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Dartmouth Health says it needs to close telehealth services for emergency and intensive care
The network said the telehealth programs are unsustainable without outside support as a $63.5 million operating deficit pressures rural care.
On Friday, Dartmouth Health announced plans to end its Tele-ICU and Tele-ED services, informing affected Vermont hospitals of the decision to close the remote healthcare programs.
Spokesperson Audra Burns cited "significant financial challenges" as the impetus to evaluate program costs, with the network reporting a $63.5 million operating deficit in May that rendered current 24/7 staffing models "unsustainable."
Rural hospitals like Grace Cottage Hospital rely on these programs to access specialists at Dartmouth Hitchcock Medical Center, using the services for patient monitoring, documentation, and emergency transfers.
Dr. Jennifer Zweig, Grace Cottage's chief medical officer, told VTDigger on Monday the announcement was "a huge letdown and surprising," noting the remote support was essential for the hospital's limited budget.
Dartmouth Health will "be working closely" with hospitals to secure alternatives before finalizing closures, with some facilities potentially transitioning to the South Dakota-based provider Avel full-time.