Rochester Regional Health

Since United Memorial Medical Center has partnered with Healogics, an industry leader in wound care, it has cared for 9,000 patients and 40,000 wounds in the last seven years alone, with "highly skilled and trained staff” leading the hospital’s Wound Care and Hyperbaric Center as the recipient of two awards for its treatment achievements this week, Healogics Director of Operations Toni McCutcheon said Tuesday at the North Street facility.

“There are 65 collective years of experience in this wound care center, which is amazing. They provide exceptional wound care within the community. And since the center's opening, they have encountered nearly 40,000 wounds. It's amazing. It's amazing what the center does, it is reasonable to expect this center to have exceptional care and amazing healing outcomes,” she said. “So with that, the first award I'm going to present is an award for Clinical Excellence. This award is achieved by clinics that are in the top 10 percent of the wound meats adjusted comprehensive heal rate. The center is compared against over 600 other centers within the country that achieved top 10 percent.”

She added that, having visited the center, it’s an obvious team effort, and “these patients are well cared for and their wounds are healed and that's important to get them back their quality of life.”

This is a first for the Clinical Excellence Award, and a seventh time to be named Center of Distinction.

Dan Ireland, CEO of UMMC, spoke on behalf of hospital leadership and the board to congratulate the team and tell them, “we can’t be more proud of what this team has accomplished for the seventh time.”

“I can reflect on years ago when we first opened the center, we were all excited to have hyperbaric machines like that was the really cool thing to have. And we would show them off, but it quickly went beyond the fact of the equipment that we have, but to this great culture of a care team that we have here,” he said. “And it can't go without noticing it is all types of providers that play a role in here. You know from from Dr. Canzoneri and his provider team, to our PAs to our LPNs to our nurses to our support staff. They collectively work together to make sure that care is provided to the highest level and to be able to receive an award like this with such high score.”

One his Dr. Joseph Canzoneri’s “special patients,” Cherry Carl, shared her story of needing help for a hematoma that was ‘huge, painful” and could not be treated by her primary care physician. So she researched it and found UMMC’s Wound Care Center.

She drove two hours round-trip, and Dr. Canzoneri agreed to help. He explained what he was doing step-by-step and treated cut out the hematoma so that she could heal.

"No matter who you are, no matter where you are in your life's journey, you're welcome here. And no wound I think, is too small in this place. And then he exudes confidence. And he made sure that I knew what I had to do when I went home,” she said. “That meant weeks of coming here once a week, so he could scrape and scrape, and then it healed, but I if I hadn't come … because the wound was infected with Mersa an E. Coli. And if I had ignored it, I don't know.”

Canzoneri said that 50 million people globally suffer from foot and leg ulcerations each year, and the average healing time in most cases is over a year. That puts patients at high risk for amputations, death and other comorbidities, he said.

“Studies have proven and shown that basically, this team approach that we have here, especially at UMMC, helps reduce these comorbidities and mortality by 9 percent. Now, our job at UMMC wound care is not just to heal the patient, but it's to heal the patient as fast as we can and prevent the reoccurrence,” he said. “Our team approaches and uniqueness at UMMC help us further utilize our well-trained nurses, our dieticians, hospitals, physicians, infectious disease team vascular specialists, podiatry, orthopedics, nephrology, endocrinology or cardiology consultants, radiology, physical therapy, orthotics, home nursing care, and I'm sure a few others I forgot to mention. 

"This ability to coordinate quickly and effectively is what the patient needs in our Wound Care Center is what really makes us and helps us achieve that seven-year center of distinction,” he said.

 

Top Photo: Toni McCutcheon, director of operations for Healogics, left, presents an Award of Clinical Excellence to United Memorial Medical Center's Wound Care and Hyperbaric Center, led by Dr. Joseph Canzoneri, far right, Tuesday at the Batavia facility; team members celebrate their seventh Center of Distinction Award, also presented during the event; and a special patient shares her story with event participants. Bottom photo, a poem written by Cherry Carl for Dr. Joseph Canzoneri. Photos by Howard Owens.

Although it wasn’t as much as officials could have hoped for, a Restore NY grant has been approved to help with the expenses of the Healthy Living project in downtown Batavia.

In August, Genesee County Legislature agreed to serve as the applicant on behalf of the new campus to merge a portion of United Memorial Medical Center and GLOW YMCA services. The grant limit was up to $2 million, and Gov. Kathy Hochul announced Tuesday that a grant of $540,000 had been awarded.

Funds will be used to demolish the old 55,000-square-foot YMCA, and a 10,000-square-foot obsolete boiler house owned by Rochester Regional Health-UMMC, which will provide space to accommodate a new downtown park and parking.

The project was selected as a priority Downtown Revitalization Initiative project and is also supported by the Batavia Brownfield Opportunity Area plan. 

More than $102 million was awarded to 64 projects through the Restore New York Communities Initiative. Restore New York supports municipal revitalization efforts across the state, Hochul’s office stated in a press release.

Those efforts to help remove blight, reinvigorate downtowns and generate economic opportunity in communities statewide. The program, administered by Empire State Development, is designed to help local governments revitalize their communities and encourage commercial investment, improve the local housing stock, put properties back on the tax rolls and increase the local tax base.

Once approved, the grant is to “flow through the county,” County Manager Matt Landers had said during the application process.

The grant is to go toward some of the demolition costs of the GLOW YMCA site between Wiard and Bank streets. The county can charge up to $10,000 for administrative costs, “which should be more than enough for us to cover our costs,” Landers had said.

"These Restore New York grants will help to reimagine downtowns across our state and transform vacant, blighted, and underutilized buildings into vibrant community anchors," Hochul said in the release. "Thanks to $102 million of state investment, we are breathing new life into communities from Hudson to North Hempstead, jumpstarting new economic activity, and ensuring that New York State continues to be a place where people come to live, work, and raise their families." 

New life for downtown Batavia is to come from the partnership of RRH-UMMC and GLOW YMCA to develop a $33.5 million, two-story, 78,000-square-foot regional health and wellness facility. The new site will integrate a new YMCA facility with state-of-the-art medical space for the Healthy Living program.

"Restore NY invigorates our urban centers and is a vital tool in the economic development tool kit for rebuilding communities that need it most,” Empire State Development President, CEO and Commissioner Hope Knight said. “This funding will help local governments find solutions to blighted buildings so they can move forward towards a more vibrant future."

As for the county’s sponsorship as applicant, there is no county match, and no county cost aside from administrative expenses, Landers said.

The plan is to have the new building constructed at the former Cary Hall and Elks Lodge space so that YM members can use that during the demolition of the YMCA.

At the time of application, Rob Walker, CEO of GLOW YMCA, said there shouldn’t be any downtime for members, as they will transition over to the freshly completed site while the older YM building is taken down, he said.

“And continue operations without hurting the community and our services to the community — that was important to us, both from a mission standpoint and service standpoint,” Walker said.

The facility has previously been outlined — a pool, updated exercise equipment, and brand new amenities alongside Healthy Living’s teaching kitchen, classrooms and offices — and Walker described the outside space being “a nice streetscape park area” with benches, trees, lighting and an open grassy area for some outdoor activities, plus additional parking space.

File Photo of the beginnings of a new Healthy Living campus in downtown Batavia this August, by Howard Owens.

Press release:

Rochester Regional Health has made the decision to close the Batavia Urgent Care at the Jerome Medical Center effective August 1, as it prepares to offer reimagined urgent care services in the Batavia Medical Campus on Oak Orchard Rd. opening next year.  Our community’s health and wellbeing is extremely important to us, so while that new four-story, 115,000-square-foot state-of-the-art building is under construction, RRH continues to offer urgent care services through primary care offices, telemedicine and at United Memorial Medical Center.

