Home Posts tagged Healthcare Heroes
Event Galleries Healthcare Heroes Special Coverage

View the Gallery from the Oct. 27 Event

Watch the Oct. 27 Event Here

Show starts at 1:1:38

Healthcare Heroes Class of 2022

Overall, everyone who was nominated this year is a hero, but in the minds of our judges — the editors and management at BusinessWest — eight of these stories stood out among the others. The Healthcare Heroes for 2022 are (click on the names to read their stories):

Presenting Sponsors

Partner Sponsor

Daily News

SPRINGFIELD — More than 250 attendees gathered at the Log Cabin in Holyoke Thursday night as BusinessWest and the Healthcare News honored their sixth annual Healthcare Heroes. If you missed out on the festivities — or just want to experience the class of 2022’s inspiring stories again — a livestream of the event is available at businesswest.com/healthcareheroes.

Honorees were also profiled in the Sept. 19 issue of BusinessWest and the September/October issue of the Healthcare News, and the stories are also available at www.businesswest.com and www.healthcarenews.com.

This year’s honorees and the categories they represent are: Helen Caulton-Harris, director of Health and Human Services, city of Springfield (Lifetime Achievement); Mark Paglia, chief operating officer, MiraVista Behavioral Health Center (Administrator); Dr. Philip Glynn, director of Medical Oncology, Mercy Medical Center (Provider); Dr. Paul Pirraglia, division chief, General Medicine and Community Health, Baystate Health (Collaboration); ServiceNet’s Enrichment Center & Strive Clinic and its partners at Springfield College and UMass Amherst (Collaboration); the Addiction Consult Service at Holyoke Medical Center (Community Health); Dr. Sundeep Shukla, chief, Department of Emergency Medicine, Baystate Noble Hospital (Emerging Leader); and the Elaine Marieb Center for Nursing and Engineering Innovation (Innovation).

This year’s Healthcare Heroes program and event were presented by Baystate Health/Health New England and Elms College, and sponsored by American International College, MiraVista Behavioral Health Center, and Trinity Health Of New England/Mercy Medical Center.

Daily News

SPRINGFIELDBusinessWest and the Healthcare News, the business and healthcare journals covering Western Mass., will honor their sixth annual Healthcare Heroes tonight, Oct. 27 at the Log Cabin in Holyoke.

The Healthcare Heroes program was created to shed a bright light on the outstanding work being done across the broad spectrum of health and wellness services and the institutions and individuals providing that care locally.

The stories behind this year’s eight heroes reveal large quantities of energy, imagination, innovation, compassion, entrepreneurship, forward thinking, and dedication to the community. Honorees were profiled in the Sept. 19 issue of BusinessWest and the September/October issue of the Healthcare News, and the stories are also available at www.businesswest.com and www.healthcarenews.com.

This year’s honorees and the categories they represent are: Helen Caulton-Harris, director of Health and Human Services, city of Springfield (Lifetime Achievement); Mark Paglia, chief operating officer, MiraVista Behavioral Health Center (Administrator); Dr. Philip Glynn, director of Medical Oncology, Mercy Medical Center (Provider); Dr. Paul Pirraglia, division chief, General Medicine and Community Health, Baystate Health (Collaboration); ServiceNet’s Enrichment Center & Strive Clinic and its partners at Springfield College and UMass Amherst (Collaboration); the Addiction Consult Service at Holyoke Medical Center (Community Health); Dr. Sundeep Shukla, chief, Department of Emergency Medicine, Baystate Noble Hospital (Emerging Leader); and the Elaine Marieb Center for Nursing and Engineering Innovation (Innovation).

The Healthcare Heroes Gala will begin with a VIP reception at 5:30 p.m. with networking and opportunities to meet this year’s honorees. The evening will include live entertainment, butlered hors d’oeuvres, a lavish plated dinner, remarks from the honorees, and more networking opportunities. For those who cannot join us in person, we welcome you to watch the event via livestream at businesswest.com/healthcareheroes.

Healthcare Heroes is presented by Baystate Health/Health New England and Elms College, and sponsored by American International College, MiraVista Behavioral Health Center, and Trinity Health Of New England/Mercy Medical Center.

Daily News

SPRINGFIELD — BusinessWest and the Healthcare News, the business and healthcare journals covering Western Mass., will honor their sixth annual Healthcare Heroes on Thursday, Oct. 27 at the Log Cabin in Holyoke.

The Healthcare Heroes program was created to shed a bright light on the outstanding work being done across the broad spectrum of health and wellness services and the institutions and individuals providing that care locally.

The stories behind this year’s eight heroes reveal large quantities of energy, imagination, innovation, compassion, entrepreneurship, forward thinking, and dedication to the community. Honorees were profiled in the Sept. 19 issue of BusinessWest and the September/October issue of the Healthcare News, and the stories are also available at www.businesswest.com and www.healthcarenews.com.

This year’s honorees and the categories they represent are: Helen Caulton-Harris, director of Health and Human Services, city of Springfield (Lifetime Achievement); Mark Paglia, chief operating officer, MiraVista Behavioral Health Center (Administrator); Dr. Philip Glynn, director of Medical Oncology, Mercy Medical Center (Provider); Dr. Paul Pirraglia, division chief, General Medicine and Community Health, Baystate Health (Collaboration); ServiceNet’s Enrichment Center & Strive Clinic and its partners at Springfield College and UMass Amherst (Collaboration); the Addiction Consult Service at Holyoke Medical Center (Community Health); Dr. Sundeep Shukla, chief, Department of Emergency Medicine, Baystate Noble Hospital (Emerging Leader); and the Elaine Marieb Center for Nursing and Engineering Innovation (Innovation).

The Healthcare Heroes Gala will begin with a VIP reception at 5:30 p.m. with networking and opportunities to meet this year’s honorees. The evening will include live entertainment, butlered hors d’oeuvres, a lavish plated dinner, remarks from the honorees, and more networking opportunities.

A limited number of tickets are available by calling (413) 781-8600 or emailing [email protected] For those who cannot join us in person, we welcome you to watch the event via livestream at businesswest.com/healthcareheroes.

Healthcare Heroes is presented by Baystate Health/Health New England and Elms College, and sponsored by American International College, MiraVista Behavioral Health Center, and Trinity Health Of New England/Mercy Medical Center.

Daily News

SPRINGFIELDBusinessWest and the Healthcare News magazines, the business and healthcare journals covering Western Mass., will honor their sixth annual Healthcare Heroes on Thursday, Oct. 27 at the Log Cabin in Holyoke.

The Healthcare Heroes program was created to shed a bright light on the outstanding work being done across the broad spectrum of health and wellness services, and the institutions and individuals providing that care. More than 80 nominations were submitted for the class of 2022, and candidates were scored by an in-house panel of judges. The stories behind the eight heroes reveal large quantities of energy, imagination, innovation, compassion, entrepreneurship, forward thinking, and dedication to the community. Honorees are profiled in the Sept. 19 issue of BusinessWest and the September/October issue of the Healthcare News, and are also available on www.businesswest.com and www.healthcarenews.com.

This year’s honorees and the categories they represent are: Helen Caulton-Harris, director of Health and Human Services, city of Springfield (Lifetime Achievement); Mark Paglia, chief operating officer, MiraVista Behavioral Health Center (Administrator); Dr. Philip Glynn, director of Medical Oncology, Mercy Medical Center (Provider); Dr. Paul Pirraglia, division chief, General Medicine and Community Health, Baystate Health (Collaboration); ServiceNet’s Enrichment Center & Strive Clinic and its partners at Springfield College and UMass Amherst (Collaboration); the Addiction Consult Service at Holyoke Medical Center (Community Health); Dr. Sundeep Shukla, chief, Department of Emergency Medicine, Baystate Noble Hospital (Emerging Leader); and the Elaine Marieb Center for Nursing and Engineering Innovation (Innovation).

The Healthcare Heroes Gala will begin with a VIP reception at 5:30 p.m. with networking and opportunities to meet this year’s honorees. The evening will include live entertainment, butlered hors d’oeuvres, a lavish plated dinner, remarks from the honorees, and more networking opportunities.

Tickets cost $85 per person and can be purchased at businesswest.com/healthcare-heroes/healthcare-heroes-tickets. Healthcare Heroes is presented by Baystate Health/Health New England and Elms College, and sponsored by American International College, MiraVista Behavioral Health Center, and Trinity Health Of New England/Mercy Medical Center.

Daily News

SPRINGFIELDBusinessWest and the Healthcare News magazines, the business and healthcare journals covering Western Mass., will honor their sixth annual Healthcare Heroes on Thursday, Oct. 27 at the Log Cabin in Holyoke.

The Healthcare Heroes program was created to shed a bright light on the outstanding work being done across the broad spectrum of health and wellness services, and the institutions and individuals providing that care. More than 80 nominations were submitted for the class of 2022, and candidates were scored by an in-house panel of judges. The stories behind the eight heroes reveal large quantities of energy, imagination, innovation, compassion, entrepreneurship, forward thinking, and dedication to the community. Honorees are profiled in the Sept. 19 issue of BusinesssWest and the September/October issue of the Healthcare News, and are also available on www.businesswest.com and www.healthcarenews.com.

This year’s honorees and the categoriesd they represent are: Helen Caulton-Harris, director of Health and Human Services, city of Springfield (Lifetime Achievement); Mark Paglia, chief operating officer, MiraVista Behavioral Health Center (Administrator); Dr. Philip Glynn, director of Medical Oncology, Mercy Medical Center (Provider); Dr. Paul Pirraglia, division chief, General Medicine and Community Health, Baystate Health (Collaboration); ServiceNet’s Enrichment Center & Strive Clinic and its partners at Springfield College and UMass Amherst (Collaboration); the Addiction Consult Service at Holyoke Medical Center (Community Health); Dr. Sundeep Shukla, chief, Department of Emergency Medicine, Baystate Noble Hospital (Emerging Leader); and the Elaine Marieb Center for Nursing and Engineering Innovation (Innovation).

The Healthcare Heroes Gala will begin with a VIP reception at 5:30 p.m. with networking and opportunities to meet this year’s honorees. The evening will include live entertainment, butlered hors d’oeuvres, a lavish plated dinner, remarks from the honorees, and more networking opportunities.

Tickets cost $85 per person and can be purchased at businesswest.com/healthcare-heroes/healthcare-heroes-tickets. Healthcare Heroes is presented by Baystate Health/Health New England and Elms College, and sponsored by American International College, MiraVista Behavioral Health Center, and Trinity Health Of New England/Mercy Medical Center.

Cover Story Healthcare Heroes

Since BusinessWest and its sister publication, the Healthcare News, launched the recognition program known as Healthcare Heroes in 2017, the initiative has more than succeeded in its quest to identify true leaders — not to mention inspiring stories — within this region’s large and very important healthcare sector.
The award was created to recognize those whose contributions to the health and well-being of this region, while known to some, needed to become known to all. And that is certainly true this year.
They are leaders. In some cases innovators or collaborators. In all cases, inspirations — people and organizations that have devoted their lives to improving the quality of individual lives and the health of entire communities. We find these stories to be compelling and inspirational, and we’re sure you will as well.

Overall, everyone who was nominated this year is a hero, but in the minds of our judges — the editors and management at BusinessWest — eight of these stories stood out among the others. The Healthcare Heroes for 2022 are (click on the names to read their stories):

See the BusinessWest 2022 Healthcare Heroes Special Section HERE.

We’re excited to celebrate our Healthcare Heroes on Thursday, Oct. 27 at the Log Cabin in Holyoke. Tickets cost $85 each, and tables of 10 or 12 are available.

The Healthcare Heroes program is being sponsored by presenting sponsors Elms College and Baystate Health/Health New England, and partner sponsors Trinity Health Of New England/Mercy Medical Center, American International College, and MiraVista Behavioral Health Center.

Presenting Sponsors

Partner Sponsor

Healthcare Heroes

Here, Shared Research by Nurses and Engineers Will Benefit Patients Everywhere

Co-directors Frank Sup and Karen Giuliano

Co-directors Frank Sup and Karen Giuliano. Leah Martin Photography

Intravenous (IV) infusion pump systems are among the most recognized technologies in healthcare, used by about 90% of hospital patients.

They’re also hopelessly out of date, Karen Giuliano said.

“The design has been around a long time, and hospitals don’t buy one; they buy an entire fleet. They have to invest in training, service contracts, and IT infrastructure. To install a platform is a huge investment and effort.”

And that has led to stagnation, she added. “Over 80% of pumps are really old platforms and don’t do the job they need to do. They’re not developed for today’s standards.”

Enter the Elaine Marieb Center for Nursing and Engineering Innovation at UMass Amherst, which has made improving the safety and usability of IV smart pumps one of its first major projects. The team has been exploring flow-rate accuracy in a variety of settings and use cases, with the goal of developing pumps that eliminate inaccuracy, inconvenience, and resulting medical errors through new technology and simplified design.

The work is gaining widespread attention, as Giuliano, co-director of the center and associate professor of Nursing, and postdoctoral research fellow Jeannine Blake were recently recognized by the Assoc. for the Advancement of Medical Instrumentation (AAMI) for the Best Research Paper in 2021.

Their paper, “Nurse and Pharmacist Knowledge of Intravenous Smart Pump System Setup Requirements,” explored knowledge of intravenous smart-pump system setup requirements among nurses and pharmacists. The results were published in Biomedical Instrumentation & Technology, AAMI’s peer-reviewed journal.

“There’s already a critical nursing shortage, fatigue, and burnout. How can robotics be used to maybe alleviate some of those problems? We can use robotics as an extension of the nurse.”

“We don’t want to build a new pump; we want to build a set of requirements for manufacturers that have been sitting idle for too long without being forced to innovate for the safety of patients and the workflow of the nurses,” Giuliano told BusinessWest.

The effort demonstrates the types of innovation she and Frank Sup, associate professor of Mechanical and Industrial Engineering and the other co-director of the Elaine Marieb Center for Nursing and Engineering Innovation, intended when they launched the center in early 2021. It also reflects the cross-educational opportunities for people like Blake, the first nursing doctoral student to enter an engineering postdoctoral fellowship at UMass.

“Students have come out of here with a siloed education, nurses and engineers. There’s not a natural inkling to work together; they might not even know the importance of collaborating in that way,” Giuliano said. “What we want is to have students graduate that already have that in common, to reach across the aisle. The healthcare environment should not be a silo.”

Under Sup’s leadership, the center has also begun research on the use of robotics in healthcare. It teams doctoral students from both engineering and nursing, as well as an undergraduate nursing honors student, to identify challenges and develop robotic solutions to improve healthcare delivery for patients and providers.

The incorporation of robotic technology into the healthcare system is ongoing and already includes innovations like fully autonomous disinfecting systems and invasive surgical devices, and Sup feels it’s essential that these new technologies are integrated into the field of nursing at multiple levels, including hospital administration, the clinical workplace, and university education. And students need to interact with robots to better understand and utilize this technology in a controlled setting before patient care is involved.

“What are robotics, what can they do, what are they good for, and how can we start to train nurses and engineers in robotics? What day-to-day situations might nurses face in the hospital, clinic, and home, and what might be the best use cases for these robotics systems?” he asked. “That’s where this program started. Nurses are not typically trained in robotics, so we actually start to expose them to these things.”

That may seem like a scary thought to some, or imply that robots could replace nurses, but that’s far from the case, Sup added.

“There’s already a critical nursing shortage, fatigue, and burnout. How can robotics be used to maybe alleviate some of those problems? We can use robotics as an extension of the nurse, potentially doing things when they’re not there, like monitoring and lower levels of service.”

By bringing nurses and engineers together at the earliest stages of product innovation, the Elaine Marieb Center promises a raft of such breakthroughs that will result in better technology and, more important, better patient care.

 

Come Together

This is how Giuliano and Sup described the center’s mission at its opening last year:

“Today, healthcare technologies are too often made without the insights and understanding that clinicians bring to the table. Nurses are end users, facing healthcare challenges on the frontlines of patient care. Engineers have the expertise and skills to envision and create medical devices and can work with nurses who bring the real-world healthcare experience needed to design the best possible products and solutions.

“This transformation depends heavily on collaborative research and development work among nursing, engineering, and other disciplines,” they went on. “The ability to quickly and effectively develop and test innovations requires both nursing and engineering skillsets. The power of the nurse-engineer approach is derived from the mutual collaboration between the two, where the nurse identifies the problem, and the engineer facilitates potential solutions.”

One problem in the past, both of them explained to BusinessWest, was that products too often wound up in the hands of nurses too far along in the design and development process to change very much.

“I realized how important it was to have a front-end-user perspective built into the products rather than trying to back-engineer it when it’s 90% done.”

Giuliano, with more than 25 years of experience in critical-care nursing, medical product development and innovation, and patient-centered clinical outcomes research, should know. Prior to joining UMass Amherst, she spent many years working on medical product development from an industry perspective, including 12 years with Philips Healthcare.

Early in her career, she said, “I realized how important it was to have a front-end-user perspective built into the products rather than trying to back-engineer it when it’s 90% done.”

Now, at the center, “we have the ability to prototype things and test them in nursing simulation labs and test them in actual hospitals,” she added, the latter through a collaboration with Baystate Health.

Meanwhile, Sup was also a natural choice to co-direct the new center. As director of UMass Amherst’s Mechatronics and Robotics Research Lab, his research has long focused on developing human-centered mechatronic technologies for augmenting human performance and exploring how to enable robots to fluently interact physically with humans. To that end, he brought teams of nursing and engineering students together to work on senior capstone design projects.

