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Sunday, October 7, 2018

 

Quick Article Index . . .

 

Southcoast Health leads collaboration to transition elderly patients home.

 

Planning Board work group welcomes river cleanup consultants.

 

Costa Campgrounds committee considers options for land use.

 

 

Southcoast Health leads collaboration to transition elderly patients home.

EverythingWestport.com

Thursday, October 4, 2018

 

NEW BEDFORD, Mass. — Southcoast Health has been working with area nursing facilities to improve the way they discharge elderly patients, with the goal of providing the education and support needed for a safe and effective return home.

 

The so-called Project ReD program, which stands for re-engineered discharge, has been underway for 18 months. In all, 14 nursing homes and 10 post-acute skilled nursing facilities, such as rehabilitation and palliative care centers, took part in the grant-funded project.

 

The facilities that participated in the program saw hospital readmission rates drop by half, compared to the control group of non-participating facilities, Southcoast Health reported.

 

Southcoast Health engaged Healthcentric Advisors to work directly with nursing facilities, educating them on best practices in discharge planning, how to train family members in patient care and ways to ensure that family members understood what they were taught.

 

Patients are discharged with a color-coded, large-font booklet that explains lab results, medications and reminders. It provides a place for patients to record their weight and other information that they then can bring for follow up with their primary care physician.

 

The idea is to improve outcomes by having patients, along with their family members, more confident and engaged in their care. It promotes greater communication and collaboration among clinicians, community services, patients and caregivers. Bristol Elder Services and Coastline Elderly Services, for instance, step in to coach elderly patients once they return home. The Southcoast Health Visiting Nurse Association also are involved.

 

“This project is a good start,” said Dr. Robert Caldas, Senior Vice President & Chief Medical Officer for Southcoast Health. “We know from feedback that the staff, patients and families really benefited from the coordinated work that was done."

 

Grace Dotson, Executive Director of Clinical Integrated Care Services for Southcoast Health, said that the project “broke down silos and created relationships, which is wonderful.”

 

Dr. Caldas said the program demonstrates how collaboration and good communication could be expanded in healthcare to benefit patients, avoiding the problems that cause emergency department visits and readmissions to the hospital.

 

 

 

Above: Water Resource Management Committee Chairman Robert Daylor introduces the consultant team selected by the ad hoc work group.

Planning Board work group welcomes river cleanup consultants.

EverythingWestport.com

Friday, October 5, 2018

 

By Robert Barboza

Special to EverythingWestport.com

 

The Planning Board’s subcommittee assigned to shepherd the development of an Integrated Water Resource Management Plan for the town introduced its team of consultants for the project to a standing-room-only crowd of residents, town officials, and environmental advocates at an Oct. 3 public forum held at the Town Hall Annex.

 

The focus of the evening’s introductory presentations was the East Branch of the Westport River, targeted as the initial phase of a state-mandated clean-up effort. The state-set goal of the management plan being undertaken is to reduce nitrogen levels in the river’s East Branch by at least 18 percent, and seek a corresponding drop in phosphate levels.

 

The river restoration study will begin there because “It’s the biggest problem to solve” in the overall watershed protection effort, said Kleinfelder Corporation Water Resources Team member Betsy Frederick, a water management specialist.

 

Agricultural operations have been targeted as the primary source of the nitrates and phosphates promoting algae blooms, reduced oxygen levels, and loss of habitat for wildlife. The working estimate is that agriculture contributes 57 percent of the excess nitrogen reaching the river; fairly dense residential development is the most important secondary source.

 

Planning Board member Robert Daylor, chair of the ad hoc work group, said his committee’s job was “to shepherd the study along,” giving the engineers environmental consultants guidance and aid as needed.

 

The town has contracted with Kleinfelder Corporation, specialists in environmental planning, to collect input on goals and priorities for clean-up efforts from all corners of the community who have an interest in the river and its watershed, company representatives said.

 

Above: The river restoration study will begin there (East Branch) because “It’s the biggest problem to solve” in the overall watershed protection effort, said Kleinfelder Corporation Water Resources Team member Betsy Frederick (right), a water management specialist.

 

Their report to the town will identify possible solutions to water problems townwide, with cost estimates and potential options for resolving some or all of the issues involved. Private wells, septic systems, and stormwater collection and discharge points are all potential topics for study.

 

“We want you to share your knowledge with our study team,” Daylor told the overflowing audience at the forum. Most of the audience identified themselves as living on or near the East Branch, with a varying number of concerns about the river’s use, present condition, and potential clean-up efforts.

 

Shows of hands indicated that virtually 100 percent of the audience depended on private wells for their water supply, and their homes and businesses were serviced by individual private septic systems. Only a small portion of North Westport along State Road is serviced by a municipal water line.

