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Mark Donaldson is a highly accomplished senior leader in the healthcare with 20+ years’ experience uniquely spanning both health plan operations and healthcare service delivery. His work has required creativity, ingenuity, and innovation to take the seemingly disparate parts of healthcare and build a value-based system of care. He is skilled at optimizing enterprise performance through innovative solutions and is passionate about driving Triple Aim values in healthcare. This has been a hallmark of his career and has been accomplished in highly matrixed organizations that require strong communication skills, collaboration with multidisciplinary teams, physician leadership, and organization stakeholders and a disciplined approach to handling multiple priorities and measuring performance.Mr. Donaldson holds MBA and MS degrees from University of California, Berkeley, and a BS degree with honors from University of Washington. Throughout his career, Mark has been active with industry and community organizations, including Board Director roles .Career Highlights:• Led Rainier Health Network, an ACO of more than 2,000 providers and seven hospitals, to a $3.0M CMS Medicare Shared Savings Program bonus, nationally ranking in the top 5th percentile in low-cost performance.• Negotiated affiliate relationships with key healthcare systems.• Re-envisioned the Saint Alphonsus Health System strategic plan in response to health care reform, which fostered partnership with community providers and local health plans.• Led service line strategies and operational improvements in cardiology, oncology, orthopedics, womens & children, neurosciences, and primary care practices.• Drove payer strategy under value-based reimbursement, negotiating industry-leading incentives under models of gain-sharing, risk-sharing, capitation, and bundled payments.• Led health plan and service delivery operations, creating performance that rivaled staff model managed care benchmarks.
Grand Columbia Health Alliance
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Executive DorectorGrand Columbia Health Alliance Dec 2022 - PresentGrand Columbia Health Alliance brings together Samaritan Healthcare and five Critical Access Hospitals in Central Washington to work as a system for the betterment of patient health in the region and the financial sustainability of respective members.Managed the GCHA consistent with strategic direction and guiding principles set by the Board. Responsible for overall operations and the development, implementation, and management of GCHA’s business services, projects and, community relationships.• Worked with the Board and legal counsel to revise Bylaws and Articles of Incorporation to establish GCHA as a 501c(3) corporation and establish a Home Office for cost-reporting.• Implemented a Performance Dashboard across GCHA membership to guide initiatives on quality, safety, patient experience, and financial sustainability.• Developed Master Service Agreements among members to enable shared services in coding and billing, provider credentialing, group purchasing, compliance, training/education, IT network management, and human resources.• Engaged in a three-year, HRSA grant sponsored through WSHA to improve substance use disorder (SUD) prevention, treatment, and recovery in the GCHA Service Area.
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Regional Cin Executive DirectorMercyone Jul 2020 - Sep 2022Des Moines, Ia, UsLead performance and transformation under value/risk-based care for MercyOne's Western Region with responsibility for all aspects of operations, including governance, executive engagement and Partnered Provider Network engagement. Focused on four core strategies, which are building blocks to effective ACO performance: managing high risk patient populations and their transitions of care, building a high performing SNF network, effective provider coding/documentation, and hospital/ambulatory care integration. Supported by the MercyOne Population Health System Organization (PHSO) for robust data analytics and care protocols via the Innovaccer platform.• Directly manage a clinical staff of 10 FTE engaged in acute/post-acute care coordination, readmission management, and health coaching in the ambulatory setting (i.e., annual wellness visits, transitions of care to home/PCP, high risk patients in care coordination protocols, monitoring ED utilization), and data analytics. • Engage Siouxland hospital and medical group leadership to implement population health principles in case management/discharge planning and improve readmission rates.• Oversee the Siouxland regional ACO Board and Clinical Integration Council.• Identify geographic expansion opportunities and ensure successful growth and network adequacy with payer prospects, both individual and small/medium businesses, and Medicare Advantage. -