The model was formalized as the Elaine Marieb Center for Nursing and Engineering Innovation with the help of two major gifts: $1 million in seed funding from alumni Michael and Theresa Hluchyj, longtime supporters of both the College of Engineering and the College of Nursing; and $21.5 million from the Elaine Nicpon Marieb Charitable Foundation to the College of Nursing, with a significant portion designated to support the new center.

“Innovation is often accelerated at the intersection of different academic disciplines,” Michael Hluchyj said when announcing the first gift. “The worldwide health crises resulting from the COVID-19 pandemic make clear the critical need for innovative solutions in clinical settings where both nursing and engineering play vital roles.”

And nurses need to have a seat at the innovation table early, Giuliano said.

“Nurses use more products and are part of more services than any other healthcare provicer,” she told BusinessWest. “If they’re not at the table, you’re not going to have the right products. They’re not going to be usable, and if they’re not usable, then they don’t do the job. And from an economic standpoint, they don’t generate the revenue that the company wants. So it’s a lose-lose, which we can turn into a win-win.

“We want to be a usability testing center,” she went on. “So if a company has a product at a certain point in development, has an idea what’s supposed to do and how it’s supposed to work and what its value is, we literally bring it into a sim lab.”

The usability test involves two people, a nurse and a volunteer patient, and both evaluate it, as test administrators watch how it’s used. “If the same mistake is made over and over, it’s a design flaw; it’s not a user error,” Giuliano explained. Then all those results and perceptions go back to manufacturer, who has the opportunity to make improvements early in the process.

To that end, the emerging product prototyping laboratory on the Amherst campus will enable students to design and prototype new products, while a proposed usability laboratory on the Mount Ida campus will allow for product and service testing by frontline clinical end users.

“Having a better understanding of frontline clinician knowledge is a fundamental part of our overall program of research on improving the safety and usability of IV smart pumps,” Blake said when she and Giuliano received the AAMI’s award for their research earlier this year. “We are very excited to receive this award, which supports our continued efforts in this important area of research.”

 

Promising Outcomes

Better research resulting in better patient care is the goal, whether it’s IV pumps, robotics at the hospital bedside, or any number of other ongoing projects at the center, from cloud-based home-healthcare monitoring to wearable sensors that record body movement to assess chronic pain.

Part of the center’s raison d’être is that nurses and engineers are both trained problem solvers who rely on innovation to find solutions, but their paths rarely cross, and the timeframes required for them to find solutions are dramatically different.

Giuliano got her PhD while at Phillips Healthcare because “I really wanted to be a better researcher so I could test products in a meaningful way.” Later, she added, “I realized I liked academia — I was a better student as a 40-year-old than as a 20-year-old — and I knew I wanted to go into academia and try to recreate the nurse-engineer pairing in the academic environment.”

By teaming up with Sup, who was already pursuing those connections, and with the help of some generous gifts from supporters who saw potential in this model, a center was created that is not only generating some impressive outcomes, but is paving a new way for diverse minds to collaborate and improve the patient experience across the globe.

“The whole idea of this center is for academic clinicians, students, nurses, and doctors to bring in industry partners,” Sup said. “It’s going to be innovative, and it’s going to make a difference.”

And it clearly lives up to the title of Healthcare Hero in the category of Innovation.

“This work that’s being done will make its way to safety standards everywhere,” Giuliano said. “Nobody else is doing that. It’s huge.”

 

Joseph Bednar can be reached at [email protected]

Healthcare Heroes

This Critical Team Provides Hope — and a Roadmap to Recovery

Team members of the Addiction Consult Service

Team members of the Addiction Consult Service at Holyoke Medical Center, from left: Eddie Rodriguez, John Martinez, Lauren Carpenter, Maria Quinn, Kelly Jean Deming, Em Moulton, and Jose Ramos.

 

Patrick Hamel remained calm and collected as he chronicled his quarter-century-long battle against addiction.

In telling that story, he recalled more relapses than he could count; how he lost jobs, alienated family and friends, and had run-ins with the law (including some B&Es to support his drug and alcohol use); getting thrown out of the house by his wife on a few occasions; the awkwardness of having his daughter visit him in a halfway house; and even that night a little more than two years ago when he decided that enough was enough and tried to end his life.

He didn’t become emotional — though he did have to stop and collect himself a few times — until he started talking about the Addiction Consult Service (ACS), or the Recovery Support Team, as members call it, at Holyoke Medical Center’s Comprehensive Care Center (CCC) and, especially, Maria Quinn, the charismatic psychiatric mental-health nurse practitioner and leader of that unit.

That’s because Quinn, those who work with her, and those to whom she has referred Hamel have enabled him to move beyond all that has happened to him and now lead a much better life.

“She just listened, and we came up with a plan. She got me hooked up with an amazing therapist. We saw each other every week — she was there for me; she was my support.”

“She is so amazing; she’s like my knight in shining armor,” said Hamel, who would then concisely and effectively sum up what Quinn and other members of this team do. “She just listened, and we came up with a plan. She got me hooked up with an amazing therapist. We saw each other every week — she was there for me; she was my support.

“Mind you, I’ve been in other types of medical treatment facilities and other programs,” he went on. “And I always felt like I was a number, or I was there to meet a quota; it was just a job. You can see with Maria that it’s not just a job; it’s something she’s passionate about.”

Patrick Hamel

Patrick Hamel says those at the Addiction Consult Service listened and helped him come up with a game plan for recovery.

Hamel didn’t nominate the ACS for the Healthcare Heroes award, but his words, and the emotion attached to them, help explain why this special unit is being honored this year in the Community Health category.

In short, there are now hundreds, if not thousands, of people, who would say the same things if they were asked — about not just what the ACS does, but how it goes about its difficult and critically important work.

“We’re essentially ever-present — we like to make jokes that we stalk our patients while they’re here, even if we’re not fully involved,” she explained, adding that this is her way of saying that Recovery Support Team members make sure that those patients with addiction issues, either from the Emergency Department or inpatient units at the hospital — many of whom don’t have anyone to visit them while they are in the hospital, for many of the reasons Hamel listed above — have someone to talk to. And, far more importantly, someone to listen, someone who can help them determine what comes next for them, whatever that might be, including ongoing support at the CCC.

“That connection needs to happen so that people can stay and continue to get the treatment that they need,” said Quinn, adding that one of the goals of the program is to build trust among those touched by the ACS, because such trust has often been missing, and it is a key ingredient in their success.

“Historically, people with addiction haven’t been treated well in the healthcare system, so there’s a lot of mistrust, and we see that,” she noted. “We talk about it often and sense that the wall may be coming down and people are starting to bloom because we see our patients become a little more trusting.”

“One thing I’ve learned in this process is that everyone’s recovery is different. You have to listen to the patient to understand what they’re looking for in their recovery. By listening to them, I’ll know what kind of direction I can give them.”

Lauren Carpenter, a certified addictions nurse, agreed. When asked how she got into this specific line of work and what she likes about her work with this constituency, she said simply, “being able to help and care for people who aren’t used to being helped and cared for — building that connection and that rapport and making sure they know there is someone there who cares.”

The ACS is comprised of a nurse practitioner, a certified addictions nurse, a recovery-support coordinator, and recovery coaches. And, as noted, it is a collaborative effort, involving partners such as Tapestry Health, the Gándara Center (which employs the recovery coaches), River Valley Counseling Center, Hope for Holyoke, and the Holyoke Health Center. Together, these agencies are working to reduce opioid overdoses and help people like Hamel find a path to a better life.

The positive results of their efforts can be seen — and heard — with people like Patrick Hamel and countless others like him.

 

The Power of Hope

John Martinez’s battle against addiction was and is very similar to Hamel’s.

He described several stints of incarceration, homelessness, and, by his count, four suicide attempts.

He’s been sober now for 13 years and has spent the last several as a certified recovery coach, helping others find the strength and conviction to change their lives, as well as needed referrals and direction. The process starts simply with providing hope that life can get better, he said, adding that this isn’t all that coaches provide, but it may well be the most important thing.

“I remember being hopeless — I know what that’s like,” he recalled. “One thing I’ve learned in this process is that everyone’s recovery is different. You have to listen to the patient to understand what they’re looking for in their recovery. By listening to them, I’ll know what kind of direction I can give them.”

Recovery coach John Martinez

Recovery coach John Martinez says that, among other things, he provides those he counsels with the hope that life can get better.

As noted, recovery coaches are part of the team at the Comprehensive Care Center, and part of a broad, collaborative effort that has come together at a critical time for the Greater Holyoke area.

Indeed, while much of the focus the past few years has been on the pandemic, and understandably so, addiction has only become a bigger, more dangerous, and more deadly problem for the region.

The number of opioid-related overdose deaths increased 9% in Massachusetts in 2021 over 2020. Meanwhile, there are significant disparities in overdose rates, particularly among Black and Latino individuals in Massachusetts; from 2019 to 2020, there was a 70% increase in overdose deaths among Black/non-Hispanic individuals and a 10% increase in Hispanic/Latinx individuals. From 2020 to 2021, there was a 6% decrease in Black/non-Hispanic deaths and an increase of more than 7% for Hispanic/Latinx individuals, according to the Massachusetts Department of Public Health.

Steadily rising numbers over the past several years prompted the HEALing Communities Study, whereby scientists from the nation’s leading health agencies and four major academic institutions are partnering with communities in four states, including Massachusetts, to test a set of interventions designed to reduce overdose deaths by 40% over three years in participating communities.

Through a grant awarded to Boston Medical Center, a collaborative was created involving several agencies in Greater Holyoke, with Quinn taking the lead as the appointed addiction expert for the Holyoke community. The goal is to address opioid use, with a specific focus on overdoses, she said, adding that the linchpin of the initiative was creation of the ACS and the CCC.

“Prior to that, it was just me trying to do it all — start people on medication, get referrals out, try to make appointments, trying to get people to stay here [the hospital] — and it was challenging.”

“Our goal is not to cure them; our goal is to treat them with dignity and respect, and that includes treating their withdrawal. It includes giving education and resources. Some people decide that they no longer want to use and want to work toward abstaining and not using, and some don’t.”

With the grant funds, Quinn was able to hire Carpenter as well as a recovery-support coordinator and other team members.

Together, they have put together a system to “find patients,” said Quinn, noting that, before creation of the ACS, many would essentially fall through the cracks.

“Lauren became really good at figuring out which patients we should look at, and we started finding our patients and going to them, often intervening even before a consult was sent,” she told BusinessWest. “And that’s important because people would be leaving the hospital; if you were using opioids or were addicted to opioids, in particular, and didn’t get that, you would feel really, really sick, and if your withdrawal wasn’t being treated, you would probably be leaving.

“So we’d introduce ourselves and let people know why were there,” she went on, adding that, by and large, patients were not used to such a “proactive and impactive” approach to their care, and would have questions about what they could do for them.

What they can do is listen and begin a discussion about what happens next, said Carpenter, who walked through what might be a typical case.

“Someone will come into the ED, and I’ll get notified that this person is there and that they are in withdrawal,” she explained. “At that point, I will meet with the person, gather a history, assess their withdrawal, and then I’ll get Maria involved. I’ll talk with the ED provider, Maria, the addiction consult … Maria will meet with the patient, give recommendations, and order appropriate medications to treat their withdrawal. And when someone is actually on the med floor, we’d start the discussion of ‘what do you want to do from here?’”

As Quinn noted, the course varies with the patient. Often, those at the ACS will connect them to opioid-treatment programs, including two in Holyoke, if they are not already in a program, or connect them with a recovery coach while they are in the hospital.

“Not everyone’s goal is abstinence,” she said. “Our goal is not to cure them; our goal is to treat them with dignity and respect, and that includes treating their withdrawal. It includes giving education and resources. Some people decide that they no longer want to use and want to work toward abstaining and not using, and some don’t.”

When asked how those at the ACS measure success, Quinn said it depends on what how the patient would define that term.

“For some people, having air in their lungs is successful,” she told BusinessWest. “Anyone who leaves here feeling that they’ve been treated well … that’s a big success for me.”

 

Impact Statement

As he talked about Quinn and those she works beside at the CCC, Hamel stressed the present tense.

He is still working with these individuals at the CCC, and they are still making a huge impact on his recovery. He’s not sure they, and especially Quinn, understand just how much of an impact. So, he made it clear.

“I wouldn’t be where I am without them,” he said, adding that these individuals are more than healthcare providers, but are, in many respects, friends and even family.

“They want to make a difference — it’s not just about an f-ing paycheck,” he said in conclusion. “That’s where I get a little passionate and emotional; two years ago, I wanted to kill myself, and now…”

He didn’t finish the sentence, but didn’t really have to. The pause explained not only the journey from where he was to where he is now, but why the Addiction Consult Service is truly a Healthcare Hero.

 

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

Healthcare Heroes

Chief and Physician, Baystate Noble Hospital Emergency Department

He Has Devoted His Career to Improving the Community’s ‘Safety Net’ Net’

Leah Martin Photography

Dr. Sundeep Shukla, or ‘Sunny,’ as most everyone calls him, has always felt at home in the emergency room, and he has never really wanted to work anywhere else.

There is a fast pace and decidedly unpredictable nature to the work, he told BusinessWest, noting that each day, and each hour, are different from the one before and the one after. But there are many more reasons why he has chosen to spend his career in this setting, the most important being the ER’s important role, both to the hospital in question and to the community it serves.

“The emergency room is the safety net for all patients,” Shukla explained. “Many patients do not have access to healthcare; we feel that the ER can provide care to anyone who walks through the door, regardless of whether you have insurance, regardless of your background; we’ll see anyone who walks through our doors, and I’m proud to say that.”

But Shukla has done more than work in the ER. Indeed, throughout his career he has devoted time and energy to bringing new efficiencies, better ways of serving patients, and, yes, better ways of doing business to the ER, especially in his current role as chief of the Emergency Department at Baystate Noble Hospital in Westfield.

And he brings what would be considered a somewhat unique background to this assignment. In addition to his undergraduate degree from the University of Missouri and his medical degree from Manpial University in Karnatka, India, Shukla also earned an MBA, with an emphasis in medical management, from UMass Amherst in 2017.

He has used all these degrees, as well as his hands-on experience in the ER, to help improve service, efficiency, and quality, and reduce wait times and what are known as ‘walkouts’ — people who come to the ER but leave before being seen, for whatever reason.

“Having earned that MBA, I was able to reconfigure how I look at things in my brain. Before, it was all medicine-related, but by doing the MBA, I was able to focus on flow and how we could improve certain processes to make an impact on the total visit.”

“Having earned that MBA, I was able to reconfigure how I look at things in my brain,” he told BusnessWest. “Before, it was all medicine-related, but by doing the MBA, I was able to focus on flow and how we could improve certain processes to make an impact on the total visit.

“At Baystate Noble, we do small thinks like put a greeter in the waiting room so when patients come in there’s someone they can talk to, someone they ask questions to; they round, they give patients blankets or small things just to make them feel appreciated,” he went on. “We also strive to push our nurses and docs to really bring patients in when they come into the ER; they don’t sit very long in the waiting room.”

As a result of such initiatives, Noble’s ER has made great strides during Shukla’s tenure. The unit has dramatically increased patient-satisfaction scores, for example, while also gaining certification as a geriatric ED, well-suited to serve the needs of older patients in the community.

The sum of these efforts has earned Shukla the Healthcare Heroes award in the highly competitive category known as Emerging Leader. And he is worthy of that designation, not only for his work in the ER, but also at Baystate Health (he is on the system’s board of directors), in the community (he sits on the nonprofit People’s Institute and also coaches youth soccer and baseball), and even on the ice.

Indeed, Shukla is one of the team physicians for the Springfield Thunderbirds, and was with the team through its exciting run to the Calder Cup finals last season.

He described that work as fun and rewarding — adjectives he would apply to every aspect of his work in medicine and administration.

 

Degrees of Improvement

Shukla was born in England and came to this country with his family in 1980. Early on, he said, his father, a professor of Pharmacology at the University of Missouri, and mother, a school teacher, impressed upon him the importance of not only education, but service to the community.

He achieved both while serving as a volunteer at the University of Missouri Hospital and Clinics while in junior high school, work he described as a learning experience on many levels.

“During the summer, I went there every Tuesday and Wednesday and spent eight hours each day volunteering in different parts of the hospital,” he recalled. “It was then that I realized that this was my true calling because I really wanted to help people and really wanted to make a difference.”

After graduating from medical school, he became a resident at Baystate Medical Center with a focus initially on general surgery. But at the advice of some friends who implored him to consider emergency medicine because he seemed a natural for that kind of work, his career outlook began to shift.

Dr. Sundeep Shukla, seen here with his son, Deven

Dr. Sundeep Shukla, seen here with his son, Deven, is one of the team physicians for the Springfield Thunderbirds, one of the many ways he is involved in the community.

“I did some shadowing, I did some shifts in the ER, and eventually I went through the process of applying to be an ER resident,” he said, adding that he quickly fell in love with that setting — again, not just because of the fast pace and each-day-is-different aspect of the work.

“Not everyone has access to healthcare, and I’m a big proponent of health equity because I feel everyone should have the same access to healthcare as your next-door neighbor,” said Shukla, who, before coming to Noble, served as associate medical director in the Emergency Department at Baystate Franklin Medical Center. “When patients some come to my ER, I treat them with respect, I treat them exactly how I’d want to treat my family members, and I try to everything I can to make sure their health is better when they leave the ER.”

Elaborating, he said many people are coming to the ER on the worst day of their life, whether they’re having a stroke, a heart attack, or other medical problem, and it is the job of the ER doctor to “step up and help those patients.”

