Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 186 - CERTIFICATE OF NEED PROGRAM › Subchapter 1 - GENERAL PROVISIONS › Section 11-186-3 - Definitions

Current through June, 2024
Whenever used in this chapter and in proceedings brought
					 under this chapter, unless the context requires otherwise:
"Acute" bed services means those inpatient services
					 provided to patients whose average length of stay is usually less than thirty
					 days.
"Acute/long term swing bed" services means those acute or
					 long term services which are provided through beds which have been designated
					 to serve either acute or long term inpatients.
"Acute psychiatric" services means twenty-four-hour
					 inpatient acute care services for mentally disordered patients whose length of
					 stay is usually less than thirty days.
"Administrator" means the administrator of the state health
					 planning and development agency as established in section
					 323D-11,
					 HRS.
"Agency" means the state health planning and development
					 agency as established in section
					 323D-11,
					 HRS.
"Applicant" means any person who applies to the agency for
					 a certificate of need.
"Burn center" services means intensive care services
					 staffed by specially trained personnel for acute therapeutic, supportive, and
					 rehabilitative care, including preparation for extensive grafting, for severely
					 burned patients.
"Cardiac catheterization" means a special diagnostic
					 procedure that is used to examine and evaluate the heart and the blood vessels
					 which function to bring blood to, or away from, the heart. Cardiac
					 catheterization includes left or right heart catheterization, angiography, and
					 coronary arteriography.
"Children's orthopedic" services means long-term
					 therapeutic and restorative services to children with orthopedic
					 problems.
"Chronic renal dialysis" services means services for the
					 treatment of irreversible kidney failure involving the removal of waste
					 substance from a patient's blood by hemodialysis or peritoneal dialysis.
"Comprehensive outpatient rehabilitation facility (CORF)"
					 means a comprehensive outpatient rehabilitation facility as defined in 42 Code
					 of Federal Regulations section 485.51.
"Computed tomography" services include diagnostic
					 procedures involving computer analysis of a series of x-ray scans of the head
					 or body resulting in the construction of an image.
"Countywide review committee" means a countywide review
					 committee established pursuant to section
					 11-186-45.
"Critical care" services means those services which provide
					 maximum observation and support of vital functions and definitive therapy for
					 patients with acute but reversible life-threatening impairments of single or
					 multiple vital organ systems.
"Diagnostic radiology" services means services for the
					 detection of physical disease and other ill-health conditions through the use
					 of radiant energy including x-rays, cine fluorography, ventriculography and
					 'angiocardiology.
"Emergency room" services means services provided in a
					 designated unit within a hospital for the immediate treatment of injury and
					 other types of health emergencies.
"Expenditure minimum for capital expenditures" means
					 $4,000,000 for capital expenditures, $1,000,000 for new or replacement medical
					 equipment and $400,000 for used medical equipment.
"Extracorporeal shock wave lithotripsy (ESWL)" means a
					 non-invasive procedure by which renal and ureteral calculi are pulverized using
					 electrohydraulic shock waves.
"Freestanding emergency care facility" means an
					 establishment, place or facility structurally distinct and separate from a
					 hospital which represents itself either through advertising or name as
					 providing emergency medical care services in life, limb, or function
					 threatening conditions beyond the occasional emergency that occurs in the
					 normal course of any clinical practice.
"Hansen's disease" services means therapeutic, supportive
					 and restorative services for patients with Hansen's disease requiring long-term
					 inpatient services.
"Health care provider" means an individual who is a direct
					 provider of health care (including a physician, dentist, nurse, podiatrist,
					 optometrist, physician assistant, or ancillary personnel employed under the
					 supervision of a physician) in that the individual's primary current activity
					 is the provision of health care to individuals or the administration of
					 facilities or institutions (including hospitals, long-term care facilities,
					 rehabilitation facilities, alcohol and drug abuse treatment facilities,
					 outpatient facilities, and health maintenance organizations) in which such
					 "care is provided and, when required by State law, the individual has received
					 professional training in the provision of such care or in such administration
					 and is licensed or certified for such provision or administration.
