a) Planning Areas
Planning areas for the in-center hemodialysis category of
service are Health Service Areas.
b) Age Groups
For in-center hemodialysis, all ages.
c) Utilization Target
Facilities providing in-center hemodialysis should operate
their dialysis stations at or above an average annual utilization rate of 80%,
assuming three patient shifts per day per renal dialysis station operating six
days a week.
d) Need
Determination
The five-year need determination is a short-term assessment
that applies to the planning area need requirements in the 77 Ill. Adm. Code
1110 category of service review criteria. The in-center hemodialysis or end
stage renal disease (ESRD) station need is a five year projection from the base
year. The need for additional treatment stations can be projected utilizing the
following methodology:
1) Establish a
minimum institutional dialysis rate by dividing the total number of
institutional dialysis patients in the base year by the State base year
population estimate in thousands and multiply the result by .6 (60%).
2) Determine each planning area's experienced
institutional dialysis rate by dividing the number of patients receiving
dialysis in the base year by the planning area population projection in
thousands for the base year.
3)
Multiply each planning area's population projection in thousands by the greater
of the minimum institutional dialysis rate or the experienced institutional
dialysis rate for the planning area to determine the estimated number of
institutional dialysis patients.
4)
Multiply the planning area's projected number of institutional dialysis
patients by a factor of 1.33 (5 year increase in prevalence) to determine the
projected number of institutional dialysis patients in the planning area for
the projected year.
5) Multiply the
projected number of annual institutional dialysis patients by 156 (3
treatments/week x 52 weeks) to determine the projected number of institutional
procedures.
6) Divide the projected
number of annual institutional procedures by 749 (3 shifts/day x 6 days/week x
52 weeks/year x .80 utilization target) to determine the projected number of
stations needed for the projected year.
7) Subtract the number of existing stations
from the projected number of needed stations to determine the excess (surplus)
or additional (deficit) number of stations needed.
