Letters of Support For Rehabilitation Hospital of Knox County - West, CN2007-023 & Rehabilitation Hospital of Knox County-Downtown, CN2007-024 Physicians Elected Officials S. Arthur Moore, MD Lieutenant Governor Medical Director, Comprehensive Stroke Program Randy McNally Fort Sander Regional Medical Center State Senator Sharon Glass, MD Richard Briggs, MD Physiatrist, Patricia Neal Rehabilitation Center State Senator Paul C. Peterson, MD Becky Duncan Massey Co-Director Neuro Intensive Care Unit Fort Sanders Regional Medical Center State Representative Jason Zachary Walt Zibas, MD Stat Care Knox County Mayor Glenn Jacobs Eric Hartman, MD Physical Medicine and Rehabilitation Covenant Medical Group Mary Dillon, MD Physiatrist Patricia Neal Rehabilitation Center Other Providers Leslie Erwin Vice President and Administrator Patricia Neal Rehabilitation Center Mike Belbeck Executive Vice President Operations Covenant Health Keith Altshuler President/Chief Administrative Officer Fort Sanders Regional Medical Center 549948 lO.vl Covenant Neurohospitalists October 7, 2020 Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243 RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications Dear Mr. Grant: I am a Board Certified Neurologist and the Medical Director of the Joint Commission Certified Comprehensive Stroke Program at Fort Sanders Regional Medical Center. I am writing to express my full support for Rehabilitation Hospital of Knox County, LLC’s companion Certificate of Need applications seeking approval to renovate the downtown Patricia Neal Rehabilitation Center and utilize a portion of the beds from Patricia Neal Rehabilitation Center to build a freestanding inpatient rehabilitation hospital in the western area of Knoxville, Tennessee, on the Fort Sanders West medical campus. These companion projects will be jointly owned and operated by Covenant Health and Encompass Health, owners of Rehabilitation Hospital of Knox County, LLC. These projects will better serve and benefit our community by combining resources, knowledge, and expertise of two well-respected healthcare companies to modernize and enhance inpatient rehabilitation services in our area. Hundreds of stroke patients receive care at the current Patricia Neal Rehabilitation Center each year following an acute care hospital stay, as inpatient rehabilitation is crucial to the ongoing care for so many patients recovering from stroke. Although I can attest that my patients receive excellent care from the physicians, nurses, therapists, and other staff in the existing facility, the renovation of the existing space now housing the Patricia Neal Rehabilitation Center is greatly needed to improve the patient and family experience at the facility. I am also in full support of the new freestanding inpatient rehabilitation hospital in this planning region which will add additional private rooms and expanded areas for therapeutic interventions not only for stroke patients but for all patients who would benefit from inpatient rehabilitation services. I hope you will support the granting of the Certificates of Need to the Rehabilitation Hospital of Knox County, LLC for the renovation of the Patricia Neal Rehabilitation Center and development of a freestanding inpatient rehabilitation hospital in this planning region. The approval of these projects would expand access and modernize this much-needed service to patients and families in our area. Sincerely, S. Arthur Moore, MD Medical Director, Comprehensive Stroke Program 501 20th Street, Suite 503 • Knoxville, TN 37916 (865) 331-1750 Office (865) 331-4320 Fax Restoring Abilities. Rebuilding Lives. 10-07-20 Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243 RE: Two Pending CON Applications for Rehabilitation Hospital of Knox County Dear Mr. Grant: I am a physiatrist at Patricia Neal Rehabilitation Center. I am writing to express my strong support for Rehabilitation Hospital of Knox County's two CON applications for both Downtown Knoxville and West Knoxville. As a physiatrist, I provide medical rehabilitation for inpatients of the current Patricia Neal Rehabilitation Center where I first began practicing in 1989. Other than a 2 year period away from this role, I have provided care for patients in Patricia Neal Rehabilitation Center since that time. For a period of that time away, I worked in an Encompass Hospital and was impressed with the level of technology available to enhance patient outcomes and the sharing and implementation of best practices across multiple Encompass Health hospitals to improve processes that enhance