Browsing All posts tagged under »Certificate of Need«

Right-Sizing at Scale: Is It Possible?

July 8, 2014


Two weeks ago, I had the privilege of touring the new Exempla St. Joseph replacement hospital in Denver. The project is known there as St. Joe Heritage or simply “Heritage”. Designed by ZGF with local architectural participation, and constructed by Mortenson, with local construction participation, it is massive—at one time the largest healthcare project in […]

HC Costs Parsed: What’s Missing?, Part II

January 17, 2014


See previous post “HC Costs Parsed:  What’s Missing?, Part I” 5.     That leaves the last three cost drivers: “Fragmented and Uncoordinated Care”, “High Administrative Expenses” and “Unhealthy Behaviors”. Patients can only hope Un-fragmented and Coordinated Care is a fringe benefit of healthcare reform. Hospitals will need to solve that internally. And no one […]

States: Euthanize Antiquated CON Acts

November 27, 2012


Imagine your company wanted to make a $37 million investment to grow its business.  This decision would make your business stronger and more stable, help serve the community in which it is located in a new way, as well as provide new jobs and boost the economy. The only catch:  there is an expensive regulatory process which could […]


September 20, 2012


One of my favorite punching bags, Certificate of Need laws, is in the news again—this time with a more obvious slant toward graft.  Check out the link from The Advisory Board. Will we see healthcare projects allowed under a free market during my life time?  Will this year’s presidential election make a difference?

CON Value Called into Question

July 13, 2012


Becker’s Hospital Review reports that funding for South Carolina’s Certificate of Need (CON) program for 2013 was vetoed by the Governor.  Governor Haley feels it is not the role of the state to determine communities’ needs for healthcare or equipment.  Make that one emphatic vote of ‘no confidence’ for the CON, and one emphatic vote for […]

RFP Process: Flawed or Fixed?

May 8, 2012


In the past, I examined the flawed nature of the Request For Proposals (RFP) process.  I question their ability to ensure the best team is selected.  I have pondered their value from a time-value of money aspect, and argue RFPs in healthcare are a significant waste of money, in real terms. RFPs involve a series of complex decisions not […]

The Cost of Delay

January 27, 2012


With his $22 million in loans in hand, an administrator I know was preparing for a major capital project.  I introduced his somewhat recent situation in a previous post.  His hospital project was approved and ready to take off.  Fifteen months later, things are still waiting to break ground. This delay may not seem like a big deal. Or worse […]