reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part V - General Surgical Services › Section 12VAC5-230-510 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Surgical 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 VI - Inpatient Bed Requirements › Section 12VAC5-230-520 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Inpatient beds should be within 30 minutes driving time one
					 way under normal conditions of 95% of the population of a 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 VI - Inpatient Bed Requirements › Section 12VAC5-230-530 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. No new
				  inpatient beds should be approved in any health planning district unless:
1. The resulting number of beds for each bed
				  category contained in this article does not exceed the number of beds projected
				  to be needed for that health planning district for the fifth planning horizon
				  year; and
2. The average annual
				  occupancy based on the number of beds in the health planning district for the
				  relevant reporting period is:
a. 80% at
				  midnight census for medical/surgical or pediatric beds;
b. 65% at midnight census for intensive care
				  beds.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part VI - Inpatient Bed Requirements › Section 12VAC5-230-540 - Need for medical/surgical beds

Current through Register Vol. 40, No. 24, July 15, 2024
The number of medical/surgical beds projected to be needed
					 in a health planning district shall be computed as follows:
1. Determine the use rate for the
				  medical/surgical beds for the health planning district using the
				  formula:
BUR = (IPD/PoP)
Where:
BUR = the bed use rate for the health planning
					 district.
IPD = the sum of total inpatient days in the health
					 planning district for the most recent five years for which inpatient day data
					 has been reported by VHI; and
PoP = the sum of total population 18 years of age and older
					 in the health planning district for the same five years used to determine IPD
					 as reported by a demographic program as determined by the commissioner.
2. Determine the total number of
				  medical/surgical beds needed for the health planning district in five years
				  from the current year using the formula:
ProBed = ((BUR x ProPop)/365)/0.80
Where:
ProBed = The projected number of medical/surgical beds
					 needed in the health planning district for five years from the current
					 year.
BUR = the bed use rate for the health planning district
					 determined in subdivision 1 of this section.
ProPop = the projected population 18 years of age and older
					 of the health planning district five years from the current year as reported by
					 a demographic program as determined by the commissioner.
3. Determine the number of medical/surgical
				  beds that are needed in the health planning district for the five planning
				  horizon years as follows:
NewBed = ProBed - CurrentBed
Where:
NewBed = the number of new medical/surgical beds that can
					 be established in a health planning district, if the number is positive. If
					 NewBed is a negative number, no additional medical/surgical beds should be
					 authorized for the health planning district.
ProBed = the projected number of medical/surgical beds
					 needed in the health planning district for five years from the current year
					 determined in subdivision 2 of this section.
CurrentBed = the current inventory of licensed and
					 authorized medical/surgical beds 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 VI - Inpatient Bed Requirements › Section 12VAC5-230-550 - Need for pediatric beds

Current through Register Vol. 40, No. 24, July 15, 2024
The number of pediatric beds projected to be needed in a
					 health planning district shall be computed as follows:
1. Determine the use rate for pediatric beds
				  for the health planning district using the formula:
PBUR = (PIPD/PedPop)
Where:
PBUR = The pediatric bed use rate for the health planning
					 district.
PIPD = The sum of total pediatric inpatient days in the
					 health planning district for the most recent five years for which inpatient
					 days data has been reported by VHI; and
PedPop = The sum of population under 18 years of age in the
					 health planning district for the same five years used to determine PIPD as
					 reported by a demographic program as determined by the commissioner.
2. Determine the total number of pediatric
				  beds needed to the health planning district in five years from the current year
				  using the formula:
ProPedBed = ((PBUR x ProPedPop)/365)/0.80
Where:
ProPedBed = The projected number of pediatric beds needed
					 in the health planning district for five years from the current year.
PBUR = The pediatric bed use rate for the health planning
					 district determined in subdivision 1 of this section.
ProPedPop = The projected population under 18 years of age
					 of the health planning district five years from the current year as reported by
					 a demographic program as determined by the commissioner.
3. Determine the number of pediatric beds
				  needed within thehealth planning district for the fifth planning horizon year
				  as follows:
NewPedBed - ProPedBed - CurrentPedBed
Where:
NewPedBed = the number of new pediatric beds that can be
					 established in a health planning district, if the number is positive. If
					 NewPedBed is a negative number, no additional pediatric beds should be
					 authorized for the health planning district.
ProPedBed = the projected number of pediatric beds needed
					 in the health planning district for five years from the current year determined
					 in subdivision 2 of this section.
CurrentPedBed = the current inventory of licensed and
					 authorized pediatric beds 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 VI - Inpatient Bed Requirements › Section 12VAC5-230-560 - Need for intensive care beds

