Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 600 - DEMONSTRATION OF NEED FOR 24-HOUR HEALTH FACILITY INPATIENT CHEMICAL DEPENDENCY SERVICES › Section 333-600-0030 - Need Methodology

Current through Register Vol. 63, No. 7, July 1, 2024
The method for estimating the needed number of beds or service
				capacity for each type of chemical dependency treatment setting consists of the
				following steps:
(1) For a service
			 which is designed to serve persons in the present service area of a given
			 hospital or hospitals, determine the hospital service area according to OAR
			 333-590-0040.
(2) For a service with a
			 geographical targeting different from section (1) of this rule, evaluate the
			 proposed service area according to OAR
			 333-600-0020(7) and
			 (8), considering also the likelihood of
			 contractual commitments to serve specific groups of potential clients.
(3) Determine the estimated
			 population for the service area for the calendar year five years beyond the
			 letter of intent year of the application.
(4) Obtain the estimated number of problem
			 drinkers in the service area in five years for adults by calculating seven
			 percent of the service area's population age 19 and over; and for adolescents
			 by calculating 19 percent of the 12 - 18 year old population.
(5) Determine the estimated number of problem
			 drinkers who will seek treatment in a one-year period, by calculating 15
			 percent of the number derived in section (4) of this rule.
(6) Determine the specific levels and kinds
			 of services required to meet the need, for all services other than outpatient:
			 Multiply the number derived in section (5) of this rule by the beds per contact
			 figure from
Table 1
, for the particular type of chemical
			 dependency treatment service requested and divide by .90 to allow for occupancy
			 variations. For outpatient service, utilize the service ratios figures in
Table 1
:
Table 1
Chemical Dependency Treatment Services Treatment
						Services
Beds per Contac
Service
						Ratios
Medical facility-based detoxification
.0014
1
Nonmedical facility-based
						detoxification
.0127
9
Inpatient hospital services
.0072
5
Residential treatment, 24-hour
.00689
49
Residential treatment, partial
.00641
46
(day, night, or weekend)
Rehabilitation (long-term)
.00336
24
Residential maintenance
						care
.01160
83
Outpatient care
---
781
(7)
			 Determine the number of existing beds or service capacity for each of the
			 service elements in the service area.
(8) Subtract the level of existing services
			 determined in section (7) of this rule from the projected need for services
			 derived in section (6) of this rule.
(9) Evaluate the estimated need against the
			 principles in OAR
			 333-600-0020  to
			 determine need for proposed service.
(10) Although separate bed need standards are
			 not established for specialty types of chemical dependency beds, the division
			 recognizes that chemical dependency beds could be used to deliver various
			 subspecialty services, such as adolescent or geriatric chemical dependency
			 programs, and programs for patients with both a mental illness and a chemical
			 dependency problem ("dual diagnosis" patients).
Stat. Auth.: ORS 431.120(6) & 442.315
Stats. Implemented: ORS 431.120(6) &
				  442.315