reglab/statecodes huggingface dataset:
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 15-8-90-05-520 - STEMI System of Care › Section 15-8-90-05-520.03 - Advisory Group

Current through June 25, 2024
The STEMI Advisory Committee meets quarterly. Membership
						is compromised of the following membership categories as prescribed by the
						STEMI System of Care Plan:
* Cardiology Co-Chairman
* Emergency Medicine Co-Chairman
* Emergency Medicine Representative - Northern
						Region
* Emergency Medicine Representative - Central
						Region
* Emergency Medicine Representative - Southern
						Region
* Emergency Nursing Representative - Northern
						Region
* Emergency Nursing Representative - Central
						Region
* Emergency Nursing Representative - Southern
						Region
* Hospital Administration Representative - Northern
						Region
* Hospital Administration Representative - Central
						Region
* Hospital Administration Representative - Southern
						Region
* Cardiology Representative - Northern Region
* Cardiology Representative - Central Region
* Cardiology Representative - Southern Region
* STEMI Nursing Representative - Northern Region
* STEMI Nursing Representative - Central Region
* STEMI Nursing Representative - Southern Region
* Southern Regional STEMI Coordinator
* Registry Representative - Northern Region
* Registry Representative - Central Region
* Registry Representative - Southern Region
* EMS Provider Representative - Northern Region
* EMS Provider Representative - Central Region
* EMS Provider Representative - Southern Region
* EMS Administration Representative - Northern
						Region
* EMS Administration Representative - Central
						Region
* EMS Administration Representative - Southern
						Region
* Northern Regional STEMI Coordinator
* Central Regional STEMI Coordinator
* Southern Regional STEMI Coordinator
* American Heart Association
						Representative
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 15-8-90-05-520 - STEMI System of Care › Section 15-8-90-05-520.04 - Performance Improvement

Current through June 25, 2024
Statewide Performance Improvement (PI) consists of
						multiple layers of continuous monitoring and evaluation of treatment processes
						to identify opportunities to optimize care and improve outcomes. The continuous
						cycle of evaluation extends from the PI programs of EMS providers and hospitals
						to review committees established at the regional and state levels.
The STEMI PI Committee meets quarterly. Membership is
						comprised of the following:
* Cardiology Chair
* Emergency Medicine Vice Chair
* Cardiologist (one from each region)
* Emergency Department Physician (one from each
						region)
* Representative from each PCI hospital (minimum of one
						per region)
* Non-PCI hospital representative (minimum of one per
						region)
* EMS Representatives (minimum of three)
The PI Committee establishes specific system-wide
						performance measures. Subject Matter Experts (SME) participate in committee
						activities appropriate to their expertise. The MSDH Bureau of Acute Care
						Systems provides administrative support to the PI Committee and all meetings of
						the Committee. PI committee meetings are by invitation only and are not open to
						the public.
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 15-8-90-05-520 - STEMI System of Care › Section 15-8-90-05-520.05 - Data System

Current through June 25, 2024
The data system for the STEMI System of Care is the
						ACTION Registry-GWTG (Get with The Guidelines) system. The ACTION Registry-GWTG
						is a risk-adjusted, outcomes-based quality improvement program that focuses
						exclusively on high-risk STEMI/NSTEMI patients. It helps hospitals apply
						American College of Cardiology (ACC) and American Heart Association (AHA)
						clinical guideline recommendations in their facilities provides invaluable
						tools to measure care and achieve quality improvement goals. Use of the ACTION
						Registry-GWTG is a requirement for participation in the STEMI System of
						Care.
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 15-8-90-05-521 - Acute Ischemic Stroke System of Care › Section 15-8-90-05-521.01 - Organization

Current through June 25, 2024
The Stroke System of Care is a voluntary system comprised
						of several separate components, which are organized and work together as a
						system. The individual components and elements are described below:
* Stroke Regions - This component facilitates system
						organization, coordination, and education requirements for both practitioners
						and the public. Each Stroke Region (North, Central, and South) will have a
						regional Coordinator, who will schedule and facilitate quarterly regional
						meetings.
* Pre-Hospital Component - EMS units are an integral part
						of the STEMI System. All EMTs and paramedics need to have a basic knowledge and
						awareness of the Stroke System elements and system function. Specifically, this
						knowledge refers to entry criteria (identification of an acute ischemic
						stroke), triage and destination guidelines, and communication procedures.
						On-line and off-line medical control physicians will also need to be involved
						with the Stroke System elements and system function.
* Hospital Component - Hospitals may participate in the
						Stroke System on a voluntary basis.
* Program oversight is provided by MSDH's Bureau of Acute
						Care Systems.
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 15-8-90-05-521 - Acute Ischemic Stroke System of Care › Section 15-8-90-05-521.02 - Protocols

