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REFERENCE AND RESOURCE MATERIALS FOR MOCK CON APPLICATION

BLAW 6500

Health Services and Development Agency Home Page: https://www.tn.gov/hsda.html

Complete official CON Application form (HSDA): https://www.tn.gov/hsda/con-forms.html.

· For this assignment use the abbreviated form I have provided.

· Do not use the complete, official form on the website.

CON Criteria and Standards for Health Care Facilities and Services: https://www.tn.gov/hsda/hsda-criteria-and-standards.html.

· You are not required to respond to each of the criteria for whatever type of service or facility that is the subject of your CON application, but you must attach a copy of the applicable set of criteria.

· You will need to download it and convert it to Word format and include the copy as an attachment to your application (as explained in the application form).

Joint Annual Reports from health care providers – Tennessee Department of Health: https://apps.health.tn.gov/publicjars/default.aspx-.

· These mandated annual reports from hospitals, ambulatory surgical treatment facilities, nursing homes, and outpatient diagnostic centers include utilization data for the reporting year.

· They are normally a year or two behind the current date, but you may rely on the data in these reports.

*(Note: this is a very “clunky” site. Each time you make a change from a drop-down menu, wait for the page to “refresh” before continuing. If it goes down, you are usually able to exit the site and re-enter it and it will function properly again).

Licensed health care facilities by county of location and type of service:

https://dhlrapps.health.tn.gov/FacilityListings

· This will show you the existing inventory of licensed facilities in any given county.

· The “Current Search” function should be all that is needed for this assignment.

US Census Bureau – Quick Facts: https://www.census.gov/quickfacts/fact/table/US/PST045219.

· This is searchable by state and county and shows certain demographic information which may be helpful (e.g., population, median income, and poverty rates).

· You may wat to consult this when responding to questions about “special needs” of the population you are proposing to serve.

TennCare Enrollment Data: https://www.tn.gov/tenncare/information-statistics/enrollment-data.html.

· This shows the number of TennCare enrollees in any given county, and the percentage of the total population of the county TennCare enrollees represent.

· You may wat to consult this when responding to questions about “special needs” of the population you are proposing to serve.