Advancing Community Health Requires Whole-Person Care

Jeremy Cannon, RN, vice president, chief nursing officer, Kalkaska Memorial Health Center

In my years at the bedside and now as a nurse leader in Northern Michigan, I’ve witnessed healthcare at its most complex and its most human.

I’ve worked across rural communities where healthcare access isn’t a given. Where patients travel long distances for routine care. Where my neighbors might delay or skip that care entirely — not because they want to, but because systemic barriers gave them no other choice. Seeing this reality first-hand has shaped my purpose and what I believe healthcare must be: accessible, compassionate and rooted in a commitment to whole-person care.

At its core, this philosophy means recognizing that health doesn’t begin or end within the four walls of a hospital. Our health is defined by various life circumstances: housing and food security, transportation, education, community and patient-provider trust, to name a few.

Changing the way we think about care delivery isn’t just a strategic priority, it’s deeply personal. I think any fellow nurse would agree that treating a diagnosis is only one piece of the puzzle. We must also look at underlying health drivers, which demands that we listen, advocate and build partnerships that reach beyond the clinical setting.

Our teams at Kalkaska Memorial Health Center take this to heart. One of the initiatives I’m most proud of is our Community Paramedic program, which supports patients during and after discharge to address social determinants and prevent avoidable emergency department visits. We’re not just delivering care and sending patients on their way — we’re asking questions, investigating resources and following up.

This is about more than access, it’s building trust. Now more than ever, our communities need to know that their healthcare team sees them, hears them and respects their unique needs.

This level of intentionality makes a tangible difference. In addition to improving health outcomes and lowering costly readmission rates, our commitment to community health also leads to better patient and staff satisfaction. Those of us who choose to become caregivers often find purpose in helping others, so seeing the difference we’re making beyond patient rooms is uniquely rewarding.

At the end of the day, we must evolve with the needs of our communities. The future of population health, especially in rural settings, depends on our willingness to embrace models of care that are proactive and deeply connected to those we serve.

This approach isn’t possible without support from state and federal policy leaders. My colleague and our chief executive officer, Andrew Raymond, recently joined the MHA Center of Rural Excellence board to elevate rural‑specific perspectives and ensure the needs of our communities, both inside and outside of the hospital, are not overlooked.

The work of our teams may not always make headlines, but we’re changing lives every day. When we reinvest in our communities, we don’t just improve health. We build resilience and create a system that serves everyone.

That is the future I’m committed to and the one I know we can achieve together.

Hospitals Help: Kalkaska Memorial Walks Beside Patients at Discharge

Members of the Kalkaska Memorial Health Center team

Patients often feel most vulnerable during the transition from hospital to home – especially if questions linger, follow-up care is extensive or there’s any risk of complications. Knowing this, hospitals are finding ways to ensure patients don’t have to navigate discharge and recovery alone.

The Community Paramedic program at Kalkaska Memorial Health Center is a great example of this work. Based in the health center’s emergency department, the program supports patients during and after discharge in an effort to address concerns and prevent avoidable emergency department visits.

“At Kalkaska Memorial Health Center, our mission is to improve the health and quality of life for those that we serve,” said Jeremy Cannon, VP, chief nursing officer, Kalkasa Memorial Health Center. “To truly make an impact, we look beyond the four walls of our hospital and focus on understanding patient needs in their own environment.”

According to the National Library of Medicine, readmission within 30 days of hospital discharge has been linked to both short and long-term mortality. Proper care coordination before, during and after a hospital stay is critical for improving patient outcomes.

The program at Kalkaska engages providers across acute care, long-term care and primary care to identify patient’s risk for hospital re-admission. Team members often address discharge questions, concerns or confusion – whether it be difficulties managing acute or chronic conditions, missing resources at home, medication adjustments or new care needs.

Paramedics are available seven days a week to meet patients before discharge or contact them to schedule home visits within 24 hours. In the home, they identify barriers that may not have been apparent during the hospital stay and coordinate with primary providers, social work, pharmacy and the electronic medical record team to support comprehensive care.

“We are fortunate to have a hospital-owned emergency medical services agency operating through Kalkaska Memorial Health Center, allowing us to invest directly in the individuals who respond to our community members during their most vulnerable moments,” said Cannon.

Patients enrolled in the program have demonstrated significantly lower emergency department readmission rates. The work allows the teams at Kalkaska to better support patients and keep them where they want to be: home.

Those with questions or content ideas for the Hospitals Help series may contact Lucy Ciaramitaro at the MHA.