News Feed Item

President and CEO Ronald A. Paulus, MD, Leads Mission Health Through Challenging Payor Mix and COPA Constraints to Build a Next Generation Health System

Mission Health Nationally Recognized; Patients Receive Lower Cost for Care, Site Improved Experience

ASHEVILLE, N.C., Feb. 10, 2014 /PRNewswire/ -- Patients at Asheville, N.C.-based Mission Health's flagship hospital, Mission Hospital, are dramatically less likely to die and significantly more satisfied with the quality of care they receive today than they were just three years ago (more than 35 percent improvement in each metric, which started above national benchmarks), according to independent research. This vast improvement in patient satisfaction coincides with the work performed over the past three years by a revitalized Mission Health leadership team working together under the direction of Ronald A. Paulus, MD, President and CEO.

(Photo: http://photos.prnewswire.com/prnh/20140210/CL62042 )

"At Mission Health, we strive continuously to provide high quality care close to home for all of the people we serve across western North Carolina, and we do so without regard for a patient's ability to pay," said William Maples, MD, Senior Vice President and Chief Quality Officer at Mission Health. "Under Dr. Paulus's leadership, we consistently focus on improving clinical outcomes, care efficiency and patient experience in every aspect of care. Mission is relentlessly committed to exceptional care and that commitment is paying off for our patients, our community and for Mission Health. As just one example, our mortality rate has declined by more than 35 percent in the past three years even though we began as better than average. That improvement – now among the elite in the nation – translates into more than 500 people per year who go home with their families than would have occurred previously."

Mission Health is the largest "safety net" hospital system in western North Carolina and one of the largest in the nation. Its payor mix – the percentage of patients who pay for healthcare versus those who receive charity care or who pay reduced rates – is one of the most unfavorable in all of North Carolina, with approximately 75 percent of its patients being covered by Medicaid or Medicare or who are recipients of charity care from Mission Health.

Operating under a Certificate of Public Advantage (COPA), Mission Hospital is also one of the most regulated and transparent hospitals in North Carolina and the United States. Beyond the dramatic improvements in patient safety and quality, a recent assessment of Mission Health's compliance with the COPA for FY2012 found Mission Health's cost per case to be more than $1,000 less than comparable hospitals of similar size and services in North Carolina and South Carolina. A previous five-year assessment found Mission Health's restrained pricing resulted in $62.3 million less in earnings than the COPA allowed from 2007-2011.

"Mission Health's value has been well known for a long time, and these reports simply underscore what we and objective observers have known: Mission Health provides an incredible value for the communities it serves," said Jill Hoggard Green, PhD, RN, Chief Operating Officer for Mission Health. "Along with our terrific medical staff and caregivers, we are incredibly privileged to serve this wonderful region. Dr. Paulus is an innovative and tireless leader who has urged us to create a regional network of care that might serve as a national model for what can be done under the most challenging demographic circumstances."

"There is no question that the last three years have been incredibly difficult for the healthcare arena, and North Carolina is no exception," said Dr. Paulus. "However, as caregivers, our entire Mission Health family knows that patients and their health are the reason we come to work every day. After joining Mission Health in 2010, I introduced a simple, tangible and accessible vision that we call our BIG(GER) Aim: to get each patient to the desired outcome, first without harm, also without waste and with an exceptional experience for the patient and family. That patient-centered promise drives everything that we do, and it has directly contributed to our success. With the unwavering support of our community-led Board of Directors, we are in the process of redesigning everything that we do: developing new models of care, creating new clinical and business processes and finding new ways to deploy technology while ensuring that we hold firm and dear the human experience in care. The overarching project, Mission re:DESIGN, is a $350 million, multi-year project that involves hundreds of caregivers, patients and health system leaders. Our region is counting on us to succeed, and succeed we will."

