Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Glossary

Current through June 25, 2024
Accessibility
- a measure of the degree to which
				  the health care delivery system inhibits or facilitates an individual's ability
				  to receive services, including geographic, architectural, transportation,
				  social, time, and financial considerations.
Ambulatory Surgery
- surgical procedures that
				  are more complex than office procedures performed under local anesthesia but
				  less complex than major procedures requiring prolonged post-operative
				  monitoring and hospital care to ensure safe recovery and desirable results.
				  General anesthesia is used in most cases. The patient must arrive at the
				  facility and expect to be discharged on the same day. Ambulatory surgery shall
				  be performed only by physicians or dentists licensed to practice in the state
				  of Mississippi.
Examples of procedures performed include, but are not limited
				  to:
* Tonsillectomies and adenoidectomies
* Nasal polypectomy
* Submucosa resection
* Some cataract procedures
* Cosmetic procedures
* Breast biopsy
* Augmentation mammoplasty
* Hand surgery
* Cervical conization
* Laparoscopy and tubal sterilization
* Circumcision
* Urethral dilation
* Simple hernia repairs
* Stripping and ligation of varicose veins
Ambulatory Surgical Facility
- a publicly or
				  privately owned institution that is primarily organized, constructed,
				  renovated, or otherwise established for the purpose of providing elective
				  surgical treatment to outpatients whose recovery, under normal and routine
				  circumstances, will not require inpatient care. Such facilities as herein
				  defined do not include the offices of private physicians or dentists whether
				  practicing individually or in groups, but does include organizations or
				  facilities primarily engaged in such outpatient surgery, whether using the name
				  "ambulatory surgical facility" or a similar or different name. Such
				  organization or facility, if in any manner considered to be operated or owned
				  by a hospital or a hospital holding, leasing, or management company, either
				  for-profit or not-for-profit, is required to comply with all Mississippi State
				  Department of Health ambulatory surgical licensure standards governing a
				  hospital affiliated facility as adopted under Section
				  41-9-1 et seq., Mississippi Code
				  of 1972, provided that such organization or facility does not intend to seek
				  federal certification as an ambulatory surgical facility as provided for in 42
				  CFR, Parts 405 and 416. Further, if such organization or facility is to be
				  operated or owned by a hospital or a 199 hospital holding, leasing, or
				  management company and intends to seek federal certification as an ambulatory
				  facility, then such facility is considered to be freestanding and must comply
				  with all Mississippi State Department of Health ambulatory surgical licensure
				  standards governing a freestanding facility. If such organization or facility
				  is to be owned or operated by an entity or person other than a hospital or
				  hospital holding, leasing, or management company, then such organization or
				  facility must comply with all Mississippi State Department of Health ambulatory
				  surgical facility standards governing a freestanding facility.
Bed Need Methodologies
- quantitative approaches
				  to determining present and future needs for inpatient beds.
Capital Improvements
- costs other than
				  construction which will yield benefits over a period of years. Examples of
				  capital improvements are painting, refurbishing, and land improvements, such as
				  improving driveways, fences, parking lots, and sprinkler systems.
Capitalized Interest
- interest incurred during
				  the construction period, which is included in debt borrowing.
Construction Formulas
-
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When:
A = New Construction
E = Fees
B = Renovation
F = Contingency
C = Fixed Equipment
G = Capitalized Interest
D = Site Preparation
H = Capital Improvement
*A% - refers to the percentage of square feet allocated to
				  new construction.
**B% - refers to the percentage of square feet allocated to
				  renovation.
Example: ABC Health Care's project for
				  construction/renovation consists of 10,000 square feet of new construction and
				  9,000 square feet of renovation, for a total of 19,000 square feet.
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Continuing Care Retirement Community
- a
				  comprehensive, cohesive living arrangement for the elderly which is offered
				  under a contract that lasts for more than one year or for the life of the
				  resident and describes the service obligations of the CCRC and the financial
				  obligations of the resident. The contract must obligate the CCRC to provide, at
				  a minimum, room, board, and nursing care to an individual not related by
				  consanguinity or affinity to the provider furnishing such care. The contract
				  explicitly provides for full lifetime nursing home care as required by the
				  resident. The resident may be responsible for the payment of some portion of
				  the costs of his/her nursing home care, and the CCRC sponsor is responsible for
				  the remaining costs as expressly set forth in the contract. Depletion of the
				  contractee's personal resources does not affect the contribution of the CCRC
				  sponsor.
