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Beer and Wine Tasting

June 5: The Junior League of Greater Springfield will present its second annual Beer and Wine Tasting fund-raising event on Sunday, June 5 from 3 to 6 p.m. at the Holyoke Canoe Club. The event will include a silent auction, live music by Berkshire Hill Music Academy, and hors d’oeuvres by Lattitude. Proceeds from the event will support the Junior League’s scholarship fund. Every year, the Junior League awards a scholarship to a graduating high-school female who has exhibited exemplary leadership and community service. “There are many young women who demonstrate strong leadership skills and dedication to volunteerism,” said Shana Wilson, president of the Junior League of Greater Springfield. “We are proud to recognize one of them with a scholarship, and this event ensures that we can continue to support young female leaders for years to come.” The event is open to the public and sponsored by Sarat Ford Lincoln of Agawam and Commonwealth Packaging Corp. of Chicopee. Tickets cost $30 and can be purchased at www.jlgs.org/wine–beer-tasting-2016.html. “This event will help highlight the vitally important work the Junior League of Greater Springfield provides to the local community as well as reward a graduating high-school female for her hard work and service,” Wilson added.

‘Archetypes at Work’

June 7: The owner of both Cultivate and Nest and Beloved Earth will offer a free workshop geared toward the small-business owner or freelancer who wants to learn how to take his or her business to the next level. Terra Missildine will offer “Archetypes at Work” from 5 to 7 p.m. at Cultivate and Nest, 2 Bay Road, Suite 100, Hadley. The workshop will focus on discovering participants’ personality archetypes and exploring how they can use that knowledge more effectively in their branding and in attracting their ideal clients. “Participants will have fun and have a chance to be introspective while digging deep to discover who they really are in business and, more importantly, how they are perceived in the marketplace,” Missildine said. An experienced entrepreneur, she and her husband, David, launched Beloved Earth, a ‘green’ cleaning business, 10 years ago, and she founded Cultivate and Nest, a membership-based co-office space that incorporates a child-care component, in January. The workshop is free, but seats are limited. E-mail [email protected] to reserve a spot. For more information, visit cultivateandnest.com or contact Missildine at (413) 345-2400.

Cybersecurity Luncheon

June 8: Peritus Security Partners, Gaudreau Group Insurance Agency, and CMD Technology Group will present a cybersecurity luncheon from 11 a.m. to 1 p.m. at Center Square Grill, 84 Center Square, East Longmeadow. The event — designed for small to medium-sized businesses faced with threats to client and employee data — will present three key elements to building a solid foundation for managing cyber risk. Peritus Security Partners will discuss the importance of building proper policies, procedures, and controls to manage cyber risk and compliance. The Gaudreau Group will discuss the importance of using cyber insurance as a tool to manage risk that cannot be practically controlled through policy or technical controls. CMD Technology Group will focus on some practical technology solutions that help reduce the risks of a cyber attack. The event will culminate with a practical discussion on current and emerging threats and how businesses can use these three strategies to protect against a data breach. Reservations are required. To register, call (413) 525-0023 or e-mail [email protected].

Charles’ Angels Walk for Diabetes Education

June 11: Three years ago, Clara Thatcher, a Hampshire Regional High School student, organized an annual walk in memory of her father, who passed away from complications with diabetes. The fourth annual Charles’ Angels Walk for Diabetes Education will take place from 8:30 a.m. to noon at Hampshire Regional High School, rain or shine. Proceeds from the walk will benefit the Cooley Dickinson Medical Group Diabetes Center, a program of Cooley Dickinson Health Care. Clara’s father, Charles Thatcher, died in 2009. In his memory, Clara, her sister, Kayla Thatcher, and their mother, Mandy Caputo, established the first Charles’ Angels Walk for Diabetes Education fund-raiser in 2013. All proceeds support diabetes education through the Diabetes Center, which teaches those living with diabetes how to best manage their health through exercise, nutrition, medications, and follow-up care. For more information, visit charlesangels.weebly.com or e-mail [email protected].

Northampton Garden Tour

June 11: Come visit eight gardens on display for the 2016 Northampton Garden Tour, a fund-raiser for Friends of Forbes Library Inc. The event will be held from 10 a.m. to 3 p.m., rain or shine. The Garden Tour aims to inspire and educate everyday gardeners with plantings in a variety of appealing and unique landscaping styles and creative use of hardscape. In contrast to the 2015 tour that was localized in the center of Northampton, this year’s tour takes participants on a scenic and varied 18-mile route to the outer reaches of the community. Tickets come with directions to this self-guided tour of gardens within easy driving distance of the library. There is no obvious, easiest route, but suggestions will be available to make the tour both safe and expedient. At each garden, there are descriptions of the plantings, and garden guides will be on hand to answer questions. The terrain of this year’s tour broadly circles Northampton, making gardens accessible by car or a bicycle ride for the recreational peddler comfortable with 20-plus miles. Tickets for the tour are $15 in advance at Forbes Library, Bay State Perennial Farm, Cooper’s Corner, Hadley Garden Center, North Country Landscapes, and State Street Fruit Store. The cost is $20 on the day of the tour at the library only. The Garden Tour also includes a raffle to win organic compost, gift certificates, garden supplies, a landscape consultation, and more. Raffle tickets are available at Forbes Library through the day before the tour as well as at one of the gardens on the day of the tour. All event proceeds benefit Friends of Forbes Library to support programs, events, and projects for the library that could not otherwise be funded. For details: on the organization, visit www.forbeslibrary.org. For more information about the Garden Tour, call Lyn Heady at (413) 584-7041.

‘Leverage Technology to Do More with Less’

June 15: Comcast Business will present “How to Leverage Technology to Do More With Less,” part of the BusinessWest/HCN Lecture Series, at the Lyman & Merrie Wood Museum of Springfield History, 21 Edward St., Springfield. Registration will begin at 7:15 a.m., followed by breakfast and a panel discussion from 7:30 to 9 a.m. The panelists — influential minds in the IT field — will discuss issues that every business IT department is being forced to deal with, including rising demands to make changes to existing systems, increasing efficiency and improving security, and how budget restrictions impact IT. Panelists include Michael Feld, CEO, VertitechIT, and interim CTO, Baystate Health and Lancaster General Hospital; Frank Vincentelli, chief technology officer, Integrated IT Solutions; and Patrick Streck, director, IT Services, Baystate Health / Information & Technology. Admission is free, but pre-registration is required by June 7. To register, go HERE or call (413) 781-8600 for more information.

40 Under Forty

June 16: The 10th annual 40 Under Forty award program, staged by BusinessWest, will be held at the Log Cabin Banquet & Meeting House in Holyoke, honoring 40 of the region’s rising stars under 40 years old. An independent panel of judges chose the winners, and their stories were told in the pages of the April 18 issue. The event is sponsored by Northwestern Mutual and Paragus Strategic IT (presenting sponsors), EMA Dental, Health New England, Isenberg School of Management at UMass Amherst, Moriarty & Primack, United Bank, and the Young Professional Society of Greater Springfield. The event is sold out.

Sunbeam Social Club

June 20: Sunshine Village is introducing its Sunbeam Social Club, designed for people with memory loss and their family members. Sunshine Village has a long history of providing innovative programming for people with cognitive disabilities. Sunbeam Social Club will provide a safe, supportive, and engaging environment for people who often have fewer opportunities for socializing and fun. The debut of Sunbeam Social Club coincides with Alzheimer’s Awareness Day on Monday, June 20, the longest day of the year. The day is designed to shine a light on the millions of people living with memory disorders. The gathering will be held from 10 to 11:30 a.m. in the Community Room at the Emily Partyka Central Library at 449 Front St. in Chicopee. Group and individualized activities are planned, and refreshments will be served. Volunteers from Sunshine Village’s Community Based Day Program will be on hand, as well as local professional resources. “We are thrilled to introduce the Sunbeam Social Club,” said Sunshine Village Executive Director Gina Kos. “This program is intended to provide joy to both people with memory disorders and their care partners. People with vascular dementia, Alzheimer’s disease, and other memory disorders are all invited to attend with their family members.” For more information or to register for the June gathering of the Sunbeam Social Club, call Sunshine Village at (413) 592-6142.

‘Building Your Exit’

June 22, 23: The Vann Group and Epstein Financial Services will present “Building Your Exit: The Owner Succession Planning Process Defined,” part of the BusinessWest/HCN Lecture Series, on Wednesday, June 22 at the Student Prince/the Fort in Springfield, and Thursday, June 23 at Hadley Farms Meeting House in Hadley. Registration both days will begin at 7:15 a.m., followed by breakfast and a panel discussion from 7:30 to 9 a.m. One of the largest challenges facing business owners today is the question of how to get out of their business. These seminars will present a step-by-step breakdown of the succession-planning process and what to expect along the way, including the many benefits to transitioning business ownership. Panelists include Kevin Vann and Michael Vann of the Vann Group and Charlie Epstein of Epstein Financial Services and Epstein Financial Group. Admission is free, but RSVP is requested by June 14 for the first seminar and by June 15 for the second. To register, go HERE or call (413) 781-8600 for more information.

Daily News

CHICOPEE — The 486-student Elms College class of 2016 received diplomas at the college’s 85th commencement exercises on May 21 at the MassMutual Center in Springfield.

The class of 2016 includes 400 undergraduates — 170 bachelor of arts degrees, 229 bachelor of science degrees, and one associate’s degree — as well as 81 master’s degrees and five certificates of advanced graduate study.

The commencement address was delivered by Dr. James O’Connell, president of the Boston Health Care for the Homeless Program, which he founded in 1985 to provide or ensure access to the highest-quality healthcare for homeless men, women, and children in the Greater Boston area. The nonprofit program now serves more than 13,000 people each year in two hospital-based clinics (Boston Medical Center and Mass General Hospital), and in more than 60 shelters and outreach sites in Boston. It is the largest and most comprehensive healthcare program for the homeless currently funded by the U.S. Health Resources and Services Administration.

O’Connell’s lifelong dedication to helping the homeless fits perfectly with Elms College’s commitment to social justice. As commencement speaker, he delivered an inspirational message to the class of 2016, reminding the graduates of their responsibility to create a better world. O’Connell also received an honorary degree.

“The burden of human suffering out there is huge,” he said. “And I would say if you do nothing else with your lives, find ways that you can ease that burden, whatever that will be.”

He exhorted the graduates to think of Martin Luther King Jr.’s vision of the beloved community. “You have been imbued with the principles of that beloved community, which are excellence, justice, and faith — those are exactly the things that Martin Luther King Jr. asked for,” O’Connell said. “And in that community, which I hope you will now go try to create, what you want is the vision of everyone — the lost and the least among us — to be invited in and treated with dignity, and offered hope and opportunity.”

Daily News

AGAWAM — Recognizing that farming is essential to the region, the Harold Grinspoon Charitable Foundation and Big Y awarded 47 local farmers from the Berkshires to the Pioneer Valley $2,500 each to make physical infrastructure improvements to their farms.

Along with the support of sponsors Harvard Pilgrim Health Care Foundation and MGM Springfield, farmers have already put to use the awards for farm-improvement projects. This represents a 42% increase in awards from the 2015 inaugural year.

With the collaboration of local agriculture advocacy organizations Berkshire Grown and CISA (Community Involved in Sustaining Agriculture), the applications selected for the Local Farmer Awards were announced in December. More than 120 farmers submitted applications describing their improvement projects. The award recipients are diverse: 32% have been farming for more than 20 years, and 23% for five years or fewer; and more than 40% of the farms have sales of more than $100,000, while another 30% recorded sales of less than $49,000.

A winner from 2015 and 2016, Julia Coffey of Mycoterra Farm in Westhampton said, “we are thrilled to be a Local Farmer Award recipient. The projects that these awards have helped fund are making our farm more viable.” This year, Coffey is purchasing equipment required for outfitting a commercial kitchen that will allow the farm to begin manufacturing value-added food products with unsold fresh mushrooms.

Jennifer Salinetti, owner of Woven Roots Farm in Tyringham, will install a permanent vegetable wash station which will directly impact the farm’s productivity. Gideon Porth of Atlas Farm in Deerfield will install a pump system for a new well to increase the supply of potable water for the farm’s packing house and greenhouses, which will double its current watering abilities.

Harold Grinspoon, founder of the Harold Grinspoon Charitable Foundation, who launched the Local Farmer Awards in 2015, noted that “farmers don’t typically ask for help. They are genuinely appreciative of these awards and use the money in creative ways for projects to help their businesses.”

Charlie D’Amour, president & COO of Big Y, added, “through our partnership with the Grinspoon Foundation, we are providing one more way to help local growers thrive in our community.”

The goal of the Local Farmer Awards is to strengthen farmers’ ability to compete in the marketplace so the region benefits from the environmental, health, and economic advantages of local farming. A farmer appreciation event is held yearly for all applicants and awardees to honor and recognize farmers and promote the importance of local farming.

Daily News

SPRINGFIELD — Elms College will present its 85th commencement ceremonies on Saturday, May 21 at 10 a.m. at the MassMutual Center, 1277 Main St., Springfield. The commencement address will be delivered by Dr. James O’Connell, president of Boston Health Care for the Homeless. He will also receive an honorary degree.

The college’s commencement events for 2016 include a senior class gift presentation, an honors convocation, nursing pinning ceremonies, a baccalaureate Mass, and various receptions and award ceremonies. A full schedule of events can be seen at www.elms.edu/commencement.

The MassMutual Center is located at 1277 Main St. in downtown Springfield, between Falcons Way and State Street. Attendees are asked to enter through the box-office entrance located on Falcons Way, across the street from Civic Center Parking Garage. Parking is available in the garage for $7 (VIP parking is $12).

Departments Incorporations

The following business incorporations were recorded in Hampden, Hampshire, and Franklin counties and are the latest available. They are listed by community.

AGAWAM

C & N Renovations Inc. 410 Meadow St., Apt. 30, Agawam, MA 01001. Christopher Guyette, 174 Birnie Ave., West Springfield, MA 01089. Residential Remodeling.
 
AMHERST

Action Interaction Inc. 145 University Drive, #3612, Amherst, MA 01004. Robert Price, same. Provides assistance with conducting events, workshops and performances, and all other lawful business.
 
CHESTERFIELD

Ajility Chico Corporation, 173 South St., Chesterfield, MA 01012. Gauis Brandt Slosser, same. Health care personnel staffing.
 
EAST LONGMEADOW

Ceramoptec Industries Inc., 515 Shaker Road, East Longmeadow, MA 01028. Damian Pange. To acquire and dispose of real estate or personal property of any kind; and to purchase, mortgage, rent or lease, real estate or personal property of any kind.
 
GREAT BARRINGTON

Berkshire Community Land Trust Inc., 140 Jug End Road, Great Barrington, MA 01230. Billie Best, 16 White’s Hill Road, Alford, MA 01230. Education, research, and the promotion of and appreciation for community access to land and other natural resources in Berkshire County and environs for sustainable: 1. Affordable housing, 2. Farming, 3. Economic diversity, and 4. Open space for recreation. B. Enhancement of the community by acquiring by gift or purchase land and interests in land in Berkshire County.
 
Barlow Landscaping, Excavation, Paving and Construction Corp., 77 Davis St., Greenfield, MA 01301. Bryan Barlow, same. Landscaping, excavation, paving and construction and any other lawful business or activity.
 
HAMPDEN

BAF Auto Sales Inc., 482 Main St., Hampden MA 01036. Bilal Mhanna, 48 Agnes St., Springfield MA 01118. Used car dealer.
 
HOLYOKE

Colegio Biblico Camino De Emaus Inc., 349 High St., Holyoke, MA 01040. Juan Fernandez, 210 Mountain View Dr., Holyoke, MA 01040.
 
LEE

Berkshire Hills Youth Soccer Inc., 325 Marble St., Lee, MA 01238. Matthew Naventi, same. Organize and administer youth soccer teams and leagues in Southern Berkshire County of Western Massachusetts.
 
PITTSFIELD

123 Up and Adam Inc., 82 Wendell Ave., Suite 100, Pittsfield, MA 01201. Manuel Arcangel Martinez. 1123 Rockdale Ave., New Bedford, MA 02740. A nonprofit organization established to assist cross-disability, community-based agency that practices consumer-control. The non-profit corporation shall provide aid and relief services, to homeless disabled persons in Massachusetts.

Carlow and Zepka Construction Inc., 7 Park Dr., Pittsfield, MA 01220. Construction services.
 
WEST SPRINGFIELD

All for Christ Deliverance Outreach Ministries, 73 Hillside Village, Ware, MA 01082-0916. Marineusa Portugal Brown, 204 Pearl Street, Springfield, MA 01108. The ministry will serve its purpose by reaching out to Springfield and other communities throughout Massachusetts. We so endeavor to win souls for the kingdom of God. We desire to edify and to bring about positive change for the lives of many by teaching the Bible and the transforming power of the Holy Spirit.
 
WILBRAHAM

Confluent Sciences Consulting Inc., 255 Burleigh Road, Wilbraham, MA 01095. Frederick Haibach, same. Consulting practice and small-scale manufacturing of instrumentation. The services provided are in proof-of-concept chemical measurements, instrumentation development, evaluation and methods for interfacing instruments to the measurement all the way to the supervisory control and data acquisition system and training. Small- scale instrument manufacturing of limited-run prototypes or prototyping instruments.

Departments People on the Move
Michael Houff

Michael Houff

Spiros Hatiras, president and CEO of Holyoke Medical Center, announced the appointment of Michael Houff as director of Physician Services for HMC Specialty Practices as well as Western Massachusetts Physician Associates. Houff brings more than 20 years of extensive healthcare leadership experience in executive-level physician-group management, project consulting, revenue-cycle management, hospital outpatient operations, managed-care payer and provider operations, and IT implementations. He most recently served Meridian Medical Management in Windsor, Conn. as director of operations and, previously, Hampden County Physician Associates, LLC in Springfield as chief operating officer, vice president of operations, and director of operations. “Mike brings the leadership necessary to help Holyoke Medical Center and Western Mass Physician Associates provide the highest levels of patient care and satisfaction,” said Hatiras. “His experience in managing physician services will be an asset to ensuring that our providers and office staff continue to deliver high-quality and compassionate care to our patients.” Houff graduated from American University in Washington, D.C. with a bachelor’s degree in international affairs and received a master’s degree in general administration health care management from the University of Maryland in 1996. From 1988 to 1992, he served as active duty combat arms officer in the U.S. Army and then worked for Kaiser Permanente in Rocky Hill, Conn., Tulane University Hospital and Clinic in New Orleans, and GE Healthcare. “I really wanted to get back to the patient-care-delivery side of the business of healthcare,” said Houff of choosing to work at HMC. “It’s a much more meaningful mission to know that what you’re doing every day in outpatient operations has a real impact on people’s lives — helping people who are going through very difficult times with their health issues and being able to help them have one good day among many bad ones is a really good motivation.”

•••••

The Hampshire Mall management team recently welcomed Lynn Gray as general manager. Gray has extensive knowledge of the shopping-center industry. She is a graduate of Holyoke Community College with an associate degree in business administration. She returns to Hampshire Mall after holding the positions of marketing assistant, assistant marketing director, and marketing director within Pyramid Management Group from 1995 to 2005. Prior to her return, she held various roles within General Growth Management over the past 10 years, most recently as director of field marketing for the East Region. During her time there, she received the MAXI Award for innovative contributions made to Natick Mall. She is a lifelong resident of the Western Mass. area and actively involved with several community and nonprofit organizations, including Alex Scafuri’s Benefit Fund, Harper Yucka Benefit Fund, Chicopee Youth Football Assoc., and CHERUBS. “We are pleased to have Lynn return to Pyramid Management Group,” said Joe Castaldo, Pyramid Management Group’s director of Shopping Center Management. “With her vast experience in the shopping-center industry, she will be a tremendous asset in the development of Hampshire Mall.”

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Melissa Provost

Melissa Provost

HUB International New England, a division of HUB International Limited, announced that Melissa Provost has joined HUB International New England as a personal lines account manager, responsible for assisting clients with their home, auto, and personal-liability umbrella coverages. She will be based in the South Hadley office. Provost joins HUB International with several years of customer service experience in the insurance industry, and has held previous positions with Liberty Mutual Insurance, most recently as a senior customer service representative. At HUB International, her role includes assisting in the day-to-day needs of clients, handling client requests, preparing quotes, reviewing and updating policies and certificates, maintaining existing client relationships, generating new business, and keeping abreast of the changing market. “Over the past few months, we have hired several talented individuals as we continue to expand into one of the largest agencies throughout New England,” said Timm Marini, president of HUB International New England. “Melissa is a perfect fit for our agency as she is clearly a ‘people person’ who will focus on providing extraordinary customer service.”

•••••

Greater Springfield Habitat for Humanity (GSHFH) announced that Bob Perry — a donor, volunteer, partner, and friend who has supported the organization for more than 15 years — will join the team as the new volunteer donor relations manager. “Greater Springfield Habitat for Humanity is thrilled to be able to welcome back Bob Perry as our new volunteer donor relations manager,” said Jennifer Schimmel, the organization’s executive director. “Even with his new title, he’ll still be known by many as Habitat’s chief hugging officer!” Greater Springfield Habitat for Humanity is a housing ministry dedicated to strengthening communities by empowering low-income families to change their lives and the lives of future generations through home ownership and home-preservation opportunities. This is accomplished by working in partnership with diverse people, from all walks of life, to build and repair simple, decent, affordable housing. GSHFH has helped 70 local families, as well as 90 international families, over the past 27 years.

Daily News

SPRINGFIELD — Timothy Shriver, chairman of the Special Olympics, and Mark Keroack, president and chief executive officer for Baystate Health, Baystate Medical Center, and chair of the board directors for Health New England, will deliver the commencement addresses and receive honorary degrees at the Springfield College 2016 commencement ceremonies.
Shriver will address students at the undergraduate ceremony on May 15, at 9:30 a.m., at the MassMutual Center in Springfield. Keroack will speak at the graduate commencement ceremony on May 14, at 9:30 a.m., on the College’s Naismith Green.

Shriver has served as an advocate at the national and international levels to accumulate support for issues of concern to the Special Olympics Community. He has done the same thing in the film world, co-producing Disney Studios’ The Loretta Claiborne Story, and serving as executive producer of the films The Ringer and Front of the Class. In this pursuit, Shriver also wrote a book detailing his experiences working with individuals with intellectual disabilities, and how they have inspired him, titled Fully Alive: Discovering What Matters Most.

