Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 590 - DEMONSTRATION OF NEED FOR ACUTE INPATIENT BEDS AND FACILITIES › Section 333-590-0050 - Bed Need Methodology for Proposed New Hospitals

Current through Register Vol. 63, No. 7, July 1, 2024
The method for estimating bed need at a proposed new general
				hospital shall be consistent with the principles enumerated in OAR
				333-590-0030, and the
				legislative findings and policy of ORS 442.025:
(1) Determine the service area of the
			 applicant facility as those zip codes from which either ten percent or more of
			 the hospital's discharges are reasonably expected to originate, or in which the
			 hospital would have at least a 20 percent market share. Minor adjustments to
			 the boundaries of the service area may be made to create a contiguous service
			 area or to conform more closely to the boundaries of demographic units for
			 which census data are reported (county, county census division, enumeration
			 district, or zip codes if conversion has been done). If a project proposes to
			 serve a population group with special needs or beliefs, those factors must be
			 taken into consideration as indicated in OAR
			 333-590-0030(3).
(2) Determine the estimated population for
			 the hospital service area identified in section (1) of this rule for the
			 benchmark years 1970, 1980, 1985, 1990 and 1995, as a basis for estimating
			 population for individual past and future years. Available historical
			 information regarding changes in hospital service area, because of factors
			 identified in section (1) of this rule, may justify numerical adjustments to
			 base populations and increments under each of the following steps:
(a) For 1970 and 1980, use the available U.S.
			 census counts;
(b) For 1985, use
			 the estimates developed by the Center for Population Research and Census at
			 Portland State University;
(c) For
			 1990 and 1995, official population forecasts developed by the Center for
			 Population Research and Census (CPRC) should be used. If previously prepared
			 forecasts are not available from CPRC for the service area, then the applicant
			 should contact the division to prepare a joint request for preparation of a
			 service area forecast compatible with county and state forecast series. The
			 applicant shall pay any associated costs. All reports prepared by CPRC must be
			 made available to the division;
(d)
			 To ensure the consistency of special forecasts prepared by CPRC for applicant
			 facilities, the division may develop a memorandum of understanding with CPRC
			 which specifies that the method used to produce these special forecasts is the
			 same as that used to produce the official county-level forecasts coordinated to
			 the state forecasts;
(e) If CPRC
			 does not make available single-year projections, use linear interpolation to
			 obtain estimated service area population for years between 1980, 1985, 1990 and
			 1995;
(f) The most recent CPRC
			 estimates for years prior to the present year will be utilized;
(g) If age-specific forecasts are available,
			 changes over time in the age composition of the service area population should
			 be examined, and their implications for use-rates taken into
			 consideration.