HEALTH SERVICES AND DEVELOPMENT AGENCY · HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE MARCH 2017 Page 3 HEALTH SERVICES AND DEVELOPMENT AGENCY MEETINGS THSDA Meetings are

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE MARCH 2017 Page 1

HEALTH SERVICES

AND

DEVELOPMENT AGENCY

COMMUNIQUE

HEALTH SERVICES AND DEVELOPMENT AGENCY

neral Counsel………………...James B.

Christoffersen

Wright

Executive Director………………Melanie Hill

General Counsel………………...James B.

Christoffersen

………………...…….D. Lynn Johnson

Vice-Chair…………………………..James Wright

Executive Director………………Melanie Hill

General Counsel………………...James B.

Christoffersen

March 2017

For Meeting verification/change or agenda information, please call the Agency Office

or check our website at www.tn.gov/hsda

Tennessee Department of Health, Division of Policy, Planning and Assessment……...615/741-1954

Tennessee Department of Mental Health and Substance Abuse Services,

Planning, Research, & Forensics……..615/532-6717

Tennessee Department of Intellectual and Development Disabilities, Office of General Counsel…615/253-8731 or Main Office….615/532-6530 or 800-535-9725

MONTHLY PUBLICATION OF

HEALTH SERVICES AND DEVELOPMENT AGENCY Andrew Jackson Building, 9th Floor

502 Deaderick Street

Nashville, TN 37243

615.741.2364

Chair……………………………..……Bob Doolittle Vice-Chair…………………………....Thom Mills Executive Director………………….Melanie Hill

General Counsel……………………James Christoffersen

http://www.tn.gov/hsda


2013 REVIEW CYCLE

2013 Cycle Publication Dates—

Letter of Intent Application HSDA Meeting Dates

September 08/01/2013-08/10/2013 5 days after Publication 11/20/2013

October 09/01/2013-09/10/2013 “ 12/18/2013

November 10/01/2013-10/10/2013 “ 01/22/2014

December 11/1/2013-11/10/2013 “ 02/26/2014

2014 REVIEW CYCLE

2013 Cycle Publication Dates—

Letter of Intent Application HSDA Meeting Dates

January 12/01/2013-12/10/2013 5 days after Publication 03/26/2014

February 01/01/2014-01/10/2014 “ 04/23/2014

March 02/01/2014-02/10/2014 “ 05/28/2014

April 03/01/2014-03/10/2014 “ 06/25/2014

simplifying IT

CALENDAR The Health Services and Development Agency will be closed on the following days:

2017 Friday, April 14, Good Friday Monday, May 29, Memorial Day Tuesday, July 4, Independence Day Monday, September 4, Labor Day

Friday, November 10, Veterans Day Thursday, November 23 and Friday, November 24, Monday, December 25 and Tuesday, December 26

In the event that the last appropriate filing date falls on a Saturday, Sunday, or legal holiday, such filing should occur on the preceding business day.

*Appeal deadline is 15 days after meeting date.

2016 REVIEW CYCLE

2016 Cycle Month

Publication Dates— Letter of Intent

Application Due Date HSDA Meeting Dates *End of Appeal Period

December 12/1.206-12/10/2016 5 days after LOI published 4/26/2017 5/11/2017

2017 REVIEW CYCLE

January 01/01/2017-01/10/2017 5 days after LOI published 4/26/2017 5/11/2017

February 02/01/2017-02/10/2017 * 6/28/2017 7/13/2017

March 03/01/02017-03/10/2017 * 6/28/2017 7/13/2017

April 04/01/2017-04/10/2017 * 8/23/2017 9/07/2017

STATE OF TENNESSEE POLICY OF NON-DISCRIMINATION PURSUANT TO THE STATE OF TENNESSEE’S POLICY OF NON-DISCRIMINATION, THE HEALTH SERVICES AND DEVELOPMENT AGENCY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, SEX, RELIGION, COLOR, NATIONAL OR ETHNIC ORIGIN, AGE, DISABILITY OR MILITARY SERVICE IN ITS POLICIES OR IN THE ADMISSION OR ACCESS TO, OR TREATMENT OR EMPLOYMENT IN, ITS PROGRAMS, SERVICES OR ACTIVIES. EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION INQUIRIES OR COMPLAINTS SHOULD BE DIRECTED TO THE HEALTH SERVICES AND DEVELOPMENT AGENCY EEO/AA COORDINATOR OR OFFICER, HEALTH SERVICES AND DEVELOPMENT AGENCY, ANDREW JACKSON BUILDING, 9 th FLOOR, 502 DEADERICK STREET, NASHVILLE, TN 37243. TELEPHONE NO.: 615/741-2364. ADA INQUIRIES OR COMPLAINTS SHOULD BE DIRECTED TO THE HEALTH SERVICES AND DEVELOPMENT AGENCY’S ADA COORDINATOR: JAMES CHRISTOFFERSEN, HEALTH SERVICES AND DEVELOPMENT AGENCY, ANDREW JACKSON BUILDING, NINTH FLOOR, 502 DEADERICK STREET, NASHVILLE, TN 37243. TELEPHONE NO.: 615/741-2364.

