Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

The following are the handouts for the meeting on October 3, 2012.

• Agenda (PDF, 9 KB)
• Minutes (PDF, 89 KB)
• Acute Care Services Committee Report (PDF, 25 KB)
• Acute Care Services Committee Documents from the meeting on September 18, 2012
• Technology and Equipment Committee Report (PDF, 24 KB)
• Technology and Equipment Committee Documents from the meeting on September 19, 2012
• Long-Term and Behavioral Health Committee Report (PDF, 36 KB)
• Long-Term and Behavioral Health Committee Documents from the meeting on September 14, 2012
  • Nursing Care Facilities - Chapter 10
    • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 50 KB)
    • Table 10B: Nursing Care Bed Need Projections for 2016 (PDF, 18 KB)
    • Table 10C: Nursing Care Bed Need Determinations (PDF, 10 KB)

The following are the handouts for the meeting on May 30, 2012.

Download a ZIP file containing documents for the meeting on May 30, 2012. (ZIP, 13.5 MB) - Updated 5/25/2012

• Agenda (PDF, 9 KB)
• Minutes from the March 7, 2012 meeting (PDF, 30 KB)
• Acute Care Services Committee Report (PDF, 24 KB)
  • Acute Care Beds - Chapter 5
    • Proposed Clarifying Language for Chapter Five (PDF, 13 KB)
    • Table 5A: Acute Care Bed Need Projections (PDF, 92 KB)
    • Thomson/Licensure Acute Care Days Comparison (PDF, 38 KB)
    • Table 5B: Acute Care Bed Need Determinations (PDF, 11 KB) - Updated 5/29/2012
    • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 17 KB)
  • Operating Rooms - Chapter 6
    • Proposed Clarifying Language for Chapter Six (PDF, 9 KB)
    • Table 6A: Operating Room Inventory (PDF, 121 KB)
    • Table 6B: Projected Operating Room Need for 2015 - Licensure Data (PDF, 98 KB)
    • Table 6C: Operating Room Need Determinations (PDF, 10 KB)
    • Draft Ambulatory Surgery Demonstration Project Evaluation Questionnaire (PDF, 27 KB)
    • Table 6E: Endoscopy Room Inventory (PDF, 73 KB)
  • Other Acute Care Services - Chapter 7
    • Table 7A: Adult Open-Heart Surgery Procedures (PDF, 12 KB)
    • Table 7B: Burn Intensive Care Services (PDF, 9 KB)
    • Table 7E: Bone Marrow Transplants (PDF, 11 KB)
    • Table 7F: Solid Organ Transplantation Services (PDF, 10 KB)
  • Inpatient Rehabilitation Beds - Chapter 8
    • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 18 KB)
• Technology and Equipment Committee Report - Chapter 9 (PDF, 26 KB)
  • Lithotripsy
    • Lithotripsy Narrative (PDF, 20 KB)
    • 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)
    • Need Determination for Lithotripsy (PDF, 10 KB)
  • Gamma Knife
    • Gamma Knife Narrative (PDF, 10 KB)
    • Need Determination for Gamma Knife (PDF, 9 KB)
  • Linear Accelerator
    • Table 9D: Linear Accelerator Treatment Data - Hospital and Free-Standing (PDF, 18 KB)
    • Table 9E: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 29 KB)
    • Table 9F: Linear Accelerator Service Areas and Calculations (PDF, 17 KB)
    • Table 9G: Linear Accelerator Service Areas (PDF, 22 KB)
    • Table 9H: Linear Accelerator Inventory for Demonstration Project (PDF, 8 KB)
    • Need Determination for Linear Accelerators (PDF, 10 KB)
  • PET Scanners
    • Positron Emission Tomography Scanner Narrative (PDF, 26 KB)
    • 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 Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 9 KB)
    • Need Determination for Fixed Dedicated PET Scanners (PDF, 10 KB)
  • MRI Scanners
    • Table 9K: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 279 KB)
    • Table 9L: Inventory of MRI Scanners (PDF, 16 KB)
    • Need Determination for Fixed MRI Scanners (PDF, 10 KB)
  • Cardiac Catheterization Equipment
    • Table 9M: Adult Diagnositic Fixed Cardiac Catheterization Procedures* by Facility and Aggregate Cardiac Catheterization Totals (PDF, 13 KB)
    • Table 9N: Pediatric Diagnostic Catheterization Procedures (PDF, 11 KB)
    • Table 9O: Mobile Cardiac Catheterization Procedures (PDF, 9 KB)
    • Table 9P: Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventional Procedures (PDF, 9 KB)
    • Table 9Q: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 17 KB)
    • Table 9R: Mobile Cardiac Catheterization Capacity and Volume (PDF, 10 KB)
    • Need Determination for Fixed Cardiac Catheterization Equipment (PDF, 10 KB)
• Long-Term and Behavioral Health Committee Report (PDF, 39 KB)
  • Nursing Care Facilities - Chapter 10
    • Table 10A: Inventory of Nursing Home & Hospital Nursing Care Beds (PDF, 48 KB)
    • Table 10B: Nursing Care Need Projections for 2016 (PDF, 18 KB)
    • Table 10C: Nursing Care Bed Need Determinations (PDF, 9 KB)
  • Adult Care Homes - Chapter 11
    • Petition: Adult Care Home Demonstration Project
      • Agency Report (PDF, 20 KB)
      • Petition: Meridian Senior Living, LLC, Petition Regarding Special Need for an Adult Care Home Demonstration Project - Alexander County (PDF, 3.01 MB)
      • Comments
        • No comments received
    • Petition: Merging of Hyde County and Tyrrell County Adult Care Home Beds Into a Combined Service Area
      • Agency Report (PDF, 13 KB)
      • Petition: Meridian Senior Living, LLC, Petition Regarding the Merging of Hyde County and Tyrrell County Adult Care Home Beds into a Combined Service Area (PDF, 1.44 MB)
