HomeMy WebLinkAboutAttachment 7 Neighborhood Mtg Public Comment Summary and Matrix Response1
EASTLAKE BEHAVIORAL HEALTH HOSPITAL
9/26/19 Informational Open House
Summary and Responses to Comments
2/12/20 Update
EVENT SUMMARY
On Thursday, September 26, 2019, Scripps Health and Acadia Healthcare hosted an informational
open house for interested members of the public to learn more about their plans to develop a
120-bed inpatient behavioral health hospital on a vacant 10.5-acre parcel in the commercial
district of Eastlake. The event was held in the Multi-Purpose Room at Montevalle Recreation
Center from 6:00-8:00 p.m. Approximately 85 people signed in at the check-in station. However,
not all attendees elected to sign in. Based on visual estimates, approximately 200 people attended
the workshop.
The open house format provided the opportunity for Scripps and Acadia to share far more
information about the project than would have been possible in a single presentation. It also
allowed for members of the public to speak directly with subject matter experts on a variety of
focused topics related to the project. Information was provided at the following information
stations:
• Project Overview and Project Review Process
• Traffic and Transportation
• Architecture and Design
• Operations and Security
• Patient Care
• Scripps/Acadia Partnership
• Prevention and Outreach
Copies of the informational displays at each station are attached for reference.
Executives and subject matter experts from Scripps, Acadia and their consultant teams staffed
these information stations and were available to interact directly with open house attendees. The
following staff were present at the workshop:
Scripps Health
Tom Gammiere, FACHE, Corporate Senior Vice President, Regional Chief Executive - South
Jerry Gold, Ph.D., Administrator, Scripps Behavioral Health
Debra McQuillen, RN, MAS, Vice President, Chief Operations Executive, Scripps Mercy Hospital
Amy Roark, RN, MSN, Manager, Patient Care, Psychiatric Acute
Melvin Lumagui, RN, Supervisor, Patient Care, Psychiatric Liaison Team
Melody Thomas, Manager, Case Management and Social Services
David King, Manager, Security, Scripps Mercy Hospital
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Pam Gholson, Supervisor, Scripps Behavioral Health Unit Access/Discharge
Monica Montaño, Director, Community Relations
Nallely Valdivia, Executive Assistant (Spanish translation)
Acadia Healthcare
Michael Genovese, M.D., J.D., Chief Medical Officer
Andy Hanner, Chief Strategy Officer
Anne Kelly, BSN, Ed.D., Chief Compliance Officer
Richard Clark, FACHE, President, Western Group
Dwight Lacy, President, Western Division
Debbie Strzlecki, Senior Vice President, Business Development
Saad Niazi, CEO, Pacific Grove Hospital (an Acadia facility)
Whitney Chavez, RN, Chief Nursing Officer, Pacific Grove Hospital (an Acadia facility)
Randall Goldberg, Military Support Services
Technical Consultants
John Boarman, PE, Linscott, Law & Greenspan Engineers (Traffic Consultant)
Stephen Wen, AIA, SWA Architects (Project Architect)
Tina Go, AIA, SWA Architects (Project Architect)
Chip Hill, AIA, LEED AP, Stengel Hill Architects (Program Architect)
Brad Lenahan, ASLA, Ground Level San Diego (Landscape Architect)
Robin Madaffer, San Diego Land Lawyers (Land Use Counsel)
Farah Mahzari, San Diego Land Lawyers (Project Manager)
Kristen Byrne, Byrne Communications (Community Outreach)
Workshop attendees were given the opportunity to submit written comments on the project. A
total of 130 comment cards from 110 individuals were received. Responses to comments received
are provided below. Because many duplicate comments were received, the responses are
provided to comment topics rather than each individual comment.
COMMENTS AND RESPONSES
Issue Response
1. Residents are concerned that the facility
will be a danger to them because it is
located in close proximity to homes,
schools, family-friendly businesses, etc.
The Eastlake behavioral health hospital is
proposed for a 10.5-acre site within a
commercial district in Eastlake. The site’s
zoning allows for a hospital use with a
Conditional Use Permit. While there is a
residential neighborhood nearby, it is
separated from the property by both
topography and infrastructure, and there is
no legal direct access between the
property and the adjacent neighborhood.
