Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

Wednesday, October 2, 2024, SHCC Meeting

• Agenda
• Minutes from June 5, 2024
• Acute Care Services Committee Recommendations
• Long-Term and Behavioral Health Committee Recommendations
• Technology and Equipment Committee Recommendations

Wednesday, June 5, 2024, SHCC Meeting

• Agenda
• Minutes from March 6, 2024 meeting
• Updated Proposed Policy GEN-5: Access to Culturally Competent Healthcare
• Acute Care Services Committee Recommendations
• Long-Term and Behavioral Health Committee Recommendations
• Technology and Equipment Committee Recommendations

Wednesday, March 6, 2024, SHCC Meeting

• Agenda
• Minutes from October 4, 2024 meeting
• Proposed Policy GEN-5: Access to Culturally Competent Healthcare
• Proposed Policy TE-4: Plan Exemption for Linear Accelerators

Acute Care Services Committee (ACS) Meeting

Tuesday, September 10, 2024

• Agenda
• Minutes from May 7, 2024
• Chapter 5 - Acute Care Beds
  • Petition 1 - Agency Report - Petition to Remove a Need Determination for 30 Acute Care Beds in Vance/Warren County
    • Petition to remove a Need Determination for 30 Acute Care Beds in Vance/Warren County Service Area
      • Letters of Support
        • Kimberly Denton, Franklin County Manager
        • Archie B. Taylor, Vance County Commissioner
      • Oral Remarks at Public Hearing
        • Maria Parham Health, Michael Gordian
  • Petition 2 - Agency Report - Petition to Remove a Need Determination for 43 Acute Care Beds in the Pender County Service Area
    • Petition to remove a Need Determination for 43 Acute Care Beds in the Pender County Service Area
  • Table 5A: Acute Care Bed Need Projections - revised
  • Table 5B: Acute Care Bed Need Determination - revised
• Chapter 6 - Operating Rooms
  • No documents
• Chapter 7 - Other Acute Care Services
  • No documents
• Chapter 8 - Inpatient Rehabilitation
  • No documents
• Chapter 9 - End-Stage Renal Disease Dialysis Facilities
  • No documents

Tuesday, May 7, 2024

• Agenda
• Minutes from April 9, 2024
• Chapter 5: Acute Care Hospital Beds
  • HIDI/Licensure Acute Care Days Draft Data Discrepancy Report
  • Table 5A: Acute Care Bed Need Projections, 2015 - 2019 GRM
  • Table 5B: Acute Care Bed Need Determinations, 2015 - 2019 GRM
  • Table 5A: Acute Care Bed Need Projections, 2019 - 2023 GRM
  • Table 5B: Acute Care Bed Need Determinations, 2019 - 2023 GRM
  • Table 5C: Long-Term Care Hospital Bed Inventory and Days of Care
• Chapter 6: Operating Rooms
  • Table 6A: Operating Room Inventory and Grouping
  • Table 6B: Projected Operating Room Need for 2027
  • Table 6C: Operating Room Need Determination
  • Table 6D: Endoscopy Room Inventory
• Chapter 7: Other Acute Care Services
  • Table 7A-1, Table 7A-2 & Figure 7A: Burn Intensive Care Services
  • Table 7B & Figure 7B: Open-Heart Surgery Procedures
  • Table 7C-1 & Figure 7C-1: Bone Marrow Transplantation Services
  • Table 7C-3 & Figure 7C-2: Solid Organ Transplantation Services
• Chapter 8: Inpatient Rehabilitation Services
  • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds
• Chapter 9: End-Stage Renal Disease Dialysis Facilities
  • Chapter 9: Dialysis Data by County of Patient Origin - December 2023 Data
  • Table 9A: Inventory of Dialysis Stations and Calculation of Utilization Rates
  • Table 9B: ESRD Dialysis Station Need Determinations by Planning Area
  • Table 9D: Need Determination for New Dialysis Stations by Facility
  • Table 9E: Inventory of Dialysis Home Training Facilities

Tuesday, April 9, 2024

• Agenda
• Minutes from September 12, 2023
• Chapter 5: Acute Care Services
  • No Documents
• • No Documents
• Chapter 6: Operating Rooms
  • No Documents
• Chapter 7: Other Acute Care Services
  • No Documents
• Chapter 8: Inpatient Rehabilitation Services
  • No Documents
• Chapter 9: End Stage Renal Disease
  • Agency Report: Petition to Modify Policy GEN-3: Basic Principles
    • Modify Policy GEN-3: Basic Principles: Health Systems Management on behalf of Wake Forest Out-patient Dialysis Centers
      • Comment
        • M. Shearer, Cone Health

