1 / 11

CPR Review Considerations DHRB Discussion July 25, 2013

CPR Review Considerations DHRB Discussion July 25, 2013. 16 Del. C ., Chapter 93 of the Delaware Code relating to Health Planning and Resources Management § 9303. Delaware Health Resources Board § 9306 Review Considerations. § 9306. Review Considerations AKA Criteria upon which CPR is decided.

pier
Download Presentation

CPR Review Considerations DHRB Discussion July 25, 2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. CPR Review ConsiderationsDHRB DiscussionJuly 25, 2013 16 Del. C., Chapter 93 of the Delaware Code relating to Health Planning and Resources Management § 9303. Delaware Health Resources Board § 9306 Review Considerations

  2. § 9306. Review ConsiderationsAKA Criteria upon which CPR is decided “In conducting reviews under this chapter, the Board shall consider as appropriate at least the following: (1) The relationship of the proposal to the Health Resources Management Plan adopted pursuant to § 9303 of this title. Prior to adoption of a Health Resources Management Plan by the Board, the State health plan last in use by the Health Resources Management Council shall comprise such plan;”

  3. Criterion #1: Notes, Variables & Context • DE Health Resources Mgmt Plan adopted 10/26/95 & last updated 3/6/10 • Note resource documents listed; are different or additional resources available in July 2013? • 7 General principles of Mgmt Plan: • HRB challenge: balance access, cost & quality of care issues • Complexity of medical indigency • Support managed, coordinated approach • Proximity to referral centers/out-of-state resources • Financial restraint • Enhancement of meaningful markets: balance quality & cost • Preventive activities – progress toward Healthy Delaware

  4. Criterion #1: Notes, Variables & Context, continued • Bed need formulas & projections (M/S-acute, OB, NH) • 1990-95 Population change calculated • 2005 Occupancy rates • 2010 projected bed needs • What or how have details or context changed? Beds added/deleted since 2010? Population? Occupancy? Demographics? • Guidelines within each subcategory (M/S, OB, NH) • Medical Technology: New & emerging re: use in DE • Devices (major medical equipment) & procedures (health services) • Balance access, cost, quality of innovative technology • What or how have details or context changed?

  5. Criterion #1: Notes, Variables & Context, continued • Charity Care Policy & Implementation Requirements • Appendix A. 2009 Federal Poverty Guidelines & 2005-07 DE 3-year average median household income • Appendix B. Charity care write-off for free standing surgery centers • Appendix C. CHAP/VIPII programs for uninsured • What has changed in July 2013? What do we know today that we did not know in 2009? What contextual changes have altered the economic/cost, access & quality climate?

  6. Criterion #2: “(2) The need of the population for the proposed project;” Notes, Variables & Context • Variables that determine need? What do we know? What don’t we know? • Contributing, antecedents/precipitating factors • Detracting, antecedents/resulting outcomes • Confounding • What in healthcare environment is changing? • Context that helps, hinders defining/describing need? Formula? Definitions of 3 types of beds?

  7. Criterion #3: “(3) The availability of less costly and/or more effective alternatives to the proposal, including alternatives involving the use of resources located outside the State;” Notes, Variables & Context • Less costly than what? What is measure or standard against which cost is evaluated? Indirect? Direct? Cost to whom? Cost impact on whom? • More effective that what? What is measure or standard against which effectiveness is evaluated? • Would outside state resource as alternative cost more because of indirect cost to family? Client? Loss to State?

  8. Criterion #4 “(4) The relationship of the proposal to the existing health care delivery system;” Notes, Variables & Context • What is the state of the current health care delivery system? Nationally? Within Delaware? Static? Dynamic? • What outcomes or changes are proposed, hypothesized or predicted about the health care delivery system?

  9. Criterion #5 “(5) The immediate and long-term viability of the proposal in terms of the applicant’s access to financial, management and other necessary resources;” Notes, Variables & Context • What are the time parameters for immediate? For long-term? What variables & context are important? • How is viability determined? What variables & context are important?

  10. Criterion #6: “(6) The anticipated effect of the proposal on the costs of and charges for health care;” Notes, Variables & Context • Parameters used to determine or compare costs, charges for health care? • Local or national cost variables? • How are costs & charges accounted for, determined, retrieved, and analyzed?

  11. Criterion #7 “(7) The anticipated effect of the proposal on the quality of health care;” Notes, Variables & Context • What is “quality”? What measures and standards are used to determine quality? Good quality? Poor quality? Standardized scales? National, regional, state or setting-determined standards? • Nature of the data used to define quality? Qualitative or quantitative? Derivation of data?

More Related