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  Screening Criteria 
Capacity Assessment
  Technology Assessment
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Scope of CTAAB Review:

CTAAB will assess community need for health care projects in the areas of new or expanded technology, new or expanded services, and major capital expenditures as proposed by public providers (e.g., Article 28) and private providers (e.g., physicians, entrepreneurs, and health facilities). The CTAAB will make determination on whether:

  • An application of a new technology or service or novel application of an existing technology or service represents appropriate evidence-based medical practice;
  • Additional health service capacity is warranted, taking into account geographic location, access, cost-effectiveness, quality, and other community issues.

For the purposes of determining the scope of CTAAB activities:

  •  A service is defined as a program offered by a health care provider for which public or third party reimbursement is sought.  Examples:  ambulatory surgical centers, sleep centers, women’s health centers, infusion therapy programs, transplant programs.
  •  A technology is defined as a drug, device, procedure, test, or treatment rendered in the course of providing health care.  Examples:  linear accelerator machines.
  •  A major capital expenditure is defined as an expenditure within the health care system that meets or exceeds the parameters stated in the Screening Criteria.  Examples:  renovation of a hospital unit, addition of surgical suites.

CTAAB Screening Criteria:

The CTAAB will review and make recommendations on: 

  • those proposals that fall within its scope as defined above and which exceed CTAAB thresholds of $750,000 capital equipment or incremental community expenditure; or
  • Other significant community issues as identified by the payers.

Exceptions will be considered by CTAAB on a case-by-case basis.

In addition to the above-listed criteria, the following issues are of importance to the community and will always be reviewed regardless of financial impact: cardiac catheterization labs, operating rooms, diagnostic and treatment centers, transplant services, hospital beds, magnetic resonance imaging (MRI) units, positron emission tomography (PET) scanners, sleep beds, computed tomography (CT) scanners, lithotripters, and hyperbaric oxygen therapy (HBOT).

Note: As a part of the analysis of a proposal for an incremental CT scanner, review of ICD-9 or other diagnostic codes will be undertaken to determine if the current and/or projected volume of scans is justified only on the basis of cardiac-related procedures.

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