Monadnock Community Hospital began to re-introduce elective appointments and procedures in May and we have seen a steady increase in our patient volumes. This is great news for the health and well-being of our patients as well as for the financial viability of our Hospital. All of our service lines are open and we are happy to be able to provide care that was postponed in March and April. The team at MCH has worked very hard to redesign many of our patient protocols to keep the community and our employees safe as the pandemic continues. For example, we are now scheduling many appointments that had previously been walk-ins, such as laboratory and radiology, to comply with social distancing and spacing of patient visits. We are also learning more every day as to how to employ tele-health visits prior to, and sometimes in place of, face-to-face visits with your physician. Our patients are providing feedback that many of the changes are more convenient and that they feel safe when they come to MCH. The protocols are necessary but in some cases mean that we cannot see the same level of appointments as we did pre-Covid.

We are seeing approximately 80% of pre-Covid patient volumes and this has greatly impacted our finances. Originally, we projected that we would lose $20 million for the fiscal year ending September 30, 2020. We are very pleased to report that our actual loss this year will be in the neighborhood of $7 million. We anticipate our monthly losses to continue next year when we project a loss of $6 million. Our ability to fully restore patient volumes depends on having a vaccine available or another way of assuring that the protocols in place are no longer needed. We are so grateful to our community for their generous support and contributions during this difficult time. We have received so many gifts from past contributors and people who are donating for the first time. Every gift is helping us to keep our hospital strong.

As a not-for-profit hospital, our focus is meeting the needs of our community. We have expanded our surgery program and look forward to giving more patients the option to have their care right here close to home. We recognize that the uncertain times may cause concern about the future of the hospital, and we want to assure you that our strategy is to maintain all of the services we currently offer. Our pending combination with Dartmouth-Hitchcock Health is still working its way through the regulatory process and we hope the process will be finalized sometime in the next 12 months. This new relationship, building on our work with Catholic Medical Center, will allow our patients to have access to more specialty services.

The Bond Wellness Center at MCH has been closed to fitness members since March. We held a series of small focus groups on September 10^th to hear from our members as we evaluate options to get our fitness members back to exercising. The Bond Wellness Center remains an important part of the MCH mission to improve the health and well being of our community and we are concerned about the health and wellness of our 1,600 fitness members.

And although our community has yet to see a spike in the number of Covid-19 positive cases, we will remain vigilant and prepared to care for our patients even if our cases increase. We are following NH Department of Public Health guidelines for testing our patients and have an adequate number of tests to accomplish this. As a small hospital, we still do not have the ability to do general widespread testing. Patients can find information about where they can be tested on our website: www.MonadnockHospital.org Please know that, to assure your and our safety, we maintain a universal face covering policy for all hospital staff, visitors, patients, and others while on campus.

We continue to be grateful for the partnerships in our region. Our towns, businesses, individuals, and long-term care organizations have done a great job helping us to keep the virus under control. As we approach fall and the traditional flu season, we are encouraging everyone to get their flu shot as soon as possible. Flu shots are available at our primary care offices and we will be announcing some flu clinics shortly.

Thank you for helping us to keep our community safe and keep Monadnock Community Hospital strong as we approach the centennial of our founding in 1923. Parmelee Drive is a tribute to Alice and Robert Parmelee who gave their home and estate to become our community’s first hospital. Thanks to years of community leadership and support, we are fulfilling the Parmelee’s desire to have a local hospital to serve our region.

[post_title] => News from Monadnock Community Hospital September 2020 Update [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => news-from-monadnock-community-hospital [to_ping] => [pinged] => [post_modified] => 2024-09-10 15:53:20 [post_modified_gmt] => 2024-09-10 19:53:20 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=31355 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [1] => WP_Post Object ( [ID] => 30307 [post_author] => 14 [post_date] => 2020-06-01 10:10:51 [post_date_gmt] => 2020-06-01 14:10:51 [post_content] => Thanks to the work of hundreds of community sewers, Monadnock Community Hospital is well stocked with masks and mask covers! MCH has received over 6,500 masks and we have been able to share some of those with our partner healthcare providers in the community, such as Crotched Mountain, RiverMead, Scott-Farrar and Home Healthcare, Hospice and Community Resources. The response we received from our call for help has impressed people from all over the country! The Monadnock Region is so very special, and our employees are grateful for each and every mask that was made with loving hands. As the pandemic continues, MCH will reach out if the need for more fabric masks arises in the future. At this time, MCH feels the community’s efforts could be directed to other needs within the business community and individuals who need masks. If you are interested in participating in an effort to help others, please go to the Facebook group “Monadnock Community Mask Makers” for more information. If you have questions about the community mask effort and how you can participate, please contact Heather Stockwell 762-5718 or heather@radnh.org or Kate Coon kate2coon@gmail.com [post_title] => MCH Fabric Mask Donations Paused [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-fabric-mask-donations-paused [to_ping] => [pinged] => [post_modified] => 2020-06-01 10:10:51 [post_modified_gmt] => 2020-06-01 14:10:51 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=30307 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 30052 [post_author] => 2 [post_date] => 2020-05-07 06:23:23 [post_date_gmt] => 2020-05-07 10:23:23 [post_content] =>

