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North Carolina Clinic Denied Opportunity to Expand ASC

State's medical facility plans see no increase in OR demand.

Published: December 4, 2014

A North Carolina clinic's plan to expand its ASC has been postponed after the state declined a request to allow the development of new ORs next year.

Earlier this year, Wilmington Health, a multi-specialty, multi-location practice, petitioned North Carolina, a certificate-of-need state, to allocate 2 additional ORs to its 2015 State Medical Facilities Plan. While the clinic's ASC in New Hanover County includes 3 endoscopy procedure rooms, it lacks surgical operating rooms, and Wilmington Health is seeking to build 2.

In its petition, Wilmington Health cited high utilization of the region's surgical facilities and an aging patient population as factors creating the need for more ORs. But the New Hanover Regional Medical Center, which runs 36 of the county's 43 existing ORs, and which has recently developed 2 more ambulatory ORs, countered that its ORs were not sufficiently overused to necessitate new construction.

State healthcare planning authorities recommended denying the request for more ORs and watching what effect the newly developed ORs had on local utilization. As a result, the proposed medical facilities plan for next year is standing pat on the number of ORs statewide.

David Bernard


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