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How We Work

How we deliver our role as Independent Monitor can be broken into two parts:

  • Part One: Our Annual Compliance Evaluation Process

  • Part Two: Our Ongoing Compliance Monitoring and Evaluation Process.

Part One: Our Annual Compliance Evaluation Process is a sequence of activities involving data analysis and community engagement that center around HCA’s Annual Report and Cap Ex Report (“HCA Reports”) that attest to its compliance with the 15 Commitments. With the HCA Reports due to be issued each year around late April / early May, our team’s activity is intensive on this aspect of our work between March and August.

 

Part Two: Our Ongoing Compliance Monitoring and Evaluation Process is activity we conduct throughout all months of the year in monitoring HCA’s compliance with its commitments. We obtain information from various sources and follow up any potential compliance concerns. We engage with community members and leaders, conduct site visits, engage with local media outlets and help to educate the community on our role and HCA’s Commitments. We maintain continuing communication with HCA / Mission Health in the event there are questions we would like to follow up as well as to ensure we are kept apprised of HCA’s intentions with respect to its obligations.

 

See the illustrations below that lay out the key steps involved.

Part One: Our Annual Compliance Evaluation Process

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Receive and Review HCA Reports

Analysis of Supporting Documentation & Evidence

Seek Input from Key Stakeholders

Complete Compliance Checklist

Deliver Compliance Evaluation Report

HCA issues Annual Report and Cap Ex Report (“HCA Reports”)

Mission/HCA

information; and

 

Publicly available sources

of information

Including, but not limited to:

  • Public Webinar

  • Submissions from the public via IM website

  • Physicians

  • State Senators, Local Mayors, County Representatives

  • Chambers of Commerce

  • Community groups (e.g. SEARCH, WCMS)

  • Advisory Board & Local Advisory Boards

  • Dogwood Health Trust

Created by Gibbins Advisors

Provided by Independent Monitor to Dogwood Health Trust

Part Two: Our Ongoing Compliance Monitoring and Evaluation Process

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Ongoing Input from Key Stakeholders

Including, but not limited to:

  • Submissions from the public via IM website

  • Physicians

  • State Senators, Local Mayors, County Representatives

  • Chambers of Commerce

  • Community groups (e.g. SEARCH, WCMS)

  • Advisory Board & Local Advisory Boards

  • Dogwood Health Trust

  • Office of the Attorney General, North Carolina

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Dialogue with Mission/HCA

  • We follow up areas of potential concern in real time

  • Check in on HCA’s plans/intentions with respect to its commitments

  • Provide a copy of the communication log of submissions we receive from the public*

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Inform the Public

  • Keep our website updated (recently refreshed in 2021)

  • Provide statements to the media

  • Participate in journalist interviews and Q&A

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Site Visits

(As practical)

  • Hospitals

  • Other material facilities

  • Communities served by Mission Health

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Media Monitoring

  • Monitor relevant mainstream media (and some social media)

Note * – Communication log is redacted for identifiable information, unless permission given to share details.