Hospital Closures About To Reach Dobbs Ferry

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Adding to a growing trend among hospitals that were slated for closure by a state health care commission, a Westchester hospital has announced that it is abandoning a legal battle to keep its doors open.

The Community Hospital at Dobbs Ferry will relinquish its operating certificate in the coming months, hospital leaders said yesterday.

Once closed, its sister hospital, St. Joseph’s Riverside, plans to open a facility in its place that will focus on providing primary care.

“Surely I see it as a compromise,” the hospital’s chief executive officer, Ronald Corti, said. “From a fundamental standpoint, I truly believe the Berger Commission was wrong in their findings,” he said, referring to the Commission on Health Care Facilities in the 21st Century.

“That being said,” he added, state health officials ultimately were willing to “work together as a team to come up with a solution.”

The Berger Commission recommended in 2006 that nine hospitals close statewide, including five in New York City. The commission, appointed by Governor Pataki, aimed to streamline New York’s expensive health care system.

Yesterday, health officials dismissed the notion of “compromise” regarding the Dobbs Ferry decision, instead touting it as an effort to provide health care services to the community using a “hybrid delivery model of health care.”

“We do not see this as a compromise on the Berger mandate,” a spokeswoman for the state health department, Claudia Hutton, wrote in an e-mail message. “We see this as going ahead with the Berger vision. Berger isn’t just about closing beds. It’s about learning to think regionally about health care and patient needs.”

In New York City, where five hospitals were slated for closure, most hospitals are following the Dobbs Ferry model, eschewing protracted legal battles for solutions that meet the standards of state health officials, who repeatedly have said the Berger Commission’s recommendations have legal authority.

In August, St. Vincent’s Midtown closed its doors at a cost of $100 million. Two others, Cabrini Medical Center in Manhattan and Victory Memorial Hospital in Brooklyn, are expected to close before the deadline, in June. Parkway Hospital in Queens and New York Westchester Square Medical Center in the Bronx are pursuing plans to achieve something of a compromise.

Parkway, which had sued to stay open, is working on a deal with the state to stay open in some capacity. “We have not pressed the suit because the state has showed a willingness to negotiate,” a hospital spokesman, Fred Stewart, said, declining to discuss any proposals being considered.

He said he expected the issue to be resolved “within the next few weeks,” but added, “We are still in discussions with the state at this particular point.”

In the case of Westchester Square, NewYork-Presbyterian Hospital has expressed interest in purchasing the Bronx facility. The two hospitals have been affiliated since 1997, but they operate independently.

NewYork-Presbyterian currently treats patients at five major centers in Manhattan and Westchester, including NewYork-Presbyterian/Weill Cornell Medical Center on the Upper East Side. Other centers include NewYork-Presbyterian/Columbia University Medical Center, Morgan Stanley Children’s Hospital of NewYork-Presbyterian, and NewYork-Presbyterian/Allen Pavilion, all in Washington Heights, as well as NewYork-Presbyterian/Westchester Division in White Plains.

A spokeswoman for Westchester Square said the hospital submitted a plan for NewYork-Presbyterian to reopen an acute care facility on the Bronx site.

In recent weeks, Victory Memorial Hospital in Brooklyn has moved to comply wholeheartedly with recommendations to close. It has closed its maternity ward, and the hospital is scheduled to shut down February 1. The emergency room will remain open until June, pending the expansion of emergency facilities at the nearby Maimonides Medical Center and Lutheran Medical Center, which expect to see an influx of patients. An estimated 17,000 patients are treated at Victory’s emergency room each year.

Some elected officials, including Rep. Vito Fossella, are holding out hope that the emergency department will stay open, and they may file a lawsuit to keep it open permanently. “The other hospitals are already overburdened,” a spokesman for Mr. Fossella, Craig Donner, said.


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