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State Health Officer Announces Certificate of Need Decisions for Mississippi ... - FOX6 WBRC - MyFoxAL.com PDF Print
JACKSON, MS (WDAM) -

This is a news release from the Mississippi State Department of Health

The Mississippi State Department of Health (MSDH) announces the issuance of a Certificate of Need (CON) for the following projects:

Brentwood Acquisition, Inc. d/b/a Brentwood Behavioral Healthcare of Mississippi in Flowood received Certificate of Need (CON) authority for the establishment of a 16-bed freestanding psychiatric residential treatment facility to be located on the 12-acre campus of the existing facility. The proposed facility will focus on the treatment of adolescents and children between the ages of 5 and 17 and will serve as an adjunct or alternative setting to acute inpatient psychiatric care. The total capital expenditure for this project is $5,641,228.

CARES Center, Inc. d/b/a CARES Center in Saucier received Certificate of Need (CON) authority for the establishment of a 20-bed psychiatric residential treatment facility (PRTF) on its “Gulf Coast Campus” in Harrison County. This campus consists of 80 acres in a rural setting that include six residential buildings, one of which was constructed in accordance with the licensure standards and specifications for a PRTF and was designed to house 20 residents.The total capital expenditure for this project is $258,000.

George County Hospital in Lucedale received Certificate of Need (CON) authority for the renovation and expansion of its current facility in Lucedale. The proposed project involves construction of approximately 51,000 square feet for a new two-story expansion and 7,500 square feet of renovated space located within the existing hospital. The total capital expenditure for this project is $12,584,553.

Hattiesburg Clinic Professional Association d/b/a Hattiesburg Clinic Dialysis Unit received Certificate of Need (CON) authority for the establishment of a 10-station end stage renal disease (ESRD) facility in Forrest County. The proposed facility will be relocated from the existing 60-station ESRD facility on Highway 49 to an already existing building to be named West Hattiesburg Clinic Dialysis on Lincoln Road Extension. The proposed facility will be located within seven miles of the Hattiesburg Clinic Dialysis Unit. The total capital expenditure for this project is $38,000.

Hinds County Nursing & Rehabilitation Center, LLC in Byram received Certificate of Need (CON) authority for the construction/relocation and replacement of its 119 licensed nursing home beds from 3454 Albermarle Road in Jackson to 205 Byram Parkway in Byram. The proposed location is within the facility's current 15-mile radius service area. The total capital expenditure for this project is $9,650,798.

Natchez Hospital Company, LLC d/b/a Natchez Regional Medical Center in Natchez received Certificate of Need (CON) authority for the renovation and improvement of the fourth floor, emergency department, labor and delivery rooms, and post-partum rooms. The scope of the proposed project involves the renovation of three floors of the existing hospital. The total capital expenditure for this project is $12,411,697.

Natchez Hospital Company, LLC d/b/a Natchez Regional Medical Center in Natchez received Certificate of Need (CON) authority to re-establish diagnostic cardiac catheterization and digital subtraction angiography services at its facility. The facility ceased providing the series in September 2013 due to loss of physician coverage and reduced utilization. The total capital expenditure for this project is $253,695.

RCG Mississippi, Inc. d/b/a RCG of Columbus received Certificate of Need (CON) authority to expand its existing end stage renal disease (ESRD) facility. The proposed project will add six stations to its existing RCG of Columbus, which will help increase its original capacity back to 35 stations.The total capital expenditure for this project is $85,863.20.

Vicksburg Healthcare, LLC d/b/a River Region Health System, Vicksburg received Certificate of Need (CON) authority for the cost overrun to CON #R-0831 (CON Review #HP-CB-0310-010) for the renovation/addition of 20 adolescent psychiatric beds/services to its existing behavioral health program. The original capital expenditure for this project was $805,058. The additional capital expenditure is $97,345.46. The total capital expenditure for this project is $902,403.43.

Mississippi's Certificate of Need process is a fundamental component of the state's health planning and health regulatory activities. In managing the Certificate of Need process, the Department seeks to improve the health of Mississippi residents; to increase accessibility, acceptability, continuity and quality of health services; to prevent unnecessary duplication of health resources; and to provide some cost containment.

The MSDH has administered the Certificate of Need program since July 1986. Since then, more than 1,400 Certificate of Need applications have been reviewed, representing total capital expenditures of approximately $5 billion. The next Certificate of Need monthly meeting will be April 30, 2015, at the MSDH offices in Jackson.

The department's staff analysis for each Certificate of Need application is published online at www.HealthyMS.com.

Copyright 2015 WDAM. All rights reserved.

