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Panel punts hospital decision to commission

Posted: February 23, 2014 - 1:10am

Three Augusta hospitals made their case Wednesday night to an advisory committee about why each should be chosen to help Columbia County shed its label as Georgia’s largest without a hospital.

In the end none of them got the nod.

Doctors Hospital, Georgia Regents Health System and University Hospital each painted visions of why they should be the one to work with the county on getting state permission to build a hospital there.

The Columbia County Hospital Review Committee, however, voted not to make
a recommendation to the
Columbia County Commis­sion on which bid works best for the county.

Committee member Barry Paschal, who made the motion to defer the decision back to the commission, said a lot of the committee members did not feel comfortable taking a public stand on behalf of an individual hospital. But questions asked by the committee and answered during the presentations should give commission members a better understanding of those proposals, he said.

Columbia County Commission Chairman Ron Cross said some of the committee members became uncomfortable once their closed meeting was made public, after a protest by The Augusta Chronicle. Commission members will still need time to study the proposals and might have to schedule a special work session to do that, he said.

“We will have to do it in open session,” Cross said.

Whoever is chosen would have to seek a Certificate of Need from the state that would allow it to build a hospital. Doctors and University were denied certificates last year for competing proposals to build freestanding Emergency Departments in Columbia County.

The state ruled the county is adequately served by emergency services at Augusta hospitals. And with a surplus of hospital beds in Augusta, “it would be very difficult” to meet the needs standard for additional beds in Columbia County, University CEO Jim Davis said.

County officials instead are pinning their hopes on three exceptions to the needs standard: if the proposal comes from an existing teaching hospital or if it is from an existing trauma center or if the county assumes 20 percent of the cost of construction. None of the exceptions has ever been tried.

Georgia Regents’ bid would address two of those exceptions, as both a teaching hospital and Level One Trauma Center, which would require no funding from the county, said David Hefner, the executive vice president for clinical affairs at Georgia Regents University.

The health system also had the most extravagant of the three proposals, establishing a $280 million-$310 million “health campus” in the county with a satellite of the university and a 144-bed hospital with a Level II trauma center that would employ 750-900 people.

GRU would pay for it out of “cash on hand, public or private debt instruments or some combination of these sources,” according to the bid.

One problem with its proposal is that though GR Health owns land in the county, it would not be adequate and it would have to work with the county on a location. If chosen, the health system would work with the county on the best site, but it would likely need 80-100 acres and would likely be west of Belair Road, said Shawn Vincent, the vice president of partnerships, international health care and strategic alliances.

At less than a mile from the border with the county, Doctors touted itself as the greatest provider of health care services already to Columbia County, accounting for nearly half of emergency room visits by county residents.

Doctors is proposing a $150 million, 108-bed hospital with a Level III trauma center. That will probably just be the starting point and it will grow in services, much as the Joseph M. Still Burn Center at Doctors started with 2 beds and now is the country’s largest with 70 beds, said Dr. Fred Mullins, the medical director.

Doctors’ proposed hospital would add about $1.5 million in property taxes to the county, the proposal noted.

Doctors plans to use the trauma exception as it hopes to be named a trauma center later this year. CEO Doug Welch said the hospital must collect data for six months and then be surveyed by the state, which could happen by June or July, but he did not see that would be a problem.

But Davis said he thinks the only exception the state will accept is the county putting in 20 percent, and University is the only bidder asking the county to do that.

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