La. Admin. Code tit. 48 § I-11503

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-11503 - General Criteria and Standards for Section 1122 Review

A. In reviewing projects under Section 1122, DPPE shall use the following criteria:

1. the relationship of the proposal to the State Health Plan;

2. the relationship of the proposal to the long range development plan (if any) of the facility;

3. the need of the service area population for the proposed facility/services.

a. Delineation of the service area for the proposal the definition of "service area" will be governed by the State Health Plan's definition for each particular type of service or facility.

b. Current and projected availability of beds/services/facilities. DPPE will count as available:

i. all health care facilities, as defined in the applicable State Health Plan section;

ii. all health care facilities, as defined for Section 1122 Review purposes;

iii. all services and equipment in health care facilities;

iv. the division will consider as part of the review:

(a). number and distribution of similar facilities, services, or beds within the service area;

(b). bed to population ratio in the service area;

(c). comparison of bed to population ratio in the service area to that of other service areas in the state.

c. Physical accessibility of the target population to existing and proposed facilities/services.

d. Current and projected measures of utilization of existing facilities/services (i.e. occupancy or other appropriate utilization data).

e. Demographics of the service area for the proposal.

4. The availability or potential availability of less costly or more effective alternatives to the proposal.

5. The immediate and long-term financial feasibility of the proposal, and the availability of funds.

6. The relationship of the proposed facility/services to other health care providers in the service area; documentation of agreements between the applicant and other health care providers; the extent of cooperation with other facilities in the service area.

7. The relationship (including the organizational relationship) of the proposed services to ancillary or support services provided in the existing facility.

8. The availability of health manpower and management personnel for the provision of the proposed services, including:

a. availability and projected availability of physicians, nurses, and other personnel within the service area;

b. the adequacy of proposed staffing according to required standards.

9. Special needs and circumstances:

a. health maintenance organizations;

b. biomedical and behavioral research projects for which local conditions offer special advantages, and which are designed to meet a national need;

c. facilities which provide a substantial amount of services of resources to non-residents of the service area or of adjacent service areas (i.e. medical and health professional schools, specialty centers, multi-disciplinary clinics).

10. The cost and methods of the proposed construction, including energy provision.

11. The probable impact of the project on the cost of health services within the facility and the service area.

12. Evidence of ownership or legally executed option to acquire an appropriately zoned site.

13. Support or opposition to the proposal by the local community, including health related agencies and professional organizations.

14. Whether the project will foster cost containment or improved quality of care through improved efficiency and productivity or through increased competition between different health services delivery systems.

La. Admin. Code tit. 48, § I-11503

Promulgated by the Department of Health and Human Resources, Office of Management and Finance, LR 13:246 (April 1987).

AUTHORITY NOTE: Promulgated in accordance with P.L. 93-641 as amended by P. L. 96-79, and R. S. 36:256(b).