HEALTH SERVICES AND DEVELOPMENT AGENCY—COMMUNIQUE MARCH 2017 PAGE 2


HEALTH SERVICES AND DEVELOPMENT AGENCY

MEETINGS

THSDA Meetings are scheduled to be held at 8:30 a.m. CDT/CST

At the following location:

APRIL 26, 2017

Davy Crockett Building Hearing Room 1A

500 James Robertson Pkwy Nashville, TN

* Meeting locations are subject to change ** All meetings of the Health Services and Development Agency are

posted on the Agency’s website at www.tn.gov/hsda

EXECUTIVE DIRECTOR’S ANNOUNCEMENTS:

PLEASE NOTE:

In order that the Agency members may have sufficient time to review the meeting packet, please submit all support, rebuttal and comments for matters on the Agency's agenda no later than noon (Central Time) on the thirteenth day before the meeting at which that matter will be Heard. The parties are encouraged to provide 15 copies. In accordance with T.C.A., Section 68-11-1609(g)(1), any health care institution wishing to oppose a Certificate of Need application must file a written objection with the Agency and serve a copy on the applicant no later than fifteen days before the agency meeting at which time the application is originally scheduled.

http://www.tn.gov/hsda


RESULTS OF APPLICATIONS HEARD AT FEBRUARY MEETING

*Walgreens Infusion and Respiratory Services, LLC d/b/a Vanderbilt HC/Walgreens IV & RT Servics 624 Grassmere Park Drive, Suite 22 Nashville (Davidson County), TN 37211 CN1612-040 Contact Person: Ron LaDuke Phone: 615-726-0776 APPROVED

The relocation of the applicant’s principal office from 500 Wilson Pike Circle, Suite 115, Brentwood (Williamson County) to 624 Grassmere Park Drive, Suite 22, Nashville (Davidson County), TN 37211. The service area consists of Bedford, Cannon, Cheatham, Coffee, Davidson, Dekalb, Dickson, Franklin, Giles, Grundy, Hickman, Houston, Humphreys, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Perry, Putnam, Robertson, Rutherford, Smith, Sumner, Trousdale, Warren, Wayne, White, Williamson, and Wilson Counties. The estimated project cost is $3,867,636.

Premier Health Care LLC 2855 Stage Village Cove, Suite 5 Bartlett (Shelby County), TN 38134 CN1608-027 Contact Person: Catondria Brown Phone: 901-388-2228 DENIED

The establishment of a home care organization and the initiation of home health services. The proposed service area will consist of Fayette, Haywood, Madison, Shelby, and Tipton Counties. The principal office will be located at 2855 Stage Village Cove, Suite #5, Bartlett (Shelby County), TN. The estimated project cost is $50,000.

Ivy Hall Nursing Home 301 Watauga Avenue Elizabethton (Carter County), TN 37643 CN1610-034 Contact Person: Jerry Taylor, Esq. Phone: 615-724-3290 APPROVED

The addition of one skilled nursing bed to the existing licensed 100 bed Ivy Hall Nursing Home located at 301 South Watauga Avenue, Elizabethton (Carter County), Tennessee. The estimated project cost is $37,500

TriStar Maury Regional Behavioral Healthcare Intersection of North James Campbell Blvd. and Old Williamsport Pike Columbia (Maury County), TN 38401 CN1610-036 Contact Person: John Wellborn Phone: 615-665-2022 APPROVED

The establishment of a 60 bed mental health hospital for adolescents and adult patients located on the east side of North Campbell Boulevard, in the southeast quadrant of its intersection with Old Williamsport Pike, Columbia (Maury County), Tennessee 38401. The bed distribution will be 42 adult psychiatric beds and 18 adolescent psychiatric beds. The estimated project cost is $24,033,431.

