Reading this thread has been very interesting. I haven't heard of a hospital patch in years. It feels like such an outdated way of communicating with the hospital. Most of my area in NY uses 155.340 CSQ with a DTMF activation unique to each hospital you want to contact. The VHF coverage is outstanding. Like I said, just seems mostly outdated and unnecessary to me.
It was actually a better system that a lot of places in my opinion. But of course, each place / region is different in many ways and you have to meet its demand. What works for you may not work for us, and vice versa.
The greater New Haven area is a really busy place so having a primary dispatch channel and separate med channels the dispatchers had full control over the communications and assignment of which hospitals were "hooked up" to the patch channels. Especially in New Haven where it was the busiest. Using just one channel like you use for your area wouldn't really work well for ours.
If you haven't seen any of the other post in this section about C-MED New Haven, I was a dispatcher there. So here is the quick of it. When I left there in 2007, we handled roughly 120,000 calls for service which also included C-MED services, municipal fire and EMS dispatch for a few towns, regional EMS and Hazmat activation and regional intercity fire co-ordination.
In the old region we had 6 hospitals and one clinic under our control and we had the 8 "patch-in" channels. We covered 20 towns in the region which had several fire departments (some provided either transporting or first responder / paramedic services), several separate town EMS agencies and a few private EMS contractors and regional paramedic services. Also we had a lot of other ambulance agencies come into the two hospitals in New Haven because they were both trauma centers, the area VA hospital and the other three hospitals were close for a lot of out of area regions as well.
Now we had 4 main tower sites with Med 10 (main dispatch) and two Med Patch channels on it (each a different one). We also had four single radio med patch antennas located throughout the region. The Med patch channels were connected to a "telephone matrix" which could hook up any of these channels to each hospital intercom. So if you were to look at a map of our region (I see you are from out of state) an Ambulance coming from Madison in to Yale-New Haven hospital in New Haven could be hooked up to a med channel located out in their area and give their patch. As the Madison unit got closer to the hospital, we could switch to another tower so they could re-contact the hospital. The downside would be the ambulance would have to switch the channel on their radio to the appropriate one.
It was also good for MCI's where the hospital could be hooked up to the closest tower were the incident was occurring. Many of the Med patch channels on our system were repeater systems and could be utilized for large area coverage of an incident. Some of the radios also were programmed so that each channel had a talk-around simplex tactical use.
It was a really good way of running things for a busy area. Unfortunately it stayed the same and wasn't really updated to its full potential as years went on. And the dispatchers who were still there after I left made it a great system despite the technological short-comings.