Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

The following are the handouts for the meeting on September 28, 2011.

• Agenda (PDF, 52 KB)
• Minutes (PDF, 102 KB)
• Acute Care Services Committee Recommendations (PDF, 37 KB)
• Acute Care Services Committee Documents
• Technology and Equipment Committee Recommendations (PDF, 25 KB)
• Technology and Equipment Committee Documents
• Long-Term and Behavioral Health Committee Recommendations (PDF, 26 KB)
• Long-Term and Behavioral Health Committee Documents

The following are the handouts for the meeting on May 25, 2011.

• Agenda (PDF, 52 KB)
• Minutes (PDF, 45 KB)

The following are the handouts for the meeting on March 2, 2011.

• Revised Agenda (PDF, 9 KB)
• Minutes (PDF, 104 KB)
• Proposed Amended Table 12B (PDF, 198 KB)
• Proposed Amended Table 12C (PDF, 178 KB)

Acute Care Services Committee

The following are the handouts for the meeting on September 15, 2011.

Download a ZIP file containing documents for the meeting on September 15, 2011. (ZIP, 16.0 MB) - Updated September 21, 2011.

• Agenda (PDF, 16 KB)
• Minutes (PDF, 37 KB)
• Chapter 5: Acute Care Hospital Beds
  • Data Discrepancy Table (PDF, 11 KB)
  • Data Discrepancy Table Supplement (PDF, 450 KB)
  • Table 5A: Acute Care Bed Need Projections (PDF, 89 KB)
  • Table 5B: Acute Care Bed Need Determinations (PDF, 11 KB)
  • Petition 1: Pitt County Memorial Hospital
    • Agency Report (PDF, 13 KB)
    • Petition: Pitt County Memorial Hospital, Adjustment to Acute Care Bed Need Determination in Pitt/Greene/Hyde Counties (PDF, 374 KB)
• Chapter 6: Operating Rooms
  • Table 6A: Operating Room Inventory (PDF, 114 KB)
  • Table 6B: Projected Operating Room Need for 2014 (PDF, 39 KB)
  • Table 6D: Endoscopy Room Inventory (PDF, 72 KB)
  • Petition 2: Blue Ridge Bone & Joint Clinic
    • Agency Report (PDF, 15 KB)
    • Petition: Blue Ridge Bone & Joint Clinic, Demonstration Project for a Single Specialty, Two Operating Room, Orthopedic Ambulatory Surgical Facility in Buncombe, Madison, Yancey Counties (PDF, 613 KB)
  • Petition 3: Boone Surge Care, PLLC
    • Agency Report (PDF, 13 KB)
    • Petition: Boone SurgCare, Adjusted Need for Three Operating Rooms in Watauga County (PDF, 3.55 MB)
    • Comment on Petition
      • Appalachian Regional Healthcare System (PDF, 257 KB)
  • Pediatric Operating Room Work Group Report (PDF, 244 KB)
• Chapter 7: Other Acute Care Services
  • Table 7A: Open-Heart Surgery Procedures (PDF, 11 KB)
  • Table 7B: Heart-Lung Bypass Machine Capacity and Volume (PDF, 12 KB)
  • Table 7C: Burn Intensive Care Services (PDF, 11 KB)
  • Table 7E: Bone Marrow Transplants (PDF, 11 KB)
  • Heart-Lung Bypass Machines
    • Agency Report (PDF, 51 KB)
    • Petition 4: Duke University Health System
      • Petition: Duke University Health System, Inc., Heart-Lung Bypass Equipment and Adjustment to Need Determination in Durham County (PDF, 749 KB)
      • Comment
        • Catharine Cummer (PDF, 190 KB)
    • Petition 5: WakeMed Health & Hospitals
      • Petition: WakeMed Health & Hospitals, Adjust the Need Determination for Heart-Lung Bypass Machines (PDF, 454 KB)
      • Comment
        • W. Stan Taylor (PDF, 82 KB)
  • Burn Intensive Care Services
    • Agency Report (PDF, 22 KB)
    • Comments
      • UNC Hospitals (PDF, 112 KB)
      • Wake Forest Baptist Health (PDF, 130 KB)
• Chapter 8: Inpatient Rehabilitation Beds
  • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 16 KB)
  • Petition 6: Duke University Health System
    • Agency Report (PDF, 33 KB)
    • Petition: Duke University Health System, Inc., Adjust the Need Determination for Inpatient Rehabilitation Beds in HSA IV (PDF, 244 KB)
    • Comment
      • Catharine Cummer (PDF, 74 KB)
    • Comment on Petition
      • Carolina Rehabilitation & Surgical Associations (PDF, 118 KB)
• Policy AC-3
  • Agency Report (PDF, 44 KB)
  • Spring Petitions
    • Duke University Health System, Inc., North Carolina Baptist Hospital, Pitt County Memorial Hospital and UNC Hospitals at Chapel Hill, Modification to Policy AC-3 (PDF, 110 KB)
    • Novant Health, Inc., Repeal or Revise Policy AC-3 (PDF, 1.68 MB)
      • Exhibits (PDF, 7.88 MB)
  • Comment
    • North Carolina Hospital Association (PDF, 231 KB)
  • Comment on Comment
    • Novant Health, Inc. (PDF, 67 KB)

