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Human Resources


Second opinions



How Peter Bastone relies on employee input to help him take Mission Hospital to the next level

By Matt McClellan


Smart Business Orange County | October 2008

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Seven years ago, Peter F. Bastone and his management team at Mission Hospital were putting the finishing touches on plans for a $150 million, state-of-the-art critical care tower.

“We thought we had really touched all the bases,” Bastone, the hospital’s president and CEO, says. However, at the board retreat at which Bastone and his crew presented their final recommendations, several physicians expressed their reservations with the plan.

Their concern was that with the steady growth of the community that Mission Hospital served, expanding the hospital’s overtaxed emergency room should be its No. 1 priority. After all, what good is a brand-new critical care tower if patients are being diverted to other hospitals because Mission’s emergency room doesn’t have room for them?

The physicians had been involved in the planning process, but they were so focused on their own specialties that they didn’t see the big picture. The discussion at the board retreat saved the organization from making a huge mistake.

“This thing almost had a bow on it,” Bastone says. “We were ready to send it up to the health system for their approval. We had to go back to our architects and our master plan and our budgeting process after that board retreat. We had to pull it apart, and we had to delay our tower until we expanded our ER.”

Soon after the board retreat, Bastone had to chair a ball during which he fielded several questions about the organization’s planned expansion.

“I was embarrassed,” he says. “I’ve already spent millions of dollars on this project, but it won’t make any difference if people can’t get into the hospital.”

Bastone’s discomfort was only temporary, because although it cost a significant amount of money, disaster was averted, and the right decision was made.

Now, Bastone emphasizes communication among every area of the 2,000-employee hospital, which posted net revenue of $334.5 million in 2007. Effective communication between departments can make or break any organization. Here’s how to make sure it does-n’t break yours.

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