Prior to becoming part of the Special Olympics team, Shriver co-founded, and still serves as chair for, the Collaborative for Academic, Social, and Emotional Learning, a leading research organization dedicated to the field of social and emotional learning.

Shriver has earned numerous awards for his labor, including the Medal of the City of Athens, Greece; the U.S. Surgeon General’s Medallion; the Quincy Jones Humanitarian Award; and the Children’s Hospital Health System’s Friend of Children Award. He also was recognized, in 2011, by The Huffington Post as one of the top 100 Game Changers.
Shriver received an undergraduate degree from Yale University, a master’s degree from Catholic University, and a doctorate from the University of Connecticut.

As part of the undergraduate ceremony, long-time Springfield College Trustee Douglass L. Coupe will receive an honorary degree from the College.
The graduate ceremony speaker, Keroack, has seen many facets of the medical and health care industry during his career. In his current position, he provides strategic, financial, and operation oversight for the clinical delivery system for Baystate Medical Center, the tertiary care academic medical center for western Massachusetts, four community hospitals in the area, the 942 providers in 90 practices across the region that make up Baystate Medical Practices, Baystate’s research and educational programs, VNA and hospice, and other ventures.

Prior to his current role, Keroack served as the president and CEO of Baystate Medical Center, the system chief operating officer, and then as the chief physician executive and president for Baystate Medical practices.

Keroack earned a bachelor’s degree from Amherst College, medical degree from Harvard Medical School, and a master’s degree from Boston University. He was a resident in internal medicine and infectious diseases at Brigham and Women’s Hospital.

Daily News

HOLYOKE — Spiros Hatiras, president and CEO of Holyoke Medical Center, announced the appointment of Michael Houff as director of Physician Services for the HMC Specialty Practices as well as Western Massachusetts Physician Associates.

Houff brings more than 20 years of extensive healthcare  leadership experience in executive-level physician-group management,  project consulting,  revenue cycle management, hospital outpatient operations, managed care payer and provider operations, and IT implementations.

He most recently served Meridian Medical Management in Windsor, Conn. as director of operations and previously, Hampden County Physician Associates, LLC in Springfield as chief operating officer, vice president of operations and director of operations.

“Mike brings the leadership necessary to help Holyoke Medical Center and Western Mass Physician Associates provide the highest levels of patient care and satisfaction,” said Hatiras. “His experience in managing physician services will be an asset to ensuring that our providers and office staff continue to deliver high quality and compassionate care to our patients.”

A native of Enfield, Conn., Houff graduated from American University in Washington, D.C. with a bachelor of arts in international affairs and received a master’s degree of General Administration Health Care Management from the University of Maryland in 1996. From 1988 to 1992 he served as active duty combat arms officer in the U.S. Army and then worked for Kaiser Permanente in Rocky Hill, Conn., Tulane University Hospital and Clinic in New Orleans, and at GE Healthcare.

“I really wanted to get back to the patient-care-delivery side of the business of healthcare,” said Houff of choosing to work at HMC. “It’s a much more meaningful mission to know that what you’re doing every day in outpatient operations has a real impact on people’s lives — helping people who are going through very difficult times with their health issues and being able to help them have one good day amongst many bad ones is a really good motivation.”

Daily News

SPRINGFIELD — The City of Springfield has been named one of the 10 Best Cities for African Americans, 2016 by Livability.com. The cities were selected based on basic indicators of livability including cost of living, health care availability, economic equality, commute time, access to parks, and safety. Editors looked for cities with higher-than-average and growing African-American populations, and where they are succeeding in terms of income, academic achievement, and homeownership.

Springfield is cited for its diverse economy and recovery from the financial recession of 2008, as well as ongoing economic development. Also noted are the strong presence of corporate headquarters, which offer employment opportunities and commitments to workforce diversity. Local nonprofit organizations are noted for leveling the educational and economic playing field for African Americans through providing afterschool programs for children, as well as mentoring, and housing and parenting skills training.

Livability.com states that African Americans are the ethnic group most likely to stress the importance of a college education, and Springfield and the surrounding area is home to more than two dozen colleges and universities.

Mayor Domenic J. Sarno stated, “In this age of ‘reality TV’ where negativity sells with some media outlets, especially in how they depict our urban American cities, it’s nice to know that our Springfield does and will continue to make ‘good lists’ too. We’ve always believed there is plenty of good that our diverse city has to offer.”

More information on the 10 Best Cities for African Americans can be found at: http://www.livability.com/top-10/families/10-best-cities-for-african-americans/2016.

Daily News

SPRINGFIELD — The Springfield Regional Chamber, in partnership with the East of the River Five Town Chamber of Commerce with support from the Greater Holyoke Chamber of Commerce, will hold its popular Beacon Hill Summit on Wednesday, April 27.

Sponsored by Comcast and WWLP-TV22, the day-long event is the largest regional business summit at the State House and provides an opportunity for business and community leaders to hear from key legislators and members of the Baker-Polito administration and voice their opinions, concerns, and ideas during the day’s formal sessions and social events. This will be the second time this event is held under the new administration.

State Sen. James Welch, chair of the Joint Committee on Health Care Financing, and his colleague, state Rep. Angelo Puppolo Jr., vice chair of the Joint Committee on State Administration and Regulatory Oversight, will co-host the event. Senate President Stan Rosenberg will be on hand to provide insights into his first year in that role, and Treasurer Deb Goldberg has also been invited to address the attendees.

The budget will be on top of mind as the House of Representatives will be voting on its version of the budget, with it moving to the Senate shortly thereafter. With the important committee positions held by both Welch and Puppolo, topics to be addressed include healthcare, state regulations, as well as energy and the potential for a comprehensive energy bill to be drafted.

The day’s agenda will also include lunch at the Union Club with members of the region’s delegation and a wrap-up cocktail reception at the 21st Amendment.

Buses will depart the Plantation Inn off exit 6 of the Massachusetts Turnpike in Chicopee at 7 a.m., with return by 7 p.m. The all-inclusive cost is $180 and includes transportation, continental breakfast, lunch, reception, and all materials.

Reservations are required in advance by April 20 and can be made online at www.springfieldregionalchamber.com or by e-mailing Sarah Mazzaferro, member services director, at [email protected].

Daily News

SPRINGFIELD — 
State Sen. James Welch will address the Springfield Rotary Club’s luncheon meeting on Friday, April 1. His topic will be the opioid crisis and marijuana-legalization issues that face the Commonwealth.

Welch was elected to the Senate in 2010, representing a district that includes West Springfield, Springfield, and Chicopee. He currently serves as Senate chair of the Joint Committee on Health Care Financing, and is a member of the joint committees on Public Safety and Homeland Security, Election Laws, and Post Audit & Oversight.

The Springfield Rotary Club meets every Friday at 12:15 p.m. in the MassMutual Room at the Basketball Hall of Fame, West Columbus Avenue, Springfield. The April 1 luncheon is $18 per person and is open to the public.
For more information on the Springfield Rotary or becoming a member, contact Mike Healy, membership chair, at (413) 267-1217 or visit www.springfieldmarotary.org.


Health Care Sections

Check Point

 By KATHLEEN MITCHELL

Maura McQueeney

Maura McQueeney says telemonitoring equipment is so compact, a nurse of yesteryear could have fit it in her briefcase.

Every morning at exactly 10 a.m., Barbara Kobak weighs herself, takes her blood pressure, attaches a clip to her finger that measures her oxygen-saturation rate, then answers a series of computerized questions specific to her condition, which are presented out of sequence from one day to the next to ensure she thinks carefully about her response.

Within two minutes, the results are transmitted electronically to a registered nurse at Porchlight Visiting Nurse Assoc./Home Care in Chicopee, who calls the 84-year-old if anything doesn’t fall within the parameters Kobak’s doctor set for her.

The service is called telemonitoring, and Porchlight brought the equipment to Kobak’s home in January after she was released from the hospital. She had been diagnosed with congestive heart failure, and after an initial meeting with a nurse liaison in the hospital, a registered nurse spent several days in her home making sure she understood how to use the technology.

Home visits were spaced farther apart as time went on, which is typical; the goal is to help the person learn to manage their disease by recognizing potentially dangerous symptoms, making changes in their diet, and taking all medications prescribed for them.

“The equipment is really easy to use; I depend on it and don’t know what I would do without it. It’s reassuring to have someone call me if my blood pressure is up,” she noted, adding that there have been days when her pressure has been high in the morning, but when she puts the cuff on later in the day, she is relieved to see it has returned to normal.

The Chicopee octogenarian is one of a growing number of people who are benefiting from telemonitoring services. The equipment is made by a variety of manufacturers, and it allows healthcare providers to keep a close watch on the patient from a remote setting.

“We call new patients every day until they become comfortable with the equipment,” said Sandra Peret, a registered nurse at Porchlight and associate director of intake/community service. “We tell patients to use it at the same time every day, but if they are not feeling well, they can recheck the values.”

Telemonitoring is typically used to treat people with congestive heart failure or chronic obstructive pulmonary disease (COPD), which can make it difficult to breathe, although an additional module can be added if the person is diabetic and doesn’t have another reliable method to measure their blood-sugar levels.

Experts say it is valuable because people who are newly released from the hospital can feel overwhelmed when they get home due to the trauma of their diagnosis, the amount of information presented to them, and the lifestyle changes they must make to keep their condition from exacerbating, which can lead to rehospitalization.

“These conditions require a lot of self-management and usually include dietary changes such as cutting down sodium intake,” said Melissa Pouliot, a registered nurse and Porchlight’s intake/telemonitoring manager, noting that telemonitoring helps the patient see a direct correlation between their behavior and their health. For example, if someone eats Chinese food, their weight is likely to rise the next day due to its high salt content.

When that happens, a registered nurse calls the patient and conducts an assessment by phone to determine if the doctor needs to be notified. In some cases, there is no need for alarm, while in other instances, the person’s physician may be called to see if medication changes are in order.

From left, Melissa Pouliot, Sandra Peret, and Kathleen Stezko

From left, Melissa Pouliot, Sandra Peret, and Kathleen Stezko say patients being telemonitored are given a finger clip that measures oxygen saturation.

However, patients sometimes don’t follow instructions given to them, which can have a direct effect on their vital signs. For example, they might fail to weigh themselves at the same time each day or wear heavy shoes or clothing while they are on the scale.

In any case, the patient is followed closely, and if the weight gain continues, the doctor is contacted. “The ultimate goal is keep the patient from having an acute attack,” said Sue Pickett, director of Mercy Home Care, adding that patients track their symptoms themselves on a calendar even though the results are stored in the computer.

“Telemonitoring is a wellness proactive measure that allows us to catch symptoms early before they exacerbate and become a crisis,” she told BusinessWest. “The reason why these programs are so important is because is because rehospitalization is very common for people with congestive heart failure. We have patients who have been in and out of the hospital every other week.”

Nuts and Bolts

Major advances have been made in telemonitoring equipment in recent years, said those we spoke with.

In the past, people needed a landline to transmit information remotely, but today Bluetooth, cellular, and satellite technology make it possible to provide the service whether or not the person has a phone in their home.

The equipment patients receive from the VNA or home-healthcare service usually includes a blood-pressure cuff, an oxygen sensor that is clipped onto a finger, and a scale, which is plugged into a monitor with a touchscreen that not only transmits the information, but stores it, although there are some variations according to the company producing the equipment.

Pouliot said people tap the screen on the monitor Porchlight uses, and when a voice asks them what they want to do, they hit the corresponding icon. When they are finished with their reporting, which takes less than 10 minutes, a voice on the monitor asks the patient a series of questions which can range from “has the doctor changed your  medications?” to “do you want someone to call you?” as well as reminders to take their medication.

However, these systems are not appropriate for some, including people with dementia or individuals with a disability who don’t have a caregiver.

“The person has to want to do this and be able and willing to use the equipment every morning,” said Sheryle Marceau, manager of clinical practice for Mercy Home Care.

The remote monitoring is combined with education that takes place during visits to the person’s home. Mercy’s patients are given printed materials with valuable information including symptoms that should not be ignored by people with congestive heart failure. They include unexpected or rapid weight gain; weakness or fatigue; dizziness or faintness; swelling of the legs, ankles, feet, or abdomen; more frequent visits to the bathroom at night; chest pain; and other signs.

“Exacerbation can be prevented, but people need to know what they can do every day, which includes reading food labels, taking their medication, and eating foods low in sodium,” Marceau said.

She added that hospital stays are usually short, so the staff doesn’t have time to teach the patient all they need to know. In addition to the goal of keeping them from returning to the hospital, they want patients to be able to maintain their quality of life and stay active in the community.

So, while the technology is important, it’s what people do with the information gleaned from daily readings that makes a difference.

“It helps patients connect the dots,” said Maura McQueeney, president of Baystate VNA and post-acute executive.

For example, if a patient has a big holiday dinner and their blood pressure and weight rise the next day, it will trigger a call from the nurse who will discuss what they have eaten and determine whether the doctor needs to be involved.

Medication is critical, but unless patients understand the importance of each drug prescribed for them and know exactly what it does, they may take it inconsistently or fail to get it refilled, particularly if they are on a fixed income.

“We try to update each patient’s medication list because the physician may make changes during an office visit, and monitoring allows us to see if the new medication is working,” McQueeney told BusinessWest.

Baystate typically uses telemonitoring for patients who have experienced heart failure. They usually keep the equipment 30 to 45 days or until the nurse feels the patient is capable of caring for himself or herself and has learned the association between symptoms that may indicate their disease is getting worse.

Insurance doesn’t pay for telemonitoring, but local visiting-nurse associations find it so valuable, they do not charge patients for the equipment or the service.

“It’s a tool that provides us with consistent information,” McQueeney said, adding that Baystate began tracking the effectiveness of telemonitoring in high-risk patients about 18 months ago and found their rates of rehospitalization are lower than the national average.

“If a patient calls at 8 p.m., we can have them slip on the blood-pressure cuff and the oxygen clip and get on the scale, which gives the nurse valuable information,” she noted.

In many cases, people have more than one chronic condition, which complicates matters, but a registered nurse has the ability to discern whether pain from a surgery or anxiety is likely the cause of shortness of breath, heart palpitations, or other complaints.

It takes a long time for most chronic diseases to become apparent, but there are points at which the disease progresses.

“Without monitoring, it can seem that the disease got worse overnight, but when a patient can chart their vital signs on a daily basis and know they are being watched by a registered nurse, trends can be identified that alert them to changes that require the doctor to become involved,” McQueeney told BusinessWest. “Telemonitoring is a tool that helps keep people out of the hospital. It involves education and a collaboration with the patient, the registered visiting nurse, and their physician.”

As a result, the service can make a critical difference in a person’s life.

The American Health Care Assoc. reports that the majority of people with chronic heart disease or COPD are elderly, and being readmitted to a hospital increases the risk of complications and infections during their stay as well as the likelihood that their functioning will be decreased when they return home. In addition, every hospitalization exacts an emotional toll on the patient and increases the cost of Medicare, since people are living longer and the incidence of chronic diseases has increased dramatically over the last three decades.

Weighing In

Before nurses discharge patients from home-based services, Marceau said, they make sure they have absorbed what they need to know and have a blood-pressure cuff and scale so they can continue to weigh themselves daily. “We have purchased scales for people who are unable to afford them and teach people when to call their doctors,” she noted.

However, Porchlight has found some patients or their families opt to pay for the telemonitoring service even when the person no longer needs it because it gives them peace of mind.

“It’s great for family members who are concerned about a loved one,” Pouliot said, adding that the service costs about $100 per month, and people on fixed incomes can apply for reduced rates.

Kathleen Stezko agrees. “People get nervous and aren’t sure who to call or whether they should call anyone if they don’t feel well. But telemonitoring provides them with reassurance; they know someone is checking on them each day and will get in touch with them and their physician if it is necessary,” said Porchlight’s vice president of clinical services, adding that people using the equipment can call at any time of the day or night if they have concerns.

Indeed, the peace of mind and patient learning that results from telemonitoring is so important that most VNAs and home-care agencies that use it keep adding more equipment, which helps patients and also ultimately reduces the cost of healthcare.

Kobak can attest to the comfort it provides. “When my friends visit and see this,” she said, “they are so impressed.”

Company Notebook Departments

Mercy, SPHS Welcome RiverBend Medical Group

SPRINGFIELD — Mercy Medical Center and the Sisters of Providence Health System (SPHS), members of Trinity Health – New England, have welcomed RiverBend Medical Group into their family of providers and network of services. This partnership positions Mercy, SPHS, and RiverBend to make significant strides in care delivery while continuing to focus on high quality, efficiency, access to services, and cost containment, said Dr. Scott Wolf, president of Mercy Medical Center. “The joining of these two clinically excellent and financially strong providers – one with expertise in the delivery of outpatient care and the other with expertise in inpatient care and related services – creates a strong clinically integrated network that will better meet the health care needs of the local community.” The plan is for RiverBend’s physicians, physician assistants, nurse practitioners, certified nurse midwives, and staff members to continue practicing at RiverBend’s current locations in Agawam, Chicopee, Springfield, Westfield, and Wilbraham. “We welcome the opportunity to partner with Mercy Medical Center because of our shared vision regarding patient care. We remain committed to treating each patient with dignity, compassion, and clinical excellence, and doing so in a manner that will have a positive impact on our community,” said Dr. Richard Shuman, president of RiverBend Medical Group. This new arrangement also strengthens the longstanding collaboration between Mercy Medical Center and RiverBend Medical Group on patient care and patient-experience improvement. Patients will benefit from enhanced services through Mercy’s continuum of care options that focus on the ‘triple aim’ of better health, better care, and lower costs for the patient population, Wolf said. In addition to his role as RiverBend president, Shuman has been named senior vice president of the Mercy Physician Network Organization (PNO). In this position, he will be responsible for strategic and operating plans for RiverBend Medical Group and the managed practices within the PNO. He will also focus on promoting the delivery of quality healthcare services, providing leadership for the effective management of medical resources and staff, and ensuing clinical quality management and improvement activities for RiverBend, the PNO, and Mercy Medical Center.

Website Lists the Fort as Bucket-list Restaurant

SPRINGFIELD — When onlyinyourstate.com, a popular website that lists top attractions in every state in the U.S., ranked its “14 Restaurants to Visit in Massachusetts Before You Die,” the Student Prince Café and Fort restaurant came in near the top of the list. The article cited “sublime German food,” the ambience of the dining room, and the restaurant’s noted collection of steins among the aspects that make the Fort a must-visit on any restaurant lover’s list. “It’s great to see a national media outlet highlight what locals have known forever,” said Managing Partner Andy Yee. “This is exactly why we all came together last year to make sure this Springfield institution survived. We hope this article will help a whole new crop of people discover the magic of our restaurant.”

Eric Carle Museum of Picture Book Art Named National Medal Finalist

AMHERST — The Institute of Museum and Library Services (IMLS) announced that the Eric Carle Museum of Picture Book Art is among 30 finalists for the 2016 National Medal for Museum and Library Service. The National Medal is the nation’s highest honor given to museums and libraries for service to the community. For 22 years, the award has celebrated institutions that demonstrate extraordinary and innovative approaches to public service to make a difference for individuals, families, and communities. This will mark the second year that the Carle has been recognized with this honor. “The 2016 National Medal finalists make lasting differences in their communities by serving and inspiring the public,” said Kathryn Matthew, director of IMLS. “We proudly recognize these museums and libraries for their invaluable work to provide citizens with educational resources, 21st-century skills, and opportunities for lifelong learning.” Added Christopher Milne, the Carle’s chairman of the board, “it is hard to believe what the Carle has achieved in just 13 years. The museum’s exhibitions are traveling to major museums in the U.S., while our literacy and art programs are reaching as far as Asia and the Middle East. It just proves that people of all ages and cultures are deeply moved by the artwork and stories of childhood.” The National Medal winners will be named later this spring.

Greenfield Cooperative Bank Partners with Raymond James

GREENFIELD — John Houston, managing director of the Raymond James Financial Institutions Division, announced that the advisors at GCB Financial Services, a division of Greenfield Cooperative Bank, will offer investment and wealth-management services to its clients through Raymond James Financial Services Inc., member FINRA/SIPC. GCB Financial Services includes program manager and financial advisor Michael Johnson and financial advisor Edward Zadworny. The team previously partnered with MML Investors Services for third-party support. “We chose Raymond James as our new partner because it provides its clients with superior research, technology, and planning tools,” said Michael Tucker, president and CEO of Greenfield Cooperative Bank and its parent company, Greenfield Bancorp, MHC. “The breadth of the resources and the type of support available to its financial advisors will allow us to provide more in-depth service to our clients and, ultimately, to help them better achieve their financial goals.” Johnson has more than 20 years of experience in the financial-services industry, having begun his career in 1995 with A.G. Edwards and moved to Greenfield in 2003. He is a graduate of UMass Amherst with a bachelor’s degree in economics. Zadworny has been in the financial industry since 1988, when he joined Prudential Insurance and Pruco Securities. In 2012, he moved to Greenfield, where he partnered with Johnson as part of the investment program at Greenfield Cooperative Bank. He earned a bachelor’s degree in business from Westfield State University.

Adam Quenneville Wins Award from Astec Roofing

SOUTH HADLEY — Adam Quenneville announced that his company, Adam Quenneville Roofing & Siding, was awarded the 2015 Astec Roofing New Dealer of the Year award, which is presented to a dealer who has completed the most work in the Northeast region, as well as had the highest customer satisfaction. In addition, Adam Quenneville Roofing & Siding was also named the number-one Astec dealer in the state of Massachusetts for 2015. “We here at Astec hold our dealers to the highest standards in providing our strict specifications on each and every job,” said Scott Transue, a sales representative at Astec. “Adam Quenneville Roofing & Siding has outperformed even our strict standards of professionalism.” Astec is a fluid-applied roofing solution which takes the same durable, protective, and energy-efficient principles the NASA space program uses. Its mission is to solve industrial problems, improve appearance, and save energy, while adding to the weathertight sustainability of roofs, walls, and industrial surfaces.

Daily News

SPRINGFIELD — Mercy Medical Center and the Sisters of Providence Health System (SPHS), members of Trinity Health – New England, have welcomed RiverBend Medical Group into their family of providers and network of services.

This partnership positions Mercy, SPHS, and RiverBend to make significant strides in care delivery while continuing to focus on high quality, efficiency, access to services, and cost containment, said Dr. Scott Wolf, president of Mercy Medical Center. “The joining of these two clinically excellent and financially strong providers – one with expertise in the delivery of outpatient care and the other with expertise in inpatient care and related services – creates a strong clinically integrated network that will better meet the health care needs of the local community.”

