Applications

Unity Hospital proposes to add a a second CT scanner at its Long Pond Rd Location to serve inpatient and emergency department patients.

CTAAB concluded there is a need for the proposed services. 

• There is a need for capacity at Unity to care for non-ambulatory patients, even though there is sufficient capacity in the area for all patients. 
• There are likely to be improvements in quality of care as result of the additional scanner.

Strong Memorial Hospital proposes to build a 92,000 square foot outpatient building, including two floors dedicated to adult outpatient imaging services currently performed within Strong Memorial Hospital. Proposed site location is East River Road.

CTAAB concluded there is a need for the proposed building.

• There is no change in CT or MRI capacity involved in this proposal 
• The proposal will provide needed space for expansion of imaging services not available in the current hospital footprint 
• Patient access to outpatient imaging services will be enhanced 
• Quality of care may be improved by the acquisition of newer equipment and improved patient flow

After Hours Imaging, LLC proposes to add a parked, mobile CT scanner and a mobile MRI machine to their current location at 80 West Avenue, Brockport.

CTAAB concluded there is not a need for the proposed services. 

• There is not a community need for additional MRI or CT capacity.

University Medical Imaging proposes to add a fifth MRI scanner, a 3.0 Tesla open-bore design.

CTAAB concluded there is need for the proposed services.

Although there is not a community-wide need for additional MRI capacity, University Medical Imaging has demonstrated an institution-specific need for the proposed MRI.

Rochester General Health System d/b/a Lattimore Community Surgicenter proposes to relocate to 360 Linden Oaks Drive, Rochester, and add two operating rooms.

CTAAB concluded there is need for the proposed expansion.

• Although there is not a community-wide need for additional OR capacity, Rochester General Hospital has demonstrated an institution-specific need for the proposed ORs.
• The lease at the current site expires in 2013.

The anticipated operational date for the surgicenter is the third quarter of 2013.

Gregory Carnevale of Finger Lakes Allergy Clinic proposes to establish a two-bed accredited sleep lab in Geneva.

Withdrawn

Rochester General Hospital proposes to certify a wound care extension clinic housing two hyperbaric chambers to be located on the campus of St. Ann’s Community residential health care facility.

CTAAB concluded there is need for the development of the advanced wound care center, including two hyperbaric chambers:

• The organization of services into an integrated clinic will improve the quality of care provided to persons with chronic wounds.
• Quality and continuity of care will likely be improved by the inclusion of hyperbaric oxygen therapy in the wound care center services.
• The wound care center is not financially feasible without the hyperbaric chambers.

It is expected that the wound care center will be operational by the end of the second quarter of calendar 2013.

Strong Memorial Hospital proposes to add two CT scanners and one MRI machine in new clinical space being constructed at the hospital.

CTAAB concluded there is need for the development of satellite imaging suite space for the Cancer Center and the Children’s Hospital bed towers as well as the addition of a CT scanner in the cancer center:  

• Existing radiology services are excessively distant from proposed specialized bed units.  It would be economic to design satellite suite space now while the buildings are being designed and constructed.
• Quality of care will likely be improved by development of inpatient cancer center-specific imaging services.
• It is expected that the cancer center CT scanner will be operational by the end of the second quarter of calendar 2013. 

No recommendation will be made on the need for additional CT or MRI capacity for the Children’s Hospital until approximately one year prior to implementation, which is projected for 2015.

Finger Lakes Bone & Joint Center in partnership with Great Lakes Medical Imaging proposes to add an open MRI scanner and low-dose CT scanner at its offices at 875 Pre-Emption Road, Geneva.  The equipment will be owned by the partnership known as Finger Lakes Medical Imaging, LLC and the contract for reading services will be with Great Lakes Medical Imaging, LLC.

CTAAB concluded there is not a need for the proposed services:

• There is not a community need for additional MRI or CT capacity.

Appeal:  CTAAB received an appeal from the applicant.  Based on additional information presented, CTAAB concluded there is no need for the proposed scanner:

There is not a large enough population who can solely be served by an open unit to justify adding such a unit when there is not community need for additional capacity.

Rochester General Health System/Newark-Wayne Community Hospital and Clifton Springs Hospital propose a combined application for a daVinci robot platform.

 FF Thompson Hospital proposes to acquire a daVinci robot.

CTAAB concluded there is need for the daVinci robot:

• CTAAB had previously recognized the need for a daVinci robot in the Central Finger Lakes (CFL) region based on the number of residents in the region receiving such surgeries and the growth in patient and provider demand for robotic surgery.
• The anticipated volume of surgeries is considered adequate to consider that the robot will not be underutilized and that surgeons and surgical staff will be able to acquire and maintain needed skills.
• The joint proposal best meets the CTAAB objective of fostering collaboration among CFL hospitals and between CFL hospitals and tertiary care facilities.
• CTAAB concluded there is no need for a daVinci robot at FF Thompson Hospital:
• CTAAB had previously recognized the need for a daVinci robot in the Central Finger Lakes (CFL) region based on the number of residents in the region receiving such surgeries and the growth in patient and provider demand for robotic surgery.
• The approval of a joint application determined as best meeting the CTAAB objective of fostering collaboration among CFL hospitals and between CFL hospitals and tertiary care facilities filled the recognized need.