The following is the handout for the meeting on May 20, 2011.

• Agenda (PDF, 16 KB)
• Minutes (PDF, 41 KB)

The following are the handouts for the meeting on April 13, 2011.

• Agenda (PDF, 16 KB)
• Minutes (PDF, 45 KB)
• Agency Report for Petitions Regarding Policy AC-3 (PDF, 19 KB)
• Agency Report for Petition Regarding Open Heart Surgery Services and Heart-Lung Bypass Equipment (PDF, 13 KB)

Long-Term and Behavioral Health Committee

The following are the handouts for the meeting on September 16, 2011.

Download a ZIP file containing documents for the meeting on September 16, 2011. (ZIP, 16.7 MB) - Updated September 21, 2011.

• Agenda (PDF, 56 KB)
• Minutes (PDF, 41 KB)
• Chapter 10: Nursing Care Facilities
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 47 KB)
  • Table 10B: Nursing Care Bed Need Projections for 2015 (PDF, 20 KB)
  • Table 10C: Nursing Care Bed Need Determinations (PDF, 10 KB)
  • Petition: J. Arthur Dosher Memorial Hospital
    • Agency Report (PDF, 15 KB)
    • Petition: J. Arthur Dosher Memorial Hospital, Adjustment to Need Determinations for Nursing Care Beds in Brunswick County (PDF, 804 KB)
    • Comments
      • Bill and Carol Price (PDF, 42 KB)
      • Dennis Coffey (PDF, 328 KB)
    • Comments on Petition
      • Letters of Support (PDF, 236 KB)
• Chapter 11: Adult Care Homes
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds (PDF, 68 KB)
  • Table 11B: Adult Care Home Need Projections for 2015 (PDF, 23 KB)
  • Table 11C: Adult Care Home Bed Need Projections (PDF, 13 KB)
  • Petition: Meridian Senior Living
    • Agency Report (PDF, 26 KB)
    • Petition: Meridian Senior Living, Special Need for Adult Care Home Demonstration Project in Alexander County (PDF, 994 KB)
    • Comments on Petition
      • Frye Regional Medical Center (PDF, 940 KB)
• Chapter 12: Home Health Services
  • Table 12A: Home Health Data by County of Patient Origin (PDF, 456 KB)
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 188 KB)
  • Table 12C: 2013 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 154 KB)
  • Table 12C: 2013 Need Projections for Medicare-certified Home Health Agencies or Offices, Need Projections (PDF, 33 KB)
  • Table 12D: Medicare-certified Home Health Agency or Office Need Determinations (PDF, 11 KB)
  • Comments
    • Advanced Home Care, Home Health Data (PDF, 37 KB)
    • Association for Home and Hospice Care of North Carolina, Home Health and Hospice Data (PDF, 102 KB)
      • Tim Rogers (PDF, 73 KB)
    • Carolina East Home Care & Hospice, Inc. Home Health and Hospice Data (PDF, 161 KB)
    • Well Care Home Health and Home Care, Home Health Data (PDF, 69 KB)
  • Petition: Personal Home Care of North Carolina
    • Agency Report (PDF, 14 KB)
    • Petition: Personal Home Care of North Carolina, LLC, Adjustment to Need Determinations for Medicare-certified Home Health Agency or Office in Mecklenburg County (PDF, 162 KB)
• Chapter 13: Hospice Services - Petitions to be posted shortly
  • Table 13A: Hospice Data by County of Patient Origin (PDF, 101 KB)
  • Table 13B: Year 2013 Hospice Home Care Office Need Projections (PDF, 62 KB) - Updated 9/14/2011
  • Table 13C: Year 2015 Hospice Inpatient Bed Need Projections (PDF, 62 KB) - Updated 9/14/2011
  • Table 13D(1): Hospice Inpatient Facilities (PDF, 18 KB)
  • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY2010 (PDF, 20 KB)
  • Table 13E: Hospice Residential Facilities (PDF, 15 KB)
  • Table 13F: Inventory of Hospice Residential Beds (PDF, 18 KB)
