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ADVISORY CONCERNING ELECTRONIC CIGARETTES, THE PRACTICE OF “VAPING,” “JUULING” AND USE OF OTHER ELECTRONIC NICOTINE DELIVERY SYSTEMS OR ENDS

COPA Announcements

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12/3/19 – Commissioner Piercey signed an Employed Physician Waiver, granting Ballad Health’s request for a continuation of the waiver of the 35% limitation for neurology at Johnson City Medical Center.

12/3/19 – Commissioner Piercey signed an Employed Physician Waiver, granting Ballad Health’s request for a continuation of the waiver of the 35% limitation for cardiothoracic surgery at Bristol Regional Medical Center.

10/28/19 – Ballad Health submitted to the Tennessee Department of Health, the Fiscal Year 2019 Ballad Health Annual Report, as well as the Fiscal Year 2019 COPA Compliance Office Annual Report, for reporting period July1, 2018 - June 30, 2019. Ballad Health also submitted an Executive Summary of these annual reports.

9/30/19 – A Letter from Alan Levine to Commissioner Piercey regarding a STRONG Children and Families Model for Change was received by the Tennessee Department of Health.

08/15/19 – The Ballad Health FY19 4th Quarter Quarterly Report, for reporting period April 1, 2019 – June 30, 2019.

08/12/19 - The "Amended and Restated Terms of Certification Governing the Certificate of Public Advantage Issued to Ballad Health Pursuant to the Master Affiliation Agreement and Plan of Integration By and Between Wellmont Health System and Mountain States Health Alliance," dated July 31, 2019, can be read hereA summary of the changes can be read here.

6/26/19 – FY20 Implementation Roadmaps containing updated schedules of quarterly milestones and data metrics for Ballad Health’s six 3-year plans: Behavioral Health, Children’s Health, Health Information Exchange, Health Research and GME, Population Health and Rural Health.

05/15/19 – The Ballad Health Quarterly Report, for reporting period January 1, 2019 – March 31, 2019, can be read here.

5/7/19 – A letter regarding the Department’s conditional approval of Ballad Health’s Health Information Exchange (HIE) and Health Research and Graduate Medical Education (HR/GME) Plans can be read here. The HIE Plan submitted by Ballad can be read here. The HR/GME submitted by Ballad can be read here.

5/7/19 The Department Annual Report can be read here.

5/1/19 - Ballad NICU Consolidation Statement can be read here.

4/7/19 The COPA Monitor Annual Report can be read here.

3/31/19 A letter from Larry Fitzgerald, the COPA Monitor, to Commissioner Piercey regarding Ballad’s NICU Consolidation request can be read here.

3/8/19 The COPA Local Advisory Council’s Annual Report can be read here.

3/6/19 The Department’s COPA Index Reports, which include the Population Health Report, Access to Health Services Report, and Other (Quality) Report, can be read here

3/5/19   A signed Conditional Waiver, regarding cross-credentialing of Employed Physicians at all Ballad hospitals, can be read here.  

3/5/19 A letter regarding the Department’s conditional approval of Ballad Health’s Behavioral Health, Children’s Health, and Population Health Plans can be read here.

3/5/19 – A letter and memorandum to the Tennessee Commissioner of Health and other interested parties expressing Sullivan County’s opposition to Ballad Health’s downgrade of the trauma centers at Holston Valley and Bristol Regional, and the closure of the NICU at Holston Valley dated 2/6/19 can be read here.

2/22/19   A letter regarding Population Health Sub-Index measurement revisions can be read here

2/15/2019 – The Ballad Health Quarterly Report for reporting period October 1, 2018 – December 31, 2018 can be read here.

2/07/19 The transcript from the COPA Local Advisory Council’s Annual Public Hearing held February 7, 2019 can be read here.

1/29/19 –  A letter from Alan Levine to Commissioner Piercey providing notice regarding Ballad Health’s plan to consolidate services in Greene County can be read here.

1/19/19 –  A letter from Alan Levine responding to Commissioner Dreyzehner’s 1/16/19 request for additional information regarding Ballad Health’s NICU consolidation proposal can be read here.

1/16/19 –  The COPA Local Advisory Council schedules its first Annual Public Hearing. Read the press release here.

1/16/19 - A letter from Commissioner Dreyzehner requesting additional information on Ballad Health's NICU consolidation proposal can be read here.

