Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

The SHCC meeting on October 13, 2010 will be held at the Jane S. McKimmon Center [Directions] in Raleigh beginning at 10:00 a.m.

The following are the handouts for the meeting on October 13, 2010.

• Agenda (PDF, 54 KB)
• Minutes (PDF, 81 KB)
• Acute Care Services Committee Report (PDF, 22 KB)
• Acute Care Services Committee Documents
• Technology and Equipment Committee Report (PDF, 17 KB)
• Technology and Equipment Committee Documents
• Long-Term and Behavioral Health Committee Report (PDF, 31 KB)
• Long-Term and Behavioral Health Committee Documents
• Quality, Access and Value Committee Report (PDF, 9 KB)
• Facility Energy Efficiency and Sustainability Work Group Report (PDF, 19 KB)
  • GEN-4 Policy (PDF, 9 KB)

The following are the handouts for the meeting on May 26, 2010.

• Agenda (PDF, 61 KB) (not previously posted)
• Minutes (PDF, 32 KB) (not previously posted)
• Proposed Revised Recommendation from Acute Care Services Committee (PDF, 57 KB)
• Acute Care Services Committee Report (PDF, 46 KB) (not previously posted)
  • Acute Care Beds
    • Petition for Amendment to Policy AC-5 (PDF, 93 KB)
    • Agency Report on Petition for Change in Basic Policy (PDF, 55 KB)
    • County Growth Rate Detail (PDF, 34 KB)
    • Updated AC Bed and OR Multicounty Service Areas Table (PDF, 18 KB) (not previously posted)
    • Updated Table 5A Revised Methodology (PDF, 37 KB) (not previously posted)
    • Table 5B: Acute Care Bed Need Determinations Revised Methodology (PDF, 14KB)
  • Operating Rooms (ORs)
    • Petition for Adjustment to Step 4(m)/Criteria for Identification of "Chronically Underutilized ORs in Licensed Facilities" (PDF, 33 KB)
    • Agency Report on Petition for Methodology Change (PDF, 28 KB)
    • Petition for New CON Methodology Related to Ambulatory Surgical Operating Rooms Based on Pilot Demonstrations, Disclosure, and Consumer Choice (PDF, 55 KB)
    • Comment on petition: New CON Methodology Related to Ambulatory Surgical Operating Rooms Based on Pilot Demonstrations, Disclosures, and Consumer Choice (PDF, 81 KB)
    • Agency Report on Petition for Change with Potential for Statewide Effect (PDF, 16 KB)
    • Table 6A: Operating Room Inventory (PDF, 38 KB)
    • Updated Operating Room Methodology Growth Rate Data (PDF, 21 KB) (not previously posted)
    • Updated Table 6B (PDF, 31 KB) (not previously posted)
    • Updated Table 6C (PDF, 10 KB) (not previously posted)
  • Other Acute Care Services
    • Table 7A: Open Heart Surgery Procedures (PDF, 14 KB)
    • Adult Open Heart Surgery Procedures 1994-2008 (PDF, 10 KB)
    • Table 7B: Heart-Lung Bypass Machine Capacity and Volume (PDF, 14 KB)
    • Table 7C: Burn Intensive Care Services (PDF, 12 KB)
    • Table 7D: Bone Marrow Transplants (PDF, 11 KB)
    • Total Bone Marrow Transplants: 2006-2009 (PDF, 9 KB)
    • Table 7E: Solid Organ Transplantation Services (PDF, 11 KB)
  • Inpatient Rehabilitation Beds
    • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 15 KB)
    • Table 8B: Inpatient Rehabilitation Bed Need Determinations (PDF, 10 KB)
• Technology & Equipment Committee Report (PDF, 23 KB) (not previously posted)
  • Lithotripsy Section
    • Table 9A: Mobile Lithotripsy Providers and Locations Served (PDF, 49 KB)
    • Table 9B: Fixed Lithotripsy Providers and Locations Served and Table 9C: Mobile and Fixed Lithotripsy (PDF, 16 KB)
  • Gamma Knife Section
    • No documents
  • Linear Accelerators Section
    • Table 9D: Linear Accelerator Treatment Data - Hospital and Free-Standing (PDF, 21 KB)
    • Table 9E: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 20 KB)
    • Table 9F: Linear Accelerator Service Areas and Calculations (PDF, 23 KB)
    • Table 9G: Linear Accelerator Service Areas (PDF, 13 KB)
  • PET Scanners Section
