Q&A
Discussion on health equity assessment process and state health department's role
1:17:59
·
114 sec
Council Member Schulman inquires about the health equity assessment process conducted by the state health department and its interaction with the NYC Health Department. Dr. Morse explains the Certificate of Need process and the Health Department's limited role.
- The state health department runs the Certificate of Need process, which sometimes requires health equity impact assessments
- These assessments are typically completed by consultants or hospital staff
- The state health department occasionally, but not always, asks the NYC Health Department to review and comment on these assessments
- The specific regulations for when health equity impact assessments are required can be provided in a follow-up
Lynn Schulman
1:17:59
So, I'm going to just go back for a second to line of questioning from that was started by chair and I cease.
1:18:06
So, just want to understand, so the health equity assessment from the state.
1:18:13
They're not required to share that with you.
1:18:15
Is that correct?
1:18:16
They occasionally
Dr. Michelle Morse
1:18:19
Sure.
1:18:20
I can I can describe that a little bit more?
1:18:23
So there is a process that's run by the state health department
Cynthia Walker
1:18:26
Right.
Dr. Michelle Morse
1:18:27
The Fitbit Committee called the Certificate of Need Process.
Mercedes Narcisse
1:18:30
Right.
Dr. Michelle Morse
1:18:30
In the Certificate of Need Process, there are some certificates of Need that have to have a HealthEquity impact us estimate that the state health department would review as they're making as phippic as making decisions to approve the hospital change in services.
1:18:47
That health equity needs a estimate is often completed by either consultants or the hospital staff that have put forward their certificate of need.
1:18:57
And in some cases, the state health department asks us, the New York City Health department, to review the health equity impact assessment and comment or add any additional context for the health equity impact assessment, but it's not required.
Lynn Schulman
1:19:14
So would you have a problem if they came to you for all of these assessed for all of the CONs that they had in New York City, DOH MH.
Dr. Michelle Morse
1:19:28
I I can't really comment on whether or not the state health department should or could do that.
1:19:34
It's really their decision if they would wanna No.
Lynn Schulman
1:19:35
I understand.
1:19:36
It's a decision I'm asking if you would have the capacity because it sounds like a bifurcated process at this point.
1:19:43
They make the decision whether they do it.
1:19:44
They don't do it.
1:19:45
Do you also have an idea of exactly what CONs they do it for and don't, or is it just like whatever they feel like?
