reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 221 - REGULATIONS GOVERNING COOPERATIVE AGREEMENTS › Section 12VAC5-221-150 - Official records

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				commissioner shall maintain on file all cooperative agreements that the
				commissioner has approved.
B. All
				records collected pursuant to this chapter shall be maintained in accordance
				with the Virginia Freedom of Information Act (§
									2.2-3700 et seq. of the Code of
				Virginia) and the Library of Virginia's record management program (§
									42.1-85 of the Code of
				Virginia).
C. All approved
				cooperative agreements and letters authorizing cooperative agreement shall be
				published on the Virginia Department of Health Office of Licensure and
				Certification website.
D. All
				reports collected pursuant to 12VAC5-221-110 shall be published on the Virginia
				Department of Health Office of Licensure and Certification website.
E. The commissioner shall make public his
				annual determination of compliance with a letter authorizing the cooperative
				agreement.
Statutory Authority: §
											32.1-12 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part I - Definitions and General Information › Section 12VAC5-230-30 - Guiding principles in the development of project review criteria and standards

Current through Register Vol. 40, No. 24, July 15, 2024
The following general principles serve as the basis for
					 the development of the review criteria and standards for specific medical care
					 facilities and services contained in this document:
1. The COPN program is based on the
				  understanding that excess capacity or underutilization of medical facilities
				  are detrimental to both cost effectiveness and quality of medical services in
				  Virginia.
2. The COPN program seeks
				  the geographical distribution of medical facilities and to promote the
				  availability and accessibility of proven technologies.
3. The COPN program seeks to promote the
				  development and maintenance of services and access to those services by every
				  person who needs them without respect to their ability to pay.
4. The COPN program seeks to encourage the
				  conversion of facilities to new and efficient uses and the reallocation of
				  resources to meet evolving community needs.
5. The COPN program discourages the
				  proliferation of services that would undermine the ability of essential
				  community providers to maintain their financial viability.
Statutory Authority
§ 32.1-102.2 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part I - Definitions and General Information › Section 12VAC5-230-40 - General application filing criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A. In addition to meeting the applicable
				  requirements of this chapter, applicants for a Certificate of Public Need shall
				  include documentation in their application that their project addresses the
				  applicable requirements listed in § 32.1-102.3 of the Code of
				  Virginia.
B. The burden of proof
				  shall be on the applicant to produce information and evidence that the project
				  is consistent with the applicable requirements and review policies as required
				  under Article 1.1 (§ 32.1-102.1 et seq.) of Chapter 4 of Title 32.1 of the
				  Code of Virginia.
C. The
				  commissioner may condition the approval of a COPN by requiring an applicant to:
(i) provide a level of care at a reduced rate
				  to indigents,
(ii) accept patients
				  requiring specialized care, or
(iii) facilitate the development and
				  operation of primary medical care services in designated medically underserved
				  areas of the applicant's service area. The applicant must actively seek to
				  comply with the conditions place on any granted COPN.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part I - Definitions and General Information › Section 12VAC5-230-50 - Project costs

Current through Register Vol. 40, No. 24, July 15, 2024
The capital development costs of a facility and the
					 operating expenses of providing the authorized services should be comparable to
					 the costs and expenses of similar facilities with the health planning
					 region.
Statutory Authority
§ 32.1-102.2 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part I - Definitions and General Information › Section 12VAC5-230-60 - When competing applications received

Current through Register Vol. 40, No. 24, July 15, 2024
In reviewing competing applications, preference may be
					 given to an applicant who:
1. Has an
				  established performance record in completing projects on time and within the
				  authorized operating expenses and capital costs;
2. Has both lower capital costs and operating
				  expenses than his competitors and can demonstrate that his estimates are
				  credible;
3. Can demonstrate a
				  consistent compliance with state licensure and federal certification
				  regulations and a consistent history of few documented complaints, where
				  applicable; or
4. Can demonstrate a
				  commitment to serving his community or service area as evidenced by
				  unreimbursed services to the indigent and providing needed but unprofitable
				  services, taking into account the demands of the particular service
				  area.
Statutory Authority
§ 32.1-102.2 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part I - Definitions and General Information › Section 12VAC5-230-70 - Calculation of utilization of services provided with mobile equipment

