CON Process - Final - bLUE VERSION - Flipbook - Page 3
navigates these ‘gray area’ items so that DOH’s questions will be answered promptly,
resulting in an improved project.
Someone without experience may respond to one of these items with an answer that
DOH will not approve of or, worse yet, would end up costing more money to achieve. At
the same time, a seasoned healthcare architect can have an educated discussion with
DOH and often have them agree or compromise to come to a middle solution.
The architectural review is only a portion of the required submission. Our clients also
supply financial and operational data.
Note: Since June 22, 2023, hospitals, nursing homes, midwifery birthing centers,
ambulatory surgery centers, and specific diagnostic and treatment centers in New York
will need to complete a Health Equity Impact Assessment (HEIA) when filing a Certificate
of Need (CON) application. The purpose of the HEIA is to demonstrate how a facility’s
proposed project affects the accessibility and delivery of services and whether the
project will enhance health equity and contribute to mitigating health disparities in the
project’s service area, specifically for medically underserved groups (e.g., People of
Color, LGBQ, immigrants, women, older adults, people living in rural areas, those who
need physical assistance, TGNC, and public health benefits recipients).
CON HAS 3 LEVELS:
1. FULL REVIEW: These are usually done for establishments of new Hospital
organizations or large projects. Public Health and Health Planning Council (PHHPC)
approval is required, and they meet approximately
every two months. The PHHPC first reviews the CON
information and provides a recommendation to the
full Council. Usually, the Council acts per the
Committee’s recommendations. Typically, this takes
the most time. However, these projects have a
priority level because there are deadlines to meet to
get on the PHHPC schedule.
2. ADMINISTRATIVE REVIEW: This is a similar review
as a FULL REVIEW, but this does not require Public
Health Council review because these projects are less
than or equal to $30 million (hospitals) or less than or
equivalent to $15 million and greater than $6 million
(all other facilities).
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