Annual Report 2010 - Gifford Medical Center
Annual Report 2010 - Gifford Medical Center
Annual Report 2010 - Gifford Medical Center
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contents/board of trustees<br />
Board of Trustees<br />
Board of Trustees<br />
Bob Wright, Chair, Randolph<br />
Sharon Dimmick, Vice Chair, Randolph <strong>Center</strong><br />
Bruce MacDonald, Treasurer, Warren<br />
Karen Gillespie-Korrow, Secretary, Northfield<br />
Joseph Woodin, Chief Executive Officer, Sharon<br />
David Ainsworth, South Royalton<br />
William Baumann, Randolph<br />
Linda Chugkowski, Northfield<br />
Lincoln Clark, Bethel<br />
Jack Cowdrey, Randolph<br />
Randy Garner, Randolph<br />
Barbara Harvey, Rochester<br />
Paul Kendall, Braintree<br />
Richard Mallary, Brookfield<br />
Gus Meyer, Randolph<br />
Dr. Joshua Plavin, Randolph<br />
Barbara Rochat, Chelsea<br />
Introduction<br />
<strong>Gifford</strong> is known for high quality, personalized health<br />
care. Whether it’s a visit with your doctor, or welcoming<br />
a new life into the world in our Birthing <strong>Center</strong>, our<br />
providers and staff are renowned for their care. But there<br />
are probably a few things about us that you don’t know.<br />
For example, did you know that <strong>Gifford</strong> offers diagnostic<br />
imaging comparable to that of larger tertiary care centers<br />
That our Emergency Department wait times are some of<br />
the lowest in the nation Or that the surgical program has<br />
grown to include a variety of world-class surgeons offering<br />
some surgeries you’d have trouble finding elsewhere<br />
In the pages that follow, we describe some of <strong>Gifford</strong>’s<br />
Best Kept Secrets – services you may not know your,<br />
community hospital offers, facts that might surprise you<br />
and a wrap up of <strong>2010</strong>.<br />
Thank you for your interest in <strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong>.<br />
We hope you enjoy reading this year’s <strong>Annual</strong> <strong>Report</strong>.<br />
Contents<br />
<strong>2010</strong> highlights ............................................................2-3<br />
Administrator’s message .................................................. 1<br />
Auxiliary ........................................................................16<br />
Board Chair’s message ..................................................... 1<br />
Corporators ...................................................................28<br />
Donor profile ................................................................27<br />
Employee awards ...........................................................25<br />
Financial statment ..........................................................21<br />
Giving ..................................................................... 22-27<br />
<strong>Medical</strong> services and Executive Committee ....................19<br />
Statistics ........................................................................20<br />
Volunteer profile ............................................................ 17
Joe Woodin<br />
Administrator<br />
The title for this <strong>Annual</strong> <strong>Report</strong> came from a number<br />
of conversations where members of the public would<br />
comment, “I didn’t know <strong>Gifford</strong> offered that service.”<br />
They became so frequent that Board members would<br />
challenge us to “get the word out” and highlight our<br />
programs and accomplishments. Hopefully after reading<br />
this report, you will have a greater appreciation for some of<br />
the things we do.<br />
We don’t spend a lot on advertising, and hopefully with<br />
your help, we won’t need to. Read about our “secrets” and<br />
pass them along to your friends and neighbors. I’ve learned<br />
that a good personal story about <strong>Gifford</strong> is far more<br />
valuable than a brightly colored advertisement or a radio<br />
campaign.<br />
You will also get a chance to read about the many<br />
volunteers and donors who have given their time and<br />
resources to this organization. They believe in what we<br />
do, and their involvement is a constant encouragement for<br />
our staff. There is no greater compliment than to have<br />
someone invest in your future.<br />
This next year will bring great changes in the Vermont<br />
health care system. The state is proposing that we re-write<br />
laws and regulations, and embrace a single-payer model for<br />
the delivery of care. This is no small feat, and I would only<br />
ask that you – as members of the public – get involved and<br />
help our political leaders work through the details. They<br />
represent our hopes and desires, and will need our feedback<br />
as they begin to make difficult choices for us as providers<br />
and for you as a patient. Your involvement will only make<br />
for a better health care system tomorrow.<br />
Thanks again for taking the time to read this report. We<br />
are thankful for those who entrust us with their health care<br />
needs and will continue to work at improving our quality<br />
and managing our expenses.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 1 -<br />
Bob Wright<br />
Chair, Board of Directors<br />
<strong>Gifford</strong> has always meant a lot to me personally. Growing<br />
up in Randolph, the hospital with its skilled staff, doctors<br />
and nurses offered a sense of security to the community<br />
and to me. It is that same sense of community and excellent<br />
care that has become valued by so many in the area.<br />
Today, <strong>Gifford</strong> has integrated clinics and created a<br />
network that is clearly a model of an effective health care<br />
delivery system. Investment in equipment, people and<br />
facilities has kept the hospital and clinics in a position to<br />
provide the quality and consistency that is expected. As a<br />
result, <strong>Gifford</strong> has been able to expand services to meet the<br />
changing needs of people in our communities.<br />
As a member of the Board of Trustees, I have seen what<br />
it takes to keep <strong>Gifford</strong> in-step with the pace of advances<br />
in medicine today. Not only must we keep up with new<br />
research and technology, but also the ever-changing,<br />
complex regulatory requirements that impact health care<br />
providers.<br />
Reimbursement cuts challenge every health care<br />
organization, and <strong>Gifford</strong> is not excluded. The <strong>Gifford</strong><br />
team has achieved solid financial results for a record 11<br />
years. Even though this gets tougher every year, there<br />
is a philosophy and focus throughout all levels of the<br />
organization to operate responsibly and effectively.<br />
New information technology accessible via Internet use<br />
by home computers and smart phones has made the world<br />
smaller. People have lightning fast access to information<br />
that makes for a more informed health care consumer with<br />
much higher expectations from the health care system.<br />
Quality in all aspects of care is that expectation.<br />
Our focus on strategic planning and commitment to<br />
provide high quality services makes <strong>Gifford</strong> a strong and<br />
effective organization. Not only is patient satisfaction<br />
a priority, the health of <strong>Gifford</strong> itself is meaningful and<br />
real. Thanks to the commitment of everyone, <strong>Gifford</strong> will<br />
remain an outstanding asset in our communities for years<br />
to come.<br />
<strong>Gifford</strong>’s Best Kept Secrets<br />
administrator/board chair messages
<strong>2010</strong> timeline<br />
January<br />
The fi rst baby of the New Year is born at <strong>Gifford</strong><br />
to Kristen Bigelow-Talbert and Andy Talbert of<br />
Montpelier. Azrael Matthew Bigelow-Talbert<br />
arrived at 12:15 a.m. on Jan. 1 – a healthy<br />
7-pound, 11-ounce baby boy.<br />
<strong>Gifford</strong> launches a Patient Care Navigator<br />
Program to support breast care patients<br />
through their biopsies and, for the small<br />
percentage diagnosed, through their cancer<br />
treatment.<br />
The fi rst Healthier Living Workshop series<br />
of the year begins. These free workshops<br />
continue to be offered throughout the year for<br />
chronic disease sufferers.<br />
General surgeon Dr. Ovleto<br />
Ciccarelli, who has worked<br />
for <strong>Gifford</strong> providing weekend<br />
on-call emergency coverage<br />
since 2007, makes <strong>Gifford</strong> his<br />
full-time workplace. The skilled<br />
surgeon brings new procedures and much<br />
enthusiasm to the medical center.<br />
<strong>Gifford</strong> is awarded an Avon Foundation for<br />
Women Breast Care Fund grant for the ninth<br />
consecutive year. The only organization in the<br />
state to receive the national award, <strong>Gifford</strong> has<br />
been granted $40,000 for <strong>2010</strong> to increase<br />
awareness of the life-saving benefi ts of early<br />
detection of breast cancer.<br />
February<br />
Dr. Mandeep Hundal joins<br />
<strong>Gifford</strong>’s inpatient hospitalist<br />
team. Born in India, Dr. Hundal<br />
has lived in the United States<br />
since 2005 and was anxious<br />
to make a rural community like<br />
Randolph his home.<br />
Free diabetes education continues at <strong>Gifford</strong><br />
with motivational speaker Dick Smith featured<br />
at the February and March monthly Diabetes<br />
Support Group meetings.<br />
March<br />
<strong>Gifford</strong> celebrates “A Decade of Change”<br />
at its 104 th <strong>Annual</strong> Meeting. The event<br />
highlights <strong>Gifford</strong>’s fi nancial improvement<br />
and growth over the last decade. The hospital<br />
is the only one in Vermont to meet its stateapproved<br />
budget and operating margin for 10<br />
consecutive years.<br />
A North Carolina woman, Marcy Brenner, brings<br />
her powerful documentary, “Dead Girl Walking,”<br />
on surviving breast cancer to <strong>Gifford</strong>. She also<br />
speaks, and her band, “Molasses Creek,”<br />
performs.<br />
A Babysitter’s Training Course is offered in<br />
<strong>Gifford</strong>’s new Family <strong>Center</strong> space beside the<br />
Ob/Gyn and Midwifery building as part of the<br />
medical center’s continued outreach to women<br />
and families.<br />
April<br />
In conjunction with National Healthcare<br />
Decisions Day, <strong>Gifford</strong> provides free booklets<br />
and one-on-one assistance completing Advance<br />
Directives on April 16.<br />
Employees raise nearly $400 for the March of<br />
Dimes by donning “Blue Jeans for Babies.”<br />
A “Home Alone and Safe” course is offered by<br />
wellness educator Jude Powers for children in<br />
The Family <strong>Center</strong> at <strong>Gifford</strong>.<br />
Steve Votey is named Radiology Department<br />
Manager. Steve is an experienced radiology<br />
technologist and diagnostic imaging manager<br />
who comes from Blue Hill Memorial Hospital in<br />
Maine.<br />
Rebecca O’Berry of Brookfi eld<br />
joins <strong>Gifford</strong> as Vice President<br />
of Surgical Services. Rebecca<br />
previously worked at the region’s<br />
tertiary care centers – Fletcher<br />
Allen Health Care in Burlington<br />
and Dartmouth-Hitchcock <strong>Medical</strong> <strong>Center</strong> in<br />
Lebanon, N.H.<br />
A palliative care training for nurses is held in the<br />
conference center, attracting almost 50 <strong>Gifford</strong><br />
nurses who learned techniques on supporting<br />
and treating the dying.<br />
A 1950s-themed Volunteer Appreciation Event<br />
was held in the conference center, recognizing<br />
<strong>Gifford</strong>’s amazing volunteers and their<br />
contributions to the medical center.<br />
May<br />
<strong>Gifford</strong> receives two national honors. It is named<br />
among the nation’s “100 Best Places to Work in<br />
Health Care” by Becker’s ASC Review/Becker’s<br />
Hospital Review. The medical center’s 2009<br />
<strong>Annual</strong> <strong>Report</strong> also earns a <strong>2010</strong> Aster Award for<br />
marketing excellence.<br />
The medical center celebrates National<br />
Hospital and Health Care Week with lots of<br />