Current through June 25, 2024
Standard treatment protocols for Stroke Ready and
						Non-Stroke hospitals have been developed and published by the Mississippi
						Healthcare Alliance (MHCA), the practitioners' organization which initiated the
						development of the system of care. The current protocols may be found on the
						MHCA website at:
http://mshealthcarealliance.org/
.
The protocols are centered on the "Drip and Ship" model,
						where outlying hospitals identify the presence of an acute ischemic stroke
						through a head CT and initiate thrombolytic therapy (tPA-Alteplase) prior to
						transferring the patient to a Stroke Center. EMS protocols include the use of
						the Cincinnati Stroke Scale to identify potential stroke victims and their
						delivery to a Stroke Ready hospital for diagnosis.
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 15-8-90-05-521 - Acute Ischemic Stroke System of Care › Section 15-8-90-05-521.03 - Advisory Group

Current through June 25, 2024
The Stroke Advisory Committee meets quarterly. Membership
						is compromised of the following as prescribed in the Stroke System of Care
						Plan:
* Chairperson
* Emergency Medicine Representative - Northern
						Region
* Emergency Medicine Representative - Central
						Region
* Emergency Medicine Representative - Southern
						Region
* Emergency Nursing Representative - Northern
						Region
* Emergency Nursing Representative - Central
						Region
* Emergency Nursing Representative - Southern
						Region
* Hospital Administration Representative - Northern
						Region
* Hospital Administration Representative - Central
						Region
* Hospital Administration Representative - Southern
						Region
* Neurology Representative - Northern Region
* Neurology Representative - Central Region
* Neurology Representative - Southern Region
* Stroke Nursing Representative - Northern Region
* Stroke Nursing Representative - Central Region
* Stroke Nursing Representative - Southern Region
* Registry Representative - Northern Region
* Registry Representative - Central Region
* Registry Representative - Southern Region
* EMS Provider Representative - Northern Region
* EMS Provider Representative - Central Region
* EMS Provider Representative - Southern Region
* EMS Administration Representative - Northern
						Region
* EMS Administration Representative - Central
						Region
* EMS Administration Representative - Southern
						Region
* Northern Regional STROKE Coordinator
* Central Regional STROKE Coordinator
* Southern Regional STROKE Coordinator
* American Heart Association
						Representative
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 15-8-90-05-521 - Acute Ischemic Stroke System of Care › Section 15-8-90-05-521.04 - Performance Improvement

Current through June 25, 2024
Statewide Performance Improvement (PI) consists of
						multiple layers of continuous monitoring and evaluation of treatment processes
						to identify opportunities to optimize care and improve outcomes. The continuous
						cycle of evaluation extends from the PI programs of EMS providers and hospitals
						to review committees established at the regional and state levels.
The Stroke PI Committee meets quarterly and is appointed
						by the State Health Officer. Membership is comprised of the following:
* Neurology Chair
* Emergency Medicine Vice Chair
* Neurologist (one from each region)
* One Emergency Department Physician (one from each
						region)
* Representative from each stroke participating hospital
						(minimum of one per region)
* EMS representative (minimum of three)
Subject Matter Experts (SME) participate in committee
						activities appropriate to their expertise. The MSDH Bureau of Acute Care
						Systems provides administrative support to the PI Committee and all meetings of
						the Committee. PI Committee meetings are by invitation only and are not open to
						the public.
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 15-8-90-05-521 - Acute Ischemic Stroke System of Care › Section 15-8-90-05-521.05 - Data System

Current through June 25, 2024
The American Heart Association/American Stroke
						Association GWTG (Get with The Guidelines) - Stroke Program is a performance
						improvement program for hospitals that uses a stroke registry to support its
						aims. GWTG-Stroke collects patient level data on characteristics, diagnostic
						testing, treatments, adherence to quality measures, and in-hospital outcomes on
						patients hospitalized with stroke and transient ischemic attack (TIA).
						Collection of comprehensive, continuous stroke data supports data analysis and
						the development of interventions to improve stroke care.
The primary goal of GWTG-Stroke program is to improve the
						quality of care and outcomes for patients hospitalized with stroke and TIA. The
						GWTG-Stroke registry helps achieve this goal in a variety of ways,
						including:
* Enabling high caliber stroke research.
* Promoting stroke center designation.
* Supporting hospital level quality improvement,
						and
* Driving the creation of a regional stroke system
Click
						Here To View Image
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-600 - Comprehensive Medical Rehabilitation Services

