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 15-8-90-05-509 - Certificate of Need Criteria and Standards for Therapeutic Radiation Services › Section 15-8-90-05-509.04 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of Stereotactic Radiosurgery Equipment and/or the Offering of Stereotactic Radiosurgery

Current through June 25, 2024
MSDH will review CON applications for the acquisition or
						otherwise control of stereotactic radiosurgery equipment and/or the offering of
						stereotactic radiosurgery 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 Manua
l; all adopted rules, procedures, and plans of
						MSDH; and the specific criteria and standards listed below.
The acquisition or otherwise control of stereotactic
						radiosurgery equipment is reviewable if the equipment cost exceeds $1,500,000.
						The offering of stereotactic radiosurgery services is reviewable if the
						proposed provider has not provided those services on a regular basis within the
						period of twelve (12) months prior to the time such services would be offered,
						regardless of the capital expenditure.
Need Criterion 1: Minimum Procedures
The applicant shall document a need for stereotactic
						radiosurgery equipment/service by reasonably projecting that the proposed new
						service will perform at least 900 stereotactic radiosurgery treatments in the
						third year of operation. No additional new stereotactic radiosurgery services
						should be approved unless the number of stereotactic radiosurgery treatments
						performed with existing units in the state average 900 treatments or more per
						year.
Need Criterion 2: Staffing
						Requirements
a. The
					 radiosurgery programs must be established under the medical direction of two
					 co-directors, one with specialty training and board certification in
					 neurosurgery and the other with specialty training and board certification in
					 radiation oncology, with experience in all phases of stereotactic
					 radiosurgery.
b. In addition to the
					 medical co-directors, all stereotactic radiosurgery programs should have a
					 radiation physicist who is certified in radiology, or who holds an advanced
					 degree in physics with two to three years of experience working under the
					 direction of a radiation oncologist, and a registered nurse present for each
					 stereotactic radiosurgery performed.
c. The applicant shall document that the
					 governing body of the entity offering stereotactic radiosurgery services will
					 grant an appropriate scope of privileges for access to the stereotactic
					 radiosurgery equipment to any qualified physician who applies for privileges.
					 For the purpose of this criterion, "Qualified Physician" means a Doctor of
					 Medicine or osteopathic medicine licensed by the State of Mississippi who
					 possesses training in stereotactic radiosurgery and other qualifications
					 established by the governing body.
Need Criterion 3: Equipment
a. Facilities providing stereotactic
					 radiosurgery services should have dosimetry and calibration equipment and a
					 computer with the appropriate software for performing stereotactic
					 radiosurgery.
b. The facility
					 providing stereotactic radiosurgery services should also have access to
					 magnetic resonance imaging, computed tomography, and angiography
					 services.