    • Table 9I: PET Scanner Utilization of Existing Fixed Dedicated Scanners (PDF, 23 KB)
    • Table 9J(1): PET Scanner Provider of Mobile Dedicated Scanners and Table 9J(2): PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 11 KB)
  • MRI Scanners Section
    • Table 9K: MRI by MRI Service Areas (PDF, 342 KB)
    • Table 9M: Fixed MRI Scanners Need Determination (PDF, 13 KB)
  • Cardiac Catheterization Equipment Section
    • Table 9N: Adult Diagnostic Fixed Cardiac Catheterization Procedures by Facility and Aggregate Cardiac Catheterization Totals (PDF, 20 KB)
    • Table 9O: Pediatric Diagnostic Catheterization Procedures (PDF, 12 KB)
    • Table 9P: Mobile Cardiac Catheterization Procedures (PDF, 12 KB)
    • Table 9Q: Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventional Procedures (PDF, 20 KB)
    • Table 9R: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 19 KB)
    • Table 9S: Mobile Cardiac Catheterization Capacity and Volume (PDF, 13 KB)
• Long-Term and Behavioral Health Committee Report (PDF, 23 KB) (not previously posted)
  • Nursing Care Facilities
    • Petition 1 Agency Report (PDF, 27 KB)
    • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 55 KB)
    • Table 10B: Nursing Bed Need Projections for 2014 (PDF, 39 KB)
    • Table 10C: Nursing Care Bed Need Determinations (PDF, 8 KB)
  • Adult Care Homes
    • Table 11A: Inventory of Adult Care Home Bed (PDF, 286 KB)
    • Table 11B: Adult Care Home Need Projections for 2014 (PDF, 43 KB)
    • Table 11C: Adult Care Home Bed Need Determinations (PDF, 8 KB)
  • Home Health Services
    • Table 12A: Home Health Data by County of Patient Origins (PDF, 86 KB)
    • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1000 Population (PDF, 227 KB)
    • Table 12C: 2012 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 44 KB)
  • Hospice Services
    • Petition 2 Agency Report (PDF, 19 KB)
    • Table 13A: Hospice Data by County of Patient Origin (PDF, 49 KB)
    • Table 13B: Year 2012 Hospice Home Care Office Need Projections for 2011 Plan (PDF, 22 KB)
    • Table 13C: Year 2014 Hospice Inpatient Bed Need Projections for the 2011 Plan (PDF, 25 KB)
    • Table 13D: Hospice Inpatient Facilities (PDF, 13 KB)
    • Table 13E: Inventory of Hospice Residential Beds by County (PDF, 11 KB)
    • Table 13F: Year 2012 New Hospice Home Care Office Need Determination and Table 13G: Year 2014 Single County New Hospice Inpatient Beds Need Determination (PDF, 8 KB)
  • ESRD Dialysis
    • End-Stage Renal Disease (ESRD) Dialysis Facilities (PDF, 10 KB)
  • Psychiatric Inpatient Services
    • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals (PDF, 20 KB)
    • Table 15B: 2013 Projections of Psychiatric Bed Need by Local Management Entity
      • Part 1: Projection of Child/Adolescent Psychiatric Bed Need for 2013 (PDF, 12 KB)
      • Part 2: Projection of Adult Psychiatric Bed Need for 2013 (PDF, 11 KB)
    • Table 15C: 2013 Need Determinations for Psychiatric Inpatient Beds (PDF, 10 KB)
  • Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
    • Table 16A: Inventory of Chemical Dependency Beds, Excluding State Facilities (PDF, 13 KB)
    • Table 16B: 2013 Projection of Chemical Dependency Treatment Bed Need by Mental Health Planning Region (PDF, 25 KB) Updated 5/24/2010
    • Table 16C: Year 2013 Need Determinations for Adult Chemical Dependency Treatment Beds and Table 16D: Year 2013 Need Determinations for Adolescent Chemical Dependency Treatment Beds (PDF, 11 KB)
  • Intermediate Care Facilities for the Mentally Retarded
    • Table 17A: Inventory of ICF/MR Facilities and Beds (PDF, 38 KB)
    • Table 17B: Thomas S. Bed Inventory (PDF, 21 KB)
    • Table 17C: Beds Excluded from ICF/MR Inventory (PDF, 10 KB)
• Quality and Safety, Access and Value Committee Report (PDF, 13 KB)
• Facility Energy Efficiency and Sustainability Work Group Report (PDF, 15 KB)

