HARTFORD – To make it easier to understand its regulatory process, the state’s Office of Health Strategy recently released a guide outlining its Certificate of Need program.
Connecticut, 35 other states, and Washington, DC, have a certificate of need program, which requires healthcare providers to file a request before making substantial changes to their services.
In Connecticut, changes such as major investments in new equipment or facilities; Mergers and Acquisitions; and the addition, subtraction or modification of access to a health service falls within the competence of the CON.
Certificate of Necessity is the process by which Manchester Memorial Hospital was partially denied in its attempt to expand cardiology services by establishing a diagnostic cardiac catheterization and angioplasty program.
The Office of Health Strategy categorically rejected the request in June, saying the hospital had failed to demonstrate a clear public need for the service. The hospital appealed the decision, which led the OHS to partially reverse its decision, approving a plan to establish diagnostic cardiac catheterization and emergency angioplasty services, but no emergency angioplasty services. elective angioplasty.
OHS dismissed the hospital’s follow-up appeal against the partial denial in November, leaving the hospital the last resort to appeal the decision to Superior Court. The hospital filed an appeal in January.
In a statement announcing the guide, OHS Executive Director Vicki Veltri said the Certificate of Need process is one way the state builds a healthcare landscape that “benefits residents and balances availability and access to medical services across the state â.
Veltri said “balance and good data” are essential to CON considerations, saying services need to be of high quality and meet the needs of the community, not “oversaturate the market and drive up costs”. She added that changes in federal and state health laws, emerging technologies and demographic shifts are also playing a role.
âCON’s decision-making takes all of these factors into account and is directly informed by the residents of the community,â she said. âI encourage all residents to participate in building health care in their community and hope this guide will help them better understand the whole process. “
The guide provides a step-by-step overview of the entire process, starting with an explanation of when a certificate is required through to the process for requesting a reconsideration of a decision. It also includes application tips, frequently asked questions, and a glossary of terms.
The guide can be found on the Certificate of Need page of the OSH website at