  • Table 13G 2013 Hospice Home Care Office Need Determinations and Table 13H: 2015 Hospice Inpatient Bed Need Determinations (PDF, 14 KB)
  • Agency Report (PDF, 33 KB)
  • Petition: Carolina East Home Care & Hospice, Inc.
    • Petition: Carolina East Home Care & Hospice, Inc., Adjusted Need Determination for Three Hospice Beds in Duplin County (PDF, 160 KB)
  • Petition: Gordon Hospice House, Hospice of Iredell County
    • Petition: Gordon Hospice House, Hospice of Iredell County, Adjusted Need Determination for Inpatient Hospice Beds in Iredell County (PDF, 826 KB)
    • Comment
      • Terri Phillips (PDF, 189 KB)
    • Comments on Petition
      • Letters of Support (PDF, 8.97 MB)
  • Petition: Hospice of Scotland County
    • Petition: Hospice of Scotland County, Special Need Adjustment for Inpatient Hospice Beds in Scotland County (PDF, 900 KB)
  • Petition: Hospice of Rockingham County
    • Petition: Hospice of Rockingham County, Adjusted Need Determination for Inpatient Hospice Beds in Rockingham County (PDF, 928 KB)
    • Comments
      • Lynn Flanagan (PDF, 193 KB)
      • David French (PDF, 199 KB)
      • Letters of Support (PDF, 460 KB)
• Chapter 14: End Stage Renal Disease Dialysis Services
  • Petition: Board of County Commissioners - Macon County
    • Agency Report (PDF, 17 KB)
    • Petition: Board of County Commissioners of Macon County, Adjustment to Need Determinations for an End Stage Renal Disease Dialysis Facility in Macon County (PDF, 504 KB)
    • Comments
      • Resolution from Macon County Board of Commissioners (PDF,
      • County Commissioner of Macon County (PDF, 83 KB)
      • Archie and Pat Burnham (PDF, 33 KB)
      • John Davis (PDF, 68 KB)
      • Theodore and Elizabeth Kornowski (PDF, 39 KB)
      • Leonard Max Wiggins (PDF, 46 KB)
      • Gladys Wright (PDF, 368 KB)
• Local Management Entity (LME) Coverage Areas
  • LME Map 7/1/2010-7/1/2011 (PDF, 48 KB)
  • Current LME Map - Posted August 2011, effective 2/7/2011 (PDF, 41 KB)
• Chapter 15: Psychiatric Inpatient Services
  • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals (PDF, 16 KB)
  • Table 15B: 2014 Projections of Psychiatric Bed Need by LME Part 1. Projection of Child/Adolescent Psychiatric Bed Need for 2014 (PDF, 20 KB)
  • Table 15B: 2014 Projections of Psychiatric Bed Need by LME Part 2. Projection of Adult Psychiatric Bed Need for 2014 (PDF, 19 KB)
  • Table 15C(1): 2014 Child/Adolescent Psychiatric Inpatient Bed Need Determination (PDF, 17 KB)
  • Table 15C(2): 2014 Adult Psychiatric Inpatient Bed Need Determination (PDF, 14 KB)
• Chapter 16: Substance Abuse/Chemical Dependency Beds
  • Table 16A: Inventory of Substance Abuse (Chemical Dependency) Beds, Excluding State Facilities (PDF, 13 KB)
  • Table 16B: 2014 Projection of Substance Abuse (Chemical Dependency) Treatment Bed Need by Mental Health Planning Region (PDF, 25 KB)
  • Table 16C: 2014 Child/Adolescent Substance Abuse (Chemical Dependency) Bed Need Determination (PDF, 13 KB)
  • Petition: W & B Health Care
    • Agency Report (PDF, 23 KB)
    • Petition: W & B Health Care Inc., Adjustment to the Need Determination for a Substance Abuse Residential/Rehabilitation Treatment Facility in the Southeastern Region (PDF, 108 KB)
• Chapter 17: Intermediate Care Facilities for the Mentally Retarded
  • Table 17A: Inventory of ICF/MR Facilities and Beds (PDF, 24 KB)
  • Table 17B: State Facility Beds Excluded from ICF/MR Inventory (PDF, 9 KB)

The following are the handouts for the meeting on May 6, 2011.