quality, service, and utilization of financial resources. The minimum requirement for an inpatient rehabilitation center is to have knowledgeable and skilled staff, but a first-rate facility requires more. It requires staff who are sincerely caring and supportive of each other as well as the patients and their families. The staff address the fears and aspirations of their patients so that patients not only know they are cared for, they feel It! It is this aspect of Patricia Neal that has helped it be a first-rate facility and to earn top awards for customer satisfaction for multiple years. The staff at Patricia Neal have lived the Covenant Pledge of Patients First, Excellence Always, and First and Best choice even before the pledge was adopted throughout Covenant Health. These two CON projects will create much-needed facility modernizations to further improve both patient and family experience. I urge the Agency to give favorable consideration to both of these collaborative CON projects as we seek to better care for many patients across East Tennessee. Respectfully, Sharon Glass, MD At Fort Sanders Regional Medical Center* 1901 Clinch Ave. • Knoxville, TN 37916 A Monitor of (865) 331-1446 • www.patneal.org A Fort Sanders i Neurosurgery ) and Spine — Paul C. Peterson, M.D. October 7,2020 Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243 RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications Dear Mr. Grant: I am a Board Certified Neurosurgeon at Fort Sanders Regional Medical Center, and I am writing to express my support for Rehabilitation Hospital of Knox County, LLC’s companion Certificate of Need applications seeking approval to renovate the downtown Patricia Neal Rehabilitation Center and utilize a portion of the beds from Patricia Neal Rehabilitation Center to build a freestanding inpatient rehabilitation hospital in the western area of Knoxville, Tennessee, on the Fort Sanders West medical campus. These companion projects will be jointly owned and operated by Covenant Health and Encompass Health, owners of Rehabilitation Hospital of Knox County, LLC. These projects will better serve and benefit our community by combining resources, knowledge, and expertise of two well-respected healthcare companies to modernize and enhance inpatient rehabilitation services in our area. As a neurosurgeon, many of my patients receive care at the current Patricia Neal Rehabilitation Center following an acute care hospital stay. Inpatient rehabilitation is critical to the ongoing care of many of my patients. Although I can attest that my patients receive excellent care from the physicians, nurses, therapists, and other staff in the existing facility, the renovation of the existing space now housing the Patricia Neal Rehabilitation Center is greatly needed to improve the patient and family experience at the facility. I am also supportive of the new freestanding inpatient rehabilitation hospital in this planning region which will add additional private rooms and expanded areas for therapeutic interventions to serve the patients in our area. Patricia Neal Rehabilitation Center has been integral and continuing spectrum of patient care. I hope you will support the granting of the Certificates of Need to the Rehabilitation Hospital of Knox County, LLC for the renovation of the Patricia Neal Rehabilitation Center and development of a freestanding inpatient rehabilitation hospital in this planning region. The approval of these projects would expand access and modernize a much-needed service to patients like those currently served, 220 Fort Sanders West Blvd, MOB II Suite 100 • Knoxville, TN 37922 phone (865) 331-4321 • lax: (865) 331-4320 StatCare September 29,2020 micm Logan Grant, Executive Director Jesse Doers, M.D, President and Managing Partner Health Services and Development Agency John Craig Vice President New Business Development Andrew Jackson State Office Building Emily Graham Chief Operations Officer 502 Deaderick Street, 9th Floor Rottalti EstCS, M.D. Nashville, TN 67243 Chief Informatics Medical Director A Pulmonary/Critical Cure Medical Director Walter Zibas, M.D, RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Internal Medicine Hospitailst Medical Director Applications Mitivnm Clink tMletl.LHmvn Shannon Byrd, M,D. I1. Lynn NiohoU, M.D. As a member of the largest inpatient hospitalist group in Knoxville, I wish to Porkwat Medical Directors llaspltullst express my support for the applications to build and modernize new inpatient Aaron Riltgm, M.D. MohamadDoleh, M.D. rehabilitation space for the Patricia Neal Rehab facility in Knoxville.