An Evaluation of Illinois' Certificate of Need Program
The State of Illinois' Commission on Government Forecasting and Accountability commissioned The Lewin Group to conduct a certificate of need (CON) study in response to House Resolution 1497.
House Resolution 1497 Appendix A cites the USA Today news report (January 3, 2006) that states the United States is "in the middle of the biggest hospital construction boom" in more than 50 years, a trend that likely will increase use of "high-tech medicine and add fuel to rising health care costs." CON laws were originally created to reduce duplication of services thereby decreasing or controlling spiraling health care costs. Since their original inception, the effectiveness of CON programs has been repeatedly changed.
In response to this, the Illinois House of Representatives resolved that the Illinois Commission on Government Forecasting and Accountability shall "conduct a comprehensive evaluation of the Illinois Health Facilities Planning Act, including a review of the performance of the Illinois Health Facilities Planning Board, to determine if it is meeting the goals and objectives that were originally intended in the enactment of the law and the establishment of the Board, and as the law has been amended along with the Board policies and procedures that have been revised since that time, with special consideration for its affect on controlling unnecessary and excessive capital expenditures that may be contributing to health care inflation."
In order to address concerns of the Illinois House of Representatives, The Lewin Group performed: 1. An analysis on Illinois' CON program; 2. Interviews with industry stakeholders and leaders to determine how effective the Illinois Health Planning Board has been, and what impact Illinois' CON program has had, since it was first instituted in 1974, from varying industry standpoints; 3. An analysis on other state CON programs; 4. A review of literature as it permits to cost, quality, and access; and 5. A limited original analysis of the impact of CON on access to certain types of care and on the margins of safety-net and other hospitals.
[Falls Church, VA] : The Lewin Group, 2007.
iv, 34,  p. : ill., forms ; 28 cm.