Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

October 7, 2015 SHCC Meeting

The following are the handouts for the meeting on October 7, 2015.

• Agenda (PDF, 55 KB)
• Minutes for September 2, 2015 (PDF, 178 KB)
• Acute Care Services Committee Meeting Documents: September 8, 2015
  • Dental Single Specialty Ambulatory Surgical Facility Demonstration Project (PDF, 153 KB)
  • Reporting, Monitoring and Evaluation Requirements for Dental Single Specialty Ambulatory Surgical Facility Demonstration Project (PDF, 129 KB)
• Long-Term and Behavioral Health Committee Meeting Documents: September 4, 2015
• Technology and Equipment Committee Meeting Documents: September 16, 2015

September 2, 2015 SHCC Meeting

The following are the handouts for the meeting on September 2, 2015.

• Agenda (PDF, 9 KB)
• Minutes for June 3, 2015 (PDF, 325 KB)
• Acute Care Services Committee Report (PDF, 9 KB)
• Long-Term and Behavioral Health Committee Report (PDF, 87 KB)
• Technology and Equipment Committee Report (PDF, 58 KB)

June 3, 2015 SHCC Meeting

An audio recording of the June 3, 2015 meeting is available. (MP3, 43.3 MB)

The following are the handouts for the meeting on June 3, 2015.

Download a ZIP file containing documents for the meeting on June 3, 2015. (ZIP, 25.8 MB)

• Agenda (PDF, 11 KB)
• Minutes for March 4, 2015 (PDF, 218 KB)
• Acute Care Services Committee
  • Acute Care Services Committee Report (PDF, 174 KB)
  • Chapter 5: Acute Care Services
    • Table 5A:  Acute Care Bed Need Projections (PDF, 193 KB)
    • Table 5B:  Acute Care Bed Need Determination (PDF, 66 KB)
    • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 71 KB)
    • Truven Health Analytics/Licensure Acute Care Days Draft Data Discrepancy Report (PDF, 15 KB)
  • Chapter 6: Operating Rooms
    • Petition: Petition to Change the Methodology for Projecting Operating Room Need: Howard, Stallings, From, Hutson, Atkins, Angell & Davis, P.A. (PDF, 1.84 MB)
      • Agency Report (PDF, 91 KB)
    • Petition: Petition for Policy Adjustment: Knowles, Smith and Associates, LLP (PDF, 989 KB)
      • Comments
        • Knowles, Smith & Associates, LLP (PDF, 107 KB)
        • Cape Fear Valley Health System (PDF, 160 KB)
        • Cumberland Anesthesia Associates, P.A. (PDF, 1.19 MB)
        • Knowles, Smith & Associates, LLP (PDF, 363 KB)
        • Southeastern Regional Medical Center (PDF, 90 KB)
        • Triangle Implant Center (PDF, 230 KB)
      • Agency Report (PDF, 95 KB)
    • Table 6A: Operating Room Inventory (PDF, 115 KB)
    • Table 6B: Projected Operating Room Need for 2018 (PDF, 110 KB)
    • Table 6C: Projected Operating Room Need Determination (PDF, 67 KB)
    • Table 6D: Inventory for Single Specialty Ambulatory Surgery Demonstration Project (PDF, 12 KB)
    • Table 6E: Endoscopy Room Inventory (PDF, 94 KB)
  • Chapter 7: Other Acute Care Services
    • Table 7A: Adult Open-Heart Surgery Procedures (PDF, 25 KB)
    • Graph 7A: Adult Open-Heart Surgery Procedures: 2000-2014 (PDF, 53 KB)
    • Table 7B: Open-Heart Surgery Services Need Determination (PDF, 23 KB)
    • Table 7C: Burn Intensive Care Services (PDF, 42 KB)
    • Table 7D: Burn Intensive Care Services Bed Need Determination (PDF, 23 KB)
    • Table 7E: Bone Marrow Transplants (PDF, 38 KB)
    • Table 7F: Bone Marrow Transplantation Services Need Determination (PDF, 23 KB)
    • Table 7G: Solid Organ Transplantation Services (PDF, 26 KB)
    • Table 7H: Solid Organ Transplantation Services Need Determination (PDF, 23 KB)
  • Chapter 8: Inpatient Rehabilitation Services
    • Table 8A:  Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 31 KB)
    • Inpatient Rehabilitation Days of Care Trend 2008-2014 and Inpatient Rehabilitation Utilization Trend 2008-2014 (PDF, 11 KB)
    • Table 8B:  Inpatient Rehabilitation Bed Need Determination (PDF, 23 KB)
      