The following are the handouts for the meeting on March 24, 2010.

• Agenda (PDF, 11 KB)
• Minutes (PDF, 103 KB)
• Executive Order No. 10 (PDF, 221 KB)
• N.C. State Health Coordinating Council Public List (PDF, 26 KB)
• Meeting Dates (PDF, 12 KB)
• Committee Meeting Dates (PDF, 13 KB)
• Public Hearings for Proposed 2011 North Carolina State Medical Facilities Plan (PDF, 56 KB)
• Presentation: Report on Utilization Patterns in N.C., Sandra B. Greene, DrPH. (PDF, 201 KB)

Acute Care Services Committee

The following are the handouts for the September 15, 2010 meeting.

• Agenda (PDF, 17 KB) (not previously posted)
• Minutes from 05/05/2010 meeting (PDF, 50 KB) (not previously posted)
• Chapter 5: Acute Care Beds
  • Data Discrepancy Table (PDF, 14 KB) (not previously posted)
  • Petition 1: Novant Health
    • Agency Report (PDF, 17 KB) (not previously posted)
    • Petition: Novant Health, Inc., Regarding State Medical Facilities Plan Policy AC-3 (PDF, 1.11 MB)
      • Exhibits (PDF, 7.73 MB)
    • Comments on Novant Health Petition
      • Victor Dzau, Duke University Medical Center & Health System (PDF, 493 KB)
      • John McConnell, Wake Forest University Baptist (PDF, 7.40 MB)
      • William Roper, UNC Health Care (PDF, 3.36 MB)
      • Jeffrey Shovelin, Pitt County Memorial Hospital (PDF, 628 KB)
  • Petition 2: Cape Fear Valley-Bladen County Hospital and Cape Fear Valley Health System
    • Agency Report (PDF, 28 KB) (not previously posted)
    • Petition: Cape Fear Valley-Bladen County Hospital and Cape Fear Valley Health System, Adjustment to Need Determination for Acute Care Beds in Bladen County (PDF, 1.08 MB)
  • Petition 3: Mission Hospital
    • Agency Report (PDF, 14 KB) (not previously posted)
    • Petition: Mission Hospital, Adjustment to Need Determination for Acute Care Beds in Buncombe County (PDF, 1.56 MB)
    • Comments
      • Brian Moore (PDF, 128 KB)
  • Comments Regarding Proposed Policy AC-5
    • Betty Bowen, Washington County Hospital, Proposed Policy AC-5 (PDF, 34 KB)
    • Ted Chapin, Yadkin Valley Community Hospital (PDF, 20 KB)
    • Sandy Godwin, Cape Fear Valley-Bladen County Hospital and Cape Fear Valley Health System, Changes Made to Policy AC-5 (PDF, 1.11 MB)
• Chapter 6: Operating Rooms (ORs)
  • Petition 1: Blue Ridge Bone and Joint Clinic
    • Agency Report (PDF, 21 KB) (not previously posted)
    • Petition: Blue Ridge Bone & Joint Clinic, Demonstration Project for a Single Specialty Ambulatory Surgical Facility in Buncombe, Madison, Yancey Counties (PDF, 656 KB)
    • Comments on Blue Ridge Bone and Joint Clinic Petition
      • Brian Moore, Mission Hospital (PDF, 394 KB)
  • Petition 2: Columbus Regional Healthcare System
    • Agency Report (PDF, 12 KB) (not previously posted)
    • Petition: Columbus Regional Healthcare System, Adjustment to Need Determination for Operating Rooms in Columbus County (PDF, 771 KB)
    • Comment
      • Henry Hawthorne (PDF, 781 KB)
  • Petition 3: Graystone Eye Surgery Center
    • Agency Report (PDF, 20 KB) (not previously posted)
    • Petition: Graystone Eye Surgery Center, Adjustment to Need Determination for Operating Rooms in Catawba County (PDF, 1.47 MB)
    • Comment
      • Sheree Watson (PDF, 252 KB)
  • Petition 4: Novant Health and Rowan Regional Medical Center
    • Agency Report (PDF, 16 KB) (not previously posted)
    • Petition: Novant Health, Inc. and Rowan Regional Medical Center, Inc., Adjustment to Need Determination for Operating Rooms in Rowan County (PDF, 603 KB)
  • Petition 5: WakeMed Health and Hospitals
    • Agency Report (PDF, 21 KB) (not previously posted)
    • Petition:WakeMed Health and Hospitals, Regarding a Special Need Determination for Dedicated Pediatric Surgical Operating Rooms for Wake County (PDF, 790 KB)
    • Comment
      • Duncan Phillips (PDF, 138 KB)
    • Comments on WakeMed Health and Hospitals Petition
      • Dee Jay Zerman, UNC Hospitals (PDF, 262 KB)
• Chapter 7: Other Acute Care Services
  • No Documents
• Chapter 8: Inpatient Rehabilitation Beds
  • No Documents

The following are the handouts for the May 5, 2010 meeting.

• Agenda (PDF, 18 KB)
• Minutes (PDF, 80 KB)
• Acute Care Bed Need Methodology (PDF, 16 KB)
• Table 5A: Acute Care Bed Need Projections Revised Methodology (PDF, 35 KB)
• County Growth Rate Detail (PDF, 34 KB)
• Table 5B: Acute Care Bed Need Determinations Revised Methodology (PDF, 14 KB)
• Table 5A: Acute Care Bed Need Projections Current Methodology (PDF, 30 KB)
• Total In-state Days from North Carolina Acute Care Hospitals, 1996-2009 (PDF, 17 KB)
• Table 5B: Acute Care Bed Need Determinations Current Methodology (PDF, 11 KB)
• Table 6A: Operating Room Inventory (PDF, 38 KB)
• Operating Room Methodology Growth Rate Data (PDF, 21 KB)
• Table 6B: Projected Operating Room Need for 2013 (PDF, 31 KB)
• Table 6C: Operating Room Need Determinations (PDF, 11 KB)
• Table 7A: Open-Heart Surgery Procedures (PDF, 14 KB)
• Adult Open Heart Surgery Procedures 1994-2008 (PDF, 10 KB)
• Table 7B: Heart-Lung Bypass Machine Capacity and Volume (PDF, 14 KB)
• Table 7C: Burn Intensive Care Services (PDF, 12 KB)
• Table 7D: Bone Marrow Transplants (PDF, 11 KB)
• Total Bone Marrow Transplants: 2006-2009 (PDF, 9 KB)
• Table 7E: Solid Organ Transplantation Services (PDF, 11 KB)
• Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 15 KB)
• Table 8B: Inpatient Rehabilitation Bed Need Determinations (PDF, 10 KB)

The following are the handouts for the April 14, 2010 meeting.

• Agenda (PDF, 23 KB)
• Minutes (PDF, 81 KB)
• Multi-County Service Area Discussion (PDF, 37 KB)
• Service Areas (PDF, 26 KB)
• Petition for Amendment to Policy AC-5 (PDF, 93 KB)
• Agency Report on Petition for Change in Basic Policy (PDF, 55 KB)
• Petition for Adjustment to Step 4(m)/Criteria for Identification of "Chronically Underutilized ORs in Licensed Facilities" (PDF, 33 KB)
• Agency Report on Petition for Methodology Change (PDF, 28 KB)
• Petition for New CON Methodology Related to Ambulatory Surgical Operating Rooms Based on Pilot Demonstrations, Disclosure, and Consumer Choice (PDF, 55 KB)
• Comment on Petition 3: New CON Methdology Related to Ambulatory Surgical Operating Rooms Based on Pilot Demonstrations, Disclosures, and Consumer Choice (PDF, 81 KB)
• Agency Report on Petition for Change with Potential for Statewide Effect (PDF, 16 KB)
• Inpatient Rehabilitation Bed Need Projection Methodology (PDF, 20 KB)
• Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 19 KB)

Long-Term and Behavioral Health Committee

The following are the handouts for the September 24, 2010 meeting.

