MIH team at Monadnock Community Hospital

Photo courtesy of MCH

照片由MCH提供

Monadnock Community Hospital (MCH) in Peterborough, New Hampshire has enacted a

新罕布什尔州彼得伯勒的蒙纳德诺克社区医院（MCH）颁布了一项

mobile healthcare program

移动医疗保健计划

to close care gaps in nearby rural communities.

缩小附近农村社区的护理差距。

The Mobile Integrated Healthcare (MIH) program was launched by the 25-bed critical access hospital in 2020, and the team now includes two board-certified community paramedics who provide care in patients' homes, plus a project manager, dispatcher and medical director.

移动综合医疗（MIH）计划由拥有25张病床的重症监护医院于2020年启动，该团队现在包括两名经过董事会认证的社区护理人员，他们在患者家中提供护理，另外还有一名项目经理、调度员和医疗总监。

Patients give the MIH program high marks for quality of care, promptness, ease of scheduling, and respect and compassion shown by the providers, officials said.

官员们表示，患者对MIH项目的护理质量、及时性、排班方便性以及提供者表现出的尊重和同情给予了很高的评价。

WHAT'S THE IMPACT

有什么影响

The MCH community paramedics collect all types of laboratory specimens, place Foley catheters, address wound care, evaluate home safety, provide health education, administer immunizations and medications, and manage medical equipment needed for chronic health issues – services that go beyond those of a traditional paramedic, MCH said..

妇幼保健院社区护理人员收集所有类型的实验室标本，放置福利导管，处理伤口护理，评估家庭安全，提供健康教育，管理免疫和药物，管理慢性健康问题所需的医疗设备，这些服务超越了传统护理人员的服务，妇幼保健院说。。

The team also can help facilitate a patient's telehealth visit with their primary care physician by obtaining vital signs, laboratory samples and other information that a standard telehealth visit doesn't provide, MCH said.

妇幼保健院表示，该团队还可以通过获取生命体征、实验室样本和标准远程保健就诊无法提供的其他信息，帮助患者与初级保健医生进行远程保健就诊。

The hospital emphasized that its MIH program is 'not a substitute for home healthcare, emergency medical services or any other service' available in the community. Instead, the team works in collaboration with those organizations 'to ensure services are not duplicated and to prevent gaps within services.'.

该医院强调，其MIH计划“不能替代社区提供的家庭医疗、紧急医疗服务或任何其他服务”。相反，该团队与这些组织合作，“以确保服务不重复，并防止服务之间的差距。”。

Another part of the MIH program at MCH is

妇幼保健院MIH项目的另一部分是

Cradle Monadnock

摇篮Monadnock

, launching this year. Anyone giving birth at MCH is automatically enrolled in this program but can opt out anytime. The MIH team makes pre- and post-delivery home visits to evaluate the health of the mother and newborn, connect families to community resources and social support, and offer practical advice and health education – such as discussing safe sleeping practices for babies and age-appropriate development..

，今年推出。任何在妇幼保健院分娩的人都会自动参加该计划，但可以随时选择退出。MIH团队进行产前和产后家访，以评估母亲和新生儿的健康状况，将家庭与社区资源和社会支持联系起来，并提供实用的建议和健康教育，例如讨论婴儿的安全睡眠做法和适合年龄的发展。。

All of that helps parents navigate the challenges of early parenthood, MCH said.

MCH说，所有这些都有助于父母应对早育的挑战。

THE LARGER TREND

更大的趋势

Homecare is

家庭护理是

facing challenges

面临挑战

. None are new. Reimbursement rates from the Centers for Medicare and Medicaid Services are low, and staffing shortages are high, as is demand for home health services due to a rising elderly demographic.

。没有一个是新的。医疗保险和医疗补助服务中心的报销率很低，人员短缺率很高，由于老年人口不断增加，对家庭保健服务的需求也很高。

Josh Klein, founder and CEO of Emerest, said the way to keep patient care quality high is to create patient communities and to make his employees, the caregivers, feel like they're a part of the healthcare ecosystem.

Emerest的创始人兼首席执行官乔希·克莱因（JoshKlein）表示，保持高质量患者护理的方法是创建患者社区，让他的员工（护理人员）感觉自己是医疗生态系统的一部分。

Jeff Lagasse

杰夫·拉加西

is editor of Healthcare Finance News.

是《医疗保健金融新闻》的编辑。

Email:

电子邮件：

jlagasse@himss.org

jlagasse@himss.org

Healthcare Finance News is a

医疗保健金融新闻是

HIMSS

HIMSS

Media publication.

媒体出版。