N.H. Admin. Code § He-Hea 303.02

Current through Register No. 50, December 12, 2024

Section He-Hea 303.02 - Standard Applicable to Public Need

Applicants shall demonstrate that public need exists for the project by supplying a report in the application that contains:

(a) Where the new institutional health service or equipment shall be located, the proposed hours of operation of the new service, and the rationale for that location and accessibility;

(b) A description of the service under consideration for a CON;

(c) The current size of the health care system in which the new institutional health service shall be located, including but not limited to:

(1) Geographic area;

(2) Target audience by age and sex;

(3) The 3 year historical and 3 year projected utilization rates of the proposed service per population of the service area, including average per unit costs, expressed as:

a. Patient days and patient days per thousand residents;

b. Hours;

c. Procedures and procedures per thousand residents;

d. Scans and scans per thousand residents;

e. Encounters and encounters per thousand residents; or

f. Other such terms as relates to the proposed project;

(4) Travel considerations of the region; and

(5) The relationship to the service/market area, region, and the state as a whole;

(d) The health needs of the current populations, and the planning horizons for the future in terms of improving health outcomes for differing target populations for the proposed service(s);

(e) The portion of need professed, by the applicant, that is not currently being met;

(f) The evaluation of alternative proposals considered by the proponent in order to satisfy the unmet need by examining current inventories of beds, services, equipment or trends in the region and the state, including an evaluation of alternate technologies that addresses:

(1) The capability of such technology to provide diagnostic information or therapeutic treatment similar to the equipment that the applicant or petitioner proposes to acquire;

(2) The capability of such technology to provide diagnostic information or therapeutic treatment that the equipment the applicant or petitioner proposes to acquire does not have;

(3) The capability of such technology to be used with respect to a class of patients that the equipment the applicant or petitioner proposes to acquire does not have; and

(4) Whether the technology is existing in the market or publicly known to be under development at the time the application or petition is filed;

(g) If applicable, the project's uniqueness in terms of services, service delivery or specific population groups identified in the region and/or the state;

(h) Accessibility of the proposed service to the population in the service area, including accessibility to managed care and Medicaid patients;

(i) An evaluation of the project's ability to maintain or improve:

(1) Quality of care;

(2) Access and availability to health services; and

(3) Cost effectiveness of health services provided;

(j) To the extent data is available, a statistical report which shows how the proposed project is projected to affect the proposed service area in terms of:

(1) Utilization;

(2) Patient charges;

(3) Market share;

(4) Physician referral patterns; and

(5) Personnel services;

(k) The impact of the proposed projects as it relates to the continued ability of existing or similar programs to:

(1) Maintain quality services;

(2) Provide essential community services;

(3) Provide emergency services; and

(4) Provide charity care; and

(l) The statistical model used by the applicant to determine need.

N.H. Admin. Code § He-Hea 303.02

#7139, eff 11-23-99, EXPIRED: 11-23-07

New. #9075-B, eff 1-24-08; ss by #10518, INTERIM, eff 2-11-14, EXPIRES: 8-11-14

Amended by Volume XXXVI Number 19, Filed May 12, 2016, Proposed by #11081-B, Effective 4/23/2016, Expires 4/23/2026.