New Hampshire Administrative Code

(a) "UR" means use rate which is a table of age and gender use rates that is computed by the applicant by dividing the total patient days statewide for the most recent 12 months as obtained from the UHDDS by the statewide population for the same time period divided by 1,000; (b) …

(a) "Total Admissions" means the total number of patients admitted to the hospital within a given year. (b) "Inp_Rev" means the gross inpatient revenue collected from patients admitted to the hospital in a given year. (c) Out_Rev" means the gross outpatient revenue collected from…

(a) Requests for replacement of existing beds shall be developed on the basis of the following minimum and optimal occupancy rates based upon total operational beds for general hospitals, by service category, as set forth in Table 1003-2, "Bed Replacement Calculation Table". Tabl…

(a) Applicants proposing to establish, expand or renovate an acute care facility shall demonstrate that the proposed facility shall not have a detrimental impact on health services within the proposed service area in terms of: (1) Quality of care; (2) Access to and availability o…

In addition to all other requirements in RSA 151-C:7 and He-Hea 303.02 through He-Hea 303.09, applicants shall meet the following criteria for consideration of a CON for expansion, renovation or replacement of an acute care facility: (a) Applicants shall demonstrate that the anti…

(a) "Total operating revenues" means the sum of all revenue collected from the provision of patient care services. (b) "Operating expenses" means the annual costs of the day-to-day provision of patient care services. (c) To calculate operating margin ratio, the applicant shall su…

(a) "Cash flow" means the sum of total revenue less total expenses plus depreciation and interest payment. (b) "Principal payment" means the amount of a loan due during one year which is attributable to the principal portion of the debt, less interest costs. (c) "Interest expense…

(a) "Long term liabilities" means a facility's debt which is likely to take more than one year to be paid. (b) "Fund balance" means the excess of assets over liabilities. (c) To calculate debt to equity ratio, applicants shall divide long term liabilities by fund balance, as in t…

(a) "Current assets" means a facility's economic resources which are likely to be converted to cash in one year. (b) "Current liabilities" means debt of a facility paid within one year of incurrence. (c) To calculate current ratio, applicants shall divide current assets by curren…

The board shall issue a request for applications on August 1 of each year pursuant to RSA 151-C:8, I if potential need has been determined based upon the receipt of a letter of intent from a provider. Notes N.H. Admin. Code § He-Hea 1005.01 #4456, eff 7-25-88; ss by #4988, eff 11…

Applications shall be: (a) Prepared using the board's application form per He-Hea 304; and (b) Submitted to the board 90 days after a request for applications has been issued by the board. Notes N.H. Admin. Code § He-Hea 1005.02 #4456, eff 7-25-88; ss by #4988, eff 11-21-90; ss b…

(a) The number of acute care beds statewide shall not exceed 2.5 for each 1,000 persons; (b) The board shall apply the use rate in (a) above to 5 year projected population statistics that are prepared and available through the New Hampshire office of energy and planning, 57 Regio…

Hospital Service areas shall be based upon: (a) The calculation per He-Hea 1003.01; and (b) Table 1003-1 "Service Areas by Hospital." Notes N.H. Admin. Code § He-Hea 1006.02 #6840, eff 8-28-98, EXPIRED: 8-28-06 New. #8742, INTERIM, eff 10-21-06, EXPIRESD 4-19-07 New. #8918, eff 6…

(a) Applicants shall develop:(1) Current and projected populations for their hospital service area and secondary service area; and (2) Current and projected age and gender cohorts for their hospital service area and secondary service area. (b) Population estimates for (a) above s…

Applicants shall report their market share for each town in the proposed service area by using discharge data from the UHDDS. Notes N.H. Admin. Code § He-Hea 1006.04 #6840, eff 8-28-98, EXPIRED: 8-28-06 New. #8742, INTERIM, eff 10-21-06, EXPIRED: 4-19-07 New. #8918, eff 6-22-07; …

Applicants shall provide projected patient days to support the proposed new beds from: (a) The common hospital DRGs as outlined in He-Hea 1003.01; (b) Any class of DRGs specific to the proposal; or (c) Both (a) and (b) above. Notes N.H. Admin. Code § He-Hea 1006.05 #6840, eff 8-2…

