the commission on health care facilities in the 21 st century
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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 21 st century
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.’
what why and the goals of the commission
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.
commission structure
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
the commission s recommendations
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)
the commission s recommendations5
The Commission’s Recommendations
  • Close,
  • Downsize,
  • Consolidate,
  • Convert, or
  • Restructure

facilities within each region.

bed reduction acute care
Bed Reduction Acute Care
  • Eliminated 2,810 hospital inpatient beds through
      • 10 facility closures
      • 47 downsizings reconfigurations, affiliations, conversions, mergers
  • 768 bed reductions pending
bed reduction long term care
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)
funding for implementation
Funding for Implementation
  • $550 million from HEAL NY




Long Island Region





Eastern LI

Peconic Bay

East End Health Alliance




University Hospital @ Stony Brook

Brookhaven continues joint planning with the three hospitals.


Hudson Valley Region




Health Alliance


Northern Region

Ellis Hospital

Ellis Hospital-Bellevue Woman’s Care Center Division

Ellis Hospital-

St. Clares



Central Region

SUNY Syracuse


Created Affiliation Council

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


Central Region

Albert Lindley Lee Memorial Hospital Closed.

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


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


Western Region

Lockport Hospital (LH)

Inter-Community Memorial Hospital @ Newfane


Full Asset Merger


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

modifications to implementation

Modifications to Implementation

Health and Access Concerns

Governing Boards’ Concerns

Logistics, Construction, Financing

health and safety

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

governing boards
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
logistics construction financing
Logistics, Construction, Financing
  • Kaleida and ECMC
  • Mercy of Northern NY
  • Mount View Health Facility
  • Long Beach Medical Center


Legal Challenges to Closure

Andrus-on-Hudson RHCF

Williamsville Suburban RHCF

  • Consensus on Need for Change
  • Public Input on Regional and Local Needs
  • Constructive, Resourceful Response to Mandates
commission s legacy
Commission’s Legacy
  • Rightsizing as a Framework for Decision Making for
      • Policy
      • Regulation
      • Planning
      • CON
      • Funding