The Certificate of Need program is a regulatory process that requires certain health care providers to obtain state approval before offering certain new or expanded services. The CON program currently regulates hospices, skilled nursing facilities, intermediate care facilities for the developmentally disabled, new hospitals and certain hospital services. It does not regulate outpatient services, home health services, purchases of major medical equipment or assisted living facilities. A certificate of need must be obtained from the Florida Agency for Health Care Administration (AHCA). Applications from competing facilities are reviewed by the Agency in four batching cycles throughout the year. This review process is intended to minimize health care costs by limiting the expenditure of capital funds to only those programs and services necessary to ensure quality patient care.
The State of Florida contracts with the HCWCF to collect and report hospital utilization data that includes patient days for acute care, NICU, psychiatric, and rehab; cardiac catherization visits; open heart surgeries and organ transplantations. In addition data for nursing homes including patient days and Medicaid funded patient days are collected by HCWCF. AHCA also utilized our services to monitor construction progress on approved CON’s and facilitate public hearings on CON applications under review.
Under contract with the Department of Health we develop annual updates to the County Health Profile for our five counties. Each profile provides major health status indicators gathered from many sources and is displayed in tables and graphs for ease of the user. Data elements include: general demographics (age, sex, and race), socioeconomics (income, unemployment, educational level, and health care costs), federal designations (professional shortage areas), leading causes of death, maternal and child health (birth rates, prenatal care, and immunizations), healthcare access, and utilization of resources (hospitals, nursing homes and emergency rooms).
MAPP is a strategic planning model developed by National Association of County and City Health Officials (NACCHO) and Centers for Disease Control and Prevention (CDC) to help communities address health priorities. The Florida Department of Health recommends that the MAPP process be used in all 67 Florida counties. Contact HCWCF for assistance with implementing MAPP in your community.
The National Public Health Performance Standards Program (NPHPSP) is a collaborative effort to enhance the Nation’s public health systems. Using instruments developed by NACCHO and CDC a community assesses its performance relative to ten essential services. Contact HCWCF for assistance with this planning process.
HCWCF is available to develop and/or coordinate opportunities for consumers, professionals and the general public to participate in educational programs and/or public dialogue on health challenges facing our local communities. Contact us to discuss how we can partner on these programs.