Regional Administrator, Multicare Neuroscience InstituteMulticare Health System Feb 2018 - Dec 2019Tacoma, Wa, UsLed the creation of the MultiCare Neuroscience Institute (MNI), integrating its neuroscience services under a comprehensive, high-reliability platform aimed at economic, clinical quality, patient experience, and cultural excellence and operations improvement. Stood up the MNI governance infrastructure and built the business unit framework and strategic plans for three Neuroscience Centers of Excellence (Neurology, Stroke & Neurovascular Care, and Spine Care), expanding market reach across the Inland Northwest. Directly reported to the MNI Board of Directors.Managed the operations of the 32-provider Neuroscience specialty group, including neurology, neurosurgery, orthopedic spine surgery, physiatry, and chiropractic care. Built an interdisciplinary spine care model focused on the continuum of care that drove lower costs while improving quality outcome and laid the foundation for bundled payment success. Established a regional growth and physician recruitment plan which included four new clinics, 18 new providers, and alignment with key community providers. Led team for accreditation of Deaconess Hospital as the first and only Comprehensive Stroke Center in the region, leveraging that for improved EMS relationship and rural outreach to secure referral volumes. Achieved 70th percentile ranking in physician engagement scores against national benchmarks--second highest in MultiCare. Led financial turn-around of clinic operations, yielding a 10% favorable performance to budget in 2019. -
PresidentRainier Health Nework/Chi Franciscan Health 2014 - 2016Tacoma, Wa, UsBuilt a strategic vision and operational execution plan necessary to launch Rainier Health Network from its nascent participation in the CMS MMSP pilot to an Accountable Care Organization (ACO) capable of assuming population health-based risk in payer contracts. Reported directly to the RHN Board of Directors. * Garnered $3.5 million in ACO performance bonuses in 2015 through the CMS Medicare Shared Savings Program (MSSP), the CHI Employee Health Plan, and Aetna—the first full year under my leadership. * Outperformed CMS Medicare Shared Savings Program (MSSP) benchmarks in 2014-15, ranking in the top 5th percentile in low cost performance among all Medicare Shared Savings Program participants nation-wide, while raising clinical quality and patient experience scores.* Engaged affiliate relationships with key business partners to expand market reach, most notably Seattle Children’s Care Network and Providence-Swedish Health Alliance. Development work included:1. Transitioned Rainier Health Network from 50/50 joint ownership between CHI-Franciscan Health and a large IPA to 100% ownership by CHI-Franciscan Health while maintaining community-based, physician-led governance. 2. Doubled network size to over 2,000 providers and secured participation agreements with key community multi-specialty and pediatric provider groups.3. Created population health capabilities, with particular focus on chronic disease management, transitions of care into the post-acute setting, and health and wellness.4. Secured a new data analytics platform to support population health work.5. Established a CIN funds flow/incentive model based on financial, quality, and patient experience metrics. -
Regional Director Of Market DevelopmentGroup Health Cooperative 2014 - 2014Created the foundation for integration of clinic operations and health plan enterprise management in a highly matrixed organization to drive performance in three key Puget Sound markets, re-introducing a data analytics platform to drive decision-making priorities and benchmark market performance goals on cost reduction and quality/patient satisfaction improvement.
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Vp, Strategy, Development, And OutreachSaint Alphonsus Health System 2012 - 2013Boise, Idaho, UsCreated a transformational three-year strategic plan under healthcare reform to move SAHS capabilities into population health management, including launch of the, the Saint Alphonsus Health Alliance CIN. Collaboratively worked with local hospital leaders and system boards to alignment operations to the new strategic plan. * Organized and developed seven major service lines—cardiovascular, musculoskeletal, neurosciences, oncology, women and children services, telemedicine, and trauma—in response to clinical integration and value-based purchasing, leading strategic planning, clinical operations, and lean performance improvements. This included development of co-management agreements.* Co-led capital and master facility planning, with a focus on ambulatory services and designing “the rural hospital of the future” with local hospital leadership. hospital affiliation negotiations, and Health Exchange readiness.* Directed system planning resources for annual and long-range capital planning, including external market assessment and industry trend/innovation analysis.* Co-chaired affiliation council with Grande Ronde hospital in LaGrande, Oregon and developed relationships and proposals for other prospective rural hospital affiliates and the Mayo Clinic Network.* Headed a special task force at Fruitland Health Plaza through operational improvements.* Implemented organizational Health Exchange (HIX) readiness for Idaho and Oregon state-based exchanges through exclusive network payer products with Blue Cross of Idaho and PacificSource. -
CeoNorthwest Cardiovascular Network 2007 - 2012Northwest Cardiovascular Network (NCN) is a PHO comprised of Providence Regional, community hospitals, cardiovascular surgeons, cardiologists, and anesthesiologists and aimed at improving the cardiovascular health of the region by delivering high quality, cost effective, and well-coordinated cardiac health services. NCN is engaged in bundled contracts with payors for acute inpatient services.* Led PHO strategic planning, marketing, and business development activities, adding new hospital partners and growing volumes in secondary markets by 15%.* Negotiated improved payer bundled contracts, increasing revenue by 7%. Improved PHO claims payment timeliness by reducing the backlog in payer reimbursement by 40%. * Overhauled PHO incentive programs, aligning cost, clinical quality, patient and physician satisfaction, and member participation incentives.* Ensured NCN was compliant with anti-trust law as well as CMP and Stark regulations.
