1 1 PUBLIC HEARING FOR THE CERTIFICATE OF NEED APPLICATION FOR THE TRANSFER OF OWNERSHIP OF CHILTON HOSPITAL TO ATLANTIC HEALTH SYSTEM 2 3 4 5 6 7 6:00 p.m. Tuesday, July 16, 2013 8 9 B E F O R E: DR. POONAM ALAIGH CONNIE BENTLEY McGHEE, ESQ. A T: THE PEQUANNOCK TOWNSHIP PUBLIC LIBRARY 477 NEWARK POMPTON TURNPIKE POMPTON PLAINS, NJ 07444 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 STATE SHORTHAND REPORTING SERVICE, INC. P.O. BOX 227 ALLENHURST, NEW JERSEY 07711 732-531-9500 FAX 732-531-7968 ssrs@stateshorthand.com STATE SHORTHAND REPORTING SERVICE, INC. 2 1 MS McGHEE: Good evening. I'm standing 2 to read so that everybody can hear me but then I will 3 be sitting down. 4 attorney, a Board member here. 5 Dr. Poonam Alaigh. 6 staff member, and Carmen Wolfe, our stenographer. 7 is a public hearing of the State Health Planning Board 8 in relation to the transfer of ownership of Chilton 9 Hospital to Atlantic Health System. And I'm Connie Bentley McGhee, And sitting with me is We also have Eugene Brenycz, a This The Department 10 deemed the application complete and in accordance with 11 the requirements of law. 12 Board is required to hold a public hearing on this 13 application within 30 days of this action. 14 notice of this hearing has been published in accordance 15 with the provisions of New Jersey statutes annotated, 16 26:2H-15.8. 17 who posted the notice in a public place. 18 hospital's Certificate of Need applications are 19 available at the Pequannock Township Public Library, 20 here, the State library in Trenton and the Department 21 of Health. 22 be reviewed by the State Health Planning Board in 23 addition to reviewing the application from Atlantic 24 Health System and the Department staff's analysis and 25 recommendations in a public meeting. The State Health Planning Adequate Notice was sent to the Secretary of State Copy of the Information gathered at this hearing will STATE SHORTHAND REPORTING SERVICE, INC. 3 1 Although not all of the Public State 2 Health Planning Board members are present, this 3 community public hearing is being transcribed. 4 transcript along with any written comments submitted 5 tonight will be made available to all Board members 6 along with the transcript and written submissions prior 7 to the meeting to review this application. 8 also be limited time at the next public meeting of the 9 State Health Planning Board to hear from members of the And the There will 10 public. 11 the application and answer questions that the Board 12 members may have. 13 And at that meeting the applicant will present In the interest of making efficient use 14 of time for tonight's meeting, each speaker will be 15 limited to three minutes. 16 comments with you, please provide a copy to us and they 17 will be added to the record. 18 speaking tonight should sign in on the speaker sheet at 19 the entrance to the auditorium. 20 here so far with 11 people. 21 time, three minutes. 22 warning. 23 Anyone who wants to submit written comments after 24 tonight's hearing and before the Board meeting is urged 25 to do so. If you have longer written Anyone interested in And I do have a sheet Dr. Alaigh will be keeping She'll give you a 30 second And that's your cue to wrap it up. Okay. Such comments must be submitted no later STATE SHORTHAND REPORTING SERVICE, INC. 4 1 than Tuesday, July 26th and should be addressed to the 2 State Health Planning Board in care of the Department 3 of Health. 4 For those of you unfamiliar with the 5 Certificate of Need process, the State Health Planning 6 Board will vote on a recommendation as to the decision 7 on this application and that will be submitted to the 8 Commissioner of Health. 9 Board's hearing is part of the Certificate of Need The State Health Planning 10 process. 11 review issues related to health planning, hospital and 12 related healthcare services and access to healthcare 13 services. 14 process. 15 materials submitted by the applicant. 16 recommend approval of the application, approval with 17 conditions or denial of the application before it. 18 Commissioner will make the final decision on the 19 application after the Board makes its recommendations. 20 Okay. 21 And your comments will be considered as we Your comments are an important part of this And they will be considered along with the The Board can And to begin, we'll start. The I ask that 22 you approach the lectern, podium. Give your name and 23 spelling, if necessary. 24 Dr. Alaigh will let you know where you are when you're 25 pretty close to your 30 seconds. And then you may begin. Okay? And So we'll start STATE SHORTHAND REPORTING SERVICE, INC. 5 1 with I believe it’s Stefanie Mair. 2 MS MAIR: Thank you. Good afternoon. My name is 3 Stefanie Mair. I am the Associate Executive Director 4 of Cedar Crest Village, a continuing care retirement 5 community. 6 have 1500 independent living apartments, 113 skilled 7 nursing beds and 82 assisted living beds. 8 2001. 9 guess that 90 percent of them utilize Chilton Hospital. We have approximately 2,000 residents. We We opened in With 2,000 residents I would probably venture to 10 We have had a very strong and productive relationship 11 with our residents utilizing the emergency room, 12 elective surgeries, the bariatric center, the wound 13 center and just about all of the services that are 14 offered by the hospital. 15 meets on a regular basis with the hospital where we 16 discuss any and all issues and resolve concerns in a 17 very productive manner. 18 Resident Advisory Council in the planning and 19 development of their orthopedic unit which was 20 tremendously well received. 21 the unit, offer suggestions, some of which were 22 implemented. 