The Fort Mill area has been among the fastest-growing regions in the country, increasing the demand for goods and services not only in York County, but in nearby Charlotte. Health care has been one of the most affected services, and providers have been expanding in the area with doctor practices and various clinics. Now, demand is such that the state says more hospital beds are needed here.
What has been proposed?
The South Carolina Department of Health and Environmental Control has determined a 64-bed hospital is needed in York County.
Why is that important?
While there is no industry standard for locating a hospital, proximity to one is important, especially when it comes to emergency-room care. All applicants are required to provide 24-hour emergency room care.
Three hospital systems - Carolinas HealthCare System, Piedmont Medical Center and Presbyterian Hospital - are seeking to build and staff a Fort Mill hospital.
The second time around
This is second time the hospitals have asked DHEC for a certificate of need. In April, the state Supreme Court denied appeals from all three relating to a lower court's ruling that state health officials had misinterpreted the State Health Plan in awarding the certificate to Piedmont. The hospitals were asked to update their applications with the most recent demographic information, salary and construction expenses.
Monday is the deadline for applicants to submit updated information to the state. The state has up to 30 days to request additional information and applicants have 30 days to respond. Once the state has all the information it needs, it has 60 days to reach a decision. A decision is not likely before March. As before, the decision can be appealed in court.
Criteria used by the state to make a decision
Need for the project
Economic considerations, including adverse effect on other facilities
Health system resources
Consistency with the State Health Plan
Why Presbyterian Healthcare
We are a physician-driven organization with practicing physicians involved at every decision-making level.
The most experience in building and operating community hospitals in the Charlotte area, opening in Matthews, N.C., in 1994 and in Huntersville, N.C., in 2004.
Financial assistance program that provides free care to uninsured patients with an income up to 300 percent of the federal poverty level.
Ranks in the top 10 percent nationally for the quality indicators set by the Centers for Medicare & Medicaid Services.
All of Presbyterian's hospitals have achieved "magnet designation" from the American Nurses Credentialing Center, the nation's highest honor for excellence in nursing.
Two-time winner of the Ernest A. Codman Award for outstanding quality initiatives from The Joint Commission, which accredits and certifies U.S. health care organizations and programs.
What happens if you are not selected?
We will continue to provide care through our network of affiliated physician practices located throughout York County. We also believe York County residents will continue to drive to North Carolina to receive the same Presbyterian-quality care that they've trusted for generations.
Why Piedmont Medical Center
Solely focused on York County
Economic impact that includes about $4 million in tax revenue, 400 new jobs produce $30 million in economic impact and planned development adjacent to our site similar to Baxter Village
Long-term competition for health care, preventing the continued encroachment of Charlotte health care providers into surrounding areas
S.C. Distinguished Hospital of the Year award for patients with cardiovascular disease and stroke
Ranked third in the state for overall pulmonary services by HealthGrades, an independent health ratings organization
Gold performance award for heart failure and silver performance award for coronary artery disease by the American Heart Association; blue distinction center for spine surgery and cardiac care by BlueCross BlueShield of South Carolina
What happens if you don't get it?
Piedmont Medical Center stands to lose several thousand patients and more than $14 million a year if another provider builds the Fort Mill hospital. This would lead to reductions of hospital services, budget cuts and loss of jobs at Piedmont and hinder our ability to reinvest in the hospital.
Why Carolinas HealthCare Systems
We are "the people's choice," serving 53 percent of York County residents.
A AA bond rating, indicating financial stability and in a position to deliver health care for decades to come.
An economic impact that would be greater than our competitors. We have the lowest charges, and we pay taxes on our medical office buildings, approximately $300,000 a year.
Ranked 12 times as Charlotte's most preferred hospital for quality by National Research Corporation, a health care research and quality improvement firm.
Joint Commission Clinical Quality certifications in stroke, cardiac care, obstetrics/gynecology, general medicine, and orthopedics. In all, our locations have 19 certifications.
Our mortality scores are in line with U.S. hospitals.
What happens if you are not selected?
We will continue with our mission as we do every day - to create and operate a comprehensive health care system for the benefit of the people it serves - including those living in York County.
Comments must be signed and mailed to:
Chief, Bureau of Health Facilities and Services Development, DHEC
2600 Bull St.
Columbia, SC 29201