The closest residences are approximately
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Issue Response
140 feet away from the building and
approximately 90 feet from the property
line. In addition, the property is at a
significantly higher elevation than the
homes. The proposed project also includes
a perimeter wall and significant
landscaping that will provide an additional
buffer between the facility and the nearby
neighborhood.
It is common for behavioral health facilities
to be located in close proximity to homes,
schools, houses of worship, and
businesses, including Acadia facilities in
other parts of California. In San Diego
County, Aurora Behavioral Health in
Rancho Bernardo, Bayview Behavioral
Health Hospital in Chula Vista, and Sharp
Mesa Vista in Kearny Mesa are located in
commercial areas in close proximity to
residences, schools, parks, etc. Please see
attached exhibits for locations of other
similar facilities.
Because hospital policy will ensure that
discharge plans include secure
transportation for patients to their home or
next care site, loitering and trespassing in
close proximity to the hospital is not
anticipated to be an issue. In addition, a
number of security measures will be
incorporated, including controlled access
to the facility and between units, one public
entry and exit, 24-hour monitoring of
common areas, minimum 15-minute
patient checks, and design features to
encourage safety. Security personnel will
be on site 24-hours a day to monitor the
hospital and the surrounding area.
It's worth noting that Pacific Grove
Behavioral Health Hospital and San Jose
Behavioral Health Hospital, Acadia facilities
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Issue Response
in Riverside and San Jose respectively, are
both located in commercial areas in close
proximity to residences, schools, family-
friendly business, childcare centers, houses
of worship and more, and they both enjoy
positive relationships with their neighbors
(see attached exhibits highlighting
locations). In fact, the Riverside Planning
Commission recently approved a new
Conditional Use Permit for Pacific Grove to
expand and they removed the requirement
for on-site security because they felt it was
not needed.
2. Residents suggested that the facility be
relocated to a more remote location, away
from residents, schools, etc. Suggestions
included a location south of Main Street or
near the prison in Otay Mesa.
Hospitals are best located in areas where
they are proximate to the populations
served, so locating this facility in a remote,
hard to access area is not in the best
interests of patients. The Eastlake behavioral
health hospital will not be a forensic hospital
treating patients in the criminal justice
system, so locating it near a prison is not
appropriate.
3. Residents suggested that the facility be
relocated to a site in western Chula Vista or
to downtown San Diego, closer to the
population it will serve.
The need for behavioral health services
crosses all socio-economic and geographic
boundaries, and all communities include
residents with behavioral health needs.
Based on national estimates of the incidence
of mental illness in the adult population,
nearly 90,000 people in South County will
have a mental health need. And there are
not nearly enough beds – countywide or in
South County – to meet current needs.
Based on recommendations from the
California Hospital Association that there be
50 inpatient behavioral health beds for every
100,000 population, South County should
have 246 inpatient beds, but only 103 beds
are available (the City of Chula Vista should
have 134 beds, but currently has only 64
beds available). The Eastlake behavioral
health hospital will significantly expand
behavioral health treatment capacity and
will be an important step towards addressing
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Issue Response
the mental health epidemic and significant
unmet behavioral health treatment needs in
the community.
4. Residents asked how this site was
determined to be the best location and
what other sites were considered.
Scripps and Acadia considered a number of
potential sites throughout the county. The
Eastlake site best met the criteria that the
healthcare organizations were seeking
including:
• Location in an area underserved by
inpatient beds (based on
recommendations from the
California Hospital Association that
there be 50 inpatient behavioral
health beds for every 100,000
population, the city of Chula Vista
should have 134 inpatient beds, but
only 64 beds are available. Proximity
to major road network)
• Appropriate size (10+ undeveloped
acres) to construct a one-story
facility
• Zoning that allows for a hospital use
5. Residents were concerned that there was
no input from the community in the
selection of the site.
It is not customary, nor is it required by the
City of Chula Vista Public Participation Policy,
for a project applicant to seek public input
before selecting a property for a proposed
project. There are, however, a number of
opportunities to provide public input
throughout the project review process
including the open house, the public review
period for the CEQA environmental review,
and public hearings. All plans and
information submitted to the City of Chula
Vista are publicly available and members of
the public are free at any time to submit
comments to city staff that will be included
in the public record for review and
consideration by decision makers before
they vote on the project. Additionally, a
thorough public review and approval process
was conducted when the plans for the
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Issue Response
Eastlake Commercial District were approved.
