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  Applications

Applications Under Review

This area of our web site is used to record incoming letters of intent, provide the status of reviews, and report decision results.  

Project
Date

Proposal

Final outcome

2/4/10 The Exigence Group proposes to locate a CT scanner in a new urgent care center at 2745 West Ridge Road, Greece.
11/11/09 Newark-Wayne Community Hospital proposes relocation and renovation of its endoscopy suite.
11/11/09 Highland Hospital proposes the creation of a twenty-two bed neuromedicine unit.

CTAAB concluded there is need for the creation of the neuromedicine unit:

·          The proposed unit would provide some beds now to meet present need for beds as calculated by the 2020 Commission.  Those beds, potentially not needed in the future as effective demand management initiatives are implemented, should be acknowledged as part of the existing bed complement of the URMC/Strong Health system as the area hospitals develop their current and future bed projects.

·          The grouping of neuromedicine patients should lead to improvements in quality of care through development of specialized nursing skills and application of specialized technology.

·          The creation of the unit would renovate an older section of the hospital and provide private patient rooms.

·          Anticipated project completion date is July 2011.

9/24/09 Highland Hospital proposes to add two new operating rooms, renovate pre-surgical screening, and expand the sterile processing department.

CTAAB concluded there is need for the additional ORs:

·         While there is no current community-wide need for additional surgery capacity, Highland Hospital has demonstrated an institutional need for additional OR capacity based on established criteria that reflect high usage rates of existing capacity.

·         Anticipated project operational date is January 2012.

7/20/2009 Newark-Wayne Community Hospital proposes to renovate its Emergency Department.

CTAAB concluded there is need for the renovation:
·         
There is need to replace or modernize the existing ED based on both functionality and capacity.
·         
Quality of patient care will be enhanced.
·         
The design offers the opportunity to provide lower intensity care in a more efficient setting.  

CTAAB recommended that the hospital provide bilingual-bicultural staff within the ED and the hospital at large in accordance with New York State regulations.   

CTAAB further recommended that the hospital be an active participant in a collaborative, regional planning process to assure effective and non-duplicative investment in the region’s and subarea’s health care delivery system.

3/6/2009 Clifton Springs Hospital proposes to convert a mobile MRI to a fixed in-house MRI.

CTAAB concluded there is a need for the fixed MRI:

·          The proposed fixed unit will increase the timely availability, accessibility, and quality of MRI services to the patients at the hospital, including its rural patient base.

·          The large bore unit will provide clinical benefit to some overweight and claustrophobic patients.

There is only a small cost difference between the present part-time service and the proposed full-time service.
2/2/2009 Geneva General Hospital proposes to renovate and construct an addition to the facility:  reconfigure medical/surgical patient rooms to create and construct 24 private rooms, expand the emergency department, replace the operating suites, create a replacement ICU, expand radiology and cardiology, and create a nursing education center.

CTAAB concluded there is a need for the proposed modernization, with the contingency that the number of Emergency Department stations be reduced to 16 and that the number of pre-admission stations be reduced as FLHSA staff determines based on additional information from Geneva General Hospital.

·         Use of radiology services has increased.  Increased demand for cardiology services is expected following the addition of two hospital-based cardiologists.

·         The rooms in the current intensive care unit (ICU) are small and outdated; no new ICU beds will be added during the renovation.  Given current demand, the current number of ten beds is needed to have an ICU bed available 99% of the time.

·         The current operating suites are small and outdated; no new operating rooms will be added.

·         Based on available utilization data, the emergency department needs 16 stations.  There are no utilization standards for pre-admission stations; FLHSA staff will work with the applicant to determine an appropriate number of stations.

·         Modernization of the applicant’s hospital rooms is important; current standards for acute care hospitals call for single patient rooms.  The applicant’s renovation of current hospital rooms to create 17 single rooms and construction of 24 new single rooms will help the hospital meet these standards.  

CTAAB recognized the importance of community planning and expressed support for a community planning process, addressing, in particular, hospital bed capacity in the region.  This sentiment is shared among key stakeholders.
12/17/2008 Unity Hospital proposes to add a third cardiac catheterization laboratory.

CTAAB concluded there is need for the laboratory:
·         
Monroe County facilities, including Unity Hospital’s, are used at a rate well above state standards.
·         
Literature supports the use of non-surgical approaches to treating cardiac problems.

11/25/2008 Rochester General Hospital proposes to build a four-bed sleep lab on the RGH campus.  Newark Wayne Community Hospital proposes to a four-bed sleep lab on the NWCH campus.          Withdrawn
10/29/2008 Sleep Insights proposes to add a second sleep center in Gates.

CTAAB concluded there is need for the six sleep beds:
·         
There is an extensive wait time to obtain sleep consultations and diagnostic testing.
      The occupancy rate at existing sleep facilities based on six nights of operation 50 weeks a year was over 95%.

10/06/2008 Nicholas H. Noyes Memorial Hospital proposes to add at 16-slice CT scanner at the Livingston Health Services Extension.  CTAAB concluded there is need for the CT scanner:
·         
The current CT scanner is at or above its volume capacity.
·         
Access to CT scanning will be improved with the placement of a unit in Geneseo.
Anticipated project operational date is six months after the certificate of need approval.
6/24/2008 F.F. Thompson proposes to expand and improve its laboratory, rehabilitation units, dietary facility, operating rooms, and ambulatory procedures unit.  CTAAB concluded there is need for the proposed modernization:
·         
The areas proposed for renovation do not meet contemporary quality standards.
·         
The existing procedure rooms are operating at capacity, and the need for colonoscopies will increase as the population ages.

Anticipated project operational date is June 2012.