FALLS VILLAGE — Paramedic coverage in the Northwest Corner is continuing despite concerns raised last month after Sharon Hospital announced it would not renew its long-standing sponsorship agreement with Northern Dutchess Paramedics.
Northern Dutchess Paramedics (NDP), which has provided advanced life support services in the region for decades, is still responding to calls and will now operate alongside a hospital-based paramedic service being developed by Sharon Hospital, officials said at a public meeting Monday, Jan. 5, at the Falls Village Emergency Services Center.
“We haven’t missed a beat; we’re still taking calls,” said Andrea Downs, president of the Falls Village Volunteer Fire Department and an employee of NDP, speaking at the meeting, which was attended by ambulance squad members, first selectmen and representatives of Sharon Hospital.
Sharon Hospital announced Dec. 11 that it would not renew its annual agreement with NDP, ending a 28-year relationship and initially stating that service would cease Jan. 1. Hospital President and CEO Christina McCulloch said the decision was based on compliance concerns tied to the hospital’s role as sponsor.
“Being a sponsor is a big deal,” McCulloch said. “Our concerns were big enough that we couldn’t sign. It was a difficult decision.”
She said the hospital had discussed the issues with NDP representatives and cited unmet state requirements.
Without a sponsoring hospital, NDP could not operate in Connecticut. That issue was resolved when NDP finalized an agreement with Stamford Hospital, allowing it to continue providing services in the Northwest Corner.
At the same time, Sharon Hospital is establishing a hospital-based paramedic service through Nuvance/Northwell, owner of the hospital. Under the current model, the service consists of a single paramedic, who begins the day at New Milford Hospital before traveling to Sharon, prompting concerns from some volunteer ambulance crews about response times while that paramedic is in transit.
Addressing those concerns, hospital officials said while the new paramedic service covers a wide area, so too does NDP, which is based out of Rhinebeck. Some volunteer ambulance crews also said their concerns relate to the transition to two providers, with Sharon Hospital’s service still being built out and not yet fully stationed in Sharon.
Falls Village First Selectman David Barger asked whether more than one paramedic service could operate in the region.
“There could be more than one,” McCulloch said.
Matt Cassavechia, director of emergency services for Sharon Hospital, said Litchfield County Dispatch, which handles all ambulance and fire dispatching for the region, will call whichever paramedic service is available at the time of an emergency.
He acknowledged that the current arrangement could be improved and said the hospital hopes to expand on-site paramedic coverage in Sharon. Doing so would require state approval through a need-for-service application, which Cassavechia said would benefit from letters of support from the community and area first selectmen.
Several volunteer ambulance representatives expressed concern about how changes could affect basic life support services and volunteer operations. Cassavechia said the hospital does not intend to replace volunteer squads.
“We’re not snapping up patients,” he said. “That’s not what we do. We are deliberate and purposeful. We have zero intent of putting volunteers out of business.”
Questions were also raised about possible delays in transferring patients from Sharon Hospital to other facilities. McCulloch said the hospital has been experiencing high emergency room and inpatient volumes but has not seen unusual wait times.
Michelle Hansen of the Falls Village ambulance squad cited a recent case involving a cancer patient who needed to be transported to Yale New Haven Hospital and was reportedly told by Nuvance that there would be an upfront cost of $2,000. NDP ultimately completed the transport.
“That is certainly not our practice,” said Thomas Horkan, Sharon Hospital’s EMS coordinator. “As soon as we were made aware, we took corrective action. It was human error. I listened to the tape. It was unfortunate.”
State Rep. Maria Horn, D-64, attended the meeting to assess how the changes might affect patient care and costs. Cassavechia said billing practices vary among ambulance providers and that clearer rules of engagement would need to be established with local squads.
After the discussion, Sharon First Selectman Casey Flanagan said the outcome appeared reassuring.
“It seems we’re going to have bonus coverage,” he said. “So, I’m OK with this.”