This plan included the zoning that includes a
hospital as an allowable use on the site.
6. Residents felt that locating this facility in
South Bay was discriminatory and that
South Bay gets undesirable facilities
because they have a higher proportion of
lower income and minority communities
than other areas of the county.
The Eastlake behavioral health hospital will
be a new, state-of-the-art facility providing
an important public health service for the
community. Contrary to this being a burden
on the community, it is addressing an urgent
unmet need in the community and will
provide behavioral health treatment to
members of the community that are in need
of care. Just like an acute care hospital,
emergency services, law enforcement, and
utilities, facilities of this type are an
important part of a community’s
infrastructure. While the number of
available beds in San Diego County is not
nearly enough to meet the existing need,
inpatient behavioral health facilities are
located throughout the county including in
Rancho Bernardo, Escondido, Kearny Mesa,
La Mesa, and Hillcrest.
There have been questions asked about
whether this will be a facility like the County
Mental Health hospital on Rosecrans in San
Diego. Both the Eastlake Hospital and the
County Mental Hospital (CMH) will be/are
free standing LPS-designated hospitals
allowing for involuntary detention of
patients. Both hospitals will be or are
accredited by The Joint Commission and
certified by the Center for Medicare and
Medicaid Services (CMS). Both are or will be
licensed by the California Department of
Public Health as an acute psychiatric
inpatient facility. The Eastlake Hospital will
serve the adolescent, adult, and senior
populations. It will be able to accept all
payors - commercial and government
funded - while CMH focuses on the
underfunded or unfunded population. CMH
also only serves the adult population.
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Issue Response
While the Eastlake Hospital will have an
intake department and allow for some walk-
in patients, walk-ins will be less significant
than at CMH. Patients admitted to the
Eastlake hospital will primarily be brought in
after medical clearance at other facilities or
after they have been seen and cleared by a
medical professional or, in some cases, by an
EMT. CMH has an Emergency Screening Unit
to triage patients that either walk in or are
brought in by law enforcement. CMH also
operates a Crisis Stabilization Unit (CSU) that
allows for patients to stay for up to, but not
to exceed, 24 hours. Once stabilized they are
referred to another level of care. The
Eastlake hospital does not plan to have a CSU
attached to their facility. CMH provides
psychiatric clearance for the incarcerated
population that are released from the jail
and tends to receive many forensic patients.
The Eastlake Hospital will not include a
forensic unit.
The Eastlake hospital will also have robust
outpatient mental health offerings such as
intensive outpatient and partial
hospitalization programs while CMH has
limited outpatient offerings and uses
community resources to complete the
continuum of care.
7. Residents expressed concern that there
was no public transit available for patients,
employees, or visitors.
SDMTS Route 707 serves the Eastlake area
and the closest bus stop to the site is at
Boswell Road and Lane Avenue. However,
patients (both inpatient and outpatient) will
arrive and depart by coordinated, secure
private transportation so access to public
transportation will not affect patient access.
A draft traffic impact analysis is being
conducted to assess the potential traffic
impacts of the project, taking into account
trips generated by patients, employees,
visitors, and others.
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Issue Response
8. Residents expressed concern that there
was already traffic in Eastlake and that this
project will make it worse.
All intersections and road segments within
the traffic study area, with one exception,
currently operate at acceptable levels of
service (between LOS A and D). The
exception is the intersection at Harold Place
and Fenton Street, which currently operates
at LOS F during the p.m. peak period. A draft
traffic impact analysis is being conducted to
assess the potential traffic impacts of the
project on all road segments and
intersections within the traffic study area.
It is important to note that other allowed
uses for the property could result in
significantly higher traffic impacts than a
behavioral health hospital. A general
medical/surgical hospital has a trip
generation rate of 20 trips per bed, while
similar behavioral health hospitals have
shown a trip generation rate of less than five
trips per bed. A manufacturing use (allowed
by right under the zone) would generate four
trips per 1,000 square feet and would have
significantly greater peak period impacts
than the proposed use. The attached trip
generation table provides more details
about anticipated trip generation rates.
