Healthcare Planning and Certificate of Need Section

State Health Coordinating Council (SHCC) Meeting

Wednesday, March 2, 2022 SHCC Meeting

• Agenda
• Minutes from September 29, 2021 meeting
• MRI Methodology Workgroup Recommendations: Text
• MRI Methodology Workgroup Recommendations: Slides

Acute Care Services Committee (ACSC) Meeting

Tuesday, May 10, 2022 ACSC Meeting

• Agenda
• Minutes from April 12, 2022
• Chapter 5: Acute Care Hospital Beds
  • HIDI/Licensure Acute Care Days Draft Data Discrepancy Report
  • Table 5A: Acute Care Bed Need Projections, NICU Data Included
  • Table 5A: Acute Care Bed Need Projections, NICU Data Excluded
  • Comparisons of Acute Care Bed Need Determinations
  • Table 5C: Long-Term Care Hospital Bed Inventory and Days of Care
• Chapter 6: Operating Rooms
  • Table 6A: Operating Room Inventory and Grouping
  • Table 6B: Projected Operating Room Need for 2025
  • Table 6F: Endoscopy Room Inventory
  • Discussion of OR CON Applications
• Chapter 7: Other Acute Care Services
  • Table 7A-1, Table 7A-2 & Figure 7A: Burn Intensive Care Services
  • Table 7B & Figure 7B: Open-Heart Surgery Procedures
  • Table 7C-1 & Figure 7C-1: Bone Marrow Transplantation Services
  • Table 7C-3 & Figure 7C-2: Solid Organ Transplantation Services
• Chapter 8: Inpatient Rehabilitation Services
  • Table 8A: Inventory and Utilization of Inpatient Rehabilitation Beds
• Chapter 9: End-Stage Renal Disease Dialysis Facilities
  • Chapter 9: Dialysis Data by County of Patient Origin – December 2021 Data
  • Table 9A: Inventory of Dialysis Stations and Calculation of Utilization Rates
  • Table 9B: ESRD Dialysis Station Need Determinations by Planning Area
  • Table 9D: Need Determination for New Dialysis Stations by Facility
  • Table 9E: Inventory of Dialysis Home Training Facilities

Tuesday, April 12, 2022 ACSC Meeting

• Agenda
• Minutes from September 14, 2021
• Chapter 5: Acute Care Services
  • Agency Report: Petition to Adjust Acute Care Bed Need Methodology (NICU Beds): Duke University Health System
    • Petition
      • Adjust Acute Care Bed Need Methodology (NICU Beds): Duke University Health System
    • Oral Remarks
      • Duke University Health System, Catharine Cummer and Michael Cotten, MD
    • Comments
      • Duke University Health System
      • Mission Health
      • Novant Health
      • UNC Health
• Agency Report: Petition to Remove Policy AC-5: Blue Ridge HealthCare Hospitals
  • Petition
    • Remove Policy AC-5: Blue Ridge HealthCare Hospitals
  • Comments
    • Novant Health
• Chapter 6: Operating Rooms
  • No documents
• Chapter 7 – Other Acute Care Services
  • Proposed Revisions for Policy AC-6 and Chapter 7 Narrative
• Chapter 8: Inpatient Rehabilitation Services
  • No documents
• Chapter 9: End Stage Renal Disease
  • Agency Report: Petition to Create an ESRD Policy to Allow for the Development or Expansion of a Kidney Disease Treatment Center at a Skilled Nursing Facility
    • Petition
      • Create Policy ESRD-4: Liberty Healthcare and Rehabilitation Services
    • Letters of Support
      • Dr. Holly L. Bernardini, Medical Director, Liberty Commons
      • Katie Flanagan, Duke University Health System
      • Katrina King, Novant Health
      • Chuck Mantooth, Appalachian Regional Healthcare System
    • Oral Remarks
      • Liberty Healthcare and Rehabilitation Services, Timothy Walsh
      • Liberty Healthcare and Rehabilitation Services, David Holmes
    • Comments
      • Central Carolina Kidney Associates
      • DaVita Kidney Care
      • Duke University Health System
      • Duke Medicine, Division of Nephrology
      • Fresenius Kidney Care
      • NC Kidney Care
      • North Carolina Nephrology

