The Care Connect program launched on Tuesday.
Ray Ewing

Hospital Rolls Out New Virtual Primary Care Program

As the Vineyard struggles with a lack of primary care physicians, Martha’s Vineyard Hospital is launching a new service it hopes can clear its extensive patient waiting list. 

As the Vineyard struggles with a lack of primary care physicians, Martha’s Vineyard Hospital is launching a new service it hopes can clear its extensive patient waiting list. 

The hospital announced Tuesday that it was starting Care Connect, a virtual primary care practice that people can use for one-time urgent care use or for long-term care. The 24/7 service will be staffed by 20 physicians, and hospital chief nurse and vice president of operations Claire Seguin saw it as the next big step in helping Islanders get doctors.

“We’re hoping that will bridge the gap we have right now,” she said. 

The hospital’s waiting list for a primary care physician stands at about 1,300 people, and in the past it has taken months, if not years, for people to be paired with a doctor. 

Recently published data from the hospital shows that Dukes County has about one primary care provider for every 1,740 people, a ratio worse than both the state, which stands at 970 people per provider, and the entire country, which is about 1,310 people per provider.

With the new service, people on the hospital’s waiting list are expected to receive an invitation to join the program, and the virtual care doctors will work collaboratively with workers at the hospital for anything that needs to be done in person. 

“It’s kind of modern and flexible and innovative,” Ms. Seguin said.

According to the hospital, the new strategy has been rolled out in other parts of parent company Massachusetts General Brigham’s system to alleviate staffing shortages.

The hospital has made attempts to add more primary care physicians at the Island hospital itself, but has struggled to attract people here due to the high cost of housing and dwindling pool of doctors across the country. 

Even with Island-based additions in recent years, including three recently hired primary care physicians, retirements at the hospital have resulted in no positive gains, according to Ms. Seguin.

“It’s really hard to recruit in this space, [there’s] just not a lot of primary care providers in the pool,” she said. “So all the more reason to come up with innovative strategies like we are.” 

Artificial intelligence will be used to help with scheduling and navigation before a patient is connected to a physician, but all care, both in-person and virtual, would be delivered by clinicians, Ms. Seguin added. 

Patients could use the new program in a variety of ways, including until they can receive an on-Island doctor, long-term or just episodically for sick days or other one-time visits. 

The program is available only to adults, and is administered in English. Spanish language support is in the works, according to the hospital. 

The hospital’s newest addition joins other efforts to increase primary care on the Island. Vineyard Medical Care on State Road in Vineyard Haven was poised to close its practice earlier this year, but was purchased by new owner Jeff Levy this spring. 

Under the name Martha’s Vineyard Medical, the office was able to retain its 1,000 patients, clear its waiting list, and hopes to treat as many as 3,000 patients.

Comments

Submitted by Anonymous (not verified) on Wed, 12/03/2025 - 04:16

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Mary Chilmark

It seems that low rate of pay is at the heart of the issue of attracting & retaining primary care providers to the Island. How does this program help with that?

Kerry

Good question. I wonder the same. Seems it's a bandaid solution for something much more serious (ie: expensive) to solve. Doctors are an investment for hospitals and communities. I wish MVH treated them that way.

Submitted by Anonymous (not verified) on Wed, 12/03/2025 - 06:47

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michael edgartown

the only function my primary care doctor has is to ok my refills on my drugs....this is ridiculous. empower nurses to to this simple task and half your problem is solved. empower nurses to refer you to another specialist if need be........primary care, and all this in network, and out of network has to stop. is this so hard?

Year rounder MV

Michael, your reduction of a profession that takes decades of hard work achieve and then ongoing maintenance of expertise and time is insulting. You can count yourself lucky if your primary care doctor has only ever had to "ok [your] refills on [your] drugs." Still, your ignorance is showing. Do you know that those refill orders are dealt with outside of office hours on their own time? They are not given time during clinic days to deal with these things, yet are fully expected to do that in addition to a full slate of office visits. Refilling a medication takes expertise because there are decisions that go into initiating, continuing, or ceasing a medication that you clearly don't understand and are out of your depth. They have to understand the chemistry of the medication, the biochemistry and anatomy needed to decide if it's the right thing for you to help whatever issue you're on it for in the first place. Nurses are wonderful parts of a medical team, but they certainly don't have the depth of education, training, and understanding of the human body, biochemistry, and medication to make those types of medical decisions when it is complex.

Submitted by Anonymous (not verified) on Wed, 12/03/2025 - 10:16

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Lorraine Edgartown

We have the best medical care, overall, in the world. People come here from across the globe. What is needed is a better delivery system. I have discussed this with many physicians, they all state, no cure for this dilemma in which we find ourselves.

Submitted by Anonymous (not verified) on Wed, 12/03/2025 - 15:44

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Les West Tisbury

This a positive and innovative way to help the citizens of the Island given the challenges of physician shortages seen here and nation wide. Thanks to the hospital and its physician leadership in working to provide increased access to primary care to our residents in this creative fashion.

Submitted by Anonymous (not verified) on Wed, 12/03/2025 - 17:31

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Mark VH

This situation is being compounded by the fact that primary care physicians are leaving the Mass General Brigham system in droves. Why, you may ask? Because they are underpaid vs. their Boston competitors. Until MGB commits to refocus on prioritizing primary care, the physician shortage within their system, including the island, will persist and patients will suffer.

Submitted by Anonymous (not verified) on Wed, 12/03/2025 - 17:42

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Amy Edgartown

A portion of the care, for all of the reimbursement. Sad state of affairs that health care in this country has come to. The inability to perform a physical exam seems to open up potential for missed diagnoses or delayed treatment. No thanks.

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