Current through June 25, 2024
Comprehensive medical rehabilitation (CMR) services are
					 intensive care services that treat patients with severe physical disabilities
					 by providing a coordinated multidisciplinary approach that requires an
					 organized program of integrated services. Level I facilities offer a full range
					 of CMR services to treat disabilities such as spinal cord injury, brain injury,
					 stroke, congenital deformity, amputations, major multiple trauma,
					 polyarthritis, fractures of the femur, and neurological disorders. Level II
					 facilities offer CMR services to treat disabilities other than spinal cord
					 injury, congenital deformity, and brain injury.
The bed capacity, number of discharges, average length of
					 stay, and occupancy rates for Level I and Level II CMR facilities are listed in
					 Tables 6-1 and 6-2, respectively.
Table 6-1
Hospital-Based Level I CMR Units
FY 2020
Facilities
Licensed Bed Capacity
Average Daily Census
Average Length of Stay
Occupancy Rate (%)
Baptist Memorial Hospital - DeSoto
30
15.45
11.51
51.51
Delta Regional Medical Center - West
								  Campus
24
6.76
11.26
28.16
Encompass Health Rehabilitation Hospital*
43
32.40
11.70
98.00
Forrest General Hospital
26
18.49
13.75
71.11
Mississippi Methodist Rehab Center
80
53.22
15.52
66.52
North Miss Medical Center
30
24.65
13.92
82.17
State Total/Average
233
25.16
12.94
66.25
Source: Applications for Renewal of Hospital License, FY
					 2020 Annual Hospital Report
* Facility surveyed.
Table 6-2
Hospital-Based Level II CMR Units
FY 2020
Facility
Licensed Bed Capacity
Abeyance Beds
Average Daily Census
Average Length of Stay
Occupancy Rate (%)
Baptist Memorial Hospital - North Miss
13
5.84
10.19
44.95
Greenwood Leflore Hospital
20
10.50
12.12
52.49
Merit Health Natchez
20
7.92
11.51
39.60
Delta Health - Northwest Regional *
14
Anderson Regional Medical Center South
20
13.88
10.78
69.38
Singing River Hospital *
20
15.56
11.64
77.79
State Total/Average
93
14
10.74
11.25
56.84
Source: Applications for Renewal of Hospital License, FY
					 2020 Annual Hospital Report
Note(s): Singing River Hospital was CON approved August
					 2018 to convert eight (8) Level II beds to Level I beds.
Delta Health - Northwest Regional f/k/a Northwest MS
					 Regional Medical Center placed all fourteen (14) of their rehab beds in
					 abeyance effective July 1, 2013.
Applications for
					 Renewal of Hospital License for Calendar Year 2016; FY 2017 Annual Hospital
					 Report
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-601 - The Need for Comprehensive Medical Rehabilitation Services

Current through June 25, 2024
A total of 241 Level I and 85 Level II rehabilitation beds
					 were operational in Mississippi during FY 2020 (the Singing River Hospital bed
					 conversion is reflected in the total numbers mentioned previously; therefore,
					 the totals reflected in the tables may not match). Map 6-3 at the end of this
					 chapter shows the location of all CMR facilities in the state. The state as a
					 whole serves as a single service area when determining the need for
					 comprehensive medical rehabilitation beds/services. Based on the bed need
					 formula found in the criteria and standards section of this chapter,
					 Mississippi currently needs seven (7) Level I beds and ninety-four (94)
					 additional Level II CMR beds.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-602 - The Need for Children's Comprehensive Medical Rehabilitation Services

Current through June 25, 2024
No universally accepted methodology exists for determining
					 the need of children's comprehensive medical rehabilitation services. The bed
					 need methodology in the previous section addresses need for all types of
					 comprehensive medical rehabilitation beds, including those for
					 children.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-603 - Certificate of Need Criteria and Standards for Comprehensive Medical Rehabilitation Beds/Services › Section 15-8-90-06-603.01 - Policy Statement Regarding Certificate of Need Applications for Comprehensive Medical Rehabilitation Beds/Services

