University of Maryland Shore Medical Center at Chestertown. Photo: Jan Plotczyk
After six years of negotiations with the University of Maryland Medical System and Maryland state lawmakers, the Maryland Rural Hospital designation was established. An activist group called “Save Our Hospital” pushed to prevent the hospital from being downgraded to an outpatient care center. This downgrade seemed to be the institution’s fate, as more and more specialists departed and more and more inpatient beds were removed.
Leading up to the designation were a series of town hall virtual presentations to community members, medical staff providers, and Chestertown-based employees of University of Maryland Shore Regional Health. The presentations provided an overview of the new models of care that will support the hospital’s continued role in the community. The new designation and those who brought it about were celebrated with a Chester River Packet cruise, as reported in the Chestertown Spy. The members of the “Save Our Hospital” committee were addressed by Lara Wilson, director of Rural Health Care Transformation. She introduced Shore Regional Health’s new executive director, Dennis Walsh.
Mobile wellness will be at the forefront of the Center’s mission. Wilson stated, “This is about bringing care into the community for patients who aren’t able to get to the hospital, who don’t drive.” The Mobile Wellness Team is being developed. “It’s a team of Shore Regional staff that are going out into the community, going into people’s homes, holding community events to provide healthcare to patients without them having to travel here,” stated Wilson.
Wilson plans to bring in a health educator who will develop events of health programs as well as classes. “Working closely as a coordinator between Shore Regional, UMMS, the Kent County Health Department, the YMCA, and other health-oriented partners, the health educator will make sure all health events will be aligned to eliminate redundancy and offer the region a wider spectrum of educational services,” Wilson went on to say.
The medical center has also been designated as an Age-Friendly Health System and an Aging and Wellness Center of Excellence, given the aging population in Kent and Queen Anne’s counties. In line with that designation, the center will employ a new emergency medicine physician with geriatric emergency care certification.
A new focus on “population” health through a network of outreach programs will be devoted to prevention and strategies to better serve rural populations. With advances in telemedicine, the center will be able to provide a wider range of specialized care along with a focus on improved transportation.
On the downside, from this writer’s point of view, the medical center is in the process of phasing out Intensive Care Unit beds, as well as round-the-clock respiratory coverage.
That phase-out began earlier this year. In fact, as of August 24, William Webb, Kent County's health officer, said that there were no longer ICU beds here. All have been moved to Easton. That decision was based on low use of the ICU in recent history. Low use of the ICU in Chestertown could also be attributed to the policy of referring potential ICU patients to Baltimore or Easton. It does seem to me, however, that the absence of ICU is not in keeping with the focus on geriatric medicine. It’s almost like a step back for every step forward with a continuation of dwindling services at the local hospital.
Sources:
Press Release: UM Shore Medical Center at Chestertown Moves Toward Maryland Rural Hospital Designation, Shore News, June 29, 2021
https://www.umms.org/shore/news/2021/rural-hospital-designation
“The Hard Work Begins to Define Chestertown’s Rural Hospital: A Chat with Dennis Welsh,” James Dissette, The Chestertown Spy, Aug. 25, 2021.
James Dissette, “Defining Chestertown’s Rural Hospital (Part Two): A Chat with Lara Wilson,” James Dissette, The Chestertown Spy, Sept. 8, 2021.
“Saved! Save Our Hospital Celebrates Rural Designation For Chestertown,” James Dissette, The Chestertown Spy, July 23, 2021.
“Hospital in Chestertown Phasing Out ICU Beds,” Mackenzie Brady, The Star Democrat, Sept. 11, 2021. https://www.stardem.com/business/hospital-in-chestertown-phasing-out-icu-beds/article_e80ec9f1-41de-5476-81b6-e6442a39e0ba.html
A native of Wicomico County, George Shivers holds a doctorate from the University of Maryland and taught in the Foreign Language Dept. of Washington College for 38 years before retiring in 2007. He is also very interested in the history and culture of the Eastern Shore, African American history in particular.
Title image: Pond at Pickering Creek Audubon Center, Talbot Co. Photo: Jan Plotczyk