Great news in the Sarasota Herald
Tribune for the West Villages! Choice is a good thing.
Competing proposals from
Venice Regional Bayfront Health and Sarasota Memorial Hospital are approved.
By Barbara Peters Smith
Staff WriterFriday
Posted Dec 2, 2016 at 9:48 AM
Updated Dec 2, 2016 at 5:52 PM
SARASOTA COUNTY — In an unexpected twist, state regulators on Friday gave a
green light to competing bids to build two new hospitals in Venice, just one
exit apart on Interstate 75.
Venice Regional Bayfront Health and Sarasota Memorial Hospital sought
permission to develop large health care campuses on parcels of more than 60
acres east of downtown Venice. The two longtime health care providers' battle
for the South County patient base goes back to at least October 2012, when
Sarasota Memorial first moved to operate an urgent care center on the U.S. 41
Bypass.
If both facilities are built, south Sarasota County residents will enjoy an
unprecedented choice between two state-of-the-art facilities — along with new
access to maternity care and a community medical clinic for low-income patients
at the Sarasota Memorial site. The presence of both hospitals could, in turn,
prove a magnet that draws even more retirees to the area.
The total number of proposed patient beds — 210 for Venice Regional and 110 for
Sarasota Memorial — comes close to the 312 now licensed at the 65-year-old
hospital on Venice Island. State regulators may have concluded that this lack
of a jump in the bed count justifies the close proximity of both providers.
But with the stakes high for dominance in a health care market where the
population of Medicare recipients is projected to grow by 25 percent in the
next 10 years, Friday's double approval is not necessarily the final word.
Any existing hospital in the area may challenge the state's decision in the
next 21 days. A statement Friday from Venice Regional suggested that this
privately owned hometown hospital could continue to resist incursion from the
larger, nonprofit and public Sarasota Memorial.
Each argued vigorously against the other's proposal in statements filed with
the Florida Agency for Health Care administration, the agency that approved
both hospitals' applications. Venice Regional's sister facility, Bayfront
Health Port Charlotte, also filed in opposition to Sarasota Memorial's plan.
And both new campuses were deemed unnecessary by two HCA hospitals to the
south, Englewood Community Hospital and Fawcett Memorial Hospital.
Venice leaders welcomed the state's decision with jubilation.
"They found a way to make it a win-win-win situation," said Mayor
John Holic. "We're going to have 300 beds just like we had before,
provided neither hospital contests it. Plus we’ll have two new buildings, plus
we’ll have a choice."
Holic pointed out that north Sarasota County is served by Sarasota Memorial and
Doctor's Hospital of Sarasota, adding that "there's no reason why it can't
happen here."
Venice City Council member Rich Cautero agreed, saying his constituents
welcomed the potential for competition to improve health care quality while
keeping a lid on costs.
"From what I'm hearing, they seem to be very supportive of having two
hospitals," Cautero said. "The city has experienced robust growth and
that’s expected to continue; there’s certainly enough here to support them
both."
A long-running feud
In recent years Venice Regional has been losing patients and doctors to
Sarasota Memorial, a trend accelerated after state regulators cited 13 safety
and health violations stemming from a large sewage leak in July 2015. Two
months later, an overflowing toilet forced an evacuation.
But last summer the state rejected Sarasota Memorial’s initial bid to build a
Venice hospital on land it purchased more than 10 years ago, near the Laurel
Road exit on I-75, saying the region has too many empty hospital beds already.
With its second attempt, the hospital offered to transfer 90 existing licensed
beds from its Sarasota location to Venice.
Venice Regional’s proposal also drastically reduces its bed count, from 312 at
its existing building to 210. The hospital's parent company has a purchase
agreement for 63 acres just southeast of the intersection of Jacaranda
Boulevard and East Venice Avenue.
The state agency does not comment on its decisions to license or deny new
hospital construction. But its report released Friday indicated acceptance of
both hospitals' arguments that demand from Medicare patients in this area will
soon outstrip the existing supply of usable beds.
"Current and likely future levels of utilization are better indicators of
need than bed-to-population ratios and similar measures," says the
analysis by the state's consultant, Bianca Eugene.
