NEW JERSEY STATE HEALTH PLANNING BOARD - - IN RE:
Certificate of Need for the Closure of Virtua West Jersey Hospital - Berlin PUBLIC HEARING - - Berlin Township Municipal Building 135 Route 73 South West Berlin, New Jersey 08091 - - Wednesday, October 22, 2014 6:05 p.m. - - -
BEFORE: JUDY B. BROWN, R.N. New Jersey Department of Health LUISA ALEXOPOULOS, New Jersey Department of Health - - Public Hearing, commencing at approximately 6:05 p.m., at the Berlin Township Municipal Building, 135 Route 73 South, West Berlin, New Jersey, on the above date, before Rose A. Tamburri, RPR, CM, CCR, CRR, National Speed and Accuracy Champion and Notary Public. - - CLASS ACT REPORTING AGENCY Certified Court Reporters 2149 South 3rd Street 133 Gaither Drive, Suite H Philadelphia, PA 19148 Mt. Laurel, NJ 08054 (215) 928-9760 (856) 235-5108
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NJ State Health Planning Board - In re: Certificate of Closure of Virtua WJ Hospital
2
SPEAKERS:
MICHAEL KOTZEN
DR. RICK LUDWIN
BOB CARULLO
LOU DEMARCO
VIRGIL JOHNSON
ALSO PRESENT:
CHRISTOPHER A. CHEKOURAS, VIRTUA Senior Vice President, Government Relations
FRED HIPP, JR., VIRTUA Senior Vice President, Government Relations
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NJ State Health Planning Board - In re: Certificate of Closure of Virtua WJ Hospital
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I N D E X
SPEAKER:
PAGE
MICHAEL KOTZEN
7
DR. RICK LUDWIN
12
BOB CARULLO
16
LOU DEMARCO
18
VIRGIL JOHNSON
20
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(Whereupon, the proceedings commenced at 6:05 p.m.)
3
CHAIRWOMAN BROWN:
Good evening,
4
everyone.
5
sign in on the speakers' list.
6
going to sit and read this because I feel more
7
comfortable sitting down.
8 9
Okay.
Good evening, again.
I'm
Can you hear
me?
10 11
All persons that want to speak,
(Whereupon, all audience members say yes.)
12
CHAIRWOMAN BROWN:
My name is Judy
13
Brown and I am a supervisor with the
14
Department of Health, Certificate of Need and
15
Healthcare Facility Licensing Program.
16
Joining me tonight is my colleague, Luisa
17
Alexopoulos.
18
and Licensing Program.
19
She is an analyst with the CN
This is a public hearing of the
20
State Health Planning Board in relation to the
21
closure of Virtua West Jersey Hospital,
22
Berlin.
23
complainant, and in accordance with the
24
requirements of law, the State Health Planning
25
Board is required to hold a public hearing on
The Department being the application
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this application within 30 days of this
2
action.
3
been published in accordance with the
4
provisions of NJSA 26:2H-3.8.
5
to the Secretary of State who posted the
6
notice in a public place.
7
Adequate notice of this hearing has
Notice was sent
Copies of the hospital CN
8
application are available for review at the
9
Marie Fleche Memorial Library, the Berlin
10
Township Library, the New Jersey State Library
11
in Trenton and the Department of Health.
12
Information gathered at this
13
hearing will be reviewed by the State Health
14
Planning Board in addition to reviewing the
15
application from Virtua and Department staff's
16
analysis and recommendations in a public
17
meeting.
18
Although no members of the State
19
Health Planning Board are present tonight,
20
this community public hearing is being
21
transcribed and the transcript, along with any
22
written comments submitted tonight, will be
23
made available to all board members, along
24
with the transcript and written submissions
25
prior to the meeting to review this
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application.
2
There will also be limited time
3
available at the next public meeting of the
4
State Health Planning Board to hear from
5
members of the public.
6
applicant will present the application and
7
answer questions the board members may have.
8 9
At that meeting, the
In the interest of making efficient use of the time for tonight's
10
hearing, each speaker will be limited to three
11
minutes.
12
with you, please provide a copy to the Board
13
and they will be added to the record.
14
If you have longer written comments
Anyone interested in speaking
15
tonight should sign in, as I've told you
16
before, on the speaker list at the entrance --
17
and it's not at the entrance, it's actually
18
over here now.
19
written comments after tonight's hearing and
20
before the board meeting is urged to do so.
21
Such comments must be submitted no later than
22
Wednesday, October 29th and should be
23
addressed to the State Health Planning Board
24
in care of the Department of Health.