      
• Long-Term and Behavioral Health Committee
  • Long-Term and Behavioral Health Committee Report (PDF, 243 KB)
  • Chapter 10: Nursing Care Facilities
    • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 194 KB)
    • Table 10B: Nursing Care Bed Need Projections for 2019 (PDF, 74 KB)
    • Table 10C: Nursing Care Bed Need Determination (PDF, 66 KB)
  • Chapter 11: Adult Care Homes
    • Table 11A: Inventory of Adult Care Homes (Assisted Living) Beds Revised (PDF, 298 KB)
    • Table 11B: Adult Care Home Need Projections for 2019 Revised (PDF, 88 KB)
    • Table 11C: Adult Care Home Bed Need Determination Revised (PDF, 69 KB)
  • Chapter 12: Home Health Services
    • Table 12A: Home Health Data by County of Patient Origin (PDF, 652 KB)
    • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 232 KB)
    • Table 12C: 2017 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 191 KB)
    • Table 12C: 2017 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 40 KB)
    • Table 12D: Medicare-certified Home Health Agency or Office Need Determination (PDF, 67 KB)
  • Chapter 13: Hospice Services
    • Petition: Petition for Change to the Hospice Inpatient Bed Need Methodology: Association for Home & Hospice Care of North Carolina and The Carolinas Center for Hospice and End of Life Care (PDF, 217 KB)
      • Comments
        • Carolinas Center for Hospice and End of Life Care and Association for Home & Hospice Care (PDF, 199 KB)
      • Agency Report (PDF, 99 KB)
    • Table 13A: Hospice Data by County of Patient Origin (PDF, 153 KB)
    • Table 13B: Year 2017 Hospice Home Care Office Need Projections (PDF, 83 KB)
    • Table 13C: Year 2019 Hospice Inpatient Bed Need Projections (PDF, 82 KB)
    • Table 13C: Year 2019 Hospice Inpatient Bed Need Projections - Proposed Revised Methodology (PDF, 80 KB)
    • Table 13D(1): Hospice Inpatient Facilities (PDF, 21 KB)
    • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY2014 (PDF, 23 KB)
    • Table 13E: Hospice Residential Facilities (PDF, 16 KB)
    • Table 13F: Inventory of Hospice Residential Beds (PDF, 19 KB)
    • Table 13G: Hospice Home Care Office Need Determination (PDF, 67 KB)
    • Table 13H: Hospice Inpatient Bed Need Determination Using Current Standard Methodology (PDF, 68 KB)
    • Table 13H: Hospice Inpatient Bed Need Determination Using Proposed Revised Methodology (PDF, 68 KB)
  • Chapter 14: End Stage Renal Disease
    • No documents
  • Chapter 15: Psychiatric Inpatient Services
    • Draft Language for the Proposed 2016 SMFP (PDF, 26 KB)
    • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals By Local Management Entity-Management Care Organization (LME-MCO) Revised (PDF, 47 KB)
    • Table 15B: 2018 Projections of Psychiatric Bed Need by LME-MCO Part 1. Projection of Child/Adolescent Psychiatric Bed Need for 2018 Revised (PDF, 17 KB)
    • Table 15B: 2018 Projections of Psychiatric Bed Need by LME-MCO Part 2. Projection of Adult Psychiatric Bed Need for 2018 Revised (PDF, 16 KB)
    • Table 15C (1): Child/Adolescent Psychiatric Inpatient Bed Need Determination Revised (PDF, 15 KB)
    • Table 15C (2): Adult Psychiatric Inpatient Bed Need Determination Revised (PDF, 13 KB)
  • Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
    • Draft Language for the Proposed 2016 SMFP (PDF, 79 KB)
    • Table 16A: Inventory of Chemical Dependency (Substance Abuse) Beds, Excluding State Facilities by LME-MCO and Mental Health Planning Region (PDF, 44 KB)
    • Table 16B: 2018 Projection of Chemical Dependency (Substance Abuse) Treatment Bed Need by Mental Health Planning Region (PDF, 22 KB)
    • Table 16C: Adult Chemical Dependency (Substance Abuse) Treatment Bed Need Determination (PDF, 12 KB)
    • Table 16D: Child/Adolescent Chemical Dependency (Substance Abuse) Treatment Bed Need Determination (PDF, 12 KB)
  • Chapter 17: Intermediate Care Facilities for the Individuals with Intellectual Disabilities (ICF/IID)
    • Table 17A: Inventory of ICF/IID Facilities and Beds (PDF, 114 KB)
    • Table 17B: State Facility Beds Excluded from ICF/IID Inventory by LME-MCO (PDF, 208 KB)
    • Table 17C: Adult ICF/IID Bed Need Determination (PDF, 66 KB)
    • Table 17D: Child ICF/IID Bed Need Determination (PDF, 67 KB)
      
