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Hawaii

 

B


1. CRITERIA FOR TRIGGERING CON REVIEW: C

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

2. ORGANIZATIONAL STRUCTURE OF REVIEW BOARD & TRANSPARENCY: A

  • CON review is conducted by a joint administrative team and appointed board
  • CON legislation specifies criteria for appointing board members
    • The members of the panels should include representatives from each county and the majority of the members should be consumers

3. REVIEW STANDARDS: C

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

4. COMMUNICATIONS WITH THE PUBLIC: B

  • There is a website containing details about the CON process, including summaries of regulations/statues and other relevant information
  • The website contains information about each CON application, including dates of public hearings and information about submitting comments
  • It is difficult for the consumer to find info about the CON process on the website
  • The public is not notified about CON applications via newspaper or another widely circulated platform

5. ACCOUNTABILITY AND PUBLIC ENGAGEMENT: B

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

6. POST-APPROVAL REVIEW AND ENFORCEMENT: A

  • After a CON is denied, there is a post-approval challenge process
  • After a CON is approved, there is a mechanism in place for enforcing compliance with CON requirements and restrictions