UPMC Pinnacle increases entry-level wage to $15 an hour

Entry-level positions at UPMC Pinnacle facilities now start at $15 an hour, the Harrisburg-based hospital system announced on Monday.

UPMC Pinnacle first introduced the new starting wage in January at many of its facilities and sites including UPMC Pinnacle Harrisburg, Community Osteopathic, West Shore and UPC Carlisle, Hanover, Lititz and Memorial Hospitals.

The effort is part of a 2021 commitment by UPMC, which was the first health care employer in the commonwealth to commit to a $15 an hour minimum wage according to the system.

Prior to the update, the system’s lowest pay range started at $13.10. The increase affects approximately 9% or 1,060 of UPMC Pinnacle’s employees, according to a UPMC Pinnacle spokesperson.

“We are very proud of our wages, generous benefits and other rewards and of the tens of thousands of jobs at UPMC that have meaning and purpose, and that fulfill an incredibly important mission for the region and the communities that we serve,” said Philip Guarneschelli, president of UPMC Pinnacle. “We review the market each year to ensure that our salary ranges are competitive, and we are committed to rewarding our strong-performing employees with merit increases on an annual basis.”

The system’s benefits offered to all employees include a retirement savings plan with a percentage match, a defined benefit pension plan paid by UPMC, tuition assistance for employees and their families, and more.

UPMC employs over 92,000 people across all of its facilities statewide. The system’s average compensation is $70,600 not including benefits.

The subject of a federally or state mandated $15-an-hour minimum wage has been a hotly debated topic in recent memory.

Earlier this year, Governor Tom Wolf proposed an increase to Pennsylvania’s minimum wage for his sixth time as governor.

In D.C., a provision that would gradually increase the country’s minimum wage to $15 by 2025 was passed by the House as part of President Joe Biden’s COVID-19 relief bill but was stopped in its tracks in the Senate last Thursday.

UPMC Pinnacle opens new outpatient center in York County

UPMC Pinnacle’s new outpatient center recently opened in West Manheim Township. PHOTO PROVIDED

UPMC Pinnacle’s new, 43,000-square-foot outpatient center in West Manheim Township, York County will hosue five local practices and four new ones and services to one place.

The Harrisburg-based hospital system announced that the two-story facility at 2201 Brunswick Drive officially opened on Monday.

“For the past 20 plus years, we have been providing services to the South Hanover community,” said Michael Gaskins, president of UPMC Hanover and UPMC Memorial. “As it has grown, we have recruited more providers and expanded services. Now we are able to bring these services under one roof to give our patients convenient access to them.”

UPMC Express Care, UPMC Pinnacle South Hanover Primary Care and UPMC Imaging Services will be moving to the facility from their previous location on 1404 Baltimore Street in Hanover.

UPMC Lab Services and UPMC Endocrinology will be relocating from 3130 Grandview Road in Hanover.

New practices and services joining the new outpatient center include: UPMC General Surgery, UPMC Heart and Vascular Institute, UPMC Cardiac and Pulmonary Diagnostic Testing and Select Physical Therapy.

UPMC Pinnacle hired ten new employees to support the new practices and services.

“Today is an exciting day as we celebrate the opening of this new facility,” said Philip Guarneschelli, president of UPMC Pinnacle. “The new outpatient center demonstrates UPMC’s commitment to taking care of the growing community’s health care needs.”

Pyramid Construction in Lemoyne was the general contractor on the project and Columbus, Ohio-based Trinity were the architects.

UPMC Pinnacle renews contract with Cigna

Those insured through Cigna health insurance will continue to have in-network access to UPMC Pinnacle providers, facilities and hospitals after the entities renewed their contracts for another year.

Bloomfield, CT-based Cigna announced on Thursday that it renewed its contract with UPMC Pinnacle, effective Aug. 1.

As part of the contract, Cigna health plan members and employers with Cigna group insurance will continue to be covered for care they receive at a UPMC Pinnacle facility, including UPMC Carlisle, Hanover, Lititz and Memorial and UPMC Pinnacle Community Osteopathic, Harrisburg and West Shore.

The contract extends through Dec. 31, 2021.

“We are pleased that we were able to extend our contract for their benefit and look forward to continuing to provide the highest quality health care services to these stakeholders,” said Phil Guarneschelli, president of UPMC Pinnacle.