25
Anyone who wants to submit
For those of you unfamiliar with
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the Certificate of Need process, the State
2
Health Planning Board will vote on a
3
recommendation as to the decision of this
4
application which will be submitted to the
5
Commissioner of Health.
6
Planning Board's hearing is part of the
7
Certificate of Need process and your comments
8
will be considered as we review issues related
9
to health planning, hospital and related
10
health services and access to healthcare
11
services.
12
of this process and will be considered along
13
with the materials submitted by the applicant.
14
The State Health
Your comments are an important part
The Board can recommend approval
15
of the application, approval with conditions,
16
or denial of the application before it.
17
Commissioner will make the final decision on
18
the application after the Board makes its
19
recommendations.
The
Thank you.
20
MS. ALEXOPOULOS:
21
MR. KOTZEN:
22
MS. ALEXOPOULOS:
23
MR. KOTZEN:
Michael Kotzen?
Kotzen, thank you. I'm sorry.
Good evening.
My
24
name is Mike Kotzen, Virtua Executive Vice
25
President for Population Health.
I am
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representing Virtua at this public hearing to
2
discuss the transformation of our Berlin
3
campus.
4
the State Health Planning Board for their time
5
and the opportunity, if they were here, to
6
speak with Virtua Better Plans.
7
I want to thank all the members of
On May 1st of this year, Virtua
8
submitted a Certificate of Need application to
9
the New Jersey Department of Health to close
10
acute care services on its Berlin campus in
11
order to transform that campus into an
12
expanded outpatient and long-term care hub.
13
The proposed campus will continue to provide
14
24/7 emergency service and long-term care and
15
rehabilitation services.
16
converting what are now hospital rooms into
17
use for long-term care and rehabilitation
18
patients.
19
Our plans include
Why we are -- why are we proposing
20
these changes?
Because of an increased focus
21
on prevention and wellness, fewer people are
22
requiring hospitalization as more healthcare
23
services are being provided in non-hospital
24
settings.
25
admissions have declined by more than 10
Across New Jersey, acute care
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percent in the past five years.
2
Virtua has been preparing for the
3
transformation in healthcare delivery for many
4
years and we have opened three major health
5
and lung centers, three urgent care centers,
6
partnered with CVS or with Minute Clinics in
7
our region and provide other alternatives to
8
acute care services as may be appropriate,
9
given people's healthcare needs.
10
With an increasingly aging
11
population, the need is growing to provide
12
enhanced services for the senior population;
13
and third, over the course of the last three
14
years, more and more patients have been served
15
by -- more and more patients who had been
16
served by the Berlin Hospital are choosing to
17
go to the Voorhees Hospital or Marlton
18
Hospital.
19
Because of all these factors, the
20
average number of inpatients at Berlin is now
21
about 25.
22
practical to provide inpatient services for
23
such a low number, with Virtua Voorhees five
24
miles away and Virtua Marlton only seven miles
25
away.
It is no longer reasonable or
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Pursuant to our mission to help
2
people be well, get well and stay well, Virtua
3
will remain dedicated to serving the
4
healthcare needs of the people in Berlin and
5
surrounding communities.
6
maintain a vibrant Berlin campus with
7
long-term care and rehabilitation services, a
8
24/7 emergency department and diagnostic
9
outpatient services.
10
That's why we will
Our approach to providing
11
emergency services at Berlin is a model that
12
we use currently at Virtua Camden and is used
13
by other health systems in the State and
14
around the country.
15
at Virtua Berlin will continue to be supported
16
by diagnostic services such as lab and
17
radiology.
18
The emergency department
Emergency room patients requiring
19
hospitalization will be transported to other
20
Virtua hospitals free of charge.
21
Virtua has electronic medical records at all
22
of its hospitals, patients' medical records
23
will be accessible at any Virtua Hospital.
24
This ensures a smooth transition --
25
MS. ALEXOPOULOS:
Because
Excuse me.
It
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has lapsed, the three minutes.
2
MR. KOTZEN:
3
CHAIRWOMAN BROWN:
4
MS. ALEXOPOULOS: right.
Okay.
All
I'm sorry.
7 8
We only have a
few speakers.
5 6
Seriously?
MR. KOTZEN:
I was going as fast
as I can.
9
This ensures a smooth transition
10
for Berlin Hospital patients in other Virtua
11
hospitals.
12
I would like you to know that we
13
are making this transformation without
14
employee layoffs.