Current through June 25, 2024
1.
Definition
: Comprehensive Medical Rehabilitation (CMR)
					 Services provided in a freestanding CMR hospital or a CMR distinct part unit
					 are defined as an intensive care service providing a coordinated
					 multidisciplinary approach to patients with severe physical disabilities that
					 require an organized program of integrated services. These disabilities
					 include: stroke, spinal cord injury, congenital deformity, amputation, major
					 multiple trauma, fractures of the femur (hip fracture), brain injury,
					 polyarthritis, including rheumatoid arthritis, or neurological disorders,
					 including multiple sclerosis, motor neuron disease, polyneuropathy, muscular
					 dystrophy, and Parkinson's Disease.
2.
Planning Areas
:
					 The state as a whole shall serve as a single planning area for determining the
					 need of CMR beds/services.
3.
CMR Services
:
Level I - Level I CMR providers may provide treatment
						services for all rehabilitation diagnostic categories.
Level II - Level II CMR providers may provide treatment
						services for all rehabilitation diagnostic categories except:
(1) spinal cord injuries,
(2) congenital deformity, and
(3) brain injury.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-603 - Certificate of Need Criteria and Standards for Comprehensive Medical Rehabilitation Beds/Services › Section 15-8-90-06-603.03 - Certificate of Need Criteria and Standards for Children's Comprehensive Medical Rehabilitation Beds/Services

Current through June 25, 2024
Until such time as specific criteria and standards are
						developed, the MSDH will review CON applications for the establishment of
						children's CMR services under the general criteria and standards listed in the
Mississippi Certificate of Need Review Manual
in effect at the
						time of submission of the application, and the preceding criteria and standards
						listed.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-603 - Certificate of Need Criteria and Standards for Comprehensive Medical Rehabilitation Beds/Services › Section 15-8-90-06-603.04 - Comprehensive Medical Rehabilitation Bed Need Methodology

Current through June 25, 2024
The determination of need for Level I CMR beds/services
						will be based on 0.08 beds per 1,000 population in the state as a whole for the
						year 2025. Table 6-3 presents Level I CMR bed need.
The determination of need for Level II CMR beds/services
						will be based on 0.0623 beds per 1,000 population in the state as a whole for
						the year 2025. Table 6-3 presents Level II CMR bed need.
Table 6-3
Comprehensive Medical Rehabilitation Bed
						Need
FY 2020
Level
Estimated Population 2025
Aproved CMR Beds
CMR Beds Needed
Difference
Level I
Level II
3,095,026
3,095,026
241
99
248
193
7
94
Source(s): Applications for Renewal of Hospital License,
						FY 2020 Annual Hospital Report. State Data Center of Mississippi, University of
						Mississippi Center for Population Studies, March 2021
Note: Singing River Hospital's converted bed numbers are
						reflected in the bed counts listed in the table. Includes the fourteen (14)
						Level II beds placed in abeyance by Delta Health - Northwest Regional.
Click
						Here To View Image
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-604 - Certificate of Need Criteria and Standards for Comprehensive Medical Residential Medical Rehabilitation Beds/Services for Patients with Traumatic Brain Injury (CRMR-TBI) › Section 15-8-90-06-604.01 - Policy Statement Regarding Certificate of Need Applications for Comprehensive Residential Medical Rehabilitation Beds/Services for Patients with Traumatic Brain Injury

Current through June 25, 2024
1. Definitions:
(a) Comprehensive Residential Medical
					 Rehabilitation Services (CRMR) for Patients with a Traumatic Brain Injury (TBI)
					 are defined as a place which is devoted to the provision of residential
					 treatment and rehabilitative care in a transitional living program or a
					 lifelong living program for periods of twenty-four (24) hours or longer for
					 persons who have traumatic brain injury.
(b) A transitional living program is
					 treatment and rehabilitative care delivered to traumatic brain injury patients
					 who require education and training for independent living with a focus on
					 compensation for skills which cannot be restored; such care prepares clients
					 for maximum independence, teaches necessary skills for community interaction,
					 works with clients pre-vocational and vocational training and stresses
					 cognitive, speech, and behavioral therapies structured to the individual needs
					 of patients.
(c) Lifelong living
					 program is treatment and rehabilitative care to traumatic brain injury patients
					 who have been discharged from advanced treatment and rehabilitation facilities,
					 but who cannot live at home independently, and who require on-going lifetime
					 support and rehabilitation.
(d) A
					 TBI is a traumatic harm to the brain and its related parts resulting in organic
					 damage thereto that may cause physical, intellectual, emotional, social, and/or
					 vocational changes in a person.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-604 - Certificate of Need Criteria and Standards for Comprehensive Medical Residential Medical Rehabilitation Beds/Services for Patients with Traumatic Brain Injury (CRMR-TBI) › Section 15-8-90-06-604.02 - Certificate of Need Criteria and Standards for Comprehensive Residential Medical Rehabilitation Beds/Services for Patients with Traumatic Brain Injury (CRMR-TBI)

