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December 4, 2008


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Sure, we're prone to exaggeration (in, like, one million of our articles), but this time we mean it. HCA is the largest healthcare provider in the world with 166 hospitals in 20 states and England, including Reston Hospital Center. We dropped in on RHC prez Bill Adams to hear the latest on HCA's proposed Broadlands Medical Center and to see if his hospital's massive '04 expansion was enough to accommodate the sprawling suburb that is Reston (Spoiler alert: It's not.)


Bill's only missed two 'Skins home games in 20 years. Impressive, right? Now consider he's only worked at Reston since '98, meaning he drove to RFK Stadium from hospitals in Nashville and Fayetteville. He oversaw a $100M expansion in '04-new ER, medical office building and 60 new beds (187 total)-that lifted them from a community to a tertiary hospital, but Bill says they'll soon need more space and has started the permitting process for more beds and expanding the medical office building. In the meantime, Reston recently became the first metro area hospital to offer incisionless surgery for gastroesophageal reflux. Studies show 85% of patients fitted with the EsophyX surgical device remained off daily PPIs (drugs that reduce gastric acid but also elevate risk for bone fracture) one year after surgery.


Bill's also been advising HCA on development of the future Broadlands Regional Medical Center in Ashburn, Loudoun County. He tells us they've landed support from Loudoun County Planning Commissioners and a decision from the entire county board will come mid '09. With approval, the hospital should open by 2011. It'll fill a huge void as Loudoun has far fewer beds than other counties-0.62 per thousand people, compared to 1.83 beds for Arlington. HCA also plans for a free standing Emergency Department (Stone Spring) on Route 50. As population grows, it can be expanded to a full medical Center. In a recent statement, Inova, who also has its toe in the water for a full service Route 50 medical center, says it doubts it'd receive a Certificate of Public Need should Broadlands get approved.


We snapped a photo of Bill with assistant Linda Smyser because he's reverential of the women in his life. He's more than proud to tell us his daughter, like his wife Becky, is a nurse, and that his wife sank a hole-in-one (seriously) while golfing two months ago. That feat may top the rest, but we'll still add that Bill has sat on the Reston Chamber of Commerce board for 10 years, including a turn as prez. Of course, until he sinks a 42 mm golf ball into a 100 mm hole, from 100 yards away, his wife can retain bragging rights.


Did you miss our Bisnow "New Washington" conference on Tuesday? Looks like you'll have to track down Interim GW CEO Trent Crable for the notes. That's him on the right with CrossMine CEO Bob Nelson. So how long does an "interim" title last? Trent says hospital owner UHS has started a search committee to find a full-timer. And, yes, he's under consideration.


While discussion centered on the economy, there was still some good news (as we hope this picture illustrates). Our headliners- legendary real estate investor (and Fight Night founder) Joe Robert, Former Homeland Security Secretary Tom Ridge, now of Ridge Global LLC, and Carlyle Group co-founder David Rubenstein -all agreed the Obama administration will not brush healthcare reform under the rug. They say that's good news for patients, but also for entrepreneurs.

Medical writer Curtis Raye once dropped 3 nickels near Area 51. That's change some people can believe in. The truth is out there. Send it, and story ideas, to Curtis@Bisnow.com.

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