UPDATE: On Friday, September 8, the OHS granted Sharon Hospital an extension to appeal the OHS's Proposed Decision. The hospital, and its parent company Nuvance Health, now has until October 18, 2023 to file a brief and exceptions seeking a Certificate of Need to close the hospital's Labor and Delivery Unit.
SHARON — Sharon Hospital’s application to close its Labor and Delivery Unit was denied by Connecticut’s Office of Health Strategy (OHS) on Tuesday, Aug. 29.
The “proposed final decision” granted Sharon Hospital and its parent company, Nuvance Health, 21 days to appeal the decision. An appeal would continue a five-year battle between Sharon Hospital and members of the local community, led by Save Sharon Hospital, over maintaining the hospital’s labor and delivery services.
Sharon Hospital filed a Certificate of Need to close the maternity unit with OHS in January 2022, citing financial concerns, declining birth rates in Litchfield County, and underutilization of its obstetrics unit.
The hospital, which has cited losses of more than $20 million in a single year, estimated that closing the maternity unit would save $3 million in large part by enabling the hospital to employ some 18 fewer staff members, and cut down on physician fees incurred by after-hours surgery and anesthesia services.
The hospital also described a decline in births at Sharon Hospital, citing fewer than one delivery per day in 2021, and difficulty attracting and retaining trained staff in a rural community.
At an OHS hearing in December 2022, doctors, advocates, and local families rebutted the hospital’s claims that closing the maternity unit would not impact access to adequate care in the region, and raised questions about the hospital’s claim that underutilization of the unit was causing irresolvable financial and safety concerns.
In its Aug. 29 decision, OHS found that Sharon Hospital had not adequately met five of eight applicable criteria to qualify for a Certificate of Need, repeatedly citing testimony from the December hearing, as well as supplementary materials provided by Save Sharon Hospital and others.
Primarily, the decision to reject Sharon Hospital’s application rested on concerns about the closure’s impact on the accessibility of adequate care for pregnant women in the region. OHS emphasized the disproportionate effect this closure would have on people of color, the fastest-growing demographic in the region, and indigent people (more than 48% of Sharon Hospital’s labor and delivery patients paid through Medicaid in 2021).
The decision stated repeatedly that the burden of proof rested with the hospital and that the hospital had not succeeded in providing adequate evidence of either financial or safety concerns, nor adequate plans for alternatives for women in labor seeking care, especially for high-risk and emergent deliveries.
Though the hospital is non-profit, OHS took care to point out that its parent, Nuvance Health, provides financial support to Sharon Hospital, and, having ended 2021with a net increase in assets of $242 million and $1.7 billion in net assets, Nuvance is “by all accounts financially stable,” despite its operating losses at Sharon Hospital.
While there are other five other hospitals within an hour from Sharon, all able to accept women in labor, these options would require patients to make longer drives (the nearest hospital is Charlotte Hungerford in Torrington); OHS also cited concerns about these hospitals’ higher costs and lower safety ratings.
Gregg Pulver (R), Chairman of the Dutchess County Legislature, said that OHS’s decision was responsive to arguments from “representatives on both sides of the state line.” Patients at Sharon Hospital are more often from Dutchess County than from the Northwest Corner.
“Access to rural health care here is in crisis or at risk across the board,” said State Rep. Maria Horn (D-64). Though “it will always be a battle,” she said, “[We need] to keep this thriving hospital alive and vibrant and and helping all of us.”
Andrea Rynn, spokesperson for Nuvance Health, called the decision “concerning and disappointing.”
Sen. Richard Blumenthal (D-CT), State Sen. Stephen Harding (R-30), U.S. Rep. Jahana Hayes (D-5), Rep. Horn, and State Comptroller Sean Scanlon all spoke in support of OHS’s preliminary decision at a press conference in Sharon Town Hall on Wednesday, Aug. 30.
Blumenthal called on Nuvance not to appeal OHS’s “well-reasoned, fully researched decision.”
“Nuvance has an obligation to listen to its customers, its patients, its community,” said the senator. “I am hopeful that meetings like this one will convince [Nuvance] that it can and should do the right thing.”
Horn drew a contrast between the diverse, fact-based testimonies provided by local healthcare professionals, and Nuvance’s “one single argument, that ‘this is just unsustainable,’ and ‘we can’t afford it.’”
Harding said, “I want to applaud the Office of Health for taking the time, not only with reading the testimony, but the whole process in general. I think they did a great job of listening to all sides of the story.”
