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 15-8-90-05-515 - Certificate of Need Criteria and Standards for Cardiac Catheterization Services and Open-Heart Surgery Services › Section 15-8-90-05-515.03 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of Diagnostic Cardiac Catheterization Equipment and/or the Offering of Diagnostic Cardiac Catheterization Services

Current through June 25, 2024
The Mississippi State Department of Health will review
						applications for a Certificate of Need for the acquisition or otherwise control
						of diagnostic cardiac catheterization equipment and/or the offering of
						diagnostic cardiac catheterization 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 the
						Mississippi State Department of Health; and the specific criteria and standards
						listed below.
The acquisition or otherwise control of diagnostic
						cardiac catheterization equipment is reviewable if the equipment costs exceed
						$1,500,000. The offering of diagnostic cardiac catheterization 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
An applicant proposing the establishment of diagnostic
						cardiac catheterization services only shall demonstrate that the proposed
						equipment/service utilization will be a minimum of 300 diagnostic cardiac
						catheterizations per year by its third year of operation.
Need Criterion 2: Staffing Standards
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.
Need Criterion 3: Recording and Maintenance of
						Data
Applicants shall provide, as required under licensure
						standards, written assurance that they will record and maintain utilization
						data for diagnostic cardiac catheterization procedures (e.g., morbidity data,
						number of diagnostic cardiac catheterization procedures performed, and
						mortality data, all reported by race, sex, and payor status) and make such data
						available to the Mississippi State Department of Health annually.
Need Criterion 4: Referral Agreement
An applicant proposing the establishment of diagnostic
						cardiac catheterization services only shall document that a formal referral
						agreement with a facility for the provision of emergency cardiac services
						(including open-heart surgery) will be in place and operational at the time of
						the inception of cardiac catheterization services.
Need Criterion 5: Patient Selection
An applicant proposing to provide diagnostic cardiac
						catheterization services must (a) delineate the steps which will be taken to
						insure that high risk patients are not catheterized in the facility, and (b)
						certify that therapeutic cardiac catheterization services and/or PCI services
						in a hospital without on-site cardiac surgery will not be performed in the
						facility unless and until the applicant has received CON approval to provide
						said services.
Need Criterion 6: Regulatory Approval
Before utilizing or providing the equipment or service,
						the applicant desiring to provide the diagnostic cardiac catheterization
						equipment or service shall have CON approval or written evidence that the
						equipment or service is exempt from CON approval as determined by the
						Mississippi State Department of Health. Each specified piece of equipment must
						be exempt from or have CON approval.