N.H. Admin. Code § He-Hea 1902.01

Current through Register No. 50, December 12, 2024

Section He-Hea 1902.01 - Definitions

(a) "Ambulatory surgical facility" means "ambulatory surgical facility" as defined in RSA 151-C:2, I.

(b) "Ambulatory surgical services" means those services the applicant proposes to provide at the facility.

(c) "Application" means a proposal prepared by a person and filed with the board for a certificate of need.

(d) "Board" means "board" as defined in RSA 151-C:2, IV.

(e) "Board certified" means the confirmation given by a national or regional association to a physician as having passed special examinations for his/her medical specialty.

(f) "Certificate of need (CON)" means "certificate of need" as defined in RSA 151-C:2, VIII.

(g) "Detrimental" means an adverse impact on the ability to maintain the accessibility, quality and cost of health care services in the area.

(h) "Essential community services" means those basic health care services provided by a hospital including emergency services, obstetrical services and medical/surgical services.

(i) "Facility" means "health care facility" as defined in RSA 151-C:2, XV-a.

(j) "Health care services" means clinically related diagnostic, treatment or rehabilitative services.

(k) "Letter of intent" means a document submitted to the board which describes a proposed project and identifies the cities and towns which represent the applicant's proposed service area.

(l) "Marshall Valuation Service (MVS)" means an appraisal guide for the development and reporting of replacement building and equipment costs used to estimate construction costs of commercial buildings, 2008 edition.

(m) "Operating room" means any room in a licensed hospital or ambulatory surgical facility equipped and used to perform surgical cases.

(n) "Patient charges" means the price charged for patient care services at a health care facility.

(o) "Person" means "person" as defined in RSA 151-C:2, XXVIII.

(p) "Project costs" means all costs of a single project or an integrated project, including but not limited to the following costs, as applicable:

(1) Legal fees, excluding those fees associated with:

a. The preparation of a CON application; and/or

b. Prosecution of a CON application before the board;

(2) Consulting fees;

(3) Financial feasibility fees;

(4) Architect and engineering fees;

(5) Other fees, which shall be specified;

(6) Real estate acquisition;

(7) Site preparation;

(8) Utilities;

(9) Soil survey and evaluation;

(10) Temporary relocation costs;

(11) Moving costs;

(12) Construction costs, including:

a. Labor costs for new construction;

b. Labor costs for renovations/alterations;

c. Materials for new construction;

d. Materials for renovations/alterations;

e. Fixed equipment costs for new construction;

f. Fixed equipment costs for renovations/alterations;

g. Demolition costs;

h. Insurance costs during construction;

i. Interest costs during construction; and

j. Fixed equipment;

(13) Moveable equipment;

(14) Bond discount; and

(15) Debt service reserve.

(q) "Public notice" means any media advertisements, brochures, pamphlets, fact sheets or other form of information conveyed to the public concerning an aspect of healthcare.

(r) "Quality improvement plan" means a continuous plan of collection, screening and evaluation of information concerning patient care, placement and clinical performance leading to the methods of resolving and/or eliminating problems as identified by professional and administrative staffs, patients and their families, and other professionals in the delivery of health care services.

(s) "Renovation" means the repair, remodel or reconfiguration of existing space that requires a capital expenditure to accomplish.

(t) "Replacement" means the rebuilding, in whole or in part, of an ambulatory surgical facility on a new or original site that requires a capital expenditure to accomplish.

(u) "Service area" means a geographic area which is served by each ambulatory surgical facility.

(v) "Story height multiplier" means the number by which the base cost of a building is multiplied to adjust for any variation in average story height from the base of 12 feet.

(w) "Uninsured" means a person who:

(1) Is not covered or eligible for health care insurance;

(2) Is eligible but not enrolled in a health insurance plan; or

(3) Is otherwise covered by a health insurance plan that does not cover the medically needed service(s) provided by the ambulatory surgery center.

N.H. Admin. Code § He-Hea 1902.01

#7269, eff 5-10-00, EXPIRED: 5-10-08

New. #9261, eff 9-13-08