Pembroke hears lengthy presentation on Concord Hospital mobile-integrated health pilot; board asks for details on sustainability

The EMS director presented Concord Hospital's RHTP/MIH grant proposal that would fund mobile integrated health services across several area towns, with Concord administering the grant and Pembroke EMS acting as a subcontractor and service deliverer. The presenter described the core aim as "to bring medical resources to people who either struggle to receive them or struggle to get healthcare when they need it," explaining the model would try to keep people out of the hospital through home-based follow-up care and medication reconciliation. (EMS director)

Board members expressed broad support for the program's goal but raised repeated, substantive concerns about long-term sustainability once the five-year grant ends, how success will be measured, the expected share of local patients, and budget mechanics. The EMS presenter said Concord's proposal included an annual reimbursement roughly in the area of $130,000, that equipment and some vehicle costs would be reimbursed, and that early startup costs would likely be recouped within two years. The board asked the presenter to request Clarifying materials from Concord (metrics for success, year-6 transition plans, projected Pembroke patient percentages) and to return with the hospital program administrator for a follow-up meeting prior to any town-level commitment.