Woodridge of West Tennessee, Inc 49 Old Hickory Blvd. Jackson (Madison County), TN 38305 CN1610-037 Contact Person: Cecelia Hunt Phone: 615-860-9230 APPROVED

The addition of 16 child/adolescent inpatient psychiatric beds to an existing 16 licensed bed geriatric inpatient mental health hospital located at 49 Old Hickory Blvd., Jackson (Madison County), TN 38305. The estimated project cost is $1,335,250.

Eye Surgery Center of Knoxville, LLC Unaddressed Site Powell (Knox County), TN 37849 CN1611-038 Contact Person: Stephen Rudolph Phone: 901-219-0173 APPROVED

The establishment of a single specialty ophthalmic ambulatory surgical treatment center at an unaddressed site on the south side of Dannaher Drive, Powell (Knox County), TN 37849. The proposed ambulatory surgical treatment center (ASTC) will have two operating rooms and one laser procedure room. The estimated project cost is $1,850,000.


Parkridge West Hospital 1000 Highway 28 Jasper (Marion County), TN 37347 CN1611-039 Contact Person: Jerry Taylor, Esq. Phone: 615-724-3290 APPROVED

The conversion of eight licensed medical surgical beds to eight adult psychiatric beds (for patients 18+) located at 1000 Highway 28, Jasper (Marion County), TN. If approved, the total Parkridge West Hospital adult psychiatric inpatient bed total will increase from 20 to 28. The estimated project cost is $2,184,808.

GENERAL COUNSEL’S REPORT

Wharton Nursing Home 878 W. Main Street Pleasant Hill (Cumberland County), TN 38578 CN1403-006 Contact Person: Al Griffin, Director of Financial Services Phone: 931-277-3518

Unanimously approved on June 25, 2014 for the relocation of 31 of the existing 62 dually certified nursing home beds to an adjacent building on the campus of Uplands Village, a CCRC. All 62 beds will be operated under Wharton Nursing Home’s license.

This project would not require a CON under current law,

modification of a health care institution, other than a hospital,

including renovations and additions to facilities, where such

modification requires a capital expenditure greater than two

million dollars ($2,000,000) has been removed from TCA 68-11-

1607.

The project has been implemented. Request for cost-overrun of 29.3%. The project had been approved for an estimated project cost of $5,100,000. The final project cost was $6,593,529.

RESULTS OF APPLICATIONS HEARD AT FEBRUARY MEETING


APPLICATIONS TO BE HEARD AT MARCH MEETING

NO MEETING.

The relocation of Southern Hills Surgery Center from 360 Wallace Road, Nashville (Davidson County), TN 37211, to leased space in a building to be constructed at an unaddressed site in the northeast corner of the intersection of Old Hickory Boulevard and American Way, Brentwood (Davidson County), TN 37250. The estimated project cost is $17,357,832.00.

Open Arms Care Corporation d/b/a Knox County #3 South Northshore Drive (Southeast) 12629 South NorthShore Drive Knoxville (Knox County), TN 37922 CN1512-065A Contact Person: Michael Brent, Esq. Phone: 615-252-2361


APPLICATIONS TO BE HEARD AT APRIL MEETING

*Tennessee Nursing Services of Morristown, Inc. d/b/a SunCrest Home Health 657 Broadway, Suite C Jefferson City (Jefferson County), TN 37760 CN1612-042 Contact Person: Kim Looney, Esq. Phone: 615-850-8722

The relocation of the applicant’s principal office from 409 Cawood Road, Tazewell (Claiborne County), to 657 Broadway, Suite C, Jefferson City (Jefferson County), TN. The service area consists of Campbell, Claiborne, Cocke, Grainger, Greene, Hamblen, Hancock, Hawkins, Jefferson, Sullivan, and Union Counties. The estimated project cost is $306,432.

*Good Samaritan Society - Fairfield Glade 100 Samaritan Way Crossville (Cumberland County), TN 38558 CN1702-006 Contact Person: Chris Puri, Esq. Phone: 615-252-4643

The addition of 30 Medicare and TennCare dually certified beds to its existing 30 bed nursing home facility for a total of 60 beds. These beds are subject to the 125 Nursing Home Bed Pool for 2016-2017. The estimated project cost is $6,765,226.