Eugene acknowledged Sarasota Memorial's arguments that driving to its main
campus poses a hardship for Venice's predominantly older population, that
adding additional capacity on that campus is not an option, and that the South
County population has an existing and future need for labor and delivery
services.
Her report also highlighted Venice Regional's point that its building requires
some $65 million in repairs — money that would be better spent on a new
facility — and that the hospital's performance quality measures would improve
with "the ability to focus on hospital operations in a contemporary
standard of care."
Sarasota Memorial CEO David Verinder said he believed his hospital's offer to
shift 90 beds from its main campus to the south helped state regulators solve a
"math problem." With Venice Regional also giving up more than 100
beds, he pointed out, the countywide total will actually drop — a reflection
that more medical care increasingly happens outside the hospital.
Verinder did not indicate any plans to oppose the state's go-ahead for Venice
Regional's new building.
"We’ll go through our analysis on it," he said. "But our initial
read is that we think there’s room for two hospitals in Venice. We’ve always
believed that, and it doesn’t change our position now."
Approval for both projects, he added, "gives patients a choice based on
cost and quality, and we think we’ll do very well on that."
Two hospitals by 2020?
If the state's decision stands, Verinder said, Sarasota Memorial's next step
will be designing a hospital in consultation with community members and the
medical staff. Construction could start "possibly 12 months from now. I
think it would be great if we could open in three years. But this is an asset
that’s going to be around for 50-plus years, we hope, so we're going to go
about this carefully."
Earlier Friday, Verinder said in a statement addressing North Port city
leaders' concerns about the lack of a hospital there that Sarasota Memorial
remains "committed to investing in medical services in North Port and
continuing to attract physicians to the area, with the goal of opening a
hospital there as well. We believe that the establishment of the Laurel Road
facility will greatly help in the recruitment of medical staff throughout South
County."
Venice Regional also issued a statement thanking Venice residents for their
support, but hinting that it may challenge the ruling on Sarasota Memorial.
"We remain concerned about the decision to approve an additional hospital
on Laurel Road," the statement said. "We are carefully reviewing the
details of the decision now and will explore all of the appeal opportunities available
to us."
CEO John McLain said he hopes that Venice Regional can welcome patients in the
new location by January 2020.
"In my head I felt like it was obvious we would be approved because of the
age of our facility and our need to replace it," he said.
Regarding the potential for a rival hospital just up the interstate, McLain
explained that he has reservations about a possible "duplication of
services and the excess of beds. It's important at this point to review AHCA’s
decision and then decide what’s the right course for us."
Still, he noted, "We both win today. Most importantly, the community of
Venice wins."
The
plans at a glance
Sarasota Memorial Hospital
Location: Southwest corner of Laurel
Road and Interstate 75
Estimated cost: $200-250 million, excluding
land
Bed count: 80 for acute care, 10 for
maternity, 20 for observation
Emergency treatment rooms: 25
Surgical suites: Four for general
surgery, one for cesarean sections
New services: Labor and delivery
care, community medical clinic, funding to enhance local transportation options
for patients
Argument: Sarasota Memorial's
application stressed that its new Venice campus will treat more low-income
patients than the private Venice Regional; that it offers maternity care, which
is not available in Venice; that a community health clinic would be part of the
project; and that Sarasota Memorial's "proven existing quality
ratings" would provide a "high quality local market
alternative."
Venice Regional Bayfront Health
Location: Jacaranda Boulevard and
East Venice Avenue
Estimated cost: $212 million,
including land
Bed count: 210
Emergency treatment rooms: 28
Surgical suites: 15 for general
surgery, two for endoscopy, two for open-heart surgery
New services: Same complement of
services as existing hospital
Argument: Venice Regional CEO John
McLain contended that the Jacaranda site is more accessible for Venice
residents; that his company pays taxes that the community needs and requires
less state Medicaid funding than Sarasota Memorial would; that Sarasota
Memorial's proposal would result in a duplication of services and the region
does not need maternity care; and that comparisons with Venice Regional's
quality of care are based on outdated data.
Link
to article and photos here.
Ali H. Johnston, MHA,
MBA in Real Estate
Realtor®, Lic. Broker
#BK3284964
West Villages Realty
LLC
Mobile: 941-460-3179
www.WestVillagesRealty.com
