NC Register Volume 16 Issue 15 - Office of Administrative Hearings

(c) An applicant proposing to add adult care home beds to anexisting facility shall not be approved unless the averageoccupancy, over the nine months immediately preceding thesubmittal of the application, of the total number of licensed adultcare home beds within the facility in which the new beds are tobe operated was at least 85 percent.(d) An applicant proposing to establish a new adult care homefacility or add adult care home beds to an existing facility shallnot be approved unless occupancy is projected to be at least 85percent for the total number of adult care home beds proposed tobe operated, no later than two years following the completion ofthe proposed project. All assumptions, including the specificmethodologies by which occupancies are projected, shall beclearly stated.History Note: Authority G.S. 131E-175; 131E-176;131E-177(1); 131E-183(b); S.L. 2001, c. 234;Eff. November 1, 1996;Temporary Amendment Eff. January 1, 2002.SECTION .1600 - CRITERIA AND STANDARDS FORCARDIAC CATHETERIZATION EQUIPMENT ANDCARDIAC ANGIOPLASTY EQUIPMENT10 NCAC 03R .1615 REQUIRED PERFORMANCESTANDARDS(a) An applicant shall demonstrate that the project is capable ofmeeting the following standards:(1) each proposed item of cardiac catheterizationequipment or cardiac angioplasty equipment,including mobile equipment but excludingshared fixed cardiac catheterization orangioplasty equipment, shall be utilized at anannual rate of at least 60 percent of capacityexcluding procedures not defined as cardiaccatheterization procedures in 10 NCAC 03R.1613(5), measured during the fourth quarterof the third year following completion of theproject;(2) if the applicant proposes to performtherapeutic cardiac catheterization procedures,each of the applicant's therapeutic cardiaccatheterization teams shall be performing at anannual rate of at least 100 therapeutic cardiaccatheterization procedures, during the thirdyear of operation following completion of theproject;(3) if the applicant proposes to perform diagnosticcardiac catheterization procedures, eachdiagnostic cardiac catheterization team shallbe performing at an annual rate of at least 200diagnostic-equivalent cardiac catheterizationprocedures by the end of the third yearfollowing completion of the project;(4) at least 50 percent of the projected cardiaccatheterization procedures shall be performedon patients residing within the primary cardiaccatheterization service area;(b) An applicant proposing to acquire mobile cardiaccatheterization or mobile cardiac angioplasty equipment shall:TEMPORARY RULES16:15 NORTH CAROLINA REGISTER February 1, 20021677(1) demonstrate that each existing item of cardiaccatheterization equipment and cardiacangioplasty equipment, excluding mobileequipment, located in the proposed primarycardiac catheterization service area of eachhost facility shall have been operated at a levelof at least 80 percent of capacity during the 12month period reflected in the most recentlicensure form on file with the Division ofFacility Services;(2) demonstrate that the utilization of eachexisting or approved item of cardiaccatheterization equipment and cardiacangioplasty equipment, excluding mobileequipment, located in the proposed primarycardiac catheterization service area of eachhost facility shall not be expected to fall below60 percent of capacity due to the acquisition ofthe proposed cardiac catheterization, cardiacangioplasty, or mobile equipment;(3) demonstrate that each item of existing mobileequipment operating in the proposed primarycardiac catheterization service area of eachhost facility shall have been performing atleast an average of four diagnostic-equivalentcardiac catheterization procedures per day persite in the proposed cardiac catheterizationservice area in the 12 month period precedingthe submittal of the application;(4) demonstrate that each item of existing orapproved mobile equipment to be operating inthe proposed primary cardiac catheterizationservice area of each host facility shall beperforming at least an average of fourdiagnostic-equivalent cardiac catheterizationprocedures per day per site in the proposedcardiac catheterization service area in theapplicant's third year of operation; and(5) provide documentation of all assumptions anddata used in the development of theprojections required in this Rule.(c) An applicant proposing to acquire cardiac catheterization orcardiac angioplasty equipment excluding shared fixed andmobile cardiac catheterization or cardiac angioplasty equipmentshall:(1) demonstrate that its existing items of cardiaccatheterization and cardiac angioplastyequipment, except mobile equipment, locatedin the proposed cardiac catheterization servicearea operated at an average of at least 80% ofcapacity during the twelve month periodreflected in the most recent licensure renewalapplication form on file with the Division ofFacility Services;(2) demonstrate that its existing items of cardiaccatheterization equipment or cardiacangioplasty equipment, except mobileequipment, shall be utilized at an averageannual rate of at least 60 percent of capacity,measured during the fourth quarter of the thirdyear following completion of the project; and