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									                                     HEALTH CARE ORGANIZATIONS

                                       Unit I: Research Problem
                                   Licensing of Health Care Facilities

Please answer the following three (3) questions based on California law. For each question, you will
need to do library research in the California codes. (You should get familiar with the books, but
Lexis/Westlaw can also be helpful – especially for # 3)

1) Drs. Jones and Johnson want to open an office in Los Angeles, CA to provide obstetrical and
   pediatric practices, and they have come to you for legal assistance in the set-up of their practice.
   They are both licensed physicians in the state of California and certified internists with a rather
   broad family practice. Will they need to get an additional license in order to legally operate the Los
   Angeles office? (In other words, does their office need to be separately licensed as a health
   institution, clinic, or facility in California?)

2) Dr. Williams, a California licensed physician with a specialty in fertility treatment, has been
   providing in-vitro fertilization and other forms of assisted reproductive technology for several years
   now. However, he has been primarily using IVF facilities owned by other physicians for the
   procedures and now wants to open his own IVF facility. He wants the facility to be located down
   the hall from his current office and is in the process of negotiating the terms for the additional space
   with his landlord. Please determine what additional licensing, if any, will be needed in order to
   legally operate this facility, and provide cites to the relevant code sections. If you need additional
   facts in order to answer this question (see hints below), state what facts you need and how they
   would change the outcome.

                  There may be more than one category of licensure implicated. Be sure to skim the
                   table of contents for any section you think might apply and review it carefully. Be
                   able to explain why certain categories would not apply.

                  Category of licensure may also be based on the type of services provided. It would
                   therefore be good to try to gain a better understanding of the type of services in-vitro
                   fertilization involves. (The internet can be helpful.)

                  This question will take you some time.

3) You have a major hospital corporation as a client that frequently invests in different health care
   ventures. The client has come to you for advice about a new investment that has been proposed by
   one of the hospital’s consultants. The consultant has proposed that the hospital construct and operate
   a freestanding cardiac catheterization lab (“cath lab”). As a freestanding cath lab, it would not be
   physically located in or attached to a hospital, though one of the locations being investigated for the
   lab is across the street from a general acute care hospital. The consultant has helped start-up many
   freestanding cath labs in Texas (the consultant’s home base), but has not done this before in
   California and is not familiar with California’s licensing scheme. The client is still in the
   development phase of considering whether the investment would be good from a business
   perspective, but the client has a question about the licensing requirements for such a lab. Please
   research California law to determine the relevant code sections governing the licensing
   requirements, if any, for a freestanding cath lab.

You’re encouraged to work in groups.

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