MCH and hospitals across the country postponed many elective and non-critical medical appointments beginning in March 16^th in the effort to reduce the spread of COVID-19 and prepare our hospitals for a predicted surge of COVID-19 patients. Thanks to significant steps the state has taken and our community’s compliance with the precautions, New Hampshire has not yet experienced that surge that would stress and potentially overwhelm hospital capacity.

Each hospital is now in the process of reintegrating certain services to care for the ongoing medical needs of our patients. Decisions about how and when to bring back services will be up to each individual hospital and will look different depending on the capacity of the hospital to ensure the safety of all patients and staff. While we have to remain vigilant, it is time to plan for responsibly resuming health care services and work our way back to a more normal health care environment.

Our focus is to ensure that all patients coming back for medical care will be seen in a safe and secure environment. Patients can enter MCH knowing no one takes the delivery of health care more seriously than our doctors, nurses and staff who are courageously leading our institution through this crisis. “Preventing the spread of COVID-19 and caring for those in our community who may be impacted by COVID-19 remains our top priority. We remain committed to protecting our patients and staff through ongoing vigilance as we navigate through what may be our new normal in health care delivery,” said Cyndee McGuire, President and CEO.

Following the guidance released by the state on May 1st, MCH will phase-in procedures and appointments based on our assurance and ability to deliver safe and effective health care in accordance with:

Established guidelines ensuring safe segregation and treatment of COVID-19 and non-COVID-19 patients.
Sufficient availability of personal protective equipment to ensure the safety of both patients and staff.
Adequate testing supplies and equipment.
Alignment with established guidelines developed by the Centers for Disease Control and other regulatory agencies.
Flexible policies permitting immediate response to any COVID-19 surge.

“Our reintegration of service will be a slow, thoughtful, and phased process. We need to consider our aging population and the specific needs of our community. We urge patients not to delay care, and to call their physician’s office if they have any concerns. Our Tele-health Service has been significantly expanded to allow providers to consult with patients in a virtual setting which has been well received. Monadnock Community Hospital is eager to begin our return to normal operations, but only when it is appropriate to do so, and in coordination with local, state, and system partners,” said Cyndee McGuire.

While the crisis is far from over, we know that COVID-19 will continue to be the primary focus of hospitals and health care providers for the foreseeable future, however we are mindful of the many New Hampshire residents who have deferred care for chronic conditions and other non-urgent medical needs. MCH will continue to partner with public health and others to monitor the ongoing COVID-19 pandemic so that we can be prepared for periodic or unpredictable increases in the number of cases that may occur in our region and make the adjustments necessary to ensure the safety of our patients and healthcare workers.

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The Monadnock Region has not yet seen the surge of COVID-19 patients as originally projected by the CDC (Center for Disease Control). This is good news for all of us. Our community’s commitment to stopping the spread of the virus has saved lives and has prevented a situation that could have potentially overwhelmed Monadnock Community Hospital. We have had many weeks to prepare and make adjustments to our normal operations. Some of the adjustments include: setting up new protocols for caring for COVID-19 patients, finding new sources of supplies and personal protective equipment for our medical staff and employees, expanding our bed capacity from 25 to 40, and implementing tele-health for continued routine care for our many outpatients and patients who traditionally visit our physician offices. MCH feels well prepared for what we now know may be a long haul of dealing with this deadly virus. Until we have a vaccine or wide spread systematic testing of the population, many of our precautions will have to remain in place. We are following NH Department of Public Health guidelines for testing and have an adequate number of tests to accomplish this. At this time, we do not have the ability to do widespread testing. Such a system will come at the guidance of the CDC and the NH Department of Health and Human Services.

We are closely following prediction models used around the country to plan for both the short term and the long term. We, like many hospitals are beginning to plan to re-introduce elective appointments and procedures in a safe manner, while still protecting the health our community. The routine delivery of healthcare will continue, often using technology in new ways to limit exposure of our patients and healthcare workers. All agree that this restoration of services must be done slowly and carefully. The process will be less like turning on a light switch and more like a sunrise.