Current through June 25, 2024
MSDH will review applications for a CON for the
						establishment, offering, or expansion of CRMR beds and/or services for patients
						with TBI under the statutory requirements of Sections
						41-7-173,
						41-7-191, and
						41-7-193, Mississippi Code 1972,
						Annotated, 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.
In addition, comprehensive rehabilitation services are
						reviewable if the proposed provider has not provided such services on a regular
						basis within twelve (12) months prior to the time such services would be
						offered.
Need Criterion 1: Projected Need
a. New/Existing CRMR Beds/Services for
					 Patients with TBI: shall be determined considering the current and projected
					 population of the state as whole and the current and projected incidence of
					 TBIs. The state as a whole shall be considered a planning area.
b. Projects which do Not Involve the Addition
					 of any CRMR-TBI beds: The applicant shall document the need for the proposed
					 project. Documentation may consist of, but is not necessarily limited to,
					 citing of licensure or regulatory code deficiencies, institutional long-term
					 plans (duly adopted by the governing board), recommendations made by consultant
					 firms, and deficiencies cited by Accreditation Agencies (JCAHO, CAP).
c. Projects which Involve the Addition of
					 Beds: The applicant shall document the need for the proposed project. MSDH may
					 approve additional beds for facilities, which have maintained an occupancy rate
					 of at least seventy percent (70%) for the most recent two (2) years.
Need Criterion 2: Federal/State
						Requirements
Applicants proposing to establish CRMR services for
						patients with TBI shall demonstrate the ability to meet all CMS and state
						licensure requirements.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 07 - Other Health Services › Section 15-8-90-07-700 - Ambulatory Surgery Services

Current through June 25, 2024
During FY 2020, the state's medical/surgical hospitals
					 reported a total of 225,867 general surgical procedures. This number included
					 150,178 outpatient surgeries, almost a 19.40 percent decrease of the 186,324
					 surgeries performed in hospitals during 2016. The percentage of surgeries
					 performed on an outpatient basis in hospitals has decreased from 67.2 percent
					 in 2016 to 66.49 percent in 2020. Table 7-1 displays hospital affiliated
					 surgery data by general hospital service area.
Mississippi licenses eighteen (18) freestanding ambulatory
					 surgery facilities. Table 7-2 shows the distribution of facilities and related
					 ambulatory surgery data. The eighteen (18) facilities reported 66,789
					 procedures during fiscal year 2020. Total outpatient surgeries (hospitals and
					 freestanding facilities combined) comprised 74.11 percent of all surgeries
					 performed in the state. The number of procedures performed in freestanding
					 facilities was 22.81 percent of total surgeries in 2020.
Table 7-1
Selected Hospital Affiliated Surgery Data by General
					 Hospital Service Area
FY 2020
General Hospital Service
								  Area
Total Number of
								  Surgeries
Number of Outpatient
								  Surgeries
Outpatient Surgeries/Total
								  Surgeries (Percentage)
Number of Ope rating
								  Rooms
Average Number of Surgical
								  Procedures per Day/Room
Mississippi
225,867
150,178
66.49
468
1.84
1
6,855
4,281
62.45
18
1.52
2
28,428
19,203
67.55
46
2.47
3
12,592
9,471
75.21
30
1.68
4
20,414
14,896
72.97
44
1.86
5
80,241
48,788
60.80
154
2.08
6
16,383
13,348
81.47
42
1.56
7
15,614
12,722
81.48
35
1.78
8
18,555
10,939
58.95
47
1.58
9
26,785
16,530
61.71
52
2.06
Source: Applications for Renewals of Hospital Licensure for
					 FY 2020 Annual Hospital Report
Table 7-2
Selected Freestanding Ambulatory Surgery Data by
					 County
FY 2020
Ambulatory Surgery Planning
								  Area
County
Number of Freestanding
								  Ambulatory Surgery Centers
Number of Ambulatory
								  Surgeries Performed
Number of Operating Rooms/
								  Suites
Number of Surgical
								  Procedures Per Day/ O.R. Suite
(ASPAs)
Mississippi
18
66,789
67
3.99
1
DeSoto
1
1,855
3
2.47
2
Lee
2
6,800
8
3.40
4
Lafayette
1
3,174
4
3.17
5
Hinds
3
13,716
13
4.22
5
Rankin
2
8,405
5
6.72
6
Lauderdale
1
2,311
3
3.08
8
Forrest
4
20,611
16
5.15
8
Jones
1
1,576
4
1.58
9
Harrison
1
3,347
3
4.46
9
Jackson
2
4,994
8
2.50
Based on 250 working days per year.
Source: Survey of individual ambulatory surgery centers
					 conducted June 2021; Division of Health Planning and Resource Development,
					 Mississippi State Department of Health
Click
					 Here To View Image
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 07 - Other Health Services › Section 15-8-90-07-702 - Home Health Care › Section 15-8-90-07-702.01 - Home Health Status

