Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 05 - Acute Care Facilities and Services Overview › Section 15-8-90-05-516 - Open-Heart Surgery › Section 15-8-90-05-516.02 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of Open-Heart Surgery Equipment and/or the Offering of Open-Heart Surgery Services

Current through June 25, 2024
MSDH will review applications for a CON for the
						acquisition or otherwise control of open-heart surgery equipment and/or the
						offering of open-heart surgery services under the applicable statutory
						requirements of Sections
						41-7-173,
						41-7-191, and
						41-7-193, Mississippi Code 1972,
						as amended. MSDH will also review applications for Certificate of Need
						according to the general criteria listed in the
Mississippi Certificate
						of Need Review Manual
; all adopted rules, procedures and plans of
						MSDH; and the specific criteria and standards listed below.
The acquisition or otherwise control of open-heart
						surgery equipment is reviewable if the equipment cost more than $1,500,000. The
						offering of open-heart surgery services is reviewable if the proposed provider
						has not provided those services on a regular basis within twelve (12) months
						prior to the time such services would be offered, regardless of the capital
						expenditure.
Need Criterion 1: Minimum Population
The applicant shall document a minimum population base of
						100,000 in the CC/OHSPA where the proposed open-heart surgery equipment/service
						is to be located. Division of Health Planning and Resource Development
						population projections shall be used.
Need Criterion 2: Minimum Procedures
The applicant shall demonstrate that it will perform a
						minimum of 150 open-heart surgeries per year by its third year of
						operation.
Need Criterion 3: Impact on Existing
						Providers
An applicant proposing to acquire or otherwise control
						open-heart surgery equipment and/or offer open-heart surgery services shall
						document that each facility offering open-heart surgery services which is (a)
						in the CC/OHSPA and (b) within forty-five (45) miles of the applicant, has
						performed a minimum of 150 procedures per year for the two most recent years as
						reflected in data supplied to and/or verified by MSDH. No hospital owned and/or
						operated by the state or its agencies shall be considered an existing unit in
						the CC/OHSPA under this section. MSDH may collect and consider any additional
						information it deems essential, including information regarding access to care,
						to render a decision regarding any application.
Need Criterion 4: Staffing
						Requirements
The applicant shall document that it has, or can obtain,
						the ability to administer the proposed services, provide sufficiently trained
						and experienced professional staff, and evaluate the performance of the
						programs. MSDH staff shall use guidelines presented in Optimal Resources for
						Examination of the Heart and Lungs: Cardiac Catheterization and Radiographic
						Facilities, published under the auspices of the Inter-Society Commission for
						Heart Disease Resources, and Guidelines and Indications for Coronary Artery
						Bypass Graft Surgery: A Report of the American College of Cardiology/American
						Heart Association Task Force on Assessment of Diagnostic and Therapeutic
						Cardiovascular Procedures (Subcommittee on Coronary Artery Bypass Graft
						Surgery), published under the auspices of the American College of Cardiology,
						as resource materials when reviewing these items in an application.
Need Criterion 5: Staff Residency
The applicant shall certify that medical staff performing
						open-heart surgery procedures shall reside within forty-five (45) minutes
						normal driving time of the facility. The applicant shall document that proposed
						open-heart surgery procedures shall not be performed by traveling teams.
Need Criterion 6: Data Requirements
Applicants shall provide, as required under licensure
						standards, written assurance that they will record and maintain utilization
						data for open-heart surgeries (e.g., morbidity data, number of open-heart
						surgeries performed and mortality data, all reported by race, sex, and payor
						status) and make such data available to MSDH annually.
Need Criterion 7: CON Approval/Exemption for
						Open-Heart Surgery Equipment/Service
Before utilizing or providing the equipment or service,
						the applicant desiring to provide the open-heart surgery equipment or service
						shall have CON approval or written evidence that the equipment or service is
						exempt from CON approval as determined by MSDH through a determination of
						reviewability. Each specified piece of equipment must be exempt from or have
						CON approval.
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