900 KAR 6:125. Certificate of Need annual surveys.

 

      RELATES TO: KRS 216B.015

      STATUTORY AUTHORITY: KRS 216B.040(2)(a)1

      NECESSITY, FUNCTION, AND CONFORMITY: KRS 216B.040(2)(a)1 requires the Cabinet for Health and Family Services to administer Kentucky's Certificate of Need Program and to promulgate administrative regulations as necessary for the program. This administrative regulation establishes the requirements for submission of annual survey data to the cabinet for publication of annual reports necessary for the orderly administration of the Certificate of Need Program.

 

      Section 1. Definitions. (1) "Cabinet" is defined by KRS 216B.015(6).

      (2) "Days" means calendar days, unless otherwise specified.

      (3) "Long term care facility" means any entity with licensed long term care beds including nursing facility, nursing home, intermediate care, Alzheimer’s, intermediate care facility for individuals with and intellectual disability, or personal care.

      (4) "Office of Inspector General" means the office within the Cabinet for Health and Family Services that is responsible for licensing and regulatory functions of health facilities and services.

      (5) "Owner" means a person as defined in KRS 216B.015(22) who is applying for the certificate of need and will become the licensee of the proposed health service or facility.

      (6) "Year" means a calendar year from January 1 through December 31.

 

      Section 2. Entities Completing Surveys. The following entities shall submit annual surveys:

      (1) Licensed ambulatory surgery centers;

      (2) Licensed hospitals performing ambulatory surgery services;

      (3) Licensed home health agencies;

      (4) Licensed hospice agencies;

      (5) Licensed hospitals;

      (6) Licensed private duty nursing agencies;

      (7) Facilities with licensed long term care beds;

      (8) Entities that hold a certificate of need for MRI equipment;

      (9) Facilities with megavoltage radiation equipment;

      (10) Licensed psychiatric residential treatment facilities; and

      (11) Facilities with positron emission tomography equipment.

 

      Section 3. Annual Survey Submission. An annual survey shall be completed for the previous year and transmitted electronically by accessing the Office of Health Policy’s Web site at https://prd.chfs.ky.gov/OHPSurvey/.

 

      Section 4. Surveys shall be submitted annually as follows:

      (1) Kentucky Health Survey Registry Ambulatory Surgery II;

      (2) Kentucky Health Survey Registry Home Health II;

      (3) Kentucky Health Survey Registry Hospice;

      (4) Kentucky Health Survey Registry Hospital;

      (5) Kentucky Health Survey Registry Private Duty Nursing;

      (6) Kentucky Health Survey Registry Long Term Care;

      (7) Kentucky Health Survey Registry Magnetic Resonance Imaging;

      (8) Kentucky Health Survey Registry Megavoltage Radiation (Linear Accelerator);

      (9) Kentucky Health Survey Registry Psychiatric Residential Treatment Facility; and

      (10) Kentucky Health Survey Registry Positron Emission Tomography.

 

      Section 5. Annual surveys shall be completed and submitted no later than March 15th of each year. If the 15th falls on a weekend or holiday, the submission due date shall be the next working day.

 

      Section 6. Extensions for Survey Submission. (1) A request for an extension for submission of data shall be made in writing or via email to the Office of Health Policy.

      (2) The request for an extension shall state the facility name, survey log-in identification number, contact person, contact phone number, contact email address, and a detailed reason for the requested extension.

      (3) One (1) extension per survey of up to ten (10) days shall be granted.

      (4) An additional extension shall only be granted if circumstances beyond the entity’s control prevents timely completion of a survey.

 

      Section 7. Data Corrections to Draft Annual Reports Utilizing Data Submitted in the Annual Surveys. (1)(a) Prior to the release of a draft report to a facility for its review, the Office of Health Policy shall review data for completeness and accuracy.

      (b) If an error is identified, the facility shall be contacted by the Office of Health Policy and allowed fourteen (14) days to make corrections.

