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Old 03-30-2015, 07:25 PM
 
Location: Johnson City, TN
667 posts, read 821,229 times
Reputation: 449

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Health system merger announcement expected Thursday | News - Home

This is HUGE news for the region. The article also states that ETSU will play a major role in the new organization. From an economic development standpoint this will be one of the biggest announcements in recent history for the area. I am especially excited about what this means for ETSU's medical school. There will be more funds available for research and the possibility of a fully affiliated "University Hospital"

As great as this will be for Johnson City I could possibly see it hurting Kingsport. No doubt this new organization will be based in JC and many redundant services and positions will be eliminated at Wellmont facilities. I can also see Johnson City Medical Center being turned into the flagship hospital for the Tri-Cities and the sole Level I Trauma Center with Holston Valley being reduced to a Level II like Bristol Regional. There is really no need for two Level I trauma centers in this region and especially not operated by the same organization.

It will take years for things to shake out but when the dust settles, look for Johnson City to receive a large boost to its status as a medical hub along with an influx of high paying jobs to compliment an expanded ETSU medical school, larger Medical Center, and associated administrative jobs required for a large healthcare organization. Kingsport will be negatively impacted in a fairly small way economically but will take a harder hit in the quality of life arena. No longer will they have a Level I trauma center and look for many specialist services to move to Johnson City.

Kingsport leadership was really pushing for this merger but I don't see them gaining anything from it. On the flip side, Johnson City should declare Thursday a holiday and hold a city-wide celebration as this will be a truly historic event.
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Old 03-30-2015, 09:30 PM
 
Location: Kingsport, TN
1,697 posts, read 6,144,260 times
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Quote:
Originally Posted by Rangerred View Post
I can also see Johnson City Medical Center being turned into the flagship hospital for the Tri-Cities and the sole Level I Trauma Center with Holston Valley being reduced to a Level II like Bristol Regional. There is really no need for two Level I trauma centers in this region and especially not operated by the same organization.
While it wouldn't surprise me if you're correct about this, a strong argument could certainly be made to maintain Holston Valley's status as a Level I Center. They treat hundreds of trauma patients from SW Virginia & even E Kentucky annually, and having to travel by air to JCMC would mean an additional 8-10 minutes of flight time in many cases.

Spoke to a cousin from Nickelsville, VA earlier this week whose neighbor was flown to HVMC after a tractor rollover. Another cousin who was a CCU nurse at HVMC a few years back told me they got a lot of ATV accident victims from SW VA, many with head trauma.

Hate to think that $$$ would play a role in possibly costing lives, but it wouldn't be w/o precedent.

Holston Medical Group's presence in Kingsport will ease the sting somewhat, but I don't foresee many specialists moving their offices to JC unless they're prepared to essentially abandon thousands of current patients. JC has plenty of specialists already so from a business perspective, it wouldn't make much sense, IMO.
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Old 03-31-2015, 05:44 AM
 
6,511 posts, read 7,498,285 times
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Well.... this is going to be interesting. I will anxiously await the 'terms' of the merger; as in , who is going to put up the money?

One of the "outside" deals I saw involved nearly a BILLION Dollars.....half to pay off debt, and half to the "owners" of Wellmont.

Are we to assume that MHSA will come up with $500 Million to pay off the debt of Wellmont? Or will they just let the debt stay on the books, strangling both organizations until an "outside" buyer comes in to "rescue" the combined organization?

Going to be an interesting next few years, for certain. My guess is that the whole thing wallows under the burden of debt and becomes part of a bigger national player. Local control is nice, but the money has to come from somewhere. Things--cash flow--is better now that we have a national health care initiative, but it doesn't solve the problem of all of those people who didn't pay their bill for the past two decades. That debt still needs to be addressed.
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Old 03-31-2015, 07:33 AM
 
Location: Tennessee
28,285 posts, read 21,204,867 times
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I think this is going to result in massive job losses for Wellmont staff who don't directly work with patients, particularly in departments like IT and finance which can easily be consumed by the existing MSHA staff.
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Old 03-31-2015, 07:31 PM
 
Location: Jonesborough, TN
690 posts, read 1,272,550 times
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Quote:
Originally Posted by Emigrations View Post
I think this is going to result in massive job losses for Wellmont staff who don't directly work with patients, particularly in departments like IT and finance which can easily be consumed by the existing MSHA staff.
As it should if there are redundancies in services.
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Old 04-01-2015, 11:53 AM
 
745 posts, read 2,018,903 times
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Quote:
Originally Posted by Emigrations View Post
I think this is going to result in massive job losses for Wellmont staff who don't directly work with patients, particularly in departments like IT and finance which can easily be consumed by the existing MSHA staff.
This might depend. If the entity chooses to keep the medical record or financial software already in place at Wellmont and integrate MSHA's system, it would be the MSHA personnel that would likely suffer job losses rather than training seminars.
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Old 04-02-2015, 10:21 AM
 
Location: Tennessee
28,285 posts, read 21,204,867 times
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Quote:
Originally Posted by jchometeam View Post
As it should if there are redundancies in services.
I'm not saying these inefficiencies should remain, but these jobs losses are going to cause real pain in an area where the labor market is already soft. They may be your friends, neighbors, or clients.
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Old 04-02-2015, 10:30 AM
 
Location: Kingsport, TN
1,697 posts, read 6,144,260 times
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Wellmont Health System and Mountain States Health Alliance have agreed to exclusively explore the creation of a new, integrated and locally governed health system that will create an exciting future for healthcare in our region.

The proposed merger was unanimously approved by the boards of directors of both systems because they believe a Wellmont and Mountain States combination will demonstrate our shared commitment to the people in our region – a commitment no one else can possibly be more passionate about than we are.

This will be an opportunity for our two organizations to come together and build something brand new that reflects what our community really needs – today and in the years ahead.

This website is dedicated to sharing important news about this proposed merger as we continue to discuss the many details that are yet to be finalized.

Better Together

A Shared Vision for Regional Healthcare
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Old 04-15-2015, 12:29 PM
 
1 posts, read 2,122 times
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what about the effects on costs and salary?

With no competition who's going to stop them from cutting pay or benefits from their employees?
Doesn't MSHA already pay their nurses the lowest wages in the country?

Without another option, MSHA can inflate costs because we will have no where else to go. Competition is a good thing.
It seems like they mean well, but above all they are a business and that makes me uneasy.
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Old 04-15-2015, 05:27 PM
 
Location: Tennessee
28,285 posts, read 21,204,867 times
Reputation: 34683
Quote:
Originally Posted by bhuego View Post
what about the effects on costs and salary?

With no competition who's going to stop them from cutting pay or benefits from their employees?
Doesn't MSHA already pay their nurses the lowest wages in the country?

Without another option, MSHA can inflate costs because we will have no where else to go. Competition is a good thing.
It seems like they mean well, but above all they are a business and that makes me uneasy.
I think this is ultimately where the situation is headed. Good point.
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