Current through Register Vol. 40, No. 24, July 15, 2024
A. The minimum
				  service volume of a mobile unit shall be prorated on a site-by-site basis
				  reflecting the amount of time that proposed mobile units will be used, and
				  existing mobile units have been used, during the relevant reporting period, at
				  each site using the following formula:
Required full-time minimum service volume
X
Number of days the service will be on site each week
X 0.2 =
Prorated minimum services volume (not to exceed the
							 required full-time minimum service volume)
B.
				  The average annual utilization of existing and approved CT, MRI, PET,
				  lithotripsy, and catheterization services in a health planning district shall
				  be calculated for such services as follows:
(
Total volume of all units of the relevant
							 service in the reporting period
) X 100 = % Average Utilization
(
# of existing or approved fixed units
X
Fixed unit minimum service volume
) + Y Utilization
Y = the sum of the minimum service volume of each mobile
					 site in the health planning district with the minimum services volume for each
					 such site prorated according to subsection A of this section.
C. This section does not prohibit an
				  applicant from seeking to obtain a COPN for a fixed site service provided
				  capacity for the services has been achieved as described in the applicable
				  service section.
Statutory Authority
§ 32.1-102.2 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part I - Definitions and General Information › Section 12VAC5-230-80 - When institutional expansion needed

Current through Register Vol. 40, No. 24, July 15, 2024
A. Notwithstanding any other provisions of
				  this chapter, the commissioner may grant approval for the expansion of services
				  at an existing medical care facility in a health planning district with an
				  excess supply of such services when the proposed expansion can be justified on
				  the basis of a facility's need having exceeded its current service capacity to
				  provide such service or on the geographic remoteness of the facility.
B. If a facility with an institutional need
				  to expand is part of a health system, the underutilized services at other
				  facilities within the health system should be reallocated, when appropriate, to
				  the facility with the institutional need to expand before additional services
				  are approved for the applicant. However, underutilized services located at a
				  health system's geographically remote facility may be disregarded when
				  determining institutional need for the proposed project.
C. This section is not applicable to nursing
				  facilities pursuant to § 32.1-102.3:2 of the Code of Virginia.
D. Applicants shall not use this section to
				  justify a need to establish new services.
Statutory Authority
§ 32.1-102.2 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 1 - Criteria and Standards for Computed Tomography › Section 12VAC5-230-90 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
CT services should be within 30 minutes driving time one
						way under normal conditions of 95% of the population of the health planning
						district using a mapping software as determined by the
						commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 1 - Criteria and Standards for Computed Tomography › Section 12VAC5-230-100 - Need for new fixed site or mobile service

Current through Register Vol. 40, No. 24, July 15, 2024
A. No new fixed site or mobile CT service
					 should be approved unless fixed site CT services in the health planning
					 district performed an average of 7,400 procedures per existing and approved CT
					 scanner during the relevant reporting period and the proposed new service would
					 not significantly reduce the utilization of existing providers in the health
					 planning district. The utilization of existing scanners operated by a hospital
					 and serving an area distinct from the proposed new service site may be
					 disregarded in computing the average utilization of CT scanners in such health
					 planning district.
B. Existing CT
					 scanners used solely for simulation with radiation therapy treatment shall be
					 exempt from the utilization criteria of this article when applying for a COPN.
					 In addition, existing CT scanners used solely for simulation with radiation
					 therapy treatment may be disregarded in computing the average utilization of CT
					 scanners in such health planning district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 1 - Criteria and Standards for Computed Tomography › Section 12VAC5-230-110 - Expansion of fixed site service