good fun.<br />
June<br />
Local teen<br />
Krista Warner<br />
donates more<br />
than $1,000<br />
to <strong>Gifford</strong>’s<br />
Woman-to-<br />
Woman Fund<br />
after making the<br />
cause her senior project. She held a bowling<br />
tournament as a fund-raiser.<br />
Two <strong>Gifford</strong> health care providers – pediatrician<br />
Dr. Lou DiNicola and Emergency Department<br />
nurse Carol Rittenhouse – share their<br />
experiences in Haiti. Both traveled to Haiti to<br />
provide health care following the devastating<br />
7.0 magnitude earthquake that ravaged the<br />
already impoverished country. Carol traveled<br />
to Haiti in January just after the quake. Dr.<br />
DiNicola went in May.<br />
Construction begins<br />
on the fi nal phase<br />
of the ravine fi ll<br />
project. In 2002,<br />
the project began<br />
and involved<br />
fi lling a huge ravine to create more space for<br />
parking and to connect the main hospital to<br />
the neighboring Thrift Shop and day care. This<br />
fi nal phase involves excavating, paving, moving<br />
the hospital’s liquid oxygen tank away from the<br />
roadside, relocating the driveway entrance,<br />
expanding green space and landscaping.<br />
Certifi ed-nurse midwife<br />
Kathryn Saunders of Calais<br />
joins <strong>Gifford</strong>. Kathryn<br />
previously worked at Central<br />
Vermont <strong>Medical</strong> <strong>Center</strong> and<br />
comes to <strong>Gifford</strong> with a strong<br />
commitment to the midwifery philosophy.<br />
Podiatric surgeon Dr. Nicolas Benoit is elected<br />
president of the Vermont Podiatric <strong>Medical</strong><br />
Association.<br />
July<br />
Gov. James<br />
Douglas, along<br />
with other<br />
state offi cials,<br />
presents<br />
<strong>Gifford</strong>’s Best Kept Secrets - 2 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
the Menig Extended Care Facility its sixth<br />
consecutive Nursing Home Quality and Gold<br />
Star Employer awards.<br />
Dr. Joshua White joins the<br />
Emergency Department.<br />
Dr. White is an experienced<br />
emergency medicine physician<br />
who comes from Minnesota<br />
and also serves as community<br />
health director for Worldwide Village Inc.<br />
Through this work, Dr. White ran a 50-bed<br />
mobile hospital with two operating rooms and<br />
an emergency department in Léogâne, the<br />
epicenter of Haiti’s devastating earthquake.<br />
Two free programs for parents and early<br />
childhood educators are offered at <strong>Gifford</strong><br />
based on the work of Becky Bailey, Ph.D., who<br />
developed the Conscious Discipline Program.<br />
August<br />
<strong>Gifford</strong> Hospital Division <strong>Medical</strong> Director Dr.<br />
Martin Johns and <strong>Gifford</strong>’s hospitalist program<br />
are once again featured in “Today’s Hospitalist”<br />
magazine.<br />
September<br />
A free Geriatric Health Fair, complete with<br />
health experts and screenings, is held in the<br />
Conference <strong>Center</strong>.<br />
Montpelier’s Laureli Morrow<br />
joins the midwifery team. Laureli<br />
is a former <strong>Gifford</strong> Birthing<br />
<strong>Center</strong> nurse and a past direct<br />
entry (lay) midwife who earned<br />
her certifi ed-nurse midwifery<br />
degree and enthusiastically returned to <strong>Gifford</strong>.<br />
The <strong>Gifford</strong> Adult Day Program in Bethel<br />
celebrates Vermont Adult Day Services Week<br />
with a fall celebration of apple pie, ice cream<br />
and warm cider.<br />
Cardiac<br />
rehabilitation,<br />
overseen<br />
by specially<br />
trained nurses,<br />
begins in a gym<br />
space in the<br />
Cardiopulmonary Department at <strong>Gifford</strong>.<br />
The <strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong> Auxiliary completes<br />
its $300,000 pledge to the nursing home<br />
expansion project with a fi nal $30,000<br />
payment – delivered ahead of schedule and<br />
with much enthusiasm.<br />
November<br />
Kinney Drugs begins delivering prescription<br />
drugs to patients at the Chelsea Health <strong>Center</strong>.<br />
The Randolph drug store is also delivering<br />
to the Rochester Health <strong>Center</strong> for patients’<br />
convenience. The delivery program is free.<br />
The volunteer<br />
Chaplaincy<br />
Program<br />
celebrates<br />
one decade<br />
at <strong>Gifford</strong> with<br />
an afternoon<br />
celebration that attracts past and present<br />
chaplains and staff and the Rev. Tim Eberhardt,<br />
who is largely credited with leading the effort<br />
to start the program. The chaplains are praised<br />
for helping to provide the compassion for which<br />
<strong>Gifford</strong> is so well known.<br />
<strong>2010</strong> timeline<br />
Adult nurse practitioner<br />
Mary LaBrecque of North<br />
Pomfret brings her 35 years of<br />
experience to <strong>Gifford</strong> Internal<br />
Medicine. Mary had worked at<br />
the Veterans Affairs <strong>Medical</strong><br />
<strong>Center</strong> and also holds a special certifi cation in<br />
geriatric care.<br />
The Robin’s Nest Child Enrichment <strong>Center</strong><br />
earns National Association for Education of<br />
Young Children accreditation for the second<br />
time.<br />
The fi fth<br />
annual Last<br />
Mile Ride<br />
– <strong>Gifford</strong>’s<br />
annual charity<br />
motorcycle<br />
ride – raises a<br />
record $40,000 for end-of-life care.<br />
Chef, author and motivational speaker Wendell<br />
Fowler teams up with his brother, <strong>Gifford</strong><br />
internal medicine physician Dr. Milt Fowler, to<br />
offer a free talk titled “Diabesity: Making Good<br />
Food Choices.”<br />
Theron Manning retires after a remarkable<br />
41 years in the maintenance and facilities<br />
department. His most recent role was as<br />
Director of Strategic Projects.<br />
<strong>Gifford</strong> concludes another fi scal year “in the<br />
black,” achieving its operating margin for an 11 th<br />
consecutive year.<br />
October<br />
Dr. Saul Nurok joins the<br />
Emergency Department. Dr.<br />
Nurok previously worked as an<br />
emergency medicine physician<br />
in New York, Hawaii and New<br />
Jersey.<br />
East Montpelier native and<br />
certifi ed-nurse midwife Donna<br />
Butler returns to Vermont and<br />
joins <strong>Gifford</strong>. She has more than<br />
25 years of experience in Utah<br />
and Oregon.<br />
<strong>Gifford</strong>’s <strong>Annual</strong> Employee Awards Banquet is<br />
held at Vermont Technical College.<br />
Experienced urologist Dr. John<br />
Daly joins the Twin River Health<br />
<strong>Center</strong>, working with urologist<br />
Dr. Michael Curtis and urology<br />
physician assistant Nancy<br />
Blessing.<br />
The <strong>2010</strong> Diabetes Education Expo is held<br />
Nov. 12 and focuses on “Heart Disease and<br />
Diabetes.”<br />
The annual Craft Fair is held throughout<br />
the medical center, benefi ting the Adult Day<br />
program.<br />
December<br />
The Menig Extended Care Facility’s annual<br />
state Quality Indicator Survey fi nds the nursing<br />
home to be “defi ciency-free.”<br />
An indoor walking group for seniors, under the<br />
direction of Neighbor to Neighbor AmeriCorps<br />
and the Central Vermont Council on Aging,<br />
begins at <strong>Gifford</strong>.<br />
<strong>Gifford</strong>’s annual “gift certifi cate” program<br />
invests more than $40,000 in the area<br />
economy. <strong>Gifford</strong> Gift Certifi cates are good at<br />
a host of local stores – a program that rewards<br />
employees while also promoting buying local.<br />
Employees also donate a signifi cant number of<br />
turkeys to area food shelves.<br />
Pediatrician Dr. Pamela<br />
Udomprasert joins <strong>Gifford</strong> in<br />
Randolph as Dr. Louis DiNicola<br />
transitions to the role of<br />
pediatric hospitalist.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 3 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
medicine/fi nance division<br />
Health care you can afford<br />
Patients receiving help from Health Connections<br />
caseworker Michele Packard say she is “phenomenal”<br />
at fi nding fi nancial assistance options.<br />
Well, yes.<br />
In many communities, there are free health clinics. If<br />
you don’t have insurance, you can go to those clinics for<br />
primary care from a physician who is often volunteering his<br />
or her time.<br />
The Randolph community does not have such a resource.<br />
There is no standalone free clinic with volunteer doctors.<br />
Years ago, Randolph did have one. It was called the<br />
Neighborhood Health Clinic, but in 1997 the clinic joined<br />
<strong>Gifford</strong> to provide seamless care and remove any stigma<br />
with a free clinic.<br />
Patients now go to any provider at <strong>Gifford</strong> <strong>Medical</strong><br />
<strong>Center</strong> for any needed health service and receive the same<br />
high-quality care as every other patient.<br />
“Our doctors are basically ‘insurance blind,’” notes<br />
<strong>Gifford</strong> Vice President of Finance David Sanville. All<br />
patients receive the same care, regardless of their insurance<br />
coverage or ability to pay.”<br />
Patients can still receive help accessing insurance, social<br />
services and financial assistance<br />
programs that existed<br />
“Anytime I<br />
had insurance<br />
issues, she’s<br />
been there.”<br />
Lisa Sargeant,<br />
Tunbridge<br />
under the free health clinic<br />
model through a continuing<br />
grant-funded program now<br />
called Health Connections.<br />
Championed by caseworker<br />
Michele Packard, Health<br />
Connections is part of the<br />
Vermont Coalition of Clinics<br />
for the Uninsured.<br />
Michele visits patients<br />
at their bedside, in the<br />
Emergency Department, talks to them by phone, meets<br />
with them in her office and reaches out to them before<br />
a bill lands at their feet. She signs them up for insurance<br />
programs, connects them with a dentist, finds help for<br />
prescription drug costs, accesses <strong>Gifford</strong>’s free and reduced<br />
cost assistance program, helps them sign-up for assistance<br />
at other hospitals for their follow-up specialty care, and<br />
sometimes arranges for transportation to appointments.<br />
She sits shoulder to shoulder with each person, filling out<br />
paperwork on their behalf, and bends over backward to<br />
find assistance options.<br />
“Michele can pretty much find anything for anyone,”<br />
says Gail Bourassa, <strong>Gifford</strong>’s Director of Patient Access and<br />
Financial Services.<br />
“The patient is treated as an individual. Every situation is<br />
unique, and we try to work with each patient to the best of<br />
our ability,” Michele explains. “I tell patients that I will do<br />
everything I can to help you. If you work with me, I can<br />
make it better in most circumstances.”<br />
Patients appreciate the financial help and peace of mind<br />
she provides.<br />
Lisa Sargeant, a senior caregiver from Tunbridge,<br />
tells her story. “Once upon a time, I was having trouble<br />
making ends meet.” Michele helped her obtain insurance,<br />
understand her bills and most recently get on a lower cost<br />
medication plan.<br />
“She’s phenomenal. Anytime I’ve had insurance issues,<br />
she’s been there. She’s like a big sister to me. She always<br />
has an answer to everything. I don’t freak out. I have peace<br />
of mind. I consider her part of my family,” says Lisa.<br />
George Rich of Randolph was hospitalized at <strong>Gifford</strong><br />
<strong>Gifford</strong>’s Best Kept Secrets - 4 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
FACTOID<br />
During the hospital’s <strong>2010</strong> fiscal year, it provided a<br />
total of $701,280 in discounted and free care to patients<br />
through the <strong>Gifford</strong> Affordable Care Program.<br />
Joshua Plavin<br />
<strong>Medical</strong> Director, Medicine Division<br />
following his third operation. The down time gave him<br />
plenty of opportunity to think – about being out of<br />
work, about his Main Street apartment and commercial<br />
building being gutted by fire, including the loss of his own<br />
