Haywood Regional Medical Center's CEO...

Haywood Regional Medical Center's CEO, president steps down | N...

There are 229 comments on the Asheville Citizen-Times story from Feb 25, 2008, titled Haywood Regional Medical Center's CEO, president steps down | N.... In it, Asheville Citizen-Times reports that:

David Rice stepped down Monday as president and CEO of Haywood Regional Medical Center as fallout continued over the hospital's loss of Medicare and Medicaid payments.

Join the discussion below, or Read more at Asheville Citizen-Times.

insider

Inman, SC

#204 Feb 28, 2008
cmore wrote:
<quoted text>When you are on the bottom of the management food chain, its hard to ascend to the top and changeit.
Can't find "Jackson's" original note, but he or she obviously has no insight about working for a hospital as a nurse, aide, etc.... The "worker
bees" have little or no power. The clipboard carrying members make the decisions.
insider

Inman, SC

#205 Feb 28, 2008
Bye Bye Bryson wrote:
WLOS reported that Dr. Bryson was forced to resign, but that is a bold face lie. she was making threats to nurses and had to be escorted out by security. The night she was fired other employees had to be escorted out in groups for safety. Can you say CRAZY!!!!!!
She may indeed be crazy, but you are wrong. Aloha
involuntarily resigned.
insider

Inman, SC

#206 Feb 28, 2008
Dr Colantonio wrote:
Does anyone know how I would reach Dr. Bryson?
My e-mail address is [email protected]
Thank you.
Anthony Colantonio, MD
Garden City, New York
Yet another person, without any real insight or vested interest into the situation, putting in
their two cents. I know who you are, however.
insider

Inman, SC

#207 Feb 28, 2008
FORMER STAFF MEMBER wrote:
<quoted text>
She did bring her concerns up to the medical executive committee and the hospital board before she was terminated. That's WHY she was terminated - WITHOUT DUE PROCESS, and escorted off the hospital property in broad daylight by two armed guards. A physician with an unblemished record of caring for patients. Did she have a bad temper? Oh yeah- but so do a few other docs up there and they haven't been strong armed off

campus for their rudeness. She wrote to the medical executive committee after her dismissal again with her concerns, and was again ignored. So Mr. Rice's strong arm tactics have aggravated some vindictve behavior on Dr. Bryson's part, but the hospital administration had plenty of opportunity to address it in another fashion previously. Unfortunately, the manner in which it is being addressed now adversely affects the entire community.
You are just wrong. Are you privvy to closed door communication or documentation, etc? No, you aren't.
Amused

Lincolnton, NC

#208 Feb 28, 2008
This is great. Easy to study behavior here. Started out as fairly constructive, then began deteriorating until it has become feeding frenzy with a focus on Dr. Bryson and each other. sounds like what was going on at the hospital before everything collapsed. Funding isn't pulled at the request of a disgruntled employee, it is pulled because of noncompliance. None of you spoke up for fear of losing your jobs, which means you put your interests before the patients' or the hospital. I haven't heard a single word on how you as individuals are going to correct the problems as it is as much a question of not having fullfilled your duties as it is mismanagement. Basic fundamentals were abandoned and the hospital is paying the price. You want to fix it? Look within. HRMC has the worst policies I have ever seen. It has some of the most incompetent administrative people who have been educated way beyond their intelligence. that's a given. Dr. Bryson, stable or not, appropriate or not, raised apparently legitimate concerns or funding wouldn't have been pulled. The fact is the concerns are there, problems cited. The only answers you have are to play the blame game. Keep it up, I find it an interesting study in human behavior. And yes I have quit jobs over concerns involving patient care and an unresponsive administration. Not done lightly, and not easy. to each, his/her own. Ask yourselves this: "Did I do what was in the best interest of my profession or myself" Keep it up and i'll keep reading!
insider

