Thursday, May 11, 2006

CON...Part III (WMC)

Note: This is Part III of a series.
Click here for Part I
Click here for Part II
Part III - Current Post
Click here for Part IV

Let's go down memory lane...

HCA Pitches Hospital For Growing Spring Hill

A spokeswoman for Williamson Medical Center said the Williamson County hospital considered Spring Hill's projected growth when it began work on an $83 million expansion that includes 45 additional beds, which should be finished by mid-2007. Spring Hill's city limits cross into Williamson County.

Medical center spokeswoman Laura Bustetter wouldn't say yesterday whether the county-owned hospital would formally oppose HCA's application but said, "Our research shows there's not a need for additional beds right now."


And another article in the Williamson Herald a few weeks ago:
City’s Growth Attracts Hospital Plan

“The CON that allowed WMC to undertake the current $83 million expansion project accounts for the ongoing population growth to our south, so we definitely believe we already meet the need for hospital services,” said Laura Bustetter, marketing and public relations director for WMC.

Well Ms. Bustetter, where is the data that was used to take into consideration Spring Hill's projected growth?

Here's a hint, it's located in Williamson Medical Center's 2002 CON Request for the $83 million expansion (CN0205-035 & CN0211-115).







Here's a summary:
1. WMC projected the population of Spring Hill in 2010 to be (drum roll, please...) 9,992.
2. WMC projected the population of Thompson's Station in 2010 to be 8,889.
3. The combined projected population in 2010 of Spring Hill and Thompson's Station was projected to be 18,881.
4. Spring Hill (Zip Code 37174) is not even listed in the Primary Service Area Definition for Williamson Medical Center (oops!).

So what does all of this mean?

According to the City of Spring Hill 2005 special census which was certified by the State of TN, the population of Spring Hill in 2005 was 17,325. Realistic projections put the Spring Hill population currently at about 23,000. In their CON request to the HSDA back in 2002, Williamson Medical Center, just like TriStar today, was required to demonstrate (A) Need, (B) Economic Feasibility and (C) Contribution to the Orderly Development of Health Care.

WMC demonstrated that their expanded facility would provide services for the need of 9,992 citizens in the Spring Hill area in 2010. WMC also demonstrated that their facility would be economically feasible if the population in Spring Hill would grow to 9,992 citizens in 2010. Lastly, WMC demonstrated that their facility would contribute to the orderly development of health care in the Spring Hill area if the population would grow to 9,992 citizens in 2010.

Ms. Bustetter, please stop with the rhetoric.

Note: This is Part III of a series.
Click here for Part I
Click here for Part II
Part III - Current Post
Click here for Part IV

9 comments:

Anonymous said...

I find it funny that the disgruntled nurse encouraged this, and now he is putting his foot in his mouth

Anonymous said...

wow

Anonymous said...

GREAT WORK!!!

Anonymous said...

Hey the disgruntled nurse is here to answer. I will say this very simply because you chose to leave out this fact. Bustetter was stating that with the beds that have been added to Williamson, there will be no need for more beds.

Also in the CON from WMC in 2002, this 2000 version of information was the only one available. Additionally Bustetter stated that the new beds would meet the needs of the projected increase in population. Unlike those who post here, Bustetter does not own a crystal ball, so she did not pull another figure out of the air, she went with what was documented.

The CON that HCA submitted had the opportunity to obtain new data, but they chose not to. WMC submitted the most recent data available, whereas, HCA clearly did not spend enough time, or care enough, to include the most current numbers. You seemed to find them very easily. You can't state that Bustetter was wrong for using the information that was available at the time.

My foot is not in my mouth, it is stomping because once again no one considered another side to the issue. CA

Anonymous said...

I also see that I need to assist you in interpreting what primary and secondary service areas are, as you chastize Bustetter for leaving Spring Hill out of the primary service area.

Primary service areas are those located in the confines of the county line, or at least the majority of the area is. So let's go through and look at the primary service areas. Are all of them predominantly or solely in Williamson County, YES.

OK secondary areas are those who are not totally within the county.
Is Spring Hill in Williamson County, NO! Is Lewisburg, NO!

I can see your fingers quivering about Brentwood so let me address that before you respond.

Check out the web site for the National Association of Counties. These folks get their information from the state.They cite Brentwood as being in Williamson County and Spring Hill as being in Maury County. So rather than look like someone who was not armed with accurate information, I am sure Bustetter chose to follow the classification laid forth by the state.

I am sure you do not believe this so here is a link from the State's website which shows how Spring Hill is classified relative to CONs. Look for the information given below.

http://tennessee.gov/hsda/pdfs/Agenda_July_05.pdf

APPROVED J. Spring Hill Imaging Center, Spring Hill (Maury County), TN ─ CN0504-034
The establishment of an outpatient diagnostic center (ODC); acquisition of magnetic resonance imaging
(MRI), computerized tomography (CT) and other diagnostic equipment and the initiation of MRI services in
4,017 square feet of space in an existing medical office building.
$ 5,513,128.00

I am glad you looked at the CON though. Next time look a little closer. CA

Anonymous said...

Currying favor CA?

Gorilla in the Corner said...

I might also need to go back and look again at those population projections for 2010. I think that I remember a projection of somewhere around 10,000 people by 2010 in Spring Hill. Surely I was wrong on that as well?

:) Come on CA, is that how you want this discussion to evolve?

Silverback said...

On 20 May at 19:39, CA said:

You can't state that Bustetter was wrong for using the information that was available at the time.

However, you can blame Bustetter for continuing to use this outdated information to justify "Our research shows there's not a need for additional beds right now." Unless, of course, she didn't know that the research given to her was incorrect.

"Primary service areas are those located in the confines of the county line, or at least the majority of the area is. So let's go through and look at the primary service areas. Are all of them predominantly or solely in Williamson County, YES."

I'm sure that you are aware that a majority of Spring Hill residents with a 37174 zip code reside in Williamson County. The institution applying for a CON defines their own Primary Service Area within their CON request. The fact is, in 2002 Williamson Medical Center chose not to include Spring Hill in its Primary Service Area, however today they are stating that "The CON that allowed WMC to undertake the current $83 million expansion project accounts for the ongoing population growth to our south." Talk about double-speak....

"These folks get their information from the state...

I am sure you do not believe this so here is a link from the State's website which shows how Spring Hill is classified relative to CONs.


You are right, I do not believe you.

MRH's Spring Hill Imaging Center is located in Maury County, that's why it is classified by the HSDA list under 'Maury County'. Had it been located physically in Williamson County, it would appear under Williamson County.

Proof you ask?

It turns out that Spring Hill is not alone in having a county line divide its city border. Goodlettsville is located both in Davidson County and Sumner County.

In this list of HSDA Certificate of Need Projects 2000-Present you will find:

Davidson County
CN0010-099 Loden Vision Surgery Center - Goodlettsville, TN

Sumner County
CN0306-043 Rivergate Imaging Center - Goodlettsville, TN

CA, stop with the spoon-fed rhetoric.

Silverback said...

Here's an excellent letter to the editor that appeared in today's WAM:

Spring Hill is big enough for a hospital without affecting others

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