Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

October 2, 2019 SHCC Meeting

The following are the handouts for the meeting on October 2.

• Agenda (PDF, 74 KB)
• Minutes from August 28, 2019 (PDF, 130 KB)
• Acute Care Services Committee Meeting Documents
• Acute Care Services Committee Recommendations (PDF, 237 KB)
• Technology and Equipment Committee Meeting Documents
• Technology and Equipment Committee Recommendations (PDF, 171 KB)
• Long-Term and Behavioral Health Committee Meeting Documents
• Long-Term and Behavioral Health Committee Recommendations(PDF, 135 KB)

August 28, 2019 SHCC Meeting

The following are the handouts for the meeting on August 28, 2019.

• Agenda (PDF, 15 KB)
• Minutes from May 29, 2019 (PDF, 55 KB)
• Acute Care Services Committee Report (PDF, 17 KB)
• Long-Term and Behavioral Health Committee Report (PDF, 17 KB)
• Technology and Equipment Committee Report (PDF, 17 KB)

May 29, 2019 SHCC Meeting

The following are the handouts for the meeting on May 29, 2019.

Download a ZIP file with all of the documents for the meeting on May 29, 2019. (ZIP, 37.9 MB)

• Agenda (PDF, 15 KB)
• Minutes from March 6, 2019 (PDF, 40 KB)
• Acute Care Services Committee
  • Chapter 5: Acute Care Services
    • Changes to Service Areas for 2020 SMFP (PDF, 60 KB)
    • Truven Health Analytics/Licensure Acute Care Days Draft Data Discrepancy Report (PDF, 15 KB)
    • Table 5A: Acute Care Bed Need Projections (PDF, 653 KB)
    • Table 5B: Acute Care Bed Need Determinations (PDF, 534 KB)
    • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 516 KB)
  • Chapter 6: Operating Rooms
    • Table 6A: Operating Room Inventory (PDF, 704 KB)
    • Table 6B: Projected Operating Room Need for 2021 (PDF, 717 KB)
    • Table 6C: Projected Operating Room Need Determinations (PDF, 513 KB)
    • Table 6F: Endoscopy Room Inventory (PDF, 597 KB)
  • Chapter 7: Other Acute Care Services
    • Table 7A: Open-Heart Surgery Procedures (PDF, 564 KB)
    • Table 7C: Burn Intensive Care Services (PDF, 530 KB)
    • Table 7E: Bone Marrow Transplants (PDF, 539 KB)
    • Table 7G: Solid Organ Transplantation Services (PDF, 534 KB)
  • Chapter 8: Inpatient Rehabilitation Services
    • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 525 KB)
  • Semiannual Dialysis Report July 2019
    • SDR Table A: Dialysis Data by County of Patient Origin – December 2018 Data (PDF, 693 KB)
    • SDR Table B: Inventory of Dialysis Stations and Calculation of Utilization Rates (PDF, 649 KB)
    • SDR Table C: Census of Home Dialysis Patients (PDF, 597 KB)
    • SDR Table D: ESRD Dialysis Station Need Determinations by Planning Area (PDF, 588 KB)
    • SDR Table E: Need Determination for New Dialysis Stations by County (PDF, 513 KB)
  • Chapter 9: End Stage Renal Disease
    • Draft Chapter 9: End-Stage Renal Disease Dialysis Facilities (PDF, 106 KB)
    • Table 9A: Dialysis Data by County of Patient Origin – December 2018 Data (PDF, 735 KB)
    • Table 9B: Inventory of Dialysis Stations and Calculation of Utilization Rates (PDF, 649 KB)
    • Table 9C: ESRD Dialysis Station Need Determinations by Planning Area (PDF, 589 KB)
    • Table 9D: Need Determination for New Dialysis Stations by County (PDF, 513 KB)
    • Table 9E: Need Determination for New Dialysis Stations by Facility (PDF, 531 KB)
• Long Term and Behavioral Health Committee
  • Chapter 10: Nursing Care Facilities
    • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 746 KB)
    • Table 10B: County Rate Calculations for Nursing Home Bed Need Determination (PDF, 599 KB)
    • Table 10C: Nursing Care Bed Need Projections for 2023 (PDF, 745 KB)
  • Chapter 11: Adult Care Home
    • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds (PDF, 828 KB)
    • Table 11B: County Rate Calculations for Adult Care (Assisted Living) Bed Need Determination (PDF, 599 KB)
    • Table 11C: Adult Care Home Need Projections for 2023 (PDF, 548 KB)
    • Table 11D: Adult Care Home Bed Need Determination (PDF, 514 KB)
    • Table 11E: Inventory of Adult Care Home Beds in Continuing Care Retirement Homes (PDF, 517 KB)
    • Table 11F: Inventory of Nursing Homes with Six or Fewer Adult Care Home Beds (PDF, 513 KB)
  • Chapter 12: Home Health Services
