b'22CONCORD HOSPITAL TRUST: Geoff Forester/Concord MonitorPHOTOAimee Cancro, Penacook Family Physicians Clinical Manager Creating Neighborhood Emergency Health CentersAs Concord Hospital geared up to respond toCHMG primary care provider. Nurses evaluateAnother major change is the rapid expansion COVID-19, Penacook Family Physicians waspatients and refer them for appropriateof telemedicinemedical appointments transformed virtually overnight from a familytesting or care. Some have been seen insideby phone or video link. Since March, CHMG practice site to a respiratory clinic, completethe clinic, others were advised to monitorhas provided more than 46,000 telemedicine with a tent outside to screen patients. their condition at home appointments for everything from wellness For the practices Clinical Manager, AimeeThe tent in the Hospitals visitor entrancevisits, medication checks and even some acute Cancro, (shown above) the change meantparking lot was a walk-in (or drive-in)issues such as rashes. Cancro said telemedicine expanding duties to include managing Concordscreening/testing site for anyone, includingis one of the changes that will continue to Hospital Medical Groups (CHMG) dedicatednon-CHMG patients, experiencing a fever orbenefit patients long after the pandemic.COVID-19 screening/testing sites in Penacooknon-critical respiratory symptoms, such asWe are learning a lot during this period and and at the Hospital to make sure potentiala cough or shortness of breath. No referralI think telemedicine will definitely be useful COVID-19 patients received prompt andwas needed. in the future, she said.appropriate screening and care. That was inSeeing patients with mild symptoms in addition to moving the Penacook practitionersthe clinic or advising home monitoring has to temporary offices, managing expandedprovided patients access to appropriate telemedicine operations, keeping staffcare while easing pressure on the informed and helping with patient concerns.Emergency Department (ED).Ive been pulled everywhere, she said,If we sent everybody to the ED they would working with everyone from housekeepinghave been at capacity very quickly, Cancro said.and supply chain managers to providers and Hospital administrators, most of the time byAs of the end of July, 3,772 patients were phone or e-mail to maintain social distancing. tested in the Penacook and Concord Hospital CHMG patients with respiratory symptomstents and for a short period at a tent operated are referred to the Penacook location by theirat Epsom Family Medicine.'