Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 615 - DEMONSTRATION OF NEED FOR PSYCHIATRIC INPATIENT BEDS › Section 333-615-0030 - Estimates of Need

Current through Register Vol. 63, No. 7, July 1, 2024
The following methods are applicable to the interpretation of
				OAR 333-580-0040(1):
(1) Based on OAR
			 333-615-0020(1),
			 service areas for general psychiatric beds shall be identified as follows:
(a) Geographic service areas for general
			 acute, nonsubspecialty psychiatric beds, other than those directly operated by
			 the state Addictions and Mental Health Division or the federal Veterans'
			 Administration, may be less than an entire health service are in order to
			 maximize access provided there is sufficient projected population in the third
			 year after the date of the letter of intent to make possible an economically
			 feasible inpatient unit of acceptable quality, low capital cost and low
			 operating costs. Thus, for example in health service area I,
			 Clatsop-Columbia-Tillamook could be considered separately from
			 Multnomah-Washington-Clackamas. Within a given health service area, all service
			 areas shall be defined at one time, rather than proceeding application by
			 application;
(b) The service areas
			 described in subsection (a) of this section shall in general consist of single
			 state administrative districts, or combinations of such areas. Available
			 patient origin data may be interpreted by the division and taken into account
			 in adding or deleting minor portions of such areas, or in combining districts.
			 The division shall consider whether a lesser area, or a combination of areas,
			 will better serve the policies and principles of this division; whether there
			 are, or will be, enough clinicians in practice to staff the program; and
			 whether there will be sufficient diversity of staff to meet the needs of the
			 service area. The geographical units on which general psychiatric inpatient
			 service areas shall be based will be the 14 state administrative districts,
			 which are as follows:
(A) In health service
			 area I: Clatsop-Columbia-Tillamook; Multnomah-Washington-Clackamas;
(B) In health service area II:
			 Marion-Polk-Yamhill; Benton-Linn-Lincoln; Lane; Douglas; Coos-Curry;
			 Jackson-Josephine;
(C) In health
			 service area III: Hood River-Sherman-Wasco; Crook-Deschutes-Jefferson;
			 Klamath-Lake; Gilliam-Grant-Morrow-Umatilla-Wheeler; Baker-Union-Wallowa;
			 Harney-Malheur.
(c) The
			 service areas identified in subsection (b) of this section shall be used for
			 population-based review, as required by state and federal law. The methods of
			 this division are intended to assure that population needs are met by the
			 service or services within the service area. Different facilities within a
			 given service area share the responsibility for meeting the needs of the
			 population of that area;
(d) Based
			 on OAR
			 333-615-0020(2),
			 the geographic service areas for subspecialty psychiatric beds, other than
			 those directly operated by the state Addictions and Mental Health Division or
			 the federal Veterans' Administration, as defined in OAR
			 333-615-0010(2),
			 other than holding rooms, shall be the state as a whole;
(e) The geographic service areas for holding
			 rooms shall be determined by the division on a case-by-case basis;
(f) Clinicians in each part of the state are
			 encouraged to work with prospective applicants to develop proposals which meet
			 the general psychiatric inpatient needs of individual service areas and/or
			 subspecialty service areas.