Ala. Admin. Code r. 410-2-4-.12
Current through Register Vol. 42, No. 8, May 31, 2024
Section 410-2-4-.12 - Ambulatory Surgery(1) Discussion. An evolution in the provision of surgical care provided in ambulatory surgery centers has taken place. As a result of cost containment measures and advances in medical technology, many surgical procedures which previously required inpatient care (both before and after the procedures) are now done on an outpatient basis.(2)Definition. Ambulatory surgery centers (ASC) are health care facilities, licensed by the Alabama Department of Public Health, with the primary purpose of providing medically necessary or elective surgical care on an outpatient basis and in which the patient stays less than twenty-four (24) hours. Excluded from this definition are the offices of private physicians and dentists, including those organized as professional corporations, professional associations, partnerships, or individuals in sole proprietorship. Also excluded from this definition are health care facilities licensed as hospitals. Ambulatory surgery centers may be multi-specialty in which more than one surgical specialty is represented or a specialized ambulatory surgery center in which a single, exclusive surgical specialty is provided.(3)Inventory of Existing Resources. Before meaningful planning policies can be developed, the SHCC must have at its disposal outpatient surgical utilization data for both licensed acute care hospitals and ambulatory surgery centers. SHDPA shall survey annually all licensed and/or Medicare certified hospitals and ambulatory surgery centers, as defined herein, regarding outpatient surgical utilization. The SHCC recommends that SHPDA promulgate the following CON regulations:
(a) Any CON application filed by a licensed hospital or an ambulatory surgery center shall not be deemed complete until, and unless:1. the applicant has submitted all survey information requested by SHPDA prior to the application date; and2. the SHPDA Executive Director determines that the survey information is substantially complete.(b) No licensed hospital or ambulatory surgery center filing an intervention notice or statement in opposition in any CON proceeding may cite or otherwise seek consideration by SHPDA of such facility's utilization data until, and unless: 1. the intervenor or opponent has submitted all survey information requested by SHPDA prior to the application date; and2. the SHPDA Executive Director determines that the survey information is substantially complete. The SHCC recommends that the Certificate of Need Review Board adopt this and other CON regulations to further support and enforce SHPDA's survey of outpatient surgical utilization data as required under this Section.
The SHCC, upon receipt of meaningful utilization data from all licensed hospitals and ambulatory surgery centers, shall amend this section to include further definitions and planning policies as appropriate and applicable. Any amendment adopted as result of this provision shall be considered to have been generated by the SHCC and shall not be subject to any fees that may later be imposed on parties seeking a State Health Plan amendment or adjustment.
For a listing of Ambulatory Surgery Centers contact the Data Division as follows:
MAILING ADDRESS (U. S. Postal Service) | STREET ADDRESS (Commercial Carrier) |
PO BOX 303025 MONTGOMERY, AL 36130-3025 | 100 NORTH UNION STREET, SUITE 870 MONTGOMERY, AL 36104 |
TELEPHONE: (334) 242-4103 | FAX: (334) 242-4113 |
EMAIL:
data.submit@ shpda.alabama.gov
WEBSITE:
http://www.shpda.alabama.gov
Ala. Admin. Code r. 410-2-4-.12
Amended by Alabama Administrative Monthly Volume XXXIII, Issue No. 03, December 31, 2014, eff. 1/6/2015.Amended by Alabama Administrative Monthly Volume XXXVIII, Issue No. 06, March 31, 2020, eff. 5/15/2020.Author: Statewide Health Coordinating Council (SHCC)
Statutory Authority:Code of Ala. 1975, § 22-21-260(4).