• Agenda (PDF, 57 KB) (not previously posted)
• Minutes (PDF, 51 KB) (not previously posted) (updated September 22, 2010)
• Chapter 10: Nursing Care Facilities
  • Petition: Brookdale Senior Living
    • Agency Report (PDF, 18 KB) (not previously posted)
    • Petition: Brookdale Senior Living, Special Need Adjustment for Nursing Care Beds in Wake County (PDF, 505 KB)
    • Comments:
      • Todd Kaestner (PDF, 181 KB)
      • Max Mason, Britthaven, Inc. (PDF, 670 KB)
  • Table 10B: Updated Draft Need Projections (PDF, 18 KB) (not previously posted)
  • Table 10C: Updated Draft Need Determinations (PDF, 8 KB) (not previously posted)
• Chapter 11: Adult Care Homes
  • Petition: Meridian Senior Living
    • Agency Report (PDF, 22 KB) (not previously posted)
    • Petition: Meridian Senior Living, LLC., Special Need for an Adult Care Home Demonstration Project for Alexander County (PDF, 157 KB)
      • Exhibits (PDF, 1.14 MB)
  • Comment Related to Adult Care Homes
    • Philip Brosseau, Comment on Methodology to Calculate Special Care Beds within Adult Care Home Need Projections (PDF, 11 KB)
      • Exhibit (PDF, 462 KB)
• Chapter 12: Home Health Services
  • No documents
• Chapter 13: Hospice Services
  • Agency Report (PDF, 39 KB) (not previously posted)
  • Petition: Crystal Coast Hospice House
    • Petition: Crystal Coast Hospice House, Adjusted Need Determination for Six Hospice Inpatient Beds for Carteret County (PDF, 1.04 MB)
    • Comments:
      • Patti Schweis (PDF, 285 KB)
      • Sarah Strange (PDF, 279 KB)
    • Letters of Support
      • Penny Carr, Hospice of Carteret County (PDF, 78 KB)
      • Amy Charlesworth, Carteret Geriatrics (PDF, 83 KB)
      • Rebecca Davis, Liberty Hospice Services (PDF, 87 KB)
      • Holt Faircloth, Carteret County Board of Commissioners (PDF, 49 KB)
      • J.T. Garrett, Carteret County Health Department (PDF, 68 KB)
      • Thomas Gatewood, Harborview Health Care Center (PDF, 70 KB)
      • Tom Glasgow (PDF, 52 KB)
      • Hank Gotard, Carteret County Veterans Services (PDF, 65 KB)
      • Douglas Harris, Carteret County Board of Commissioners (PDF, 58 KB)
      • R. Adrian Holler, Big Rock Sports (PDF, 55 KB)
      • Gerald Jones, Town of Morehead City (PDF, 70 KB)
      • Arthur Klose, Carteret Surgical Associates, P.A. (PDF, 85 KB)
      • Jerry Linebarger, Open Door Baptist Church (PDF, 60 KB)
      • David Links, All Saints Anglican Church (PDF, 64 KB)
      • Carol Lohr, The Crystal Coast (PDF, 53 KB)
      • F.A. Odell, Carteret General Hospital (PDF, 62 KB)
      • James Loynes, Raab Clinic (PDF, 63 KB)
      • Rep. Pat McElraft, N.C. General Assembly (PDF, 54 KB)
      • Ezekiel Murrell (PDF, 62 KB)
      • E. Linwood Parker, Parker Marine Enterprises, Inc. (PDF, 56 KB)
      • C.V. Purushothaman, Carteret Internal Medicine & Cardiology Center, Inc. (PDF, 76 KB)
      • C. Saunders Roberson, Community Home Care & Hospice (PDF, 120 KB)
      • William Rogerson (PDF, 55 KB)
      • Charles Royal, First Baptist Church Morehead City (PDF, 129 KB)
      • Billy Seate, First United Methodist Church (PDF, 70 KB)
      • Myles Stempin, Carteret County Economic Development Council (PDF, 77 KB)
      • Curtis Struyk, Carolina Ocean Lines (PDF, 53 KB)
      • Sajeev Vettichira, Carteret Medical Specialists (PDF, 62 KB)
      • Susan Vettichira, Carteret Medical Specialists (PDF, 64 KB)
      • Michael Wagoner, Carteret County Chamber of Commerce (PDF, 68 KB)
      • Isaac Williams, St. Luke Missionary Baptist Church (PDF, 72 KB)
  • Petition: Gordon Hospice House/Hospice of Iredell County
    • Petition: Gordon Hospice House and Hospice of Iredell County, Inc., Special Need for Six Hospice Inpatient Beds in Iredell County (PDF, 644 KB)
    • Comments
      • Margaret Johnson (PDF, 31 KB)
      • Terri Phillips (PDF, 147 KB)
      • Terri Phillips (PDF, 1.10 MB)
    • Letters of Support
      • David Bradley, Greater Statesville Chamber of Commerce (PDF, 78 KB)
      • Andrew Davis, Davis Regional Medical Center (PDF, 60 KB)
      • Dan Goodwin, Autum Care of Statesville (PDF, 69 KB)
      • J. Edwin Hunter, Coldwell Banker United, Realtors (PDF, 65 KB)
      • Walter H. Jones, Hospice & Palliative Care of Iredell County (PDF, 61 KB)
      • Timothy Kuo, Lake Norman Oncology (PDF, 61 KB)
      • Debra Lackey, Churchill Senior Living (PDF, 74 KB)
      • Jean Lunsford (PDF, 67 KB)
      • Rosemary Macri, Spectrum Financial Systems, Inc. (PDF, 87 KB)
      • Ed Marxen, Piedmont Bank (PDF, 99 KB)
      • Robbin Norris, Gentiva Home Health (PDF, 60 KB)
      • Cheryl Pletcher, Carolina Comfort Coalition (PDF, 67 KB)
      • Tim Rogers, Association for Home and Hospice Care (PDF, 74 KB)
      • Ed Rush, Iredell Memorial Hospital (PDF, 69 KB)
      • Jennifer K. Simon, Hospice & Palliative Care of Iredell County (PDF, 61 KB)
