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 15-8-90-05-502 - Certificate of Need Criteria and Standards for General Acute Care Facilities › Section 15-8-90-05-502.02 - Certificate of Need Criteria and Standards for the Establishment of a General Acute Care Hospital

Current through June 25, 2024
MSDH will review applications for a CON to construct,
						develop, or otherwise establish a new hospital 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 a 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.
Need Criterion 1:
Acute Care Hospital Need
						Methodology
With the exception of psychiatric, chemical dependency,
						and rehabilitation hospitals, MSDH will use the following methodologies to
						project the need for general acute care hospitals:
a.
Counties Without a Hospital
MSDH shall determine hospital need by multiplying the
						state's average annual occupied beds per 1,000 population (1.41 in FY 2013) by
						the estimated 2023 county population to determine the number of beds the
						population could utilize. A hospital with a maximum of 100 beds may be
						considered if the following three conditions are met:
(i) the number of beds needed is 100 or more;
(ii) there is strong community
					 support for a hospital; and
(iii) a
					 hospital can be determined to be economically feasible.
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 15-8-90-05-503 - Long-Term Acute Care Hospitals

Current through June 25, 2024
A long-term acute care (LTAC) hospital is a freestanding,
					 Medicare-certified acute care hospital with an average length of inpatient stay
					 greater than twenty-five (25) calendar days, which is primarily engaged in
					 providing chronic or long-term medical care to patients who do not require more
					 than three (3) hours of rehabilitation or comprehensive rehabilitation per day,
					 and has a transfer agreement with an acute care medical center and a
					 comprehensive medical rehabilitation facility. As of FY 2020, seven (7)
					 long-term acute care hospitals were in operation. The following table lists
					 specific LTAC information.
Table 5-3
Long-Term Acute Care Hospitals 2020
Facility
Location
Licensed Beds
Occupancy Rate (%)
ALOS
Discharges
General Hospital Service Area
								  1
NONE
General Hospital Service Area
								  2
NONE
General Hospital Service Area
								  3
39
56.28
30.52
257
Allegiance Specialty Hospital Greenville
Greenville
39
56.28
30.52
257
General Hospital Service Area
								  4
NONE
General Hospital Service Area
								  5
121
85.12
28.68
1,272
KPC/Promise Hospital of Vicksburg
Select Specialty Hospital-Belhaven
Select Specialty Hospital of Jackson
Vicksburg
Jackson
Jackson
35
33
53
77.72
74.65
96.54
34.56
26.12
27.03
318
330
624
General Hospital Service Area
								  6
89
48.69
21.93
708
Regency Hospital of Meridian
Specialty Hospital of Meridian
Meridian
Meridian
40
49
45.38
51.39
27.59
18.97
243
465
General Hospital Service Area
								  7
NONE
General Hospital Service Area
								  8
NONE
General Hospital Service Area
								  9
61
56.37
28.31
395
Select Specialty Hospital - Gulfport
Gulfport
61
56.37
28.31
395
Total
310
65.38
26.99
2,632
Source: Applications for Renewal of Hospital License for FY
					 2020, Annual Hospital Report and MSDH, Office of Health Planning and Resource
					 Development surveys.
Note: There are currently no LTAC Hospitals located in GHSA
					 1, 2, 4, 7, and 8.
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 15-8-90-05-504 - Certificate of Need Criteria and Standards for Long-Term Acute Care Hospitals/Beds › Section 15-8-90-05-504.01 - Policy Statement Regarding Certificate of Need Applications for Long-Term Acute Care Hospitals and Long-Term Acute Care Hospital Beds

Current through June 25, 2024
1.
Restorative Care Admissions:
Restorative care
					 admissions shall be identified as patients with one or more of the following
					 conditions or disabilities:
a. Neurological
					 Disorders
i. Head Injury
ii. Spinal Cord Trauma
iii. Perinatal Central Nervous System
					 Insult
iv. Neoplastic
					 Compromise
v. Brain Stem
					 Trauma
vi. Cerebral Vascular
					 Accident
vii. Chemical Brain
					 Injuries
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 15-8-90-05-506 - Therapeutic Radiation Services