Every staff member from the Batavia Urgent Care is moving into another position within the RRH system while the organization works through the Urgent Care redesign.

“Rochester Regional Health and United Memorial envision a future healthcare model with many complimentary services under one roof that provide reliable high-quality care,” said United Memorial Medical Center President Dan Ireland.  “Existing demands for staff and resources require new thoughts on how to operate services like Urgent Care. Now is the time to reflect on the future of healthcare and thoughtfully redesign the model of care that will serve our community in the years to come.”

• Primary care offices remain open, and providers aware of the changes ahead are prepared to see any patients with urgent needs 
• RRH ExpressCare offers patients immediate, on-demand virtual appointments with providers through patients’ MyCare accounts.  https://www.rochesterregional.org/services/telemedicine
• UMMC’s Emergency Department as always, is ready 24/7 to see any patients with true medical emergencies

In the coming days and weeks, patients will receive letters with more information and there will be new signs at the Batavia Urgent Care site about the changes.

The new Batavia Medical Campus building is slated to open in the Spring of 2023.

Over the last six-plus years, plans — and hopes — for a new and improved Healthy Living campus have certainly been put to the test.

A zoning change, suggestions for less cement and more green space, lighting up Wiard Street and rethinking an entry/exit from Summit Street, plus the constant push to raise money for the $33.5 million project may have given pause but never a fullstop since 2016.

Officials and community members celebrated Monday what United Memorial Medical Center CEO Dan Ireland described as making “this vision a reality.”

Ireland and about 100 others gathered at 213 East Main St., Batavia, one of the parcels between Main and Bank Street that will be the future 78,000-square-foot facility.

“This is a pivotal and historic day in our community’s health and wellness journey,” Ireland said. “We are breaking ground on an innovative, forward-thinking model of integrated health and wellness that will transform downtown Batavia. From a healthcare perspective, this facility and model of care that it represents will exemplify how healthcare can evolve to support the healthcare needs of the community today and for the next generations.”

“The Healthy Living Campus is the future of health care, where medical and wellness programs are integrated under one roof. It’s made possible through our community partnerships, and it’s helping patients get all the care they need and deserve in one place. 

He recalled the high level of effort it has taken during the past nearly seven years of planning, collaboration and diligent work to reach this point. He credited Rochester Regional Health’s staff teams, community partners, GLOW YMCA and “most importantly you” for arriving at the day shovels were symbolically plunged into the earth.

Not only was the event about a new facility, but also about an “innovative and integrated” system of what and how care is delivered. Meal planning, building healthy habits, assessing mental and physical health, and taking preventive measures for well-being are just some of the services to be offered.

Add in state-of-the-art exercise equipment, a new pool, an indoor track, a teaching kitchen, and an adventure room play area for children.

Top it off with 22 exam rooms and two medical procedure rooms for primary care, telemedicine appointments, behavioral health and crisis intervention support, cancer prevention, chronic illness, and community education services, and the site is a one-stop-shop for many health concerns and fitness goals, officials said. There will also be a drop-in childcare center.

“Today is not just a celebration of a new building or clinic, it’s the celebration of a community coming together to reimagine health and wellness of the future and transform our downtown," Ireland said. "It’s celebrating you and your friends and neighbors who have worked tirelessly over seven years to advocate, plan and collaborate to make this vision a reality. Without your voices, your ideas, your support, we would not be here today at this milestone. We are embarking on this exciting new chapter of health and wellness in Downtown Batavia.”

The project’s birth was a few city managers ago, when talk of an expanded Healthy Living campus at times seemed pie-in-the-sky for some. Seeing it finally come to fruition is “a big load off our minds,” City Council President Eugene Jankowski said.

“I’m excited to see this project begin,” he said. “There were a lot of setbacks, and it’s really easy to call it quits.”

He thanked all involved for remaining steadfast on the journey and “moving forward to positive outcomes” in the city’s future.

Robert Walker, CEO of GLOW YMCA, remembered picking up the phone back then and becoming engaged in the concept. Almost seven years later, this plan “has truly changed the path of both organizations,” he said.

“Your leadership and support have impacted me tremendously,” he said.

He cited the YMCA’s mission statement: To develop the spiritual, mental, and physical wellness of all people in an atmosphere of Christian fellowship and thanked individual and collective community members for their determination to come together, strive for improvement, and see this project through.

“The GLOW YMCA and Rochester Regional Health Healthy Living Campus is a place for children, adults, and families from all walks of life in our community to come together and improve their lives — spirit, mind and body,” Walker said. “The state-of-the-art campus will not only be a benefit for the health of our residents, but also for the health of our local businesses, transforming downtown Batavia.”

Perhaps equally notable to the support for the project is the timing now, in the midst of a post-pandemic, RRH CEO Dr. Richard Davis said.

We’re all about reimagining what healthcare can and must be in the 21st Century, we’re focusing on those strategic themes and talents of literally 20,000 of our team members … delivering the right care, in the right place, at the right time, to achieve the right health outcomes for the right value,” he said. “Healthy Living is a shining example of what truly is an innovative model.”

The strengths of two organizations — RRH and YMCA — are being brought together to offer the best of each one alone as an essential service to the city of Batavia, he said.

Officials also included Rob Rodriguez, NYS secretary of state, Senator Edward Rath III, Tom Houseknecht, on behalf of him and his wife Lynn, and Paul Battaglia, chairman of the YMCA Campaign Committee.

“I know when we started this quest in 2016 … many people thought this was an impossible dream. Now … this dream is coming true,” Battaglia said. “Today we’re not just celebrating the groundbreaking of a building, but celebrating the health of our community. This is a transformational project that is going to completely change the downtown area. It’s going to bring people downtown, create excitement and vitality that we believe will have a significant domino effect on the local businesses there. We could not be prouder of this relationship.”

The Healthy Living project was made possible with state, federal and community fundraiser monies, including an NYS economic development health care grant of $11.6 million, a $4.1 million Downtown Revitalization Initiative grant, and ongoing fundraising efforts by more than 50 GLOW YMCA and RRH volunteers.

Officials expect construction to be completed in 2023.

Top photo: Officials take shovels in hand for the symbolic gesture during the Healthy Living campus groundbreaking ceremony Monday at 16 Bank St., Batavia. United Memorial Medical Center CEO Dan Ireland, Rob Walker, CEO of GLOW YMCA and Rochester Regional Health CEO Dr. Richard Davis say a few words during the event. Photos by Howard Owens. Renderings of the project provided by RRH.

For anyone in the vicinity of Centennial Park Thursday, you may have spotted a bunch of lemonade stands, correlating yellow decor and people enjoying the warm weather with a cool cup of lemonade. 

What you may not have noticed so readily was the fundraising taking place with each cup of beverage sold. The event, hosted by Rochester Regional Health and United Memorial Medical Center, was to raise money for baby swaddles. A goal was set to purchase 500 of the infant wraps to give to local moms. 

So why baby swaddles? What are they and why are they important enough to warrant a specific fundraiser? Over at the Healthy Living stand, registered nurse and maternal health educator Jay Balduf put it succinctly with a  two-digit number: 93.

“Ninety-three babies die annually in New York State alone, either by being rolled on by another person or loose bedding,” she said. “So that's why we promote the Safe Sleep initiative on the unit. Sacks play a role in teaching new parents, and any parent, really, about the importance of safe sleep. And it just helps us also to give back a little to the community, because most of these kids were probably delivered at UMMC.”

