A new initiative by local health care teams, firefighters and public health nurses supports rural patients discharged from Sharp Grossmont Hospital.
On a recent Thursday morning, a team of nurses and a paramedic firefighter drove through dusty unpaved roads to visit Michael Lane, a patient who was recently discharged from Sharp Grossmont Hospital.
The visit is part of the pilot Rural Health Discharge Program intended to reduce hospital readmission rates. San Diego County public health nurses and firefighters support residents in the county's most rural areas. The team monitors patients for up to 30 days after they leave the hospital to manage conditions and resolve issues at home.
While nurse Amy Dull checked his vitals, fire captain Joseph Thompson cranked up the weed trimmer and cleared the front yard to ensure Lane's safety and prevent falls.Fire captain Joseph Thompson clears the weeds for a patient who is enrolled in the Rural Health Discharge Program on May 30, 2024 in Boulevard, Calif.
“We talk to them on the phone at first and get some background and introduce ourselves from the program," Dull said. Dull is one of three nurses in the program."And then that first visit is just really getting to know them and their needs and kind of an overall picture of their health and what their situation is.”A small blister on her hand got infected and she wound up in the hospital for five days.
Residents in rural areas face difficulties accessing health care. There are fewer health care resources and longer travel times to hospitals and pharmacies. “Many of the people that we see do not even have transportation or access to transportation. There are a lot of issues, too, where there are just no one for these people to call other than 911,” Johnson said.According to Sharp's data, about 40% of eligible discharged patients have enrolled in the program. The majority are managing chronic diseases.
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