(a) "UR" means use rate which is a table of age and gender use rates that is computed by the applicant by dividing the total patient days statewide for the most recent 12 months as obtained from the UHDDS by the statewide population for the same time period divided by 1,000; (b) …

(a) Requests for additional beds shall be developed on the basis of the following minimum and optimal occupancy rates based upon total operational beds for general hospitals, by service category, as set forth in Table 1006-1, "Bed Calculation Table". Table 1006-1 Bed Calculation …

(a) Applicants proposing to establish, expand or renovate an acute care facility shall demonstrate that the proposed facility shall not have a detrimental impact on health services within the proposed service area in terms of: (1) Quality of care; (2) Access to and availability o…

In addition to all other requirements in RSA 151-C:7, He-Hea 303.02 through He-Hea 303.09, and He-Hea 1004.01, applicants shall meet the following criteria for consideration of a CON for new acute care beds: (a) Applicants shall demonstrate the impact of adding new acute care bed…

In accordance with RSA 151-C:8, I requests for applications shall be issued on August 1st of each year if a need has been delineated for new acute care beds pursuant to He-Hea 1006.01. Notes N.H. Admin. Code § He-Hea 1008.01 #5236, eff 9-27-91, EXPIRED: 9-27-97 New. #6655, INTERI…

Applications for new acute care beds shall be: (a) Prepared using the board's application form per He-Hea 304; and (b) Submitted to the board 90 days after the issuance of a request for applications. Notes N.H. Admin. Code § He-Hea 1008.02 #6840, eff 8-28-98, EXPIRED: 8-28-06 New…

(a) "ACCF/SCA&I" means the American College of Cardiology Foundation/Society for Cardiac Angiography and Interventions. (b) "Adult cardiac catheterization laboratory services" means those cardiac catheterization procedures that are performed on adults in a cardiac catheterization…

(a) Adult cardiac catheterization laboratory services shall only be provided at a licensed acute care facility. (b) Licensed acute care facilities providing adult interventional cardiac catheterization laboratory services shall secure and maintain a formal transfer agreement with…

(a) Any applicant for adult cardiac catheterization laboratory services shall demonstrate the availability of a quality assurance plan to objectively and systematically monitor patient care. (b) Demonstration of a quality assurance plan shall be made by submitting with the applic…

(a) Staffing for adult cardiac catheterization laboratory services shall be in accordance with Section 6of the "ACCF/SCA&I ExpertConsensus document on Cardiac Catheterization Laboratory Standards Update" dated 2012, as referenced in Appendix II of these rules. (b) Adult cardiac c…

Notes N.H. Admin. Code § He-Hea 1102.04 #4326, eff 10-21-87; ss by #4923, eff 8-23-90; ss by #5237, eff 9-27-91, EXPIRED: 9-27-97 New. #6931, eff 1-14-99; ss by #8375, eff 6-21-05; rpld by #9823, eff 11-23-10

In addition to the criteria included in RSA 151-C:7 and He-Hea 303.02 through He-Hea 303.09, each applicant shall meet the following criteria when applying for a CON for adult cardiac catheterization laboratory services: (a) Applicants shall demonstrate that the anticipated propo…

The board shall issue a request for applications for adult cardiac catheterization laboratory services upon notification by a provider that they meet the requirements of He-Hea 1102 and He-Hea 1103. Notes N.H. Admin. Code § He-Hea 1104.01 #4457, eff 7-25-88; ss by #4923, eff 8-23…

Applications shall be processed in accordance with the requirements of RSA 151-C:8. Notes N.H. Admin. Code § He-Hea 1104.02 #4345, eff 12-17-87; ss by #4457, eff 7-25-88; ss by #4923, eff 8-23-90; ss by #5237, eff 9-27-91, EXPIRED: 9-27-97 New. #6931, eff 1-14-99; ss by #8375, ef…

(a) If an applicant demonstrates full compliance with the requirements of He-Hea 1102 and He-Hea 1103 for adult cardiac catheterization services, a certificate of need shall be issued. (b) Notice of the board's action shall be given pursuant to RSA 151-C:9. Notes N.H. Admin. Code…

