Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 5 - Health Planning
Chapter 115 - Health Resource requirements
Subchapter A - Introduction
Section I-11503 - General Criteria and Standards for Section 1122 Review
Universal Citation: LA Admin Code I-11503
Current through Register Vol. 50, No. 9, September 20, 2024
A. In reviewing projects under Section 1122, DPPE shall use the following criteria:
1. the relationship of the proposal to the
State Health Plan;
2. the
relationship of the proposal to the long range development plan (if any) of the
facility;
3. the need of the
service area population for the proposed facility/services.
a. Delineation of the service area for the
proposal the definition of "service area" will be governed by the State Health
Plan's definition for each particular type of service or facility.
b. Current and projected availability of
beds/services/facilities. DPPE will count as available:
i. all health care facilities, as defined in
the applicable State Health Plan section;
ii. all health care facilities, as defined
for Section 1122 Review purposes;
iii. all services and equipment in health
care facilities;
iv. the division
will consider as part of the review:
(a).
number and distribution of similar facilities, services, or beds within the
service area;
(b). bed to
population ratio in the service area;
(c). comparison of bed to population ratio in
the service area to that of other service areas in the state.
c. Physical
accessibility of the target population to existing and proposed
facilities/services.
d. Current and
projected measures of utilization of existing facilities/services (i.e.
occupancy or other appropriate utilization data).
e. Demographics of the service area for the
proposal.
4. The
availability or potential availability of less costly or more effective
alternatives to the proposal.
5.
The immediate and long-term financial feasibility of the proposal, and the
availability of funds.
6. The
relationship of the proposed facility/services to other health care providers
in the service area; documentation of agreements between the applicant and
other health care providers; the extent of cooperation with other facilities in
the service area.
7. The
relationship (including the organizational relationship) of the proposed
services to ancillary or support services provided in the existing
facility.
8. The availability of
health manpower and management personnel for the provision of the proposed
services, including:
a. availability and
projected availability of physicians, nurses, and other personnel within the
service area;
b. the adequacy of
proposed staffing according to required standards.
9. Special needs and circumstances:
a. health maintenance
organizations;
b. biomedical and
behavioral research projects for which local conditions offer special
advantages, and which are designed to meet a national need;
c. facilities which provide a substantial
amount of services of resources to non-residents of the service area or of
adjacent service areas (i.e. medical and health professional schools, specialty
centers, multi-disciplinary clinics).
10. The cost and methods of the proposed
construction, including energy provision.
11. The probable impact of the project on the
cost of health services within the facility and the service area.
12. Evidence of ownership or legally executed
option to acquire an appropriately zoned site.
13. Support or opposition to the proposal by
the local community, including health related agencies and professional
organizations.
14. Whether the
project will foster cost containment or improved quality of care through
improved efficiency and productivity or through increased competition between
different health services delivery systems.
AUTHORITY NOTE: Promulgated in accordance with P.L. 93-641 as amended by P. L. 96-79, and R. S. 36:256(b).
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