Check out our PI Barre Newsletter – December 2014
Project Independence finds new life in Gifford
BARRE – The state’s first adult day center, Project Independence, got its start in Barre in 1975 when a nursing home activity director, Lindsey Wade, recognized an opportunity to do things better and more cost effectively. Wade encountered nursing home residents who didn’t seem to medically belong there. Others were visiting the nursing home daily for the social interaction. Wade had an idea. The area needed an adult day care and not a medical model adult day, but a social model – something that didn’t exist anywhere else in the country.
An active board and an interested city brought to life Project Independence on Washington Street and in the decades since, its model has not only flourished but expanded statewide. There are currently 14 adult day programs in Vermont.
Today’s Project Independence serves 23 towns in Washington and northern Orange counties, welcoming an average 38 seniors and the disabled each weekday. The project includes meals, showers, medication management and ample activities, allowing them a fun and safe day care experience while also allowing them to stay at home – a far more affordable model than nursing home care.
But statewide adult days are struggling. Funding available for adult days almost guarantees failure. “The Adult Day financial model is not a successful one,” says Project Independence Executive Director Dee Rollins. “It’s a continued struggle to support our model.”
And Project Independence has had some recent extra hurdles. It bought a North Main Street location and moved in 2010. Less than a year later, in May of 2011, the building flooded during a period of torrential rains that had storm water draining through a bulkhead into the building’s basement causing $295,000 in damages and losses. The following summer a sewer hookup issue during Barre’s “Big Dig” caused backups and additional damages and losses. Between those losses and looming health care reform that promises changes to health care funding and encourages health care relationships, small, standalone Project Independence began looking for help in the form of a partner. It found it in Gifford Health Care in Randolph.
Project Independence of Barre and the Gifford Retirement Community, part of Gifford Health Care in Randolph, will merge at the conclusion of Gifford’s fiscal year on Sept. 30. Boards for the two nonprofit organizations unanimously agreed to the merger in May after studying the relationship for more than a year.
It will be a full asset merger with Project Independence retaining its name, location and fund-raising dollars. Project Independence’s board will become an advisory board to provide local perspective and experience, and employees will become part of Gifford, opening the door to enhanced benefits. Project Independence will benefit from Gifford’s staff, from financial to billing to nursing help, as well as its buying power as a larger organization.
For Project Independence it is an opportunity for financial stability and more amidst what have been a stormy couple of years and the projected financial changes under health care reform. For Gifford, it is an opportunity to further its work to support seniors and to partner with a reputable organization.
“It’s the right thing. It’s the right match. We have the right partner,” says Rollins, who was drawn to Gifford because it has its own adult day, the Gifford Adult Day Program in Bethel, shares a mission of supporting seniors and because of the Randolph hospital’s commitment to community.
Gifford is currently building a senior living community in Randolph Center that will include a new nursing home and independent and assisted living units after seeing a need in the community for these services. The Randolph medical center also already has services in the Barre area in the form of a health center off the Airport Road in Berlin. The Gifford Health Center at Berlin is home to family medicine, pediatrics, internal medicine, infectious disease, midwifery, orthopedics, podiatry, neurology and urology services.
“The combination of the two of us makes a lot of common sense and a lot of business sense,” Project Independence Board Chairman Steve Koenemann said, calling his board’s vote a very easy one to make and the plan “a no-lose proposition.” “The goal is try to see the program grow,” Koenemann said. “We don’t want to change Project Independence. It has nearly 40 years of experience and reputation serving that community that’s not something that you want to back away from.” “It’s not taking away anything from Project. It’s all additions,” added Rollins.
Gifford employees have already been providing support to Project Independence over the last year as the two organizations have carefully studied a merger. “When someone has a humble request for help as it relates to the delivery of health care services, we take that seriously,” said Gifford Administrator Joseph Woodin, praising Project Independence’s board, values, volunteers and hardworking team. “For us, that’s extraordinarily appealing and we’re thankful that they’ve asked us.” “We feel this is an honor that they asked,” agreed Linda Minsinger, Gifford Retirement Community executive director. “This is the right thing to do. It’s really important that these participants have a place that will carry on.” Joining with Project Independence is in keeping with Gifford’s mission and providing support to a needed service that will no doubt grow as the state looks for more affordable ways to care for a growing senior population, said Gifford Board Chairman Gus Meyer.
“When you’re a very small organization, you don’t have the staff to do all of the diffeent things to be done. It’s extremely difficult and it’s extremely draining to make an organization of that size successful. They’ve done a great job of keeping their organization alive in the face of huge challenges and at the same time provided a great service,” Meyer said. “A larger organization is much more able to absorb things that just come up. If there’s some facilities’ damage, it doesn’t become devastating.” That is a scenario that has Project Independence breathing a sigh of relief. “We are just all so encouraged. This just brings a true breath of fresh hope,” Rollins said. “We’re dancing in the streets.” Well, maybe in the living room.
Project Independence participants – most of whom think of their home away from home as “the club” not an adult day center – let up a cheer upon hearing the news from Rollins that “the club” would merge with Gifford. Staff members, who have been part of what have been very transparent discussions, were equally enthusiastic. Cook Pam Bresette of South Barre said, “I think it’s going to be fabulous.” Office Administrator Sue Catto of Barre took her job a year ago knowing positive changes were coming. Licensed nursing assistant Amanda Koledo of Barre hopes to go to nursing school. Gifford provides tuition reimbursement. Koledo has worked at Project Independence for six years. “I think it’s so exciting,” she said. “We’re on an island and we’ll now have life jackets.”
Gifford is a community hospital in Randolph, Vt., with family health centers in Berlin, Bethel, Chelsea and Rochester and specialty services throughout central Vermont. A Federally Qualified Health Center and Top 100 Critical Access Hospital in the country, Gifford is a full-service hospital with a 24-hour emergency department, inpatient and rehabilitation units, many surgical services, accredited cancer program, a day care, an adult day care and a 30-bed nursing home, the Menig Extended Care Facility, which was named by U.S. News and World Report as one of the best 39 nursing homes in the country in 2012. The Birthing Center, established in 1977, was the first in Vermont to offer an alternative to the traditional hospital-based deliveries and continues to be a leader in midwifery and family-centered care. The cancer program is accredited by the Commission on Cancer of the American College of Surgeons.
The hospital’s mission is to improve individuals’ and community health by providing and assuring access to affordable, high-quality health care in Gifford’s service area.
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