The plan is for RiverBend’s physicians, physician assistants, nurse practitioners, certified nurse midwives, and staff members to continue practicing at RiverBend’s current locations in Agawam, Chicopee, Springfield, Westfield, and Wilbraham.

“We welcome the opportunity to partner with Mercy Medical Center because of our shared vision regarding patient care. We remain committed to treating each patient with dignity, compassion, and clinical excellence, and doing so in a manner that will have a positive impact on our community,” said Dr. Richard Shuman, president of RiverBend Medical Group.

This new arrangement also strengthens the longstanding collaboration between Mercy Medical Center and RiverBend Medical Group on patient care and patient-experience improvement. Patients will benefit from enhanced services through Mercy’s continuum of care options that focus on the ‘triple aim’ of better health, better care, and lower costs for the patient population, Wolf said. “This will be a transparent and seamless transition for patients as they maintain access to their physicians and other providers.”

In addition to his role as RiverBend president, Shuman has been named senior vice president of the Mercy Physician Network Organization (PNO). In this position, he will be responsible for strategic and operating plans for RiverBend Medical Group and the managed practices within the PNO. He will also focus on promoting the delivery of quality healthcare services, providing leadership for the effective management of medical resources and staff, and ensuing clinical quality management and improvement activities for RiverBend, the PNO, and Mercy Medical Center.

Employment Sections

This Generation Is Already Making a Seismic Statement

By JAMES T. KRUPIENSKI, CPA

James T. Krupienski

James T. Krupienski

Every 20 years or so, there is a generational shift in the workplace.

The most recent group — known as the Millennial generation — is currently integrating itself into the workplace. And by integrating, they are making a seismic statement. Recent studies show that Millennials now make up approximately 25% of the total workforce and that by the year 2020 they will comprise almost 50%. Given that this generation is generally defined as those born between 1980 and 2000, they are now at a point in their careers where they are taking on leadership roles.

If your leadership and management group, like many businesses, is made up of Baby Boomers and Gen-Xers, it is imperative that you understand what drives this next generation, because they will be the workforce and customer base that carries your business into the future. Millennials are different in so many ways from the Boomers and Gen X that it will require a shift in the way your business is managed. This article will help by focusing on the motivational factors and differences that set this generation apart and the impact Millennials will have on your workforce and their interaction with other employees.

Motivational Factors

At first glance, some of the more experienced generations may have certain negative perceptions about the Millennial generation — specifically, that they are entitled, require a lot of hand-holding, need constant encouragement, and don’t want to put in long hours. Stepping back, these are really just misconceptions due to a lack of understanding of what is driving them and how they grew up differently.

While the Boomers and Gen-Xers tend to value compensation and the need to work long hours to affirm their loyalty, this was born as a result of growing up in a period of limited resources and technology, with the need to focus on sweat equity as a result. Through this hard work, parents of Millennials were able to offer things to their children that were not available previously. As such, in a changing effort to push their children, parents tended to help them along the way, focusing on the social aspect of their value to society. The so-called ‘everyone gets a trophy’ mentality was created.

With this shift in how Millennials were raised, so to came a shift in what they value most and what they are looking for in a career. First and foremost, work-life balance is generally regarded as more important than how much they are making. They saw how hard and how many hours their parents and grandparents had to work to get to where they are and would like to avoid getting burned out over time. Additionally, they feel that, with the way technology has improved, it can help them better manage their time and complete tasks in a more time-efficient manner.

Other motivating factors include buy-in to the culture and mission of their employer, as well as the ability to receive continuous training and development. They also want to be heard. They are often not content with just coming to work and punching a clock. Rather, they are looking to provide ideas and be part of the solution.

How Will This Affect Your Workforce?

With a shift in these motivational factors, the way you hired and retained employees in the past may not work going forward. Millennials don’t look at a job, even one early in their career, as one where they will need to ‘pay their dues.’ They know their value and want to be treated as a valued member of the organization — part of the team. This holds true whether it is your new front-desk receptionist or your newest design-team member. Where this can become difficult is in a company’s ability to influence the interaction between those Gen-Xers who have worked at a location for some time and those Millennials that were recently hired. Often the ability to manage these interactions can make all the difference in maintaining a successful business.

Additionally, it is important to always remember that Millennials keep a pulse on social media and, as a result, have networking skills exceeding those of many seasoned professionals. This leads to two different forces that need to be managed.

First, it is imperative to have a documented social-media policy at work. The speed in which words and thoughts can spread on the Internet cannot be overlooked.

Second, other business opportunities do arise. And Millennials are aware that they are out there. If they feel that they’re in a place where their personal values aren’t being satisfied, they are more apt to move to the next job than older generations would have been. A recent survey by PricewaterhouseCoopers found that 25% of Millennials expect six or more employers during their career, and 38% feel that senior management doesn’t relate to them. These statistics must not be ignored.

So, what is a business owner or manager to do in order to retain top talent? Some suggestions include providing them with regular training and holding frequent staff meetings. The creation of group idea-sharing sessions would afford them the opportunity to suggest ways the business or processes can be improved.

At work, Millennials want to have fun. This doesn’t mean there needs to be a pizza party every Friday afternoon, but the work environment needs to be lively with a sense of camaraderie. Finally, you need to listen — meet with them, seek feedback, mentor them, and take what they have to say seriously. While an idea or suggestion may seem off the wall to you, the fresh perspective may just be what your business needs.

The Millennials are here, and they are here to stay. As their numbers continue to grow and they continue to take on additional leadership positions within your business, it is important not to take them for granted. They are, after all, going to become your succession plan.

James T. Krupienski, CPA, is senior manager of the Health Care Services niche at Meyers Brothers Kalicka, P.C. in Holyoke; (413) 536-8510; www.mbkcpa.com

Company Notebook Departments

Health New England Announces New Branding, Launches New Website

SPRINGFIELD — Health New England recently launched an all-new corporate brand, marked by a blue and gray logo and tagline, “Where you matter.” To coincide with the new brand launch, the company also released its new public website, healthnewengland.org. Health New England continues to offer health plans across three lines of business: commercial, Medicare, and Medicaid (its Be Healthy MassHealth plan). Although the company will begin using one logo to represent all lines of business going forward, the new branding will have no impact on the current plans or benefits available to members. “We have been meeting the health care needs of our communities for more than 30 years. And now, we’re renewing our commitment to our members and business partners through our all-new logo and brand promise,” said Steven Webster, director, marketing and digital strategy. “We have a new look, and our commitment to members and our communities is as strong as ever.” The new Health New England branding was developed after over a year of extensive research with brokers, employer groups, providers, and members, which revealed three key brand attributes: quality coverage, thoughtful service, and a human experience. Health New England’s new public website offers a contemporary design, updated content, and simplified navigation. Last fall, the company relaunched its member portal, my.healthnewengland.org, offering new tools and information to help members manage their healthcare. “It’s our goal to provide our members with a meaningful, simplified, and robust experience, working to help explain complex healthcare topics,” Webster said. Based in Springfield, Health New England is a nonprofit health plan serving members in Massachusetts and Connecticut, and is a wholly owned subsidiary of Baystate Health.

Montessori School of Northampton Launches Middle-school Program

NORTHAMPTON — Montessori School of Northampton (MSN) will open Northampton’s first independent middle school in September, aiming to take education well beyond the four walls of the classroom. “Our middle-schoolers will benefit from the unique materials, intensively trained teachers, and self-directed learning for which Montessori schools are known worldwide,” said Susan Swift, head of school. “But they will also work and learn at local farms, theaters, and businesses, and do service projects to benefit the local community.” To lead MSN’s middle-school program, the school has hired Corey Hadden, a Montessori-trained and experienced middle-school teacher. He is also an apprentice trainer on the staff of the Cincinnati Montessori Secondary Teacher Education Program and has many years of experience with Outward Bound as well as mindfulness training. His goal as middle-school teacher is to help students understand themselves as part of a community — and part of a bigger world. “Our out-in-the-community curriculum was designed with the specific developmental needs of adolescents in mind,” he said. “As any parent of a 12-year old will tell you, these kids are in transition, changing from children to teenagers. Their bodies, their minds, their self-image are all in flux. The experience of doing meaningful work alongside adults and one another will help build a sense of self, with purpose, responsibility, and a love for learning that will help them succeed as they enter high school and beyond.”

Columbia Gas Supports Revitalize CDC Event

SPRINGFIELD — Columbia Gas of Massachusetts has awarded Revitalize CDC a donation of $5,000 in support of the 2016 Green-N-Fit event scheduled for Saturday, April 23. “We are so appreciative of Columbia Gas of Massachusetts’ ongoing support, now for the fifth consecutive year. Thanks to Columbia Gas, we are able to make the homes of low-income elderly and military veterans in need safe, healthy, and energy-efficient,” said Revitalize CDC President and CEO Colleen Loveless. Nearly 100 skilled and dedicated volunteer employees from Columbia Gas have tackled several projects over the past five years. Projects have included interior and exterior painting, upgrading a daycare outdoor play space, repairing bathroom and kitchen plumbing, planting a garden, and pitching in wherever there is a need. “Columbia Gas of Massachusetts is committed to working with nonprofit organizations such as Revitalize CDC where their mission to revitalize homes, neighborhoods, and lives through preservation, education, and community involvement aligns with ours to help create strong and sustainable communities where our employees and customers live and work,” said Andrea Luppi, the utility’s manager of Communications and Community Relations.

Berkshire Bank Donates $2.3 Million to Nonprofits

PITTSFIELD — Berkshire Bank announced that its two charitable foundations awarded a total of $1,810,229 in grants to nonprofit organizations in Massachusetts, New York, Connecticut, and Vermont during 2015. The grants supported education and community-development initiatives as well as health and human services and cultural programs. In addition, Berkshire Bank provided approximately $500,000 in community sponsorships, raising its total contributions in the community to more than $2.3 million. “Our philanthropic investments impacted more than 8 million individuals in 2015, helping to enhance economic opportunities and improve the quality of life for members of our community,” said Lori Gazzillo, vice president and director of the Berkshire Bank Foundation. “Thanks in large part to the work of our nonprofit partners, individuals improved their reading, writing, and math; graduated from high school; attended college; and visited local cultural organizations. Our partners also created affordable housing, revitalized downtown centers, and helped individuals gain employment. We are so pleased to continue our support of so many community initiatives throughout our footprint.”

Country Bank Makes Donation to Abby’s House

WARE — Country Bank recently Abby’s House with a check for $3,050. This donation was made possible through the Country Bank Employee Charitable Giving Program’s casual Fridays. Each week Country Bank staff are able to wear jeans in exchange for a $5 donation to the charity of the month. The total funds collected are then matched by Country Bank. The organizations chosen for this honor are suggestions submitted by the staff at Country Bank. Country Bank serves Central and Western Mass. with 14 offices. For more information, visit www.countrybank.com or call (800) 322-8233.

Pride Stores Donates $25,000 to CHD’s MaryAnne’s Kids Fund

SPRINGFIELD — Pride Stores recently donated $25,000 to the Center for Human Development’s (CHD) MaryAnne’s Kids Fund, which was established to provide opportunities for children in foster care that would otherwise be unavailable to them. This donation will help continue to provide these children the means to pursue special interests in music, dance, art, sports, summer camps, and extracurricular education, and an overall positive influence that will remain with them throughout their lives. “Pride does so much for MaryAnne’s Kids, helping foster children have opportunities that would not otherwise be available to them,” said Jim Williams, CHD’s Children and Families Program director. “We are grateful to have such a great partner in the community.” Every year, Pride Stores sells $1 ornaments in each of its 30 locations during the holidays to support MaryAnne’s Kids. “We are grateful to all the Pride customers who support this important fund-raiser.” said Marsha Del Monte, president of Pride Stores.

Monson Savings to Offer Free Tax Preparation Through VITA Program

MONSON — The Ware branch of Monson Savings Bank is participating in the Volunteer Income Tax Assistance (VITA) program, which offers free tax preparation for those who qualify for this service. Monson Savings Bank volunteers will help people prepare their federal and Massachusetts state taxes starting every Tuesday from 4 to 7 p.m. and Thursday from 3 to 6 p.m. Those interested must call (413) 263-6500 to find out if they qualify and to make an appointment. The program is sponsored and funded by Springfield Partners for Community Action and United Way of Pioneer Valley.

Daily News

SPRINGFIELD — Health New England recently launched an all-new corporate brand, marked by a blue and gray logo and tagline, “Where you matter.” To coincide with the new brand launch, the company also released its new public website, healthnewengland.org.

Health New England continues to offer health plans across three lines of business: commercial, Medicare, and Medicaid (its Be Healthy MassHealth plan). Although the company will begin using one logo to represent all lines of business going forward, the new branding will have no impact on the current plans or benefits available to members.

“We have been meeting the health care needs of our communities for more than 30 years. And now, we’re renewing our commitment to our members and business partners through our all-new logo and brand promise,” said Steven Webster, director, marketing and digital strategy. “We have a new look, and our commitment to members and our communities is as strong as ever.”

The new Health New England branding was developed after over a year of extensive research with brokers, employer groups, providers, and members, which revealed three key brand attributes: quality coverage, thoughtful service, and a human experience.

Health New England’s new public website offers a contemporary design, updated content, and simplified navigation. Last fall, the company relaunched its member portal, my.healthnewengland.org, offering new tools and information to help members manage their healthcare.

“It’s our goal to provide our members with a meaningful, simplified, and robust experience, working to help explain complex healthcare topics,” Webster said.

Based in Springfield, Health New England is a nonprofit health plan serving members in Massachusetts and Connecticut, and is a wholly owned subsidiary of Baystate Health.

Departments Incorporations

The following business incorporations were recorded in Hampden, Hampshire, and Franklin counties and are the latest available. They are listed by community.

CHESTER

Chester Volunteer Firefighters Association Inc., 300 Route 20, Chester, MA 01011. Kathy Engwer, 104 Middlefield Road, Chester, MA 01011. Serve and protect the public safety and welfare of Chester citizens and the environment including protecting from injury, damage, and destruction; rendering medical assistance; educating the public; recruit and train personnel; acquire, handle, and dispose of public safety equipment and materials for Chester; monitor and maintain buildings according to codes.

CHICOPEE

DAA Express Inc., 88 Chestnut St., Apt. 2R, Chicopee, MA 01013. Diego Elias Alticimo, same. Transportation.

Davishing Divas Virgin Hair Inc., 144 Cabot St., Chicopee, MA 01013. David Gainey, same. Develop community business and promote growth within the Commonwealth.

EASTHAMPTON

Callie Rose Foundation Inc., 49 Campbell Dr,, Easthampton, MA 01027. Tracey Beth Durant, same. Charitable organization that identifies community needs that would benefit from charitable support; receive contributions, grants, donations, gifts, and other funds to support the foundation; accept, hold, invest, and administer funds for said purposes; enter into agreement with other charitable organizations/groups to carry out aforesaid purposes.

FEEDING HILLS

Acme Holdings LTD, 1349B Springfield St., Feeding Hills, MA 01030. Deborah Brown, 192 Captain Road, Longmeadow, MA 01106. Multiple service oriented businesses.

HOLYOKE

First Choice Home Health Care Services Inc., 187 A High St., Holyoke, MA 01040. Benjamin Beaulieu, same. Home health care agency.

LENOX

Berkshire Design Center Inc., 150 Pittsfield Road, Lenox, MA 01240. Susan A Allegrone-Zaniboni, 124 Shore Dr., Hinsdale, MA 01235. Residential and commercial design services.

NORTHAMPTON

All Hands on Deck Network, Inc., 37 Kensington St., Northampton, MA 01060. William Wimsatt, same. National progressive policy advocacy and civic engagement organization to defend Dr. King’s dream of a beloved community and the American dream of liberty, justice, and opportunity for all including economic fairness, environmental sustainability, and fair treatment through grassroots organizing, direct lobbying, policy research and advocacy, alliance building, candidate questionnaires, voter guides, networking, community building, public communications, and social media.

PELHAM

Casagrande Enterprises Inc., 45 South Valley Road, Pelham, MA 01002. Rebecca M. Casagrande, same. Own and manage a restaurant.

PITTSFIELD

F Cleaning Services Inc., 125 Dan Casey Memorial Dr., Pittsfield, MA 01201. Edcaros Lucio Ferreira, same. General janitorial and cleaning services.

SOUTH HADLEY

Cultivate and Nest Inc., 3 Amherst Road, South Hadley, MA 01075. Terra Missildine, same. Shared co-working and leasing services.

SPRINGFIELD

Clase Foundation Inc., 13 Quincy St., Springfield, MA 01109. Rosah Clase Tuarezca, same. Non-profit organization to develop and foster social, cultural, educational, recreation, and economic activities in the Spanish community; search for unity to bring Spanish community together to develop and implement techniques for understanding of the community problems.

Crossroads Springs Institute Inc., 117 Dewitt St., Springfield, MA 01129. Redempter Isiaho, same. “Serve the child, heal the nation” provide health, nutrition, care, and education to orphans in Kenya to prepare them for a better future and to become a source of economic and leadership strength.

FJR Towing & Transport Inc., 250 Albany St., Springfield, MA 01105. Francisco Roman, same. Towing and trucking services.

Briefcase Departments

Grinspoon, Big Y Call for Farm Awards Applicants

WEST SPRINGFIELD — In partnership with Big Y, the Harold Grinspoon Charitable Foundation (HGCF) announced the second year of the Farm Awards, a program to support local farmers with projects that will help improve their farm businesses. The awards are for equipment and physical farm improvements. “Big Y has been supporting local farmers since we began 80 years ago,” said Charles D’Amour, president and COO of Big Y. “Through our partnership with the Grinspoon Foundation, we are providing one more way to help the local growers to thrive in our community.” In an effort to have the widest impact, the individual award recipients will be given up to a maximum of $2,500 per award, for a grand total of $100,000. Realizing the importance of local farms in the region, Grinspoon launched these awards last year. The 2015 awards were distributed to 33 of the 88 applicants. The two regional Buy Local farm advocates, Berkshire Grown and Community Involved in Sustaining Agriculture (CISA), will continue to provide insight and assistance, which was essential to the successful launch of the program in 2015. “We are so pleased to continue to work with everyone involved in this unique Farm Awards program to support the vital role family farms play in our communities,” said Philip Korman, executive director of CISA. Added Barbara Zheutlin, executive director of Berkshire Grown, “we’re thrilled about the continuation of these financial awards for farmers in Western Massachusetts to strengthen their farm businesses. This helps build the local food economy in our region.” The deadline for applying is Jan. 31. Interested applicants are encouraged to visit www.hgf.org/farm-awards for more information.

 

MGM Springfield Begins Major Demolition

SPRINGFIELD — With a permit from the city of Springfield in hand, MGM Springfield began demolition of the Zanetti School on Jan. 12. This sign of construction progress follows the project’s recent state and city environmental and zoning approvals. The former elementary school suffered some of the worst damage caused by the 2011 tornado that tore through Springfield’s South End, and last year served as the backdrop for MGM Springfield’s groundbreaking. Demolition is expected to last up to several weeks. MGM Springfield, a more than $950 million resort, is slated for 14.5 acres of land between Union and State streets, and between Columbus Avenue and Main Street. For more information, visit www.mgmspringfield.com.

 

State to Issue $700,000 in Naloxone Grants for First Responders

BOSTON — Gov. Charlie Baker and the Mass. Department of Public Health (DPH) announced that $700,000 will be awarded to police and fire departments in 40 communities heavily impacted by the Commonwealth’s opioid epidemic, facilitating the purchasing, carrying, and administering of the opioid-overdose-reversal drug naloxone. “This grant will help save more lives as our administration continues to pursue new and wide-ranging tools to combat the opioid epidemic, including the ability for medical personnel to intervene with those who have overdosed,” Baker said. “We look forward to continuing to work with the Legislature to pass meaningful reforms, and are pleased to support our first responders’ access to immediate, life-saving resources.” Last year, the administration established a bulk purchasing fund allowing first responders in municipal entities to access the state rate for naloxone purchases and, when available, receive an additional discount. Baker has also filed legislation to provide medical personnel with the power to intervene with patients suffering from addiction, control the spread of addictive prescription opioids, and increase education about substance-use disorder for providers and in the community. “Today’s announcement, along with the creation of the bulk purchasing fund, will increase the amount of naloxone available in hot-spot communities where it is needed most,” said Lt. Gov. Karyn Polito. “These resources will help ease the costs of medication, enabling our firefighters and police officers to save more lives.” Grants for $10,000 to $50,000 are being awarded to the following communities: Attleboro, Barnstable, Beverly, Boston, Brockton, Chelsea, Chicopee, Everett, Fall River, Falmouth, Fitchburg, Framingham, Haverhill, Holyoke, Lawrence, Leominster, Lowell, Lynn, Malden, Medford, New Bedford, North Attleboro, Peabody, Pittsfield, Plymouth, Quincy, Revere, Salem, Saugus, Somerville, Springfield, Stoughton, Taunton, Waltham, Wareham, Westfield, Weymouth, Winthrop, Woburn, and Worcester. “There is no faster and more effective way to reverse an opioid overdose than to administer naloxone,” said state Health and Human Services Secretary Marylou Sudders. “It is imperative we do everything we can to counteract the epidemic of opioid addiction by providing as many first responders as possible the opportunity to use this life-saving medication.”

