Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

October 4, 2017 SHCC Meeting

The following are the handouts for the meeting on October 4, 2017.

• Agenda (PDF, 89 KB)
• Minutes from September 6, 2017 (PDF, 256 KB)
• Acute Care Services Meeting Documents: September 12, 2017
• Acute Care Services Committee Recommendations (PDF, 390 KB)
• Long-Term and Behavioral Health Committee Meeting Documents: September 8, 2017
• Long-Term and Behavioral Health Committee Recommendations (PDF, 426 KB)
• Technology and Equipment Committee Meeting Documents: September 13, 2017
• Technology and Equipment Commitee Recommendations (PDF, 367 KB)

September 6, 2017 SHCC Meeting

The following are the handouts for the meeting on September 6, 2017.

• Agenda (PDF, 10 KB)
• Minutes from June 7, 2017 (PDF, 148 KB)
• Acute Care Services Committee Report (PDF, 17 KB)
• Long-Term and Behavioral Health Committee Report (PDF, 20 KB)
• Technology and Equipment Committee Report (PDF, 15 KB)

June 7, 2017 SHCC Meeting

The following are the handouts for the meeting on June 7, 2017.

Download a ZIP file containing the documents for the meeting on June 7, 2017. (ZIP, 41.3 MB)

• Agenda (PDF, 12 KB)
• Minutes from March 1, 2017 (PDF, 65 KB)
• Acute Care Services Committee
  • Acute Care Services Committee Recommendations (PDF, 145 KB)
  • Chapter 5: Acute Care Services
    • Truven Health Analytics/Licensure Acute Care Days Comparison (PDF, 515 KB)
    • Table 5A: Acute Care Bed Need Projections (PDF, 606 KB)
    • Table 5B: Acute Care Bed Need Determination (PDF, 514 KB)
    • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 517 KB)
  • Chapter 6: Operating Rooms
    • Petition Regarding Operating Room Methodology and Policies, J. Arthur Dosher Memorial Hospital (PDF, 282 KB)
      • Agency Report (PDF, 123 KB)
      • Comments
        • J. Arthur Dosher Memorial Hospital (PDF, 131 KB)
        • Letters of Support (PDF, 522 KB)
        • Novant Health - Comment received after March 16, 2017 deadline (PDF, 89 KB)
    • Triangle Orthopaedics Surgery Center Letter and Reports (PDF, 819 KB)
    • Triangle Orthopaedics Surgery Center Presentation (PDF, 230 KB)
    • Recommendations from Operating Room Methodology Workgroup (PDF, 854 KB)
    • Recommended Operating Room Model (PDF, 79 KB)
    • Staff Recommendation and Model (PDF, 74 KB)
    • Proposed Revision to Policy AC-3 (PDF, 967 KB)
    • Revisions to Chapter 6 Narrative (PDF, 579 KB)
    • Table 6A: Operating Room Inventory and Grouping (PDF, 663 KB)
    • Table 6B: Projected Operating Room Need for 2020 (PDF, 663 KB)
    • Table 6C: Operating Room Need Determinations (PDF, 515 KB)
    • Staff Recommendations for Chapter 6 (PDF, 969 KB)
    • Table 6E: Dental Single Specialty Ambulatory Surgical Facility Demonstration Project (PDF, 514 KB)
    • Table 6F: Endoscopy Room Inventory (PDF, 595 KB)
    • Brunswick County Operating Room Analysis (PDF, 531 KB)
  • Chapter 7: Other Acute Care Services
    • Table 7A: Open-Heart Surgery Procedures (PDF, 547 KB)
    • Table 7C: Burn Intensive Care Services (PDF, 528 KB)
    • Table 7E: Bone Marrow Transplants (PDF, 532 KB)
    • Table 7G: Solid Organ Transplantation Services (PDF, 529 KB)
  • Chapter 8: Inpatient Rehabilitation Services
    • Table 8A:  Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 525 KB)
    • Charts for Chapter 8 Narrative (PDF, 526 KB)
      