About Ronald A. Paulus, MD

Dr. Paulus received his medical degree from The School of Medicine, University of Pennsylvania. In addition to his medical degree, he also holds a master's degree in business administration with a concentration in healthcare management and a Bachelor of Science in Economics from The Wharton School, University of Pennsylvania. He has published numerous peer-reviewed articles and speaks regularly on the topics of healthcare quality and efficiency, innovation, physician leadership and new models of care.

Prior to joining Mission Health in 2010, Dr. Paulus served as Executive Vice President of Clinical Operations at Geisinger Health System. There, he was responsible for the operations of its $1.3 billion clinical enterprise (including three hospitals, a 750+ multispecialty group practice and more than 40 ambulatory care facilities). While at Geisinger, Dr. Paulus also served as Chief Innovation Officer, responsible for ensuring system-wide innovation.

Prior to joining Geisinger, Dr. Paulus was Co-founder, President and CEO of CareScience, Inc., now part of Premier healthcare informatics, a clinical solutions and data analytics provider that aims to improve the quality and efficiency of healthcare. Before that, he served as Vice President of Operations at Salick Health Care, Inc., a national provider of oncology and dialysis services acquired by Zeneca Pharmaceuticals.

About Mission Health

Mission Health, based in Asheville, N.C., is the state's sixth-largest health system and the region's only not-for-profit, independent community hospital system governed and managed exclusively in western North Carolina. In 2012 Mission Health was named one of the nation's Top 15 Health Systems by Thomson Reuters – the only health system in North Carolina to receive this recognition.

Mission Health, which traces its roots in the region back to 1885, operates five hospitals, numerous outpatient and surgery centers, and the region's only dedicated Level II trauma center. Its medical staff consists of more than 1,000 physicians and is certified in over 50 medical specialties and sub-specialties. Mission Health has seven Centers of Excellence: Cancer, Heart, Mission Children's Hospital, Neurosciences, Orthopedics, Trauma and Women's Health. Mission Hospital, located in Asheville, is the system's flagship hospital and is licensed for 730 beds. It is the regional referral center for tertiary and quaternary care. It also includes Mission Children's Hospital– the region's only children's hospital. Other Mission Health member hospitals include Angel Medical Center in Franklin, Blue Ridge Regional Hospital in Spruce Pine, McDowell Hospital in Marion and Transylvania Regional Hospital in Brevard. With approximately 8,800 employees and 700 volunteers, Mission Health is dedicated to improving the health and wellness of the people of western North Carolina. For more information, please visit mission-health.org.

