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Looking for a law firm with a focus on client care? you’ve found us SOME OF LIFE’S BIGGEST MOMENTS HAPPEN WITHIN HOSPITAL WALLS. Our job is to help our clients ensure they can be there for their patients during those moments. We help our clients in planning responses to new challenges on or over the horizon, and we are with them in responding to crises. In every aspect of our work, our goal is to help our clients develop practical, responsive, and forward-looking strategies in a competitive and heavily regulated industry. We care for our clients so they can care for their patients. CHARLOTTE | RALEIGH | ROCKY MOUNT | SOUTHERN PINES © 2020 Poyner Spruill LLP | www.poynerspruill.com | All rights reserved. ur annual list of North Carolina’s best hospitals examines medical center coming in at No. 10 are separated by just five data compiled from several sources to determine which points; the separation between No. 1 and No. 20 was just medical centers provide the best care for their patients. 16 points. We start by developing a comprehensive list of the Despite attempts to be as thorough as possible, our meth- state’s top-performing general acute care, adult hospitals with odology can skew in favor of larger institutions, which earn 50 or more beds. more points based on national awards and performance rank- The rankings are calculated using more than 25 metrics, in- ings. Smaller hospitals tend to come up short, largely because cluding information provided by the U.S. Centers for Medicare some procedures aren’t performed often enough during the & Medicaid Services. We look at patient-satisfaction surveys, year to be considered, resulting in insufficient data. as well as infection, readmission and death rates for common Other factors such as health care system consolidation had procedures. Other factors include safety report cards by the an impact on this year’s rankings. Washington, D.C.-based nonprofit The Leapfrog Group, dis- The federal data and Blue Cross and Blue Shield of North tinction awards from insurer Blue Cross and Blue Shield and Carolina insurance distinctions were compiled in December national performance ratings from U.S. News & World Report. 2019. Leapfrog safety scores and U.S. News & World Report Taking so much data into consideration makes the rank- rankings were updated in January. ings particularly tight. This year, the overall winner and the — Harrison Miller MARCH 2020 47 The healthier your heart is, the more you can get out of life. More laughter. More adventure. And more moments with the people you love. Atrium Health Sanger Heart & Vascular Institute brings you unparalleled expertise and treatments for every heart-related condition – all to give you more of what you want out of life. NORTH CAROLINA’S BEST HOSPITALS MISSION HOSPITAL ASHEVILLE A perennial top performer led the way during its first year owned by Nashville, Tenn.-based HCA HealthCare, the biggest U.S. hospital operator. Management turnover followed the $1.5 billion sale that closed in February 2019 with Greg Lowe moving from HCA’s Richmond, Va., market to become president of a new N.C. division and Chad Patrick becoming CEO for the flagship. Mission was one of four N.C. hospitals named to IBM Watson Health’s list of the 50 top cardiovascular hospitals. Under terms of Mission’s sale, the Nashville-based Gibbins Advisors consulting firm was BEDS: 730 hired to monitor HCA’s compliance with agreements it made in the transaction. Those 2019 RANK: 3 commitments include replacing the hospital in Franklin, adding a 120-bed behavioral health center in Asheville and investing $232 million in existing sites. Gibbins reports to CEO: Dogwood Health Trust, a nonprofit foundation created by the Mission Health sale. CHAD PATRICK MOSES CONE HOSPITAL 1 GREENSBORO Greensboro’s dominant hospital opened its $100 million Women & Children’s Center in late February, replacing the nearly 30-year-old Women’s Hospital. Nurses and patients helped design the space, which has its own entrance and 45 private rooms for neonatal babies. Industry groups again recognized Cone for various innovations, including programs to serve recent immigrants; partnering with Guilford (TIE) County on a mental health crisis center; and starting a unit to support new health care ventures. Parent Cone Health reached a new shared-services agreement with Atrium Health that BEDS: 529 loosens ties between the two systems, including moving CEO Akin off the Charlotte- 2019 RANK: 1 based group’s payroll. The system posts annual revenue topping $2 billion and employs about 12,000. PRESIDENT: TERRY AKIN UNC REX HEALTHCARE RALEIGH The division of Chapel Hill-based UNC Health plans to open five urgent-care centers in Wake County this year after renaming its nine UNC Rex locations as UNC Urgent Care. Last March, UNC Rex broke ground on a seven-story, 