apartment, and about the medical bills that must be piling<br />
up.<br />
“I was worried,” he says.<br />
Michele came to his bedside, listened to his concerns and<br />
went away to do a bit of calculating.<br />
“She came back two hours later all smiles. She said you<br />
owe the hospital 40 bucks.” After a summer of turmoil,<br />
George was relieved.<br />
This past year has been one of continued growth in the<br />
Medicine Division. We have been happy to have nurse<br />
practitioner Mary LaBrecque join us in the Randolph<br />
internal medicine clinic, expanding access to care for<br />
patients. Mary has more than 30 years of clinical experience<br />
and is an excellent addition to our team.<br />
Our pediatric team has also grown. Nurse practitioner<br />
Elizabeth Baez is working in our Berlin office, and<br />
pediatrician Dr. Pamela Udomprasert is in our Randolph<br />
office.<br />
Despite ongoing fiscal challenges in primary care, we<br />
are committed to attract and retain high quality providers<br />
to serve patients in our area. Our new medical leadership<br />
team has fostered a sense of collaboration for patients<br />
throughout the continuum of care at <strong>Gifford</strong>, both<br />
inpatient and outpatient.<br />
We will continue to focus on maintaining and improving<br />
our quality of care for our patients. As part of that focus,<br />
we eagerly anticipate the adoption of a new electronic<br />
medical record system for our clinics in the coming year.<br />
Michele Packard, right, works with patient Lisa Sargeant of Tunbridge to<br />
lower her medical costs.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 5 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
in the community<br />
Left, volunteer Mickie Richardson assists community<br />
members in preparing their Advance Directives during<br />
National Healthcare Decisions Day.<br />
<strong>Center</strong>, Chef Steve Morgan does a cooking<br />
demonstration at the annual Diabetes Education Expo<br />
which offers a day of free advice on self-management<br />
techniques.<br />
Right, New Parent Group participants, like Clarke<br />
Collins and his daughter Muirin say they get heartfelt,<br />
expert advice.<br />
Free services for diabetics,<br />
moms and the chronically ill, to name but a few<br />
If you have diabetes, chances are you have a lot of<br />
health care appointments to have your eyes, feet, diet and<br />
blood work monitored. Chances are those health care<br />
appointments also add up financially. But for diabetics<br />
visiting <strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong>, the opportunities for<br />
diabetes education at no cost are pretty remarkable for a<br />
rural community hospital.<br />
Connie DeCoste of Randolph was recently diagnosed<br />
with diabetes and visits <strong>Gifford</strong>’s Diabetes Clinic and<br />
registered dietitian regularly. She also attended the free,<br />
annual Diabetes Education Expo in November, and<br />
couldn’t say enough about it.<br />
“It was amazing,” Connie says. “It was so people-friendly<br />
and educational. We talked about real important stuff in<br />
everyday language. I took a lot more away from it than I<br />
expected.”<br />
<strong>Gifford</strong> chefs gave a talk and cooking demonstration,<br />
and a cardiologist discussed diabetes and heart disease.<br />
Participants peppered him with questions for an hour.<br />
“It was fun. He made it<br />
interesting,” Connie says.<br />
“It’s like<br />
motherly<br />
advice, but it’s<br />
coming from<br />
an expert<br />
source.”<br />
Clare Barnard,<br />
Wilder<br />
For Braintree’s Susan<br />
Moore, it was meeting others<br />
with diabetes that had the<br />
strongest impact.<br />
“I met a lot of people there<br />
who are struggling with my<br />
issues and heard about what<br />
did and didn’t work for them,”<br />
says Susan who was diagnosed<br />
with diabetes several years ago.<br />
“Sometimes just knowing you<br />
are not the only one is the best<br />
thing of all.”<br />
Susan also attended a<br />
presentation in August by Dr.<br />
Milton Fowler and Chef Wendell Fowler on “Diabesity:<br />
Making Good Food Choices.” “It really hit home because<br />
Chef Fowler had once walked in our shoes and had found<br />
a way to turn his health around. I have since taken some of<br />
the ideas he presented to use in my own kitchen.”<br />
The Expo comes but once a year, so many diabetics meet<br />
monthly at the free Diabetes Support Group. It’s led by<br />
trained facilitators and helps attendees keep in touch with<br />
others and receive support throughout the year.<br />
Diabetes education, however, is just one way <strong>Gifford</strong><br />
reaches out to the community. Free six-week classes for the<br />
chronically ill called Healthier Living Workshops are offered<br />
about four times a year through the Vermont Blueprint for<br />
Health. Tobacco cessation help is offered through the Quit<br />
in Person Group. Health fairs and men’s health screenings<br />
are also offered. You can receive free help completing and<br />
filing your Advance Directive. <strong>Gifford</strong>’s chaplain offers oneon-one<br />
grief and loss support. <strong>Gifford</strong> providers frequently<br />
speak at schools and volunteer at regional free clinics as well<br />
as overseas in impoverished nations. You can buy an “at-cost”<br />
bike helmet for your child and have it fitted at the pediatrics<br />
office.<br />
And for new parents, the resources are vast. There’s<br />
lactation support and a free car seat for those giving birth<br />
at <strong>Gifford</strong>, infant CPR, classes on positive parenting and<br />
the New Parents Group, which meets weekly. The group<br />
involves new parents and their babies. Led by Nancy<br />
Clark, a nurse, lactation consultant and certified childbirth<br />
educator, the group members receive loads of information<br />
on topics ranging from diapering to development to infant<br />
massage.<br />
“It’s like motherly advice, but it’s coming from an expert<br />
source,” says New Parent Group participant Clare Barnard<br />
of Wilder. “It’s also up-to-date information.”<br />
There are snacks and baby playtime. Parents, who<br />
may have already met in <strong>Gifford</strong>’s birthing classes or<br />
innovative <strong>Center</strong>ing group for prenatal care, find support<br />
in shared experiences – meaning programs like these are<br />
not only supporting community health, but also creating<br />
communities.<br />
<strong>Gifford</strong>’s Best Kept Secrets - 6 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
Left, Joe Chartier, foreground, and Brooke Paige,<br />
background, work out in the Cardiopulmonary<br />
Department as part of <strong>Gifford</strong>’s new<br />
cardiac rehabilitation program. It is one<br />
of several new services at <strong>Gifford</strong>.<br />
Right, Patient Care Navigator<br />
Brittany Ward makes calls to patients.<br />
new programs<br />
New programs<br />
Helping heart, respiratory and breast patients<br />
For Brooke Paige of Washington, a viral infection led to<br />
a scary diagnosis – congestive heart failure combined with<br />
atrial fibrillation, or a rapid heart rhythm.<br />
A visit to <strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong>’s clinic one Saturday,<br />
coupled with an echocardiogram, led to the diagnosis.<br />
“This place saved my life,” says Brooke, who had never<br />
even had high blood pressure before.<br />
Brooke, 57, took steps to improve his quality of life. He<br />
enrolled in <strong>Gifford</strong>’s new Cardiac Rehabilitation Program<br />
and spent three days a week for about three months<br />
working out at <strong>Gifford</strong>; learning about safe exercise, proper<br />
nutrition and stress reduction techniques; and gaining<br />
confidence to safely continue his workouts at home.<br />
Cardiac rehabilitation is an important step for people<br />
with coronary heart disease, with angina, recovering from a<br />
heart attack or heart surgery, with stent placement or other<br />
heart conditions. Like any rehabilitation program, cardiac<br />
rehabilitation includes a combination of education and<br />
exercise to help heart patients return to a healthy, active life.<br />
It’s led by three specially trained nurses, including Pam<br />
Overstrom. Pam calls cardiac rehabilitation an opportunity<br />
to embrace a new lifestyle. “Exercise transforms you,”<br />
she says. “It decreases stress. It increases strength and<br />
endurance.”<br />
And it’s only one of several new programs at <strong>Gifford</strong>.<br />
Pulmonary rehabilitation is medical therapy for<br />
chronic respiratory diseases, typically chronic obstructive<br />
pulmonary disease (COPD). For a person with COPD, a<br />
walk to the mailbox can be exhausting, and hospitalizations<br />
can be frequent. Pulmonary rehabilitation aims to increase<br />
endurance and reduce hospitalizations.<br />
“The cornerstone of the program is exercise. We’re<br />
hoping to improve patients’ ability to walk, go up<br />
stairs and do just regular daily activities,” says <strong>Gifford</strong><br />
Pulmonologist Dr. Marda Donner.<br />
Even though he quit smoking two decades before,<br />
Gerald “Rory” O’Connor of South Royalton was<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 7 -<br />
diagnosed with emphysema. The diagnosis came after<br />
routine walks around his hilly farmland became arduous.<br />
Rory spent 10 weeks walking at a brisk pace on a <strong>Gifford</strong><br />
treadmill and left feeling more fit. “It certainly helped with<br />
my well-being,” says Rory, who at 82 is now trying to get<br />
into the routine at home to maintain his fitness.<br />
For Nancy Wallen, also an emphysema patient, the best<br />
part of the program was how much fun it was. “It got me<br />
out of the house. The atmosphere was really friendly. The<br />
group was really great. There was a lot of laughter, and<br />
that’s good for your soul,” says Nancy, 64, of Stockbridge.<br />
A final new program offering support to patients when<br />
they need it most is <strong>Gifford</strong>’s Patient Care Navigator<br />
program. The program provides support to women<br />
needing a biopsy following an abnormal mammogram.<br />
While the vast majority of biopsy results turn out to<br />
be non-cancerous, it can be a stressful time. Patient Care<br />
Navigator Brittany Ward, a radiology technologist, works<br />
to relieve some of that stress by serving as a support person<br />
and resource during the course of a patient’s diagnostic<br />
imaging and biopsy.<br />
Malisa Gemmell of Brookfield hadn’t even turned 40 yet<br />
when she found a lump in one<br />
breast accompanied by pain.<br />
Her doctor scheduled her for a<br />
mammogram and ultrasound<br />
right away. A follow-up biopsy<br />
was needed, and Brittany was<br />
at Malisa’s side the whole time.<br />
“It was very comforting,”<br />
says Malisa. “I couldn’t<br />
imagine going through this<br />
without her.”<br />
Thankfully, the lump in<br />
Malisa’s breast was benign.<br />
“This<br />
place<br />
saved<br />
my life.”<br />
Brooke Paige,<br />
Washington<br />
She’ll need a follow-up mammogram in six months and<br />
she’s counting on having her patient care navigator nearby.<br />
<strong>Gifford</strong>’s Best Kept Secrets
hospital division<br />
Left, physical therapist Patrice Conard, seated,<br />
helps a patient get back on her feet in <strong>Gifford</strong>’s<br />
inpatient gym.<br />
Right, physical therapy assistant Eric Christensen<br />
assists total-knee replacement patient Walter<br />
Goodrich with strengthening exercises.<br />
A key spoke in the circle of care:<br />
Inpatient rehabilitation at <strong>Gifford</strong><br />
Alice Jones, 65, of Randolph had hip replacement<br />
surgery at Dartmouth-Hitchcock <strong>Medical</strong> <strong>Center</strong> in<br />
November. She stayed at Dartmouth for a couple of days<br />
and then chose to return to her medical home – <strong>Gifford</strong><br />
– for inpatient rehabilitation.<br />
Inpatient rehabilitation is often needed following a<br />
surgery, like a knee or hip replacement, an accident, an<br />