23 that in the emergency room at one point our residents 24 were concerned that while they were waiting they were 25 hungry. We have a committee that Chilton has also involved our The residents got to tour Another example of the collaboration is Chilton Hospital immediately responded and now STATE SHORTHAND REPORTING SERVICE, INC. 6 1 provides a healthy snack for everybody waiting with 2 much appreciation by our residents. 3 doctors who utilize Chilton are also affiliated with 4 Atlantic Health Systems. 5 So it is a very productive relationship. 6 to the clinical aspect of the collaboration, we've also 7 participated with the hospital in multiple educational 8 wellness and preventative programs for the greater 9 community. Many of the And our doctors work for us. In addition Some of them through the NICHE program and 10 others in our facility. 11 programs for nurses in which we're very, very pleased 12 about. 13 merger of Atlantic Health Systems with Chilton 14 Hospital. 15 utilize both hospitals, will benefit from the merger. 16 We feel that the alliance with Atlantic Health will 17 ensure that the residents will continue to have access 18 to the most advanced care possible. 19 There have been educational We strongly and enthusiastically support the We feel that the residents, many of whom MS McGHEE: Thank you. 20 for our healthy snacks. 21 this is Ms. Margaret Nolan. 22 MS NOLAN: Thank you. And thank you It's appreciated. Correct. I believe My name is Margaret 23 Nolan, M-A-R-G-A-R-E-T N-O-L-A-N. And I'm Vice 24 President for the Care One Organization concentrating 25 on clinical program development implementation. STATE SHORTHAND REPORTING SERVICE, INC. Care 7 1 One at Wayne which is a hop, skip and a jump from 2 Chilton, literally a few minutes, is a campus of 132. 3 We have 73 sub acutes, SNF. 4 facility apartments and a 17 memory impairment unit. 5 Care One offers personalized, attentive and expert 6 care. 7 community with spacious, comfortable apartments and a 8 perfect blend of independent living and daily support. 9 In addition, our Harmony Village Memory Care Unit meets We have 42 assisted living Our center includes an active assisted living 10 the unique medical, emotional and social needs of 11 patients who have Alzheimer's disease, dementia or 12 related conditions. 13 level of acuity typically seen in hospitals not long 14 ago. 15 Hospital is one of only 280 facilities worldwide 16 certified as nurses improving care for the health 17 systems elderly, which Stefanie had mention. 18 referred to as NICHE. 19 Chilton is committed to employing best practices in 20 nursing care that are proven to benefit the 21 hospitalized older adults. 22 equipped to handle a vast array of the life-threatening 23 conditions that surface for our residents. 24 instance, Chilton is designated as a Primary Stroke 25 Center by the New Jersey State Department of Health and And our sub acute care delivers a So it's very high levels of acuity. Chilton It's This designation means that Chilton is also well For STATE SHORTHAND REPORTING SERVICE, INC. 8 1 Senior Services and the Joint Commission. This 2 partnership with Atlantic Health, a regional leader in 3 stroke care, will strengthen the care provided and ease 4 the transfer of critical stroke patients to Overlook 5 Medical Center, which is the comprehensive stroke 6 center for advanced treatment if needed. 7 enable Chilton to create new protocols and services 8 such as video teleconferencing in which the 9 neurosurgeons at Overlook's neuroscience center can It will also 10 diagnose stroke patients at Chilton remotely and advise 11 on their care. 12 the better part of 30 years. 13 was the first hospital to form a vehicle to communicate 14 across the continuum with all of the extended care 15 facilities. 16 assisting livings, the home care agencies. 17 referred to as MFCCA, the Multi-Facility Continuum Care 18 Alliance. 19 work on systems that would benefit the patients that we 20 are all caring for. 21 all hospital systems embarking on as it is more 22 important for us to transition effectively together. 23 fully support the merger. 24 a family member who went to Chilton a few years ago for 25 epilepsy who was referred to Overlook with this merger I personally worked with Chilton for Aging myself. Chilton The sub acutes, the nursing homes, the And that's This form allows all entities to discuss and This is a strategy we see today I And I have to also just add STATE SHORTHAND REPORTING SERVICE, INC. 9 1 would be able to go to our neighborhood community 2 hospital and be afforded the same high level services. 3 Thank you. 4 MS McGHEE: Thank you. If you have 5 written testimony that you'd like to leave with us 6 we'll take it. 7 MS NOLAN: 8 MS McGHEE: 9 MS MAIR. 14 I can forward it to you. I did not bring it with me. 12 13 Ms. Mair, I didn't know if you have anything. 10 11 Sure. MS McGHEE: Anderson. Okay. Thank you. Bethann Ms. Anderson. MS ANDERSON: Hi. My name is Bethann, 15 B-E-T-H-A-N-N, Anderson, A-N-D-E-R-S-O-N, RN of the 16 MotherBaby Center at Chilton Hospital. 17 years I've worked as a labor and delivery nurse in the 18 MotherBaby Center at Chilton Hospital. 19 learned I was pregnant with my first child, but at 20 31 weeks I was diagnosed with preeclampsia, a condition 21 that threatened my health and the life of my baby. 22 Suddenly it wasn't safe for me to be pregnant anymore. 23 And I knew the nurses and physicians at Chilton were 24 well equipped to handle babies delivered at 32 weeks 25 gestation and older. For the past 14 In 2008 I So I decided to stay where I was STATE SHORTHAND REPORTING SERVICE, INC. 10 1 most comfortable, my community hospital. My Chilton 2 obstetrician kept me in the hospital for a few days and 3 gave me steroids to help develop my baby's lungs. 