      
• Long-Term and Behavioral Health Committee
  • Long-Term and Behavioral Health Committee Recommendations (PDF, 115 KB)
  • Update Previous LTBH Committee Discussion (PDF, 57 KB)
  • Chapter 10: Nursing Care Facilities
    • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 719 KB)
    • Table 10B: County Rate Calculations for Nursing Home Bed Need Determinations (PDF, 559 KB)
    • Table 10C: Nursing Care Bed Need Projections for 2021 (PDF, 539 KB)
    • Table 10D: Nursing Care Bed Need Determination (PDF, 66 KB)
  • Chapter 11: Adult Care Homes
    • Petition to Amend Policy LTC-2: Relocation of Adult Care Home Beds, Singh Development, LLC (PDF, 366 KB)
      • Agency Report (PDF, 59 KB)
      • Comments
        • Ridge Care Inc. (PDF, 82 KB)
        • Singh Development, LLC's Response to Public Comments filed by Ridge Care, Inc. - Comments received after March 16, 2017 deadline (PDF, 376 KB)
    • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds (PDF, 767 KB)
    • Table 11B: Adult Care Home Need Projections for 2021 (PDF, 559 KB)
    • Table 11C: Adult Care Home Bed Need Determination (PDF, 67 KB)
    • Table 11D: Inventory of Nursing Homes with Six or Less Licensed Adult Care Beds (PDF, 513 KB)
  • Chapter 12: Home Health Services
    • Table 12A: Home Health Data by County of Patient Origin – 2016 Data – Agencies or Offices Serving Residents of Counties by Age (PDF, 1.25 MB)
    • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 749 KB)
    • Table 12C: 2019 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 710 KB)
    • Table 12D: 2019 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 559 KB)
    • Table 12E: Medicare-certified Home Health Agency or Office Need Determination (PDF, 514 KB)
  • Chapter 13: Hospice Services
    • Table 13A: Hospice Data by County of Patient Origin – 2016 Data (PDF, 703 KB)
    • Table 13B: Year 2019 Hospice Home Care Office Need Projections (PDF, 595 KB)
    • Table 13C: Year 2021 Hospice Inpatient Bed Need Projections (PDF, 595 KB)
    • Table 13D(1): Hospice Inpatient Facilities (PDF, 524 KB)
    • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY2016 (PDF, 527 KB)
    • Table 13E: Hospice Residential Facilities (PDF, 518 KB)
    • Table 13F: Inventory of Hospice Residential Beds (PDF, 521 KB)
    • Table 13G: Hospice Home Care Office Need Determination (PDF, 513 KB)
    • Table 13H: Hospice Inpatient Bed Need Determination (PDF, 514 KB)
  • Chapter 14: End Stage Renal Disease
    • Proposed Table A: Dialysis Data by County of Patient Origin - June 2016 Data (PDF, 663 KB)
    • Proposed Table B: Inventory of Dialysis Stations and Calculation of Utilization Rates (PDF, 606 KB)
    • Proposed Table C: Census of Home Dialysis Patients (PDF, 583 KB)
    • Proposed Table D: ESRD Dialysis Station Need Determinations by Planning Area (PDF, 591 KB)
  • Chapter 15: Psychiatric Inpatient Services
    • Recommended Changes to Coding Diagnoses (PDF, 934 KB)
    • Draft revised text for Chapter 15 (PDF, 522 KB)
    • Table 15A: Inventory of  Psychiatric Beds, Excluding State Hospitals, By Local Management Entity - Managed Care Organization (LME-MCO) (PDF, 548 KB)
    • Table 15B1: 2020 Projections of Psychiatric Bed Need by Local Management Entity-Management Care Organization (LME-MCO) Part 1: Projection of Child/Adolescent Bed Need for 2020 (PDF, 518 KB)
    • Table 15B2: 2020 Projections of Psychiatric Bed Need by Local Management Entity-Management Care Organization (LME-MCO) Part 2: Projection of Adult Bed Need for 2020 (PDF, 531 KB)
  • Chapter 16: Substance Use Disorder Inpatient and Residential Services (Chemical Dependency Treatment Beds)
    • Draft revised text for Chapter 16 (PDF, 516 KB)
    • Table 16A: Inventory of Chemical Dependency (Substance Use Disorder) Beds, Excluding State Facilities By Local Management Entity-Managed Care Organization (LME-MCO) & Mental Health Planning Region (PDF, 541 KB)
    • Table 16B: 2020 Projection of Chemical Dependency (Substance Use Disorder) Treatment Bed Need By Mental Health Planning Region (PDF, 522 KB)
    • Table 16D: Child/Adolescent Chemical Dependency (Substance Use Disorder) Treatment Bed Need Determinations (PDF, 514 KB)
  • Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
    • Table 17A: Inventory of ICF/IID  Facilities and Beds (PDF, 1.04 MB)
    • Table 17B: State Facility Beds Excluded from ICF/IID Inventory By Local Management Entity-Managed Care Organization (LME-MCO) (PDF, 514 KB)
      
      
• Technology and Equipment Committee
  • Technology and Equipment Committee Recommendations (PDF, 78 KB)
  • Magnetic Resonance Imaging Scanners
    • Table 9P: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 731 KB)
    • Table 9R: Fixed MRI Scanner Need Determination (PDF, 514 KB)
    • Fixed Multi-Position MRI Scanner Demonstration Project Data Analysis (PDF, 90 KB)
    • Table 9Q(1): Inventory of MRI Scanners for Cardiovascular Clinical Research Use; Table 9Q(2): Inventory of Dedicated Breast MRI Scanners; Table 9Q(3): Inventory of Dedicated Pediatric MRI Scanners; Table 9Q(4): Inventory of Demonstration Project for a Fixed Extremity MRI Scanner; Table 9Q(5): Inventory of MRI Scanners Dedicated for Radiation Oncology and Use in Operating Room Suite (PDF, 523 KB)
  • Cardiac Catheterization Equipment
    • Table 9S: Adult Diagnostic Fixed Cardiac Catheterization Procedures (PDF, 52 KB)
    • Table 9T: Pediatric Diagnostic Catheterization Procedures (PDF, 13 KB)
    • Table 9U: Mobile Cardiac Catheterization Procedures (PDF, 22 KB)
    • Table 9V: Percutaneous Coronary Interventional Procedures (PDF, 28 KB)
    • Table 9W: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 79 KB)
    • Table 9X: Mobile Cardiac Catheterization Capacity and Volume (PDF, 10 KB)
    • Table 9Y: Fixed Cardiac Catheterization Equipment Need Determination (PDF, 20 KB)
  • Linear Accelerators
    • Table 9G: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 513 KB)
    • Table 9H: Linear Accelerator Service Areas and Calculations (PDF, 514 KB)
    • Table 9I: Linear Accelerator Service Areas (PDF, 25 KB)
  • Lithotripsy
    • Table 9A: Mobile Lithotripsy Providers and Locations Served, Table 9B: Fixed Lithotripsy Providers and Locations Served and Table 9C: Mobile and Fixed Lithotripsy (PDF, 520 KB)
  • Positron Emission Tomography (PET) Scanners
    • Table 9L: PET Scanner Utilization of Existing Fixed Dedicated Scanners, Table 9M(1):PET Scanner Provider of Mobile Dedicated Scanners and Table 9M(2): PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 525 KB)
    • Fixed and Mobile PET Scanners Trend Data (PDF, 81 KB)
    • Table 9N: Fixed Dedicated PET Scanner Need Determination, Table 9O: Mobile Dedicated PET Scanner Need Determination (PDF, 511 KB)
  • Gamma Knife
    • No documents

March 1, 2017 SHCC Meeting

The following are the handouts for the meeting on March 1, 2017.

