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Healthcare Planning and Certificate of Need Section
Healthcare Planning
Committee Meetings
Meetings 2023
State Health Coordinating Council
Acute Care Services Committee
Long Term and Behavioral Health
Technology and Equipment Committee
Public Hearings
Archive of Committee Meeting Documents
State Health Coordinating Council (SHCC) Meeting
Wednesday, October 4, 2023, SHCC Meeting
Agenda
Minutes from May 31, 2023
Acute Care Services Committee Recommendations
Long-Term and Behavioral Health Committee Recommendations
Technology and Equipment Committee Recommendations
Wednesday, May 31, 2023, SHCC Meeting
Agenda
Minutes from March 1, 2023 meeting
Acute Care Services Committee Recommendations
Long-Term and Behavioral Health Committee Recommendations
Technology and Equipment Committee Recommendations
Meeting documents for each of this year's committee meetings can be accessed below.
Wednesday, March 1, 2023, SHCC Meeting
Agenda
Minutes from September 28, 2022 meeting
Acute Care Services Committee (ACSC) Meeting
Tuesday, September 12, 2023
Instructions for Attending the Meeting for Members of the Public
Agenda
Minutes from May 16, 2023
Chapter 5 - Acute Care Beds
Petition 1 – Agency Report – Petition for an Adjusted Need Determination for Three Acute Care Beds in Alleghany County Service Area
Petition to for an Adjusted Need Determination for Three Acute Care Beds in Alleghany County Service Area
Letters of Support
Atrium Health Wake Forest Baptist, Chad Brown
Hugh Chatham Health, Paul Hammes
Petition 2 – Agency Report – Petition Regarding Acute Care Beds in the Durham/Caswell/Warren County Service Area
Petition Regarding Acute Care Beds in the Durham/Caswell/Warren County Service Area
Letter of Opposition
Duke University Health Systems
Petition 3 – Agency Report – Petition for an Adjusted Need Determination for 24 Acute Care Beds in the Johnston County Service Area
Petition for an Adjusted Need Determination for 24 Acute Care Beds in the Johnston County Service Area
Oral Remarks at Public Hearing
UNC Health Johnston, Tommy Williams
Table 5A: Acute Care Bed Need Projections
Table 5B: Acute Care Bed Need Determination
Chapter 6 – Operating Rooms
Petition 4 – Agency Report – Petition for an Adjusted Need Determination for an Operation Room in the Catawba County Service Area
Petition for an Adjusted Need Determination for an Operating Room in the Catawba County Service Area
Letters of Support
Seventeen (17) Letters from Optometrists
Thirteen (13) Letters from Physicians
Oral Remarks at Public Hearing
Greystone Eye, Sheree Watson
Petition 5 – Agency Report – Petition for an Adjusted Need Determination for an Operation Room in the Cumberland County Service Area
Petition for an Adjusted Need Determination for an Operating Room in the Cumberland County Service Area
Oral Remarks at Public Hearing
Cape Fear Valley Health System, Taylor Spell
Petition 6 – Agency Report – Petition for an Adjusted Need Determination for Operating Rooms Dedicated to Vascular Access in HSA VI
Petition for an Adjusted Need Determination for Operating Rooms Dedicated to Vascular Access in HSA VI
Letters of Support
Thirty-seven (37) Letters from Dialysis Patients
Fourteen (14) Letters from Service Providers
Letter of Opposition
UNC Health Nash, Dr. L. Lee Isley
Oral Remarks at Public Hearing
Carolina Vascular Care, Dr. Karn Gupta
Boice Willis Clinic, Dr. Nakshatra Saxena
Carolina Vascular Care, Robert Baggett
Dental Single Specialty Ambulatory Surgical Facility Demonstration Project Final Report
Table 6A: Operating Room Inventory and Grouping
Table 6B: Projected Operating Room Need for 2026
Table 6C: Operating Room Need Determination
Chapter 7 – Other Acute Care Services
No documents
Chapter 8 – Inpatient Rehabilitation
No documents
Chapter 9 – End-Stage Renal Disease Dialysis Facilities
Petitions 7 – 30 – Single Agency Report: Adjusted Need Petitions for an End-Stage Renal Disease Facility at a Skilled Nursing Facility in Multiple Counties