      • Comments on the Meridian Senior Living, LLC Petition
        • North Carolina's Northeast Commission (PDF, 402 KB)
    • Table 11A:  Inventory of Adult Care Homes (PDF, 64 KB)
    • Table 11B: Adult Care Home Need Projections for 2016 (PDF, 22 KB)
    • Table 11C: Adult Care Home Bed Need Determinations (PDF, 13 KB)
  • Home Health Services - Chapter 12
    • Agency Report (PDF, 20 KB)
    • Petition: Changes to the Medicare-certified Home Health Need Methodology
      • Petition: Hospice of Wake County, Inc., Horizons Home Care, Petition for Changes to the Home Health Agency Need Methodology (PDF, 295 KB)
      • Comments
        • No comments received
      • Letters of Support for the Hospice of Wake County, Inc./Horizon Home Care Petition
        • Letter of Support from the Association for Home and Hospice Care of North Carolina (PDF, 38 KB)
    • Petition: Convene a Workgroup to Review the Medicare-certified Home Health Need Methodology
      • Petition: Carolinas HealthCare System, Petition for a Workgroup to be Convened to Review the Home Health Agency Need Methodology (PDF, 286 KB)
      • Comments
        • No comments received
    • Table 12A: Home Health Data by County of Patient Origin - 2011 Data - Agencies or Offices Serving Residents of Counties by Age (PDF, 443 KB)
    • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 176 KB)
    • Table 12C: 2014 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 154 KB) - Updated 5/24/2012
    • Placeholder and Threshold of 325 patients (PDF, 31 KB) - Updated 5/24/2012
    • Table 12D: Medicare-certified Home Health Agency or Office Need Determinations (PDF, 10 KB)
  • Hospice Services - Chapter 13
    • Table 13A: Hospice Data by County of Patient Origin - 2011 Data (PDF, 104 KB)
    • Table 13B: Year 2014 Hospice Home Care Office Need Projections (PDF, 62 KB)
    • Table 13C: Year 2016 Hospice Inpatient Bed Need Projections (PDF, 62 KB)
    • Table 13D(1): Hospice Inpatient Facilities (PDF, 19 KB)
    • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY 2011 (PDF, 20 KB)
    • Table 13E: Hospice Residential Facilities (PDF, 16 KB)
    • Table 13F: Inventory of Hospice Residential Beds (PDF, 18 KB)
    • Table 13G: Hospice Home Care Office Need Determinations (PDF, 10 KB)
    • Table 13H: Hospice Inpatient Bed Need Determinations (PDF, 13 KB)
  • ESRD Dialysis - Chapter 14
    • Petition: Amend ESRD Need Methodology Utilization Standard
      • Agency Report (PDF, 18 KB)
      • Petition: Fresenius Medical Care, Petition to Amend ESRD Need Methodology Utilization Standard (PDF, 518 KB)
    • Petition: Amend ESRD Need Methodology to Exclude Isolation/Separation Stations
      • Agency Report (PDF, 15 KB)
      • Petition: Fresenius Medical Care, Petition to Amend ESRD Need Methodology Exclude Isolation/Separation Stations (PDF, 263 KB)
        • Exhibit 1 (PDF, 2.27 MB)
        • Exhibit 2 (PDF, 2.91 MB)
      • Comments
        • DaVita (PDF, 354 KB)
    • Petition: Amendment to Eliminate Dialysis Patients served by Veteran's Administration Dialysis Facilities from the ESRD Need Methodology
      • Agency Report (PDF, 12 KB)
      • Petition: Bio-Medical Applications of North Carolina, Inc., Petition for Amendment to Eliminate Dialysis Patients served by Veteran's Administration Dialysis Facilities from the ESRD Need Methodology (PDF, 19 KB)
      • Comments
        • No comments received
    • Chapter 14: End-Stage Renal Disease (ESRD) Dialysis Facilities - draft narrative (PDF, 13 KB)
  • Proposed Local Management Entity - Managed Care Organizations and their Member Counties on January 1, 2013 (PDF, 208 KB)
  • Psychiatric Inpatient Services - Chapter 15
    • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals, By Local Management Entity (LME) (PDF, 18 KB)
    • Table 15B: 2015 Projections of Psychiatric Bed Need by LME Part 1: Projection of Child/Adolescent Bed Need for 2015 (PDF, 9 KB)
    • Table 15B: 2015 Projections of Psychiatric Bed Need by LME Part 2: Projection of Adult Bed Need for 2015  (PDF, 9 KB)
    • Table 15C-1: Child/Adolescent Psychiatric Inpatient Bed Need Determinations  and Table 15C-2: Adult Psychiatric Inpatient Bed Need Determinations  (PDF, 14 KB)
  • Substance Abuse Inpatient and Residential services (Chemical Dependency Treatment Beds) - Chapter 16
    • Table 16A: Inventory of Chemical Dependency (Substance Abuse) Beds, Excluding State Facilities by LME & Mental Health Planning Region (PDF, 14 KB)
    • Table 16B: 2015 Projection of Chemical Dependency (Substance Abuse) Treatment Bed need by Mental Health Planning Region (PDF, 10 KB)
    • Table 16C: 2015 Child/Adolescent Chemical Dependency (Substance Abuse) Bed Need Determinations (PDF, 12 KB)
    • Table 16D: 2015 Adult Substance Abuse (Chemical Dependency) Treatment Bed Need Determinations (PDF, 10 KB)
  • Intermediate Care Facilities for the Mentally Retarded - Chapter 17
    • Table 17A: Inventory of ICF/MR Facilities and Beds (PDF, 35 KB)
    • Table 17B: State Facility Beds Excluded from ICF/MR Inventory By LME (PDF, 9 KB)
    • Table 17C: Adult ICF/MR Bed Need Determinations and Table 17D: Child ICF/MR Bed Need Determinations (PDF, 13 KB)

