N.H. Admin. Code § He-Hea 606.01

Current through Register No. 50, December 12, 2024

Section He-Hea 606.01 - Criteria

In addition to the criteria in RSA 151-C:7 and He-Hea 303, applicants shall meet the following criteria:

(a) Applicants shall demonstrate that their proposed project shall be financially feasible;

(b) Demonstration shall be in the form of a report in the application indicating:

(1) Financial resources are available to meet the long-term capital costs of procuring the magnetic resonance imaging equipment as well as any inherent building renovations and alterations to accommodate the new equipment; and

(2) The amount of start-up and operating costs associated with the proposed fixed MRI unit;

(c) Applicants shall demonstrate that personnel resources shall be available to operate the fixed unit;

(d) Demonstration shall be in the form of a report in the application that includes a staffing plan of all professional, technical and support personnel needed to provide diagnostic magnetic resonance imaging services with a fixed unit;

(e) Applicants shall demonstrate that services shall meet quality assurance requirements;

(f) Demonstration shall be in the form of a report in the application indicating:

(1) That the magnetic resonance imaging scanner is approved by the federal Food and Drug Administration; and

(2) How the proposed project will meet the requirements of licensing and accrediting by the N. H. department of health and human services;

(g) Applicants shall demonstrate that safety procedures shall be available in case of emergency;

(h) Demonstration shall be in the form of a report in the application indicating how personnel will be trained in the use of the equipment and the safety procedures:

(1) In the event of an emergency; and

(2) When contrast media or any form of anesthesia is applied;

(i) Applicants shall demonstrate, in the form of a report in the application, the effect their application will have on the current MRI delivery system specifically addressing the standards in He-Hea 303.02 through He-Hea 303.09;

(j) Pursuant to RSA 126:25, all licensed facilities providing MRI services shall collect utilization data to be submitted to the N.H. department of health and human services, office of health services planning and review, and shall include at a minimum the following data elements:

(1) Total number of procedures performed;

(2) Number of inpatient procedures;

(3) Number of outpatient procedures;

(4) Average MRI scanning time per procedure;

(5) Number of days of operation; and

(6) Source of payment for procedures and the total amounts charged during the most recent 12 months;

(k) The data collected pursuant to (j) above shall be prepared and sent to the board on a yearly basis. The yearly reports shall be submitted on or by January 31 of each year for the preceding 12 month period;

(l) Prior to the scan being performed, the patient's clinical indications for MRI shall be reviewed by a board certified radiologist for:

(1) Clinical scanning safety; and

(2) Clinical appropriateness of requested scanning;

(m) Demonstration of clinical appropriateness shall be demonstrated by the submission of utilization review reports on patients scanned at the facility;

(n) All fixed MRI providers shall not perform MRI scans without a referral made by:

(1) A licensed physician; or

(2) Other licensed health care practitioner who is credentialed by a New Hampshire hospital to refer MRI service;

(o) Applicants shall document the levels of anticipated construction costs associated with the renovations and alterations as a result of acquiring MRI equipment;

(p) Documentation shall be in the form of a report in the application that includes a detail of the overall costs of the project on a per square foot basis;

(q) Applicants shall demonstrate that the needs of the underserved populations are or shall be met;

(r) Demonstration shall be in the form of a report in the application indicating that MRI services shall be made available and accessible to everyone; and

(s) Possible competitive impact upon the availability of MRI services, existing vendors or other proposed vendors shall not be a basis for denying an application except for an application to install a fixed unit at a location in a small hospital service area that is not owned or operated by the hospital located in the small hospital service area. No application for a fixed unit in a small hospital service area shall be granted unless the Board finds that the proposal shall not adversely affect the continued ability of the hospital in the small hospital service area to meet the criteria set forth in He-Hea 606.02(b)(4).

N.H. Admin. Code § He-Hea 606.01

#5350, eff 3-10-92; ss by #5453, eff 8-28-92; ss by #5754, eff 12-14-93; ss by #7156, INTERIM, eff 12-15-99, EXPIRED: 4-13-00

New. #7268, eff 5-10-00, EXPIRED: 5-10-08

New. #9260, eff 9-13-08