9. Residents commented that this is not an
appropriate location because it is not near
an acute care hospital or other support
services.
Because patients will be admitted to the
Eastlake hospital to receive inpatient and
intensive outpatient treatment for
behavioral health conditions not requiring
intensive, simultaneous medical treatment
of the type undertaken at integrated
medical/surgical (i.e. acute care) facilities, it
is not necessary for it to be located adjacent
to an acute care medical hospital. Like all
licensed hospitals, the Eastlake hospital’s
clinical staff will have the full ability to safely
provide for the needs of its behavioral health
patients (including in-house pharmacy and
medication dispensing), who in some cases
may also be living with chronic but stable
medical conditions such as diabetes, heart
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Issue Response
disease, hypertension and those affecting
mobility. Therefore, the lack of co-location
with or immediate proximity to a
medical/surgical hospital or related acute
care treatment sites will not negatively
impact the hospital’s ability to provide high
level, quality care to its patients.
Support services such as daily medical visits
by an internist, nutrition support, and
physical therapy will be provided at the
hospital. Outpatient services will also be
provided for inpatients ready for step down
care.
Social workers will also be employed by the
hospital to facilitate referrals and transfers
to follow-on care facilities and housing for
those that need it.
10. Residents are concerned that emergency
response is already slow in Chula Vista due
to a shortage of police officers and that this
facility will result in increased calls to
police.
Inpatient behavioral health hospitals are
secure, locked facilities with highly trained
staff who are specifically equipped to deal
with the unique needs of behavioral health
patients. Because of this, emergency calls
from these facilities, including those for
police assistance, are uncommon. At Acadia
inpatient hospitals for the period between
January 2016 and December 2018 there
were a total of 1,079 calls for service that
occurred. During this time there were nearly
456,000 patient admissions, meaning that
emergency service calls occurred at a rate of
about one-quarter of one percent of all
patient admissions. Given these facts,
potential emergency service calls, whether
to police, fire or EMS, are not expected to
produce any appreciable affect nor “drain”
on these public resources.
11. Residents asked what happens when
patients are released from the facility.
They are concerned that patients released
from the hospital will wander in their
neighborhood, loiter, increase
In the overwhelmingly majority of cases,
behavioral health inpatients continue to
receive care until the attending psychiatrist
in consultation with the other members of
the clinical team determines that safe
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Issue Response
homelessness and public drunkenness,
and commit crimes in the neighborhood.
They also wondered what happens if
patients don’t have a ride when they leave
the facility or refuse transportation. They
also asked if patients who haven’t
completed treatment could check
themselves out and be a danger to the
community.
discharge is clinically indicated based on the
patient’s treatment progression and
individual circumstances. Prior to discharge,
patients must have a detailed discharge plan
that outlines the specifics of the transition to
and location of their next stage of care (e.g.
nursing home, residential treatment center,
long term rehabilitation, transitional or
temporary housing, personal residence). It is
Acadia’s policy to include arranged
transportation to the specific post treatment
care location for all patients upon discharge,
either by hospital personnel or in some cases
by the patient’s family, legal guardians, or
other authorized individuals such as military
base commanding officers or their
designees. The lack of such a post discharge
plan (including the arranged transportation
component) will likely comprise an
important determining factor on whether
discharge is clinically appropriate. Therefore,
the fear of patients loitering in the
neighborhood is unlikely to be an issue.
It is rare for a voluntary status patient to
request discharge before treatment is
complete. The vast majority of patients
admitted proceed through their clinically
recommended course of treatment,
including full discharge and post care
planning. In the unlikely event that a
voluntary patient was admitted but wished
to be discharged before treatment is
completed, California law allows for patients
that request discharge against medical
advice (AMA) to be reassessed to determine
if, in the clinical opinion of the psychiatrist,
they pose a danger to themselves or others.
If they are deemed to pose a danger to
themselves or others, they will not be
discharged. If they are deemed not to be a
risk, then they can be discharged per their
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Issue Response
request and will be provided secure
transportation to their next destination.
With respect to whether patients could be a
danger to the community, contrary to
sensationalized, often outdated and largely
debunked stereotypes and misconceptions,
most patients experiencing behavioral
health conditions are neither dangerous nor
inherently prone to violence, particularly
when receiving professional, compassionate
treatment in structured and therapeutic
inpatient or outpatient settings.
