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DELAWARE*

 

C


*The program in Delaware is called the “Certificate of Public Review”

1. CRITERIA FOR TRIGGERING COPR REVIEW: F

  • New hospital construction, capital expenditure development, or addition of beds to an existing hospital
  • Hospital sale/purchase/lease
  • COPR review is not triggered when there is a hospital closure
  • COPR review is not triggered when there is a hospital transfer of control
  • COPR review is not triggered when there is a loss of health care service(s)
  • COPR review is not triggered when there is a relocation of health care service(s)

2. ORGANIZATIONAL STRUCTURE OF REVIEW BOARD & TRANSPARENCY: A

  • COPR review is conducted by a joint administrative team and appointed board
  • COPR legislation specifies criteria for appointing board members
  • The reviewing body is required to have at least four consumer representatives

3. REVIEW STANDARDS: C

  • Whether the project is financially feasible
  • Whether the project is compatible with state health planning goals
  • COPR review does not look at whether the project has an impact on underserved populations
  • COPR review does not look at whether the project has an impact on health care access within a geographic region

4. COMMUNICATIONS WITH THE PUBLIC: B

  • There is a website containing details about the COPR process, including summaries of regulations/statues and other relevant information
  • The website contains information about each COPR application, including dates of public hearings and information about submitting comments
  • It is difficult for the consumer to find info about the COPR process on the website
  • The public is notified about COPR applications via newspaper or another widely circulated platform

5. ACCOUNTABILITY AND PUBLIC ENGAGEMENT: C

  • If requested, a public hearing is held where the public can participate in the review process by testifying
  • There is not a regularly scheduled review board meeting where the public can testify
  • There is not a mandatory public hearing where the public can participate by testifying
  • The public cannot participate in the review process by submitting written comments

6. POST-APPROVAL REVIEW AND ENFORCEMENT: B

  • After a COPR is approved, there is a mechanism in place for enforcing compliance with COPR requirements and restrictions
  • There is not a post-approval challenge process