Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics History

最新澳门博彩平台注册希区柯克医疗中心和最新澳门博彩平台注册希区柯克诊所的发展是由许多不同的想法和合作组成的,这些想法和合作都是为了一个共同的目标.

1797 – Dartmouth Medical School (DMS) founded

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Nathan Smith seated
Nathan Smith (9/30/1762-1/26/1829) Physician, writer and founder of Dartmouth

Originally called the Dartmouth Medical College, Dartmouth’s medical school was founded by Nathan Smith. 它是美国第四所医学院(在它之前是1765年宾夕法尼亚大学的医学院), Columbia in 1767, and Harvard in 1783). 注意到康涅狄格河上游河谷地区缺乏医疗专业人员, 1796年8月,史密斯向最新澳门博彩平台注册学院董事会请愿,要求出资建立一所医学院,为该地区培养更多的医生. The board approved the request, and Smith began lecturing on November 22, 1797.

1890 – Dartmouth Hospital Association purchases land at the northern end of Hanover

Dr. Carlton P. Frost, Dean of Dartmouth Medical College, headed the newly formed Dartmouth Hospital Association, which purchased a small piece of land at the northern end of Hanover. He contacted his friend, the prosperous hotelier, Hiram Hitchcock, who embraced the prospect of building a small hospital in the area, 这个设施不仅为病人服务,而且还为医生和护士的培训提供场所.

1893 – Mary Hitchcock Memorial Hospital opens

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Mary Hitchcock Memorial Hospital at its original location
Early image of Mary Hitchcock Memorial Hospital at its original location

The death of Mr. Hitchcock’s wife in 1887 prompted Hiram Hitchcock and Dr. Carlton P. Frost to move forward with their plan to build a small hospital. The new hospital was built in Hanover with funds donated by Mr. Hitchcock and dedicated as a memorial to Mary Maynard Hitchcock. 医院继续发展,并在1913年至20世纪80年代之间增加了几项大型补充. Additional institutions also joined the complex, including the College infirmary, the Hitchcock Clinic physician group practice, and a nursing school.

1914 – Doctor of Medicine degree ends at Dartmouth Medical School

医学博士学位于1914年结束,此后一直持续了几十年, 学生在DMS就读两年,然后转到其他学校获得正式的医学学位.

1927 – The Hitchcock Clinic partnership begins

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Hitchcock Clinic staff, 1933
Hitchcock Clinic staff, 1933

The Hitchcock Clinic was one of the first organized group practices in the United States, certainly one of the first in New England. 20世纪20年代(以及随后的几十年)的医疗实践主要是私人执业或“个人”模式. It was in this context, in June of 1927, that Dr. John Bowler, a surgeon practicing on Main Street in Hanover, 向汉诺威的另外四位医生珀西·巴特莱特提出了多专业团体实践的想法, Harold Des-Brisay, Harry French, and John Gile. Together, 他们组成了一个伙伴关系,并向玛丽希区柯克纪念医院(MHMH)董事会请愿,要求在医院内进行独家执业. Three of the four had done their training at the Mayo Clinic in Rochester, MN, so in many ways the model of the Hitchcock Clinic was based on the Mayo Clinic model. The plan was approved by the MHMH Board of Trustees in 1927 and from that time onward, the members of the Hitchcock Clinic had, in effect, a sole franchise in practicing within the walls of the hospital.

1946 – The Hitchcock Clinic becomes incorporated under New Hampshire law

Initially, the Hitchcock Clinic group practice took the legal form of a partnership. Within the group practice, 没有这些创新,农村企业的长期成功就会受到损害. In 1946, 最初的希区柯克诊所合伙关系被解散,诊所根据新罕布什尔州的法律被合并为希区柯克诊所, Inc.

1947年的今天,玛丽安·盖拉德·福克纳捐赠了100万美元,用于支持玛丽·希区柯克纪念医院的大规模扩建

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Aerial view of Mary Hitchcock Memorial Hospital and Hitchcock Clinic in the 1990s
在搬到黎巴嫩的新校区之前,医院和诊所就存在于20世纪90年代

Although many expansions to the hospital took place over the years, the most important addition came as a result of a generous gift from a Woodstock woman, Marianne Gaillard Faulkner. Her donation supported a major expansion of the hospital, then located on Maynard Street in Hanover, called the Faulkner House. Around 1970, the hospital doubled the height of Faulkner House by adding four floors. By that point, going vertical seemed the only way to expand, 因为在接下来的10年里,6座新的医学院大楼将关闭东边,以进行可能的扩建.

1974 – Full 4-year Doctor of Medicine degrees resume at Dartmouth Medical School

恢复完整的四年制医学博士学位的部分原因是医学院与玛丽希区柯克纪念医院和希区柯克诊所的密切合作, 他们共同致力于通过组建最新澳门博彩平台注册-希区柯克医疗中心(DHMC)成为一个学术医疗中心.