Long-Term and Behavioral Health Committee (LTBH) Meeting

Thursday, September 12, 2024

• Agenda
• Minutes from May 9, 2024
• Chapter 10: Nursing Care Facilities
  • No documents
• Chapter 11: Adult Care Homes
  • No documents
• Chapter 12: Home Health Services
  • Petition - Agency Report - Adjusted Need Petition for Medicare-Certified Home Health Office in Alexander County and Iredell County
    • Petition for an Adjusted Need Determination for a Home Health Agency in Alexander County and Iredell County
      • Letters of Support
        • James Smith, MD, Smith Pediatrics
        • Moriah Specht, NP, Bethlehem Family Practice
      • Comments
        • John Green, CEO, Iredell Health System
        • Members of the Association for Home & Hospice Care of NC
• Chapter 13: Hospice Services
  • Petition - Agency Report - Adjusted Need Petition for Hospice Home Care Office in Mecklenburg County
    • Petition for an Adjusted Need Determination for a Hospice Home Care Agency in Mecklenburg County
      • Letters of Support
        • Livingstone College, State Alexander, III
        • Queens University of Charlotte, Daniel Lugo
        • Belmont Abbey College, Gwyndolan Swain
        • Progressive Baptist Church, Terrance Grooms
        • St. Paul Baptist Church, Rev. Dr. Robert Scott
        • One Health Leadership, Kelly Garrison
        • Eastover Nursing Center, David Plemons
        • Mecklenburg County, Dena Diorio
        • US House of Representatives, Alma Adams
        • Urban League of Central Carolinas, Robyn Hamilton
        • Charlotte-Mecklenburg NAACP, Corine Mack
        • Civility Localized, Christine Edwards
        • Innovative Lifestyle Network, Shanika Johnson
        • AI Patent Law, Pdowithz Alce
        • 27 Additional Letters of Support
      • Oral Remarks at Public Hearing
        • Heart’N Soul Hospice, Kevin Allison
        • OneHealth Atrium Health, Mark Collins
        • VIA Health Partners, Peter Brunnick
        • VIA Health Partners, LaTanya Johnson
        • VIA Health Partners, Walt Windley
        • VIA Health Partners, Pastor Major Stewart
        • VIA Health Partners, Margaret Harris
        • VIA Health Partners, Bridget Hiller
      • Comments
        • Zac Long, CEO, Well Care Health
        • Stephen Lawler, NC Healthcare Association, and Board and Members of the Association for Home & Hospice Care of NC
        • Dana Killian, President & CEO, Carolina Caring
        • Peter Brunnick, President & CEO, VIA Health Partners
      • Data Requested by SHCC
        • Heart’n Soul Hospice
        • VIA Health Partners, 2021 - 2024 data
        • VIA Health Partners, 2015 - 2024 data
  • Table 13B: Year 2026 Hospice Home Care Office Need Projections
  • Table 13G: Hospice home Care Office Need Determination
• Chapter 14: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • No documents

Thursday, May 9, 2024

• Agenda
• Minutes from April 11, 2024
• Chapter 10: Nursing Care Facilities
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds
  • Table 10B: County Rate Calculations for Nursing Home Bed Need Determination
  • Table 10C: Nursing Care Bed Need Projections for 2028
• Chapter 11: Adult Care Homes
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds
  • Table 11B: County Rate Calculations for Adult Care (Assisted Living) Bed Need Determination
  • Table 11C: Adult Care Home Need Projections for 2028
  • Table 11D: Adult Care Home Bed Need Determination
  • Table 11E: Inventory of Adult Care Home Beds in Continuing Care Retirement Homes
  • Table 11F: Inventory of Nursing Homes with Six or Fewer Adult Care Home
• Chapter 12: Home Health Services
  • Chapter 12: Home Health Data by County of Patient Origin – 2023 Data
  • Table 12A: Inventory of Licensed Medicare Certified Home Health Agencies or Offices
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population
  • Table 12C: 2026 Need Projections for Medicare-certified Home Health Agencies or Offices
  • Table 12D: 2026 Need Projections for Medicare-certified Home Health Agencies or Offices
• Chapter 13: Hospice Services
  • Chapter 13: Hospice Data by County of Patient Origin – 2023 Data
  • Table 13A: Inventory of Licensed Hospice Agencies
  • Table 13B: Year 2026 Hospice Home Care Office Need Projections
  • Table 13C: Year 2028 Hospice Inpatient Bed Need Projections
  • Table 13D: Hospice Inpatient Facilities
  • Table 13E: Hospice Inpatient Facilities Occupancy Rate for FY2023
  • Table 13F: Hospice Residential Facilities
• Chapter 14: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • Table 14A: Inventory of ICF/IID Facilities and Beds