4 32 weeks my son, Andrew Joseph, was born. 5 3 pounds, 9 ounces. 6 without him, but I felt very comfortable because he was 7 in good hands with my coworkers at the MotherBaby 8 Center. 9 level two nursery was a long standing partnership with At He was It was really hard to go home The staff is wonderful and the hospital's 10 Morristown Medical Center to provide Chilton patients 11 access to a talented team of neonatologists right at 12 Chilton. 13 Orsini were both very caring and understanding. 14 they explained everything to me and my husband, Gary. 15 Because he was so premature Baby Andrew had some 16 problems with breathing, but several hours after the 17 Chilton staff was able to help him to breathe on his 18 own. 19 to a crib. 20 Andrew came home with us. 21 at Chilton and the competence of the neonatologists at 22 Morristown Medical Center today Andrew's a very active 23 five-year old who loves to play soccer and swim. 24 has no lingering medical issues and would never know he 25 was born premature. In fact, Dr. Calvin Shen and Dr. Anthony And He was in an incubator first and then graduated Two and a half weeks later at 4 pounds Thanks to the amazing staff He He will be entering kindergarten STATE SHORTHAND REPORTING SERVICE, INC. 11 1 in the Fall. I work as a staff nurse at the MotherBaby 2 Center and teach baby care classes to expectant parents 3 who sometimes ask if they will be in good hands in case 4 something happens to their baby. 5 reassure them. 6 Morristown with my care and the life of my precious 7 baby boy and they delivered. 8 else. 9 story. I never hesitate to I entrusted the team at Chilton and I wouldn't go anywhere Thank you for this opportunity to share my 10 MS McGHEE: 11 DR. NEIGHER: Mr. William Neigher. Good evening. I'm Dr. 12 William Neigher, N-E-I-G-H-E-R. I'm Chief Strategy 13 Officer and Vice President for System Development for 14 Atlantic Health. 15 Atlantic Health, thank you for the opportunity to 16 express our support to integrate these two exceptional 17 healthcare providers. 18 have a long standing relationship of clinical 19 collaboration. 20 System have been working together since 2005. 21 Integration will also strengthen the financial 22 viability of Chilton Hospital as a general acute care 23 hospital and extend and enhance the scope of services 24 offered. 25 community residents and medically indigent without any On behalf of the senior management at First, you should know that we Chilton Hospital and Atlantic Health The hospital would continue to serve its STATE SHORTHAND REPORTING SERVICE, INC. 12 1 disruption in services. Clinical integration provides 2 a special opportunity in five service lines in addition 3 to cardiovascular and orthopedics and neurosciences. 4 Chilton and the neurosciences department at Overlook 5 Medical Center as you just heard have had a long 6 collaboration. 7 program will improve diagnostic and treatment response 8 times. 9 at Morristown Medical Center, a focus on services The implementation of a tele-stroke In women's health we have high acuity services 10 integration for high risk patients, midwifery options, 11 doula services and integrative medicine initiatives. 12 And in oncology clinical integration with the Carol G. 13 Simon Cancer Center will bring strategies to align 14 medical oncologists an improved access to leading 15 specialists in melanoma, gyn-oncology, thoracic surgery 16 and neurooncology. 17 clinical trials will extend the options for cancer 18 patients. 19 mission to promote wellness and provide compassion, 20 care and healing and the Atlantic Health mission of a 21 healing culture have a common bond. 22 expression of our mission and values are enabled 23 through a healing culture in which we share 24 responsibility with patients' families in the 25 community, demonstrate respect for diversity through In addition, access to cutting edge Most importantly, the Chilton Hospital At AHS the STATE SHORTHAND REPORTING SERVICE, INC. 13 1 cultural competence, embrace synergies among physical, 2 emotional and spiritual connections and recognize 3 optimal well being, prevention and health promotion as 4 integral parts of the healing process. 5 five shared values with pride, professionalism, 6 respect, involvement, dignity and excellence. 7 Chilton Hospital values of collaboration, ownership, 8 excellence, innovation and compassion reflect a similar 9 and consistent respect for their patients and their We speak to our The 10 families. We can combine our efforts in another 11 important way. 12 nearly $84,000,000 in community benefits. 13 programs with Chilton initiatives we can focus our 14 joint efforts on population healthcare. 15 Hospital and Atlantic Health have already been 16 collaborating on a community health needs assessment 17 for the past five years. 18 have been identified. 19 address common elements which include behavioral 20 health, nutrition, substance abuse and access to 21 services. 22 strategic partner with Chilton. 23 mission, vision and values, a long history of service 24 to their respective communities, natural referral 25 patterns and inpatient transfers and a fundamental In 2011 Atlantic Health contributed Combining Chilton The needs of the community And we will work together to Atlantic Health System is a natural and There is symmetry of STATE SHORTHAND REPORTING SERVICE, INC. 14 1 commitment to improving the health of the communities 2 we serve for generations to come. 3 thank and acknowledge Dr. Poonam Alaigh, former 4 Commissioner, currently a State Health Planning Board 5 member and a colleague of ours at the Atlantic System. 