15 Miss. Code. R. 8-90-05-514

Current through December 10, 2024
Section 15-8-90-05-514 - Cardiac Catheterization

Cardiac catheterization is an integral part of cardiac evaluation and brings together two disciplines: cardiac catheterization (the evaluation of cardiac function) and angiography (X-ray demonstration of cardiac anatomy). Cardiac catheterization includes various therapeutic interventions, including but not limited to: percutaneous coronary interventions (PCI), thrombolysis of coronary clots in evolving myocardial infarctions, electrical ablation of abnormal conduction pathways, and closure of patent ductus arteriosus in infants.

Any facility performing diagnostic cardiac catheterizations without open-heart surgery capability must maintain formal referral agreements with a nearby facility to provide emergency cardiac services, including open-heart surgery. Such a facility must also delineate the steps it will take to ensure that high-risk patients are not catheterized in the facility. Additionally, a facility without open-heart surgery capability must document that more complex procedures, except for percutaneous coronary interventions (PCI) as provided herein, are not performed in the facility. Such procedures include, but are not limited to: transseptal puncture, transthoracic left ventricular puncture, myocardial biopsy, trans catheter aortic valve replacement (TAVR), and left atrial occlusion devices.

Section 41-7-191(1)(d), Mississippi Code 1972, as amended, requires Certificate of Need review for the establishment and/or offering of cardiac catheterization services if the proposed provider has not offered such services on a regular basis within twelve (12) months prior to the time the services would be offered. Table 5-8 presents the utilization of cardiac catheterization services in Fiscal Years 2019 and 2020.

Table 5-8

Cardiac Catheterizations by Facility and Type by Cardiac Catheterization/Open Heart Planning Area (CC/OHSPA) FY 2019 and FY 2020

Facility

County

Total Adult Procedures

Total PTCA Procedures

2019

2020

2019

2020

CC/ OHSPA 1

3,904

2,476

1,186

693

Baptist Memorial Hospital - DeSoto1

Methodist Healthcare Olive Branch Hospital

DeSoto

DeSoto

3,517

387

1,928

548

997

189

379

314

CC/ OHSPA 2

5,964

9,770

192

759

Magnolia Regional Health Center

North Mississippi Medical Center

Alcorn

Lee

2,602

3,362

3,426

6,344

51

141

595

164

CC/OHSPA 3

667

570

94

64

Delta Regional Medical Center

Greenwood Leflore Hospital*

Northwest Mississippi Medical Center*

Washington

LeFlore

Coahoma

447

8

212

350

8

212

94

-

-

64

-

-

CC/OHSPA 4

3,351

3,163

736

769

Baptist Memorial Hospital - Golden Triangle

Baptist Memorial Hospital - N. Mississippi

UMMC Grenada *

Lowndes

Lafayette

Grenada

1,044

1,448

859

1,446

1,409

308

311

425

-

429

340

-

CC/OHSPA 5

12,926

13,797

2,548

2,637

Merit Health Central

Merit Health River Oaks

Mississippi Baptist Medical Center1

Merit Health River Region

St. Dominic - Jackson Memorial Hospital

University of MS Medical Center2

Hinds

Rankin

Hinds

Warren

Hinds

Hinds

668

186

1,506

245

7,707

2,614

668

27

1,394

399

8,454

2,855

149

-

693

-

956

750

149

-

686

-

965

837

CC/OHSPA 6

2,117

2,012

137

185

Anderson Regional Medical Center1

Rush Foundation Hospital

Lauderdale

Lauderdale

1,450

667

1,259

753

81

56

67

118

CC/OHSPA 7

1,012

752

295

260

SW Miss Regional Medical Center

Pike

1,012

752

295

260

CC/OHSPA 8

4,956

4,926

1,496

1,353

Forrest General Hospital1

South Central Regional Medical Center*

Merit Health Wesley

Forrest

Jones

Lamar

3,439

672

845

3,646

537

743

1,162

-

334

1,070

-

283

CC/OHSPA 9

5,184

5,347

2,694

2,603

Merit Health Biloxi*

Memorial Hospital at Gulfport1

Ocean Springs Hospital

Singing River Hospital

Harrison

Harrison

Jackson

Jackson

15

3,050

1,317

802

7

3,323

1,248

769

-

1,215

938

541

-

1,382

798

423

State Total:

40,081

42,813

9,378

9,323

* Diagnostic Catheterization Only

Source: Applications for Renewal of Hospital License for FY 2019/2020; 1 Health Planning and Resource Development Survey 2021

Note(s): 2 According to the Applications for Renewal of Hospital License, UMMC is the only pediatric cardiac catheterization provider. UMMC reported 1,208 total pediatric cardiac catheterization procedures for FY 2019 and 1,377 pediatric cardiac catheterization procedures for FY 2020.

15 Miss. Code. R. 8-90-05-514

Amended 12/1/2014
Amended 3/1/2016
Adopted 7/1/2018
Amended 12/9/2018
Amended 2/20/2022
Amended 5/29/2023