New Hanover Regional Medical Center (NHRMC) faced a challenge familiar to most healthcare organizations: to deliver greater value, efficiency and quality in care delivery at the lowest acceptable cost to their patients. Consumer, payer and regulatory pressures keep growing, accelerated by the Affordable Care Act.
“We were going to be facing a $150 to 200 million deficit and things had to be done differently," said Jack Barto, former president and CEO from 2004-2016.
Costs were just one side of the equation, however. Cutting the organization's overall spend would need to go hand-in-hand with improving performance and NHRMC would need to activate all its employees, overcome inertia, and change the culture of the organization itself.