6 Thank you very much. 7 8 MS McGHEE: We also want to Thank you, Doctor. Ms. Anne Rooke. 9 MS ROOKE: Hello, my name is Anne Rooke. 10 It's A-N-N-E R-O-O-K-E. Thanks for the opportunity to 11 speak tonight and express why I feel the partnership 12 between Atlantic Health and Chilton Hospital will be 13 beneficial to both the Morris and Passaic County 14 communities. 15 Health System. 16 Masters degree in nursing. 17 general surgeon. 18 a great volunteer for the local hospital where I grew 19 up. 20 hospital was instilled in me at a very early age. 21 Since I moved to Morris Township in 1982 I've directed 22 most of my volunteer efforts to Morristown Medical 23 Center. 24 with Atlantic Health which became the parent 25 organization for Morristown and Overlook Hospitals in I'm on the Board of Trustees of Atlantic I'm a registered nurse with an advanced My father was a retired My mother an operating room nurse and The importance of giving back to our community It is with great pride that I'm associated STATE SHORTHAND REPORTING SERVICE, INC. 15 1 1996. And in 2011 Newton Medical Center joined the 2 Atlantic Health System. 3 trustee I want to ensure that all of our hospitals will 4 continue to serve their local communities and have 5 access to the best clinical care. 6 difficult economic times and with all the uncertainty 7 of what health reform can bring, the Board of Trustees 8 has been exploring possible partners with other 9 hospitals. During my tenure as a hospital During these The main reason for this is to ensure 10 financial viability for our hospitals. As 11 reimbursements are reduced and fewer patients need to 12 be admitted we needed a way to flourish. 13 -- we needed targeted sustainable growth during times 14 of pressing resource constraints. 15 reputation to uphold. 16 search we had certain criteria and standards that had 17 to be met. 18 mission, vision and values. 19 to be a hospital that placed the emphasis on 20 exceptional care and services. 21 Hospital. 22 was a shared synergy. 23 vital component to the integration of our systems. 24 Another factor that we considered was how well we could 25 work together. We targeted However, we had a And while we conducted our These included a hospital that shared our More specifically, it had We considered Chilton There was a similarity in our values. There We know that this will be a This is usually difficult to gauge in STATE SHORTHAND REPORTING SERVICE, INC. 16 1 advance. Of course, sharing similar values would 2 increase our chances of working well together, but it's 3 no substitute for the real thing. 4 fortunate to have a good working relationship since 5 2005. 6 certain services. 7 Health has been a service that we provided for many 8 years. 9 quickly through the coordination services of the Once again, we were As a community hospital Chilton does not provide Transferring patients to Atlantic And most recently and more efficiently and 10 Atlantic's Patient Transfer Center. They make all of 11 the arrangements for a complicated cardiac patient to 12 be transferred to the Gagnon Cardiovascular Institute 13 at Morristown Medical Center including the ambulance 14 transportation. 15 complications needing specialty treatment gets 16 transferred to the Atlantic Neuroscience Institute at 17 Overlook. 18 received the benefits of timely transfers in highly 19 specialized care available at Atlantic facilities. 20 addition to the transfers to the Atlantic Health 21 Medical Center Chilton has relied on Atlantic Health 22 ambulance to transport over 1400 patients to other 23 healthcare facilities. 24 relationship the Board of Trustees of Atlantic feels 25 confident that this partnership will be successful. Moreover, a patient with neurological And since January 2012 161 patients have In Based on our positive working STATE SHORTHAND REPORTING SERVICE, INC. 17 1 Thank you for the opportunity to speak. 2 that you, too, will see the partnership of these two 3 institutions will strengthen and expand access to the 4 best clinical care for our communities while maximizing 5 cost efficiencies. 6 7 Thank you. MS McGHEE: Thank you. Mr. Eliot Chodosh. 8 9 And I trust DR. CHODOSH: Good evening. My name is Dr. Eliot Chodosh, E-L-I-O-T C-H-O-D-O-S-H. I'm a 10 neurologist at Chilton and I'm Chairman of the Board of 11 the hospital. 12 support of Chilton's proposed merger with the Atlantic 13 Health System. 14 months of collaborative deliberation the Board of 15 Directors of both Atlantic Health System in Morristown 16 and Chilton Hospital and Health Network based in 17 Pompton Plains have agreed to merge. 18 worked together to assess how our hospitals might 19 partner to best serve our current and future patients, 20 as well as how to enhance the health status of the 21 communities we serve. 22 was the best option for us to deliver the highest 23 quality of care to our patients and to this region. 24 This merger will provide many benefits to our 25 communities that will help advanced healthcare in New I'm here this evening to speak in After careful consideration and many Our boards have We've concluded that a merger STATE SHORTHAND REPORTING SERVICE, INC. 18 1 Jersey. Some of these anticipated benefits include 2 significant clinical and economic efficiencies to lower 3 the cost of healthcare while providing the highest 4 quality services, broader patient access to coordinated 5 primary pediatric and specialty care such as clinical 6 trials, state-of-the-art oncology services, advanced 7 neonatal care, leading edge orthopedics and sport 8 medicine and the most immediate access to specialized 9 emergency care including complex stroke care, as well 10 as the latest cardiac and thoracic, diagnostic and 11 treatment interventions. 