Petition for an Adjusted Need Determination for Thirteen Outpatient Dialysis Stations at a Nursing Home Facility in Alamance County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Four Outpatient Dialysis Stations at a Nursing Home Facility in Bertie County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Six Outpatient Dialysis Stations at a Nursing Home Facility in Brunswick County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Sixteen Outpatient Dialysis Stations at a Nursing Home Facility in Buncombe County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Four Outpatient Dialysis Stations at a Nursing Home Facility in Chatham County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Four Outpatient Dialysis Stations at a Nursing Home Facility in Columbus County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Twenty-eight Outpatient Dialysis Stations at a Nursing Home Facility in Cumberland County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Four Outpatient Dialysis Stations at a Nursing Home Facility in Davie County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Thirty-four Outpatient Dialysis Stations at a Nursing Home Facility in Durham County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Thirty-eight Outpatient Dialysis Stations at a Nursing Home Facility in Forsyth County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Eight Outpatient Dialysis Stations at a Nursing Home Facility in Franklin County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Eleven Outpatient Dialysis Stations at a Nursing Home Facility in Halifax County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Fourteen Outpatient Dialysis Stations at a Nursing Home Facility in Johnston County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Eight Outpatient Dialysis Stations at a Nursing Home Facility in Lee County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Fifty-nine Outpatient Dialysis Stations at a Nursing Home Facility in Mecklenburg County Service Area
Letters of Opposition
Four (4) Letters from Service Providers
Petition for an Adjusted Need Determination for Seven Outpatient Dialysis Stations at a Nursing Home Facility in Moore County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Seventeen Outpatient Dialysis Stations at a Nursing Home Facility in New Hanover County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Seven Outpatient Dialysis Stations at a Nursing Home Facility in Orange County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Six Outpatient Dialysis Stations at a Nursing Home Facility in Person County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Seven Outpatient Dialysis Stations at a Nursing Home Facility in Robeson County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Seven Outpatient Dialysis Stations at a Nursing Home Facility in Rowan County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Six Outpatient Dialysis Stations at a Nursing Home Facility in Sampson County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Fifty-seven Outpatient Dialysis Stations at a Nursing Home Facility in Wake County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Petition for an Adjusted Need Determination for Four Outpatient Dialysis Stations at a Nursing Home Facility in Watauga County Service Area
Letters of Opposition
Three (3) Letters from Service Providers
Comments on All Petitions for Adjusted Need Determinations for Outpatient Dialysis Stations at Nursing Home Facilities
Letter of Support: NC Health Care Facilities Association, Adam Sholar
Letter of Opposition: Health Systems Management, William McDonald & Kimberly Johnson
Letter of Opposition: Eastern Nephrology, Dr. M. Carney Taylor, Jr. & Dr. John Heroin
Letter of Opposition: Durham Nephrology Association, Dr. Charles Cooperberg
Letter of Opposition: Davita Kidney Care, Esther Fleming
Letter of Opposition: North Carolina Nephrology, Dr. Eric Raasch
Letter of Opposition: Dr. Kellie Goldsborough
Tuesday, May 16, 2023
Agenda
Minutes from April 4, 2023
Chapter 5: Acute Care Hospital Beds
HIDI/Licensure Acute Care Days Draft Data Discrepancy Report
Table 5A: Acute Care Bed Need Projections
Table 5B: 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 2026
Table 6C: Operating Room Need Determination
Table 6F: Endoscopy Room Inventory
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 2022 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 4, 2023
Agenda
Minutes from September 13, 2022
Chapter 5: Acute Care Services
No documents
Chapter 6: Operating Rooms
No documents
Chapter 7: Other Acute Care Services
No documents
Chapter 8: Inpatient Rehabilitation Services
No documents
Chapter 9: End Stage Renal Disease
Petition 1 - Agency Report: Petition to Amend ESRD Methodology for Home Training Facilities: Davita Kidney Care
Petition to Amend ESRD Methodology for Home Training Facilities: Davita Kidney Care
Comments
Tim Walsh, Director of Business Development, Liberty Senior Living
Marshia Coe, COO, Health Systems Management
Petition 2 - Agency Report: Petition to Amend ESRD Methodology for Home Training Facilities: Fresenius Medical Care
Petition to Amend ESRD Methodology for Home Training Facilities: Fresenius Medical Care
Oral Remarks at Public Hearing
Fresenius Medical Care, Fatimah Wilson
Comments
Dr. Maxwell Fisher, Chowan Home Dialysis, Eastern Nephrology Associates