*Lebanon Surgery Center, LLC 1411 Baddour Parkway Lebanon (Wilson County), TN 37087 CN1702-007 Contact Person: Michael Brent, Esq., Phone: 615-252-2361

The establishment of a multi-specialty ambulatory surgical treatment center (ASTC) to be located in an existing building on the southwest corner of the campus of Tennova Healthcare-Lebanon located at 1411 Baddour Parkway, Lebanon, (Wilson County), TN 37087. The ASTC will include four operating rooms and one procedure room as part of the proposed multi-specialty ASTC. The estimated project cost is $2,494,000.

TriStar Skyline Medical Center 3441 Dickerson Road Nashville (Davidson County), TN 37207 CN1612-041 Contact Person: John Wellborn Phone: 615-665-2022

The transfer of 31 medical-surgical beds from TriStar Skyline’s satellite campus located at 500 Hospital Drive, Madison (Davidson County), TN, into newly constructed space at its main campus at 3441 Dickerson Pike, Nashville (Davidson County). The estimated project cost is $30,038,000.

Watauga Orthopaedics, PLC 875 Larry Neil Way Kingsport (Sullivan County), TN 37660 CN1701-001 Contact Person: Jerry Taylor, Esq. Phone: 615-724-3247

The initiation of MRI services and the addition of a 0.3 Tesla magnetic resonance imaging (MRI) scanner limited to the patients of Watauga Orthopaedics, PLC located at 875 Larry Neil Way, Kingsport (Sullivan County), TN 37660. The estimated project cost is $914,439.

Starr Regional Medical Center-Etowah 886 Highway 411 North Etowah (McMinn County), TN 37331 CN1701-002 Contact Person: Kim Looney, Esq. Phone: 615-850-8722

The expansion of the hospital’s existing fourteen (14) bed geri-psychiatric unit to eighteen (18) beds. Upon opening the four (4) additional proposed beds, the applicant will close four (4) general hospital beds at Etowah with the result that the licensed beds at Etowah (72) and the total consolidated licensed beds (190) for both the Etowah and Athens hospitals will not change. The estimated project cost is $621,351.


Middle Tennessee Imaging, LLC d/b/a Premier Radiology 2723 New Salem Highway Murfreesboro (Rutherford County), TN 37128 CN1701-003 Contact Person: Mark Gaw Phone: 615-239-2039

The establishment of an Outpatient Diagnostic Center, initiation of MRI services, and acquisition of a fixed MRI unit in leased space at 2723 New Salem Highway, Murfreesboro (Rutherford County), TN. The estimated project cost is $2,626,335.56.

Saint Francis Hospital Bartlett + Southeast Corner of I-40 and Airline Road Arlington (Shelby County), TN CN1701-004 Contact Person: Kim Looney, Esq. Phone: 615-850-8722

The establishment of a full service, 24 hour per day/7 day per week satellite emergency department to be located at an unnamed street address at an undeveloped parcel of land located at the southeast corner of I-40 and Airline Road, Arlington (Shelby County), Tennessee. The proposed facility will be operated as a satellite emergency department of Saint Francis Hospital-Bartlett, located at 2986 Kate Bond Road, in Bartlett (Shelby County), TN and will have 12 treatment rooms and will provide emergency diagnostic and treatment services. The estimated project cost is $12,857,628. Simultaneous Review +- St. Francis Hospital Bartlett - CN1701-004 and Baptist Memorial Hospital – CN1701-005 will be heard as a simultaneous review.

Baptist Memorial Hospital + Intersection of I-40 and Airline Road Memphis (Shelby County), TN 38120 CN1701-005 Contact Person: Arthur Maples Phone: 901-227-4137

The establishment of a full service, 24 hour per day/7 day per week satellite emergency department to be located at an unnamed street address north of the intersection of Interstate 40 and Airline Road on the eastside, in Arlington (Shelby County), Tennessee. The proposed facility will be operated as a satellite emergency department of Baptist Memorial Hospital located at 6019 Walnut Grove Road in Memphis (Shelby County) and will have 10 treatment rooms and will provide emergency diagnostic and treatment services. The applicant is owned by Baptist Memorial Health Care Corporation. The project will be developed, operationalized and marketed through a joint operating agreement between Baptist Memorial Hospital and Regional One Health. The estimated project cost is $9,993,779.

Simultaneous Review +- St. Francis Hospital Bartlett - CN1701-004 and Baptist Memorial Hospital – CN1701-005 will be heard as a simultaneous review.

