Adopted Regs. Expansion
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Regulations Adopted on Jan 31, 2006 For Expanding Existing Hospitals in the State of Kentucky
An application to add additional acute care beds to an existing licensed hospital shall be consistent with this Plan if the following criteria are met:
1. The hospital can document that transfer or conversion of special purpose acute care beds to acute care beds is not feasible because occupancy in the special purpose acute beds is greater than sixty-five (65) percent or if the occupancy is less than sixty-five (65) percent, the transfer of such beds would be insufficient to meet the hospital’s total additional acute care bed need; and,
2. The hospital can document that its acute care occupancy rate has been higher than the target occupancy rate set forth in Table 1 according to the most recent edition of the Kentucky Annual Hospital Utilization and Services Report; or,
Table 1 Facility Target Acute Care Bed Occupancy Rates
| Number of beds per Facility |
Facility Target Acute Care Bed
Occupancy Percentage |
| 1-50 | 60% |
| 51 – 100 | 65% |
| 101 – 200 | 70% |
| 201 and above | 75% |
3. The hospital can document that its utilization of acute care beds has reached functional capacity for the prior twelve (12) months. In calculating functional capacity, consideration shall be given to the percentage of licensed acute care beds, psychiatric beds and/or chemical dependency beds currently operational as well as other factors affecting the utilization at the hospital including, but not limited to, the mix of private and semi-private rooms, patient matching limitations such as gender or the needs for isolation beds required to address emergency patient needs, and limits created by special purpose acute units.
4. The maximum number of acute care beds that may be approved will be based on volume projected five (5) years from the date on which the hospital filed its application for additional acute care beds. Approval will be based on the higher of:
5. With the exception of neonatal beds, a hospital with existing special purpose acute care beds may convert licensed acute care beds for use as special purpose acute care beds without certificate of need approval, as long as the addition of such beds will not result in an increase in total licensed acute care beds in the hospital.
To view the entire proposed and adopted KY Health Care Plan click on the links below:
Click Here To View the Proposed Kentucky Healthcare
Plan
Click Here To View the Jan 31, 2006 Adopted
Kentucky Healthcare Plan
Click Here To View the May 12, 2006 Adopted Kentucky Healthcare Plan