The following are the handouts for the meeting on March 7, 2012.

• Agenda (PDF, 9 KB)
• Minutes (PDF, 104 KB)
• Health Care Utilization Patterns in North Carolina (PDF, 628 KB)

Acute Care Services Committee

The following are the handouts for the meeting on September 18, 2012.

Download a ZIP file containing documents for the meeting on September 18, 2012. (ZIP, 21.4 MB)

• Agenda (PDF, 15 KB)
• Minutes from May 8, 2012 Meeting (PDF, 40 KB)
• Acute Care Hospital Beds - Chapter 5
  • Data Discrepancy Table (PDF, 11 KB) - Updated 9/14/2012
  • Draft Table 5A using refreshed Truven acute care days of care (distributed at the Sep. 18, 2012 Committee meeting) (PDF, 383 KB)
  • Petition 1: Cape Fear Valley Health System
    • Agency Report (PDF, 149 KB)
    • Petition: Cape Fear Valley Health System: Adjustment to the acute care bed need determination to remove the need for 119 acute care beds in Cumberland/Hoke Service Area (PDF, 1.68 MB)
    • Comments on Petitions or Comments
      • FirstHealth of the Carolinas, Inc. (PDF, 19.46 MB)
      • Hoke County Board of Commissioners (PDF, 203 KB)
  • Petition 2: Vidant Medical Center
    • Agency Report (PDF, 14 KB)
    • Petition: Vidant Medical Center: Adjustment to the acute care bed need determination to remove the need for the Pitt/Greene/Hyde service area (PDF, 357 KB)
  • Comments on Petitions or Comments
    • Comment on Acute Care Bed Need Determination in Mecklenburg County
      • Carolinas HealthCare System (PDF, 50 KB)
• Operating Rooms - Chapter 6
  • Petition 3:  Blue Ridge Bone and Joint Clinic
    • Agency Report (PDF, 16 KB)
    • Petition: Blue Ridge Bone & Joint Clinic: Demonstration project for a single specialty, two operating room ambulatory surgical facility in Buncombe, Madison, Yancey Counties (PDF, 135 KB)
    • Comments
      • Paul Saenger (PDF, 362 KB)
  • Petition 4: WakeMed Health and Hospitals
    • Agency Report (PDF, 38 KB)
    • Petition: WakeMed Health & Hospitals: Special Need Determination for two dedicated pediatric surgical operating rooms in Wake County (PDF, 1.56 MB)
    • Comments
      • Duncan Phillips (PDF, 204 KB)
      • Stan Taylor (PDF, 177 KB)
    • Comments on Petitions or Comments
      • Rex Healthcare (PDF, 131 KB)
• Other Acute Care Services - Chapter 7
  • No documents
• Inpatient Rehabilitation Services - Chapter 8
  • No documents

The following are the handouts for the meeting on May 8, 2012.

