Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59C - Certificate of Need › Chapter 59C-1 - PROCEDURES FOR THE ADMINISTRATION OF SECTIONS 408.031-408.045, FLORIDA STATUTES, HEALTH FACILITY AND SERVICES DEVELOPMENT ACT › Section 59C-1.033 - Pediatric Open Heart Surgery Program

Current through Reg. 50, No. 138; July 16, 2024
(1) Agency Intent. This rule specifies the
				requirements for the establishment of a pediatric open heart surgery program,
				including minimum requirements for staffing and equipment; and it specifies a
				methodology for determining the numeric need for additional programs. A
				Certificate of Need for the establishment of a pediatric open heart surgery
				program shall not normally be approved unless the applicant meets the
				applicable review criteria in Section
				408.035, F.S., and the standards
				and need determination criteria set forth in this rule. Hospitals operating
				more than one hospital on separate premises under a single license shall obtain
				a separate Certificate of Need for the establishment of pediatric open heart
				surgery services in each facility.
(2) Definitions.
(a) "Agency." The Agency for Health Care
				Administration.
(b) "Approved
				pediatric open heart surgery program." A pediatric open heart surgery program,
				approved by the Agency but not operational as defined by this rule, that had
				received a Certificate of Need or a statement of intent to award a Certificate
				of Need on or before the most recent published deadline for Agency initial
				decisions prior to publication of the fixed need pool (as specified in
				paragraph 59C-1.008(1)(g),
				F.A.C).
(c) "District." A service
				District of the Agency defined in section
				408.032(5),
				F.S.
(d) "Fixed Need Pool." The
				numerical pediatric open heart surgery program need for the applicable planning
				horizon, as established by the Agency in accordance with this rule and
				subsection 59C-1.008(2),
				F.A.C.
(e) "Operational Pediatric
				Open Hearth Surgery Program." A pediatric open heart surgery program approved
				by the Agency that has performed at least one open heart surgery operation as
				of 6 months prior to the beginning date of the quarter of the publication of
				the fixed need pool.
(f) "Pediatric
				Open Heart Surgery Operation." Surgical procedures that are used to treat
				conditions such as congenital heart defects, and heart and coronary artery
				diseases, including replacement of heart valves, cardiac vascularization, and
				cardiac trauma. One open heart surgery operation equals one patient admission
				to the operating room.
(g)
				"Pediatric Open Heart Surgery Program." A program established in a room or
				suite of rooms in a hospital, equipped for pediatric open heart surgery
				operations and staffed with qualified surgical teams and support
				staff.
(h) "Pediatric Open Heart
				Surgery Program Service Area." For the purpose of Certificate of Need review,
				the pediatric open heart surgery program service areas are:
1. Service area I includes Districts 1 and
				2.
2. Service area II includes
				Districts 3 and 4.
3. Service area
				III includes Districts 5, 6 and 8.
4. Service area IV includes Districts 7 and
				9.
5. Service area V includes
				Districts 10 and 11.
(i)
				"Pediatric patient" means a person under 15 years of age.
(j) "Planning Horizon." The projected date by
				which a proposed open heart surgery program would initiate service. For
				purposes of this rule, the planning horizon for applications submitted between
				January 1 and June 30 is July of the year 2 years subsequent to the year the
				application is submitted; the planning horizon for applications submitted
				between July 1 and December 31 is January of the year 2 years subsequent to the
				year which follows the year the application is submitted.