reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1400 - Inspections and Investigations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The Department shall perform licensure inspections of subacute care hospital
			 models, as deemed necessary, to ensure compliance with the Act and this Part.
			 (Section 25(c) of the Act)
b) All
			 facilities to which this Part applies shall be subject to and shall be deemed
			 to have given consent to all inspections by properly identified personnel of
			 the Department, or by other such properly identified persons as the Department
			 might designate. In addition, representatives of the Department shall have
			 access to and may reproduce or photocopy any books, records and other documents
			 maintained by the facility or the licensee to the extent necessary to carry out
			 the Act and this Part.
c) The
			 Department shall investigate an applicant or licensee whenever it receives a
			 verified complaint in writing of any person setting forth facts which, if
			 proven, would constitute grounds for the denial of an application for a
			 license, refusal to renew a license, or suspension or revocation of a license.
			 (Section 50 of the Act)
d) The
			 Department may also investigate an applicant or licensee on its own motion or
			 based upon complaints received by mail, telephone or in person. (Section 50 of
			 the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1500 - Notice of Violation and Plan of Correction

Current through Register Vol. 48, No. 28, July 12, 2024
a) Upon determination that the licensee or
			 applicant is in violation of the Act or this Part, the Department shall issue a
			 written Notice of Violation and request a plan of correction. The notice shall
			 specify the violations, and shall instruct the licensee or applicant to submit
			 a plan of correction to the Department within 10 days after receipt of the
			 Notice.
b) Within the ten-day
			 period, a licensee or applicant may request additional time for submission of
			 the plan of correction. The Department may extend the period for submission of
			 the plan of correction for an additional 30 days, when the Department finds
			 that corrective action by a facility to abate or eliminate the violation will
			 require substantial capital improvement. The Department will consider the
			 extent and complexity of necessary physical plant repairs and improvements and
			 any impact on the health, safety, or welfare of the patients of the facility in
			 determining whether to grant a requested extension.
c) Each plan of correction shall be based on
			 an assessment by the facility of the conditions or occurrences that are the
			 basis of the violation and an evaluation of the practices, policies, and
			 procedures which have caused or contributed to the conditions or occurrences.
			 Evidence of such assessment and evaluation shall be maintained by the facility.
			 Each plan of correction shall include:
1) A
			 description of the specific corrective action the facility is taking, or plans
			 to take, to abate, eliminate, or correct the violation cited in the
			 Notice.
2) A description of the
			 steps that will be taken to avoid future occurrences of the same and similar
			 violations.
3) A specific date by
			 which the corrective action will be completed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1600 - Adverse Licensure Action

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Before denying a license application, refusing to renew a license, suspending a
			 license, revoking a license, or assessing an administrative fine, the
			 Department shall notify the applicant or the licensee in writing. The notice
			 shall specify the charges or reasons for the Department's contemplated action,
			 and shall provide an opportunity to file a request for a hearing within 10 days
			 after receiving the notice. (Section 50 of the Act)
1) A failure to request a hearing within 10
			 days shall constitute a waiver of the applicant's or licensee's right to a
			 hearing. (Section 50 of the Act)
2)
			 The hearing shall be conducted by the Director or an individual designated in
			 writing by the Director as an Administrative Law Judge, and shall be conducted
			 in conformance with the Department's Rules of Practice and Procedure in
			 Administrative Hearings and Section 65 of the Act. (Section 55 of the
			 Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1700 - Admission Practices

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 facility shall establish admission criteria that provide for:
1) The admission of patients with an expected
			 stay of at least 10 days;
2) The
			 admission of patients who can be served by the facility; and
3) The nondiscrimination of patients based on
			 disability, race, religion, sex, source of payment, and any other basis
			 recognized by applicable State and federal laws.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1800 - Patient Assessment

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 licensee shall establish a comprehensive, accurate, standardized, reproducible
			 assessment of each patient's functional ability, strengths and weaknesses. The
			 Minimum Data Set/Patient Assessment Instrument defined by Title XVIII and XIX
			 of the Social Security Act ( 43 CFR 483.20 ) meets this Part.
b) This assessment shall coordinate with any
			 preadmission screenings to the maximum extent practicable to avoid duplicative
			 testing.
c) The licensee shall
			 establish which health care professionals are to participate in the assessment.
			 This shall include at least the following:
1)
			 Registered Nurse,
2)
			 Physician,
3) Dietician,
			 and
4) Social Worker.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1900 - Comprehensive Care Plan