Current through June 25, 2024
Therapeutic radiology (also called radiation oncology,
					 megavoltage radiotherapy, or radiation therapy) is the treatment of cancer and
					 other diseases with radiation. Radiation therapy uses high energy photons
					 (x-ray or gamma rays) or charged particles (electrons, protons, or heavy
					 nuclei) to damage critical biological molecules in tumor cells. Radiation in
					 various forms is used to kill cancer cells by preventing them from multiplying.
					 Therapeutic radiation may be used to cure or control cancer, or to alleviate
					 some of the symptoms associated with cancer (palliative care). Radiation
					 therapy services does not include low energy, superficial, external beam x-ray
					 treatment of superficial skin lesions.
In radiation therapy, a non-invasive treatment can be given
					 repetitively over several weeks to months and can be aimed specifically at the
					 area where treatment is needed, minimizing side effects for uninvolved normal
					 tissues. This repetitive treatment is called fractionation because a small
					 fraction of the total dose is given each treatment. Radiotherapy can only be
					 performed with linear accelerator (linac) technology. Conventionally
					 administrated external beam radiation therapy gives a uniform dose of radiation
					 to the entire region of the body affected by the tumor. Only a small variation
					 of the dose is delivered to various parts of the tumor. Radiotherapy may not be
					 as effective as stereotactic radiosurgery, which can give higher doses of
					 radiation to the tumor itself.
Another type of radiation therapy used in Mississippi is
					 brachytherapy. Unlike the external beam therapy, in which high-energy beams are
					 generated by a machine and directed at a tumor from outside the body,
					 brachytherapy involves placing a radioactive material directly into the
					 body.
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 15-8-90-05-507 - Stereotactic Radiosurgery

Current through June 25, 2024
Despite its name, stereotactic radiosurgery is a
					 non-surgical procedure that uses highly focused x-rays (or in some cases, gamma
					 rays) to treat certain types of tumors, inoperable lesions, and as a
					 postoperative treatment to eliminate any leftover tumor tissue. Stereotactic
					 radiosurgery treatment involves the delivery of a single high-dose - or in some
					 cases, smaller multiple doses - of radiation beams that converge on the
					 specific area of the brain where the tumor or other abnormality resides.
Stereotactic radiosurgery was once limited to the
					 GammaKnife® for treating intra-cranial lesions and functional issues. With
					 the introduction of CyberKnife® and other LINAC-based radiosurgery systems,
					 there has been rapid growth in total-body radiosurgery. The modified LINAC
					 radiosurgery modality is now being used to treat lung, liver, pancreas,
					 prostate, and other body areas. Some modified full-body LINAC models use
					 full-body frames as a guiding tool and others do not. Therefore, the term
					 "stereotactic radiosurgery" will refer to radiosurgery regardless of whether a
					 full-body frame is used or not. A full course of radiosurgery requires only one
					 to five (5) treatments versus thirty (30) to forty (40) for
					 radiotherapy.
Three (3) basic types of stereotactic radiosurgery are in
					 common use, each of which uses different instruments and sources of
					 radiation:
Cobalt 60 Based (Gamma Knife),
which uses 201
					 beams of highly focused gamma rays. Because of its incredible accuracy, the
					 Gamma Knife is ideal for treating small to medium size lesions.
Linear accelerator (LINAC) based
machines,
					 prevalent throughout the world, deliver high-energy x-ray photons or electrons
					 in curving paths around the patient's head. The linear accelerator can perform
					 radiosurgery on larger tumors in a single session or during multiple sessions
					 (fractionated stereotactic radiotherapy). Multiple manufacturers make linear
					 accelerator machines, which have names such as: Axess®, Clinac®,
					 Cyberknife®, Novalis®, Peacock®, TomoTherapy®, Trilogy®, or
					 X-Knife®. According to Accuray, the CyberKnife® is the world's only
					 robotic radiosurgery system designed to treat tumors anywhere in the body
					 non-invasively and with sub-millimeter accuracy.
Particle beam (photon) or cyclotron
based
					 machines are in limited use in North America.
Table 5-5 presents the facilities offering megavoltage
					 therapeutic radiation therapy.
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 15-8-90-05-509.02 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of Therapeutic Radiation Equipment and/or the Offering of Therapeutic Radiation Services (other than Stereotactic Radiosurgery) › Section 15-8-90-05-509.02.01 - Therapeutic Radiation Equipment/Service Need Methodology