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to expand an existing medical care facility's
						CT service through the addition of a CT scanner should be approved when the
						existing services performed an average of 7,400 procedures per scanner for the
						relevant reporting period. The commissioner may authorize placement of a new
						unit at the applicant's existing medical care facility or at a separate
						location within the applicant's primary service area for CT services, provided
						the proposed expansion is not likely to significantly reduce the utilization of
						existing providers in the health planning district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 1 - Criteria and Standards for Computed Tomography › Section 12VAC5-230-120 - Adding or expanding mobile CT services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Proposals for mobile CT scanners shall
					 demonstrate that, for the relevant reporting period, at least 4,800 procedures
					 were performed and that the proposed mobile unit will not significantly reduce
					 the utilization of existing CT providers in the health planning
					 district.
B. Proposals to convert
					 authorized mobile CT scanners to fixed site scanners shall demonstrate that,
					 for the relevant reporting period, at least 6,000 procedures were performed by
					 the mobile scanner and that the proposed conversion will not significantly
					 reduce the utilization of existing CT providers in the health planning
					 district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 1 - Criteria and Standards for Computed Tomography › Section 12VAC5-230-130 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
CT services should be under the direction or supervision
						of one or more qualified physicians.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 2 - Criteria and Standards for Magnetic Resonance Imaging › Section 12VAC5-230-140 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
MRI services should be within 30 minutes driving time one
						way under normal conditions of 95% of the population of the health planning
						district using a mapping software as determined by the
						commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 2 - Criteria and Standards for Magnetic Resonance Imaging › Section 12VAC5-230-150 - Need for new fixed site service

Current through Register Vol. 40, No. 24, July 15, 2024
No new fixed site MRI services should be approved unless
						fixed site MRI services in the health planning district performed an average of
						5,000 procedures per existing and approved fixed site MRI scanner during the
						relevant reporting period and the proposed new service would not significantly
						reduce the utilization of existing fixed site MRI providers in the health
						planning district. The utilization of existing scanners operated by a hospital
						and serving an area distinct from the proposed new service site may be
						disregarded in computing the average utilization of MRI scanners in such health
						planning district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 2 - Criteria and Standards for Magnetic Resonance Imaging › Section 12VAC5-230-160 - Expansion of fixed site service

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to expand an existing medical care facility's
						MRI services through the addition of an MRI scanner may be approved when the
						existing service performed an average of 5,000 MRI procedures per scanner
						during the relevant reporting period. The commissioner may authorize placement
						of the new unit at the applicant's existing medical care facility, or at a
						separate location within the applicant's primary service area for MRI services,
						provided the proposed expansion is not likely to significantly reduce the
						utilization of existing providers in the health planning
						district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 2 - Criteria and Standards for Magnetic Resonance Imaging › Section 12VAC5-230-170 - Adding or expanding mobile MRI services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Proposals for mobile MRI scanners shall
					 demonstrate that, for the relevant reporting period, at least 2,400 procedures
					 were performed and that the proposed mobile unit will not significantly reduce
					 the utilization of existing MRI providers in the health planning
					 district.
B. Proposals to convert
					 authorized mobile MRI scanners to fixed site scanners shall demonstrate that,
					 for the relevant reporting period, 3,000 procedures were performed by the
					 mobile scanner and that the proposed conversion will not significantly reduce
					 the utilization of existing MRI providers in the health planning
					 district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 2 - Criteria and Standards for Magnetic Resonance Imaging › Section 12VAC5-230-180 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
MRI services should be under the direct supervision of
						one or more qualified physicians.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 3 - Magnetic Source Imaging › Section 12VAC5-230-190 - Policy for the development of MSI services

Current through Register Vol. 40, No. 24, July 15, 2024
Because Magnetic Source Imaging (MSI) scanning systems
						are still in the clinical research stage of development with no third-party
						payment available for clinical applications, and because it is uncertain as to
						how rapidly this technology will reach a point where it is shown to be
						clinically suitable for widespread use and distribution on a cost-effective
						basis, it is preferred that the entry and development of this technology in
						Virginia should initially occur at or in affiliation with, the academic medical
						centers in the state.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 4 - Positron Emission Tomography › Section 12VAC5-230-200 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
PET services should be within 60 minutes driving time
						one way under normal conditions of 95% of the health planning district using a
						mapping software as determined by the commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 4 - Positron Emission Tomography › Section 12VAC5-230-210 - Need for new fixed site service