Cigna Corporation is made up of a number of subsidiaries including Cigna Health and Life Insurance Company and Express Scripts.

Geisinger awarded $978,000 to improve telehealth services

Montour County-based Geisinger was awarded $978,000 from the Federal Communications Commission (FCC) to put towards equipment for the system’s telehealth services.

Geisinger, which operates Geisinger Holy Spirit in East Pennsboro Township, Cumberland County, announced it would be using the funds to purchase telemedicine carts, tablet computers and other equipment for telemedicine such as hand-held cameras and stethoscopes.

The system’s telehealth visits have skyrocketed during the COVID-19 pandemic, with providers conducting twice as many visits daily as the system’s monthly total, Geisinger wrote in a press release.

“Telehealth technology has allowed Geisinger providers to connect with patients while minimizing physical contact during the COVID-19 pandemic,” said David Fletcher, associate vice president for telehealth at Geisinger. “This ensures that our patients can maintain routine healthcare appointments, manage chronic conditions, and stay healthier overall even while staying at home.”

Geisinger is one of 514 organizations to receive awards through the department’s COVID-19 Telehealth program, which has already awarded $189.27 million in funding to health care providers across the country.

UPMC Pinnacle also received funding through the program and intends to use the $705,000 to purchase telehealth equipment as well as launch an on-demand virtual telehealth program for COVID-19 patients.

Pediatric Anxiety and Depression during COVID-19

Central Penn Parent and webinar sponsor UPMC hosted a session June 24 on mental health and talking with your teen, a topic of importance at any time, but it’s especially prevalent during COVID-19.

The pandemic has changed our lives in ways we never would have imagined.

As we all are aware, many of us are feeling more stressed and anxious. This stress does not just affect adults — children and teens are also at risk. Fortunately, there are things we can do to help our kids cope.

Dr. Melissa Brown, is a licensed psychologist and senior clinical manager with UPMC Pinnacle Psychological Associates, spoke about ways you can help ease anxiety for yourself and your kids.

Dr. Brown is a 2007 graduate of the clinical psychology program at Chestnut Hill College with a post-doctoral fellowship specializing in the treatment of autism and developmental disorders.

For the past 14 years, Dr. Brown has treated toddlers, children, adolescents, and adults with co-morbid diagnoses of autism and anxiety, obsessive-compulsive symptoms, depression, ADHD, and trauma in numerous types of mental health settings.

Watch the full webinar below:

UPMC Pinnacle Endocrinology practice opens in Manchester Township

Dr. Xiannian Wu joined UPMC Pinnacle this month as an endocrinologist at its new, York County practice. PHOTO PROVIDED

UPMC Pinnacle opened its second outpatient endocrinology practice in York County this month. The new UPMC Pinnacle Endocrinology Associates office, at 510 Greenbriar Road, Manchester Township, is the system’s third.

The office is located within a mile of UPMC Memorial hospital. The Associates also operate offices in Hanover and Adams County.

“It is important to continue to expand services and recruit new providers so that our communities can benefit from critical endocrinology care without having to travel,” said Philip Guarneschelli, president of UPMC Pinnacle.

UPMC’s endocrinologists treat patients with diabetes, thyroid disease, pituitary gland disease, osteoporosis and menopause. Dr. Xiannian Wu, a new endocrinologist with UPMC Pinnacle, is now seeing patients at the office.

Wu recently completed his fellowship in endocrinology from SUNY Downstate Medical Center in New York City. He is board-certified in both internal medicine and endocrinology, diabetes and metabolism.

Harrisburg Orthopedic and OBGYN practices join UPMC Pinnacle

Two independent Harrisburg-based specialty care practices are joining UPMC Pinnacle.

Women First Obstetrics & Gynecology, an OBGYN with offices in Harrisburg, Mechanicsburg, Millersburg and Newport, joined UPMC Pinnacle on Friday. Arlington Orthopedics and the Pennsylvania Spine Institute, a practice with offices in Harrisburg and Mechanicsburg, is set to join UPMC Pinnacle on June 1.

Both practices plan to change their names to fit under UPMC’s brand, with Arlington Orthopedics and the Pennsylvania Spine Institute operating under the name Arlington Orthopedics-UPMC and Women First changing to Women First Obstetrics and Gynecology Specialists-UPMC.

Twenty Seven staff members and 11 physicians, midwives and nurse practitioners will be joining UPMC as part of the system’s partnership with Women First.