acute illness or pneumonia to help patients return to home<br />
and hopefully, independence.<br />
At <strong>Gifford</strong>, inpatient rehabilitation includes physical,<br />
occupational and speech therapies as well as skilled nursing,<br />
hospitalist care and social services.<br />
Alice spent a total of five days rehabilitating at <strong>Gifford</strong>,<br />
receiving physical therapy and occupational therapy in the<br />
mornings and then a second round of physical therapy in<br />
the afternoons.<br />
The physical therapists got her moving, she says. And,<br />
“Occupational therapy was great. They showed me how<br />
to do things … get dressed and use the grabber to get my<br />
clothes.”<br />
<strong>Gifford</strong> Rehabilitation<br />
“They’ve<br />
done good<br />
by me.”<br />
Elwin Pierce,<br />
Warren<br />
Manager Eric Medved explains<br />
that for people like Alice the<br />
program – with its dedicated<br />
caregivers and gym space –<br />
“closes the gap” between<br />
having surgery and returning<br />
home.<br />
“We can ensure you have the<br />
necessary skills to transition<br />
to home,” agrees Hospital Division Vice President Linda<br />
Minsinger.<br />
Elwin Pierce of Warren knows all about that. He spent<br />
six weeks at <strong>Gifford</strong> in the fall recovering and rehabilitating<br />
from a bad infection in his knee that required part of a past<br />
knee replacement to be removed.<br />
He was referred to <strong>Gifford</strong> from another hospital for his<br />
rehabilitation, and Elwin was glad for the experience.<br />
“They’ve done good by me,” the 69-year-old lifelong<br />
Vermonter says. “Before I wasn’t moving much, and I<br />
was pretty sick when I went in. They got me better. I<br />
had physical therapy twice a day. They taught me how to<br />
handle a walker again.”<br />
Prior to transferring to <strong>Gifford</strong>, Elwin didn’t know<br />
<strong>Gifford</strong> even had a rehabilitation unit. He’s not alone.<br />
Many locals don’t know the service exists. But it does, and<br />
as Elwin and Alice found out, it’s a quality program.<br />
“We manage your care along the spectrum,” providing<br />
“continuity of care,” Eric says. From your initial visit with<br />
your primary care provider, to your visit with the surgeon,<br />
to your surgery, to your inpatient stay, to your inpatient<br />
rehabilitation, to your outpatient rehabilitation and doctors<br />
visits – your care is coordinated by <strong>Gifford</strong>’s health care<br />
professionals working collaboratively to get you better, and<br />
get you home.<br />
For Alice: “<strong>Gifford</strong> was my first choice.” She receives<br />
her primary care at <strong>Gifford</strong> and was completing the circle<br />
of care by following up with outpatient physical therapy at<br />
<strong>Gifford</strong>’s Kingwood Health <strong>Center</strong>.<br />
<strong>Gifford</strong>’s Best Kept Secrets - 8 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
<strong>Gifford</strong> Adult Day Program participants and<br />
staff created a fall display for Vermont Adult Day<br />
Services Week in September. The program keeps<br />
seniors and the disabled active and safe.<br />
hospital division<br />
The best kept secret in long-term care:<br />
the <strong>Gifford</strong> Adult Day Program<br />
Across Vermont and in our own communities, many<br />
of our seniors are living alone, in unsafe conditions, and<br />
unable to perform life’s daily tasks like making meals and<br />
bathing. Still others rely on the care of a family member,<br />
often a spouse who is also older, or a child who works and<br />
cannot provide the 24-hour care required to safely and<br />
adequately support our seniors in need.<br />
For these individuals as well as disabled adults, there is<br />
a care option often termed “the best kept secret in longterm<br />
care.” That option is adult day services. Adult day<br />
programs bridge the gap between independent living and<br />
nursing home care, provide respite to family caregivers and<br />
are a safe alternative to isolated seniors.<br />
There are 14 such centers in Vermont, including one<br />
right in our own backyard in Bethel.<br />
The <strong>Gifford</strong> Adult Day Program began in 1999.<br />
Located below the Bethel Health <strong>Center</strong> on Route 107,<br />
the program provides participants with medication<br />
management, medical supervision, showers, nail care<br />
and other personal hygiene help, healthy meals, plenty<br />
of activities, transportation to and from the program and<br />
perhaps most importantly, a safe environment. The care is<br />
provided on a sliding fee scale and often with the help of<br />
state and federal sources, such as Medicaid and Medicare.<br />
In <strong>2010</strong>, the <strong>Gifford</strong> Adult Day Program cared for 34<br />
area seniors and the disabled.<br />
When she looks back over the year and sees how many<br />
of the participants have improved physically and mentally,<br />
Adult Day Director Judy Santamore is amazed. “It’s<br />
dramatic the change in them.”<br />
One participant has lost 50 pounds with improved diet<br />
and exercise despite mobility issues. Another – a young<br />
woman with a traumatic brain injury – has regained<br />
mobility and balance, learned more appropriate social<br />
interactions, improved her communication with others and<br />
gained needed weight. She is safer and happier in these<br />
surroundings.<br />
“Adult Day care has really been good,” says her mother,<br />
Penny Miller of Bethel. “I can’t say enough. She enjoys<br />
going. She’d like to go every day.”<br />
Eighty-nine-year-old Evelyn James, known to all as<br />
“Chichi,” has been attending Adult Day for eight years,<br />
following a diagnosis of Alzheimer’s and a referral from the<br />
Council on Aging.<br />
Stagecoach picks Chichi up weekdays at 7:30 a.m. in<br />
Brookfield, where she lives with her son, Bob Beaulieu,<br />
and his wife. She participates in activities with staff and<br />
other seniors, then returns home at 4:30 p.m. Bob calls the<br />
program good for his mother.<br />
“It keeps her active.” says Bob, noting she also receives a<br />
healthy meal, is bathed two or<br />
three times a week and “is well<br />
provided for.”<br />
The program is also needed<br />
respite for Bob and his wife<br />
from the stress and physical<br />
exertion of caring for an elderly<br />
parent with dementia.<br />
“It’s been a wonderful<br />
experience,” says Bob. “If it<br />
hadn’t been for Adult Day, I<br />
don’t think we’d be able to<br />
keep her at home as long as we<br />
have.”<br />
For Bob, Chichi and the<br />
dozens of others helped, the secret is clearly out.<br />
“I can’t say<br />
enough. She<br />
enjoys going.<br />
She’d like to<br />
go every day.”<br />
Penny Miller,<br />
Bethel<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 9 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
hospital division<br />
Left, Ginny Sedgwick registers patients right at their<br />
bedside in the <strong>Gifford</strong> Emergency Department.<br />
Right, Emergency Department Director and Physician<br />
Dr. Steve Fischer cares for patient Greg Winnie of East<br />
Randolph.<br />
High-quality,<br />
timely emergency medicine<br />
Visit a hospital emergency department almost anywhere<br />
else in the country and it’s likely that your wait for care<br />
is long. The movie “Sicko” depicts the worst of the often<br />
heart-crushing reality – patients dying on an Emergency<br />
Department waiting room floor as they await care that<br />
never comes.<br />
That’s the extreme. But, according to <strong>Gifford</strong> Emergency<br />
Department Director Dr. Steve Fisher, “It is not unusual<br />
in many emergency rooms to wait as long as six to eight<br />
hours to get in, and 24-<br />
hour wait times are not<br />
“The<br />
experience<br />
opened my<br />
eyes to the<br />
valuable<br />
team of<br />
professionals<br />
we have<br />
here.”<br />
Dave Eddy,<br />
Bethel<br />
uncommon.”<br />
At <strong>Gifford</strong>, “our wait times<br />
are among the lowest in the<br />
nation,” says Dr. Fisher. In<br />
fact, patients are not only<br />
receiving timely emergency<br />
care, but also some of the best<br />
care medicine anywhere has to<br />
offer.<br />
Staff members are highly<br />
trained – many meeting<br />
rigorous standards for national<br />
certifications for emergency<br />
medicine. Some also work<br />
at area tertiary care centers<br />
to hone their trauma skills,<br />
and many of the hospital’s<br />
emergency department nurses<br />
have worked in the field for 20 or 30 years.<br />
“<strong>Gifford</strong>’s equipment and services compare to any other<br />
emergency department,” says nurse manager Maureen<br />
Heyder, who has been on the job since 1969. The available<br />
diagnostic technology from CT scans to MRIs matches<br />
that of larger hospitals.<br />
“We can diagnose, treat and stabilize any emergency<br />
medical condition. We have a number of state-of-the-art,<br />
complex medical protocols,” adds Dr. Fisher, who has<br />
been an emergency room doctor and director for 17 years.<br />
Procedures for strokes and heart attacks, for example, can<br />
result in quickly diagnosing and transferring heart attack<br />
patients to area tertiary care centers for life-saving care.<br />
Dave Eddy, 56, of Bethel suffered a heart attack in early<br />
September. He was diagnosed in the <strong>Gifford</strong> Emergency<br />
Department and then flown by DHART to Dartmouth-<br />
Hitchcock <strong>Medical</strong> <strong>Center</strong>’s cardiac catheterization lab to<br />
have a stent placed in a completely blocked artery.<br />
Following his life saving care, Dave called his <strong>Gifford</strong><br />
emergency physician, Dr. Joshua White, and nurse Kelly<br />
Burrell “the ultimate professional team.” The experience,<br />
says Dave, “opened my eyes to the valuable team of<br />
professionals we have available here. I applaud <strong>Gifford</strong>’s<br />
quality of care.”<br />
Thanks to a new piece of equipment purchased by the<br />
<strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong> Auxiliary, emergency response<br />
for many heart attack patients will be even quicker in<br />
the future. With the new technology, emergency medical<br />
technicians responding to a 911 call will be able to transfer<br />
<strong>Gifford</strong>’s Best Kept Secrets - 10 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
FACTOID<br />
<strong>Gifford</strong>’s Emergency Department nurses have about 300<br />
years of combined experience. About half of the staff has<br />
worked in emergency medicine for 30 years or more.<br />
Martin Johns<br />
<strong>Medical</strong> Director, Hospital Division<br />
an EKG taken in the field to the <strong>Gifford</strong> emergency<br />
department doctor. Depending on the results of that<br />
EKG, a patient may be sent directly to a tertiary care<br />
center to open up a blocked artery, resulting in even faster<br />
care – essential in a heart attack – and unique in a rural<br />
community in the United States.<br />
“Very few communities in the country have this type of<br />
collaborative relationship with their ambulance service,”<br />
says Dr. Martin Johns, <strong>Medical</strong> Director of the Hospital<br />
Division.<br />
<strong>Gifford</strong> is also collaborating within. The medical center<br />
has restructured to bring the Emergency Department and<br />
the inpatient unit together under one division to provide<br />
seamless care to patients who are admitted to the hospital.<br />
Many <strong>Gifford</strong> Emergency Department staff have years – even decades –<br />
of experience and national certifi cations. Pictured above are ED staff<br />
members Dr. Brian Sargent, ED nurse manager Maureen Heyder, registrar<br />
Carole Rennie and nurse Jamie Cushman.<br />
For the past five years, I’ve had the opportunity and<br />
privilege to work with a team of caregivers committed<br />
to quality patient care. They include compassionate<br />
nurses, midwives and physicians bringing babies into<br />
this world. Highly skilled responders and doctors saving<br />