12/28/18 –  A letter from Alan Levine responding to Commissioner Dreyzehner’s request for additional information regarding Ballad Health’s NICU consolidation proposal can be read here.

12/13/18 –  A letter from Commissioner Dreyzehner regarding Ballad Health’s NICU consolidation proposal can be read here.

12/6/18 – A supplemental letter from Ballad Health detailing the organization's transport plans and telemedicine plans for the proposed coordination of newborn services can be read here.

12/5/18 - The Behavioral Health Plan submitted by Ballad can be read here. The Children’s Health Plan submitted by Ballad can be read here.  The Population Health Plan submitted by Ballad can be read here.

11/20/18 – The Ballad Health Quarterly Report, for reporting period July 1, 2018 – September 30, 2018, can be read here.

11/19/18 – a supplemental letter to Commissioner Dreyzehner with additional information related to Ballad Health’s request to coordinate newborn services can be read here.

11/15/18 – The 2018 Ballad Health Annual Report, reporting on the period from February 1, 2018 – June 30, 2018, can be read here.  The COPA Compliance Office Annual Report, for reporting period February 1, 2018 – June 30, 2018, can be read here.

11/12/18 – A letter from Ballad Health to Commissioner Dreyzehner regarding a proposed plan to coordinate newborn services can be read here.

8/14/18 – Read Ballad Health’s 8/14/2018 Quarterly Report here. Read the 8/14/2018 COPA Compliance Office Quarterly Report here

5/23/18 –  Tennessee Department of Health Commissioner John Dreyzehner, MD, MPH announces the appointment of members of the inaugural COPA Local Advisory Council. Read the press release here.

5/15/18 – Larry Fitzgerald named COPA Compliance Monitor. Read the Press release here.

5/14/18 – A letter from Ballad Health to Commissioner Dreyzehner regarding the submission of their Quarterly Report and COPA Compliance Office Quarterly Report can be read here. Read Ballad Health’s first Quarterly Report here. Read the COPA Compliance Office Quarterly Report here

4/16/18 – A letter from Ballad Health to Commissioner Dreyzehner regarding planned merger related synergies can be read here.  

3/1/18 –  Lists of competing services with respect to each COPA Hospital, specifically lists of Ancillary Services and Post-Acute Services offered by providers competitive with Ballad Health can be read here

2/28/18 – A signed Employed Physician Waiver, granting Ballad Health’s request for an exception to the 35% limitation on Employed Physicians for neurosurgery and for Employed Physicians for physical medicine and rehabilitation, respectively, can be read here

1/31/18 –  Tennessee Department of Health Commissioner John Dreyzehner, MD, MPH, announced that the state is officially allowing a merger of Wellmont Health System and Mountain States Health Alliance by issuing a Certificate of Public Advantage or COPA to their parent company, Ballad Health.​ Read the news release here. Read the Terms of Certification here. Read the Certificate of Public Advantage here.

1/31/18 – Signed Employed Physician Waiver, confirming the percentage of employed physicians at non-rural COPA Hospitals as of the Approval Date, 9/19/2017, can be read here

12/22/17 - Letter from Deputy Attorney General Janet Kleinfelter to the applicants’ attorneys granting their request that the deadline for establishing the baseline spending amounts under the Terms of Certification be extended from December  18, 2017 to January 18, 2018 can be read here.

12/15/17 - Letter from Deputy Attorney General Janet Kleinfelter to the applicants’ attorneys granting the deadline extension request can be read here.

12/8/17 - Letter from the applicants’ attorneys requesting the state to agree to extend the deadline for the closing from December 31, 2017 to January 31, 2018 can be read here.

9/19/17 - Announcement on the COPA decision:  Press Release  Terms of Certification  Executed Letter of Approval  Approval Certificate Signed by MSHA  Approval Certificate Signed by WHS

8/9/17 – A letter regarding Ballad Health’s business model can be accessed here.

8/3/17 – A letter regarding Ballad Health’s business model can be accessed here.

8/2/17 – The transcript and video from the COPA Public Hearing held on July 18, 2017 are now available. The transcript can be read here; the video can be accessed here.

5/22/17 - A statement on the certificate of public advantage application can be read here .

1/13/17 - A statement from Commissioner John Dreyzehner on the certificate of public advantage for Northeast Tennessee can be read here.

