The criteria under which the designated planning agency and the other agency described in § 301.4(1)(iii) (relating to designation; review of proposed capital expenditures) evaluates proposals for capital expenditures for purposes of this chapter to determine their conformance with the applicable standards, criteria and plans referred to in § 301.4(1)(ii)—(iv) includes the following:

1. (1) Whether the proposed project is needed or projected as necessary to meet the needs in the community in terms of health services required; provided, that projects for highly specialized services, such as open-heart surgery, renal transplantation or radiation therapy, which will draw from patient population outside the community in which the project is situated will receive appropriate consideration.
2. (2) Whether the proposed project can be adequately staffed and operated when completed.
3. (3) Whether the proposed capital expenditure is economically feasible and can be accommodated in the patient charge structure of the health care facility or health maintenance organization without unreasonable increases.
4. (4) Whether the project will foster cost containment or improved quality of care through improved efficiency and productivity, including promotion of cost-effective factors such as ambulatory care, preventive health care services, home health care and design and construction economies, or through increased competition between different health services delivery systems.