“For decades, Women First Obstetrics & Gynecology has been a valued part of our community, providing exceptional ob-gyn care and delivering thousands of babies in UPMC Pinnacle hospitals,” said Philip Guarneschelli, president of UPMC Pinnacle. “The practice’s dedication to advanced quality care and creating healthy families are aligned with our mission to provide the best patient experience possible.”

Seven providers from Arlington Orthopedics will be joining UPMC’s orthopaedic care network. The hospital system has yet to announce how many staff members will be joining.

Guarneschelli said that UPMC’s partnership with the practice is a good fit and allows the system to grow its orthopaedic and spine care in Harrisburg and Mechanicsburg.

“This affiliation supports our goal to provide even more coordinated care across all settings that is easy to access and convenient for our community,” he said.

Midstate hospitals say supply chains are holding, so far

Businesses and residents of Central Pennsylvania can rest assured that health care providers in the region have the medical supplies they need to treat COVID-19 patients, according to representatives of two major Central Penn health systems.

UPMC Pinnacle has a strong supply chain system in place to ensure that the system is building an adequate inventory of personal protective equipment (PPE), such as masks, gloves and gowns, according to Melanie Ricci, vice president, supply chain management.

“We are closely tracking our allocation of these supplies to make sure our facilities have what they need but that none is being wasted,” she adds. “UPMC facilities are safe and staff are well-equipped and trained to properly care for any patient with COVID-19.” 

WellSpan spokesperson Ryan Coyle said WellSpan has adequate supplies and equipment, including ventilators, to meet existing patient care needs across the health system. 

“As a large, integrated health system with eight hospitals and some 200 care locations, we have the ability to coordinate efforts and quickly redeploy supplies where they are most in need,” he said. “However, we have observed in other communities with much higher COVID-19 patient volumes, that the increased demand for these resources has placed a significant strain on the hospitals that serve those communities. That is why we are also exploring innovative ways of using existing supplies, including masks and ventilators, to meet our current needs,” Coyle adds. 

UPMC has an adequate supply of ventilators, as few patients are requiring ventilators at this point. “We’re exploring our options should we find we need more,” Ricci said. “We are proactively working with our vendors and also internally exploring conservation methods.”

In fact, even though UPMC has adequate stores of PPE such as surgical masks and N95s, goggles, face shields, gowns and gloves, there is an overall focus on supply management at UPMC, according to Ricci. 

“Within our hospitals, much of our work revolves around conserving and best using our PPE so that we are able to protect our staff now and in the months ahead. We carefully educate staff and deploy these tools to make sure we remain ready to safely give care,” she said.

Staff are tracking and measuring everything – available beds, location of ventilators, staff availability – to ensure supplies don’t run out, Ricci said. A dashboard was created “that allows us to activate our plans in response to the availability of resources and demand for services across our system.”  

WellSpan is actively working to secure additional supplies and equipment, including ventilators, should the health care system see a significant increase in the number of positive COVID-19 patients who require treatment in the network’s acute care hospitals, Coyle said. This includes requests for more resources from federal and state governments, as well as the sourcing of supplies and materials from vendors, local businesses and community partners. 

Supplies are holding

The steps being taken by Central Pennsylvania’s hospital systems reflect what is happening statewide, according to The Hospital and Healthsystem Association of Pennsylvania, or HAP, based in Harrisburg. “Hospitals have been working diligently to prepare for this crisis leveraging their traditional supply partners, and managing their utilization,” said Joe Tibbs, president of HAPevolve, HAP’s solutions subsidiary.

However, Tibbs said, while traditional health care supply chains are still functioning, the industry continues to face unprecedented demand. 

“Hospitals still face challenges in finding the right supplies and equipment they need to protect health care workers and the patients they treat,” he said. “There are some positive signs that the traditional supply chain is increasing capacity and production. This new production will take some time to reach end users. This is why it is so important to flatten the curve and reduce the spread of COVID-19:  it helps reduce the amount of equipment and supplies that are needed.”

HAP’s emergency management staff track supply and equipment levels at health care facilities across the state. The emergency management team also facilitates health care facility requests for supplies, and shepherds mutual-aid-borrowing from one facility to another.

HAP has partnered with Life Sciences Pennsylvania, the PA Chamber of Business and Industry, the state departments of Health, Emergency Management, and Community & Economic Development to generate donations, promote volunteerism, and increase supplies needed by Pennsylvania’s hospitals and health systems to test and treat patients with COVID-19. 

