Applications

Rochester General Hospital proposes to establish an imaging center at 214 Alexander Park, Rochester, to include general x-ray, dexa scanning, ultrasound, CT, and digital mammography.

CTAAB concluded there is need for proposed services:   

• Imaging services are not available at Alexander Park, where there is a substantial number of physician practices and more practices are expected to locate. 
• The proposed center would expand geographic access to care. 
• Approximately 35% of revenue would be derived from Medicaid.
• When CT scanning services are available at the Alexander Park site, use of the oldest and least used of the three CT scanners currently on site at Rochester General Hospital will be discontinued.  The two CT scanners remaining in operation at Rochester General Hospital will be sufficient to handle the volume of scans for inpatients, emergency department patients, and outpatients continuing to use the hospital imaging services.
• The anticipated operational date for the imaging center is the end of the first quarter 2012.  

If the applicant makes a future request for a CT scanner at the hospital site, it must demonstrate that all possible efforts have been made to move outpatient scans to the Alexander Park site.

Rochester Radiology proposes to place a fixed PET/CT unit at 1255 Portland Avenue, Rochester, replacing a mobile unit currently in use.

CTAAB concluded there is need for the fixed PET-CT:

• Clinical need for PET scanning continues to expand.
• Clinical quality and patient comfort and safety will likely be improved.

Anticipated project completion date is six to nine months.

Medina Memorial Health Care System proposes to certify MRI as a service to be provided through a mobile unit.

CTAAB concluded there is a need for the proposed MRI.

• The proposed service would add MRI services to a hospital where it does not currently exist.
• The proposed service would add geographic access.
• The hospital is projecting appropriate levels of access for financially disadvantaged patient groups.

The Exigence Group proposes to locate a CT scanner in a new urgent care center at 2745 West Ridge Road, Greece.

Withdrawn

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.

Newark-Wayne Community Hospital proposes relocation and renovation of its endoscopy suite.

CTAAB concluded there is need for the relocation and renovation:

• There presently is a low rate of appropriate screening for colorectal cancer in Wayne County, the hospital’s primary service area.
• The proposed renovation will support colorectal screening and other endoscopic activities with clinically efficient settings, will correct present violations of hospital building codes, and will bring the suite up to industry standards.
• The total project will be completed in the first quarter of 2013.

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.

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.

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.

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.