SOURCE Mission Health

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
@DevOpsSummit has been named the ‘Top DevOps Influencer' by iTrend. iTrend processes millions of conversations, tweets, interactions, news articles, press releases, blog posts - and extract meaning form them and analyzes mobile and desktop software platforms used to communicate, various metadata (such as geo location), and automation tools. In overall placement, @DevOpsSummit ranked as the number one ‘DevOps Influencer' followed by @CloudExpo at third, and @MicroservicesE at 24th.
SYS-CON Events announced today that Interface Masters Technologies, a leader in Network Visibility and Uptime Solutions, will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Interface Masters Technologies is a leading vendor in the network monitoring and high speed networking markets. Based in the heart of Silicon Valley, Interface Masters' expertise lies in Gigabit, 10 Gigabit and 40 Gigabit Eth...
One of biggest questions about Big Data is “How do we harness all that information for business use quickly and effectively?” Geographic Information Systems (GIS) or spatial technology is about more than making maps, but adding critical context and meaning to data of all types, coming from all different channels – even sensors. In his session at @ThingsExpo, William (Bill) Meehan, director of utility solutions for Esri, will take a closer look at the current state of spatial technology and ar...
As software becomes more and more complex, we, as software developers, have been splitting up our code into smaller and smaller components. This is also true for the environment in which we run our code: going from bare metal, to VMs to the modern-day Cloud Native world of containers, schedulers and microservices. While we have figured out how to run containerized applications in the cloud using schedulers, we've yet to come up with a good solution to bridge the gap between getting your conta...
Everyone knows that truly innovative companies learn as they go along, pushing boundaries in response to market changes and demands. What's more of a mystery is how to balance innovation on a fresh platform built from scratch with the legacy tech stack, product suite and customers that continue to serve as the business' foundation. In his General Session at 19th Cloud Expo, Michael Chambliss, Head of Engineering at ReadyTalk, will discuss why and how ReadyTalk diverted from healthy revenue an...
Without lifecycle traceability and visibility across the tool chain, stakeholders from Planning-to-Ops have limited insight and answers to who, what, when, why and how across the DevOps lifecycle. This impacts the ability to deliver high quality software at the needed velocity to drive positive business outcomes. In his session at @DevOpsSummit 19th Cloud Expo, Eric Robertson, General Manager at CollabNet, will show how customers are able to achieve a level of transparency that enables everyon...
SYS-CON Events announced today that Streamlyzer will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Streamlyzer is a powerful analytics for video streaming service that enables video streaming providers to monitor and analyze QoE (Quality-of-Experience) from end-user devices in real time.
SYS-CON Media announced today that @WebRTCSummit Blog, the largest WebRTC resource in the world, has been launched. @WebRTCSummit Blog offers top articles, news stories, and blog posts from the world's well-known experts and guarantees better exposure for its authors than any other publication. @WebRTCSummit Blog can be bookmarked ▸ Here @WebRTCSummit conference site can be bookmarked ▸ Here
You have great SaaS business app ideas. You want to turn your idea quickly into a functional and engaging proof of concept. You need to be able to modify it to meet customers' needs, and you need to deliver a complete and secure SaaS application. How could you achieve all the above and yet avoid unforeseen IT requirements that add unnecessary cost and complexity? You also want your app to be responsive in any device at any time. In his session at 19th Cloud Expo, Mark Allen, General Manager of...
DevOps theory promotes a culture of continuous improvement built on collaboration, empowerment, systems thinking, and feedback loops. But how do you collaborate effectively across the traditional silos? How can you make decisions without system-wide visibility? How can you see the whole system when it is spread across teams and locations? How do you close feedback loops across teams and activities delivering complex multi-tier, cloud, container, serverless, and/or API-based services?
In past @ThingsExpo presentations, Joseph di Paolantonio has explored how various Internet of Things (IoT) and data management and analytics (DMA) solution spaces will come together as sensor analytics ecosystems. This year, in his session at @ThingsExpo, Joseph di Paolantonio from DataArchon, will be adding the numerous Transportation areas, from autonomous vehicles to “Uber for containers.” While IoT data in any one area of Transportation will have a huge impact in that area, combining sensor...
Almost everyone sees the potential of Internet of Things but how can businesses truly unlock that potential. The key will be in the ability to discover business insight in the midst of an ocean of Big Data generated from billions of embedded devices via Systems of Discover. Businesses will also need to ensure that they can sustain that insight by leveraging the cloud for global reach, scale and elasticity.
Today every business relies on software to drive the innovation necessary for a competitive edge in the Application Economy. This is why collaboration between development and operations, or DevOps, has become IT’s number one priority. Whether you are in Dev or Ops, understanding how to implement a DevOps strategy can deliver faster development cycles, improved software quality, reduced deployment times and overall better experiences for your customers.
So you think you are a DevOps warrior, huh? Put your money (not really, it’s free) where your metrics are and prove it by taking The Ultimate DevOps Geek Quiz Challenge, sponsored by DevOps Summit. Battle through the set of tough questions created by industry thought leaders to earn your bragging rights and win some cool prizes.
Cloud based infrastructure deployment is becoming more and more appealing to customers, from Fortune 500 companies to SMEs due to its pay-as-you-go model. Enterprise storage vendors are able to reach out to these customers by integrating in cloud based deployments; this needs adaptability and interoperability of the products confirming to cloud standards such as OpenStack, CloudStack, or Azure. As compared to off the shelf commodity storage, enterprise storages by its reliability, high-availabil...