HomeMy WebLinkAboutSP199500017 Other 2018-04-12ATTACHMENT C
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EXECUTIVE SUMMARY — --
Establish a 60-Bed Acute Medical Rehabilitation Hospital
A joint venture (Limited Liability Corporation) between the University of
Virginia Medical Center and HEALTHSOUTH Corporation proposes to construct a 60-
bed freestanding inpatient acute medical rehabilitation facility. If approved, the facility
will be constructed on property located near the intersection of U.S. Route 29 and
Interstate 64 in Albemarle County.
The establishment of the proposed project will allow UVMC to provide,
through a state-of-the-art facility, enhanced programs for specific patient populations,
such as traumatic brain injury and spinal cord injury. Additionally, the inclusion of
HEALTHSOUTH as a partner will allow the facility to draw upon the development of
programs that occur throughout HEALTHSOUTH's national network of rehabilitation
facilities. The facility is to be located adjacent to a proposed Neuromusculoskeletal
Center, which will house the clinics for the Neurology, Neurosurgery, and
Orthopaedics physicians practicing at UVMC. This will enable those physicians to
closely follow the progress of their patients who have been admitted to the proposed
rehabilitation hospital.
Plans for the proposed facility came about as a result of numerous discussions
held between representatives of Augusta Hospital Corporation (AHC), Woodrow
Wilson Rehabilitation Center (WWRC), University of Virginia Medical Center
(UVMC), and HEALTHSOUTH. These discussions were initiated in response to
conditions placed upon receipt of a Certificate of Public Need (COPN) requested by the
Medical Center to relocate its existing inpatient rehabilitation service from Blue Ridge
Hospital to University Hospital. The condition stated that, as part of a plan to improve
the financial viability of the UVMC rehabilitation services, administrators and staff of
the Medical Center would meet with their counterparts at AHC and WWRC to
determine if the delivery of rehabilitation services to residents of Central Virginia could
be improved through the elimination of duplicated services.
In order to bring this about, three of the five hospitals that provide
rehabilitation care in Health Planning Region I have agreed to form a regional network
through which the number of rehabilitation beds in the region will be significantly
reduced and duplication of services will be reduced or eliminated by looking to the
proposed 60-bed facility to provide acute medical rehabilitation services for all three
facilities. At a minimum, 106 rehabilitation beds will be eliminated from service,
including 32 from Blue Ridge Hospital, 64 from Woodrow Wilson Rehabilitation
Center, and ten from Augusta Medical Center (contingent upon AMC receiving COPN
approval for their current application for Skilled Nursing Facility beds). In return, a
60-bed acute medical rehabilitation hospital will be constructed to meet the demand for
inpatient rehabilitation services to residents of Central
Valley.
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Virginia and the Shenandoah page 2
The goals of the regional network are (1) to provide a greater continuum of care
for patients served by UVMC/HEALTHSOUTH, Augusta Medical Center, and
Woodrow Wilson Rehabilitation Center and (2) to better serve the patient population in
the most appropriate facility with the most efficient utilization of resources.
Documents formalizing this network are included as part of this application.
C7 Key to the network is the interrelationship among UVMC, HEALTHSOUTH,
Augusta Medical Center, and Woodrow Wilson Rehabilitation Center. While the
proposed 60-bed hospital will be used to provide the majority of acute medical
rehabilitation care in the region, patient choice will prevail in all cases for utilization of
services. For example, patients who are appropriate for admission to Augusta Medical
.,, Center's skilled nursing unit and are residents of AMC's primary service area will be
given the choice of receiving care at AMC. Similarly, Woodrow Wilson Rehabilitation
Center will be utilized for such services as adaptive driving and vehicle modification
�a evaluation, adaptive driver training, augmentative/alternative communication, power
wheelchair evaluations, and so forth. The result is not only continued utilization of
existing services, but also more efficient use of the services and facilities.
The joint venture is proposing to spend an estimated $14,060,625 to construct
and equip a 65,800 square foot acute medical rehabilitation hospital. Funding for the
,.. project will be arranged through HEALTHSOUTH Corporation through conventional
mortgage loan financing.