Download a ZIP file containing documents for the meeting on May 8, 2012. (ZIP, 691 KB) - Updated 5/8/2012

• Agenda (PDF, 16 KB)
• Minutes (PDF, 39 KB)
• Acute Care Hospital Beds - Chapter 5
  • Proposed Clarifying Language for Chapter Five (PDF, 13 KB)
  • Table 5A: Acute Care Bed Need Projections (PDF, 92 KB) - Updated 5/3/2012
  • Table 5B: Acute Care Bed Need Determinations (PDF, 10 KB) - Updated 5/3/2012
  • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 17 KB)
  • Thomson/Licensure Acute Care Days Comparison (PDF, 38 KB)
• Operating Rooms - Chapter 6
  • Proposed Clarifying Language for Chapter Six (PDF, 9 KB)
  • Table 6A: Operating Room Inventory (PDF, 118 KB)
  • Table 6B: Projected Operating Room Need for 2015 - Licensure Data (PDF, 98 KB) - Updated 5/8/2012
  • Table 6B: Projected Operating Room Need for 2015 - Thomson Data (PDF, 98 KB)
  • Comparison of Thomson and Licensure Data for Surgeries - October 1, 2010 through September 30, 2011 (PDF, 70 KB)
  • Operating Room Need Determinations Using Licensure and Thomson data (PDF, 15 KB) - Updated 5/8/2012
  • Ambulatory Surgery Demonstration Project Evaluation, Updated Draft Evaluation Questionnaire (PDF, 27 KB)
  • Table 6E: Endoscopy Room Inventory (PDF, 73 KB) - Updated 5/2/2012
• Other Acute Care Services - Chapter 7
  • Table 7A: Adult Open-Heart Surgery Procedures (PDF, 12 KB)
  • Table 7B: Burn Intensive Care Services (PDF, 9 KB)
  • Table 7E: Bone Marrow Transplants (PDF, 11 KB)
  • Table 7F: Solid Organ Transplantation Services (PDF, 9 KB)
• Inpatient Rehabilitation Services - Chapter 8
  • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 18 KB)

The following are the handouts for the meeting on April 11, 2012.

Download a ZIP file containing documents for the meeting on April 11, 2012. (ZIP, 679 KB)

• Agenda (PDF, 16 KB)
• Minutes (PDF, 51 KB)
• Acute Care Hospital Beds - Chapter 5
  • No documents
• Operating Rooms - Chapter 6
  • Data Source for Operating Room Methodology
    • Comparison of Thomson and Licensure Data for Surgeries - October 1, 2009 through September 30, 2010 (PDF, 80 KB)
      • Classification of ICD-9 Procedure Codes into Procedure Classes by the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (TXT, 133 KB)
    • 2012 SMFP Operating Room Need Projections Using 2010 Thomson Data (PDF, 37 KB)
    • 2012 SMFP Operating Room Need Projections Tables (PDF, 12 KB)
  • Ambulatory Surgery Demonstration Project Evaluation
    • Table 6D: Single Specialty Ambulatory Surgery Facility Demonstration Project (PDF, 682 KB)
    • Single-Specialty Ambulatory Surgery Facilities Demonstration Project Evaluation (PDF, 22 KB)
    • Draft Evaluation Questionnaire (PDF, 36 KB) - Updated April 12, 2012
• Other Acute Care Services - Chapter 7
  • No documents
• Inpatient Rehabilitation Services - Chapter 8
  • No documents

Long-Term and Behavioral Health Committee

The following are the handouts for the meeting on September 14, 2012.

Download a ZIP file containing documents for the meeting on September 14, 2012. (ZIP, 14.0 MB) Updated 9/26/2012

