United States: Alabama CON Review Board Update - June 2013

I. Certificate of Need Program

A. AL2013-020, Country Cottage-Hoover, LLC, Hoover, AL: Proposes to convert 16 assisted living beds to 16 specialty care assisted living beds pursuant to the Amendment to Rule 410-2- 4-.04(2)(d)(6)(ii) of the Alabama State Health Plan.

Opposition: None


B. AL2013-021, Country Cottage-Montgomery, LLC, Montgomery, AL: Proposes to convert 16 assisted living beds to 16 specialty care assisted living beds pursuant to the Amendment to Rule 410-2-4-.04(2)(d)(6)(ii) of the Alabama State Health Plan.

Opposition: None


C. AL2013-023, Reliant Renal Care-Alabama, LLC, Bessemer, AL: Proposes to establish an ESRD home training facility consisting of four training stations and two back up stations for patients who choose to perform home dialysis as a therapy option.

Opposition: None


D. AL2013-027, St. Vincent's Birmingham, Birmingham, AL: Proposes to add one additional cardiac catheterization procedure room to its existing catheterization laboratory, for a total of four procedure rooms, pursuant to Section 410-2-3-.03(3)(i) of the Alabama State Health Plan.

Opposition: None


E. AL2013-028, Lawrence County Health Care Authority d/b/a Lawrence Medical Center, Moulton, AL: Proposes to establish swing bed services by having 10 acute care beds certified into the Swing Bed Program.

Opposition: None


F. AL2012-039, Grove Hill Memorial Hospital, Grove Hill, AL: Proposes to renovate and add a new three-level of care building on the existing campus of Grove Hill Memorial Hospital to modernize the facility's emergency department, surgery suites, obstetrical services, diagnostic services, parking area, and entryways, as well as waiting room and admittance area to outpatient programs.

Opposition: Jackson Medical Center withdrew request for a contested case hearing but continues to oppose the project. Administrative Law Judge filed Order remanding the project to the State Health Planning & Development Agency (SHPDA) so that the project could be heard by the Certificate of Need Review Board.


G. Contested Case

AL2012-013, North Alabama Medical Center f/k/a Eliza Coffee Memorial Hospital, Florence, AL: Proposes to replace the existing 358-bed facility with a six-story, 300-bed medical center and relocate to a new campus in Lauderdale County.

Opposition: Helen Keller Hospital, Athens Limestone Hospital, Parkway Medical Center, Decatur General Hospital, and Alliance Oncology, LLC filed Notice of Intervention and Opposition and a request for a Contested Case Hearing. Administrative Law Judge filed Recommended Order approving this project, but concludes that the Applicant should agree to a reduction of 65 acute care beds and two psychiatric beds in order to meet the 60 percent occupancy level for the applicable annual reporting period. (See Page 41 of Recommended Order for ALJ's discussion of bed reduction; note that this finding was not repeated in the recommendation on the last page of the Order.)

Approved the new medical center with 280 beds.

AL2012-024, North Alabama Medical Center f/k/a Eliza Coffee Memorial Hospital, Florence, AL: Proposes to construct a comprehensive cancer center offering radiation therapy services. The Cancer Center will be built adjacent to the proposed 300-bed replacement hospital with an adjoining corridor.

Opposition: Helen Keller Hospital and Alliance Oncology, LLC filed intervention and Opposition and a request for a Contested Case Hearing. Administrative Law Judge filed Recommended Order denying this project.

Tabled for 45 days for parties to engage in settlement discussions.

II. Reviewability Determinations and Pending Reviewability Determinations

A. Reviewability Determinations:

RV2013-018, Heartlite Hospice Care requests to establish a satellite office located at 2227 Drake Ave., Ste. 3, Huntsville, AL.

Status: Non-Reviewable

RV2013-019, Springhill Hospice-Citronelle requests to relocate their branch office from 19670 N. Third Street, Ste. B, Citronelle, AL to 19645 N. Third Street, Citronelle, AL.

Status: Non-Reviewable

RV2013-020, St. Vincent's Home Health of Jefferson County requests to establish a home health drop site in Blount County.

Status: Non-Reviewable

RV2013-022, Helen Keller Hospital requests to establish a 10-station dialysis facility consisting of nine hemodialysis stations and one hemodialysis isolation station in Colbert County.

Status: Withdrawn by applicant May 20, 2013

Rural, Citizens Baptist Medical Center requests to provide in-home hospice services in Talladega County and its contiguous counties.

Status: Non-Reviewable

B. Pending Reviewability Determinations:

RV2013-021, Restore Therapy Services Outpatient requests to establish an outpatient physical therapy clinic located at 300 Medical Center Drive, Chilton County, AL.

Status: Pending

RV2013-024, Bio-Medical Applications of Alabama, Inc. d/b/a Fresenius Medical Care Marshall requests to establish a 10-station end-stage renal disease center consisting of nine hemodialysis stations and one isolation station in Marshall County.

Status: Pending

RV2013-025, Sprewell Dialysis, LLC d/b/a Model City Home Training, a subsidiary of DaVita Healthcare Partners, Inc., requests to establish an ESRD facility in Calhoun County consisting of three home training stations, which will be used alternately for peritoneal dialysis home training and home hemodialysis training.

Status: Pending

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