I. November 29, 2012 - Mississippi Certificate of Need Meeting

During the November Certificate of Need meeting, Dr. Mary Currier, State Health Officer, concurred with the Health Policy & Planning staff analyses and approved the following applications for Certificate of Need:

  1. CON Review #: HG-CRF-0612-015 – Baptist Memorial Hospital – North Mississippi Inc. d/b/a Baptist Memorial Hospital-North Mississippi – Construction/Relocation and Replacement of 217-Bed Hospital/Services – Location: Oxford, Lafayette County, Mississippi - Capital Expenditure: $313,508,083 – Staff Recommendation – Approval
  2. CON Review #: ESRD-CO-0612-014 – Fresenius Medical Care – North America, Inc. d/b/a Bio Medical Application of Mississippi, Inc. d/b/a RCG of West Point – Cost Overrun to CON #0842 (Establishment of a Satellite ESRD Facility) – Location: West Point, Clay County, Mississippi – Approved Capital Expenditure: $808,367 – Additional Capital Expenditure: $647,128 – Revised Capital Expenditure: $1,455,495 – Staff Recommendation – Approval

The next Certificate of Need monthly meeting will be held on December 27, 2012, at 11:00 a.m.

II. 2013 State Health Plan Approved

On December 3, upon receiving Governor Phil Bryant’s letter of approval, the proposed Fiscal Year 2013 Mississippi State Health Plan went into effect, superseding the FY 2012 Plan. The Health Plan is promulgated by the State Department of Health and establishes criteria for health-related activities requiring Certificate of Need review.

Changes from the FY 2012 Plan include:

  • Rural hospitals (those located outside U.S. Census Bureau Metropolitan Statistical Areas with 75 or fewer beds) applying for a CON to offer MRI services must demonstrate that a minimum of 1,700 procedures will be performed per year. That procedure volume is to be attained by the end of the second year of operation. Other hospitals still must demonstrate that 2,700 procedures will be performed per year by the end of the second year.
  • Qualifying applicants for a CON to perform percutaneous coronary interventions, a type of therapeutic cardiac catheterization, need not have on-site open-heart surgery capability. This is a specific exception to the former rule that CONs for therapeutic cardiac catheterization would not be granted to applicants without on-site open-heart surgery capability. Whether an applicant qualifies for this exception depends on the applicant’s procedure volume, experience and emergency transfer capability.
  • A 30-station end stage renal disease (ESRD) facility applying to establish a 10-station satellite facility within five miles of the existing facility need not obtain the written support of other existing ESRD facilities within 30 miles of the proposed satellite facility. Formerly, an applicant would have to obtain such written approval from other facilities within a 30-mile radius unless the proposed satellite facility was within three miles of the existing facility.
  • ESRD facilities applying to establish satellite facilities need to demonstrate only a 60% minimum annual utilization rate for the prior year, rather than a 65% rate, as was formerly required.

III. Certificate of Need Program Report – Filings/Reports Since October 2012 CON Meeting

A. Letters of Intent to Change Ownership

 

  1. Graceland Care Center of Oxford – Transfer of Graceland Care Center to Oxford 1301, LLC – Received November 13, 2012
  2. Graceland Care Center of New Albany – Transfer of Graceland Care Center of New Albany to New Albany 118, LLC – Received November 13, 2012
  3. Graceland Care Center of Pontotoc – Transfer of Graceland Care Center of Pontotoc to Pontotoc 278, LLC – Received November 13, 2012
  4. Popular Springs Nursing Center, LLC – Transfer of Popular Springs Nursing Center, LLC to Popular Springs Holdings, LLC – Received November 13, 2012
  5. Meridian Surgery Center, LLC – Change of Ownership – Rush Medical Foundation – Received November 19, 2012
  6. The Orchard, Ltd. – Transfer of Ownership of The Arbor (60-bed SNF associated with the Orchard) to Senior Housing Property – Received November 30, 2012
  7. Shady Lawn Health & Rehabilitation, FMJ, LLP – Change of Ownership to Vicksburg PropCo, LLC through a Purchase Lease – Received November 30, 2012
  8. Vicksburg Convalescent Center, FMJ, LLP – Change of Ownership to Vicksburg PropCo, LLC through a Purchase Lease – Received November 30, 2012
  9. Sta-Home Health Agency of Jackson, Inc. – Transfer of Ownership from Sta-Home Health Agency of Jackson, Inc. to Sta-Home Holdings, LLC, Corporate Re-Organization and Transfer of Interests – Received November 30, 2012
  10. Sta-Home Health Agency of Carthage, Inc. – Change of Ownership to Sta-Home Holdings, LLC, Corporate Re-Organization and Transfer of Interests – Received November 30, 2012
  11. Sta-Home Health Agency of Greenwood, Inc. – Change of Ownership to Sta-Home Holdings, LLC, Corporate Re-Organization and Transfer of Interests – Received November 30, 2012
  12. Rolling Acres Retirement Center, Inc. – Individual Change of Ownership to Trust by Stock Transfer – Received November 30, 2012