• Agenda (PDF, 9 KB)
• Minutes (PDF, 270 KB)
• Hospital and Patient Trends Impacting the State Medical Facilities Plan (PDF, 421 KB)
• Recommendations from the Operating Room Methodology Workgroup (PDF, 268 KB)

Acute Care Services (ACS) Committee

September 12, 2017 ACS Meeting

The following are the handouts for the meeting on September 12, 2017.

Download a ZIP file containing the documents for the meeting on September 12, 2017. (ZIP, 84.0 MB)

• Agenda (PDF, 66 KB)
• Minutes from May 2, 2017 (PDF, 63 KB)
• Chapter 5: Acute Care Services
  • Petition to Remove Acute Care Bed Need Determination in Orange County
    • Agency Report (PDF, 19 KB)
    • Petition to Remove the Acute Care Bed Need Determination in Orange County; UNC Hospitals (PDF, 849 KB)
    • Comments
      • North Carolina Hospital Association (PDF, 558 KB)
  • Truven Health Analytics/Licensure Acute Care Days Comparison (PDF, 11 KB)
  • Table 5A: Acute Care Bed Need Projections (PDF, 1.10 MB)
  • Table 5B: Acute Care Bed Need Determination (PDF, 514 KB)
  • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 517 KB)
• Chapter 7: Other Acute Care Services
  • No documents
• Chapter 8: Inpatient Rehabilitation Services
  • Petition for Adjusted Need Determination for 50 Additional Rehabilitation Beds in HSA III
    • Agency Report (PDF, 19 KB)
    • Petition for an Adjusted Need Determination for 50 Additional Rehabilitation Beds in HSA III; Novant Health and HealthSouth Corporation (PDF, 1.46 MB)
      • Attachments 1-5 (PDF, 9.90 MB)
      • Attachment 6 (PDF, 6.27 MB)
    • Comments
      • Novant Health, Anita Pendergrast (PDF, 449 KB)
      • Novant Health, Laurie McWilliams (PDF, 346 KB)
      • HealthSouth Corporation, Ed Mowen (PDF, 451 KB)
      • Letters of Support (PDF, 4.47 MB)
      • Carolinas HealthCare System (PDF, 972 KB)
      • Iredell Health System (PDF, 499 KB)
      • Novant Health Presbyterian Medical Center, Carlene Kingston (PDF, 991 KB)
      • Novant Health Presbyterian Medical Center, Kristen Kubitz (PDF, 737 KB)
      • Novant Health Presbyterian Medical Center, Kristan Magas (PDF, 675 KB)
      • Martha Nauman (PDF, 452 KB)
      • Carolinas HealthCare System (PDF, 558 KB)
      • Letters of Support (PDF, 5.57 MB)
• Chapter 6: Operating Rooms
  • Annual Evaluation Report Summary: Piedmont Outpatient Surgery Center (PDF, 2.30 MB)
  • Annual Evaluation Report Summary: Mallard Creek Surgery Center (PDF, 1.70 MB)
  • Annual Evaluation Report Summary: Triangle Orthopaedics Surgery Center (PDF, 1.49 MB)
  • Petition to Change Single Specialty Ambulatory Surgical Facility Demonstration Project Revenue Percentage and Calculation
    • Agency Report (PDF, 50 KB)
    • Petition to Change the Single Specialty Ambulatory Surgical Facility Demonstration Project Revenue Percentage; OrthoCarolina (PDF, 881 KB)
    • Comments
      • OrthoCarolina (PDF, 1.35 MB)
      • EmergeOrtho (PDF, 705 KB)
      • Novant Health (PDF, 1.62 MB)
      • North Carolina Hospital Association (PDF, 558 KB)
  • Petition for Change in Growth Rates Utilized in Operating Room Methodology
    • Agency Report (PDF, 34 KB)
    • Petition for a Change in the Growth Rates Utilized in the New Operating Room Need Methodology, Cape Fear Valley Health System (PDF, 968 KB)
    • Comments
      • Novant Health (PDF, 738 KB)
  • Petition for Adjustment to Forsyth County Operating Room Need Determination
    • Agency Report (PDF, 24 KB)
    • Petition for Adjustment to Forsyth County Operating Room Need Determination; Wake Forest Baptist Health (PDF, 7.67 MB)
      • Comments
        • Novant Health (PDF, 766 KB)
        • North Carolina Hospital Association (PDF, 558 KB)
  • Comments Regarding Proposed Operating Room Methodology
    • Agency Report (PDF, 30 KB)
    • Comments Regarding Proposed Operating Room Methodology; Duke University Health System (PDF, 818 KB)
  • Petition for Adjusted Need Determination for Two Operating Rooms in Onslow County
    • Petition Withdrawn; Wilmington Health (PDF, 60 KB)
  • Petition for Adjusted Need Determination for One Operating Room in Catawba County
    • Agency Report (PDF, 39 KB)
    • Petition for an Adjusted Need Determination for Operating Rooms in Catawba County; Graystone Ophthalmology Associates (PDF, 758 KB)
    • Comments
      • Graystone Ophthalmology Associates (PDF, 1.21 MB)
      • Letters of Support (PDF, 5.74 MB)
      • Letters of Support (PDF, 2.23 MB)
      • North Carolina Hospital Association (PDF, 558 KB)
  • Petition for Adjusted Need Determination for One Operating Room in Cumberland County
    • Agency Report (PDF, 33 KB)
    • Petition for an Adjusted Need Determination for One Additional Operating Room in Cumberland County; Cape Fear Valley Health System (PDF, 2.99 MB)
    • Comments
      • Cape Fear Valley Health System, Will Haithcock (PDF, 472 KB)
      • Cape Fear Valley Health System, Mike Nagowski (PDF, 455 KB)
      • Jerry M. Wallace School of Osteopathic Medicine, Campbell University, Dr. Donald Maharty (PDF, 88 KB)
      • Jerry M. Wallace School of Osteopathic Medicine, Campbell University, Dr. David Tolentino (PDF, 455 KB)
      • Surgical Care Affiliates (PDF, 572 KB)
      • Cape Fear Valley Health System, Kelly Van Fossen (PDF, 363 KB)
  • Petition for Demonstration Project for Vascular Access Ambulatory Surgery Centers for ESRD Patients
    • Agency Report (PDF, 40 KB)
    • Petition for Demonstration Project for Vascular Access Ambulatory Surgery Centers for ESRD Patients; American Access Care of NC, Eastern Nephrology Associates, Metrolina Nephrology Associates, North Carolina Nephrology, and Fresenius Vascular Care (PDF, 1.14 MB)
    • Comments
      • Surgical Care Affiliates (PDF, 736 KB)
      • Comment Withdrawn; Carolinas HealthCare System
      • North Carolina Nephrology (PDF, 615 KB)
      • Novant Health (PDF, 4.02 MB)
      • Letters of Support (PDF, 6.09 MB)
  • Table 6A: Operating Room Inventory and Grouping (PDF, 1.10 MB)
  • Table 6B: Projected Operating Room Need for 2020 (PDF, 1.08 MB)
  • Table 6F: Endoscopy Room Inventory (PDF, 1.02 MB)

