SVHC Embraces “Green Demolition”
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/ Categories: NEWS, 2021, ED

SVHC Embraces “Green Demolition”

BENNINGTON, VT—November 12, 2021—Loads of insulation, doors, lighting fixtures, pressure treated lumber, wooden beams, and an antique cast iron sink are among the items being harvested for reuse from The Lodge, a building on the Bennington campus of Southwestern Vermont Medical Center (SVMC), part of Southwestern Vermont Health Care (SVHC). The building is slated for demolition next week to make way for a $28 million renovation and expansion to SVMC’s Emergency Department.

The salvage work was done by Deconstruction Works, a demolition, salvage and recycling service based in Vermont. The business has offices in Brattleboro and Bristol and is co-owned by Erich Kruger and Tom Shea. The company lists items for sale on its Facebook page and on other online sites.

Pushing much of the construction waste to reuse, rather than the landfill, helps the health system meet the state’s requirements for managing solid waste, as detailed in the Act 250 permit. It also helps mitigate the emotional impact of losing a piece of the health system’s history.

“This building has served an important purpose for almost 100 years,” said Ron Zimmerman, the health system’s director of engineering. “That so much of its materials will be reused and that items of historical significance will find new homes is gratifying.” 

James (Buzz) Surwilo, an environmental analyst with the Waste Management and Prevention Division of the Vermont Agency of Natural Resources’ Department of Environmental Conservation, was involved in developing the plan for managing the construction and demolition waste in accordance with the state’s guidelines. He encourages companies to recycle, salvage, and think about how they can avoid creating unnecessary construction waste.

“We came up with a pretty unique, progressive, forward-thinking plan with the Lodge,” Surwilo said. “Kudos to the hospital for minimizing the environmental and cultural impacts and making a good faith effort to keep things out of the landfill.”

The Lodge was built in 1925. It had 22 rooms for its original purpose of housing laundry and housekeeping employees. Most recently, it had been used as offices for SVHC’s Finance Department.

The construction project will nearly double the size of the current Emergency Department, which was designed to accommodate 14,000 patient visits a year but currently sees nearly 25,000 annually. The changes will further enhance patient safety, infection prevention, and patient privacy. Vertical treatment areas will allow for highly efficient treatment of low-acuity conditions. The project also includes an expansion to the Emergency Crisis Area for those experiencing mental health distress and increased telehealth connectivity with Dartmouth-Hitchcock.

Outside the Emergency Department, the project includes renovations of the Main Entrance and café, outpatient registration area, the Imaging Department waiting area, and the phlebotomy and laboratory upgrades. An enclosed walkway will connect the Emergency Department to SVMC ExpressCare.

Temporary parking changes are in effect to make way for site preparation work. The first row of parking in the S3 lot has been predesignated for patient use. See the map at https://svhealthcare.org/patients-visitors/parking for details. Regular updates on the project will appear in SVHC’s weekly e-newsletter, on social media, and on the health system’s website, svhealthcare.org.

About SVHC:
Southwestern Vermont Health Care (SVHC) is a comprehensive, preeminent, health care system providing exceptional, convenient, and affordable care to the communities of Bennington and Windham Counties of Vermont, eastern Rensselaer and Washington Counties of New York, and northern Berkshire County in Massachusetts. SVHC includes Southwestern Vermont Medical Center (SVMC), Southwestern Vermont Regional Cancer Center, the Centers for Living and Rehabilitation, and the SVHC Foundation. SVMC includes 25 primary and specialty care practices.

Southwestern Vermont Health Care is among the most lauded small rural health systems in the nation. It is the recipient of the American Hospital Association’s 2020 Rural Hospital Leadership Award. SVMC ranked fourth nationwide for the value of care it provides by the Lown Institute Hospital Index and is a five-time recipient of the American Nurses Credentialing Center’s Magnet® recognition for nursing excellence. It has also received the highest marks possible from the Leapfrog Group. 

Southwestern Vermont Medical Center provides exceptional care without discriminating on the basis of an individual’s age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression. Language assistance services, free of charge, are available at 1-800-367-9559.

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OB/GYN Care in a New Age

I am a strong believer in preventive care. Our patients are healthiest and OB/GYN physicians are most successful when we see each other at least annually and as soon as concerns arise. While this hasn't always been possible throughout the pandemic, I am happy to report that it is slowly getting easier to provide and receive care in the ways we had been used to, with a few adjustments for added safety.

I am especially concerned about patients who may have delayed care. While some concerns can safely wait a short while, putting off care in other situations may worsen the condition or the outcome. I encourage both new and returning patients to call the office to discuss resuming regular care and discussing any concerns that may have come up.

Here's what you can expect, including some of the innovative ways we are meeting patients' needs safely.

When you call the office, the receptionists will schedule an appointment for you. An easy telehealth option is great for reviewing results, developing care plans, providing contraceptive and fertility counseling, and consulting about weight management. For these purposes, the receptionist will likely recommend a televisit. It is very easy to connect and so convenient; while we love seeing you in person, we have to wonder why we haven’t been using telehealth appointments all along! Complete information about telehealth visits can be found here.

As you might expect, OB/GYN care often requires a physical examination, so many of our patient visits—including those for patients needing annual exams, testing, and therapeutic appointments—are still happening in person and in the office. The receptionists are working to stagger visits to decrease the number of people in the office at any one time.

Those coming to the office in person will notice a check-in station at the entrance to the Medical Office Building. The attendant will ask you a few questions about any symptoms you have and lend you a cloth face covering to use, if you don't have one. Wearing the mask over both your mouth and nose for your entire visit is required. For your safety and theirs, you will notice that all staff are wearing masks, too, along with either goggles or a shield. Hopefully you can still tell that we are all smiling, even under our masks!

If an outpatient elective surgical procedure is a part of your care plan, your OB/GYN and other staff will walk you through the process. A few changes, including COVID-19 testing in advance and intensified monitoring after the procedure, increases patient safety.

For those expecting to deliver a baby at SVMC, we are focused on maintaining all of the wonderful things our patients have come to expect from their experiences on the Women's and Children’s unit. Caring medical staff and nurses, individualized attention, and compassionate support are all in abundant supply.

Like when coming to the office, growing families will notice the check-in at the hospital's main entrance and staff wearing protective equipment. Our visitor’s policy indicates only one support person. We recognize that this is so challenging, and we are working to provide all of the support we can to bring your birth experience safely in line with what you had hoped, right down to the cheering support squad provided by a family via video chat during a delivery I attended earlier this week.

In the case that a family has had any exposure to COVID-19, the Women's and Children’s Unit has its own negative-pressure room. Extensive infection-prevention policies—consistent across all of the medical professionals involved with care for growing families, including OB/GYNs, pediatricians, midwives, and nurses—keep moms, babies, families, and staff safe. In fact, SVMC recently got a perfect score on a rigorous survey specifically designed to judge our infection-prevention measures.

Our ongoing commitment—pandemic or no pandemic, no matter your OB/GYN need—is to work through your concerns and deliver safe, individualized, and effective care for you. We hope that new and returning patients will call on us to help them maintain or regain their health. We are open, ready, and safe to provide the care you need.

Kimberley Sampson, MD, is the medical director of OB/GYN at Southwestern Vermont Medical Center.

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