B. Determinations of Reviewability

  1. St. Dominic-Jackson Memorial Hospital – Purchase of Replacement Cath Lab Equipment and Renovation of the Cath Lab 1 – Received November 13, 2012
  2. St. Dominic-Jackson Memorial Hospital – Purchase of Replacement Cath Lab Equipment and Renovation of the Cath Lab 5 – Received November 13, 2012
  3. Mississippi Baptist Medical Center – Madison Human Performance Center Development Project – Received November 15, 2012
  4. Yalobusha General Hospital and Nursing Home – Yalobusha General Hospital and Nursing Home- YGH Pharmacy – Received November 19, 2012
  5. Bienville Surgery Center, LLC – Orthopaedic Surgery – Received November 20, 2012
  6. RCG Mississippi, Inc. d/b/a RCG Greenville – Expansion of Home Program – Received November 21, 2012
  7. Wayne General Hospital – Dialysis Unit Construction – Received November 28, 2012
  8. St. Dominic – Jackson Memorial Hospital – Purchase of a Da Vinci Surgical Robotic System – Received November 29, 2012
  9. Hattiesburg Clinic, P.A., Purchase of PET Myocardial Perfusion Imaging Equipment – Received November 30, 2012

C. Letters of Intent to Apply for CON

  1. Baptist Memorial Hospital – DeSoto, Inc. – Received November 1, 2012
  2. Baptist Memorial Hospital – Union County, Inc. – Emergency Department Addition and Renovation – Received November 1, 2012
  3. Oxford Imaging Associates, LLC – Establishment of MRI Services and Acquisition of MRI Equipment – Received November 30, 2012

D. Applications Received/Withdrawn

  1. Meadowbrook Health & Rehab LLC – Cost Overrun – CON Review: NH-RLS-0109-002; R-0802 – Replacement Facility for Kemper County Nursing Home as Northpointe Health & Rehab in Lauderdale County and Relocation of 39 beds from Poplar Springs Nursing Home and Rehabilitation to Northpointe Health & Rehab – Original Approved Capital Expenditure: $5,168,500 – Requested Additional Capital Expenditure: $1,827,595 – Received November 16, 2012
  2. Parkwood Behavioral Health System – 20-Bed Expansion of Adult Acute Psychiatric Capacity – Capital Expenditure: $3,989,602 – Location: Olive Branch, DeSoto County, Mississippi –Received November 30, 2012

E. Applications Received for Extension/Renewal of an Expired CON

None.

F. Additional Material Received in Response to Negative Staff Analysis

None.

G. CON Applications Deemed Complete

  1. CON Review Number: NH-CO-1012-017 – Greenbriar Nursing Center – Cost Overrun to CON #0810 (Relocation of 46 LTC Beds from Azalea Gardens to Greenbriar Nursing Center) – Location: D’Iberville, Harrison County, Mississippi – Approved Capital Expenditure: $2,804,248 – Additional Capital Expenditure: $500,090 – Revised Capital Expenditure: $3,304,338 – Completed October 23, 2012
  2. CON Review Number: HG-CO-1012-018 – St. Dominic-Jackson Memorial Hospital – Cost Overrun to CON #0840 (Renovation for the Creation of a Hybrid Operation Room) – Location: Jackson, Hinds County, Mississippi – Approved Capital Expenditure: $2,679,601 – Additional Capital Expenditure: $1,077,699 – Revised Capital Expenditure: $3,757,270 – Completed November 1, 2012

H. Six-Month Extension Requests Granted

  1. Alliance Healthcare System, Inc. – SME on HG-CRF-1203-035; R-0636 – Construction of a Replacement Hospital – Expiration Date: March 25, 2013
  2. Community Place, Jackson – SMIE on NH-CRF-0908; R-0786 – Construction/Replacement/Relocation of Community Place Nursing Home from Hinds County to Rankin County – Expiration Date: April 30, 2013
  3. Memorial Hospital at Gulfport – SME on HG-RC-0611-012; R-0838 – Patient Tower Expansion and Renovation – Expiration Date: May 17, 2013
  4. Forrest General Hospital – SME on HG-C-0810-029; R-0822 – Construction of an Adeline Street Freestanding Parking Garage/Deck – Expiration Date: May 18, 2013
  5. Jones County Board of Supervisors and SCRMC d/b/a Jones County Rest Home – SME on NH-CRF- 0910-035; R-0823 – Construction of Replacement Facility – Expiration Date – Expiration Date: May 18, 2013

I. Staff Analysis Reports Issued in November 2012

None.

J. Hearings Requested/Scheduled During the Course of Review

None.

K. Request for Hearing on Denial of Six-Month Extension

CON Review # ESRD-NIS-0905-041; CON # R-0710 – Healthcare Engineers, LLC – Establishment of a Six-Station ESRD Facility in Tallahatchie County – Capital Expenditure: $254,085 – Requestor: Alliance Health Partners, LLC d/b/a Tri-Lakes Medical Center. To be scheduled.