what he does, and his entrepreneurial spirit to Gifford.”

The stories Rinaldi’s colleagues told described a generous and compassionate mentor: “Rob was the voice of wisdom, the one people came to when facing some sort of challenge,” said Vice President of Surgery Rebecca O’Berry.

Although he will no longer be seeing patients, Rinaldi will continue to serve on administrative committees at Gifford, and will work with residents at the new Menig Nursing Home when it opens this spring in Randolph Center.

Lighthouse Photographs on Display in Gifford’s Art Gallery

Randolph artist Christopher J. Fuhrmeister

Bass Harbor Head Light, Arcadia National Park, ME

Eighteen photographs by Randolph artist Christopher J. Fuhrmeister are currently on display at Gifford Medical Center’s art gallery in an exhibit that will run through April 1, 2015.

Fuhrmeister was given a Kodak Brownie camera when he was 12 and bought his first 35mm camera while in high school, working on features for his yearbook and as a newspaper sports photographer. He was a general photographer for his college paper, and later worked as a reporter/photographer for the St. Johnsbury Caledonian Record.

For many years he worked as an emergency management communications officer and then a telecommunications coordinator for the Vermont Public Safety Headquarters in Waterbury. When he retired in 2006, he switched from conventional film to digital photography.

While most of his photographs are of Vermont scenes, he was born in Maine and has a soft spot for lighthouses. This display is taken from his collection of photographs of lighthouses that he has visited in the eastern United States.

This exhibit is free and open to the public, and will be displayed through April 1, 2015. 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.

Gifford’s Snow Warriors!

Gifford facilities crew

Facilities crew: Josh Doolittle, Bruce Jacobs, Stu Standish, Tom Maylin, Dennis McLaughlin, Frank Landry, and Patrick Giordano

It’s official: Vermont set a record for the coldest February. Since the year began, we’ve had storms and below-zero temperatures made even more brutal by gusting wind.

As we trek from warm cars into a warm building each workday, we’re thankful for the folks who keep Gifford’s sidewalks and parking lots cleared and safe for travel.

Patrick Giordano, facilities supervisor, says he’s seen snowier years, but this one has been challenging because it has been so consistently snowing.

This hard-working crew uses three tractors—one with a brush cleaner, one with a blower, and one with a bucket—as well as muscle and lots of shovels to keep entrances and pathways cleared for patients and staff.

Even if it’s only snowing lightly, someone is out shoveling to keep snow off the entrance circle, Emergency Room entrance, loading dock, and day care entrances, as well as all walkways. So the continuous snowfall has meant lots and lots of man hours for the facilities crew.

So far this year the snow piles have been cleared five times, and 320 dump truck loads of snow have been hauled away. The crew has spread 110 tons of salt to keep the lots and walkways safe.

Snow and cold brings lots of behind-the-scenes tasks as well: Gifford’s roofs must be shoveled off, and any roof snow that slides off on its own, blocking stairs or fire exits, has to be shoveled so that exits are kept clear. There have been hydraulic and electrical motor failures, a flat tire on the bobcat used to load salt, and broken chains on the snowplow—often at the most inconvenient times.

Gifford’s staff is grateful to this crew, which has endured bone-chilling temperatures when not getting soaked by ice and pelting snow.

“We’ve definitely had a lot of baked goods delivered to us this year, which is great!” says Giordano. “We all really appreciate that.”

Gifford Receives 2015 Business Excellence in Sustainability Award from White River Valley Chamber of Commerce

Emma Schumann and Ashley Lincoln

Emma Schumann, executive director of the White River Valley Chamber of Commerce (left) with Ashley Lincoln, director of Gifford’s development and public relations.

On February 6, Gifford received the 2015 Business Excellence in Sustainability award from the White River Valley Chamber of Commerce.

This award recognizes remarkable efforts to sustain and support the communities of the White River Valley, and was given to Gifford for its holiday gift certificate program.

The program, which distributes gift certificates redeemable at local businesses, allows Gifford to thank employees for their dedication and hard work while contributing to the economic health of the community it serves. Historically, within three weeks in December, Gifford employees spend nearly $40,000 at locally owned community businesses from Chelsea to Rochester, Sharon to Barre, and towns in between.

“For 14 years I have had the privilege of organizing this program, and I can honestly say that it is one of the more rewarding parts of my job. Some Gifford staff members have cried when they received their gift certificates,” said Ashley Lincoln, director of Development and Public Relations at Gifford. “Over the years many business owners have also told me how much Gifford’s support has meant to them during the slow winter months.”