Hayes noted that the threatened closure is indicative of national trends in rural and women’s healthcare access. “We have seen women’s reproductive health attacked all over the country,” she said. “So I am excited about today, but also looking forward and committed to […] bringing this 20 year battle [over the future of Sharon Hospital] to an end.”
Nearly all of the speakers thanked the local 501(c)(3) Save Sharon Hospital (SSH) for its instrumental work in preventing the closure of Sharon Hospital’s labor and delivery unit by marshaling skilled testimony from health care workers.
SSH President Lydia Moore, who gave birth to her youngest daughter in Sharon Hospital about two months ago, acknowledged the community for contributing “almost 12,000 pages of public comment,” overwhelmingly in favor of keeping labor and delivery open, as critical to the movement’s success.
Acknowledging that Nuvance can still appeal the OHS decision, Scanlon said, “We’re here today to say that this is good news, but the fight to maintain access to affordable, quality health care, especially when it comes to labor and delivery, is going to continue beyond this morning.”
As of Sept. 4, Nuvance has not yet announced if it will appeal the decision.
“As part of a nonprofit health system, Sharon Hospital faces financial and operational challenges moving forward,” said Rynn in a statement. “We will be considering all options available as we reassess our path forward.”
MILLERTON — The Town of North East held a board meeting on Thursday, Feb. 13, to create a “memorandum of understanding” contract between the Village of Millerton and the town, explaining how the town will assist the village after its Highway and Water Department building caught fire on Feb. 3.
“The resolution authorizes the town superintendent of highways to assist the Village of Millerton and its highway department with plowing, repair and maintenance of the village highways,” supervisor Chris Kennan said. “Pursuant to provisions of section 142e of the Highway Law, during the period of the Village’s state of emergency.”
Village mayor Jenn Najdek was in attendance to share updates on the status of the investigation and village needs after the fire. “Everyone did a really good job, under extremely stressful circumstances, to figure out a path moving forward,” Najdek said, explaining the support from the town, county, state and surrounding communities has been beneficial and remains appreciated.
“We’re pretty fortunate. It makes you realize what a special place this is to live in,” Najdek said. “When all those resources all of a sudden show up at your door when you need them, that’s pretty cool.”
The town has unanimously accepted a bid for the installation of the Highway garage’s fencing, working with the company Fesco Fence.
For this project, the town received eight different bids from potential contractors with the ranging costs of $166,000 to $328,676. Fesco Fence was the lowest bid submitted, which included the company’s 10% contingency allowance of $15,090.91.
During the meeting Kennan spoke briefly about a new cell tower slated to be built in Ancram. He is receptive to feedback on the topic which has elicited a mixed response from residents. “It’s not in our town, but it’s right on our border and we are familiar with things like the Transfer Station that was placed in the Town of Salisbury,” Kennan said. “I think it’s important that we at least note this so we have an opportunity to talk about it.”
As of Thursday night, the town had collected 37% of taxes, and paid off the Fire District’s budget, according to Tilly Strauss. Along with taxes, the board created a flyer to send out with every receipt to show the community where their money will be going.
Amenia has now been certified as a pro-housing community and has completed the proper paperwork to show its updated zoning and/or building permits, councilwoman Meg Winkler said. “We will be getting into that next year, maybe the end of this year,” Winkler said.
The new Town Hall is now taking its first baby steps, Kennan said, he spent most of Thursday morning at the new building where he was working with a HVAC company to get the system up and running.
“It has been out of service for several years, so there are a couple pieces of equipment in those units that are not working,” Kennan said. “It’s really a first step in our process of getting the work underway, is to get that system working properly.”
Village of Millerton offices on Route 22
MILLERTON — On Monday, Feb. 10, a board meeting was held, largely centered on the impact of the Feb. 3 fire that destroyed the Village Water and Highway building located on Route 22. In addition to the loss of the building, vehicles, equipment and tools were also destroyed.
“If we go back to the cause, it is still undetermined,” said mayor Jenn Najdek, who stated foul play had been ruled out. She also confirmed the garage remained off-limits as the investigation is still ongoing.
Alongside the Mayor, village trustees expressed their concern regarding rumors as to the cause of the fire. According to trustee David Sherman, transparency with the public is key to distinguishing fact from fiction. “I think we should, through whatever releases we can make, make it abundantly clear what that status is so we can squelch these kinds of rumors that are oozing up in the community,” said Sherman.
