Browsing All posts tagged under »CON«

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 […]

Despite Chaos, Wellness Still a VC Target

May 3, 2013


Fast Company reported last month that venture capital investments have been cautious-to-non-existent lately. One of the reasons for this is—surprise—uncertainty. Uncertainty. Change. Flux. These are the parameters which continue to define the early 2010s, and which govern more than our work lives.  Living with chaos might be the most essential survival skill at this time. […]

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 […]

Profit-versus-Mission Conflict

June 8, 2012


Last summer, I was brainstorming a way to get an independent community hospital some badly needed patient beds included in a project for an ICU. The hospital’s master plan called for replacing the remaining semi-private rooms with all private, and knowing the next building project would not be for another seven to ten years, I lobbied the now-or-never position. The Director […]