    • Table 12A: Home Health Data by County of Patient Origin – 2018 Data (PDF, 1.01 MB)
    • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 751 KB)
    • Table 12C: 2021 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 713 KB)
    • Table 12D: 2021 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 542 KB)
  • Chapter 13: Hospice Services
    • Table 13A: Hospice Data by County of Patient Origin – 2018 Data (PDF, 711 KB)
    • Table 13B: Year 2021 Hospice Home Care Office Need Projections (PDF, 592 KB)
    • Table 13C: Year 2023 Hospice Inpatient Bed Need Projections (PDF, 599 KB)
    • Table 13D(1): Hospice Inpatient Facilities (PDF, 524 KB)
    • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY 2018 (PDF, 528 KB)
    • Table 13E: Hospice Residential Facilities (PDF, 516 KB)
    • Table 13F: Inventory of Hospice Residential Beds (PDF, 521 KB)
    • Table 13G: Hospice Home Care Office Need Determination (PDF, 515 KB)
    • Table 13H: Hospice Inpatient Bed Need Determination (PDF, 512 KB)
  • Chapter 15: Psychiatric Inpatient Services
    • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals, By Local Management Entity (PDF, 48 KB)
    • Table 15B: 2022 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization (LME-MCO) – Projection of Child/Adolescent Bed Need for 2022 (PDF, 517 KB)
    • Table 15C: 2022 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization (LME-MCO) – Projection of Adult Bed Need for 2022 (PDF, 517 KB)
    • Table 15D: Child/Adolescent Psychiatric Inpatient Bed Need Determination (PDF, 14 KB)
    • Table 15E: Adult Psychiatric Inpatient Bed Need Determination (PDF, 12 KB)
  • Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
    • 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: 2022 Projection of Chemical Dependency (Substance Use Disorder) Treatment Bed Need By Mental Health Planning Region (PDF, 522 KB)
    • Table 16C: Child/Adolescent Chemical Dependency (Substance Use Disorder) Treatment Bed Need Determinations (PDF, 31 KB)
  • Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
    • Table 17A: Inventory of ICF/IID Facilities and Beds (PDF, 625 KB)
• Technology and Equipment Committee
  • Cardiac Catheterization Equipment
    • Table 17A-1: Cardiac Catheterization Procedures by Facility and Type, 2018 (PDF, 537 KB)
    • Table 17A-2: Mobile Cardiac Catheterization Capacity & Volume (PDF, 510 KB)
    • Table 17A-3: Fixed Cardiac Catheterization Equipment Capacity & Volume (PDF, 567 KB)
    • Table 17A-4 Fixed Cardiac Catheterization Equipment Need Determination, Table 17A-5 Shared Fixed Cardiac Catheterization Equipment Need Determination & Table 17A-6 Mobile Cardiac Catheterization Equipment Need Determination (PDF, 519 KB)
  • Gamma Knife
    • Table 17B-1: Gamma Knife Need Determination (PDF, 514 KB)
  • Linear Accelerators
    • Table 17C-1: Hospital & Free-Standing LINAC & Radiation Oncology Procedures (PDF, 526 KB)
    • Table 17C-2: Stereotactic Radiosurgery Procedures (PDF, 518 KB)
    • Table 17C-4: LINAC Service Areas (PDF, 527 KB)
    • Table 17C-5: LINAC Service Areas & Calculations (PDF, 538 KB)
    • Table 17C-6: LINAC Need Determination (PDF, 512 KB)
  • Lithotripsy
    • Table 17D-1: Mixed and Fixed Lithotripsy Providers and Procedures  & Table 17D-2: Mobile Lithotripsy Providers & Service Locations Served (PDF, 544 KB)
    • Table 17D-3: Lithotripsy Need Determinations (PDF, 510 KB)
  • Magnetic Resonance Imaging Scanners
    • Table 17E-1: MRI Fixed & Mobile Procedures by MRI Service Area with Tiered Thresholds & Fixed Equivalents (PDF, 768 KB)
    • Table 17E-2: Approved & Existing Specialized MRI Scanners (PDF, 516 KB)
    • Table 17E-3: Fixed MRI Scanner Need Determination (PDF, 514 KB)
  • Positron Emission Tomography (PET) Scanners
    • Table 17F-1: PET Scanner Utilization of Existing Fixed Dedicated Scanners (PDF, 517 KB)
    • Table 17F-2: PET Scanner Provider of Mobile Dedicated Scanners & Table 17F-3: PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 520 KB)
    • Table 17F-4: Fixed Dedicated PET Scanner Need Determination & Table 17F-5: Mobile Dedicated PET Scanner Need Determination (PDF, 515 KB)

March 6, 2019 SHCC Meeting

The following are the handouts for the meeting on March 6, 2019.