May 2, 2017 ACS Meeting

The following are the handouts for the meeting on May 2, 2017.

Download a ZIP file containing the documents for the meeting on May 2, 2017. (ZIP, 12.9 MB)

• Agenda (PDF, 49 KB)
• Minutes from April 4, 2017 (PDF, 191 KB)
• Chapter 5: Acute Care Services
  • Truven Health Analytics/Licensure Acute Care Days Comparison (PDF, 515 KB)
  • Corrected Table 5A: Acute Care Bed Need Projections (PDF, 1.03 MB)
  • Corrected Table 5B: Acute Care Bed Need Determination (PDF, 513 KB)
  • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 517 KB)
• Chapter 6: Operating Rooms
  • Proposed Revision to Policy AC-3 (PDF, 967 KB)
  • Revisions to Chapter 6 Narrative (PDF, 576 KB)
  • Table 6A: Operating Room Inventory and Grouping (PDF, 1.09 MB)
  • Table 6B: Projected Operating Room Need for 2020 (PDF, 1.08 MB)
  • Table 6C: Projected Operating Room Need Determinations (PDF, 516 KB)
  • Staff Recommendations for Chapter 6 (PDF, 969 KB)
  • Table 6E: Dental Single Specialty Ambulatory Surgical Facility Demonstration Project (PDF, 515 KB)
  • Table 6F: Endoscopy Room Inventory (PDF, 1.02 MB)
  • Brunswick County Operating Room Analysis (PDF, 531 KB)
• Chapter 7: Other Acute Care Services
  • Table 7A: Open-Heart Surgery Procedures (PDF, 547 KB)
  • Table 7C: Burn Intensive Care Services (PDF, 528 KB)
  • Table 7E: Bone Marrow Transplants (PDF, 532 KB)
  • Table 7G: Solid Organ Transplantation Services (PDF, 529 KB)
• Chapter 8: Inpatient Rehabilitation Services
  • Table 8A:  Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 525 KB)
  • Charts for Chapter 8 Narrative (PDF, 526 KB)

April 4, 2017 ACS Meeting

The following are the handouts for the meeting on April 4, 2017.

• Agenda (PDF, 19 KB)
• Minutes from September 13, 2016 (PDF, 160 KB)
• Chapter 5: Acute Care Services
  • No documents
• Chapter 6: Operating Rooms
  • Petition Regarding Operating Room Methodology and Policies, J. Arthur Dosher Memorial Hospital (PDF, 282 KB)
    • Agency Report (PDF, 123 KB)
    • Comments
      • J. Arthur Dosher Memorial Hospital (PDF, 131 KB)
      • Letters of Support (PDF, 522 KB)
      • Novant Health - Comment received after March 16, 2017 deadline (PDF, 89 KB)
  • Triangle Orthopaedics Surgery Center Letter and Reports (PDF, 819 KB)
  • Triangle Orthopaedics Surgery Center Presentation (PDF, 230 KB)
  • Recommendations from Operating Room Methodology Workgroup (PDF, 854 KB)
  • Recommended Operating Room Model (PDF, 79 KB)
  • Staff Recommendation and Model (PDF, 74 KB)
• Chapter 7: Other Acute Care Services
  • No documents
• Chapter 8: Inpatient Rehabilitation Services
  • No documents

Long-Term and Behavioral Health (LTBH) Committee

September 8, 2017 LTBH Meeting

The following are the handouts for the meeting on September 8, 2017.