Current through June 25, 2024
The 2016
Report on Home Health Agencies
(the latest available) indicated that 56,051 Mississippians received home
						health services during the year. The reported noted there were 2,024,397 home
						health care visits made in 2016 in Mississippi. Each patient (all payor
						sources) received an average of thirty-four (34) visits.
Table 7-3
Medicare Home Health Statistics in the Ten-State
						Region January 1, 2019 - December 31, 2019
Medicare - Home Health
									 Visits
Total Medicare
									 Payments
Total Medicare Home Health
									 Patients
Average Reimbursement per
									 Patient
Average Visits per Patient
Region Total
29,061,847
$ 4,652,629,450.00
889,078
$ 5,124.97
32
Alabama
2,217,084
$ 321,291,412.00
64,334
$ 4,994
34
Arkansas
1,219,936
$ 176,670,199.00
37,048
$ 4,769
33
Florida
10,513,344
$ 1,669,158,168.00
296,817
$ 5,624
35
Georgia
2,381,959
$ 408,974,845.00
83,207
$ 4,915
29
Kentucky
1,610,208
$ 269,769,104.00
54,580
$ 4,943
30
Louisiana
2,306,258
$ 340,127,444.00
59,238
$ 5,742
39
Mississippi
2,038,156
$
									 312,686,190.00
56,493
$ 5,535
36
North Carolina
2,624,724
$ 469,880,000.00
103,654
$ 4,533
25
South Carolina
1,713,498
$ 295,320,459.00
64,492
$ 4,579
27
Tennessee
2,436,680
$ 388,751,629.00
69,215
$ 5,617
35
Source: Centers for Medicare & Medicaid Services,
						Office of Enterprise Data and Analytics, CMS Chronic Conditions Data
						Warehouse
Click
						Here To View Image
Source: Centers for Medicare & Medicaid Services,
						Office of Enterprise Data and Analytics, CMS Chronic Conditions Data
						Warehouse
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 07 - Other Health Services › Section 15-8-90-07-703 - Certificate of Need Criteria and Standards for Home Health Agencies/Services › Section 15-8-90-07-703.01 - Policy Statement Regarding Certificate of Need Applications for the Establishment of a Home Health Agency and/or the Offering of Home Health Services

Current through June 25, 2024
1.
Service Areas
: The need for home health
					 agencies/services shall be determined on a county-by county basis.
2.
Determination of
					 Need
: A possible need for home health services may exist in a
					 county if for the most recent calendar year available that county had fewer
					 home health care visits per 1,000 elderly (65+) population than the average
					 number of visits received per 1,000 elderly (65+) in the "ten-state region"
					 consisting of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana,
					 Mississippi, North Carolina, South Carolina, and Tennessee. That number is
					 currently 29,061,847 as shown in Table 7-3 (2019 is the most recent data
					 available).
3.
Unmet
					 Need
: If it is determined that an unmet need exists in a given
					 county, the unmet need must be equivalent to fifty (50) patients in each county
					 proposed to be served. Based on 2019 data, 29,061,847 visits approximates a
					 Region Total of thirty-two (32) visits per patient.
4. All CON applications for the establishment
					 of a home health agency and/or the offering of home health services shall be
					 considered substantive and will be reviewed accordingly.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 07 - Other Health Services › Section 15-8-90-07-703 - Certificate of Need Criteria and Standards for Home Health Agencies/Services › Section 15-8-90-07-703.03 - Statistical Need Methodology for Home Health Services

Current through June 25, 2024
The methodology used to calculate the average number of
						visits per 1,000 elderly (65+) in the ten state region consist of the
						following:
1. The ten-state region
					 consists of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana,
					 Mississippi, North Carolina, South Carolina, and Tennessee.
2. The 2025 projected population aged 65 and
					 older estimates from each state.
3.
					 Table 7-3 showing the average Medicare reimbursement per patient for the
					 ten-state region, according to 2019 data from the Centers for Medicare and
					 Medicaid Services. Figure 7-1 shows the average Medicare reimbursement per
					 patient in the ten-state region.
4.
					 In 2019, the region total of Medicare home health visits was 29,061,847, and
					 the average home health visits per patient was thirty-two (32). Note: The
					 Mississippi total for 2019 was 2,038,156 visits (Medicare reimbursed) and the
					 average home health visits per patient was thirty-six (36).
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 07 - Other Health Services › Section 15-8-90-07-704 - Certificate of Need Criteria and Standards for End Stage Renal Disease Facilities › Section 15-8-90-07-704.01 - Policy Statement Regarding Certificate of Need Application for the Establishment of End Stage Renal Disease (ESRD) Facilities