• Agenda (PDF, 17 KB)
• Minutes from October 3, 2018 (PDF, 46 KB)

Acute Care Services (ACS) Committee

September 17, 2019 ACS Meeting

The following are the handouts for the meeting on September 17, 2019.

• Agenda (PDF, 37 KB)
• Minutes from May 7, 2019 (PDF, 54 KB)
• Chapter 5: Acute Care Services
  • Update to IBM Watson Health/License Renewal Application Data Discrepancy Report (PDF, 14 KB)
  • Table 5A Acute Care Bed Need Projections (PDF, 652 KB)
  • Table 5B: Acute Care Bed Need Determination (PDF, 534 KB)
• Chapter 6: Operating Rooms
  • Petition 1 – Agency Report – Petition for Adjusted Need Determination for Operating Rooms in Brunswick County (PDF, 32 KB)
    • Petition for Adjusted Need Determination for Operating Rooms in Brunswick County (PDF, 1.16 MB)
    • Comments
      • Brunswick Surgery Center (PDF, 551 KB)
      • Dosher Memorial Hospital (PDF, 783 KB)
  • Petition 2 – Agency Report – Petition to Combine Operating Room Service Areas, Avery  and Watauga Counties (PDF, 66 KB)
    • Petition to Combine Operating Room Service Areas, Avery and Watauga Counties (PDF, 1.01 MB)
    • Comments
      • Appalachian Regional Health System Oral Remarks on Operating Room Methodology (PDF, 1.10 MB)
  • Evaluation Summary: Mallard Creek Surgery Center (PDF, 19 KB)
  • Single Specialty Ambulatory Surgery Facility Demonstration Project Final Report (PDF, 1.90 MB)
  • Table 6A: Operating Room Inventory (PDF, 707 KB)
  • Table 6B: Projected Operating Room Need for 2021 (PDF, 721 KB)
  • Table 6C: Projected Operating Room Need Determinations (PDF, 514 KB)
• Chapter 7: Other Acute Care Services
  • No documents
• Chapter 8: Inpatient Rehabilitation Services
  • No documents
• Chapter 9: End Stage Renal Disease
  • Petition 3 – Agency Report – Petition for Adjusted Need Determination for Four Outpatient Dialysis Stations in Orange County (PDF, 55 KB)
    • Petition for Adjusted Need Determination for Dialysis Stations in Orange County (PDF, 293 KB)
    • Comments
      • UNC Hospitals (Lauren Kearns) Oral Remarks on ESRD Need (PDF, 1.36 MB)
      • UNC Hospitals (Dr. Keia Sanderson) Oral Remarks on ESRD Need (PDF, 1.22 MB)
      • Fresenius Kidney Care (PDF, 729 KB)
      • NC Healthcare Association (PDF, 78 KB)
  • Petition 4 – Agency Report – Petition to Replace the End-Stage Renal Disease Dialysis Methodology (PDF, 22 KB)
    • Petition to Replace the End Stage Renal Disease Dialysis Facility Methodology (PDF, 1.22 MB)
    • Comments
      • Fresenius Kidney Care Oral Remarks on ESRD Methodology (PDF, 2.10 MB)
  • Petition 5 – Agency Report – Petition to Create Policy ESRD-3 (PDF, 26 KB)
    • Petition to Create Policy ESRD-3 (PDF, 319 KB)
  • Agency Response – Comments from Health Systems Management (PDF, 46 KB)
    • Wake Forest University Health Sciences/Health Systems Management (William McDonald) Oral Remarks on ESRD Methodology (PDF, 4.94 MB)
    • Wake Forest University Health Sciences/Health Systems Management (William McDonald) Oral Remarks on ESRD Methodology July 24 (PDF, 694 KB)
    • Wake Forest University Health Sciences/Health Systems Management (Marshia Coe & William McDonald) Oral Remarks on ESRD Methodology (PDF, 636 KB)
  • Table 9B: Inventory of Dialysis Stations and Calculations of Utilization Rates – Draft – 9/17/19 (PDF, 672 KB)
  • Table 9C: ESRD Dialysis Station Need Determinations by Planning Area – Draft – 9/17/19 (PDF, 590 KB)
  • Table 9E: Station Need Determination by Facility – Draft – 9/17/19 (PDF, 530 KB)

May 7, 2019 ACS Meeting

The following are the handouts for the meeting on May 7, 2019.