Download a ZIP file containing the documents for the meeting on September 8, 2017. (ZIP, 54.1 MB)

• Agenda (PDF, 51 KB)
• Minutes from May 5, 2017 (PDF, 65 KB)
• Chapter 10: Nursing Care Facilities
  • Petition Regarding Nursing Care Bed Need Determination for Davie County
    • Agency Report (PDF, 74 KB)
    • Petition Regarding Nursing Care Bed Adjusted Need Determination for Davie County; Bermuda Village Retirement Community (PDF, 1.88 MB)
    • Comments
      • Bermuda Village Retirement Community (PDF, 1.28 MB)
      • Letters of Support (PDF, 501 KB)
      • Letter in Opposition (PDF, 398 KB)
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 720 KB)
  • Table 10B: County Rate Calculations for Nursing Home Bed Need Determination (PDF, 595 KB)
  • Table 10C: Nursing Care Bed Need Projections for 2021 (PDF, 552 KB)
• Chapter 11: Adult Care Homes
  • Petition for Adult Care Home Beds in Orange County
    • Agency Report (PDF, 30 KB)
    • Petition for a Special Need Determination for Adult Care Home Beds in Orange County; Whitcomb M. Rummel and Christen C. Campbell (PDF, 2.31 MB)
    • Comments
      • Whitcomb M. Rummel and Christen C. Campbell (PDF, 1.53 MB)
      • Letters of Support (PDF, 2.06 MB)
      • Chatham Ridge Assisted Living (PDF, 533 KB)
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds (PDF, 835 KB)
  • Table 11B: Adult Care Home Need Projections for 2021 (PDF, 602 KB)
• Chapter 12: Home Health Services
  • Petition for Medicare-certified Home Health Agency in Randolph County
    • Agency Report (PDF, 22 KB)
    • Petition for an Adjusted Need Determination for One Medicare Certified Home Health Agency in Randolph County; Heaven Sent Private Care (PDF, 581 KB)
    • Comments
      • Association for Home and Hospice Care of North Carolina (PDF, 527 KB)
  • Table 12A: Home Health Data by County of Patient Origin – 2016 Data – Agencies or Offices Serving Residents of Counties by Age (PDF, 1.27 MB)
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 750 KB)
  • Table 12C: 2019 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 713 KB)
  • Table 12D: 2019 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 560 KB)
• Chapter 13: Hospice Services
  • Petition for Hospice Inpatient Beds in Wake County
    • Agency Report (PDF, 50 KB)
    • Petition to Adjust the Need Determination for Hospice Inpatient Beds in Wake County from 14 Beds to 6 Beds; Transitions LifeCare (PDF, 687 KB)
    • Comments
      • Transitions LifeCare (PDF, 1.02 MB)
      • Association for Home and Hospice Care of North Carolina (PDF, 532 KB)
  • Petition for Hospice Home Care Office in Harnett County
    • Agency Report (PDF, 41 KB)
    • Petition for an Adjusted Need Determination for One Hospice Home Care Office in Harnett County; BAYADA Home Health Care, Inc. (PDF, 2.72 MB)
    • Comments
      • BAYADA Home Health Care, Inc. (PDF, 1.12 MB)
      • Transitions LifeCare (PDF, 665 KB)
      • The Carolinas Center (PDF, 584 KB)
  • Petition for Hospice Home Care Agency in Hyde County
    • Agency Report (PDF, 25 KB)
    • Petition for an Adjusted Need Determination for an Additional Hospice Home Care Agency or Office in Hyde County; Liberty Home Care VII (PDF, 2.28 MB)
    • Comments
      • Liberty Home Care Services (PDF, 1020 KB)
      • Letters of Support (PDF, 1.68 MB)
      • Letters of Support (PDF, 2.81 MB)
      • Association for Home and Hospice Care of North Carolina (PDF, 532 KB)
      • The Carolinas Center (PDF, 584 KB)
  • Petition for Hospice Home Care Agency in Mecklenburg County
    • Agency Report (PDF, 33 KB)
    • Petition for an Adjusted Need Determination for an Underserved Population (African American) for Mecklenburg County; Continuum Care Hospice (PDF, 5.57 MB)
      • Comments
        • Continuum Care Hospice (PDF, 992 KB)
        • Letters of Support (PDF, 720 KB)
        • National Hospice and Palliative Care Organization (PDF, 554 KB)
        • Association for Home and Hospice Care of North Carolina (PDF, 633 KB)
        • Novant Health (PDF, 1.12 MB)
        • Hospice and Palliative Care of the Charlotte Region (PDF, 709 KB)
        • CliftonLarsonAllen (PDF, 692 KB)
        • The Carolinas Center (PDF, 584 KB)
  • Table 13A: Hospice Data by County of Patient Origin – 2016 Data (PDF, 698 KB)
  • Table 13C: Year 2021 Hospice Inpatient Bed Need Projections (PDF, 595 KB)
• Chapter 14: End Stage Renal Disease
  • No petitions, comments or tables
  • Chapter 14 Narrative (PDF, 553 KB)
• Chapter 15: Psychiatric Inpatient Services
  • No petitions or comments
  • Table 15A: Inventory of  Psychiatric Beds, Excluding State Hospitals, By Local Management Entity - Managed Care Organization (LME-MCO) (PDF, 549 KB)
  • Table 15B1: 2020 Projections of Psychiatric Bed Need by Local Management Entity-Management Care Organization (LME-MCO) Part 1: Projection of Child/Adolescent Bed Need for 2020 (PDF, 518 KB)
  • Table 15B2: 2020 Projections of Psychiatric Bed Need by Local Management Entity-Management Care Organization (LME-MCO) Part 2: Projection of Adult Bed Need for 2020 (PDF, 533 KB)
• Chapter 16: Substance Use Disorder Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • Petition for Substance Use Disorder Beds in the Sandhills Center MCO-LME Area
    • Agency Report (PDF, 40 KB)
    • Petition for Special Need Adjustment for Residential Treatment Beds in the Sandhills Center MCO-LME Area; Samaritan Colony, Inc. (PDF, 5.19 MB)
    • Comments
      • Samaritan Colony, Inc. (PDF, 716 KB)
      • Letters of Support (PDF, 1.35 MB)
  • Table 16A: Inventory of Chemical Dependency (Substance Use Disorder) Beds, Excluding State Facilities By Local Management Entity-Managed Care Organization (LME-MCO) & Mental Health Planning Region (PDF, 542 KB)
  • Table 16B: 2020 Projection of Chemical Dependency (Substance Use Disorder) Treatment Bed Need By Mental Health Planning Region (PDF, 522 KB)
• Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • No petitions or comments
  • Table 17A: Inventory of ICF/IID  Facilities and Beds (PDF, 613 KB)