12. Residents are concerned that patient
elopement will be a common occurrence
and that patients who elope will be a
threat to public safety. They wanted to
know if residents will be notified of
elopements and what happens when an
elopement occurs.
Elopement is a commonly used behavioral
health industry term to indicate that a
patient receiving inpatient care has departed
the hospital (for any length of time) without
the consent or knowledge of the facility’s
clinical staff and in the absence of a formal
discharge determination and plan.
Elopements can encompass a wide range of
scenarios ranging from largely innocuous
(e.g. voluntary patient electing to end
treatment but not signing formal AMA
discharge paperwork, short duration
elopements with immediate return) to more
serious (e.g. involving minors, involuntary
patients, longer duration incidents). Acadia
adheres to strict protocols and policies to
limit the number and severity of elopements.
These include detailed assessment and
screening for such behaviors at admission,
seen and unseen security features at all
facilities (physical barriers, video surveillance
of exterior and common areas, boundary
and verbal de-escalation techniques,
minimum of 15 minute patient welfare
checks, secured units for involuntary
patients, etc.), and immediate response in
the uncommon instances when they do
occur.
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Issue Response
Overall, elopements at Acadia facilities are
exceedingly rare. Over the period from
January 2016 through December 2018, there
were a total of 643 elopements that
occurred at Acadia inpatient hospitals. Over
this same period there were nearly 456,000
patient admissions, meaning that elopement
occurred at a rate of about 1/10 of one
percent of all patient admissions. More than
99% of these incidents were of a short
duration (less than 24 hours) and did not
involve any injuries to patients or staff,
criminal activity, property damage, nor
disturbances to any surrounding business or
residential communities.
Acadia consistently endeavors to adopt and
refine its policies and procedures to further
reduce the prevalence of elopements. The
Eastlake hospital will utilize the latest design
features, including those intended to
diminish the frequency and severity of
elopements. We also believe it is very
important to place the issue of elopements
in an appropriate and objective context,
including balancing these highly isolated,
rarely detrimental events with the overall
positive public heath value and benefit that
the Eastlake hospital will provide to
thousands of patients in need and their
families.
13. Residents are concerned that their home
values will be reduced because of the
proximity of the facility.
Residential property values are
dynamic and influenced by a large number
of factors, including supply and demand,
economic outlook, location, proximity to
and quality of schools, unemployment
rates, and mortgage interest rates, among
many others. It is therefore very difficult if
not impossible to attribute one specific
factor (including nearby commercial
property development) to an increase or
decrease in property values.
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Issue Response
A variety of studies have been conducted
about how various community facilities may
affect property values. Some have identified
small negative correlations, while others
have not identified any statistically valid
negative correlations. For example, a 2019
study published by the National Bureau for
Economic Research conducted by
researchers at the University of New Mexico
and Temple University and covering a period
of 13 years, found no negative property
value changes as a result of substance abuse
treatment facilities located within residential
neighborhoods (See MarketWatch
article and Barron's article on the study
findings).
14. The project drawings do not show a 12-
foot fence.
There are two different types of fence
proposed for this project. One is the 12’-0”
security fence around the outdoor activity
yards adjacent to four of the six-patient
wings. The other two patient wings’ outdoor
activity yards are completely enclosed by the
building structure in the center of the facility
hence no fence is required.
The other fence is the campus perimeter
fence on the east, north and south borders
of the property. The city zoning regulation
stipulates that all property perimeter fences
shall be limited to 6’-0” in height. However,
if the city permits, the project is willing to
consider increasing the perimeter fence
height from 6’-0” up to 8’-0”. The 8’-0” fence
around the perimeter of the property is
shown on the site section rendering as well
as the birds eye view color rendering looking
south at the back side of the facility.
15. A resident stated that there was an
inaccuracy on one of the informational
displays that showed that the closest
school was 1,013 feet from the proposed
site, when there is a school on Showroom
The distance from the proposed hospital site
to the closest school on one of the
informational displays cited an estimated
distance to the closest public school
(Eastlake Middle School). The commenter is
correct that there is a private school and
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Issue Response
Place along with businesses that cater to
children.
businesses that cater to children located on
Showroom Place, approximately 850 feet
from the property line .