Baby swaddles and sacks are promoted for infants as a safe way to be in a crib and for sleep time. Other embellishments — pillows, blankets, clothing — can become a hazard if the baby gets entangled or covered with such material, said Linda Stoiber, an RN and lactation consultant.

“The hospital is a Baby-Friendly Hospital and a safe sleep designated hospital where babies are placed on their back. They are swaddled with these new swaddlers,” Stoiber said. “There should never be another blanket or a pillow, or anything around the crib, nothing else that would affect the baby then cover their face and cause them to suffocate.”

Megan Boring learned early on — with two Neonatal Intensive Care Unit babies of her own — the importance of making them feel safe, helping them to grow and be warm. A coordinator of Healthy Living’s MOMS (Medicaid Obstetrics Maternal Services)  program, she supports the belief that babies don’t belong on their bellies, she said, but more safely on their backs. Swaddling them keeps their arms tucked nicely inside, and it mimics a cocoon “as if they're sleeping still inside … the mom's womb,” she said.

“So the Safe Sleep initiative is really to help keep them on their back while they're sleeping,” she said. “I think there are moms that don't understand the importance of the swaddles. They can be expensive to some moms too. They are upwards of $25 to $30 and not all moms have. So I think that this fundraiser is important because it's going to help moms get at least one to have so that they can also be educated on safe sleep for their babies. (See related story, Lemonade stands bring out supporters, creativity and lots of yellow.)

For more information about Healthy Living programs, call (585) 344-5331 or go here.

Top photo: Healthy Living's Baby Cafe staff Linda Stoiber, left, and MOMS program coordinator Megan Boring, hand out lemonade with information for anyone interested in baby swaddling, breastfeeding and other maternal-related issues Thursday during the Lemonade Stand fundraiser at Centennial Park. Above, Jay Balduf, Megan Boring and Linda Stoiber greet a visitor at the Healthy Living stand. Photos by Howard Owens.

 

 

Jason and Ashley Mlyniec and their two sons were some of the many people — adults and kids alike — sporting sunny yellow attire Thursday at Centennial Park.

The Batavia family had set up a table with a pitcher of lemonade and glass jars of lemon suckers and lemon puffballs. They definitely fit the theme of the inaugural lemonade stand fundraiser hosted by Rochester Regional Health and United Memorial Medical Center.

“We’re on the hospital foundation board,” Mrs. Mlyniec said. “This is for a good cause. We’ll do it again next year.”

Under the umbrella of RRH, each lemonade stand was created by individual families and groups that wanted to help raise money for the Swaddle Program. While one participant blew bubbles at her table, another stood behind a Charlie Brown-themed “the doctor is in” sign, and all of them had a special twist to their decor, including plenty of lemons.

The first-time event chairman was 10-year-old Patrick Casey, chosen for his prior involvement with fundraisers.

“I had some spare money, and I gave it to a fundraiser for the hospital, because it’s for a good cause,” he said. “If you’ve got some spare money lying around, give it to a good cause.”

Last year his mom, Lauren was talking with others about how to get young kids involved in the lemonade stand idea, and she in turn told Patrick about it.

“He thought it would be pretty fun to do for the summer,” she said.

The Caseys — including the chairman's father Peter and sisters, Madelyn and Emily, who wanted to help out — weren’t certain how many glasses of lemonade they handed out. Though Patrick did have to make a run or two for some more cups. Overall, the experience has been “cool,” he said.

“Knowing that you made all this happen, and all these people coming here to raise money,” he said.

As for the money raised, it will go for the purchase of baby swaddles, Senior Development Officer Lori Aratari said.

“Working with the maternity department, we realized that we didn't have the funds to be able to purchase the baby swaddles. So I kind of put my thinking cap on and said what can we do that would interest the community and engage families to want to support purchasing the baby swaddles for every baby that's born?” she said. “We obviously want to make sure our babies are safe when we let them leave the hospital. We're hoping that this will become an annual event. And as you can see, folks are outdoing themselves with the variety of displays that they have to sell their lemonade, so it really was open to them to be creative.”

The goal was to raise $4,000 to buy 500 baby swaddles, and $3,600 had already been raised before the 5 p.m. start time through the hospital’s Just Giving online platform, Aratari said.(For more about the Baby Swaddle initiative, see related story, Tuck 'em in, keep 'em safe.) 

Photos by Howard Owens

Top photo: Patrick Casey, 10, this year's chairman of the first-time Lemonade Stands fundraiser for Rochester Regional Health and United Memorial Medical Center Foundation.

Second photo: The Casey family -- Patrick, Madelyn, Peter, Emily and Lauren -- enjoys working its stand Thursday at Centennial Park, Batavia. 

Emerson Warner with lactation nurse Jay Balduf

Marigrace Cummings pours a cool cup of lemonade for Rick and Jane Scott

Maiy, Knox and Fae work at their lemonade stand

Mercedes Houseknecht plays in bubbles.

Parents may have questions now that Moderna has requested the emergency use of a COVID-19 vaccine for children under six years old.

Dr. Tracy Maier, a pediatrician with Rochester Regional Health’s Penn Fair Pediatric Group, has some answers, she says. Bottom line is that it could help, Maier said during a Zoom meeting with members of the media this week.

“It would be just one more implement in our defense against COVID,” she said. “Clearly, COVID is not going to go away, and we’ve proven that the best way to prevent the spread is to get vaccinated and to wear masks.”

“Traditionally, our population under age two has not been masking, so they are exposed, and our two- to five-year-olds are masking, if they tolerate it,” she said. “This is just one more line of defense against COVID.”

As many adults have experienced, masks, in general, have been dropped in lieu of getting vaccinations, loosened mandates and/or a belief that the imminent danger is gone. Though Genesee County’s data hasn’t exactly supported that notion. Latest statistics have shown an uptick in cases, with 168 new positive COVID-19 cases from April 13 to 19, and 278 cases from April 20 to 26. There have been a total of 185 deaths reported due to the virus as of April 25. 

Ages 0 to 19 had dipped from April 6 to 13 and then began to rise again toward the end of the month, coinciding with an increase of positives from the 60+ group, according to the Genesee Orleans Department of Health website. 

So does that mean that parents should line up to get their four-year-old a shot? Don’t just take Maier’s advice, she said. Have a talk with your child’s pediatrician. Ask questions, such as what are the benefits, the risks, and if there is anything parents should consider as unique to their child’s circumstances that make a vaccine more or less important to their health. 

Other questions may be what are the long-term effects? What difference will it make to my child with the vaccine versus not getting one, Maier said. For those in-between situations where, say, a child is under five and a parent is wondering whether to get the vaccine, “it depends on the circumstances,” she said. 

“If the child is at high risk because they have an underlying medical condition, I’d say let’s go ahead with this when it’s approved for your age group,” she said. “If not, I’d say, let’s wait until the age that we know when it’s effective.” 

Moderna’s request for emergency use, if approved, would make it the first vaccine for children under five. There are 18 million such children in the United States currently not eligible to receive a vaccine, she said. 

Despite lessened vigilance about wearing a mask, getting a vaccination “is still very important at this phase,” she said. 

“COVID is a virus, and we know from looking at other viruses (influenza) that viruses mutate and it’s going to mutate quickly,” she said. “And we know that vaccine is one of the greatest things that we have in our defense of this virus … to continue with our daily lives as usual. Once you are vaccinated, once you have been exposed and don’t have any symptoms, you can go on about your lives … children can still go to school, and they can still go to daycare (if no symptoms). It allows life to continue on as it normally would.”