Download a ZIP file with all of the documents for the meeting on May 7, 2019. (ZIP, 10.9 MB)

• Agenda (PDF, 25 KB)
• Minutes from April 9, 2019 (PDF, 342 KB)
• Chapter 5: Acute Care Services
  • Changes to Service Areas for 2020 SMFP (PDF, 60 KB)
  • Truven Health Analytics/Licensure Acute Care Days Draft Data Discrepancy Report (PDF, 15 KB)
  • Revised Table 5A: Acute Care Bed Need Projections (PDF, 682 KB)
  • Revised Table 5B: Acute Care Bed Need Determinations (PDF, 534 KB)
  • Table 5C: Long-Term Care Hospital (LTCH) Bed Inventory (PDF, 516 KB)
• Chapter 6: Operating Rooms
  • Table 6A: Operating Room Inventory (PDF, 661 KB)
  • Table 6B: Projected Operating Room Need for 2021 (PDF, 741 KB)
  • Table 6C: Projected Operating Room Need Determinations (PDF, 513 KB)
  • Table 6F: Endoscopy Room Inventory (PDF, 597 KB)
• Chapter 7: Other Acute Care Services
  • Table 7A: Open-Heart Surgery Procedures (PDF, 565 KB)
  • Table 7C: Burn Intensive Care Services (PDF, 531 KB)
  • Table 7E: Bone Marrow Transplants (PDF, 539 KB)
  • Table 7G: Solid Organ Transplantation Services (PDF, 530 KB)
• Chapter 8: Inpatient Rehabilitation Services
  • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds (PDF, 525 KB)
• Semiannual Dialysis Report July 2019
  • SDR Table A: Dialysis Data by County of Patient Origin – December 2018 Data (PDF, 693 KB)
  • SDR Table B: Inventory of Dialysis Stations and Calculation of Utilization Rates (PDF, 649 KB)
  • SDR Table C: Census of Home Dialysis Patients (PDF, 597 KB)
  • SDR Table D: ESRD Dialysis Station Need Determinations by Planning Area (PDF, 588 KB)
  • SDR Table E: Need Determination for New Dialysis Stations by County (PDF, 513 KB)
• Chapter 9: End Stage Renal Disease
  • Revised Draft Chapter 9: End-Stage Renal Disease Dialysis Facilities (PDF, 106 KB)
  • Table 9A: Dialysis Data by County of Patient Origin – December 2018 Data (PDF, 735 KB)
  • Revised Table 9B: Inventory of Dialysis Stations and Calculation of Utilization Rates (PDF, 649 KB)
  • Revised Table 9C: ESRD Dialysis Station Need Determinations by Planning Area (PDF, 589 KB)
  • Table 9D: Need Determination for New Dialysis Stations by County (PDF, 513 KB)
  • Table 9E: Need Determination for New Dialysis Stations by Facility (PDF, 531 KB)

April 9, 2019 ACS Meeting

The following are the handouts for the meeting on April 9, 2019.

Download a ZIP file with all of the documents for the meeting on April 9, 2019. (ZIP, 6.01 MB)

• Agenda (PDF, 26 KB)
• Minutes from September 11, 2018 (PDF, 55 KB)
• Chapter 5: Acute Care Services
  • No documents
• Chapter 6: Operating Rooms
  • Agency Report: Petition for Operating Room Service Area Adjustment: Merge Watauga and Avery County Operating Room Service Areas (PDF, 20 KB)
  • Petition
    • Petition for Operating Room Service Area Adjustment: Merge Watauga and Avery County Operating Room Service Areas: Appalachian Regional Healthcare System, Inc (PDF, 1013 KB)
  • Comments
    • Wake Forest Baptist Health (PDF, 108 KB)
• Chapter 7: Other Acute Care Services
  • No documents
• Chapter 8: Inpatient Rehabilitation Services
  • No documents
• Chapter 14: End Stage Renal Disease
  • Agency Report: Petition for Changes in Policies and Methodologies for End-Stage Renal Disease Need Determinations (PDF, 24 KB)
  • Petition
    • Petition for Changes in Basic Policies and Methodologies in the 2020 SMFP End-Stage Renal Disease Need Determination: Wake Forest Baptist Health (PDF, 73 KB)
    • Comments
      • Wake Forest Baptist Health (PDF, 38 KB)
      • DaVita Kidney Care (PDF, 554 KB)
      • Fresenius Kidney Care (PDF, 1.96 MB)
      • DaVita Kidney Care – Comments on Wake Forest Baptist Health Petition (PDF, 87 KB)
      • DaVita Kidney Care – Comments on Fresenius Medical Care Petition (PDF, 78 KB)
      • Fresenius Kidney Care – Responsive Comments, re Change to ESRD methodology (PDF, 2.25 MB)
  • Agency Discussion Paper, End-Stage Renal Disease Dialysis Facilities Interested Parties Meetings, 2018-2019 (PDF, 166 KB)
    • End-Stage Renal Disease Interested Parties Meetings

Long-Term and Behavioral Health (LTBH) Committee

September 5, 2019 LTBH Meeting

The following are the handouts for the meeting on September 5, 2019.