Current through Register Vol. 40, No. 24, July 15, 2024
A. If the applicant is a hospital, whether
					 free-standing or within a hospital system, 850 new PET appropriate cases shall
					 have been diagnosed and the hospital shall have provided radiation therapy
					 services with specific ancillary services suitable for the equipment before a
					 new fixed site PET service should be approved for the health planning
					 district.
B. No new fixed site PET
					 services should be approved unless an average of 6,000 procedures per existing
					 and approved fixed site PET scanner were performed in the health planning
					 district during the relevant reporting period and the proposed new service
					 would not significantly reduce the utilization of existing fixed site PET
					 providers in the health planning district . The utilization of existing
					 scanners operated by a hospital and serving an area distinct from the proposed
					 new service site may be disregarded in computing the average utilization of PET
					 units in such health planning district.
Note: For the purposes of tracking volume utilization, an
						image taken with a PET/CT scanner that takes concurrent PET/CT images shall be
						counted as one PET procedure. Images made with PET/CT scanners that can take
						PET or CT images independently shall be counted as individual PET procedures
						and CT procedures respectively, unless those images are made
						concurrently.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 4 - Positron Emission Tomography › Section 12VAC5-230-220 - Expansion of fixed site services

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to increase the number of PET scanners in an
						existing PET service should be approved only when the existing scanners
						performed an average of 6,000 procedures for the relevant reporting period and
						the proposed expansion would not significantly reduce the utilization of
						existing fixed site providers in the health planning
						district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 4 - Positron Emission Tomography › Section 12VAC5-230-230 - Adding or expanding mobile PET or PET/CT services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Proposals for mobile PET or PET/CT
					 scanners should demonstrate that, for the relevant reporting period, at least
					 230 PET or PET/CT appropriate patients were seen and that the proposed mobile
					 unit will not significantly reduce the utilization of existing providers in the
					 health planning district.
B.
					 Proposals to convert authorized mobile PET or PET/CT scanners to fixed site
					 scanners should demonstrate that, for the relevant reporting period, at least
					 1,400 procedures were performed by the mobile scanner and that the proposed
					 conversion will not significantly reduce the utilization of existing providers
					 in the health planning district .
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 4 - Positron Emission Tomography › Section 12VAC5-230-240 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
PET services should be under the direction or supervision
						of one or more qualified physicians. Such physicians shall be designated or
						authorized by the Nuclear Regulatory Commission or licensed by the Division of
						Radiologic Health of the Virginia Department of Health, as
						applicable.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 5 - Noncardiac Nuclear Imaging Criteria and Standards › Section 12VAC5-230-250 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Noncardiac nuclear imaging services should be available
						within 30 minutes driving time one way under normal driving conditions of 95%
						of the population of the health planning district using a mapping software as
						determined by the commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 5 - Noncardiac Nuclear Imaging Criteria and Standards › Section 12VAC5-230-260 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
No new noncardiac imaging services should be approved
						unless the service can achieve a minimum utilization level of:
1. 650 procedures in the first 12 months of
					 operation;
2. 1,000 procedures in
					 the second 12 months of service; and
3. The proposed new service would not
					 significantly reduce the utilization of existing providers in the health
					 planning district.
Note: The utilization of an existing service operated by
						a hospital and serving an area distinct from the proposed new service site may
						be disregarded in computing the average utilization of noncardiac nuclear
						imaging services in such health planning district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part II - Diagnostic Imaging Services › Article 5 - Noncardiac Nuclear Imaging Criteria and Standards › Section 12VAC5-230-270 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
The proposed new or expanded noncardiac nuclear imaging
						service should be under the direction or supervision of one or more qualified
						physicians designated or authorized by the Nuclear Regulatory Commission or the
						Division of Radiologic Health of the Virginia Department of Health, as
						applicable.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 1 - Radiation Therapy Services › Section 12VAC5-230-280 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Radiation therapy services should be available within 60
						minutes driving time one way under normal conditions of 95% of the population
						of the health planning district using a mapping software as determined by the
						commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 1 - Radiation Therapy Services › Section 12VAC5-230-290 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. No
					 new radiation therapy service should be approved unless:
1. Existing radiation therapy machines
					 located in the health planning district performed an average of 8,000
					 procedures per existing and approved radiation therapy machine in the relevant
					 reporting period; and
2. The new
					 service will perform at least 5,000 procedures by the second year of operation
					 without significantly reducing the utilization of existing providers in the
					 health planning district.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 1 - Radiation Therapy Services › Section 12VAC5-230-300 - Expansion of service