12 outpatient and preventative medicine services within 13 the region. 14 facilities and new medical technologies and equipment 15 will become available. 16 to tertiary care and strengthen primary care network 17 which will make it easier to cope with increased demand 18 for services that healthcare reform is expected to 19 generate. 20 development of population based initiatives including 21 participation in Atlantic's Accountable Care 22 Organization. 23 evidence based care and quality assurance activities 24 within and across our medical staffs. 25 merger will not only allow the hospital to continue its There will be expanded Upgrades to information technology, There will be expanded access Greater community benefit through the And lastly, best practices, best This projected STATE SHORTHAND REPORTING SERVICE, INC. 19 1 mission of providing the community with the highest 2 qualify care, but to enhance its medical services 3 through the added benefit of a comprehensive and 4 expanded healthcare network. 5 6 7 MS McGHEE: Thank you. Thank you, Dr. Chodosh. Next we have Mr. Dave Washburn. MR. WASHBURN: Good evening. 8 Dave Washburn, W-A-S-H-B-U-R-N. 9 me to speak tonight. My name is Thank you for allowing I've been on the Chilton 10 Foundation Board of Trustees for over four years. I'm 11 currently in the second year of a two-year term as the 12 Chairman of the foundation. 13 proposed intent to merge with Atlantic Health System. 14 It is a proactive outcome not really a reaction of a 15 process that the Chilton executive team and the Board 16 of Trustees undertook several years ago. 17 plan was developed based on external scans of the U.S. 18 healthcare community, of the local community needs and 19 a scan of the internal strengths and weaknesses of 20 Chilton's staff and professionals. 21 a plan of action to address and monitor the rapidly 22 changing healthcare landscape which involves 23 technology, science, healthcare delivery and economics. 24 So again, tonight's meeting is about a planned activity 25 that Chilton understood was very necessary to continue I support Chilton's A five year The end result was STATE SHORTHAND REPORTING SERVICE, INC. 20 1 to meet the needs of the local community. The 2 foundation is a not for profit 501(c) (3) fundraising 3 organization for Chilton Hospital specifically. 4 foundation's philanthropic efforts provide vital 5 funding for programs, construction, renovation of 6 facilities and the purchase of state-of-the-art 7 technology. 8 Board of Trustees that has ranged in numbers from 14 to 9 25 trustees over the years since its inception. The The foundation is led by a volunteer The 10 Board through bylaws, policies and committee structures 11 oversees the raising and use of the philanthropic 12 donations, and also directs the organization in 13 partnership with the hospital and representative of our 14 community. 15 hospital CEO also sits on our Board. 16 Chair sits on the Chilton's Board of Trustees. 17 the past two decades the foundation has raised more 18 than $39 million for Chilton Hospital. 19 have benefited an array of essential services. 20 example, our community based cancer center, our breast 21 center, our MotherBaby Center that you heard about 22 earlier, the access center, emergency department and 23 several other clinical and community outreach programs. 24 We currently have net assets of $11,000,000 under our 25 direction of which 60 percent are restricted and To ensure alignment with the hospital the And our Board's Over These funds For STATE SHORTHAND REPORTING SERVICE, INC. 21 1 40 percent unrestricted. As with hospitals throughout 2 the nation, profit margins are at their lowest level in 3 decades. 4 support of the hospital's mission, especially in the 5 area capital spending needs. 6 Chilton into the Atlantic Health System will serve to 7 help the foundation continue our mission. 8 believe this. 9 funding to the Chilton Health Network. Chilton relies upon the foundation for The integration of We fervently And continue to provide the vital During our 10 preclosing phase of the projected merger both Chilton 11 and the AHS representatives have worked together to 12 update the foundation charter and bylaws to ensure our 13 current mission and our purpose will continue after the 14 merger. 15 that a merger with Atlantic Health System will serve to 16 bolster the foundation's fundraising efforts. 17 Atlantic is considered a premier heath system in New 18 Jersey. 19 provided -- that has proven success reassures the 20 public that Chilton will remain a thriving community 21 hospital and will be able to serve our community needs. 22 In conclusion, the foundation is ready to move forward 23 with Chilton on this merger. 24 reach to the community. 25 able to keep the funds in the Chilton community. The foundation believes and I certainly do And that Aligning ourselves with a system that has We are enhancing our And most importantly, we'll be STATE SHORTHAND REPORTING SERVICE, INC. Thank 22 1 you. 2 3 MS McGHEE: I mistakenly skipped over Ms. Deborah Zastocki. 4 MS ZASTOCKI: I'm Deborah Zastocki, 5 Z-A-S-T-O-C-K-I. I'm the President and Chief Executive 6 Officer at Chilton Hospital. 7 nurse and have been very committed to our community. 8 For the last 57 years Chilton has been an integral part 9 of northwest New Jersey's exceptional care services to I'm a doctorally prepared 10 our patients. Our focus has been on personalized care. 11 And although we're located in Pompton Plains, Chilton 12 is the lifeline for our communities. 