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Director Of Physician Network And Business DevelopmentProvidence Regional Medical Center Everett 2007 - 2012Renton, Wa, UsDeveloped and managed the cardiovascular service-line strategy to be the market leader in volume and quality. That program was ranked #1 in Washington for overall cardiac care 3 years running and an 8-time national award winner as a top 100 cardiovascular program.Developed a 5-year strategic plan for Providence Physician Group in a highly competitive market, expanding Providence’s service area reach through provider recruitment, practice acquisitions, and new ambulatory clinics with a particular focus on building the PMG primary care base.* Led planning, development, and construction of 4 new primary care clinics. Negotiated lease contracts for non-owned facilities. Led a multi-disciplinary team in creating a $30 mill ambulatory hub in Monroe, WA.* Conducted due diligence and brokered negotiations of select community practices for acquisition. -
Director Of Business DevelopmentMadrona Medical Group 2005 - 2006Led long and short-term strategic planning and managed the revenue cycle of the organization, including payer contracting, provider credentialing, billing services, collections, auditing and policy development. * Overhauled and renegotiated all payer contracts and developed new models for evaluating their performance, achieving an overall 10% increase in reimbursement. * Designed, championed, and implemented a new advanced imaging center, encompassing building projects and operations details. Services included state-of-the-art CT, MRI, nuclear medicine, dexascan, and echocardiography. Negotiated new contracts for imaging equipment and professional radiology services. * Rebuilt clinic’s failing cardiology program into a successful business line and recruited three new cardiologists. Negotiated agreements with St. Joseph Hospital in support of expanded services.* Engaged community providers in joint ventures and professional services contracts. -
Administrator, Statewide Community Delivery SystemGroup Health Cooperative 1991 - 2004Led healthcare delivery system strategic planning and care delivery innovation across multiple communities for Group Health's 180,000 member contracted delivery system, which included operational accountability for healthplan financial performance, clinical quality improvement, market growth and customer satisfaction. * Partnered with organization leaders to integrate geographic services under a statewide infrastructure. * Led financial turn-around of operations from $4 million annual loss in 2000 to $5 million annual surplus in each 2001 and 2002, while building stronger provider relationships and improving clinical quality, customer satisfaction and staff satisfaction results. * Directed complex contract strategy and co-negotiated contracts with major physician and hospital networks, including innovative, organizational leading incentive plans, risk sharing, and capitation. * Built strong physician relationships that stabilized provider networks and improved financial viability of all market segments. * Led marketing strategy to improve brand and community presence through a local consumer board, active community leadership and local charity fund-raising/sponsorship. Introduced a three-year business planning cycle and redesigned/ implemented robust financial information systems for performance monitoring.* Introduced a 3-year, market-based business planning cycle and redesigned financial information systems through data analytics to standardize performance reporting and drive priorities.
Mark Donaldson Skills
Mark Donaldson Education Details
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University Of California, Berkeley, Haas School Of BusinessFinance And Management -
University Of California, BerkeleyForest Management/Forest Resources Management
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University Of WashingtonForest Engineering
Frequently Asked Questions about Mark Donaldson
What company does Mark Donaldson work for?
Mark Donaldson works for Grand Columbia Health Alliance
What is Mark Donaldson's role at the current company?
Mark Donaldson's current role is Healthcare Executive.
What is Mark Donaldson's email address?
Mark Donaldson's email address is ma****@****nce.org
What is Mark Donaldson's direct phone number?
Mark Donaldson's direct phone number is +125342*****
What schools did Mark Donaldson attend?
Mark Donaldson attended University Of California, Berkeley, Haas School Of Business, University Of California, Berkeley, University Of Washington.
What are some of Mark Donaldson's interests?
Mark Donaldson has interest in Writing, Children, Adoption Advocacy For Children, Backpacking And Hiking, Poverty Alleviation, Disaster And Humanitarian Relief, Human Rights, Health.
What skills is Mark Donaldson known for?
Mark Donaldson has skills like Healthcare, Healthcare Management, Strategic Planning, Hospitals, Leadership, Physician Relations, Managed Care, Business Planning, Healthcare Consulting, Revenue Cycle, Business Development, Performance Improvement.
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