Premier Radiology Mobile MRI Utilization Report

Slide Note

Premier Radiology, operating in Clarksville, ODC/MRICN2401-001, received 58 letters of support from various healthcare professionals, elected officials, and community members. They plan to open 18 diagnostic imaging centers, including a new facility in March 2024. The service area covers Montgomery (TN) and Christian (KY) counties with a projected population increase. The report highlights the need for a new MRI due to high utilization of the mobile MRI, exceeding state health plan targets and offering faster capabilities.

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Middle Tennessee Imaging d/b/a Premier Radiology CLARKSVILLE ODC/MRI CN2401-001

58 LETTERS OF SUPPORT CenterWell Senior Primary Care Kristy Hill, Administrator TriStar Medical Group Chandler Denney, NP Laura Oudshoorn, PA-C Lauren Ventola, MD Susan Garwood, MD Clarksville Urology Dino A. DeLaurentis, DO Vidhush K. Yarlagadda, MD Elected Officials Tenn. Rep. Curtis Johnson Tenn. Rep. Ronnie Glenn Tenn. Sen. Bill Powers Joe Pitts, Clarksville Mayor Bill Anderson, Pleasant View Mayor Comprehensive Spine Center at Vanderbilt Richard Berkman, MD Compassion Care Clinic Deneishia Clayton, FNP-C Jamie Pruitt, FNP-BC Tennessee Oncology Stephen Schleicher, MD, CMO KCA Neurology Gretchen Campbell, MD Megan Childers, APRN Community Members and Groups Erinne Hester, Montgomery County Property Assessor CC Wheeler, Montgomery County Veterans Coalition Marla Rye, N. Mid. Tenn. Workforce Board Jennifer Hancock James Willis Sherry Willis Katherine Fyke Thomas A. Fyke Wynona Fyke Tanner Antonutti Matthew Walker Comprehensive Health Center Keith Junior MD Laura Franklin Woods, MD Jennifer Cooke, FNP Shondell Hickson, FNP Compass Family Health Teressa Morrison, FNP Elite Sports Medicine Taylor Moore, NP Nephrology Associates Parker Hughes, DO Vinai Katragadda, MD Mercedes Witt, PA-C Family Health Center of Ashland City Scott Brown, MD Shoemaker Family Medicine Benjamin Shoemaker, MD Nashville Breast Center, P.C. Eduardo C. Dias, MD Laura Lawson, MD Grabenstein Family Practice Bill Grabenstein, MD Tennessee Orthopaedic Alliance Rob Simmons, CEO Midstate Internal Medicine Bailey Berry, FNP The Pain Management Group Tim Miller, MD H. Anderson, FNP-C Lacey Austin, APRN Amanda Furline, FNP-BC The Craniofacial Pain and Sleep Therapy Center Christine Wnerick, DMD Music City Sports Medicine Orthopaedics Jason A. Jones, MD Ascension Saint Thomas Lisa Bellin, MD Ashley Brinkley, WHNP Jill Weida, FNP Kaitlyn Weaver, FNP-BC Alexandra Sherman, WHNP-BC Nashville Fertility Center Kristin Van Heertum, MD The Joint & Spine Pain Center Brian Wills, PA-C Saint Thomas Medical Group Elisabeth Willers, MD Maryam Pourpaki, MD Samantha Craighead, P.A. The Village Primary Care Fred Nordquist, MD 2

Premier Radiology: 18 Diagnostic Imaging Centers with Additional Facility Opening in March 2024 3

SERVICE AREA Current Population (2024) 231,296 72,363 303,659 Projected Population (2028) 248,145 71,901 320,046 County Montgomery (TN) Christian (KY) TOTAL 4

Need Mobile MRI Highly Utilized 1. Mobile MRI Operating at 123% of 2,880 procedure optimal use standard in State Health Plan in 2022 (135% in 2023). % of Optimal Utilization Standard (2,880) 98% 69% 123% 135% Year Procedures 2. Mobile MRI currently has 20 day waiting period. 2020 2021 2022 2023 2,829 1,972 3,543 3,900 3. Mobile MRI performed 3,900 procedures in 2023. 4. New MRI will be faster than the Mobile MRI and have breast scan capabilities. 5

Need New MRI Will Exceed State Health Plan Optimal Target State Health Plan Utilization Targets for Years 1-3 2,160 2,520 % of Projected Procedures Year Utilization Targets 195% 174% Year 1 2026 Year 2 2027 4,218 4,387 Year 3 2028 4,563 2,880 158% Source: 2022 TN data from HFC Registry; KY State Plan Website 6

Need Other Providers in Service Area Are at 80.9% of Utilization Target Average Procedures Per Unit 3,543 1,959 Provider (# of units) % of TN Target (2,880) Met County Provider Type Procedures Montgomery Montgomery ODC ODC Premier Mobile ODC (1) Clarksville Imaging Center (1) Tennova Healthcare- Clarksville (2) 3,543 1,959 123.0% 68.0% Montgomery HOSP 3,965 1,982.5 68.8% Montgomery PO TN Orthopaedic Alliance (1) Premier Medical Group (1) Jennie Stuart Medical Center Hopkinsville (2) 3,761 3,761 116.7% Montgomery PO 1,184 1,184 41.1% Christian (KY) HOSP 4,217 2,109 73.2% Totals 8 units 18,629 2,329 80.9% Source: 2022 TN data from HFC Registry; KY State Plan Website 7