 

State Launches $30M Solar Loan Program

BOSTON — The Baker-Polito administration recently announced the launch of a $30 million residential solar loan program, which will support Massachusetts lenders in providing loans between $3,000 and $60,000 with low, fixed-interest rates to homeowners across the state. The program is expected to deliver approximately $100 million in savings to residents who take advantage of it. “Massachusetts is a national leader in solar energy, and this program provides another way for residents to access solar energy while diversifying the Commonwealth’s energy portfolio and reducing our overall carbon footprint,” said Gov. Charlie Baker. For residents, Mass Solar Loan widens the range of energy financing available via low-interest solar loans and by making those loans also accessible to borrowers with lower credit scores or incomes. For local lenders, Mass Solar Loan opens up new lending opportunities. For solar installers, the program provides a long-term financing program for customers. Direct solar ownership of solar electricity keeps more energy dollars in Massachusetts, while keeping energy generation local and helping to achieve the Commonwealth’s goal of 1,600 megawatts of solar by 2020. “Helping residents own their own solar generation will expand the Massachusetts solar industry and help local lenders grow their business while moving Massachusetts closer to its statewide energy and environmental goals,” said Secretary of Energy and Environmental Affairs Matthew Beaton. Mass Solar Loan is a program run in partnership by the Department of Energy Resources (DOER) and the Massachusetts Clean Energy Center (MassCEC). It is available for solar installations on single-family homes and residential buildings up to three units, with all lenders offering loans between $3,000 and $35,000 and some lenders offering loans up to $60,000. The program provides funding to Massachusetts banks and credit unions to incentivize lenders to make solar lending a part of their portfolios and to make solar loans available to borrowers with lower incomes or credit scores. To date, Bank Five, First Citizens’ Federal Credit Union, North Brookfield Savings Bank, Shrewsbury Federal Credit Union, UMassFive College Federal Credit Union, and Weymouth Bank offer Mass Solar Loans, with more due to begin participating over the coming weeks. “Residential solar has been a key component in the Commonwealth’s efforts to meet our ambitious clean energy goals,” said DOER Commissioner Judith Judson. “The Mass Solar Loan program will lower costs and increase the options for Massachusetts residents to benefit from owning solar.” Residents can visit www.masscec.com/programs/mass-solar-loan for a list of participating solar installers and lenders, tips on how to select a solar installer, and the steps for participating in the program. They may also call (617) 712-1121 for more information. Interested lenders or installers may contact MassCEC to participate in the program.

 

Sheriff Michael Ashe Joins Mental-illness Anti-stigma Effort

SPRINGFIELD — Hampden County Sheriff Michael Ashe is known across the Commonwealth as a leader and innovator in law enforcement. Now, he’s become the first sheriff in Massachusetts to join the NAMI Mass CEOs Against Stigma campaign, pledging to create a mentally healthier work environment for the employees of the Hampden County Sheriff’s Department. “As sheriff of Hampden County for over 41 years, with 900-plus employees and over 1,500 inmates in our custody, I know all too well the stigma surrounding mental illness,” Ashe said. “My staff is committed to treating these afflictions and removing the stigma that surrounds this critical issue in the workplace as well as in the community.” The campaign is designed to put an end to stigma in the workplace, employing top-down leadership to change misconceptions about mental-health disorders and encouraging people to open up and speak freely about the conditions that affect them and their immediate families. Mental-health disorders affect one in five adults and are the single greatest cause of lost productivity at work. “We all know the stigma surrounding mental-health issues prevents many from seeking treatment,” Ashe said. “That is why I’m committed to this effort.” Bernice Drumheller, president of NAMI Western Mass., noted that, “unlike physical conditions, mental illness is often not discussed in the workplace. Sheriff Ashe understands the importance and positive impact that the CEOs Against Stigma campaign brings to the work environment.” By signing the CEOs Against Stigma pledge, Ashe makes the commitment to open up dialogue about mental-health conditions without fear of disclosure as well as making employees aware of the benefits available to them. He will also bring into his workplace NAMI’s In Our Own Voice presentations, an effective anti-stigma program. The goal of CEOs Against Stigma is to have 250 chief executives — including elected officials — join the campaign and to reach a half-million employees. Any Massachusetts company or organization with at least 50 employees can take part. For more information about CEOs Against Stigma, visit ceos.namimass.org. To contact NAMI Western Mass., call (413) 786-9139.

 

Employers Assoc. Releases Business Trends Survey

AGAWAM — With close to 900 members concentrated in Massachusetts, Rhode Island, and Connecticut, the Employers Assoc. of the NorthEast (EANE) unveiled the regional findings from the 2016 National Business Trends Survey conducted by the Employer Associations of America. Results from this comprehensive survey of 1,242 organizations, covering 2,814 employer locations and 45 U.S. states, indicate that the majority of executives surveyed remain optimistic for 2016, are confident they will award pay increases, will provide a heightened emphasis on recruiting, and plan to increase training budgets that focus on developing their existing employees. “Here in the Northeast, we certainly understand that regulatory compliance is a concern, and we are heartened to see more companies looking to increase staff,” said Meredith Wise, president of the Employers Assoc. of the NorthEast. “We are also encouraged by the commitment of businesses in the Northeast to technology, processes, and people.” The top three distinctions for the Northeast from the findings appear to be:
• Regulatory compliance is a bigger concern. In comparison to the national average, Northeast companies view the cost of regulatory compliance as a greater challenge, both in the short and long term. The data shows 32% of the Northeast regional responses expressing concern in the short term versus 27% of the national responses. On a long-term basis, 42% of the Northeast regional responses see regulatory compliance as a serious challenge, whereas nationally the average checks in at 34%.
• There appears to be a greater consensus on the part of Northeastern business to invest in technology equipment, lean and other process improvements, and training. All measures were responded to more favorably and at a higher rate than in comparison to the national norms. Overall, 70% of executives surveyed in the Northeast said they would be making new investments in people, facilities, and/or equipment in 2016 versus only 62% nationally.
• More companies are looking to add staff. While the majority of surveyed executives indicated that they would be increasing staff in 2016, a greater percentage of Northeastern executives — 59% — plan on adding staff when compared to the national norm of 52%.

 

Massachusetts Launches Digital-health Initiative

BOSTON — Gov. Charlie Baker, Boston Mayor Martin Walsh, House Speaker Robert DeLeo and executives from the Massachusetts Competitive Partnership (MACP) joined leaders from across state government, healthcare, and the technology sector at Boston Children’s Hospital this week to announce a comprehensive public-private partnership designed to accelerate the competitiveness of the Commonwealth’s digital healthcare industry. “Our administration is committed to making Massachusetts a national leader in digital health by partnering with private industry, convening key stakeholders, and addressing market gaps,” Baker said. “This emerging industry cluster has the potential to become a powerful driver of job creation across the Commonwealth, while also unlocking new advances in improving patient care and lowering health care costs.” Digital health, or eHealth, is a rapidly growing sector at the intersection of healthcare and information technology and, according to a report by Goldman Sachs, represents an approximately $32 billion market opportunity over the next decade. The sector spans a variety of technologies including electronic health records, consumer wearable devices, care systems, payment management, big-data analytics, and telemedicine, among others, and has close connections to the state’s technology and life-sciences sectors. Massachusetts is well-positioned for success in digital health as host to world-class healthcare and academic institutions, a strong startup culture, significant venture-capital investment, a healthy life-sciences sector, and roughly 250 existing digital-health companies. The initiative will bring public, private, academic, and healthcare leaders together to build a stronger and more connected statewide digital-health ecosystem. To support digital health startups, the city of Boston, Massachusetts eHealth Institute at MassTech, and MACP announced the establishment of a digital-health-innovation hub. The initiative will provide space, programming, and a strong industry network for digital health startups and will serve as a Boston hub for the industry. Programming through the hub will be managed and operated by MassChallenge. MACP also announced several private industry-led initiatives that will help accelerate growth in the digital health sector, including innovative approaches to provide private funds for digital healthcare companies that are starting up in, located in, or planning to re-locate to Massachusetts. MACP also facilitated the development of standardized software, technology, and sponsored research agreements and user guides to make it easier for entrepreneurs, venture capitalists, and the private sector to do business with academic institutions, including the UMass system, Harvard University, Massachusetts Institute of Technology, Northeastern University, and Partners HealthCare. MACP will also host a second year of its Mentorship Speaker Series, with a focus on digital health, connecting high-level, experienced industry leaders across the state with entrepreneurs of emerging companies to discuss how to start and grow a successful tech business in Massachusetts. “The innovation economy comprised of the life-sciences and digital-technology sectors is the future growth engine of our Commonwealth,” said Dr. Jeffrey Leiden, who led the Digital Health Initiative on behalf of MACP. “It has been a privilege for me to lead this outstanding group of public- and private-sector partners toward our shared goal of accelerating the growth of the digital-healthcare industry in Massachusetts. With the strengths of our universities, academic medical centers, and life-sciences companies, Massachusetts is uniquely positioned to succeed in digital healthcare, and I’m thrilled to be part of the team that will make it happen.”

Daily News

CHICOPEE — Elms College announced that Dr. James O’Connell, president of the Boston Health Care for the Homeless Program, will deliver the commencement address and receive an honorary degree at the 85th commencement ceremony on Saturday, May 21.

O’Connell’s lifelong dedication to helping the homeless fits with Elms College’s commitment to social justice. As commencement speaker, he will deliver an inspirational message to the class of 2016, reminding the graduates of their responsibility to create a better world.

“A special aspect of Dr. O’Connell’s life that makes his invitation particularly meaningful is that he was taught by the Sisters of St. Joseph of Springfield for eight years at St. Joseph’s Parish Grammar School in Newport, Rhode Island,” said Elms College President Sr. Mary Reap. “His life is a testament to the charism and mission of the sisters.”

Added O’Connell, “in so many ways, I am very much a product of the wonderful and devoted sisters who gave so much of themselves to ensure we had a foundation for living in today’s world. Needless to say, I cannot tell you how much this honor truly means to me.”

In 1985, he began full-time clinical work with homeless individuals as the founding physician of the Boston Health Care for the Homeless Program, which aims to provide or ensure access to the highest-quality healthcare for all homeless men, women, and children in the Greater Boston area. The nonprofit program now serves more than 13,000 people each year in two hospital-based clinics and in more than 60 shelters and outreach sites in Boston.

Last year, O’Connell published Stories from the Shadows: Reflections of a Street Doctor, a collection of stories and essays written during 30 years of caring for homeless people in Boston. The book illuminates the humanity and raw courage of those who struggle to survive — and find meaning and hope — while living on the streets.

Departments People on the Move

The Sisters of Providence Health System (SPHS) announced that three physicians have been named to expanded leadership roles for Mercy Behavioral Health Care and Providence Behavioral Health Hospital (PBHH) in Holyoke.
• Dr. Maria Russo-Appel, who has served as the chief medical officer of PBHH for the past year, has been appointed to the position of vice president of Mercy Behavioral Health Care. In this role, Russo-Appel will lead the psychiatric care and behavioral health service lines, including PBHH, for SPHS;
• Dr. Robert Roose, who has been serving as chief medical officer of Addiction Services of SPHS for the past the two and a half years, will have expanded responsibilities in a dual role as CMO/vice president of Addiction and Recovery Services, Mercy Behavioral Health Care, and will assume both medical and administrative leadership responsibilities for all addiction-treatment and recovery-service lines; and
• Dr. Gaurav Chawla, who has been serving as chief of Psychiatry, will assume the role of chief medical officer, Mercy Behavioral Health Care, and lead new SPHS initiatives in behavioral health, such as integration of behavioral health in both primary care and integration into population health management.

•••••

Partners for a Healthier Community (PHC) has confirmed Jessica Collins as its executive director. Collins is a nine-year veteran of the Springfield-based nonprofit, where she previously served as interim executive director and deputy director. She will be leading the institute’s expansion of services in research and evaluation, coalition building, and policy advocacy. “Communities of color, members of the LGBT community, and people with disabilities face significant disparities in health in our region,” Collins said. “Our mission is to address these inequities so that all people will have what they need to lead healthy lives.” PHC was recently awarded the contract to lead the Community Health Needs Assessment for the 10 regional hospitals in Western Mass. in collaboration with the Pioneer Valley Planning Commission and the Collaborative for Educational Services. “This assessment documents the existing health needs of each community and provides the data necessary to develop effective strategies to address health inequities,” Collins said. Added Rev. Karen Rucks, PHC’s board chair, “having a local public-health institute to serve Western Mass. is invaluable. The staff of Partners for a Healthier Community bring an understanding of the context and communities in our region to their services. They are committed to building capacity in our region to better understand how to use data and to collect and report on specific issues that are worthy of collective attention.” Prior to coming to PHC, Collins led community-based participatory research projects including the Shape Up Somerville program focused on the prevention of childhood obesity in Cambridge and Somerville. Other nationally recognized community-health initiatives led by Collins include efforts to address substance abuse and suicide prevention, as well as preschool oral health. In addition, Collins announced the hiring of Jessica Payne as senior research associate. Payne brings 25 years of experience in program development, evaluation, and needs assessment. She has extensive knowledge of regional communities and public-health initiatives, and collaborates with partners and informants of varied backgrounds relative to age, gender, socioeconomic status, race, ethnicity, occupation, and region. Since 1988, her company, Jessica Payne Consulting, has provided research and evaluation services in the healthcare, education, community-development, marketing, and culture and arts industries.

•••••

Jules Gaudreau, president of the Gaudreau Group in Wilbraham, was recently inducted as president of his industry’s national trade organization, the National Assoc. of Insurance and Financial Advisors (NAIFA). “It will be a great privilege and responsibility to lead an association of over 42,000 professionals who help American families achieve financial security,” Gaudreau said. “I look forward to advocating on their behalf in Washington and throughout the country as I have done for over 25 years here in Massachusetts.” One of the nation’s oldest and largest associations representing the interests of insurance professionals and financial advisors, NAIFA is the only organization that serves and represents insurance and financial advisors regardless of the products they sell or the focus of their practice. Members include insurance agents, financial advisors, multi-line agents, and health-insurance and employee-benefits specialists. NAIFA’s mission is to advocate for a positive legislative and regulatory environment, enhance business and professional skills, and promote the ethical conduct of its members.

Daily News

LONGMEADOW — Fazzi Associates, a national research firm specializing in serving the home-health and hospice industry, has named Spectrum Home Health & Hospice Care of JGS Lifecare in Longmeadow a national best-practice home-health agency.

Based on feedback from patients through Fazzi Associates’ HHCAHPS (Home Health Care – Consumer Assessment of Healthcare Providers and Systems) survey system, Spectrum has been recognized for having consistent and excellent patient satisfaction survey results in 2014. Spectrum placed in the top 25th percentile of Fazzi’s National Patient Satisfaction database, and earned Fazzi Associates’ Patient Satisfaction Award of Distinction.

“Agencies named as national best-practice agencies are proven leaders and have excelled in one of the most important measures of an agency’s quality program — patient satisfaction,” said Gina Mazza, partner and HHCAHPS director. “This is a commendable accomplishment, demonstrating superior performance in patient satisfaction in 2014.”

Results are based on a comparative analysis of agencies involved in Fazzi Associates’ HHCAHPS survey system for a 12-month period. The goal of the survey is to help consumers make better decisions about their choice of a home-health agency.

“Achieving this recognition is a result of our team of dedicated nurses who give our patients 100% of their energy, attention, compassion, and expertise each and every day,” said Sarah Jackson, executive vice president of Spectrum Home Health & Hospice Care. “To be recognized for such outstanding outcomes is a tribute to their dedication and outstanding care.”

Daily News

BOSTON — Gov. Charlie Baker, Boston Mayor Martin Walsh, House Speaker Robert DeLeo and executives from the Massachusetts Competitive Partnership (MACP) joined leaders from across state government, healthcare, and the technology sector at Boston Children’s Hospital this week to announce a comprehensive public-private partnership designed to accelerate the competitiveness of the Commonwealth’s digital healthcare industry.

“Our administration is committed to making Massachusetts a national leader in digital health by partnering with private industry, convening key stakeholders, and addressing market gaps,” Baker said. “This emerging industry cluster has the potential to become a powerful driver of job creation across the Commonwealth, while also unlocking new advances in improving patient care and lowering health care costs.”

Digital health, or eHealth, is a rapidly growing sector at the intersection of healthcare and information technology and, according to a report by Goldman Sachs, represents an approximately $32 billion market opportunity over the next decade. The sector spans a variety of technologies including electronic health records, consumer wearable devices, care systems, payment management, big-data analytics, and telemedicine, among others, and has close connections to the state’s technology and life-sciences sectors. Massachusetts is well-positioned for success in digital health as host to world-class healthcare and academic institutions, a strong startup culture, significant venture-capital investment, a healthy life-sciences sector, and roughly 250 existing digital-health companies.

The initiative will bring public, private, academic, and healthcare leaders together to build a stronger and more connected statewide digital-health ecosystem. To support digital health startups, the city of Boston, Massachusetts eHealth Institute at MassTech, and MACP announced the establishment of a digital-health-innovation hub. The initiative will provide space, programming, and a strong industry network for digital health startups and will serve as a Boston hub for the industry. Programming through the hub will be managed and operated by MassChallenge.

MACP also announced several private industry-led initiatives that will help accelerate growth in the digital health sector, including innovative approaches to provide private funds for digital healthcare companies that are starting up in, located in, or planning to re-locate to Massachusetts.

MACP also facilitated the development of standardized software, technology, and sponsored research agreements and user guides to make it easier for entrepreneurs, venture capitalists, and the private sector to do business with academic institutions, including the UMass system, Harvard University, Massachusetts Institute of Technology, Northeastern University, and Partners HealthCare.

MACP will also host a second year of its Mentorship Speaker Series, with a focus on digital health, connecting high-level, experienced industry leaders across the state with entrepreneurs of emerging companies to discuss how to start and grow a successful tech business in Massachusetts.

“The innovation economy comprised of the life-sciences and digital-technology sectors is the future growth engine of our Commonwealth,” said Dr. Jeffrey Leiden, who led the Digital Health Initiative on behalf of MACP. “It has been a privilege for me to lead this outstanding group of public- and private-sector partners toward our shared goal of accelerating the growth of the digital-healthcare industry in Massachusetts. With the strengths of our universities, academic medical centers, and life-sciences companies, Massachusetts is uniquely positioned to succeed in digital healthcare, and I’m thrilled to be part of the team that will make it happen.”

Daily News

HOLYOKE — The Sisters of Providence Health System (SPHS) announced that three physicians have been named to expanded leadership roles for Mercy Behavioral Health Care and Providence Behavioral Health Hospital (PBHH) in Holyoke. The appointments are effective Jan. 1.

Maria Russo-Appel, MD, who has served as the chief medical officer of PBHH for the past year, has been appointed to the position of vice president of Mercy Behavioral Health Care. In this role, Russo-Appel will lead the psychiatric care and behavioral health service lines, including PBHH, for SPHS.

Also, Robert Roose, MD, MPH, who has been serving as chief medical officer of Addiction Services of SPHS for the past the two and a half years, will have expanded responsibilities in a dual role as CMO/vice president of Addiction and Recovery Services, Mercy Behavioral Health Care, and will assume both medical and administrative leadership responsibilities for all addiction treatment and recovery service lines. And Gaurav Chawla, MD, CPE, who has been serving as chief of Psychiatry, will assume the role of chief medical officer, Mercy Behavioral Health Care, and lead new SPHS initiatives in behavioral health such as integration of behavioral health in both primary care and integration into population health management.

As one of the largest providers of behavioral health services in western Massachusetts, Mercy Behavioral Health Care provides access to an entire continuum of high-quality inpatient and outpatient care for people of all ages, from children and adolescents to adults and seniors. Mercy Behavioral Health Care includes both the continuums of Addiction and Recovery Services, from Acute Treatment Services to Outpatient and Opioid Treatment Programs, and Behavioral Health, from inpatient psychiatric treatment to the programs within Brightside for Families and Children.

Departments Incorporations

The following business incorporations were recorded in Hampden, Hampshire, and Franklin counties and are the latest available. They are listed by community.

CHICOPEE

Avidity Care Inc., 264 Exchange St., Ste. 2, Chicopee, MA 01013. Corey Briere, 16 Stewart St., South Hadley, MA 01075. Home health care services.

EASTHAMPTON

Tabbat Inc., 116 Pleasant St., Suite 158, Easthampton, MA 01027. Richard S. Lyman Jr., 96 Gunn Road, Southampton, MA 01073. Real estate holding company.

HATFIELD

Masssolar is Working Inc., 136 Elm St., Hatfield, MA 01038. Mark Sandeen, 10 Brent Road, Lexington, MA 02420. To create a public understanding of solar energy generation.

HOLYOKE

Gil’s Auto Repair & Performance Inc., 606 Main St., Holyoke, MA 01040. Gilberto Rivas, same. Auto repair.

Maruti Corp., 455 Homestead Ave., Holyoke, MA 01040. Shivani Patel, same. Package store.

LONGMEADOW

Brown & Brown Investment Advisory Inc., 734 Bliss Road, Ste. 4, Longmeadow, MA 01106. Registered investment advisor.

NORTHAMPTON

Rightway Drywall Inc., 206 Coles Meadow Road, Northampton, MA 01060. Brian Johnson, same. Drywall installation.

SOUTH HADLEY

Art Builders Inc., 311 Brainerd St., South Hadley, MA 01075. Deoclecio F. Artur, same. Construction and renovation services.

SPRINGFIELD

190 Bowdoin St. Development Inc., 11 Preston St., Springfield, MA 01109. Elisha Colgram, 304 Bay St., Springfield, MA 01109. To develop land at 190 Bowdoin Street in accordance with historic preservation.

Behavior Services of Western Massachusetts Inc., 1441 Main St., Ste. 900, Springfield, MA 01103. Kathleen Deniger, same. Autism behavior services.

WESTFIELD

Aura Nails & Spa Inc., 261 East Main St., Unit 10, Westfield, MA 01085. Youngran Chan, 20 Sunbriar Dr., Westfield, MA 01085. Nail salon.

TNN Transport Inc., 11 Lockhouse Road, Apt. A, Westfield, MA 01085. Anatoliy Tulchinskiy, same. Trucking.

WEST SPRINGFIELD

9312-3610 Quebec Inc., 23 Morningside Terrace, West Springfield, MA 01089. Miroslav Tkach, same. Trucking.

WILLIAMSBURG

Hilltown Village Inc., 106 Petticoat Hill Road, Williamsburg, MA 01096. Meghan Patricia Taylor, same. Practical, social, and emotional support services.

Daily News

HOLYOKE — Holyoke Medical Center (HMC) broke ground this week on construction for a new, state-of-the-art Emergency Department that, when completed, will expand the current space from 8,500 square feet to approximately 22,000 square feet, as wel as a new, 16,000-square-foot medical office building.

The project is expected to be completed in spring 2017. The Emergency Department will feature a new Crisis Center for Psychiatric Services, 40 treatment areas, multi-patient trauma rooms, advanced life-saving equipment, and a patient-navigation service. This will allow HMC to treat patients in a more efficient and dignified way.

The medical office building will house a host of new services, including a comprehensive weight-loss center, sleep-apnea clinic, and other multi-specialty physician practices. These expanded services will address the current and emerging community health needs of Hampden County, including the sharp rise in obesity and diabetes rates, while also creating new jobs in Holyoke.

