The Blue Ridge Hospital

Please prepare a half page response for each part:

Part 1

The Blue Ridge Hospital a non-profit organization serves Mitchell and Yancey counties and, is part of the Mission Health Foundation. The Mission Health is state’s six largest health systems that include the Blue Ridge Regional Hospital, the McDowell Hospital, the Mission Children’s Hospital, the Mission Healthcare Foundation and, the Mission Medical Associates (Mission Health Systems, 2014). The counties of Mitchell and Yancey have the highest poverty rate comparable with the regional and state-wide rates. More than the 20.3% of the population, it is uninsured (Blue Ridge Regional Hospital, 2013).

Blue Ridge Hospital  mission is “ Identify and respond to the health and wellness needs of the region, partnering with patients, families and friends through a comprehensive approach to healing that ministers to the mind, body and spirit” (Blue Ridge Regional Hospital, 2014).  The primary payer of this organization is Medicare, and it is supporting by hospitals and health departments in the sixteen western counties of North Carolina coordinated by WNC Health Network and the western North Carolina Partnership for Public Health. The WNC healthy impact vision is improving the community health and, its priorities are chronic disease prevention and management and, mental health and substance abuse (WNC, 2013).  Blue Ridge Hospital duties and responsibilities are “serving the people as non-profit health system governed by the community, ensuring sustainability through stewardship of the community assets, provide quality service in a compassionate, cost-effective manner, and promote wellness and health to benefit the community” (Mission Health, 2013). Entities that receiving more than $5 million in Medicaid reimbursements, must have detailed written policies; established about the federal and State False Claims Acts for their employees, contractors, and agents. Laws like The Deficit Reduction Act (DRA), Policy #200.060 and #200.164 (Mission Health System, 2013), regulating the Blue Ridge Hospital.  The Blue Ridge Hospital has provided excellence in service since 1995, recognized as a 5-Star hospital. Little by little, and with the support of the community the hospital currently offer the services of emergency, OB, critical care, rehabilitation, cancer center, orthopedics, pain management, pediatric, family medicine and more; dignifying every day the organization mission.

Part 2

Blue Ridge HealthCare (BRHC) is a private, not-for-profit community healthcare system in Burke County, North Carolina. BRHC includes two hospitals – Grace and Valdese Hospitals. BRHC has a Board of Directors drawn from the local citizen volunteers (Bailey, 2012). The Board consists of 17 members headed by the president and chief executive officer (CEO), who directs and coordinates all the activities in the system. The current CEO is Kathy C. Bailey. Under the president, is a vice president – Larry Hiddale. The board also has a chairperson, co-vice chair, secretary, treasurer, and board members.The ultimate responsibility of the BRHC Board is to direct the healthcare system toward achieving its mission and a state of well-being. It has a legal responsibility to govern BRHC and is accountable for everything the organization does. The Board monitors BRHC’s finances and supervises its management. It puts BRHC’s interests above members’ personal interests, and ensures that the healthcare system complies with the law.

The Board of Directors at BRHC has three primary duties – establish policies, oversee the activities of the healthcare system, and make important and strategic decisions about the system (Arnwine, 2002). The Board makes policies that define the focus and responsibilities of the management, board, and medical staff. It also establishes a clear mission, vision, and purpose for the healthcare system. Its oversight duty entails approving the programs of BRHC, ensuring sound financial management and stability, and establishing standards for organizational performance. The Board also holds BRHC accountable for its actions.  The BRHC Board of Directors has a duty of care, loyalty, and obedience. Care means paying attention and displaying due diligence. Loss of money due to recklessness, indifferences, or failure to seek advice places the Board at a legal risk of being sued. Failure to exercise loyalty, by putting individual interests before those of BRHC, can lead to private inurement. Obedience requires the Board to ensure that BRHC complies with the law and all decisions and actions are consistent with its mission, as well as governing documents such as a charter. Complying with this duty protects the board from lawsuits. Overall, failure of the Board to comply with the three duties, fraud and abuse statutes, laws, and patient privacy regulations exposes the whole healthcare system to civil and criminal monetary penalties (Davidson & Murdock, 2013). Patients can file derivative action lawsuits, and donors (like Blue Ridge HealthCare Foundation) may sue the hospitals for alleged misuse of assets or gifts

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