10A NCAC 14C .2602. INFORMATION REQUIRED OF APPLICANT

(a)  An applicant proposing to establish new psychiatric beds shall project resident origin by percentage by county of residence.  All assumptions and the methodology for projecting occupancy shall be stated.

(b)  An applicant proposing to establish new psychiatric beds shall project an occupancy level for the entire facility for the first eight calendar quarters following the completion of the proposed project, including average length of stay.  All assumptions and the methodology for projecting occupancy shall be stated.

(c)  The applicant shall provide documentation of the percentage of patients discharged from the facility that are readmitted to the facility at a later date.

(d)  An applicant proposing to establish new psychiatric beds shall describe the general treatment plan that is anticipated to be used by the facility and the support services to be provided, including provisions that will be made to obtain services for patients with a dual diagnosis of psychiatric and chemical dependency problems.

(e)  The applicant shall document the attempts made to establish working relationships with the health care providers and others that are anticipated to refer clients to the proposed psychiatric beds.

(f)  The applicant shall provide copies of any current or proposed contracts or agreements or letters of intent to develop contracts or agreements for the provision of any services to the clients served in the psychiatric facility.

(g)  The applicant shall document that the following items are currently available or will be made available following completion of the project:

(1)           admission criteria for clinical admissions to the facility or unit;

(2)           emergency screening services for the targeted population which shall include services for handling emergencies on a 24-hour basis or through formalized transfer agreements;

(3)           client evaluation procedures, including preliminary evaluation and establishment of an individual treatment plan;

(4)           procedures for referral and follow-up of clients to necessary outside services;

(5)           procedures for involvement of family in counseling process;

(6)           comprehensive services which shall include individual, group and family therapy; medication therapy; and activities therapy including recreation;

(7)           educational components if the application is for child or adolescent beds;

(8)           provision of an aftercare plan; and

(9)           quality assurance/utilization review plan.

(h)  An applicant proposing to establish new psychiatric beds shall specify the primary site on which the facility will be located.  If such site is neither owned by nor under option by the applicant, the applicant shall provide a written commitment to pursue acquiring the site if and when a certificate of need application is approved, shall specify at least one alternate site on which the facility could be located should acquisition efforts relative to the primary site ultimately fail, and shall demonstrate that the primary site and alternate sites are available for acquisition.

(i)  An applicant proposing to establish new psychiatric beds shall provide documentation to show that the services will be provided in a physical environment that conforms with the requirements in 10A NCAC 27G .0300.

(j)  An applicant proposing to establish new adult or child/adolescent psychiatric beds shall provide:

(1)           documentation that adult or child/adolescent inpatient psychiatric beds designated for involuntary admissions in the licensed hospitals that serve the proposed mental health planning area were utilized at less than 70 percent for facilities with 20 or more beds, less than 65 percent for facilities with 10 to 19 beds, and less than 60 percent for facilities with one to nine beds in the most recent 12 month period prior to submittal of the application; or

(2)           a written commitment that the applicant will accept involuntary admissions and will meet the requirements of 10A NCAC 26C .0103 for designation of the facility, in which the new psychiatric beds will be located, for the custody and treatment of involuntary clients, pursuant to G.S. 122C-252.

 

History Note:        Authority G.S. 131E-177(1); 131E-183;

Eff. December 1, 1996;

Temporary Amendment Eff. February 1, 2006;

Amended Eff. August 1, 2009; November 1, 2006.