Download a ZIP file with all of the documents for the meeting on September 5, 2019. (ZIP, 11.4 MB)

• Agenda (PDF, 22 KB)
• Minutes from May 2, 2019 (PDF, 58 KB)
• Chapter 10: Nursing Care Facilities
  • No documents
• Chapter 11: Adult Care Home
  • No documents
• Chapter 12: Home Health Services
  • Agency Report 1: Medicare-certified Home Health Office – Rutherford County (PDF, 25 KB)
    • Petition for and Adjusted Need Determination for One Medicare-certified Home Health Agency Office in Rutherford County (PDF, 1.14 MB)
      • Comments
        • Fair Haven Oral Remarks (PDF, 1.72 MB)
        • Advanced Home Care (PDF, 62 KB)
        • Withdrawn: NHRMC Home Care (PDF, 82 KB)
• Chapter 13: Hospice Services
  • Agency Report 2: Hospice Home Care Office – Rowan County (PDF, 43 KB)
    • Petition to Remove the Need Determination for One Hospice Home Care Agency in Rowan County-Novant (PDF, 197 KB)
    • Petition to Remove the Need Determination for One Hospice Home Care Agency in Rowan County-Trellis (PDF, 100 KB)
  • Table 13C: Year 2023 Hospice Inpatient Bed Need Projections (PDF, 597 KB)
  • Table 13D: Hospice Inpatient Facilities (PDF, 525 KB)
  • Table 13F: Hospice Residential Facilities (PDF, 517 KB)
  • Table 13G: Inventory of Hospice Residential Beds (PDF, 522 KB)
• Chapter 14: Psychiatric Inpatient Services
  • Table 14A: Inventory of Psychiatric Beds, Excluding State Hospitals, By Local Management Entity (PDF, 549 KB)
  • Table 14B: 2022 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization (LME-MCO) – Projection of Child/Adolescent Bed Need for 2022 (PDF, 518 KB)
  • Table 14C: 2022 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization (LME-MCO) – Projection of Adult Bed Need for 2022 (PDF, 518 KB)
  • Table 14D: Child/Adolescent Psychiatric Inpatient Bed Need Determination (PDF, 516 KB)
  • Table 14E: Adult Psychiatric Inpatient Bed Need Determination (PDF, 13 KB)
• Chapter 15: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • Agency Report 4- Substance Use Disorder Beds – Central Region (PDF, 49 KB)
    • Petition for an Adjusted Need Determination for Residential Substance Use Disorder Treatment Beds in the Central Region (PDF, 1.77 MB)
      • Comments
        • NCHA – ARCA (PDF, 58 KB)
  • Table 15A: 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, 537 KB)
  • Table 15B: 2022 Projection of Chemical Dependency (Substance Use Disorder) Treatment Bed Need By Mental Health Planning Region (PDF, 521 KB)
  • Table 15C: Child/Adolescent Chemical Dependency (Substance Use Disorder) Treatment Bed Need Determinations (PDF, 514 KB)
  • Table 15D: Adult Chemical Dependency (Substance Use Disorder) Treatment Bed Need Determination (PDF, 513 KB)
• Chapter 16: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • No documents

May 2, 2019 LTBH Meeting

The following are the handouts for the meeting on May 2, 2019.

Download a ZIP file with all of the documents for the meeting on May 2, 2019. (ZIP, 16.3 MB)

• Agenda (PDF, 103 KB)
• Minutes from April 11, 2019 (PDF, 51 KB)
• Chapter 10: Nursing Care Facilities
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds (PDF, 746 KB)
  • Table 10B: County Rate Calculations for Nursing Home Bed Need Determination (PDF, 599 KB)
  • Table 10C: Nursing Care Bed Need Projections for 2023 (PDF, 745 KB)
• Chapter 11: Adult Care Home
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds (PDF, 828 KB)
  • Table 11B: County Rate Calculations for Adult Care (Assisted Living) Bed Need Determination (PDF, 599 KB)
  • Table 11C: Adult Care Home Need Projections for 2023 (PDF, 548 KB)
  • Table 11D: Adult Care Home Bed Need Determination (PDF, 514 KB)
  • Table 11E: Inventory of Adult Care Home Beds in Continuing Care Retirement Homes (PDF, 517 KB)
  • Table 11F: Inventory of Nursing Homes with Six or Fewer Adult Care Home Beds (PDF, 513 KB)
• Chapter 12: Home Health Services
  • Table 12A: Home Health Data by County of Patient Origin – 2018 Data (PDF, 1.01 MB)
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population (PDF, 751 KB)
  • Table 12C: 2021 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 713 KB)
  • Table 12D: 2021 Need Projections for Medicare-certified Home Health Agencies or Offices (PDF, 542 KB)
• Chapter 13: Hospice Services
  • Table 13A: Hospice Data by County of Patient Origin – 2018 Data (PDF, 711 KB)
  • Table 13B: Year 2021 Hospice Home Care Office Need Projections (PDF, 591 KB)
  • Table 13C: Year 2023 Hospice Inpatient Bed Need Projections (PDF, 599 KB)
  • Table 13D(1): Hospice Inpatient Facilities (PDF, 524 KB)
  • Table 13D(2): Hospice Inpatient Facilities Occupancy Rate for FY 2018 (PDF, 528 KB)
  • Table 13E: Hospice Residential Facilities (PDF, 516 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, 512 KB)
• Chapter 15: Psychiatric Inpatient Services
  • Table 15A: Inventory of Psychiatric Beds, Excluding State Hospitals, By Local Management Entity (PDF, 48 KB)
  • Table 15B: 2022 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization (LME-MCO) – Projection of Child/Adolescent Bed Need for 2022 (PDF, 517 KB)
  • Table 15C: 2022 Projections of Psychiatric Bed Need by Local Management Entity - Management Care Organization (LME-MCO) – Projection of Adult Bed Need for 2022 (PDF, 517 KB)
  • Table 15D: Child/Adolescent Psychiatric Inpatient Bed Need Determination (PDF, 14 KB)
  • Table 15E: Adult Psychiatric Inpatient Bed Need Determination (PDF, 12 KB)
• Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • 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: 2022 Projection of Chemical Dependency (Substance Use Disorder) Treatment Bed Need By Mental Health Planning Region (PDF, 522 KB)
  • Table 16C: Child/Adolescent Chemical Dependency (Substance Use Disorder) Treatment Bed Need Determinations (PDF, 31 KB)
• Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • Table 17A: Inventory of ICF/IID Facilities and Beds (PDF, 625 KB)