16. Is this a temporary facility until the
reconstruction of Scripps Mercy Hospital
San Diego is complete?
The Eastlake behavioral health hospital
would be a permanent facility that would
provide more than three times the number
of inpatient behavioral health beds than
Scripps Mercy San Diego currently has
available.
17. A concern was expressed that technical
studies would be biased because they
were funded by the project applicant.
All technical studies requested by the City to
analyze the potential impacts of a private
project are paid for by the applicant. City of
Chula Vista staff and third party technical
experts review all studies prepared and must
sign off on them before they are accepted by
the city.
18. Some residents expressed support for the
facility due to the unmet need in the
community.
Behavioral health is one of the most
significantly underfunded and under
addressed issues we have nationally and in
the state of California. Nearly 1 in 4 California
adults has a mental health need (equating to
about 10 million people) yet half of them do
not get the treatment they need. The
California Hospital Association recommends
that 50 inpatient behavioral health beds be
available for every 100,000 population.
Based on this information South County
should have the City of Chuls Vista should
have 246 beds to meet its behavioral health
care needs but presently only has 103 beds
available. The Eastlake behavioral health
hospital will be an important step towards
addressing these unmet behavioral health
needs in the community.
19. Some residents did not favor the open
house meeting format and were
disappointed that city officials were not
there to hear their comments.
According to the City of Chula Vista Public
Participation Policy, a Community Meeting is
required for projects that result in a
significant response to the Notice of
Application. This meeting is required to be
held early in the process, after the project
application has been deemed complete
and the first internal review of the project
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Issue Response
has been completed. The meeting is
required to be held early enough in
the process to allow for public comments to
be considered by the applicant and staff
and appropriate changes made to
the project. The policy states that while staff
will help facilitate the Community Meeting,
the Applicant will have the primary
role since this is their opportunity to
dialogue with potential future neighbors.
The policy states that City staff’s role is to
help set meeting locations
and be available to answer questions about
the process, policies and regulations
affecting the project. The policy further
states that “An ‘Open House’ format will
be used at the Community Meeting.”
The purpose of the open house meeting was
to provide detailed information about the
project and seek comments from the public.
It was held early in the process, after the first
set of comments on the project had been
received on the first project submittal. The
open house format allowed Scripps and
Acadia to present far more information
about the various aspects of the project than
would have been possible in a single
presentation. Members of the public had the
opportunity to speak directly with the nearly
30 subject matter experts in attendance
from both Scripps and Acadia to ask
questions and discuss concerns. Participants
were also given the opportunity to submit
their comments in writing, and 130
comment cards from 110 individuals were
received. These comments have been
shared with the City of Chula Vista. Several
staff members from the City of Chula Vista
were in attendance and available to speak
with attendees.
20. Some residents expressed concern about a
recent civil investigation regarding
In May of 2019, Acadia fully resolved a civil
investigation by the West Virginia U.S.
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Issue Response
Medicare billing fraud in West Virginia that
resulted in a $17 million settlement.
Attorney’s office involving technical and
complex state and federal billing and coding
procedures governing reimbursement for
lab testing services. The settlement, which
did not include any formal findings on the
merits nor admissions of liability by
Acadia, related to alleged practices
originating years prior to Acadia’s acquisition
and operational control of a small number of
medication-assisted treatment clinics
formerly operated by CRC Health
Group. Importantly, there were zero
allegations or issues identified with the level
of quality of care provided to patients or the
medical necessity of such care. To provide
context on settlements of this type, in 2018
aggregate U.S. Department of Justice
healthcare industry legal settlements
(including False Claims Act) totaled more
than $8 billion, involving hundreds of
medical/surgical, specialty and behavioral
health hospital operators, including non-
profit, for-profit, academic medical centers,
and government-owned operators.
Acadia and its subsidiaries cooperated fully
with all involved parties during the entire
course of the investigation and was pleased
to have reached this resolution and continue
to dedicate attention and resources towards
serving the needs of patients and their
families.
21. Residents submitted a number of
questions about specific incidents and
allegations involving Acadia facilities.