Current through Register Vol. 40, No. 24, July 15, 2024
The projected need for intensive care beds in a health
					 planning district shall be computed as follows:
1. Determine the use rate for ICU beds for
				  the health planning district using the formula:
ICUBUR = (ICUPD/Pop)
Where:
ICUBUR = The ICU bed use rate for the health planning
					 district.
ICUPD = The sum of total ICU inpatient days in the health
					 planning district for the most recent five years for which inpatient day data
					 has been reported by VHI; and
Pop = The sum of population 18 years of age or older for
					 adults or under 18 for pediatric patients in the health planning district for
					 the same five years used to determine ICUPD as reported by a demographic
					 program as determined by the commissioner.
2. Determine the total number of ICU beds
				  needed for the health planning district, including bed availability for
				  unscheduled admissions, five years from the current year using the formula:
ProICUBed = ((ICUBUR x ProPop)/365)/0.65
Where:
ProICUBed = The projected number of ICU beds needed in the
					 health planning district for five years from the current year;
ICUBUR = The ICU bed use rate for the health planning
					 district as determine in subdivision 1 of this section;
ProPop = The projected population 18 years of age or older
					 for adults or under 18 for pediatric patients of the health planning district
					 five years from the current year as reported by a demographic program as
					 determined by the commissioner.
3. Determine the number of ICU beds that may
				  be established or relocated within the health planning district for the fifth
				  planning horizon planning year as follows:
NewICUB = ProICUBed - CurrentICUBed
Where:
NewICUBed = The number of new ICU beds that can be
					 established in a health planning district, if the number is positive. If
					 NewICUBed is a negative number, no additional ICU beds should be authorized for
					 the health planning district.
ProICUBed = The projected number of ICU beds needed in the
					 health planning district for five years from the current year as determined in
					 subdivision 2 of this section.
CurrentICUBed = The current inventory of licensed and
					 authorized ICU beds 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 VI - Inpatient Bed Requirements › Section 12VAC5-230-570 - Expansion or relocation of services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Proposals to relocate beds to a location
				  not contiguous to the existing site should be approved only when:
1. Off-site replacement is necessary to
				  correct life safety or building code deficiencies;
2. The population currently served by the
				  beds to be moved will have reasonable access to the beds at the new site, or to
				  neighboring inpatient facilities;
3. The number of beds to be moved off-site is
				  taken out of service at the existing facility;
4. The off-site replacement of beds results
				  in:
a. A decrease in the licensed bed
				  capacity;
b. A substantial cost
				  savings, cost avoidance, or consolidation of underutilized facilities;
				  or
c. Generally improved operating
				  efficiency in the applicant's facility or facilities; and
5. The relocation results in improved
				  distribution of existing resources to meet community needs.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part VI - Inpatient Bed Requirements › Section 12VAC5-230-580 - Long-term acute care hospitals (LTACHs)