"Heart surgery" means a surgical procedure requiring the
					 circulation of the blood by a heart lung machine while the heart or surrounding
					 blood vessels are repaired.
"Home health agency" means a "home health agency" as
					 defined in 42 Code of Federal Regulations section 440.70(d).
"Hospice" means hospice services as defined in 42 Code of
					 Federal Regulations section 418.3.
"Intermediate care facility" (ICF) means an "intermediate
					 care facility" as defined in section 11-94-2, HAR.
"Intermediate care facility for individuals with
					 intellectual disabilities (ICF/IID)" means an intermediate care facility for
					 individuals with intellectual disabilities as defined in 42 Code of Federal
					 Regulations section 440.150(a).
"Long term" bed care services means those inpatient
					 services provided to patients who are chronically ill, aged, disabled, or
					 intellectually disabled and whose average length of stay is usually thirty days
					 or more.
"Magnetic resonance imaging (MRI)" means a diagnostic
					 imaging technique that employs magnetic and radio-frequency fields to image
					 body tissues and monitor body chemistry noninvasively.
"Medical/surgical" services include those inpatient
					 diagnostic and treatment services utilizing medical or operative
					 procedures.
"Neonatal intensive care" services means the provision of
					 care for newborns who require prolonged respiratory support, continuous
					 cardiopulmonary support, intravenous therapy, major surgery, or treatment for
					 infections.
"Neurosurgery" means surgery of any part of the nervous
					 system.
"Nuclear medicine" services means the services of a medical
					 specialty that uses radionuclides (elements which give off an emanation which
					 is detectable by various instruments) for diagnosis and treatment.
"Obstetric" services means those services for the care of
					 women during pregnancy, childbirth, and after delivery, including prenatal
					 care, labor, delivery, and postpartum care.
"Outpatient surgery (surgicenter)" services means services
					 provided to treat a medical condition by surgery in an outpatient or ambulatory
					 surgical center where the patient is not kept overnight.
"Pediatric" services means those inpatient services for the
					 diagnosis and treatment of diseases and conditions of children.
"Psychiatric" services means services for the diagnosis and
					 treatment of mental illness or mental disorder in persons.
"Radiation therapy" services means services for the
					 treatment of physical conditions or illness, primarily cancer, through the use
					 of external ionizing radiation.
"Reconsideration committee" means the reconsideration
					 committee as established in section
					 323D-47,
					 Hawaii Revised Statutes.
"Rehabilitation" services means inpatient services to
					 restore the ill or disabled person to achieve the fullest physical, mental,
					 social, vocational, and economic usefulness of which the person is
					 capable.
"Review panel" means the review panel established pursuant
					 to chapter 323D, Hawaii Revised Statutes.
"Skilled nursing facility" (SNF) means a 'skilled nursing
					 facility" as defined in section 11-94-2, HAR.
"Special treatment facility" means a 'special treatment
					 facility" as defined in section
					 11-98-02,
					 HAR.
"State health services and facilities plan (SHSFP)" means
					 the state health services and facilities plan established pursuant to section
					 323D-2, Hawaii
					 Revised Statutes.
"Statewide council" means the statewide health coordinating
					 council established pursuant to section
					 323D-2, Hawaii
					 Revised Statutes.
"Subarea" means a geographical area designated by the
					 agency pursuant to section
					 323D-2, Hawaii
					 Revised Statutes.
"Subarea council" means a subarea health planning council
					 established pursuant to section
					 323D-2, Hawaii
					 Revised Statutes.
"Surface ambulance" services means transportation of a
					 patient in any motor vehicle or watercraft specifically equipped, designed or
					 constructed, and maintained or operated for the purpose of accommodating the
					 medical needs of patients.
"Transplant surgery" services means services for the
					 transplantation of an organ from one person to another person.
"Tuberculosis" services means therapeutic and supportive
					 services for patients with tuberculosis who require long-term inpatient care.