“It’s our goal to help lift them up and help them feel better,” he went on. “And in terms of mindset, you have to be able to function on the go and multi-task many different things, because there so many problems that are detail-oriented: the lab or CT scan, whether you have to stitch someone up, give different medications … there are all these processes you have to follow, and with every visit, there’s quality involved, and you have to meet certain metrics.”

Despite the fast pace and the constant flow of new patients, Shukla said he makes it a priority to truly connect with his patients.

“I always try to make a connection with my patients because, if I’m able to make that connection, whether it’s with a sports team that they like or a restaurant that they enjoy or some type of hobby they like, I feel like we can relate much better, and they can trust me. They just met me just a few minutes ago, so it’s really important that I build a trust and a relationship with them so that when I give them advice or we have what’s called ‘shared decision making,’ we can come with a good plan together. That’s why I’ll always spend the extra minute just to know them a little better.”

“They just met me just a few minutes ago, so it’s really important that I build a trust and a relationship with them so that when I give them advice or we have what’s called ‘shared decision making,’ we can come with a good plan together. That’s why I’ll always spend the extra minute just to know them a little better.”

Shukla currently works at all the hospitals in the Baystate system — Baystate Medical Center, Baystate Wing, and Baystate Noble — and became chief of the ER at Noble in March 2020, just as the pandemic was reaching Western Mass.

In each setting, and especially at Noble, he has been consumed with not only treating patients and making those important connections, but improving the overall experience.

“We try to look at the entire process — from when a patient walks into the waiting room all the way to when they go home,” he explained, adding that little things, such as having a greeter in the ER and having nurses, doctors, and other care providers working collaboratively so that patients don’t have to repeat their history and answer the same questions over and over again, often add up to big improvements in service, patient-satisfaction ratings, and statistics such as those concerning walkouts.

“The most dreaded word that most people see in emergency medicine is walkouts, which is basically a person who registered but wasn’t actually seen,” Shukla said. “That’s a problem throughout the United States, so we work really hard in the Baystate Health system to bring those numbers down. Even one patient walking out troubles us.”

Meanwhile, throughout his career, and even more so during COVID, he has put considerable emphasis on outreach and educating the community, with the goal of helping people make better, smarter choices about their health and well-being.

Indeed, he’s a frequent guest on area radio stations and has penned articles for several media outlets, all with the goal of creating a better-informed community.

“If people are educated, they can take care if their health better,” he said, adding that such efforts took on greater importance during the height of the pandemic, when the public had more questions — and needed more answers — and trust was a huge factor.

“We had a lot of COVID issues to contend with, but we also had to build up trust in the community,” he said, “because a lot of people were concerned about the ways people were contracting COVID, how they would protect themselves, the vaccines … there were many thongs we had to educate people on, and we did a lot of outreach for that.”

 

ERing on the Side of Caution

Overall, Shukla, as chief of the ER, assumes a role that blends medicine with administration, and, with his background and MBA training, he can bring a unique perspective to the table.

“Not many physicians go back and get a degree like an MBA; most of us go to school for a very long time as physicians, so not a lot of us go back,” he explained, adding that he enjoys both sides of the equation — business and especially medicine.

“It’s important for me to be well-rounded and understand how things are run,” he said, adding that he took a marketing class in 10th grade and since then has always been fascinated by business and management. “I really enjoy business, and so there’s the budget/financial aspect that I really like in administration, because I feel I can look at spreadsheets and Excel sheets in a different way than I did a few years ago before I earned my MBA.

“I understand the budget and the finances a lot more than I used to,” he went on, “and also how I can cut costs and improve efficiency in the ER, whether it’s flow in the ER or how I can reduce the cost of staffing or increase staffing to help show a return on investment.”

Going all the way back to when he was volunteering at the University of Missouri Hospital as a junior-high student, Sunny Shulka has known that he was destined to be in a profession — and a place — where he could help people.

That profession turned out to be healthcare, and the place is the ER, or the safety net, as he called it, which is now more his home.

For his efforts to continually improve that safety net, make it stronger, more welcoming, more comfortable, and better able to serve all those who come through its doors, Shukla is certainly an emerging leader, and truly a Healthcare Hero.

 

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

Healthcare Heroes

Chief Operating Officer, MiraVista Behavioral Health Center

This COO Empowers Team Members and Leads by Example

Leah Martin Photography

 

Mark Paglia was a wrestler at Cathedral High School and later at American International College.

He said the great thing about wrestling is there is “no one-size-fits-all method that leads to success.” But there are several qualities, traits, and habits that wrestlers possess. “They trust themselves and count on their teams to train together to get better. They aren’t afraid to try new things. They are disciplined, grateful, focused, detailed-oriented, and able to adjust.”

These are qualities, Paglia told BusinessWest, that positioned him well for his current role as chief operating officer at MiraVista Behavioral Health Center, and the myriad challenges that have come with that assignment.

While working for Mercy Medical Center and its parent company, Trinity Health Of New England, Paglia served in several different roles, including executive director of Behavioral Health. He would sum up his tenure this way:

“I became the ‘project guy,’ the ‘turn-around guy,’ where I would be asked to go into departments or services that were really struggling both from a regulatory side or the financial side and turn them around,’” he said.

He was given a number of difficult assignments in that vein, such as leading efforts which led to the successful redesign of the methadone maintenance treatment program, resulting in two-year licensure with the Department of Public Health; leading efforts to open the new Clinical Stabilization Services unit; stabilizing redesign throughput for behavioral-health patients in Mercy’s emergency room; and leading the Outpatient department from a state of uncertainty to being fully licensed and financially viable. Ultimately, he was charged with winding down behavioral-health services at Providence Behavioral Health Hospital when Trinity Health Of New England made the difficult decision to close them in 2020.

As noted, these experiences, including his wrestling prowess, helped steel him for what has been his most stern career challenge, but also the most rewarding one: opening a new behavioral-health hospital, MiraVista, at the Providence Hospital site in April 2021 — in very little time, in the middle of a pandemic, in the midst of a nationwide nursing shortage and general workforce crisis, and at a time when the need for behavioral-health services was soaring due to COVID and the many ways it impacted people of all ages.

“I really find myself leading from behind, where I screen, recruit, and hire exceptional people, identify what the goals of the organization are, invite the individuals to participate, and identify what their passions are — what they believe in — and then empower them to go.”

But his efforts to open MiraVista’s doors under such difficult circumstances and then put it on a path to accreditation and expansion of both inpatient and outpatient services only partly explains why Paglia has been chosen as a Healthcare Hero for 2022 in the Health/Wellness Administrator category.

Another key consideration is the manner in which he manages — and has managed throughout his career.

He calls it ‘invitational leadership,’ which, as that name suggests, aims to ‘invite’ employees and all other stakeholders to succeed. It involves sending positive messages to people, making them feel valued, able, responsible, and worthwhile.

“I identify goals for the organization and goals for the various departments, and then invite the individuals responsible for that work to participate and own the work,” he said while explaining what this practice means to him. “Through that, I really find myself leading from behind, where I screen, recruit, and hire exceptional people, identify what the goals of the organization are, invite the individuals to participate, and identify what their passions are — what they believe in — and then empower them to go.”

Summarizing thoughts expressed by team members at MiraVista, Erin Daley, chief Nursing officer and herself a Healthcare Hero in the Emerging Leader category in 2017, wrote in her nomination of Paglia:

“His impact is garnered through his compassionate and inclusive leadership of clinical and operations teams; we find Mark, more often than not, behind the scenes working with the team and individual staff members to make them as effective and productive as they can be. Universally, team members remarked that Mark inspires them to do their best work for patients and for each other because he makes them feel their contribution is valued and an essential part of the process. Simply put, he listens. He engages people and integrates ideas, and this is what distinguishes him as a hero; his impact has longevity and grows exponentially through others.”

Such sentiments explain why Paglia will be taking the stage at the Log Cabin on Oct. 27 to be recognized as a Healthcare Hero. More importantly, they explain why he has emerged as a true leader within this region’s healthcare sector.

 

Taking the Lead

Paglia took what would be considered a non-traditional path to his current post with MiraVista.

Indeed, after earning a degree in business management at AIC, he went to work for a flat-glass manufacturing company. Along the way, he was asked to coach wrestling at Minnechaug High School, a role that made him realize how much he liked working with young people and helping them develop.

Mark Paglia, seen here with several team members at MiraVista Behavioral Health Center, practices what is known as the ‘invitational’ style of management.

Mark Paglia, seen here with several team members at MiraVista Behavioral Health Center, practices what is known as the ‘invitational’ style of management.

That experience inspired him to go back to school to earn a teaching degree. He would eventually land a job in Connecticut working in a day-treatment program for youth with behavioral-health issues.

“I was really drawn to the kids, but I felt like I didn’t have enough time with them in the school setting,” he told BusinessWest, adding that these sentiments led to another rather sharp turn on the career path, this one taking him to a job as director of the Adolescent and Family Services Department at the Gándara Center’s main office in Springfield.

“I think that’s where I found my passion for caring for those who are in need,” he explained. “And that’s where I started to understand business management and performance management, and that’s where I learned the invitational model of empowering people; that was the foundation for my career.”

Fast-forwarding somewhat, Paglia said he spent nine years at Gándara before becoming program director for the Brightside Treatment Center, part of the Sisters of Providence Health System, in 2009, and later became director of Outpatient Services – Behavioral Health at Providence Behavioral Health Hospital, and then executive director of Behavioral Health for Mercy Medical Center and its affiliates, including Providence Behavioral Health Hospital, Brightside, and behavioral-health services on the Mercy campus.

“I’m blessed to work with some of the most passionate, committed, extraordinary leaders … it’s a joy to come to work every day.”

While he was in that role, Trinity Health Of New England made the difficult decision to close Providence Behavioral Health Hospital in early 2021, leaving a huge void in services available to the public.

Seeking to fill that void, Health Partners of New England acquired the property with GFI Partners with the intention of bringing back inpatient psychiatric services and a compliment of substance-use programming. And it turned to Paglia to get that difficult job done.

Recalling those days and, ultimately, the reopening of that facility, Paglia said the sum of his previous experiences certainly helped him overcome a number of hurdles, adding that he was essentially starting up a new business, starting with the hiring of staff.

The first priority was the methadone clinic, which served 600 patients and needed to remain open, and did, with the transition from Trinity Health Of New England to MiraVista, sister facility to TaraVista Behavioral Health Center in Devens, taking place at midnight on April 20. What followed was a ramping up to open an adult inpatient psychiatric unit, he went on, adding that this was achieved 10 days after the acquisition, with a second unit added in June, followed by a detox unit and then an adolescent inpatient psychiatric unit, a clinical stabilization service unit, and other substance-use addiction services.

From left, Mark Paglia with Erin Daley, chief Nursing officer; Erica Trudell, director of Nursing for Inpatient Behavioral Health Services & Education; and Alicia Morel, Talent Acquisition specialist.

Overall, MiraVista has expanded inpatient bed capacity from 36 at opening to 101 today. This includes 50 acute-care psychiatric beds in separate units for adults and adolescents, 30 detoxification beds in its acute-treatment unit for substance-use disorders, and 21 beds in post-detoxification for individuals transitioning to outpatient care. And it is staffing up for the opening of another unit, a substance-use program. Meanwhile, planning and preparation continue for the opening of what Paglia called the most challenging unit — a child psychiatric facility — with an anticipated opening date of February 2023.

Overall, MiraVista has gone from one employee, Paglia, to roughly 350 team members in just over 16 months — again, in the middle of a pandemic and a workforce crisis. In a word, he described this as an “extraordinary” accomplishment, adding that “we are midway through our journey to hire the very best staff to reach an expected 650 employees.”

Equally impressive, he said, is the number of visits from the Joint Commission on Healthcare Accreditation that the facility and its team have endured on its way to accreditation.

“Typically, an organization has one visit every three years for their accreditation,” he explained. “Because we had different lines in different units open at different times, we had four surprise Joint Commission visits where they did a complete audit and survey, and I’m incredibly proud that we passed all four with deeemed status, which gives us the opportunity to qualify for our CMS-contracted services with Medicare and Medicaid, which is a difficult achievement. To do all that in one year is pretty extraordinary.”

“I picked up quickly a long time ago that when someone is passionate about what they’re doing, they have their own internal motivation to be successful.”

He credits all that MiraVista has achieved to date to the team of leaders he has assembled.

“I attribute a lot of it to the leaders that we were able to bring in to create the foundation for this organization,” he told BusinessWest. “I’m blessed to work with some of the most passionate, committed, extraordinary leaders … it’s a joy to come to work every day.”

 

Shared Mindset

One of the goals of invitational management is to make all members of a team feel the same way, Paglia explained, adding that he strives to accomplish such sentiment through active listening, getting employees involved, inspiring them to assume a sense of ownership in the operation, and making sure those in every position know they have an active role in the success of the company.

MiraVista Behavioral Health Center

MiraVista Behavioral Health Center is appropriately lit up for September, which is Recovery Month.

“I picked up quickly a long time ago that when someone is passionate about what they’re doing, they have their own internal motivation to be successful,” he said, adding that one of the goals for him and other leaders is to match this passion with career opportunities that will enable those individuals — and the company — to grow.

While doing all that, he also likes to bring fun into the equation. In fact, it’s a big part of the success formula.

“We plan for fun,” he said, adding that an ‘engagement committee’ he established has launched several initiatives that team members can take part in together, from a Halloween party to a recent barbecue and cornhole tournament; from an ice-cream social to fitness challenges.

The cornhole event and ‘mismatch day,’ where employees wear outfits that do not match, don’t explain why Paglia is an effective leader — or a Healthcare Hero for 2022 in the Administrator category.

But they are part of the explanation.

There are, in fact, many parts to this equation, but the result is an engaging administrator who has taken the lead at MiraVista — in every sense of that phrase.

 

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

Healthcare Heroes

Director of Medical Oncology, Sister Mary Caritas Cancer Center, Mercy Medical Center

This Physician Provides a Needed Blend of Science and Humanity

Leah Martin Photography

 

On one wall of Dr. Philip Glynn’s office at the Sister Mary Caritas Cancer Center, sharing space with some diplomas and a few other photographs, is a framed, signed picture of Glynn standing beside Dr. Siddhartha Mukherjee, author of the Pulitzer Prize-winning The Emperor of All Maladies: A Biography of Cancer.

Glynn was instrumental in bringing Mukherjee to Springfield several years ago for a talk at CityStage, and prevailed upon the author, and fellow oncologist, for a photo that would become a treasured keepsake.

As he talked with BusinessWest about his career and being chosen as the Healthcare Hero for 2022 in the Patient/Resident/Client Care Provider category, Glynn gestured toward the photo — but really Mukherjee and his widely acclaimed book — on several occasions.

He did so to indicate everything from his great fondness for the book and general agreement its author on the progress made to date to the promise of great advancements in the future, to the fact that cancer, treating patients diagnosed with it, and providing them and their families with an all-important support system has in many ways defined his life and career.

Indeed, for more than 35 years now, Glynn has been at the forefront of cancer treatment in this region, touching the lives of several generations of area residents, and in many different ways — but mostly by providing quality of life, however it is to be defined by each patient, a subject we’ll return to later.

“It’s such a challenging balance — the human side and the science side. We are all disciplined to make sure that we stay abreast of the science side — that’s our fundamental responsibility, and it all starts with knowledge; there’s no substitute for that. How you integrate that into what patients need on a daily basis … that’s the art of it.”

While he is being honored as a Healthcare Hero in the Provider category, Glynn could be a recipient in almost every one of the others, with the notable exception of Emerging Leader, which would have been an apt description a few decades ago.

He has been an effective administrator and leader, having been instrumental in creating a comprehensive oncology program at Mercy that rivals anything that can be found in much larger cities such as Boston and New York.

Meanwhile, he has been innovative on many fronts, from the telehealth program he piloted in 2017 that allows Mercy cancer patients to get a second opinion on treatment from physicians at the Dana-Farber Cancer Institute in Boston, to his leadership role in creation of a new palliative-care unit that at Mercy that take the name of one of Glynn’s patients, the late restaurateur and serial entrepreneur Andy Yee.

He would certainly draw consideration in the Community Health and Collaboration categories for his work in this region to not only treat cancer but work in concert with others to diagnose and prevent it. And the sum of his many accomplishments would make him worthy of the Lifetime Achievement honor.

Dr. Philip Glynn, seen here with Oncology Nurse Manager Cynthia Leonard

Dr. Philip Glynn, seen here with Oncology Nurse Manager Cynthia Leonard (left) and Stephanie Palange, RN, has spent his career guiding patients and their families through their cancer ‘journeys.’

But he is being honored in the Provider category because this is what Glynn, who is certified in medical oncology, palliative care and hospice, and internal medicine is perhaps most noted for — being a provider, of not only direct care, but also information, guidance, and, on many occasions, inspiration to fight the most difficult fight of one’s life.

He is described as a fierce advocate for his patients and a great listener who enables patients and their family members to be heard. Glynn said that what begins when individuals hear that they have cancer is a journey, one that often tests them in ways they could not have foreseen or imagined, and he is there with them for every step of that journey.

Overall, he described oncology as an intricate, all-important blend of science and humanity.

“It’s such a challenging balance — the human side and the science side,” he said. “We are all disciplined to make sure that we stay abreast of the science side — that’s our fundamental responsibility, and it all starts with knowledge; there’s no substitute for that. How you integrate that into what patients need on a daily basis … that’s the art of it.

“The other thing that’s really important is that you don’t give treatment for hope. You give treatment to help people live longer and better.”