• Agenda (PDF, 55 KB)
• Minutes from September 24, 2010 (PDF, 66 KB)
• Minutes from February 11, 2011 (PDF, 33 KB)
• Chapter 10: Nursing Care Facilities
  • Table 10A Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 51 KB)
  • Table 10B Nursing Care Bed Need Projections for 2015 (2012 Plan) (PDF, 18 KB)
  • Table 10C Nursing Care Bed Need Determinations (PDF, 10 KB)
• Chapter 11: Adult Care Homes
  • Table 11A Inventory of Adult Care Home Beds (PDF, 315 KB)
  • Table 11B Adult Care Home Need Projections for 2015 (PDF, 26 KB)
  • Table 11C Adult care Home Bed Need Determinations (PDF, 10 KB)
  • Petition: Reallocation of Need from Perquimans County to Gates County
    • Meridian Senior Living, Gates County Board of Commissioners and Perquimans County Board of Commissioners, Reallocation of Need from Perquimans County to Gates County (PDF, 184 KB)
    • Resolutions from Gates County Board of Commissioners and Perquimans County Board of Commissioners (PDF, 2.06 MB)
    • Agency Report (PDF, 13 KB)
  • Petition: Adult Care Home Demonstration Project, Alexander County
    • Meridian Senior Living, Special Need for an Adult Care Home Demonstration Project, Alexander County (PDF, 1.19 MB)
    • Comment
      • Frye Regional Medical Center (PDF, 130 KB)
    • Agency Report (PDF, 21 KB)
• Chapter 14: End Stage Renal Disease (PDF, 10 KB)
• Chapter 15: Psychiatric Inpatient Services
  • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals (PDF, 13 KB)
  • Table 15B Part 1: Projection of Child/Adolescent Bed Need for 2014 (PDF, 11 KB)
  • Table 15B Part 2: Projection of Adult Bed Need for 2014 (PDF, 11 KB)
  • Table 15C Part 1: 2014 Adult Psychiatric Inpatient Bed Need Determination and Table 15C Part 2: 2014 Child/Adolescent Psychiatric Inpatient Bed Need Determination (PDF, 20 KB)
• Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • Table 16A: Inventory of Chemical Dependency (Substance Abuse) Beds, Excluding State Facilities (PDF, 13 KB)
  • Table 16B: 2014 Projection of Chemical dependency (Substance Abuse) Treatment bed Need by Mental Health Planning Region (PDF, 26 KB)
• Chapter 17: Intermediate Care Facilities for the Mentally Retarded
  • Table 17A: Inventory of ICF/MR Facilities and Beds (PDF, 24 KB)
  • Table 17B: Beds Excluded from ICF/MR Inventory (PDF, 9 KB)

The following are the handouts for the meeting on February 11, 2011.

• Agenda (PDF, 14 KB)
• Proposed Amended Excerpt Table 12C (PDF, 227 KB)

Technology and Equipment Committee

The following are the handouts for the meeting on September 7, 2011.

Download a ZIP file containing all of the documents for the meeting on September 7, 2011. (ZIP, 11.2 MB) - Updated September 21, 2011.

