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.
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.
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.