Inman, SC

#209 Feb 29, 2008
Amused wrote:
This is great. Easy to study behavior here. Started out as fairly constructive, then began deteriorating until it has become feeding frenzy with a focus on Dr. Bryson and each other. sounds like what was going on at the hospital before everything collapsed. Funding isn't pulled at the request of a disgruntled employee, it is pulled because of noncompliance. None of you spoke up for fear of losing your jobs, which means you put your interests before the patients' or the hospital. I haven't heard a single word on how you as individuals are going to correct the problems as it is as much a question of not having fullfilled your duties as it is mismanagement. Basic fundamentals were abandoned and the hospital is paying the price. You want to fix it? Look within. HRMC has the worst policies I have ever seen. It has some of the most incompetent administrative people who have been educated way beyond their intelligence. that's a given. Dr. Bryson, stable or not, appropriate or not, raised apparently legitimate concerns or funding wouldn't have been pulled. The fact is the concerns are there, problems cited. The only answers you have are to play the blame game. Keep it up, I find it an interesting study in human behavior. And yes I have quit jobs over concerns involving patient care and an unresponsive administration. Not done lightly, and not easy. to each, his/her own. Ask yourselves this: "Did I do what was in the best interest of my profession or myself" Keep it up and i'll keep reading!
I'm sure that everyone is so impressed with your
elevated morals, knowledge, and insight. Quite pompous, I say. However, the people who work for the hospital have been trained for their respective positions - nurses, aides, therapists, etc. They have not received management training.
Most trust that the hospital administration wants to and does follow rules mandated by law, if for no other reason than they want to make money. So, they do their jobs based on policy given them by said administrators. I dare say that most of these employees did not know that the policies were inadequate and were doing their very best based on the rules they had to follow. There are bad apples in every organization, and from this BLOG, it appears that those who feel that poor care was given are listed as "former employees."
This you have to take with a grain of salt, as one doesn't know under what circumstances they left. So, in continuing your "human study", perhaps you should take a personal lesson in common sense.
insider

Inman, SC

#210 Feb 29, 2008
In finishing my reply to "Amused", survival is a huge motivator in human behavior. Times are hard and people do tend to want to keep their jobs and support themselves and their families. I cannot personally fault anyone for that. I speculate that some people, instead of quitting because they feel that something is inappropriate, choose to stay because they feel that their hard work and caring might make a difference.
Amused

Lincolnton, NC

#211 Feb 29, 2008
To Insider: it was not policy that brought the hospital down it was job performance. I see where you call yourself the insider and from previous blogs you apparently had information that others were not privy to.You counter other bloggers under this premise. interesting you should use the name " Insider". It sets forth the premise that your words have more weight than others. I see where your knowledge of the situation has really made a difference. If you indeed had all this knowledge where were you. You attack those who left for what ever reason as disgruntled employees. Maybe,just maybe, these employees quit or were terminated because they were not able, personally and/or professionally to remain a part of this. You dismiss them as disgruntled employees. Listening to you is like watching Bush/Cheney address the problems they have. Attack their credibility by accusing them of being vindictive and have a personal agenda for revenge. Nice going. By the way your having as much success as the Bush/Cheney smear machine. Good Luck.
insider

Inman, SC

#212 Feb 29, 2008
I have attacked no one, nor have I dismissed anyone. I simply stated the obvious that all things be considered. YOU have issued a broad statement that those people who are posting on this site, trying to support each other and maintain some loyalty to their employer have done a misdeed by not quitting. Re-read your own post. YOU said that HRMC has the "worst policies I have ever seen." I am sure that the hundreds of employees will be thrilled to see that they are personally responsible for the problems. I would guess only a handful of those staff were in error. It is the duty of administration to provide policy to address those who do not do their jobs adequately. Of course some staff made mistakes. Happens everywhere. I don't think that it has yet been disclosed if these were actual patient-harm mistakes or paperwork mistakes. If patients were being harmed left and right, as is being insinuated, patients would be suing left and right.
Of course funding wasn't pulled because of a disgruntled employee. The hospital has problems that need to be addressed. I did not say that my words are more important than anyone elses. I had some facts that others did not, and I corrected what I knew to be wrong. You are quite reactionary and read into statements more than is there. I have no agenda. Only a little knowledge and insight into some facts. My position is that patient care and safety are #1.
This hospital's survival, after restructure and implementation of proper policy and procedure, and re-education of staff to whatever extent needed to allow all to administer excellent care,
is what is best for patients, staff, and community as a whole.
Amused

Lincolnton, NC

#213 Feb 29, 2008
Maybe you should go back and read your own comments.
Not an insider

