NC Register Volume 16 Issue 15 - Office of Administrative Hearings

anesthesia and a period of post-operativeobservation of less than 24 hours.(8) "Existing operating rooms" means thoseoperating rooms in ambulatory surgicalfacilities and hospitals which were reported inthe License Application for AmbulatorySurgical Facilities and Programs and in Part IIIof Hospital Licensure Renewal ApplicationForm submitted to the Licensure Section of theDivision of Facility Services and which werelicensed and certified prior to the beginning ofthe review period.(9) "Approved operating rooms" means thoseoperating rooms that were approved for acertificate of need by the Certificate of NeedSection prior to the date on which theapplicant's proposed project was submitted tothe Agency but that have not been licensed andcertified.(10) "Multispecialty ambulatory surgical program"means a program as defined in G.S. 131E-176(15a).(11) "Outpatient or ambulatory surgical operatingroom" means an operating room used solelyfor the performance of ambulatory surgicalprocedures.(12) "Shared operating room" means an operatingroom that is used for the performance of bothambulatory and inpatient surgical procedures.(13) "Specialty area" means an area of medicalpractice in which there is an approved medicalspecialty certificate issued by a member boardof the American Board of Medical Specialtiesand includes, but is not limited to thefollowing: gynecology, otolaryngology,plastic surgery, general surgery,ophthalmology, urology, orthopedics, and oralsurgery.(14) "Specialty ambulatory surgical program"means a program as defined in G.S. 131E-176(24c).(15) "Practical utilization" is 4.3 surgical cases perday for an outpatient or ambulatory surgicaloperating room, 3.5 surgical cases per day fora shared operating room, 2.7 surgical cases perday for an inpatient operating room, and 4.3cases per day for an endoscopy procedureroom.History Note: Authority G.S. 131E-177(1); 131E-183(b);Eff. November 1, 1990;Amended Eff. March 1, 1993;Temporary Adoption Eff. September 1, 1993 for a period of 180days or until the permanent rule becomes effective, whichever issooner;Amended Eff. January 4, 1994;Temporary Amendment Eff. January 1, 1999;Temporary Eff. January 1, 1999 Expired on October 12, 1999;Temporary Amendment Eff. January 1, 2000;TEMPORARY RULESTemporary Amendment effective January 1, 2000 amends andreplaces a permanent rulemaking originally proposed to beeffective August 2000;Amended Eff. April 1, 2001;Temporary Amendment Eff. July 1, 2001;Temporary Amendment Eff. January 1, 2002;Temporary Amendment effective January 1, 2002 amends andreplaces a permanent rulemaking originally proposed to beeffective August 1, 2002.10 NCAC 03R .2114 INFORMATION REQUIRED OFAPPLICANT(a) An applicant proposing to establish a new ambulatorysurgical facility, to increase the number of operating rooms, toconvert a specialty ambulatory surgical program to amultispecialty ambulatory surgical program or to add a specialtyto a specialty ambulatory surgical program shall identify each ofthe following specialty areas that will be provided in the facility:(1) gynecology;(2) otolaryngology;(3) plastic surgery;(4) general surgery;(5) ophthalmology;(6) orthopedic;(7) oral surgery; and(8) other specialty area identified by the applicant.(b) An applicant proposing to establish a new ambulatorysurgical facility, to increase the number of operating rooms, toconvert a specialty ambulatory surgical program to amultispecialty ambulatory surgical program or to add a specialtyto a specialty ambulatory surgical program shall provide thefollowing information regarding the services to be offered in thefacility following completion of the project:(1) the number and type of existing and proposedoperating rooms;(2) the number and type of existing and proposedshared operating rooms;(3) the current and projected number of surgicalprocedures, identified by CPT code or ICD-9-CM procedure code, to be performed in theoperating rooms;(4) the fixed and movable equipment to be locatedin each operating room;(5) the hours of operation of the proposedoperating rooms;(6) if the applicant is an existing facility, theaverage charge for the 20 surgical proceduresmost commonly performed in the facilityduring the preceding twelve months and a listof all services and items included in eachcharge;(7) the projected average charge for the 20surgical procedures which the applicantprojects will be performed most often in thefacility and a list of all services and items ineach charge; and(8) identification of providers of pre-operativeservices and procedures which will not beincluded in the facility's charge.History Note:Authority G.S. 131E-177; 131E-183(b);16:15 NORTH CAROLINA REGISTER February 1, 20021681