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TENNOVA HEALTHCAREJEFFERSON MEMORIAL HOSPITAL

OPPOSITION TO MORRISTOWN-HAMBLEN HOSPITAL ASSOCIATION

FSED

CN2011-036

2

Medicare Compare: Tennova Jefferson Memorial & Morristown Hamblen Hospital Association

Source: https://www.medicare.gov/care-compare/compare?providerType=Hospital&providerIds=440030,440056&city=Morristown&state=TN&zipcode=37814

Tennova Jefferson Memorial Accolades:

• Acute Stroke Ready Certification by

The Joint Commission

• Chest Pain Center Accreditation by the

American College of Cardiology

• Designated by TN Dept of Health as a

Primary Pediatric Emergency Facility

• (3rd highest of 4 levels; same level

as MHHS)

• Rated 4-star hospital by CMS Medicare

Compare

3

CHART FOR MHHS ED VISITS & ACEP STANDARDS

% of ACEP 1,600

STANDARD

Total MHHS ED Visits 2019 39,583

Current # of ED Treatment Rooms 23

2019 Visits per Room 1,721 107.56%

Visits per Room w/ proposed 8

additional rooms (31 total) based on

2019 utilization

1,277 79.81%

Visits per Room w/ 3 additional

treatment rooms on main campus (26

total) based on 2019 utilization

1,523 95.19%

Visits per Room w/ 2 additional

treatment rooms on main campus (25

total) based on 2019 utilization

1,584 99%

• MHHS Main Campus

Licensed Beds: 167

• Occupancy in 2019: 59%

Source: Application bates pp. 254, 276.

4

COMPARING MHHS FSED TO DENIED TENNOVA NKMC FSED

Morristown Hamblen North Knoxville Medical Center

Total MHHS ED Visits 2019 39,583 (THA) (or 39,847 by JAR) 39,818

# of ED Treatment Rooms 23 20

2019 Visits per Room 1,721 (THA) (or 1,733 by JAR) 1,991

Service Area Projected Growth Rate 2.2% 3.3%

Source: 2019 THA Data and 2019 JAR data; Application bates p. 247.

5

HAMBLEN COUNTY ED UTILIZATION IS DECLINING

5

48,934 48,703

45,745

39,583 38,474 38,670

0

10,000

20,000

30,000

40,000

50,000

2016 2017 2018 2019 Projected 2023(Year 1)

Projected 2024(Year 2)

19.11% Decrease from

2016 to 2019

21.38% Decrease from

2016 to 2024

Source: MHHS Application bates pp. 59, 62, 148, 254.

6

MULTIPLE URGENT CARE CENTERS IN HAMBLEN COUNTY

6

URGENT CARE CENTERS PROPOSED FSED MHHS Main Campus

7

THE PROPOSED FSED DOES NOT IMPROVE ACCESSIBILITY

Proposed FSED

Source: Google Maps

8

FSED PORTION OF PROJECT WILL LOSE OVER $1 MILLION BOTH YEAR 1 & YEAR 2

Source: HSDA Staff Summary p. 31

9

MHHS MAIN CAMPUS – ROOM TO EXPAND

ED

10

PROPOSED FSED LOCATION

10

Tennova Jefferson Memorial

(12 Miles from Proposed FSED)PROPOSED FSED

MHHS Main Campus

(4.7 miles from Proposed

FSED)

Hamblen County Line

11

2019 ED VISITS BY ZIP CODE

ZIP Morristown

Hamblen

Jefferson

Memorial

37814

(Morristown,

Hamblen County)

14,012 2,080

37760

(Jefferson City,

Jefferson County)

742 4,887

37877

(Talbott,

Jefferson &

Hamblen County)

1,506 1,746

Source: 2019 THA Data

12

JEFFERSON STANDARD BANNER - FSED PRESS RELEASE

13

PIECEMEAL APPROACH

13

• Application bates p. 41:

• Application bates p. 275:

14

Tennova North Knoxville Medical Center FSED22 Letters of Support

Elected Officials1. Mayor Indya Kincannon, City of Knoxville

2. Mayor Glenn Jacobs, Knox County

3. Mayor Ron Williams, Farragut

4. State Senator Richard M. Briggs, M.D.

5. State Senator Becky Massey

6. Bill Dunn, Speaker Pro Tempore, Tenn. House of

Reps.

7. Lynn Fugate, Knoxville City Council

8. Janet Testerman, Knoxville City Council

9. Hugh Nystrom, Knox County Commission

10. John R. Schoomaker, Knox County Commission

Knox County Health Department

11. Martha Buchanan, M.D., Senior Director/Public

Health Officer

Medical Providers12. Travis Fawver, D.O., American Physician Partners

13. Jerry Vagnier, President/CEO, Helen Ross McNabb

Center

14. Rick Valentine, President, Region II EMS Directors

Association

15. James P. Craig, M.D., Innovative Pathology

Services

16. David Lo, M.D. Gallaher Plastic Surgery & Spa MD

17. Jennifer Phemister, M.D., American Physicians

Partners

18. Todd Heffern, M.D., Knox County EMS Medical

Director

19. Aaron G. Margulies, M.D., General Surgeon

20. W. David Hovis, M.D., President, OrthoKnox, PLLC

Community21. John Heins, President, Wesley Neighbors

Community Association

22. W. Frank Smith, West Hills Community Association