15
employees will remain on the Berlin campus
16
after the transition to provide emergency,
17
long-term care and rehabilitation services and
18
necessary support services.
19
In fact, more than 300
For employees who are affected by
20
the changes at Virtua Berlin, from the outset,
21
we have been committed to placing them in
22
other positions throughout our health system.
23
In fact, while continuing to meet the needs of
24
patients at Virtua Berlin, we have found new
25
positions for the majority of employees.
A
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few have opted to retire or seek employment
2
elsewhere.
3
We believe we have put a plan into
4
place that ensures the continuity of care for
5
the patients that have been served by our
6
Berlin Hospitals and for residents' future
7
needs.
8
highest quality healthcare and customer
9
service on the Berlin campus.
We will continue to provide the
We will help
10
our patients access in our network of
11
facilities and services to address their needs
12
in the most responsive way possible.
13 14
Once again, thank you for your time and consideration.
15
MS. ALEXOPOULOS:
16
CHAIRWOMAN BROWN:
Thank you.
17
MS. ALEXOPOULOS:
Rick Ludwin.
18
DR. LUDWIN:
19
Thank you.
Good evening.
My
name is Dr. Rick Ludwin.
20
MS. ALEXOPOULOS:
21
DR. LUDWIN:
Doctor, sorry.
I'm the Medical
22
Director of the Emergency Department at Virtua
23
Berlin.
24
Department of Emergency Medicine and the
25
President of the Medical Staff for Virtua
I also serve as the Chairman of the
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South.
2
I am here this evening to extend
3
my full support for Virtua's plan to
4
transition the Berlin campus from an acute
5
care facility to an outpatient and post-acute
6
campus.
7
As an emergency room physician for
8
over 31 years, I've observed and been part of
9
significant change in healthcare.
10
I commend Virtua's administration
11
for leading change to continually provide
12
better care, promote health and wellness, and
13
increase the number of access points for
14
residents to receive care through a network of
15
physician offices, urgent care centers and
16
outpatient facilities.
17
About 14 years ago, with the
18
approval of the Department of Health, Virtua
19
discontinued acute care services at its Camden
20
location and transformed that facility into a
21
robust campus with a wide range of outpatient
22
and community services that better meet the
23
needs of the people we serve in Camden.
24 25
As an emergency room physician, I experienced firsthand the value of maintaining
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a satellite emergency department in the
2
community, just as Virtua did in Camden and
3
just as Virtua plans to do in Berlin.
4
Last year, Virtua's Emergency
5
Department in Camden saw over 36,000 patients,
6
which is significantly more than when that
7
facility provided inpatient care.
8 9
We believe that Virtua's satellite emergency department in Berlin will offer a
10
similar benefit to the community when
11
inpatient services are no longer provided at
12
that location.
13
emergency department, the Berlin facility will
14
continue to offer diagnostic imaging with CAT
15
scan, X-ray and laboratory services.
16
And to support this satellite
Following what we hope will be the
17
New Jersey Department of Health approval to
18
close the acute care services at Berlin, we
19
will be fully prepared to continue emergency
20
services that same day that we implement that
21
closure.
22
Critical to the success of any
23
emergency department, including a satellite
24
emergency department, is having a strong
25
business partnership with a medical
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transportation company.
2
Virtua and its patients have benefited from
3
such a relationship with exceptional medical
4
transportation, ensuring the smooth transfer
5
of patients to neighboring facilities when
6
necessary.
7
Over the years,
It is also important to note that
8
all of the physicians caring for patients at
9
Virtua Berlin have the ability to care for
10
patients at our sister sites, ensuring
11
continuity of care for their patients.
12
I feel confident that Virtua has
13
the necessary experience, commitment and
14
skills to ensure an effective transition of
15
the Berlin campus to serve the community by
16
enhancing its emergency department, long-term
17
care and rehabilitation facilities, while
18
maintaining lab and imaging services.
19
For all of these reasons, I fully
20
support Virtua's Certificate of Need
21
application to discontinue Virtua Berlin acute
22
care services.
Thank you.
23
CHAIRWOMAN BROWN:
24
The next speaker will be Robert
25
Thank you.
Carullo --
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MR. CARULLO:
Carullo.
2
CHAIRWOMAN BROWN:
Carullo.
3
Sorry.
Thank you very much, but before you
4
begin, Mr. Carullo, there were several persons
5
who just came in.
6
speak, please raise your hand.
7 8
(Whereupon, there is no response from audience members.)
9 10
If any of you would like to
CHAIRWOMAN BROWN:
Okay.
Thank
you.