      
• Technology and Equipment Committee
  • Technology and Equipment Committee Report (PDF, 110 KB)
  • Magnetic Resonance Imaging Scanners
    • Petition: Petition Regarding Policy/Methodology for Fixed Magnetic Resonance Imaging Equipment: J. Arthur Dosher Memorial Hospital (PDF, 3.56 MB)
      • Agency Report (PDF, 342 KB)
    • Comments
      • J. Arthur Dosher Memorial Hospital (PDF, 87 KB)
      • Alliance Healthcare Services (PDF, 4.14 MB)
      • Cape Fear Valley Health System (PDF, 678 KB)
      • J. Arthur Dosher Memorial Hospital (PDF, 1.18 MB)
    • Petition: Petition for Intraoperative MRI in the Western Portion of the State: The Charlotte-Mecklenburg Hospital Authority (PDF, 2.87 MB)
      • Agency Report (PDF, 101 KB)
    • Comments
      • Carolinas HealthCare System (PDF, 105 KB)
    • Table 9P: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 187 KB)
    • Table 9R: Fixed MRI Scanner Need Determination (PDF, 12 KB)
  • Cardiac Catheterization Equipment
    • Petition: Petition to Revise the Methodology for Determining Need for Cardiac Catheterization: WakeMed Health & Hospitals (PDF 295 KB)
      • Agency Report (PDF, 307 KB)
    • Comments
      • Cape Fear Valley Health System (PDF, 651 KB)
      • Johnston Health (PDF, 107 KB)
      • Rex Healthcare (PDF, 1.69 MB)
      • Sentara Albemarle Medical Center (PDF, 153 KB)
    • Table 9S: Adult Diagnostic Fixed Cardiac Catheterization Procedures (PDF, 50 KB)
    • Table 9T: Pediatric Diagnostic Catheterization Procedures (PDF, 13 KB)
    • Table 9U: Mobile Cardiac Catheterization Procedures (PDF, 26 KB)
    • Table 9V: Percutaneous Coronary Interventional Procedures (PDF, 28 KB)
    • Table 9W: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 54 KB)
    • Table 9X: Mobile Cardiac Catheterization Capacity and Volume (PDF, 10 KB)
    • Table 9Y/9Z/9AA: Fixed Cardiac Catheterization Equipment Need Determination (PDF, 18 KB)
  • Lithotripsy
    • Table 9A: Mobile Lithotripsy Providers and Locations Served (PDF, 20 KB)
    • Table 9B: Fixed Lithotripsy Providers and Locations Served and Table 9C: Mobile and Fixed Lithotripsy (PDF, 8 KB)
    • Table 9D: Lithotripter Need Determination (PDF, 11 KB)
  • Positron Emission Tomography (PET) Scanners
    • Table 9L: PET Scanner Utilization of Existing Fixed Dedicated Scanners (PDF, 21 KB)
    • Table 9M(1): PET Scanner Provider of Mobile Dedicated Scanners and Table 9M(2): PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 19 KB)
    • Table 9N: Fixed Dedicated PET Scanner Need Determination and Table 9O: Mobile Dedicated PET Scanner Need Determination (PDF, 14 KB)
  • Linear Accelerators
    • Table 9G: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 19 KB)
    • Table 9H: Linear Accelerator Service Areas and Calculations (PDF, 20 KB)
    • Table 9I: Linear Accelerator Service Areas (PDF, 25 KB)
    • Table 9K: Linear Accelerators Need Determination (PDF, 11 KB)
  • Gamma Knife
    • No Documents

March 4, 2015 SHCC Meeting

An audio recording of the March 4, 2015 meeting is available. (MP3, 52.6 MB)

The following are the handouts for the meeting on March 4, 2015.

• Agenda (PDF, 11 KB)
• Minutes for October 1, 2014 (PDF, 297 KB)

Acute Care Services (ACS) Committee

September 8, 2015 ACS Meeting

The following are the handouts for the meeting on September 8, 2015.

Download a ZIP file containing documents for the meeting on September 8, 2015. (ZIP, 25.1 MB)

• Agenda (PDF, 95 KB)
• Minutes for May 5, 2015 (PDF, 121 KB)
• Chapter 5: Acute Care Services
  • Revised Truven Health Analytics/Licensure Acute Care Days Comparison (PDF, 12 KB)
  • Table 5A: Acute Care Bed Need Projections (PDF, 90 KB)
• Chapter 6: Operating Rooms
  • Single Specialty Ambulatory Surgery Facility Demonstration Project Evaluation Summaries
    • Piedmont Outpatient Surgery Center
      • Annual Evaluation Report Summary (PDF, 57 KB)
      • Attachments (PDF, 463 KB)
    • Triangle Orthopaedics Surgery Center
      • Annual Evaluation Report Summary (PDF, 56 KB)
      • Attachments (PDF, 608 KB)
    • Mallard Creek Surgery Center
      • Annual Evaluation Report Summary (PDF, 59 KB)
      • Attachments (PDF, 2.38 MB)
  • Petition 1: Petition for Support of a Demonstration Project for a Single Specialty, Two Operating Room, Ambulatory Surgical Facility in Buncombe, Madison, Yancey Counties
    • Agency Report (PDF, 92 KB)
    • Petition for Support of a Demonstration Project for a Single Specialty, Two Operating Room, Ambulatory Surgical Facility in Buncombe, Madison, Yancey Counties: Blue Ridge Bone & Joint Clinic (PDF, 262 KB)
    • Comments
    • Blue Ridge Bone and Joint Orthopaedics (PDF, 53 KB)
    • Mission Hospital (PDF, 4.83 MB)
    • North Carolina Hospital Association (PDF, 356 KB)
  • Petition 2: Petition Regarding Special Need for a Demonstration Dental Operating Room for Cumberland County
    • Agency Report (PDF, 62 KB)
    • Petition Regarding Special Need for a Demonstration Dental Operating Room for Cumberland County: Knowles, Smith & Associates, LLP (PDF, 2.36 MB)
    • Comments
    • Village Family Dental (PDF, 198 KB)
    • Village Family Dental and Triangle Implant Center (PDF, 389 KB)
    • Cape Fear Valley Health System (PDF, 537 KB)
    • Highland Pediatric Dental (PDF, 202 KB)
    • Letter of Support (PDF, 52 KB)
    • Letters of Support (PDF, 213 KB)
    • Lumberton Pediatric Dentistry (PDF, 25 KB)
    • North Carolina Dental Society (PDF, 45 KB)
    • North Carolina Society of Oral and Maxillofacial Surgeons (PDF, 154 KB)
    • Southeastern Dental Specialists (PDF, 22 KB)
  • Petition 3: Petition Regarding Special Need for a Demonstration Ambulatory Dental Facility for Wake County
    • Agency Report (PDF, 61 KB)
    • Petition Regarding Special Need for a Demonstration Ambulatory Dental Facility for Wake County: Triangle Implant Center (PDF, 3.84 MB)
    • Comments
    • Triangle Implant Center (PDF, 69 KB)
    • Village Family Dental and Triangle Implant Center (PDF, 389 KB)
    • C. Knox McMillan (PDF, 19 KB)
    • Capital Oral and Facial Surgery (PDF, 59 KB)
    • Integrative Family Dentistry (PDF, 737 KB)
    • Letters of Support (PDF, 7.79 MB)
    • North Carolina Dental Society (PDF, 45 KB)
    • North Carolina Society of Oral and Maxillofacial Surgeons (PDF, 154 KB)
    • Regional Anesthesia (PDF, 292 KB)
    • Rex Healthcare (PDF, 120 KB)
    • Saba Jelokhani Mokry (PDF, 60 KB)
    • Samir Naik (PDF, 547 KB)
    • Wake Smiles (PDF, 96 KB)
    • Wake Smiles (PDF, 37 KB)
    • Wake Oral and Maxillofacial Surgery (PDF, 86 KB)
    • Wake Oral and Maxillofacial Surgery (PDF, 142 KB)
  • Proposed Dental Single Specialty Ambulatory Surgical Facility Demonstration Project
    • Dental Single Specialty Ambulatory Surgical Facility Demonstration Project (PDF, 232 KB)
    • Reporting, Monitoring and Evaluation Requirements for Dental Single Specialty Ambulatory Surgical Facility Demonstration Project (PDF, 208 KB)
• Chapter 7: Other Acute Care Services
  • No documents
• Chapter 8: Inpatient Rehabilitation Services
  • No documents