Current through June 25, 2024
1.
Treatment/Patient Load
: A realistic treatment/patient
						load for a therapeutic radiation unit is 8,000 treatments or 320 patients per
						year.
2.
Incidence of
						Cancer
: The American Cancer Society (ACS) estimates that
						Mississippi will experience 18,750 new cancer cases in 2021. Based on a
						population of 3,095,026 (year 2025) as estimated by the State Data Center of
						Mississippi (University of Mississippi Center for Population Studies) is 6.06
						cases per 1,000 population.
3.
Patients to Receive Treatment
: The number of cancer
						patients expected to receive therapeutic radiation treatment is set at
						forty-five percent (45%).
4.
Population to Equipment Ratio
: Using the above stated
						data, a population of 100,000 will generate 606 new cancer cases each year.
						Assuming that forty-five percent (45%) will receive radiation therapy, a
						population of 117,380 will generate approximately 320 patients who will require
						radiation therapy. Therefore, a population of 117,380 will generate a need for
						one therapeutic radiation unit.
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 15-8-90-05-509.02 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of Therapeutic Radiation Equipment and/or the Offering of Therapeutic Radiation Services (other than Stereotactic Radiosurgery) › Section 15-8-90-05-509.02.02 - Therapeutic Radiation Equipment Need Determination Formula

Current through June 25, 2024
1. Project annual
						number of cancer patients:
Click Here To View
						  Image
2. Project
						the annual number of radiation therapy patients:
New Cancer Cases X 45% = Patients Who Will Likely
						  Require Radiation Therapy
3.
						Estimate number of treatments to be performed annually:
Radiation Therapy Patients X 25 Treatments per Patient
						  (Avg.) = Estimated Number of Treatments
4. Project number of megavoltage radiation
						therapy units needed:
Click Here To View
						  Image
5.
						Determine unmet need (if any):
Projected Number of Units Needed - Number of Existing
						  Units = Number of Units Required (Excess)
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 15-8-90-05-511 - Invasive Digital Angiography (DA)

Current through June 25, 2024
Invasive Digital Angiography (DA) is a diagnostic and
					 catheter based therapeutic intravascular intervention imaging procedure that
					 combines a digital processing unit with equipment similar to that used for
					 standard fluoroscopic procedures.
Most invasive DA studies are appropriate as an outpatient
					 procedure in a freestanding facility, where proper protocols have been
					 met.
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 15-8-90-05-512 - Positron Emission Tomography (PET) › Section 15-8-90-05-512.01 - Certificate of Need Criteria and Standards for Magnetic Resonance Imaging Services (MRI) › Section 15-8-90-05-512.01.01 - Policy Statement Regarding Certificate of Need Applications for the Acquisition or Otherwise Control of Magnetic Resonance Imaging (MRI) Equipment and/or the Offering of MRI Services

Current through June 25, 2024
1.
CON
						Review Requirements
: The CON process regarding the acquisition or
						otherwise control of MRI equipment and/or the offering of MRI services involves
						separate requirements for CON review:
(a) an
						entity proposing to acquire or otherwise control MRI equipment must obtain a
						CON to do so if the capital expenditure for the MRI unit and related equipment
						exceeds $1,500,000; and
(b) an
						entity proposing to offer MRI services which has not provided the service on a
						regular basis within the last twelve (12) months must obtain a CON before
						providing such services, regardless of the capital expenditure.
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 15-8-90-05-512 - Positron Emission Tomography (PET) › Section 15-8-90-05-512.01 - Certificate of Need Criteria and Standards for Magnetic Resonance Imaging Services (MRI) › Section 15-8-90-05-512.01.02 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of Magnetic Resonance Imaging (MRI) Equipment and/or the Offering of MRI Services

Current through June 25, 2024
MSDH will review applications for a CON for the
						  acquisition or otherwise control of MRI equipment and/or the offering of MRI
						  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 MSDH;
						  and the specific criteria and standards listed below.
The acquisition or otherwise control of MRI equipment
						  is reviewable if the equipment cost is in excess of $1,500,000; if the
						  equipment and/or service is relocated; and if the proposed provider of MRI
						  services has not provided such 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.
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 15-8-90-05-512 - Positron Emission Tomography (PET) › Section 15-8-90-05-512.01 - Certificate of Need Criteria and Standards for Magnetic Resonance Imaging Services (MRI) › Section 15-8-90-05-512.01.05 - Population-Based Formula for Projection of MRI Service Volume

