Section 1100.810  Long-Term Acute Care Hospital Category of Service

a)         Planning Areas

HSA    1                                  HSAs  5 and 11

HSAs  2 and 10                      HSAs  6, 7, 8 and 9

HSAs  3 and 4

b)         Age Groups

For Long-Term Acute Care Hospital (LTACH) services, all ages.

c)         Occupancy Target

Facilities that provide LTACH beds should operate those beds at or above an annual minimum occupancy rate of 85%.

d)         Authorized Hospital Bed Capacity

1)         Any beds in existence prior to April 15, 2010 that were used as LTACH beds have been reclassified from medical-surgical or ICU beds to LTACH beds.

2)         Beds in LTACHs certified by CMMS shall be reclassified by HFSRB in its Inventory of Health Care Facilities and Services and Need Determinations. 

e)         Need Determination

The following methodology is utilized to determine the projected number of LTACH beds needed in a planning area:

1)         Divide the patient days for LTACH category of service for the base year by the population for the base year to determine the planning area's experienced use rate.

2)         If the experienced use rate is less than 60% of the State's base year use rate, adjust the planning area's use rate to 60% of the State's base year use rate to establish a minimum use rate.

3)         Multiply the experienced or minimum use rate by the projected population to obtain projected patient days.

4)         Divide total projected patient days by days in year to obtain projected average daily census.

5)         Divide the projected average daily census by the occupancy target for the service to obtain the bed need.

6)         Calculate the number of beds that should be added in each area by subtracting the number of beds in existing facilities from the number of beds needed.

(Source:  Added at 34 Ill. Reg. 6067, effective April 13, 2010)