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Among different issues, membership would give the smaller network entry to a standard platform for digital medical information and joint buying. File picture by Glenn Russell/VTDigger
Dartmouth Health Network’s already vital affect within the Vermont healthcare market is probably going to develop over the following yr with the addition of Southwestern Vermont Health Care.
The board of trustees of the smaller network, which features a hospital in Bennington and medical clinics in Manchester, Pownal and Wilmington, authorized an “integration agreement” in late November that may enable changing into a member of Dartmouth Health, in accordance to an e mail to workers on the Presidents and Chief Operating Officers of SVHC, first reported on by the Bennington Banner.
“Over the next 90 days, both organizations will be meeting with state officials and regulators so we can formally finalize the agreement,” the e-mail stated.
Dartmouth Health is the guardian group of the Dartmouth Hitchcock Clinic and Mary Hitchcock Memorial Hospital, which make up Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire, and greater than two dozen different not-for-profit and not-for-profit organizations. These embrace Mt. Ascutney Hospital in Windsor and different smaller hospitals in New Hampshire in Lebanon, New London and Keene, all of which have been affiliated within the final 15 years.
The Dartmouth Health Network is about the identical measurement because the UVM Health Network when it comes to workers and sufferers, however about three-fourths of Dartmouth’s sufferers are from New Hampshire. It serves a a lot smaller share of Vermont sufferers than the UVM network, however that’s topic to change.
Southwestern Vermont Health Care has labored carefully with Dartmouth Hitchcock Medical Center for a decade. Its clinics in Manchester and Wilmington are already branded as Dartmouth Health Clinics. The Cancer Center and a number of other different medical departments are already run collectively by the medical middle, and docs all through the realm are all affiliated with Dartmouth Hitchcock, an educational medical middle with ties to the Geisel School of Medicine at Dartmouth College.
Southwestern Vermont Health Center’s higher “integration” into the Dartmouth Health network would deliver a number of extra advantages to its 75,000 sufferers, in accordance to each organizations. The sufferers are principally from Bennington and Windham counties in Vermont, and from Rensselaer County and Berkshire County in japanese New York in northwestern Massachusetts.
Specifically, membership of Dartmouth Health would enable Southwestern Vermont Medical Center to develop into a “regional referral hospital” and combine with Dartmouth’s digital medical document platform. The transfer would enable SVHC to “participate in numerous initiatives such as joint purchasing, expansion of telemedicine services, education and research, to name a few,” the SVHC assertion stated.
Although the Green Mountain Care Board regulates hospitals, it has no oversight over them
affiliations. The main regulatory hurdle to the mixing settlement might seem to be assessment by the Vermont Attorney General’s Public Protection Division.
Because SVMC is a not-for-profit company, such a assessment can be triggered if the settlement concerned the switch of “all or substantially all” of its belongings to one other group, stated Lauren Jandl, chief of workers for the legal professional basic’s workplace. The assessment would solely examine whether or not the switch is in line with the nonprofit’s unique mission and any asset restrictions.
SVMC workers declined to reply how affiliation would have an effect on company governance and the debt construction. Southern Vermont Medical Center is within the midst of a $28 million enlargement and modernization of its emergency division.
New Hampshire regulation permits the Attorney General’s Office Charitable Trust Unit to conduct extra rigorous assessment of referrals between nonprofit healthcare organizations, together with figuring out whether or not the transaction is in one of the best pursuits of the neighborhood they serve. Under that normal, the workplace rejected an settlement that may have allowed an affiliation between the Catholic Medical Center of Manchester and Dartmouth Health earlier this yr, noting that the affiliation “would adversely affect competition”.
Recent analysis has persistently proven that consolidation amongst healthcare suppliers is related to elevated prices charged to insurers. Americans spend about twice as a lot per capita on well being care as different equally developed international locations.
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