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The Commission on Health Care Facilities in the 21 st Century . Established by the Governor and the State Legislature in 2005 ‘The Berger Commission’ or ‘The Commission.’ . What, Why and the Goals of The Commission.

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The Commission on Health Care Facilities in the 21st Century

  • Established by the Governor and the State Legislature in 2005

  • ‘The Berger Commission’ or ‘The Commission.’


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What, Why and the Goals of The Commission

  • To conduct an independent review of health care capacity and resources in New York State.

  • To align hospital and nursing home bed supply with regional needs.

  • To reduce excess bed capacity in favor of ambulatory and community-based care.

  • To “rightsize” the health care system.


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Commission Structure

  • 18 Statewide Members

  • 36 Regional Members (6 per Region)

  • 6 Regional Advisory Councils (RACs) of up to 12 members each

  • 19 public hearings


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The Commission’s Recommendations

  • 57 mandatory recommendations, effective January 1, 2007.

  • Affected 81 acute care and long-term care facilities.

    • 57 hospitals (one-quarter of total in state)

    • 24 nursing homes (4% of total in state)


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The Commission’s Recommendations

  • Close,

  • Downsize,

  • Consolidate,

  • Convert, or

  • Restructure

    facilities within each region.


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Bed Reduction Acute Care

  • Eliminated 2,810 hospital inpatient beds through

    • 10 facility closures

    • 47 downsizings reconfigurations, affiliations, conversions, mergers

  • 768 bed reductions pending


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    Bed ReductionLong-Term Care

    • Eliminated 2,548 nursing home beds

      • Closure of 6 nursing homes

      • 18 downsizings, reconfigurations, conversions, affiliations

  • 417 beds in litigation (two closures)


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    Funding for Implementation

    • $550 million from HEAL NY


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    Regional

    Highlights



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    Long Island Region

    Joined

    Southampton

    Joined

    Joined

    Eastern LI

    Peconic Bay

    East End Health Alliance

    Affiliation

    Affiliation

    Affiliation

    University Hospital @ Stony Brook

    Brookhaven continues joint planning with the three hospitals.


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    Hudson Valley Region

    Joined

    Kingston

    Benedictine

    Health Alliance


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    Northern Region

    Ellis Hospital

    Ellis Hospital-Bellevue Woman’s Care Center Division

    Ellis Hospital-

    St. Clares

    Division


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    Central Region

    SUNY Syracuse

    Crouse

    Created Affiliation Council

    The two facilities did not merge but created an Affiliation Council.


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    Central Region

    Albert Lindley Lee Memorial Hospital Closed.

    Converted to urgent care center, to be operated by Oswego Hospital.


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    Central Region

    Community General Hospital-SNF

    Van Duyn Home and Hospital

    • SNF Closed

    Single Unified Governance Structure

    ‘County Health Information and Planning Services (CHIPS)’

    Under the Control of CGH


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    Western Region

    Lockport Hospital (LH)

    Inter-Community Memorial Hospital @ Newfane

    (ICH-N)

    Full Asset Merger


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    Western Region

    Great Lakes Health System

    Kaleida Facilities

    Erie County Medical Center Facilities

    Joined Under A Single Unified Governance Structure

    The Great Lakes Health Alliance


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    Modifications to Implementation

    Health and Access Concerns

    Governing Boards’ Concerns

    Logistics, Construction, Financing


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    Health and Safety

    Maintain Access to Care

    Sky View Nursing Home

    Split Rock Nursing Home

    Auburn Memorial Hospital

    OASAS/OMH Requirements

    St. Charles and John T. Mather Hospitals

    Sheehan Memorial Hospital


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    Governing Boards

    • New York Methodist Hospital

    • New York Community Hospital of Brooklyn

    • St. Joseph’s Hospital (Elmira)

    • Arnot Ogden Medical Center

    • Crouse Medical Center

    • SUNY Upstate Medical Center


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    Logistics, Construction, Financing

    • Kaleida and ECMC

    • Mercy of Northern NY

    • Mount View Health Facility

    • Long Beach Medical Center


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    Litigation

    Legal Challenges to Closure

    Andrus-on-Hudson RHCF

    Williamsville Suburban RHCF


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    Achievement

    • Consensus on Need for Change

    • Public Input on Regional and Local Needs

    • Constructive, Resourceful Response to Mandates


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    Commission’s Legacy

    • Rightsizing as a Framework for Decision Making for

      • Policy

      • Regulation

      • Planning

      • CON

      • Funding


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