Nuvance/Northwell employees host a Jan. 5 meeting on emergency service providers. From left: Matt Cassavechia, Sharon Hospital director of emergency services; Christina McCulloch, Sharon Hospital president and CEO; Thomas Horkan, Sharon Hospital EMS coordinator; and Dr. Ron Santos, Sharon Hospital emergency room director.By Ruth Epstein
The Berkshire Resilience Brass Band brought lively brass and jazz-inspired music to the lawn at the David M. Hunt Library on Friday evening, July 24.
Audience members became part of the performance as well. During one number, the horn players switched to percussion, while a basket of rattles and other handheld instruments was available for audience members to play along. Sadeh and O’Dea encouraged several young children to shake along with the music.
The audience continued to grow throughout the evening, including a family who stopped after hearing the music while driving by.
Although the band’s performances sound spontaneous, they begin with a shared musical framework.
“We start with a tune or arrangement,” Rogers said. “Then we do or don’t follow it.”
Rogers estimated that any given performance is at least half improvisation.
It’s not left entirely to chance. O’Dea said the group rehearses once a week, on Sundays.
Patrick L. Sullivan
Deanna Hearn opened Lucky Orphans in 2003.
Growing up in the Bronx, Hearn was captivated whenever she saw horses. Her grandfather, a Korean War veteran, had cared for military horses during the war. After returning home, he struggled with addiction, and the invisible wounds of military service. Through every difficult chapter of his life, however, one thing consistently brought him peace.
“Horses bring peace,” he told his granddaughter.
When Hearn was 11, after years apart, Hearn and her grandfather began spending weekends riding together. Less than a year later, he was diagnosed with pancreatic cancer. Before he died, he asked family members to help buy Hearn’s first horse — a stubborn paint horse that bit, kicked and frequently threw her off. She wanted to sell him. Her father refused.
“Every life has value,” he told her.
Looking back, Hearn says that lesson became the foundation of everything she would later build.
What began as a boarding stable in 2003 took a different direction after the Dutchess County SPCA asked Hearn to care for horses seized in cruelty cases. She soon realized that although Dutchess County had one of New York’s largest horse populations, there was no dedicated nonprofit equipped to care for neglected and abused horses. Lucky Orphans officially became a nonprofit in 2008.
Some of the more than 40 horses at Lucky OrphansProvided
Today, Hearn is quick to point out that Lucky Orphans is not simply a rescue.
“We’re a sanctuary,” she said.
Many of the more than 40 horses living there arrive with broken bones, chronic illnesses, heart conditions, missing eyes or other injuries that make them unsuitable for riding or adoption. Rather than rehabilitating and rehoming them, Lucky Orphans makes a lifetime commitment to every horse.
In 2013, Hearn became certified in equine-assisted psychotherapy, combining her lifelong relationship with horses and the lessons she learned from her grandfather to create programs for veterans, trauma survivors, children and families facing emotional challenges. The transformations she witnesses continue to surprise her. She recalls one woman who arrived convinced she would not fit in with a group of strangers. During the session, a horse quietly chose to follow her without a rope or commands. For the first time in years, the woman said she felt truly seen.
Another memory has stayed with Hearn ever since. A teenager in a juvenile probation program, wearing an ankle monitor and struggling with anger, entered a round pen with a horse. As his frustration grew, the horse moved farther away. When he finally calmed himself, the horse walked directly toward him and rested its head against his chest.
“I told him, ‘If you can control your energy, you can control the world around you,’” Hearn said.
Stories like these sustain her through the difficult realities of running a nonprofit. Operating the sanctuary costs roughly $52,000 each month, and Hearn lives on the property, where the work never truly ends. Veterinary bills, staffing, fundraising and the daily care of dozens of horses are constant concerns. Then someone returns years later and tells her that the horses changed their child’s life.
“That’s why I keep going,” she said.
Looking ahead, Hearn hopes more people discover what makes Lucky Orphans unique. The organization is expanding its community programming with educational visits, yoga sessions, horse encounters, volunteer opportunities and family events designed to reconnect people with horses and with one another.
Her vision is simple: to create a place where people slow down, reconnect and remember something modern life often makes us forget. If horses could speak, Hearn believes they would offer just one piece of advice.
“They’d tell us to slow down,” she said.
After spending an afternoon at Lucky Orphans, it’s hard to disagree.
For more information or to plan a visit, go to luckyorphans.org
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