“Today’s groundbreaking represents our strong commitment to providing tens of thousands of patients in the Pioneer Valley with access to convenient and compassionate life-saving care,” said Spiros Hatiras, president and CEO of Holyoke Medical Center and Valley Health Systems Inc. “HMC’s new Emergency Department and medical office building will offer the latest in medical technology, a broader range of emergency services, and highly skilled clinicians dedicated to serving our community.”

Funding for the project is provided partially by the Commonwealth’s Health Policy Commission (HPC), through Phase 2 of the Community Hospital Acceleration, Revitalization, and Transformation Investment Program, also known as CHART, which aims to promote care coordination, integration, and delivery transformation to enhance Massachusetts community hospitals’ delivery of efficient and effective care. The $3.9 million grant supports the integration of new behavioral-health services in the Emergency Department.

“Our partnership with community hospitals is a critical part of HPC’s efforts to achieve the Commonwealth’s cost-containment and quality-improvement goals,” said David Seltz, executive director of HPC. “CHART hospitals were issued a challenge: propose initiatives that will put you on a path of transformation, while meeting the critical health care needs of your community. Today, I’m pleased to report that HMC exceeded that challenge. We look forward to continuing to partner with the Holyoke community to build a more coordinated and affordable healthcare system.”

HMC’s award was the highest award for a single hospital in CHART Phase 2.

HMC will leverage an innovative, multi-disciplinary high-risk-care team, known as the Behavioral Health Emergency Care Service, to support all patients with behavioral-health conditions in the Emergency Department. At the same time, this coordinated initiative will introduce robust care navigation in partnership with community-based organizations to ensure that patients receive targeted interventions, including those necessary to address the high incidence of complex, challenging social issues, and are referred to the right services for successful follow-through on individualized care plans.

A portion of this investment will also support HMC’s efforts to redesign its Emergency Department, and will create a separate healing and therapeutic behavioral-health space in the emergency room designed to reduce patient anxiety, streamline patient flow, and improve overall quality of care in a safe and secure environment.

Additional financing partners for the total project budget of $22.8 million include Valley Health Systems, MassDevelopment, People’s United Bank, JPMorgan Chase, and A.I. Wainwright.

Last year, more than 42,500 patients visited Holyoke Medical Center’s Emergency Department, and the department will continue to serve the Greater Holyoke community throughout the construction phase of the project.

Health Care Sections

The Big Disconnect

The big disconnect

Implementation of electric health records (EHR) has been a process defined by clearly stated goals and — thus far — frustrating results. The objective was and still is to improve communication and share important medical information. In practice, the technology simply hasn’t worked as designed, an opinion summed up in these comments from the head of the American Medical Assoc.: “Physicians are trying to use EHRs to improve patient care, investing a lot of time and money into making them work, but they are being thwarted.”

The goals of electronic health records are easily understood. The path to get there … well, that’s a bit thornier.

“The big push for us is still meaningful use and the sharing of data. That’s what everyone wants … to share information across the continuum,” said Carl Cameron, chief operating officer at Holyoke Medical Center, before offering an example of what an effective EHR system would accomplish.

“If your primary-care doctor sends you a referral to a specialist, they can share information back and forth. If you end up in the emergency room, the doctor can see the information about your last visit or past visits to the primary-care office. Historically, care has been episodic. Basically, if you have a sore throat or something else is wrong with you, you call the doctor’s office, they see you and document it, and nobody else may ever see that note.”

However, when the Centers for Medicare & Medicaid Services (CMS) created mandates in 2009 for hospitals and other providers to move toward EHR use (the term is used interchangeably with EMR, or electronic medical record), they didn’t anticipate the sheer number of different systems that would arise and the confusion they would engender. Today, well over 80% of all physician practices in Massachusetts have established EHRs — for practices with more than 10 doctors, the figure is close to 100% — but not without frustration, cost, and a large dose of uncertainty.

It’s not just a Massachusetts problem. Dr. Steven Stack, president of the American Medical Assoc., recently wrote an article in which he detailed cases like that of a Georgia physician in pulmonary critical care and sleep medicine who was an early adopter of EHR technology in 2006, more than three years before the legislation that mandated it and established the first deadlines.

She said her three-physician practice has spent $84,000 on EHR and related IT costs, yet she doesn’t plan to continue its use, preferring instead to take a financial penalty, because she’s so dissatisfied with the limitations of the system.

Carl Cameron

Carl Cameron says a key goal of electronic health records is sharing patient information across the continuum of providers — no easy feat.

“Physicians are trying to use EHRs to improve patient care, investing a lot of time and money into making them work, but they are being thwarted,” Stack wrote. “The goal of the meaningful-use program was to encourage physician adoption of EHRs. This has been accomplished. Today, more than 80% of physicians have implemented some form of EHR system. But we’re not getting what we expected from this technology.

“As physicians,” he went on, “we had hoped that these tools would help facilitate patient engagement, reduce administrative burdens, and promote the exchange of data. Those three things have definitely not happened. Instead, we’re dealing with systems that won’t talk to one another, cost too much to maintain, and require us to spend an inordinate amount of time entering data instead of helping patients.”

Delcie Bean, CEO of Paragus Strategic IT in Hadley, has heard similar frustrations. His firm got into the EHR consulting business several years ago — a ripe field, since doctors by 2011 and 2012 were hiring EHR vendors at a rapid pace. The pace has slowed down considerably, Bean said, largely because the practices that planned to adopt EHRs have done so, but also because of uncertainty about the technology’s end game.

“There seem to be some practices that, for one of a couple reasons, are hesitant to do it. First and foremost, there continues to be a huge consolidation of private practices by hospitals, and doctors are saying, ‘why spend all that time and money when, in a couple of years, we’ll be acquired by a hospital?’ It’s hard to answer that question,” he said, adding that many doctors don’t feel incentivized to adopt the technology until it becomes marketable or it becomes more clear whether they’ll be acquired or stay private.

“The second thing is, there has been a ton of consolidation at the EMR level, and a lot of providers are waiting to see which EMRs end up being the one their specialty or their region rallies around,” Bean continued, adding that the number of competing EMR systems has begun to shrink, from around 500 at its peak to about 400 today. “With so many players, doctors are waiting to see who’s going to end up on top before they invest. With such a huge investment of time and money, they’re afraid of getting it wrong. I don’t blame them.”

In the Beginning

EMRs represent a new and often-intimidating landscape for doctors. As recently as 2003, fewer than 5% of the Commonwealth’s hospitals, and even fewer practices, used any sort of electronic record system, according to the Mass. Medical Society (MMS).

Lee Martinez

Lee Martinez says hospital IT challenges range from consolidating community-based physicians under EHR systems to teaching patients how to use online data portals.

But in 2009, as part of the American Reinvestment and Recovery Act (ARRA), the federal government included a section called Health Information Technology for Economic and Clinical Health, or HITECH, with the goal of improving patient care through federal investment in IT infrastructure and — crucially — adoption of electronic health records capable of interoperability, privacy, and security.

Included in ARRA — otherwise known as the federal stimulus bill — were provisions for incentives of at least $44,000 per physician for meaningful use of an EHR. Reimbursement would be issued through Medicare and Medicaid after proof of regular EHR use in more than 20 areas, including computerized order entry, e-prescribing, recording demographics, medication lists, allergies, vital signs, smoking status, and several clinical measures.

At the heart of this process is the term ‘meaningful use,’ which is essentially using EHR technology to improve healthcare quality, safety, and efficiency; engage patients and families more directly in their care; improve care coordination between providers; improve population and public health; and maintain privacy and security of patient information.

Stage 1 of meaningful use, the explosion of activity in 2011 and 2012 that Bean referred to, concentrated on data capture and sharing. The goal of stage 2, which CMS expected to be complete by this year, focused on advancing clinical processes, such as more rigorous health-information exchanges, stricter requirements for e-prescribing and lab results, electronic transmission of patient-care data across multiple settings, and more patient-controlled data.

The problem is that many providers need more time to achieve the goals of stage 2 meaningful use, and won’t realistically approach the requirements for stage 3 by the 2017 deadline; these include improving quality, safety, efficiency, and health outcomes; patient access to self-management tools; and documented improvements in population health through EHRs, just to name a few.

“I think it’s a huge challenge, and it’s draining the resources that many providers need to put into this, whether it’s dollars or staff or upgrading applications or hardware — all those things enter into the picture,” MMS President Dr. Dennis Dimitri told BusinessWest. “And even though the EHRs have to be certified to allow physicians to use them and qualify for the incentive payment, it doesn’t mean the EHR allows you to easily do all the tasks of stage 2 and eventually stage 3.

“Anecdotally, I know more than one physician who’s said, ‘it’s too hard to work, too time-consuming, and it’s interfering with my ability to take care of my patients; I’m not going to qualify for stage-2 meaningful use,’” he went on. “And with the potential for financial penalties from CMS, physicians are just putting their hands up and saying, ‘I can’t do it.’”

That’s why medical societies across the country are pushing for changes in the timelines for meaningful use stage 2 and 3, he added. “Physicians bought in; they thought it was the right thing to do. And now they’re finding out these systems are not living up to the promise.”

Theoretically, EHRs should improve practice efficiency. By replacing paper records with electronic data, the thought went, practices could reduce record handling and access data more quickly for clinical, workflow, and billing purposes. EHRs are also intended to improve quality of care, reduce prescribing and treatment errors, and prepare practices for the collaborative world of accountable care.

But, in reality, the MMS reports, doctors are complaining that inputting data electronically actually takes up more time than written records, system outages are persistent, technical support from vendors can be unreliable, and — perhaps most significantly — interoperability and transportability of data from one EHR brand to another is not yet common, and changing brands can be costly, time-consuming, and stressful.

“Electronic medical records have added to the amount of time physicians spend entering data, which increases their workload. Most physicians will tell you their day is longer by using EMRs, not shorter,” Dimitri told HCN. “They also worry that an electronic medical record gets between them and the patient, when the physician is spending a lot of time looking at the medical record, filling in information, checking boxes. There has been some concern that may have a negative impact on the patient-physician relationship.”

Cameron agreed. “Providers have to change the way they interact with patients, and that’s not always easy because now they’re talking with the patient with a laptop between them, looking at the record. Certainly, that’s a challenge.”

Come Together

As for interoperability of EHR systems, the industry is seeing improvement, if only due to consolidation. In fact, according to the MMS, 80% of Massachusetts practices are using one of seven large EHR vendors.

“People wanted to get away from this ad hoc system of 20 EMRs in the community,” said Lee Martinez, chief information officer at Cooley Dickinson Hospital. So CDH, for its part, is moving to Epic, one of those seven vendors, and is slowly bringing its affiliated physician practices on board.

However, Bean said, interoperability remains a big question mark for many practice administrators grappling with EHR adoption. “Doctors know this will help their practice ultimately, but there are so many questions about interoperability, referrals, how patients access their records — a lot of uncertainty and unknowns. And whenever there’s uncertainty, people stay on the fence about it.”

Meanwhile, Holyoke Medical System has about 80 doctors in its health-information exchange, which uses the eClinicalWorks system.

“We’re working very hard to put all these initiatives in place and make sure we provide good-quality patient care,” Cameron said. “We’re in the process now of implementing a product called Qpid, which is essentially like a Google for healthcare. Basically, it sits on top of your medical record and becomes a search engine to help us do surveillance on a behavioral-health patient or cardiac patient, for example; when the patient presents in the emergency room, it will give the clinician a dashboard of past information so they don’t have to search the entire medical record.

“We believe that snapshot provides a higher level of care for the patient,” he went on, “helping clinicians make real-time decisions in the emergency room. Eventually, we’re going to tie that into the health-information exchange … we see this as a very powerful tool.”

The next piece, Cameron said, is applying EHR systems to population health, in terms of managing, say, the region’s diebetic population or COPD population, with the goal of reducing rehospitalization.

“That’s the big focus — keeping them out of the emergency room and, if they do show up, making sure they don’t come back within 30 days, because Medicare and others are starting to penalize hospitals for patients [returning to] the emergency room,” he explained. “We’ll have patient-care navigators with access to patients’ information, so if they have chronic diseases such as diabetes, follow up with them, make sure they’re keeping their appointment to see their specialist, make sure they’re taking their medications. This will help reduce the overall healthcare costs of those patients.”

Another component to population health is teaching patients how to use electronic portals, secure websites where they can access their personal health information.

“We have a patient portal and a physician portal here at Cooley Dickinson,” Martinez said. “I think that’s one big promise for the near term — getting patients more involved in this. In our community, a lot of patients are using the portal to manage their own care. We think that’s extremely important.”

Understanding the broad promise of EHRs but also recognizing the current challenges, both the AMA and the MMS are advocating for a pause in stage 3 mandates until all practices can reach stage 2. For its part, the Centers for Medicare and Medicaid Services (CMS) recently issued some final and proposed regulations for stages 2 and 3 of meaningful use (see story, page 33).

Dimitri recently testified before the state Legislature’s Joint Committee on Health Care Financing in support of a bill that would provide additional time for healthcare providers to comply with the interoperable EHR mandate contained in the 2012 healthcare cost-containment bill, Chapter 224.

“While the medical society continues to study and encourage adoption of interoperable medical records where appropriate,” he told lawmakers, “legislative mandates carrying financial penalties are not the appropriate policy level to promote this practice.”

Brave New World

Speaking with BusinessWest, Dimitri said the state’s physicians are not shrinking away from the future, but rather embracing it.

“I think physicians have been excited about the potential of electronic medical records for some time. A few early adopters have been doing some kind of electronic medical record for well over a decade. A larger number of physicians didn’t have full electronic medical records, but had been electronically prescribing for some period of time — again, going back well over a decade.

“Since then,” he went on, “the speed with which electronic medical records have been adopted in physician practices has picked up so much that in excess of 80% of physician practices now have an electronic medical record. So, from my perspective, physicians have been very interested in this technology and have high hopes about what it can do for them. The bad news is, electronic medical records have not been the panacea that many of us hoped they would, improving the ability to collect and share data and extract information about patients and population health.”

Time will tell whether EHRs flourish and reach their intended goals, but HMC’s Cameron feels the promise is worth the effort.

“There are a lot of challenges right now,” he said, “but I still believe technology should be a part of revolutionizing healthcare.”

Features

In the 1960s, Ron Littlefield says, no one needed GPS to find Tennessee’s fourth-largest city.

“You could tell when you were getting close to Chattanooga because you could smell Chattanooga; it stunk,” said the former mayor, who served from 2005 to 2013. “It was an old foundry city. And when you had stormy weather, you had inversions, because we have mountains and valleys, and it would trap the smoke, and you would literally be eating smoke when you walked outside.”

City leaders were mortified when, in October 1969, Walter Cronkite came across a recent EPA study, sat down behind the news desk, looked into the camera, and declared Chattanooga “the dirtiest city in America.”

“It was so bad that people had to change their shirts in the middle of the day,” said John Bridger, executive director of the Chattanooga-Hamilton County Regional Planning Agency. “They were tough times — but tough times create opportunities.”

In truth, Bridger continued, many residents put up with the pollution because the manufacturing sector was chugging along, but Cronkite’s report jarred them out of complacency. “If not for those challenges, I don’t think we would have changed, because we were comfortable. We were the dynamo of Dixie — why change what we were doing if we were making money? But that report created an impetus for change; it brought a new perspective.”

Still, Chattanooga was no overnight turnaround. Even after efforts to clean up the waterway and better connect the riverfront with the downtown area, a downturn in the region’s manufacturing base led to mass flight from the city, which lost more than 10% of its population during the 1980s. But, as current Mayor Andy Berke points out, it was the only American city with that level of population loss during the ’80s to actually gain residents in the 1990s.

“It took a long time — a lot of people over a great period of time — to make it happen,” he said. “And it started with real investment in the core of our city.”

Today, Chattanooga is a growing city (population just over 173,000, about 20,000 more than Springfield) riding a wave of entrepreneurship and high-tech innovation, and touting itself as the Gig City after building a broadband network (known as ‘the Gig’) able to connect every home and business to the Internet at 1 gigabit per second, or 50 to 100 times faster than the average U.S. Internet connection.

As part of the City2City Pioneer Valley program, 30 economic-development, nonprofit, and community leaders from Greater Springfield visited Chattanooga late last month to hear the story of how a stinking foundry city transformed itself into a beacon of innovation.

Walnut Street Bridge

Many of the attendees at the foot of the Walnut Street Bridge, a pedestrian span over the Tennessee River that’s a hallmark of an extensive riverfront makeover.

In doing so, they learned that this community on Georgia’s northwestern border is no utopia; it still faces serious education, workforce-development, and racial-gentrification issues, to name a few. But it’s also proving to be an example of how public, business, and nonprofit interests can work in concert to produce and then fund real solutions.

“There seems to be one goal with all these organizations we’ve met. They’re all doing their own things, but they’re all on the same page and have the same goal, and that’s to help all these spinning wheels move the city forward,” said Alfonso Santaniello, president of the Creative Strategy Agency in Springfield, who values his company’s downtown presence and wanted to visit a growing city with a similar emphasis on building up its central business district.

“Springfield needs to find a way to get everyone on the same page and push forward from there,” he went on. “That’s one of our biggest issues; everyone is doing great things, but why are we not doing them together?”

Chattanooga’s striking collaboration culture (more on that later) is one reason why the Gig City label is, in fact, not the top storyline there, but a way to draw national notice to everything else that’s going on.

“The technology is great,” said Enoch Elwell, founder of Co.Starters, a Chattanooga-based entrepreneuship program that has expanded nationally, including into Holyoke earlier this year. “But its biggest impact is as a rallying cry for our community, something that brings us together and draws the world’s attention.”

The City2City contingent from Massachusetts was certainly listening.

Cleaning Up Their Act

Littlefield recalls a time when Chattanooga manufacturers treated the Tennessee River like a sewer, dumping garbage directly into the waterway. “But in the ’70s, we cleaned up our water, and we began to clean up our act.”

From an ecological perspective, it actually helped when the foundries started to close, but it posed economic issues, he went on, which were partially remedied by attracting industries from the north, like textiles and automaking, with the promise of cheaper labor. But that wasn’t a sustainable strategy, and a steady population drain ensued.

“When you lose jobs, you also lose hope, and when you lose hope, you lose your children,” he said. “They grow up and get an education and go somewhere else. We began to say, ‘we have to change this community in ways we’ve never changed it before. We’ve got to change our attitude, our way of thinking.’”

The first step was the creation of the Tennessee Riverpark Master Plan to transform the riverfront and downtown area, but only after many hours meeting with residents — many of whom had felt disenfranchised — and incorporating their concerns into the process. As Littlefield recalled, one woman told him, “this is the first time, when I said something, that someone wrote it down in my own words.”

Municipal leaders also visited other cities (notably a 1981 trek to Indianapolis) to find ideas and inspiration. These information-gathering efforts led to the creation in 1986 of River City Co., a nonprofit tasked with implementing the master plan, a 20-year blueprint for the riverfront and downtown, initially capitalized with $12 million from local foundations and financial institutions.

“We did visioning before visioning was cool, and we found that it actually works,” Littlefield said. “So we set about to create quality of life, and that started with the river.”

Bridgett Massengill, executive director of Thrive 2055 — a more recent coalition of economic leaders tasked with creating economic opportunity in a tri-state, 16-county region surrounding Chattanooga’s Hamilton County — detailed how four area foundations took the first step to fund River City Co., and called it typical of the way the city has operated in the past 30 years.

“I have been blown away by the collaboration in this region, the way we come together, roll up our sleeves, and make it happen,” she said. “There was a will that we were going to proceed with or without federal dollars.”

That caught the attention of Katie Allan Zobel, president and CEO of the Community Foundation of Western Massachusetts.

“The success in Chattanooga has grown from public-private partnerships,” she told BusinessWest. “They keep saying how foundations have played a role in these partnerships, and it seems to me that’s something Springfield and surrounding regions should be exploring with more focus.”

She first thought, upon hearing of the role of the region’s foundations, that they must be larger and better-capitalized than those in Western Mass., but was surprised to find that wasn’t the case. “We can always do more together, and Chattanooga has been proving that for the last 25 years.”

The tax structure in Tennessee — property and sales taxes but no income tax — is a challenge for economic development, officials note. That’s why the public-private partnerships that have sprung up to support development are so noteworthy, said Beth Jones, executive director of the Southeast Tennessee Development District. “Typically, we don’t start with how much money an initiative will cost. We ask, ‘is this a good idea?’ and then we bring people together to raise the money.”

That’s part of the so-called “Chattanooga way” cited by many of the people who met with the City2City contingent. Kim White, president and CEO of River City Co., said the term essentially refers to the way leaders “get a diverse group of people together and really plan.”

Landing a Gig

The city’s successes included a complete overhaul of the riverfront, including the privately funded Tennessee Aquarium, the nation’s largest freshwater aquarium, and the pedestrian-only Walnut Street Bridge; as well as an innovation district downtown aimed at attracting both high-tech giants like Amazon (which has a presence in the city) as well as a raft of intriguing startups.

Despite the successes of the Tennessee Riverpark Master Plan, the planning process had never focused specifically on entrepreneurship or technology until the city’s power company, EPB, tapped into federal stimulus money in 2009 to launch the Gig, said Ken Hays, president and CEO of the city’s Enterprise Center and Innovation District, which followed in the wake of the massive fiber project.

Since then, an accelerator program for startups has graduated 67 companies that have raised $3.1 in combined capital. In 2012, a nonprofit called CoLab launched GigTank, an annual, 14-week summer entrepreneurship program; 40 participating companies have raised $4.37 million in capital to date. CoLab’s “Will This Float?” startup pitch competition, launched five years ago, has attracted 47 participants, and the five winners all continue to grow, with $5.5 million in capital raised to date. Then there’s Tech Goes Home, a computer-education program aimed at everyone from preschoolers to the elderly.

Chattanooga has plenty of traditional industry, of course, none more prominent than Volkswagen, which employs about 2,400 people at its only North American plant and is planning an expansion — even amidst controversy over its diesel engine — that will bring production of a new SUV to Chattanooga and boost its workforce by another 2,000, including 200 in research and development, a first for the area. Other giants, like Coca-Cola and Little Debbie, dot the landscape as well.

Laura Masulis, left, transformative development fellow at MassDevelopment

Laura Masulis, left, transformative development fellow at MassDevelopment, and Scott Foster, right, chairman of Valley Venture Mentors, speak with Will Joseph and Enoch Elwell of Co.Starters, a national, Chattanooga-based entrepreneurship initiative that launched in Holyoke this year.