April 11, 2019 LTBH Meeting

The following are the handouts for the meeting on April 11, 2019.

• Agenda (PDF, 26 KB)
• Minutes from September 6, 2018 (PDF, 105 KB)
• Chapter 10: Nursing Care Facilities
  • Proposed Technical Edits to Chapter 10 (PDF, 31 KB)
• Chapter 11: Adult Care Home
  • Proposed Technical Edits to Chapter 11 (PDF, 56 KB)
• Chapter 12: Home Health Services
  • No documents
• Chapter 13: Hospice Services
  • No documents
• Chapter 15: Psychiatric Inpatient Services
  • No documents
• Chapter 16: Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • No documents
• Chapter 17: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • Proposed Technical Edits to Chapter 17 (PDF, 24 KB)

Technology and Equipment (TE) Committee

September 11, 2019 TE Meeting

The following are the handouts for the meeting on September 11, 2019.

Download a ZIP file with all of the documents for the meeting on September 11, 2019. (ZIP, 9.38 MB)

• Agenda (PDF, 23 KB)
• Minutes for May 15, 2019 (PDF, 50 KB)
• Cardiac Catheterization Equipment
  • Petition for Adjusted Need Determination for Fixed Cardiac Catheterization Equipment in Henderson County (PDF, 260 KB)
    • Agency Report: Pardee UNC Health Care (PDF, 29 KB)
    • Comments
      • NCHA – Pardee (PDF, 58 KB)
  • Table 17A-1: Cardiac Catheterization Procedures by Facility and Type, 2018 (PDF, 538 KB)
  • Table 17A-3: Fixed Cardiac Catheterization Equipment Capacity & Volume (PDF, 567 KB)
• Gamma Knife
  • Petition for Adjusted Need Determination for One Gamma Knife in the Western Portion of the State (PDF, 1.22 MB)
    • Agency Report: Charlotte-Mecklenburg Hospital Authority b/d/a Atrium Health (PDF, 26 KB)
    • Comments
      • Atrium Health Oral Remarks on Gamma Knife (PDF, 1.77 MB)
      • Wake Forest Baptist Health – Gamma Knife (PDF, 2.91 MB)
• Linear Accelerators
  • Table 17C-1: Hospital & Free-Standing LINAC & Radiation Oncology Procedures (PDF, 526 KB)
  • Table 17C-5: LINAC Service Areas & Calculations (PDF, 520KB)
• Lithotripsy
  • No documents
• Magnetic Resonance Imaging Scanners
  • Petition to Remove Fixed MRI Need Determination in the Pasquotank/Camden/Currituck/ Perquimans Service Area (PDF, 267 KB)
    • Agency Report: Sentara Albemarle Medical Center (PDF, 35 KB)
  • Petition for an Adjusted Need Determination for a Magnetic Resonance Imaging Scanner in Wake County (PDF, 1.24 MB)
    • Agency Report: Raleigh Radiology (PDF, 38 KB)
  • Comments
    • Raleigh Radiology Oral Remarks on Magnetic Resonance Imaging (PDF, 1016 KB)
    • 86 Letters of Support – Raleigh Radiology (PDF, 13.41 MB)
    • UNC REX (PDF, 260 KB)
    • Wake Radiology (PDF, 152 KB)
    • Duke University Health System (PDF, 231 KB)
    • WakeMed (PDF, 625 KB)
    • Alliance (PDF, 1.03 MB)
  • Table 17E-1: MRI Fixed & Mobile Procedures by MRI Service Area with Tiered Thresholds & Fixed Equivalents (PDF, 784 KB)
  • Table 17E-3: Fixed MRI Scanner Need Determination (PDF, 515 KB)
• Positron Emission Tomography (PET) Scanners
  • Petition for an Adjusted Need Determination for a Positron Emission Tomography Scanner in HSA V (PDF, 518 KB)
    • Agency Report: Southeastern Regional Medical Center, Inc (PDF, 33 KB)
    • Comments
      • Southeastern Health (Dr. Thomas Walden) Comments on Positron Emission Tomography (PDF, 1.07 MB)
      • Southeastern Health (Steve Elgin) Comments on Positron Emission Tomography (PDF, 1.76 MB)
      • 7 Letters of Support- Southeastern Health (PDF, 2.23 MB)
      • NCHA – Southeastern (PDF, 61 KB)
  • Table 17F-2: PET Scanner Provider of Mobile Dedicated Scanners & Table 17F-3: PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 962 KB)