Current through June 25, 2024
X * Y / 1,000 = V
Where, X = Applicant's Defined Service area
						  population
Y = Mississippi MRI Use Rate*
V = Expected Volume
* Use Rate shall be based on information in the State
						  Health Plan
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 15-8-90-05-513 - Certificate of Need Criteria and Standards for Diagnostic and Therapeutic Imaging Services › Section 15-8-90-05-513.01 - Digital Angiography Equipment and Services › Section 15-8-90-05-513.01.01 - Policy Statement Regarding Certificate of Need Applications for the Acquisition or Control of Digital Angiography Equipment and/or the Offering of Invasive Digital Angiography Services

Current through June 25, 2024
1.
Digital Angiography Equipment and Services in Ambulatory Surgery
						Centers:
Applicants proposing the acquisition or otherwise control
						of Digital Angiography equipment and/or the offering of invasive digital
						angiography services in a single specialty ambulatory surgery center must apply
						for a certificate of need before providing such services.
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 15-8-90-05-513 - Certificate of Need Criteria and Standards for Diagnostic and Therapeutic Imaging Services › Section 15-8-90-05-513.01 - Digital Angiography Equipment and Services › Section 15-8-90-05-513.01.02 - Certificate of Need Criteria and Standards for Invasive Digital Angiography in a Hospital

Current through June 25, 2024
MSDH will review applications for a CON for the
						  acquisition or otherwise control of Digital Angiography (DA) equipment and
						  associated costs 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.
CON review is required when the capital expenditure for
						  the purchase of Digital Angiography equipment and associated costs exceed
						  $1,500,000, or when the equipment is to be used for invasive procedures, i.e.,
						  the use of catheters. The offering of diagnostic and therapeutic intravascular
						  intervention imaging services of an invasive nature, i.e. invasive digital
						  angiography, is reviewable if those services have not been provided on a
						  regular basis by the proposed provider of such services within the period of
						  twelve (12) months prior to the time such services would be offered regardless
						  of the capital expenditure.
Need Criterion 1
:
Staffing
						  Requirements
The applicant for invasive DA services shall
						  demonstrate that proper protocols for screening and medical specialty backup
						  are in place before services are rendered by personnel other than those with
						  specialized training.
For example, if a radiologist without specialized
						  training in handling cardiac arrhythmia is to perform a procedure involving the
						  heart, a cardiologist/cardiosurgeon must be available for backup.
The protocols shall include, but are not limited to,
						  having prior arrangements for backup from:
a. a cardiologist/cardiosurgeon for
						procedures involving the heart;
b.
						a neurologist/neurosurgeon for procedures involving the brain; and
c. a vascular surgeon, cardiologist,
						radiologist or nephrologist credentialed and accredited for interventional
						peripheral vascular procedures.
Need Criterion 2
:
CON
						  Exemption
Before utilizing or providing the equipment or service,
						  the applicant desiring to provide the digital angiography equipment or invasive
						  DA services 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.
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 15-8-90-05-513 - Certificate of Need Criteria and Standards for Diagnostic and Therapeutic Imaging Services › Section 15-8-90-05-513.01 - Digital Angiography Equipment and Services › Section 15-8-90-05-513.01.03 - Certificate of Need Criteria and Standards for Invasive Digital Angiography (DA) in a Freestanding Facility