The individual incidents cited on comment
cards appear to fall into three categories: 1)
allegations of abuse/negative patient
incidents, 2) elopement, and 3) allegations of
corporate/civil fraud and litigation. Rather
than responding to each individual incident
which may implicate privacy, litigation
and/or subject to factual debate as they are
likely pulled from media reports, our
responses below focus on the performance
of Acadia and its facilities in the aggregate,
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Issue Response
rather than individual incidents. The
information below provides important
context to the overall quality of care Acadia
provides to millions of patients each year.
ALLEGATIONS OF ABUSE/NEGATIVE PATIENT
INCIDENTS
No large health or hospital system providing
treatment to millions of patients across
hundreds of facilities, whether behavioral
health or medical-surgical, will ever be
completely immune from isolated incidents
or sporadic undesirable patient experiences.
By its nature, the healthcare industry carries
inherent risk as its “customers” – the
patients – seek services because they are
sick. Notwithstanding the large numbers of
patients treated across hundreds of care
sites, the rate of grave and serious incidents
at Acadia’s inpatient hospitals is small. Over
the period from January 2016 through
December 2018, there were a total of 2,496
incidents that occurred over nearly 456,000
patient admissions, a rate of about one half
of one percent of all patient admissions.
(Serious incidents include major injuries or
impairments, patient death, and allegations
or occurrences of abuse, negligence, error,
or omission that affects rendering of
professional services). While the comments
submitted highlight individual incidents in an
effort to question Acadia’s quality of care,
the fact is that nearly 99.5% of Acadia’s
inpatient admissions do not result in
negative incidents and Acadia provides
desperately needed care to patients
suffering from behavioral health illnesses.
In the rare instance where an outcome or
event at an Acadia treatment facility
deviates from our high standards and
expectations, we fully investigate the
situation to determine lessons learned and
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Issue Response
whether updates to procedures and policies
are warranted, including holding employees
fully accountable for any improper actions
that depart from employee training and
Acadia’s values. Acadia’s overall focus during
these uncommon situations is to provide
support to anyone negatively impacted and
to work expeditiously to diminish the
possibility of similar matters re-occurring.
Ensuring that we can maintain a consistently
safe, therapeutic and compassionate care
environment for all patients is and will
always remain a top priority of Acadia.
Acadia facilities strictly adhere to all
reporting requirements and maintain strong
track records on multiple independently
administered, evidence-based clinical quality
performance tracking and measurement
programs. These include The Joint
Commission’s HBIPS (Hospital Based
Inpatient Psychiatric Services) Core
Measures and CMS’ Inpatient Psychiatric
Facility Quality Reporting Program (IPFQR)
used by over 1,600 psychiatric hospitals to
measure clinical accountability metrics
linked to improved patient outcomes. In
aggregate, Acadia’s behavioral health
facilities meet and often surpass the national
and state average in the majority of
measured categories, including those
related to patient safety. Acadia consistently
endeavors to improve its aggregate scores as
part of its overall quality assurance initiatives
and clinician training programs.
ELOPEMENT
Elopement is a commonly used behavioral
health industry term to indicate that a
patient receiving inpatient care has departed
the hospital (for any length of time) without
the consent or knowledge of the facility’s
clinical staff and in the absence of a formal
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Issue Response
discharge determination and plan.
Elopements can encompass a wide range of
scenarios ranging from largely innocuous
(e.g. voluntary patient electing to end
treatment but not signing formal discharge
paperwork, short duration elopements with
immediate return) to more serious (e.g.
involving minors, involuntary patients,
longer duration incidents).
While the incidents cited in comments make
it seem as though elopement is a frequent
occurrence, elopements at Aadia’s inpatient
hospitals are rare. Over the period from
January 2016 through December 2018, there
were a total of 643 elopements that
occurred at Acadia inpatient hospitals. Over
this same period there were nearly 456,000
patient admissions, meaning that elopement
occurred at a rate of about 1/10 of one
percent of all patient admissions. More than
99% of these incidents were of a short
duration (less than 24 hours) and did not
involve any injuries to patients or staff,
criminal activity, property damage, nor
disturbances to any surrounding business or
residential communities..
