Determination of Need

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A significant step in Boston Children's plans for Transforming Tomorrow

Nov. 7, 2016

A letter from Sandra L. Fenwick, President and CEO and Kevin Churchwell, MD, EVP of Health Affairs and COO to all Boston Children's Hospital employees, staff, volunteers and associated personnel:

We are pleased to report that on October 20, the Massachusetts Public Health Council voted to approve our Determination of Need proposal. Following a lengthy and thorough public review, Boston Children's Hospital has received full and formal approval from the Commonwealth to begin work on the evolution of our Longwood campus, including our new clinical building and the development of new outpatient facilities at Brookline Place.

To get to this point it has taken the work of hundreds over the course of years. We would like to thank all of the clinical and administrative leaders, patients, families, community supporters and political allies who have stood together in support of our proposal and the patients and families who will be so greatly impacted by it.

From our new state-of-the art NICU that will provide a better environment for our most fragile patients, to the expanded, streamlined Heart Center that will support safer, more collaborative care than ever before; from the benefits of the single rooms that we will provide to all families, to the expanded and more inclusive new green and open spaces that will offer peace and solitude year round; everything in our proposal was designed to build a brighter future for our children and families. Thank you all for keeping them at the center of everything we do.

We would like to extend a special thanks to the Prouty family and our Greenspace Committee. As we prepare to move into the future, the hardest decision of all was to say goodbye to a beloved part of our history. But thanks to your passion and dedication, the spirit of the Prouty Garden will be felt in ways both new and familiar across our entire campus.

We are grateful to all of you for your support getting us here, and we couldn't ask for a more committed team to build Boston Children's future. We are proud to move forward with all of you as we take our next steps in Transforming Tomorrow.

Sept. 30, 2016 

Boston Children's Hospital earns DPH staff recommendation

Boston Children's Hospital has earned the Department of Public Health's (DPH) staff recommendation in support of our Determination of Need application for our proposed clinical building and campus renovations. We appreciate and respect the thoroughness of DPH staff in reviewing this application and recognizing the benefit to patients and families. We believe that our application is consistent with Boston Children's priorities to continue serving low-income families and to continue to operate within Massachusetts' efforts to contain health care costs. 

We want to thank the hundreds of Boston Children's clinicians, staff, patients and families who have been part of the multi-year effort to get us to this point. Better than anyone, this group appreciates the challenges of caring for families in facilities that are at capacity—and beyond.

We continue to look for your support as we move to the final phase of the approval process, which includes presenting the application to DPH's Public Health Council for a final vote. We will continue to advocate for the improved health care facilities, updated technology, increased access and expanded green space offered as part of our proposed expansion plan and look forward to earning the Public Health Council's approval of our application next month.

Feb. 25, 2016

DPH Public Hearing

The Massachusetts Department of Public Health held a public hearing to review support for Boston Children’s Hospital’s Determination of Need—our proposal for the transformation of our Longwood campus, including the renewal of our existing facilities, the creation of our new 12-story Boston Children’s Clinical Building, and the development of Brookline Place.

Following an introductory presentation by President and CEO Sandra Fenwick, EVP of Health Affairs and COO Kevin Churchwell, MD, and Boston Children’s Board of Trustees Chairman Stephen Karp, (which you can read below) the floor was open to any and all attendees who wished to speak, sharing their experiences to demonstrate why the renovations to our campus are so necessary. As Board of Trustees Chairman, Stephen Karp put it: “We have a responsibility to meet the needs of children today and tomorrow. No responsibility is more important.”

We’d like to thank all those who took the time to attend the hearing, and who wrote such passionate and thoughtful letters of support. Hundreds of patients, families, staff and supporters turned out, and many spoke at the hearing, exemplifying their commitment to the guiding principle that drives our plans for the future—with growth, we will have a greater capacity to heal. A special note of thanks to all those who spoke in support of that growth: Lisa Burgess; Maria Conley; Cherie Craft; Deyven Ferrera; Pat Flaherty; Gary Fleisher, MD; Diana Garcia; Richard Giordano; Ashley Haseotes; Jim Kasser, MD; Ed Kelly; Mikyoung Kim; John Mayer, Jr., MD; Sarah Morris; Shari Nethersole, MD; Bill O'Donnell; Rick Robertson, MD; Sydney Thiel; Cheryl Toole, RN, MS; and Laura Wood, DNP, MS, RN.

  • As part of the Determination of Need process, Boston Children's Hospital submitted a letter to the Department of Public Health on April 11, 2016, describing the impact that our proposed plans will have on our Medicaid patient population.
  • Boston Children's submitted another letter to the Department of Public Health on April 11, 2016, describing in details the process through which alternate sites to our proposed plans for our Longwood campus were considered, as well as the reasons they were eliminated, including the costs and scope for each.

Letters of Support for Boston Children's Hospital:

  • Sandra Fenwick, President and CEO, Boston Children's Hospital
  • Kevin Churchwell, MD, EVP of Health Affairs and Chief Operating Officer, Boston Children's Hospital
  • Stephen Karp, Chairman of the Board of Trustees, Boston Children's Hospital
Boston Children’s is so much more than a hospital—it’s a community of researchers, clinicians, administrators, support staff, innovators, teachers, patients and families, all working together to make the impossible possible. ”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital
300 Longwood Avenue, Boston, MA 02115
For Patients: 617-355-6000
For Referring Providers: 844-BCH-PEDS | 844-224-7337