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Phase 3 Data Supporting RayaldeeTM As a Treatment for Secondary ... - Finances.com PDF Print

OPKO Health, Inc. (NYSE:OPK) , today announced the presentation of additional phase 3 clinical data in a poster at the National Kidney Foundation’s Spring Clinical Meetings on March 27-28th, 2015 in Dallas, Texas, that will include data for 429 patients completing up to twelve months of treatment in OPKO’s phase 3 trials for Rayaldee as a treatment for secondary hyperparathyroidism (SHPT) in patients with stage 3 or 4 chronic kidney disease (CKD) and vitamin D insufficiency. The data to be presented will highlight the unexpected finding that responses to Rayaldee treatment are as good in patients with stage 4 CKD as they are in stage 3 CKD. The data support the conclusion that Rayaldee effectively controls SHPT through the correction of vitamin D insufficiency irrespective of CKD severity.

OPKO’s poster presentation is entitled: “Modified-Release Calcifediol Is Effective for SHPT in Both Stages 3 and 4 CKD.”

Session details: March 27-28, No. 156; Category: CKD/ESRD-Mineral Metabolism and Kidney Stones.

About RayaldeeTM

Rayaldee is a first-in-class oral vitamin D prohormone treatment being developed for SHPT in patients with stage 3 or 4 CKD and vitamin D insufficiency. It has a proprietary modified-release formulation designed to gradually and reliably raise serum total 25-hydroxyvitamin D (prohormone) concentrations to targeted levels (at least 30 ng/mL) while avoiding upregulation of CYP24, a cytochrome P-450 enzyme that reduces the parathyroid hormone (PTH)-lowering potency of current vitamin D supplements. Activation of calcifediol, the active ingredient in Rayaldee, by the kidney is tightly regulated, preventing excessive elevation of serum calcium and related side effects which limit the value of current vitamin D hormone therapies by promoting vascular and renal calcification. Rayaldee is expected to address the approximately 8 million patients in the U.S., and many more elsewhere, with stage 3 or 4 CKD, SHPT and vitamin D insufficiency.

About Chronic Kidney Disease

CKD is a condition characterized by a progressive decline in kidney function. The kidney is normally responsible for excreting waste and excess water from the body, and for regulating various hormones. CKD is classified in five different stages – mild (stage 1) to severe (stage 5) disease – as measured by the kidney’s glomerular filtration rate. According to the National Kidney Foundation, CKD afflicts over 26 million people in the U.S., including more than 20 million patients with moderate (stages 3 or 4) and severe (stage 5) forms of CKD. In stage 5 CKD, kidney function is minimal to absent and patients require regular dialysis or a kidney transplant for survival.

About Vitamin D Insufficiency

Vitamin D insufficiency is a condition in which the body has low vitamin D stores, characterized by inadequate blood levels of vitamin D prohormone, known as 25-hydroxyvitamin D. An estimated 70-90% of CKD patients have vitamin D insufficiency, which can lead to SHPT and resultant debilitating bone diseases. Vitamin D insufficiency has been associated with increased mortality in CKD.

About Secondary Hyperparathyroidism (SHPT)

SHPT is a condition commonly associated with CKD in which the parathyroid glands secrete excessive amounts of PTH. SHPT arises as a result of vitamin D insufficiency or impaired kidney function that prevents sufficient production of vitamin D hormone to properly regulate calcium and phosphorus metabolism, and PTH secretion. Prolonged elevation of blood PTH causes excessive calcium and phosphorus to be released from bone, leading to elevated serum calcium and phosphorus, softening of the bones (osteomalacia) and calcification of vascular and renal tissues. SHPT affects 40-60% of patients with moderate CKD and approximately 90% of patients with severe CKD. Vitamin D therapy for SHPT is associated with reduced mortality in CKD patients.

About OPKO

OPKO is a multinational biopharmaceutical and diagnostics company that seeks to establish industry leading positions in large, rapidly growing markets by leveraging its discovery, development and commercialization expertise and novel and proprietary technologies. For more information, visit http://www.opko.com.