Vici Bissette, Area Team Lead, Fresenius Kidney Care
Dr. Anthony Provenzano, Eastern Nephrology Associates
Timothy Walsh, Director of Business Development, Liberty Senior Living
Dr. Carney Taylor, Co-President, Eastern Nephrology
Marshia Coe, COO, Health Systems Management
Petition 3 - Agency Report: Petition to Create Policy ESRD-4: Liberty Healthcare and Rehabilitation Services
Petition to Create Policy ESRD-4: Liberty Healthcare and Rehabilitation Services
Letters of Support
Elizabeth Cash, RN Case Manager, Novant Health Mint Hill Medical Center
Sherry Henderson, Regional Director, UNC Rex and UNC Johnson
Christy DeLaire-Henry, Medical Director of Case Management, WakeMed Hospital
s
Anisha Jones, Nurse Practitioner of Palliative Care, Novant Health Hospitals
Aude’ Kimbrew, Social Work Clinical Case Manager, Atrium Union West
Trescha Mcilwaine, Social Worker, Atrium Health Pineville
Shelley Monsour, Liberty Care Coordinator, Atrium Health
Joann Pikul, RN Clinical Case Manager, Atrium Health Pineville
James Stawski, Nurse Case Manager, Atrium Health Pineville
Margaret Werner, Manager of Case Management, Atrium Health Pineville
Russell West, Manager of Clinical Case Management, Atrium Health
Oral Remarks at Public Hearing
Liberty Healthcare and Rehabilitation Services, David Holmes
Comments
Dr. Eric Raasch and the Board of Directors, North Carolina Nephrology
Dr. Carl Fisher, President, Metrolina Nephrology Associates
Dr. Russell Howerton, President, Wake Forest Health Network; Dr. Barry Freedman, Nephrology Section Chief, Wake Forest University School of Medicine; Alex Kemp, CEO, Health Systems Management; Marshia Coe, COO, Health Systems Management
Liberty Nursing Home Residents
Esther Fleming, Director, Healthcare Planning, DaVita Kidney Care
Katrina King, Vice President Nursing, Novant Health
Dr. Martin Webb, Carolina Nephrology
Fatimah Wilson, Director, Certificate of Need
Proposed Technical Edits to Chapter 9 Definitions
Long-Term and Behavioral Health Committee (LTBH) Meeting
Thursday, September 14, 2023
Agenda
Minutes from May 11, 2023
Chapter 10: Nursing Care Facilities
No documents
Chapter 11: Adult Care Homes
No documents
Chapter 12: Home Health Services
Petition – Agency Report – Adjusted Need Petition for Medicare-Certified Home Health Office in Columbus County
Petition for an Adjusted Need Determination for a Home Health Agency in Columbus County
Letters of Opposition
The Association for Home & Hospice Care of North Carolina, Jillian Totman
Chapter 13: Hospice Services
Petition – Agency Report – Adjusted Need Petition for Hospice Home Care Office in Mecklenburg County
Petition for an Adjusted Need Determination for a Hospice Home Care Agency in
Mecklenburg County
Letters of Support
Livingstone College, State Alexander, III
Progressive Baptist Church, Terrance Grooms
Meharry Medical College, Diana Forbes
Belmont Abbey College, Gwyndolan Swain
Civility Localized, Christine Edwards
Urban League of Central Carolinas, Robin Hamilton
Innovative Lifestyle Network, Shanika Johnson
Three (3) Letters from Interested Parties
Eastover Nursing Center, David Plemons
AI Patent Law, Padowithz Alce
Letters of Opposition
Well Care Health, Zac Long
Association for Home & Hospice Care of North Carolina, Michael Lalor
Hospice & Palliative Care of Iredell County, Mike Smith
VIA Health Partners, Peter Brunnick
Tina Pell
Three (3) Letters from Service Providers
Trellis Supportive Care, Linda Darden
AuthoraCare Collective, Kristen Yntema
Hospice of the Piedmont, William Cockerham
Oral Remarks at Public Hearing
Heart’N Soul Hospice, David Turner
Heart’N Soul Hospice, Kevin Allison
Heart’N Soul Hospice, Ron Crawford
Heart’N Soul Hospice, Terrance Grooms
Heart’N Soul Hospice, Lacey Boatman
Chapter 14: Intermediate Care Facilities for Individuals with Intellectual Disabilities
No documents
Thursday, May 11, 2023
Agenda
Minutes from April 13, 2023
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 2027
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 2027
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 12: Home Health Services
Chapter 12: Home Health Data by County of Patient Origin – 2022 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: 2025 Need Projections for Medicare-certified Home Health Agencies or Offices
Table 12D: 2025 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 – 2022 Data
Table 13A: Inventory of Licensed Hospice Agencies
Table 13B: Year 2025 Hospice Home Care Office Need Projections
Table 13C: Year 2027 Hospice Inpatient Bed Need Projections
Table 13D: Hospice Inpatient Facilities
Table 13E: Hospice Inpatient Facilities Occupancy Rate for FY2022
Table 13F: Hospice Residential Facilities
