The evolution of 十大网赌平台推荐希区柯克医疗中心 and Dartmouth Hitchcock Clinics was comprised of many different ideas and collaborations coming together for a common purpose.
1797年的今天，十大网赌平台推荐医学院(DMS)成立
最初叫做十大网赌平台推荐医学院, Dartmouth’s medical school was founded by Nathan Smith. It was the fourth medical school in the United States (preceded by schools at the University of Pennsylvania in 1765, 1767年的哥伦比亚, 1783年在哈佛大学毕业). Noting the dearth of medical professionals in the rural 连接icut River Upper Valley area, Smith petitioned the Board of Trustees of 十大网赌平台推荐学院 in August 1796 to fund the establishment of a medical school to train more physicians for the region. 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. 卡尔顿P. 霜, 十大网赌平台推荐医学院院长, 领导新成立的十大网赌平台推荐医院协会, which purchased a small piece of land at the northern end of Hanover. 他联系了他的朋友, 生意兴隆的旅馆老板, 海勒姆希区柯克, who embraced the prospect of building a small hospital in the area, a facility that would not only serve the sick but would also provide a place for the training of doctors and nurses.
1893年的今天，玛丽·希区柯克纪念医院开业
先生的死. Hitchcock’s wife in 1887 prompted 海勒姆希区柯克 and Dr. 卡尔顿P. 霜 to move forward with their plan to build a small hospital. The new hospital was built in Hanover with funds donated by Mr. 希区柯克并以此作为纪念 玛丽·梅纳德·希区柯克. The hospital continued to grow, and added several large additions between 1913 and the 1980s. 其他机构也加入了这个建筑群, 包括学院医务室, 希区柯克诊所的医师团体执业, 还有一所护理学校.
1914 – Doctor of Medicine degree ends at Dartmouth Medical School
The Doctor of Medicine degree ended with the class of 1914 and for several decades thereafter, students attended DMS for two years before transferring to other schools where they received their formal medical degrees.
1927年的今天，希区柯克诊所开始合作
The Hitchcock Clinic was one of the first organized group practices in the United States, 当然是新英格兰最早的一个. Medical practice in the 1920’s (and for decades to follow) was largely a private-practice or “solo” model. 1927年6月，正是在这样的背景下. 约翰玩滚球的人, 在汉诺威大街上行医的外科医生, proposed the idea of a multi-specialty group practice to four other Hanover physicians: Percy Bartlet, 哈罗德Des-Brisay, 哈利法, 和约翰·吉尔. 在一起, they formed a partnership and petitioned the Mary Hitchcock Memorial Hospital (MHMH) Board of Trustees for exclusive rights to practice within the hospital. 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, 希区柯克诊所的成员, 实际上, 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. 在小组实践中, innovations were adopted without which the long-term success of the rural enterprise would have been compromised. In 1946, the original Hitchcock Clinic partnership was dissolved and the Clinic was incorporated under New Hampshire law as the Hitchcock Clinic, 公司.
1947 – 玛丽安·盖拉德·福克纳 donates $1 million to support a major expansion of Mary Hitchcock Memorial Hospital
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, 玛丽安·盖拉德·福克纳. Her donation supported a major expansion of the hospital, 当时位于汉诺威的梅纳德街, 叫做福克纳故居. Around 1970, the hospital doubled the height of Faulkner House by adding four floors. 到那时为止, 垂直发展似乎是扩张的唯一途径, as six new medical school buildings over the next 10 years would close off the east for possible expansion.
1974 – Full 4-year Doctor of Medicine degrees resume at Dartmouth Medical School
The resumption of a full 4-year doctor of medicine degree resulted in part from the close alliance of the medical school with Mary Hitchcock Memorial Hospital and the Hitchcock Clinic, and their shared commitment to becoming an academic medical center through the formation of Dartmouth-Hitchcock Medical Center (DHMC).
