I. January 2016—Tennessee Certificate of Need Meeting

At the January meeting of the Tennessee Health Services and Development Agency, Jeff Ockerman announced that the Standards for Psychiatric Inpatient Services and Neonatal Intensive Care Unit Services are being sent out for review and that the response period for the standards for FreeStanding Emergency Departments were extended due to weather, with a projected completion deadline of the end of May.

The agency approved the following applications during the January meeting.

  1. Certificate of Need Review
    1. United Regional Medical Center, Manchester (Coffee County), TN - CN1509-040: The relocation of MRI/PET unit from 1001 McArthur Drive to 481 Interstate Drive. The estimated project cost is $986,691.
    2. Tennessee Orthopedics, P.C., Lebanon (Wilson County), TN - CN1510-041: The relocation of an MRI service from 1616 West Main Street to 101 Physicians Way and upgrade of MRI scanner to a new 1.5 Tesla MRI unit. The estimated project cost is $2,471,197.
    3. Lebanon HMA, LLC d/b/a University Medical Center, Lebanon (Wilson County), TN - CN1510-042: The relocation of 75 hospital beds (49 inpatient psychiatric and 26 inpatient rehabilitation) from satellite campus at 500 Park Avenue to main campus at 1411 Baddour Parkway. After completion, the hospital will contain 245 licensed hospital beds. The estimated project cost is $22,500,000.
    4. Sunrise Community of Tennessee, Inc., Greeneville (Greene County), TN - CN1510- 043: The establishment of a 4-person ICF/IID home to facilitate the relocation of four individuals exiting Greene Valley Developmental Center. The estimated project cost is $949,840.
    5. Reeves Eye Surgery Center, Johnson City (Washington County), TN - CN1510-046: Addition of pain management procedures not requiring general anesthesia to a single specialty ambulatory surgical treatment center currently limited to ophthalmology. The estimated project cost is $175,881.
    6. TriStar Horizon Medical Center, Dickson (Dickson County), TN - CN1510-047: The initiation of neonatal intensive care nursery services after renovating second floor of Horizon Medical Center into 6-bed Level II neonatal nursery. There will be no change to the hospital’s licensed bed complement, no acquisition of major medical equipment, and no initiation or discontinuation of any other health service. The estimated project cost is $975,500.
  2. General Counsel’s Report
    1. The Health Center of Nashville, Nashville (Davidson County), TN - CN1107-024A: The project received a six month extension from May 1, 2016 to October 1, 2016. The estimated project cost is $23,900,000.

The next agency meeting will be held on March 23 at 8:30 a.m.

II. Certificate of Need Program Report—Filings in February 2016

  1. Applications for Certificate of Need
    1. Focus Clinical Services, Springfield (Robertson County), TN - CN1601-001: Establishment of a non-residential substitution-based opioid treatment center. The estimated project cost is $312,000. (Originally filed in January but not deemed complete.)
    2. CAH Acquisition Company 11, LLC d/b/a Lauderdale Community Hospital, Ripley (Lauderdale County), TN - CN1601-004: Replace 33-year-old facility with new updated facility of 46,851 square feet. The estimated project cost is $19,999,460. (Originally filed in January but not deemed complete.)
    3. Michael Dunn Center, Rockwood (Roane County), TN - CN1602-006: Establishment of a 4-bed ICF/IID home to facilitate the relocation of four individuals exiting Greene Valley Developmental Center. The estimated project cost is $1,582,504. (Originally filed in January but not deemed complete.)
    4. Prestige Home Care/Angelic Visits, LLC, Memphis (Shelby County), TN - CN1602- 007: Establishment of a home health care agency in Shelby and Tipton counties.
    5. TriStar Centennial Medical Center, Nashville (Davidson County), TN - CN1602-008: Acquisition of an additional MRI Unit.
    6. Methodist University Hospital, Memphis (Shelby County), TN - CN1602-009: Construction of 470,000-square-foot spacing including a new patient tower and adjacent building to consolidate ambulatory services. The estimated project cost is $280,000,000.
    7. Vanderbilt University Medical Center, Nashville (Davidson County), TN - CN 1602- 010: Relocation and renovation of clinical research center on the main campus. The estimated project cost is $10,555,410.