lives in the ambulance and our Emergency Department.<br />
Caring providers, nurses, aides and therapists helping<br />
our inpatients recover and return home. A dedicated staff<br />
respecting the dignity and wishes of each of our nursing<br />
home residents. And for those at the end of life, our<br />
specialized palliative care team supporting patients and<br />
their families in our Garden Room.<br />
In <strong>2010</strong>, we’ve seen exciting changes and growth in all of<br />
these areas in the Hospital Division. <strong>Gifford</strong> continues to<br />
expand upon its commitment to the midwifery philosophy<br />
of birth. The hospitalist team manages all levels of disease<br />
for community members in need of inpatient care. The<br />
Advanced Illness Care Team is at the bedside of our sickest<br />
patients. The Menig Extended Care Facility has once again<br />
won state awards for quality.<br />
At the same time, we’re looking ahead to 2011 to<br />
further enhance the care we deliver. We are continuing our<br />
collaboration with area ambulance services to implement<br />
life-saving technologies and protocols for emergency<br />
care. We will remain true to our mission to maintain the<br />
personalized care for which <strong>Gifford</strong> is known.<br />
I believe in the incomparable personality of <strong>Gifford</strong>, and<br />
the quality and commitment of our providers and staff. As<br />
the new <strong>Medical</strong> Director of the Hospital Division, I am<br />
proud to represent such a talented team.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 11 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
ancilliary services<br />
Left, Radiology manager Steve Votey positions a<br />
patient in the 40-slice CT scanner.<br />
<strong>Center</strong>, radiology technologist Carolyn Palazzolo preps<br />
for an X-ray. <strong>Gifford</strong> offers X-ray services in three<br />
locations, Berlin, Randolph and Sharon.<br />
Right, radiology technologist Michael Robichaud<br />
prepares to recieve the next MRI patient.<br />
Diagnostic imaging,<br />
with all the ‘bells and whistles’ and plenty of hometown charm<br />
It wasn’t so long ago that <strong>Gifford</strong> was announcing the<br />
arrival of its 40-slice CT scanner, rivaling technologies at<br />
larger neighboring hospitals.<br />
That scanner replaced an earlier model that was the<br />
oldest and only single-slice machine operating in Vermont.<br />
When <strong>Gifford</strong> sold it, it went to a veterinary practice.<br />
Today, much has changed. The modern and spacious<br />
Radiology and Nuclear Medicine departments at <strong>Gifford</strong><br />
offer state-of-the-art technologies with a personal touch.<br />
Some of the new equipment includes a digital ultrasound<br />
machine, a nuclear medicine gamma camera and a bone<br />
density machine for detecting osteoporosis. Digital<br />
mammography is the latest addition, completing the<br />
medical center’s upgrade to total filmless imaging. No<br />
more dark rooms to develop images or light boxes and a<br />
magnifying glass to see them.<br />
Mobile MRI services are<br />
available at the hospital and at<br />
“We have all<br />
of the bells<br />
and whistles<br />
that tertiary<br />
care centers<br />
have.”<br />
Pam Caron,<br />
Director of<br />
Ancillary<br />
Services<br />
two of <strong>Gifford</strong>’s health centers<br />
– the <strong>Gifford</strong> Health <strong>Center</strong> at<br />
Berlin and the Sharon Health<br />
<strong>Center</strong>. The Berlin and Sharon<br />
clinics also provide X-rays on<br />
site for the convenience of<br />
patients and timely diagnoses.<br />
“We have all of the bells<br />
and whistles that tertiary care<br />
centers have,” says Pam Caron,<br />
<strong>Gifford</strong> Director of Ancillary<br />
Services.<br />
These high-tech services are<br />
offered usually without the<br />
wait time of a larger facility<br />
and by professionals patients<br />
know.<br />
Chances are, says Radiology Department Manager Steve<br />
Votey, “Patients walk in the door and are cared for by<br />
someone they’ve known for many years.”<br />
It’s that personal touch that makes the difference, says<br />
Leslie Howard-McIntyre, 47, of Randolph.<br />
A private practice mental health counselor, Leslie has<br />
serious health problems, including a rare liver disease that<br />
has her liver so enlarged it’s collapsed most of one lung,<br />
causing her to be on oxygen all the time.<br />
So when it came time for her annual mammogram, it<br />
was the last thing she was thinking about. It wasn’t until<br />
the <strong>Gifford</strong> Radiology Department called her in November<br />
to tell her she was due for her appointment that she<br />
remembered and scheduled the annual exam.<br />
She had her mammogram in early December. Within<br />
days, Radiology Supervisor Terri Hodgdon was on the<br />
phone with Leslie asking her to come back in for a followup<br />
exam. The schedule was full, but Leslie was fit in.<br />
She had another mammogram, ultrasound and then a<br />
biopsy with her husband, Patient Care Navigator Brittany<br />
Ward and Breast Care Coordinator Jane Harrness at her<br />
side.<br />
“I started crying. I got really scared. They worked really<br />
hard to relieve my fears,” says Leslie.<br />
There was good reason for Leslie’s fears. She was<br />
diagnosed with stage one breast cancer.<br />
“They jumped on it quick. Not only did they get the test<br />
done that I needed, they were compassionate along the<br />
way. The Radiology Department was key to getting my<br />
diagnosis,” says Leslie, calling the staff “phenomenal” and<br />
that fateful call reminding her of her annual mammogram<br />
a blessing.<br />
“I’d be walking around right now with cancer if I hadn’t<br />
gotten that call,” says Leslie, who had a mastectomy in<br />
early 2011.<br />
<strong>Gifford</strong>’s Best Kept Secrets - 12 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
Oncology nurses Sheila Metcalf, left, and Jessica<br />
Spencer, right, share a laugh with breast cancer<br />
patient Donna Viens of Randolph. Donna calls her<br />
<strong>Gifford</strong> caregivers “fantastic,” “caring”<br />
and “compassionate.“<br />
surgery division<br />
Kindhearted cancer care<br />
close to home<br />
Long-time local educator Donna Viens, 61, of Randolph<br />
found a lump in one of her breasts in October. She<br />
scheduled an appointment with her primary care physician<br />
Dr. Milt Fowler at <strong>Gifford</strong>, and he delivered the news that<br />
she feared.<br />
“‘If you want my gut reaction, it’s breast cancer,’” Donna<br />
recalls her physician saying. Her and husband Bruce’s next<br />
question was, “Are we going to Dartmouth or Fletcher<br />
Allen”<br />
Neither. Dr. Fowler referred Donna just upstairs to a<br />
<strong>Gifford</strong> surgeon.<br />
Since, Donna has seen general surgeon Dr. Ovleto<br />
Ciccarelli. She had a biopsy in <strong>Gifford</strong>’s Radiology<br />
Department with patient care navigator Brittany Ward at<br />
her side. Her oncologist, Dr. John Valentine, started her<br />
on outpatient chemotherapy under the care of <strong>Gifford</strong><br />
oncology nurses Sheila Metcalf and Jessica Spencer.<br />
Donna says she couldn’t ask for anything more. She<br />
calls her doctors “fantastic” and her nurses “caring and<br />
compassionate.”<br />
<strong>Gifford</strong>’s oncology program is among the smallest<br />
accredited by the Commission on Cancer of the American<br />
College of Surgeons. The program includes care from<br />
Dr. Valentine and specially trained nurses; outpatient<br />
treatments including chemotherapy, blood transfusions<br />
and other fluids as needed. There is also hormone therapy<br />
for breast and prostate cancers; many end-of-life supports<br />
through <strong>Gifford</strong>’s palliative care program; and oversight<br />
by an interdisciplinary Cancer Committee that meets via<br />
telecom with a radiation oncologist from Dartmouth-<br />
Hitchcock <strong>Medical</strong> <strong>Center</strong>.<br />
“We certainly can treat many cancers at <strong>Gifford</strong>,” says<br />
Dr. Valentine, an oncologist who sees patients at <strong>Gifford</strong><br />
and has been practicing for 30 years. “I enjoy coming<br />
to <strong>Gifford</strong>. I like the people who work there. I like the<br />
patients.”<br />
The personal touch from <strong>Gifford</strong>’s staff is part of what<br />
makes the local care special.<br />
Sheila has been a certified oncology nurse at <strong>Gifford</strong> for<br />
about 15 years. Because patients come back week after<br />
week for treatments and often stay for hours, working as<br />
an oncology nurse is extremely rewarding. “You get to<br />
know patients and their family members,” Sheila says. And<br />
because of the small size of <strong>Gifford</strong>’s oncology department,<br />
patients in turn get to know Sheila and Jessica.<br />
Their goal is to help patients feel well during treatment.<br />
“People really can go on and live their lives,” Sheila says.<br />
Best of all, says Jessica, “We’ve had people who have<br />
been down and are now leading a normal life.”<br />
Donna is one of those patients who is living remarkably<br />
well.<br />
She comes once every two weeks for chemotherapy<br />
to shrink her tumor and kill cancer cells, and other than<br />
a couple of tired days following treatment, is feeling<br />
well. She enjoys a “spectacular” lunch while undergoing<br />
treatment and is thankful for<br />
familiar caregivers and a short<br />
commute.<br />
“I can’t tell you how pleased<br />
we are,” Donna says. “I feel<br />
that I’m in good hands. I<br />
couldn’t ask for anything<br />
better.”<br />
“I couldn’t ask<br />
for anything<br />
better.”<br />
Donna Viens,<br />
Randolph<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 13 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
surgery division<br />
Left, podiatric surgeon Dr. Paul Smith moves the<br />
“mini c-arm” into place to take a live image during<br />
surgery of a patient’s foot.<br />
<strong>Center</strong>, central sterile supply technician Scott<br />
Dezotelle operates the new autoclave.<br />
Right, licensed nursing assistant Michele Young<br />
collects supplies in the Surgery Division’s inventory<br />
supply room.<br />
The best of both:<br />
Cutting edge, compassionate surgical care<br />
There are people who travel from across the globe to<br />
have surgery by <strong>Gifford</strong>’s esteemed podiatrists. Others are<br />
seeking out high quality eye surgery. Still others will only<br />
trust <strong>Gifford</strong>’s orthopedic surgeons to replace their knees<br />
or hips.<br />
These are high quality surgeons – some of the nation’s<br />
best. They’re the caliber of surgeon you would think would<br />
be operating out of the expansive surgery wing of a major,<br />
big city institution. But they’re not in New York or Boston;<br />
they’re at <strong>Gifford</strong> – a rural community hospital that has<br />
seen its surgery program grow in recent years with new<br />
surgeons, a new operating room, a renovated recovery suite<br />
and new technology.<br />
“We have a lot of surgeons who are doing big, innovative<br />
procedures for a small rural<br />
area, and we’re very fortunate<br />
“May the<br />
world’s<br />
population...<br />
have the<br />
same amazing<br />
health care<br />
I am having<br />
right now.”<br />
Ethan Hubbard,<br />
Chelsea<br />
for that,” says Jamie Floyd,<br />
Surgery Nurse Manager.<br />
<strong>Gifford</strong> boasts four podiatric<br />
surgeons, uniquely doing<br />
operations in the lower leg<br />
(not just the foot and ankle),<br />
and who have a focus on<br />
sports medicine.<br />
“These are very talented<br />
people,” says Dr. Ovleto<br />
Ciccarelli, a full-time general<br />
surgeon at <strong>Gifford</strong> and new<br />
Surgery Division <strong>Medical</strong><br />
Director. “They’re the top of<br />
the heap.”<br />
Besides Dr. Ciccarelli, Dr.<br />
Maury Smith and physician<br />
assistant Nikki Gewirz round<br />
out the general surgery team. There are two orthopedic<br />
surgeons – both women and tops in the their field, Dr.<br />
