South Carolina governor’s push to repeal health facility construction rules gets boost from Feds

South Carolina is one of dozens of states that require health facilities to get state permission for many kinds of construction and expansion projects.

Nikki Haley, the state’s governor, has been working to repeal these rules, and the federal government recently weighed in with its support. In a letter and attached statement to Haley, the Department of Justice and the Federal Trade Commission wrote that laws requiring a certificate of need impede competition and make such projects more expensive.

"By interfering with the market forces that normally determine the supply of facilities and services, CON laws can suppress supply, misallocate resources, and shield incumbent health care providers from competition from new entrants," federal officials wrote.

State lawmakers are considering a provision that would end the certificate of need requirement in 2018. A 1974 federal law required states to enact the certificate of need process in an effort to control health care costs, but Congress repealed it 13 years later after studies showed it had little effect on cost control.

For most of human history, design has mostly considered “typical users” who are fully able-bodied without clinical or emotional disabilities. The problem with this approach is that it offers a limited perspective on how space can positively or negatively influence someone based on their physical, mental, and sensory abilities.

In Duluth, Minn., the new St. Mary’s Medical Center, designed by EwingCole, is now the largest healthcare facility in the region Photo courtesy EwingCole

Healthcare Facilities | Dec 19, 2023

A new hospital in Duluth, Minn., is now the region’s largest healthcare facility

In Duluth, Minn., the new St. Mary’s Medical Center, designed by EwingCole, is now the largest healthcare facility in the region. The hospital consolidates Essentia Health’s healthcare services under one roof. At about 1 million sf spanning two city blocks, St. Mary’s overlooks Lake Superior, providing views on almost every floor of the world’s largest freshwater lake.

Healthcare Facilities | Dec 7, 2023

New $650 million Baptist Health Care complex opens in Pensacola

Baptist Health Care’s new $650 million healthcare complex opened recently in Pensacola, Fla. Featuring a 10-story, 268-bed hospital, the project “represents the single-largest investment in the healthcare history of northwest Florida,” said Gresham Smith project executive Robert “Skip” Yauger, AIA, LEED AP. The 602,000 sf Baptist Hospital is equipped with a Level II trauma center that provides 61 exam rooms and three triage areas.

Engineers | Nov 27, 2023

Kimley-Horn eliminates the guesswork of electric vehicle charger site selection

Private businesses and governments can now choose their new electric vehicle (EV) charger locations with data-driven precision. Kimley-Horn, the national engineering, planning, and design consulting firm, today launched TREDLite EV, a cloud-based tool that helps organizations develop and optimize their EV charger deployment strategies based on the organization’s unique priorities.

UChicago Medicine first freestanding cancer center TOWER FINAL Rendering courtesy CannonDesign

Healthcare Facilities | Nov 3, 2023

The University of Chicago Medicine is building its city’s first freestanding cancer center with inpatient and outpatient services

The University of Chicago Medicine (UChicago Medicine) is building Chicago’s first freestanding cancer center with inpatient and outpatient services. Aiming to bridge longstanding health disparities on Chicago’s South Side, the $815 million project will consolidate care and about 200 team members currently spread across at least five buildings. The new facility, which broke ground in September, is expected to open to patients in spring 2027.

The Evolution of Medical Facility Security

As the healthcare system grows, securing these facilities becomes ever more challenging. Increasingly, medical providers have multiple facilities within their networks, making traditional keying systems and credentialing impractical.