11
MR. CARULLO:
Members of the State
12
Health Planning Board, good evening and thank
13
you for this opportunity to address you about
14
supporting Virtua's plans to support --
15
supporting Virtua's plans to transform its
16
Berlin campus to focus on outpatient,
17
long-term care and rehabilitation services.
18
I'm Bob Carullo.
I currently live
19
in Shamong, but I was raised in Voorhees
20
Township and attended school and played my
21
sports in Berlin, so I know the town quite
22
well.
23
many times.
And my family has used Berlin Hospital
24
I'm the Executive Director of
25
SMART, a consortium promoting science and
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technology in the Mid-Atlantic Region, and I
2
wanted to note that Virtua is a member.
3
However, I'm speaking tonight as a
4
South Jersey resident who relies upon Virtua's
5
healthcare services for my family and me,
6
again, many times.
7
I am aware that healthcare
8
providers like Virtua are focusing more and
9
more on keeping people healthy and that they
10
are increasingly expanding alternatives to
11
acute care hospitalization, whenever that's
12
appropriate, given a person's particular
13
medical needs.
14
I know that Virtua has been a
15
leader in this healthcare evolution by growing
16
its network of primary and specialty
17
physicians and opening urgent care centers and
18
health and wellness facilities.
19
Given my professional interest in
20
science and technology, I closely followed the
21
development and opening of the new Virtua
22
Hospital in Voorhees, a facility that provides
23
high quality care supported by the latest
24
technology.
25
I applaud Virtua for working hard
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to stay ahead of the curve to meet people's
2
needs in new and better ways.
3
reasons, I fully understand and support
4
Virtua's plans to discontinue acute care
5
services at its Berlin campus.
6
For these
At the same time, since that
7
campus is about 11 miles from my home, I'm
8
glad that they intend to keep this location in
9
operation with vital health services for the
10
community.
11
appreciate that Virtua plans to continue those
12
services in Berlin.
13
Should we need emergency care, we
Should my family and I need
14
hospitalization following the closure of acute
15
care at Berlin, we would not hesitate to use
16
Virtua's Voorhees or Marlton Hospitals.
17
Again, thank you for this opportunity to
18
speak.
19
CHAIRWOMAN BROWN:
Thank you.
20
MS. ALEXOPOULOS:
Lou DeMarco.
21
MR. DEMARCO:
Good evening.
22
name is Lou DeMarco.
23
Berlin Emergency Medical Services.
24
9-1-1 EMS provider for Berlin Borough and
25
Berlin Township.
My
I'm the Captain of We are the
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Through a conversation with Scott
2
Kasper, who we deal with through Virtua's MIC
3
program, he asked me to come out tonight and
4
just voice a little bit of our concerns, if
5
there were any.
6
Just as background, since 2010, we
7
average roughly about 1800 transports of
8
patients a year; approximately 40 percent of
9
those patients go to Virtua in Berlin.
10
Currently, we do transport
11
patients not only to Virtua Berlin, but we do
12
use other area hospitals or specialty care,
13
such as Cooper for our trauma patients, our
14
burn patients would go to Cooper Temple,
15
pediatric patients are currently going to
16
Virtua in Voorhees or Cooper, our OB-GYN would
17
be transported to Virtua in Voorhees or to
18
Kennedy Stratford, and our cardiac patients
19
would go to Virtua in Marlton or Our Lady of
20
Lourdes.
21
Approximately, the distance from
22
the furthest part of our response area in
23
Berlin Borough to Virtua in Voorhees is
24
approximately 4.6 miles, with about a
25
13-minute trip.
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We've sat down since Virtua came
2
to us with their plans and we've met.
3
staff has looked at what type of impact it
4
would have on us.
5
impact us or our patients in a negative way.
6
Our
We do not feel that it will
We will still continue to use
7
Virtua Berlin for any patients that would not
8
require in-hospitalization, but the majority
9
of the patients we're seeing more and more
10
commonly are asking to either go to Virtua in
11
Voorhees or to Marlton.
12
So I just wanted to reach out and
13
let you guys know that was where our stance
14
is, the local department that could be
15
affected by this.
Thank you.
16
CHAIRWOMAN BROWN:
17
MS. ALEXOPOULOS:
18
Dr. Virgil Johnson, please.
19
DR. JOHNSON:
20
opportunity to address the Committee.
21
of all, let me apologize.
22
phone call that blue suits were required for
23
this evening's comments.
24 25
Thank you. Thank you.