      • Philip Smith, Hospice & Palliative Care of Iredell County (PDF, 61 KB)
      • Tina A. Smith, Lake Norman Regional Medical Center (PDF, 71 KB)
  • Petition: Hospice of Cleveland County
    • Petition: Hospice Cleveland County, Special Need Adjustment for One Inpatient Bed in Cleveland County (PDF, 495 KB)
    • Comments
      • Myra McGinnis (PDF, 186 KB)
      • James Potts (PDF, 54 KB)
    • Letters of Support
      • Sheri DeShazo, Kings Mountain Hospital (PDF, 56 KB)
      • Robert Gossett, Cleveland Urologic (PDF, 57 KB)
      • Brian Gwyn, Cleveland County HealthCare System (PDF, 61 KB)
      • Mark Hudson, HTMH Consulting (PDF, 116 KB)
      • Rebecca Love, Jones Family Practice (PDF, 82 KB)
      • Forest Thompson, Cleveland Hematology & Oncology (PDF, 74 KB)
      • Rachel Wood, Crawley Memorial Hospital (PDF, 55 KB)
      • Charlotte Young, Cleveland Pines Nursing Center (PDF, 63 KB)
  • Petition: Hospice of the Piedmont
    • Petition: Hospice of the Piedmont, Inc., Special Needs Adjustment for Six General Inpatient Beds for Guilford County (PDF, 38 KB)
    • Comments
      • Delina Nash (PDF, 112 KB)
      • Lisa Hathaway, Hospice of Davidson County (PDF, 132 KB)
      • Patricia Sienksen, Hospice and Palliative Care of Greensboro (PDF, 359 KB)
    • Letters of Support
      • Bernard Chinnasami and George Sanders, Emerywood Hematology/Oncology (PDF, 42 KB)
      • JoAnn Davis, Hospice & Palliative CareCenter (PDF, 106 KB)
      • Darrell Deaton, High Point Regional Health System (PDF, 75 KB)
      • Rhonda Moffitt, Hospice of Randolph County (PDF, 47 KB)
  • Petition: Hospice of Wilson
    • Petition: Hospice of Wilson, Adjusted Need Determination for Three Hospice Inpatient Beds for Wilson County (PDF, 418 KB)
    • Letters of Support
      • Keith Lerro, Southeastern Medical Oncology Center (PDF, 44 KB)
      • Paul Perez-Navarro, Wilson Cardiology Associates (PDF, 63 KB)
  • Petition: Lower Cape Fear Hospice
    • Petition: Lower Cape Fear Hospice, Incorporated, Adjustment for Six Additional Inpatient Hospice Beds in New Hanover County (PDF, 419 KB)
    • Comment
      • Lauren Bystrom (PDF, 422 KB)
    • Letters of Support
      • Annie M. Anthony, Cape Fear Volunteer Center (PDF, 64 KB)
      • Jack Barto, New Hanover Regional Medical Center (PDF, 65 KB)
      • Jane Dover, Assisted Care Management Group (PDF, 47 KB)
      • Joyce Edwards, Nancy Hall Publications (PDF, 207 KB)
      • Kathryn Emmart, Wilmington Health & Rehabilitation Center (PDF, 42 KB)
      • Marsha Fretwell, Senior Care Systems, P.A. (PDF, 43 KB)
      • Lynn Hardy, Carolina East Home Care & Hospice, Inc. (PDF, 118 KB)
      • Russell Herring, Assisted Care Management Group (PDF, 47 KB)
      • Jane S. Jones, Area Agency on Aging (PDF, 63 KB)
      • Nikki Knotts, Well Care Home Health (PDF, 63 KB)
      • Charles Long, Davis Health Care Center (PDF, 64 KB)
      • William McNulty, Hanover Medical Specialists (PDF, 69 KB)
      • Judy Shaw, LTCA Legacy Planning (PDF, 69 KB)
      • Joe Stanley, New Hanover County Veterans Council (PDF, 114 KB)
      • Lynette Tharp, New Hanover Regional Medical Center Hospitality House (PDF, 96 KB)
      • Jason Wheeler, Pathfinder Wealth Consulting (PDF, 67 KB)
  • Comments Related to Hospice Services
    • Peter Brunnick, Hospice & Palliative Care Charlotte, Support the Need for Additional Hospice Inpatient Beds in Mecklenburg County (PDF, 72 KB)
• Chapter 14: End Stage Renal Disease
  • No documents
• Chapter 15, 16, and 17: Local Management Entity (LME) Coverage Areas
  • LME Map as of July 2009 - June 2010 (PDF, 36 KB) (not previously posted)
  • LME Map as of July 2010 - Current (PDF, 48 KB) (not previously posted)
• Chapter 15: Psychiatric Inpatient Services
  • Proposed Updated Draft Table 15B Part 1 Child/Adolescent Need Projections (Based on LME Changes/data updates) (PDF, 11 KB) (not previously posted)
  • Proposed Updated Draft Table 15B Part 2 Adult Need Projections (Based on LME Changes/data updates) (PDF, 10 KB) (not previously posted)
  • Proposed Updated Draft Table 15C1 Adult Need Determinations (PDF, 8 KB) (not previously posted)
  • Proposed Updated Draft Table 15C2 Child/Adolescent Need Determinations (PDF, 9 KB) (not previously posted)
• Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • Proposed Updated Draft Table 16B Need Projections (PDF, 24 KB) (not previously posted)
  • Proposed Updated Draft Tables 16C & 16D, Need Determinations (PDF, 11 KB) (not previously posted)
• Chapter 17: Intermediate Care Facilities for the Mentally Retarded
  • Proposed Changes Draft Table 17A Inventory (Based on LME Changes/data updates) (PDF, 36 KB) (not previously posted)
  • Proposed Changes Draft Table 17B Thomas S. Beds Inventory (PDF, 21 KB) (not previously posted)
  • Proposed Changes Draft Table 17C ICF/MR Bed Exclusions (PDF, 9 KB) (not previously posted)