But economic-development leaders are focused on the Innovation District and the cultivation of small businesses that may one day grow to be the next Coca-Cola or Amazon. Efforts to do so range from Startup in a Day, a commitment to streamlining business permitting on a 24/7 basis, to the Growing Small Business program, a financial incentive offered to companies with fewer than 100 employees that hire at least five workers in a 12-month period.

“If we can subsidize their next hire and keep them afloat for another couple of months, that’s what we want to do, and it’s been pretty successful,” said Nick Wilkinson, the city’s deputy administrator of Economic & Community Development.

With the type of 21st-century businesses attracted by the Gig, however, comes the need for a culture change, or at least a greater focus on the quality-of-life issues that matter to a young, hip, tech-savvy worker base, Bridger said. In addition, the population has shifted from one dominated by two-parent families with children in 1970 to one with mostly single-income households, and that affects the type of housing — smaller and closer to workplaces — that needs to be built in the city.

“Place matters,” he said, noting that IT workers aren’t tied to their workplaces like people in more traditional industries. “So, if you want to compete economically, they’re thinking place first, jobs second. Ultimately, it’s not just about transportation, it’s not just about economic development, it’s not just about the natural environment — it’s about how all those things work together to create place.”

That’s where quality-of-life improvements like the revamped riverfront and growing arts and recreation initiatives come in. The city is obviously doing something right, with $4 billion in business investment since 2008. Now leaders are trying to keep the momentum going by developing more housing in the city — an expected 160,000 new units by 2055, in fact — and touting the success of amenities like the free downtown shuttle (cheekily known as the Choo Choo) and an extensive network of bike lanes, all to support a Millennial population that doesn’t necessarily want to rely on automobiles.

The task isn’t easy when 97% of the downtown workforce drives in from the outside, and only 1.2% of downtown zoning is mixed-use. Regional passenger rail service may be 20 years away or more simply because the surrounding counties don’t have the population density of, say, Western Mass. to support it.

“Our focus is on how to create that housing density that makes us a more 24/7 city,” White explained, noting that the next two years will see the addition of 1,500 apartments downtown, more than doubling the current number, in addition to 500 more hotel rooms and 1,300 more student units to support the 12,000-student University of Tennessee Chattanooga, which skirts the downtown area. “If you come back in three years, this will be a completely different city.”

Barriers to Progress

Some of those changes are more pressing than others. The City2City tour came in the shadow of a recent, searing report by Ken Chilton, a Public Administration professor at Tennessee State University, on the city’s ongoing racial gentrification and the challenges minorities face overcoming poverty, violence, and poor health.

The 23-page report, The Unfinished Agenda, examines how investment and development in certain downtown neighborhoods has come at the expense of low-income African-American families that used to live there but have been forced out by rising costs.

For example, in 1990, the downtown white population was 2,402, while the black population was 3,720. In 2013, those numbers were reversed, with 4,880 whites and 2,358 blacks living downtown. In effect, African-Americans are increasingly being pushed into poorer neighborhoods and schools mired in violence and chaos and not seeing the type of investment that characterizes the downtown and riverfront, Chilton writes.

Because some of these neighborhoods have more adult high-school dropouts than college graduates, many are forced to rely on low-paying jobs instead of the white-collar jobs that have defined the downtown renewal. As a result, 36% of blacks in Chattanooga live in poverty, compared with 14.5% of whites. In the 11 lowest-income neighborhoods in Chattanooga, where the population is 73% African-American, the average poverty rate is 63.5%. Bridger told the City2City contingent that, while the city’s unemployment rate is 5.5%, it’s about double that in the black population.

James McKissic, director of Chattanooga’s Office of Multicultural Affairs, agreed that gentrification is a problem, noting that certain neighborhoods have indeed become unaffordable for lower-income residents. But he added that several housing developments are in the works over the next few years, targeted at different income levels, in desireable neighborhoods. “We don’t want to be the next San Francisco or Austin; we want people from various income levels to live together.”

Still, he added, the heart of the issue is poverty — and the need for initiatives that will improve education and provide economic opportunity for people of all races and income levels.

However, public education — which is operated on the county level — hasn’t made enough strides to satisfy Chattanooga officials, a situation detailed in a 2013 Ochs Center for Metropolitan Studies report, again written by Chilton, affirming that the system’s poor, majority-black schools lag far behind schools in more prosperous — usually whiter — neighborhoods.

To compound matters, Tennessee finishes 49th in the nation in per-pupil education spending, according to the U.S. Census Bureau, but Hamilton County spending fell between 2007 and 2012, even compared to the state as a whole. Adjusted for inflation, the county spent about $321 less per pupil in 2012 than in 2007. In those years, the Hamilton County Board of Education cut about $44 million to balance budgets in the face of rising costs in health care, utilities, and salaries. “There’s a disconnect between the school system, the state Board of Education, and the real world,” Berke said.

Added Bridger, “public education is not where it needs to be, and it’s becoming a job-recruitment problem.” He noted that the rural counties surrounding Chattanooga fare even worse when it comes to graduation rates. “We’re not getting enough qualified employees to work in the jobs.”

After all, the city’s manufacturing base hasn’t disappeared; it’s just that many of today’s manufacturing jobs are high-skill, high-paying positions. Much like the situation in the Pioneer Valley, plenty of openings exist, but the Hamilton County region grapples with a skills gap between what employers require and the level of education that job seekers bring to the table. Unfortunately, Jones noted, applied-technology classes at local community colleges struggle with empty seats and a lack of interest in manufacturing as a career.

“We’ve basically taught people throughout the South and throughout the country that manufacturing is dirty, it’s not cool, it’s a sweatshop, it doesn’t pay well, the whole nine yards. I still hear that from our young people,” Jones said. “We’ve got to do a better job educating our young people that there are good jobs out there, and you can get them with certain certifications and certain degrees, and you can make more a whole lot more money than I’ve been making all my life with a four-year degree.”

Ruth Thompson, communications and outreach manager for Thrive 2055, agreed, stressing the importance of education. One notable initiative, called Tennessee Promise, pays for two years of community college, in an effort to narrow the skills gap.

“The majority of the country has about 8% of their economy driven by manufacturing. If you hear us talking a lot about advanced manufacturing, it’s because, in our region, it’s 22%. We still have a very, very heavy manufacturing base,” she said. “But previously, a 16-year-old from Trenton, Georgia could drop out of school, go work in a hosiery mill, and have a good job the rest of his life. We know that’s no longer the case. So as we work on changing the culture, we’re working in partnership with the community colleges and four-year universities to change that mindset that you don’t have to go to school.”

However, “we have other problems on top of the skills gap,” Jones added, noting that substance abuse — in another parallel to Massachusetts — keeps many people out of the workforce, while Tennessee (unlike the Bay State) ranks near the bottom of the 50 states in health metrics such as obesity and type 2 diabetes.

“We’re starting to have that culture change; people are starting to realize that education and health are both economic issues,” she said. “Before, people kept them in their separate silos. And as a state, we didn’t value education, but we’ve started moving in that regard.”

On the Plus Side

The city’s current mayor, however, chose to highlight some positive statistics, noting that property crime is down 22%, and violent crime down 5%, since last year, though well-known pockets of crime tend to skew perception. “It’s frustrating for us that people don’t feel safe.”

Berke also noted that, despite Chattanooga’s position along two major interstates, which makes it an attractive corridor for drug trafficking, the city is no worse off than others of its size. “We have drug crimes, and we have drug-related violence, of course, but nothing you’d say is unsual for similar cities.”

Meanwhile, “Thrive 2055 is trying to change the culture, helping us manage the changes that are happening to our region,” Thompson said, noting that the project is built on the pillars of economic development, natural treasures, transportation, and education and workforce.

All are important in their own way, she added; the region is, after all, a biodiversity hotspot, with the highest concentration of different freshwater fish species in the world — but also one of the top 10 shipping corridors in the U.S., leading to ‘pinch points’ of daily congestion along Interstates 24 and 75. Juggling such disparate resources and challenges is a major part of the Thrive effort.

As for the Gig, it hit a goal of 40,000 subscribers — the mark needed to achieve profitability — two years after its launch, and now boasts 75,000. It’s now the centerpiece of the city’s marketing efforts — signs at the Chattanooga’s airport greet visitors with the message ‘Welcome to Gig City’ — but, as Elwell noted, is only one part of the story.

“Some people have taken it for granted; they’ve forgotten how hard it was,” said Charles Wood, vice president for Economic Development for the Chattanooga Area Chamber of Commerce, referring to the entire 45 years of changes since Walter Cronkite’s paradigm-shifting report. “As a chamber, how do we make sure we don’t get complacent?”

Scott Foster thinks the city’s culture of collaboration will guard against exactly that.

“The emphasis from the private sector, the nonprofit sector, and the the public sector is on collaboration,” said Foster, an attorney at Springfield-based Bulkley Richardson and chairman of Valley Venture Mentors. “Sometimes the city takes an interest in something and the foundations come and support it, while other times, the private-sector guys say, ‘this is important, so we’re starting it, and we’ll see if anyone wants to join in with us.’

“That’s great,” he went on, “because you’ve got these three legs of the stool, and all three keep saying, ‘I’m going to experiment with this, and if it works, I know you guys will come along.’ There’s a trust there, and an openness to trying new things. It doesn’t matter whose idea it was; it matters that it’s a good idea, and if it’s a good idea, in Chattanooga, they’re all behind it.”

That’s an example, Foster went on, that public officials, businesses, nonprofits, and foundations can learn from in Greater Springfield and the Pioneer Valley, where much good work is happening, but not always in concert.

“If somebody’s got a good idea, let’s celebrate it and support it, not tear it down, not say, ‘well, it doesn’t quite work,’ or ‘it conflicts with what another group is doing.’ OK, fine — they can do it too. There’s no such thing as too much entrepreneurship or too much economic development. When we get to that point, then we’ll figure out that problem. But we’re not at that point.”

Looking Forward

Littlefield recalled how, when Volkswagen had to choose between Chattanooga and another city to locate its U.S. plant, the competing financial incentives were largely a wash. “But they told us, ‘We came here for the intangibles, because, at a certain point, the intangibles become tangible. And you can’t put a price on that.’”

The greatest benefit Chattanooga has seen during its impressive recovery, the former mayor continued, has been a new, prouder, more confident attitude.

“After we visited Indianapolis, someone said, ‘wouldn’t it be great if, someday, people came to Chattanooga to see how we did it? And now, here you are — and you’re one of many. We don’t claim any special knowledge, any magic — just people coming together saying, ‘we all live here, and we’re going to make sure this is a city where our children will want to raise their children.”

Joseph Bednar can be reached at [email protected]

Health Care Sections

Driving Forces

By TODD C. RATNER, Esq.

Todd C. Ratner

Todd C. Ratner

Do you remember the day when you received your driver’s license? Most people experienced a rush of excitement and a sense of freedom that they could clearly recall many years later. Now imagine losing this mobility and freedom . . . or, being the one who has to inform an elderly driver that their driver’s license should be limited or even taken away.

The thought of having this often-awkward and painful conversation tempts loved ones to procrastinate; however, adequately preparing for this conversation with an elderly driver who poses a danger to himself and others, and understanding the resources available to both you and your loved one, can facilitate what otherwise might be a traumatic experience.

First, it is important to recognize that everyone ages differently. As such, age alone should never be the sole factor in determining whether or not an elder has the ability to drive safely. However, there is no denying that a person’s physical and cognitive abilities often deteriorate with age. As we age, there is a greater likelihood of becoming inflicted with chronic diseases such as arthritis, dementia, and hearing impairment. In addition, safety of the elder is a concern, as elderly people are more likely to be injured than younger people in similar automobile accidents.

Because the Commonwealth of Massachusetts has no special licensing requirements for elderly drivers, family members should continually watch for signs of diminished capacity. Specifically, family members should ascertain whether or not the driver gets lost, has an increasing number of accidents, becomes forgetful, or has problems understanding simple instructions. Additionally, both Massachusetts and Connecticut require drivers to inform the Registry of Motor Vehicles and Department of Transportation if they have a medical condition that they believe may affect their ability to operate a motor vehicle.

In the event that you believe an elderly driver should reduce or stop driving, it is important to form a plan prior to commencing a dialogue with this individual. Driving is often the last means of independence, because it provides the elderly with the opportunity to visit friends, go shopping, and manage other tasks of daily life. Elderly drivers may get defensive and angry upon hearing that someone is attempting to take away this freedom. Thus, approaching this subject with realistic expectations is critical.

It is important to introduce this subject at a quiet time when both you and the elderly driver are relaxed, without any other immediate concerns. It is also preferable to include the elderly person in the decision-making process, if possible, instead of dictating a decision to them.

You may wish to discuss this matter together with other family members, doctors, and people that the elderly person respects. You might try having the elder write down both pros and cons, in the hope that they will realize that there are benefits to not driving. The initial conversation does not need to yield permanent decisions. Often it is preferable to put the discussion on temporary hold for a few days, to allow time for reflection on various options.

Caregivers and family members may also get assistance from all available resources to facilitate the determination of whether or not the elder should be driving. One option is offered through Weldon Rehabilitation Services on Carew Street in Springfield. They have developed a program to assess an individual’s ability to drive safely. The Driving Assessment Program will take approximately 90 minutes to complete. It commences with a licensed and registered occupational therapist providing a clinical evaluation. If warranted, an on-road evaluation and on-road training with a licensed driving instructor may also occur.

Upon the completion of the evaluation, the results and appropriate recommendations will be discussed with the driver and their physician. The program evaluates vision and perception, physical status, mobility, upper- and lower-extremity reaction time, traffic sign/situation identification and interpretation, cognition, and adaptive equipment. A family member may accompany the elder to the evaluation. To schedule an evaluation, contact the Driver Advisement Program at Mercy Medical Center’s Weldon Rehabilitation Services (413-748-6880).

Other resources to consider are the Berkshire Medical Center’s Driver Evaluation Program in Pittsfield (413-447-2000); the Fairlawn Rehabilitation Hospital’s Driving Evaluation Program in Worcester (508-791-6351); the AARP’s Driver Safety Course (888-227-7669 or http://www.aarpdriversafety.org); the Association for Driver Rehabilitation Specialists, which offers referrals to professionals trained to help people with disabilities, including those associated with aging (866-672-9466); and the AAA Mature Operator Program (800-622-9211).

If the elderly driver cannot operate a vehicle safely and refuses to stop driving, then further action may be warranted. There are several options available:

• Stage an intervention. This involves family members, health care workers, and anyone respected by the elderly driver, uniting to talk to the elder, firmly but compassionately, in an effort to help the senior accept the issue.
• Contact the local Department of Motor Vehicles and register a complaint. You may wish to do this anonymously.
• If all else fails, you may need to disable the car. This subterfuge should always be a last resort, but sadly, some families do find it necessary. This could include taking away the car keys, disconnecting the battery, or moving the vehicle to a location beyond the elderly person’s control. Duplicity is not a long-term solution, but if there is an immediate need to get the elder off the road, it is sometimes necessary.

Denying an elderly person a driver’s license can be an extremely traumatic event. Restricting or removing an elderly person’s right to drive should be done with careful planning, and by taking advantage of the community resources available.

Todd C. Ratner is a shareholder with Bacon Wilson, and member of the firm’s estate planning, elder, real estate, and business & corporate departments. He handles all aspects of estate planning and probate and real estate, as well as general business matters. He is a member of the National Academy of Elder Law Attorneys and was a recipient of Boston Magazine’s Massachusetts Super Lawyers Rising Stars award from 2007-2012, and Lawyers Weekly Up & Coming Lawyer in 2014; (413) 781-0560; [email protected].

Daily News

NORTHAMPTON — Cooley Dickinson Health Care awarded a total of $15,000 in grants to help local communities understand how they can improve access to healthcare services.

Better transportation to healthcare services surfaced as a need last year when Cooley Dickinson worked with the United Way of Hampshire County and the Pioneer Valley Planning Commission to study transportation to healthcare. In March, Cooley Dickinson released the report “Getting to Healthy,” which highlights transportation challenges and offers recommendations for further study and action.

“We learned from our most recent community-health needs assessment that transportation is a significant challenge to many people in our area,” said Jeff Harness, director, Community Health and Government Relations, Cooley Dickinson Health Care. He noted that access to reliable transportation is critical to daily life, whether getting to work or shopping, meeting family and friends, or seeking healthcare.

One municipality and two local agencies will dig deeper into this issue with grants that were awarded in September:

• The Hilltown Community Development Corp. (CDC) will use $11,800 in funding to study and improve transportation to healthcare for older residents and people with disabilities across a 15-town area spanning the northern and southern hilltowns of Western Mass. “We look forward to this partnership to improve the lives of rural residents,” said Dave Christopolis, executive director of the Hilltown CDC. “This funding will also help the greater community understand the needs in the rural towns we serve.”

• The city of Northampton’s Department of Planning and Sustainability will use $2,500 in funding from Cooley Dickinson to develop a complete streets guide to assist with improving Northampton’s walkability. Wayne Feiden, Northampton’s director of planning and sustainability, added that the grant will allow the city “to engage the community on how a complete street should look and function. Helping the community envision different scenarios will be enormously helpful as the city gears up to write a complete streets pedestrian plan next year.”

• A $700 grant to the Amherst Survival Center will support its pilot project aimed at getting clients to medical appointments.

Of the “Getting to Healthy” report and the grant projects the participants will undertake this year, Harness said he hopes the initiatives will be a catalyst for action. “These grants allow funding for innovative ideas to improve access not only to healthcare but to the things in life we all need to fully participate in society.” To access the report, visit bit.ly/1anA5LA.

According to Harness, the community health grants are part of a larger goal of improving the health of local residents. Cooley Dickinson conducts community health needs assessments and develops community health improvement plans as part of its organizational mission as a nonprofit healthcare system. The grant projects are due to be completed by April 2016.

Cover Story

Cover Story

Bob Cummings, CEO and managing principal

Bob Cummings, CEO and managing principal

When Bob Cummings started out in benefits administration, health-insurance co-pays were $3, premiums were well under $100 a month, his office ran on MS-DOS, and it issued paper statements. Much has changed since then, obviously, but not his company’s success formula, based on personalization, creativity, knowledge of a complex and ever-changing subject, and what American Benefits Group prefers to call ‘enabling technology.’

Bob Cummings calls it his “acronym glossary.”

It’s aptly named, and those in his industry, known as benefits administration solution providers, really need one. Actually, it’s their clients that do, so Cummings and others at Northampton-based American Benefits Group, which he serves as CEO and managing principal, always have some on hand.

Comprehending what all those letters stand for will go a long way toward at least better understanding conversations involving benefits these days, he said, noting that there are no fewer than 60 acronyms listed on the two-page sheet.

They range alphabetically from AD&D (accidental death and dismemberment plan) to WHCRA (Women’s Health and Cancer Rights Act), with an alphabet soup of agencies, acts, products, and services in between.

There’s COBRA (Consolidated Omnibus Budget Reconciliation Act), EOI (evidence of insurability), HDHC (high-deductible health coverage), MSA (medical savings account), POP (premium-only Section 125 cafeteria plan), PCE (pre-existing condition exclusion), and PWBA (Pension and Welfare Benefits Administration), which, as everyone knows, is now called the EBSA (Employee Benefits Security Administration), which is obviously listed earlier in the glossary, in the ‘E’ section.

Got it? Of course not.

And Cummings and his team members, who collectively serve as benefits consultants, or advisors, understand that. They also understand that knowing what those letters and phrases, such as ‘Cadillac tax,’ stand for isn’t what’s really important. Rather, it’s being able to decipher which products add up to the best, most practical options for a company’s employees.

And because it excels at that basic mission, American Benefits Group (ABG — that acronym’s not in the glossary) is enjoying a period of profound growth and expansion of an already diverse portfolio.

“This is a really exciting time for us — we’re enjoying a major growth spurt,” said Cummings, who segued into benefits work in the mid-’80s after running a small insurance agency. “Hardly a day goes by that I’m not sending out new client proposals.”

Cummings attributed this growth to an intriguing blend of services — including ‘360-degree benefit-solutions packages’ and account administration — and operating traits that together add up to solid, dependable service that he categorized through early and frequent use of the phrase ‘customer-centric.’

The recipe calls for equal and generous portions of personalization, innovation (meaning investments in what the company calls enabling technology), creativity (more about what that means later), and knowledge, all of which translates into a single word (no acronym required): value.

To help explain his points on innovation and technology, which has been a staple of the company since the beginning in 1987, Cummings held aloft the so-called American Benefits Group Benefits Card, which was created in response to one of the most significant and far-reaching additions to that acronyms list, the FSA, or flexible spending account.

“This has been a real game changer,” Cummings said of the card, roughly 30,000 of which are now in circulation, a number that could rise 25% by year-end. “I can go use it at the doctor’s office, the hospital, the pharmacy, the dentist, the vision provider … it won’t work at a restaurant or a gas station — it’s a specially programmed card — but it will work at the MBTA [Massachusetts Bay Transit Authority] to buy my transit pass, and I can pay for my parking with it, too — any eligible merchant.”

Bob Cummings, seen here with Clodagh Parker, director of Flexible Compensation Services, and Herb Mayer Jr.,

Bob Cummings, seen here with Clodagh Parker, director of Flexible Compensation Services, and Herb Mayer Jr., director of Operations, says ABG is experiencing explosive growth.

The benefits card, which acts in much the same way as a bank account, is just one piece of the equation, though, he went on, listing as just one example a mobile app that allows one to access their account through any connected device. But it’s an apt illustration of how this company has managed to adjust with the times to effectively serve customers and enable business owners and managers to more effectively navigate the complex issues involved with benefits.

For this issue, BusinessWest talked at length with Cummings and others at the company about the constantly and profoundly changing landscape of employee benefits, as reflected in that glossary, and how this firm has come to be a star performer on a highly competitive playing field.

Dollars and Sense

As he talked about the current benefits landscape, Cummings said it would be prudent to first turn the clock back nearly 30 years, when he first entered this field, and not long before he started writing a column on insurance benefits for a recently launched publication known as the Western Mass. Business Journal (WMBJ), now known as BusinessWest (no accepted acronym, although BW is gaining ground).

The benefits world was much different back then, of course, he said with a laugh, citing as evidence the $3 co-pays levied upon health-insurance policyholders, the emerging phenomenon known as the HMO (health maintenance organization), and the MS-DOS (Microsoft Disk Operating System) platform on the office’s computers.