(a) Any applicant for new adult open heart surgery services shall demonstrate the availability of existing services in the proposed service area. (b) Demonstration shall be in the form of a statistical report which provides a detail of the number of adult open heart surgery proce…

The addition of new operating rooms for open heart surgery resulting in a major construction or renovation project shall be subject to review if any one or all of the thresholds in RSA 151-C:5, II are applicable to the applicant's proposed project and will be exceeded. Notes N.H.…

Adult open heart surgery services shall be available and accessible as follows: (a) Adult open heart surgery services shall be available and accessible for a minimum of 80% of the total New Hampshire population within 1.5 to 2 hours travel time from a patient's residence; and (b)…

(a) Each new adult open heart surgery program shall assure that the proposed volume of service shall not be detrimental to the existing health care system of the state. (b) Demonstration that the proposed volume of service will not be detrimental to the state's health care system…

(a) No new adult open heart surgery program shall be approved unless it can be demonstrated that the proposed program can retain the number of patients needed to assure a minimum volume of 250 cases annually per facility. (b) No new services shall be approved if the introduction …

Each adult open heart surgery program shall comply with the following personnel and staffing requirements: (a) At least 2 board-certified cardiothoracic surgeons; (b) At least 2 board-certified anesthesiologists with special training through residency in the management of open he…

Each adult open heart surgery program shall include, at minimum, the following: (a) A total of 4 beds dedicated and segregated in a CCU; (b) A telemetry unit proximate to the CCU; (c) An acute renal dialysis service; (d) A family-centered rehabilitation service; (e) A minimum of …

In addition to the criteria included in RSA 151-C:7 and He-Hea 303.02 through He-Hea 303.09, applicants shall meet the following criteria when applying for a CON for adult cardiac surgery services: (a) In order to assess the current and long-range financial feasibility of the pro…

In accordance with RSA 151-C:8, requests for applications shall be issued if a need has been delineated for additional open heart surgery service pursuant to this chapter. Notes N.H. Admin. Code § He-Hea 1107.01 #5237, eff 9-27-91, EXPIRED: 9-27-97 New. #6931, eff 1-14-99; ss by …

(a) In accordance with RSA 151-C:5, II(b), any health care facility shall obtain a certificate of need to transfer more than 50% of its total assets if it is not certified under Title XVIII or Title XIX of the Social Security Act at the time of transfer of ownership. (b) Transfer…

(a) "Applicant" means "applicant" as defined in RSA 151-C:2, II. (b) "Board" means "board" as defined in RSA 151-C:2, IV. (c) "Certificate of need (CON)" means "certificate of need" as defined in RSA 151-C:2, VIII. (d) "Health care facility" means "health care facility" as define…

(a) Applicants for a transfer of ownership transaction shall complete, have notarized, and submit Form 301B, "Application for a Transfer of Ownership of a Health Care Facility", revised January 2015. (b) Such applications shall meet the requirements of He-Hea 206.01(a) and (e). N…

Notes N.H. Admin. Code § He-Hea 1203.02 #4111, eff 8-20-86; ss by # 5257, eff 10-23-91, EXPIRED: 1-23-97 New. #6656, INTERIM, eff 12-18-97, EXPIRED: 4-17-98 New. #6763, eff 6-2-98, ss by #8633, INTERIM, eff 5-20-06, EXPIRES: 11-16-06; rpld by #8707, eff 8-22-06 The amended versio…

Applications may be filed at any time. Notes N.H. Admin. Code § He-Hea 1204.01 #4111, eff 8-20-86; ss by #5257, eff 10-23-91, EXPIRED: 1-23-97 New. #6656, INTERIM, eff 12-18-97, EXPIRED: 4-17-98 New. #6763, eff 6-2-98, ss by #8633, INTERIM, eff 5-20-06, EXPIRES: 11-16-06; ss by #…

(a) The board shall conduct a hearing to consider the applications filed under this chapter at its first regularly scheduled meeting following notification that the application has been received. (b) If an applicant demonstrates full compliance with the requirements of He-Hea 120…

(a) The board shall conduct a hearing to consider the applications filed under this chapter at its first regularly scheduled meeting following notification that the application is deemed complete pursuant to RSA 151-C:8,V. (b) If an applicant demonstrates full compliance with the…