• Agenda (PDF, 53 KB)
• Minutes from May 11, 2012 Meeting (PDF, 66 KB)
• Nursing Care Facilities - Chapter 10
  • Petition:  Adjustment to need determination for skilled nursing beds in Guilford County
    • Agency Report (PDF, 21 KB)
    • Petition: Bell House: Adjustment to need determination for skilled nursing beds in Guilford County (PDF, 191 KB)
  • Comments
    • No comments received
• Petition: Adjusted need determination for 16 nursing facility beds to be utilized in conjunction with an existing or approved orthopedic ambulatory surgical facility in Mecklenburg County
  • Agency Report (PDF, 25 KB)
  • Petition: OrthoCarolina: Adjusted need determination for sixteen nursing facility beds to be utilized in conjunction with an existing or approved orthopedic ambulatory surgical facility in Mecklenburg County (PDF, 933 KB)
  • Comments
    • Robert McBride (PDF, 206 KB)
  • Comments on Petitions or Comments
    • Carolinas HealthCare System (PDF, 264 KB)
    • Charlotte Eye Ear Nose & Throat Associates, P.A. (PDF, 668 KB)
    • CorVel Corporation (PDF, 89 KB)
    • Cutter D. Davis, Jr. (PDF, 77 KB)
    • Matthew X. Engels (PDF, 31 KB)
    • Thomas K. Fehring (PDF, 81 KB)
    • James Fleischli (PDF, 108 KB)
    • Scott Moss (PDF, 96 KB)
    • N.C. Hospital Association (PDF, 104 KB)
    • Paul C. Perlik (PDF, 90 KB)
• Adult Care Homes - Chapter 11
  • Petition: Adjustment to Need Determination for Hyde-Tyrrell Combined Service Area
    • Agency Report (PDF, 15 KB)
    • Petition: Meridian Senior Living, Hyde County Board of Commissioners, Tyrrell County Board of Commissioners: Regarding the merging of Hyde County and Tyrrell County adult care home beds into a combined service area (PDF, 128 KB)
    • Need Determination Adjustment (PDF, 60 KB)
    • Comments
      • Hyde County Board of Commissioners (PDF, 115 KB)
      • Tyrell County Board of Commissioners (PDF, 103 KB)
• Home Health Services – Chapter 12
  • Petition: Adjusted need determination for a Medicare-certified home health agency in Brunswick County
    • Agency Report (PDF, 21 KB)
    • Petition: HealthKeeperz: Adjusted need determination for a Medicare-certified home health agency in Brunswick County (PDF, 1.00 MB)
    • Comments
      • Tim Brooks (PDF, 208 KB)
    • Comments on Petitions or Comments
      • AssistedCare Home Health (PDF, 182 KB)
      • Liberty HomeCare and Hospice (PDF, 55 KB)
      • NHRMC Home Care (PDF, 46 KB)
      • Well Care Home Health (PDF, 164 KB)
• Hospice – Chapter 13
  • Petition: Safeguard the need determination for six hospice inpatient beds in Chatham County
    • Agency Report (PDF, 18 KB)
    • Petition: UNC Hospice: Safeguard the need determination for six hospice inpatient beds in Chatham County (PDF, 708 KB)
    • Comments
      • Laura C. Hanson (PDF, 207 KB)
      • Libby Hart (PDF, 194 KB)
    • Letters of Support
    • There were 32 letters of support received regarding this petition. They are available for review in the Medical Facilities Planning Branch office and will be available for review at the Long Term and Behavioral Health Committee meeting on Friday, September 14, 2012.
  • Petition:  Adjusted need determination for six hospice inpatient beds in Buncombe County
    • Agency Report (PDF, 49 KB)
    • Petition: CarePartners Hospice and Palliative Care and Four Seasons Compassion for Life: Adjusted need determination for six hospice inpatient beds in Buncombe County (PDF, 4.85 MB)
    • Comments
      • Tracy Buchanan (PDF, 136 KB)
      • Chris Comeaux (PDF, 107 KB)
  • Petition:  Adjusted need determination for three hospice inpatient beds for Surry County
    • Agency Report (PDF, 21 KB)
    • Petition: Mountain Valley Hospice & Palliative Care: Adjusted need determination for three hospice inpatient beds for Surry County (PDF, 1.04 MB)
    • Letters of Support
      • There were 266 letters of support received regarding this petition. They are available for review in the Medical Facilities Planning Branch office and will be available for review at the Long Term and Behavioral Health Committee meeting on Friday, September 14, 2012.
  • Petition:  Adjusted need determination for six hospice inpatient beds for Yadkin County
    • Agency Report (PDF, 22 KB)
    • Petition: Mountain Valley Hospice & Palliative Care: Adjusted need determination for six hospice inpatient beds for Yadkin County (PDF, 1017 KB)
    • Letters of Support
      • There were 945 letters of support received regarding this petition. They are available for review in the Medical Facilities Planning Branch office and will be available for review at the Long Term and Behavioral Health Committee meeting on Friday, September 14, 2012.
    • Comments on Petitions or Comments
      • Frank and Barbara Gentry (PDF, 75 KB)
      • Everett and Mildred Hartzog (PDF, 57 KB)
      • Hospice & Palliative CareCenter (PDF, 149 KB)
  • Comments: Received Pertaining to Hospice Services – Chapter 13
    • Tim Rogers, Association for Home and Hospice Care of North Carolina: Hospice and Home Health Chapters (PDF, 36 KB)
    • Peter Brunnick, Hospice & Palliative Care Charlotte Region: Comment on the six hospice inpatient bed need projected for Lincoln County (PDF, 125 KB)
• End-Stage Renal Disease Dialysis Facilities – Chapter 14
  • No documents
• Psychiatric Inpatient Services – Chapter 15
  • No documents
• Substance Abuse Inpatient and Residential Services – Chapter 16
  • No documents
• Intermediate Care Facilities for the Mentally Retarded – Chapter 17
  • No documents

The following are the handouts for the meeting on May 11, 2012.