1983 – The Hitchcock Clinic becomes a non-profit organization
In 1983, the clinic leaders voted to discard its formal for-profit corporate structure, 去掉“公司”.” from its name and becoming legally what it has always been in fact—a non-profit organization. 此时此刻, 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年的今天，玛丽·希区柯克纪念馆迁至黎巴嫩
到20世纪80年代初, it had become increasingly clear that the physical plant of the medical center was inadequate, 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.
最初的计划是扩展到杜威机场, 在医学院北边, 但我担心交通堵塞和停车问题, 但被汉诺威城拒绝了. 十大网赌平台推荐学院, 有向北扩张的长期计划吗, 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. 1988年开始建设，1991年完工. The planning and design for the new DHMC was unique from the start. Corridors were wide and skylights were abundant to allow natural light to enter wherever possible. The move from the Hanover location to the Lebanon site took place on October 5, 1991.
1999 -共享决策中心
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. The provision of patient decision aids and support preparing around appointments services are now being provided by the 病人支援队.
2009年的今天，十大网赌平台推荐-希区柯克健康公司成立
In 2009, the Dartmouth-Hitchcock Boards of Trustees approved the formation of an integrated health system designed to efficiently coordinate resources, expand access to the specialized services and research available at New Hampshire’s only academic medical center, and enhance the value and quality of care in communities throughout New Hampshire and eastern Vermont. The health system was formed through the creation of a “parent” corporation, 十大网赌平台推荐-希区柯克健康(D-HH), 最初有两个提供者成员, Mary Hitchcock Memorial Hospital and the Dartmouth-Hitchcock Clinic, which includes community-based physician group practices in Concord, 基恩, 曼彻斯特和纳舒厄.
在此期间, clinic leadership promoted the development and growth of clinic group practices in Concord, 曼彻斯特, 纳舒厄和基恩. Outreach programs continued as did programs in medically underserved areas. 另外, 通过创建希区柯克联盟, the Hospital created partnerships with other hospitals and provider organizations in the region to coordinate planning for the health needs of our region.
在此期间, the clinic changed its name to the Dartmouth-Hitchcock Clinic, 反映了与学院日益增长的合作关系. The Dartmouth-Hitchcock Clinic and MHMH subsequently integrated their governance, 财务及营运, 同时保持独立的企业身份, to the advantage of the clinical enterprise and the medical school.
2013年至2022年:继续合作
To continue to thrive required a further change in the legal structure of the clinic and hospital to create greater efficiencies and to reflect the deep roots of collaboration and integration between the hospital and the clinic. It is in this context that the corporate bylaws of the clinic and hospital were amended in 2013 to create mirror bylaws for each entity, 包括镜像董事会. While Dartmouth-Hitchcock Clinic and MHMH continued to maintain separate corporate identities, since 2013 they have operated in an even more integrated fashion.
Since 2013, 5 new provider affiliates joined the D-HH system: 新伦敦医院, Mt. 阿斯卡尼医院和健康中心, 柴郡医疗中心, 爱丽丝·派克纪念医院, and the Visiting Nurse and Hospice of Vermont and New Hampshire.
The new system generates nearly $2 billion in revenues and is the largest private employer in the state of New Hampshire. As New Hampshire’s only academic medical system with the only Level 1 trauma center, the D-HH system is the largest provider of health care in the state and the second largest in Vermont. 24 Dartmouth-Hitchcock clinics provide ambulatory services across New Hampshire and Vermont. We serve more than 30 percent of the population of 曼彻斯特, 25 percent of the population in Nashua and 20 percent of the population of Concord. 我们关心佛蒙特州40%的公民.
2022年至今:十大网赌平台推荐健康学院
In 2022, Dartmouth-Hitchcock 健康 rebranded as 十大网赌平台推荐卫生. The new name reflects the significant growth and interdependence of our health system and sets the stage for our future. Our new brand is part of our strategic plan to increase awareness of the 十大网赌平台推荐卫生 academic health system and to reaffirm our position as the healthcare provider and employer of choice in our region, and our commitment to provide world-class care in the fabric of our communities.