applying recent utilization data
to
projected population
and
using desired occupancy rates
to
determine needed beds.
Medical/Surgical(M/S) | 80% |
M/S in Small Hospitals (under 4,000 total admissions/yr.) | 75% |
Obstetrics | 75% |
Pediatrics | |
0-39 | 65% |
40-79 | 70% |
80 or more beds | 75% |
ICU-CCU | 65% |
Other | 75% |
(Current Year minus 2 Years ADC x 1) + (Previous Year ADC x 2) + (Current Year ADC x 3)
Projected ADC = Weighted ADC x 3 Years above Current Year Projected Population Current Year Population
Beds Needed = Projected ADC in Service Category Desired Occupancy Rate for Service Category
Beds Needed = Medical/Surgical Beds Needed
+ Obstetrical Beds Needed
+ Pediatric Beds Needed
+ ICU-CCU Beds Needed
Other Beds Needed
Net Beds Needed (Excess) = Beds Needed - Existing Beds
* patient referral and transfer
* development and use of communications systems
* provision of emergency and non-emergency transportation
If the hospital meets one or more of these criteria, Alabama's Bureau of Health Provider Standards, Division of Provider Services, in consultation with the Office of Primary Care and Rural Health, will declare the facility a Necessary Provider of Health Care Services:
Criteria 1. The hospital is located in an area designated as a Health Professional Shortage Area.
Criteria 2. The hospital is located in an area designated as Medically Underserved.
Criteria 3. The hospital is located in a county with an unemployment rate higher than the statewide rate of unemployment.
Criteria 4. The hospital is located in a county with a percentage of population age 65 years and older greater than the state's average.
Criteria 5. The hospital is located in a county where the percentage of families with incomes below 200% of the federal poverty level is higher than the state average for families with incomes below 200% of the federal poverty level.
Any existing hospital, which otherwise satisfies CAH criteria except the mileage requirement but does not meet at least one of the above criteria for certification as a Necessary Provider of Health Services, may appeal to Alabama's State Health Officer. Evaluation of appeals will be based on submission of objective information, which demonstrates the presence of extenuating circumstances which may adversely impact an area's access to health care if the existing hospital is not declared a Necessary Provider of Health Services. Based on evidence presented, the State Health Officer may decide to issue a variance from established criteria and declare the appealing hospital a Necessary Provider of Health Care Services.
For a listing of Acute Care, Long Term Acute Care, or Critical Access Hospitals or the most current statistical need projections in Alabama contact the Data Division as follows:
MAILING ADDRESS | STREET ADDRESS |
(U. S. Postal Service) | Commercial Carrier) |
PO BOX 303025 | 100 NORTH UNION STREET, SUITE 870 |
MONTGOMERY, AL 36130-3025 | MONTGOMERY, AL 36104 |
TELEPHONE: | FAX: |
(334) 242-4103 | (334) 242-4113 |
EMAIL: | WEBSITE: |
data.submit@shpda.alabama.gov |
Appendix A
LTACH Regional County Listings
REGION I | REGION V | REGION VII |
Colbert | Fayette | Baldwin |
Franklin | Greene | Choctaw |
Lauderdale | Hale | Clarke |
Lawrence | Lamar | Conecuh |
Pickens | Escambia | |
Sumter | Mobile | |
REGION II | Tuscaloosa | Monroe |
Jackson | Washington | |
Limestone | ||
Madison | REGION VI | |
Marshall | Autauga | REGION VIII |
Morgan | Bullock | Barbour |
Butler | Coffee | |
Chambers | Covington | |
REGION III | Chilton | Dale |
Bibb | Coosa | Geneva |
Blount | Crenshaw | Henry |
Cullman | Dallas | Houston |
Jefferson | Elmore | |
Marion | Lee | |
Saint Clair | Lowndes | |
Shelby | Macon | |
Talladega | Marengo | |
Walker | Montgomery | |
Winston | Perry | |
Pike | ||
Russell | ||
REGION IV | Tallapoosa | |
Calhoun | Wilcox | |
Cherokee | ||
Clay | ||
Cleburne | ||
DeKalb | ||
Etowah | ||
Randolph |
Ala. Admin. Code r. 410-2-4-.02
Author: Statewide Health Coordinating Council (SHCC).
Statutory Authority:Code of Ala. 1975, § 22-21-260(4).