Proposed 2013 State Medical Facilities Plan - NC Department of ...

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Appendix G: Critical Access Hospitals County Facility Name, Address and Telephone Number Dare The Outer Banks Hospital, Inc. 4800 South Croatan Highway Nags Head, North Carolina 27959 (252) 449-4500 Davie Davie County Hospital 223 Hospital Street Mocksville, North Carolina 27028 (336) 751-8100 Halifax Our Community Hospital, Inc. 921 Junior High School Road Scotland Neck, North Carolina 27874 (252) 826-4144 Macon Angel Medical Center, Inc. 120 Riverview Street Franklin, North Carolina 28734 (828) 524-8411 Macon Highlands-Cashiers Hospital, Inc. 190 Hospital Drive Highlands, North Carolina 28741 (828) 526-1200 Montgomery FirstHealth Montgomery Memorial Hospital 520 Allen Street Troy, North Carolina 27371 (910) 572-1301 Pender Pender Memorial Hospital, Inc. 507 E Fremont Street Burgaw, North Carolina 28425 (910) 259-5451 Polk St. Luke's Hospital 101 Hospital Drive Columbus, North Carolina 28722 (828) 894-3311 Stokes Pioneer Community Hospital of Stokes 1570 NC 8 & 89 Hwy N Danbury, North Carolina 27016 (336) 593-2831
Appendix G: Critical Access Hospitals County Facility Name, Address and Telephone Number Swain MedWest of Swain 45 Plateau Street Bryson City, North Carolina 28713 (828) 488-2155 Transylvania Transylvania Regional Hospital, Inc. and Bridgeway 260 Hospital Drive Brevard, North Carolina 28712 (828) 884-9111 Washington Washington County Hospital 958 US Hwy 64 East Plymouth, North Carolina 27962 (252) 793-4135 Watauga Blowing Rock Hospital 418 Chestnut Drive Blowing Rock, North Carolina 28605 (828) 295-3136 Yadkin Yadkin Valley Community Hospital 624 West Main Street Yadkinville, North Carolina 27055 (336) 679-2041
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2 0 1 3 Proposed
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TABLE OF CONTENTS Background Chapte
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Chapter 1: Overview of the Proposed
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The projections of need for the var
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encourages the adjustment of cost m
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North Carolina State Health Coordin
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Medical Facilities Planning Branch
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CHAPTER 2 AMENDMENTS AND REVISIONS
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Petitioners will receive written no
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not to incorporate the recommended
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CHAPTER 3 CERTIFICATE OF NEED REVIE
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Category I Proposals for: o changes
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Table 3A: 2013 Certificate of Need
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CHAPTER 4 STATEMENT OF POLICIES Sum
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associated professional school and
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POLICIES APPLICABLE TO NURSING CARE
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Continuation of this policy shall b
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Any certificate of need issued unde
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non-nursing unit of the continuing
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Medical Facilities Plan in effect a
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children ages birth through six yea
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5. Withdrawals and Relinquishments
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d. dialysis stations; e. the equipm
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Chapter 5: Acute Care Hospital Beds
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practice, and building blocks in th
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whether a patient record was catego
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Step 4 (Columns G and H) Calculate
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3. if proposing a new licensed hosp
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Service Area License Number Facilit
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Table 5B: Acute Care Bed Need Deter
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Chapter 6: Operating Rooms
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Population data by county for 2011
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Step 3 - Project Future Operating R
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4.k. (Note: By entering the “excl
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CHEROKEE SWAIN JACKSON MACON V ANIA
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Table 6A: Operating Room Inventory
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A Operating Room Service Areas (Sin
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Table 6B: Projected Operating Room
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A Operating Room Service Areas (Sin
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Inventory of Endoscopy Rooms in Lic
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Table 6E: Endoscopy Room Inventory
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Chapter 7: Other Acute Care Service
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Table 7A: Adult Open-Heart Surgery
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Table 7B: Open Heart Surgery Servic
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Burn Intensive Care Services Need D
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Table 7E: Bone Marrow Transplants A
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Table 7G: Solid Organ Transplantati
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Chapter 8: Inpatient Rehabilitation
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ehabilitation services, but include
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HSA Facility Current Table 8A: Inve
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Chapter 9: Technology & Equipment
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Lithotripsy Introduction Lithotrips
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Table 9A: Mobile Lithotripsy Provid
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Table 9A: Mobile Lithotripsy Provid
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Table 9B: Fixed Lithotripsy Provide
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Gamma Knife Definition "Gamma Knife
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Linear Accelerators Introduction Th
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a. Where patient origin data indica
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Note: The North Carolina 2009 State
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Table 9G: Hospital and Free-Standin
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Table 9G: Hospital and Free-Standin
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Table 9I: Linear Accelerator Servic