The following are the handouts for the May 14, 2010 meeting.

• Agenda (PDF, 42 KB)
• Minutes (PDF, 43 KB)
• Nursing Care Facilities (PDF, 18 KB)
  • Petition 1 Agency Report (PDF, 27 KB)
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 55 KB) Updated 5/10/2010
  • Table 10B: Nursing Bed Need Projections for 2014 (PDF, 39 KB) Updated 5/10/2010
  • Table 10C: Nursing Care Bed Need Determinations (PDF, 8 KB) Updated 5/10/2010
• Adult Care Home Facilities (PDF, 19 KB)
  • Table 11A: Inventory of Adult Care Home Bed (PDF, 286 KB)
  • Table 11B: Adult Care Home Need Projections for 2014 (PDF, 43 KB)
  • Table 11C: Adult Care Home Bed Need Determinations (PDF, 8 KB)
• Home Health Services (PDF, 20 KB)
  • Table 12A: Home Health Data by County of Patient Origins (PDF, 86 KB)
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1000 Population (PDF, 227 KB)
  • Table 12C: 2012 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 44 KB) Updated 5/10/2010
• Hospice Services (PDF, 19 KB)
  • Petition 2 Agency Report (PDF, 19 KB)
  • Table 13A: Hospice Data by County of Patient Origin (PDF, 49 KB)
  • Table 13B: Year 2012 Hospice Home Care Office Need Projections for 2011 Plan (PDF, 22 KB)
  • Table 13C: Year 2014 Hospice Inpatient Bed Need Projections for the 2011 Plan (PDF, 25 KB)
  • Table 13D: Hospice Inpatient Facilities (PDF, 13 KB)
  • Table 13E: Inventory of Hospice Residential Beds by County (PDF, 11 KB)
  • Table 13F: Year 2012 New Hospice Home Care Office Need Determination and Table 13G: Year 2014 Single County New Hospice Inpatient Beds Need Determination (PDF, 8 KB)
• End-Stage Renal Disease (ESRD) Dialysis Facilities (PDF, 10 KB)
• Psychiatric Inpatient Services (PDF, 20 KB)
  • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals (PDF, 20 KB)
  • Table 15B: 2013 Projections of Psychiatric Bed Need by Local Management Entity
    • Part 1: Projection of Child/Adolescent Psychiatric Bed Need for 2013 (PDF, 12 KB)
    • Part 2: Projection of Adult Psychiatric Bed Need for 2013 (PDF, 11 KB) Updated 5/13/2010
  • Table 15C: 2013 Need Determinations for Psychiatric Inpatient Beds (PDF, 10 KB) Updated 5/13/2010
• Substance Abuse Inpatient and Residential Services (PDF, 22 KB)
  • Table 16A: Inventory of Chemical Dependency Beds, Excluding State Facilities (PDF, 13 KB)
  • Table 16B: 2013 Projection of Chemical Dependency Treatment Bed Need by Mental Health Planning Region (PDF, 25 KB) Updated 5/24/2010
  • Table 16C: Year 2013 Need Determinations for Adult Chemical Dependency Treatment Beds and Table 16D: Year 2013 Need Determinations for Adolescent Chemical Dependency Treatment Beds (PDF, 11 KB)
• Intermediate Care Facilities for the Mentally Retarded (PDF, 21 KB)
  • Table 17A: Inventory of ICF/MR Facilities and Beds (PDF, 38 KB)
  • Table 17B: Thomas S. Bed Inventory (PDF, 21 KB)
  • Table 17C: Beds Excluded from ICF/MR Inventory (PDF, 10 KB)

Technology and Equipment Committee

The following are the handouts for the September 8, 2010 meeting.

• Agenda (PDF, 59 KB)
• Minutes (PDF, 49 KB)
• Chapter 9: Lithotripsy
  • No documents
• Chapter 9: Gamma Knife
  • No documents
• Chapter 9: Linear Accelerators
  • No documents
• Chapter 9: PET Scanners
  • Petition: neo pet, llc
    • Agency Report (PDF, 16 KB)
    • Petition: neo pet, llc., Adjusted Need Determination for Mobile Positron Emission Tomography Scanners in the West Planning Region (PDF, 464 KB)
    • Comments
      • Carla Miraldi (PDF, 146 KB)
    • Comments on the neo pet, llc Petition
      • Elizabeth French, Alliance Healthcare Services (PDF, 313 KB)
      • Debera Huderly, Haywood Medical Imaging (PDF, 78 KB)
      • David Loving, Hugh Chatham Memorial Hospital (PDF, 81 KB)
      • Mike Poore, MedWest Health System (PDF, 73 KB)
      • Teresa Reynolds, MedWest Health System (PDF, 50 KB)
      • Ed Rush, Iredell Memorial Hospital (PDF, 619 KB)
      • Charles Thomas, Radiation Therapy Associates of Western North Carolina, P.A. (PDF, 91 KB)
      • Gene Winters, MedWest Health System (PDF, 46 KB)
    • Letters of Support
      • Barton Paschal, Radiation Therapy Associates of Western North Carolina, P.A. (PDF, 63 KB)
• Chapter 9: MRI Scanners
  • Petition: Southeastern Orthopedic Specialists
    • Agency Report (PDF, 17 KB)
    • Petition: Southeastern Orthopaedic Specialists, P.A., Adjusted Need Determination for one Fixed Magnetic Resonance Imaging Scanner in Guilford County (PDF, 1.04 MB)
    • Comments
      • Jenny McArthur Nathan (PDF, 1.31 MB)
      • Jim Swann (PDF, 303 KB)
      • Joy Heath Thomas (PDF, 175 KB)
    • Letters of Support
      • John Nosek, Greensboro Orthopaedics (PDF, 249 KB)
      • James Roskelly, Moses Cone Health System (PDF, 53 KB)
    • Comments on the Southeastern Orthopedic Specialists Petition
      • David French, Alliance Healthcare Services (PDF, 195 KB)
  • Comments on the MRI Section of the 2011 Proposed State Medical Facilities Plan
    • Angie Caporiccio, Alliance Healthcare Services, No Need for Additional MRI Scanners (PDF, 121 KB)
    • David French, Alliance Healthcare Services, No Need for Additional MRI Scanners (PDF, 103 KB)
• Chapter 9: Cardiac Catheterization Equipment
  • Petition: Central Carolina Hospital
    • Agency Report (PDF, 16 KB)
    • Petition: Central Carolina Hospital, Adjustment to the Shared Fixed Cardiac Catheterization Equipment Need Determination for Lee County (PDF, 1.85 MB)
    • Comments
      • Mahmoud Atieh (PDF, 72 KB)
      • Danyl Butler (PDF, 263 KB)
      • Michael Gillespie (PDF, 72 KB)
      • Lukas Jantac (PDF, 72 KB)
    • Comments on the Central Carolina Hospital Petition
      • Doug Doris, Central Carolina Hospital (PDF, 198 KB)

