Certificate of Need


Impact #2 - Reduced quality of health care

Deregulation of CON has the potential to not only increase costs but lead to a decrease in the accessibility and quality of health care in our state.


The reality is that there are significant benefits to the consumer to keeping CON, the most notable one being elevating the quality of patient care. While there is no direct correlation to the presence of CON and high quality of care, the fact remains that with CON in place, hospitals are more likely to perform a greater number of a specific procedure due to increased volume among fewer hospitals. And it is well-documented through extensive research that the more times a hospital performs a certain procedure, the better the outcomes.  


For example, when choosing a hospital for neuro surgery, wouldn’t you want to select the hospital with the most experience — the one that does the procedure multiple times a day as opposed to once a week or once month? CON helps ensure that hospitals with a depth and breadth of experience in various procedures are available in your community.


CON also limits the creation of unnecessary service offerings — as hospitals do not have free reign to offer services whose need cannot be demonstrated — and helps ensure that the services are targeted and focused on what the community actually needs. Again, this means that CON elevates the quality of care the consumer experiences in their own backyard. 


But it is not just Florida where CON helps drive the quality of patient care. As Steve Baumert and Marie Knedler, both CEOs of nonprofit hospitals in Iowa—a state with one of the highest-quality, lowest-cost health care systems in the country—explain in a recent op ed advocating for CON to remain in effect in their state, CON also contributes to the quality of patient care by “support(ing) the collaborative spirit that fosters communication and cooperation among Iowa health care providers, which, again, leads to better health care for everyone.


You can read more about what has occurred in other states by referencing the research studies below.


2007 – American Heart Journal

2002 - JAMA