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 15-8-90-07-701 - Certificate of Need Criteria and Standards for Ambulatory Surgery Services › Section 15-8-90-07-701.02 - Certificate of Need Criteria and Standards for Ambulatory Surgery Services

Current through June 25, 2024
MSDH will review applications for a CON for new
						ambulatory surgery facilities, as defined in Mississippi law, 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 submitted for CON in
						accordance with the rules and regulations in the
Mississippi
						Certificate of Need Review Manual
; all adopted rules, procedures, and
						plans of MSDH; and the specific criteria and standards listed below.
Ambulatory surgery services require CON review when the
						establishment or expansion of the services involves a capital expenditure in
						excess of $10,000,000. In addition, the offering of ambulatory surgery services
						is reviewable if the proposed provider has not provided those services on a
						regular basis within twelve (12) months prior to the time such services would
						be offered, regardless of the capital expenditure.
Need Criteria 1
:
Minimum
						Surgeries
(a) An applicant
					 proposing the establishment of a new ambulatory surgery facility shall
					 demonstrate that the proposed ambulatory surgery facility shall perform a
					 minimum average of 1,000 surgeries per operating room per year.
(b) An applicant proposing the expansion of
					 an existing and licensed ambulatory surgery facility through the addition of
					 operating rooms shall demonstrate that the applicant's facility has performed
					 in aggregate at least 800 surgeries per operating room per year for the most
					 recent twelve (12) month reporting period, as reflected in data supplied to
					 and/or verified by MSDH.
Need Criteria 2: Minimum Population
The applicant must document that the proposed Ambulatory
						Surgery Facility Service Area has a population base of approximately 60,000
						within 30 minutes travel time.
Need Criteria 3: Present Utilization of Ambulatory
						Surgery Services
The applicant proposing to offer ambulatory surgery
						services shall document that the existing facilities in the ambulatory surgery
						planning area have been utilized for a minimum of 800 surgeries per operating
						room per year for the most recent twelve (12) month reporting period as
						reflected in data supplied to and/or verified by MSDH. MSDH may collect
						additional information it deems essential to render a decision regarding any
						application.
Need Criteria 4: Affirmation of Provision of
						Surgical Services
The applicant must affirm that the proposed program shall
						provide a full range of surgical services in general surgery.
Need Criteria 5: Financial
						Feasibility
The applicant must provide documentation that the
						facility will be economically viable within two (2) years of initiation.
Need Criteria 6: Letters of Support
The proposed facility must show support from the local
						physicians who will be expected to utilize the facility.
Need Criteria 7: Staffing
						Requirements
Medical staff of the facility must live within a
						twenty-five (25) mile radius of the facility.
Need Criteria 8: Transfer Agreements/Follow-Up
						Services
The proposed facility must have a formal agreement with a
						full service hospital to provide services which are required beyond the scope
						of the ambulatory surgical facility's programs. The facility must also have a
						formal process for providing follow-up services to the patients (e.g., home
						health care, outpatient services) through proper coordination
						mechanisms.
Need Criteria 9: Indigent/Charity
						Care
The applicant shall affirm that the applicant will
						provide a "reasonable amount" of indigent/charity care by stating the amount of
						indigent/charity care the applicant intends to provide.