On February 15, 2009, a comprehensive revision of the Virginia Department of Health’s State Medical Facilities Plan (“SMFP”) became effective. Some of the changes in these regulations may affect your plans for adding inpatient beds. Changes from earlier drafts are highlighted in bold.
Need for New Service:
No new inpatient beds should be approved in any health planning district unless the average annual occupancy based on the number of beds in the health planning district for the relevant reporting period is 80% at midnight census for medical/surgical or pediatric beds, and 65% at midnight census for intensive care beds. For proposals to convert under-utilized beds that require a capital expenditure of $15 million or more, consideration may be given if:
“Underutilized” means less than 80% average annual occupancy for medical/surgical or pediatric beds, when the relocation involves such beds and less than 65% average annual occupancy for intensive care beds when relocation involves such beds.
Expansion or Relocation of Service:
Proposals to relocate beds to a location not contiguous to the existing site should be approved only when:
Please contact Mellette PC if you have any questions about the impact of the SMFP regulations on future projects.