Download a ZIP file containing documents for the meeting on May 11, 2012. (ZIP, 1.31 MB) - Updated May 10, 2012

• Agenda (PDF, 56 KB)
• Minutes (PDF, 89 KB)
• Nursing Care Facilities - Chapter 10
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 48 KB)
  • Table 10B: Nursing Care Bed Need Projections for 2016 (PDF, 17 KB)
  • Table 10C: Nursing Care Bed Need Determinations (PDF, 9 KB)
• Adult Care Homes - Chapter 11
  • Table 11A: Inventory of Adult Care Homes (Assisted Living) Beds (PDF, 70 KB) - Posted 5/10/2012
  • Table 11B: Adult Care Home Need Projections for 2016 (PDF, 22 KB) - Posted 5/10/2012
  • Table 11C: Adult Care Home Bed Need Determinations (PDF, 11 KB) - Posted 5/10/2012
• Home Health Services - Chapter 12
  • Table 12A: Home Health Data by County of Patient Origin - 2011 Data - Agencies or Offices Serving Residents of Counties by Age (PDF, 432 KB) - Updated 5/10/2012
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 185 KB) - Updated 5/10/2012
  • Table 12C: 2014 Need Projection for Medicare-certified Home Health Agencies or Offices (PDF, 152 KB) - Updated 5/10/2012
    • Variation A: Placeholder and Threshold of 275 patients (PDF, 33 KB) - Updated 5/10/2012
    • Variation B: Placeholder and Threshold of 325 patients (PDF, 33 KB) - Updated 5/10/2012
  • Table 12D: Medicare-certified Home Health Agency or Office Need Determinations (PDF, 14 KB) - Updated 5/10/2012
• Hospice Services - Chapter 13
  • Table 13A: Hospice Data by County of Patient Origin - 2011 Data (PDF, 105 KB) - Updated 5/10/2012
  • Table 13B: Year 2014 Hospice Home Care Office Need Projections (PDF, 62 KB) - Updated 5/10/2012
  • Table 13C: Year 2016 Hospice Inpatient Bed Need Projections (PDF, 62 KB) - Updated 5/10/2012
  • Table 13D(1): Hospice Inpatient Facilities (PDF, 19 KB) - Updated 5/10/2012
  • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY2011 (PDF, 20 KB) - Updated 5/10/2012
  • Table 13E: Hospice Residential Facilities (PDF, 16 KB) - Updated 5/10/2012
  • Table 13F: Inventory of Hospice Residential Beds (PDF, 18 KB) - Updated 5/10/2012
  • Table 13G: Hospice Home Care Office Need Determinations (PDF, 11 KB)
  • Table 13H: Hospice Inpatient Bed Need Determinations (PDF, 13 KB)
• End Stage Renal Disease - Chapter 14
  • Chapter 14: End-Stage Renal Disease (ESRD) Dialysis Facilities - draft narrative (PDF, 13 KB)
• Proposed Local Management Entity - Managed Care Organizations and their Member Counties on January 1, 2013 (PDF, 208 KB) - Posted 5/10/2012
• Psychiatric Inpatient Services - Chapter 15
  • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals, By Local Management Entity (LME) (PDF, 18 KB)
  • Table 15B: 2015 Projections of Psychiatric Bed Need by LME Part 1: Projection of Child/Adolescent Bed Need for 2015 (PDF, 9 KB)
  • Table 15B: 2015 Projections of Psychiatric Bed Need by LME Part 2: Projection of Adult Bed Need for 2015 (PDF, 9 KB)
  • Table 15C-1: Child/Adolescent Psychiatric Inpatient Bed Need Determinations (PDF, 10 KB)
  • Table 15C-2: Adult Psychiatric Inpatient Bed Need Determinations (PDF, 12 KB)
• Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds) - Chapter 16
  • Table 16A: Inventory of Chemical Dependency (Substance Abuse) Beds, Excluding State Facilities by LME & Mental Health Planning Region (PDF, 14 KB) - Posted 5/10/2012
  • Table 16B: 2015 Projection of Chemical Dependency (Substance Abuse) Treatment Bed need by Mental Health Planning Region (PDF, 10 KB) - Posted 5/10/2012
  • Table 16C: 2015 Child/Adolescent Chemical Dependency (Substance Abuse) Bed Need Determinations (PDF, 10 KB) - Posted 5/10/2012
  • Table 16D: 2015 Adult Substance Abuse (Chemical Dependency) Treatment Bed Need Determinations (PDF, 10 KB) - Posted 5/10/2012
• Intermediate Care Facilities for the Mentally Retarded (ICF/MR) - Chapter 17
  • Table 17A: Inventory of ICF/MR Facilities and Beds (PDF, 35 KB)
  • Table 17B: State Facility Beds Excluded from ICF/MR Inventory By LME (PDF, 9 KB)
  • Table 17C: Adult ICF/MR Bed Need Determinations and Table 17D: Child ICF/MR Bed Need Determinations (PDF, 13 KB)

The following are the handouts for the meeting on April 13, 2012.