The following are the handouts for the May 12, 2010 meeting.

• Agenda (PDF, 18 KB)
• Minutes (PDF, 40 KB)
• Lithotripsy
  • Table 9A: Mobile Lithotripsy Providers and Locations Served (PDF, 49 KB)
  • Table 9B: Fixed Lithotripsy Providers and Locations Served and Table 9C: Mobile and Fixed Lithotripsy (PDF, 16 KB)
• Gamma Knife
  • No document
• Linear Accelerators
  • Table 9D: Linear Accelerator Treatment Data - Hospital and Free-Standing (PDF, 21 KB)
  • Table 9E: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 20 KB)
  • Table 9F: Linear Accelerator Service Areas and Calculations (PDF, 23 KB)
  • Table 9G: Linear Accelerator Service Areas (PDF, 13 KB)
• PET Scanners
  • Table 9I: PET Scanner Utilization of Existing Fixed Dedicated Scanners (PDF, 23 KB)
  • Table 9J(1): PET Scanner Provider of Mobile Dedicated Scanners and Table 9J(2): PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 11 KB)
• MRI Scanners
  • Table 9K: MRI by MRI Service Areas (PDF, 342 KB)
  • Table 9M: Fixed MRI Scanners Need Determination (PDF, 13 KB)
• Cardiac Catheterization Equipment
  • Table 9N: Adult Diagnostic Fixed Cardiac Catheterization Procedures by Facility and Aggregate Cardiac Catheterization Totals (PDF, 20 KB)
  • Table 9O: Pediatric Diagnostic Catheterization Procedures (PDF, 12 KB)
  • Table 9P: Mobile Cardiac Catheterization Procedures (PDF, 12 KB)
  • Table 9Q: Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventional Procedures (PDF, 20 KB)
  • Table 9R: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 19 KB)
  • Table 9S: Mobile Cardiac Catheterization Capacity and Volume (PDF, 13 KB)
• Agency Recommendation (PDF, 16 KB)

Quality, Access and Value Committee

The September 16, 2010 meeting has been cancelled.

The following are the handouts for the July 14, 2010 meeting.

• Agenda (PDF, 10 KB)
• Minutes (PDF, 29 KB)
• AHRQ Prevention Quality Indicators (PDF, 38 KB)

The following are the handouts for the May 13, 2010 meeting.

• Agenda (PDF, 9 KB) Updated 5/12/2010
• Profile (PDF, 19 KB) Updated 5/12/2010
• Agency Report (PDF, 41 KB)
• Basic Principles Governing the Development of the North Carolina State Medical Facilities Plan (PDF, 60 KB)

Acute Care Services Work Group

The following are the handouts for the conference call on April 21, 2010.

• Cover Letter (PDF, 10 KB)
• Agenda (PDF, 14 KB)
• Minutes (PDF, 110 KB)
• Summary of Need Determination Scenarios (PDF, 17 KB)
  • Scenario 1 (PDF, 34 KB)
  • Scenario 2 (PDF, 34 KB)
  • Scenario 3 (PDF, 34 KB)
  • Scenario 4 (PDF, 32 KB)
  • Details (PDF, 33 KB)

The following are the handouts for the meeting on February 19, 2010.

• Agenda (PDF, 24 KB)
• Minutes (PDF, 100 KB)
• Charge to the Acute Care Services Work Group (PDF, 9 KB)
• Summary of Scenarios (PDF, 28 KB)
  • Scenario 1 (PDF, 95 KB)
  • Scenario 2 (PDF, 94 KB)
  • Scenario 3 (PDF, 95 KB)
  • Scenario 4 (PDF, 93 KB)
  • Scenario 5 (PDF, 94 KB)
  • Scenario 6 (PDF, 93 KB)
  • Scenario 7 (PDF, 70 KB)
• Detail with Small Counties Grouped (PDF, 101 KB)
• Detail with No Grouping (PDF, 108 KB)
• Counties with Need Determinations (PDF, 9 KB)
• Hospital Change Rates (PDF, 15 KB)
• Inpatient Days Patient Origin Data (PDF, 79 KB)
• Surgical Patient Origin (PDF, 86 KB)
• Service Areas (PDF, 26 KB)
• Multicounty Service Areas (PDF, 37 KB)

The following are the handouts for the meeting on November 19, 2009.