1983 – The Hitchcock Clinic becomes a non-profit organization

In 1983, the clinic leaders voted to discard its formal for-profit corporate structure, dropping the “Inc.,从法律上变成了它一直以来的性质——一个非营利组织. At this time, it was recognized that without a financially strong hospital, the clinic could not attract and retain quality physician members. And without a strong medical staff, MHMH could not survive financially.

1991 – Mary Hitchcock Memorial moves to Lebanon

By the early 1980s, 越来越明显的是,医疗中心的物理设备是不够的, especially for the hospital and clinic but certainly for the medical school. The decisions made at that time set the stage for developing an academic medical center.

The original plan was to expand onto Dewey Field, north of the medical school, but with worry about the congestion and parking, this was rejected by the Town of Hanover. Dartmouth College, which had a long-term plan of expanding northward, offered DHMC a large portion of its Gile Tract on Route 120. The thirteen-acre building site was surrounded by about 200 acres of woodlands.

The “Lebanon Option” was agreed upon and planning began in 1985. Construction began in 1988 and was completed in 1991. The planning and design for the new DHMC was unique from the start. 走廊宽阔,天窗充足,让自然光尽可能进入任何地方. The move from the Hanover location to the Lebanon site took place on October 5, 1991.

观看这段视频,了解新医疗中心的落成概况, including a time-lapse of the medical center construction.

1999 - Center for Shared Decision Making

The Center for Shared Decision Making opened in 1999 as the first center in the U.S. dedicated to encouraging doctors and patients to make decisions together. 提供病人决定援助和支持围绕预约服务的准备工作,目前由 Patient Support Corps.

2009 – Dartmouth-Hitchcock Health is formed

In 2009, 最新澳门博彩平台注册-希区柯克董事会批准了一个旨在有效协调资源的综合卫生系统的形成, 扩大获得新罕布什尔州唯一的学术医疗中心提供的专业服务和研究的机会, 提高新罕布什尔州和佛蒙特州东部社区医疗服务的价值和质量. The health system was formed through the creation of a “parent” corporation, Dartmouth-Hitchcock Health (D-HH), and originally had two provider members, Mary Hitchcock Memorial Hospital and the Dartmouth-Hitchcock Clinic, which includes community-based physician group practices in Concord, Keene, Manchester and Nashua.

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Aerial view of Dartmouth-Hitchcock Medical Center, 2000s
Dartmouth Hitchcock Medical Center

During this period, 诊所领导促进了康科德诊所小组实践的发展和成长, Manchester, Nashua and Keene. Outreach programs continued as did programs in medically underserved areas. Additionally, through the creation of The Hitchcock Alliance, 医院与本地区其他医院和提供者组织建立了伙伴关系,以协调本地区保健需求的规划.

During this time, the clinic changed its name to the Dartmouth-Hitchcock Clinic, reflecting the growing partnership with the college. The Dartmouth-Hitchcock Clinic and MHMH subsequently integrated their governance, finances and operations, while maintaining separate corporate identities, to the advantage of the clinical enterprise and the medical school.

2013 to 2022: Continuing collaboration

为了继续蓬勃发展,需要进一步改变诊所和医院的法律结构,以创造更高的效率,并反映医院和诊所之间合作和整合的深刻根源. 正是在这种情况下,诊所和医院的公司章程于2013年进行了修订,以便为每个实体创建镜像章程, including mirror Boards of Trustees. 而最新澳门博彩平台注册-希区柯克诊所和MHMH继续保持独立的企业身份, since 2013 they have operated in an even more integrated fashion.

Since 2013, 5 new provider affiliates joined the D-HH system: New London Hospital, Mt. Ascutney Hospital and Health Center, Cheshire Medical Center, Alice Peck Day Memorial Hospital, and the Visiting Nurse and Hospice of Vermont and New Hampshire.

新系统产生了近20亿美元的收入,是新罕布什尔州最大的私营雇主. As New Hampshire’s only academic medical system with the only Level 1 trauma center, D-HH系统是该州最大的医疗保健提供者,也是佛蒙特州第二大医疗保健提供者. 24家最新澳门博彩平台注册-希区柯克诊所在新罕布什尔州和佛蒙特州提供流动服务. We serve more than 30 percent of the population of Manchester, 25 percent of the population in Nashua and 20 percent of the population of Concord. We care for 40 percent of the citizens of Vermont.

2022 to present: Dartmouth Health

In 2022, Dartmouth-Hitchcock Health rebranded as Dartmouth Health. 新名称反映了我们卫生系统的显著增长和相互依存,并为我们的未来奠定了基础. 我们的新品牌是我们战略计划的一部分,旨在提高最新澳门博彩平台注册健康学术医疗系统的知名度,并重申我们作为本地区医疗保健提供者和雇主首选的地位, and our commitment to provide world-class care in the fabric of our communities.