Download a ZIP file containing documents for the meeting on April 13, 2012. (ZIP, 10.70 MB) - Updated April 9, 2012

• Agenda (PDF, 53 KB)
• Minutes (PDF, 87 KB)
• Nursing Care Facilities - Chapter 10
  • No documents
• Adult Care Homes - Chapter 11
  • Petition: Adult Care Home Demonstration Project
    • Agency Report (PDF, 20 KB)
    • Petition: Meridian Senior Living, LLC, Petition Regarding Special Need for an Adult Care Home Demonstration Project - Alexander County (PDF, 3.01 MB)
    • Comments
      • No comments received
  • Petition: Merging of Hyde County and Tyrrell County Adult Care Home Beds Into a Combined Service Area
    • Agency Report (PDF, 13 KB)
    • Petition: Meridian Senior Living, LLC, Petition Regarding the Merging of Hyde County and Tyrrell County Adult Care Home Beds into a Combined Service Area (PDF, 1.44 MB)
    • Comments on the Meridian Senior Living, LLC Petition
      • North Carolina's Northeast Commission (PDF, 402 KB)
• Home Health Services - Chapter 12
  • Agency Report (PDF, 20 KB)
  • Petition: Changes to the Medicare-certified Home Health Need Methodology
    • Petition: Hospice of Wake County, Inc., Horizons Home Care, Petition for Changes to the Home Health Agency Need Methodology (PDF, 295 KB)
    • Comments
      • No comments received
    • Letters of Support for the Hospice of Wake County, Inc./Horizon Home Care Petition
      • Letter of Support from the Association for Home and Hospice Care of North Carolina (PDF, 38 KB)
  • Petition: Convene a Workgroup to Review the Medicare-certified Home Health Need Methodology
    • Petition: Carolinas HealthCare System, Petition for a Workgroup to be Convened to Review the Home Health Agency Need Methodology (PDF, 286 KB)
    • Comments
      • No comments received
• Hospice - Chapter 13
  • No documents
• End-Stage Renal Disease Dialysis Facilities - Chapter 14
  • Petition: Amend ESRD Need Methodology Utilization Standard
    • Agency Report (PDF, 18 KB)
    • Petition: Fresenius Medical Care, Petition to Amend ESRD Need Methodology Utilization Standard (PDF, 518 KB)
  • Petition: Amend ESRD Need Methodology to Exclude Isolation/Separation Stations
    • Agency Report (PDF, 15 KB)
    • Petition: Fresenius Medical Care, Petition to Amend ESRD Need Methodology Exclude Isolation/Separation Stations (PDF, 263 KB)
      • Exhibit 1 (PDF, 2.27 MB)
      • Exhibit 2 (PDF, 2.91 MB)
    • Comments
      • DaVita (PDF, 354 KB)
  • Petition: Amendment to Eliminate Dialysis Patients served by Veteran's Administration Dialysis Facilities from the ESRD Need Methodology
    • Agency Report (PDF, 12 KB)
    • Petition: Bio-Medical Applications of North Carolina, Inc., Petition for Amendment to Eliminate Dialysis Patients served by Veteran's Administration Dialysis Facilities from the ESRD Need Methodology (PDF, 19 KB)
    • Comments
      • No comments received
• Psychiatric Inpatient Services - Chapter 15
  • No documents
• Substance Abuse Inpatient and Residential Services - Chapter 16
  • No documents
• Intermediate Care Facilities for the Mentally Retarded - Chapter 17
  • No documents

Technology and Equipment Committee

The following are the handouts for the meeting on September 19, 2012.

Download a ZIP file containing the documents for the meeting on September 19, 2012. (PDF, 10.1 MB)