This pandemic has put enormous strain on almost every industry in the world. The hospital’s normal revenue stream has dropped significantly which is creating challenges. The hospital has been actively applying for all available funding including loans and grants. To date, MCH has been successful in obtaining advanced payments from Medicare to help with cash flow and has applied for Payroll Tax Deferment. The hospital has also received some payment from the Federal CARES Act funds and is applying for FEMA reimbursement. MCH remains focused on long term sustainability.

We cannot overstate our gratitude for the support we have received on many fronts. Local manufacturers and individuals have donated significant amounts of PPE (Personal Protective Equipment) and our congressional representatives and senators have advocated in support of our hospital obtaining much needed supplies. This support means so much for the safety of our front line caregivers and for that we are grateful. Community members have reached out with gifts of food and personal items for our staff. Many contributors have donated to our COVID-19 Fund. Thanks to a very high level of community support on every level, we are well-prepared to care for our patients. We will get through this together!

[post_title] => MCH Remains Vigilant [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-remains-vigilant [to_ping] => [pinged] => [post_modified] => 2020-04-28 10:44:49 [post_modified_gmt] => 2020-04-28 14:44:49 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29952 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [4] => WP_Post Object ( [ID] => 29951 [post_author] => 2 [post_date] => 2020-04-28 10:43:20 [post_date_gmt] => 2020-04-28 14:43:20 [post_content] =>

As part of MCH’s surge planning, a need was identified for housing of staff members who live with an immune-compromised family member. Staff members living with someone in a high-risk category may wish to stay apart from their normal home while working at MCH to minimize risk of exposure for their loved one. Over one month ago, MCH was contacted by the MacDowell Colony in Peterborough, and The Barbara C. Harris Center in Greenfield. Both organizations are closed to their normal guests and offered use of their campuses for housing MCH staff members, free of charge. This option has been a godsend for MCH staff needing a place to stay for the short term. They have a comfortable and peaceful place to stay while working hard at MCH. And they have the added peace of mind knowing that they are not going to potentially expose a loved one in a high-risk category. “It’s just great that these two amazing facilities have offered such generosity to our staff. This is one of many examples of how the community has rallied behind MCH to support our healthcare workers. And it’s the kind of partnership that you see in a small community” said Cyndee McGuire, President and CEO of MCH. Several other local lodging facilities have offered their rooms to MCH at reduced rates.

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Monadnock Community Hospital is proactively preparing for a surge in patients, recruiting volunteers to staff an alternate care site should it become necessary for treating non-COVID-19 related patients. “The next week or two are going to be the peak weeks in New Hampshire,” Peterborough Fire Chief Ed Walker said at a virtual Select Board meeting last Tuesday. The hospital typically has 25 beds available for patients; they’ve increased that to 40, and have a supply of seven ventilators crucial for keeping advanced COVID-19 patients alive. “I feel good about our plans,” MCH CEO Cyndee McGuire said Friday. “We have increased our beds to 40, we have plans in place for when we hit certain numbers, we certainly feel confident about our ventilator supply right now, and we’re feeling really good about where we are with our personal protective equipment.” McGuire said the hospital receives shipments of COVID-19 swab tests from the New Hampshire Department of Health and Human Services a couple times a week, meaning there are usually around 100 tests available at a given time for MCH’s curbside testing process. Patients with physician’s orders to be tested pull their vehicles up beside the emergency room, where hospital personnel in full facemask and protective gear perform the test – a long Q-tip-like swab up the nose – before sending it off to the state for results. Read the full article on the Ledger Transcript >> [post_title] => MCH Ramps Up Ahead of Potential Surge [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-ramps-up-ahead-of-potential-surge [to_ping] => [pinged] => [post_modified] => 2023-12-27 12:49:28 [post_modified_gmt] => 2023-12-27 17:49:28 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29868 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [8] => WP_Post Object ( [ID] => 29726 [post_author] => 2 [post_date] => 2020-04-09 15:54:57 [post_date_gmt] => 2020-04-09 19:54:57 [post_content] =>

Following the guidance of the CDC and the New Hampshire Department of Health & Human Services latest health alert recommendations, Monadnock Community Hospital recommends that all staff and patients wear a mask or facial covering in public settings when social distancing is difficult. Patients arriving for an appointment at the main hospital campus or at a satellite practice should wear a mask or a facial covering. This policy includes appointments at the lab, radiology, surgery or a provider’s office. If patients arrive without a mask, they will be given a mask upon entry to wear for their entire visit.

As a reminder, MCH is also asking that outpatient visitors be limited to one healthy adult accompanying a minor, or one healthy adult accompanying a patient who needs assistance. If you have questions, please call your provider’s office.

