Washington, D.C. map
 

Washington, D.C.

 

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
  • Hospital transfer of control
  • CON review is not triggered when there is a hospital closure
  • CON review is not triggered when there is a loss of health care service(s)
  • CON review is not triggered when there is a relocation of health care service(s)

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 in order to encourage political pluralism and/or protect the review board from excess political and business pressure
    • The project review committee is composed of health care consumers and providers who are appointed by the mayor with the consent of the D.C. city council

3. REVIEW STANDARDS: B

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

4. COMMUNICATIONS WITH THE PUBLIC: A

  • 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 easy for the consumer to find info about the CON process on the website
  • The public is notified about CON applications via newspaper or another widely circulated platform

5. ACCOUNTABILITY AND PUBLIC ENGAGEMENT: B

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

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