• Agenda (PDF, 15 KB)
• Minutes (PDF, 40 KB)
• Chapter 9: Linear Accelerators
  • Table 9E: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 12 KB)
  • Table 9F: Linear Accelerator Service Areas and Calculations (PDF, 21 KB)
  • Table 9G: Linear Accelerator Service Areas (PDF, 11 KB)
• Chapter 9: PET Scanners
  • Table 9I: PET Scanner Utilization of Existing Fixed Dedicated Scanners (PDF, 19 KB)
  • Table 9J(1): PET Scanner Provider of Mobile Dedicated Scanners and Table 9J(2): PET Scanner Utilization of Existing Mobile Dedicated Scanners (PDF, 9 KB)
• Chapter 9: Lithotripsy
  • Table 9A: Mobile Lithotripsy Providers and Locations Served (PDF, 23 KB)
  • Table 9B: Fixed Lithotripsy Providers and Locations Served and Table 9C: Mobile and Fixed Lithotripsy (PDF, 11 KB)
• Chapter 9: Gamma Knife
  • No documents
• Chapter 9: MRI Scanners
  • No documents
• Chapter 9: Cardiac Catheterization Equipment
  • Table 9N: Adult Diagnostic Fixed Cardiac Catheterization Procedures by Facility and Aggregate Cardiac Catherization Totals (PDF, 15 KB)
  • Table 9O: Pediatric Diagnostic Catheterization Procedures (PDF, 12 KB)
  • Table 9P: Mobile Cardiac Catheterization Procedures (PDF, 9 KB)
  • Table 9Q: Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventional Procedures (PDF, 22 KB)
  • Table 9R: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 21 KB)
  • Table 9S: Mobile Cardiac Catheterization Capacity and Volume (PDF, 10 KB)
  • Petition 1: New Hanover Regional Medical Center
    • Agency Report (PDF, 24 KB)
    • Petition: New Hanover Regional Medical Center, Adjusted Need Determination for Fixed Cardiac Catheterization Equipment in New Hanover County (PDF, 336 KB
  • Petition 2: Iredell Health System
    • Agency Report (PDF, 34 KB)
    • Petition: Iredell Health System, Adjusted Need Determination for Shared Fixed Cardiac Catheterization Equipment in Iredell County (PDF, 4.22 MB)
    • Comments
      • Kim Bradford (PDF, 92 KB)
      • Gary DeWeese (PDF, 173 KB)
      • Dave Grogan (PDF, 153 KB)
      • Ed Rush (PDF, 259 KB)
    • Letter of Support
      • Roger Hatharasinghe (PDF, 109 KB)
    • Comments on the Petition
      • Catawba Valley Medical Center (PDF, 100 KB)
      • Davis Regional Medical Center (PDF, 1.89 MB)
      • Lake Norman Regional Medical Center (PDF, 691 KB)
      • Letters of Support (PDF, 1.36 MB)
      • Letters of Support (PDF, 564 KB)
      • Letters of Support (PDF, 2.19 MB)
      • Piedmont HealthCare (PDF, 108 KB)

The following are the handouts for the meeting on May 11, 2011.

• Agenda (PDF, 16 KB)
• Minutes (PDF, 42 KB)

Long Term Care Nursing Home Beds Work Group

The following are the handouts for the meeting on March 31, 2011.

• Agenda (PDF, 17 KB)
• Minutes (PDF, 39 KB)
• Exhibit 1: Table 10A Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 50 KB)
• Exhibit 2: Table 10A Exclusion Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 42 KB)
• Exhibit 3: Work Sheet for Development of Trend Line (PDF, 23 KB)
• Exhibit 4: Nursing Care Beds Average Occupancy Per County (PDF, 13 KB)
• Exhibit 5: Nursing Care Beds 2012 CCRC List (PDF, 13 KB)
• Table 10B Nursing Care Bed Need Projections for 2015 (2012 Plan)
  • Exhibit 6: Current Methodology (PDF, 19 KB)
  • Exhibit 7: Council of Government Areas (PDF, 22 KB)
  • Exhibit 8: Health Service Areas (PDF, 21 KB)
  • Exhibit 9: Individual Counties (PDF, 30 KB)
• Exhibit 10: Draft Need Determination Comparison Summary (PDF, 10 KB)

Pediatric OR Work Group

The following are the handouts for the meeting on September 2, 2011.

• Agenda (PDF, 14 KB)
• Minutes (PDF, 37 KB)

The following are the handouts for the meeting on April 29, 2011.

• Agenda (PDF, 14 KB)
• Minutes (PDF, 28 KB)
• Inpatient Pediatric Cases and Hospital Average Case Time in Minutes for Inpatient Cases (PDF, 45 KB)
• Pediatric Inpatient Surgical Cases (PDF, 43 KB)

The following are the handouts for the meeting on April 12, 2011.

• Agenda (PDF, 14 KB)
• Minutes (PDF, 34 KB)
• Pediatric Surgical Cases by Health Service Area (PDF, 124 KB)
• Top 40 Adult Inpatient Procedures (PDF, 18 KB)
• Top 40 Adult Ambulatory Procedures (PDF, 18 KB)
• Top 40 Pediatric Inpatient Procedures (PDF, 18 KB)
• Top 40 Pediatric Ambulatory Procedures (PDF, 18 KB)

The following are the handouts for the meeting on January 25, 2011.

• Agenda (PDF, 14 KB)
• Directions to the Royster Building
• Powerpoint Presentation (PDF, 862 KB)