May 5, 2015 ACS Meeting

An audio recording of the May 5, 2015 meeting is available. (MP3, 18.0 MB)

The following are the handouts for the meeting on May 5, 2015.

Download a ZIP file containing documents for the meeting on May 5, 2015. (ZIP, 2.19 MB)

• Agenda (PDF, 49 KB)
• Minutes for April 7, 2015 (PDF, 296 KB)
• Chapter 5: Acute Care Services
  • Truven Health Analytics/Licensure Acute Care Days Draft Data Discrepancy Report (PDF, 15 KB)
  • Table 5A:  Acute Care Bed Need Projections (PDF, 193 KB)
  • Table 5B:  Acute Care Bed Need Determination (PDF, 65 KB)
  • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 71 KB)
• Chapter 6: Operating Rooms
  • Table 6A: Operating Room Inventory (PDF, 580 KB)
  • Table 6B: Projected Operating Room Need for 2018 (PDF, 567 KB)
  • Table 6C: Projected Operating Room Need Determination (PDF, 67 KB)
  • Table 6D: Inventory for Single Specialty Ambulatory Surgery Demonstration Project (PDF, 12 KB)
  • Table 6E: Endoscopy Room Inventory (PDF, 94 KB)
• Chapter 7: Other Acute Care Services
  • Table 7A: Adult Open-Heart Surgery Procedures (PDF, 25 KB)
  • Graph 7A: Adult Open-Heart Surgery Procedures: 2000-2014 (PDF, 53 KB)
  • Table 7C: Burn Intensive Care Services (PDF, 42 KB)
  • Table 7E: Bone Marrow Transplants (PDF, 38 KB)
  • Table 7G: Solid Organ Transplantation Services (PDF, 26 KB)
• Chapter 8: Inpatient Rehabilitation Services
  • Table 8A:  Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 28 KB)
  • Inpatient Rehabilitation Days of Care Trend 2008-2014 and Inpatient Rehabilitation Utilization Trend 2008-2014 (PDF, 11 KB)

April 7, 2015 ACS Meeting

An audio recording of the April 7, 2015 meeting is available. (MP3, 64.2 MB)

The following are the handouts for the meeting on April 7, 2015.

Download a ZIP file containing documents for the meeting on April 7, 2015. (ZIP, 4.82 MB)

• Agenda (PDF, 107 KB)
• Minutes for September 17, 2014 (PDF, 138 KB)
• Chapter 5: Acute Care Services
  • No documents
• Chapter 6: Operating Rooms
  • Petition: Petition for Policy Adjustment: Knowles, Smith and Associates, LLP (PDF, 989 KB)
    • Comments
      • Knowles, Smith & Associates, LLP (PDF, 107 KB)
      • Cape Fear Valley Health System (PDF, 160 KB)
      • Cumberland Anesthesia Associates, P.A. (PDF, 1.19 MB)
      • Knowles, Smith & Associates, LLP (PDF, 363 KB)
      • Southeastern Regional Medical Center (PDF, 90 KB)
      • Triangle Implant Center (PDF, 230 KB)
    • Agency Report (PDF, 95 KB)
  • Petition: Petition to Change the Methodology for Projecting Operating Room Need: Howard, Stallings, From, Hutson, Atkins, Angell & Davis, P.A. (PDF, 1.84 MB)
    • Agency Report (PDF, 91 KB)
• Chapter 7: Other Acute Care Services
  • No documents
• Chapter 8: Inpatient Rehabilitation Services
  • No documents

Long-Term and Behavioral Health (LTBH) Committee

September 4, 2015 LTBH Meeting

The following are the handouts for the meeting on September 4, 2015.

