17 CERTIFICATE OF NEED REVIEW STANDARDS

 

CERTIFICATE OF NEED (CON) REVIEW STANDARDS SYNOPSIS FOR PUBLICATION IN THE MICHIGAN REGISTER

PURSUANT TO THE ADMINISTRATIVE PROCEDURES ACT, 1969 PA 306, MCL 24.208(1)(k)

 

HOSPITAL BEDS

 

Final Approval by the CON Commission 6/14/12 and Effective 9/28/12

 

The language changes include the following:

 

1.      Section 1: Modified for consistency with other CON review standards.

2.      Section 2:  Definitions used only in certain section(s) have been moved to the applicable section to make it easier for the reader to identify the defined terms.

·         Eliminated definitions that are no longer needed.

·         Modified definitions.

·         Added new definitions:

o        “Adjusted patient days” is defined as it’s used in various sections of the standards. o      “Average adjusted occupancy rate” is defined as it’s used in various sections of the

standards.

o        “Excluded hospitals” is defined and is used in various sections of the standards in conjunction with low occupancy.

o        “Hospital group” is defined and replaces the term “hospital subarea.”

o        “Underserved area” is defined and is used in various sections of the standards.

3.      Section 3:  Updated hospital groups methodology which is the former hospital subarea methodology.

4.      Section 4:  Updated the bed need methodology.

5.      Section 5:  Updated consistent with other standards and current practice.

6.      Section 6:  A hospital in a rural or micropolitan statistical area county shall result in a hospital of at least 25 beds, not 50 beds.

·         Added low occupancy criteria under subsection (3) for the receiving licensed hospital under Section 8 – relocation.

·         Renewal of lease for angiography x-ray equipment without volume requirements.

7.      Section 7:  A hospital in a rural or micropolitan statistical area county shall result in a hospital of at least 25 beds, not 50 beds

·         Added replacement language under subsection (2) consistent with other bed standards.

·         Added low occupancy criteria under subsection (4) for replacement.

8.      Section 8:  Identified “source hospital” under subsection (2).

·         Added low occupancy criteria under subsection (3) for relocation.

9.      Section 9:  Divided requirements into distinct groups: quality assurance, access to care, and monitoring and reporting.  Annual volume requirements have been moved to the applicable project delivery requirements subsection.

10.     Section 15:  Added low occupancy criteria under subsection (2) for acquisition.

 

 

11.     Section 16:  Added language for quality assurance assessment program (QAAP), civil monetary penalties (CMP), and state and federal code deficiencies consistent with other CON review standards.

12.     Updated/eliminated Appendices as applicable.

13.     Addendum for Projects for HIV Infected Individuals has been eliminated.

14.     Other technical changes.

 

Complete Standards

 

A complete set of the approved language can be found at www.michigan.gov/con. A hard copy may be obtained, for a fee, by sending a written request to:

 

Michigan Department of Community Health Health Policy and Access Division

Health Policy Section Capitol View Building 201 Townsend

Lansing, MI  48913

 

[phone]

Email address: [e-mail]