New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 1 - General Provisions › Part 708 - Appropriateness Review › Section 708.2 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) For the
					 purposes of this Part, the following terms shall have the following meanings:
(1) A finding of appropriateness means a
					 finding that a hospital service or home care service substantially meets the
					 criteria set forth in this Part.
(2) Areawide review means the review of a
					 specific hospital service or home care service as delivered by all providers of
					 such service in a health service area of the State which:
(i) shall culminate in findings regarding the
					 appropriateness of what service over the entire health service area or the
					 State; and
(ii) may result in
					 institution-specific findings.
(3) Areawide finding means a finding
					 regarding the appropriateness of a specific hospital service or home care
					 service as delivered by all providers of such service in a health service area
					 or the State which is based on the areawide review of the service in accordance
					 with the criteria set forth in this Part.
(4) Institution-specific finding means a
					 finding regarding the appropriateness of a specific hospital service or home
					 care service as delivered by a specific provider which is based on the areawide
					 review of the service in accordance with the criteria set forth in this
					 Part.
(5) Hospital service means a
					 health service which:
(i) is provided by a
					 hospital or other provider as defined in article 28 of the Public Health Law,
					 including hospital services and health-related services as define therein;
					 and
(ii) is offered at the time of
					 review for appropriateness, or was offered in the 12 months prior to the review
					 and also will be offered in the 12 months following the review, or which will
					 be offered during the 12 months following the review.
(6) Home care service means a home care
					 service as defined in article 36 of the Public Health Law which:
(i) is provided by a certified home health
					 agency as defined in article 36 of the Public Health Law; and
(ii) is offered at the time of the review for
					 appropriateness, or was offered in the 12 months prior to the review and also
					 will be offered in the 12 months following the review, or which will be offered
					 during the 12 months following the review.
(7) Affected persons include: the persons or
					 entities whose service is being reviewed; the State Health Planning and
					 Development Agency having jurisdiction; the health systems agency for the
					 health service area in which the service is offered; health systems agencies
					 serving contiguous health service areas; other hospitals and certified home
					 health agencies within the health service area; any agency which establishes
					 rates for hospitals or certified home health agencies; and members of the
					 public who regularly use the service being reviewed.
(8) State Health Plan means the plan required
					 to be developed by the State Health Planning and Development Agency and the
					 Statewide Health Coordinating Council pursuant to the provisions of the
					 National Health Planning and Resources Development Act of 1974, Public Law
					 93-641, as amended.