13 areas cover more than 350 square miles comprising 33 14 towns for the combined population of over 366,000 15 people. 16 And have provided more than $10,000,000 in community 17 benefit last year in the form of free or low cost 18 healthcare, community programs, health education, 19 screenings and classes. 20 challenging times medical centers across the nation, 21 and especially in northern New Jersey, are forming 22 partnerships that enhance the effectiveness of 23 providing care. 24 criteria based process in evaluating our options going 25 forward and our partners. And our service Each year we serve more than 160,000 people. Obviously, in these enormously Chilton engaged in the deliberative Atlantic Health System was STATE SHORTHAND REPORTING SERVICE, INC. 23 1 the chosen partner. Atlantic and Chilton Hospital are 2 planning to join together to meet the needs and the 3 challenges facing our healthcare environment and to 4 better serve current and future patients. 5 convergence of our hospitals will enable us to provide 6 more affordable care, expand our healthcare outreach, 7 improve the health of our communities we serve and 8 strengthen the overall organization. 9 fit and have a long history of working together. The We have a natural As 10 has been mentioned, we share similar mission values and 11 vision and have been collaborative for many, many 12 years. 13 benefitting our patients for those needing advanced 14 cardiovascular, neuroscience, perinatal and neonatal 15 care. 16 Chilton side as well as ongoing care between transfers 17 to the various Atlantic sites as well as transfers back 18 to the hospital. 19 partnership assures that Chilton will continue to serve 20 as the licensed acute care hospital maintaining the 21 breadth and scope of medical services currently offered 22 at the hospital campus and its network sites. 23 also bolster Chilton's financial stability and ensure 24 patients are granted easier access to world class care 25 in the comforting arms of their community. Our strong clinical affiliations have been They've received enhanced services on the It's been very effective. This It will There's no STATE SHORTHAND REPORTING SERVICE, INC. 24 1 better time than now for Chilton to pursue this merger 2 with Atlantic Health System which will clearly provide 3 enhanced healthcare benefits to the communities we 4 serve and in coming years to advance healthcare in New 5 Jersey. 6 firmly believe this endeavor is the right step for 7 Chilton and will assure it continues to fulfill its 8 founding mission for the good of the patients, 9 employees, physicians and families for our community. 10 As president and CEO of Chilton Hospital I Thank you. 11 12 13 MS McGHEE: Thank you, Ms. Zastocki. Joanne Reich. MS REICH: I am Joanne Reich, 14 J-O-A-N-N-E R-E-I-C-H. And I am the chief nursing 15 officer at Chilton Hospital. 16 nursing at the hospital. 17 at Chilton emphasizes a supportive holistic approach to 18 providing care for our patients. 19 new child into the world, compassionately caring for 20 patients with cancer, helping patients with joint 21 replacement, supporting patients through minimally 22 invasive surgery or performing life saving emergency 23 angioplasty, Chilton Hospital calls upon its dedicated 24 nursing staff 24/7 to deliver the highest quality care. 25 As the facility grows and evolves involves nursing I oversee the practice of And the philosophy of nursing Whether it's bring a STATE SHORTHAND REPORTING SERVICE, INC. 25 1 professionals are needed to maintain high clinical 2 standards throughout the continuum of the experience 3 from admission through discharge and education that's 4 needed along the way. 5 physicians, participation with and implementation of 6 performance improvement measures, use of evidence based 7 practice and involvement with patient safety initiative 8 are some of ways in which nursing contributes to 9 quality care. Our collaboration with Assuring excellence means empowering our 10 healthcare team to do their best. We have over 400 11 nurses. 12 at children. 13 resources and opportunities to be successful at the 14 bedside providing timely education so that they stay 15 abreast of the latest clinical developments. 16 of nurses holding certification in their specialty 17 areas of practice is above the national average. 18 have close to 30 percent of our nurses certified. 19 the national average is 20 percent. 20 on one of the numerous councils that are part of our 21 shared governance structure. 22 cohesive spirit of respect and collaboration. 23 governance enables our nurses at the bedside to 24 participate and drive implementation of best practice 25 with the guidance of our nursing leadership. And most have well over ten years of service We provide them with the tools and Our level We And Nurses participate Thereby, creating a Shared And it STATE SHORTHAND REPORTING SERVICE, INC. 26 1 has resulted in commendable achievements. Chilton 2 Hospital in January of this year became the first acute 3 care hospital in New Jersey to achieve national Pathway 4 to Excellence designation from the American Nurses 5 Credentialing Center. 6 program provides evidence based standards to sustain a 7 supportive practice environment for nurses. 8 standards help nurses to help patients attain the best 9 outcome of their care. The Pathway to Excellence The This is made possible by the 10 opportunity and more importantly the expectation that 11 our direct care nurses participate in reviewing and 12 improving nursing practice at the bedside. 13 improving practice doesn't end with our designation 14 through Pathway to Excellence. 