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Monadnock Community Hospital has taken in almost 4,000 donated cloth masks in the past month. That represents an incredible effort by our community’s sewers. Many thanks to all! While MCH still needs more fabric masks, we are now expanding our efforts to coordinate fabric mask supplies for all regional healthcare providers in the hospital’s primary service area. As needs are identified, the hospital will assist those organizations by passing on some of the donated masks from the community.

Several community volunteers stepped up to lead the mask effort last month, and they have put together a successful collection process. Using the current drop-off system will be the most efficient way to collect masks and get them to where they are needed most.

MCH wants to encourage sewers to continue their work and drop off at the 5 community drop-off locations listed below. All mask styles are welcome. The N-95 mask covers and the “Deaconess-style” mask have been the most useful, but there are many other patterns circulating, and healthcare providers will gratefully accept those as well. A volunteer team is collecting the donations and bringing them to MCH. A team at MCH sorts the masks and will start to allocate to community healthcare partners based on their needs.

If you are interested in sewing masks, you can find more information on the MCH website COVID-19 face mask page.

PLEASE do not bring the masks directly to the hospital; they are trying to limit traffic as much as possible.

Organizers are using five community drop-off locations:

Jaffrey Grade School (School Street, Jaffrey)
First Service Title Company (Main Street, Jaffrey)
Rindge Memorial School (School Street, Rindge)
Peterborough Town Library, rear entrance (Concord Street, Peterborough)
Grapevine Family & Community Resource Center (Aiken Street, Antrim)

Each building has an overhang, and there will be a container in which to leave the masks underneath the overhang. The masks will be collected daily and delivered to the hospital. When you leave masks, organizers ask that you please leave your name, address and phone number so that they can acknowledge your generous contribution.

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As part of its COVID-19 proactive surge planning, Monadnock Community Hospital is creating a database of volunteers who are willing and able to help support our staff and patients if needed. Our goal is to include interested volunteers for tasks on-site at MCH, tasks at one of the hospital’s medical practices, and tasks to be performed remotely. Registered volunteers will be contacted with information about specific volunteer opportunities as needs arise. “Community volunteers are an important part of our ongoing planning efforts to be able to care for our community during this pandemic. All of us at MCH are inspired by the community support we have received on many levels. We look forward to welcoming volunteers onto our team!” Cyndee McGuire, President and CEO.

In an effort to best coordinate this effort, the hospital asks that volunteers not call MCH directly.

Anyone willing to register as a volunteer is encouraged to complete the sign-up form on the Monadnock Community Hospital’s COVID-19 page.

If you have trouble with the link, please email us at mchcovid19volunteers@gmail.com or call Sharon Smith at 603-924-6146.

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MCH opened its Incident Command process on Feb 26^th and has been planning for weeks in areas such as Logistics, Supplies, Safety, Resource Planning, and Surge Capacity.

The purpose of the surge plan is to prepare MCH employees for an influx of patients with COVID-19. Furthermore, this plan will establish triggers for different phases of the plan that will include staffing and supply requirements for each phase. Postponing non-essential surgeries and procedures, limiting visitors and access to the facility, setting up specific respiratory clinics for adults and pediatrics were all part of the initial phase of the Surge Plan. These actions have freed up capacity at the hospital. MCH is normally a 25-bed Critical Access Hospital and the surge plan has increased total beds to 40. COVID-19 patients who are admitted to MCH will be cared for in a dedicated area equipped with ventilators when needed. Ultimately the plan includes post discharge care for patients including providing telemedicine support, coordinating with Home Health Care, and connecting patients with other community resources. The phases of the plan roll out depending on the number of patients who are in the facility and those who are presenting for care.

“MCH has repurposed sections of the hospital to add beds and care for patients with COVID-19 or other illnesses. Managing infectious disease is part of everyday business for a hospital. COVID-19 may present us with a volume of patients that we don’t normally see, but our hospital is ready. We are working with the Department of Public Health and the other hospitals in the state to best coordinate our resources.” Cyndee McGuire, President and CEO

In conjunction with the Department of Health and Human Services and with assistance from the National Guard, an Alternative Care Site is being planned to further support potential surge at Keene State College. The kind of care most likely to be provided at this site will be care to patients who do not have to be hospitalized in an acute setting, or care of those who are post discharge from an acute care setting. MCH is working with Cheshire Medical Center, Dartmouth-Hitchcock Keene along with other community organizations to staff and support the alternate care site.

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MCH opened its Incident Command process on Feb 26^th and has been planning for weeks in areas such as Logistics, Supplies, Safety, Resource Planning, and Surge Capacity.

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