Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 186 - CERTIFICATE OF NEED PROGRAM
Subchapter 1 - GENERAL PROVISIONS
Section 11-186-3 - Definitions
Whenever used in this chapter and in proceedings brought under this chapter, unless the context requires otherwise:
"Acute" bed services means those inpatient services provided to patients whose average length of stay is usually less than thirty days.
"Acute/long term swing bed" services means those acute or long term services which are provided through beds which have been designated to serve either acute or long term inpatients.
"Acute psychiatric" services means twenty-four-hour inpatient acute care services for mentally disordered patients whose length of stay is usually less than thirty days.
"Administrator" means the administrator of the state health planning and development agency as established in section 323D-11, HRS.
"Agency" means the state health planning and development agency as established in section 323D-11, HRS.
"Applicant" means any person who applies to the agency for a certificate of need.
"Burn center" services means intensive care services staffed by specially trained personnel for acute therapeutic, supportive, and rehabilitative care, including preparation for extensive grafting, for severely burned patients.
"Cardiac catheterization" means a special diagnostic procedure that is used to examine and evaluate the heart and the blood vessels which function to bring blood to, or away from, the heart. Cardiac catheterization includes left or right heart catheterization, angiography, and coronary arteriography.
"Children's orthopedic" services means long-term therapeutic and restorative services to children with orthopedic problems.
"Chronic renal dialysis" services means services for the treatment of irreversible kidney failure involving the removal of waste substance from a patient's blood by hemodialysis or peritoneal dialysis.
"Comprehensive outpatient rehabilitation facility (CORF)" means a comprehensive outpatient rehabilitation facility as defined in 42 Code of Federal Regulations section 485.51.
"Computed tomography" services include diagnostic procedures involving computer analysis of a series of x-ray scans of the head or body resulting in the construction of an image.
"Countywide review committee" means a countywide review committee established pursuant to section 11-186-45.
"Critical care" services means those services which provide maximum observation and support of vital functions and definitive therapy for patients with acute but reversible life-threatening impairments of single or multiple vital organ systems.
"Diagnostic radiology" services means services for the detection of physical disease and other ill-health conditions through the use of radiant energy including x-rays, cine fluorography, ventriculography and 'angiocardiology.
"Emergency room" services means services provided in a designated unit within a hospital for the immediate treatment of injury and other types of health emergencies.
"Expenditure minimum for capital expenditures" means $4,000,000 for capital expenditures, $1,000,000 for new or replacement medical equipment and $400,000 for used medical equipment.
"Extracorporeal shock wave lithotripsy (ESWL)" means a non-invasive procedure by which renal and ureteral calculi are pulverized using electrohydraulic shock waves.
"Freestanding emergency care facility" means an establishment, place or facility structurally distinct and separate from a hospital which represents itself either through advertising or name as providing emergency medical care services in life, limb, or function threatening conditions beyond the occasional emergency that occurs in the normal course of any clinical practice.
"Hansen's disease" services means therapeutic, supportive and restorative services for patients with Hansen's disease requiring long-term inpatient services.
"Health care provider" means an individual who is a direct provider of health care (including a physician, dentist, nurse, podiatrist, optometrist, physician assistant, or ancillary personnel employed under the supervision of a physician) in that the individual's primary current activity is the provision of health care to individuals or the administration of facilities or institutions (including hospitals, long-term care facilities, rehabilitation facilities, alcohol and drug abuse treatment facilities, outpatient facilities, and health maintenance organizations) in which such "care is provided and, when required by State law, the individual has received professional training in the provision of such care or in such administration and is licensed or certified for such provision or administration.
"Heart surgery" means a surgical procedure requiring the circulation of the blood by a heart lung machine while the heart or surrounding blood vessels are repaired.
"Home health agency" means a "home health agency" as defined in 42 Code of Federal Regulations section 440.70(d).
"Hospice" means hospice services as defined in 42 Code of Federal Regulations section 418.3.
"Intermediate care facility" (ICF) means an "intermediate care facility" as defined in section 11-94-2, HAR.
"Intermediate care facility for individuals with intellectual disabilities (ICF/IID)" means an intermediate care facility for individuals with intellectual disabilities as defined in 42 Code of Federal Regulations section 440.150(a).
"Long term" bed care services means those inpatient services provided to patients who are chronically ill, aged, disabled, or intellectually disabled and whose average length of stay is usually thirty days or more.
"Magnetic resonance imaging (MRI)" means a diagnostic imaging technique that employs magnetic and radio-frequency fields to image body tissues and monitor body chemistry noninvasively.
"Medical/surgical" services include those inpatient diagnostic and treatment services utilizing medical or operative procedures.
"Neonatal intensive care" services means the provision of care for newborns who require prolonged respiratory support, continuous cardiopulmonary support, intravenous therapy, major surgery, or treatment for infections.
"Neurosurgery" means surgery of any part of the nervous system.
"Nuclear medicine" services means the services of a medical specialty that uses radionuclides (elements which give off an emanation which is detectable by various instruments) for diagnosis and treatment.
"Obstetric" services means those services for the care of women during pregnancy, childbirth, and after delivery, including prenatal care, labor, delivery, and postpartum care.
"Outpatient surgery (surgicenter)" services means services provided to treat a medical condition by surgery in an outpatient or ambulatory surgical center where the patient is not kept overnight.
"Pediatric" services means those inpatient services for the diagnosis and treatment of diseases and conditions of children.
"Psychiatric" services means services for the diagnosis and treatment of mental illness or mental disorder in persons.
"Radiation therapy" services means services for the treatment of physical conditions or illness, primarily cancer, through the use of external ionizing radiation.
"Reconsideration committee" means the reconsideration committee as established in section 323D-47, Hawaii Revised Statutes.
"Rehabilitation" services means inpatient services to restore the ill or disabled person to achieve the fullest physical, mental, social, vocational, and economic usefulness of which the person is capable.
"Review panel" means the review panel established pursuant to chapter 323D, Hawaii Revised Statutes.
"Skilled nursing facility" (SNF) means a 'skilled nursing facility" as defined in section 11-94-2, HAR.
"Special treatment facility" means a 'special treatment facility" as defined in section 11-98-02, HAR.
"State health services and facilities plan (SHSFP)" means the state health services and facilities plan established pursuant to section 323D-2, Hawaii Revised Statutes.
"Statewide council" means the statewide health coordinating council established pursuant to section 323D-2, Hawaii Revised Statutes.
"Subarea" means a geographical area designated by the agency pursuant to section 323D-2, Hawaii Revised Statutes.
"Subarea council" means a subarea health planning council established pursuant to section 323D-2, Hawaii Revised Statutes.
"Surface ambulance" services means transportation of a patient in any motor vehicle or watercraft specifically equipped, designed or constructed, and maintained or operated for the purpose of accommodating the medical needs of patients.
"Transplant surgery" services means services for the transplantation of an organ from one person to another person.
"Tuberculosis" services means therapeutic and supportive services for patients with tuberculosis who require long-term inpatient care.