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to expand radiation therapy services should be
						approved only when all existing radiation therapy services operated by the
						applicant in the health planning district have performed an average of 8,000
						procedures for the relevant reporting period and the proposed expansion would
						not significantly reduce the utilization of existing
						providers.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 1 - Radiation Therapy Services › Section 12VAC5-230-310 - Statewide Cancer Registry

Current through Register Vol. 40, No. 24, July 15, 2024
Facilities with radiation therapy services shall
						participate in the Statewide Cancer Registry as required by Article 9 (§
						32.1-70 et seq.) of Chapter 2 of Title 32.1 of the Code of
						Virginia.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 1 - Radiation Therapy Services › Section 12VAC5-230-320 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Radiation therapy services should be under the direction
						or supervision of one or more qualified physicians designated or authorized by
						the Nuclear Regulatory Commission or the Division of Radiologic Health of the
						Virginia Department of Health, as applicable.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 2 - Criteria and Standards for Stereotactic Radiosurgery › Section 12VAC5-230-330 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Stereotactic radiosurgery services should be available
						within 60 minutes driving time one way under normal conditions of 95% of the
						population of a health planning region using a mapping software as determined
						by the commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 2 - Criteria and Standards for Stereotactic Radiosurgery › Section 12VAC5-230-340 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. No
					 new stereotactic radiosurgery services should be approved unless:
1. The number of procedures performed with
					 existing units in the health planning region averaged more than 350 per year in
					 the relevant reporting period; and
2. The proposed new service will perform at
					 least 250 procedures in the second year of operation without significantly
					 reducing the utilization of existing providers in the health planning
					 region.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 2 - Criteria and Standards for Stereotactic Radiosurgery › Section 12VAC5-230-350 - Expansion of service

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to increase the number of stereotactic
						radiosurgery services should be approved only when all existing stereotactic
						radiosurgery machines in the health planning region have performed an average
						of 350 procedures per existing and approved unit for the relevant reporting
						period and the proposed expansion would not significantly reduce the
						utilization of existing providers in the health planning
						region.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 2 - Criteria and Standards for Stereotactic Radiosurgery › Section 12VAC5-230-360 - Statewide Cancer Registry

Current through Register Vol. 40, No. 24, July 15, 2024
Facilities with stereotactic radiosurgery services shall
						participate in the Statewide Cancer Registry as required by Article 9 (§
						32.1-70 et seq.) of Chapter 2 of Title 32.1 of the Code of
						Virginia.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part III - Radiation Therapy Services › Article 2 - Criteria and Standards for Stereotactic Radiosurgery › Section 12VAC5-230-370 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Stereotactic radiosurgery services should be under the
						direction or supervision of one or more qualified physicians.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 1 - Criteria and Standards for Cardiac Catheterization Services › Section 12VAC5-230-380 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Cardiac catheterization services should be within 60
						minutes driving time one way under normal conditions of 95% of the population
						of the health planning district using mapping software as determined by the
						commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 1 - Criteria and Standards for Cardiac Catheterization Services › Section 12VAC5-230-390 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. No
					 new fixed site cardiac catheterization service should be approved for a health
					 planning district unless:
1. Existing fixed
					 site cardiac catheterization services located in the health planning district
					 performed an average of 1,200 cardiac catheterization DEPs per existing and
					 approved laboratory for the relevant reporting period;
2. The proposed new service will perform an
					 average of 200 DEPs in the first year of operation and 500 DEPs in the second
					 year of operation; and
3. The
					 utilization of existing services in the health planning district will not be
					 significantly reduced.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 1 - Criteria and Standards for Cardiac Catheterization Services › Section 12VAC5-230-400 - Expansion of services

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to increase cardiac catheterization services
						should be approved only when:
1. All
					 existing cardiac catheterization laboratories operated by the applicant's
					 facilities where the proposed expansion is to occur have performed an average
					 of 1,200 DEPs per existing and approved laboratory for the relevant reporting
					 period; and
2. The applicant can
					 demonstrate that the expanded service will achieve an average of 200 DEPs per
					 laboratory in the first 12 months of operation and 400 DEPs in the second 12
					 months of operation without significantly reducing the utilization of existing
					 cardiac catheterization laboratories in the health planning district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 1 - Criteria and Standards for Cardiac Catheterization Services › Section 12VAC5-230-410 - Pediatric cardiac catheterization