The Village is working with Nordic Environment Finance Corporation, an independent cause and origin investigation company, to determine the cause of the blaze. According to Najdek, once the investigation is complete, investigators will greenlight the premises for entrance. Najdek also emphasized while investigators are working toward determining a cause, one may or may not be found, contingent on what the investigation yields.
According to Najdek, the Town of East Fishkill sent their engineer the morning of the fire to assist Village’s water operators in setting up a system to ensure drinking water would continue to flow. The village’s supply of drinking water has been continuously evaluated by the New York State Department of Environmental Conservation as well as the Board of health to ensure fitness for human consumption.
With one of the wells being destroyed in the fire, the Village’s water will be conditioned as required and pumped from well no. 1, known as the “doghouse,” to a holding tank as a temporary solution.
“Well no. 2 that was in the building, we can selectively demo around it, secure it, get a semi permanent structure,” Najdek said. “We don’t know what that’s going to be. There’s one hundred different solutions for that, and we will know more after this week.”
The Village trustees showed interest in an acting structure which resembles a “plug and play” system, where all water operating equipment will be housed. “We will be meeting with the engineer, the water operator and Pete [Dellaghelfa, Village’s Superintendent of Public Works], this week on-site and we will start looking for the immediate, short-term solution,” said Najdek.
Previously, the Millerton Water Department housed two 10-inch diameter wells in an unconsolidated aquifer that allowed filtration through 50 feet of sand and gravel. The water then gets pumped into an elevated holding tank, where it is treated and chlorinated before being distributed to residents.
Currently, well no. 1 is being operated by a generator while the power lines to the building are in the midst of being fixed. The intent of these lines, according to Najdek, is to potentially serve electricity to both of the wells and the baseball field lighting.
With the loss of vehicles and equipment, the village is hoping to be indemnified once insurance claims are settled. “We’ve incurred a lot of expenses so far,” Najdek said, explaining her confidence in village insurer New York Municipal Insurance Reciprocal. “I feel pretty good about them being able to handle our needs in a timely manner.”
The Village will have a three-month window to borrow vehicles or equipment as needed from the town, county or the state. “God forbid the county’s truck hits the bed, we can ask the state ‘Do you have any trucks that you could loan us?’” Najdek said.
The mayor requested the Highway and Police department compile a wish list of vehicles and equipment for immediate needs. The village hopes to avoid buying used trucks and equipment, hopefully avoiding any problems that come with them, said public works superintendent Dellaghelfa. “It’s not that I’m against used. I just want to see that the village is getting their money’s worth.”
Once Najdek has confirmation from the insurance company, the village will start moving forward with the “wish-lists” from both the Highway and Police Departments. At this time, patience is what’s needed most, explained Najdek. “For those who have never been through a fire, this is a marathon. It’s not a sprint,” she said. “Sometimes answers don’t come into the third mile or fourth mile. It’s not something where information comes quickly from insurance companies everyday, so there will potentially be no updates.”
The village’s state of emergency declaration, which went into effect the morning of the fire, remains in place.
During the meeting, trustee Sherman provided updates on where the village stands for the Community Development Block Grant. The village is planning to use this grant to replace a few sections of sidewalks which need improvement.
“Some things are going to require some engineering input to see how we can rebuild this area,” Sherman said. “The aim is to put some estimates together and have the board’s consideration for our next meeting to approve making a CDBG application for this 2025 year and keeping it with a total cost under the $200,000 level, which is the max.”
According to Sherman, the focus will be on the sidewalks near John Street, also known as Smith Court and North Center Street. The Village needs to submit its request for the grant by Monday, March 3, to be considered.
The Lakeville Journal and Millerton News are seeking young journalists for an educational internship program.
The six week program provides training in the everyday operations of a community weekly. Interns will learn the news-gatheringprocess from pitch to print through regular workshops with industry professionals on topics such as photography, libel and copy-editing.
Interns will also work closely with the papers’ staff. Editors will collaborate with interns to develop stories and provide feedback throughout the program. The papers’ reporters will take interns into the field for shadowing opportunities, teaching interviewing and photography in action.
By the end of the program, interns should be capable of reporting and writing a hard news story or feature fit for print, and should have an article clip and a photograph to start a reporting portfolio. Interns should finish the six-week program with an understanding of current community journalism best practices, interviewing techniques and news-writing skills.