Current through June 25, 2024
Need Criterion 1: Staffing
						  Requirements
a. The applicant
						for invasive DA services shall demonstrate that proper protocols for screening
						and medical specialty backup are in place before services are rendered by
						personnel other than those with specialized training. The protocols shall
						include, but are not limited to, having prior arrangements for
						consultation/backup from a vascular surgeon, cardiologist, radiologist or
						nephrologist credentialed and accredited for interventional peripheral vascular
						procedures.
b. Identify physicians
						in the group and state which physicians(s) will perform intravascular
						interventions using DA. Certify that:
i. Each
						physician will maintain medical staff privileges at a full service hospital; or
ii. At least one member of the
						physician group has staff privileges at a full service hospital and will be
						available at the facility or on call within a 30-minute travel time of the full
						service hospital during the hours of operation of the facility.
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 15-8-90-05-513 - Certificate of Need Criteria and Standards for Diagnostic and Therapeutic Imaging Services › Section 15-8-90-05-513.02 - Positron Emission Tomography (PET) Equipment and Services › Section 15-8-90-05-513.02.01 - Policy Statement Regarding Certificate of Need Applications for the Acquisition or Otherwise Control of a Positron Emission Tomography (PET) Scanner and Related Equipment including Cardiac only PET Scanner

Current through June 25, 2024
1.
CON
						Review Requirements:
Applicants proposing the acquisition or
						otherwise control of a PET scanner shall obtain a CON to do so if the capital
						expenditure for the scanner and related equipment exceeds $1,500,000.
2.
Indigent/Charity
						Care:
An applicant shall be required to provide a "reasonable
						amount" of indigent/charity care as described in Chapter 1 of this
						Plan.
3.
Service
						Areas
: The state as a whole shall serve as a single service area
						in determining the need for a PET scanner. In the case of Cardiac only PET
						Scanner, the service area will be the General Hospital Service Areas.
4.
Equipment to Population
						Ratio
: The need for a PET scanner is estimated to be one scanner
						per 300,000 population. MSDH will consider out-of-state population in
						determining need only when the applicant submits adequate documentation
						acceptable to MSDH, such as valid patient origin studies. In the case of
						Cardiac only PET Scanner, this policy will not apply.
5.
Access to
						Supplies
: Applicants must have direct access to appropriate
						radio-pharmaceuticals.
6.
Services and Medical Specialties Required
: The
						proposed PET units must function as a component of a comprehensive inpatient or
						outpatient diagnostic service. The proposed PET unit must have the following
						modalities (and capabilities) on-site or through contractual arrangements:
a. Computed tomography - (whole
						body)
b. Magnetic resonance imaging
						- (brain and whole body)
c. Nuclear
						medicine - (cardiac, SPECT)
d.
						Conventional radiography
e. The
						following medical specialties during operations hours:
i. Cardiology
ii. Neurology
iii. Neurosurgery
iv. Oncology
v. Psychiatry
vi. Radiology
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 15-8-90-05-515.01 - Joint Policy Statement Regarding Certificate of Need Applications for the Acquisition or Otherwise Control of Cardiac Catheterization Equipment and/or the Offering of Cardiac Catheterization Services and/or the Acquisition of Open-Heart Surgery Equipment and/or the Offering of Open-Heart Surgery Services

Current through June 25, 2024
Heart disease remains the leading cause of death in
						Mississippi. However, it should be noted that the State has seen a decrease in
						mortality rates in the last few years. From 2004 to 2013, the mortality rate
						for African American women decreased by 25% per 100,000 and the total mortality
						rate decreased by 19.6% per 100,000. Studies show that minorities have a higher
						cardiovascular death rate than whites and are less likely to receive cardiac
						catheterization and open-heart surgery services than are whites. The
						disproportionate impact on minorities' health status in general is recognized
						elsewhere in this State Health Plan.
Innovative approaches to address these problems in the
						cardiac area are needed. It has been shown that statistical methods, such as
						population base and optimum capacity at existing providers, are not accurate
						indicators of the needs of the underserved, nor do they address the
						accessibility of existing programs to the underserved. The goal of these
						revisions to the State Health Plan is to improve access to cardiac care and to
						encourage the establishment of additional cardiac catheterization and
						open-heart surgery programs within the state that can serve the poor,
						minorities, and the rural population in greater numbers.
MSDH also adopted a provision that it shall not consider
						utilization of equipment/services at any hospital owned and/or operated by the
						state or its agencies when reviewing CON applications. MSDH further adopted
						standards requiring an applicant to report information regarding
						catheterization and open-heart programs so as to monitor the provision of care
						to the medically underserved and the quality of that care.
MSDH shall interpret and implement all standards in this
						Plan in recognition of the stated findings and so as to achieve the stated
						goal.
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 15-8-90-05-515.02 - Policy Statement Regarding Certificate of Need Applications for the Acquisition or Otherwise Control of Cardiac Catheterization Equipment and/or the Offering of Cardiac Catheterization Services