AOL

#214 Feb 29, 2008
I have been involved with HRMC for many years and I have seen things that would make your blood boil. It has always been said that the location of HRMC would be a good place for a hospital. Not to say that there are some great nurses at HRMC and I have have had the pleasure of being a pt and being well cared for. But I have also seen eldery pt's mistreated bying being disrespected. They had some great ER Doc's and greedy David Rice decided to let them go because they did not bow down to him. The old Doc's at least knew the regular pt's and you were given the care that was needed.hey were vwery kind to the patients and took care of them the way they deserved. T The ER has some great nurses but a lot of the out of town hires are burn outs that have bad attitudes. They think they know it all and their favorite comment was "back where I used to work we used to....". If you liked it so much where you were the highway runs both ways. Maybe you can Rice a job there. The old Doc's at I have also been told by nursing staff that they were pressured into giving money to the foundation to build the useless surgery center. Again their are some great nurses at HRMC but a lot of them need to go. Hey insided if you knew so much why did you not do something about it. You are just as guilty as David Rice and his pack of storm troopers. The entire board needs to be replaced.
NOT SURPRISED

United States

#215 Feb 29, 2008
It took a lot more than one person to decertify a hospital. You have the typical mentality of those who are finally caught. And, apparently a lot of those people losing thier jobs are losing them because they are dangerous.
Aggravated wrote:
<quoted text>
People like you^^^^^^^ are the main roots to this problem. You just keep adding on and dishing out your hate comments to every single person who works at HRMC except for the only person who is really at fault here, Dr. Aloha Bryson, had she brought up these issues before she was terminated maybe they could have been corrected and we would not have this big issue to deal with today. Without Medicare and Medicaid, HRMC is losing 60% of its salary. Thats our neighbors, friends, and maybe even family members who will be out of a job. Not to mention the patients who can no longer be treated at HRMC. Imagine yourself at age 63, dying of a heart attack and having to ride all the way to asheville just to get "quality" care.
RETIRED HRMC RN

Boiling Springs, SC

#216 Feb 29, 2008
DOCTOR Bryson filed incident reports and requests for action to be taken for the last 18 mo.I was aware of these reports before I retired.In fact, I signed several as a witness. Nothing was EVER done....
Aggravated wrote:
<quoted text>
MRS. Bryson only brought the issue up because she was terminated. She didnt care about anyone or anything while working at HRMC, had she cared about the nursing staff or patients she would have brought this issue up months ago. However, I do agree with you on one thing, the community and residents of Haywood County do need to step up and do what it takes to get this hospital back up in shape.
RETIRED HRMC RN

Boiling Springs, SC

#217 Feb 29, 2008
FYI, Dr. Bryson was NEVER a Contracted ER Dr.she is employed through PrimeDoc (main office in Asheville) The "Hospitalis" are from this agency. Curent ER doc are from a company out of state
Pam Williams wrote:
1. Anytime the management blames the workers (in this case, nurses), they must realize they are pointing the finger at THEMSELVES, as it is their responsibility to hire and KEEP well trained employees.
2. The rat in all of this is RICE, and now he is gone. NOW, it is up to the BOARD, and the COUNTY COMMISSIONERS to SINCERELY get to work to find someone, who is WORTHY to do what RICE could not: offer positive leadership.
3. I used to work at HRMC, and I was recently an ER patient and ultimately an inpatient. I worked in the past with the original team of ER doctors: caring professionals, who took their jobs seriously. I saw ER patients well taken care of, and I saw doctors, who respected and were extremely attentive to their patient's needs. RICE MADE THE ERROR to let this group of professionals go, and in turn he hired a group of nonprofessional ER CONTRACT PHYSICIANS...I believe they call themselves the Clyde Group. ALOHA BRYSON was one of those ER CONTRACT PHYSICIANS, and she was referred to as a "HOSPITALIST." She was my hospitalist, and I experienced an ER nightmare under her care under a year ago. It was the worst time of my life. I was treated inhumanely and almost died because of it. I reported this to the hospital patient care rep, but I knew this was not enough. I later went to the ENTERPRISE MOUNTAINEER, and they did an investigation.
4. In my opinion, the downfall of the hsopital started with RICE'S IGNORANT DECISION to let the original ER staff go, and hire the ER out to this contract group of doctors, of which Aloha Bryson was one.
5. When I arrived up on the floor, the nurses were wonderful, but they were short-handed. Who's fault was this? RICE'S of course! It was not the fault of the nursing staff! Put the blame where it lies. Oh, by the way, I consider an EMERGENCY ROOM TO BE THE FACE OF A HOSPITAL. Now, all HRMC and the residents of Haywood County have is the UGLY FACE OF THE CONTRACT ER PHYSICIANS. RICE LET IT COME TO THIS! RICE!
Also an insider

