Cleveland Clinic West Palm Beach Doctors – The “trickle-down” is how high-end medical practices and hospitals attracted to the area get their profitable piece.
The result could be a potential tipping point in healthcare, forcing traditional hospitals to avoid competition for doctors, nurses and, most importantly, patients.
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The pieces are not yet in place, but there is a battle for available land, physician groups and care centers that will shape North County’s medical delivery system for years to come.
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A proposed 300-bed All Health Services hospital in Alton may be the biggest, but it is far from the only proposal for more hospital beds in the north of the county.
Two major players in the health care game, Baptist Health and Acadia Healthcare, have established hospitals at a project called Circle Santé northeast of Indiantown Road and Interstate 95 in Jupiter.
Plans for an 80-bed Encompass Health rehabilitation hospital outside Ballenisles on PGA Avenue are being reviewed by the city – and they are pulling out.
And Jupiter Medical Center, which opened a $45 million cancer treatment center in March 2020, continues its growth by remodeling and nearly doubling the size of its operating room.
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Tampa General Hospital is partnering with three Palm Beach County medical practices and promises to add more, all focused on transferring Tampa’s most difficult-to-treat — and often most lucrative — patients.
Cleveland Clinic offers outpatient clinics in Palm Beach Gardens, West Palm Beach and Wellington. The Hospital for Special Surgery of New York has opened a 55,000-square-foot building in partnership with Tenet Healthcare near Tenet’s Good Samaritan Medical Center in West Palm Beach. NYU Langone Health has locations in West Palm and Delray Beach.
There are two University of Miami health centers on PGA Boulevard and a third just opened in downtown West Palm Beach.
Legent Health, of Irving, Texas, is building a 24-bed hospital called South Florida Spine & Orthopedic Institute and a medical office building on 11 acres west of the Florida Turnpike on Atlantic Avenue.
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Baptist Health, which operates three 880-bed hospitals in South County, is seeking approval from Jupiter to build a 40-bed hospital and a 93,000-square-foot medical office building at Island Way and Indiantown Road in a 58-acre development called Santé. Circle. (Santé means health in French.)
In the same development, Acadia Healthcare, which operates 230 behavioral health facilities in 40 states, wants to build a 144-bed hospital to treat psychiatric and chemical dependency disorders.
And UHS is trying to win over neighbors in the upscale Alton community for a full 300-bed hospital that would compete with the 199-bed Palm Beach Gardens Medical Center and the 248-bed Jupiter Medical Center.
The growth comes from a dramatically changed health care model and the elimination of a long-standing growth control by the state — the requirement that new hospitals prove they are needed.
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Taking advantage of the demand for specialty surgeries that require little or no recovery time, smaller specialty hospitals are springing up across the country. A 24-bed facility like Legent’s can perform surgery and keep patients overnight if necessary, but most will go home the same day.
This puts pressure on full-service hospitals, which are fighting for the same doctors and patients but are unable to maintain beds to cover operating costs during shorter hospital stays.
But those traditional hospitals cannot rely on the state to control the market. New hospitals will no longer have to appear before a government agency and judge to prove they will not unnecessarily duplicate services and raise prices.
The Florida Legislature dropped its “certification of need” requirements for hospitals in 2019, arguing that higher prices actually led to market restraint by creating safe zones of competition monopolized by traditional hospitals.
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The purpose of the rule increase is to encourage higher quality care and lower prices. But with each new facility seeking the latest equipment to outdo its competitors, the pressure is mounting on full-service hospitals to continue generating enough cash to pay their bills.
“The basic concept is survival of the fittest,” says Dr. Steven Ullmann, director of the Center for Health Management and Policy at the University of Miami. “So there’s an incentive to provide high-quality care if you’re going to compete with other hospital systems.”
While traditional hospitals cover the huge cost of providing a wide range of care to tackle any challenge, new specialization eliminates the need to have something for everyone.
Legent’s entry into South County threatens to drive spine and orthopedic surgeons out of nearby full-service hospitals while attracting patients who can pay in full – leaving hospitals to pay the amount The littlest.