“Various communications and calls to action have generated a number of businesses that may be a resource to health care providers in the coming weeks and months,” Tibbs said. “HAP has been aggregating this information and making it available to members who are using it to augment their own sourcing efforts.”

Officials at WellSpan and UPMC expressed appreciation for the support they’ve received from the community. WellSpan’s Coyle cited distilleries providing alcohol for hand sanitizers; manufacturers making face shields, scrubs and masks; and schools and businesses donating materials and supplies.

“The community response continues to be extraordinary and heart-warming,” UPMC’s Ricci said. “Hundreds of caring people and organizations have offered help or supplies. The people we all work with at UPMC, especially those involved in patient care and the support of patient care, are making tremendous personal sacrifices, as are their families. 

WellSpan established an “I Want To Help” page on its website, listing ways to donate blood, materials, food, or even make masks. For more information on ways to help, community members can WellSpan.org/COVID19Help or call the WellSpan Coronavirus Information Hotline at 1-855-851-3641, option 4.

Tibbs says a major area of focus across Pennsylvania hospitals has been securing enough personal protective equipment to keep their employees safe. “Hospitals are the best source to tell you what crucial supplies they need and most regional hospitals have set up areas on their websites to address this,” he says.

The best thing people can do to help?

“Please be sure to practice social distancing and wear a cloth face covering if you cannot maintain social distance. Wash your hands. Limit travel if you can, and check your local hospital’s webpage before donating supplies,” Tibbs says.

Pandemic puts Lancaster’s changing health care scene on hold

More than a year has passed since UPMC Pinnacle announced it would close its hospital in the city of Lancaster, and plans to turn the complex into a mixed-use development have now slowed because of the coronavirus.

Meanwhile, UPMC Pinnacle and other healthcare providers have been expanding services or planning new facilities, although some of those larger projects are now on hold while the pandemic unfolds, observers said.

“It is not realistic that it will remain a hospital, so there is a realization that it is not going to stay a hospital,” said Marshall Snively, president of the Lancaster City Alliance, a nonprofit that promotes growth and stability in the city. “But we are working to ensure what does replace it would continue to be a benefit to the city and the neighborhood.”

It took time for some neighbors to come around to what will be a new normal for the neighborhood, Snively said. The idea of getting the building on the city tax rolls — as a mixed-use development that would include commercial operations, residential units and perhaps some sort of healthcare agency — would meet that goal, he added.

Penn Medicine Lancaster General Health is looking into a number of expansions for Lancaster General Health. PHOTO/FILES –

Plans had been moving along, with city officials discussing possible options with UPMC Pinnacle. Then the coronavirus crisis swept the country, creating higher priorities for health systems, said Jess King, chief of staff for the city.

“Long and short of it is that I believe most plans are on pause for the hospital, as the petitioner (UPMC) has public health priorities at the moment,” King said in an email. “Prior to the pandemic, we were waiting to hear from them, as they were looking at several offers on their building and weighing those offers. With the economic impact of the pandemic, I do not know what may have changed with those offers.”

A spokesperson for UMPC Pinnacle said the organization has submitted a request to rezone the property — which was once known as Lancaster Regional Medical Center — to mixed use, so that any future development will be consistent with the surrounding area and the goals of the city overall.

“UPMC Pinnacle continues to work with potential buyers,” said Kelly T. McCall, public relations director for UPMC Pinnacle in Harrisburg. “The current zoning for the property is very restrictive and would not permit development of the property in a manner consistent with surrounding neighborhoods.”

Since the closing, McCall said, UPMC Pinnacle has made improvements to its other services in Lancaster County.

“We have combined a rich, 125-year-old tradition of caring for our community with a modern facility in Lititz,” she said in an email. “In doing so, we are ensuring the continued availability of high-quality clinical care for generations to come. … In addition, we have hired many new providers and new employees to accommodate our increasing patient volumes.”

In the meantime, other health organizations have been updating their services in Lancaster County, including Penn State Health, which announced plans last year for a new acute-care hospital near PA-283 in East Hempfield Township just north of the city. Scott Gilbert, a spokesperson for Penn State Health in Hershey, noted that the board of directors approved a groundbreaking on the project in February. However, construction will be delayed because of the virus.

