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Hospitalist
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Hospitalist
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Chandka Medical College
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Steward Carney Hospital
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American Board of Internal Medicine
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Jinnah Postgraduate Medical Center
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On Monday, 7/25, 10 hospitals across the state announced their decision to sue the state of New Hampshire over cuts in Medicaid reimbursement. The hospitals report the budget passed by lawmakers in Concord will wreck havoc on the health care infrastructure and safety net in New Hampshire.
"The state has eliminated payments to hospitals that have, for decades, helped people in need of health care services," said Doug Dean, president and CEO of Elliot Health System. "We are outraged, and we believe that the conduct by the state is unlawful and disregards the extraordinary needs of these people. The impact is enormous, with Elliot receiving $17 million less in the first year from the state," Dean said.
Catholic Medical Center is reporting a loss of $12 million this year.
James Putnam, Chairman of the Cheshire Medical Center Board of Trustees, said “With passage of its new budget, the state has directly impaired the ability of the hospital to provide access to quality health care for all patients. In addition, important inpatient services may need to be eliminated in order to maintain core services for our community.”
Wayne Granquist, chairman of Dartmouth-Hitchcock’s board of trustees, said in a statement that the budget “fundamentally threatens not only Dartmouth-Hitchcock, but the people throughout the region who rely on us for their health and well being.”
“As a small critical access hospital in New Hampshire, we rely on the support of the larger hospitals for a number of essential services, such as availability of on-call physicians’ services, immediate access to specialists, and a variety of shared services that benefit the people of the Monadnock region. We strongly support the larger hospitals in their efforts to go forward with the litigation. The current budget puts at risk the most vulnerable people across the state and in our local communities, in particular those who have Medicaid coverage. It is also bad for business since it will undoubtedly lead to increased insurance premiums.” notes President and CEO, Peter Gosline.
“Monadnock, along with 11 other Critical Access hospitals in New Hampshire, have chosen not to join this suit at this time,” reports Gosline. “We understand and fully support the hospitals who have joined. Although the budget that was passed provides for the funding of disproportionate share payments to the small, critical access hospitals including MCH, we will not know until later this year whether the State will actually return those disputed funds. We strongly suspect that the budget contains revenue over-estimations –and there are competing priorities for that revenue. Consequently, our portion of these funds, totaling $3.5 million annually, are at considerable risk. At this point, we have no choice but to prepare our upcoming annual budgets assuming we will not receive them. We are concerned their loss will impact the scope of health services in our region and across the state,” reports Gosline.
Hospitals listed as plaintiffs in the lawsuit include:
On Monday, 7/25, 10 hospitals across the state announced their decision to sue the state of New Hampshire over cuts in Medicaid reimbursement. The hospitals report the budget passed by lawmakers in Concord will wreck havoc on the health care infrastructure and safety net in New Hampshire.
"The state has eliminated payments to hospitals that have, for decades, helped people in need of health care services," said Doug Dean, president and CEO of Elliot Health System. "We are outraged, and we believe that the conduct by the state is unlawful and disregards the extraordinary needs of these people. The impact is enormous, with Elliot receiving $17 million less in the first year from the state," Dean said.
- Dartmouth-Hitchcock Medical Center
- Wentworth-Douglas Hospital
- Exeter Hospital
- Southern New Hampshire Health System
- St. Joseph Hospital
- Cheshire Medical Center
- Frisbie Memorial Hospital
- Lakes Region General Hospital
Nonessential appointment, procedures and elective surgeries postponed:
In addition to the changes that were in Tuesday’s press release (please see our website), we have made additional temporary changes at MCH to protect our patients and employees from the spread of, and potential exposure to, coronavirus (COVID-19). All nonessential appointments, procedures, and elective surgeries are postponed until further notice. This applies to all offices on the Monadnock Community Hospital campus and satellite offices. This decision was made under the advice of the American College of Surgeons and the US Surgeon General, and in conjunction with MCH’s medical staff. Our focus is to protect patients and employees as well as to conserve critical supplies. Hospitals throughout the state and country are taking similar action. MCH staff is reaching out to patients who have nonessential appointments to advise them on next steps. Those procedures which are immediately medically necessary will continue. MCH continues to provide regular emergency and urgent care. Anyone with questions about an upcoming appointment or procedure should call their provider. We continue to evaluate the situation and will adjust accordingly.Symptoms and Access to Care:
We are not routinely providing screening tests for COVID-19. The COVID-19 test kits are limited and needed for patients who have symptoms and have been evaluated by their clinician. If you develop the following symptoms: fever, cough, shortness of breath, please call your primary care clinician before going to their office or to the Emergency Department. A clinician order is needed for all tests and MCH has the ability to test for COVID-19. If you have traveled to/from countries with a COVID-19 Travel Advisory and develop symptoms of a fever or respiratory illness within 14 days of your travel, contact your primary care provider for evaluation. If you do not have a primary care provider call Monadnock Internal Medicine at 603-924-4671, Jaffrey Family Medicine at 603-532-8775, or Antrim Medical Group at 603-588-4200. If you have general questions or concerns, please call 2-1-1, a hot-line staffed by the NH Division of Public Health Services. We have heard from many community businesses and organizations that have offered resources such as facilities and equipment, we are grateful for all of the outreach. Thank you to our community dentists and their staff for their contribution of masks and supplies. We appreciate everyone’s support and cooperation during this time. This is an amazing community and together we will get through this. We have an amazing team of people at MCH who are working very hard together every day, around the clock. Taking care of all of our patients during this time is our top priority. I want to recognize our clinicians, our staff, and our entire team. People are stepping up every minute and are working in positions that they may not normally work in. Our team has kicked into action proactively preparing our contingency plans for a potential surge of COVID-19 patients. We are hearing words of gratitude and thanks every day from our patients and supporters in the community. Your words and support mean so much to us and I thank you. We will share changes and information as it becomes available. You can find more information and resources about COVID-19 at www.nh.gov/covid19 and www.cdc.gov as well as our website. You can download a copy of this release here. View COVID-19 Main Page [post_title] => A message from Cynthia K. McGuire, FACHE, President and CEO [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => a-message-from-cynthia-k-mcguire-fache-president-and-ceo [to_ping] => [pinged] => [post_modified] => 2020-03-22 11:54:40 [post_modified_gmt] => 2020-03-22 15:54:40 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29516 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 29870 [post_author] => 9192192 [post_date] => 2020-04-01 09:49:32 [post_date_gmt] => 2020-04-01 13:49:32 [post_content] =>
Monadnock Community Hospital is working towards creating a path for patients to see their doctors remotely, as response to the COVID-19 outbreak has opened up new avenues for accessing care remotely.
Telehealth visits use a video and audio connection from doctor to patient, and allow the patient to access medical care without leaving their home. It can be used by doctors, therapists, and other health care workers.
Monadnock Community Hospital has already begun the process of doctors consulting with patients via video, and is on track to be able to provide greater access to that service – on a limited basis – within two weeks.
Dr. Greg Neilley, an internist and geriatrician at Monadnock Internal Medicine, said he’s been able to meet with several patients so far using a video call. While telehealth consultations aren’t always appropriate – there is no way to run certain tests, or physically listen to a patient’s lungs or heart, for example, and most critical emergencies will still require an Emergency Room visit. But for many patients, they can receive a similar level of care as if they were in the same room as their doctor.
Read the full article on Ledger Transcript >>
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