Numeric Need Methodology 

The Certificate of Need (CoN) program is a regulatory process that requires certain health care providers to obtain state approval before building certain types of facilities or offering new or expanded services. Program staff is available to provide technical assistance to you before submitting your application. Staff is also available to help you determine if a Certificate of Need is necessary.

The Certificate of Need Department determines need according to factors that are variable in relation to the proposed services.  Standards are outlined in the links below.

• Ambulatory Surgery

• Adult Elective Percutaneous Coronary Interventions (PCI)

• ESRD - Kidney Treatment

• Home Health (State Health Plan, v. 2)

• Hospice

• Hospice Care Centers

• Hospital

• Kidney Transplant

• Nursing Homes

• Open Heart Surgery

• Pediatric Cardiac Surgery & Interventional Treatment

 

Hospital/Acute Care Methodology

• Hospital Bed Need Method from the Washington State Health Plan (sunset 1989) (PDF, 6,761KB)

• Washington State 10 year Acute Care Bed Methodology - 2001-2010  (PDF, 102KB) Updated August, 2011

 

Adult Elective Percutaneous Coronary Interventions (PCI) Methodology

• 2011 PCI Need Forecast  (PDF)

 

Hospice Methodology

• 2010 Concurrent Review State Hospice Methodology  (PDF, 147KB)

  • 2010 Survey Data Set  (PDF, 210KB)

 

Nursing Homes

• Revised Minimum Dollar Threshold for Nursing Home Projects  (PDF, 17KB)  Effective January 1, 2010
• Bed Need Forecast - 70+ (PDF, 481KB)  Updated August 1, 2011
• Nursing Home Bed Supply  (PDF, 630KB)  January, 2012

 

ESRD Service Area Details

• Map of King County Sub Service Areas  (PDF, 355KB)

• Map of Pierce County Sub Service Areas  (PDF, 317KB)

• Map of Snohomish County Sub Service Areas  (PDF, 287KB)

• Map of Spokane County Sub Service Areas  (PDF, 217KB)

• Corresponding Zip Code Maps (PDF, 151KB)
   

Washington ESRD Facility Utilization

December 2011 Northwest Renal Network Communication on Pierce 4 Patient Counts (PDF)

·            For Use during 2011 Concurrent Review Cycles

Cycle 1:  Quarterly use data as of 9/30/2010 (available 11/9/2010)

Cycle 2:  Quarterly use data as of 12/31/2010 (available 2/16/2011)  

Cycle 3:  Quarterly use data as of 3/31/2011 (available 5/16/2011)

Cycle 4: Data not yet available from NWRN

• Program Communication - ESRD Data - 2010 Cycle 1  (PDF, 18KB)

• 2010 Washington ESRD Facility Utilization - NWRN Data  (PDF, 50KB) 

• 2009 Washington ESRD Facility Utilization - NWRN Data  (PDF, 57KB)

• 2008 Washington ESRD Facility Utilization - NWRN Data (PDF, 13KB)

• 2007 Washington ESRD Facility Utilization - NWRN Data (PDF, 23KB)

 

ESRD Service Area Methodologies

 2011 Concurrent Reviews:

Year End Data (As of 12/31/2010) for Need Projections:  Northwest Renal Network Modality Report Link

 

 2011 Methodologies:

Adams	Grant	King 9	Pend Oreille	Spokane 1
Asotin	Grays Harbor	King 10	Pierce 1	Spokane 2
Benton	Island	King 11	Pierce 2	Stevens
Chelan	Jefferson	King 12	Pierce 3	Thurston
Clallam	King 1	Kitsap	Pierce 4	Wahkiakum
Clark	King 2	Kittitas	Pierce 5	Walla Walla
Columbia	King 3	Klickitat	San Juan	Whatcom
Cowlitz	King 4	Lewis	Skagit	Whitman
Douglas	King 5	Lincoln	Skamania	Yakima
Ferry	King 6	Mason	Snohomish 1
Franklin	King 7	Okanogan	Snohomish 2
Garfield	King 8	Pacific	Snohomish 3

  

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