Interested students can find the application online at lakevillejournal.com/education-internship-programs or on our social media accounts.
MILLERTON — On Monday, Feb. 10, a board meeting was held, largely centered on the impact of the Feb. 3 fire that destroyed the Village Water and Highway building located on Route 22. In addition to the loss of the building, vehicles, equipment and tools were also destroyed.
“If we go back to the cause, it is still undetermined,” said mayor Jenn Najdek, who stated foul play had been ruled out. She also confirmed the garage remained off-limits as the investigation is still ongoing.
Alongside the Mayor, village trustees expressed their concern regarding rumors as to the cause of the fire. According to trustee David Sherman, transparency with the public is key to distinguishing fact from fiction. “I think we should, through whatever releases we can make, make it abundantly clear what that status is so we can squelch these kinds of rumors that are oozing up in the community,” said Sherman.
The Village is working with Nordic Environment Finance Corporation, an independent cause and origin investigation company, to determine the cause of the blaze. According to Najdek, once the investigation is complete, investigators will greenlight the premises for entrance.Najdek also emphasized while investigators are working toward determining a cause, one may or may not be found, contingent on what the investigation yields.
According to Najdek, the Town of East Fishkill sent their engineer the morning of the fire to assist Village’s water operators in setting up a system to ensure drinking water would continue to flow. The village’s supply of drinking water has been continuously evaluated by the New York State Department of Environmental Conservation as well as the Board of health to ensure fitness for human consumption.
With one of the wells being destroyed in the fire, the Village’s water will be conditioned as required and pumped from well no. 1, known as the “doghouse,” to a holding tank as a temporary solution.
“Well no. 2 that was in the building, we can selectively demo around it, secure it, get a semi permanent structure,” Najdek said. “We don’t know what that’s going to be. There’s one hundred different solutions for that, and we will know more after this week.”
The Village trustees showed interest in an acting structure which resembles a “plug and play” system, where all water operating equipment will be housed. “We will be meeting with the engineer, the water operator and Pete [Dellaghelfa, Village’s Superintendent of Public Works], this week on-site and we will start looking for the immediate, short-term solution,” said Najdek.
Previously, the Millerton Water Department housed two 10-inch diameter wells in an unconsolidated aquifer that allowed filtration through 50 feet of sand and gravel. The water then gets pumped into an elevated holding tank, where it is treated and chlorinated before being distributed to residents.
Currently, well no. 1 is being operated by a generator while the power lines to the building are in the midst of being fixed. The intent of these lines, according to Najdek, is to potentially serve electricity to both of the wells and the baseball field lighting.
With the loss of vehicles and equipment, the village is hoping to be indemnified once insurance claims are settled. “We’ve incurred a lot of expenses so far,” Najdek said, explaining her confidence in village insurer New York Municipal Insurance Reciprocal. “I feel pretty good about them being able to handle our needs in a timely manner.”
The Village will have a three-month window to borrow vehicles or equipment as needed from the town, county or the state. “God forbid the county’s truck hits the bed, we can ask the state ‘Do you have any trucks that you could loan us?’” Najdek said.
The mayor requested the Highway and Police department compile a wish list of vehicles and equipment for immediate needs. The village hopes to avoid buying used trucks and equipment, hopefully avoiding any problems that come with them, said public works superintendent Dellaghelfa. “It’s not that I’m against used. I just want to see that the village is getting their money’s worth.”
Once Najdek has confirmation from the insurance company, the village will start moving forward with the “wish-lists” from both the Highway and Police Departments. At this time, patience is what’s needed most, explained Najdek. “For those who have never been through a fire, this is a marathon. It’s not a sprint,” she said. “Sometimes answers don’t come into the third mile or fourth mile. It’s not something where information comes quickly from insurance companies everyday, so there will potentially be no updates.”
The village’s state of emergency declaration, which went into effect the morning of the fire, remains in place.
During the meeting, trustee Sherman provided updates on where the village stands for the Community Development Block Grant. The village is planning to use this grant to replace a few sections of sidewalks which need improvement.
“Some things are going to require some engineering input to see how we can rebuild this area,” Sherman said. “The aim is to put some estimates together and have the board’s consideration for our next meeting to approve making a CDBG application for this 2025 year and keeping it with a total cost under the $200,000 level, which is the max.”
According to Sherman, the focus will be on the sidewalks near John Street, also known as Smith Court and North Center Street. The Village needs to submit its request for the grant by Monday, March 3, to be considered.
