Public Hearing Memo 11.8.12

Notice of Public Hearing

 

Pursuant to Section 22215 of Public Act 306 of 1969, as amended, the Michigan Department of Community Health (MDCH) will hold a hearing on Certificate of Need (CON) Review Standards.

 

Date:              Thursday, November 8, 2012

 

Time:             9:30 a.m.

                       

Location:      Capitol View Building

                        201 Townsend Street, 1st floor

                        MDCH Conference Center Room B

                        Lansing, MI  48913

 

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Bone Marrow Transplantation (BMT) Services

 

The proposed CON Review Standards for BMT Services are being reviewed and modified to include the following:

 

   1.   Section 1:  Modified for consistency with other CON review standards.

   2.   Section 2:  Definitions used only in certain section(s) have been moved to the applicable section to make it easier for the reader to identify the defined terms, and other definitions have been updated.  Specifically:

  • "Acquisition of a BMT service" - has been moved to Section 4 
  •  "Initiate a BMT service" - has been moved to Section 3 

   3.   Section 6:  Updated Medicaid participation section consistent with other CON review standards.

   4.   Section 7:  Divided project delivery requirements into distinct groups:  quality assurance, access to care, and monitoring and reporting. 

   5.   Appendix A:  Health Service Areas moved to an Appendix consistent with other CON review standards.

   6.   Other technical changes.

 

Psychiatric Beds and Services

 

The proposed CON Review Standards for Psychiatric Beds and Services are being reviewed and modified to include the following:

 

   1.   Section 1:  Modified for consistency with other CON review standards.

   2.   Section 2:  Definitions have been modified and new definitions have been added as follows:

  • "Flex bed" is defined as an existing adult psychiatric bed converted to a child/adolescent psychiatric bed in an existing child/adolescent psychiatric service to accommodate during peak periods and meet patient demand.
  • "Relocate existing licensed inpatient psychiatric beds" means a change in the location of existing inpatient psychiatric beds from the existing licensed psychiatric hospital site to a different existing licensed psychiatric hospital site within the same planning area.  This definition does not apply to projects involving replacement beds in a psychiatric hospital or unit governed by Section 7 of these standards.

   3.   Section 3:  The bed need methodology is being run using the base year of 2010 with a planning year of 2015.

   4.   Section 4:  Updated consistent with other standards and current practice.  The bed need numbers will continue to be posted on the web site as part of the Psychiatric bed inventory, and the appendix in the standards will be eliminated.

   5.   Section 7:  Modified for consistency with other CON review standards.

   6.   Section 8:  Added requirements to allow for relocation of existing licensed inpatient psychiatric beds consistent with other standards.

   7.   Section 9: 

  • Under subsection (2), defined calculation for average occupancy rate and modified the time period from 24 months to 12 months. 
  • Under subsection (3), modified the time period from 24 months to 12 months and added a calculation for high occupancy for facilities with flex beds.
  • Added requirements under subsection (10) for a facility receiving licensed inpatient psychiatric beds under relocation (Section 8) consistent with other standards.

   8.   Section 10:  Added new section for flex beds.  This will allow for a facility with an existing adult psychiatric service and an existing child/adolescent psychiatric service to convert adult psychiatric beds to child/adolescent psychiatric beds to accommodate during peak periods and meet patient demand.

  • The existing adult psychiatric service/unit shall not become non-compliant with the minimum size requirements within section 6(4).
  • The applicant shall meet all applicable sections of the standards.
  • The facility shall be in compliance and meet all design standards of the most recent Minimum Design Standards for Health Care Facilities in Michigan.
  • The applicant shall convert the beds back to adult inpatient psychiatric beds if the bed has not been used as a flex bed serving a child/adolescent patient for a continuous 12-month period or if the CON application is withdrawn.

   9.   Section 14:  Divided requirements into distinct groups consistent with other standards:  quality assurance, access to care, and monitoring and reporting.

  • Under subsection (4), added the calculation for average occupancy.

10.   Updated/eliminated Appendices as applicable.

11.   Other technical changes.

 

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Oral or written comments may be presented in person at the hearing on Thursday, November 8, 2012, or submitted in writing via online submission at

http://www.michigan.gov/mdch/0,4612,7-132-2945_5106_5409_29279-147062--,00.html,  no later than 5:00 p.m., Thursday, November 15, 2012.  If your comment is in written form, please provide a copy to the court reporter at the conclusion of your testimony.  If you have any questions or concerns, please contact Tania Rodriguez at 517-335-6708.

 

Be sure all cellular telephones and pagers are turned off or set to vibrate during the hearing.

 

The hearing location is accessible for persons with physical disability.  Interpreters will be available for the hearing impaired, if requested, seven days in advance.

 

10/04/12