Download a ZIP file containing documents for the meeting on September 4, 2015. (ZIP, 8.83 MB)

• Agenda (PDF, 123 KB)
• Minutes for May 4, 2015 (PDF, 244 KB)
• Chapter 10: Nursing Care Facilities
  • Petition: Nursing Care Bed Adjusted Need Determination for Nash County
    • Agency Report (PDF, 115 KB)
    • Petition for Special Need Adjustment for Nursing Care Beds in Nash County: LifeCare Hospitals of North Carolina (PDF, 189 KB)
    • Comments
      • LifeCare Hospitals of North Carolina (PDF, 399 KB)
      • LifeCare Hospitals of North Carolina (PDF, 102 KB)
      • Autumn Corporation (PDF, 141 KB)
      • Duke University Health System (PDF, 60 KB)
      • Halifax Regional Medical Center (PDF, 88 KB)
      • Nash County Physicians (PDF, 590 KB)
      • Nash HealthCare (PDF, 82 KB)
      • Nash HealthCare (PDF, 186 KB)
      • North Carolina Hospital Association (PDF, 356 KB)
      • University of North Carolina Hospitals (PDF, 70 KB)
      • Vidant Medical Center and Brody School of Medicine at East Carolina University (PDF, 58 KB)
      • WakeMed (PDF, 61 KB)
      • Wayne Memorial Hospital (PDF, 237 KB)
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 205 KB)
  • Table 10B: Nursing Care Bed Need Projections for 2019 (PDF, 110 KB)
• Chapter 11: Adult Care Homes
  • Petition: Adult Care Home Bed Adjusted Need Determination for Halifax County
    • Agency Report (PDF, 90 KB)
    • Petition for Adjusted Need Determination of Adult Care Home Beds in Halifax County (PDF, 213 KB)
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds (PDF, 255 KB)
  • Table 11B: Adult Care Home Need Projections for 2019 (PDF, 118 KB)
• Chapter 12: Home Health Services
  • No petitions or comments
  • No tables
• Chapter 13: Hospice Services
  • Petition: Adjusted Need Determination for Four Hospice Inpatient Beds for Davidson County
    • Agency Report (PDF, 251 KB)
    • Petition for an Adjusted Need Determination for Four Hospice Inpatient Beds for Davidson County: Hospice of Davidson County (PDF, 478 KB)
  • Comments
    • Hospice of Davidson County (PDF, 154 KB)
    • Letters of Support (PDF, 3.59 MB)
    • Our Lady of the Rosary Catholic Church (PDF, 80 KB)
  • Table 13A: Hospice Data by County of Patient Origin - 2014 Data (PDF, 150 KB)
  • Table 13B: Year 2017 Hospice Home Care Office Need Projections (PDF, 78 KB)
  • Table 13C: Year 2019 Hospice Inpatient Bed Need Projections (PDF, 80 KB)
• Chapter 14: End-Stage Renal Disease
  • No petitions or comments
• Chapter 15: Psychiatric Inpatient Services
  • No petitions or comments
  • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals, By Local Management Entity - Management Care Organization (PDF, 47 KB)
  • Table 15B1: 2018 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization Part 1: Projection of Child/Adolescent Psychiatric Bed Need for 2018 (PDF, 16 KB)
  • Table 15B2: 2018 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization Part 2: Projection of Adult Psychiatric Bed Need for 2018 (PDF, 16 KB)
• Chapter 16: Substance Abuse Inpatient and Residential Services
  • No petitions or comments
  • Table 16A: Inventory of Chemical Dependency (Substance Abuse) Beds, Excluding State Facilities by Local Management Entity - Management Care Organization (PDF, 42 KB)
  • Table 16B: 2018 Projection of Chemical Dependency (Substance Abuse) Treatment Bed Need by Mental Health Planning Region (PDF, 21 KB)
• Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • No petitions or comments
  • No tables

May 1, 2015 LTBH Meeting

An audio recording of the May 1, 2015 meeting is available. (MP3, 40.4 MB)

The following are the handouts for the meeting on May 1, 2015.

Download a ZIP file containing documents for the meeting on May 1, 2015. (ZIP, 3.93 MB)

