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Nurse Christopher Darby, left, SVMC's Emergency Department clinical coordinator, and physician's assistant Karena Webber use the mask developed in partnership with Mack Molding in this image shared by SVMC.

Mack Molding, SVHC Partner to Develop Protective Masks for Hospital Workers

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BENNINGTON, Vt. — Mack Molding and Southwestern Vermont Health Care have partnered to develop an innovative alternative for personal protective equipment for the health system. 

Similar to the rest of the country, southern Vermont has not been immune to the challenges of acquiring PPE during the COVID-19 crisis, and most specifically disposable masks. Through their collaboration, Mack and SVHC began investigating alternative mask options that could be modified since N95s masks and 7700 respirators are in high demand.

The collaboration arose out of personal connections. Kevin Dailey, the vice president of administration and chief human resources officer at SVHC, had led human resources at Mack until five years ago. He knew the type of specialty plastics manufacturing and rapid product development Mack was capable of.

When it was clear that PPE would likely run short, he gave his friends there a call. Realizing the extraordinary tight time-frame and regionally important challenge, Mack — a leading supplier of contract injection molded plastic parts to companies in a range of industries — called on Adam Lehman, president of their subsidiary, Synectic, to identify immediately available options that could be redesigned to function as a respirator. Lehman located a snorkeling mask that the Synectic design team could quickly reengineer into PPE. 

"When I informed Synectic's team about this project, they were ready and excited for the challenge," said Jeff Somple, president at Mack, headquartered in nearby Arlington. "It was an opportunity for some groundbreaking innovation and to make a meaningful difference for our region's front line health care workers."

After only two weeks of design, testing and manufacturing, Mack's team at Synectic fabricated an attachment to a snorkeling scuba mask. The mask covers the entire face and thus does not require the use of disposable masks and shields. Their engineers removed the part that usually protrudes out of the water when snorkeling and replaced it with a new, custom-designed branched component equipped with cartridges containing P100 HEPA filters.

"Mack has always been a tremendous regional partner and an integral supporter of the health system for many years," Dailey said. "As an essential manufacturer of health care products, I knew that they would want to help and came through with a brilliant solution for us." 

Each SVHC staff member is "fit tested" to ensure an adequate seal and assigned a mask. Each employee receives cleaning and storage guidelines, instructing how to disinfect and store their mask after each shift. The custom snorkeling branch modification and P100 HEPA filter casings can be easily removed for cleaning and screwed securely back in place. Before each use, staff conduct a positive and negative pressure test to ensure the masks are holding up for their protection. The fact that the air intake is above the wearer's head improves the line of site and allows patients to see their physicians’ and nurses’ faces more clearly.

"Our priority is to ensure the safety of our staff while caring for patients during the pandemic," said registered nurse Shiela Boni, nursing director and PPE officer for SVHC. "The retrofitted scuba mask accomplishes this while decreasing our dependence on disposable masks."

Unlike medically approved respirators, the scuba mask has been adapted to meet the filtration requirements of personal protective equipment. The risk assessment conducted by Mack's design and SVHC showed that the mask fully seals around the face with silicone, reducing skin breakdown, and the N100 HEPA filters have a higher rate of filtration than the material in the traditional N95 masks. Less than three weeks after the initial request to Mack, their subsidiary Synectic delivered 500 scuba masks and 2,000 N100 HEPA filter casings to the hospital.

Thomas A. Dee, SVHC's president and CEO, expressed relief at having secured the adapted scuba masks to outfit those in the highest risk areas of the hospital. 

"This is a great example of how collaboration and innovation sustain us during challenging times," Dee said. "Our gratitude for the hardworking teams at Mack and Synectic, who put many long hours into this project, cannot be overstated. This is another wonderful example of Mack's continued support of SVHC."


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SVMC Primary Care Offices Recognized for Patient-Centered Care

BENNINGTON, Vt. — Five primary care sites of Southwestern Vermont Medical Center (SVMC), a member of Dartmouth Health, have achieved national recognition for providing personalized, effective, and efficient care.
 
The following medical practices, located in Vermont, have been re-designated as Patient Centered Medical Homes (PCMH) by the National Committee for Quality Assurance (NCQA):
  • SVMC Northshire Campus
  • Deerfield Valley Health Center
  • Pownal Campus
  • SVMC Internal Medicine
  • SVMC Pediatrics
The national designation recognizes SVMC's practice sites for providing comprehensive care and follow-up, in addition to a number of preventative and wellness screenings.
 
"Each of SVMC's practice sites follow a stringent set of guidelines that allows our staff to meet the criteria and ensures our providers, clinical and support staff give every primary care patient the care and follow-up they need, as well as options and appropriate screenings for a multitude of concerns," said Tina Gallant, CMPE, director of SVMC's Primary Care Medical Practices. "It's also a testament to the importance of our Community Health Team members who provide our patients with nurse case management, certified diabetic education and mental health and social services."
 
According to NCQA, research shows that PCMHs improve quality and the patient experience, and increase staff satisfaction—while reducing health care costs. The PCMH program identifies practices that promote partnerships between individual patients and their personal clinicians. A team of doctors, nurses, and other allied health providers oversees each patient's care, ensuring health needs are coordinated across the health care system.
 
Practices must resubmit for consideration every year. SVMC's Twin Rivers Medical office, located in New York, falls under a different evaluation system, separate from the NCQA guidelines.
 
"National recognition as a Patient Centered Medical Home is an outstanding accomplishment by the staff, doctors, and advanced practice providers at our primary care practices," said Trey Dobson, MD, SVMC Chief Medical Officer and Vice President of Clinical Services. "As we continue to focus on primary care provider recruitment and expanding access to our rural communities, this and similar awards demonstrate SVMC's commitment to exceptional health care."
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