APPLICATIONS TO BE HEARD AT APRIL MEETING


NO MEETING.

APPLICATIONS TO BE HEARD AT MAY MEETING


AxelaCare Health Solutions, LLC. (East Tennessee) 5100 Poplar Avenue, 27th Floor Suite 2739 Memphis (Shelby County), TN 38137 CN1702-008 Contact Person: John Wellborn Phone: 615-665-2022

The addition of 34 East Tennessee Counties to an established home care organization limited to the home infusion of immune globulin pharmaceuticals. The principal office will be located at 5100 Poplar Avenue, 27th Floor, Suite 2739, Memphis (Shelby County) Tennessee. The service area includes Anderson, Bledsoe, Blount, Bradley, Campbell, Carter, Claiborne, Cocke, Cumberland, Grainger, Greene, Hamblen, Hamilton, Hancock, Hawkins, Jefferson, Johnson, Knox, Loudon, McMinn, Marion, Meigs, Monroe, Morgan, Polk, Rhea, Roane, Scott, Sequatchie, Sevier, Sullivan, Unicoi, Union, and Washington Counties. The estimated project cost is $70,000.

AxelaCare Health Solutions, LLC. (Middle Tennessee) 5100 Poplar Ave, 27th Floor, Suite 2739 Memphis (Shelby County), TN 38137 CN1702-009 Contact Person: John Wellborn Phone: 615-665-2022

The addition of 40 Middle Tennessee Counties to an established home care organization limited to the home infusion of immune globulin pharmaceuticals. The principal office will be located at 5100 Poplar Avenue, 27th Floor, Suite 2739, Memphis (Shelby County) Tennessee. The service area includes Davidson, Rutherford, Williamson, Montgomery, Sumner, Wilson, Maury, Putnam, Robertson, Coffee, Dickson, Bedford, Lawrence, Cheatham, Warren, Franklin, Lincoln, Marshall, Giles, Hickman, White, Macon, Overton, Smith, DeKalb, Humphreys, Fentress, Wayne, Cannon, Stewart, Grundy, Lewis, Jackson, Trousdale, Houston, Perry, Clay, Moore, Van Buren, and Pickett Counties. The estimated project cost is $70,000.

Knoxville Eye Surgery Center, LLC. d/b/a Tennessee Valley Eye Center 160 Capital Drive Knoxville (Knox County), TN 37922 CN1702-010 Contact Person: Melanie Burgess Phone: 865-251-0338

The replacement of an ambulatory surgical treatment center (ASTC) to be located at 160 Capital Drive, Knoxville (Knox County), TN. The proposed replacement ASTC will expand from four operating rooms to six operating rooms and will continue to function as single specialty ophthalmology ASTC. The estimated project cost is $7,063,651.

APPLICATIONS TO BE HEARD AT JUNE MEETING


NOTES


NOTES


FACILITY DOCKET # DESCRIPTION MEETING DATE

HCA Health Services of Tennessee, Inc. d/b/a TriStar Southern Hills Medical Center Emergency Department at I-65 Brentwood, Williamson County CN1412-050D

25.00-130740J Appeal of Denial of CON

3/25/2015

TriStar Southern Hills Surgery Center Unaddressed site at NE corner of intersection at Old Hickory Blvd. and American General Way Nashville, Davidson County CN1411-047A

25.00-131649J Appeal of Approval of CON

5/27/2015

APPEALS OF AGENCY DECISIONS


HEALTH SERVICES AND DEVELOPMENT AGENCY MEMBERS

Robert Doolittle

(Consumer, Governor)

William J. Grandy

(Consumer, Lieutenant Governor)

VACANT

(Consumer, Speaker of the House)

Thom Mills

(Home Care)

Todd Taylor

(Nursing Home)

Paul Korth

(Hospital)

Martin D. Fleming, M.D.

(Physician)

Corey Ridgway

(Ambulatory Surgical Treatment Centers)

Keith Gaither, Designee

for Director of TennCare

Wendy Long

Jaclyn Harding, Designee

for Comptroller

Justin Wilson

Lisa Jordan, Designee

for Commerce & Insurance Commissioner

Julie Mix McPeak

Documents

HEALTH SERVICES AND DEVELOPMENT AGENCY · HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE MARCH 2017 Page 3 HEALTH SERVICES AND DEVELOPMENT AGENCY MEETINGS THSDA Meetings are