Applications

United Memorial Medical Center proposed to construct a wound care center in renovated space.

Unity Hospital of Rochester proposes to acquire a daVinci SI robot.

CTAAB concluded there is need for the surgical robot:

• Patient and provider demand for robotic surgery continues to increase.
• Indications for robotic surgery are expanding.
• Available surgical robots in the region are operating close to capacity.
• Unity has 12 surgeons trained in robotic surgery, eight of whom are currently performing such surgeries at other area hospitals.

The surgical robot is expected to be operational in the third quarter of 2012.

Rochester General Health System proposes to build and operate an advanced wound care center in conjunction with St. Ann’s of Greater Rochester on the campus of St. Ann’s Community.

Withdrawn

Rochester General Health System proposes to purchase and operate a third daVinci robot at Newark-Wayne Community Hospital.

Withdrawn

Strong Memorial Hospital proposes to establish a wound care extension clinic at 160 Sawgrass Drive, Rochester.

Grandfathered

Geneva General Hospital proposes to acquire a daVinci robot.

Withdrawn

Clifton Springs Hospital proposes to acquire a daVinci robot.

Withdrawn

Highland Hospital proposes to add a second daVinci robot.

CTAAB concluded there is need for the second surgical robot:

• Patient and provider demand for robotic surgery continues to increase.
• Indications for robotic surgery are expanding.
• Available surgical robots in the region are operating close to capacity.
• Highland Hospital has an established robotic surgery program with a dedicated surgical team.

The surgical robot is expected to be installed and ready for use by the end of 2011.

Sleep & Wellness Center of Western New York proposes to open a sleep center in Brockport, NY.

CTAAB concluded there is need for the proposed services:   

• The sleep center will nominally serve areas, primarily in Orleans County, which experience less access to sleep diagnostic services than other areas in the region.
• There are extensive wait times at existing services that could potentially serve these areas.
• The sleep center and consulting sleep specialist physician accept all insurances, including Medicaid.
• The specification of an operational date is moot; the sleep center is currently operational.  

CTAAB also addressed concerns that the sleep facility was built and marketed to the community prior to CTAAB review.  In the context of that discussion the applicant offered to identify for the payers patients who received sleep services prior to the May 17 CTAAB approval of the sleep center and will forgo reimbursement for services to these patients.

Geneva General Hospital proposes to expand its sleep laboratory from four to six beds.

CTAAB concluded there is need for the additional beds:

• As presently operated (six beds, four nights per week), the capacity being utilized is the same as that previously available (four beds, six nights per week).
• The present operation provides for more stable staffing patterns.
• The specification of an operational date is moot; the number of sleep beds has already been expanded.

The following conditions were also recommended by CTAAB:

• The applicant return to CTAAB for approval before expanding into additional nights’ use of the six-bed capacity.

The applicant provide annual monitoring data for Finger Lakes Health Systems Agency staff such that there is a measure of use of the six-bed unit.