Thursday, April 11, 2024

• Agenda
• Minutes from February 20, 2024
• Chapter 10: Nursing Care Facilities
  • No documents
• Chapter 11: Adult Care Homes
  • No documents
• Chapter 12: Home Health Services
  • No documents
• Chapter 13: Hospice Services
  • No documents
• Chapter 14: Intermediate Care Facilities for the Individuals with Intellectual Disabilities
  • No documents

Tuesday, February 20, 2024

• Agenda
• Minutes from September 14, 2023
• Chapter 10: Nursing Care Facilities
  • No documents
• Chapter 11: Adult Care Homes
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds - Draft Revision for 2024 SMFP - 2/20/24
  • Table 11C: Adult Care Home Need Projections for 2027 - Draft Revision for 2024 SMFP - 2/20/24
  • Table 11D: Adult Care Home Bed Need Determination - Draft Revision for 2024 SMFP - 2/20/24
• Chapter 12: Home Health Services
  • No documents
• Chapter 13: Hospice Services
  • No documents
• Chapter 14: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • No documents

Technology and Equipment Committee (TEC) Meeting

Wednesday, September 4, 2024

• Agenda
• Minutes from May 15, 2024
• Cardiac Catheterization
  • Petition 1 - Agency Report: Petition for Adjusted Need Determination for Fixed Cardiac Catheterization Equipment in Catawba County
    • Petition for an Adjusted Need Determination for a Fixed Cardiac Catheterization Equipment in Catawba County
    • Letters of Support
    • Letters of Support
    • Oral Remarks at Public Hearing
    • Catawba Valley Medical Center, Vincent Pompili
    • Catawba Valley Health System, Chuck Scronce
  • Table 15A-1 – Fixed Cardiac Catheterization Procedures by Facility and Type
  • Table 15A-3 – Fixed Cardiac Catheterization Equipment, Capacity and Volume
  • Table 15A-4 – Fixed Cardiac Catheterization Equipment, Need Determination
  • Proposed Table 15A-1 – Fixed Cardiac Catheterization Equipment, Capacity and Volume
  • Proposed Edits to Cardiac Catheterization Narrative in Chapter 15
• Gamma Knife
  • No documents
• Linear Accelerator (LINAC)
  • Petition 2 - Agency Report: Petition for an Adjusted Need Determination for a Linear Accelerator in Service Area 23
  • Petition for an Adjusted Need Determination for a Linear Accelerator in Service Area 23
  • Oral Remarks at Public Hearing
    • UNC Health Wayne, Marquita Ingram
  • Agency Recommendation: LINAC Narrative
• Lithotripsy
  • No documents
• Magnetic Resonance Imaging (MRI)
  • No documents
• Positron Emission Tomography (PET)
  • Petition 3 - Agency Report: Petition to Convert a Need Determination for a Fixed PET Scanner in HSA I to a Fixed Cardiac PET Scanner in HSA I
    • Petition to Convert a Need Determination for a Fixed PET Scanner in HSA I to a Fixed Cardiac PET Scanner in HSA I
      • Letters of Support
        • Three letters of support
      • Oral Remarks at Public Hearing
        • Mission Hospital, Brad Kappalman
        • Asheville Cardiology Associates, Yaron Fridman
        • Asheville Cardiology Associates, Sarah Ciccotto
      • Comments
        • James Kirby, II, President & CEO, Margaret R. Pardee Memorial Hospital
        • Andrea Gymer, Vice President, Novant Health