Current through June 25, 2024
1.
Cardiac Catheterization Services
: For purposes of the
					 following CON criteria and standards the term "cardiac catheterization
					 services" or "catheterization services" shall include three levels of cardiac
					 catheterization services an applicant may provide: diagnostic cardiac
					 catheterization services, percutaneous coronary intervention (PCI) in a
					 hospital without on-site cardiac surgery, or therapeutic cardiac
					 catheterization services.
a.
Diagnostic cardiac catheterization services
are
					 defined as, and refer to, cardiac catheterization services which are performed
					 for the purpose of diagnosing, identifying, or evaluating cardiac related
					 illness or disease. Diagnostic cardiac catheterization services include, but
					 are not limited to, left heart catheterizations, right heart catheterizations,
					 left ventricular angiography, coronary procedures, and other cardiac
					 catheterization services of a diagnostic nature.
b.
Percutaneous coronary
					 intervention (PCI) services
in a hospital without on-site cardiac
					 surgery are defined as, and refer to, those therapeutic cardiac catheterization
					 services involving primary and elective PCIs but not involving transseptal
					 puncture, transthoracic left ventricular puncture, myocardial biopsy, and any
					 other procedure that is currently defined as a structural heart disease
					 procedure.
c.
Therapeutic cardiac catheterization services
are
					 defined as, and refer to, cardiac catheterization services which are performed
					 for the purpose of actively treating, as opposed to merely diagnosing,
					 cardiac-related illness or disease. Therapeutic cardiac catheterization
					 services include, but are not limited to, all PCIs (including primary and
					 elective), transseptal puncture, transthoracic left ventricular puncture,
					 myocardial biopsy, and any procedure that is currently defined as a structural
					 heart disease procedure.
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 15-8-90-05-515.06 - Policy Statement Regarding Certificate of Need Applications for the Establishment of Cardiac Ambulatory Surgical Facilities

Current through June 25, 2024
1.
Definitions
. For purposes of this Policy Statement and
					 the Certificate of Need Criteria and Standards for the Establishment of Cardiac
					 Ambulatory Surgical Facilities, the following definitions shall apply.
a. "Cardiac Ambulatory Surgical Facility
					 (CASF)" means an ambulatory surgical facility which is established and operated
					 for the purpose of providing cardiac catheterization procedures. A JV-CASF (as
					 defined below) is a type of CASF.
b. "Joint Venture Cardiac Ambulatory Surgical
					 Facility (JV-CASF)" means a CASF which is jointly owned by (i) an acute care
					 hospital which offers cardiac catheterization services and PCI services, and
					 (ii) one or more cardiologists who are licensed to practice medicine by the
					 Mississippi State Board of Medical Licensure, or a group practice comprised of
					 such cardiologists.
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 15-8-90-05-517 - Systems of Care

Current through June 25, 2024
There are three systems of care: the Trauma Care System,
					 the ST-Elevation Myocardial Infarction (STEMI) System, and the Stroke System.
					 Mississippi is one of only six states that has multiple acute systems of care
					 and is the only state that has statewide systems for trauma, STEMI, and
					 stroke.
Each system of care has five key components: an
					 organizational structure, protocols for the transport and transfer of patients,
					 an advisory group process, a performance/quality improvement process, and a
					 data collection system. These components work together to accomplish the
					 ultimate goal of the systems - to deliver the right patient to the right
					 hospital the first time, an approach shown to improve
					 outcomes.
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 15-8-90-05-518 - Emergency Medical Services › Section 15-8-90-05-518.01 - Organization

