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Jacobs now works full time as chair of the Department of

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Q What will it take for Gloucester County to get a new hospital

canada goose outlet online uk Inspira Health Network wants to build a new hospital in Harrison Township, Gloucester County. canada goose outlet online uk

canada goose outlet Kennedy Health, just five miles away in Washington Township, says that end of the county doesn’t need one. canada goose outlet

canada goose factory outlet The two opposing views came to a head last week canada goose outlet florida when Rowan University’s trustees postponed a vote that would have sold 100 acres to Inspira to construct a new facility that would largely replace its aging structure in Woodbury. canada goose factory outlet

canada goose black friday sale Rowan University’s canada goose jacket outlet trustees will revisit the land sale vote when the board meets next in February. The decision, however, isn’t the only hurdle Inspira officials will have to overcome to build a new hospital in Gloucester County. canada canada goose outlet usa goose black friday sale

canada goose outlet new york city NJ Advance Media reached canada goose outlet las vegas out to Fred Jacobs, a former health commissioner for the state, for an expert opinion on how new health care facilities are opened in the Garden State. canada goose outlet new york city

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canada goose outlet store The following is a Q session with Jacobs, who was appointed by acting Gov. Richard Codey and spent three years as commissioner. He worked from December 2004 to December 2007, through Codey’s appointment and into the first half of Gov. Jon Corzine’s term. Jacobs now works full time as chair of the Department of canada goose outlet store new york Medicine at St. George’s University. canada goose outlet store

canada goose outlet uk sale Jacobs has seen hospitals make controversial moves in the past. During his tenure as commissioner, he approved a hospital’s departure from a century old structure in Trenton to canada goose outlet official a new location in canada goose outlet in montreal Hopewell, Mercer County. Although he has not been in the post for several years, Jacobs notes that “the politics don’t change.” canada goose outlet uk sale

canada canada goose outlet real goose outlet in usa The conversation has been edited for brevity. canada goose outlet in usa

canada goose outlet uk Q: Health care institutions generally need to procure a certificate of need from the state to build a new hospital. How does the approval process work? canada goose outlet uk

A: When I was in office canada goose outlet mall we did two or three new hospital applications, one of which canada goose parka outlet uk was very contentious. Capital Health wanted to move Mercer Medical Center in Trenton to Hopewell. They had two hospitals in Trenton. Mercer Medical was a 106 year old building. To me, the amount of money to renovate it to current standards was huge, and it was in the middle of a medically underserved area with highly charged political connections.

canada goose outlet reviews You apply to the Deparment of Health for approval. The agency head resides in the commissioner. A committee of the department studies it, and there’s an architectural and planning board review. The committee will also look at financing, and the commitments [the health care provider] has canada goose outlet toronto factory made to the local community to provide continuing service. It was a huge political issue. I was lobbied very heavily, including by a deputy chief of staff for Gov. Corzine. I thought the right decision was to move it. canada goose outlet reviews

canada goose canada goose outlet parka outlet nyc Q: What hurdles will Inspira face in trying to open canada goose outlet toronto location a new facility? canada goose outlet nyc

goose outlet canada The hurdles they’ll face are the same everywhere: the political hurdle of leaving the area where they’re already providing services and jobs. Hospitals are huge economic engines. goose outlet canada

canada goose outlet sale And it’s not just the jobs, but the surrounding Canada Goose Outlet businesses. All of those are impacted when you take a very large employer. Aside from the provision of health care services, the economic loss is substantial. And this is not lost on the local policitians or business leaders. And the residents, who don’t want their health care to be less convenient, will lobby intensely. canada goose outlet sale

canada goose outlet canada It’s hard to lobby the commissioner [Cathleen Bennett] herself because she’s not elected by anybody, canada goose outlet store uk but she does work for the governor. And even though the decision on that certificate of need (CN) is not the governor’s, if the governor doesn’t like it, that has political implications. I used to communicate with the governor’s chief of staff. They just told me, ‘thank you, this is up to you.’ That’s a great relationship to have. This governor has been much more hands on. canada goose outlet canada