“And that’s where the greatest satisfaction comes in,” he continued. “When you sit down with someone and say, ‘here’s what we’ve got, here’s the science that will take care of this disease, here’s the limits of the science for this disease’ — that communication with the patient, with the family, brings you to the point where they’re comfortable with the plan of action.”

Making patients and families comfortable, in every sense of that term, is why Glynn is certainly worthy to be called a Healthcare Hero.

 

A Compelling Story

As he offered BusinessWest a tour of the Caritas Center, Glynn talked with recognizable pride in his voice about what has been accomplished at that facility.

Formerly a provider of radiation treatment, it is now a true cancer center, he said, noting that it now includes a large treatment space with more than 30 infusion bays, an oncology pharmacy, laboratory space, and other facilities. Overall, the center provides care that may include cancer surgery, chemotherapy, radiation therapy, and clinical trials that provide patients with access to new treatments.

In many respects, the expansion and evolution of the cancer center is the culmination of a career spent in oncology, one that was inspired by many factors and several role models.

Early on, however, Glynn wasn’t sure if he was a good enough student or if he would work hard enough to pursue a career a health career.

Two summers working as an orderly at an Appalachian hospital in West Virginia while he was attending Boston College eventually convinced him that he did.

“The second summer I was there, I was hooked. I said, ‘this is what I want to do,’” he recalled. “It was a great experience; it all become something that I wanted to be part of.”

Glynn earned a degree in psychology at BC, attended Columbia University for pre-med, and earned his medical degree in Italy after failing to gain admission to schools in this country (and learning Italian). After residency at St. Raphael Hospital in New Haven, he completed a medical oncology fellowship at Baystate Medical Center.

Initially, he had visions of becoming a primary-care physician in a rural setting, but during residency, several role models in oncology steered him toward that specialty. He went into private practice, first in Agawam and then Springfield, while also serving as director of Medical Oncology at Noble Hospital and the Noble VNA and Hospice Service.

In 2012, he joined Mercy Medical Center and the Sister Caritas Cancer Center as director of Medical Oncology. In that role, he wears many hats and is responsible for all aspects of the program, including cancer prevention, screening, diagnosis, state-of-the-art treatment and services, counseling, and rehabilitation. He also assists with the implementation of new initiatives, such as cancer survivorship, navigation, community outreach, and clinical research and clinical-trial participation.

He is also a provider, seeing 20 patients a day on average and guiding them through their own individual journey that generally begins with three basic questions regarding their cancer: ‘what is it?’ ‘how much is there?’ and ‘what are you going to do about it?’”

Obviously, the answer to that last question has changed most profoundly over the course of his career.

“I couldn’t have imagined it when I started; it’s changed that much,” Glynn said, gesturing toward the picture on the wall and how Mukherjee had carefully and effectively chronicled the advancements. “Seventy years ago, we did gruesome surgery, and then we had gruesome surgery with radiation, and then you added in chemotherapy. But now we’ve learned about cell biology and what drives cancer cells, so we look at genes, potential immunotherapy, a host of options; it’s absolutely exceptional.”

His ultimate goal is to bring to each patient an improved quality of life, which, as noted, varies with each case.

“If you come in, an oncologist sits down, describes to you what you have, and says, ‘this is not a curable disease; this is lung cancer that has spread to the bone,’ or ‘this is colorectal cancer that has gone to multiple different organs; you do not have a curable disease. Then, what becomes critically important is to give a treatment that is going to ideally shrink the tumor and help someone live longer and better,” he explained. “You need to avoid treatments that are going to make the treatment worse than the disease. Someone may come in with bad disease, but they’re not terribly symptomatic with it … you don’t want to give them a treatment that’s going to be terribly debilitating if you can’t give them some kind of promise that they’re going to live longer from it.

“On the other hand, if you take the other end of the spectrum, the 22-year-old kid with an advanced testicular cancer … that kind can be cured,” he went on. “You have the conversation with him and say, ‘look, the next several months are going to be hell, but you’re going to get through it, and you’re walking away. That quality of life is a quality of life you’re giving a promise to — ‘you’re going to be OK,’ as opposed to the quality of life of ‘this isn’t curable, but we’re going to make sure you’re as comfortable as you possibly can be.

“The other thing that’s really important is that you don’t give treatment for hope,” Glynn continued. “You give treatment to help people live longer and better.” All this brings him back to that integration of humanity and science that he spoke of earlier, a balance, he said, which is at the very heart of effective oncology care.

There are many aspects to this equation, he added, with one of the most important, and sometimes the challenging, being communication and providing information.

“And there are times when it gets really hard,” he explained. “We live in a world that’s packed with information. Some of it’s good, and some of it’s not so good. Patients come in with very unrealistic expectations, and that becomes a very challenging conversation.”

For that reason, he brings patients to his office, positions them in front of his computer, and directs them to websites he considers reliable, with much of the rest he described as ‘storytelling.’

He said patients — and, often, family members — want and need to know about everything from prognosis to the toxicity of treatments; from their therapeutic options to recovery time and what recovery will be like.

“But it’s also important to let them know that we’re going to have a support system there for them,” he explained. “There is going to be a doctor available 24/7.”

Throughout his career, Glynn has been that doctor, there for early-morning and late-night phone calls to make sure patients are heard, and staying with them often well beyond the end of treatment, regardless of outcome.

 

The Plot Thickens

Returning once again to the photo on wall, Glynn said he believes the best message of that book is the promise of the future.

“He [Mukherjee] says that we probably won’t cure cancer, and I find that sensible,” Glynn noted. “After all, we don’t cure diabetes, we don’t cure heart disease, and we won’t cure cancer.”

But there will be new advancements, new and better ways of screening, preventing, and treating the emperor of all maladies, he said, adding that, while his career is winding toward its conclusion, the oncologists who follow him will have new, previously unimagined tools with which to carry on the fight.

And they can certainly draw inspiration from him.

Glynn may not have written the definitive biography of cancer, but he has authored a remarkable career, one marked by treating patients with respect and dignity, handling the heavy burden of their care with grace and humility, and providing that critical blend of science and humanity.

And that makes him more of than worthy of the title Healthcare Hero.

 

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

Healthcare Heroes

ServiceNet’s Enrichment Center and Strive Clinic and Its Partners at Springfield College and UMass Amherst

Helping People with Brain Injuries Maintain Function Is a Unique
Group Effort

Leah Martin Photography

Ellen Werner has been helping people with acquired brain injuries for decades.

But since she arrived at ServiceNet a decade ago, she’s learned how powerful collaboration can be in serving this population that often falls through the cracks in today’s healthcare system.

Werner’s work with ABI patients began in Pennsylvania, at one of the first dedicated brain-injury rehabilitation programs in the country, Bryn Mawr Rehab. After moving to Massachusetts, she did homeless outreach through the Statewide Head Injury Program that was created in 1985. “I was trying to find people in shelters that had brain injuries and needed proper medical care and housing.”

When she was approached by the then-vice president of ServiceNet to help launch its Enrichment Center in 2013, she was intrigued; the center helps people with brain injuries to become more functional and engaged with others and their community.

“I had some kind of an understanding of what I wanted to do for these people and what kind of opportunities I wanted to be able to provide them,” said Werner. “But I just didn’t know how we were going to afford therapies. The agency had already put in a lot of money just opening the program, so that’s when I started sending out messages. Springfield College was the first to respond to them.”

Today, the Enrichment Center and ServiceNet’s Strive Clinic in West Springfield — day programs for adults with brain injury caused by trauma or medical conditions — actively collaborate with two area academic institutions to provide outstanding rehabilitative care, while helping train the healthcare professionals of tomorrow.

“I had some kind of an understanding of what I wanted to do for these people and what kind of opportunities I wanted to be able to provide them.”

This work began in 2014 when Werner, director of Operations at the Enrichment Center and Strive Clinic, met with leaders of the Physical Therapy program at Springfield College to develop an innovative model of community-based care that would bring in graduate students, under the direction of their instructors and on-site clinical staff, to work with clients on a variety of PT modalities. The model proved so successful that this partnership expanded in 2017 to involve the Communications Disorders program at UMass Amherst’s School of Public Health & Health Sciences in developing and providing speech-language pathology services at the Enrichment Center.

Since she facilitated those partnerships with Springfield College and UMass Amherst to better serve people with ABIs, the program has grown from a small group of students and instructors to a full-fledged clinical team.

Lisa Sommers, clinical director and clinical associate professor in Communication Disorders at UMass Amherst, said the partnership with the Enrichment Center is a natural offshoot of the clinical training program first-year graduate students have to complete.

Kathy Pappas

Kathy Pappas says the program wouldn’t be where it is today if it weren’t for Ellen Werner.

Kathleen Pappas, associate professor of Physical Therapy at Springfield College, agreed. “It really aligns with the mission of Springfield College to educate our students to become leaders in service.”

 

Specialized Care

The Enrichment Center is an adult day-care center that offers physical, occupational, and speech and language therapies as needed, but clients also have the ability to choose from an array of activities to help promote cognitive growth and social interaction, such as support groups, music and dance sessions, arts and crafts, and trips to museums, bowling alleys, and movie theaters.

The Strive Clinic uses the Enrichment Center’s well-equipped gym, providing a safe space for limited-contact services by appointment only, which allows for more individual work for a client.

Clients at the Enrichment Center and Strive Clinic are typically adults with ABIs, many of whom suffered them years ago. Brain injuries can be inflicted by traumatic, external forces, such as car accidents, assaults, and other forms of violence, or from medical issues, such as strokes, aneurisms, and brain tumors. An ABI can cause changes in identity, mental health, relationships, family structure, the ability to work, and economic status.

Years past the big event that altered their life, people with ABIs sometimes fall off the radar in the healthcare system, but ServiceNet and its partners want to change that. Clients are able to go through the Acquired Brain Injury/Moving Forward Plan (ABI/MFP) waiver program.

“There’s some kind of a beautiful milieu … that is developed between them.”

“With the waiver, there’s really no end to the amount of therapy that we could provide people,” Werner said. “Our clients have really benefited from it; it’s just wonderful. We’ve had people that have been in wheelchairs for years, and now Kathy is getting them up, standing and walking. And we have clients that didn’t have communication devices that really benefit from them and the sessions provided now. There are all sorts of things that we’re able to do that we wouldn’t be able to do if we had just traditional insurance.”

Maintaining the client’s level, or hopefully going beyond it, requires constant, consistent therapy, she noted, so the waiver program allows the center and clinic to be more flexible in accepting and keeping clients. At the same time, the State Licensing Board of Massachusetts requires the facilities to follow all the same regulations any other clinic would follow.

The main focus for both facilities is to help people who are living with a brain injury to become more functional and engaged with others. And because every brain injury is different, students get a more varied education than they might elsewhere.

“By having us, the instructors, available on site, providing the supervision, we know exactly where they are in the curriculum,” Pappas said. “We hold them accountable to applying the knowledge they’ve learned in the classroom and measuring that as they prepare to become entry-level clinicians.”

Because there isn’t any prior conditioning, students are able to adapt to the center and provide the care clients need, she noted. In short, they come in with a learner attitude, so they’re more receptive to the clients and their habits.

Many people have a narrow idea of what therapy is and what it should look like, but the programs provided by the Enrichment Center and Strive Clinic “really explode that,” said Michael Starr, clinical instructor and supervisor in Communication Disorders at UMass Amherst. He went on to explain the relationships this intense care creates in the center.

Lisa Sommers says the Strive Center teaches students how to provide continuous services for a person who is living with an ABI.

Lisa Sommers says the Strive Center teaches students how to provide continuous services for a person who is living with an ABI.

“At the end of a recent spring semester, the student clinician got a beautiful thank-you note written by this client who has a really hard time expressing herself through writing. They had been working on it all semester. So she was able to do that and send it to the clinician, which was amazing and left everyone in tears.”

Sommers said the client and student spend the semester teaching and connecting with one another, and that connection leaves a lasting impact on both of them.

“There’s some kind of a beautiful milieu, like Michael said, that is developed between them,” she added. “I think it teaches them how to provide services across the continuum of a person’s life who is living with a brain injury.”

But while students and faculty are impacted, Starr added, the program can be life-changing for the clients at the Enrichment Center and Strive Clinic.

“The clients really love it so much. Certain clients will park themselves outside of our offices and wait and sometimes demand a session,” he noted. “Or I’ll go to get someone and say, ‘hey, do you have 30 minutes for a session?’ and they really want it, but they say, “I have to go to PT first,” and they’re on their way to PT because they’re not going to miss their appointment for love or money. They’ll come back and see me after. They just really love our services.”

He went on to tell BusinessWest that, because of their injury and especially when living in small group homes, clients can be marginalized or cut off from what’s happening in the world around them. Sommers agreed.

“When people encounter the medical system, there is so much that is determined for the patient, particularly when the patient can’t communicate or has cognitive impairments,” she said. “They don’t get to participate in person-centered care, which we know has the best outcomes, but is not really the model used in our healthcare system. And there are so many barriers for people — just think of all the cognitive challenges that are in our healthcare system. I can’t even navigate my own health insurance half the time and struggle if something isn’t covered or denied.”

Historically, the healthcare system has been “a top-down, patriarchal model,” Sommers added, putting clients in a vulnerable position emotionally, financially, medically, and more. Through the Enrichment Center and Strive Clinic, that model is upended, allowing clients “to have agency, to have a voice, to be able to say what they want and be able to say.”

 

Striving for Tomorrow

In supporting the program’s Healthcare Heroes nomination, Amy Timmins, vice president of Community Relations at ServiceNet, noted that “the partnership between ServiceNet, Springfield College, and the University of Massachusetts exemplifies the vision and innovation so central to the Pioneer Valley — where academic and healthcare programs are each strengthened by the other, for the benefit of those they serve. In working together, they have created an environment where new goals and possibilities are free to take hold every day.”

That they have, which is why Sommers sees potential for other collaborations; in fact, the clinical educators she’s worked with have also articulated as much because of the opportunities collaboration brings to the community.

Their next goal: “world domination,” Werner said with a laugh. Actually, she wants to continue to create more opportunities for people living with ABIs.

“In healthcare, it’s all about collaborating with other professionals, and Ellen has brought that to the top and forefront of what’s best for these clients,” Pappas said. “Without her vision and enthusiasm and ability to really work within and out of the system to make things happen, none of us would be here. So I am eternally grateful to her for what she’s given our students as opportunities and what she’s given to the clients on a daily basis.”

For finding and fostering the connections that not only help people with acquired brain injury, but cultivating the next generation of therapists, ServiceNet’s Enrichment Center and Strive Clinic, and its academic partners, are certainly worthy of being called Healthcare Heroes.

 

Kailey Houle can be reached at [email protected]

Healthcare Heroes

Division Chief, General Medicine and Community Health, Baystate Health

He Convened a Broad, Effective, Street-level Response to a Pandemic

Leah Martin Photography

 

From his years working at a VA hospital in Rhode Island to his more recent community-health role overseeing Baystate Health’s medical practices in Springfield, Dr. Paul Pirraglia has always seen himself as a problem solver.

“It’s gratifying to take care of a patient and get a problem solved, or at least controlled for them — when you can address a concern that is having an impact, not just around a health issue, but in a broader sort of way,” he said. “Take a patient who has diabetes. You can get their diabetes under control, but because food is such a huge part of diabetes, if you can actually get them access to good, nutritious foods, then it’s not just about the diabetes; it’s a life changer in a way.

“As medical professionals, we really want to make a difference in people’s lives,” he went on. “So it’s gratifying to be able to serve when there’s a substantive need.”

COVID-19 would certainly qualify.

Which is why Dr. Andrew Artenstein, Baystate’s chief physician executive, who spearheaded pandemic response throughout the system when COVID arrived early in 2020, asked Pirraglia and Dr. Jackie Spain, co-chief medical officer of Baystate’s BeHealthy ACO, to convene a workgroup to mitigate the impact of coronavirus on the most vulnerable patients in the community, particularly those with significant social needs.

“It was clear that traditionally underserved populations were going to get hit especially hard by this pandemic.”

The workgroup included representatives from Baystate Health and its four community health centers, Caring Health Center, the BeHealthy Partnership (a Medicaid accountable-care organization, or ACO, that includes Health New England as the insurer and Baystate Health and Caring Health Center as care sites), the Public Health Institute of Western Massachusetts, and University of Massachusetts Chan Medical School – Baystate.

The group looked at factors that could contribute to risk, such as low-income housing, where COVID cases were occurring, where ACO members lived, medical conditions were associated with worse COVID outcomes, as well as solutions such as access to pharmacies that home-deliver, food delivery, and transportation.

“On a personal level, I’m drawn to research: here’s a vexing problem; how do we solve it?” Pirraglia said, which is one reason this strategy resonated with him. “When Dr. Artenstein said we needed to do something, it was very, very early on, but it was clear that traditionally underserved populations were going to get hit especially hard by this pandemic. He said, ‘do what you need to do; I’ve got your back.’ So what Jackie and I did was convene a group which was not limited to just Baystate; we got all the leaders we needed.”

That included professionals from a wide range of offices at Baystate and beyond, from infection control to diagnostics and laboratory; from diversity, equity, and inclusion to community relations.

“We were able to pull together a multi-disciplinary group of folks who saw the importance of convening and doing this work,” Pirraglia said. “Despite the jobs they had and their schedules, we met on a weekly basis for many, many months in a row; attendance was phenomenal. That’s because people saw the need to do this.”

This Springfield Housing Authority testing event

This Springfield Housing Authority testing event was organized by the COVID mitigation team.

The goal was to figure out the needs of the Springfield population and communicate with them in a way that was meaningful, and the work progressed rapidly.

