Capital expenditures for hospitals.
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A seven-step approach to the identification of problems and problem resolutions leads to a written capital expense proposal. These steps are outlined with examples for clarification.
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Beginning in 1984, public affordability became a central standard along with public need in the review of hospital proposals for capital development in Rhode Island's certificate-of-need (CON) program.
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The above methods are useful to determine a project's worth. They can provide senior management with information that will be helpful when analyzing potential capital investments. Managers should make it their job to help administrators select the best investment projects.
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This notice revises the Policy on Lack of Timely Notice under section 1122 of the Social Security Act, published in the Federal Register on January 26, 1977 (42 CFR part 4847).
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This Notice announces a change in an interpretive ruling under section 1122 of the Social Security Act which applies to the requirement under 42 CFR 100.106 that a State notify an applicant of certain actions within a specified period of time. This interpretive ruling is being revised to prevent the possibility that a finding of a Designated Planning Agency (DPA) or hearing officer be invalidated because of untimely delivery of decisions.