Current through June 25, 2024
The Emergency Medical Services Act of 1973 (Miss. Code
						Ann. §
											63-13-11) established standards
						for the organization of emergency services. Prior to 1974, government
						involvement in emergency medical services was primarily limited to providing an
						emergency department in the public hospital. Private operators, predominantly
						funeral homes, provided emergency transportation.
Within MSDH, the Bureau of Emergency Medical Services
						organizes, regulates, and maintains a statewide program to improve emergency
						medical care. Further, it coordinates agency resources in "all-hazard" planning
						and in response to disasters. This includes incidents involving weapons of mass
						destruction as well as natural disasters, from hurricanes on the coast to ice
						storms in the Delta.
EMS Services are typically provided in response to a
						medical emergency reported through the 9-1-1 system. A 9-1-1 call placed from
						any telephone is automatically routed to the appropriate designated Public
						Safety Answering Point (PSAP).
Once the call is received, the nature of the medical
						emergency is determined, the call is prioritized, appropriate personnel and
						equipment are dispatched, and pre-arrival instructions are given if
						appropriate. The dispatcher may ask a few questions to help assess the nature
						and severity of the injury or illness. At times the dispatcher may give the
						caller specific patient care instructions to maximize the success of the injury
						or illness outcome.
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 15-8-90-05-518 - Emergency Medical Services › Section 15-8-90-05-518.02 - Protocols

Current through June 25, 2024
When EMS professionals are called, the injured or ill
						person is often transported to the hospital in an ambulance. EMS professionals
						work under protocols approved by physicians designated as Off Line Medical
						Control. The physician oversees the care of patients in EMS systems is
						knowledgeable about out-of-hospital patient care interventions and delivery
						systems. Typically, the physicians work in conjunction with local EMS managers
						to assure quality patient care. EMS may be provided by a fire department, a
						private ambulance service, a county or government-based service, a
						hospital-based service, or a combination of the above. EMS professionals may be
						paid or serve as volunteers in the community.
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 15-8-90-05-518 - Emergency Medical Services › Section 15-8-90-05-518.03 - Advisory Group

Current through June 25, 2024
In accordance with Miss. Code Ann. §
											41-59-7, the Emergency Medical
						Services Advisory Council (EMSAC) was created, with membership appointed by the
						Governor.
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 15-8-90-05-518 - Emergency Medical Services › Section 15-8-90-05-518.04 - Performance Improvement

Current through June 25, 2024
The Medical Directors' Training and Quality Assurance
						(MDTQA) Committee provides performance improvement review of the EMS system and
						develops model protocols for adoption by EMS services. The committee is chaired
						by the State EMS Medical Director, a board-certified emergency physician, and
						membership includes physicians who provide medical control to EMS services, and
						EMS practitioners.
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 15-8-90-05-518 - Emergency Medical Services › Section 15-8-90-05-518.05 - Data System

Current through June 25, 2024
The Mississippi EMS Information System (MEMSIS) uses a
						web-based system hosted by ImageTrend. The ImageTrend EMS State Bridge is a
						pre-hospital emergency data collection, analysis, and reporting system. EMS
						State Bridge integrates information across the entire emergency medical
						community, whether in the ambulance, the local station, or state offices. With
						the EMS State Bridge, ambulance services can satisfy reporting requirements
						easily, without major investment and without learning complex new technology.
						153155
The system provides for:
* Data collection based upon the NHTSA V2.2.1 data set.
						Data will be migrated to the NHTSA V3.4 data set in FY2018.
* The aggregation of information from various units and
						services with the possibility of sharing secured data with other systems and
						agencies.
* Electronic transport of information to improve
						communications.
* Standard and ad hoc reporting for using data to support
						evidence-based practices.
* Easy expansion through its open architecture as needs
						grow and evolve.
* Scalability to conform to the needs of small, medium
						and large services as required.
Additionally, the system is HIPAA compliant and sensitive
						to medical data security issues. The application meets and exceeds state and
						federal data privacy 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 05 - Acute Care Facilities and Services Overview › Section 15-8-90-05-519 - Mississippi Trauma Care System › Section 15-8-90-05-519.02 - Protocols

Current through June 25, 2024
The Trauma Care System has developed uniform trauma
						activation criteria for all hospitals participating in the system to ensure
						that patients receive appropriate care, regardless of locale. EMS Field
						Destination Guidelines, based on the Center for Disease Control (CDC) Field
						Triage Decision Scheme, provide for the transport of trauma patients to the
						most appropriate facility. The approved Trauma Activation Criteria, based on
						the publication
Resources for Optimal Care of the Injured Patient,
provide the criteria used by trauma center staff for trauma team
						activation.
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 15-8-90-05-519 - Mississippi Trauma Care System › Section 15-8-90-05-519.03 - Advisory Committee

