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
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Izzy Fitch at Battle Hill Forge in Wassaic.
The giant metal mantis, built by artist Jim Hackett, is now part of a summer contest Fitch devised. He’ll strap it to the roof rack of his car and drive it around. When people spot it, they can take a photo, post it on social media and tag @battlehillforge, @lakevillejournal and @themillertonnews. At the end of the contest, names will be drawn at random and gift certificates to Battle Hill Forge will be awarded.
“It’s just for fun,” said Fitch, whose work often blurs the boundaries between art, utility and play. “Who couldn’t use more fun these days?”
Fitch moves through his sprawling workshop spaces like an enthusiastic museum guide leading visitors through a collection he forgot he owned. Every few steps, something catches his attention. A hand-forged daffodil. A dragonfly. A prototype trellis. A powder horn his great-grandfather taught him to make. A concrete toad inherited from his grandmother.
“Oh, this is cool,” he says, veering off course.
A few minutes later:
“Oh, I forgot to show you this.”
Then:
“You want to see something really cool?”
The tour never quite follows a straight line.
Neither does Fitch.
Long before Battle Hill Forge became known for custom gates, garden structures and sculpture found everywhere from private estates to major cultural institutions, Fitch was a child building armor for toy animals.
“I had a Black Panther that was this big and I armored it,” he says, holding his hands a few inches apart. “I made all my little people and creatures, and I armored them all up and I made all the weapons for them.”
Fitch’s father was a logger. Tools were plentiful. Toys were not.
“He wouldn’t buy us toys really, so we would have to make our own.”
The family business, if there was one, was making things.
Izzy FitchNatalia Zukerman
His great-grandfather was a master craftsman who made Windsor chairs in collaboration with his uncle, Bert Fitch. His father supplied the raw materials, Bert made the chairs, his great-grandfather carved the spindles. His relatives were renowned woodworkers. People would travel from far and wide to have his great grandfather make handles for them.
“I really learned a lot from spending time with my grandparents and my great-uncles,” he says.
Today, that inheritance is visible everywhere inside the forge.
Giant steel pumpkins wait beside elegant peony supports. Honeycomb sculptures support an endearing bee also made by Hackett. Giant orbs loom playfully. Metal mushrooms, used in classes Fitch teaches to children, line the windowsills.
Many are prototypes Some are commissions. Some exist simply because Fitch thought they might be fun to make.
“I just think of something cool,” he says. And then he makes it.
“Most of the metalworkers that I work with don’t want to talk to people,” he says. “They’re like, ‘Just tell us what you want. Give me the plans and I’ll make it.’”
Fitch is different. Part craftsman and part translator, he enjoys helping clients discover what they want before it exists.
Unless, of course, he’s distracted by a frog story.
The previous Battle Hill Forge location, in Millerton, included a small pond where Fitch often ate lunch.
“There was a dead mouse out there one time,” he recalls. “This frog was so clever. He would sit near the dead mouse and when flies came down, he would get a fly.”
He watched the frog for an entire lunch break.
The story arrived somewhere between explanations of Japanese patinas and custom railings.
It also explains a lot. Fitch notices everything: plants, insects, old tools, odd solutions, clever engineering tricks. His work is filled with observations gathered from gardens, forests, old European designs and conversations with other makers.
A peony support isn’t just a peony support. It’s an opportunity to improve something. A trellis isn’t just a trellis. Maybe it can come apart for shipping. Maybe it can help a plant grow differently. Maybe it can do something no one has considered before.
“I’m not really inventing anything new,” he says. “I just tweak it a little bit.”
After its beginning in Falls Village, moving to Millerton and eventually settling in Wassaic, Battle Hill Forge has become one of the region’s success stories. The shop is booked months in advance. Projects range from garden ornaments to monumental railings weighing hundreds of pounds. Designers seek him out. Gardeners collect his work.
Yet Fitch remains most animated when discussing collaboration.
The intern helping in the shop first met him as a student in one of his metalworking classes. Local glass artists add to his sculptures. Garden designers have helped refine his plant supports. For Burning Man this summer, he’s joining a team of fellow artists to build an installation featuring an oculus and a pair of metal sphinxes.
“We’ll have a little party,” he says.
The phrase could describe half the projects in the shop, especially the praying mantis. Technically, that sculpture belongs to Hackett.
“He makes all this cool stuff,” Fitch says. “I sell them for him because he’s one of those artists who doesn’t want to deal with the public.”
Fitch laughs.
“Which is totally smart.”
Outside, a dog wanders through the yard. A timber framer works next door. Metal rusts into beautiful shades of brown. New ideas wait in various stages of completion and there’s just a little magic around every corner.
To contact Battle Hill Forge, visit battlehillforge.com.
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