Long-Term and Behavioral Health Committee (LTBH) Meeting

Thursday, May 19, 2022 Meeting

• Agenda
• Minutes from April 14, 2022
• Chapter 10: Nursing Care Facilities
  • Table 10A: Inventory of Nursing Home and Hospital Nursing Care Beds
  • Table 10B: County Rate Calculations for Nursing Home Bed Need Determination
  • Table 10C: Nursing Care Bed Need Projections for 2026
• Chapter 11: Adult Care Homes
  • Table 11A: Inventory of Adult Care Home (Assisted Living) Beds
  • Table 11B: County Rate Calculations for Adult Care (Assisted Living) Bed Need Determination
  • Table 11C: Adult Care Home Need Projections for 2026
  • Table 11D: Adult Care Home Bed Need Determination
  • Table 11E: Inventory of Adult Care Home Beds in Continuing Care Retirement Homes
  • Table 11F: Inventory of Nursing Homes with Six or Fewer Adult Care Home
• Chapter 11: Adult Care Homes (These tables are without the reported 2020 data)
  • Table 11B: County Rate Calculations for Adult Care (Assisted Living) Bed Need Determination
  • Table 11C: Adult Care Home Need Projections for 2026
  • Table 11D: Adult Care Home Bed Need Determination
• Chapter 12: Home Health Services
  • Chapter 12: Home Health Data by County of Patient Origin – 2021 Data
  • Table 12A: Inventory of Licensed Medicare-certified Home Health Agencies or Offices
  • Table 12B: Average Annual Rates of Change in Patients and Use Rates per 1,000 Population
  • Table 12C: 2024 Need Projections for Medicare-certified Home Health Agencies or Offices
  • Table 12D: 2024 Need Projections for Medicare-certified Home Health Agencies or Offices
  • Table 12E: Medicare-certified Home Health Agency or Office Need Determination
• Chapter 13: Hospice Services
  • Chapter 13: Hospice Data by County of Patient Origin – 2021 Data
  • Table 13A: Inventory of Licensed Hospice Agencies
  • Table 13B: Year 2024 Hospice Home Care Office Need Projections
  • Table 13C: Year 2026 Hospice Inpatient Bed Need Projections
  • Table 13D: Hospice Inpatient Facilities
  • Table 13E: Hospice Inpatient Facilities Occupancy Rate for FY2021
  • Table 13F: Hospice Residential Facilities
  • Table 13H: Hospice Inpatient Bed Need Determination
• Chapter 14; Psychiatric Inpatient Services
  • Table 14A: Inventory of Psychiatric Beds, Excluding State Hospitals
• Chapter 15: Substance Use Disorder Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • Table 15A: Inventory of Chemical Dependency (Substance Use Disorder) Beds
• Chapter 16: Intermediate Care Facilities for Individuals with Intellectual Disabilities
  • Table 16A: Inventory of ICF/IID Facilities and Beds

Thursday, April 14, 2022 Meeting

• Agenda
• Minutes from September 9, 2021
• Chapter 10; Nursing Care Facilities
  • No documents
• Chapter 11; Adult Care Homes
  • Agency Report: Petition Requesting a Revision of the Adult Care Methodology submitted by ALG Senior, LLC
    • Petition
      • Revise Adult Care Home Methodology: ALG Senior
• Chapter 12; Home Health Services
  • Recommended Edits to Chapter 12 for Inclusion of Policy HH-3
• Chapter 13; Hospice Services
  • Proposed Technical Edits to Chapter 13 to Hospice Home Care - Step 10
• Chapter 14; Psychiatric Inpatient Services
  • No documents
• Chapter 15; Substance Abuse Inpatient and Residential Services (Chemical Dependency Treatment Beds)
  • No documents
• Chapter 16; Intermediate Care Facilities for the Individuals with Intellectual Disabilities
  • No documents

Technology & Equipment Committee (TEC) Meeting

Wednesday May 4, 2022 TEC Meeting

• Agenda
• Minutes from April 6, 2022
• Cardiac Catheterization
  • Cardiac Catheterization Procedures by Facility and Type, 2021 (Table 17A-1)
  • Mobile Cardiac Catheterization Capacity and Volume (Table 17A-2)
  • Fixed Cardiac Catheterization, Capacity and Volume (Table 17A-3)
  • Fixed and Mobile Cardiac Catheterization Need Determinations (Table 17A-4 & 17A-5)
• Gamma Knife
  • No documents
• Linear Accelerator (LINAC)
  • Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (Table 17C-1)
  • Stereotactic Radiosurgery Procedures (Table 17C-2)
  • Linear Accelerator Service Areas (Table 17C-4)
  • Linear Accelerator Service Areas and Calculations (Table 17C-5)
  • Linear Accelerator Need Determinations (Table 17C-6)
• Lithotripsy
  • Mobile and Fixed Lithotripsy Providers and Locations Served (Table 17D-1) and Mobile and Fixed Lithotripsy (Table 17D-2)
• Magnetic Resonance Imaging (MRI)
  • MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Threshold and Fixed Equivalents (Table 17E-1)
  • MRI Scanner Need Determinations by Service Area (Table 17E-2)
  • Fixed MRI Scanner Need Determinations (Table 17E-3)
• Positron Emission Tomography (PET)
  • Utilization of Existing Dedicated Fixed PET Scanners (Table 17F-1)
  • PET Scanner Provider of Mobile Dedicated Scanners (Table 17F-2) and PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (Table F-3)
  • PET Scanners Need Determinations (Table 17F-1)

Wednesday, April 6, 2022 TEC Meeting

• Agenda
• Minutes from September 1, 2021
• MRI Methodology Workgroup Recommendations
  • MRI Methodology Workgroup Recommendations
  • MRI Methodology Workgroup Presentation
• Cardiac Catheterization
  • Agency Report: Petition Requesting a Change to the Cardiac Catheterization Methodology submitted by Johnston Health
    • Petition: Revise Cardiac Catheterization Need Methodology: UNC Health
      • Comments
        • Novant Health
• Gamma Knife
  • No documents
• Linear Accelerator (LINAC)
  • No documents
• Lithotripsy
  • No documents
• Magnetic Resonance Imaging (MRI)
  • Agency Report: Petition Requesting the Revision of Policy TE-3 submitted by WakeMed
    • Petition: Revise Policy TE-3: WakeMed
      • Comments
        • Alliance Healthcare Services
        • Duke University Health System
        • Mission Hospital
        • Novant Health
        • PDA
  • Agency Report: Petition Requesting the Creation of Policy TE-4 submitted by Carolina Neurosurgery & Spine Associates
    • Petition: Create Policy TE-4: Carolina Neurosurgery and Spine
      • Comments
        • Alliance Healthcare Services
        • Mission Hospital
        • Novant Health
        • PDA
• Positron Emission Tomography (PET)
  • PET Narrative/Methodology Technical Edits