This week Moderna, a biotechnology company pioneering “messenger RNA” therapeutics and vaccines, announced that it submitted a request for emergency use authorization for its COVID-19 vaccine in children six months to under two years, and two years to under six years of age. The request has been submitted to the U.S. Food and Drug Administration for approval. The FDA has 30 days for the approval process.

According to the Centers for Disease Control, if the FDA does approve the vaccine, it will continue to oversee its production to "ensure continuing safety." Monitoring of the vaccine and production, including periodic facility inspections, must continue as long as the manufacturer holds a license for the vaccine product.

Dr. Tracy Maier is a Doctor of Osteopathic Medicine at Penn Fair Pediatric Group in Penfield. 
 

Press release:

The Genesee County Funding Corporation (GCFC), an affiliate of the Genesee County Economic Development Center (GCEDC), approved tax-exempt bonds to support projects by Rochester Regional Health (RRH) expanding healthcare services in Genesee County and throughout New York State at its April 28th board meeting.

The tax-exempt bonds approved by the GCFC support the construction of a 105,393 square-foot healthcare facility on Oak Orchard Road in the Town of Batavia and 56,147 square feet of related ground floor parking.

In Batavia, Rochester Regional Health will offer outpatient cardiac care, women’s health services, primary care, urgent care, outpatient surgical services, gastroenterology, outpatient radiology and other outpatient services.

The Batavia project is projected to create approximately 70 full-time equivalent jobs with an average salary of $110,000, and over 200 construction jobs.

In addition to new bonding, the project also includes improvements of machinery, equipment and other tangible personal property, the refunding or refinancing of all or a portion of the outstanding principal amounts of existing bonds, and the construction of a 96,189 square-foot healthcare facility in the town of Potsdam in St. Lawrence County.

The projects will generate over $172.6 million of economic benefits to Genesee County and other communities over 10 years, including $161.4 million of payroll for temporary and ongoing jobs, and $11.2 million of tax revenues.

Updated: April 21, 4:30 p.m. with additional information about Laurie Oltramari nomination:

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The Genesee County Legislature, understanding that it has zero financial liability, is expected to pass a measure to allow the Genesee County Funding Corp. to secure up to $275 million in revenue bonds to finance a wide-reaching project of the Rochester Regional Health system.

The legislature’s Ways & Means Committee on Wednesday approved a resolution that describes RRH’s plan to finance or refinance capital improvement projects at several locations, including its new medical specialties building under construction on Route 98, north of the Thruway interchange in Batavia.

About $47 million in Series 2022 Bonds will be used for the “Batavia project:”

• Construction of an approximately 105,393 square-foot medical facility on Route 98 that will house extension sites of three RRH affiliate hospitals to be used for outpatient cardiac care, women's health services, primary care, urgent care, outpatient surgical services, gastroenterology, outpatient radiology and other outpatient services;

• Construction of approximately 56,147 square feet of related ground floor parking, and the acquisition and installation of machinery, equipment and other personal property.

A formal vote of the full legislature likely will take place at next Wednesday’s meeting at the Old Courthouse.

Last month, representatives of the Genesee County Economic Development Center proposed the idea of using the GCFC to act as a conduit bond issuer for RRH. Subsequently, the legislature voted to change the entity’s bylaws to allow for projects outside of the county as long as the business had operations in Genesee County.

RRH fits the bill as its network of hospitals and offices stretches across the state. According to the resolution passed yesterday, other capital improvement projects to utilize this round of funding will take place in the City of Rochester, Town of Potsdam, Town of Pittsford, Town of Penfield, Town of Canton and Town of Massena.

Before supporting this action, Ways & Means Chair Marianne Clattenburg asked for assurance that Genesee County bears no fiscal responsibility in the transaction. The premise of the resolution is that RRH would be able to issue bonds at a reduced interest rate by going through the GCFC.

“I support this as Rochester Regional Health has made a commitment to the county,” Clattenburg said. “It’s hard to get doctors to work in rural communities.”

In other action, the committee approved:

• An application for a New York State Office of Community Renewal Community Development Block Grant of up to $750,000 to support La Fermiere Inc.’s plans to develop a yogurt and dessert production facility at the Genesee Valley Agri-Business Park on East Main Street Road in the Town of Batavia.

Per the resolution, the project will create 135 new jobs and represents a private investment of more than $20 million. If received, the grant would help finance part of the costs of machinery and equipment, including furnishing and fixtures, as well as working capital expenses.

• The appointment of Robert Sotir of Batavia, organizer for the Bricklayers and Allied Craftworkers Local 3 NY, to the GLOW Workforce Development Board for a term at the discretion of the GLOW chief executive officers.

GOVERNOR NOMINATES OLTRAMARI

It also was announced that Gov. Kathy Hochul has nominated Laurie Oltramari of Batavia to serve as a representative on the Rochester-Genesee Transportation Authority board for a term of six years.

Contacted today, Oltramari, senior library clerk at Genesee Community College, said she initially was nominated by the Genesee County Legislature and went through "a lengthy process of submitting documentation and answering questions in terms of financial disclosures, conflict of interest, background check, public officers law, and board duties."

"I received notification yesterday that I was nominated by the governor to the Senate. I am now awaiting my Senate confirmation," said Oltramari, who previously served as executive director of the Downtown Batavia Business Improvement District.

While the omicron variant of SARS-CoV-2 carries with it less risk of a serious sickness, it still is a dangerous and sometimes deadly disease, and children should be protected from it, said Dr. Steven Schulz, RRH pediatrician and medical director of RRH Pediatrics in Monroe County.

The same appears to hold true, so far, for the B2 variant of omicron.

Rochester Regional Health via Zoom hosted a press conference today for reporters from throughout the region. It was pegged to a recent study published by the American Medical Association that found that the omicron variant is six to eight times more likely to lead to infections for children less than five years old but resulted, percentage-wise, in fewer hospitalizations.

Still, with nearly two percent of infected children dying as a result of an omicron-variant COVID infection, the disease remains far more deadly than the flu.

Schultz said that based on the most recent CDC numbers he's seen, 1,300 children in the U.S. have died from COVID over the past two years.  

"If we divide that in half, that's still way, way worse than any flu season we've had in recent history," Schultz said. "You hate to ever think that your child would be the one who would have the severe complication or the severe outcome, but it does happen and kids have died and do die from COVID."

Because omicron -- and so far B2 -- is more contagious, more children under age five are getting sick but because the variants do not seem to cause as many severe outcomes, area hospitals are not seeing many young children in the hospital. 

"Kids were less likely to need to go to the ER, to be hospitalized, end up in ICU, or on mechanical ventilation in this zero to five group compared to the delta," Schultz said. "That's certainly reassuring but it also doesn't mean that it's risk-free to get omicron, especially in this age group. We definitely know that we saw kids throughout that time ending up in the hospital, even though the odds might have been a little bit less compared to delta, because more kids were getting infected, we definitely still saw lots of kids in the hospitals."

It's not just immune-compromised kids, or children with other health issues, who are getting hospitalized and dying from COVID, Schultz said.  Healthy children are at risk, too.

The good news, Schultz said, is that we have a safe and effective vaccine -- the Phizer vaccine -- available to children over the age of five. 

"We know that vaccination is still the most effective way to keep children safe," Schultz said. "The COVID vaccine is safe. It's effective. It significantly reduces the chances of ending up in the hospital. So anybody who has children five years of age and up, I definitely encourage getting the COVID vaccine right now."

