The Certificate of Need (CON) Process
The Certificate of Need is an essential part in the process of renovating health care facilities and hospitals. Each State must approve hospital or long-term health provider renovations, capital improvements, mergers or proposed new additions. In the article "State Considers Dropping Certificate of Need Process", John W. Cox, a writer for the South Florida Business Journal, states that the CON procedure limits the number of health care establishments providing identical services within a given geographical market.
New York State was the first to initiate the Certificate of Need procedure in 1970. It was intended to help maintain health care costs. Eventually, it was adopted and then abandoned by the Federal government. The Certificate of Needs greatest value is that it helps maintain costs. Currently, 38 states have a Certificate of Need program. Others are trying to improve their Certificate of Need program. The program varies from state to state. In New York, there are three types of CON applications:
Any project which adds beds, establishes a new operator, or adds certain high risk services (open heart surgery, cardiac catheterization, organ transplantation, lithotripsy, or chronic renal dialysis) requires a Full Review, regardless of cost.
Each type application is reviewed differently. The Non-Sub application takes about 60 days to review if the applicant submits all required information. The Limited Architectural review applications are processed within a few weeks.
The Bureau of Project Management manages the CON process for Non-Sub and Full Review applications. Limited Architectural reviews are done directly by the Bureau of Architectural and Engineering Facility Planning.
You can obtain an application for Limited Review by calling the Bureau of Architectural and Engineering Facility Planning. Applications for Non-Sub or Full Reviews are available from the Bureau of Project Management or from your local Regional Office.
Most applications are approved. From March, 1999 to the end of May, 1999, 127 applications were approved.
During the next 6 months, the New York State Department of Health will consolidate the CON process to include all types of projects on one application. The State is also planning to include Office of Mental Health (OHM) and Office of Alcoholism and Substance Abuse Services (OASAS) projects in its CON application process. When an OMH or OASAS facility is Article 28, or has a health care component, it must have a CON application filed.
The main criteria for application approval are need, financial feasibility, character and competence of the applicant. The trend in projects earlier this year includes hospital equipment such as CT and MRI scanners, ambulatory stations, diagnostic treatment centers, dialysis stations, and rehabilitation centers.
Questions and Answers:
1)Who can I call for assistance?
2) Are there any special instructions I should know about the whole process?
Special thanks to Mr. John Wettergreen of the New York State Department of Health who helped with this article.
IF YOU NEED MORE ASSISTANCE, CONTACT:
Peter Blaufeux AIA Architects
Phone: (212) 529-2090 Fax: (212) 529-2193
Michael Domanski, Senior Health Planner
Phone: (518) 402-0911 Fax: (518) 402-0975
Thomas M. Jung, Bureau Director
Phone: (518) 402-0904 Fax: (518) 402-0975
Regional Office for Westchester, Rockland, Putnam Counties
New York State Department of Health
Phone: (914) 632-3701 main number or Long Term Care Unit : (914) 632-3716
Regional Office for New York City
Eli Gorlic, Environmental Unit
Phone: (212) 613-4837
Regional Office for Nassau and Suffolk Counties
Paul Kaczmarek, Acting Regional Director
Phone: (516) 231-1880 Fax: (516) 231-3965
Dominick Testo, Director
One private company that manages CON applications is:
HANYS Services, Inc.
Phone: (518) 431-7600 Fax: (518) 431-7849
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