Independent monitor wants to hear community feedback, concerns

NEW DIGS: Completion of the new Mission Hospital North Tower is one of several changes since Mission Health was acquired by HCA Healthcare. Photo by Cindy Kunst

The team at Gibbins Advisors wants to hear every complaint raised about Mission Health — but they can only call noncompliance on concerns directly tied to the 15 core commitments HCA Healthcare agreed to uphold when the hospital conglomerate purchased the Mission system in 2019, the consultants stressed throughout an April 7 webinar

Gibbins Advisors is the independent monitor hired by nonprofit Dogwood Health Trust to ensure HCA makes good on commitments outlined in the Mission Health system sale contract. Among the conditions outlined in the transaction agreement, HCA promised to continue emergency, surgical and acute medical services at Asheville’s Mission Hospital and its five regional facilities for at least 10 years. 

The Gibbins team, which operates independently from Mission Health and HCA, is carefully watching for any sign of violation, explained Ronald Winters, one of the firm’s principal consultants. In their first year as independent monitor, the consultants did not find any evidence of noncompliance with the terms of the contract. 

The annual review process for year two is about to jump into overdrive. HCA is expected to release its second annual and capital expenditure reports at the end of April, at which point the Gibbins team will begin analyzing the document, along with any additional supporting evidence. Engagement sessions with key stakeholders — including physicians, local government officials, community organizations, hospital advisory boards and the Dogwood Health Trust — will occur in May and June. A final compliance evaluation report will be sent to DHT by the end of August. 

COVID-19 has hampered the independent monitor’s in-person engagement with community members, Winters noted. More than 600 people attended seven in-person informational sessions last winter, just weeks before the pandemic stay-at-home orders went into place. Strict visitation policies at area hospitals meant the Gibbins team could not visit Mission facilities for on-site updates during the past year, he added, but he plans to visit several of the facilities this spring. 

Gibbins staff spent the second half of the two-hour webinar answering questions submitted by community members. Comments ranged from physician retention and facility cleanliness to transparency around HCA’s Charity Care policy. 

Many of the community concerns expressed likely fall under the authority of regulatory and government bodies that assess the quality of care in hospital settings, said Tom Urban, a former hospital CEO and member of the Gibbins team. However, the independent monitor is looking for both direct and indirect violations of HCA’s commitments, Winters said, noting there’s a chance concerns around staffing could ultimately impact the services a hospital is able to provide. 

Last year, the firm received 263 reports from community members; each comment was logged, anonymized and shared with HCA and hospital leadership. The team is also following the Facebook group Mission Maladies, said Clare Moylan, another principal advisor.

To share a concern with Gibbins Advisors, visit avl.mx/98m or email IndependentMonitor@gibbinsadvisors.com

SHARE

Thanks for reading through to the end…

We share your inclination to get the whole story. For the past 25 years, Xpress has been committed to in-depth, balanced reporting about the greater Asheville area. We want everyone to have access to our stories. That’s a big part of why we've never charged for the paper or put up a paywall.

We’re pretty sure that you know journalism faces big challenges these days. Advertising no longer pays the whole cost. Media outlets around the country are asking their readers to chip in. Xpress needs help, too. We hope you’ll consider signing up to be a member of Xpress. For as little as $5 a month — the cost of a craft beer or kombucha — you can help keep local journalism strong. It only takes a moment.

About Molly Horak
Molly Horak served as a reporter at Mountain Xpress. Follow me @molly_horak

Before you comment

The comments section is here to provide a platform for civil dialogue on the issues we face together as a local community. Xpress is committed to offering this platform for all voices, but when the tone of the discussion gets nasty or strays off topic, we believe many people choose not to participate. Xpress editors are determined to moderate comments to ensure a constructive interchange is maintained. All comments judged not to be in keeping with the spirit of civil discourse will be removed and repeat violators will be banned. See here for our terms of service. Thank you for being part of this effort to promote respectful discussion.

One thought on “Independent monitor wants to hear community feedback, concerns

  1. JustJoe

    There has been plenty of feedback over the past year about not only charity care, but quality of care and billing issues with HCA. Their billing is usually wrong and almost impossible to get corrected. Gibbins could address any of these issues if they were inclined to do so.

Leave a Reply

To leave a reply you may Login with your Mountain Xpress account, connect socially or enter your name and e-mail. Your e-mail address will not be published. All fields are required.