 

The knowledgeable attendees at the Oct. 3 forum included selectmen, Board of Health members, former members of town Estuaries and Water Resource Management Committees, fishermen, farmers, businessmen, builders, and representatives of local environmental organizations – all apparently eager to share their experience and expertise with the consultants.

 

Residents and town representatives were encouraged to provide input on pollution sources, stormwater runoff issues, water sampling data, and other information via a direct link to the consultants to be up on the town website soon, said Kleinfelder Senior Principal Planner Kirk Westphal.

 

Stormwater outlets, failed septic system sites, well pollution problems, and agricultural operations will all be identified and prioritized for lists of possible actions for the town to consider, he indicated.

 

A participant survey will gather input on the priorities of special interest groups, home and business water use data, and land use changes in the past decade, noted Frederick.

 

Prior studies and years of water quality data collected by the Buzzards Bay Coalition and Westport River Watershed Alliance since 1992 will be reviewed “to see what’s changed” in the most recent past, she said.

 

Specific problem site solutions, general plans to reduce stormwater runoff reaching the river, community priorities and funding issues will be addressed in Kleinfelder’s study report, to be endorsed by the working group before being submitted to selectmen for possible action on its recommendations.

 

The consulting study team also includes Westport resident David Potter, a civil engineer specializing in site engineering, who noted he is a regular user of the river who will make sure the local perspective is always well represented in the group’s final recommendations.

 

The proposed timetable has the working group setting “community goals” for close study and potential action by the end of October, holding a workshop to debate “alternatives” for recommended actions in November, and issuing a final priority list of projects in February 2019 for voters to consider at the spring annual town meeting.

 

Potter ended a long presentation by the consulting team by neatly summing up the goals of the Integrated Water Resource Management Plan... “to understand the whole (watershed) system, identify the ‘broken spots’ that can be fixed,” the engineer suggested.

 

How many of those remedies can be applied to the long-term effort to restore the health of the river will depend on the funding made available, short and long-term, by the town.

 

Above: Kirk Westyphal, PE, Senior Principle Planner for the Water Resource Team introduces the stakeholder process and public engagement strategy to a standing room-only crowd in the Town Hall Annex meeting room.

Below: Board of Health member Phil Weinberg shares his opinion on objectives as BOH Chair Bill Harkins (center, left) and BOH Director Matthew Armendo (left of Harkins) listen.

 

 

 

Costa Campgrounds committee considers options for land use.

EverythingWestport.om

Sunday, October 7, 2018

 

The Westport Camping Grounds, located on Old County Road, adjacent to the west of the Westport Community Schools complex, is a 33-acre 61 B recreational facility with 165 feet of frontage that has been offered to the town for purchase. The acreage may allow for secondary access to the Elementary School that would reduce a potential of a traffic bottleneck.

 

The 15 +/- acres of dry uplands may allow expansion of recreational playing fields, potable deep-water wells, and potential future expansion possibilities.

 

The current construction envelope is tight at the new Westport Middle/High School building site, and some playing fields will need to be located on the old high school grounds.

 

The campgrounds owners had made it known they plan to sell the popular camping area and were interested in giving the town a right-of-first-refusal.

 

The cost of relocating the current Middle School’s tennis courts, deep concerns that the Westport Free Public Library was losing greenspace and facing altered parking plans, and abutters complaints about existing water runoff damaging their property motivated the town to take a look at the possibility of acquiring the campgrounds.

 

A Westport Residents’ Petition was circulated requesting that Westport investigate the purchase of the Westport Camping Grounds to incorporate this parcel into the educational and recreational Westport Community Schools complex. The petition asked whether the purchase price could be offset by the reduced site development costs of relocating the tennis court and Westport Free Public Library land taking and parking lot reconstruction. Grants and fundraising may help to defray additional costs.

 

On September 28, 2018, the nascent Westport Camping Grounds Advisory Committee met to review the scope of the committee’s charge. The Committee is staffed with representatives from the Select Board, the Library Trustees, the School Committee, a former Select Board member, the Town Manager, and abutters.

 

Joseph Ingoldsby was nominated to chair the committee. The Committee has been charged to exercise due diligence, review constraints on use, review all possible highest and best uses, and review costs and funding options.

 

A certified appraisal will have to be done after the wetlands are identified.

 

The Committee is scheduled to walk the Westport Camping Grounds accompanied by the owner, Martin Costa, and then meet to review and discuss site plans and wetland delineations in preparation for a more comprehensive analysis of town’s current and future needs.

 

Another meeting is scheduled in two weeks.

 

Above: Costa’s Westport Camping Grounds is located just to the west of the Elementary School (building with dark gray roof.)

Aerial Photo | EverythingWestport.com

 

 

 

 

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