NC Register Volume 16 Issue 15 - Office of Administrative Hearings

(12) recovery area; and(13) observation area.History Note: Authority G.S. 131E-177; 131E-183(b);Eff. November 1, 1990;Temporary Amendment Eff. September 1, 1993 for a period of180 days or until the permanent rule becomes effective,whichever is sooner;Amended Eff. January 4, 1994;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 .2118 STAFFING(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, justifyand document the availability of the number of current andproposed staff to be utilized in the following areas:(1) administration;(2) pre-operative;(3) post-operative;(4) operating room; and(5) other.(b) The applicant shall identify the number of physicians whocurrently utilize the facility and estimate the number ofphysicians expected to utilize the facility and the criteria to beused by the facility in extending surgical and anesthesiaprivileges to medical personnel.(c) The applicant shall provide documentation that physicianswith privileges to practice in the facility will be active membersin good standing at a general acute care hospital within theambulatory surgical service area in which the facility is, or willbe, located or will have written referral procedures with aphysician who is an active member in good standing at a generalacute care hospital in the ambulatory surgical service area.History Note: Authority G.S. 131E-177; 131E-183(b);Eff. November 1, 1990;Temporary Amendment Eff. September 1, 1993 for a period of180 days or until the permanent rule becomes effective,whichever is sooner;Amended Eff. January 4, 1994;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 .2119 RELATIONSHIP TO SUPPORTAND ANCILLARY SERVICES(a) An applicant proposing to establish a new ambulatorysurgical facility, increase the number of operating rooms,convert a specialty ambulatory surgical program to amultispecialty ambulatory surgical program or add a specialty toa specialty ambulatory surgical program shall provide writtenTEMPORARY RULES16:15 NORTH CAROLINA REGISTER February 1, 20021683policies and procedures demonstrating that the facility will havepatient referral, transfer, and followup procedures.(b) The applicant shall provide documentation showing theproximity of the proposed facility to the following services:(1) emergency services;(2) support services;(3) ancillary services; and(4) public transportation.History Note: Authority G.S. 131E-177; 131E-183(b);Eff. November 1, 1990;Temporary Amendment Eff. September 1, 1993 for a period of180 days or until the permanent rule becomes effective,whichever is sooner;Amended Eff. January 4, 1994;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.SECTION .2200 - CRITERIA AND STANDARDS FOREND-STAGE RENAL DISEASE SERVICES10 NCAC 03R .2217 PERFORMANCE STANDARDS(a) An applicant proposing to establish a new End Stage RenalDisease facility shall document the need for at least 10 stationsbased on utilization of 3.2 patients per station per week as of thefirst day of operation of the facility.(b) An applicant proposing to increase the number of dialysisstations in an existing End Stage Renal Disease facility shalldocument the need for the additional stations based on utilizationof 3.2 patients per station per week as of the first day ofoperation of the additional stations.(c) An applicant shall provide all assumptions, including thespecific methodology by which patient utilization is projected.History Note: Authority G.S. 131E-177(1); 131E-183(b);Temporary Adoption Eff. January 1, 2002.SECTION .2500 - CRITERIA AND STANDARDS FORSUBSTANCE ABUSE/CHEMICAL DEPENDENCYTREATMENT BEDS10 NCAC 03R .2511 PERFORMANCE STANDARDS(a) An applicant shall not be approved unless the overalloccupancy, over the nine months immediately preceding thesubmittal of the application, of the total number of intensivetreatment beds and detoxification beds within the facility inwhich the beds are to be located, except in facilities with onlydetoxification beds, has been:(1) 75 percent for facilities with a total of 1-15intensive treatment beds and detoxificationbeds; or(2) 85 percent for facilities with a total of 16 ormore intensive treatment beds anddetoxification beds.(b) An applicant shall not be approved unless the overalloccupancy of the total number of intensive treatment beds anddetoxification beds to be operated in the facility is projected,except in facilities with only detoxification beds, by the fourth