When it does open, the new hospital will be on about 30 acres near State Road and Harrisburg Pike and will have 129 beds in the five-story facility, Penn State Health has reported.

Before the crisis, several observers noted, one concern was whether there would be enough healthcare workers to staff the new hospital because of the severe labor shortage, especially in the healthcare industry. Pinnacle workers who lost jobs after the city hospital closed likely had little difficulty finding new positions, either with other UPMC Pinnacle facilities or at other companies, said Tom Baldrige, president of the Lancaster Chamber of Commerce and Industry.

He and others said they were confident new healthcare services would find the staffing they need, because several agencies and schools in Lancaster County continually working to train healthcare workers. The various efforts to boost healthcare options will help fill any voids in care left by the closing of the hospital, Baldrige also said.

“All of that allows people to find the available healthcare that they need,” he said.

For example, Penn Medicine Lancaster General Health has plans to expand its operations in Lancaster County, including at Lancaster General Hospital on Duke Street. However, those efforts have been delayed, as well.

“At this time, LG Health construction and expansion projects have been placed on hold to focus on COVID-19 efforts,” said Mary Ann Eckard, public relations manager with Penn Medicine Lancaster General Health.

To further combat the virus, Penn Medicine Lancaster General Health and UPMC Pinnacle teamed up in early April to create an outpatient specimen collection site at 650 N. Prince Street in the city.

“By locating this collection site outside of Clipper Magazine Stadium, we are able to serve the needs of Lancaster city and the surrounding community in an easily accessible and safe environment,” Brooks Turkel, president of Lancaster Region, UPMC, said in a statement.

Why telemedicine’s rise could outlast the pandemic

A series of changes in Medicare over the last month allowing health care providers to receive reimbursements for telemedicine services was something providers thought would take years.

Prior to the nation’s outbreak of coronavirus and the social distancing protocols that came with it, hospital systems in the region were already using video conferencing software between doctors and patients, referred to as telemedicine. But reimbursements from third party payers, particularly Medicare and Medicaid, were much less than they would be in an in-person doctor’s visit if they were reimbursed at all.

Providers and hospital systems could see the benefit of allowing their patients to stay home during a visit, but the lack of funding for telemedicine meant that it was generally reserved for patients with limited mobility or in rural regions with limited medical services.

In the past month, the health care industry has had to completely change how it looks at telemedicine after a string of regulatory rollbacks by the Centers for Medicare & Medicaid Services (CMS), a federal agency that oversees Medicare and Medicaid programs across the country.

To promote social distancing and to protect at-risk patients from contacting COVID-19, the agency introduced leniencies on HIPAA requirements to allow providers to use a variety of video software while conferencing with patients. It also opened the door to reimbursements of telemedicine that are much closer to what a provider would make during an in-person meeting.

“Prior to CMS’ update, you got paid nothing. Providers would only be paid a marginal amount if they were in what is considered a ‘medical wasteland,’” said Heather Modjesky, senior administrator and director of community outreach at Conestoga Eye, an ophthalmology practice in East Hempfield Township, Lancaster County.

Access broadened

CMS announced it would be broadening access to Medicare telehealth services on March 17 as a response to President Donald Trump’s national emergency declaration on March 13.

“Under this new waiver, Medicare can pay for office, hospital and other visits furnished via telehealth across the country and including in patient’s places of residence starting March 6,” CMS wrote.

Both Penn State Health and UPMC Pinnacle have systems in place to connect patients with providers through video conferencing, but were not using it to the extent they can now.

“We have been providing telehealth to our ALS patients for a long time here,” said Dr. Chris DeFlitch, Penn State Health’s Chief Medical Information Officer. “Providing telehealth to that population so they can stay at home and still work with their physicians and specialists is a big deal.”

CMS’ regulation changes related to HIPAA compliance give more freedom to providers when it comes to the video conferencing they use in telehealth. For smaller providers, that means they can use apps like Facebook Messenger and Skype that wouldn’t have been compliant with HIPAA regulations before the change.

Hospital systems that already us their own HIPAA compliant software, can expand their telemedicine offerings using the systems already in place.

Rapid change

Within a week of increasing its focus on telemedicine, UPMC Pinnacle’s online ambulatory visits increased 820% and the system trained more than 650 ambulatory health providers and specialists to use its telehealth program, said Dr. Christian Caicedo, president of the Dauphin Region for UPMC Pinnacle

“I’ve been following telemedicine and supporting it for many years and I’ve seen the barriers to developing it,” Caicedo said. “I can tell you that once coronavirus is under control and we are back to business as usual, health care will not look like it did six weeks ago.”