Initially, the workgroup explored ways to protect people who were at risk, trying to catch people who had not been infected and keep them from getting infected, while identifying who was infected and making sure those around them had protection. To aid in this effort, a grant from the Community Foundation of Western Massachusetts enabled community health workers (CHWs) to supply materials such as facemasks, portable pulse oximeters to measure blood-oxygen levels, and room dividers and air mattresses so families could quarantine within their own living spaces.

“We really broke into two groups, one group more patient-facing and another group more community-facing, and then continued to meet and engage and make sure there was good crosstalk back and forth between us,” Pirraglia told BusinessWest, while stressing the importance of communication early on.

“The communication was with the community and within all the different groups that were participating in this workgroup. But we were also communicating with our community health workers, the on-the-ground folks, the ones gathering the patient needs and delivering on those needs. And the communication, I have to say, was pretty robust, in large part because people were committed to making this happen.”

The group performed geographic analysis to determine where to focus its efforts, gathering information about patient conditions in various areas so they could inform the CHWs on the ground about which areas were riskiest and who needed help, he explained.

“I can’t emphasize enough how important our community health workers were in this work. We were the coaches, but they were the players; they were the ones on the field making this happen.”

“We had to prioritize what we were doing, so communication was paramount. At our Tuesday meetings every week, we’d say, ‘this is what the maps are showing, this is what we now about pharmacy deliveries, this is what we know about food deliveries, this is what we know about the ability to reach out to people.’ We needed to make sure all the different arms knew what the others were doing so we were able to work in concert.”

 

Mission Accepted

In nominating him for the Healthcare Heroes award in the Collaboration category, Michael Knapik, Baystate’s vice president of Government and Community Relations, noted that Pirraglia — an attending physician who sees some of the city’s most vulnerable patients at Baystate Mason Square Neighborhood Health Center and also a professor of Medicine at UMass Chan Medical School – Baystate who teaches residents at Baystate High Street Health Center and Baystate Brightwood Health Center — has always been mission-driven.

“This became especially important as the COVID pandemic snapped into sharp focus the inequities that have been occurring in healthcare,” Knapik said. “People who were already suffering due to inequities related to their vulnerabilities — socioeconomic, racial, ethnic, and identification factors as well as medical comorbidity all contributing — were now at highest risk from COVID-19 in terms of cases, hospitalizations, and death.”

But Pirraglia himself stressed multiple times during his interview with BusinessWest that he’s not the Healthcare Hero here, not really.

“I can’t emphasize enough how important our community health workers were in this work,” he said. “We were the coaches, but they were the players; they were the ones on the field making this happen. Based on priority lists that we made for them, they were able to reach out to patients and find out what their needs were. We created a needs assessment, and then the CHWs were the ones who came up with a contact-free delivery system. COVID mitigation isn’t their primary work, but they jumped in with both feet: ‘what do you need us to do?’ If you ask me, they’re the heroes.”

As the initial surge eased and vaccines became available early in 2021, the workgroup pivoted to that effort, as vaccination delivery to traditionally underserved groups has been a challenge in a state where early allocations from the federal government were deemed insufficient to supply both mass-vaccination sites and smaller providers, Knapik noted. The rollout through a state registration site put those without access to the internet, as well as transportation to such sites, at a disadvantage.

To address this, Baystate started to vaccinate patients age 75 and older from its community health centers in lockstep with the state’s phased rollout, with staff calling patients and inviting them to get vaccinated. In all, they were able to vaccinate 650 people over the course of six weeks, many of them individuals who would have had difficulty getting to any of the state sites. Meanwhile, the workgroup used a series of webinars and other outreach programs to communicate the importance and safety of vaccines.

Pirraglia and his team prepared a lengthy article for the International Journal for Equity in Health last year called “COVID-19 Mitigation for High-risk Populations in Springfield,” detailing the workgroup’s efforts. It concluded, “our highly intentional and methodical approach to patient and community outreach with a strong geographic component has led to fruitful efforts in COVID-19 mitigation. Our patient-level outreach engages our health centers’ clinical teams, particularly community health workers, and is providing the direct benefit of material and service resources for our at-risk patients and their families. Our community efforts leveraged existing relationships and created new partnerships that continue to inform us — healthcare entities, healthcare employees, and clinical teams — so that we can grow and learn in order to authentically build trust and engagement.”

That’s not to say the group couldn’t have done some things differently, Pirraglia said. “It’s difficult because we’re not in a setting where these entities would necessarily be meeting and collaborating. So there was probably more we could have done that was broader and more in concert.

“But I feel confident that, if another crisis came, we could convene another group, or at least use the methodology we used,” he continued. “Certainly, the community outreach and patient-oriented piece of it worked really well, and we’d probably carry that forward if we had another crisis. It really was, in my mind, highly effective.”

 

Mission Accomplished

As noted earlier, Pirraglia has always taken a mission-based approach to care.

“What I mean by that is we take care of a traditionally underserved population with a lot of social challenges in their life,” he told BusinessWest. “These are patients who have difficulty with travel, with food, with shelter, with a lot of other issues in their lives. So just being able to deliver care is more challenging because the patients oftentimes have these other contexts to deal with. Our work has been to try to deliver the best care we can to our patients despite some of the challenges they face.”

Throw in a pandemic, and … well, you can see why we consider the effort heroic, even though Pirraglia doesn’t consider himself a hero.

“It was a really gratifying experience to have people totally on point, using their expertise in trying to figure out this really scary problem,” he said. “We learned that you can be nimble, you can be collaborative, you can tackle a really complex problem. And when you’re working on a group like this and the communication is good, the sense of mission is good, and there’s clarity about where we’re going with it, great things can happen.”

 

Joseph Bednar can be reached at [email protected]

Healthcare Heroes

Health and Human Services Commissioner, City of Springfield

Public Health Has Become Her Life’s Work

Leah Martin Photography

When then-Mayor Michael Albano invited her to take on the considerable challenge of directing Springfield’s Health Department and Human Services Department as one entity and oversee that consolidation effort, Helen Caulton-Harris was caught somewhat off guard.

She didn’t know Albano, was not active in his campaign for the corner office, and was not expecting any invitations to join his administration.

So when the request came, she had to think about it for a while, but eventually said ‘yes.’ But certainly not with the expectation that 26 years and two mayors (including the current office holder, Domenic Sarno, who has had the job for 14 years) later, she would still have that title on her business card.

“I certainly didn’t see this as something that I would be doing two and half decades later,” she said, adding that she has stayed in this post for several reasons, but especially because she loves not only the work, but also her ability to make a real difference in the community, and also because there is still considerable work to do.

And there are always new and different challenges to meet, not the least of which is the COVID-19 pandemic, which has tested Caulton-Harris and her department in every way imaginable. It has also been a learning experience on many different levels, as we’ll see, and one that has provided some valuable lessons on how things can be done better and more efficiently.

“The way in which our public-health community has shifted because of the pandemic is that we’ve learned to work together,” she told BusinessWest. “We understood that we had to collaborate and coordinate, and that we must share information. We’re no longer working exclusively in silos; we are working across the public-health venue.

“The way in which our public-health community has shifted because of the pandemic is that we’ve learned to work together.”

“Every two weeks, we have a session with all of our partners to talk about our outreach, lessons learned, and best practices,” she went on. “So those things are part of what has happened as far as COVID-19 is concerned — our communication strategies have become more concrete.”

Caulton-Harris is the 2022 Healthcare Hero in the prestigious Lifetime Achievement category, and she has truly accomplished quite a bit in her career, especially this current chapter.

Overall, she has been an advocate, a true believer in the power of information — she preaches education — and a leader who has taken problems head on and achieved notable progress in areas ranging from teen pregnancy to infant mortality; from care for the homeless population to policies limiting smoking in public places; from substance-use disorders to violence prevention.

There are always new challenges, she said, adding that, today, there are many that she and her department are addressing as the landscape continues to change and evolve.

“Today, we’re dealing with the legalization of marijuana; cannabis is legal, but we still need to educate people about it,” she noted. “Also, gaming and problem gambling. We also have an opioid crisis, which is different than other substance-abuse matters because of fentanyl and the cheap way in which individuals are getting their products and how it escalates and has such an impact on our young people and our communities as well.”

Helen Caulton-Harris has tackled many different public-health issues

Helen Caulton-Harris has tackled many different public-health issues over the years, from teen pregnancy and infant mortality to violence, drugs, and HIV/AIDS. Leah Martin Photography

While there have been many accomplishments during her lengthy career, she considers the biggest to be the merger of the Health and Human Services departments into one entity.

“They should not be seen as separate — they flow together,” she said with clear conviction in her voice. “I describe public health as a social-justice movement rooted in science. And Human Services really is about social justice.”

For all that she has accomplished during her life and career, and for the manner in which she has worked to improve the health and well-being of all those living, working, and doing business in the City of Homes, Caulton-Harris is a true Healthcare Hero.

 

A Life’s Work

When asked if she misses the regular weekly press briefings that came to symbolize the early months of the pandemic, Caulton-Harris flashed a wide smile and said simply, “not really.”

Those briefings, which also featured Sarno; Dr. Mark Keroack, president and CEO of Baystate Health; and Dr. Robert Roose, chief administrative officer at Mercy Medical Center, were conducted to keep city residents informed about was happening and what to possibly expect next, and provide up-to-date statistics concerning cases, hospitalizations, deaths, and more.

She doesn’t miss them because they came to symbolize the very worst days of the pandemic in a city that was hit very hard by COVID. But also because, while Caulton-Harris, as noted, preaches the importance of information and education and still makes regular appearances on TV, she prefers not to be in front of the camera. Instead, she would rather be working behind the scenes, advocating of behalf of area residents and providing a voice for those who struggle to make to make their voice heard.

It has been that way since her early days in the broad realm of healthcare, working with women on the issue of reproductive health, a subject which has, to a large degree, come full circle with the recent Supreme Court vote to overturn Roe v. Wade (more on that later).

“I would talk to them about the choices as far as pregnancy, whether that was to continue the pregnancy, terminate, or adopt,” she said. “So very early on in my career, I became an advocate.”

Later, while working at what is now the Mason Square Neighborhood Health Center, she was influenced by several role models, especially African-American nurses, who showed her that there were career paths for young people like her.

“I got an opportunity to see what the possibilities were for my own career,” she said. “There were individuals from my community who were making a difference in the lives of others.”

“I did not believe it was going to go on for two and half years — we’re still dealing with the pandemic today. Early on, we thought it might be a month or two, but it continues to be a pervasive virus that we’re dealing with.”

In 1994, Caulton-Harris would become executive director of the Area Health Education Center at Springfield Technical Community College, one of six such facilities in the Commonwealth, a role that enabled her to work with young people who were interested in careers in healthcare.

“I got to mentor and nurture them in a way that was very special to me,” she said, adding that, while she was in that post, she was approached by Albano about being the first commissioner of the Department of Health and Human Services.

Recalling that conversation she had with the mayor about this opportunity that doubled as a stern challenge, she said it focused on why the departments should be merged and how that should be undertaken, but also how such a merger could help address the emerging health issues of that day.

And there were many of them, she recalled, citing a sky-high teen-pregnancy rate, an equally alarming infant-mortality rate, HIV/AIDS, violence, and drugs, among others.

And it was that conversation that prompted her to leave what was a good position and step into one that would be challenging on many levels but also one that would enable her to impact lives and make a difference in the community.

“I was not quite clear on the politics of the position,” she admitted. “For me, I filtered it with the fact that I really can make a difference in the city by putting policies in place that would stay as a foundation moving forward.”

And that is exactly what she has done.

 

Learning Experiences

While tackling the many challenges that impact health, Caulton-Harris and other city leaders were confronted by the pandemic, which in some ways defines her career, but also sums up her straight-on approach to issues affecting the public.

“The pandemic was something that I was not prepared for and could not have foreseen as something that I would have to deal with,” she told BusinessWest. “I don’t think anyone thought we’d be dealing with a pandemic like we did in 1918, but here we are, 100 years later, dealing with a global pandemic that was devastating the world.

“Very early on, it was clear that this was devastating — our hospitals were overrun with COVID patients; our community was devastated. The Black and Brown communities in the city of Springfield probably got hit the hardest in terms of livelihood and being able to work, so we knew that staying home from some jobs simply wasn’t an option for some people. So it was all-consuming; I lived COVID-19 education every day, and I continue to do that.”

The seriousness of the virus was one issue, Caulton-Harris went on, adding that the degree of difficulty in coping with the situation was compounded by information from state and federal agencies that was often lacking, inconsistent, and at times quite confusing.

“In the early part of the pandemic, we were told that masks were not necessary, and then we were told we needed to mask up,” she recalled. “We did not have vaccines, so education and working with the public became critical. It was my lived public-health experience that enabled me to take on the pandemic. I did not believe it was going to go on for two and half years — we’re still dealing with the pandemic today. Early on, we thought it might be a month or two, but it continues to be a pervasive virus that we’re dealing with.”

As she noted, the COVID experience, if you will, has generated improvement in how those involved in matters of public health communicate, collaborate, and work together to serve the community.

As an example, she cited the work of a collective that came to be known as the ‘VAX FORCE.’

“This was a combination of physicians, community members, researchers … there were 15 individuals who were appointed by Mayor Sarno to be part of this VAX FORCE,” she recalled. “We met to put strategies in place to be able to work with the public, and that manifested itself in vaccination clinics that we had in the North End, the South End, Mason Square, Indian Orchard, and other neighborhoods. We were very intentional about the fact that we had to meet people where they were, and we used all of the expertise of the individuals on the VAX FORCE to come up with a strategy to market and make sure we were hitting all the various communities that we needed to hit.

“That, to me, was a very important strategy, and one that we put together in a way that was different than what we would have done had we not experienced the pandemic,” she went on, adding that this will be the blueprint for how to do things moving forward.

 

The Next Chapter

When asked what might come next for her as she nears retirement age, Caulton-Harris opted to borrow some words used recently by tennis star Serena Williams, who eschewed the term ‘retirement,’ and instead said that she will be ‘transitioning,’ or ‘evolving.’

Caulton-Harris said she will likely be doing some of the same, noting she is working on a book, a personal history of sorts, that she started maybe a decade ago.

“It’s going to be about the journey that I’ve had, from the public-health perspective, but also the personal side,” she said. “I think it’s important to be able to talk about the experiences and let people know the human side of who we are.”

Some would say she’s already written the book, the one about how to be a true leader in public health and make a difference in the community. The one about how to be a Healthcare Hero.

 

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

Opinion

Editorial

 

In 2017, BusinessWest and its sister publication, the Healthcare News, launched a new recognition program called Healthcare Heroes. In the early going, there were some questions among those seeking to nominate people and organizations about just how that word ‘hero’ was defined.

We told people then, and we tell them now, that ‘hero’ can be defined many different ways, but within the broad spectrum of healthcare, it traditionally denotes someone, some group, or some organization that is changing lives — and in a very positive way.

And, working with this basic definition, we have celebrated dozens of heroes over the past five years, with each story being different and each one touching on the many different ways those in healthcare touch our lives, bring passion, as in passion, to their work, and, yes, change lives.

And the class of 2022 is no exception, as the stories make clear. This class is defined by special people, always working in cooperation and collaboration with others, to improve quality of life for people in this region. It includes:

• Helen Caulton-Harris, the hero in the Lifetime Achievement category, who is being recognized for her life’s work, especially as commissioner of Health and Human Services for the city of Springfield, to educate people, advocate on their behalf, and create policy that will change and improve the general wellness of the community;

• Mark Paglia, COO of MiraVista Behavioral Health Center, the hero in the Administration category, who not only opened that facility in the middle of a pandemic and amid a host of other challenges, but has established himself as a strong leader who empowers his team members and gives them the tools they need to succeed;

• Dr. Phillip Glynn, director of Medical Oncology at Mercy Medical Center, who could be the honoree in many categories, but is the 2022 hero in the Provider category for his work to balance science and humanity, guide his patients through a difficult journey, and make sure their voices are heard;

• Dr. Sundeep Shukla, chief of the Department of Emergency Medicine at Baystate Noble Hospital, who is being honored as the 2022 Emerging Leader hero for his tireless work to not only care for patients, but make the ER an effective safety net and efficient asset — for the hospital and the community;

• The Addiction Consult Service at Holyoke Medical Center, the hero in the Community Health category, which was created as a means to help stem the rising tide of opioid overdoses in the region and offer help and hope to those it touches, especially hope that they can bring change to their lives;

• The Elaine Marieb Center for Nursing and Engineering Innovation, a program at UMass Amherst being honored in (of course) the Innovation category, for bringing together two distinct disciplines in a way that makes perfect sense, and already finding success researching ways to improve patient care through better technology;

• Dr. Paul Pirraglia, division chief of General Medicine and Community Health at Baystate Health, who convened a broad, multi-organization response to the arrival of COVID-19 in 2020 that delivered critical protection, communication, and resources to an often-underserved population, earning one of two awards this year in the Collaboration category; and

• ServiceNet’s Enrichment Center and Strive Clinic and its partners at Springfield College and UMass Amherst, this year’s other Collaboration heroes, for fostering connections that not only serve people with acquired brain injury, but, through hands-on education, are actively developing the next generation of therapists.

It’s an impressive class, all more than worthy of being called Healthcare Heroes.

Daily News

SPRINGFIELD — In the spring of 2017, BusinessWest and its sister publication, the Healthcare News, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2022 are due July 30, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;
• Health/Wellness Administrator/Administration;
• Emerging Leader;
• Community Health;
• Innovation in Health/Wellness;
• Collaboration in Health/Wellness; and
• Lifetime Achievement.