      (2)(a) Prior to publication of the reports, the Office of Health Policy shall publish draft reports available only to the entities included in each individual report.

      (b) Each facility shall be notified of a Web site and provided with a login identification and password required to access each applicable draft report and shall have fourteen (14) days to review the data for errors.

      (c) Corrections shall be submitted in writing or via email to the Office of Health Policy before the expiration of the fourteen (14) day review period.

      (3)(a) After publication of the reports, reports shall not be revised as a result of data reported to the Office of Health Policy incorrectly by the facility.

      (b) Corrections received after the fourteen (14) day review period shall not be reflected in the published report.

      (c) A facility may provide a note in the comments section for the following year’s report, referencing the mistake from the previous year.

 

      Section 8. Annual Reports. (1) Utilizing data submitted in the annual surveys, the Office of Health Policy shall publish reports annually as follows:

      (a) Kentucky Annual Ambulatory Surgical Services Report;

      (b) Kentucky Annual Home Health Services Report;

      (c) Kentucky Annual Hospice Services Report;

      (d) Kentucky Annual Hospital Utilization and Services Report;

      (e) Kentucky Annual Private Duty Nursing Agency Report;

      (f) Kentucky Annual Long Term Care Services Report;

      (g) Kentucky Annual Magnetic Resonance Imaging Services Report;

      (h) Kentucky Annual Megavoltage Radiation Services Report;

      (i) Kentucky Annual Psychiatric Residential Treatment Facility Report; and

      (j) Kentucky Annual Positron Emission Tomography Report.

      (2) Electronic copies of annual reports may be obtained at no cost from the Office of Health Policy’s Web site at http://chfs.ky.gov/ohp/dhppd/dataresgal.htm. A paper copy may be obtained for a fee of twenty (20) dollars at the Cabinet for Health and Family Services, Office of Health Policy, 275 East Main Street 4WE, Frankfort, Kentucky 40621.

 

      Section 9. A facility that fails to complete a required annual survey shall be referred to the Office of Inspector General for further action which may impact the facility’s license renewal as provided for in 902 KAR 20:008, Section 2(6).

 

      Section 10. Incorporation by Reference. (1) The following material is incorporated by reference:

      (a) "Kentucky Health Survey Registry Ambulatory Surgery II", screen prints, June 2014;

      (b) "Kentucky Health Survey Registry Home Health II", screen prints, June 2014;

      (c) "Kentucky Health Survey Registry Hospice", screen prints, June 2014;

      (d) "Kentucky Health Survey Registry Hospital", screen prints, June 2014;

      (e) "Kentucky Health Survey Registry Private Duty Nursing", screen prints, June 2014;

      (f) "Kentucky Health Survey Registry Long Term Care", screen prints, June 2014;

      (g) "Kentucky Health Survey Registry Magnetic Resonance Imaging", screen prints, June 2014;

      (h) "Kentucky Health Survey Registry Megavoltage Radiation (Linear Accelerator)", screen prints, June 2014;

      (i) "Kentucky Health Survey Registry Psychiatric Residential Treatment Facility", screen prints, June 2014; and

      (j) "Kentucky Health Survey Registry Positron Emission Tomography", screen prints, June 2014.

      (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Cabinet for Health and Family Services, 275 East Main Street, Frankfort, Kentucky 40621, Monday through Friday, 8 a.m. to 4:30 p.m. (36 Ky.R. 232; Am. 804; eff. 10-21-2009; 2258; 37 Ky.R. 380; eff. 8-18-2010; 37 Ky.R. 1605; 2223; 2400; eff. 5-6-2011; 38 Ky.R. 1395; 1736; eff. 5-4-2012; 39 Ky.R. 860; 1166; eff. 12-11-2012; 40 Ky.R. 179; 547; eff. 9-18-2013; TAm 12-16-2013; 41 Ky.R. 192; eff. 9-17-2014.)