This press release contains “forward-looking statements,” as that term is defined under the Private Securities Litigation Reform Act of 1995 (PSLRA), regarding product development efforts and other non-historical facts about our expectations, beliefs or intentions regarding our business, technologies and products, financial condition, strategies or prospects, including statements regarding our ability to successfully launch and commercialize proprietary renal disease products, expectations about Rayaldee, that Rayaldee will effectively control secondary hyperparathyroidism in patients with stage 3 or 4 chronic kidney disease by correcting vitamin D insufficiency, whether Rayaldee is appropriate for patients with minimal functioning kidney mass and its efficacy during longer term administration, whether Rayaldee will be highly effective in correcting vitamin D insufficiency, allowing more reliable treatment of patients, whether it is the solution to secondary hyperparathyroidism associated with vitamin D insufficiency for the 20 million pre-dialysis CKD patients in the U.S. and elsewhere, market potential for Rayaldee, that it will address the approximately 8 million CKD stage 3 and 4 patients in the U.S. and many more elsewhere, with SHPT and vitamin D insufficiency, that Rayaldee will treat vitamin D insufficiency and gradually correct elevated PTH, without safety concerns, and that we will be able to successfully develop, obtain approval for and launch sales of Rayaldee. Many factors could cause our actual activities or results to differ materially from the activities and results anticipated in forward-looking statements. These factors include those described in our filings with the Securities and Exchange Commission, as well as risks inherent in funding, developing and obtaining regulatory approvals of new, commercially-viable and competitive products and treatments, including the risks that the phase 3 clinical trials for Rayaldee may not generate data that would support the approval or marketing of this product for the indications being studied, that others may develop products which are superior to Rayaldee, and that Rayaldee may not have advantages or prove to be superior over presently marketed products, including the currently used high monthly doses of prescription vitamin D2, activated vitamin D hormone and over-the-counter vitamin D supplements. In addition, forward-looking statements may also be adversely affected by general market factors, competitive product development, product availability, federal and state regulations and legislation, the regulatory process for new products and indications, manufacturing issues that may arise, patent positions and litigation, among other factors. The forward-looking statements contained in this press release speak only as of the date the statements were made and we do not undertake any obligation to update forward-looking statements. We intend that all forward-looking statements be subject to the safe-harbor provisions of the PSLRA.

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Renal Physician Association's ESRD patient safety award goes to Satellite ... - NephrologyNews.com PDF Print

NephrologyNews.com

Renal Physician Association's ESRD patient safety award goes to Satellite ...
NephrologyNews.com
The RPA established the award to recognize nephrology practices or facilities that exhibit significant improvements in patient safety and also promulgate the goals of the RPA ESRD Patient Safety Initiative. Satellite Healthcare of Sunnyvale is being ...

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Dialysis for AKI Does Not Hike Risk of Major Cardiovascular Events - Renal and Urology News PDF Print
March 27, 2015 Dialysis for AKI Does Not Hike Risk of Major Cardiovascular Events - Renal and Urology News
Absence of association observed in patients with normal or near-normal baseline estimated glomerular filtration rate.

DALLAS—Treatment of acute kidney injury (AKI) with temporary dialysis in hospitalized patients with normal or near-normal estimated glomerular filtration rate is not associated with an increased risk for subsequent major adverse cardiovascular events (MACE), according to study findings presented at the National Kidney Foundation's 2015 Spring Clinical Meetings.

Bolanle A. Omotoso, MD, of the University of Virginia Medical Center in Charlottesville, and colleagues conducted an observational cohort study of 125,880 adults admitted to the hospital from January 1, 2002 to December 31, 2012. All had an estimated glomerular filtration rate of 60 mL/min/1.73 m2 or higher. AKI developed in 24,631 (19.57%). The researchers propensity score matched 253 AKI patients who received temporary dialysis with 759 AKI patients who did not.

After a median follow-up 299 days, the researchers observed no significant difference between the groups in the risk of MACE, defined as subsequent admission for myocardial infarction, transient ischemic attack, stroke, and heart failure.

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Dialysis contract awarded - Irish Medical Times PDF Print
Pic: BrianAJackson

Pic: BrianAJackson

The contract for the provision of a satellite haemodialysis unit in Tallaght has been awarded to Beacon Dialysis Services Limited, which is a wholly owned subsidiary of Beacon Medical Group. The value of the contract is €3 million per annum and it “will deliver significant savings to the HSE”, the Executive said. 

The unit is located in Tallaght Cross East, Tallaght, Dublin 24. The provision of satellite haemodialysis services in Tallaght will enable patients to receive their treatment locally and reduce travel time for many by reducing the need to visit parent units for ongoing treatment. The new unit will cater for up to 80 haemodialysis patients receiving treatment three times per week.

The contract was awarded to Beacon Dialysis Services Ltd following a public tender process, and the contracted period is seven years, with an option to extend for a further three years at 12-monthly intervals. The conclusion of this tender process allows for the creation of a network of four parent renal units and four managed satellite haemodialysis units in the Greater Dublin Area. The parent units are based in Beaumont Hospital, Mater Misercordiae University Hospital, St Vincent’s University Hospital and Tallaght Hospital.

The development of managed satellite haemodialysis units is in line with the HSE’s National Renal Office strategy to prioritise local services for people requiring haemodialysis. The availability of these services will enhance the treatment experience for patients with kidney disease.

Patients in these areas will be able to access services locally thereby reducing the need for travel to parent units for ongoing treatment.

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