Acadia adheres to strict protocols and
policies to limit the number and severity of
elopements. These include detailed
assessment and screening for such behaviors
at admission, seen and unseen security
features at all facilities (physical barriers,
video surveillance of exterior and common
areas, boundary and verbal de-escalation
techniques, minimum of 15 minute patient
welfare checks, secured units for involuntary
patients, etc.), and immediate response in
the uncommon instances when they do
occur.
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Issue Response
Acadia consistently endeavors to adopt and
refine its policies and procedures to further
reduce the prevalence of elopements. The
Eastlake hospital will utilize the latest design
features, including those intended to
diminish the frequency and severity of
elopements. We also believe it is very
important to place the issue of elopements
in an appropriate and objective context,
including balancing these highly isolated,
rarely detrimental events with the overall
positive public heath value and benefit that
the Eastlake hospital will provide to
thousands of patients in need and their
families.
ALLEGATIONS OF CORPORATE/CIVIL FRAUD
AND LITIGATION
Acadia Healthcare disputes any allegation or
contention that it or its subsidiary hospitals
have knowingly engaged in civil fraud.
Nevertheless, in light of the large amount of
federal and state reimbursements providers
receive from government payor programs
coupled with the increasing complexity of
billing and coding protocols, government-
initiated inquiries, information requests,
audits and recoupment actions,
investigations are common occurrences
across the industry and in no way unique to
Acadia. In 2018, aggregate U.S. Department
of Justice healthcare industry legal
settlements (including False Claims Act)
totaled over $8 billion, involving hundreds of
medical/surgical, specialty, nursing home
and behavioral health hospital operators
including non-profit, for-profit academic
medical centers and government owned
operators. None involved Acadia or any of its
subsidiary facilities.
Acadia cooperates fully with all government
inquiries, even when we strongly disagree
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Issue Response
and dispute the factual basis and legal merits
of the allegations being investigated. Upon
learning of any allegation of fraud, we work
transparently and collaboratively with all
interested parties, including providing
verifiable evidence, internal clinical
documentation, medical records and
supporting data that refutes and disproves
potential claims of fraudulent conduct. We
continuously work with our clinicians to
improve our documentation evidencing the
critically important care that we provide to
our patients. It is also important to note that
none of the currently disclosed, pending
inquiries have resulted in any formal
demands for payment, government-initiated
lawsuits, or charges of any kind against
Acadia Healthcare or any of its subsidiary
facilities. Contrary to nearly all of our
similarly-sized hospital provider peers,
Acadia’s historical False Claim Act-related
lawsuit settlements are extremely small,
comprising a single resolution in our entire
14-year history.
While we are unable to offer detailed
comment on any specific pending litigation,
we hope some important context and
clarifications are helpful. Lawsuits against
Acadia inpatient behavioral health facilities
by patients, their families, former staff and
others are very rare but, as with all large
hospital systems and operators, they do
invariably occur. Nevertheless, Acadia’s
aggregate litigation claims rate is far lower
than the national average, equating to less
that one tenth of one percent of all
admissions between 2016 and 2019 YTD.
Importantly, many of these matters were
ultimately dismissed due to lack of merit
and/or were resolved for de minimis,
nuisance values far less than the likely cost of
defense.
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Issue Response
The mere filing of, and even settlement of, a
lawsuit typically does not constitute any
formal findings of fact or admissions of
liability or even reflect the overall merit of a
case. Nearly all companies (including
Acadia) routinely choose to settle defensible
cases due to the high cost of litigation,
unpredictability of juries and a desire to
remain focused on their core mission.
Similarly, like many large publicly traded
companies, Acadia, its board and executives
may occasionally be named in securities
lawsuits filed by opportunistic trial attorneys
alleging potential improper conduct. These
filings often occur surrounding any
significant downward movement in a
company’s stock price (which can and often
does occur for a multitude of uncontrollable
and innocuous factors not involving any
wrongdoing) and may be accompanied by
settlement demands even prior to the filing
of a formal lawsuit and discovery. Acadia
strongly disputes any contention that it, its
subsidiaries or any of its directors or officers
have engaged in any civil or criminal fraud
(including related to securities matters) and
we will continue to vigorously defend the
company from any such claims.
It is important to reiterate that the mere
filing of lawsuits and unsubstantiated,
uncorroborated and often false allegations
absolutely do not and should not be
conflated with actual, substantiated
improper or illegal actions on the part of
Acadia.