Nominations can be submitted by clicking here. For more information, call Melissa Hallock, Marketing and Events Director, at (413) 781-8600, ext. 100, or email [email protected].

Daily News

SPRINGFIELD — In the spring of 2017, BusinessWest and its sister publication, the Healthcare News, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2022 are due July 30, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;
• Health/Wellness Administrator/Administration;
• Emerging Leader;
• Community Health;
• Innovation in Health/Wellness;
• Collaboration in Health/Wellness; and
• Lifetime Achievement.

Nominations can be submitted by clicking here. For more information, call Melissa Hallock, Marketing and Events Director, at (413) 781-8600, ext. 100, or email [email protected].

Daily News

SPRINGFIELD — In the spring of 2017, BusinessWest and its sister publication, the Healthcare News, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2022 are due July 30, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;
• Health/Wellness Administrator/Administration;
• Emerging Leader;
• Community Health;
• Innovation in Health/Wellness;
• Collaboration in Health/Wellness; and
• Lifetime Achievement.

Nominations can be submitted by clicking here. For more information, call Melissa Hallock, Marketing and Events Director, at (413) 781-8600, ext. 100, or email [email protected].

Daily News

SPRINGFIELD In the spring of 2017, BusinessWest and its sister publication, the Healthcare News, created a new and exciting recognition program called Healthcare Heroes.


It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.


But
there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2022 are due July 30, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

Patient/Resident/Client Care Provider;

Health/Wellness Administrator/Administration;

Emerging Leader;

Community Health;

Innovation in Health/Wellness;

Collaboration in Health/Wellness; and

Lifetime Achievement.

Nominations can be submitted by clicking here. For more information, call Melissa Hallock, Marketing and Events Director, at (413) 781-8600, ext. 100, or email [email protected].

Daily News

SPRINGFIELD — In the spring of 2017, BusinessWest and its sister publication, the Healthcare News, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2022 are due July 30, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;
• Health/Wellness Administrator/Administration;
• Emerging Leader;
• Community Health;
• Innovation in Health/Wellness;
• Collaboration in Health/Wellness; and
• Lifetime Achievement.

Nominations can be submitted by clicking here. For more information, call Melissa Hallock, Marketing and Events Director, at (413) 781-8600, ext. 100, or email [email protected].

Daily News

SPRINGFIELDBusinessWest magazine and the Healthcare News will honor eight individuals and groups as Healthcare Heroes for 2021 at a celebration dinner tonight, Oct. 21, at the Log Cabin Banquet and Meeting House in Holyoke.

The award was created in 2017 to recognize those whose contributions to the health and well-being of this region, while known to some, needed to become known to all. Over the past five years, the initiative has more than succeeded in its quest to identify true leaders — not to mention inspiring stories — within this region’s large and very important healthcare sector.

The Healthcare Heroes for 2021, and the categories they represent, include:

• James Goodwin, president and CEO of the Center for Human Development (Lifetime Achievement);

• Dr. Sarah Haessler, hospital epidemiologist at Baystate Medical Center and vice chair for Clinical Affairs in the Department of Medicine at Baystate Health (Emerging Leader);

• Beth Cardillo, executive director of Armbrook Village (Community Health);

• Richard Johnson, Counseling and Testing Prevention and Education Program director at New North Citizens Council Inc. (Community Health);

• Dr. Louis J. DeCaro, podiatrist and owner of DeCaro Total Foot Care Center (Provider);

• Dr. Alicia Ross, medical director of Holyoke VNA Hospice Life Care (Administrator);

• J. Aleah Nesteby, former director of LGBTQ Services at Cooley Dickinson Hospital (Innovation); and

• Doorway to an Accessible, Safe and Healthy Home (Collaboration).

The Healthcare Heroes program is being sponsored by presenting sponsors Elms College and Baystate Health/Health New England, and partner sponsor Trinity Health Of New England/Mercy Medical Center.

Cover Story Event Galleries Healthcare Heroes Special Coverage

We celebrated our 2021 Healthcare Heroes on Thursday, Oct. 21 at the Log Cabin in Holyoke.

View the 2021 Healthcare Heroes Program Guide HERE

This year’s Healthcare Heroes program was  sponsored by: presenting sponsors Elms College and Baystate Health/Health New England, and partner sponsor Trinity Health Of New England/Mercy Medical Center.

Watch the Thursday, Oct. 21 Healthcare Heroes Event HERE!

Presenting Sponsors

Partner Sponsors

Healthcare Heroes

Collaboration In Health/Wellness

Collaborators in DASHH include Revitalize CDC, Baystate Health, Health New England, the BeHealthy Partnership, Holyoke Medical Center, the Public Health Institute of Western Massachusetts, the Pioneer Valley Asthma Coalition, and the Green & Healthy Homes Initiative.

This Coalition Keeps People Healthy in Ways Its Partners Couldn’t Achieve Alone

If there’s anyone who understands the impact of asthma in Greater Springfield, it’s Sarita Hudson.

Specifically, as director of programs and development for the Public Health Institute of Western Massachusetts and manager of the Pioneer Valley Asthma Coalition, she understands the connections between one’s physical environment and health — and the factors that have consistently placed Springfield high on lists of riskiest places to live with asthma. But even the Asthma Coalition has its limits.

“We had been doing asthma interventions, working with community health workers, working with clients, doing education, helping them identify triggers,” she said. “But it’s not enough if we can’t actually fix anything in the home.”

Meanwhile, as vice president of Public Health for Baystate Health, Frank Robinson understands the many ways the system’s community health programs and providers promote preventive health and wellness.

“We had been doing asthma interventions, working with community health workers, working with clients, doing education, helping them identify triggers. But it’s not enough if we can’t actually fix anything in the home.”

Still, “Baystate would never be going out and creating healthy homes by doing environmental changes and mitigations,” he explained. “That is not the work of the healthcare system. To be aligned with someone who does that work and gets the health implications and health impacts is perfect, though — it makes a perfect marriage.”

That organization would be Revitalize Community Development Corp. (CDC), which does have a long history of making critical repairs, modifications, and rehabilitation on the homes of low-income families with children, military veterans, the elderly, and people with disabilities.

When these three organizations started talking — about asthma and other issues — they were intrigued by what they might accomplish by working together, said Revitalize CDC President and CEO Colleen Loveless.

“We’d been doing some of this work — mold remediation, pest control — but hadn’t formalized the process in collaboration with insurance companies and the healthcare system,” she told BusinessWest.

Now, thanks to a collaboration called Doorway to an Accessible, Safe and Healthy Home (DASHH), these three organizations are not only identifying families in need of intervention for environmental health issues, and not just educating them on lifestyle changes, but actually making the necessary physical changes to their homes.

“We started talking, and we applied for a technical-assistance grant from the Green & Healthy Homes Initiative in Baltimore. They’ve been doing this work for decades,” Loveless explained. “We were one of five sites awarded that technical-assistance grant.”

Baystate followed with a capacity-building grant, other state grants followed, and DASHH was in business. Since its beginning in 2015, the program has served 130 households with asthma remediation and education, as well as 101 households for age-in-place modifications. Last year, it launched a COVID-19 response project (more on that later), impacting more than 1,550 households and approximately 6,881 individuals.

“It’s a business model that shows that, by intervening and creating healthy homes through environmental remediation, removing asthma triggers, and improving the physical environment, we could reduce asthma incidence in high-risk populations,” Robinson said.

Families referred by Baystate for environmental interventions receive three to five visits to conduct testing, at the start and end of the process, and provide education on how to keep the home clean and safe. If needed, Revitalize CDC brings in services ranging from air-duct cleaning to mold remediation; from pest control to floor covering and replacement, and also provides air purifiers, HEPA vacuums, and cleaning supplies.

By partnering with health-centric organizations, Colleen Loveless (center) and Revitalize CDC was able to infuse its home-rehab efforts with a focus on wellness.

By partnering with health-centric organizations, Colleen Loveless (center) and Revitalize CDC were able to infuse home-rehab efforts with a focus on wellness.

“The goal is to keep people from having to access primary care or the emergency room, and not miss school or work,” Loveless said. “Asthma has such a ripple effect.”

 

Better Together

The initial goal of DASHH was to help older people by improving their housing conditions related to asthma and falls, most notably by providing home assessments and home repairs to help them stay healthy and age in place. Breaking down this enterprise that has earned the title of Healthcare Hero for 2021 in the Collaboration category, the individual honorees are:

• Revitalize CDC; which performs assessments and interventions for adults and children with asthma and COPD and makes safety modifications and aging-in-place improvements so seniors may safely remain in their home;

• The Public Health Institute of Western Massachusetts, which provides support on asthma issues; measurement evaluation; support and coordination for referrals, education, and outreach; coordination and support for asthma home-visiting services; and technical assistance and support, as well as providing materials and services in Spanish;

• Baystate Health and the BeHealthy Partnership (a MassHealth accountable-care partnership plan option made up of the Baystate Health Care Alliance and Health New England), which provide referrals to DASHH through five health centers: Baystate General Pediatrics at High Street, Brightwood Health Center, Caring Health Center, High Street Health Center Adult Medicine, and Mason Square Neighborhood Health Center; and

• The Green & Healthy Homes Initiative, a national network that provides technical assistance on planning, database services, and access to best-practice strategies. The organization worked with the other partners on feasibility studies to come up with ways to fund interventions in the home and determine how those efforts might impact healthcare costs and decrease healthcare utilizations regionally.

After its initial success with Baystate, Revitalize CDC expanded its service area in 2019 to begin collaborating with Holyoke Medical Center and its team of community health workers and navigators. To boost such efforts, the city of Holyoke recently awarded Revitalize CDC’s Healthy Homes Program $100,000 from American Rescue Plan Act funds.

DASHH serves low-income families in Hampden County, which ranks last among the Commonwealth’s 14 counties for health outcomes and health factors for racial/ethnic groups. Springfield had been the asthma capital of the U.S., according to the Asthma and Allergy Foundation, until 2019, and now ranks 12th — still not the most desirable ranking, but an improvement, to be sure.

“You talk to the families, and you see that this is the kind of impact that changes their health,” Hudson said of DASHH’s efforts. “It means they can breathe easier and get the supplies they need.”

For instance, in some cases, “the ventilation ducts have never been cleaned, and every time the heat comes on, they have an asthma attack. Now they’re clean, and it doesn’t happen,” she went on. “Some of these are small, simple repairs.”

This issue has been important to Hudson for a long time, through the Pioneer Valley Asthma Coalition, which was formed 15 years ago to address childhood asthma by improving medical and self-management of the condition, as well as by reducing environmental triggers.

The coalition focuses on outdoor air pollution and indoor air quality and has successfully advocated for new policies, including statewide regulations to prohibit tobacco sales to those under 21; green cleaning policies and procedures adopted by Holyoke Public Schools; an ordinance against burning construction and demolition debris; and asthma protocols and an idle-free vehicle policy adopted by Springfield Public Schools, among many other successes.

It’s work — not just the physical interventions, but education of homeowners, landlords, and primary-care physicians — that should be happening on a wider scale, Hudson said, not just in homes, but in schools and other older buildings where people gather.

“We really see a lot of our housing stock as old, with deferred maintenance, including so much of our rental housing. That’s why we are pleased to see more funding around whole-house renovations.”

 

Quick Pivot

Last year, the DASHH coalition began supporting patients at risk of contracting COVID-19 by providing them with essential supplies and access to nutritious food at home. It made contactless deliveries that also included COVID-prevention supplies, including disinfectants, microfiber cleaning cloths, cleaning gloves, dish detergent, food-storage containers, hand soap, disinfectant wipes, paper towels, and food from local pantries.

“These are people who were quarantining, and we were providing them with cleaning supplies, hand sanitizer, and facemasks — and we found many were food-insecure, so they were provided food from local food pantries,” Loveless said. “The whole DASHH program just expanded from asthma to COVID, and we’re still seeing it now.”

Meanwhile, she’s excited about seeing the coalition continue its broader work — and those regional asthma statistics improve further.

“It’s been a really, really great partnership. It’s a win-win situation — the healthcare system saves money, we’re serving more low-income families in need, and patients are healthier. So it’s really a win-win-win.”

Robinson agrees. “I think the role of Revitalize and other housing providers that understand these issues have made a difference — and make healthcare providers’ jobs much easier,” he said. “They have been instrumental partners in creating safe and healthy houses for older adults as well as creating healthy homes for folks with respiratory diseases, asthma in particular.”

The work is both deeply collaborative and, dare we say, heroic.

“I’m so appreciative,” Loveless said. “Together, we’re able to serve more people in need.”

 

Joseph Bednar can be reached at [email protected]

Healthcare Heroes

Innovation In Health/Wellness

Director of LGBTQ Services, Cooley Dickinson Hospital

J. Aleah Nesteby

J. Aleah Nesteby

She Pioneered Appropriate Care for a Population That Sometimes Lacks It

By Mark Morris

Healthcare was Aleah Nesteby’s second career goal.

“My first career goal was to be a standup comic, but I eventually realized I didn’t have the stomach for all the rejection that involved,” she said.

As it turned out, comedy’s loss was healthcare’s gain. For the past several years, she has been a family nurse practitioner and director of LGBTQ Health Services at Cooley Dickinson Health Care — and is now beginning a new career at Transhealth Northampton.

In doing so, she will continue her pioneering work providing culturally sensitive healthcare for often-marginalized populations — work that many health organizations have since adopted, long after Nesteby became an early pioneer in this region — and a true Healthcare Hero.

“I thought, if my friends can’t access good care in San Francisco, is there anywhere they can? I also thought, well, I could do that.”

According to the Centers for Disease Control and Prevention, members of the LGBTQ community face an increased risk of health threats due to discrimination and stigma. In her role with Cooley Dickinson, Nesteby has worked to bring more equity and compassion to healthcare for the LGBTQ community. As a practitioner, she has maintained a patient panel of about 500 people, many of whom are transgender.

It’s a passion that predates her medical career, to be sure. Since college, Nesteby has had an interest in healthcare among marginalized populations, but at the time, care focused specifically on LGBTQ people didn’t exist. In the early 2000s, while in San Francisco, she learned that some of her LGBTQ friends were not able to access healthcare.

“I thought, if my friends can’t access good care in San Francisco, is there anywhere they can?” she said. “I also thought, well, I could do that.”

So she did. And for her years of cutting-edge advocacy for this broad and sometimes misunderstood population, Nesteby certainly merits recognition in the category of Innovation in Healthcare.

 

Training Ground

In addition to treating patients, Nesteby’s responsibilities include training providers and staff on how to make medical facilities more welcoming and inclusive.

Much of the training I would call LGBTQ 101,” she said. “It’s a discussion on how to treat people respectfully and how to engage them in language they would like you to use.”

After years of pioneering work at Cooley Dickinson, Aleah Nesteby is taking her passion and talents to Transhealth Northampton.

After years of pioneering work at Cooley Dickinson, Aleah Nesteby is taking her passion and talents to Transhealth Northampton.

One common question — she’s heard it countless times — challenges why LGBTQ patients should be treated differently than anyone else. She explains that everyone has unconscious biases that play into their decisions about treatment for people.

“I try to help providers understand that, even though they think they are treating everyone the same, some of what they are saying isn’t being received by the patient in the way it might have been intended.”

For instance, microaggressions are a common issue — those backhanded compliments and minor comments that might not be insults, per se, but add up in a negative way to the person who hears them. A gay or lesbian person might be told, “I couldn’t tell whether you were gay or straight,” and a transgender person might be asked what their old name was.

“It’s these low-level, unpleasant interactions that many medical folks aren’t even aware they are doing,” Nesteby said, emphasizing that training should include all employees in the medical setting, not just direct care providers. For example, a visitor to the doctor’s office typically first speaks with someone on the front desk, then a medical assistant or nurse, and, finally, with the physician or nurse practitioner.

“Even when all the providers are trained and great to be around, if the staff aren’t trained, it can still be a negative experience for some,” she explained.

Nesteby also helps providers with more detailed training that addresses health issues specific to the LGBTQ community, such as hormone therapy for transgender adults and working with transgender children.

“I’ve also trained doctors on PrEP, a pre-exposure prophylaxis for HIV,” she said. “It’s a medication people can take before being exposed to HIV to help prevent transmission.”

In some ways, Nesteby has always been an LGBTQ trainer. She was studying to be a nurse practitioner back when the transgender health movement — commonly called trans health — was just beginning. Because it wasn’t included in the curriculum, she invited a lecturer to speak to her class about trans health.

“In the beginning, there were lots of things to learn and new ground to break,” she recalled.

Nesteby is now in demand as a speaker at conferences around the country, though her appearances during the pandemic have been virtual. She also participates in TransLine, an internet-based consultation service. “People can e-mail their questions about trans health to volunteers like me, and we answer them as they come in.”

As she became established and word got out that her practice included trans health, patients would travel from hundreds of miles away just to be seen by Nesteby. However, “as trans health has become a more accessible field and more providers have become comfortable with it, there’s less need for people to travel long distances.”

 

Continuing the Conversation

Reflecting on her work with Cooley Dickinson gives Nesteby a great deal of satisfaction. From training medical staff to policies to make the hospital more inclusive, she appreciates all the progress that’s been made so far.

“While there is still work to be done, there has been a cultural shift in Massachusetts on how we view our LGBTQ patients,” she noted.

Jeff Harness, director of Community Health and Government Relations for Cooley Dickinson, called Nesteby’s work critically important to the LGBTQ community.

“It is rare to find a primary-care provider who understands the unique health and social needs of LGBTQ patients,” Harness said. “It’s exceedingly rare to fine one who is so skilled, passionate, and caring.”