While the uses for telemedicine have increased, some specialties benefit from the service more than others, with visual specialties like dermatology having more uses than specialties or check-ups that require physical exams.

For an ophthalmologist like Dr. David Silbert, of Conestoga Eye, telemedicine can be the default way he sees patients, with in-person meetings reserved for physical checkups such as when a patient has low eye pressure.

For providers, there is a learning curve when it comes to working with sight and sound, and doctors sometimes need to rely on creative ways to understand what a patient is feeling, said Caicedo.

“What the doctors are learning while doing this is, how do they gather the info via a video visit without being in the room,” he said. “How do you assess someone with belly pain without having to touch them? You can do things like asking them to stand and jump on one leg. Does that make your belly hurt?”

Bridging the digital divide

One problem that remains for providers and systems relying on telehealth is the  number of patients who don’t have access to reliable internet or laptops, said Dr. Michael Seavers, program lead for Healthcare Informatics at Harrisburg University.

“We have to talk about the digital divide,” Seavers said. “Some of the population that needs telehealth the most doesn’t have access to it. We aren’t 100% that everyone has the ability to do telemedicine.”

Seavers and Nancy Mimm, an assistant professor of nursing at Harrisburg University, said that the increase in telemedicine could be a driving force in the U.S. making the internet a basic need and could increase governmental focus on improving rural health care.

The boom in telemedicine is currently a temporary one, according to CMS, which has stated that the rollbacks are directly related to the COVID-19 pandemic and are not permanent.

But many in the health care industry don’t think it will be that easy to roll back, noting that telemedicine can keep patients from catching other viruses while waiting in a doctor’s office, and save time and resources when traveling to a far off specialist.

“I don’t see it peeling back and since the public, government and payers have seen a potential benefit from it, I think they will start to insist upon it,” said Mimm.

Third-party payers such as Capital Blue Cross and Highmark BlueCross Blue Shield have also temporarily expanded their eligible telehealth services, which normally depend on the benefits someone has, in accordance with CMS’ waiver.

If CMS were to make the changes permanent, Seavers believes other insurers could also move to provide similar reimbursements for telehealth compared to in-person visits permanently.

“CMS creates a lot of red tape in some ways but also creates a lot of breaking down of barriers for reimbursements,” he said. “Here in central Pa., if Highmark starts doing something Medicare is doing and Capital isn’t, well guess what they will have the pressure to do it as well.”

UPMC Pinnacle closes clinics at Strawberry Square

Following the closure of Strawberry Square in Harrisburg, UPMC Pinnacle said it will temporarily close its facilities in the mall and relocating its staff to another location.

The Harrisburg-based hospital system’s Strawberry Square FamilyCare practice and the Walk-in Center at Strawberry Square FamilyCare clinic will be closed until March 31.

Following the closure, the staff of both the practice and clinic will be relocated to the system’s FamilyCare Silver Spring practice at 21 Waterford Drive, Mechanicsburg.

As an alternative to the walk-in center, UPMC Pinnacle suggests that patients choose other options such as primary care providers, its nurse advice line or nearby urgent care centers.

UPMC Pinnacle announced late last week that it would temporarily limit visitors at its midstate hospitals in order to lower the likelihood of exposure to any illnesses, including COVID-19.

The hospitals include: UPMC Carlisle, UPMC Pinnacle West Shore, UPMC Pinnacle Harrisburg, UPMC Pinnacle Community Osteopathic, UPMC Hanover, UPMC Memorial, and UPMC Lititz.

Correction: The story previously mentioned that the UPMC Pinnacle facilities were located in the Capital City Mall.

Knorek and Gilson added to Harrisbug-based UPMC Pinnacle

Harrisburg-based UPMC Pinnacle named Dr. David Knorek an internist with Internal Medicine Union Deposit. He was an internist at Annville Family Practice. He has a medical degree from St. Matthew’s University School of Medicine in the Cayman Islands and an MBA from Davenport University. Erin Gilson was named a certified registered nurse practitioner with FamilyCare Newport. She was a pediatric nurse at Penn State Hershey Children’s Hospital. She has a bachelor’s degree from Widener University and a master’s degree from Maryville University.