Financing is another big thing: can the hospital actually afford to do this? Most hospitals that fail, fail because the revenue they get from providing health care doesn’t cover their costs. You can only have a deficit for so long. I’ve run into that a few times, where you get a call from a hospital CEO who says they can’t make payroll. You’ve got to tell me a month canada goose outlet store toronto ahead, because if you’re not going to make payroll next Thursday and no [staff] is going to show canada goose parka outlet up, we have to evacuate those patients. We had that a few times, and it’s a high pressure situation.

canada goose outlet jackets These things are very heavily canada goose outlet new york politicized. In New Jersey, there used to be canada goose coats uk way too many hospitals. What does that lead to? Hospitals encouraging unnecessary admissions, and providing services that are redundant. There are 18 cardiac centers in New Jersey that can do surgery. Many of them have much lower volumes than they shoud. But if you try to take a cardiac surgery unit away from a hospital, you will know political heat. So that’s never been done. All of these things matter. They’re going to canada goose outlet london uk have the local hospitals who will say ‘I don’t want you moving to attract my staff and my patients.’ canada goose outlet jackets

canada goose outlet canada goose outlet location shop Q: Kennedy Health’s CEO Joseph Devine has publicly stated that Kennedy does not want the new hospital to happen. Can Kennedy block the application? canada goose outlet shop

official canada goose outlet No. The decision canada goose outlet uk for the CN is exclusively with the commissioner. There’ll be a public comment period and every public comment will be answered by staff. But the canada goose outlet boston answer doesn’t have to be so much in depth. Someone will raise a point, and they can say, ‘thank you for this comment. We’ll give it the appropriate weight and make a decision.’ official canada goose outlet

canada goose outlet online While it does give Kennedy the right to comment, it doesn’t have canada goose outlet sale any real power if there’s no political force behind it. The real way canada goose outlet england Kennedy would be able to stop it is if they canada goose outlet store montreal have canada goose factory outlet toronto location clout in the legislature or the governor’s office. Whether it’s the governor or somebody else, who says to the commissioner, ‘we don’t want this,’ the commissioner will have to decide. canada goose outlet online

canada goose outlet store uk With the Trenton situation, it was as if the world was ending that day. But the next day, it was on to the next issue. That was so instructive. That’s New Jersey, and especially Trenton talk about Ground Zero for politics. canada goose outlet store uk

canada goose outlet black canada goose outlet in chicago friday You’d want to know if the ZIP codes around the proposed new hospital site would have sufficient population to support a hospital in that location. It might be nice, but if there aren’t enough people around there, what programs will be there? Are they going to have some specialty program that’s unique to them? What sort of provision is being made for where they’re leaving? Most places are required to at least leave an ambulatory care service or ambulance transport. canada goose outlet black friday

Q: If this project goes forward, what services is Inspira obligated canada goose jacket uk to keep in Woodbury?

canada goose outlet parka A: What I would’ve wanted was a meaningful presence to deal with the needs that community is concerned about, and if something was more serious, there should be a transport to another local hospital. One of the first places I went was Salem Community (The Memorial Hospital of Salem County), which at the time was the only for profit hospital in New Jersey. I went down to see them and asked where they sent their tertiary care. They could’ve sent people to Cooper, or sent them to Christiana in Delaware. canada goose jacket outlet sale It was closer for patients to go to Delaware than to Camden, and that was fine, because they needed a transfer agreement so that really sick people in Salem have somewhere to go. canada goose outlet parka

canada goose outlet toronto factory Inspira will go through the process, a committee will review their data and canada goose outlet 2015 there will be a recommendation to the commissioner. And the commissioner is under no obligation to accept that recommendation. She can do whatever she wants. She’s the agency head canada goose outlet toronto factory.

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