15 And the partnership with Atlantic Health, a system that 16 also values and nurtures its nursing professionals will 17 offer continued support on the collaboration in our 18 pursuit of excellence. 19 been a leader in the pursuit of excellent care and also 20 received national designation for nursing practice by 21 the Magnet organization. 22 our physicians and professional colleagues and the new 23 opportunities available as a result of the affiliation 24 with Atlantic Health we will continue to elevate our 25 nursing practice standards to ensure continued And our It's a new beginning. Atlantic Health nurses have Together with the support of STATE SHORTHAND REPORTING SERVICE, INC. 27 1 excellence in the care of our patients. 2 forward to the merger and is excited to work with our 3 colleagues at Atlantic Health. 4 MS McGHEE: Nursing looks Thank you. Thank you, Ms. Reich. If 5 you'll notice when the timer goes off we're not exactly 6 stopping you at three minutes because we realize that, 7 you know, we've got another, what, two people and then 8 we're going to be here for two hours. 9 and a half. 10 Anyway. Thomas Scott. MR. SCOTT: So another hour Mr. Scott. Good evening. My name is 11 Tom Scott, T-O-M S-C-O-T-T. I'm the chief operating 12 officer at Chilton Hospital. 13 support for Chilton's proposed intent to merge with 14 Atlantic Health System. 15 cost efficient care close to home is a challenging 16 mission and requires substantial resources and funds. 17 For this reason and more we are confident that our 18 decision to pursue partnership with a strong health 19 system is the right thing to do for the hospital's 20 future and the health for our communities. 21 was reinforced by the rating agency Standard and Poor's 22 which recently revised our outlook from negative to 23 stable and affirmed our triple B plus bond rating. 24 their public report they commented that part of that 25 decision to partner with Atlantic is a promising I'm here to state my Delivering the most advanced This fact STATE SHORTHAND REPORTING SERVICE, INC. In 28 1 development. Partnership between Atlantic and Chilton 2 will allow both institutions to be better positioned 3 for future growth, vitality and stability. 4 will ensure that Chilton remains a vital community 5 health resource for years to come. 6 today the collaboration between hospitals hopes to 7 realize potential cost savings. 8 integration of services and economies of scale which 9 will likely result in the reduction of healthcare costs The merger As most mergers Through the 10 and operate more efficiently. 11 offer Chilton better access to financial capital which 12 will support the hospital's sustained growth. 13 enable Chilton to fulfill its longstanding strategic 14 goals and initiatives to provide the most advanced 15 care, the latest technology and modernized facilities 16 to the community. 17 complex medical facilities independently now through 18 the merger we also expect to see cost savings related 19 to purchasing of drugs, medical supplies, equipment and 20 information technology. 21 Partnership will also Having borne the costs of running Thank you. MS McGHEE: Thank you. 23 DR. AMOR: Yes. 24 MS McGHEE: Mr. Amor. 25 DR. AMOR: Thank you very much. 22 It will And I have is it Jorge Amor? Thank you. My STATE SHORTHAND REPORTING SERVICE, INC. 29 1 name is Jorge Amor, A-M-O-R. I'm a pediatrician and 2 President of the medical staff at Chilton Hospital. 3 I'm also a resident in the community for -- in this 4 community for more than 20 years. 5 my support to the proposed merger of Chilton and 6 Atlantic Health System. 7 of view it gives our patients access to a comprehensive 8 array of services including specialty consultation, 9 advanced cardiac and neurology services and the latest And I'm here to give I believe from a patient point 10 in neonatal care. In our changing medical environment 11 it also gives patients access to enhanced outpatient 12 services from nutritional counseling, visiting nurses, 13 centers for health excellence. 14 us have now the opportunity of following our patients 15 at Atlantic Health System and Morristown Memorial 16 Hospital and become members of their medical staff. 17 also have access to advanced medical research and the 18 ability to join accounting care organizations from 19 Atlantic Health which is one of the largest in the 20 country. 21 possible medical care to patients. 22 community I feel it enhances the choices for medical 23 care and opens the doorway into some of the most 24 advanced techniques and equipment in the country. 25 that I give my unconditional support. As a physician all of We And their only goal is to provide the best As a member of this For Thank you very STATE SHORTHAND REPORTING SERVICE, INC. 30 1 much. 2 MS McGHEE: 3 these are all the names. 4 MR. BRENYCZ: 5 MS McGHEE: 6 you. Craig Ollenschleger. 7 name for, me, sir. 8 9 THE COURT: C-R-A-I-G. Thank you, Dr. Amor. Now Did others sign in? One more. One more. All right. Thank You'll have to say your For the record it's Middle initial A. And the last name is 10 O-L-L-E-N-S-C-H-L-E-G-E-R. Madam Secretary and members 11 of the State Health Planning Board, my name is Craig 12 Ollenschleger. 13 to have served two four-terms as the elected Mayor of 14 my hometown, Bloomingdale, which is one of the 15 communities lying at the heart of Chilton Hospital's 16 service area. 17 both a member and chairman of the Chilton Neighbors For 18 Better Health Advisory Board. 19 and Board chairman I come before you this evening to 20 give you my full-throated endorsement of Chilton 21 Hospital's proposed merger with Atlantic Health System. 22 If my own family's experiences are any indication I can 23 honestly say that Chilton plays a vital role as my 24 community's provider of critical healthcare services. 