Current through Register Vol. 40, No. 24, July 15, 2024
A. LTACHs will not be considered as a
				  separate category for planning or licensing purposes. All LTACH beds remain
				  part of the inventory of inpatient hospital beds.
B. A LTACH shall only be approved if an
				  existing hospital converts existing medical/surgical beds to LTACH beds or if
				  there is an identified need for LTACH beds within a health planning district.
				  New LTACH beds that would result in an increase in total licensed beds above
				  165% of the average daily census for the health planning district will not be
				  approved. Excess inpatient beds within an applicant's existing acute care
				  facilities must be converted to fill any unmet need for additional LTACH
				  beds.
C. If an existing or host
				  hospital converts existing beds for use as LTACH beds, those beds must be
				  delicensed from the bed inventory of the existing hospital. If the LTACH ceases
				  to exist, terminates its services, or does not offer services for a period of
				  12 months within its first year of operation, the beds delicensed by the host
				  hospital to establish the LTACH shall revert back to that host hospital.
If the LTACH ceases operation in subsequent years of
					 operation, the host hospital may reacquire the LTACH beds by obtaining a COPN,
					 provided the beds are to be used exclusively for their original intended
					 purpose and the application meets all other applicable project delivery
					 requirements. Such an application shall not be subject to the standard batch
					 review cycle and shall be processed as allowed under Part VI (12VAC5-220-280 et seq.) of the
					 Virginia Medical Care Facilities Certificate of Public Need Rules and
					 Regulations.
D. The
				  application shall delineate the service area for the LTACH by documenting the
				  expected areas from which it is expected to draw patients.
E. A LTACH shall be established for 10 or
				  more beds.
F. A LTACH shall become
				  certified by the Centers for Medicare and Medicaid Services (CMS) as a
				  long-term acute care hospital and shall not convert to a hospital for patients
				  needing a length of stay of less than 25 days without obtaining a certificate
				  of public need.
1. If the LTACH fails to meet
				  the CMS requirements as a LTACH within 12 months after beginning operation, it
				  may apply for a six-month extension of its COPN.
2. If the LTACH fails to meet the CMS
				  requirements as a LTACH within the extension period, then the COPN granted
				  pursuant to this section shall expire automatically.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part VI - Inpatient Bed Requirements › Section 12VAC5-230-590 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Inpatient 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 VII - Nursing Facilities › Section 12VAC5-230-600 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
A. Nursing facility
				  beds should be accessible within 30 minutes driving time one way under normal
				  conditions to 95% of the population in a health planning district using mapping
				  software as determined by the commissioner.
B. Nursing facilities should be accessible by
				  public transportation when such systems exist in an area.
C. Preference may be given to proposals that
				  improve geographic access and reduce travel time to nursing facilities within a
				  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 VII - Nursing Facilities › Section 12VAC5-230-610 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. A health
				  planning district should be considered to have a need for additional nursing
				  facility beds when:
1. The bed need forecast
				  exceeds the current inventory of existing and authorized beds for the health
				  planning district; and
2. The
				  median annual occupancy of all existing and authorized Medicaid-certified
				  nursing facility beds in the health planning district was at least 93%, and the
				  average annual occupancy of all existing and authorized Medicaid-certified
				  nursing facility beds in the health planning district was at least 90%,
				  excluding the bed inventory and utilization of the Virginia Veterans Care
				  Centers.
Exception: When there are facilities that have been in
					 operation less than one year in the health planning district, their occupancy
					 can be excluded from the calculation of average occupancy.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part VII - Nursing Facilities › Section 12VAC5-230-620 - Expansion of services

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals to increase an existing nursing facility's bed
					 capacity should not be approved unless the facility has operated for at least
					 two years and the average annual occupancy of the facility's existing beds was
					 at least 90% in the relevant reporting period as reported to VHI.
Note: Exceptions will be considered for facilities that
					 operated at less than 90% average annual occupancy in the most recent year for
					 which bed utilization has been reported when the facility offers short stay
					 services causing an average annual occupancy lower than 90% for the
					 facility.
Statutory Authority: §§
												32.1-12
						and
						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 VII - Nursing Facilities › Section 12VAC5-230-630 - Continuing care retirement communities

Current through Register Vol. 40, No. 24, July 15, 2024
Proposals for the development of new nursing facilities or
					 the expansion of existing facilities by continuing care retirement communities
					 (CCRC) will be considered when:
1. The
				  facility is registered with the State Corporation Commission as a continuing
				  care provider pursuant to Chapter 49 (§ 38.2-4900 et seq.) of Title 38.2
				  of the Code of Virginia;
2. The
				  number of nursing facility beds requested in the initial application does not
				  exceed the lesser of 20% of the continuing care retirement community's total
				  number of beds that are not nursing home beds or 60 beds;
3. The number of new nursing facility beds
				  requested in any subsequent application does not cause the continuing care
				  retirement community's total number of nursing home beds to exceed 20% of its
				  total number of beds that are not nursing facility beds; and
4. The continuing care retirement community
				  has established a qualified resident assistance policy.
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 VII - Nursing Facilities › Section 12VAC5-230-640 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Nursing facilities shall be under the direction or
					 supervision of a licensed nursing home administrator and staffed by licensed
					 and certified nursing personnel qualified as required by law.
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 VIII - Lithotripsy Service › Section 12VAC5-230-650 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Lithotripsy services should be available within 30 minutes
					 driving time one way under normal conditions for 95% of the population of the
					 health planning region 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 VIII - Lithotripsy Service › Section 12VAC5-230-660 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Preference may be given to a project that establishes new renal or orthopedic
				  lithotripsy services at a new facility through contract with, or by lease of
				  equipment from, an existing service provider authorized to operate in Virginia,
				  and the facility has referred at least two appropriate patients per week, or
				  100 appropriate patients annually, for the relevant reporting period to other
				  facilities for either renal or orthopedic lithotripsy services.
B. A new renal lithotripsy service may be
				  approved if the applicant can demonstrate that the proposed service can provide
				  at least 750 renal lithotripsy procedures annually.
C. A new orthopedic lithotripsy service may
				  be approved if the applicant can demonstrate that the proposed service can
				  provide at least 500 orthopedic lithotripsy procedures annually.
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 VIII - Lithotripsy Service › Section 12VAC5-230-670 - Expansion of services