50-bed hospital in Holly Springs scheduled to be completed in 2021. It will offer an emergency department, labor and delivery services, and operating rooms for various surgeries. Next year, UNC Rex will open a four-story, $65 million cancer center on its west Raleigh (TIE) campus. Demand is expected to continue to increase as the region’s population grows and ages. BEDS: 660 UNC Rex Healthcare faces strong rivals in WakeMed and Duke University Health to expand and lure new customers in the Raleigh metro area, which grew by 20% between 2019 RANK: 1 2010-18 with more than 225,000 new residents, according to U.S. Census Bureau estimates. PRESIDENT: ERNIE BOVIO CAROLINAEAST MEDICAL CENTER NEW BERN In January, the Craven County hospital opened the $38 million State Employees Credit Union Comprehensive Cancer Center, an 80,000-square-foot site. An adjacent $22 million diagnostic center is opening in March, a partnership with UNC Health Care to offer expanded cancer care services. The not-for-profit hospital’s cardiovascular care center was the state’s first to achieve an excellence accreditation (TIE) from the American Heart Association. The locally controlled hospital system had net operating revenue of $427 million in the 2019 fiscal year. That makes it the smallest hospital among the 10 highest-ranking on BEDS: 350 this list. Leggett has worked for the system for 30 years, including 12 as CEO. 2019 RANK: 5 PRESIDENT/CEO: RAYMOND LEGGETT III MARCH 2019 49 MISSION: TO DELIVER THE BEST CARE WITH THE MOST CARE For 134 years, Mission Health has been there for you — building new hospitals for each generation. Now Mission is investing in cutting-edge technology and design — to maximize your comfort and create an environment where you and your family can relax and focus on what really matters. The new Mission Hospital North Tower. Built for you. missionhealth.org MISSION: You NORTH CAROLINA’S BEST HOSPITALS DUKE UNIVERSITY HOSPITAL DURHAM Ranked among the top U.S. research hospitals, its affiliated medical school was awarded $385 million in grants from the National Institutes of Health in 2018 — the ninth most of any university. Duke University Hospital surgeons made history by completing the nation’s first “donation after circulatory death” adult heart transplant, a procedure performed after the heart stops beating. It’s one of five centers (TIE) in the U.S. approved for the surgery. An 11-story tower in Durham is expected to open next year with adaptable beds to serve neurosciences, and solid organ and bone mar- BEDS: 957 row transplants, with four floors dedicated to children’s inpatient services. 2019 RANK: 7 The Durham hospital has the most beds of the Triangle-area hospitals and leads in outpatient visits with 1.08 million, while UNC Hospitals has the most admissions. UNC PRESIDENT: Rex Healthcare ranks second in outpatient visits. While dominant in Durham County, it’s THOMAS OWENS making a push into western Wake to complement its north Raleigh hospital. FIRSTHEALTH MOORE REGIONAL HOSPITAL 2 PINEHURST In December, FirstHealth launched FirstHealth On the Go, a virtual care app that lets patients connect digitally with board-certified doctors 24 hours a day. FirstHealth says On the Go will help fill coverage gaps via virtual visits and (TIE) online prescription refills. Next year, the not-for-profit authority will break ground on a four-story, $60 million cancer center on its main campus with completion expected in November 2022. In February, FirstHealth opened a Heart Failure Clinic in Pinehurst. BEDS: 390 In July, Mickey Foster replaced retiring CEO David Kilarski, who had headed parent 2019 RANK: 11 FirstHealth of the Carolinas since 2011. Foster, 47, had been senior vice president at Greensboro-based Cone Health. The system has nearly 5,000 employees and is licensed CEO: for four hospitals with 610 beds. MICKEY FOSTER ATRIUM HEALTH CAROLINAS MEDICAL CENTER 3 CHARLOTTE The flagship hospital of the state’s biggest health care system could add a medical school to its offerings, pending regulatory approval of a partnership agreement with Winston-Salem-based Wake Forest Baptist Health and Wake Forest University. Later this year, Atrium expects to open a nearby building for its Sanger Heart & Vascular Institute (TIE) and another one for neurology and digestive health specialists. It’s part of a $1 billion capital budget disclosed in June 2018 that is sparking expansion across the Charlotte metro region. BEDS: 907 Atrium also has big growth plans outside the Queen City. Like other N.C. systems, It has shown interest in Wilmington’s New Hanover Regional Medical Center, which is considering 2019 RANK: 8 a potential ownership change. Atrium expects to close its $650 million agreement with Rome, Ga.’s Floyd Health System, gaining another Peach State foothold after the 2019 PRESIDENT, CENTRAL purchase of Macon, Ga.’s biggest hospital network.