Current through June 25, 2024
1.
Establishment of an ESRD Facility
: The provision or
					 proposed provision of maintenance dialysis services constitutes the
					 establishment of an ESRD facility 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.
2.
Type of Review
:
					 CON applications for ESRD services shall be considered substantive as defined
					 under the appropriate
Mississippi State Health Plan
3.
ESRD Facility Service
					 Area
: An ESRD Facility Service Area is defined as the area within
					 a thirty (30) mile radius of an existing or proposed ESRD facility. ESRD
					 Facility Service Areas, including the Service Areas of existing facilities
					 which overlap with the proposed Service Area, shall be used for planning
					 purposes.
4.
Utilization Definitions
: These utilization definitions
					 are based upon three (3) shifts per day six (6) days per week, or eighteen (18)
					 shifts per week. Only equipment (peritoneal or hemodialysis) that requires
					 staff assistance for dialysis and is in operation shall be counted in
					 determining the utilization rate. Utilization of equipment in operation less
					 than twelve (12) months shall be prorated for the period of time in actual use.
a. Full Utilization: For planning and CON
					 purposes, full (100 percent) utilization is defined as an average of 936
					 dialyses per station per year.
b.
					 Optimum Utilization: For planning and CON purposes, optimum (65 percent)
					 utilization is defined as an average of 608 dialyses per station per
					 year.
c. Need Utilization: For
					 planning and CON purposes, need (80 percent) utilization is defined as an
					 average of 749 dialyses per station per year.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 07 - Other Health Services › Section 15-8-90-07-704 - Certificate of Need Criteria and Standards for End Stage Renal Disease Facilities › Section 15-8-90-07-704.02 - Certificate of Need Criteria and Standards for End Stage Renal Disease (ESRD) Facilities › Section 15-8-90-07-704.02.02 - Establishment of a Renal Transplant Center

Current through June 25, 2024
Need Criterion 1
:
The applicant shall document that the proposed renal
						  transplant center will serve a minimum population of 3.5 million people.
Need Criterion 2:
The applicant shall document that the proposed facility
						  will provide, at a minimum, the following:
a. medical-surgical specialty services
						required for the care of ESRD transplant patients;
b. acute dialysis services;
c. an organ procurement system;
d. an organ preservation program;
						and
e. a tissue typing
						laboratory.
Need Criterion 3:
The applicant shall document that the facility will
						  perform a minimum of 25 transplants annually.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.2 - Applications Unacceptable for Certificate of Need Review

Current through June 25, 2024
An application for a CON shall not be accepted from the
					 same person for a proposal in a health planning area from which a previously
					 submitted application for like or similar service or equipment, as determined
					 by the Department, has been disapproved unless one or more of the following
					 conditions exist:
1. A substantial
				  change has occurred in existing or proposed health services of the type
				  proposed by the applicant.
2. A
				  substantial change has occurred in the need for the health service proposed by
				  the applicant.
3. At least one year
				  has elapsed from the date of the finding that resulted in disapproval of the
				  previous application.
A substantial change in existing or proposed services or
					 facilities shall mean the closure of the facility or service, or revocation of
					 a CON, for that facility or service which, when taken into account, will result
					 in an actual need for a facility or service. "Actual need" means need as
					 reflected by the appropriate plans, standards, or criteria as reflected in the
					 most recent or current version of the State Health Plan.
A substantial change in the need for the facility or
					 service shall mean an amendment, correction, or replacement of a standard,
					 criterion, or plan of the Department, which when taken into account, will
					 result in an actual need for the type of service or facility
					 proposed.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.3 - Procedures for Adoption and Revision of Certificate of Need Review Procedures and/or Review Criteria

Current through June 25, 2024
The Mississippi Department of Health shall comply with the
					 State of Mississippi Administrative Procedures Act in the event CON criteria
					 and review procedures require revision or amendment.
Before review of new institutional health services or other
					 proposals requiring a CON, the Department shall disseminate to all health care
					 facilities and health maintenance organizations within the State and shall
					 publish in The Clarion-Ledger (Jackson, Mississippi) and other newspapers as
					 deemed appropriate a description of the scope of coverage of the Department's
					 CON Program. Whenever the scope of such coverage is revised, the Department
					 shall disseminate and publish a revised description in like manner.
Any person who is aggrieved by a proposed adoption or
					 revision of review procedures or criteria shall submit in writing to the
					 Department any objections to the proposed change or need for
					 clarification.
A request for objection or clarification must be submitted
					 to the Department of Health within thirty (30) calendar days after the
					 Department has filed with the Office of the Secretary of State the proposed
					 rule or rules.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.4 - Procedures for Conducting Meetings and Hearings

