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 15-8-90-05-516 - Open-Heart Surgery › Section 15-8-90-05-516.01 - Policy Statement Regarding Certificate of Need Applications for the Acquisition of Open-Heart Surgery Equipment and/or the Offering of Open-Heart Surgery Services

Current through June 25, 2024
1.
Service Areas
: The need for open-heart surgery
					 equipment/services shall be determined using the nine designated Cardiac
					 Catheterization/Open-Heart Surgery Planning Areas (CC/OHSPAs) presented in this
					 chapter of the Plan. Map 5-2 shows the CC/OHSPAs.
2.
CC/OHSPA Need
					 Determination
: The need for open-heart surgery equipment/services
					 within a given CC/OHSPA shall be determined independently of all other
					 CC/OHSPAs.
3.
Pediatric
					 Open-Heart Surgery
: Because the number of pediatric patients
					 requiring open-heart surgery is relatively small, the provision of open-heart
					 surgery for neonates, infants, and young children shall be restricted to those
					 facilities currently providing the service.
4.
Present Utilization of
					 Open-Heart Surgery Equipment/Services
: MSDH shall consider
					 utilization of existing open-heart surgery equipment/ services and the presence
					 of valid CONs for open-heart surgery equipment/services within a given CC/OHSPA
					 when reviewing CON applications. MSDH 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 may collect and consider any
					 additional information it deems essential, including information regarding
					 access to care, to render a decision regarding any application.
5.
CON Application
					 Analysis
: At its discretion, MSDH may use market share analysis
					 and other methodologies in the analysis of a CON application for the
					 acquisition or otherwise control of open-heart surgery equipment and/or the
					 offering of open-heart surgery services. The Department shall not rely upon
					 market share analysis or other statistical evaluations if they are found
					 inadequate to address access to care concerns.
6.
Minimum CC/OHSPA
					 Population
: A minimum population base of 100,000 in a CC/OHSPA (as
					 projected by the Division of Health Planning and Resource Development) is
					 required before such equipment/services may be considered. The total population
					 within a given CC/OHSPA shall be used when determining the need for services.
					 Population outside an applicant's CC/OHSPA will be considered in determining
					 need only when the applicant submits adequate documentation acceptable to MSDH,
					 such as valid patient origin studies.
7.
Minimum Caseload
:
					 Applicants proposing to offer adult open-heart surgery services must be able to
					 project a caseload of at least 150 open-heart surgeries per year.
8.
Residence of Medical
					 Staff
: Open-heart surgery must be under the control of and
					 performed by personnel living and working within the specific hospital area. No
					 site shall be approved for the provision of services by traveling
					 teams.