Stephanie Landvater and Dr. Bess Brackett. Eye surgeon<br />
Dr. Christopher Soares treats both children and adults. The<br />
Birthing <strong>Center</strong>, bustling and renowned, brings birthing<br />
women from across the state and thus results in some<br />
caesarean sections. A gastroenterologist visits from Fletcher<br />
Allen Health Care, and <strong>Gifford</strong>’s own urology providers<br />
offer a variety of services in the clinic and the operating<br />
room.<br />
Increasingly there is a focus on breast care, wound care<br />
and coordinated acute care, says Surgery Division Vice<br />
President Rebecca O’Berry.<br />
With the inception of the hospitalist inpatient care<br />
program in 2006, <strong>Gifford</strong> can now operate on sicker<br />
patients, or those with serious underlying health<br />
conditions. Those patients are also now seen by a doctor<br />
in <strong>Gifford</strong>’s pre-operative clinic. A patient’s unique care<br />
plan is then coordinated among the pre-operative, surgery,<br />
anesthesiology and hospitalist teams. “It’s a smooth<br />
process,” Rebecca says.<br />
Delivering high quality care additionally depends on<br />
giving surgeons the tools they need to diagnose, treat and<br />
operate on patients.<br />
“We’ve made a big investment in technology,” says Jamie.<br />
A “mini c-arm” is a new imaging tool used by surgeons<br />
in the operating room to take a single picture and<br />
continuous live image of a small body part, such as a<br />
foot, ankle or wrist. There is also a whole new endoscopy<br />
system as well as new eye surgery equipment and urology<br />
scopes. High-resolution monitors and new software allow<br />
surgeons a detailed look at diagnostic images and greater<br />
versatility in using those images. A new, larger autoclave<br />
for sterilizing surgical instruments keeps pace with the now<br />
busier operating rooms.<br />
Ultrasound-guided nerve blocks or anesthesia provide<br />
better pain control. For the first time a “pain-free”<br />
colonoscopy through the use of anesthesia is offered.<br />
Epidural catheters left in for three days can provide relief<br />
during surgery and following it.<br />
And then there are the less tangible – safety and systems,<br />
how nicely you’re treated, how well the staff communicates<br />
with you and your waiting family members, and how<br />
attentive the follow-up care is when you get home.<br />
<strong>Gifford</strong>’s Best Kept Secrets - 14 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
FACTOID<br />
There are 25 podiatrists living in Vermont, and four of<br />
those are at <strong>Gifford</strong> (Drs. Nic Benoit, Kevin McNamara,<br />
Rob Rinaldi and Paul Smith), practicing in three<br />
locations – Berlin, Randolph and Sharon.<br />
Ovleto Ciccarelli<br />
<strong>Medical</strong> Director, Surgery Division<br />
Tom Dubee, 63, of Brookfield recently had surgery for<br />
the first time ever, at <strong>Gifford</strong>. It was a 10-minute procedure<br />
that involved podiatrist Dr. Robert Rinaldi making two<br />
tiny incisions to remove tension on an enlarged nerve in<br />
his foot. His brother had the same surgery five or six years<br />
ago, only his involved a large incision and cutting out the<br />
nerve, leaving him with no feeling in that part of his foot.<br />
“It was an outstanding experience,” says Tom of his<br />
surgery. “The hospital was great from the moment we got<br />
there until the moment we left.”<br />
Others patients agree. “I had the most amazing<br />
experience at <strong>Gifford</strong>. I come from the Boston area and my<br />
family wanted me to return home ‘where the real doctors<br />
are.’ I elected to stay with <strong>Gifford</strong>. It was absolutely the<br />
right choice,” one surgery patient commented.<br />
Still another was so impressed with his surgical<br />
experience at <strong>Gifford</strong> that he penned a letter to the editor<br />
of the local paper.<br />
“As I lay on the operating table at <strong>Gifford</strong> ... I had but<br />
one thought: May the world’s population ... have the same<br />
amazing health care as I am having right now,” wrote<br />
Chelsea’s Ethan Hubbard. “If I were to grade <strong>Gifford</strong><br />
<strong>Medical</strong> <strong>Center</strong> on everything, I would give them a<br />
hundred. Simply put, <strong>Gifford</strong> is the best!”<br />
For many of you, mine may be a new name. While I’ve<br />
worked at <strong>Gifford</strong> since 2007 providing weekend on-call<br />
coverage, unless you needed emergency surgery, we have<br />
probably not met before. In <strong>2010</strong>, I had the great privilege<br />
to begin practicing at <strong>Gifford</strong> full-time and be named<br />
<strong>Medical</strong> Director of our new Surgery Division that includes<br />
our third floor specialty, surgery, oncology and recovery<br />
staff.<br />
The creation of this division is among the milestones<br />
accomplished in <strong>2010</strong>, along with increased collaboration<br />
with primary care offices, emergency room providers<br />
and inpatient care teams to ensure seamless care for our<br />
patients. With our highly skilled and experienced hospitalist<br />
team, we’re now able to operate on sicker patients, and<br />
those with serious underlying health conditions. This<br />
comprehensive team of clinicians allows more people to<br />
receive surgical care close to home, with the support of<br />
family and friends in the local community.<br />
In addition, we’ve further refined our pre-operative<br />
process, added new technology and made great strides in<br />
systems improvements that better our efficiency and most<br />
importantly, your safety. These aren’t glamorous changes<br />
but are things that make a huge difference when it comes<br />
to caring for patients – and caring for patients is something<br />
I’m proud to say that <strong>Gifford</strong> does well.<br />
I spent 21 years in private practice in Connecticut before<br />
finding my medical home – my niche – at <strong>Gifford</strong>. It is<br />
an incredible medical center with talented surgeons and a<br />
staff filled with energy, ideas and a commitment to safe,<br />
compassionate, personalized patient care. These are traits<br />
you don’t often enough find in today’s world, and they are<br />
among <strong>Gifford</strong>’s most precious assets and greatest secrets<br />
to success.<br />
Operating room registered nurse Karyn Romanoski helps prepare a<br />
patient’s foot for surgery.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
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<strong>Gifford</strong>’s Best Kept Secrets
in the gifford community<br />
The <strong>Gifford</strong> Auxiliary:<br />
The Auxiliary completed its remarkable $300,000<br />
Menig Way Campaign pledge in October.<br />
Quietly giving back to the community<br />
<strong>Gifford</strong> Auxiliary members spend their time selflessly giving<br />
back to their community. But a best kept secret Auxiliary<br />
President Mickie Richardson asks you to decide and reflects on<br />
the organization, its role in the community and its giving to the<br />
hospital by awarding departments’ various “wish list” requests<br />
through Thrift Shop proceeds.<br />
Is the Thrift Shop one of Randolph’s best kept secrets<br />
Well, not to the dozens who shop there on a daily basis.<br />
But to the many who come in for the very first time, it’s a<br />
shoppers’ heaven.<br />
Thanks to the generosity of people in the community,<br />
the Thrift Shop offers a wide variety of goods – clothing<br />
of all sizes and colors, children’s books and toys, and<br />
everything from knick-knacks to holiday decor for your<br />
home. Donations are at an all-time high, and the creativity<br />
and dedication of the very capable staff has mushroomed.<br />
It’s wonderful. It’s not just the fact that we’ve been able to<br />
serve our community at a time when many truly need us<br />
– not just want us – it’s a synergistic event; because of our<br />
increased revenue, we’ve been able to fulfill the “wish list”<br />
of so many departments at the hospital. This just adds to<br />
the best kept secret.<br />
It’s the stuff that life is all about. The giving. The<br />
sharing. The giving back.<br />
For example, “wish list” giving has resulted in an exciting<br />
new communication system between the Emergency<br />
Department and ambulance services that will soon help<br />
speed up care for heart attack patients; new interactive<br />
training manikins help <strong>Gifford</strong> caregivers to keep their<br />
skills current; and materials are available to help families<br />
who are grieving the loss of a loved one.<br />
The Auxiliary’s other best kept secret is how easy it<br />
is to put your best talents to work. There are so many<br />
opportunities for folks to share their knowledge and keep<br />
this organization strong. Whether you want to be a cashier<br />
at The Thrift Shop, sort donated goods once a month or<br />
assist in some other way, the <strong>Gifford</strong> Auxiliary has room for<br />
you.<br />
Learn more by calling the Auxiliary at (802) 728-2617.<br />
Visit the Thrift Shop (located beside the hospital) at<br />
52 N. Main St., Randolph.<br />
<strong>Gifford</strong> Auxiliary Board members sport hats and mittens knitted by<br />
Auxiliary members and donated to six area schools in <strong>2010</strong>. From left<br />
are, Mickie Richardson, Ruth Lutz, Susan O’Malley, Polly Frankenburg and<br />
Kathy Corrao.<br />
FACTOID<br />
Over the course of five funding requests, beginning in<br />
2008, the Auxiliary has given $105,240 toward hospital<br />
programs and equipment purchases.<br />
<strong>Gifford</strong>’s Best Kept Secrets - 16 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
Bill and Betsy Arnold both worked for <strong>Gifford</strong> for<br />
decades. Now Betsy is an essential volunteer and<br />
founding member of the Chaplaincy Program.<br />
A relationship of many decades:<br />
Betsy and Bill Arnold, and <strong>Gifford</strong><br />
in the gifford community<br />
To understand Bill and Betsy Arnold’s commitment to<br />
<strong>Gifford</strong>, you have to understand their history with the<br />
medical center.<br />
It started when Bill moved to Randolph in 1948 as the<br />
new Radiology/Lab Manager. At the time, there were only<br />
two people in the combined department taking X-rays and<br />
drawing blood for all patients. In fact, for more than a year,<br />
Bill was the only person in the department, virtually “on<br />
call” 24/7.<br />
Over time, the departments separated and grew, but one<br />
constant was Bill. He spent 52 years at <strong>Gifford</strong>, retiring in<br />
2000, then continuing part-time and later as a volunteer.<br />
For many years there has been another constant in Bill’s<br />
life and at <strong>Gifford</strong>, and that’s his wife Betsy.<br />
Betsy moved to Randolph in 1952 and sought out work<br />
at <strong>Gifford</strong>. Bill remembers the very day she walked through<br />
the hospital’s back door. She was looking for medical<br />
records, and an immediately smitten Bill was happy to<br />
show her the way. She was hired and, upon seeing her in<br />
the cafeteria afterward, Bill announced to his table of coworkers<br />
with complete certainty, “I’m going to marry her.”<br />
It took a year of courting, but in 1953 Bill and Betsy<br />
were married.<br />
Betsy worked in medical records, in the operating and<br />
delivery rooms, in coronary care, on the inpatient floor<br />
and in the office of a general surgeon until 1975 when<br />
arthritis forced her to stop working. She came back as a<br />
volunteer in X-ray to help out her husband of 57 years, and<br />
in more recent years has been instrumental in establishing<br />
and maintaining <strong>Gifford</strong>’s now 10-year-old volunteer<br />
chaplaincy program.<br />
FACTOID<br />
Volunteers gave more than 14,000 hours of time to<br />
<strong>Gifford</strong> in <strong>2010</strong>, helping support the medical center and<br />
nursing home’s operations and adding many smiling<br />
faces to <strong>Gifford</strong>’s entryways, offices, hallways and more.<br />