Thank you for the First
I didn't get the
I suppose someone must rise in opposition, and I guess I'm that individual.
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I've lived in Berlin since 1967 and I have
2
spent a number of evenings as a patient in
3
West Jersey Southern, as well as Virtua
4
Southern Division.
5
I don't have any written notes or
6
statistics.
7
extent, emotional, I suppose.
8
however, that Berlin Borough has increased in
9
its population in the past decade.
10
My concerns are, to a great I do know,
The Sewer Moratorium in nearby
11
Winslow Township has just been lifted, which
12
would imply there's going to be some
13
significant building going on there, as there
14
is here in Berlin, referring to homes.
15
Kessler Hospital in Hamilton has
16
been closed for a number of years.
17
no hospital between Voorhees -- Virtua in
18
Voorhees and Atlantic City, and it just seems
19
like I would much -- would be much more
20
comfortable standing here if we were talking
21
about expanding Virtua Southern Division than
22
closing it.
23
right thing to do.
24
are sorry to hear that it's closing.
25
There is
I just don't feel that it's the I think a lot of people
I have no doubt in my mind that
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since the Board of Directors and the higher
2
executive levels have decided this is the best
3
thing to do, I am sure the Board of Health and
4
the governing bodies in the State will
5
probably approve the closing.
6
I just personally think, along
7
with a lot of other people I've spoken with,
8
that it's not the right thing to do at this
9
time; that expanding Virtua Southern Division
10
would be more applicable at this time.
11 12
Thank you for the opportunity to making these comments.
13
MS. ALEXOPOULOS:
Thank you.
14
CHAIRWOMAN BROWN:
15
There are no further speakers on
Thank you.
16
our speakers' list, but we must remain here
17
until 8 p.m.
18
changed your mind and you want to speak now,
19
all you have to do is sign the speakers' list
20
and you may speak.
21 22 23 24
So if you came in later and you
(Whereupon, there is no response from audience members.) CHAIRWOMAN BROWN:
We thank all of
those who did come out and speak.
25
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NJ State Health Planning Board - In re: Certificate of Closure of Virtua WJ Hospital
23 1 2
(Whereupon, the proceedings stood in recess at 6:26 p.m.)
3
- - -
4 5
(Whereupon, the proceedings resumed at 6:57 p.m. as follows:)
6
CHAIRWOMAN BROWN:
Ladies and
7
gentlemen, excuse me.
If there are any
8
persons who came in after I made the
9
announcement, we do have a speaker list.
In
10
order to speak, you have to sign your name on
11
the speaker list.
12
8 p.m.
We will be here until
13
So if you came in and you want an
14
opportunity to speak, please come and sign in
15
and you may speak.
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though.
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We'll call your names,
Thank you. (Whereupon, there is no response
from audience members.) (Whereupon, the proceedings stood in recess at 6:57 p.m.) - - (Whereupon, the proceedings resumed at 7:31 p.m. as follows:)
24
CHAIRWOMAN BROWN:
I don't really
25
see any new faces, but we are at 7:31 now.
We
CLASS ACT REPORTING LLC 215.928.9760 856.235.5108
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NJ State Health Planning Board - In re: Certificate of Closure of Virtua WJ Hospital
24 1
will be calling last call for anyone who wants
2
to sign up to speak.
3 4 5 6
So feel free to come up.
(Whereupon, there is no response from audience members.) (Whereupon, the proceedings stood in recess at 7:31 p.m.)
7
- - -
8
(Whereupon, the proceedings
9
resumed at 8 o'clock p.m., as follows:)
10 11 12 13
CHAIRWOMAN BROWN: now adjourned.
The hearing is
Thank you.
(Whereupon, the proceedings concluded at 8 o'clock p.m.)
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CLASS ACT REPORTING LLC 215.928.9760 856.235.5108
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NJ State Health Planning Board - In re: Certificate of Closure of Virtua WJ Hospital
25 1
C E R T I F I C A T I O N
2 3
I, Rose Tamburri, a Certified Shorthand
4
Reporter and Notary Public of the State of New
5
Jersey, do hereby certify that I reported the
6
testimony in the above-captioned matter; that
7
the foregoing is a true and correct transcript
8
of the stenographic notes of testimony taken
9
by me in the above-captioned matter.
10 11
I FURTHER CERTIFY that I am not
12
an attorney or counsel of any of the parties,
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nor a relative or employee of any attorney or
14
counsel in connection with the action, nor
15
financially interested in the action.
16 17 18 19 20
ROSE TAMBURRI,
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License No. 30X100189500
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