“In those days, I was one of a handful of people who were actually doing group benefits and group health insurance,” he recalled, noting that he first set up shop on King Street in Northampton and chose the name American Benefits Group because he liked to think big and thought that brand reflected this philosophy. “And I can remember when group health insurance was less than $100 a month for the premium, and people paid $5 for an office visit and $3 for a prescription, so nobody thought twice about going to the doctor when they needed to. That was the world we lived in in 1987.”

That world soon changed, however, as the cost of health coverage increased in double-digit increments on a seemingly annual basis, and new products began to emerge along with yet another acronym that would eventually dictate the course of an industry — CDHC, or consumer-driven health care.

“By 2002, we saw the creation of health savings accounts [HSAs] and health reimbursement arrangements [HRAs],” Cummings went on. “Of course, no one knew what they were, just like no one knew what a flexible spending account was in 1988. I knew what a flexible spending account was in 1988, and said, ‘no one knows what this is, but I have the feeling that eventually, every employer will want to offer these to their employees.’

“So in 1988, in the MS-DOS world, I put my big toe in the water — actually, I put everything in the water, and I started administering flexible spending accounts,” he went on. “And I was one of the first people in New England, maybe on the East Coast, to do that.”

He started with a handful of clients based in and around Northampton — Florence Bank, Hampshire College, Mount Holyoke College, AAA of Pioneer Valley, among others — and gradually built the portfolio.

Before he could administer a company’s plan, however, he had to educate the employer — and the employees — about the specifics of the plan and its many benefits. It was a huge part of the equation, and it remains so today.

Indeed, while technology, products, the amount of the deductibles on the health plans, and much more have changed exponentially since Ronald Reagan patrolled the White House, the basic assignment for companies like ABG hasn’t, he went on.

Indeed, success still comes down to those four qualities listed earlier — personalization, innovation, creativity, and knowledge, said Cummings.

When a Plan Comes Together

The company’s customer-centric approach, along with all that aforementioned technology, including cloud-based systems, has in many ways leveled the playing field when it comes to TPAs, or third-party administrators.

This phenomenon, coupled with the company’s partnership with NFP (National Financial Partners), one of the nation’s largest distributors of financial-services products, has enabled ABG to greatly accelerate its growth pattern over the past decade or so.

Over that time, the company has expanded the portfolio of FSA administration from 40 employers and 1,200 participants to hundreds of employers and more than 30,000 participants, said Clodagh Parker, ABG’s director of Flexible Compensation Services, adding that the firm has gone from four or five employers to more than 30 in that period.

That portfolio is diverse, she went on, noting that it includes major employers across several sectors, including carmakers Fiat, Mitsubishi, and Ferrari North America (she jokes that Ferrari let her sit in one of its vehicles once), and Wall Street giant Cantor Fitzgerald.

But its core business, its sweet spot, if you will, is smaller companies with dozens of employees, rather than hundreds. Such businesses usually don’t have large human-resources departments (or even an HR person) and, thus, do need a partner and benefits-solutions provider and, quite often, an FSA administrator.

“I know that every small-business owner is majorly challenged today with just trying to figure out what they’re supposed to do,” Cummings said. “The average small-business owner needs help — they don’t have a full-time department to do all this stuff. If they have a bookkeeper or office manager, he or she is also wearing the double hat as the defacto HR person. These companies generally need to know not just what they’re supposed to do, but how they’re supposed to do it. And that’s been the biggest change from what I guess I would call the good old days.”

The process of serving these companies — and all other clients, for that matter — begins with that aforementioned 360-degree benefits solution, said Cummings.

“It includes strategic analysis for the client and helping the client design a program that’s going to meet their cost objectives and diverse employee needs,” he told BusinessWest. “It also includes providing all of the communication and the carrier negotiations — the pricing-market negotiations with insurance carriers; providing the technologies for the administration of the program, including the web-based, paperless enrollment and communications technology for the employees; and the administration services we offer on a national level, with the FSAs being the biggest.”

Elaborating, he said many of the clients the company has added over the past several years already offered benefits, obviously, but didn’t believe they were getting adequate value when it came to what was being offered and the prices being paid.

With the advent of mandated healthcare coverage, first in Massachusetts and then nationwide, there is considerably less room for negotiation on price, he went on, so the value comes in finding the right set of products for the employee group in question.

American Benefits Group Benefits Card

Bob Cummings calls the American Benefits Group Benefits Card a “game changer.”

“Maybe we go to the $2,000-deductible plan, and we implement an HSA, so we send less premium to the insurance company, and we use some of that savings to help cover some of the out-of-pocket expenses for the employee participants,” he said, offering one example of where the quest for value may take a business owner or manager. “If the client is of sufficient size, we can look at other strategic funding alternatives, including what’s known as partial self-funding, where we might use insurance to protect against more catastrophic risk, and have the employer fund the claims up to that limit.

“We would look to first develop a strategy in terms of the benefits program and looking at the existing benefits program and doing an audit,” he said. “Compliance is a very big issue these days — there’s so much more compliance today than at any other time in history, and it just got much, much bigger. In many cases, employers don’t even know about the regulations, let alone how to comply with them.”

In a nutshell, ABG analyzes a client’s data, needs, budget, and more, and comes up with a solution in the form of what Cummings called an “employer benefits HR web portal,” a platform solution called Employee Navigator, which eliminates paper and provides considerably more efficiency when it comes to enrollment, communication, and other facets of effective plan administration.

Letters of the Law

Summing up all that’s happened over the past three decades or so, Cummings said long gone are the days when companies in this industry were called upon to do little more than get quotes on insurance coverage.

“The bar has certainly been raised for insurance brokers and people working in the employee-benefits marketplace,” he explained, adding that companies aren’t looking for quotes, they’re looking for comprehensive, cost-effective solutions.

By becoming proficient at providing them, ABG is enjoying a period of profound growth triggered by still another acronym it’s been providing from the beginning: ROI.

And every business owner and manager knows what that stands for.

 

George O’Brien can be reached at [email protected]

Daily News

NORTHAMPTON — Yesterday, more than 150 donors, doctors, healthcare administrators, and oncology staff attended a ribbon-cutting and opening ceremony at the new Mass General Cancer Center at Cooley Dickinson Hospital.

The ceremonial event marks the end of construction of a 16,400-square-foot facility, of which 3,400 square feet is new space and 13,000 square feet is renovated existing space.

Officials at Cooley Dickinson were notified earlier in the day that the Mass. Department of Public Health review is complete and the facility has been approved. Patient care begins in the new center Monday, Oct. 5.

“This is a tremendous day for Cooley Dickinson, Mass General, and for everyone who’s worked so hard to make the Mass General Cancer Center at Cooley Dickinson Hospital a reality,” said Joanne Marqusee, president and CEO of Cooley Dickinson Health Care. “We are committed to combining the personal care of a community hospital with access to world-renowned medical experts. That is the promise of the affiliation and the promise of the Mass General Cancer Center at Cooley Dickinson Hospital.”

Dr. Sean Mullally, medical director of the Mass General Cancer Center at Cooley Dickinson Hospital and a Mass General Cancer Center physician, said the majority of cancer care can be provided at a community hospital. “In some cases, it does make sense for people to go to the Mass General Cancer Center. In those instances, we are making sure that patients get the right treatment in the right place. And if people need to go to Boston, we make it more convenient for the patient to get there; we coordinate their care with doctors at Mass General who sub-specialize in cancer.”

Mullally said a patient who needs chemotherapy will have access to the same treatment regimens, protocols, and safety as the Mass General Cancer Center. “They can get their chemotherapy here knowing we are following the same clinical guidelines as the Mass General Cancer Center. At Cooley Dickinson, patients are closer to home, surrounded by family and friends, and in more comfortable environment.”

After years of business plans, architectural drawings, and input from patients and community members, the new Mass General Cancer Center at Cooley Dickinson was designed around the needs of patients and their care team.

“There has been tremendous input from our patients,” Mullally added, noting that their input — coupled with engineering and facility-design best practices — has shaped how care is delivered in the center.

The new facility quadruples the footprint where patients had been receiving care in the oncology medical practice. Highlights include:

• An 18-chair infusion bay for patients receiving chemotherapy with comfortable chairs where some patients can receive treatment for up to eight hours, personal TVs and wi-fi, plus room for a caregiver;

• Four infusion rooms available for those who require more privacy;

• Two large nurses’ stations for patient monitoring;

• Ten exam rooms;

• A multi-disciplinary consultation room for use by different members of a patient’s care team, such as physicians, surgeons, nutritionists, and social workers;

• A videoconferencing room for teleconsultations with Mass General Cancer Center physicians;

• A dedicated reception area with a beverage station;

• A dedicated check-out area that facilitates private conversations for follow-up care;

• A dedicated entrance immediately inside the North Building lobby; and

• Access to convenient parking and valet parking at the North Building entrance.

Taking care of patients in the new center will be medical oncologists Dr. Lindsay Rockwell, Dr. Barrett Newsome, Dr. Sean Mullally, and Dr. Deborah Smith, and radiation oncologists Dr. Linda Bornstein and Dr. Jennifer Hyder. Depending on each patient’s unique circumstances, physicians coordinate care with their colleagues at the Mass General Cancer Center in Boston. Smith will begin seeing patients at Cooley Dickinson in November.

Patients requiring radiation-oncology treatments have access to the Vitkauskas Crowe Radiation Oncology Suite. The linear-accelerator radiation-oncology equipment is the same model used the Mass General Cancer Center in Boston. Radiation therapy uses high-energy X-rays or particles to kill cancer cells. Radiation therapists follow the same safety and treatment protocols as the Mass General Cancer Center.

In addition, Cooley Dickinson Hospital’s pharmacy was renovated and expanded last year as one of the first steps of the construction of the new Mass General Cancer Center at Cooley Dickinson. The pharmacy is across the hall from the new center. Clinical-oncology pharmacists offer patients the same treatment regimens, protocols, and safety for chemotherapy as the Mass General Cancer Center in Boston. Other improvements include an expanded and state-of-the-art medication-compounding area.

Business of Aging Sections

Not A Primary Concern

Dr. Gina Luciano

Dr. Gina Luciano says there are many reasons why medical-school students are shying away from primary care, but she finds the specialty rewarding on many levels.

The problems causing a nationwide shortage of primary-care doctors — ranging from pay to prestige — are well-documented. Perhaps lesser-known are the reasons why medical students do choose this challenging, multi-faceted niche of medicine. Several young, local doctors have plenty to say about why they took the primary-care path at a time when a growing, aging population needs them most.

When asked about why students in medical school are shying away from careers in primary care, Dr. Gina Luciano was ready with an answer that would indicate she’s addressed that question more than a few times.

And she has.

That’s because, as co-director of the Primary Care Residency Track at Baystate Medical Center, the Springfield area’s only teaching hospital, she has chosen that field, she instructs those who have done the same, and, well, she promotes it as not merely a highly rewarding specialty, but one that is obviously critical within the broad healthcare system.

As for that answer … it comes it two parts basically, the first having to do with finances, and the second focusing on what she called the “culture of medicine.’ And they both help explain what most consider to be a problem and others are calling a crisis when it comes to attracting people to primary care.

“When most students graduate from medical school, they are hundreds of thousands of dollars in debt — I’ve had friends who are close to half a million dollars in debt by the time they graduate,” she noted while addressing the former. “And when you look at how people are paid, primary care physicians are near the bottom when you compare it to other specialties. So if you’re hundreds of thousands of dollars in debt, you may not want to go into primary care from a financial perspective.”

As for the latter, “many students and many residents, especially those who are excellent students, will be pushed to go into the most competitive fields,” she told BusinessWest, putting cardiology, gastroenterology, and other specialties in that category. “People will actually say to a year-two resident things like ‘why would you want to go into primary care? You’re so smart, you could go into ‘x’ or ‘y.’ I think there’s some sway from mentors and advisors in some institutions to go into something, quote, more competitive, unquote.”

As things turned out — although the decision certainly didn’t come easily, and, in fact, not until after she completed her residency at Baystate, one that included considerable work at the system’s High Street Health Clinic in Springfield, among other facilities — none of the above really mattered, or mattered enough to dissuade her from following what her heart told her she should do.

“The reason I chose primary care was because I realized that what I valued in my work was a continuous healing relationship with patients,” she explained. “I had developed these very important relationships with patients I had at High Street, and for me what’s most joyful about medicine is seeing people progress over time, and really understanding them — not just their health problems, but their whole person.”

Using that word relationship and the term whole person, or words to that effect, both early and often, other young doctors currently in or recently graduated from Baystate’s Primary Care Track, talked about why they chose the same career path as Luciano.

Dr. Kathryn Jobbins was actually roughly half-way through a residency in general surgery at the Cleveland Clinic, when she decided to not only switch gears career-wise, but return to the area where she grew up and the hospital where she worked years earlier.

“I thought I wanted that fast pace, but I missed talking to patients — and I missed my parents,” she said of her decision to begin another residency, this one in primary care, at Baystate. Fast forward more than three years, and she is now the internal medicine chief resident at Baystate and thus an instructor. Which means that, like Luciano, she splits her time between teaching and taking care of a number of patients at High Street, and, also like Luciano, greatly enjoys both aspects of her job description.

Among those she works with is Dr. Nicolas Cal, a second-year resident in the Primary Care Track who started down a path to be a neurosurgeon, but after some deep soul searching, changed course toward internal medicine, and specifically primary care.

“I decided to be 100% honest with myself … I didn’t think that neurosurgery was going to make me a very happy person 20 or 30 years from now, so I decided to change to primary care,” he said, adding that he has no regrets about that decision.

Dr. Kathryn Jobbins

Dr. Kathryn Jobbins says working in primary care offers a unique opportunity to work with patients over the course of many years, even decades.

Nor does Dr. Amulya Amirneni have any about hers. The native of India who immigrated here when she was 9 and later returned to her homeland for medical school, said she enjoys the very personal nature of primary care medicine, and said it amounts to “treating someone as an individual, as a person, and not as a disease.”

For this issue, BusinessWest talked with these young doctors about their decision to pursue a career in primary care, and about how and why they won’t be part of any problem or crisis in this field.

Course of Action

As she talked at length with BusinessWest, it became clear that Luciano has become as versed in talking about why she chose primary care as she is in explaining why increasing numbers of young people choosing to become doctors are not.

The relationship factor has a lot to do with it, she explained, noting again, that people in this field get to see the same patients over a span of years, if not decades, rather than perhaps a few days or even hours for those in other specialties. And thus they get to know those patients, and, as she said, the whole person.

“You get to see how their socio-economic background fits into their health, and how their family fits into their health, and how their culture fits into their health,” she explained, adding that the High Street facility, and Baystate Health in general, treat a wide demographic group and many challenged populations.

But there are several other aspects to this field that appeal to her, especially the variety of the work.

“The other reason I really like primary care is that it’s extremely broad,” she went on. “The pathology I see is really quite phenomenal; I see a variety of medical conditions at any given time.

“We have patients who have lived in the United States their whole lives, we have patients who have recently immigrated … this specialty really gives you the whole gamut of medicine,” she continued. “I enjoy that broad flavor.”

She also greatly enjoys teaching, and that’s why roughly half her time is spent seeing a portfolio, or panel, of perhaps 200 patients at the High Street facility, and the other half is spent helping young doctors navigate the three-year primary care residency track, which is part of the larger internal medicine residency.

There is room for 12 students in the program, or four a year, and there are currently seven enrolled in it, a number that speaks to the popularity of primary care, or lack thereof, said Luciano, adding that those who enter it understand those issues she detailed earlier, especially those involving finances and student loans.

But the doctors we spoke with said their choice has to do with passion, not money or prestige.

“I didn’t become a doctor for money … I became a doctor because I’m a bit of a science nerd and I like helping people,” said Jobbins, who probably spoke for everyone with those comments.

And that passion is a necessary ingredient in overcoming still another potential deterrent to those considering possible career paths within health care. Indeed, Luciano said those who enter a primary care track like Baystate’s often wind up working in residency clinics like High Street, which serve what she described as challenging populations for young doctors.

“Residency clinics have historically been places that have limited resources, the patients are disadvantaged, there’s a lot of pathology — there’s just not a lot of support for those patients,” she explained. “It’s generally Medicaid and Medicare patients, and taking care of those patients can be very tricky and challenging. So I think it’s very difficult for a resident who’s just starting out to navigate that system, but also to see how patients get better over time.

“It takes a longer time to see how you’ve had an impact,” she went on. “It’s much easier to be in the hospital and have someone come in to the hospital; you treat them, they get better, they leave — it’s much easier to see the impact that you’ve had on that patient. You don’t necessarily get to see that if you’re in a residency clinic.”

Dr. Nicolas Cal

Dr. Nicolas Cal transitioned into primary care after deciding that neurosurgery was not going to lead to the rewarding career he desired.

Jobbins agreed, but said she’s been motivated and energized by those challenges, and finds working in the High Street facility quite rewarding, and also intriguing.

Indeed, she said she’s very limited when it comes to Spanish, and doesn’t really know any of the other languages she encounters there, including Vietnamese, Chinese, and Nepalese, but has become quite adept at working with an interpreter in the room.

“I love the interpreters, and they do a great job,” she explained. “They do it almost live action — they’re talking while I’m talking. Some of my best relationships are with Hispanic patients, and we establish that through an interpreter.”

Overall, she’s looking forward to the prospect of treating the same patients for maybe 20 or 30 years, caring for them and being with them as different chapters in their lives unfold. And she said she’s already had a taste of how rewarding that can be.

“It’s wonderful, really,” she explained. “And it’s something you don’t really expect until someone stands up and hugs you or says ‘I just got my green card,’ or ‘my daughter is getting married.’ You see this very intimate snapshot into their life, which is very rewarding and a big part of why I decided to stay in primary care.”

Motivating Factors

And it is the unique nature of the primary care track, one that exposes residents to sub-specialists in their offices and teaches them not only about a wide range of medical conditions, but also teamwork and how and when to refer, that prompted her to pursue a teaching component through chief residency.

In that role, which she chose rather than moving directly into private practice, she serves as junior faculty and attending physician — essentially teaching while still learning.

“I fell in love with the program from an academic standpoint, and that’s why I decided to stay on as chief resident,” she said. “The goal is to do academic medicine with a focus on primary care when I’m done.”

For Cal, a native of Uruguay and graduate of New England Medical School in Maine, the immediate goal is to complete his residency and continue serving patients at the High Street facility.

While doing so, he envisions a career in primary care, hopefully in the Northeast. Like Luciano and Jobbins, he said he enjoys interacting with patients, seeing them over a long period of time, and helping them achieve progress with whatever health issues they may have.

“I love seeing my patients over and over and over again,” he explained. “I like dealing with different disease processes and knowing that I will have the time to follow up on my patient and adjust the treatment options to make the patient healthier.

“For example, yesterday, I had a patient at the clinic, a 34-year-old male, and I had to tell him he had colon cancer,” Cal went on. “As his primary physician and having to set up all the various specialists and appointments that he will have to go through — to me that’s very fulfilling.”

Delivering such news is one of many aspects of the job of a primary care physician, especially one in a setting like High Street, he went on, adding that another is being both “stern and compassionate,” as he helps patients within that constituency to understand various health problems and issues and compel them to take ownership of their own health.

“That’s a fine balance, and sometimes it can be frustrating for the physician knowing the patient may not be listening or fully grasping what will happen if he doesn’t change his habits,” he explained. “Our job is to motivate, and I like that part of the work.”

Amirneni hasn’t had many opportunities to motivate yet, having just started her residency a few months ago, but she said she’s looking forward to the opportunity.

“I definitely enjoy talking to patients and seeing them progress over time,” she said. “I know I’m more or less going against the trend when it comes to primary care, but the prospect of working that closely with patients and making a difference in their lives is what motivates me to stay in this field.”

“I’m really just getting started, so I’m hoping that I maintain that enthusiasm moving forward,” she went on, adding that, like Cal, she sees herself working in an outpatient setting when she completes her residency. “I really don’t think that will be a problem.”

Dr. Amulya Amirneni

Dr. Amulya Amirneni says primary care allows physicians to see their patients progress over time, something not afforded by other specialties.

Having enthusiasm and a desire to work closely with a patient are only a small part of the equation when it comes to the elements that make for a successful primary care physician, said Luciano, adding that these are simply pre-requisites.

“When I interview, I look for people who are compassionate, who are good team players, who want to make a difference in the world, who value relationships, and who want to see a continuous healing relationship with their patients,” she noted, adding that, like the passion that drives one to this specialty, many of those things can’t be taught.

“You can help people develop those skills, but for the most part, you either have them or you don’t,” she went on, adding that this is perhaps another reason why such individuals are in short supply.

Bottom Line

As she talked about her work and why she enjoys it so much, Jobbins said she’ll often challenge young residents thinking about sub-specializing to consider a different career track — hers.

“I’ll say, ‘why wouldn’t you do primary care? This kind of work is great,’” she told BusinessWest, adding that she gets a wide variety of responses to that query, most of them reflecting those two major points of concern that Luciano mentioned.

Whether more people will heed her advice in the years to come instead of following the money or the prestige remains to be seen. For now, there is a problem attracting people to this specialty, and, depending on one’s viewpoint, a crisis.

A solution will be hard to come by, but some young doctors are only interested in being part of one. They say they like forging relationships and treating the whole person.

So they have no primary concerns about their chosen field, literally or figuratively.

George O’Brien can be reached at [email protected]

Daily News

WORCESTER ― Fallon Health reported a net loss of $2.5 million on revenue of $321 million on a GAAP basis for the second quarter that ended June 30, 2015. The net loss includes investment and other income of $2.5 million and an operating loss of $5.0 million. For the same quarter last year, Fallon posted net income of $2.3 million on revenue of $312 million. Net income included investment and other income of $3.2 million and an operating loss of $0.9 million. Membership was 221,588 as of June 30, 2015, compared with 227,930 ending June 30, 2014.

“Our results reflect the continuing challenges in the evolving health care environment. Health plans continue to absorb ever-increasing expenses related to high-cost specialty drugs as well as the rapidly rising costs of generic and brand-name prescription drugs,” said R. Scott Walker, executive vice president and chief financial officer at Fallon Health. “Heightened regulatory pressures from national and state reform, decreasing rate reimbursements for certain government programs, and the state’s risk adjustment model, mandated by the Affordable Care Act, also impact results.”

In addition, the second-quarter results reflect one-time costs associated with Fallon’s recent decision to exit the One Care demonstration program as of Sept. 30, 2015.