Since children under age five cannot be vaccinated, the best way to protect them, Schultz said, is for everybody in a household over age five to get vaccinated.

"You're protecting the younger child as well," Schultz said. "The other thing that we know, with all of this, of course, is still that masking and social distancing works. And it's not a coincidence that, since the mask mandate has been removed in early March, we're suddenly seeing increasing rates of COVID as well as influenza. There's, there's no question about it."

He noted that the positivity rate for COVID tests in the region has jumped from a recent low of three percent to 10 percent.  That's no coincidence, he said, and tied directly to the lifting of mask mandates.

Schultz has a young son who wears a mask to school every day.  Not only does it provide an extra layer of defense for him, Schultz said, it also helps other children in the school.  There are children in his class who have moderate to severe immunosuppression.  

"I completely agree that it's a greater good for the community as a whole to wear masks," Schultz said.

He disagrees with those who say masks harm children's interpersonal development.

"There have been lots of studies that actually show that it's not the case, that kids are still able to read facial expressions, that kids are still learning those interactions," Schultz said.

The other way to protect children, and others,, Schultz noted, is for parents of symptomatic young ones is to keep them home.

"There's not really any way to tell COVID from any other viral illness, based on symptoms alone," Schultz said. "A runny nose, congestion, cough, fever, even GI symptoms, they can happen with a variety of viral illnesses. Sometimes we can test to name those viruses, whether it's COVID, whether it's flu, but sometimes it's one of the other of hundreds of viruses that are out there. So if there's a suspicion or a question, especially if you have a child going to school, or daycare, or a large family gathering coming up, where there's a higher risk of transmission between people, it's really important to have your child seen and evaluated by a healthcare provider to make sure that it's not COVID In those situations."

Officials of the Genesee County Economic Development Center are asking Genesee County legislators to consider expanding the “jurisdictional reach” of a locally controlled funding unit to facilitate $218 million in bond funds for Rochester Regional Health’s expansion projects.

Speaking at the legislature’s Ways & Means Committee meeting this afternoon at the Old County Courthouse, GCEDC President Steve Hyde encouraged passage of a resolution that would permit the Genesee County Funding Corp. to act as a conduit bond issuer for a business enterprise – either for-profit or not-for-profit – located in Genesee County that has operations directly or through affiliated entities in other counties in New York State.

The resolution, which was passed by the committee and forwarded to the full legislature, calls for an expansion of the “mission and public objective” of the GCFC to promote economic development and expand the jurisdictional reach by making the GCFC eligible to issue bonds for projects outside of Genesee County.

If passed, Rochester Regional Health, which operates United Memorial Medical Center in Batavia along with health care facilities in other counties, would be the beneficiary of the amendment to the GCFC’s current certificate of incorporation.

Hyde said that RRH is planning to invest $42 million in Batavia, primarily on the construction of a 105,000-square-foot medical center off Route 98, north of the city, and another $50 million or so on an expansion in Potsdam (St. Lawrence County).

“That’s almost $100 million in new money plus they are refinancing existing debt,” he said, pointing out that the issuance of the bond through GCFC would enable RRH to get a tax-exempt corporation interest rate instead of a taxable rate. “If not, they would have to seek multiple bonds in a number of communities and the fees would be much higher.”

He said RRH leadership approached the GCEDC “to use our GCFC, which is a county affiliate that we manage on your (the legislature’s) behalf.” The GCFC board consists of five members, all appointed by the legislature.

Mark Masse, GCEDC senior vice president of operations, said Genesee County has seen tremendous growth of companies with locations in other counties.

“This won’t affect the county’s bond rating,” he said. “It is similar to a PILOT (payment in lieu of taxes) with no risk to the county.”

Hyde said RRH is focusing on the adaptive reuse of its North Street and Bank Street campuses, including expanding senior health care at the Jerome Center and possible razing a couple buildings on North Street because parking is an issue.

“And there will be more specialties at the new medical center, such as cardiac care and surgical (improvements),” he said.

Should the legislature vote in favor of the resolution, it would not change the fact that every project connected to the GCFC would have to be approved by the governing body and a public hearing would have to be held for tax exempt circumstances, Masse said.

County Attorney James Wujcik said the resolution’s wording was appropriate, adding that the expansion of the GCFC territory “makes Genesee County more attractive for investment.”

For nearly two decades Sandy Lloyd had worked at a bank before getting laid off in the midst of COVID-19. 

So she reassessed her life and took note of news reports that healthcare workers were walking off the job due to vaccine mandates.

“I wasn’t enjoying my job anymore… sitting at a desk every day,” she said, turning to the news reports. “They were losing a lot of people due to that. I thought ‘I need a job, they need people, let’s try it.’ I don’t think I would have ever pursued it if there hadn’t been a pandemic.”

Lloyd, a Corfu resident, began her new career on Dec. 6 of last year. While it may be only two months later, she has already embraced her new vocation at United Memorial Medical Center in Batavia. She admits to the many hours and long shifts but has discovered that there’s more to the working world than banking. Her formal title is clinical nursing assistant, and the job duties are a catch-all for those in need: in need of a beverage or meal, new bedding, personal hygiene assistance, a delivery to the lab, and the like.

“I’m on the third floor … I wait on everybody, get them water, pass out food trays, assist the nurses. It’s on-the-job training,” she said. “I look at the patient as a customer; it’s using customer service skills. Just being there and doing what they ask is the number one priority.”

Lloyd has merely shifted her former training and experience to focus on patients that are recovering from surgery versus bank customers cashing a check. Working with many registered and licensed practical nurses, she’s been told that she’s a “natural” in her new field. That encouragement coupled with her own enthusiasm has prompted the 41-year-old to attend nursing school in the near future.

Lloyd’s sister Dustin Miller is a nurse, and she forewarned Lloyd that it’s a tough job, while her mom seemed incredulous that her other daughter was also going into the field. The only ones not taking her new passion so well are Lloyd’s sons Bryce, 7, and 10-year-old Brody, she said. 

“They were a little upset because I work a lot of hours,” she said. “They miss their mama now.”

She works every other weekend, and the boys periodically spend time with their grandparents, “Nana” Janet and “Grumpy” Chris. Lloyd’s free time is spent playing with her sons and sleeping, she said. “We balance it all out,” she said. 

She was initially hired for a 7 a.m. to 3 p.m. time slot, and that has evolved into 12- to 16-hour shifts because she volunteers to take on extra hours, she said. Despite the potential issues due to COVID-19, she took all of the possible precautions for her and her family, including being vaccinated,  getting the booster shot, wearing a mask, and, per hospital routine, doing “a lot of hand washing.”

Other than that, it was full speed ahead.

“I just ran into it,” she said. “I can’t deny these people care because of worry about COVID. Every day is humor for me; I do something stupid to make people laugh. We all try to laugh during the day.”

Lloyd is often on the job when patients go into surgery and then later when they are recovering, which makes them ask if she ever goes home. “Yes, when you were sleeping,” she tells them. She hasn’t reconsidered her former employment and encourages others to try the healthcare field if they’re looking for a change. Her co-workers are a team working toward a common goal, she said.

Rochester Regional Health took a major loss of employees after the New York State Department of Health issued a vaccine mandate for healthcare workers. The mandate went into effect on Sept. 27, 2021. Although “many were granted religious exemptions” initially, those exemptions were overturned and all employees were required to get their first dose by Nov. 22, a Rochester Regional Health spokeswoman said.

