Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 115 - Health Resource requirements › Subchapter A - Introduction › Section I-11503 - General Criteria and Standards for Section 1122 Review

Current through Register Vol. 50, No. 6, June 20, 2024
A. In reviewing
					 projects under Section 1122, DPPE shall use the following criteria:
1. the relationship of the proposal to the
					 State Health Plan;
2. the
					 relationship of the proposal to the long range development plan (if any) of the
					 facility;
3. the need of the
					 service area population for the proposed facility/services.
a. Delineation of the service area for the
					 proposal the definition of "service area" will be governed by the State Health
					 Plan's definition for each particular type of service or facility.
b. Current and projected availability of
					 beds/services/facilities. DPPE will count as available:
i. all health care facilities, as defined in
					 the applicable State Health Plan section;
ii. all health care facilities, as defined
					 for Section 1122 Review purposes;
iii. all services and equipment in health
					 care facilities;
iv. the division
					 will consider as part of the review:
(a).
					 number and distribution of similar facilities, services, or beds within the
					 service area;
(b). bed to
					 population ratio in the service area;
(c). comparison of bed to population ratio in
					 the service area to that of other service areas in the state.
c. Physical
					 accessibility of the target population to existing and proposed
					 facilities/services.
d. Current and
					 projected measures of utilization of existing facilities/services (i.e.
					 occupancy or other appropriate utilization data).
e. Demographics of the service area for the
					 proposal.
4. The
					 availability or potential availability of less costly or more effective
					 alternatives to the proposal.
5.
					 The immediate and long-term financial feasibility of the proposal, and the
					 availability of funds.
6. The
					 relationship of the proposed facility/services to other health care providers
					 in the service area; documentation of agreements between the applicant and
					 other health care providers; the extent of cooperation with other facilities in
					 the service area.
7. The
					 relationship (including the organizational relationship) of the proposed
					 services to ancillary or support services provided in the existing
					 facility.
8. The availability of
					 health manpower and management personnel for the provision of the proposed
					 services, including:
a. availability and
					 projected availability of physicians, nurses, and other personnel within the
					 service area;
b. the adequacy of
					 proposed staffing according to required standards.
9. Special needs and circumstances:
a. health maintenance
					 organizations;
b. biomedical and
					 behavioral research projects for which local conditions offer special
					 advantages, and which are designed to meet a national need;
c. facilities which provide a substantial
					 amount of services of resources to non-residents of the service area or of
					 adjacent service areas (i.e. medical and health professional schools, specialty
					 centers, multi-disciplinary clinics).
10. The cost and methods of the proposed
					 construction, including energy provision.
11. The probable impact of the project on the
					 cost of health services within the facility and the service area.
12. Evidence of ownership or legally executed
					 option to acquire an appropriately zoned site.
13. Support or opposition to the proposal by
					 the local community, including health related agencies and professional
					 organizations.
14. Whether the
					 project will foster cost containment or improved quality of care through
					 improved efficiency and productivity or through increased competition between
					 different health services delivery systems.