• Agenda (PDF, 28 KB)
• Minutes (PDF, 101 KB)
• Charge to the Acute Care Services Work Group (PDF, 9 KB)
• Average Four Year Change in Total Inpatient Days (PDF, 11 KB)
• Average Four Year Change in Total Inpatient Days Details (PDF, 26 KB)
• Table 5A: Acute Care Bed Need Projections (PDF, 35 KB)
• Table 5A: Acute Care Bed Need Projections New Occupancy Factor if ADC >= 400 (PDF, 33 KB)
• Table 5A: Acute Care Bed Need Projections New Occupancy Factor (PDF, 35 KB)
• Table 5A: Acute Care Bed Need Projections New Occupancy Factor (PDF, 35 KB)
• Need Determination Summaries (PDF, 9 KB)
• Figure 5.1: Acute Care Bed Service Areas (PDF, 196 KB)
• Figure 6.1: Operating Room Service Areas (PDF, 195 KB)
• Acute Care Bed Service Area Description (PDF, 11 KB)
• Inpatient Days Patient Origin Data (PDF, 32 KB)
• Surgical Cases Patient Origin Data (PDF, 34 KB)

The following are the handouts for the meeting on February 23, 2009.

• Agenda (PDF, 19 KB)
• Charge to the Acute Care Bed Need Methodology Work Group (PDF, 9 KB)
• Acute Care Bed Need Methodology (PDF, 82 KB)
• Table 5A (XLS, 286 KB)
• Population/Growth Rates (XLS, 68 KB)
• Acute Care Bed Need Projections (PDF, 176 KB)

Facility Energy Efficiency and Sustainablilty Work Group

The following are the handouts for the meeting on August 25, 2010.

• Agenda (PDF, 13 KB)
• Minutes (PDF, 28 KB)

The following are the handouts for the meeting on July 29, 2010.

• Agenda (PDF, 13 KB) Revised 7/23/2010
• Minutes (PDF, 66 KB)
• Comments on Gen-4 Policy (PDF, 52 KB)
• Insights from North Carolina Hospital Engineers Association members (PDF, 689 KB)
• Interface of Rules, Codes or Standards with Green Best Practices & Technologies (PDF, 192 KB)

The following are the handouts for the meeting on June 23, 2010.

• Agenda (PDF, 10 KB)
• Minutes (PDF, 66 KB)

The following are the handouts for the meeting on May 20, 2010.

• Agenda (PDF, 10 KB)

Reference material for the work group

• Power point presentation on Senate Bill 668 (PDF, 636 KB)
• Summary of other State Agencies On Development of an Energy Efficiency and Sustainable Design Policy (PDF, 81 KB)
• Wisconsin Health System’s Energy Retrofit Program Proposal (PDF, 126 KB)
• Energizing Healthcare at Gundersen Lutheran (PDF, 4.52 MB)
• Determination of Need Guidelines for Environmental and Human Health Impact (PDF, 843 KB)

Long Term Care Nursing Home Beds Work Group

The following are the handouts for the meeting on November 16, 2010.

• Agenda (PDF, 19 KB)
• Minutes (PDF, 40 KB)
• Exhibit 1 Table 10A Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 51 KB)
• Exhibit 2 Table 10A1: Exclusion Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 42 KB)
• Exhibit 3 Table 10A2 Inventory of State Facility Nursing Care Beds Excluded from Inventory (PDF, 8 KB)
• Exhibit 4 Nursing Care Beds Average Occupancy Per County (PDF, 40 KB)
• Exhibit 5 U.S. Summary Nursing Care Bed Utilization Data (PDF, 13 KB)
• Exhibit 6 Nursing Care Beds Paid Days 2000-2009 (PDF, 8 KB)
• Exhibit 7 Statewide Utilization by Age Group, Nursing Care Beds (PDF, 45 KB)
• Exhibit 8 Statewide Utilization by Age Group, Adult Care Home Beds (PDF, 46 KB)
• Exhibit 9 Work Sheet for Development of Trend Line (PDF, 14 KB)
• Exhibit 10 Nursing Care Beds Utilization Rate Worksheet (PDF, 36 KB)
• Exhibit 11 Table 10B Nursing Care Bed Need Projections for 2014 Current Methodology (PDF, 19 KB)
• Exhibit 12 Table 10B Nursing Care Bed Need Projections for 2014 by Health Service Area(s) Scenario (PDF, 20 KB)
• Exhibit 13 Table 10B Nursing Care Bed Need Projections for 2014 by Council of Government Areas Scenario (PDF, 21 KB)
• Exhibit 14 Table 10B Nursing Care Bed Need Projections for 2014 by Metropolitan and Micropolitan Areas Scenario (PDF, 24 KB)
• Exhibit 15 Table 10B Nursing Care Bed Need Projections for 2014 by Individual Counties Scenario (PDF, 29 KB)
• Dayton Daily News Article - Future of Nursing Home Use, State of Ohio (PDF, 42 KB)

The following are the handouts for the meeting on September 10, 2010.

• Agenda (PDF, 17 KB)
• Exhibit 1 Charge Statement (PDF, 28 KB)
• Exhibit 2 Work Group Request Letter (PDF, 183 KB)
• Exhibit 3 Changes in Methodology, Assumptions, Application of Method and/or Policy History (PDF, 34 KB)
• Exhibit 4 Statewide Utilization by Age Group (PDF, 31 KB)
• Exhibit 5 Basic Assumptions of the Method (PDF, 27 KB)
• Exhibit 6 Application of the Method (PDF, 35 KB)
• Exhibit 7 Nursing Home Bed Policies (PDF, 43 KB)
• Exhibit 8 Table 10A Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 49 KB)
• Exhibit 9 Table 10B Nursing Bed Need Projections for 2014 (PDF, 19 KB)
• Exhibit 10 Table 10A Calculations (PDF, 8 KB)
• Exhibit 11 Table 10B Calculations (PDF, 8 KB)
• Exhibit 12 2011 Renewal Application for License to Operate a Nursing Home (PDF, 140 KB)
• Exhibit 13 Nursing Care Facility/Unit Beds 2011 Annual Data Supplement to Hospital License Application (PDF, 111 KB)