MCH: Where one becomes whole

To the editor:

In July, CEO Peter Gosline of the Monadnock Community Hospital had a golden opportunity to address the governor and her council on health matters, hospital services and the future of the small hospital in New Hampshire.

It is relatively easy to manage any business when you control income, costs and profit. When others have independent power to directly impact your bottom line that is a whole lot different. That’s the hospital’s situation. State and federal regulations are forever making things difficult.

Peter took the time to pinpoint small hospital problems and issues.

He explained the unique situation that small hospitals face and showed the real concerns when state and federal rules, laws and regulations are dumped on the small hospital.

Change is at every corner, advances in technology and research just keep coming. The trick is the small hospital must adjust, must deliver and can ill afford any new governmental costs or reductions in funding.

Peter listed endless changes our hospital has made to keep us on the cutting edge of service. Unlike large hospitals his wiggle room is almost zero, his money resources in constant crisis.

Time in the delivery of service is measured in minutes. Ambulances and helicopters race the clock to save lives. And Monadnock Community Hospital is making those deadlines 24-7. And that costs money.

Peter made the point he runs a fine line and arbitrary cuts in federal or state funding or added services without funding can be very disruptive to delivery of patient services.

It is evident crisis management is part of the package of health delivery services. In the end, it is absolutely amazing what the hospital can do for me and you 24-7. We are blessed to have the professionals that make it all happen. People make the difference.

Fran Chapman


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