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 results of the assessment shall be used to develop a comprehensive care plan
			 within three days of completing the patient assessment for each patient, which
			 includes measurable objectives and timetables to meet a patient's medical,
			 nursing, mental and psychosocial needs that were identified in the assessment.
			 The comprehensive care plan shall include a discharge plan.
b) The licensee shall establish a policy that
			 defines the members of the interdisciplinary team who will develop and
			 periodically review the comprehensive care plan at a team conference. Team
			 members shall include at least the following:
1) Patient;
2) Patient's representative, if he/she
			 chooses to participate;
3)
			 Patient's Program Manager;
4)
			 Registered nurse; and
5)
			 Physician.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.2100 - Patient Care Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 licensee shall provide physician supervision consistent with the needs of the
			 patients, on a continual basis. (Section 35 of the Act)
1) There shall be frequent, consistent
			 contact between physicians and the patient and between physicians and other
			 facility personnel, to provide medical direction for the comprehensive care
			 plan.
2) There shall be one or more
			 direct physician to patient contacts per week.
3) Other contacts may be made through a
			 combination of visits and status reports by other personnel caring for the
			 patient.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.2200 - Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) The licensee
			 shall provide adequate, properly trained and supervised staff to meet each
			 patient's comprehensive care plan. Services shall be provided by a coordinated
			 interdisciplinary team.
b) The
			 licensee shall define, through job descriptions, minimum education and
			 experience requirements for all staff, consultants and contract staff providing
			 services to the subacute care hospital model.
c) The licensee shall provide routine,
			 pertinent training to all staff. This training may include return
			 demonstration, one-on-one training, small group exercises or lecture. All
			 training shall be documented with:
1)
			 Date;
2) Starting and ending
			 time;
3) Instructors;
4) Short description of content;
			 and
5) Participants' written and
			 printed signatures.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.2300 - Quality Assessment and Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
a) The licensee shall develop and implement a
			 quality assessment and improvement program designed to meet at least the
			 following goals:
1) Ongoing monitoring and
			 evaluation of the quality and accessibility of care and services provided at
			 the facility or under contract, including but not limited to:
A) Admission of patients appropriate to the
			 capabilities of the facility;
B)
			 Patient assessment;
C) Development
			 and implementation of appropriate comprehensive care plans;
D) Patient satisfaction;
E) Costs for delivery of services;
			 and
F) Infection control.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1010 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following regulations and standards
				are incorporated by reference in this Part:
1) Private and Professional Association
				Standards
The following standards of the National Fire Protection
				  Association (NFPA), which may be obtained from the National Fire Protection
				  Association, 1 Batterymarch Park, Quincy, Massachusetts 02169:
A) For new facilities, NFPA 101, Life Safety
				Code (2012), Chapter 18, New Health Care Occupancies and all appropriate
				references under Chapter 2, Referenced Publications.
B) For existing facilities, NFPA 101, Life
				Safety Code (2012), Chapter 19, Existing Health Care Occupancies, and all
				appropriate references under Chapter 2, Referenced Publications.
C) NFPA 101-A (2013), Guide on Alternative
				Approaches to Life Safety.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1015 - Licensure Applicability

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				hospice program may be licensed as a comprehensive hospice program or a
				volunteer hospice program. Throughout this Part, standards that apply only to
				comprehensive or volunteer hospice providers will be noted. The use of
				"hospice" or "hospice programs" applies to both comprehensive hospice programs
				and volunteer hospice programs.
b)
				No person shall establish, conduct or maintain a comprehensive or volunteer
				hospice program without first obtaining a license from the Department. (Section
				4(a) of the Act)
c) No public or
				private agency shall advertise or present itself to the public as a hospice
				program without obtaining a license from the Department.
d) A hospice residence may be operated only
				at the locations listed on the license. A comprehensive hospice program owning
				or operating a hospice residence is not subject to the provisions of the
				Nursing Home Care Act in owning or operating a hospice residence. (Section 4(a)
				of the Act)
e) Every licensed
				hospice program in operation on August 12, 2005 that does not meet all of the
				requirements for a comprehensive hospice program or volunteer hospice program
				as set forth in the Act shall be deemed to hold a provisional license to
				continue that operation on and after that date. (Section
				4.5 of the Act)
f) The provisional license shall remain in
				effect for one year after August 12, 2005 or until the Department issues a
				regular license under Section 4 of the Act, whichever is earlier. (Section
				4.5 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1020 - Licensure Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a)
An application for
an initial
license or
a
renewal
license
to operate as a comprehensive or
				volunteer hospice program shall be
in writing on
forms
				provided by
the Department. (Section 5 of the Act) The application
				shall be made under oath and shall contain the following information:
1) The name, address, and telephone number of
				the hospice program location.
2)
				The type of hospice licensure sought by the program, either volunteer or
				comprehensive. If the program is a volunteer hospice, a complete listing of the
				hospice services to be provided during the term of the license shall be
				included.
3) If multiple hospice
				locations are used, the address and phone number of the central office and the
				address and phone number of each multiple hospice location.
4) A statement of ownership in accordance
				with Section 280.1030.
5) The name and address of the registered
				agent or other individual authorized to receive Service of Process for the
				hospice program.
6) The name of the
				person under whose management or supervision the program will be
				operated.
7) A listing of
				professional staff, including their names, titles, license or registration
				numbers, whether they are full or part time, and whether they are paid or
				volunteer employees.
8) Number of
				volunteers and (approximate) total combined volunteer hours of care and service
				per week.
9) Source of
				income.
10) A designation of the
				proposed geographic area to be served by the hospice.
11) Hospice census report for the fiscal year
				(for renewals only).
12) A listing
				of outside contractors.
13) A copy
				of the annual hospice service plan.
14) A copy of the current annual budget and
				financial audit for the current fiscal year.
15) If the central office is used by patients
				and the public, a certification from the local fire authority or State Fire
				Marshal that the location meets fire and safety ordinances and laws.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1030 - Statement of Ownership