Current through Register Vol. 40, No. 24, July 15, 2024
No new or expanded pediatric cardiac catheterization
						services should be approved unless:
1.
					 The proposed service will be provided at an inpatient hospital with open heart
					 surgery services, pediatric tertiary care services or specialty or subspecialty
					 level neonatal special care;
2. The
					 applicant can demonstrate that the proposed laboratory will perform at least
					 100 pediatric cardiac catheterization procedures in the first year of operation
					 and 200 pediatric cardiac catheterization procedures in the second year of
					 operation; and
3. The utilization
					 of existing pediatric cardiac catheterization laboratories in the health
					 planning district will not be reduced below 100 procedures per year.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 1 - Criteria and Standards for Cardiac Catheterization Services › Section 12VAC5-230-420 - Nonemergent cardiac catheterization

Current through Register Vol. 40, No. 24, July 15, 2024
A. Simple therapeutic cardiac
					 catheterization. Proposals to provide simple therapeutic cardiac
					 catheterization are not required to offer open heart surgery service available
					 on-site in the same hospital in which the proposed simple therapeutic service
					 will be located. However, these programs shall adhere to the requirements
					 described in subdivisions 1 through 9 of this subsection.
The programs shall:
1. Participate in the Virginia Heart Attack
					 Coalition, the Virginia Cardiac Services Quality Initiative, and the Action
					 Registry-Get with the Guidelines or National Cardiovascular Data Registry to
					 monitor quality and outcomes;
2.
					 Adhere to strict patient-selection criteria;
3. Perform annual institutional volumes of
					 300 cardiac catheterization procedures, of which at least 75 should be
					 percutaneous coronary intervention (PCI) or as dictated by American College of
					 Cardiology (ACC)/American Heart Association (AHA) Guidelines for Cardiac
					 Catheterization and Cardiac Catheterization Laboratories effective
					 1991;
4. Use only AHA/ACC-qualified
					 operators who meet the standards for training and competency;
5. Demonstrate appropriate planning for
					 program development and complete both a primary PCI development program and an
					 elective PCI development program that includes routine care process and case
					 selection review;
6. Develop and
					 maintain a quality and error management program;
7. Provide PCI 24 hours a day, seven days a
					 week;
8. Develop and maintain
					 necessary agreements with a tertiary facility that must agree to accept
					 emergent and nonemergent transfers for additional medical care, cardiac
					 surgery, or intervention; and
9.
					 Develop and maintain agreements with an ambulance service capable of advanced
					 life support and intra-aortic balloon pump transfer that guarantees a 30-minute
					 or less response time.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 1 - Criteria and Standards for Cardiac Catheterization Services › Section 12VAC5-230-430 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
A. Cardiac
					 catheterization services should have a medical director who is board certified
					 in cardiology and has clinical experience in performing physiologic and
					 angiographic procedures.
In the case of pediatric cardiac catheterization
						services, the medical director should be board-certified in pediatric
						cardiology and have clinical experience in performing physiologic and
						angiographic procedures.
B.
					 Cardiac catheterization services should be under the direct supervision or one
					 or more qualified physicians. Such physicians should have clinical experience
					 in performing physiologic and angiographic procedures.
Pediatric catheterization services should be under the
						direct supervision of one or more qualified physicians. Such physicians should
						have clinical experience in performing pediatric physiologic and angiographic
						procedures.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 2 - Criteria and Standards for Open Heart Surgery › Section 12VAC5-230-440 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
A. Open heart
					 surgery services should be within 60 minutes driving time one way under normal
					 conditions of 95% of the population of the health planning district using
					 mapping software as determined by the commissioner.
B. Such services shall be available 24 hours
					 a day, seven days a week.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 2 - Criteria and Standards for Open Heart Surgery › Section 12VAC5-230-450 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. No
					 new open heart services should be approved unless:
1. The service will be available in an
					 inpatient hospital with an established cardiac catheterization service that has
					 performed an average of 1,200 DEPs for the relevant reporting period and has
					 been in operation for at least 30 months;
2. Open heart surgery services located in the
					 health planning district performed an average of 400 open heart and closed
					 heart surgical procedures for the relevant reporting period; and
3. The proposed new service will perform at
					 least 150 procedures per room in the first year of operation and 250 procedures
					 per room in the second year of operation without significantly reducing the
					 utilization of existing open heart surgery services in the health planning
					 district.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 2 - Criteria and Standards for Open Heart Surgery › Section 12VAC5-230-460 - Expansion of service