This month, Nesteby is leaving Cooley Dickinson to join Transhealth Northampton, a clinic that provides primary care for children and adults. Her role will be similar to her current one in providing primary care and hormone management for her patients. In her new position, she will continue to educate clinicians and will also focus on educating the general public about working with the LGBTQ community.

“I’m an advocate of asking people how they want to be addressed and what pronouns they use,” she said. adding that people often get nervous they might offend if they ask, but the conversation has to start somewhere. “If you are respectful and polite, people will usually respond in kind. They only get upset when someone is rude or asking for information that is gratuitous or not needed.”

In general, Nesteby would like to see a more welcoming and affirming atmosphere in medicine.

“Ideally, I’d like all providers to have some degree of knowledge about how to work with LGBTQ patients because within that there is more opportunity for people to specialize in that care.”

Harness credited Nesteby with making positive changes in the system while always providing excellent care to the person in front of her. “Aleah has improved her patients’ sense of well-being by showing them their medical provider cares about, understands, and welcomes them,” he said.

In her eyes, though, showing compassion is similar some ways to the old adage about a rising tide lifting all boats.

“If we are more open and understanding to folks in one group,” she said, “we tend to be more open and understanding to everyone — and that helps all of us.”

Healthcare Heroes

Health/Wellness Administrator

Medical Director, Holyoke VNA Hospice Life Care

Alicia Ross

Alicia Ross

This Administrator Has Been a Pioneer, a Mentor, and an Inspiration

By Mark Morris

Growing up in the Philippines, Alicia Ross always hoped to become a doctor. Her father, a dentist, had other plans and wanted his daughter to take over his practice.

“I didn’t want to go into dentistry, so I went into medicine,” Ross recalled. Shortly after graduating from Manila Central University and passing her medical boards, she emigrated to the U.S.

In 1971, Ross joined the staff of Holyoke Medical Center, specializing in hematology and oncology. At the time, she worked with cancer patients, with the single goal of healing them. But for patients with advanced cancers, doctors can often reach a point where there are no more treatment options. Ross understood those patients needed something else.

“It’s huge for the patient to be reassured they’ve done all they can do to fight their illness. It’s also just as important for family members because they will remember this for the rest of their lives.”

“We had to refocus our goal,” she said. “For those cases, instead of a cure, we would instead work toward comfort measures for the end of life and do our best to ease their pain.”

So began what could be called a new career for Ross, or at least a new, exhilarating, and rewarding chapter in a remarkable — and ongoing — career. In 1991, she would become the founding medical director of Holyoke VNA Hospice Life Care.

Over the past 30 years, she has changed countless lives, and not just those who come under her care. Indeed, as an administrator, she has been a leader, a mentor, and an inspiration to those she has worked with, primarily by challenging them to continuously find ways to bring comfort and, yes, quality of life to those in hospice care.

“Someone referred to Dr. Ross as a ‘pioneer,’ and I think that is a very apt term for her,” said Maureen Groden, director of Hospice and Palliative Care, adding that Ross has changed the way many think when they hear that word ‘hospice,’ and she has spent her career educating and innovating.

Alicia Ross says many people recoil at the idea of hospice without realizing what a benefit it can be.

Alicia Ross says many people recoil at the idea of hospice without realizing what a benefit it can be.

Jennifer Martin, director of Operations and IT for Holyoke VNA Hospice Life Care, agreed.

“As medical director, Dr. Ross has always been our go-to; she is the backbone of the hospice program,” she said. “In our weekly team meetings, she goes above and beyond to make sure we provide the absolute best care for every patient and every situation.”

Those sentiments certainly help explain why Ross has been named a Healthcare Hero for 2021 in the always-competitive Administration category. Over the years, that honor has gone to those who don’t simply manage, but lead; those who not only care for those in need, but inspire others to reach higher and find ways to continually improve that care.

Ross certainly continues that tradition.

 

Life-changing Decisions

Getting back to that word ‘pioneer,’ it is used to describe those who break new ground and blaze a trail for those who would follow.

As Groden said, that term suits Ross because of the way she studied hospice care and adopted best practices, but also because she sought to keep raising the bar in all aspects of this field of healthcare.

Turning back the clock to the late ’80s, Ross said she traveled to England to study under Dr. Cicely Saunders, considered the founder of the modern hospice movement.

“Before we started our hospice services in Holyoke, I went to England to better understand how they did it,” she told BusinessWest. While she worked primarily with the doctor’s staff, Ross also met with and learned from Saunders herself.

Ross turned her knowledge into action in 1990, joining others in creating Holyoke VNA Hospice Life Care. They did so, she said, with a simple philosophy: that “dying is a part of living.”

With hospice care, it’s possible to bring dignity and acceptance to patients and families when they are making difficult decisions about end-of-life care. But it is never an easy conversation.

“We still see patients who have a strong negative reaction to the word ‘hospice,’” Ross said, adding that this is unfortunate because people who could benefit from hospice care are not always referred early enough to enable them to gain some benefit from it.

“In addition to nurses who provide pain relief, hospice also offers other services to make a person’s last days more comfortable,” she noted. “Home health aides, chaplains, social workers, even volunteers can all bring comfort to the patient.”

No matter what faith a person follows, she added, the chaplain’s role is part of providing comfort and pain relief. “During this time, many patients have emotional and spiritual pain. When the chaplain can reduce some of that emotional pain, it also eases some of the physical pain.”

Volunteers also play an important role. While COVID restrictions have curtailed in-person visits to patients, volunteers also make an important contribution in providing comfort.

“We try to match volunteers to the patient,” Ross said. “For example, if the patient is a veteran, our volunteer is a veteran.” By aligning interests, the volunteer becomes a welcome face and often develops a friendship with the patient.

Administering medicine is an important part of hospice, but there are often non-medical ways to ease a patient’s pain. Ross gave an example of how a patient with lung disease will regularly experience shortness of breath.

“While morphine is a good treatment, oxygen is too, so a fan blowing in the room can be very effective,” she said, adding that anxiety also contributes to difficulty in breathing. “Many patients feel they are burdening their family, so we work on lessening their stress and anxiety to help them understand they are not a burden on their family.”

According to Groden, family members often struggle and wonder if they’ve done the right thing in referring a loved one to hospice. She said Ross approaches that conversation by reassuring the family that, at this point in time, additional treatments would actually cause more harm than good, and that hospice is the most compassionate approach.

“It’s huge for the patient to be reassured they’ve done all they can do to fight their illness,” Groden said. “It’s also just as important for family members because they will remember this for the rest of their lives.”

While modern medicine can extend people’s lives, many still need hospice in their later years. Ross also pointed out that hospice is not just for the elderly. “We have a lot of illnesses that can affect relatively younger people, like Lou Gehrig’s disease, early-onset dementia, and, of course, cancer, which affects people at all ages.”

No matter the age, she noted, the goal of Hospice Life Care remains the same. “Our main purpose is to give patients comfort through the end of life, to make them as comfortable as possible, and treat their symptoms so they don’t suffer.”

After 50 years at Holyoke Medical Center, 30 of which were at Hospice Life Care, Ross has certainly seen many changes in healthcare. She listed electronic medical records and advancements in medication as two of the most significant.

While many physicians choose to retire rather than confront new technology, she took time to learn electronic medical records and embraced the advances in both technology and medicine. Her colleagues say she never misses a beat, one of the reasons she’s an effective leader and healthcare provider.

At the urging of her husband, Ross had planned to retire by 2015. But when he became ill in 2014 and passed away quickly, she decided to continue her work.

“I thought if I retired, I would only sit around the house and mourn, so a better choice was to keep working,” she said, adding that, with each life she impacts, she embraces that decision.

 

A True Leader

Martin observed that Holyoke VNA Hospice Life Care admits approximately 275 patients to hospice each year.

“When you multiply that number times 30 years, it gives you an idea of just how many lives Dr. Ross has touched,” she said, adding that her lasting impact is measured not in numbers, but in words, especially those used by family members of patients to describe the compassionate care they received.

Those words convey many things, including just how much of a pioneer she has been throughout her career, and how she has convinced so many that dying really is a part of living.

Mostly, though, they convey that she is a true Healthcare Hero.

 

Healthcare Heroes

Emerging Leader

Hospital Epidemiologist, Baystate Medical Center; Vice Chair for Clinical Affairs, Department of Medicine, Baystate Health

Dr. Sarah Haessler

Dr. Sarah Haessler

She ‘Stands on a Wall Between the Community and Infectious Diseases’

Dr. Sarah Haessler has already been honored as a Healthcare Hero. Actually, a ‘Healthcare Superhero,’ to be more precise.

That was the unofficial title bestowed upon 76 fully vaccinated healthcare workers from across New England who attended the Super Bowl last February as guests of New England Patriots owner Robert Kraft. The group flew down on the Patriots’ team plane and got to see Tom Brady win his seventh Super Bowl — and promote vaccination while they were at it.

Haessler, hospital epidemiologist at Baystate Medical Center and vice chair for Clinical Affairs in the Department of Medicine at Baystate Health, was one of three from this region to be so honored; she was joined by Baystate colleague Stephen Boyle Sr., senior director of Hospitality; and Cherie Rodriguez, a respiratory therapist at Mercy Medical Center.

Haessler has many memories from that day, with only some of them involving the action on the field.

“It was the quintessential American experience,” she recalled, noting that healthcare workers from across the country were recognized at the game. “It was big. Everything about it was big. The music was loud, there were fireworks for everything, there were military flyovers, the jumbo screens had the president on them … America doesn’t do anything small. This was very big and very American.”

“Her role is to stand watch on the wall between our patients, our team members, our community, and the infectious agents that threaten their health. And she has successfully done this for more than a decade, not only in the face of a global pandemic the likes of which we have not experienced for more than 100 years, but every day of the year. Because in healthcare, those threats never cease.”

Haessler said pairs of tickets to the game were made available to various hospitals, and she was chosen by officials at Baystate to attend; she’s not sure how or why.

Matters are a little more clear when it comes to her being chosen as the winner in the intensely competitive Emerging Leader category for BusinessWest’s Healthcare Heroes awards. She has been chosen in large part for her many efforts to prepare those at Baystate for what was coming in early 2020 and for her ongoing work throughout the pandemic to plan, educate, and help carry out all the operations of a hospital during extraordinary circumstances. But there is certainly more to the story. Indeed, COVID-19 wasn’t her first experience with a highly infectious disease, and she acknowledged, with some resignation born from experience in her voice, that it won’t be her last.

Meanwhile, she has taken on more leadership roles over the years, serving as interim chief medical officer at Baystate Noble Hospital and currently sitting on the board of the Society of Healthcare Epidemiologists of America.

Her work in her chosen field, and her status as an emerging leader in Western Mass. and beyond, is best summed up by Dr. Andrew Artenstein, chief physician executive and chief academic officer, incident commander, COVID-19 Response, at Baystate Health, who nominated her for this honor.

“Her role is to stand watch on the wall between our patients, our team members, our community, and the infectious agents that threaten their health,” he wrote. “And she has successfully done this for more than a decade, not only in the face of a global pandemic the likes of which we have not experienced for more than 100 years, but every day of the year. Because in healthcare, those threats never cease.”

In a candid interview, Haessler talked about that harsh reality, her work at Baystate, her chosen career in epidemiology, and the many kinds of rewards that come with it.

 

At the Top of Her Game

When asked how she chose epidemiology as a specialty, Haessler started by saying that, during her residency at Dartmouth, she was interested — make that fascinated — by all aspects of medicine. It soon became clear to her that she needed to pick something broad that would cross all other specialties.

“When I sat down to pick one, I ultimately decided that the specialty where the cases that kept me up late or got me up early in the morning to learn more and read more and try to figure out what was wrong with this person — these puzzles — were the cases that were most interesting to me, and the most satisfying and challenging. And that was infectious disease,” she told BusinessWest.

Dr. Sarah Haessler was one of many ‘Healthcare Superheroes’

Dr. Sarah Haessler was one of many ‘Healthcare Superheroes’ in attendance at last February’s Super Bowl in Tampa.

“I’ve never looked back — I’ve always loved it,” she went on, adding that, in this field, she does get to interact with specialists of all kinds. “It’s been an interesting career — I’ve never been bored. And the other thing about it is that it just keeps moving. I’m a high-energy person — I keep moving — so it suits me very well.”

Things were certainly moving in the latter days of 2019, said Haessler, noting that the information coming to her from hospital epidemiologists in China, and later the state of Washington, made it clear that something ominous was on the horizon.

“We saw the pandemic potential for it because it was so swift and had created a huge influx of patients in those hospitals in Wuhan,” she recalled. “It essentially overwhelmed those hospitals immediately, and the fact that China’s approach was to put the area in lockdown … that is the kind of organism, like SARS, that causes a pandemic.”

She said Baystate was ready, in large part because it had gone through this before with other infectious diseases and had learned many valuable lessons. And she was at the forefront of these efforts.

“We had been through H1N1, and then we had been through the Ebola epidemic,” she explained. “And this really created an impetus, and a framework, across the United States for preparedness for the world’s most contagious diseases.”

Because of Ebola, Baystate had created a Special Pathogens Unit to manage extremely contagious patients, said Haessler, who manages this unit and the team that operates it. And as part of that team’s work, it created protocols and procedures for how it would manage patients, took steps to ensure that there would be adequate supplies of PPE, put in place scenarios for how patients would be cared for and where, determined if, when, and under what circumstances elective surgeries would be halted, and much more.

In short, as Artenstein noted in his nomination, Haessler was the point person for preparing the medical center for what everyone could see was coming.

“Her work provided great comfort to all, knowing that we had such an expert in such a key role,” he wrote. “Her team’s magnificent work in collaboration with employee health services led to the earliest possible recognition of infectious contacts and allowed us to limit the risks for patients and staff during a time of great uncertainty and fear.”

While the past tense is being used for most of these comments, the work battling COVID is obviously ongoing, said Haessler, adding that the Delta variant brings a new and very dangerous thread to this story.

When asked about what the past 18 months has been like, personally and professionally, she said, in essence, that it’s been the culmination of all her training and hard work.

“It’s been one of biggest events that I’ve had to participate in, and while it’s been challenging, it’s also been very gratifying, because Baystate has been an incredible organization, rising to the occasion in this. I’m so proud of Baystate; I’ve never been more proud to work at this organization and to be part of the leadership team.

“The responsiveness, the focus on what was important and what remains important, has been incredible,” she went on. “It’s been a laser focus on the safety of the healthcare workers, and protecting our patients and our healthcare workers from getting and passing this disease, getting the resources we needed to enable safe management of these patients, and staying really, really focused on what’s important here has been a phenomenal experience and an opportunity for tremendous personal and professional growth.”

 

Passing Thoughts

Returning to Raymond James Stadium and Super Bowl LV, Haessler said she had the opportunity to meet with healthcare workers from across the country who had been, at that time, battling with COVID for roughly a year.

“It was an opportunity to meet with other people, commiserate, and just be among kindred spirits — people had been through so much,” she said, adding that, seven months later, the fight continues, and in some ways, it has escalated.

In the future, there will be other fights against infectious diseases, she said, adding that the best hospitals and healthcare systems can do is try to be prepared, because, as Artenstein noted, these threats never cease.

That, in a nutshell, is what her career has been all about. Her ability to exceed in that role and many others has made her a Healthcare Hero — and a ‘superhero’ — as well as an emerging leader in Western Mass. and her chosen field.

 

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

Healthcare Heroes

Patient/Resident/Client Care Provider

Doctor and Owner, DeCaro Total Foot Care Center

Dr. Louis J. DeCaro

Dr. Louis J. DeCaro

This Specialist Has Helped Patients of All Ages Take Huge Strides

Dr. Louis J. DeCaro is firm of the opinion that no one actually has good feet.

Rather, experience tells him that everyone has one of 24 variations of bad feet.

“That includes high arches, low arches, no arches … people come in and they think flat feet are the only bad feet,” said DeCaro, owner of Hatfield-based DeCaro Total Foot Care Center, referencing a chart of what he calls the ‘24 Foot Structures.’ “But you can have an arch that causes not foot pain, but back pain. So often, high-arch people have back pain, but they don’t realize it’s coming from their feet.”

This chart, and DeCaro’s extensive use of it to explain problems people are having now — or might have later — is just one of many reasons why he was named the Healthcare Hero for 2021 in the always-competitive Provider category. Indeed, he has made pediatric podiatry his specific specialty, and throughout his career he has helped people of all ages, but especially children, make great strides, both figuratively and quite literally.

“To get a hug from a parent who tells me that their child is finally walking or is able to run or keep up with their friends … that’s really priceless.”

He has done this through everything from education to complex surgical procedures, to the development of new orthotic products, such as littleSTEPS, orthoses created specifically for young people and designed to improve coordination, balance, pain, posture, and strength, while aiding in the development of a more stable and functional gait.

He even makes an impact through his photography. DeCaro, who travels often with his family and through his work, photographs animals wherever he goes and winds up selling prints of some of his best shots, with the proceeds going to help families in need offset the cost of orthotics.

Thus, his work can be — and often is — described as life-changing, and that’s why he finds all facets of it, but especially his work with children, so rewarding.

Dr. Louis DeCaro, seen here with his children, Eliza and Lucas, and wife Jamie, says foot issues impact people of all ages, starting with the very young.

Dr. Louis DeCaro, seen here with his children, Eliza and Lucas, and wife Jamie, says foot issues impact people of all ages, starting with the very young.