11/28/16 – Select comments submitted to the Tennessee Department of Health are now available here.

10/5/16 – The transcript and video from the COPA Public Hearing held on September 1, 2016 in Kingsport are now available. The transcript can be read here. The video can be watched here

9/15/16 - Tennessee Department of Health Commissioner John Dreyzehner, MD, MPH, in consultation with Attorney General Herbert H. Slatery III today announced the Certificate of Public Advantage (COPA) application from Mountain States Health Alliance and Wellmont Health System is now complete. Read the news release here.

8/5/16 - A map of the MSHA-WHS Geographic Service Area can be located here.

7/25/16 – The Tennessee Department of Health received additional information from Mountain States Health Alliance and Wellmont Health System on July 13, 2016 and July 25, 2016. This information was submitted in response to the department’s April 22, 2016 letter. Read the submissions here and here.

7/7/16  The transcript and video from the COPA Public Hearing held on June 7, 2016 are now available. The transcript can be read here; the video can be accessed here.

5/26/16 – On May 31, 2016, the Certificate of Public Advantage (COPA) Index Advisory Group will hold Listening Session #5 to receive comments on index measures they will recommend to Tennessee Department of Health (TDH) Commissioner John J. Dreyzehner, MD. The index recommendations can be read here . If a COPA is issued, TDH will be responsible for ongoing, active state supervision, according to recently promulgated state rules. This supervision will be informed by a transparent index of measures designed specifically for this COPA that will include measures of population health, access to health services, economic factors and other factors. These recommendations are just that – recommendations; the state rules require that the Commissioner have discretion on the items that will be included in any final index.

5/13/2016 – Time Change: The COPA Index Advisory Group Working Meeting will be held from 3:30 p.m. to 7:30 p.m. on Tuesday, May 17. 

4/28/16 – Advisory Group Listening Session #5 has been rescheduled to Tuesday, May 31, 2016, from 5:30 – 7:30 p.m. at the Sullivan County Health Department, 154 Blountville By Pass, Blountville. This change allows the Advisory Group two additional weeks to develop their recommendation for the index.

4/28/16 – On April 22, 2016, the Tennessee Department of Health issued its first request for additional information from Mountain States Health Alliance and Wellmont Health System regarding the application for the issuance of a Certificate of Public Advantage. The applicants provided an initial response on April 25, 2016. These letters can be read here.

4/7/16 - The Tennessee Department of Health issued its first request for additional information from Mountain States Health Alliance and Wellmont Health System regarding the application for the issuance of a Certificate of Public Advantage. Read the letter here.

3/3/16 – The applicants Wellmont Health System and Mountain States Health Alliance provided the Tennessee Department of Health with a crosswalk comparing the Tennessee and Virginia application requirements and the corresponding sections in both applications. Read the letter here.

3/3/16 – The Tennessee Department of Health requested an addendum from the Mountain States Health Alliance and Wellmont Health System in response to the January 25, 2016 letter from the Department. Read the request here

2/16/16 - The Tennessee Department of Health today confirms it has received an application for a Certificate of Public Advantage, COPA, from Mountain States Health Alliance and Wellmont Health System. The Department is currently reviewing the application for completeness; the application is available below. All interested stakeholders will have opportunities to provide input, in writing, by email or in person on whether the COPA should be issued. Read the news release here: http://tn.gov/health/news/37538

1/25/16 - The TN Department of Health responded to the Community & Stakeholder Pre-Submission Report released by Mountain States Health Alliance & Wellmont Health System. This letter may be read here.

1/7/16:  Mountain States Health Alliance and Wellmont Health System released a Community & Stakeholder Pre-Submission report today.  This report is available at http://becomingbettertogether.org/report/.

12/22/15 - FTC Letter to the Tennessee Department of Health

06/25/15 - TDH Letter to Federal Trade Commission

10/29/15 - The charge for the Advisory Group is now posted here. The purpose of the Advisory Group is to recommend measures for an Index. If a COPA is issued, this Index would be used to track the progress of a Cooperative Agreement over time to ensure public advantage. The Advisory Group will hold a series of public meetings to assure regional input for these measures.

09/25/15 - The Rulemaking Hearing for proposed permanent rule 1200-38-01 was held on September 24, 2015. The video from this hearing can be viewed here . Written comments are posted below.