Conversion
- a major or proportional change that
				  a health care facility undertakes in its overall mission, such as the change
				  from one licensure category to another, from one organizational tax status to
				  another, or from one type of health care facility to another.
Cost Containment
- maintaining control of
				  expenses within the health care delivery system
to
prevent and reduce unnecessary spending.
Criteria
- guidelines or pre-determined
				  measurement characteristics on which judgment or comparison of need,
				  appropriateness, or quality of health services may be made.
Distinct Part Skilled Nursing Unit-
Medicare
				  eligible certified units which are a "distinct part" (i.e. distinguishable from
				  the larger institution and fiscally separate for cost reporting purposes) of an
				  institution that is certified to provide Skilled Nursing Facility services as
				  by the Centers for Medicare and Medicaid Services (CMS).
Existing Provider
- an entity that has provided
				  a service on a regular basis during the most recent 12-month period.
Facilities
- collectively, all buildings
				  constructed for the purpose of providing health care (including hospitals,
				  nursing homes, clinics, or health centers, but not including physician
				  offices); encompasses physical plant, equipment, and supplies used in providing
				  health services.
Feasibility Study
- a report prepared by the
				  chief financial officer, CPA or an independent recognized firm of accountants
				  demonstrating that the cash flow generated from the operation of the facility
				  will be sufficient to complete the project being financed and to pay future
				  annual debt service. The study includes the financial analyst's opinion of the
				  ability of the facility to undertake the debt obligation and the probable
				  effect of the expenditure on present and future operating costs.
Freestanding Ambulatory Surgical Facility
- a
				  separate and distinct facility or a separate and distinct organized unit of a
				  hospital owned, leased, rented, or utilized by a hospital or other persons for
				  the primary purpose of performing ambulatory surgery procedures. Such facility
				  must be separately licensed as herein defined and must comply with all
				  licensing standards promulgated by the Mississippi State Department of Health
				  regarding a freestanding ambulatory surgical facility. Further, such facility
				  must be a separate, identifiable entity and must be physically,
				  administratively, and financially independent and distinct from other
				  operations of any other health facility and shall maintain a separate organized
				  medical and administrative staff. Furthermore, once licensed as a freestanding
				  ambulatory surgical facility, such facility shall not become a component of any
				  other health facility without securing a Certificate of Need to do so.
Group Home
- a single dwelling unit whose
				  primary function is to provide a homelike residential setting for a group of
				  individuals, generally 8 to 20 persons, who neither live in their own home nor
				  require institutionalization. Group homes are used as a vehicle for
				  normalization.
Habilitation
- the combined and coordinated use
				  of medical, social, educational, and vocational measures for training
				  individuals who are born with limited functional ability as contrasted with
				  people who have lost abilities because of disease or injury.
Home Health Agency
- certain services must be
				  provided directly by a licensed home health agency and must include all skilled
				  nursing services; physical, occupational, or speech therapy; medical social
				  services; part-time or intermittent services of a home health aide; and other
				  services as approved by the licensing agency for home health agencies. In this
				  instance, "directly" means either through an agency employee or by an
				  arrangement with another individual not defined as a health care
				  facility.
Hospital Affiliated Ambulatory Surgical Facility
- a separate and distinct organized unit of a hospital or a building owned,
				  leased, rented, or utilized by a hospital and located in the same county in
				  which the hospital is located for the primary purpose of performing ambulatory
				  surgery procedures. Such facility is not required to be separately licensed and
				  may operate under the hospital's license in compliance with all applicable
				  requirements of Section
				  41-9-1 et seq.
Limited Care Renal Dialysis Facility
- a health
				  care facility which provides maintenance or chronic dialysis services on an
				  ambulatory basis for stable ESRD patients. The limited care renal dialysis
				  facility is considered a substitute for home dialysis to be used by patients
				  who cannot dialyze at home. The facility provides follow-up and back-up
				  services for home dialysis patients.
Magnetic Resonance Imaging (MRI) Scientist
- a
				  professional with similar skills and job qualifications as a medical physicist,
				  who holds a comparable degree in an allied science, such as chemistry or
				  engineering, and shows similar experience as the medical physicist with medical
				  imaging and MRI imaging spectroscopy.
