Current through Register Vol. 24-18, September 15, 2024
(1) The criteria in this section shall be
used as guidelines when examining services to determine whether the service is
considered a tertiary service.
(2)
In determining whether a service is a tertiary service the department shall
consider the degree to which the service meets the following criteria:
(a) Whether the service is dependent on the
skills and coordination of specialties and subspecialties. Including, but not
limited to, physicians, nurses, therapists, social workers;
(b) Whether the service requires immediate
access to an acute care hospital;
(c) Whether the service is characterized by
relatively few providers;
(d)
Whether the service is broader than a procedure;
(e) Whether the service has a low use
rate;
(f) Whether consensus
supports or published research shows that sufficient volume is required to
impact structure, process, and outcomes of care; and
(g) Whether the service carries a significant
risk or consequence.
(3)
Periodically the department shall request review of proposed changes to the
list of tertiary services identified in WAC
246-310-020. The periodic review
shall be conducted as follows:
(a) The
department shall send notice to all persons who have sent the certificate of
need program a written request to be notified of the annual review of tertiary
services.
(b) The notice shall
contain the following:
(i) Identification of
the thirty-day period during which written comments may be received. This
thirty-day period shall be called the comment period;
(ii) The criteria listed in this section;
and
(iii) The name and address of
the person in the department to whom written comments are to be
addressed.
(c) The
written comments must address whether a service meets or partially meets the
criteria in this section.
(d)
Within sixty days after the close of the comment period the department shall
determine whether to propose any changes to the list of tertiary services in
chapter 246-310 WAC. This sixty-day period shall be called the consideration
period.
(e) During the
consideration period information may be exchanged between the department and
persons proposing changes to the list of tertiary services in chapter 246-310
WAC.
(4) The department
shall convene a technical work group at least every three years to do the
following:
(a) Review the criteria listed in
this section to determine whether the criteria appropriately define a tertiary
service; and
(b) Propose any
necessary changes to the list of tertiary services in WAC
246-310-020.
Statutory Authority: Chapter 70.38 RCW. 96-24-052, §
246-310-035, filed 11/27/96, effective 12/28/96. Statutory Authority:
RCW
70.38.135 and
70.38.919. 92-02-018 (Order 224),
§ 246-310-035, filed 12/23/91, effective
1/23/92.
