Applications

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

Recent Applications


Project Date Proposal Status / Final Outcome
6/1/2007 Strong Memorial Hospital - Extension Clinic

Strong Memorial Hospital proposes to add an extension clinic certified for outpatient medical oncology infusion services at Highland Hospital; this clinic would consolidate the Highland Hospital infusion center within the Wilmot Cancer Center and would expand the services at the Highland Hospital site.

CTAAB concluded there is need for the proposed outpatient medical infusion center at Highland Hospital :

  • Cancer chemotherapy volume continues to increase;
  • The change in auspice will enable qualification for 340b “best federal price” purchase of pharmaceuticals;
  • Anticipated operational date is third quarter 2008.
5/1/2007 Strong Memorial Hospital - Linear Accelerator

Strong Memorial Hospital proposes to add an incremental linear accelerator within the Wilmot Cancer Center 

CTAAB concluded there is need for the proposed radiosurgery linear accelerator:

  • Indications for radiosurgery are increasing;
  • Radiosurgery appears to be less costly than the alternative treatment (invasive surgery) for many tumors;
  • Radiosurgery permits treatment of some tumors that are otherwise not treatable;
  • Anticipated project completion date is the end of the calendar year 2008.
5/1/2007 United Memorial Medical Center - Diagnostic Center

United Memorial Medical Center proposes to construct an outpatient diagnostic radiology center and add a 40-slice CT scanner and ultrasound and EKG services at its Bank Street Campus (the former St. Jerome’s Hospital) in Batavia, Genesee County.

CTAAB concluded there is need for UMMC’s proposed 40-slice CT scanner:

  • Evidence supports institutional need despite the lack of community-wide need for an additional CT scanner;
  • The proposed CT scanner is technologically superior to the existing scanner and will improve quality of care;
  • UMMC received NYSDOH approval and HEAL funding for the proposal;
  • Anticipated operational date is second quarter 2008.
4/1/2007 F.F. Thompson - Sleep Center

Thompson Health proposes to expand its Sleep Center from two to four beds.

CTAAB concluded there is need for F.F. Thompson to expand its sleep beds, with the further proviso that physician availability be improved at the earliest possible time:

  • Thompson’s existing capacity is maximally used;
  • Wait times for services are up to six months;
  • Expansion will be completed within 180 days of the State’s approval of the certificate of need application.
4/1/2007 Rochester General Hospital - Linear Accelerator

Rochester General Hospital proposes to obtain an additional linear accelerator.

CTAAB concluded there is need for the proposed linear accelerator::

  • Rochester General Hospital ’s radiation therapy units are currently operating above benchmark volume levels, suggesting the need to increase capacity;
  • The project will decompress the medical oncology services, enhancing patient privacy;
  • The project will reduce wait times to initiate cancer treatment;
  • The project will increase capacity to relatively underserved portions of the city of Rochester and Monroe County;
  • The project will be sited at Linden Oaks; anticipated project completion date is June 2008.
4/1/2007 Elizabeth Wende - MRI

Elizabeth Wende Breast Clinic proposes to obtain a 1.5T MRI to replace the mobile unit currently in use part-time

CTAAB concluded there is need for the proposed fixed MRI unit:

  • General community MRI capacity is fully utilized; while other centers could provide the service, capacity to perform breast MRIs is presently limited;
  • Clinical indications for breast MRI are increasing;
  • Delay or lack of MRI appears to negatively impact the course of clinical care for some patients;
  • Operating cost of the proposed unit is similar to the operating cost of the present mobile arrangement;
  • The applicant states the MRI should be operational in the third quarter of 2007.
4/1/2007 Soldiers & Sailors Memorial Hospital - ED

Soldiers & Sailors Memorial Hospital proposes to expand and upgrade its Emergency Department, Rehabilitation Services, and Cardiology department.

CTAAB concluded there is need for the proposed renovation and reconfiguration:

  • The project will improve function in the Emergency Department;
  • The project will improve accessibility and function of a number of high-traffic services;
  • The project will improve the facility’s infrastructure;
  • Anticipated project date is third quarter 2009.
3/1/2007 Rochester General Hospital - Mobile Lithotripsy

Rochester General Hospital proposes to provide in-house mobile lithotripsy in an existing operating room in the hospital.

CTAAB concluded there is no community need for the proposed lithotripter:

  • The units that are currently available are not fully utilized;
  • The proposed service would duplicate existing resources and increase community cost;
  • There is no compelling evidence the proposed unit would provide improved quality of care.

Appeal:

  • Following an appeal, CTAAB recommended approval of the proposed lithotripter for two half days per week:
  • Extracorporeal shock wave lithotripsy appears to be the standard of care for treating kidney stones.
  • No supply-induced demand is expected to result from the additional lithotripter.
  • Concern regarding additional community costs is not significant.
  • A mobile unit would allow flexibility in responding to demand.
  • Anticipated project operational date is January 2009.
3/1/2007 Rochester General Hospital - 64 Slice CT

Rochester General Hospital proposes to add a 64-channel CT scanner unit in conjunction with the expansion of its Emergency Department.

CTAAB concluded there is need for the proposed 64-slice CT scanner:

  • There is evidence supporting an institutional need despite the lack of community-wide need for additional CT scanner capacity.  Specifically, current RGH CT scanners are utilized beyond benchmark levels and additional growth in CT volume is reasonably anticipated;
  • The need for the proposed unit is not premised on cardiac imaging;
  • Anticipated project operational date is first quarter 2008.
2/1/2007 University Medical Imaging - 2nd CT Scanner

University Cardiovascular Associates proposes to install a 64-slice multidetector CT scanner at its office.

CTAAB concluded there is no community need for the proposed 64-slice CT scanner.  There is adequate available community capacity of CT scanners capable of performing cardiac CT angiography