May 15, 2019 TE Meeting

The following are the handouts for the meeting on May 15, 2019.

Download a ZIP file with all of the documents for the meeting on May 15, 2019. (ZIP, 9.38 MB)

• Agenda (PDF, 18 KB)
• Minutes for April 17, 2019 (PDF, 61 KB)
• Cardiac Catheterization Equipment
  • Table 17A-1: Cardiac Catheterization Procedures by Facility and Type, 2018 (PDF, 535 KB)
  • Table 17A-2: Mobile Cardiac Catheterization Capacity & Volume (PDF, 510 KB)
  • Table 17A-3: Fixed Cardiac Catheterization Equipment Capacity & Volume (PDF, 565 KB)
  • Table 17A-4 Fixed Cardiac Catheterization Equipment Need Determination, Table 17A-5 Shared Fixed Cardiac Catheterization Equipment Need Determination & Table 17A-6 Mobile Cardiac Catheterization Equipment Need Determination (PDF, 519 KB)
• Gamma Knife
  • Table 17B-1: Gamma Knife Need Determination (PDF, 514 KB)
• Linear Accelerators
  • Table 17C-1: Hospital & Free-Standing LINAC & Radiation Oncology Procedures (PDF, 526 KB)
  • Table 17C-2: Stereotactic Radiosurgery Procedures (PDF, 518 KB)
  • Table 17C-4: LINAC Service Areas (PDF, 527 KB)
  • Table 17C-5: LINAC Service Areas & Calculations (PDF, 538 KB)
  • Table 17C-6: LINAC Need Determination (PDF, 512 KB)
• Lithotripsy
  • Table 17D-1: Mixed and Fixed Lithotripsy Providers and Procedures  & Table 17D-2: Mobile Lithotripsy Providers & Service Locations Served (PDF, 544 KB)
  • Table 17D-3: Lithotripsy Need Determinations (PDF, 510 KB)
• Magnetic Resonance Imaging Scanners
  • Table 17E-1: MRI Fixed & Mobile Procedures by MRI Service Area with Tiered Thresholds & Fixed Equivalents (PDF, 759 KB)
  • Table 17E-2: Approved & Existing Specialized MRI Scanners (PDF, 516 KB)
  • Table 17E-3: Fixed MRI Scanner Need Determination (PDF, 514 KB)
• Positron Emission Tomography (PET) Scanners
  • Table 17F-1: PET Scanner Utilization of Existing Fixed Dedicated Scanners (PDF, 517 KB)
  • Table 17F-2: PET Scanner Provider of Mobile Dedicated Scanners & Table 17F-3: PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (PDF, 520 KB)
  • Table 17F-4: Fixed Dedicated PET Scanner Need Determination & Table 17F-5: Mobile Dedicated PET Scanner Need Determination (PDF, 515 KB)

April 17, 2019 TE Meeting

The following are the handouts for the meeting on April 17, 2019.

• Agenda (PDF, 22 KB)
• Minutes for September 12, 2018 (PDF, 57 KB)
• Lithotripsy
  • No documents
• Gamma Knife
  • Agency Report: Gamma Knife – The Charlotte-Mecklenburg Hospital Authority d/b/a Atrium Health (PDF, 85 KB)
    • Petition for Gamma Knife in the Western Region of the State (HSAs, I, II, and III): Atrium Health (PDF, 1.89 MB)
    • Comments
      • Dr. Tony Asher (PDF, 77 KB)
      • Michael Mullowney (PDF, 60 KB)
      • Wake Forest Baptist Health (PDF, 2.67 MB)
• Linear Accelerators
  • No documents
• Positron Emission Tomography (PET) Scanners
  • No documents
• Magnetic Resonance Imaging Scanners
  • No documents
• Cardiac Catheterization Equipment
  • No documents
• Chapter 9 Technical Edits (PDF, 764 KB)