May 5, 2017 LTBH Meeting

The following are the handouts for the meeting on May 5, 2017.

Download a ZIP file containing the documents for the meeting on May 5, 2017. (ZIP, 21.4 MB)

• Agenda (PDF, 105 KB)
• Minutes from April 7, 2017 (PDF, 321 KB)
• Chapter 10: Nursing Care Facilities
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 719 KB)
  • Table 10B: County Rate Calculations for Nursing Home Bed Need Determinations (PDF, 595 KB)
  • Table 10C: Nursing Care Bed Need Projections for 2021 (PDF, 552 KB)
  • Table 10D: Nursing Care Bed Need Determination (PDF, 66 KB)
• Chapter 11: Adult Care Homes
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds (PDF, 834 KB)
  • Table 11B: Adult Care Home Need Projections for 2021 (PDF, 601 KB)
  • Table 11C: Adult Care Home Bed Need Determination (PDF, 67 KB)
  • Table 11D: Inventory of Nursing Homes with Six or Less Licensed Adult Care Beds (PDF, 513 KB)
• Chapter 12: Home Health Services
  • Table 12A: Home Health Data by County of Patient Origin – 2016 Data – Agencies or Offices Serving Residents of Counties by Age (PDF, 1.25 MB)
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 749 KB)
  • Table 12C: 2019 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 710 KB)
  • Table 12D: 2019 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 559 KB)
  • Table 12E: Medicare-certified Home Health Agency or Office Need Determination (PDF, 514 KB)
• Chapter 13: Hospice Services
  • Table 13A: Hospice Data by County of Patient Origin – 2016 Data (PDF, 703 KB)
  • Table 13B: Year 2019 Hospice Home Care Office Need Projections (PDF, 595 KB)
  • Table 13C: Year 2021 Hospice Inpatient Bed Need Projections (PDF, 592 KB)
  • Table 13D(1): Hospice Inpatient Facilities (PDF, 524 KB)
  • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY2016 (PDF, 525 KB)
  • Table 13E: Hospice Residential Facilities (PDF, 518 KB)
  • Table 13F: Inventory of Hospice Residential Beds (PDF, 521 KB)
  • Table 13G: Hospice Home Care Office Need Determination (PDF, 513 KB)
  • Table 13H: Hospice Inpatient Bed Need Determination (PDF, 514 KB)
• Chapter 14: End Stage Renal Disease
  • Proposed Table A: Dialysis Data by County of Patient Origin - June 2016 Data (PDF, 663 KB)
  • Proposed Table B: Inventory of Dialysis Stations and Calculation of Utilization Rates (PDF, 606 KB)
  • Proposed Table C: Census of Home Dialysis Patients (PDF, 583 KB)
  • Proposed Table D: ESRD Dialysis Station Need Determinations by Planning Area (PDF, 591 KB)
• Chapter 15: Psychiatric Inpatient Services
  • Draft revised text for Chapter 15 (PDF, 522 KB)
  • Table 15A: Inventory of  Psychiatric Beds, Excluding State Hospitals, By Local Management Entity - Managed Care Organization (LME-MCO) (PDF, 990 KB)
  • Table 15B1: 2020 Projections of Psychiatric Bed Need by Local Management Entity-Management Care Organization (LME-MCO) Part 1: Projection of Child/Adolescent Bed Need for 2020 (PDF, 518 KB)
  • Table 15B2: 2020 Projections of Psychiatric Bed Need by Local Management Entity-Management Care Organization (LME-MCO) Part 2: Projection of Adult Bed Need for 2020 (PDF, 531 KB)
• Chapter 16: Substance Use Disorder Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • Draft revised text for Chapter 16 (PDF, 516 KB)
  • Table 16A: Inventory of Chemical Dependency (Substance Use Disorder) Beds, Excluding State Facilities By Local Management Entity-Managed Care Organization (LME-MCO) & Mental Health Planning Region (PDF, 541 KB)
  • Table 16B: 2020 Projection of Chemical Dependency (Substance Use Disorder) Treatment Bed Need By Mental Health Planning Region (PDF, 522 KB)
  • Table 16D: Child/Adolescent Chemical Dependency (Substance Use Disorder) Treatment Bed Need Determinations (PDF, 514 KB)
• Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • Table 17A: Inventory of ICF/IID  Facilities and Beds (PDF, 1.04 MB)
  • Table 17B: State Facility Beds Excluded from ICF/IID Inventory By Local Management Entity-Managed Care Organization (LME-MCO) (PDF, 514 KB)

