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Modern Healthcare - - REGIONAL NEWS -

TAL­LA­HAS­SEE, Fla.— Two health sys­tems re­ceived sep­a­rate cer­tifi­cate-ofneed ap­provals to build hos­pi­tals in Florida, and at least one of the CONS is go­ing to be op­posed in court. Florida’s Agency for Health Care Ad­min­is­tra­tion granted ap­proval to Tenet Health­care Corp., Dal­las, to build an 80-bed acute­care hos­pi­tal in Palm Beach Gar­dens, a move that will be op­posed in court by 163-bed Jupiter (Fla.) Med­i­cal Cen­ter, ac­cord­ing to John Couris, pres­i­dent and CEO of Jupiter. He said the bot­tom-line rea­son why they will fight it in state court—per the CON process—is be­cause they be­lieve the hos­pi­tal would bring a du­pli­ca­tion of ser­vices in a re­gion where the hos­pi­tals are al­ready op­er­at­ing at un­der ca­pac­ity, Couris said. He also said that de­scrip­tions of the pro­posed hos­pi­tal as an aca­demic med­i­cal cen­ter are in­cor­rect. “It is not a teach­ing and re­search hos­pi­tal,” Couris said. The hos­pi­tal would be built and run with the as­sis­tance of nearby Scripps Re­search In­sti­tute, Jupiter, and Florida At­lantic Univer­sity, Boca Ra­ton, which has a cam­pus also nearby, ac­cord­ing to the CON de­ci­sion. Tenet of­fi­cials de­clined to com­ment on Couris’ opinion of the project, but they look for­ward to con­tin­u­ing the CON process, said spokes­woman Re­becca Ayer. The AHCA also gave ap­proval to 539-bed Shands Jack­sonville (Fla.) Med­i­cal Cen­ter to build a 100-bed acute-care hos­pi­tal in north­ern Jack­sonville. That CON was op­posed by 425-bed Me­mo­rial Hos­pi­tal Jack­sonville, part of HCA. HIGH­POINT, N.C.— Cor­ner­stone Health Care, a 210-physi­cian independent mul­ti­spe­cialty prac­tice plans to move from the tra­di­tional fee-for-ser­vice model to a value- and pop­u­la­tion-based sys­tem in­volv­ing close mon­i­tor­ing of pa­tients who have chronic dis­eases. Cor­ner­stone said in a news re­lease that the prac­tice will in­vest more than $25 mil­lion to ad­vance this tran­si­tion and will add to its 1,500-per­son work­force with 135 new hires. The group will hire more mi­dlevel providers to help man­age the care of pa­tients with chronic dis­ease. Half of the new hires will be clin­i­cal in­for­mati­cists tasked with track­ing pa­tient care and an­a­lyz­ing whether qual­ity met­rics are be­ing met. “Our ob­jec­tive is to in­crease ac­count­abil­ity, pa­tient ac­cess and qual­ity of care while elim­i­nat­ing waste and de­creas­ing costs,” Pres­i­dent and CEO Dr. Grace Ter­rell said in the re­lease. Ter­rell, who serves on the Cer­ti­fi­ca­tion Com­mis­sion for Health In­for­ma­tion Tech­nol­ogy board of com­mis­sion­ers, added that up with the Physi­cian Hos­pi­tals of Amer­ica trade group in a law­suit seek­ing to throw out a pro­vi­sion of the law that re­stricts ex­pand­ing ca­pac­ity at ex­ist­ing physi­cian-owned hos­pi­tals. “We found a way to stay within the law and do some ren­o­va­tions and give our pa­tients more space,” Fossey said. Dr. Michael Rus­sell, a part­ner with the hos­pi­tal and pres­i­dent of Physi­cian Hos­pi­tals of Amer­ica, said the re­vised project meets Tyler city of­fi­cials’ de­mands that the hos­pi­tal add more park­ing and also al­lows for more out­pa­tient treat­ment. “We’re not ex­pand­ing; we’re not adding any op­er­at­ing rooms,” Rus­sell said. He added that plans call for the project to be com­pleted within the next 12 months. Cor­ner­stone will strengthen its col­lab­o­ra­tion with the 10 hos­pi­tals in the re­gion where the group’s physi­cians have priv­i­leges. Cor­ner­stone is also meet­ing with in­sur­ance com­pa­nies to be part of the shift to per­for­mance-based con­tract­ing. TYLER, Texas— Physi­cian-owned Texas Spine & Joint Hos­pi­tal will un­der­take an $8.6 mil­lion ren­o­va­tion, even though a pro­vi­sion in the Mid­dle Class Tax Re­lief & Job Cre­ation Act passed re­cently by the U.S. House of Rep­re­sen­ta­tives would al­low the hos­pi­tal to go for­ward with its orig­i­nal plan for a $37 mil­lion ex­pan­sion project. “We had Plan A,” said hos­pi­tal spokes­woman Les­lie Fossey. “This is prob­a­bly Plan ZZ.” Ex­pan­sion of the 20bed Texas Spine & Joint was thwarted when the Pa­tient Pro­tec­tion and Af­ford­able Care Act was passed March 23, 2010, and hos­pi­tal own­ers teamed TYLER, Texas— HHS’ Of­fice for Civil Rights an­nounced that it en­tered into a res­o­lu­tion agree­ment with East Texas Med­i­cal Cen­ter Re­gional Health­care Sys­tem re­gard­ing its treat­ment of deaf or hard-of-hear­ing pa­tients. The agree­ment fol­lows an in­ves­ti­ga­tion into an al­le­ga­tion by a deaf pa­tient that she had not been pro­vided a sign lan­guage in­ter­preter while re­ceiv­ing pre­na­tal care at ETMC Crock­ett (Texas) Hos­pi­tal, which led to the Of­fice for Civil Rights is­su­ing a let­ter of con­cern to the sys­tem, ac­cord­ing to a news re­lease. The agree­ment does not in­clude an ad­mis­sion or ev­i­dence of any vi­o­la­tion of laws or of any li­a­bil­ity or wrong­do­ing on the part of ETMC, the res­o­lu­tion states. As a re­sult of the agree­ment, ETMC will as­sess each pa­tient to de­ter­mine whether aux­il­iary aids and ser­vices are nec­es­sary; in­stall additional text tele­phones; im­ple­ment a griev­ance pro­ce­dure and new poli­cies on nondis­crim­i­na­tion and the pro­vi­sion of aux­il­iary aids and ser­vices; ap­point a co­or­di­na­tor; and pro­vide staff train­ing, ac­cord­ing to the news re­lease. In a state­ment, East Texas Med­i­cal Cen­ter Re­gional Health­care Sys­tem said: “We are as­sess­ing and strength­en­ing re­sources across our sys­tem to en­sure con­sis­tent, ef­fec­tive com­mu­ni­ca­tions be­tween health­care pro­fes­sion­als and per­sons who are deaf or hard of hear­ing.”

Shands re­ceived a CON to build a 100-bed acute-care hos­pi­tal, a plan that’s op­posed by HCA’S Me­mo­rial Hos­pi­tal Jack­sonville.

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