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Proposals to expand renal lithotripsy services should demonstrate that each
				  existing unit owned or operated by that vendor or provider has provided at
				  least 750 procedures annually at all sites served by the vendor or
				  provider.
B. Proposals to expand
				  orthopedic lithotripsy services should demonstrate that each existing unit
				  owned or operated by that vendor or provider has provided at least 500
				  procedures annually at all sites served by the vendor or provider.
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 VIII - Lithotripsy Service › Section 12VAC5-230-680 - Adding or expanding mobile lithotripsy services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Proposals for mobile lithotripsy services
				  should demonstrate that, for the relevant reporting period, at least 125
				  procedures were performed and that the proposed mobile unit will not reduce the
				  utilization of existing machines in the health planning region.
B. Proposals to convert a mobile lithotripsy
				  service to a fixed site lithotripsy service should demonstrate that, for the
				  relevant reporting period, at least 430 procedures were performed and the
				  proposed conversion will not 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 VIII - Lithotripsy Service › Section 12VAC5-230-690 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Lithotripsy 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 IX - Organ Transplant › Section 12VAC5-230-700 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
A. Organ
				  transplantation services should be accessible within two hours driving time one
				  way under normal conditions of 95% of Virginia's population using mapping
				  software as determined by the commissioner.
B. Providers of organ transplantation
				  services should facilitate access to pre and post transplantation services
				  needed by patients residing in rural locations be establishing part-time
				  satellite clinics.
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 IX - Organ Transplant › Section 12VAC5-230-710 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  There should be no more than one program for each transplantable organ in a
				  health planning region.
B.
				  Performance of minimum transplantation volumes as cited in
				  12VAC5-230-720 does not indicate a
				  need for additional transplantation capacity or programs.
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 IX - Organ Transplant › Section 12VAC5-230-720 - Transplant volumes; survival rates; service proficiency; systems operations

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Proposals to establish organ transplantation services should demonstrate that
				  the minimum number of transplants would be performed annually. The minimum
				  number transplants of required by organ system is:
Kidney
30
Pancreas or kidney/pancreas
12
Heart
17
Heart/Lung
12
Lung
12
Liver
21
Intestine
2
Note: Any proposed pancreas transplant program must be a
					 part of a kidney transplant program that has achieved a minimum volume standard
					 of 30 cases per year for kidney transplants as well as the minimum transplant
					 survival rates stated in subsection B of this section.
B. Applicants shall demonstrate that they
				  will achieve and maintain at least the minimum transplant patient survival
				  rates. Minimum one-year survival rates listed by organ system are:
Kidney
95%
Pancreas or kidney/pancreas
90%
Heart
85%
Heart/Lung
70%
Lung
77%
Liver
86%
Intestine
77%
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 IX - Organ Transplant › Section 12VAC5-230-730 - Expansion of transplant services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Proposals to expand organ transplantation
				  services shall demonstrate at least two years successful experience with all
				  existing organ transplantation systems at the hospital.
B. Preference may be given to a project
				  expanding the number of organ systems being transplanted at a successful
				  existing service rather than developing new programs that could reduce existing
				  program volumes.
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 IX - Organ Transplant › Section 12VAC5-230-740 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Organ transplant 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 X - Miscellaneous Capital Expenditures › Section 12VAC5-230-750 - Purpose