III. Projects Deemed Complete for Review at February 2016 Meeting

  1. Consent Agenda
    1. Diagnostic Radiology Consultants, P.A., Chattanooga (Hamilton County), TN - CN151-058: The relocation of MRI service from 1949 Gunbarrel Road to leased space at 1604 Gunbarrel Road and establishment of an outpatient diagnostic center and replacement of existing 1.5 Tesla MRI unit with a 3.0 Tesla unit. The estimated project cost is $5,639,646.
    2. Baptist Memorial Hospital, Memphis, (Shelby County), TN - CN1512-066: Renovation and upgrade of equipment of the cardiac catheterization lab area located at 6019 Walnut Grove Road. The estimated project cost is $6,109,654.
    3. Williamson Medical Center, Franklin (Williamson County), TN - CN1512-067: Acquisition of a 1.5 Tesla MRI unit to be operated at the off-campus outpatient imaging department located at 4321 Carothers Parkway. The total estimated project cost is $2,401,068.
  2. Certificate of Need Review
    1. Open Arms Care Corporation d/b/a Greeneville #1, Greeneville (Greene County), TN - CN1511-050: The establishment of a 4-bed ICF/IID home for individuals with intellectual disabilities on an unaddressed site on a 2.72-acre lot on the east side of Chuckey Pike. The estimated project cost is $1,370,000.
    2. Open Arms Care Corporation d/b/a Hamilton County #2, Georgetown (Hamilton County), TN - CN1511-051: The establishment of a 4-bed ICF/IID home for individuals with intellectual disabilities on an unaddressed site on a 1.5-acre lot near the intersection of Gamble Road and Tennessee Highway 58. The estimated project cost is $1,370,000.
    3. Open Arms Care Corporation d/b/a Greeneville #3, Greeneville (Greene County), TN - CN1511-052: The establishment of a 4-bed ICF/IID home for individuals with intellectual disabilities on an unaddressed site on a 1.37-acre lot on the east quadrant of a 2.74 acre parcel on East Church Street. The estimated project cost is $1,370,000.
    4. Open Arms Care Corporation d/b/a Hamilton County #1, Georgetown (Hamilton County), TN - CN1511-053: The establishment of a 4-bed ICF/IID home for individuals with intellectual disabilities on an unaddressed site on a 1.5-acre site near the intersection of Gamble Road and Tennessee Highway 58. The estimated project cost is $1,370,000.
    5. Open Arms Care Corporation d/b/a Greeneville #2, Greeneville (Greene County), TN – CN1511-054: The establishment of a 4-bed ICF/IID home for individuals with intellectual disabilities on an unaddressed site on a 1.37-acre lot on the west quadrant of a 2.74 acre parcel on East Church Street. The estimated project cost is $1,370,000.
    6. Sunrise Community of Tennessee, Chuckey (Greene County), TN - CN1511-055. The establishment of a 4-bed ICF/IID home for individuals with intellectual disabilities at a site on Quaker Knob Road. The estimated project cost is $965,868.
    7. Baptist Memorial Hospital, Lakeland, (Shelby County), TN - CN1508-037: Deferred from November 2015 meeting. Establishment of a 10-room off-campus free-standing emergency department to be located at an unnamed street address near the intersection of Highway 64 and Canada Road. The estimated project cost is $18,718,029.
    8. West Tennessee Rehabilitation Center, Jackson (Madison County), TN - CN1510-044. Establishment of a 48-bed rehabilitation hospital to be constructed on a 5.58-acre site adjacent to the main hospital campus of Jackson-Madison County General Hospital. The applicant is jointly owned by Jackson-Madison County Government Health District and HealthSouth Corporation. If approved, upon completion of the request, Jackson-Madison County General Hospital will delicense its 48 inpatient rehabilitation beds. The estimated project cost is $28,276,777.
    9. Crossroads Treatment Centers, Johnson City (Washington County) TN - CN1511-048. Deferred to April 2016 meeting. Establishment of a non-residential substitution-based treatment center for opiate addiction to be located at an address to be assigned on Princeton Road. The estimated project cost is $1,830,770.
    10. Humphreys County Nursing Home, Waverly (Humphreys County) TN – CN1511- 049. Relocation of a 66-bed dually certified non-profit nursing home and the addition of 25 beds from the 2015-2016 Nursing Home Bed Pool. The facility will be relocated to an unaddressed 15.4-acre parcel located on the east side of Fort Hill Road. As part of the project the applicant seeks approval to increase its licensed beds from 66 to 91 in a new 59,000-square-foot facility with 71 private and 10 semi-private rooms. The estimated project cost is $14,875,239.