“People often ask me why I do pediatrics,” he said. “And I tell them that one of the wonderful things I get to experience is when a child follows up who couldn’t walk, and I helped them walk; that’s got to be one of the most rewarding things in the world. To get a hug from a parent who tells me that their child is finally walking or is able to run or keep up with their friends … that’s really priceless.”

Over the years, DeCaro has received many hugs like that, and that just begins to explain why he is one of the Healthcare Heroes for 2021.

 

Positive Steps

Like many in healthcare, DeCaro said that, while he ultimately chose his specialty, in many ways, it chose him.

Relating the story of how he ventured into podiatry, he said he had just finished his junior year at Stony Brook University on Long Island and was on a path to a career in allopathic medicine when he got a letter from someone at Barry University, a podiatry school in Florida.

“I didn’t know anything about podiatry at all,” he recalled, adding that the school was impressed with his MCAT scores and offered to fly him down for a visit. He took them up on their offer and came away impressed with the school, the specialty, and the opportunities it presented.

“Podiatry seemed like a wonderful profession because I could specialize in whatever I wanted — I could do surgery if I wanted to, I could treat kids if I wanted,” he said, adding that he wound up skipping his final year at Stonybrook and getting on an airplane to attend Barry.

“It was the best decision I’ve ever made; getting into this specialty has been wonderful, “he went on. “It was an opportunity-knocks moment — and I opened the door to see what was behind it.”

Dr. Louis DeCaro photographed this bear while visiting Alaska. The image is one of many he has sold to help families pay for needed orthotics for their children.

Dr. Louis DeCaro photographed this bear while visiting Alaska. The image is one of many he has sold to help families pay for needed orthotics for their children.

To say that DeCaro has made the most of his opportunity and had a profound impact on patients and their families during his career in his chosen field would be a huge understatement. Indeed, as noted, he has been changing and improving lives in many ways — through education, treatment, and the development of new orthotic solutions, such as littleSTEPS.

DeCaro Total Foot Care Center now counts 30,000 active patients, with some of them coming from other states and the four corners of Massachusetts.

“Besides Boston Children’s, which is two hours away, there’s really no other pediatric specialist in this state for foot care,” he explained. “So we get patients all the time who travel two or three hours to see me, just because of the lack of pediatric specialists.”

He said podiatry is regarded by many as a specialty focused on the elderly and the diabetic, and while many of the practice’s patients are in those categories, foot issues impact people of all ages. And many problems of the foot develop when people are young.

DeCaro said he treats many children on the autism spectrum with sensory-processing disorders, others with neuromuscular diseases like cerebral palsy, children who are late walkers or delayed walkers with low muscle tone, athletes with injuries that start with their foot structure, kids with growing pains, and those with other ailments.

“Often, orthopedic issues, especially in the pediatric population, are caused by poor mechanics in the foot,” he explained. “And it starts with the minute we walk.”

He said he sees roughly 20 patients a day, fewer than many specialists, because he enjoys spending time not only with his younger patients, but their parents as well, because they often must be educated about their child’s condition.

Similarly, when he sees a child, he will often then examine the parents as well because, by looking at their respective foot structures, he can often gain some perspective on where that child might be headed when it comes to overall foot health. “Like hair color and eye color, foot structure is genetic,” he explained.

As noted earlier, treatment of his patients is just one of the reasons why DeCaro has become a standout in his field — he has been listed among the 150 Most Influential Podiatrists in America by Podiatry Management magazine — and why he will join seven others as Healthcare Heroes on Oct. 21 at the Log Cabin. He’s also an educator who lectures often; pens articles such as one called “Assessing the Role of Gait Analysis in Pediatric Patients with Flatfoot,” which appeared in Podiatry Today magazine; and teaches the ‘24 Foot Structures’ to many of his colleagues.

Within the 24 different foot structures there are six distinct foot types or categories — A to F — and given each names, like ‘John Wayne.’ “You actually turn your legs out and walk like a gunslinger,” he explained, adding that there are fun names for each category, and they are designed to help patients understand their feet and the treatment being given them.

He’s also an entrepreneur; in addition to littleSTEPS, he and business partner Roberta Nole have also developed the RX24 Quadrastep System, a state-of-the-art alternative to traditional custom orthotic management.

There’s also his photography — and philanthropy, by which he uses his hobby to help children and families in need.

The walls of the rooms in his office are covered with photos — his favorite is one of a puma he “met” in the rain forest of Costa Rica, although he’s also fond of a bear he photographed in Alaska — primarily his feet (paws), which are prominently on display.

When asked how he gets so close to his subjects, he quipped, “big lenses.”

 

Toeing the Line

In many ways, DeCaro has spent his career  helping patients, and especially the younger ones, understand the proverbial big picture when it comes to their feet and how they are never to be overlooked when it comes to one’s health, well-being, and quality of life.

Suffice it to say that he has made the most of that opportunity-knocks moment when he got on a plane bound for Florida and podiatry school. He found a profession that has been rewarding in every way imaginable.

But the real winners from that decision he made are his patients, who have benefited from his compassion, his desire to educate, and even his ingenuity and prowess as an entrepreneur.

His ability to change their lives has made him a Healthcare Hero.

 

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

Healthcare Heroes

Community Health

Counseling and Testing Prevention and Education Program Director,
New North Citizens Council Inc.

Richard Johnson

Richard Johnson

He Has Made a Career of Being There for People Who Need Help, Direction

Richard Johnson has a simple and laudable philosophy when it comes to those seeking help. And it goes a long way to explaining why he’s a Healthcare Hero for 2021 in the always-competitive Community Health category.

“When people who are in need find the fortitude to step out of themselves and ask for assistance, there should be somebody to respond,” he told BusinessWest. “That’s because it takes a lot sometimes for many people to ask for help. And so, I like to make sure that, if I’m able, I can be that person to respond.”

For more than two decades now, during a lengthy career in public health, most recently as Counseling and Testing Prevention and Education Program director for the New North Citizens Council Inc., Johnson has been able — and ready — to respond and provide that help, in the many forms it can take.

His title is a mouthful, and there is a lot that goes into it.

Indeed, from his office at the Deborah Hunt Prevention and Education Drop-in Center, Johnson helps those in the Mason Square area of Springfield and beyond cope with issues ranging from HIV and sexually transmitted diseases to opioid and other addictions; from sickle-cell anemia awareness to treatment for mental-health issues.

And with the arrival of COVID-19, that list has only grown, with new responsibilities including everything from securing PPE for those in need to educating residents about the importance of vaccination. In short, he and his team have been helping people live with everything else going on in their lives and COVID.

“When people who are in need find the fortitude to step out of themselves and ask for assistance, there should be somebody to respond. That’s because it takes a lot sometimes for many people to ask for help. And so, I like to make sure that, if I’m able, I can be that person to respond.”

“We wanted to provide an education for these individuals so they could limit or at least mitigate some of their risk factors for contracting COVID and other things,” he explained. “So 2020 became COVID-intense. Our focus changed; our priority was educating people on how communicable this disease was, and saying to them, ‘yes, I understand that you have addiction challenges and housing challenges, but you really need to pay attention to how to prevent contracting COVID, and then we can work on some of the other things.’”

A day in the life for Johnson takes him to the drop-in center, but also to the neighborhoods beyond for off-site presentations and testing at various facilities on subjects ranging from substance abuse to prevention of communicable diseases to overdose prevention and Narcan distribution. These sites include the Friends of the Homeless facility, Carlson Detox Center, Opportunity House, Bowen Center, and Valor Recovery Center.

Richard Johnson, center, with many of the team members staffing the Deborah Hunt Prevention and Education Drop-in Center

Richard Johnson, center, with many of the team members staffing the Deborah Hunt Prevention and Education Drop-in Center in Mason Square.

COVID has reduced the numbers of such visits, but the work goes on, he said, adding that it is highly rewarding in many respects, because through it, he is helping not only individuals but neighborhoods and the larger community become more resilient.

This has become his life’s work, and his devotion to that work, that mission, has made him a Healthcare Hero for 2021.

 

Source of Strength

As he talked with BusinessWest in the tiny lab set up in the drop-in center, near the Rebecca Johnson School, Johnson said the facility lives up to every word over the door.

It is, indeed, a drop-in center, where one can find testing, counseling, education, and help with prevention. There is a team of individuals working there, but Johnson is the leader, in every aspect of that word. Meaning, he sets a tone for the work there, one born from experience working with this constituency and trying to meet its many and diverse needs.

He first became involved in community health in 2002, when he volunteered for an agency called Northern Educational Services, funded by the Massachusetts Department of Public Health.

“There were a number of folks I knew who were impacted by substance use and HIV,” he explained. “So this provided an opportunity for me to be directly involved in trying to navigate them to some sort of care.”

After this stint as a volunteer, he joined Northern Educational Services as a relapse counselor, and from there, he went from relapse prevention to HIV case management, starting first as an assistant and then working his way up to senior case manager. Ultimately, he became the director of Counseling and Testing Prevention and Education Services.

“Much of my work as a case manager centered on really just helping people to adjust to a new reality with regard to being diagnosed with HIV and confronting some of the stigmas associated with that,” he told BusinessWest. “I helped them understand that there are treatments that were effective, and helping them to communicate with their physican or medical provider as to what their concerns were and how their lives worked in terms of some of the stigmas associated with it and being able to talk to loved ones about their new status.

“That was really challenging for some,” he went on. “And so, case management at that time was a very hands-on thing; we made a great difference in the lives of those who were living with HIV, but equally so those who were unaware of how it was transmitted, and what prevention methods could be deployed by them, and that it was OK to have dinner with someone who was living with HIV, as opposed to some of the rumors, stories, or myths that they’d heard.”

Elaborating, he said that, for many, substance use and HIV went hand-in-hand, and efforts focused on helping people find recovery through detox and treatment facilities and helping these individuals understand that it was OK to live substance-free and face and confront some of their challenges involved with having a diagnosis that was highly stigmatized.

In 2010, he assumed that same title — director of Counseling and Testing Prevention and Education Services — with the New North Citizens Council, and has been continuing that challenging but needed work to counsel those in need and help with the medical and social aspects of HIV, sexually transmitted diseases, and substance abuse, while connecting people with healthcare providers.

“We’ve been very fortunate to have built relationships with medical providers that lend themselves to understanding that when we have an individual, that service, that treatment, needs to be provided, and they’re willing to provide it,” he said, listing Baystate Medical Center, Mercy Medical Center, and the Caring Health Center among the providers he and his team work with.

Over the years, Johnson has become involved with a number of community groups, boards, and commissions, including the Mason Square C-3 Initiative, the Massachusetts Integrated Planning Prevention Committee, Baystate Health’s Mason Square Neighborhood Health Center Community Advisory Board, the Baystate Health Community Benefits Advisory Council, and the Springfield Food Policy Committee.

As noted earlier, COVID has added new layers to the work and the mission for Johnson and his team. While helping individuals and families cope with what would be considered everyday matters, there is also a once-in-a-century pandemic to contend with.

Work to distribute PPE and other needed items, from masks to hand sanitizer, socks to toothpaste, goes on, said Johnson. “We still go about daily and provide PPE to people who are on the margins and often don’t have ready access to such items.”

Critical work on vaccination goes on as well, and comes in many forms, from education to dispel myths and misinformation to getting shots in arms. He mentioned a clinic at the drop-in center the day before he talked with BusinessWest, at which nine people received their second shot and two more got their first.

“Vaccination has been a challenge because there is a lot of information out there, and not all of it is accurate,” he explained. “There’s a significant amount of resistance based on information that individuals have received, so it’s really about re-educating people and helping them achieve a level of comfort receiving new information. As great and wonderful as the internet and social media are, sometimes it doesn’t provide both sides of a story.”

 

Bottom Line

Helping individuals and families achieve a needed level of comfort with many aspects of their lives — from living with HIV to battling substance abuse — has long been the best way to describe Johnson’s work and his commitment to the community.

As we noted that at the top, he fully understands just how hard it is to seek help. And that’s why it’s been his mission to be there for those who find the strength and fortitude to take that step.

His unwavering commitment to that mission has made him a Healthcare Hero.

 

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

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

The nomination deadline for the class of 2021 has been extended to end of day today. We encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

The Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, call (413) 781-8600, ext. 100.

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

The nomination deadline for the class of 2021 has been extended to Friday, July 16. We encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

The Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, call (413) 781-8600, ext. 100.

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

The nomination deadline for the class of 2021 has been extended to Friday, July 16. We encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

The Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, call (413) 781-8600, ext. 100.

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

The nomination deadline for the class of 2021 has been extended to Friday, July 8. We encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

The Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, call (413) 781-8600, ext. 100.

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

The nomination deadline for the class of 2021 has been extended to Friday, July 8. We encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

The Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, call (413) 781-8600, ext. 100.

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2021 are due Thursday, June 24, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

Our Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, contact Jennifer Godaire, Marketing and Events Director, at (413) 781-8600, ext. 100, or [email protected].

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2021 are due Thursday, June 24, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

Our Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, contact Jennifer Godaire, Marketing and Events Director, at (413) 781-8600, ext. 100, or [email protected].

Daily News

SPRINGFIELD — In the spring of 2017, the Healthcare News and its sister publication, BusinessWest, created a new and exciting recognition program called Healthcare Heroes.

It was launched with the theory that there are heroes working all across this region’s wide, deep, and all-important healthcare sector, and that there was no shortage of fascinating stories to tell and individuals and groups to honor. That theory has certainly been validated.

But there are hundreds, perhaps thousands of heroes whose stories we still need to tell, especially in these times, when the COVID-19 pandemic has brought many types of heroes to the forefront. And that’s where you come in.

Nominations for the class of 2021 are due Thursday, June 24, and we encourage you to get involved and help recognize someone you consider to be a hero in the community we call Western Mass. in one (or more) of these seven categories:

• Patient/Resident/Client Care Provider;

• Health/Wellness Administrator/Administration;

• Emerging Leader;

• Community Health;

• Innovation in Health/Wellness;

• Collaboration in Health/Wellness; and

• Lifetime Achievement.

Our Healthcare Heroes event is presented by Elms College. Nominations can be submitted by clicking here. For more information, contact Jennifer Godaire, Marketing and Events Director, at (413) 781-8600, ext. 100, or [email protected].

Daily News

SPRINGFIELDBusinessWest and the Healthcare News celebrated the Healthcare Heroes class of 2020 with a free virtual event on Jan. 14. You can view the entire event, as well as videos from our sponsors, online by clicking this link.

This year’s heroes include Mark Keroack, president and CEO of Baystate Health; Christopher Savino, Emeline Bean, and Lydia Brisson, clinical liaisons for Berkshire Healthcare Systems; Friends of the Homeless; the Nutrition Department at Greater Springfield Senior Services Inc.; the staff at Holyoke Medical Center; the Institute for Applied Life Sciences at UMass Amherst; Rabbi Devorah Jacobson, director of Spiritual Life at JGS Lifecare; Maggie Eboso, Infection Control and Prevention coordinator at Mercy Medical Center; Jennifer Graham, home health aide at O’Connell Care at Home; and Helen Gobeil, staffing supervisor at Visiting Angels West Springfield.

The Healthcare Heroes program is sponsored by Elms College (presenting sponsor), Baystate Health and Health New England (presenting sponsor), and partner sponsors Bulkley Richardson, Comcast Business, and Trinity Health Of New England/Mercy Medical Center.

Daily News

SPRINGFIELDBusinessWest and the Healthcare News will celebrate the Healthcare Heroes class of 2020 with a free virtual event today, Jan. 14, from 4 to 5:15 p.m. Join the event by clicking this link.

This year’s heroes include Mark Keroack, president and CEO of Baystate Health; Christopher Savino, Emeline Bean, and Lydia Brisson, clinical liaisons for Berkshire Healthcare Systems; Friends of the Homeless; the Nutrition Department at Greater Springfield Senior Services Inc.; the staff at Holyoke Medical Center; the Institute for Applied Life Sciences at UMass Amherst; Rabbi Devorah Jacobson, director of Spiritual Life at JGS Lifecare; Maggie Eboso, Infection Control and Prevention coordinator at Mercy Medical Center; Jennifer Graham, home health aide at O’Connell Care at Home; and Helen Gobeil, staffing supervisor at Visiting Angels West Springfield.

The Healthcare Heroes program is sponsored by Elms College (presenting sponsor), Baystate Health and Health New England (presenting sponsor), and partner sponsors Bulkley Richardson, Comcast Business, and Trinity Health Of New England/Mercy Medical Center.

Daily News

SPRINGFIELDBusinessWest and the Healthcare News will celebrate the Healthcare Heroes class of 2020 with a free virtual event on Thursday, Jan. 14 from 4 to 5:15 p.m. Join the event that day by clicking this link.

This year’s heroes include Mark Keroack, president and CEO of Baystate Health; Christopher Savino, Emeline Bean, and Lydia Brisson, clinical liaisons for Berkshire Healthcare Systems; Friends of the Homeless; the Nutrition Department at Greater Springfield Senior Services Inc.; the staff at Holyoke Medical Center; the Institute for Applied Life Sciences at UMass Amherst; Rabbi Devorah Jacobson, director of Spiritual Life at JGS Lifecare; Maggie Eboso, Infection Control and Prevention coordinator at Mercy Medical Center; Jennifer Graham, home health aide at O’Connell Care at Home; and Helen Gobeil, staffing supervisor at Visiting Angels West Springfield.

The Healthcare Heroes program is sponsored by Elms College (presenting sponsor), Baystate Health and Health New England (presenting sponsor), and partner sponsors Bulkley Richardson, Comcast Business, and Trinity Health Of New England/Mercy Medical Center.

buy ivermectin for humans buy ivermectin online
buy generic cialis buy cialis