When I started as President & CEO of Jersey City Medical Center in 1989, New Jersey had a comprehensive Certificate of Need process. When the state awarded a “CN” funding followed through the all payor reimbursement system then in place. Over time JCMC was designated as: a Regional Perinatal Center; Level II Trauma Center; Teaching … Continue reading PART 4. New Jersey. “..heart transplant center, inflated survival rates to keep its funding — keeping a brain-dead patient on life support until he hit a one-year survival benchmark..”