In the second quarter, Fallon continued to see growth in its subsidized product, Community Care, as more subsidy-eligible individuals enrolled though the Massachusetts Health Connector.

“Fallon is a strong, mission-focused organization with a dedicated, engaged, and resilient workforce,” said Walker. “We’ll continue building on our strengths, which includes providing members with cost-effective, high-quality products and services.”

Fallon consistently rates in the top 10% of all plans for its Medicare, Medicaid and commercial products by the National Committee for Quality Assurance.

Building Permits Departments

The following building permits were issued during the month of July 2015

AMHERST

Friends of Hospice House Inc.
1165 North Pleasant St.
$25,904 — New roof

CHICOPEE

Bill Stetson
103 Main St.
$26,000 — Re-roof Falls Pizza

Cory Briere
14 Center St.
$5,000 — Frame interior walls and section off store

Joyce Lacaprucia
129 Church St.
$12,000 — Interior remodel

GREENFIELD

Baystate Franklin Medical Center
164 High St.
$160,000 — New sprinkler system

CHD Watershed Project
148 Montague City Road
$31,500 — New roof

Franklin Associates
87-91 Main St.
$9,000 — Interior alterations for two offices

Greenfield Center School
61 Montague City Road
$57,000 — New roof

Kennametal Inc.
34 Sanderson St.
$49,000 — Renovate existing bathrooms on west side of shop area

Lawrence Pfeffer
220-228 Main St.
$18,000 — New roof system

Paul Viens
302 Main St.
$16,000 — Add four interior offices

William Wong
431 Deerfield St.
$104,500 — Install new roof system

LUDLOW

Iron Duke Brewing
100 State St.
$15,000 — Alterations

Uncle Bob’s General Store
967 East St.
$26,500 — Commercial addition

NORTHAMPTON

Athena Health Care Systems
222 River Road
$6,000 — Install cross-corridor doors

Leeds Grammar School
20 Florence St.
$401,550 — Install new membrane roof

Departments People on the Move

Local news hires, promotions, awards, and appointments August 10, 2015

Kathy Tobin

Kathy Tobin

The Food Bank of Western Massachusetts announced the appointment of Kathy Tobin as its new director of Development and Marketing. In this role, she will oversee all fund-raising and marketing activities for the Food Bank, including special events, individual donor cultivation, communications, corporate relations, grants, and education outreach. She will assume her position on Aug. 31. “We’re very excited to have Kathy joining our organization,” said Food Bank Executive Director Andrew Morehouse. “She brings with her a breadth of knowledge and experience from her current role at Friends of the Homeless in Springfield — a member agency that receives food from us — as well as her career in media.  We are confident that her proven track record for leadership and creativity will be a tremendous asset in forwarding the mission of the Food Bank.” Since 2009, Tobin has served as the director of Program Development for Friends of the Homeless, where she increased visibility for the nonprofit and helped more community partners learn about the critical role it plays in meeting the needs of homeless in the region. Under her direction, it established a formalized annual appeal, expanded corporate outreach, coordinated volunteer engagement, and held an annual donor event. In addition, she oversaw the establishment of the Friends of the Homeless Store, providing people with access to free personal-care items and clothing. Tobin will continue in her current position at Friends of the Homeless through the end of August. “Her talents will certainly be missed,” said Bill Miller, executive director of Friends of the Homeless. “I know I speak for our board, our staff, and our clients in acknowledging her efforts to initiate and sustain a development program for the organization. We will build upon the foundation Kathy helped us establish as we expand the support required to meet the needs of our homeless population.” Moving forward, Friends of the Homeless will be seeking someone to assume the responsibility of development and community outreach and will formalize a search process to identify someone who can continue to build on its established programs, Miller said. Prior to joining Friends of the Homeless, Tobin enjoyed a 30-year career as a television news journalist with WGGB ABC40 in Springfield, where she was honored with a number of awards for news coverage, including the prestigious Edward R. Murrow Award. Among the many issues she covered during her television career were the plight of area homeless and the community campaign and planning which led to the development and construction of the Friends of the Homeless Resource Center on the organization’s Worthington Street campus. Tobin is also involved with a number of community organizations. She serves as a trustee for Elms College in Chicopee, a director of Spirit of Springfield, a director of the Women’s Commission in Springfield, and a scholarship committee member for the Valley Press Club.

•••••

Cristina Perez

Cristina Perez

Tighe & Bond, an environmental engineering and consulting firm, recently hired Cristina Perez to lead and expand its asset-management services for the firm’s clients. A civil and environmental engineer with more than 15 years of consulting experience, she has more than nine years of experience with infrastructure asset management, capital-improvement planning, and geographic information systems (GIS). Perez will work primarily out of Tighe & Bond’s new Westwood, Mass. office. Perez has consulted with numerous public and private clients on asset-management, GIS, facilities-management, pavement-management, sustainability, and climate-change projects. She leverages her background in civil engineering for designing and architecting targeted asset-management solutions for her clients. “We are happy to welcome Cris to our growing team of experts,” said David Pinsky, president and CEO of Tighe & Bond. “Her expertise will benefit our communities and clients greatly as they become increasingly focused on asset management to prioritize and properly budget improvements within the constraints of limited funding.” Perez earned her master’s degree in civil and environmental engineering from Tufts University. She received her bachelor’s degree in civil engineering from the Universitat Politecnica de Catalunya in Barcelona, Spain.

•••••

Robert Accorsi

Robert Accorsi

Springfield College has named Robert Accorsi its faculty athletic representative to the National Collegiate Athletic Association (NCAA). Appointed by Springfield College President Mary-Beth Cooper, Accorsi is currently an associate professor of Sport Management and Recreation at the College. He succeeds immediate past Dean and Associate Professor of Exercise Science and Sports Studies Charles Redmond, who retired following this past academic year. As faculty athletic representative, Accorsi will represent the college to the NCAA, the New England Women’s and Men’s Athletic Conference, the Eastern Collegiate Athletic Conference, and all other athletic conferences and associations. Accorsi will oversee that academic integrity, institutional control of intercollegiate athletics, and enhancement of student-athletes’ experience are college priorities. Accorsi will also advise the college president, director of athletics, faculty, students, and other constituencies on intercollegiate athletics. Additionally, he will monitor student-athletes’ eligibility, academic progress, and graduation rates, and support their nominations for various awards. Student-athletes may discuss any aspect of their student-athlete experience with him, and he will consult with NCAA legislative services for interpretations. “I am delighted that Bob has agreed to serve in this critical position for the college. His deep understanding of sport and the needs of our student-athletes make him a perfect fit for assuming this leadership role,” Cooper said. “I look forward to working with him in this capacity. He is more than qualified to represent and advise Springfield College on intercollegiate athletics.”

•••••

Doreen Fadus

Doreen Fadus

Doreen Fadus, executive director of Community Benefit and Health at Mercy Medical Center, has been tapped to serve as president of the board for the National Health Care for the Homeless Council, a network of more than 10,000 doctors, nurses, social workers, patients, and advocates who work to eliminate homelessness by ensuring comprehensive healthcare and secure housing for all. In this role, Fadus serves as the council’s lead representative on the national stage for advocacy issues such as the Accountable Care Act, Medicaid reimbursements, and housing and health collaboration. “Doreen personifies our mission to serve as a transforming, healing presence. She is a tremendous advocate for the local homeless community, and her selection to this national position will allow her dedication and talent to benefit a greater number of individuals,” said Yvonne Boudreau, senior vice president of Mission Services for the Sisters of Providence Health System. As Mercy’s executive director of Community Benefit and Health, Fadus oversees the hospital’s community health programs, including Health Care for the Homeless, which works in partnership with the city of Springfield and Open Pantry to provide primary-care services at 23 homeless shelters, soup kitchens, job-placement sites, and transitional programs. These services are delivered to more than 2,200 people each year in Hampden, Hampshire, and Franklin counties. She also oversees Mercy’s Vietnamese Health Project, Faith Community Nursing, High End Utilizer Program, and Community Benefit. Fadus began her career at Mercy Medical Center as director of Health Care for the Homeless in 2001, and she has an extensive background in community service. She currently serves as co-chair of the Western Mass. Network to End Homelessness; an advisory board member of the Hampden County Continuum of Care Board, the Catholic Charities Diocesan Board, and the Western Mass. Task Force on Homelessness; and a member of the Regional Employment Board of Hampden County. The founder and past president of Dress for Success Western Massachusetts, Fadus also serves on the board of Friends of the Homeless. “The National Health Care for the Homeless Council works with government agencies and private institutions to foster collaboration on the varied and complex problems associated with homelessness,” said Fadus. “These remarkable individuals have dedicated their lives to this important cause, and it is an honor to serve as their leader.”

Agenda Departments

Workshop on Estate Planning, Medicaid, Medicare
August 4: Monson Savings Bank will conduct a complimentary workshop titled “Straight Talk on Estate Planning, Medicaid Qualification and Medicare Pitfalls,” featuring attorney Karen G. Jackson, Esq., senior partner at Jackson & Torrone, P.C. The event is designed to help people understand what is needed for an effective estate plan and why it’s so important. In clear-cut language, Jackson will explain the “Big 5” pillars of estate and health care planning — a will, durable power of attorney, health care proxy, HIPAA release, and the living will or advance directive. She will also address some significant issues with Medicare and Medicaid that too often unnecessarily cost people a lot of money. The workshop will be conducted from 5 to 6:30 p.m. at the Gardens of Wilbraham, 2301 Boston Road in Wilbraham. It is free and open to the public. “Understanding estate planning, Medicaid, and Medicare can be daunting,” said Steve Lowell, President and CEO of Monson Savings Bank. “This workshop will simplify the steps needed to create an effective estate plan so that people may better protect themselves, their families and their assets.” Those interested may call Anna Calvenese at (413) 267-1221 e-mail to [email protected] to RSVP. Seating is limited. Refreshments will be served.

Information Session on Earned-sick-time Law
August 6: The Greater Northampton, Amherst Area, and Greater Easthampton chambers of commerce will host an informational session on the earned-sick-time law, presented by the Mass. Attorney General’s Office, at the Hadley Farms Meeting House. The session, one of several offered statewide and online, aims to educate employers and employees about the new law, which went into effect July 1. It will offer guidance on implementation, explain employers’ and employees’ rights and responsibilities, and provide opportunities to get specific questions answered. The earned-sick-time law was approved by voters on Nov. 4, 2014 and entitles employees in Massachusetts to earn and use up to 40 hours of sick time under certain conditions. The attorney general enforces this law and also wrote and published final regulations to clarify practices and policies in its administration. More information, including the final regulations and sample documents, may be found at www.mass.gov/ago/earnedsicktime. The information session is expected to last two hours, including time for questions and answers. Questions regarding these information sessions and the earned-sick-time law may be directed to Morgan Callahan at [email protected] or (617) 963-2024.

Bridge of Flowers Classic Races
August 8: Baystate Franklin Medical Center is the presenting sponsor for the Greater Shelburne Falls Area Business Association’s 37th annual Bridge of Flowers Classic Races. While the 10K race through Shelburne Falls draws elite athletes from throughout the Northeast, the 3K charity run/walk offers an option for others to participate at their own pace and fitness level. “We are fortunate to live and work in an area that is prime running and walking country,” said Dr. Thomas Higgins, chief medical officer and interim president of Baystate Franklin. “And the Bridge of Flowers races serve as goals for many people in our communities during their spring and summer training. Physical fitness is central to overall health and well-being, and we are delighted to support this inspiring event.” The Bridge of Flowers Classic Races attract more than 1,000 participants to Shelburne Falls. The 10K race, which starts at 9 a.m., is a spectator-friendly, figure-8 course that begins with a gradual climb from the village center’s historic iron bridge, then wends its way through neighborhood streets before circling back to the bridge, up Crittendon Hill, and back into town along shady downhill roads and flats. The 3K charity run/walk begins at 8:15 a.m. and follows the same first loop as the later run.  An awards ceremony and after party will follow the 10K run in a spot overlooking the falls. Race-day registration opens at 7 a.m. Registration may be completed online at www.bridgeofflowers10k.com; at the pre-race Spaghetti Fest on Friday, Aug. 7, 5:30-7:30 p.m., at the Buckland-Shelburne Elementary School, 75 Mechanic St., Shelburne Falls; or on the day of the race. All participants will receive a commemorative T-shirt featuring artwork by a local artist.

Jazz & Roots Festival
August 8: The second annual Springfield Jazz & Roots Festival celebrates the emergence of Springfield’s Cultural District and promotes an arts-driven, community-oriented, and sustainable revitalization of the city. The free event in Court Square will offer a festive atmosphere featuring locally and internationally acclaimed musical artists, dance and theater workshops, local arts and crafts, and plenty of food. More than 5,000 people are expected to attend and enjoy the sounds of jazz, Latin jazz, gospel, blues, funk, and more. The festival is produced by Blues to Green, which uses music and art to celebrate community and culture, build shared purpose, and catalyze social and environmental change. For more information and a lineup of performers, visit springfieldjazzfest.com.

Valley Fest
August 29: White Lion Brewing Co. announced that it will host its inaugural beer festival, called Valley Fest, at Court Square in downtown Springfield. MGM Springfield will be the presenting sponsor. The festival is poised to be White Lion’s signature annual event, introducing the young brand to craft-beer enthusiasts throughout New England and beyond. White Lion Brewing Co., the city of Springfield’s only brewery, launched in October 2014. Founder Ray Berry and brewmaster Mike Yates have released three selections under the White Lion brand and have been busy promoting their efforts in venues all over Massachusetts and other New England states. “Valley Fest will have the best of the best local, regional, and national beer and hard cider brands,” Berry said. “Even in our inaugural year, Valley Fest will be the largest one-day beer festival in Western Massachusetts. We expect to draw up to 2,000 enthusiasts from throughout New England. We are very excited to showcase the fourth-largest city in New England and all of its amenities.” Berry anticipates that more than 50 breweries and many local food vendors will converge on Court Square for two sessions. Enthusiasts will have an opportunity to sample more than 100 varieties of beer and hard cider alongside pairing selections by local chefs. Michael Mathis, MGM Springfield president, said his company “is excited to take the lead in sponsoring the inaugural Valley Fest. The local entrepreneurial spirit of White Lion Brewing, coupled with the historic Court Square setting, is a winning combination to start a new Springfield tradition. We look forward to Aug. 29.” A number of sponsors have already committed to the event, including MassMutual Financial Group, the Young Professional Society of Greater Springfield, the Dennis Group, Springfield Sheraton Monarch Place, Paragus Strategic IT, Williams Distributing, and the Springfield Business Improvement District (BID). “We are honored to sponsor Valley Fest and look forward to it being an annual event that shares in the facilitation of growth within the downtown community,” said Chris Russell, executive director of the Springfield BID. Visit www.valleybrewfest.com for event details, ongoing updates, and sponsorship opportunities. A portion of Valley Fest proceeds will support several local charities.

Williamstown Film Festival Presents Wind-Up Fest
Oct. 15-18: The annual Williamstown Film Festival (WFF), now in its 17th year, welcomes big changes with new faces, a new name, and new programming focus. Slated for Oct. 15-18, WFF Presents: Wind-Up Fest is a nonfiction festival with documentary film as its backbone. Other forms of nonfiction will be in conversation with documentaries, including long-form journalism, radio podcasts, photography, and social-practice art. The event’s new artistic director, Paul Sturtz, is also the co-director at the True/False Film Fest in Columbia, Mo., and its new managing director, Sandra Thomas, is the former executive director of Images Cinema in Williamstown. “Our aim is to provide a unique, distinctive event for North Adams and Williamstown while serving as a destination festival for lovers of nonfiction. We are living in a time when nonfiction storytelling is offering one of the most vital, urgent ways forward,” Sturtz said. The festival will be curated by Sturtz, who was selected (along with his True/False co-director David Wilson) as one of 40 people in the inaugural Indiewire Influencers list, described as “visionaries that are changing the course of film.” “I’m excited to work with Paul to make his creative vision a reality,” said Thomas. “Working in partnership with the community, engaging a broad audience, and strengthening the festival’s presence are all important elements of the fest.” With the addition of Sturtz and return of Thomas, the board of directors announced the retirement of festival Executive Director Steve Lawson. “It’s been an exhilarating ride, but after 15 seasons as executive director, I felt it was time to pass the torch,” said Lawson. “This seemed like the right moment to segue to new voices and directions. Paul and Sandra have exciting plans in store for the festival which promise to build on all that we’ve achieved so far. Here’s hoping the first 16 years of WFF will prove to be the prelude to a dazzling future.” The festival has offices in North Adams and Williamstown and can reached at [email protected] or (413) 458-9700.

Western Mass. Business Expo
Nov. 4: Comcast Business will present the fifth annual Western Mass. Business Expo at the MassMutual Center in downtown Springfield, produced by BusinessWest and the Healthcare News in partnership with Go Graphix and Rider Productions. The business-to-business show will feature more than 100 booths, seminars and Show Floor Theater presentations, breakfast and lunch programs, and a day-capping Expo Social. Details about specific events, programs, and featured speakers will be printed in future issues of BusinessWest. Current sponsors include Comcast Business, presenting sponsor; the Isenberg School of Business at UMass Amherst, education sponsor; Johnson & Hill, Health New England, and MGM Springfield as director level sponsors; and 94.7 WMAS, media sponsor. Additional sponsorship opportunities are available. Exhibitor spaces are also available; booth prices start at $750. For more information on sponsorships or booth purchase, call (413) 781-8600, ext. 100.

Daily News

SPRINGFIELD — Doreen Fadus, executive director of Community Benefit and Health at Mercy Medical Center, has been tapped to serve as president of the Board for National Health Care for the Homeless Council, a network of more than 10,000 doctors, nurses, social workers, patients, and advocates who work to eliminate homelessness by ensuring comprehensive health care and secure housing for all. In this role, Fadus serves as the council’s lead representative on the national stage for advocacy issues such as the Accountable Care Act, Medicaid reimbursements, and housing and health collaboration. “Doreen personifies our mission to serve as a transforming, healing presence. She is a tremendous advocate for the local homeless community and her selection to this national position will allow her dedication and talent to benefit a greater number of individuals,” said Yvonne Boudreau, senior vice president of Mission Services for the Sisters of Providence Health System.

As Mercy’s executive director of Community Benefit and Health, Fadus oversees the hospital’s Community Health programs, including Health Care for the Homeless, which works in partnership with the city of Springfield, and Open Pantry to provide primary care services at 23 homeless shelters, soup kitchens, job placement sites and transitional programs. These services are delivered to more than 2,200 people each year in Hampden, Hampshire and Franklin counties. She also oversees Mercy’s Vietnamese Health Project, Faith Community Nursing, High End Utilizer Program and Community Benefit. Fadus began her career at Mercy Medical Center as Director of Health Care for the Homeless in 2001, and she has an extensive background in community service. She currently serves as co-chair of the Western Mass. Network to End Homelessness, as an Advisory Board member of the Hampden County Continuum of Care Board, the Catholic Charities Diocesan Board and the Western Mass. Task Force on Homelessness, and as a member of the Regional Employment Board.

The founder and past president of Dress for Success Western Massachusetts, Fadus also serves on the Board of Friends of the Homeless. “The National Health Care for the Homeless Council works with government agencies and private institutions to foster collaboration on the varied and complex problems associated with homelessness,” said Fadus. “These remarkable individuals have dedicated their lives to this important cause and it is an honor to serve as their leader.”

Daily News

SPRINGFIELD — Skoler, Abbott & Presser, P.C., a labor and employment law firm serving employers in the Greater Springfield area, announced that attorney John S. Gannon will participate in the 2015 Employment Association of the NorthEast (EANE) Compensation and Benefits Conference. The one-day conference will take place July 22 at the Publick House in Sturbridge from 8 a.m. to 4 p.m., and will feature the latest compliance issues and total rewards strategies from presenters. Gannon will be representing the firm at the event, and will review proposed Fair Labor Standards Act (FLSA) regulations impacting pay exemptions in a session titled, FLSA — Raising the Bar for Employee Exemption – How Will it Affect Your Organization? from 12:45 to 1:30 p.m. The conference brings together experts to share their knowledge and acumen in a day that combines plenary and breakout sessions with case studies, discussions and networking. This year’s event will focus on the challenges of attracting, retaining and engaging talent, which remain a constant for compensation and benefits professionals. The FLSA prescribes standards for the basic minimum wage and overtime pay, which affects most private and public employment. It requires employers to pay covered employees who are not otherwise exempt at least the federal minimum wage and overtime pay if they work more than 40 hours in a workweek. The act is administered by the Employment Standards Administration’s Wage and Hour Division within the U.S. Department of Labor (DOL). The DOL has just announced pending revisions to the governing regulations that would vastly increase the number of non-exempt workers in the American workforce, beginning in the spring of 2016. “Complex government regulations are increasingly adding to the challenge of compliance and risk management in the workplace. This conference will provide attendees with the insight needed to meet these new and ongoing challenges,” said Gannon. The conference will highlight:
• Possible FLSA government regulations impacting pay exemptions;
• Affordable Care Act (ACA) regulations impacting health care benefits;
• How to prepare for DOL audits;
• Performance reviews… to do or not to do?; and
• Why you need a pay design strategy.

The cost for to attend the conference is $285 per participant, or $255 per participant for three or more. To register, visit eane.org.

Daily News

Monson Savings Bank will conduct a complimentary workshop titled “Straight Talk on Estate Planning, Medicaid Qualification and Medicare Pitfalls,” featuring attorney Karen G. Jackson, Esq., Senior Partner at Jackson & Torrone, P.C. The event, set for August 4, is designed to help people understand what is needed for an effective estate plan and why it’s so important. In clear-cut language, Karen will explain the “Big 5” pillars of estate and health care planning — a will, durable power of attorney, health care proxy, HIPAA release, and the living will or advance directive. She will also address some significant issues with Medicare and Medicaid that too often unnecessarily cost people a lot of money. The workshop will be conducted from 5 to 6:30 p.m. at the Gardens of Wilbraham, 2301 Boston Road in Wilbraham. It is free and open to the public. “Understanding estate planning, Medicaid, and Medicare can be daunting,” said Steve Lowell, President and CEO of Monson Savings Bank. “This workshop will simplify the steps needed to create an effective estate plan so that people may better protect themselves, their families and their assets.” Those interested may call Anna Calvenese at (413) 267-1221 e-mail to [email protected] to RSVP. Seating is limited. Refreshments will be served.