(a) In taking final action under this chapter, the review board shall not make a determination of need on any application for proposed new institutional health services or facilities for inpatients unless it first makes each of the following findings in writing (such findings shall include the basis for the findings and shall be sent by mail to the applicant and made available to the public upon request) :
(1) That less costly, more efficient, or more appropriate alternatives to such proposed in-patient services are not available and the development of such alternatives has been studied and found not practicable;
(2) That, in the case of new construction, alternatives to new construction; e.g., modernization or sharing arrangements, have been considered and have been implemented to the maximum extent practicable;
(3) That patients will experience serious problems, in terms of cost, availability, or accessibility or other such problems as may be identified by the agency, in obtaining inpatient services of the type proposed in the absence of the proposed new services.
(b) The review board must also make the following written findings before a determination of need for such proposed inpatient services may be made:
(1) The efficiency and appropriateness of the use of existing inpatient facilities providing in-patient services similar to those proposed; and
(2) The capital and operating costs (and the potential impact on patient charges), efficiency, and appropriateness of the proposed new in-patient service.History: Rule 8-79, eff 16 Jul 79, Det. of Need Rules and Proc. § 26.3.