• Agenda (PDF, 79 KB)
• Minutes for April 10, 2015 Revised (PDF, 405 KB)
• Chapter 10: Nursing Care Facilities
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds Revised (PDF, 191 KB)
  • Table 10B: Nursing Care Bed Need Projections for 2019 Revised (PDF, 71 KB)
  • Table 10C: Nursing Care Bed Need Determination Revised (PDF, 66 KB)
• Chapter 11: Adult Care Homes
  • Table 11A: Inventory of Adult Care Homes (Assisted Living) Beds (PDF, 289 KB)
  • Table 11B: Adult Care Home Need Projections for 2019 (PDF, 87 KB)
  • Table 11C: Adult Care Home Bed Need Determination Revised (PDF, 67 KB)
• Chapter 12: Home Health Services
  • Table 12A: Home Health Data by County of Patient Origin (PDF, 648 KB)
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 232 KB)
  • Table 12C: 2017 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 191 KB)
  • Table 12C: 2017 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 39 KB)
  • Table 12D: Medicare-certified Home Health Agency or Office Need Determination (PDF, 67 KB)
• Chapter 13: Hospice Services
  • Table 13A: Hospice Data by County of Patient Origin (PDF, 153 KB)
  • Table 13B: Year 2017 Hospice Home Care Office Need Projections Revised (PDF, 83 KB)
  • Table 13C: Year 2019 Hospice Inpatient Bed Need Projections (PDF, 82 KB)
  • Table 13C: Year 2019 Hospice Inpatient Bed Need Projections - Proposed Revised Methodology (PDF, 82 KB)
  • Table 13D(1): Hospice Inpatient Facilities (PDF, 21 KB)
  • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY2014 Revised (PDF, 23 KB)
  • Table 13E: Hospice Residential Facilities (PDF, 16 KB)
  • Table 13F: Inventory of Hospice Residential Beds (PDF, 19 KB)
  • Table 13G: Hospice Home Care Office Need Determination (PDF, 67 KB)
  • Table 13H: Hospice Inpatient Bed Need Determination Using Current Standard Methodology (PDF, 68 KB)
  • Table 13H: Hospice Inpatient Bed Need Determination Using Proposed Revised Methodology (PDF, 68 KB)
• Chapter 14: End Stage Renal Disease
  • No documents
• Chapter 15: Psychiatric Inpatient Services
  • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals By Local Management Entity-Management Care Organization (LME-MCO) (PDF, 48 KB)
  • Table 15B: 2018 Projections of Psychiatric Bed Need by LME-MCO Part 1. Projection of Child/Adolescent Psychiatric Bed Need for 2018 (PDF, 17 KB)
  • Table 15B: 2018 Projections of Psychiatric Bed Need by LME-MCO Part 2. Projection of Adult Psychiatric Bed Need for 2018 (PDF, 16 KB)
  • Table 15C (1): Child/Adolescent Psychiatric Inpatient Bed Need Determination (PDF, 16 KB)
  • Table 15C (2): Adult Psychiatric Inpatient Bed Need Determination (PDF, 14 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 by LME-MCO and Mental Health Planning Region (PDF, 44 KB)
  • Table 16B: 2018 Projection of Chemical Dependency (Substance Abuse) Treatment Bed Need by Mental Health Planning Region (PDF, 22 KB)
  • Table 16C: Adult Chemical Dependency (Substance Abuse) Treatment Bed Need Determination (PDF, 12 KB)
  • Table 16D: Child/Adolescent Chemical Dependency (Substance Abuse) Treatment Bed Need Determination (PDF, 12 KB)
• Chapter 17: Intermediate Care Facilities for the Individuals with Intellectual Disabilities (ICF/IID)
  • Table 17A: Inventory of ICF/IID Facilities and Beds (PDF, 114 KB)
  • Table 17B: State Facility Beds Excluded from ICF/IID Inventory by LME-MCO (PDF, 208 KB)
  • Table 17C: Adult ICF/IID Bed Need Determination (PDF, 66 KB)
  • Table 17D: Child ICF/IID Bed Need Determination (PDF, 67 KB)

April 10, 2015 LTBH Meeting

An audio recording of the April 10, 2015 meeting is available. (MP3, 54.1 MB)

The following are the handouts for the meeting on April 10, 2015.

Download a ZIP file containing documents for the meeting on April 10, 2015. (ZIP, 948 KB)

• Agenda (PDF, 82 KB)
• Minutes for September 16, 2014 (PDF, 192 KB)
• Chapter 4: Statement of Policies
  • Revised Language for the NC Proposed 2016 SMFP (PDF, 92 KB)
• Chapter 10: Nursing Care Facilities
  • No documents
• Chapter 11: Adult Care Homes
  • No documents
• Chapter 12: Home Health Services
  • No documents
• Chapter 13: Hospice Services
  • Petition: Petition for Change to the Hospice Inpatient Bed Need Methodology: Association for Home & Hospice Care of North Carolina and The Carolinas Center for Hospice and End of Life Care (PDF, 217 KB)
    • Comments
      • Carolinas Center for Hospice and End of Life Care and Association for Home & Hospice Care (PDF, 199 KB)
    • Agency Report (PDF, 99 KB)
• Chapter 14: End Stage Renal Disease
  • No documents
• Chapter 15: Psychiatric Inpatient Services
  • Draft Language for the Proposed 2016 SMFP (PDF, 26 KB)
• Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • Draft Language for the Proposed 2016 SMFP (PDF, 79 KB)
  • Excerpt from Table 16A with Draft Revisions for the Proposed 2016 SMFP (PDF, 17 KB)
  • Alternate Proposed Table 16A (PDF, 38 KB)
• Chapter 17: Intermediate Care Facilities for the Individuals with Intellectual Disabilities
  • No documents

Technology and Equipment (TE) Committee

September 16, 2015 TE Meeting

The following are the handouts for the meeting on September 16, 2015.

Download a ZIP file containing documents for the meeting on September 16, 2015. (ZIP, 22.90 MB)

