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Berkshire Health Systems reopens North Adams Regional Hospital on March 28, 10 years after its closure under previous ownership.

North Adams Regional Receives Critical Access Hospital Designation

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BHS President and CEO Darlene Rodowicz poses in one of the new patient rooms on 2 North.
NORTH ADAMS, Mass. — It took nearly 14 years, a change in requirements and a decade-long coma, but North Adams Regional Hospital has finally been designated as a federally recognized Critical Access Hospital.
 
"Re-establishing inpatient beds at the new North Adams Regional Hospital is a key component of our organization's strategy to keep health-care services and care close to home, as often as possible," said Darlene Rodowicz, president and CEO of Berkshire Health Systems in announcing the news. "We are completely committed to providing sustainable, high-quality care to patients in the Northern Berkshire region and are excited to continue advancing the health and wellness of our region through this Critical Access Hospital designation." 
 
BHS, parent of Berkshire Medical Center, purchased the assets of the bankrupt Northern Berkshire Healthcare in 2014 and reopened an emergency satellite facility on the campus along with other medical services. 
 
But reopening the hospital had been out of reach until changes in late 2022 to the U.S. Centers for Medicare & Medicaid Services regulations for rural "critical access hospitals." The former officials at North Adams Regional were rejected in their attempt at that designation back in 2011, which they saw as way to stabilize finances through higher Medicare reimbursements. But a CAH couldn't be within a 35-mile radius of another hospital and its application was rejected. 
 
U.S. Rep. Richard Neal was able to secure a slight change in the regulations regarding the federal government's definition of a connecting highway that made Route 7 a "secondary road" and dropping the distance maximum to 15 miles. 
 
"This designation works to resolve stark inequities in rural and underserved communities as it relates to our nation's health system," said Neal in a statement. "I have long advocated for legislation that addresses health equity, allowing everyone to have a fair and just opportunity to achieve their highest level of health, regardless of who they are or where they live."
 
North Adams Regional Hospital was reopened on March 28, 2024, 10 years to the day after its closure under previous ownership. In the interim, the facility had served as the North Adams Campus of Berkshire Medical Center, providing numerous outpatient services and provider offices.
 
The hospital renovated and reopened the 2 North wing for patients and has been gradually phasing in the number of patients under U.S. Centers for Medicare and Medicaid Services review. 
 
The designation was granted on July 31 and is retroactive to July 12.
 
Rodowicz credited the "enormous support of Congressman Richard Neal, his colleagues in the U.S. House and Senate, our Berkshire state legislative delegation, the municipal leaders in the region, and members of the community at large helped to make this designation possible and we are honored and grateful that they have entrusted us with the important responsibility of bringing inpatient care back to the Northern Berkshire region."
 
Critical Access Hospital designation by CMS is limited to small, rural facilities that meet criteria to qualify for federal support in maintaining services that would otherwise not be financially and/or operationally viable. Berkshire Health Systems announced in June 2023 that it was applying for the designation and was reopening the hospital, with up to 25 inpatient beds.
 
"The designation of North Adams Regional Hospital as a Critical Access Hospital has an enormous impact on the Northern Berkshire community," Neal said Congressman Neal. "I am pleased that the work of my colleagues in Congress working with the Biden/Harris administration has led to this Critical Access Hospital designation for North Adams Regional Hospital."
 
Berkshire Health Systems provides care for residents and visitors across the Berkshires, with Berkshire Medical Center in Pittsfield and now two Critical Access Hospitals – North Adams Regional Hospital and Fairview Hospital in Great Barrington – in addition to dozens of provider clinics, a home care agency, and numerous outpatient programs and services.
 
"The approval of North Adams Regional Hospital as a Critical Access Hospital expands Berkshire Health Systems' coordinated system of care across the county," said Laurie Lamarre, vice president of NARH. "The staff at North Adams Regional Hospital has worked tirelessly over the past several months to ensure that NARH meets the high standards of quality, safety and care required to achieve CAH designation. We are proud to serve the people of Northern Berkshire."

 


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New Eagle Street Shop Has the Perfect Toppers

By Breanna SteeleiBerkshires Staff

Tip Top Hats sells Patricia Welch's handmade designs and more commercial products at lower prices. 

NORTH ADAMS, Mass. — The city has a millinery for the first time in more than 40 years. 

Patricia Welch, who has more than 60 years of hatmaking experience, recently opened Tip Top Hats at 16 Eagle St.

Welch said she has always been fascinated by hats and has seen many fashion trends. She's particularly interested in the mod movement.

"It's just something that I have a facility for and have been doing for so long, it's kind of second nature," she said. "It's over 60 years since I’ve been making hats, not all the time, but on and off for a long, long time. So I had a lot of life experience to draw from. I've seen many, many fashions come and go. Being a child of the '60s, I was heavily influenced by the mod movement, fashion movement, and it has stuck with me all these years."

Welch previously owned a shop in Gloucester before moving to New York in the late 1990s. Her work has been featured in juried shows and she's done design consulting.

While she worked in engineering and exhibiting designs, she always made her hats. It all started when she was 13 years old and had to solve a problem.

"I used to go riding on motorcycles with no hat on, no helmet, and your hair would get terribly knotted up," Welch said. "So the first time I made a hat, it was kind of a little bonnet of cotton that just tied under my chin, and it was just to keep my hair from getting tied in knots by the wind."

She came across the "for rent" sign on storefront in May and made a decision she would like to occupy it. She opened on July 1 during First Friday.  She said it was a great way for her to get out of retirement.

"Kind of impulsive, but you know I'm not young, and tired of being retired, basically," Welch said. "So this is a wonderful, fun experience, and I think it'll bring more to Eagle Street."

Millinery shops were a mainstay of women's and men's fashion well into the 1960s. At one time, North Adams had three or four independent millinery shops plus departments in some of its stores, like Roberts Co. and the Boston Store.

They began closing down in the 1960s because of owners' retirements or deaths, dislocation because of urban renewal, and changing fashions. The last ones were the Style Shoppe and Hollywood Millinery (then Hollywood Fashions) in the early 1980s. 

Welch has hats made from straw, fake fur, wool, leather, and more. Her designs can take hours to complete.

"I start by having an idea in mind for the style that I want to work on, and then I'll pull from my textiles and make a selection that would all work nicely together, so that I can I can make a particular style using various textiles from the same group, so it becomes a collection rather than just a random bunch of hats," she said.

She wants to have something for everyone, and since her one-of-a-kind hats can be pricey, she has  commercially hats that are moderately priced.

"Typically in finishing a hat, there's handwork, which is why they become more expensive. Because some hats I spend well, literally hours on," she said.

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