It was the reverend at Betsy’s church, Tim Eberhardt,<br />
who suggested starting an ecumenical chaplaincy program<br />
at <strong>Gifford</strong>. Betsy and Rev. Eberhardt were among the first<br />
people to approach new president, Joe Woodin, with the<br />
idea. Ten years later, Betsy is still extremely active in the<br />
20-or-so-member group that provides patients and their<br />
families comfort in times of illness, and sometimes loss.<br />
Her faith brings her to the group. Her fellow chaplains<br />
and the joy of helping others make the now 80-year-old<br />
stay.<br />
“It’s a wonderful group of people to work with, number<br />
one,” she says, adding, “Visiting patients is very rewarding.<br />
“I go in and I ask ‘How is your day going’ ‘How is your<br />
recuperation’ ‘What can I do for you’ They tell me their<br />
stories. Some of the stories are funny and some of them are<br />
absolutely amazing.”<br />
<strong>Gifford</strong> Chaplain Susan<br />
Thomas calls Betsy “the<br />
matriarch of the volunteer<br />
chaplains.”<br />
“She was instrumental<br />
in starting the program<br />
at <strong>Gifford</strong> but also has<br />
continued to serve as the<br />
historian, the ‘go-to’ person and<br />
often the authoritative ‘last<br />
word’ on a topic,” Susan says.<br />
“I give thanks to God for Betsy,<br />
and know she is well-loved by<br />
all the other chaplains as well as<br />
appreciated by the patients she<br />
visits.”<br />
“<strong>Gifford</strong><br />
is home<br />
to Bill<br />
and me.”<br />
Betsy Arnold,<br />
Chaplaincy<br />
volunteer<br />
“You hope that you have given someone some hope and<br />
counseling,” Betsy says. “I also tell them (patients) if they<br />
have to be in a hospital, this is the one to be in, and they<br />
agree.”<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 17 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
in the gifford community<br />
O Romeo!<br />
This group of ROMEOs ranges in age from the late<br />
60s to early 90s. They’ve been meeting around the<br />
area for more than 15 years. They now meet solely<br />
at <strong>Gifford</strong> – for convenience and good food. Pictured<br />
clockwise from the left are, Midge Meaney, Don<br />
Zilch, Melvin “Major” McLaughlin, Bob Cantlin, Nap<br />
Pietryka, Bud Cedarstaff and Lew Whitaker.<br />
For these ROMEOs, laughter, not Juliet, beckons<br />
“O Romeo, Romeo! Wherefore art thou Romeo” Why<br />
at <strong>Gifford</strong>, of course.<br />
Every Tuesday morning the ROMEOs meet at the<br />
<strong>Gifford</strong> cafeteria for conversation and coffee. Taking<br />
Shakespeare’s famous quote more literally, we asked the<br />
question “why” our Romeos call themselves by this name.<br />
Well, it’s actually ROMEO standing for Retired Old Men<br />
Eating Out, which comes from a passage in Tom Brokaw’s<br />
book “The Greatest Generation.”<br />
The group got its start in 1995 when Lew Whitaker<br />
of Randolph and the late Charlie Ludwig of Randolph<br />
<strong>Center</strong>, who both retired to Vermont from out-of-state and<br />
who both served on the local<br />
planning board, decided to get<br />
together for coffee. And, says<br />
“We’re just<br />
a bunch of<br />
good old boys,<br />
who like to get<br />
together ... .<br />
We talk about<br />
the good old<br />
days.”<br />
Nap Pietryka,<br />
Randolph<br />
Lew, now 89, to “…get away<br />
from the women for awhile<br />
and talk man talk.”<br />
Over time the group grew<br />
as others were invited to join<br />
them. They met at various<br />
establishments around the<br />
area – the Red Kettle in<br />
Northfield, Wilson’s in<br />
Bethel, the Barnard General<br />
Store, Eaton’s Sugarhouse in<br />
Royalton and even Vermont<br />
Technical College – but more<br />
recently settled on <strong>Gifford</strong><br />
as close to home in winter<br />
weather, affordable and<br />
serving up a good meal.<br />
“When the hospital got into the serving business, we<br />
found it was the best price and very good food,” says Nap<br />
Pietryka, a member of the now eight-person, invitationonly<br />
group.<br />
Nap’s been attending for about a decade and as an early<br />
octogenarian is among the younger members. “Major”<br />
Melvin McLaughlin, now in his 90s, is the group’s oldest<br />
and newest member.<br />
“We’re just a bunch of good old boys, who like to get<br />
together, who enjoy each other’s company,” explains Nap.<br />
Breakfast and silence come first; it’s all business when it<br />
comes to eating. But then the conversation, camaraderie<br />
and comedy begin.<br />
“We talk about the good old days. ‘You remember<br />
when… ’” Nap reports. Old comics, old cars and current<br />
sports are hot topics, but politics is off the table “We do<br />
have some basic rules, but nobody follows them,” Nap says<br />
with laughter in his voice.<br />
They joke with new members about “dues,” but there<br />
really are none. There did used to be a gavel, but it’s long<br />
lost. It was used to bring the group to order and to enforce<br />
one real rule: Only one conversation at time. But even<br />
that’s not really enforced anymore. “We bring it up once in<br />
awhile just for a laugh,” Nap says.<br />
One consistency is the meeting itself. They come in<br />
snow, sleet and freezing rain. Only a major holiday results<br />
in a cancellation.<br />
And then there are the Internet jokes. Some of the group<br />
members don’t even have a computer, but those who do<br />
bring in jokes they’ve printed off. Nap, the official joke<br />
reader, shares them with the group.<br />
“If laughing is good,” says Nap, “this group is going to<br />
live a long time.”<br />
Indeed.<br />
<strong>Gifford</strong>’s Best Kept Secrets - 18 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
<strong>2010</strong>-2011 <strong>Medical</strong> Staff<br />
Anesthesiology<br />
Stephen Bender, MD<br />
Jens Bjerregaard, MD<br />
Dennis Henzig, MD<br />
Jon-Richard Knoff, MD<br />
Kathleen MacDonald, MD<br />
Nina Sharp, MD<br />
Cardiology<br />
Bruce Andrus, MD<br />
Chiropractic Sports Medicine<br />
Hank Glass, DC<br />
Emergency Medicine<br />
Roberto Abeyta, MD<br />
Steven Fisher, MD<br />
Sarah Johansen, MD<br />
Marc Keller, MD<br />
Todd Morrell, MD<br />
Saul Nurok, MD<br />
Scott Rodi, MD<br />
Wendell Smith, MD<br />
Joshua White, MD<br />
Lucy Wollaeger, MD<br />
Endocrinology<br />
Susanne Trost, MD<br />
Family Medicine<br />
Kenneth Borie, DO<br />
Terry Cantlin, DO<br />
Marcus Coxon, MD<br />
Tammy Gerdes, PA<br />
Jonna Goulding, MD<br />
Robert Kiess, MD<br />
Sheri Brown, FNP-BC<br />
Kim Ladue, FNP-BC<br />
Megan O’Brien, FNP-BC<br />
Brian Sargent, DO<br />
Mark Seymour, DO<br />
Starr Strong, PA-C<br />
General Surgery<br />
Ovleto Ciccarelli, MD<br />
Maury Smith, MD<br />
Laurie Spaulding, MD<br />
Marjorie Gewirz, PA-C<br />
Hospitalist Medicine<br />
Mandeep Hundal, MD<br />
Martin Johns, MD<br />
Joshua Plavin, MD, MPH<br />
Wendell Smith, MD<br />
Sue Burgos, PA-C<br />
Joshua Gleiner, PA-C<br />
Patrick Kearney, PA-C<br />
Fred Staples, PA-C<br />
Internal Medicine<br />
James Currie, MD<br />
Milton Fowler, MD<br />
Mark Jewett, MD<br />
Patrick Kearney, PA-C<br />
Mary LaBrecque, APRN<br />
Internal Medicine and<br />
Pediatrics<br />
David Pattison, MD, MPH<br />
Joshua Plavin, MD, MPH<br />
Mental Health<br />
John Porter, MD +<br />
Robert Vaillancourt, MA<br />
Midwifery<br />
Alexandra Bovey, CNM<br />
Donna Butler, CNM<br />
Laureli Morrow, CNM<br />
Kathryn Saunders, CNM<br />
Tanya Waters, CNM<br />
Naturopathic Medicine<br />
Christopher Hollis, ND<br />
Neurology<br />
Robin Schwartz, MD<br />
Obstetrics/Gynecology<br />
Brent Burgee, MD<br />
Ellamarie Russo-DeMara, DO<br />
Oncology<br />
John Valentine, MD<br />
Ophthalmology<br />
Jack Singer, MD +<br />
Christopher Soares, MD<br />
Orthopedics<br />
Bess Brackett, MD<br />
Stephanie Landvater, MD<br />
Pain Management<br />
Lan Nguyen-Knoff, MD<br />
Pathology<br />
Cathy Palmer, MD<br />
Brian Travis, MD<br />
Pediatric Cardiology<br />
Niels Giddins, MD<br />
Pediatrics<br />
Louis DiNicola, MD<br />
William Gaidys, MD<br />
Elizabeth Jewett, MD<br />
Joseph Pelletier, MD<br />
Pamela Udomprasert, MD<br />
Plastic Surgery<br />
Guy Rochman, MD<br />
Podiatry and Sports<br />
Medicine<br />
Nicolas Benoit, DPM<br />
Kevin McNamara, DPM<br />
Robert Rinaldi, DPM<br />
Paul Smith, DPM<br />
Pulmonary Medicine<br />
Marda Donner, MD<br />
Radiology<br />
John McIntyre, MD<br />
Scott Smith, MD<br />
Orthopedic Sports Medicine<br />
Peter Loescher, MD<br />
Urology<br />
Michael Curtis, MD<br />
John Daly, MD<br />
Nancy Blessing, PA-C<br />
<strong>2010</strong> <strong>Medical</strong><br />
Executive Committee<br />
Joshua Plavin, MD, MPH<br />
President, Medicine Division<br />
<strong>Medical</strong> Director<br />
Marcus Coxon, MD<br />
Vice President, Chair of<br />
Quality Council<br />
Ellamarie Russo-DeMara, DO<br />
Secretary<br />
Kevin McNamara, DPM<br />
Past President<br />
Ovleto Ciccarelli, MD<br />
Surgery Division <strong>Medical</strong><br />
Director<br />
Martin Johns, MD<br />
Hospital Division <strong>Medical</strong><br />
Director<br />
Terry Cantlin, DO<br />
Chair of Peer Review<br />
Committee<br />
Mark Seymour, DO<br />
Chair of Credentials<br />
Committee<br />
Joseph Woodin<br />
President and CEO<br />
medical services and executive committee<br />
+ Indicates providers who recently passed away.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 19 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
statistics<br />
Admissions and visits by top 20 towns<br />
2009 <strong>2010</strong><br />
Inpatient admissions 1,623 1,726<br />
Short stay or same day<br />
admissions (outpatient) 1,233 1,469<br />
Other outpatients 66,897 69,547<br />
Grand total 69,753 72,742<br />
Total patient days of care 18,017 18,093<br />
Average daily census 49.4 49.6<br />
(hospital and nursing home)<br />
Average length of stay 3.0 3.1<br />
in days (acute patients)<br />
Deliveries 175 246<br />
Surgical procedures 2,208 2,852<br />
Emergency treatments 7,491 7,272<br />
Endoscopies 579 594<br />
Cardiology exams 2,783 2,953<br />
Respiratory care 11,124 11,789<br />
Laboratory procedures 144,605 152,944<br />
Radiology procedures 22,507 23,363<br />
(not including CT and MRI)<br />
CT scans 1,644 1,641<br />
MRI 1,326 1,550<br />
Radioisotope procedures 806 631<br />
Physical therapy procedures 26,686 27,320<br />
Number patient meals served 56,702 57,342<br />
Inpatient Outpatient Total<br />
Randolph/Braintree 496 22,653 23,149<br />
Bethel 143 6,379 6,522<br />
Royalton 93 5,794 5,887<br />
Northfi eld 119 3,158 3,277<br />
Chelsea 95 2,891 2,986<br />
Rochester 86 2,754 2,840<br />
Barre 100 2,640 2,740<br />
Tunbridge 47 2,507 2,554<br />
Brookfi eld 47 2,176 2,223<br />
Berlin 100 1,605 1,705<br />
Sharon 24 1,646 1,670<br />
Williamstown 52 1,551 1,603<br />
Stockbridge 22 979 1,001<br />
Granville 17 874 891<br />
Hancock 23 725 748<br />
Pittsfi eld 14 532 546<br />
Barnard 3 511 514<br />
Washington 11 492 503<br />
Montpelier 10 243 253<br />
Woodstock 1 243 244<br />
Other Vermont towns 202 9,079 9,281<br />
Other states 26 1,574 1,600<br />
Other countries - 5 5<br />
Grand total 1,731 71,011 72,742<br />
<strong>Gifford</strong> physician offices 88,243 97,074<br />
Percentage of giving<br />
by type<br />
Each year <strong>Gifford</strong> is fortunate to receive a variety of gifts.<br />
Many are to the medical center’s general fund and thus can<br />
be used as needed for hospital operations and programs.<br />
Others are for specifi c purposes, such as a gift to support<br />
the Garden Room, Adult Day Program or Birthing <strong>Center</strong>.<br />
We continue to receive payments on pledges for the Menig<br />
nursing home expansion project (the Menig Way Campaign).<br />
The pie chart shows the types of investments <strong>Gifford</strong><br />
receives - all of which are greatly appreciated.<br />
Specifi c Purpose<br />
(Restricted)<br />
Menig Way Campaign<br />
(Pledge Payments)<br />
16%<br />
47% Last Mile Ride<br />
(Restricted)<br />
10%<br />
General Fund<br />
(Unrestricted)<br />
14%<br />
Planned Gifts<br />
(Unrestricted/Restricted)<br />
13%<br />
<strong>Gifford</strong>’s Best Kept Secrets - 20 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