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to expand open heart surgery services shall
						demonstrate that existing open heart surgery rooms operated by the applicant
						have performed an average of:
1. 400
					 adult equivalent open heart surgery procedures in the relevant reporting period
					 if the proposed increase is within one hour driving time one way under normal
					 conditions of an existing open heart surgery service; or
2. 300 adult equivalent open heart surgery
					 procedures in the relevant reporting period if the proposed service is in
					 excess of one hour driving time one way under normal conditions of an existing
					 open heart surgery service in the health planning district.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 2 - Criteria and Standards for Open Heart Surgery › Section 12VAC5-230-470 - Pediatric open heart surgery services

Current through Register Vol. 40, No. 24, July 15, 2024
No new pediatric open heart surgery service should be
						approved unless the proposed new service is provided at an inpatient hospital
						that:
1. Has pediatric cardiac
					 catheterization services that have been in operation for 30 months and have
					 performed an average of 200 pediatric cardiac catheterization procedures for
					 the relevant reporting period; and
2. Has pediatric intensive care services and
					 provides specialty or subspecialty neonatal special care.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part IV - Cardiac Services › Article 2 - Criteria and Standards for Open Heart Surgery › Section 12VAC5-230-480 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
A. Open heart
					 surgery services should have a medical director who is board certified in
					 cardiovascular or cardiothoracic surgery by the appropriate board of the
					 American Board of Medical Specialists.
In the case of pediatric cardiac surgery, the medical
						director should be board certified in cardiovascular or cardiothoracic surgery,
						with special qualifications and experience in pediatric cardiac surgery and
						congenital heart disease, by the appropriate board of the American Board of
						Medical Specialists.
B.
					 Cardiac surgery should be under the direct supervision of one or more qualified
					 physicians.
Pediatric cardiac surgery services should be under the
						direct supervision of one or more qualified physicians.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part V - General Surgical Services › Section 12VAC5-230-490 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Surgical services should be available within 30 minutes
					 driving time one way under normal conditions for 95% of the population of the
					 health planning district using mapping software as determined by the
					 commissioner.
Statutory Authority
§ 32.1-102.2 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part V - General Surgical Services › Section 12VAC5-230-500 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  combined number of inpatient and outpatient general purpose surgical operating
				  rooms needed in a health planning district, exclusive of procedure rooms,
				  dedicated cesarean section rooms, operating rooms designated exclusively for
				  cardiac surgery, procedures rooms or VDH-designated trauma services, shall be
				  determined as follows:
FOR = ((ORV/POP) x (PROPOP)) x AHORV
1600
Where:
ORV = the sum of total inpatient and outpatient general
					 purpose operating room visits in the health planning district in the most
					 recent five years for which general purpose operating room utilization data has
					 been reported by VHI; and
POP = the sum of total population in the health planning
					 district as reported by a demographic entity as determined by the commissioner,
					 for the same five-year period as used in determining ORV.
PROPOP = the projected population of the health planning
					 district five years from the current year as reported by a demographic program
					 as determined by the commissioner.
AHORV = the average hours per general purpose operating
					 room visit in the health planning district for the most recent year for which
					 average hours per general purpose operating room visits have been calculated as
					 reported by VHI.
FOR = future general purpose operating rooms needed in the
					 health planning district five years from the current year.
1600 = available service hours per operating room per year
					 based on 80% utilization of an operating room available 40 hours per week, 50
					 weeks per year.
B. Projects
				  involving the relocation of existing operating rooms within a health planning
				  district may be authorized when it can be reasonably documented that such
				  relocation will:
(i) improve the distribution
				  of surgical services within a health planning district ;
(ii) result in the provision of the same
				  surgical services at a lower cost to surgical patients in the health planning
				  district; or
(iii) optimize the
				  number of operations in the health planning district that are performed on an
				  outpatient basis.