End-Stage Renal Disease Interested Parties

February 13, 2019 Work Session/Meeting

• Material presented at work session
  • Proposed Edits to ESRD County Need Methodology Narrative for 2020 SMFP (PDF, 17 KB)
  • Proposed Revised Facility Need Methodology (PDF, 58 KB)
  • Presentation (PDF, 558 KB)
• Material for discussion at meeting
  • This meeting is a work session and does not have a formal agenda.
  • Comments on the Wake Forest Baptist Health (WFBH) and Healthcare Planning Models
    • Healthcare Planning comments on the WFBH model (PDF, 84 KB)
    • WFBH comments on the Healthcare Planning model (PDF, 111 KB)
  • Results of Healthcare Planning’s Proposed Model by Rural/Urban County Status (PDF, 110 KB)
  • ESRD Certificate of Need Information
    • CON Applications Filed CY 2013-2018 (XLSX, 36.3 KB)
    • ESRD CON Review Cycles (PDF, 75 KB)

Wake Forest Baptist Health submitted a model for the ESRD facility need methodology for consideration at the February 13 work session/meeting. Healthcare Planning presented a proposed model at the January 16 meeting. The agency welcomes written comments on these models through February 6, 2019 at 5:00 p.m. Please email comments to: [email protected].

• Wake Forest Baptist Health (WFBH) Facility Need Methodology Model
  • WFBH Model (XSLX, 424 KB)
  • Instructions for WFBH Model (PDF, 34 KB)
  • Required Files for using WFBH Model
    • 1997-2002 Semiannual Dialysis Reports
      • March 1997 Semiannual Dialysis Report (SDR) (PDF, 7.59 MB)
      • September 1997 SDR (PDF, 13.82 MB)
      • March 1998 SDR (PDF, 9.34 MB)
      • September 1998 SDR (PDF, 17.64 MB)
      • March 1999 SDR (PDF, 11.17 MB)
      • September 1999 SDR (PDF, 9.39 MB)
      • March 2000 SDR (PDF, 8.76 MB)
      • September 2000 SDR (PDF, 16.21 MB)
      • June 2001 Transitional Dialysis Report (PDF, 9.67 MB)
      • January 2002 SDR (PDF, 9.50 MB)
      • July 2002 SDR (PDF, 16.78 MB)
    • 2003-2006 Semiannual Dialysis Reports
      • January 2003 SDR (PDF, 1.72 MB)
      • July 2003 SDR (PDF, 1.72 MB)
      • January 2004 SDR (PDF, 1.76 MB)
      • July 2004 SDR (PDF, 1.86 MB)
      • January 2005 SDR (PDF, 1.93 MB)
      • July 2005 SDR (PDF, 1.92 MB)
      • January 2006 SDR (PDF, 2.03 MB)
      • July 2006 SDR (PDF, 1.87 MB)
    • 2007-2018 Semiannual Dialysis Reports
  • Examples of facility needs for select dialysis facilities
    • BMA Cary (XSLX, 416 KB)
    • BMA Raleigh (XSLX, 425 KB)
    • BMA South Greensboro (XSLX, 431 KB)
    • BMA Wake Dialysis (XSLX, 417 KB)
    • DKC (XSLX, 389 KB)
    • EDC (XSLX, 406 KB)
    • FMC Charlotte (XSLX, 418 KB)
    • FMC Matthews (XSLX, 413 KB)
    • HPKC (XSLX, 421 KB)
    • LXDC (XSLX, 418 KB)
    • PDC (XSLX, 420 KB)
    • TRC Alamance Dialysis (XSLX, 416 KB)
• Healthcare Planning Facility Need Methodology Model
  • ESRD Modeling Tool (XSLX, 510 KB)
  • Modeling Tool Quick Guide (PDF, 136 KB)
  • Modeling Tool Reference (PDF, 243 KB)

January 16, 2019 Meeting

The following are the handouts for the meeting on January 16, 2019

• Agenda (PDF, 266 KB)
• ESRD Modeling Tool (XSLX, 510 KB)
• Modeling Tool Quick Guide (PDF, 136 KB)
• Modeling Tool Reference (PDF, 243 KB)
• Agency Presentation (PDF, 897 KB)

November 14, 2018 Meeting

Healthcare Planning invites all interested persons to bring data to the meeting to support any concerns you may have regarding the transition of the Semiannual Dialysis Report to the State Medical Facilities Plan, including concerns related to an annual versus semiannual data reporting process. If you plan to present data, please email Amy Craddock ([email protected]) to let her know approximately how long you will need for your presentation. You are welcome to use PowerPoint and/or bring handouts.

Some SHCC members plan to join the meeting via conference call. If you have a PowerPoint presentation or handouts, please email Amy Craddock a copy of the presentation/handouts no later than 8:00 AM on November 14, so that she can provide them to the members attending via conference call.

• Agenda (PDF, 264 KB)
• Agency Presentation (PDF, 724 KB)