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Table 9I: Linear Accelerator Servic
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Table 9J: Linear Accelerator Invent
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Positron Emission Tomography Scanne
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performed on these fixed dedicated
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Table 9L: PET Scanner Utilization o
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Table 9N: Fixed Dedicated PET Scann
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Some sites that initiated MRI servi
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procedures outside the norm. Proced
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Step 10: Calculate the average numb
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Table 9P: MRI Fixed and Mobile Proc
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Service Area Caldwell Table 9P: MRI
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Service Area Durham Durham Durham D
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Service Area Gaston Gaston Gaston G
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Service Area Guilford Table 9P: MRI
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Service Area Table 9P: MRI Fixed an
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Service Area Nash Nash Nash Table 9
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Service Area Pitt Table 9P: MRI Fix
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Service Area Table 9P: MRI Fixed an
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Service Area Wake Wake Wake Wake Wa
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Table 9Q(1): Inventory of MRI Scann
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Table 9R: Fixed MRI Scanner Need De
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In addition, Central Carolina Hospi
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Table 9S: Adult Diagnostic Fixed Ca
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Table 9T: Pediatric Diagnostic Cath
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Table 9V: Percutaneous Transluminal
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Cardiac Catheterization Equipment S
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Cardiac Catheterization Equipment S
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Table 9X: Mobile Cardiac Catheteriz
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Table 9AA: Mobile Cardiac Catheteri
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CHAPTER 10 NURSING CARE FACILITIES
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2010 5-year Estimates, which replac
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County Table 10A: Inventory of Nurs
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County Under Age 65 Table 10B: Nurs
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County Under Age 65 Table 10B: Nurs
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Chapter 11: Adult Care Homes
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Changes from the Previous Plan One
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ounding need determinations, number
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Table 11A: Inventory of Adult Care
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Table 11B: Adult Care Home Need Pro
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Chapter 12: Home Health Services
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3. Current age-specific use rates a
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esult is the anticipated use rate p
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Lic. # Table12A: Home Health Data b
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Table 12B: Average Annual Rates of
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Table 12C: 2014 Need Projections fo
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Chapter 13: Hospice Services
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Basic Assumptions of the Method Hos
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Year Statewide Number Deaths Served
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Step 3: The average length of stay
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Table 13A: Hospice Data by County o
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County Source or Formula => 2006-20
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County Source or Formula => 2006-20
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County Source or Formula => Total A
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County Source or Formula => Total A
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County License Number Table 13D(1):
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County Table 13E: Hospice Residenti
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Table 13F: Inventory of Hospice Res
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Table 13H: Hospice Inpatient Bed Ne
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CHAPTER 14 END-STAGE RENAL DISEASE
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d. number of patients receiving tra
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D. From each county's projected num
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v. The sum from 3.B.iv is divided b
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CHAPTER 15 PSYCHIATRIC INPATIENT SE
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3. Short-term psychiatric beds in t
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Table 15A: Inventory of Psychiatric
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A B C D E F G H I J Local Managemen
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Table 15C (1): Child/Adolescent Psy
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Chapter 16: Substance Abuse Inpatie
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treatment programs and support serv
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acute care and specialty hospitals
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Table 16A: Inventory of Chemical De
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Smoky Mountain Center 2: Alleghany,
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Page 403 and 404: CHAPTER 17 INTERMEDIATE CARE FACILI
Page 405 and 406: Summary of ICF/IID Bed Supply and U
Page 407 and 408: FACILITIES FOR INDIVIDUALS WHO CURR
Page 409 and 410: Local Management Entity-Managed Car
Page 411 and 412: Table 17A: Inventory of ICF/IID Fac
Page 413 and 414: Local Management Entity-Managed Car
Page 419 and 420: Table 17C: Adult ICF/IID Bed Need D
Page 421 and 422: HSA I Appendix A: North Carolina He
Page 423 and 424: LME Local Management Entity LRA Lic
Page 425 and 426: DUPLIN DURHAM EDGECOMBE FORSYTH FRA
Page 427 and 428: VANCE WAKE WARREN WASHINGTON WATAUG
Page 429 and 430: Appendix D: North Carolina Certific
Page 450 and 451: Appendix F: Academic Medical Center
Page 454: State Medical Facilities Plan
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