Applications

All current applications and reviews are posted here to ensure transparency and increase awareness.

Recent Applications


Project Date Proposal Status / Final Outcome
1/18/2017 Clifton Springs - Renovation and Expansion

Clifton Springs Hospital proposes to co-locate medical services in efforts to create a medical village, Clifton Springs Medical Village. 

CTAAB concluded that there is a need for the proposed capacity

  • Results in no increase in inpatient capacity, of which there is significant excess in the community
  • Increasing outpatient capacity for the services aligns with current trends and community initiatives.
  • Represents an increase in geographical access for certain outpatient services that may result in higher utilization of preventative services, potentially decreasing the need for more acute care.
12/13/2016 RGH Tower Construction

Rochester General Hospital proposes the construction of a seven (7) story tower connected to the Northeast side of the existing hospital. This building will house 108 private patient rooms with Medica/Surgical and ICU beds, and a fourteen (14) bed neonatal unit that will include continuing, intermediate, and intensive care. In the new building there will also be a 20 private post-partum rooms.

CTAAB concluded that there is a need for the propose capacity

  • RGH demonstrates a need to modernize facilities as the current infrastructure was designed over 60 years ago.
  • There is no change in capacity to the hospital or community for various services.
  • Shift of services from double to single occupancy rooms may allow for higher occupancy rates, potentially reducing need for future bed expansions.
10/19/2016 SMH Bed Expansion

Strong Memorial Hospital proposes the addition of 40 medical/surgical beds.

CTAAB concluded that there is a need for the proposed capacity

  • The hospital has demonstrated 'institutional need' for medical/surgical beds
  • While the hospital demontrates a potential need for beds in the future there are several factors applying negative pressure on bed need
4/22/2016 Highland Hospital Operating Room (OR) Additions

Highland Hospital proposes to construct two (2) additional operating rooms and convert an existing OR into a hybrid OR

CTAAB concluded that there is a need for the proposed capacity

  • There is limited capacity within the community for inpatient surgical services
  • A regionally integrated delivery system will likely increase patient migration from outlying areas
  • There is increasing local demand from outlying areas for inpatient surgical services
  • The addition of vascular surgical services is needed to meet emerging demands
11/30/2015 PET / MRI and CT at SMH

UR Medicine Proposes to add an MRI with PET capabilities and a CT Scanner in order to enhance the advanced imaging capabilities of SMH and the Golisano Children's Hospital.

Based on the information available, CTAAB approved the incremental PET / MRI capacity based on the following considerations:

  • Regional Perinatal Center designation indicates institutional need for pediatric patients.
  • Gained efficiencies given the PET/MRI technology involves less radiation exposure than the PET/CT with equivalent diagnostic capabilities.
  • The added technology will limit the number of scans completed in off hours, decrease wait time and increase patient safety.

CTAAB also approved the incremental CT capacity based on the following considerations:

  • The added capacity will limit the number of scans completed in off hours and decrease wait times.
  • Site development in anticipation of future utilization is appropriate
  • Historical data indicate continued growth in the services provided by the institution
  • The transfer of outpatient capacity to the Outpatient Radiology Building will allow for more efficient workflows and positively impact patient accessibility.
6/1/2015 Golisano Children's Hospital Expansion

UR Medicine proposes to certify 8 PICU beds and construct 6 ORs, a procedure room and a pediatric catheterization laboratory.

CTAAB concluded there is a need for proposed capacity:

  • Current PICU volume exceeds the existing bed spaces. 
  • Current and projected surgical volume justifies the proposed number of pediatric-specific OR and procedure spaces.
  • This proposal would have the effect of minimally adding to adult OR capacity
  • Expansion of pediatric capacity may result in increased pediatric volume, including care for some patients that are currently referred out-of-region for specialty care.
  • This project will likely have a neutral effect on patient care cost per admission or procedure.
  • The proposed project has the potential to improve quality of care for patients and their families.
 
4/21/2015 Dansville Cancer Center

N. Noyes Community Hospital proposes to certify Therapeutic Radiology Services and Construct a two (2) Linear Accelerator Radiation Oncology Unit.

CTAAB concluded there is a need for 1 LINAC at the proposed facility:  

  • Ensuring the type of service proposed is available locally is an important patient satisfier.  
  • Shifting current capacity from Hornell to a new facility, with new equipment has the potential to improve quality of care for patients.
  • Site development in anticipation of future utilization is appropriate, however:
    • Historical data indicate that 2 LINACS in similar communities have been unsustainable locally
    • Approving new capacity 3 years prior to implementation does not allow for adequate analysis.  

CTAAB also recommends that continued reimbursement for these services be contingent upon the closure of the UR Medicine Radiation Oncology Faculty practice in Hornell 6 to 12 months after the initiation of Radiation Oncology services at the new facility.

 
4/10/2015 Interventional CT Scanner

FF Thomspon Hospital proposes to purchase a new CT scanner and utilize the current scanner for interventional procedures only.

CTAAB concluded there is a need for the proposed capacity:

  • There is not a community-wide need for incremental CT scanner capacity.
  • However, there is evidence supporting an institutional need for capacity specific to perform interventional procedures.
    • Current scanner is used at typical rates, however this does not account for the higher than typical proportion of IR procedures
    • Additional growth in regional IR CT volume is reasonably anticipated.
    • Growth in CT-guided invasive procedures support the sponsor’s plan to dedicate one unit to that service.
  • Temporal access to CT services may be enhanced for FF Thompson emergent patients, potentially improving quality of care and associated outcomes.
3/11/2015 Expansion and Renovation - Operating Rooms and Observation Unit

Highland Hospital proposes to construct a two-story addition to house a perioperative suite and a 26 bed observation unit.

CTAAB concluded there is a need for the proposed capacity:

  • There is no increase in operating suite capacity as a result of the project
  • Although community capacity for observation is unavailable, demand for these services is increasing across the community and within Highland Hospital
  • Gained efficiencies as a result of the project have the potential to positively affect outcomes for patients at Highland Hospital
 
1/21/2015 Single Specialty ASC to Provide Pain Management Services

Pittsford Pain Center LLC proposes to establish and construct a single specialty ambulatory surgery center to provide pain management services at 727 Linden Avenue, Pittsford.

CTAAB concluded there is not a need for the proposed capacity: 
  • There is no demonstrated community need for additional Pain Management Capacity
  • There are significant incremental costs associated with the project and no evidence of improved outcomes for patients
  • Increases in efficiency and quality could be achieved without article 28 status.
  • There is no demonstrated improvement in geographic or financial access