Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.01 - Acute General Hospitals and Special Hospitals
Section 10.07.01.06-1 - Licensed Bed Capacity
Universal Citation: MD Code Reg 10.07.01.06-1
Current through Register Vol. 51, No. 19, September 20, 2024
A. On or before July 1, 2000, and each July 1 thereafter, the Secretary shall determine the authorized licensed bed capacity for each hospital classified as a general hospital.
B. Methodology for Calculating Total Authorized Licensed Bed Capacity.
(1) The average daily census for each general
hospital shall be obtained from the most current Health Services Cost Review
Commission inpatient utilization data for a 12-month period.
(2) The calculation of average daily census
shall include the utilization of inpatient medical-surgical, gynecology,
obstetric, pediatric, and acute psychiatric service beds. Newborn services are
excluded from the calculation of average daily census.
(3) The total licensed bed capacity for each
general hospital shall equal 140 percent of the calculated average daily census
for all inpatient acute care hospital services.
C. Application for Designation of Licensed Bed Capacity by Service.
(1) The Secretary
shall annually forward to each general hospital its calculated total licensed
bed capacity for the next licensure period and the current allocation of beds
by major service category.
(2) In a
format specified by the Secretary, each general hospital shall notify the
Department of its designation of total beds by major service category for the
next licensure period.
(3) The
Maryland Health Care Commission shall review and approve the designation of
total beds by major service category.
(4) This section does not permit a general
hospital to reallocate bed capacity in a manner inconsistent with applicable
statute and regulations.
D. On or before July 1, 2000, and each July 1 thereafter, the Secretary shall delicense any licensed hospital beds determined to be excess bed capacity under Regulation .07B of this chapter.
E. Temporary Adjustments to Calculated Licensed Bed Capacity.
(1) If necessary to
adequately meet demand for services, a general hospital may exceed its
calculated licensed bed capacity if:
(a) On
average for the 12-month period, the hospital does not exceed its licensed bed
capacity based on the annual calculation; and
(b) The hospital includes in its monthly
report to the Health Services Cost Review Commission the following information:
(i) The number of days in the month the
hospital exceeded its licensed bed capacity, and
(ii) The number of beds that were in excess
on each of those days.
(2) A hospital exceeding its calculated
licensed bed capacity shall notify the Department within 5 business days of the
effective dates of the change in a format specified by the Secretary.
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