A shake-up in the medical world of maternity care and childbirth means more choices for pregnant women in Jackson, Swain and Macon counties, but also heightened competition for the profitable labor and delivery line.

Two new obstetrics practices were launched within weeks of each other this fall, both catering to women in Jackson, Macon, Swain and beyond. The number of existing practices in the region doubled nearly overnight. 

A panel of Western Carolina University faculty members, including an environmental health professor who has studied the spread and control of infectious agents such as Ebola for more than two decades, will take part in a discussion about the virus on Tuesday, Nov. 4.

Part of WCU’s Global Spotlight Series, the event will be held in the auditorium of the Forsyth Building from 4 to 5:30 p.m. and is free and open to the public.

Although the ink is dry on the sale of Haywood Regional Medical Center, how much the county will get for the hospital remains a moving target.

Mission Health plans to expand its presence in Haywood County with a large medical complex housing doctors’ offices and a line of healthcare services.

The move is unwelcome competition for Haywood Regional Medical Center. But to Mission, it’s a reflection of “the strong preference that many Haywood County residents” have already shown by traveling to Asheville.

A visiting team from LifePoint Hospital network made the rounds to their newly acquired hospitals in Haywood, Jackson and Swain counties over the past week. They pledged to roll up their sleeves and get to work fulfilling the promises made when courting the community hospitals here to join their national hospital network with a growing presence in North Carolina.

When Janie Sinacore-Jaberg walked the halls of Haywood Regional Medical Center Friday morning, the congratulations were flowing and the balloons flying.

“Our staff is incredibly excited. There are just smiles everywhere. You could feel it. It was palpable when you walked in the hospital today,” said Sinacore-Jaberg, the CEO of Haywood Regional.

By John Beckman • Guest Columnist

About eight months ago I had a misunderstanding with a pile of lumber which, when resolved, left me with shattered right wrist. Yes, that right wrist, just like the one you use everyday. Two surgeries and a stack of medical bills later there is still a lot of recovery yet to do, both physically and financially. 

My wife and I have paid for private health insurance out-of-pocket every month for the past 25 years. Our policy has a $5,000 deductible that we pay before the insurance kicks in and then we pay 30 percent of all covered expenses after that, as well as all the uncovered ones. Even a relatively minor incident can end up costing plenty.

Haywood County’s hospital was in trouble. The average number of patients staying overnight had dropped precipitously, causing severe problems to the hospital’s cash flow. The relationship between the administration and most of the physicians was fractured. Many of those doctors and many Haywood County citizens feared the hospital might close if it didn’t adapt to the fast-changing health care landscape.

Though that sounds eerily similar to just a few years ago, it was 1993. I was a new-to-the-job 33-year-old editor of The Mountaineer in Waynesville. i was just a few months in town when rumblings of the hospital’s woes began trickling out. A group of five or six doctors decided they wanted the local media to hear their side — off the record — and so invited my wife and I to a dinner at one of their homes. 

Three weeks after a fire in the power room knocked out electricity at Haywood Regional Medical Center, the hospital is fully open and accepting patients. The hospital had already opened its emergency department and business offices back up on June 30 after getting a double generator backup system in place but had to hold off accepting inpatients until getting back on Duke Energy power. 

“We are incredibly pleased with the pace of this process,” said Janie Sinacore-Jaberg, the hospital’s president and CEO. “I said all along that we weren’t going to rush it, and we didn’t. We did everything correctly, methodically and in a very organized way.”

The hospital accepted its first inpatients following the fire on July 10. Because the length of stay for most inpatients is on the short side, patients who were transferred to neighboring hospitals during the closure are not being transferred back, said Christina Deidesheimer, director of strategy and marketing. 

“I don’t believe that we transferred back any patients from other facilities,” she said. “The length of stay for most patients is pretty short, so most likely most of these patients that we have [moved] have been discharged.”

The hospital has not yet finished negotiations with the insurance company, so there’s no word yet on how much of the lost profit from the closure a claim might recoup. There’s also no verdict yet on what caused the fire in the first place. 

“That investigation’s still ongoing,” Deidesheimer said. “We wish these things would happen within a couple weeks, but unfortunately they take quite a long time.”

The sale of the MedWest hospital trio in Haywood, Jackson and Swain counties will be finalized by the end of July.

Duke LifePoint HealthCare, a national for-profit hospital network, will take over Aug. 1, ending a long legacy of local, independent ownership of the community hospitals.