• Agenda (PDF, 97 KB)
• Minutes (PDF, 159 KB)
• Lithotripsy
  • No documents
• Gamma Knife
  • No documents
• Linear Accelerators
  • Annual Report Statistics May 1, 2013 through April 30, 2014: The Prostate Health Center, Demonstration Linear Accelerator (PDF, 111 KB)
  • Annual Report Statistics May 1, 2014 through April 30, 2015: The Prostate Health Center, Demonstration Linear Accelerator (PDF, 677 KB)
  • Other comments on Linear Accelerators
    • Comment on CPT Codes: NBM Health Planning Associates (PDF, 195 KB)
• Positron Emission Tomography Scanner
  • Petition for Adjusted Need Determination for No Conversions of Fixed PET Scanners to Mobile
    • Agency Report (PDF, 120 KB)
    • Petition: Petition for an Adjusted need Determination for No Conversions of Fixed PET Scanners to Mobile PET Scanners: Alliance Healthcare Services (PDF, 164 KB)
    • Comments
      • Alliance Healthcare Services (PDF, 144 KB)
      • North Carolina Hospital Association (PDF, 356 KB)
      • Novant Health and MedQuest (PDF, 312 KB)
• Magnetic Resonance Scanner
  • Petition: Removal of Fixed MRI Need Determination in Lincoln County
    • Agency Report (PDF, 82 KB)
    • Petition: Petition to Remove Need Determination for One Fixed MRI Scanner in Lincoln County: Carolinas HealthCare System (PDF, 181 KB)
  • Petition: Adjusted Need Determination for MRI Machine in Wake County
    • Agency Report (PDF, 251 KB)
    • Petition: Petition Regarding Special Need for Fixed Magnetic Imaging Equipment for Wake County: Raleigh Radiology (PDF, 297 KB)
    • Comments
      • Raleigh Radiology (PDF, 77 KB)
      • Alliance Healthcare Services (PDF, 97 KB)
      • Duke University Health System (PDF, 51 KB)
      • Letters of Support (PDF, 218 KB)
      • Rex Healthcare (PDF, 238 KB)
  • Petition: Adjusted Need Determination for MRI Scanner in Brunswick County
    • Agency Report (PDF, 217 KB)
    • Petition: Petition Regarding Special Need for Fixed Magnetic Resonance Imaging Equipment for Brunswick County: J. Arthur Dosher Memorial Hospital (PDF, 4.19 MB)
    • Comments
      • J. Arthur Dosher Memorial Hospital (PDF, 90 KB)
      • J. Arthur Dosher Memorial Hospital (PDF, 116 KB)
      • Alliance Healthcare Services (PDF, 112 KB)
      • Letters of Support (PDF, 1.09 MB)
      • Letters of Support (PDF, 490 KB)
      • North Carolina Hospital Association (PDF, 73 KB)
  • Table 9P: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 206 KB)
  • Table 9R: Fixed MRI Scanner Need Determination (PDF, 12 KB)
  • Other comments on Chpater 9: Magetic Resonance Scanner Section
    • Comment on potential use of MRI CPT data for Planning Purposes: Alliance Healthcare Services (PDF, 140 KB)
    • Comment on Policy TE-2: Carolinas HealthCare System (PDF, 86 KB)
• Cardiac Catheterization Equipment
  • Petition: Special Need Adjustment for Fixed Cardiac Catheterization Equipment in Wake County
    • Agency Report (PDF, 101 KB)
    • Petition: Petition for Adjustment Need Determination for Fixed Cardiac Catheterization Equipment in Wake County: Rex Healthcare (PDF, 4.00 MB)
    • Comments
      • Rex Healthcare (PDF, 212 KB)
      • Duke University Health System (PDF, 314 KB)
      • Johnston Health (PDF, 72 KB)
      • WakeMed (PDF, 4.85 MB)
  • Petition: Adjusted Need Determination for One Fixed/Shared Cardiac Catheterization in Harnett County
    • Agency Report (PDF, 115 KB)
    • Petition: Petition for an Adjusted Need Determination for One Fixed/Shared Cardiac Catheterization Equipment in Harnett County: Harnett Health (PDF, 3.38 MB)
    • Comments
      • Harnett Health (PDF, 84 KB)
      • Letters of Support (PDF, 410 KB)
      • Letters of Support (PDF, 1.24 MB)

May 13, 2015 TE Meeting

An audio recording of the May 13, 2015 meeting is available. (MP3, 46.4 MB)

The following are the handouts for the meeting on May 13, 2015.

Download a ZIP file containing documents for the meeting on May 13, 2015. (ZIP, 4.86 MB)

• Agenda Revised (PDF, 68 KB)
• Minutes Revised (PDF, 436 KB)
• Chapter 9: MRI
  • Petition: Petition Regarding Policy/Methodology for Fixed Magnetic Resonance Imaging Equipment: J. Arthur Dosher Memorial Hospital (PDF, 3.56 MB)
  • Agency Report (PDF, 342 KB)
  • Draft Policy TE-3: Certificate of Need for Fixed MRI Scanners in Community Hospitals (PDF, 181 KB)
• CPT Code Document
  • MRI Procedures and CPT Code Totals Summary (PDF, 214 KB)
  • MRI Procedures and CPT Code Totals (XLSX, 106 KB)
• Chapter 9: Linear Accelerator
  • Table 9G: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures Revised (PDF, 19 KB)
  • Table 9H: Linear Accelerator Service Areas and Calculations Revised (PDF, 17 KB)
  • Table 9K: Linear Accelerators Need Determination Revised (PDF, 67 KB)

April 22, 2015 TE Meeting

An audio recording of the April 22, 2015 meeting is available. (MP3, 57.1 MB)

The following are the handouts for the meeting on April 22, 2015.