April 7, 2017 LTBH Meeting

The following are the handouts for the meeting on April 7, 2017.

• Agenda (PDF, 48 KB)
• Minutes from September 9, 2016 (PDF, 177 KB)
• Chapter 10: Nursing Care Facilities
  • No documents
• Chapter 11: Adult Care Homes
  • Petition to Amend Policy LTC-2: Relocation of Adult Care Home Beds, Singh Development, LLC (PDF, 366 KB)
    • Agency Report (PDF, 59 KB)
    • Comments
      • Ridge Care Inc. (PDF, 82 KB)
      • Singh Development, LLC's Response to Public Comments filed by Ridge Care, Inc. - Comments received after March 16, 2017 deadline (PDF, 376 KB)
• Chapter 12: Home Health Services
  • No documents
• Chapter 13: Hospice Services
  • No documents
• Chapter 14: End Stage Renal Disease
  • No documents
• Chapter 15: Psychiatric Inpatient Services
  • Recommended Changes to Coding Diagnoses (PDF, 934 KB)
• Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • No documents
• Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • No documents

Technology and Equipment (TE) Committee

September 13, 2017 TE Meeting

The following are the handouts for the meeting on September 13, 2017.

Download a ZIP file containing documents for the meeting on September 13, 2017. (ZIP, 14.1 MB)

• Agenda (PDF, 122 KB)
• Minutes for May 10, 2017 (PDF, 334 KB)
• Cardiac Catheterization Equipment
  • Petition for Adjusted Need Determination in Caldwell County
    • Agency Report (PDF, 16 KB)
    • Petition for an Adjusted Need Determination for One Unit of Fixed Cardiac Catheterization Equipment in Caldwell County; Caldwell Memorial Hospital (PDF, 1.52 MB)
    • Comments
      • Caldwell Memorial Hospital (PDF, 1.14 MB)
      • Letters of Support (PDF, 551 KB)
      • North Carolina Hospital Association (PDF, 873 KB)
  • Table 9X: Mobile Cardiac Catheterization Capacity and Volume (PDF, 72 KB)
• Magnetic Resonance Imaging Scanners
  • Petition to Remove MRI Scanner in Pasquotank/Camden/Currituck/Perquimans Service Area
    • Agency Report (PDF, 20 KB)
    • Petition to Remove the Fixed MRI Need Determination in the Pasquotank/ Camden/Currituck/Perquimans Service Area; Sentara Albemarle Medical Center (PDF, 870 KB)
  • Table 9P: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 190 KB)
• Linear Accelerators
  • Prostate Center Demonstration Project Evaluation (PDF, 6.75 MB)
  • Demonstration Project Evaluation Years 1-3 (PDF, 1015 KB)
• Lithotripsy
  • No documents
• Positron Emission Tomography (PET) Scanners
  • Comment on the Need Determination for a Mobile Dedicated PET Scanner; Insight Health Corp (PDF, 854 KB)
    • Insight Health Corp (PDF, 547 KB)
    • Alliance Healthcare Services (PDF, 821 KB)
• Gamma Knife
  • No documents

May 10, 2017 TE Meeting

The following are the handouts for the meeting on May 10, 2017.

Download a ZIP file containing documents for the meeting on May 10, 2017. (ZIP, 3.90 MB)

• Agenda (PDF, 22 KB)
• Minutes for September 14, 2016 (PDF, 136)
• Lithotripsy
  • Table 9A: Mobile Lithotripsy Providers and Locations Served, Table 9B: Fixed Lithotripsy Providers and Locations Served and Table 9C: Mobile and Fixed Lithotripsy (PDF, 520 KB)
• Gamma Knife
  • No documents
• Linear Accelerators
  • Table 9G: Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (PDF, 513 KB)
  • Table 9H: Linear Accelerator Service Areas and Calculations (PDF, 514 KB)
  • Table 9I: Linear Accelerator Service Areas (PDF, 25 KB)
• Positron Emission Tomography (PET) Scanners
  • Table 9L: PET Scanner Utilization of Existing Fixed Dedicated Scanners, Table 9M(1):PET Scanner Provider of Mobile Dedicated Scanners and Table 9M(2): PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 525 KB)
  • Fixed and Mobile PET Scanners Trend Data (PDF, 81 KB)
  • Table 9N: Fixed Dedicated PET Scanner Need Determination, Table 9O: Mobile Dedicated PET Scanner Need Determination (PDF, 511 KB)
• Magnetic Resonance Imaging Scanners
  • Table 9P: MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Thresholds and Fixed Equivalents (PDF, 933 KB)
  • Table 9R: Fixed MRI Scanner Need Determination (PDF, 14 KB)
  • Fixed Multi-Position MRI Scanner Demonstration Project Data Analysis (PDF, 90 KB)
• Cardiac Catheterization Equipment
  • Table 9S: Adult Diagnostic Fixed Cardiac Catheterization Procedures (PDF, 52 KB)
  • Table 9T: Pediatric Diagnostic Catheterization Procedures (PDF, 13 KB)
  • Table 9U: Mobile Cardiac Catheterization Procedures (PDF, 22 KB)
  • Table 9V: Percutaneous Coronary Interventional Procedures (PDF, 28 KB)
  • Table 9W: Fixed Cardiac Catheterization Equipment, Capacity and Volume (PDF, 79 KB)
  • Table 9X: Mobile Cardiac Catheterization Capacity and Volume (PDF, 10 KB)
  • Table 9Y: Fixed Cardiac Catheterization Equipment Need Determination (PDF, 20 KB)