Wednesday, May 15, 2024

• Agenda
• Minutes from April 3, 2024
• Cardiac Catheterization
  • Cardiac Catheterization Procedures by Facility and Type, 2023 (Table 15A-1) and Mobile Cardiac Catheterization Capacity and Volume (Table 15A-2)
  • Fixed Cardiac Catheterization, Capacity and Volume (Table 15A-3)
  • Fixed and Mobile Cardiac Catheterization Need Determination (Table 15A-4)
• Gamma Knife
  • No documents
• Linear Accelerator (LINAC)
  • Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (Table 15C-1)
  • Stereotactic Radiosurgery Procedures (Table 15C-2)
  • Linear Accelerator Service Areas (Table 15C-4)
  • Linear Accelerator Service Areas and Calculations (Table 15C-5)
  • Linear Accelerator Need Determinations (Table 15C-6)
• Lithotripsy
  • Mobile and Fixed Lithotripsy Providers and Locations Served (Table 15D-1) and Mobile and Fixed Lithotripsy (Table 15D-2)
• Magnetic Resonance Imaging (MRI)
  • MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Threshold and Fixed Equivalents (Table 15E-1)
  • MRI Scanner Need Determinations by Service Area (Table 15E-2)
  • Fixed MRI Scanner Need Determination (Table 15E-4)
• Positron Emission Tomography (PET)
  • Utilization of Existing Dedicated Fixed PET Scanners (Table 15F-1)
  • PET Scanner Provider of Mobile Dedicated Scanners (Table 15F-2) and PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (Table F-3)
  • Dedicated Fixed PET Scanner Need Determination (Table 15F-4)

Wednesday, April 3, 2024

• Agenda
• Minutes from February 28, 2024 Meeting
• Cardiac Catheterization
  • No documents
• Gamma Knife
  
  • No documents
• Linear Accelerator (LINAC)
  
  • Agency Report: Develop Policy TE-4: Plan Exemption for Linear Acclerators: Agency Staff Proposal
    • Develop Policy TE-4: Plan Exemption for Linear Accelerators: Agency Staff Proposal
      • Comments
        • Catharine Cummer, Duke University Health System
        • Dennis Johnson, Catawba Valley Medical Center
        • F. Del Murphy, Jr., CaroMont Health
        • Donald Gintzig and Thomas Gough, WakeMed
        • Greg Bass, Atrium Health
        • UNC Health
        • M. Shearer, Cone Health
• Lithotripsy
  • No documents
• Magnetic Resonance Imaging (MRI)
  • Agency Report: Change Policy TE-2 to Allow iMRI Use for Outpatients: Atrium Health 
    
    • Change Policy TE-2 to Allow iMRI Use for Outpatients: Atrium Health
      • Comments
        • M. Shearer, Cone Health

Positron Emission Tomography (PET)

• Agency Report: Change Fixed PET Scanner Methodology or Develop Policy for Dual Function Fixed PET Scanners in Mid-Size Cancer Centers: Carteret Health 
  
  • Change Fixed PET Scanner Methodology: Carteret Health
  • Develop Policy for Dual Function Fixed PET Scanners in Mid-Size Cancer Centers: Carteret Health
    • Letters of Support (note that these were sent regarding both petitions submitted by Carteret Health)
    • Congressman Gregory Murphy, MD, Congress of the United States, House of Representatives
    • Senator Norman Sanderson, North Carolina General Assembly, Senate
    • Representative Celeste Cairns, North Carolina General Assembly, House of Representatives
    • Tobin Finizio, MD, Carteret Health Care, Eastern Radiologists, Inc.
    • Mark Shouse, Carteret Health Care Board of Directors
    • Kyle Rusthoven, MD, Carteret Health Care
    • Brian Kuszyk, MD, Carteret Health Care, Eastern Radiologists, Inc.
    • Julius Taylor, Carteret Health Care Board of Directors
    • Julius Taylor (2), Carteret Health Care Board of Directors
    • Marcy Ellis, patient from Morehead City, NC
    • Oral Remarks at Public Hearing
      • Carteret Health, Kyle Marek
    • Comments
      • Tina Hinshaw, Akumin, Inc.
      • Greg Bass, Atrium Health

Wednesday, February 28, 2024, Special Committee Meeting

• Agenda
• Minutes from September 13, 2023
• Cardiac Catheterization
  • Table 15A-3: Fixed Cardiac Catheterization Equipment, Capacity and Volume
  • Table 15A-4: Fixed Cardiac Catheterization Equipment Need Determination
• Gamma Knife
  • No documents
• Linear Accelerator (LINAC)
  • No documents
• Lithotripsy
  • No documents
• Magnetic Resonance Imaging (MRI)
  • No documents
• Positron Emission Tomography (PET)
  • No documents

OR Methodology Workgroup Meeting

Tuesday, December 17, 2024

• Teams Join Instructions
• Agenda
• OR Methodology Workgroup Charge
• Session Law 2023 - 7
• 2025 SMFP Tables 6A and 6B
• QUASFs Removed Tables 6A and 6B
• PowerPoint Presentation