As a result, there were approximately 350 employees in the Rochester and St. Lawrence regions “who made the personal choice to decline vaccinations and leave our health system,” the spokeswoman said. “The employees represent approximately 200 full-time equivalents.”

The void left by those workers made for many vacancies and related news stories, which in turn opened a door for Lloyd.

“I actually enjoy the job. I’m constantly learning and doing something new every day,” she said. “It really does make a difference.”

Top photo: Sandy Lloyd of Corfu works in her new job as a clinical nursing assistant at United Memorial Medical Center in Batavia. Lloyd is pictured here with her sons Brody, middle, and Bryce. Above, Lloyd works her shift helping outpatients and nurses at UMMC. Photos top and above submitted by Rochester Regional Health, and family photo submitted by Sandy Lloyd.

 

Of all the debatable data out there regarding COVID-19, one piece about local hospitalizations is irrefutable, Dan Ireland says.

United Memorial Medical Center’s occupancy rate is at 86 percent, and 100 percent of patients admitted to the Intensive Care Unit have been unvaccinated, said Ireland, Rochester Regional Health/UMMC president, during a live-streamed health discussion Thursday. 

“Seventy-five percent of COVID admissions are unvaccinated people,” he said. “The data is clear, unvaccinated folks are suffering (from COVID symptoms and illness).”

Another statistic to note is that 100 percent of people put on ventilators were also unvaccinated, he said. Though there are various other reasons for someone being admitted to the hospital, 70 percent of them went to the hospital for COVID-19 symptoms and concerns, he said.  It was a set of coronavirus symptoms that drove them to visit the hospital, he said. 

Although some vaccinated people are experiencing break-through cases, the symptoms have not been as severe, he and Genesee and Orleans County Health Director Paul Pettit said. 

“Please, please, please get your vaccine,” Ireland said. 

Not only is that step important for protecting the health of individuals and families, it helps to free up space at the hospital, he said, citing 36 percent of the entire hospital population is attributed to COVID-19. People are still seeking health care treatments for other causes, and it’s “our job to strike that balance” between the needs of those with the COVID virus and more traditional healthcare that is needed.

Those traditional healthcare services remain open at RRH hospitals, which include elective surgeries. Those surgeries held a 90 percent occupancy rate in 
December. Ireland said that, more recently, those surgeries will still occur, but on “a much more limited basis.”

“Surgery is not closed, we’re just limiting it to limit the exposure to patients,” he said. 

The whole region is focused on restricting elective surgeries to essential only, per health department guidelines, he said, however, facilities in nearby counties have taken patients when necessary. 

There will be public announcements to inform the community of changes that may occur, such as particular hospital offices needing to close due to staffing shortages or exposure concerns, and where patients may be able to go instead. Overall, hospital staff “has done an amazing job at accommodating them at other locations,” Ireland said. 

As of Tuesday, a new visitor policy restricts hours for a 9 a.m. to 1 p.m. and 3 to 7 p.m. daily visitor schedule. Everyone will be screened, information is to be captured for potential contact tracing and visitors cannot see patients with COVID-19 or other immunity compromised patients. 

“Just be aware, if you have a loved one in the hospital, if a screener advises you of a new policy, it’s because of updated responses.”

As for those colorful and rhinestone-covered cloth masks, the latest data shows, especially in the light of the recent spread of the SARS-2-CoV variant known as Omicron, that they are not as effective as medical masks. The Hospital administration has issued a “no cloth masks” order in lieu of medical, tighter-fitting masks, such as KN95. Hospital visitors without such masks will be given one by staff, he said.

“It’s very important to protect yourself; wearing that mask is a barrier. Is it full-proof? No. But we do know it’s a barrier (to the virus),” he said. 

Ireland said that, of course, people want to get out and enjoy activities away from their homes. They can do that, but there are tools in place to protect people to have fun “safely and effectively,” he said. 

“Have some self-awareness and some self-driven compliance,” he said of wearing masks, testing when necessary, and isolating and/or quarantining if positive for the virus or exposed to someone else who is positive. Journalists participating in the event asked about the safety of student-athletes, the target number for vaccinations, and the future. 

Student-athletes are being tested based on the same protocols as other students, Pettit said.

New York State set a target vaccination rate of 70 percent, and “we’re above that number now as a whole,” he said. People who are most recently getting the vaccine seem to be doing so based on external events, such as a family member getting sick or dying from COVID-19, or mandates requiring a vaccine for certain types of travel, he said. 

And for those on the fence? His department staff is working to answer questions and provide information to anyone not yet vaccinated. 

“We’re really trying to talk to those folks who are undecided,” he said. ”Based on the data, the vaccine is very effective; it does keep people from having the severity of the disease, and it keeps them out of the ICU and off ventilators. We’re hoping these folks will make the decision at some point in the very near future.”

Genesee County has experienced a “very sharp increase” in positive cases, especially in congregate settings, such as nursing homes, he said. There have been a total of 12,105 positive cases and 164 deaths from the COVID-19 virus since the onset of the pandemic. Out of that number, 1,509 cases were in the month of December compared to 2,118 in just the first 10 days of January, he said. 

He wanted to clarify case investigations, which are conducted for confirmed cases by obtaining the person’s name, address, symptoms, date of onset, close contacts and that person’s history during the prior 48 hours, versus contact tracing, which takes the process “a little bit further” by trying to identify people who were exposed to a confirmed case of the virus and establish if those people are isolating (if found to also be positive) or quarantining due to being exposed to the person found to be positive. 

Case investigations are not changing, he said. However, due to the massive numbers of positive cases multiplied each by an estimated five to 10 exposures, it’s likely the health department may not be able to follow up on all of those cases, he said.

Genesee County Legislator Rochelle Stein reminded folks that everyone can take a part in keeping the community safe.

“Vaccinate and get the booster when you are eligible, she said. “Mask when in public places, test when you feel ill, and then stay home. These are the simple ones today.”

For further information, watch the video and/or go to GOHealthNY.org

Press release:

Rochester Regional Health will postpone all non-essential elective inpatient, 23 hour and same-day elective hospital surgeries and procedures for at least two weeks at Rochester General Hospital and Unity Hospital, effective Thursday, December 9. This non-essential inpatient elective surgery postponement at Rochester General and Unity is in compliance with newly released guidance from the NYS DOH. Newark-Wayne Community Hospital is not on the NYS DOH “impacted facility” list; however, Rochester Regional has proactively decided to suspend inpatient elective surgeries there this week. At this time, Clifton Springs Hospital & Clinic, United Memorial Medical Center, office-based procedures, and ambulatory surgery centers are not impacted. We are actively communicating with impacted patients and hope to resume inpatient surgeries at Rochester General and Unity as soon as it’s possible. As the area enters the third wave of this pandemic, Rochester Regional remains deeply committed to caring for the community. Patients should not delay necessary care at this time.

Omicron B.1.1.529 -- a new and rapidly changing variant of the coronavirus that just this month was first identified by scientists in South Africa -- probably has found its way to the United States and should be considered as highly transmissible.

That's the opinion of Dr. Emil P. Lesho (photo at right), an Infectious Disease specialist with Rochester Regional Health, who addressed the media this morning via Zoom.

When asked about Omicron's impact in the Finger Lakes Region, Lesho said it's a bit early to tell, but "the quick answer is … it's likely in the United States."

"At last count, it was reported in 13 different countries, including Canada. So, it was first detected in South Africa … that doesn't necessarily mean that's where it originated, that's where it was detected first," he said.                                                                        

Noting that the variant has been linked to travel, he said the detection process "requires advanced whole genome sequencing (and) most hospital labs in the United States can do that technology."