Community has always been important to Gifford. Along with the gift certificate program, the medical center offers scholarships and grants each year to support area businesses and schools; during the growing and harvest season meals include produce from local farmers; and careful consideration of the community needs is considered when planning projects like the new senior living community being developed in Randolph Center.

Lincoln adds, “Nourishing and building healthy, sustainable communities ensures that we will be able to continue to provide quality local care for years to come.”

Levesque Grant Now Available

Phil Levesque

Phil Levesque

Gifford is now accepting applicants for the Philip D. Levesque Memorial Community Award.

The $1,000 grant is given annually to an agency or organization involved in arts, health, community development, education or the environment in Gifford’s service area in recognition of Levesque’s commitment to the White River Valley.

The award has been awarded to a variety of organizations including: Orange County Parent Child Center; Quin Town Senior Center; Rochester, Hancock & Granville Food Shelf; South Royalton’s School Recycle Compost and Volunteer Program; Bluebird Recovery Program; Kimball Library; Bethel’s Playground Project; Chelsea’s Little League Field; Rochester’s Chamber Music Society; Royalton Memorial Library; Tunbridge Library; White River Craft Center; Safeline, Interfaith Caregivers; the Chelsea Family Center and the Granville Volunteer Fire Department.

Community organizations are encouraged to apply. Applications are due by Monday, February 16th. Click here to download the grant application.

The announcement of the 2015 grant recipient will be made at Gifford’s Annual Meeting on March 7th.

Paul Rau Exhibit at Gifford Medical Center’s Art Gallery

Paul Rau

Art by Randolph artist Paul Rau is currently on display at Gifford Medical Center’s art gallery in an exhibit that will run through February 25, 2015.

The fifteen paintings were chosen to appeal to visiting patients with varied interests, from vibrantly colored nature scenes painted in oil and watercolor, to animal pictures, including an oil portrait of a pony that was painted at the Champlain Valley Expo.

Rau became interested in art as a child, painting in oils with his grandmother who was an accomplished artist. He continued to excel in high school art classes and began to sell pieces in several mediums, especially pen and ink. While an aircraft welder in the US. Air Force, he used a variety of metal processing techniques to create many sculptures and air base displays. His recent work explores the field of digital painting

Rau moved to Randolph 28 years ago and attended Norwich University, where he gained greater insight into the arts and literature and discovered new avenues for creativity. As a museum interpreter, he has designed and led art tours at the Shaker Enfield Museum, the Marsh-Billings-Rockefeller National Historic Park, and the Saint-Gaudens National Historic Site.

His illustrated book, The Oddities of Dr. Flabbergaster, a book of fantasy creatures of Vermont, is available through Amazon.com, barnesandnoble.com, and area bookstores.

This exhibit is free and open to the public, and will be displayed through February 25, 2015. 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.

Gifford Scores above National Average on Infant Feeding Practices

Performs better than 84 percent of national facilities with similar number of births

first New Year's babyGifford Medical Center ranks above the national average for infant feeding practices in maternity care settings, according to the most recent Centers for Disease Control and Prevention’s (CDC) survey of Maternity Practices in Infant Nutrition and Care (mPINC).

Gifford scored 91 of 100 points, performing better than 84 percent of facilities nationwide with a similar number of births per year (less than 250). Across Vermont, the average mPINC score was 88; the national average score was 75.

“Gifford has always been a leader in providing women’s and obstetrics services and supporting moms and babies,” said Alison B. White, vice president of Patient Care Services at Gifford. “This report reflects the excellent care programs embedded in our pregnancy and maternity care, which create an environment that promotes and supports health and nutrition practices.”

Nationally 2,666 facilities providing maternity services responded to the 2013 mPINC survey (83 percent).The survey evaluates participating facilities in seven dimensions of care, a group of interventions that improve breastfeeding outcomes:

  • Labor and delivery care
  • Postpartum care
  • Breastfeeding assistance and contact between mother and infant
  • Facility discharge care
  • Staff training
  • Structural/organizational aspects of care delivery

For more information on the mPINC survey visit: http://www.cdc.gov/breastfeeding/data/mpinc/index.htm.

Gifford’s Birthing Center: For more than 35 years, Gifford’s Birthing Center has been the standard of care for women in Vermont, and today continues to be a leader in family-centered care, obstetrics, and midwifery. For more information call 802-728-2257 or visit http://www.giffordmed.org/BirthingCenter