Hickory, NC

#218 Feb 29, 2008
I've been reading this blog all week, since this fiasco began. Being an insider at HRMC myslef, and from my knowledge of the present situation, as well as my familiarity with some of those involved, it sounds very likely to me that the "insider" may infact be Dr. Bryson??!?!?! The insider has pointed out a variety of "facts" with regard to the situation which only a few individuals privy to.
Amused

Lincolnton, NC

#219 Mar 1, 2008
To the Insider on the Media being in Mission's pocket. No media has been deeper in someones back pocket than the Mountaineer.
old ashevilledoc

Travelers Rest, SC

#220 Mar 1, 2008
I am saddened by the events in Waynesville. Perhaps it will be a time for change that has been needed for a long time. Discussing Dr. Bryson's and the administration's failings is not productive. The review found documented problems. Focus on fixing them. Patients vote with their feet and the exodus of patients from Waynesville to Asheville over the years spoke volumes. I didn't see or hear the same volume of negative comments about Brevard or Hendersonville. I have great respect for Dr. Freeman. The control of any hospital needs to be back in the hands of caring physicians and nurses who care about patients. They need the support of a local board that respects and admires them. They then need to hire administrators who can work with doctors with mutual respect. There are plenty of caring docs and nurses in the area who can solve the problem. Give them a chance.
Business major

AOL

#221 Mar 1, 2008
Proud Employee of HRMC wrote:
We have been accused and convicted without a trail, the decision thought extreme by CMS should be reveresed so as not to effect the lives of all of the county.  Regarding the DR letter, she resigned, she was fired due to her violent outbursts and her cornering an employee and the threating of that employee.  She is vendictive and speaks falsehoods.  I would put all our patient care with any one; including Mission, it is time for all to stick together and fight as previously stated to save a perhaps poorly managed facility, but a good health care facility that is unjustly being tried in the court of public opinion and WLOS without all the facts given.  Pray for us, support us and if you truly care; forget the negativity and get active by contacting any public offical that may be of assistance from the White House to the Court House, because if you do not - only God knows what the out come will be.
Were you there?
insider

Inman, SC

#222 Mar 1, 2008
Also an insider wrote:
I've been reading this blog all week, since this fiasco began. Being an insider at HRMC myslef, and from my knowledge of the present situation, as well as my familiarity with some of those involved, it sounds very likely to me that the "insider" may infact be Dr. Bryson??!?!?! The insider has pointed out a variety of "facts" with regard to the situation which only a few individuals privy to.
Go back and re-read. I am pro-nursing, for the survival of HRMC and it's hard-working and COMPETENT staff, against erroneous rumor, and certainly no fan of Bryson. I hope that the problems at HRMC are quickly fixed and that a quality hospital rises from the rubble, because the entire community has been harmed by this situation. My sympathies are with those who work/practice at HRMC, because it is a horrible thing not to have job security. I also sympathize with any patient who doesn't receive outstanding care, because all deserve it. I would think, though, that most have received good care, because I have not heard in the media,(and they'd be on it like ants at a picnic!), that large numbers of patients, or the other numerous physicians that work at HRMC, have written or voiced complaints.(Of course, there have been some, that is commonplace at any medical facility.)
a nurse

Taylorsville, NC

#223 Mar 3, 2008
No one has focused on any issue of pt safety and care. Med errors, pt care; what will be done to protect pts? Lower nursing ratios? More continuing education? Calculators, quick reference guides to be sure nurses, techs, pharmacists are correctly giving meds? What about a third party monitor to remind and help make safe standards part of everyday care- not just when occassinal audits happen? Look at the case of Baptist hospital in Jacksonsville Fl. They went from a bad situation to being a national example for Magnet hopitals.

Please remember on the other side of this are people,our families,friends, who need and deserve care.

Thank you to those who are trying to restore safe and prudent care-not just bicker and nit pick.

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