Current through June 25, 2024
In accordance with Miss. Code Ann. §
											41-59-7, the Mississippi Trauma
						Advisory Committee (MTAC) was created as a committee of the Emergency Medical
						Services Advisory Council (EMSAC). This committee is comprised of members of
						EMSAC, appointed by the Governor. The committee acts as the advisory body for
						trauma care system development provides technical support to MSDH in all areas
						of trauma care system design, trauma standards, data collection and evaluation,
						continuous quality improvement, trauma care system funding, and evaluation of
						the trauma care system and trauma care programs.
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 15-8-90-05-519 - Mississippi Trauma Care System › Section 15-8-90-05-519.04 - Performance Improvement

Current through June 25, 2024
A systems approach to trauma care provides the best means
						to protect the public from pre-mature death and prolonged disability. The
						development of a statewide system of care for the injured must include a
						mechanism to monitor, measure, assess, and improve the processes and outcome of
						care. The process must be a continuous, multidisciplinary effort to reduce
						inappropriate variation in the care of trauma patients and improve the
						effectiveness of the system and its components, including pre-hospital care
						(communication, dispatch, medical control, triage, and transport), hospital
						care, inter-facility management, rehabilitative care, and mass casualty
						disaster response.
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 State Trauma PI Committee is appointed by the MSDH
						Director of Health Protection. The committee is independent from MTAC and
						EMSAC. The PI Committee is chaired by the state Trauma System of Care Medical
						Director. Membership shall include, but may not be limited to, representatives
						from the following areas:
* Emergency Medicine
* State EMS PI Committee
* Trauma Registry Committee
* One representative from each Trauma Care Region
* Nursing representative from each Trauma Center
						level
* Tertiary Pediatric Trauma Center
* Trauma Medical Directors from each Level I Trauma
						Center
The PI Committee establishes specific statewide
						performance measures. Subject Matter Experts (SME) participate in committee
						activities appropriate to their expertise. MSDH Division of Trauma 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 15-8-90-05-519 - Mississippi Trauma Care System › Section 15-8-90-05-519.05 - Data System

Current through June 25, 2024
There are four objectives of the trauma registry:
						performance improvement, enhanced hospital operations, injury prevention, and
						medical research. In July 2006, MSDH deployed "Collector" Trauma Registry
						software to all hospitals that participated in the Mississippi Trauma Care
						System. Today, every Mississippi licensed acute care facility (hospital) having
						an organized emergency service or department uses the Collector software to
						submit their data to the State Trauma Registry.
Collector is a trauma registry system that helps users
						meet changing requirements of collection and evaluation of trauma data for
						quality assurance, accreditation, management, prevention, and research.
						Collector is a complete data management and report generating package which
						includes a user-friendly data entry and verification system, querying
						capabilities and integration with expert coding software. Collector offers
						coding, database, and analysis capabilities.
In addition to its use as the trauma registry, Collector
						is also used as the state's burn registry and the registry for Traumatic Brain
						and Spinal Cord Injuries (TBI/SCI).
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 15-8-90-05-520.01 - Organization

Current through June 25, 2024
The STEMI 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:
* STEMI Regions - This component facilitates system
						organization, coordination, and education requirements for both practitioners
						and the public. Each STEMI Region (North, Central, and South) will have a
						regional STEMI Coordinator, who will schedule and facilitate quarterly regional
						meetings.
* Pre-Hospital Component - EMS units are an integral part
						of the STEMI System. All EMTs, Paramedics, on-line and off-line medical control
						physicians need to have a basic knowledge and awareness of the STEMI System
						Plan elements and system function. Specifically, this knowledge refers to the
						alert criteria (identification of a STEMI), and communication
						procedures.
* Hospital Component - Hospitals may participate in the
						STEMI System on a voluntary basis but must meet the criteria prescribed in the
						STEMI Standards to be designated as a STEMI Receiving or STEMI Referral
						Center.
* Program oversight is provided by MSDH's Bureau of Acute
						Care Systems.
Map 5-2 identifies those hospitals participating in the
						STEMI System.
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 15-8-90-05-520.02 - Protocols

Current through June 25, 2024
Standard treatment protocols for both STEMI Receiving
						Centers and STEMI Referral Centers 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/
.