25 Years ago it was the trusted physicians and skilled And it has been my honor and privilege During that time I have also served as And as a former Mayor STATE SHORTHAND REPORTING SERVICE, INC. 31 1 nurses of Chilton Hospital who delivered my little 2 sister into this world. 3 some professionals who responded to my need for help 4 following a vehicular accident. 5 family members' arrival on the night of a blizzard 6 after he experienced a sudden medical emergency. 7 just a couple of years ago it was these same dedicated 8 men and women who tended to one on my parents when his 9 retirement was unfortunately and rudely interrupted by And years later it was the And who awaited my And 10 a broken hip. My family like other families who call 11 Bloomingdale and its neighbors home knows only -- one 12 and only one community hospital. 13 In my opinion all of our communities will benefit from 14 the formalization of Chilton's relationship with 15 Atlantic Health System bringing Morristown Medical 16 Hospital and other Atlantic facilities into the 17 vanguard of the programs and services already provided 18 by Chilton will enhance both the breadth and depth of 19 those offerings. 20 mission of promoting community health. 21 a major life line through which Chilton has gained 22 valuable insight into community health needs has been 23 the Chilton Neighbors For Better Health Advisory Board. 24 The Chilton Neighbors For Better Health Advisory Board 25 is funded through Chilton's community outreach And that's Chilton. And thereby, promote Chilton's core In particular, STATE SHORTHAND REPORTING SERVICE, INC. 32 1 department and is comprised of the social activists, 2 cultural advisors, spiritual figures, governmental 3 leaders and concerned citizens who form the backbone of 4 our communities. 5 convene to discuss how Chilton can better fulfill its 6 critical mission of promoting better health and 7 wellness in our communities. 8 their time, talents and thoughts to share their 9 experiences and perspectives in order to enable Chilton 10 to better focus and target its community health efforts 11 by identifying unmet needs, establishing important 12 health priorities and planning new health initiatives 13 for the benefit of Chilton communities. 14 Chilton's advisory Board optimizes community input to 15 address the spectrum of needs that are the keys to 16 improving individuals' health status and wellness in 17 our communities. 18 has addressed a host of timely community health issues 19 including eating disorders, depression, prescription 20 drug abuse, posttraumatic stress disorder, caregiver 21 issues, teenage designer drug and alcohol use and 22 obesity. 23 and chairman I welcome Chilton's formulization of its 24 partnership with Atlantic Health System, one that is as 25 community minded as Chilton. Six times per year Board members Our members volunteer In this manner In fact, in recent years the Board As a retired Mayor and former Board member Atlantic Health has shown STATE SHORTHAND REPORTING SERVICE, INC. 33 1 a true commitment to improving the health of its 2 communities including by launching a new vision 3 statement. 4 healthiest in the nation, close quote. 5 vision is precisely aligned with Chilton's longstanding 6 commitment to community health and wellness, and will 7 ensure that our residents continue to receive the 8 healthcare and support that they need and deserve to 9 lead healthy, productive lives. Quote, Empowering our communities to be the This innovative One final paragraph, 10 if I might. Through my experience with the Chilton 11 Neighbors For Better Health I am firmly convinced that 12 Chilton will be better able than ever before to extend 13 its reach beyond the hospital's walls to facilitate 14 community based health and wellness which is an 15 imperative objective in this day and age of ever rising 16 healthcare demand and costs. 17 Atlantic Health System will expand the panoply of 18 health screening, lectures and educational classes that 19 our communities long enjoyed. 20 community health and well-being by ensuring that 21 underserved populations and less privileged citizens 22 gain access to healthcare and educational services that 23 they otherwise would not receive. 24 affording me this opportunity to explain how Chilton's 25 proposed merger with Atlantic Health will positively Linking Chilton with the These events maximize And I thank you for STATE SHORTHAND REPORTING SERVICE, INC. 34 1 impact our local communities and their residents. 2 MS McGHEE: Thank you. That concludes 3 this part of our hearing, our public hearing. 4 no names. 5 until more people should come forward but we will be 6 here until 8 o'clock. So at this point we'll simply have a recess 7 (Whereupon there is a recess.) 8 MS McGHEE: 9 please? We have May I have your attention, Your recess is now over. And at this point 10 are there any other persons who wish to speak? 11 none, I declare his meeting over. Hearing Thank you very much. 12 13 (Whereupon the matter is adjourned.) 14 15 16 17 18 19 20 21 22 23 24 25 STATE SHORTHAND REPORTING SERVICE, INC. 1 CERTIFICATE 2 3 4 I, CARMEN WOLFE, a Certified Court 5 Reporter and Registered Professional Reporter and 6 Notary Public of the State of New Jersey hereby certify 7 the foregoing to be a true and accurate transcript of 8 the proceedings as taken stenographically by me on the 9 date and place hereinbefore set forth. 10 11 12 13 14 15 C:\TINYTRAN\CARMEN.BMP 16 17 CARMEN WOLFE, C.C.R., R.P.R. 18 19 20 21 22 23 24 Dated: July 26, 2013 License No. 30XI00192200 Notary Commission Expiration Date: July 29, 2016 25 STATE SHORTHAND REPORTING SERVICE, INC.