Current through Register Vol. 40, No. 24, July 15, 2024
This part of the SMFP is intended to provide general
					 guidance in the review of projects that require COPN authorization by virtue of
					 their expense but do not involve changes in the bed or service capacity of a
					 medical care facility addressed elsewhere in this chapter. This part may be
					 used in coordination with other service specific parts addressed elsewhere in
					 this chapter.
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 X - Miscellaneous Capital Expenditures › Section 12VAC5-230-760 - Project need

Current through Register Vol. 40, No. 24, July 15, 2024
A. All
				  applications involving a capital expenditure with an expenditure exceeding the
				  threshold amount as determined using the formula contained in subsection B of
				  this section by a medical care facility should include documentation that the
				  expenditure is necessary in order for the facility to meet the identified
				  medical care needs of the public it serves. Such documentation should clearly
				  identify that the expenditure:
1. Represents
				  the most cost-effective approach to meeting the identified need; and
2. The ongoing operational costs will not
				  result in unreasonable increases in the cost of delivering the services
				  provided.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part X - Miscellaneous Capital Expenditures › Section 12VAC5-230-770 - Facilities expansion

Current through Register Vol. 40, No. 24, July 15, 2024
Applications for the expansion of medical care facilities
					 should document that the current space provided in the facility for the areas
					 or departments proposed for expansion is inadequate. Such documentation should
					 include:
1. An analysis of the
				  historical volume of work activity or other activity performed in the area or
				  department;
2. The projected volume
				  of work activity or other activity to be performed in the area or department;
				  and
3. Evidence that contemporary
				  design guidelines for space in the relevant areas or departments, based on
				  levels of work activity or other activity, are consistent with the
				  proposal.
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 X - Miscellaneous Capital Expenditures › Section 12VAC5-230-780 - Renovation or modernization

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Applications for the renovation or modernization of medical care facilities
				  should provide documentation that:
1. The
				  timing of the renovation or modernization expenditure is appropriate within the
				  life cycle of the affected building or buildings; and
2. The benefits of the proposed renovation or
				  modernization will exceed the costs of the renovation or modernization over the
				  life cycle of the affected building or buildings to be renovated or
				  modernized.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part X - Miscellaneous Capital Expenditures › Section 12VAC5-230-790 - Equipment

Current through Register Vol. 40, No. 24, July 15, 2024
Applications for the purchase and installation of equipment
					 by medical care facilities that are not addressed elsewhere in this chapter
					 should document that the equipment is needed. Such documentation should clearly
					 indicate that the (i) proposed equipment is needed to maintain the current
					 level of service provided, or (ii) benefits of the change in service resulting
					 from the new equipment exceed the costs of purchasing or leasing and operating
					 the equipment over its useful life.
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 XI - Medical Rehabilitation › Section 12VAC5-230-800 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Medical rehabilitation 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 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 XI - Medical Rehabilitation › Section 12VAC5-230-810 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  number of comprehensive and specialized rehabilitation beds shall be determined
				  as follows:
((UR x PROPOP)/365)/.80
Where:
UR = the use rate expressed as rehabilitation patient days
					 per population in the health planning district as reported by VHI; and
PROPOP = the most recent projected population of the health
					 planning district five years from the current year as published by a
					 demographic entity as determined by the commissioner.
B. Proposals for new medical rehabilitation
				  beds should be considered when the applicant can demonstrate that:
1. The rehabilitation specialty proposed is
				  not currently offered in the health planning district; and
2. There is a documented need for the service
				  or beds in the health planning district.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part XI - Medical Rehabilitation › Section 12VAC5-230-820 - Expansion of services

Current through Register Vol. 40, No. 24, July 15, 2024
No additional rehabilitation beds should be authorized for
					 a health planning district in which existing rehabilitation beds were utilized
					 with an average annual occupancy of less than 80% in the most recently reported
					 year.
Preference may be given to a project to expand
					 rehabilitation beds by converting underutilized medical/surgical
					 beds.
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 XI - Medical Rehabilitation › Section 12VAC5-230-830 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Medical rehabilitation facilities 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 XII - Mental Health Services › Article 1 - Acute Psychiatric and Acute Substance Abuse Disorder Treatment Services › Section 12VAC5-230-840 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Acute psychiatric and acute substance abuse disorder
						treatment services should be available within 60 minutes driving time one way
						under normal conditions of 95% of the population 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 XII - Mental Health Services › Article 1 - Acute Psychiatric and Acute Substance Abuse Disorder Treatment Services › Section 12VAC5-230-850 - Continuity; integration

