Twin County Regional Hospital CEO Bill Alley outlines plans to expand behavioral health, pediatrics and specialty services
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Summary
At a Carroll County Board of Supervisors meeting, Bill Alley introduced himself as the new CEO of Twin County Regional Hospital and described plans to expand behavioral-health services, add pediatric capacity and increase cardiology and neurology coverage while noting technology investments such as a new aqua-ablation urology system.
Bill Alley, the newly appointed CEO of Twin County Regional Hospital, introduced himself to the Carroll County Board of Supervisors and outlined a series of planned service expansions aimed at increasing the hospital’s regional reach.
"We do serve about 60,000 souls between the Twin Counties," Alley said, and added that the hospital’s strategy to grow its patient base includes expanding service lines in behavioral health, cardiology and pediatrics. Alley said Twin County recently opened an intensive outpatient therapy unit on the ground floor (in the former cardiac-rehab space) to provide immediate help for patients in crisis who do not meet inpatient criteria.
Alley also described efforts to strengthen coordination with local substance-abuse treatment providers in Carroll County and Galax to reduce strain on EMS and hospital resources tied to homelessness and addiction-related incidents. He said the hospital completed a community needs assessment that highlighted increased behavioral-health and substance-abuse needs.
On specialty services, Alley announced the hospital added a new robot-based urology procedure using "aqua ablation," which he said is the only technology of its kind within roughly a 100-mile radius. He said the hospital seeks to add another cardiologist to move from three weeks of in‑person cardiology coverage to a full four‑week monthly complement, and that pediatric neurology coverage could expand if a proposed provider (described as Dr. Odom) joins existing staff.
Dr. David Ritchie, chairman of the hospital’s board of trustees, praised Alley’s early progress and said the hospital is "trending in a positive fashion," while warning that anticipated Medicaid funding cuts will be a challenge for the organization going forward.
Board members and at least one resident responded positively to the update, thanking Alley and noting the importance of behavioral-health services in the community. Alley invited board members and residents to contact him directly with follow-up questions and said he plans continued outreach to strengthen local partnerships.
The presentation provided local officials with a snapshot of capacity and planned investments but did not include binding commitments of county funding or regulatory approvals.