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Building a 40-bed hospital in Jupiter also makes Sláinte Baiste in the middle of the market desirable, but without much of the operating costs of a full-service hospital.
They could go after surgeons and thrive in the ambulatory surgery market now at Jupiter Medical Centers and Palm Beach Gardens, but without the trappings of a 200-bed facility.
Baptist Health South Florida, which was acquired by Boynton Beach-based Bethesda Health in 2017, owns 11 hospitals in South Florida, including three in Palm Beach County – Bethesda Hospital East and West and Boca Raton Regional Hospital.
Tampa General, Cleveland Clinic and NYU Langone could establish a bridgehead in South Florida and send high-risk patients back to their home facility for elite care.
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The 300-bed UHS Alton plan is a bigger bet on growth in North County to support a full-service hospital. The company, which operates about 400 acute care hospitals, behavioral health facilities and outpatient facilities in the United States and the United Kingdom, has invested $32 million in the ground and can expect more than $200 million to pay $150 to build and equip. – hospital beds and more than $300 million to fully build 300 beds.
Although UHS does not face a state review, it must find three votes for its plans on the five-member Palm Beach Gardens City Council, which is hearing from neighbors and other residents about too much competition and fears that a hospital with its 24-hour operations clocks, helicopters and ambulances do not match the polished image of Alton’s community of 2,700 homes.
Prompted by a website attacking the UHS proposal, about two dozen residents wrote to members of the Palm Beach Gardens City Council in late January urging opposition to the hospital, public records show.
“This area of Palm Beach Gardens is something we (me, my wife and my friends) often refer to as The Diamond,” writes Chris Zabaleta, a Gardens resident who lives about two miles from Alton. “It’s not affected by traffic or congestion like other areas in Palm Beach County. The construction of this hospital will completely change that.”
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“If someone wants to build a Mega Medical Hospital and an unnecessary complex, they should do it where it doesn’t affect the local residents who have lived and paid taxes in this city for years,” a wrote Melissa Holmes, who works in the medical department. domain. . country and noted that there are usually plenty of beds available in the two hospitals in the North of the County.
A weather rendering of the proposed Baptist Health hospital off Indiantown Road off I-95 in Jupiter. (Submission to Jupiter City)
In addition to 11 hospitals, Baptist Health has more than 100 physician offices and outpatient facilities from Palm Beach to Monroe counties.
His proposal, which calls for a three-story, 40-bed hospital and medical office along Indiantown Road that would employ 100 full-time physicians, would be built in three phases over several years, his zoning application said.
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The first phase will be limited to 10 hospital beds, two theaters and 20 emergency rooms. Phase two, the medical office building, would come four years later, and the remaining 30 hospital beds would be put on hold until phase three.
Construction is underway west of Jupiter Medical Center for the freestanding hospital’s latest expansion project. (photo by Joel Engelhardt)
While Baptiste is renovating downtown, Jupiter Medical Center, the nation’s only freestanding hospital, has already begun its latest renovation, adding eight new operating rooms and renovating all but one of the 10 existing ones. It is also expanding two 500-square-foot emergency rooms, providing eight new treatment areas to bring the total to 37.
The behavioral health giant has six Florida facilities, including one in Boca Raton. It would build a two-storey hospital on 8.3 hectares in Santé circle with 120 beds in the first phase and 24 to open later.
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The proposal would take advantage of the lack of mental health treatment facilities in North County, especially after the closing of the Jerome Golden Center for Behavioral Health on 45th Street, a nonprofit treatment center of last resort. Sunview Medical of New Jersey purchased the property with plans to open a for-profit treatment center.
Traditional hospitals that offer mental health treatment in North County include HCA Florida JFK North Hospital and St. St. Mary’s Medical Center, both on 45th Street.
The specialty hospital has played a major role in South Florida for the past 10 years, with locations in Broward, Palm Beach and Indian River counties. In Palm Beach, patients can see Cleveland Clinic doctors at their offices on Donald Ross Road in Palm Beach Gardens, Downtown West Palm Beach and Wellington. The clinic also paid $4.6 million in January 2019 for about 32 acres at Lake Worth and Lyon roads. After the purchase, a proposal was made to build a 350,000 square foot medical office complex there.
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