Current through Register Vol. 40, No. 24, July 15, 2024
A. Existing
					 and proposed acute psychiatric and acute substance abuse disorder treatment
					 providers shall have established plans for the provision of services to
					 indigent patients that include:
1. The minimum
					 number of unreimbursed patient days to be provided to indigent patients who are
					 not Medicaid recipients;
2. The
					 minimum number of Medicaid-reimbursed patient days to be provided, unless the
					 existing or proposed facility is ineligible for Medicaid
					 participation;
3. The minimum
					 number of unreimbursed patient days to be provided to local community services
					 boards; and
4. A description of the
					 methods to be utilized in implementing the indigent patient service plan and
					 assuring the provision of the projected levels of unreimbursed and
					 Medicaid-reimbursed patient days.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part XII - Mental Health Services › Article 2 - Mental Retardation › Section 12VAC5-230-870 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
The establishment of new ICF/MR facilities with more than
						12 beds shall not be authorized unless the following conditions are met:
1. Alternatives to the proposed service are
					 not available in the area to be served by the new facility;
2. There is a documented source of referrals
					 for the proposed new facility;
3.
					 The manner in which the proposed new facility fits into the continuum of care
					 for the mentally retarded is identified;
4. There are distinct and unique geographic,
					 socioeconomic, cultural, transportation, or other factors affecting access to
					 care that require development of a new ICF/MR;
5. Alternatives to the development of a new
					 ICF/MR consistent with the Medicaid waiver program have been considered and can
					 be reasonably discounted in evaluating the need for the new facility;
6. The proposed new facility will have a
					 maximum of 20 beds and is consistent with any plan of the Department of Mental
					 Health, Mental Retardation and Substance Abuse Services and the mental
					 retardation service priorities for the catchment area identified in the
					 plan;
7. Ancillary and supportive
					 services needed for the new facility are available; and
8. Service alternatives for residents of the
					 proposed new facility who are ready for discharge from the ICF/MR setting are
					 available.
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 XII - Mental Health Services › Article 2 - Mental Retardation › Section 12VAC5-230-880 - Continuity; integration

Current through Register Vol. 40, No. 24, July 15, 2024
Each facility should have a written transfer agreement
						with one or more hospitals for the transfer of emergency cases if such
						hospitalization becomes necessary.
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 XII - Mental Health Services › Article 2 - Mental Retardation › Section 12VAC5-230-890 - Compliance with licensure standards

Current through Register Vol. 40, No. 24, July 15, 2024
Mental retardation facilities should meet all applicable
						licensure standards as specified in 12VAC35-105, Rules and Regulations for the
						Licensing of Providers of Mental Health, Mental Retardation and Substance Abuse
						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 XIII - Perinatal and Obstetrical Services › Article 1 - Criteria and Standards for Obstetrical Services › Section 12VAC5-230-900 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
Obstetrical services should be located within 30 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 XIII - Perinatal and Obstetrical Services › Article 1 - Criteria and Standards for Obstetrical Services › Section 12VAC5-230-910 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
No new obstetrical services should be approved unless
						the applicant can demonstrate that, based on the population and utilization of
						current services, there is a need for such services in the health planning
						district without significantly reducing 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 XIII - Perinatal and Obstetrical Services › Article 1 - Criteria and Standards for Obstetrical Services › Section 12VAC5-230-920 - Continuity

Current through Register Vol. 40, No. 24, July 15, 2024
A. Perinatal
					 service capacity, including service availability for unscheduled admissions,
					 should be developed to provide routine newborn care to infants delivered in the
					 associated obstetrics service, and shall be able to stabilize and prepare for
					 transport those infants requiring the care of a neonatal special care services
					 unit.
B. The proposal shall
					 identify the primary and secondary neonatal special care center nearest the
					 proposed service shall provide transport one-way to those centers.
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 XIII - Perinatal and Obstetrical Services › Article 1 - Criteria and Standards for Obstetrical Services › Section 12VAC5-230-930 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
Obstetric 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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section 12VAC5-230-940 - Travel time