Market Share
- historical data used to define a
				  primary or secondary geographic service area, i.e. patient origin study, using
				  counties, zip codes, census tracts.
Observation Bed
- a licensed, acute care bed on
				  the premise of a licensed, short-term, acute care facility. The hospital bed
				  shall be used by a physician and/or nursing/medical staff to periodically
				  monitor/evaluate a patient's medical condition. A bed that is occupied by a
				  patient who is admitted to the hospital for a period of 23 hours and 59 minutes
				  or (less than) 48 hours will be counted as an observation bed. Also, the status
				  of a patient will be documented by a physician as an outpatient.
Observation Services
- a well-defined set of
				  specific, clinically appropriate services, which include ongoing short term
				  treatment, assessment, and reassessment, that are furnished while a decision is
				  being made regarding whether patients will require further treatment as
				  hospital inpatients or if they are able to be discharged from the hospital.
				  Observation services begin at the clock time documented in the patient's
				  medical record, which coincides with the time that observation services are
				  initiated in accordance with a physician's order for observation services. In
				  most cases, a beneficiary (patient) may not remain in observation status for
				  more than 24 or 48 hours. The hospital status of a patient will be documented
				  as an outpatient until the physician writes an order to admit a person as an
				  inpatient. Billing and coding of physician services are expected to be billed
				  consistent with the patient's status as an outpatient or an inpatient.
General standing orders for observation services following
				  all outpatient surgery are not recognized. Hospitals should not report
				  postoperative monitoring during a standard recovery period (e.g., 4-6 hours) as
				  observation care, services because those hours may be considered recovery room
				  services.
Occupancy Rate
- measure of average percentage
				  of hospital beds occupied; determined by dividing available bed-days (bed
				  capacity) by patient days actually used during a specified time period.
Outpatient Facility
- a medical institution
				  designed to provide a limited or full spectrum of health and medical services
				  (including health education and maintenance services, preventive services,
				  diagnosis, treatment, and rehabilitation) to individuals who do not require
				  hospitalization or institutionalization.
Pediatric Skilled Nursing Facility
- a pediatric
				  skilled nursing facility is an institution or a distinct part of an institution
				  that is primarily engaged in providing to inpatients skilled nursing care and
				  related services for persons under 21 years of age who require medical, nursing
				  care, or rehabilitation services for the rehabilitation of injured, disabled,
				  or sick persons.
Policy Statement
- a definite course of action
				  selected in light of given conditions to guide and determine present and future
				  decisions.
Positron Emission Tomography (PET)
- a
				  non-invasive imaging procedure in which positron-emitting radionuclides, that
				  are produced either by a cyclotron or a radiopharmaceutical producing
				  generator, and a nuclear camera are used to create pictures of organ function
				  rather than structure. PET, therefore, has the potential for providing unique,
				  clinically important information about disease processes. Key applications for
				  PET are in coronary artery disease and myocardial infarction, epilepsy,
				  cerebral gliomas, and dementia.
Radiation Therapy
- the use of ionizing
				  radiations for the treatment of tumors.
Renal Dialysis Center
- a health care facility
				  which provides dialysis services to hospital patients who require such
				  services. The dialysis provided in a renal dialysis center functions primarily
				  as a backup program for ESRD patients dialyzing at home or in a limited care
				  facility who are placed in a hospital. A renal dialysis center may also serve
				  as an initial dialysis setting for newly diagnosed ESRD patients who are in the
				  hospital. A center may also provide acute dialysis services as needed.
Renal Transplant Center
- a health care facility
				  which provides direct transplant and other medical-surgical specialty services
				  required for the care of the ESRD transplant patient. Services provided
				  include, but are not limited to, acute renal dialysis, organ procurement
				  system, organ preservation program, and tissue typing laboratory.
Standard
- a quantitative level to be achieved
				  regarding a particular criterion to represent acceptable performance as judged
				  by the agency establishing the standard.
Therapeutic Radiation Services
- therapeutic
				  radiation treatments/procedures delivered through the use of a linear
				  accelerator or 60Co teletherapy unit.
Therapeutic Radiation Unit/Equipment
- a linear
				  accelerator or 60Co teletherapy unit. This equipment is also commonly referred
				  to as a "megavoltage therapeutic radiation unit/equipment."