Balance Sheet<br />
Years ended September 30, <strong>2010</strong> & 2009 <strong>2010</strong> 2009<br />
Statement of Operations<br />
Years ended September 30, <strong>2010</strong> & 2009 <strong>2010</strong> 2009<br />
fi nancials<br />
CURRENT ASSETS<br />
Cash and cash equivalents $4,953,499 $4,654,808<br />
Short-term investments 1,015,041 860,536<br />
Patients accounts receivable, net 6,963,230 7,136,962<br />
Other receivables 182,299 147,774<br />
Current portion of pledges receivable 59,406 88,256<br />
Inventories 1,035,282 918,018<br />
Estimated third-party settlements – –<br />
Prepaid expenses 989,988 738,576<br />
Total current assets 15,198,745 14,544,930<br />
ASSETS LIMITED AS TO USE<br />
Internally designated for capital acquisition 16,868,561 15,856,534<br />
Long-term investments 2,532,073 2,363,289<br />
Held by trustee under indenture agreement – 10,036<br />
Total assets limited to use 19,400,634 18,229,859<br />
PROPERTY AND EQUIPMENT, net 26,640,357 26,281,732<br />
OTHER ASSETS<br />
Bond issuance costs, net 118,268 158,241<br />
Pledges receivable, net of current portion – 34,976<br />
Other assets 31,588 –<br />
Total other assets 149,856 193,217<br />
Total assets $61,389,592 $59,249,738<br />
CURRENT LIABILITIES<br />
Accounts payable and accrued expenses 4,439,830 4,788,297<br />
Accrued salaries and related amounts 2,588,985 2,381,258<br />
Estimated third-party payor settlements 42,205 672,288<br />
Deferred revenue 41,077 37,744<br />
Interest rate swaps 3,039,948 2,234,805<br />
Current portion of deferred annuities 25,998 21,421<br />
Current portion of capital lease obligations 186,821 165,808<br />
Current portion of long-term debt 356,137 –<br />
Total current liabilities 10,721,001 10,301,621<br />
Long-term debt, excluding current portion 251,555 237,400<br />
Capital lease obligations, excluding current portion 96,675 268,308<br />
Deferred annuity, excluding current portion 141,514 127,273<br />
Long-term deferred compensation 20,042,302 20,315,000<br />
Total liabilities 31,253,047 20,947,981<br />
NET ASSETS<br />
Unrestricted 28,715,934 26,616,043<br />
Temporary restricted 950,872 1,014,354<br />
Permanently restricted 469,739 369,739<br />
Total net assets 30,136,545 28,000,136<br />
Total liabilities and net assets $61,389,592 $59,249,738<br />
WHERE THE MONEY COMES FROM<br />
We billed for services to inpatients $22,246,287 $18,500,384<br />
We billed for services to outpatients 72,943,414 64,338,471<br />
We had other operating revenue of 1,279,891 1,806,115<br />
Total operating revenue 96,469,592 84,644,970<br />
BECAUSE WE DID NOT RECEIVE FULL PAYMENT<br />
FOR AMOUNT BILLED<br />
From those unable to pay<br />
(charity care based on charges) 701,280 716,603<br />
From Medicare and Medicaid 27,233,694 22,097,338<br />
From other contracted payors 9,442,835 8,475,825<br />
Therefore we wrote off 37,377,809 31,289,766<br />
OUR NET REVENUE WAS 59,091,783 53,355,204<br />
WHERE THE MONEY GOES<br />
To pay our employees salaries and benefi ts 34,424,757 31,187,029<br />
To purchase supplies and services 16,348,164 14,184,622<br />
To allow for wear and tear on buildings<br />
and equipment 2,778,271 2,458,670<br />
To pay for utilities 903,629 1,019,473<br />
To pay for interest on our outstanding debt 554,908 722,197<br />
To allow for those patients who are unwilling<br />
to pay (bad debt) – 2,318,282 2,322,945<br />
OUR TOTAL EXPENSE WAS 57,328,011 51,894,936<br />
THIS PROVIDES US AN OPERATING<br />
REVENUE OF 1,763,772 1,460,268<br />
We had income (losses) from investments<br />
and nonoperating revenue of 1,011,582 (262,417)<br />
FUNDS REMAINING TO PAY ON OUTSTANDING DEBT AND<br />
TO INVEST IN THE HOSPITALS FUTURE<br />
(new and replacement equipment,<br />
new technology, new services, etc.) $2,775,354 $1,197,851<br />
Percentage of revenue<br />
by payor mix<br />
Medicare<br />
33%<br />
Medicaid<br />
21%<br />
Commercial<br />
and other<br />
third party<br />
43%<br />
Operating<br />
expenses<br />
Supplies<br />
& services<br />
31%<br />
Self pay<br />
3%<br />
Benefi ts<br />
14%<br />
Salaries<br />
46%<br />
Amortization<br />
& depreciation<br />
5%<br />
Bad debts<br />
4%<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong><br />
- 21 -<br />
<strong>Gifford</strong>’s Best Kept Secrets
corporators<br />
<strong>Gifford</strong> Corporators<br />
Corporators have been part of <strong>Gifford</strong>’s history and oversight<br />
for more than 100 years. Corporators meet annually to elect or<br />
re-elect members of the Board of Trustees, serve on committees<br />
and special advisory groups, and are liaisons and ambassadors<br />
between <strong>Gifford</strong> and the communities it serves.<br />
Sally Abel<br />
Martin & Grace Adams<br />
David & Peggy Ainsworth<br />
George & Beatrice Allen<br />
David & Karen Anderson<br />
David & Joan Angell<br />
Phil & Rosalie Angell<br />
Barbara Angell<br />
Bill & Betsy Arnold<br />
Edith Artz<br />
Ellen Baker<br />
Jerry & Nancy Barcelow<br />
David & Sandra Barnard<br />
Brooks & Susan Barron<br />
William & Shirley Baumann<br />
Mary Ellen Black<br />
Harvey Blackmer<br />
Robert Borden<br />
Marianne Brigham<br />
William & Diane Brigham<br />
Dick Burstein<br />
Paul & Margaret Calter<br />
Robert & Marguerite Caron<br />
Norm Case<br />
Lorraine Chase<br />
Linda Chugkowski<br />
Lincoln & Louise Clark<br />
Robert & Glenda Clarke<br />
Leo Connolly<br />
Jack Cowdrey<br />
Beverley Davis<br />
Betsy Davis<br />
Jean Day<br />
Bob & Roberta Dean<br />
Barbara DeHart<br />
Steve & Nancy Dimick<br />
Russ & Sharon Dimmick<br />
Paul & Marlene Dolan<br />
Louis & Becky Donnet<br />
Pierre & Carolyn Donnet<br />
Dick & Marjorie Drysdale<br />
Nancy DuBois<br />
Lang & Lorraine Durfee<br />
Anna Dustin<br />
Molly Eddy<br />
Rev. Kathy & Bob Eddy<br />
Betty Edson<br />
Dick Ellis<br />
Bill & Carol Ellis<br />
Ted & Ruth Elzey<br />
Richard & Phyllis Forbes<br />
Dr. Becky Foulk & Tavian<br />
Mayer<br />
Polly Frankenburg<br />
Benjamin Fratkin<br />
Ron & Judy Gadway<br />
Randy & Pauline Garner<br />
David & Gay Gaston<br />
Rick & Robin Goodall<br />
Joan Granter<br />
George & Kelly Gray<br />
Ray & Nancy Gray<br />
Helen Greenlee<br />
Freeman & Jean Grout<br />
Josephine Haikara<br />
Ty & Kim Handy<br />
Marvin & Barbara Harvey<br />
Skip & Sybil Hazen<br />
Cathy Hazlett<br />
Steve & Joyce Hill<br />
Don & Allison Hooper<br />
Richard & Bunny Huntley<br />
Judith Irving & Steven Reid<br />
Sheila Jacobs<br />
Paul Kendall & Sharon Rives<br />
Jim & Jean Kennedy<br />
Carroll & Marguerite<br />
Ketchum<br />
Joe & Beth Kittel<br />
Reed & Karen Korrow<br />
Bennnett Law<br />
Sandy Levesque<br />
Tim Caulfield & Linda Morse<br />
Fred & Holly Locke<br />
Betty Ludwig<br />
David Silloway & Lynne<br />
Gately<br />
Bruce & Karen MacDonald<br />
Dick & Jean Mallary<br />
Nancy Mandigo<br />
Lyndon Mann<br />
Mary Markle<br />
Steven & Ellen Martin<br />
John & Joyce Mazzucco<br />
Bob & Phyllis McAdoo<br />
Major Melvin McLaughlin<br />
Charlie & Becky McMeekin<br />
Ken & Carol Merrill<br />
Gus & Pat Meyer<br />
Judy Moore<br />
Dr. Robert & Dorsey Naylor<br />
Gib & Barbara Noble<br />
Peter & Kathy Nowlan<br />
Stuart & Margaret Osha<br />
John & Gail Osha<br />
Donna Osha-Mowatt<br />
Charles Page<br />
Michael & Sally Penrod<br />
Peggy & John Poffenberger<br />
Dr. Andy & Jil Pomerantz<br />
Scott & Nelda Putney<br />
Charles Register<br />
Ellen Reid<br />
Edith Reynolds<br />
Joyce Richardson<br />
Caleb & Trish Rick<br />
David & Barbara Rochat<br />
John & Kathrine Roe<br />
Marvin & Carol Rogers<br />
Wendy Ross<br />
Sam & Jinny Sammis<br />
Franklin & Jane Sanders<br />
Jim & Diane Sardonis<br />
Dan & Joan Sax<br />
Irene Schaefer<br />
David & Emma Schumann<br />
Anne Silloway<br />
Gary & Denise Simpson<br />
Charlie & Louise Sjobeck<br />
Michael & Huibertha Sorgi<br />
Arnold & Priscilla Spahn<br />
Margaret Steele<br />
Jeff Steinkamp<br />
Ellie Streeter<br />
Larry & Ellie Strode<br />
Donna Morris & Bill Sweat<br />
Carl & Florence Symonds<br />
Peter Symonds<br />
Sue Sytsma & Ken Stevens<br />
Al Wilker & Vance Smith<br />
Duane & Patricia Webster<br />
Steve Webster & Susan Cliff<br />
Charles & Kathy Welch<br />
John & Susan Westbrook<br />
Lewis Whitaker<br />
Gordon & Grace Wiggett<br />
Wink & Bonny Willett<br />
Chris Wilson<br />
Peter & Joyce Winslow<br />
Newall & Barbara Wood<br />
Joe & Pat Woodin<br />
Audrey Woodruff<br />
Bob & Rose Wright<br />
<strong>Gifford</strong>’s Best Kept Secrets - 28 -<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2010</strong>
gifford clinic sites<br />
In Closing<br />
Thank you for taking this behind the scenes look at <strong>Gifford</strong><br />
<strong>Medical</strong> <strong>Center</strong> with us. We hope you enjoyed reading<br />
about your community medical center and just some of its<br />
many services. Thank you especially to the many patients<br />
who granted us the distinct privilege of telling their stories<br />
in this <strong>2010</strong> <strong>Gifford</strong> <strong>Annual</strong> <strong>Report</strong>. We wish you all well.<br />
Clinic locations<br />
Advance Physical Therapy, Wilder<br />
Physical Therapy<br />
Bethel Health <strong>Center</strong><br />
Family Medicine, Mental Health (private practice)<br />
& Adult Day Program<br />
Chelsea Health <strong>Center</strong><br />
Family Medicine & Clara Martin <strong>Center</strong><br />
<strong>Gifford</strong> Health <strong>Center</strong> at Berlin<br />
Endocrinology, Midwifery,<br />
Orthopedics, Pediatrics & Podiatry<br />
Kingwood Health <strong>Center</strong>, Randolph<br />
Cardiology (Fletcher Allen), Diabetes Clinic,<br />
Endocrinology, & Rehabilitation Services<br />
Rochester Health <strong>Center</strong><br />
Internal Medicine<br />
For more information<br />
To fi nd a provider, contact:<br />
<strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong><br />
44 South Main Street<br />
Randolph, VT 05060<br />
(802) 728-7000<br />
info@giffordmed.org<br />
or log on to the “<strong>Medical</strong> Staff ” and “Area Health <strong>Center</strong>s”<br />
pages on our Web site<br />
To volunteer, contact:<br />
Julie Fischer<br />
Volunteer Services Coordinator<br />
(802) 728-2324<br />
jfischer@giffordmed.org<br />
To learn about the many ways you can<br />
support <strong>Gifford</strong>, contact:<br />
Ashley Lincoln<br />
Director of Development, Marketing and Public Relations<br />
(802) 728-2380<br />
alincoln@giffordmed.org<br />
or log on to the “Giving” pages of our Web site<br />
Sharon Health <strong>Center</strong><br />
Adult Medicine, Chiropractics, Physical<br />
& Occupational Therapy, Podiatry, Sports Medicine<br />
& a Certified Athletic Trainer<br />
Twin River Health <strong>Center</strong>, White River Jct.<br />
Urology<br />
www.giffordmed.org
<strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong><br />
44 South Main Street<br />
PO Box 2000<br />
Randolph, VT 05060<br />
Non Profi t<br />
U.S. Postage<br />
PAID<br />
Permit # 165<br />
Burlington, VT<br />
<strong>Gifford</strong> <strong>Medical</strong> <strong>Center</strong><br />
44 South Main Street<br />
Randolph, VT 05060<br />
(802) 728-7000<br />
www.giffordmed.org<br />
Bethel Health <strong>Center</strong><br />
1923 Route 107<br />
Bethel, VT 05032<br />
(802) 234-9913<br />
Rochester Health <strong>Center</strong><br />
235 South Main Street<br />
Rochester, VT 05767<br />
(802) 767-3704<br />
<strong>Gifford</strong> Health <strong>Center</strong> at Berlin<br />
82 East View Lane<br />
Barre, VT 05641<br />
(Just off Airport Road in Berlin)<br />
(802) 229-2325<br />
Twin River Health <strong>Center</strong><br />
108 North Main Street<br />
Whiter River Junction, VT 05001<br />
(802) 296-7370<br />
Chelsea Health <strong>Center</strong><br />
356 Route 110<br />
Chelsea, VT 05038<br />
(802) 685-4400<br />
Sharon Health <strong>Center</strong><br />
12 Shippee Lane<br />
Sharon, VT 05065<br />
(802) 763-8000<br />
Kingwood Health <strong>Center</strong><br />
1422 Route 66<br />
Randolph, VT 05060<br />
(802) 728-7100<br />
Advance Physical Therapy<br />
331 Olcott Drive, U2<br />
White River Junction, VT 05001<br />
(Just off Route 5 in Wilder)<br />
(802) 295-7333