Download a ZIP file containing documents for the meeting on April 22, 2015. (ZIP, 16.6 MB)

• Agenda (PDF, 72 KB)
• Minutes for September 9, 2014 (PDF, 294 KB)
• Magnetic Resonance Imaging Scanners
  • Petition: Petition Regarding Policy/Methodology for Fixed Magnetic Resonance Imaging Equipment: J. Arthur Dosher Memorial Hospital (PDF, 3.56 MB)
    • Agency Report (PDF, 342 KB)
  • Comments
    • J. Arthur Dosher Memorial Hospital (PDF, 87 KB)
    • Alliance Healthcare Services (PDF, 4.14 MB)
    • Cape Fear Valley Health System (PDF, 678 KB)
    • J. Arthur Dosher Memorial Hospital (PDF, 1.18 MB)
  • Petition: Petition for Intraoperative MRI in the Western Portion of the State: The Charlotte-Mecklenburg Hospital Authority (PDF, 2.87 MB)
    • Agency Report (PDF, 101 KB)
  • Comments
    • Carolinas HealthCare System (PDF, 105 KB)
  • Table 9P: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 204 KB)
  • Table 9R: Fixed MRI Scanner Need Determination (PDF, 12 KB)
• Cardiac Catheterization Equipment
  • Petition: Petition to Revise the Methodology for Determining Need for Cardiac Catheterization: WakeMed Health & Hospitals (PDF 295 KB)
    • Agency Report (PDF, 307 KB)
  • Comments
    • Cape Fear Valley Health System (PDF, 651 KB)
    • Johnston Health (PDF, 107 KB)
    • Rex Healthcare (PDF, 1.69 MB)
    • Sentara Albemarle Medical Center (PDF, 153 KB)
  • Table 9S: Adult Diagnostic Fixed Cardiac Catheterization Procedures (PDF, 53 KB)
  • Table 9T: Pediatric Diagnostic Catheterization Procedures (PDF, 13 KB)
  • Table 9U: Mobile Cardiac Catheterization Procedures (PDF, 24 KB)
  • Table 9V: Percutaneous Coronary Interventional Procedures (PDF, 28 KB)
  • Table 9W: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 54 KB)
  • Table 9X: Mobile Cardiac Catheterization Capacity and Volume (PDF, 9 KB)
  • Table 9Y/9Z/9AA: Fixed Cardiac Catheterization Equipment Need Determination (PDF, 18 KB)
• Lithotripsy
  • Table 9A: Mobile Lithotripsy Providers and Locations Served (PDF, 19 KB)
  • Table 9B: Fixed Lithotripsy Providers and Locations Served and Table 9C: Mobile and Fixed Lithotripsy (PDF, 8 KB)
  • Table 9D: Lithotripter Need Determination (PDF, 11 KB)
• Positron Emission Tomography (PET) Scanners
  • Table 9L: PET Scanner Utilization of Existing Fixed Dedicated Scanners (PDF, 21 KB)
  • Table 9M(1): PET Scanner Provider of Mobile Dedicated Scanners and Table 9M(2): PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 19 KB)
• Linear Accelerators
  • Table 9G: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 20 KB)
  • Table 9H: Linear Accelerator Service Areas and Calculations (PDF, 17 KB)
  • Table 9I: Linear Accelerator Service Areas (PDF, 20 KB)
  • Table 9K: Linear Accelerators Need Determination (PDF, 11 KB)
• Gamma Knife
  • No Documents

Nursing Home (NH) Workgroup

September 4, 2015 NH Workgroup Meeting

• Agenda (PDF, 150 KB)
• Nursing Home Methodology Workgroup Presentation (PDF, 506 KB)
• Table 1: 2018 Projected Bed Utilization Summary with Vacancy Factor 0%, 93% and 95% (PDF, 49 KB)
• Table 2: Continuing Care Retirement Centers (CCRC) Occupancy (PDF, 54 KB)
• Table 3: CCRC Patient Destination by County (PDF, 73 KB)
• Table 4: CCRC Occupancy by Facility (PDF, 89 KB)

July 29, 2015 NH Workgroup Meeting

• Agenda (PDF, 34 KB)
• Nursing Home Methodology Workgroup Presentation (PDF, 482 KB)
• Methodology Comparison (PDF, 174 KB)
• Prediction Comparison (PDF, 172 KB)
• Table 1: Combine County Rate with Projected Bed Utilization Summary (PDF, 236 KB)
• Table 2: 2018 Projected Bed Utilization Summary Compared to 2013 Patient Totals by County and Table 3: 2018 Projected Bed Utilization Summary with Vacancy Factor of 93% Compared to 2013 Patient Totals by County (PDF, 225 KB)
• Table 4A: Need Determination Calculation with Median Occupancy Rate (PDF, 231 KB)
• Table 4B: Need Determination Calculation with Weighted Mean Occupancy Rate (PDF, 231 KB)
• Table 5A: Need Determination Calculation with Median Occupancy Rate with 15% Continuing Care Retirement Centers (CCRC) Exclusions (PDF, 229 KB)
• Table 5B: Need Determination Calculation with Weighted Mean Occupancy Rate with 15% CCRC Exclusions (PDF, 229 KB)
• Table 6: CCRC Exclusion Calculations (PDF, 185 KB)

May 1, 2015 NH Workgroup Meeting

The following are the handouts for the meeting on May 1, 2015.

• Agenda (PDF, 150 KB)
• Data Summary Discussion
  • Methodology Comparison (PDF, 177 KB)
  • Projected Bed Utilization Summaries for Nursing Home Methodologies (PDF, 222 KB)
  • Nursing Home Methodology Bed Need Summary (PDF, 213 KB)
• Adjacent County Data
  • Summary (PDF, 186 KB)
  • Adjacent Counties by Age Group (XLSX, 996 KB)
  • North Carolina Population, Ages 60+ (PDF, 171 KB)

April 10, 2015 NH Workgroup Meeting

The following are the handouts for the meeting on April 10, 2015.

• Agenda (PDF, 150 KB)
• Charge Statement (PDF, 32 KB)
• Nursing Home Methodology: Simplified (PDF, 296 KB)
• Presentation (PDF, 529 KB)