Mark Donaldson Email & Phone Number

Sioux City, Ia, Us

Grand 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.

Des Moines, Ia, Us

Lead 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.

Tacoma, Wa, Us

Led 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.

Tacoma, Wa, Us

Built 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.

Created 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.

Boise, Idaho, Us

Created 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.

Northwest 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.

Renton, Wa, Us

Developed 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.

Led 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.

Led 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.

Master Of Business Administration (Mba), Finance And Management

Master Of Science (Ms), Forest Management/Forest Resources Management

Bachelor Of Science - Bs, Forest Engineering