By NextBestFitPhase 5: Stabilize & govern · Step 5.5
Plan capacity regionally
Annual · Regional capital boardsDiscuss this step
Every concrete action this step requires, who is responsible, and when it happens relative to enactment.
| # | Action | Owner | When | Trade-off |
|---|---|---|---|---|
| 5.5.1 | Publish regional supply-and-demand plans: beds, ORs, imaging, physicians and nurses by specialty. | Regional boards | Annual | Published plans improve transparency but can be dominated by incumbent hospitals. |
| 5.5.2 | Approve major capital projects (> $1M) through open hearings. | Regional boards | Ongoing | Open hearings legitimize capital decisions but slow approval of needed projects. |
| 5.5.3 | Repeal state certificate-of-need laws in favor of this process. | States | Year 5 | Repealing certificate-of-need laws removes a barrier but replaces it with a federal-regional process states don't control. |