Chapter 14: Intermediate Care Facilities for the Individuals with Intellectual Disabilities
Table 14A: Inventory of ICF/IID Facilities and Beds
Thursday, April 13, 2023
Agenda
Minutes from September 15, 2022
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
Proposed Technical Edits to Chapter 13 Definitions
Chapter 14: Intermediate Care Facilities for the Individuals with Intellectual Disabilities
No documents
Technology & Equipment Committee (TEC) Meeting
Wednesday September 13, 2023
Agenda
Minutes from May 17, 2023 Meeting
Cardiac Catheterization
No documents
Gamma Knife
No documents
Linear Accelerator (LINAC)
Petition 1 - Agency Report: Petition for an Adjusted Need Determination for a Linear Accelerator in Service Area 17
Petition for an Adjusted Need Determination for a Linear Accelerator in Service Area 17
Oral Remarks at Public Hearing
FirstHealth Moore Regional Hospital, Dr. Stephen King
Lithotripsy
Petition 2 - Agency Report: Petition to Remove the Need Determination for Two Lithotriptors
Petition to Remove the Need Determination for Two Lithotriptors
Letters of Opposition
Five (5) Letters from Service Providers
Oral Remarks at Public Hearing
Piedmont Stone Center, Charles Hauser
Magnetic Resonance Imaging (MRI)
Petition 3 - Agency Report: Petition to Convert a Fixed MRI Scanner in Watauga County to a Mobile MRI Scanner
Petition to Convert a Fixed MRI Scanner in Watauga County to a Mobile MRI Scanner
Letters of support
Six (6) Letters from Service Providers and Community Leaders
Oral Remarks at Public Hearing
Appalachian Regional Healthcare System, Nathan Nipper
Positron Emission Tomography (PET)
Petition 4 - Agency Report: Petition for an Adjusted Need Determination for a Fixed Positron Emission Tomography (PET) Scanner in Carteret County Service Area
Petition for an Adjusted Need Determination for a Fixed Positron Emission Tomography (PET) Scanner in Carteret County Service Area
Letters of support
Two (2) Letters from a Carteret County Commissioner and a Carteret Resident
Four (4) Letters from Carteret Health Care Board Members
Eastern Radiologists, Dr. Brian Kuszyk
Danny McQueen
Carteret Health Care, Dr. James Loynes
Carteret County Chamber of Commerce, Tom Kies
Oral Remarks at Public Hearing
Carteret Health Care, Kyle Marek
Carteret Health Care, Dr. Kyle Rusthoven
Carteret Health Care, Julius Taylor
Wednesday, May 17, 2023
Agenda
Minutes from April 5, 2023
Cardiac Catheterization
Cardiac Catheterization Procedures by Facility and Type, 2022 (Table 15A-1)
Mobile Cardiac Catheterization Capacity and Volume (Table 15A-2)
Fixed Cardiac Catheterization, Capacity and Volume (Table 15A-3)
Fixed and Mobile Cardiac Catheterization Need Determination (Table 15A-4)
Gamma Knife
No documents
Linear Accelerator (LINAC)
Hospital and Free-Standing Linear Accelerators and Radiation Oncology Procedures (Table 15C-1)
Stereotactic Radiosurgery Procedures (Table 15C-2)
Linear Accelerator Service Areas (Table 15C-4)
Linear Accelerator Service Areas and Calculations (Table 15C-5)
Linear Accelerator Need Determinations (Table 15C-6)
Lithotripsy
Mobile and Fixed Lithotripsy Providers and Locations Served (Table 15D-1) and Mobile and Fixed Lithotripsy (Table 15D-2)
Lithotriptor Need Determination (Table 15D-3)
Magnetic Resonance Imaging (MRI)
MRI Fixed and Mobile Procedures by MRI Service Area with Tiered Threshold and Fixed Equivalents (Table 15E-1)
MRI Scanner Need Determinations by Service Area (Table 15E-2)
Fixed MRI Scanner Need Determination (Table 15E-4)
Positron Emission Tomography (PET)
Utilization of Existing Dedicated Fixed PET Scanners (Table 15F-1)
PET Scanner Provider of Mobile Dedicated Scanners (Table 15F-2) and PET Scanner Sites Utilization of Existing Mobile Dedicated Scanners (Table F-3)
Dedicated Fixed PET Scanner Need Determination (Table 15F-4)
Wednesday, April 5, 2023
Agenda
Minutes from September 14, 2022
Cardiac Catheterization
No documents
Gamma Knife
No documents
Linear Accelerator (LINAC)
No documents
Lithotripsy
No documents
Magnetic Resonance Imaging (MRI)
Agency Report: Petition to Create Policy TE-4
Create Policy TE-4: Appalachian Regional Healthcare System
Oral Remarks at Public Hearing
Proposed Policy TE-4: Appalachian Regional Healthcare System
Comments
Dr. Charles Baker
John Blackburn, State Board of Education
Jim Deal
Dr. Marshall Murrey
Representative Ray Pickett, NC General Assembly, House of Representatives
Comments on Fixed and Mobile MRIs: Mission Hospital
Positron Emission Tomography (PET)
North Carolina State Health Coordinating Council
State Medical Facilities Plan
Petitions and Comments
Semiannual Dialysis Report
State Health Planning Process
Meeting Information
Publications
Public Notices
Forms
