Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-310 - Certificate of need › Section 246-310-827 - Kidney disease treatment facilities-Superiority criteria

Current through Register Vol. 24-14, July 15, 2024
For purposes of determining which of the competing
				  applications should be approved, the criteria in this section will be used as
				  the only means for comparing two or more applications to each other. No other
				  criteria or measures will be used in comparing two or more applications to each
				  other under any of the applicable subcriteria within WAC
				  246-310-210,
				  246-310-220,
				  246-310-230 or
				  246-310-240.
(1) An application will be denied if it fails
				to meet any criteria under WAC
				246-310-210,
				246-310-220,
				246-310-230, or
				246-310-240(2) or
				(3).
(2) An application will be denied if the
				applicant has one or more kidney dialysis facilities in the planning area not
				meeting the 4.5 or 3.2 in-center patients per station standards required in WAC
				246-310-812(5) or
				(6) as of the most recent quarterly report
				from the Northwest Renal Network as of the date of the letter of
				intent.
(3) When available,
				Washington facilities must be used as comparables, as follows:
(a) For existing kidney dialysis facilities
				proposing to expand, use data for the existing facility plus the next two
				closest Washington facilities as comparables owned by or affiliated with the
				applicant as measured by a straight line. Straight lines will be calculated
				using "Google Maps" or equivalent mapping software (mileage calculated out to
				two decimal points, no rounding).
(b) For new kidney dialysis facilities, use
				data for the next three closest facilities as comparables owned by or
				affiliated with the applicant as measured by a straight line from the proposed
				new kidney dialysis facility location. Straight lines will be calculated using
				"Google Maps" or equivalent mapping software (mileage calculated out to two
				decimal points, no rounding).
(c)
				The number of applications per concurrent review cycle that rely on the same
				three comparables is limited to two.
(d) If complete medicare data is not
				available for any of the kidney dialysis facilities and a facility has been
				granted a department exemption in WAC
				246-310-803(3),
				then that facility will not be used as a comparable and the next closest
				facility should be used as a comparable.
(e) If the applicant currently does not own
				or is not affiliated with any kidney dialysis facility, the department will
				assign the following points:
(i) The median
				quintile points for those superiority measures using quintiles (excluding net
				revenue per treatment);
(ii) Two
				points for standardized mortality ratio (SMR);
(iii) Two points for standardized
				hospitalization ratio (SHR); and
(iv) Any remaining points for other measures
				will be based on the representations made in the application.
(f) If the applicant owns or is
				affiliated with one existing kidney dialysis facility in total, the department
				will assign the facility's actual points as follows:
(i) The actual quintile points for those
				superiority measures using quintiles;
(ii) The actual points for SMR;
(iii) The actual points for SHR;
				and
(iv) Any remaining points for
				other measures will be based on the representations made in the
				application.
(g) If the
				applicant owns or is affiliated with two existing kidney dialysis facilities in
				total, the department will average the facility's scores as follows:
(i) The average quintile points for those
				superiority measures using quintiles;
(ii) The average points for SMR;
(iii) The average points for SHR;
				and
(iv) The average of the
				remaining points for other measures will be based on the representations made
				in the applications.