Current through June 25, 2024
The Department shall conduct all meetings and hearings
					 according to the provisions of its adopted rules and procedures.
If the Department rules and procedures are silent on any
					 question, then the rules and procedures as stated in Robert's Rules of Order,
					 Newly Revised (1990 Edition) and the latest version of the Mississippi Rules of
					 Civil Procedure may be utilized.
In the event of conflict between the adopted rules and
					 procedures of the Department and those outlined in Robert's Rules of Order or
					 the Mississippi Rules of Civil Procedure, the rules and procedures adopted by
					 the Department shall prevail.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.5 - Notice of Meeting

Current through June 25, 2024
All CON meetings of the Department shall be open to the
					 public. The public shall be notified of meetings of the Department through the
					 Mississippi State Department of Health's website not less than ten (10)
					 calendar days before such meetings are held. Public participation is
					 encouraged.
Proof of publication of all hearings in accordance with the
					 above paragraph shall be maintained in the Department's files.
The hearings shall be held in public in a facility of
					 adequate space to accommodate all persons, including the public, reasonably
					 expected to attend and shall be conducted according to the provisions of
					 Section 25-41-1 et seq., Mississippi Code
					 of 1972 Annotated, as amended.
Interested persons are welcome to attend CON review
					 meetings of the Department and, at the discretion of the State Health Officer,
					 may be allowed to address the Department on any item that is under
					 consideration.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.6 - Agenda

Current through June 25, 2024
The agenda for all business meetings and hearings shall be
					 made available to the State Health Officer in advance. Copies of the agenda
					 will be available to the public at the place of assembly and to applicants ten
					 (10) calendar days before the meeting or hearing.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.7 - Certificate of Need Application Review

Current through June 25, 2024
All CON applications will be reviewed pursuant to the
					 provisions of Chapter 3 of this Manual.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.8 - Consideration of Proposals - Decision

Current through June 25, 2024
The State Health Officer shall consider the Department's
					 staff analysis on each proposal before making a decision. Such analysis shall
					 be based on the proposal's consistency with the specifications and criteria
					 established by the Department and its substantial compliance with the
					 projection of need as reported in the State Health Plan in effect at the time
					 the application for the proposal was submitted.
The decision of the State Health Officer shall be based on
					 one of the following conditions:
1. The
				  proposal is in substantial compliance with the required findings that are
				  necessary for approval.
2. The
				  proposal is not in substantial compliance with the necessary required findings
				  for approval.
3. The proposal, with
				  certain stipulated revisions, is in substantial compliance with the necessary
				  findings for approval.
After reaching a decision regarding a proposal, the State
					 Health Officer shall provide a written notification to the applicant, and
					 others upon request, within (ten) 10 calendar days of the announcement of his
					 or her decision.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.9 - Policy Regarding Public Access to Records and Data

Current through June 25, 2024
The Department holds available for public inspection and
					 copying those records made or received by the Department in connection with the
					 performance of the Department's functions under its designation as the State
					 Health Planning and Development Agency (SHPDA).
The following items are available:
1. The State Health Plan.
2. Contents of the files pertaining to
				  Certificate of Need (CON) applications.
3. Published reports of the Health Planning
				  and Resource Development Division.
4. Selected statistical data regarding health
				  facilities utilization and health manpower.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 91 - Planning and Resource Development › Chapter 1 - POLICIES, PROCEDURES AND DEFINITIONS › Rule 15-9-91-1.10 - Procedure for Requesting Information

Current through June 25, 2024
Requests for copies of the State Health Plan or other
					 published reports may be made by telephone, by written request, or in person to
					 the Health Planning and Resource Development Division.
Requests to review individual CON files must be made in
					 writing. Requests for information contained in the CON application files must
					 be made in writing and must state specifically what information is desired.
					 These requests should be addressed to:
Public Records Liaison
Office of Communication, Osborne 100
Mississippi State Department of Health
P.O. Box 1700
Jackson, MS 39215-1700
In accordance with Section
					 25-61-5, Mississippi Code of 1972,
					 Annotated, as amended, no open-ended requests will be honored. All requests for
					 information contained in the CON files must stand alone.
Requests for statistical data must be made in writing and
					 should describe the specific items requested as to nature of data, time frame
					 requested, and whether statewide or specified counties.
If an applicant or their representative wishes to review
					 their own CON file, they may do so at any time during regular business hours
					 without first submitting a request in writing.