NEED 1. Mobile MRI is Highly Utilized 2. New MRI Will Substantially Exceed State Health Plan Optimal Target of 2,800 3. Other Providers in Service Area Are at 80.9% of Utilization Target 4. Project is Net Neutral and Will not Add A New MRI to the Service Area 5. Project Will Introduce New Breast Imaging Technology to the Service Area 8

PREMIER RADIOLOGY IS A QUALITY PROVIDER Will be licensed by State of Tennessee. Will be certified for participation in Medicare and TennCare/Medicaid. Will participate in the 4 TennCare MCO Networks. Will be accredited by the American College of Radiology. 9

BENEFITS OF NEW ODC/MRI New Unit is Faster than Mobile Unit with Shorter Scan Times For certain women at high risk for breast cancer, a screening recommended. A breast MRI can show the extent of known cancer or an issue with the other breast. Currently, my patients must travel into Nashville for this specialized imaging. . . . As Clarksville continues to grow, we much need breast MRI capability to diagnose and provide treatment in a timely manner. - Dr. Laura L. Lawson, Nashville Breast Center, P.C. Letter of Support breast MRI is New Breast Imaging Capabilities Available in Service Area. 11

ADDITIONAL IMAGING MODALITIES AT NEW ODC Computed Tomography (CT) Mammography X-RAY Ultrasound Bone Densitometry 12

PREMIER RADIOLOGY DISTINCTIONS ODC will be staffed and supported by sub-specialized Radiologists. All radiologists are board-certified by American Board of Radiology. Equipment is accredited by the American College of Radiology. Model is to get patients scanned within 24-72 hours if possible. Lower outpatient costs than hospital based rates. 13

JIM DRUMWRIGHT CEO PREMIER RADIOLOGY 14

58 LETTERS OF SUPPORT CenterWell Senior Primary Care Kristy Hill, Administrator TriStar Medical Group Chandler Denney, NP Laura Oudshoorn, PA-C Lauren Ventola, MD Susan Garwood, MD Clarksville Urology Dino A. DeLaurentis, DO Vidhush K. Yarlagadda, MD Elected Officials Tenn. Rep. Curtis Johnson Tenn. Rep. Ronnie Glenn Tenn. Sen. Bill Powers Joe Pitts, Clarksville Mayor Bill Anderson, Pleasant View Mayor Comprehensive Spine Center at Vanderbilt Richard Berkman, MD Compassion Care Clinic Deneishia Clayton, FNP-C Jamie Pruitt, FNP-BC Tennessee Oncology Stephen Schleicher, MD, CMO KCA Neurology Gretchen Campbell, MD Megan Childers, APRN Community Members and Groups Erinne Hester, Montgomery County Property Assessor CC Wheeler, Montgomery County Veterans Coalition Marla Rye, N. Mid. Tenn. Workforce Board Jennifer Hancock James Willis Sherry Willis Katherine Fyke Thomas A. Fyke Wynona Fyke Tanner Antonutti Matthew Walker Comprehensive Health Center Keith Junior MD Laura Franklin Woods, MD Jennifer Cooke, FNP Shondell Hickson, FNP Compass Family Health Teressa Morrison, FNP Elite Sports Medicine Taylor Moore, NP Nephrology Associates Parker Hughes, DO Vinai Katragadda, MD Mercedes Witt, PA-C Family Health Center of Ashland City Scott Brown, MD Shoemaker Family Medicine Benjamin Shoemaker, MD Nashville Breast Center, P.C. Eduardo C. Dias, MD Laura Lawson, MD Grabenstein Family Practice Bill Grabenstein, MD Tennessee Orthopaedic Alliance Rob Simmons, CEO Midstate Internal Medicine Bailey Berry, FNP The Pain Management Group Tim Miller, MD H. Anderson, FNP-C Lacey Austin, APRN Amanda Furline, FNP-BC The Craniofacial Pain and Sleep Therapy Center Christine Wnerick, DMD Music City Sports Medicine Orthopaedics Jason A. Jones, MD Ascension Saint Thomas Lisa Bellin, MD Ashley Brinkley, WHNP Jill Weida, FNP Kaitlyn Weaver, FNP-BC Alexandra Sherman, WHNP-BC Nashville Fertility Center Kristin Van Heertum, MD The Joint & Spine Pain Center Brian Wills, PA-C Saint Thomas Medical Group Elisabeth Willers, MD Maryam Pourpaki, MD Samantha Craighead, P.A. The Village Primary Care Fred Nordquist, MD 15

Compass Family Health Clinic It is common practice for patients to wait weeks to months to have imaging completed in the Clarksville area. Patients who have the ability to travel to Nashville region are willing to travelbut those whom are not able to travel have to prolong their care until an appointment is available locally or visit an ER. Tessa Morrison, FNP 16

The Joint and Spine Pain Center I am more inclined to utilize Premier Radiology vs Tennova because of immediate access to the images via PACS online. Historically, requesting and receiving images and reports from Tennova has been a slow process. Also, acquiring xray images is now an issue for our clinic. Clarksville deserves more options besides Tennova for radiology services. The majority of patients are of geriatric age, and driving to Nashville is not a desirable option. Brian Wills, PA-C 17