Adult Care Home Methodology

December 13, 2017 Meeting

The following are the handouts for the meeting on December 13, 2017.

• Agenda (PDF, 14 KB)
• Presentation for Adult Care Home Methodology Interested Parties, Meeting 2 (PDF, 1.89 MB)

November 2, 2017 Meeting

The following are the handouts for the meeting on November 2, 2017.

• Agenda (PDF, 97 KB)
• Presentation for Adult Care Home Methodology Interested Parties, Meeting 1 (PDF, 2.05 MB)

Operating Room Methodology Workgroup

Modeling Tool Based on OR Workgroup Recommendations

• Real-Time Modeling of Operating Room Need for PCs: Final OR Workgroup Recommendations (XLSM, 350 KB)

February 15, 2017 Meeting

The following are the handouts for the meeting on February 15, 2017.

• Agenda (PDF, 62 KB)
• Draft Models Submitted for February 15 Meeting (PDF, 179 KB)
• Proposed Model and Comments from Duke (PDF, 133 KB)
• Proposed Models from Daniel Carter (PDF, 81 KB)
• Comments from NC Hospital Association (PDF, 155 KB)
• Proposed Model and Comments from Surgical Care Affliates (PDF, 211 KB)
• Comments from J. Arthur Dosher Memorial Hospital (PDF, 174 KB)
• Oral Remarks by Tom Siemers, J. Arthur Dosher Memorial Hospital (PDF,
• Comments from PDA (PDF, 252 KB)
• Comments from Dr. Dana Copeland (PDF, 11 KB)

Operating Room Modeling Tool

• Instructions for Real-Time Modeling of Operating Room Need (PDF, 406 KB)
• Real-Time Modeling of Operating Room Need for PCs (XLSM, 289 KB)
• Real-Time Modeling of Operating Room Need for MACs (XLSM, 284 KB)
• Models Template (XLTX, 14 KB)

January 11, 2017 Meeting

The following are the handouts for the meeting on January 11, 2017.

• Agenda (PDF, 209 KB)
• Comments from Wake Forest Baptist Health (PDF, 216 KB)
• Wake Forest Baptist Health (PDF, 1.44 MB)

December 13, 2016 Meeting

The following are the handouts for the meeting on December 13, 2016.

• Agenda (PDF, 63 KB)
• FY 2011 Truven/LRA Data Comparison (PDF, 353 KB)
• Draft Models for Discussion (PDF, 128 KB)
• Facility List for Workgroup (PDF, 153 KB)
• Novant Health Comments (PDF, 243 KB)
• Carolinas HealthCare System Comments (PDF, 32 KB)
• Wake Forest Baptist Health Comments (PDF, 200 KB)
• Ascendient Comments (PDF, 332 KB)
• Truven Health Analytics Presentation (PDF, 248 KB)
• Operating Room Methodology Workgroup (PDF, 260 KB)
• NBM Health Planning Associates Comments (PDF, 1.85 MB)

November 10, 2016 Meeting

The following are the handouts for the meeting on November 10, 2016.

• Agenda (PDF, 84 KB)
• Overview of Operating Room Petitions (PDF, 377 KB)
• Summary of Operating Room Petitions (PDF, 171 KB)
• UNC Health Care Comments (PDF, 82 KB)
• UNCCH OR Workgroup Comments (PDF, 99 KB)
• UNC REX OR Workgroup Comments (PDF, 554 KB)
• Carolinas HealthCare System Comments (PDF, 16 KB)
• Carolinas HealthCare System Presentation (PDF, 449 KB)
• Ascendient Comments (PDF, 232 KB)
• Ascendient Presentation (PDF, 219 KB)
• Graystone Eye Comments (PDF, 111 KB)
• Mission Health Comments (PDF, 106 KB)
• New Hanover Regional Medical Center Comments (PDF, 72 KB)
• PDA Comments (PDF, 187 KB)

October 11, 2016 Meeting

The following are the handouts for the meeting on October 11, 2016.

• Agenda (PDF, 210 KB)
• Charge to the SHCC 2016-2017 Operating Room Methodology Workgroup (PDF, 8 KB)
• Definitions, Basic Principles, Chapter 6 Operating Room Methodology and CON Process PowerPoint (PDF, 272 KB) - Updated
• Reference Information (PDF, 256 KB)
• Chapter 1 Overview of the N.C. Proposed 2017 SMFP (PDF, 120 KB)
• Chapter 6 Operating Rooms from the N.C. Proposed 2017 SMFP (PDF, 1.48 MB)
• 2016 License Renewal Application for Hospitals (PDF, 40 KB)
• Operating Room Methodology Workgroup History (PDF, 395 KB)