Current through Register Vol. 40, No. 24, July 15, 2024
A. Intermediate
					 level neonatal special care services should be located within 30 minutes
					 driving time one way under normal conditions of hospitals providing general
					 level new born services using mapping software as determined by the
					 commissioner.
B. Specialty and
					 subspecialty neonatal special care services should be located within 90 minutes
					 driving time one way under normal conditions of hospitals providing general or
					 intermediate level newborn services 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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section 12VAC5-230-950 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
No new level of neonatal service shall be offered by a
						hospital unless that hospital has first obtained a COPN granting approval to
						provide each such level of service.
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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section 12VAC5-230-960 - Intermediate level newborn services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Existing intermediate level newborn
					 services as designated in
					 12VAC5-410-443 should achieve 85%
					 average annual occupancy before new intermediate level newborn services can be
					 added to the health planning region.
B. Intermediate level newborn services as
					 designated in
					 12VAC5-410-443 should contain a
					 minimum of six bassinets.
C. No
					 more than four bassinets for intermediate level newborn services as designated
					 in 12VAC5-410-443 per 1,000 live
					 births should be established in each 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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section 12VAC5-230-970 - Specialty level newborn services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Existing specialty level newborn services
					 as designated in
					 12VAC5-410-443 should achieve 85%
					 average annual occupancy before new specialty level newborn services can be
					 added to the health planning region.
B. Specialty level newborn services as
					 designated in
					 12VAC5-410-443 should contain a
					 minimum of 18 bassinets .
C. No
					 more than four bassinets for specialty level newborn services as designated in
					 12VAC5-410-443 per 1,000 live
					 births should be established in each health planning region.
D. Proposals to establish specialty level
					 services as designated in
					 12VAC5-410-443 shall demonstrate
					 that service volumes of existing specialty level newborn service providers
					 located within the travel time listed in
					 12VAC5-230-940 will not be
					 significantly reduced.
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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section 12VAC5-230-980 - Subspecialty level newborn services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Existing subspecialty level newborn
					 services as designated in
					 12VAC5-410-443 should achieve 85%
					 average annual occupancy before new subspecialty level newborn services can be
					 added to the health planning region.
B. Subspecialty level newborn services as
					 designated in
					 12VAC5-410-443 should contain a
					 minimum of 18 bassinets .
C. No
					 more than four bassinets for subspecialty level newborn services as designated
					 in 12VAC5-410-443 per 1,000 live
					 births should be established in each health planning region.
D. Proposals to establish subspecialty level
					 newborn services as designated in
					 12VAC5-410-443 shall demonstrate
					 that service volumes of existing subspecialty level newborn providers located
					 within the travel time listed in
					 12VAC5-230-940 will not be
					 significantly reduced.
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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section 12VAC5-230-990 - Neonatal services

Current through Register Vol. 40, No. 24, July 15, 2024
The application shall identify the service area and the
						levels of service of all the hospitals to be served by the proposed
						service.
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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section 12VAC5-230-1000 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
All levels of neonatal special care services should be
						under the direction or supervision of one or more qualified physicians as
						described in
						12VAC5-410-443.
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 XIII - Perinatal and Obstetrical Services › Article 2 - Neonatal Special Care Services › Section - DOCUMENTS INCORPORATED BY REFERENCE (12VAC5-230)

Current through Register Vol. 40, No. 24, July 15, 2024
ACC/AHA
						Guidelines for Cardiac Catheterization and Cardiac Catheterization
						Laboratories, American College of Cardiology/American Heart Association Ad Hoc
						Task Force on Cardiac Catheterization, JACC Vol. 18 No. 5, November 1, 1991:
						1149-82
Statutory Authority: §§
													32.1-12
						  and
						  32.1-102.2 of the
						  Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 371 - REGULATIONS FOR THE LICENSURE OF NURSING FACILITIES › Part I - Definitions and General Information › Section 12VAC5-371-30 - License

Current through Register Vol. 40, No. 24, July 15, 2024
A. This chapter is
				  not applicable to:
1. Those entities listed
				  in §
											32.1-124 of the Code
				  of Virginia; and
2. Facilities
				  established or operated for the practice of religious tenets pursuant to §
											32.1-128
				  of the Code of Virginia, except that such facilities shall comply with the
				  statutes and regulations on environmental protection and life
				  safety.