"Specimens have to be collected first, then they have to be prepared, then they have to be sent to a special sequencing laboratory," he said. "So, that takes time. But as we speak, Rochester Regional is looking for this variant. We have our laboratories collecting samples and preparing them in the way I just described."

In the United States, public health officials believe that early evidence indicates an increased risk of reinfection with Omicron as compared to other variants, such as Delta. In fact, the Biden administration has placed a travel ban from South Africa and seven neighboring countries duo to this variant.

Lesho, when asked what doctors and researchers know about Omicron, said there's "a lot that we don't know."

"And, some of what myself and what anybody says today can be changed tomorrow; we're learning more and more every day."

He said Omicron has been labeled "a variant of concern," which is the highest classification of variants on the books at this time. Others are variants of interest and variants of high consequence, but as of now, no variants of high consequence have been identified.

"What we know about this Omicron -- why it's labeled a variant of concern is because of the number of changes that it has undergone, and in the rate that it had accumulated these changes; the speed at which these changes occurred," he offered. "That's what kind of surprised scientists and laboratorians."

Lesho said this one appears to be more transmissible in light of nearly 50 changes in this virus compared to preceding strains.

"It’s those number of changes or those mutations, that that are of concern. Additionally, it's where those mutations occur. So, this whole genome sequencing that I mentioned looks at the entire genetic makeup of an organism. And so that enables us to look at which parts of it have these changes," he said. "Of those 50 changes, maybe 30 or so are in the area that the vaccine uses to instruct our bodies to make the protective antibodies. So that's why it's concerning."

In any event, the doctor said that getting vaccinated -- including the booster shot at least six months after the primary series -- "still, is the best way we can protect ourselves ..."

Other points addressed by Lesho today are as follows:

VACCINATION AND VARIANTS

While vaccines provide the most protection -- apart from natural immunity from having the virus plus vaccination -- Lesho said vaccination rates globally are relatively low.

"Not many countries have been as fortunate as developed countries, such as Israel, United States ... United Kingdom," he said. "Countries in Africa have vaccination rates as low as 20 percent ... and there's potentially only 70 percent of the people in the United States that are vaccinated.

"So, what they're learning is when they talk about herd immunity -- when you get through about 70 percent of the population being immune to help the epidemic or the pandemic stop spreading, maybe we're seeing with these higher transmissible variants like Delta and this one, it may be more upwards of 80 or 85 percent, Still, the way we can prevent these new mutations and these new variants from emerging is to get as many people in the population as immune as possible."

AS WINTER APPROACHES

Lesho had a sobering message as the cold and flu season arrives and as COVID-19 cases increase: "Well, what we can expect is, unfortunately, increased fatalities."

"We are already seeing increased number of patients in the hospital and also in the ICU. And on ventilators now. So we've been seeing that unfortunate uptick for a few weeks now. So, generally, two weeks after that you have more seriousness of infections, then you start to see the fatalities. So, I think in the next couple of weeks, we'll see some fatalities."

He said that eight or nine out of 10 patients with severe risk of infections were unvaccinated.

"Now, we're seeing some breakthrough (those previously vaccinated) infections there. For the most part, for the vast majority of the breakthrough infections are not as severe as the infections in the unvaccinated. So, we can also expect more cases as people go indoors, and they gather. And then as people go to holiday gatherings."

LEVEL OF OMICRON SYMPTOMS

Lesho said Omicron symptoms are similar to previous variants.

"If you're fully vaccinated or you got an infection and then you got vaccinated, you might have very minimal symptoms and you might test positive for various reasons," he said, "So, but you could have -- it starts out typically as a loss of taste plus smell and like a fever, nausea ... COVID can present in many different ways. It can present as a gastrointestinal illness or a respiratory illness. So, the typical symptoms of the prior strains are what we expect this to present as well."

Photo courtesy of WHEC-TV.

The chief medical officer at Rochester Regional Health today said that due to nursing home admission limitations as many as 80 patients who are ready to be transferred to long-term care facilities or rehabilitation centers are stuck in the system’s hospitals.

“There are, on any given day, in our … hospitals, a combined 60 to 80 patients in this category,” Dr. Rob Mayo said. “So, it is a considerable number.”

RRH is an integrated health care system with nine member hospitals, including United Memorial Medical Center in Batavia.

Mayo (photo at right) took part in a video press conference with Adam Bello, Monroe County executive; Dr. Michael Mendoza, Monroe County commissioner of public health, and Dr. Michael J. Apostolakos, chief medical officer at University of Rochester Medical Center Strong Memorial and Highland Hospitals.

The session focused on the vaccine mandate imposed upon health care workers by Gov. Kathy Hochul and its effect on staffing at hospitals and nursing homes, as well as the situation in schools and delays in receiving care at hospital emergency rooms.

Mayo said RRH is working with the other health systems and community partners to alleviate the hospital-to-nursing-home logjam.

“What we do is continue to care for them, and we continue to look for options,” he said. “We work with our partner home care agencies … but, by and large, it is a challenge to do this.”

All three doctors emphasized that employee vaccination rates at their hospitals are very high – up to 99 percent at RRH and URMC locations – but acknowledged that lower levels at nursing homes are causing significant problems.

“Among nursing home staff not all staff fit into the same categories,” Mendoza offered. “When you look at the positions, the nurse practitioners who work in the nursing homes, the vaccination rate is like among other positions – upwards of 99 percent.

“What we’re seeing among other staff, particularly the nurse aides and CNAs (Certified Nursing Assistants) and so forth, their vaccination rate more appropriately parallels the demographic from which they are representing. So, if many live in the city (of Rochester), their vaccination rate as a population is roughly the same as the vaccination rate that we’re seeing in the city.”

Mendoza called it “an absolute concern … that represents a disparity in care and health access that we’ve been seeing all across this pandemic. It is a very important problem.”

He said nursing homes are limiting the number of admissions from the hospitals in order to “keep appropriate ratios in place.”

“Right now, unfortunately for the rest of the health care system, they’ve decreased their admissions, which is creating a bottleneck, if you will, across the entire system.”

Apostolakos said the nursing home issue has resulted in the inability to transfer 55 patients in the URMC system – almost 10 percent of its inpatient capacity.

“… those patients are still taking up acute care beds in our acute care hospital,” he said. “It is causing a significant percentage of our beds to be taken up and, therefore, making it more difficult to get patients through the emergency room and into our hospital, and to accept transfers into our facility.”

 HIGH PERCENTAGE ARE VACCINATED

Mayo said that as of Monday, more than 99 percent of RRH employees are vaccinated, with less than 1 percent placed on administrative leave because of their unvaccinated status. He also said that a small percentage requested religious or medical exemptions – and those were granted in compliance with New York State regulations.

Those employees who do not qualify for an exemption and refuse to get vaccinated will be terminated sometime in the morning of Oct. 3 (this Sunday), he reported.

“Despite the successes with this vaccination mandate and regulation, we do have understaffed areas,” he said. “Many people are working overtime. We have patients in our hospitals awaiting discharge and we pleased to participate in a community-wide effort to create solutions for hospitals and for nursing homes … so we can all move patients into their appropriate environments as quickly as possible.”

He also said RRH is participating in efforts to managing strains on pediatric practices and the impact of COVID in schools.

Apostolakos said that more than 96 percent of URMC employees have been vaccinated, another 3 percent received religious exemptions and less than 1 percent elected to resign their positions.