• Agenda (PDF, 16 KB)
• Minutes from May 9, 2012 Meeting (PDF, 44 KB)
• Lithotripsy
  • No documents
• Gamma Knife
  • No documents
• Linear Accelerators
  • Petition: Duke Raleigh Hospital requests an adjusted need determination for additional linear accelerator in Service Area 20
    • Agency Report (PDF, 18 KB)
    • Petition: Duke University Health System: Adjusted need determination for additional linear accelerator in service area 20 (PDF, 428 KB)
    • Comments on the Duke Raleigh Hospital Petition
      • Cancer Centers of North Carolina (PDF, 633 KB)
      • Cary Urology, PA (PDF, 76 KB)
      • Rex Healthcare (PDF, 509 KB)
• PET Scanners
  • Comments
    • David French, Alliance Healthcare Services: Regarding no need for additional mobile positron emission tomography scanners (PDF, 105 KB)
    • Lynn S. Pitman, Wake Forest Baptist Health: Adjust the need determination to remove the need for a position emission tomography (PET) scanner in HSA II and review and revise the capacity threshold for PET need (PDF, 82 KB)
  • Comments on PET Scanner Comments
    • Novant Health and MedQuest Associates, Inc. (PDF, 248 KB)
• MRI Scanners
  • No documents
• Cardiac Catheterization Equipment
  • Petition: Carteret County General Hospital requests an adjusted need for one additional unit of shared fixed cardiac catheterization equipment in Carteret County
    • Agency Report (PDF, 20 KB)
    • Petition: Carteret County General Hospital: Adjustment for a need for one additional shared fixed cardiac catheterization equipment in Carteret County (PDF, 1.22 MB)
    • Comments
      • Richard Brvenik (PDF, 266 KB)
      • Donna Cheek (PDF, 248 KB)
      • Donna Cheek (PDF, 250 KB)
      • Donna Cheek (PDF, 214 KB)
      • Ginger Parker (PDF, 93 KB)
      • One letter of support was received regarding this petition. It is available for review in the Medical Facilities Planning Branch office and will be available for review at the Technology and Equipment Committee meeting on Wednesday, September 19, 2012.
    • Comments on the Carteret County General Hospital Petition
      • CarolinaEast Health System (PDF, 76 KB)
      • Carteret Economic Development Council Board of Directors (PDF, 80 KB)
  • Petition: Southeastern Regional Medical Center requests an adjusted need for one additional shared unit of fixed cardiac catheterization equipment in Robeson County
    • Agency Report (PDF, 18 KB)
    • Petition: Southeastern Regional Medical Center: Adjusted need determination for one additional unit of fixed cardiac catheterization equipment in Robeson County (PDF, 136 KB)
    • Comments
      • Robert Everhart (PDF, 248 KB)
      • Andrew Schwartz (PDF, 221 KB)
  • Petition: Johnston Health requests the addition of language in the 2013 SMFP to enable a change in the CON rules to allow for the provision of interventional cardiac catheterization services in Johnston County
    • Agency Report (PDF, 18 KB)
    • Petition: Johnston Health: Change in the Certificate of Need rules that would allow for the provision of interventional cardiac catheterization services in Johnston County (PDF, 162 KB)
      • Attachment 1: Study from Journal of Americal College of Cardiology (PDF, 267 KB)
      • Attachment 2: Article from theHeart.org (PDF, 160 KB)
      • Attachment 3: American Heart Association Guidance (PDF, 37 KB)
    • Comments
      • Matthew Hook (PDF, 72 KB)
      • Ruth Marler (PDF, 69 KB)
    • Comments on Johnston County Petition
      • Carolina Cardiology Associates, P.A. (PDF, 47 KB)
      • Duke LifePoint Healthcare Cardiac Partners (PDF, 1.54 MB)
      • Halifax Regional Medical Center (PDF, 147 KB)
      • Randolph Hospital (PDF, 46 KB)
      • WakeMed Health & Hospitals (PDF, 1023 KB)
  • Additional Comments on Cardiac Catheterization Services – Carteret County General Hospital and Johnston Health
    • Carteret County Chamber of Commerce (PDF, 95 KB)
    • S. Phillip Collins (PDF, 79 KB)
    • Community member (PDF, 68 KB)
    • Emergency Management Physicians (PDF, 187 KB)
    • James J. Croswell, MD, PA (PDF, 119 KB)
    • Sound Medical Family Practice (PDF, 2.01 MB)
    • C.R. Wheatley, III (PDF, 86 KB)
    • There were 56 additional letters of support received regarding these petitions. They are available for review in the Medical Facilities Planning Branch office and will be available for review at the Technology and Equipment meeting on Wednesday, September 19, 2012.

The following are the handouts for the meeting on May 9, 2012.

Download a ZIP file containing the documents for the meeting on May 9, 2012. (PDF, 523 KB) - Updated May 8, 2012.

• Agenda (PDF, 15 KB)
• Minutes (PDF, 43 KB)
• 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)
• Gamma Knife
  • Gamma Knife (PDF, 10 KB) - Added 5/8/2012
• Linear Accelerators
  • Table 9D: Linear Accelerator Treatment Data - Hospital and Free-Standing (PDF, 18 KB)
  • Table 9E: Hospitals and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 29 KB)
  • Table 9F: Linear Accelerator Service Areas and Calculations (PDF, 16 KB)
  • Table 9G: Linear Accelerator Service Area (PDF, 22 KB)
  • Table 9H: Linear Accelerator Inventory for Demonstration Project (PDF, 8 KB)
  • Need Determination for Linear Accelerators (PDF, 10 KB)
• Positron Emission Tomography (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 Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 9 KB)
  • Need Determination for Fixed Dedicated PET Scanners (PDF, 10 KB)
• Magnetic Resonance Imaging Scanners
  • Table 9K: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 279 KB)
  • Table 9L: Inventory of MRI Scanners (PDF, 16 KB)
  • Need Determination for Fixed MRI Scanners (PDF, 10 KB)
• Cardiac Catheterization Equipment
  • Table 9M: Adult Diagnositic Fixed Cardiac Catheterization Procedures* by Facility and Aggregate Cardiac Catheterization Totals (PDF, 13 KB)
  • Table 9N: Pediatric Diagnostic Catheterization Procedures (PDF, 12 KB)
  • Table 9O: Mobile Cardiac Catheterization Procedures (PDF, 9 KB)
  • Table 9P: Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventional Procedures (PDF, 23 KB)
  • Table 9Q: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 17 KB)
  • Table 9R: Mobile Cardiac Catheterization Capacity and Volume (PDF, 10 KB)
  • Need Determination for Fixed Cardiac Catheterization Equipment (PDF, 10 KB)