“The not so good news,” he said, is the increasing number of COVID cases.

Sixty-nine patients at Strong have COVID, with 15 of those on a ventilator, he said, and another 84 are at other URMC facilities.

“That number continues to increase,” he said, adding that most of those patients are unvaccinated.

He pleaded with the community “to get vaccinated for yourself, for your family, for your community and for our health care workers that have been under stress and strain for the past 18 months.”

Bello said 93.8 percent of workers at Monroe County Hospital are vaccinated, with 61 employees not vaccinated, seven receiving exemptions and one who has resigned.

He said the unvaccinated workers have been placed on unpaid administrative leave for three months, but would be welcomed back if fully vaccinated.

The county executive said employees are working under stressful conditions and that he was disheartened to see people protesting in front of hospitals.

“The patients inside are sick; they’re seeking care. The health care providers are working long hours, under considerable stress. Neither patients nor health care workers deserve the disdain and anger that’s being targeted towards them and where they work,” he said.

MENDOZA: STUDENT ILLNESS INCREASES

Mendoza spoke about situation in schools, noting that they are seeing an unseasonal increase in Respiratory Syncytial Virus or RSV, which causes mild symptoms in school age kids but can be serious for infants, toddlers and older adults.

Also, a growing number of school age children who have contracted COVID-19, he said.

Per state Department of Health guidelines, the only authorized tests are the NAT and PCR tests, he said, and not the rapid antigen tests due to Monroe County’s “high” transmission status.

He said health officials are working with schools to increase testing capabilities, a procedure that is also taking place in Genesee County.

“Do not send your sick children to school. Make sure they are properly masking and follow all of the other safety protocols in place … and if they are eligible, please get them vaccinated,” he said.

EXPECT DELAYS IN THE EMERGENCY ROOM

Both Apostolakos and Mayo said that for the immediate future, delays in the emergency rooms, waiting rooms and even some urgent care centers are inevitable.

The emergency department has a triage process, with priority is given to patients depending upon severity of illness or injury, Apostolakos said, “so the wait could be several hours.”

“We encourage our patients to call their primary care providers to seek health care at urgent care if their illness is less severe,” he advised.

He also said URMC is pausing temporarily some elective surgeries where hospital stays are necessary to ensure there is enough space for patients admitted with COVID and other non-COVID illnesses.

Mayo said RRH emergency rooms and urgent care facilities have been crowded over the last couple weeks.

“It’s disappointing to acknowledge … but waits in our emergency rooms can be long; they can be several hours,” he said.

Many outpatient services have been unaffected, he said, but RRH hospitals are limiting some elective surgeries, primarily at Rochester General Hospital.

Vaccination rates for United Memorial Medical Center employees are right around the 90 percent mark as hospitals and other facilities around the state contend with Gov. Kathy Hochul’s Sept. 27^th mandate requiring health care workers to get vaccinated or risk losing their jobs.

According to statistics on the New York State COVID-19 vaccine website -- www.covid19vaccine.health.ny.gov, 94 percent of workers at UMMC’s Bank Street campus have been vaccinated compared to 89 percent at UMMC’s North Street campus.

UMMC is part of Rochester Regional Health System, which is showing a 90 percent vaccination rate for all of its employees – a percentage point less than data for Strong Memorial Hospital University of Rochester Medical Center.

(Watch for an update later today).

The percentage of hospital workers vaccinated in the Finger Lakes Region is 90 percent, with Genesee and Orleans counties at 89 and Wyoming County at 90.

These figures are calculated from the number of hospital staff eligible for vaccination and the number completing the recommended series of a given COVID-19 vaccine product (e.g. 2 doses of the 2-dose Pfizer or Moderna vaccine or 1-dose of the 1-dose Johnson & Johnson vaccine), per the state website.

Statistics for nursing homes and assisted living facilities reveal the following for Genesee County (as reported by the individual facilities as of Sept. 27):

Nursing homes:

• Le Roy Village Green – Residents’ complete dose: 92.7 percent; Staff complete dose: 83 percent.
• Premier Genesee – Residents’ complete dose: 90.3 percent; Staff complete dose: 92.4 percent.
• The Grand – Residents’ complete dose: 91.4 percent; Staff complete dose: 90.7 percent.

Assisted living:

• Genesee Adult Home – Residents’ complete dose: 94.5 percent; Staff complete dose: 72.7 percent.
• Le Roy Manor -- Residents’ complete dose: 97.2 percent; Staff compete dose: 92.3 percent.
• The Manor House, Batavia – Residents’ complete dose: 100 percent; Staff compete dose: 93.6 percent.

Calls seeking comment from the administrators at the nursing homes listed above were not returned at the time of the posting of this story. Samantha Vagg is the administrator at Le Roy Village Green, Sharon Zeams is the administrator at Premier Genesee and Timothy Srye is the administrator at The Grand.

All told in Genesee County, skilled nursing facilities vaccination rates as of Sept. 28 were 94 percent for residents and 90 percent for workers and adult care facilities vaccination rates as of Sept. 28 were 97 percent for residents and 87 percent for workers.

REPORT FROM GOV. HOCHUL

On Wednesday, Hochul said that 92 percent of hospital and nursing home workforce have gotten at least one dose of a Covid vaccine, and 89 percent of adult care facilities employees have received at least one dose.

Based on total number of hospital employees in the state, an 8 percent unvaccinated rate equates to more than 41,000 who have not received at least one dose. As a result, the governor’s staff is monitoring the impact of her mandate, with the possibility of bringing in health care workers from out of the state or even from other countries.

The Genesee County Legislature, along with about seven other counties in the region, has sent a letter to the governor asking for her to include a coronavirus testing option for health care workers.

“I fully support the legislature’s position … to ensure that we didn’t have any lapse in service,” County Manager Matt Landers said today. “It’s a common sense, logical approach to the situation at hand. Obviously, we’d like to see as many people vaccinated as possible, but at the end of the day, we can’t jeopardize the care of our sick and our elderly because of the mandate.”

DATA FOR GENERAL PUBLIC

Latest statistics (as of Sept. 29) also show that 56.1 percent of Genesee County residents age 12 and over are fully vaccinated, which is less than the 63.6 percent for all New York state residents.

By zip code (as of Sept. 28), these are the percentages of those fully vaccinated:

• Batavia – 50.4
• East Bethany – 38.8
• Alexander – 44
• Basom – 44.4
• Oakfield – 45.3
• Byron – 48
• Corfu – 49.6
• Darien Center – 51.1
• Pavilion – 53.8
• Bergen – 55.3
• Le Roy – 56.5
• Stafford – 65.5
• Elba – 73.6

In the Finger Lakes Region, the total number of people with at least one vaccine dose has increased over the past week by 7,695 to 760,752, and the total number of people with the complete vaccine series has increased over the past week by 5,590 to 706,944.

BOOSTER SHOT STATUS LOCALLY

Nola Goodrich-Kresse, public health educator, reported that the Genesee Orleans Health Department has set up clinics for those eligible for booster shots, beginning next week.

“Boosters are offered during the regular clinic day with the only difference being registration is required for boosters,” she said.

The booster shot schedule, for those 65 and older who became fully vaccinated with the Pfizer vaccine at least six months ago:

• Oct. 6 from 12:45 to 3:30 p.m., Genesee County Health Department, 3837 West Main Street Rd., Batavia;

• Oct. 7, from 12:45 to 3:30 p.m., Orleans County Health Department, 14016 State Route 31, Suite 101, Albion.

These shots are administered by appointment only.