Current through Register Vol. 48, No. 28, July 12, 2024
a) As a
				condition of issuance or renewal of a license to operate a hospice program, the
				applicant shall file a statement of ownership.
b) The licensee shall notify the Department
				of any change in the information required in the statement of ownership within
				30 days before the change.
c) The
				statement of ownership shall include the following: name, address, telephone
				number, occupation or business activity, and percent of direct or indirect
				financial interest of any person having a direct or indirect interest of five
				percent or more in the legal entity designated as the operator/licensee of the
				hospice program.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1040 - Inspections and Investigations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The Department shall perform licensure inspections, as deemed necessary, to
				ensure compliance with the Act and this Part.
b) All services and facilities to which this
				Part applies shall be subject to and shall be deemed to have given consent to
				all inspections by properly identified personnel of the Department, or by other
				such properly identified persons as the Department might designate. In
				addition, representatives of the Department shall have access to and may
				reproduce or photocopy any books, records and other documents maintained by or
				for the licensee to the extent necessary to carry out the Act and this
				Part.
c) The Department may, upon
				its own motion, and shall, upon receiving a verified complaint in writing of
				any persons setting forth facts which if proven would constitute grounds for
				the denial of an application or refusal to renew a license or revocation of a
				license, investigate the applicant or licensee. (Section 11(a) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1050 - Notice of Violation and Plan of Correction

Current through Register Vol. 48, No. 28, July 12, 2024
a) Upon determination that the licensee or
				applicant is in violation of the Act or this Part, the Department shall issue a
				written Notice of Violation and request a plan of correction. The notice shall
				specify the violations, and shall instruct the licensee or applicant to submit
				a plan of correction to the Department within 10 days after receipt of the
				Notice.
b) Each plan of correction
				shall be based on an assessment by the hospice program of the conditions or
				occurrences that are the basis of the violation and an evaluation of the
				practices, policies, and procedures that have caused or contributed to the
				conditions or occurrences. Evidence of such assessment and evaluation shall be
				maintained by the hospice program. Each plan of correction shall include:
1) A description of the specific corrective
				action the hospice program is taking, or plans to take, to abate, eliminate, or
				correct the violation cited in the Notice.
2) A description of the steps that will be
				taken to avoid future occurrences of the same and similar violations and the
				parties responsible for the correction.
3) A specific date by which the corrective
				action will be completed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1060 - Adverse Licensure Actions

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Before denying an application or refusing to renew a license or revoking a
				license, the Department shall notify the applicant or licensee in writing.
				(Section 11(a) of the Act)
b) Such
				notice shall be effected by registered mail or by personal service setting
				forth the particular reasons for the proposed action and fixing a date, not
				less than 15 days from the date of such mailing or service, at which time the
				applicant or licensee shall be given an opportunity for a hearing. (Section
				11(b) of the Act)
c) Such hearing
				shall be conducted by the Director or designee in conformance with the
				Department's Rules of Practice and Procedure in Administrative Hearings and
				Section 11 of the Act. (Section 11(b) of the Act)
d) A license may be revoked or suspended for
				any of the following reasons:
1) A violation
				of any provision of the Act or this Part; or
2) The loss of a license held by the
				affiliated Agency under its applicable licensing Act. (Section 10 of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2000 - Hospice Service Plan

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Each hospice program shall develop an annual hospice service plan detailing the
				specific hospice services offered, and the administrative and direct care
				personnel responsible for those services. The hospice service plan shall
				include, but not be limited to:
1)
				Identification of the person or persons administratively responsible for the
				program.
2) The estimated average
				monthly patient census.
3) The
				proposed geographic area the hospice will serve.
4) A listing of those hospice services
				provided directly by the hospice, and those hospice services provided
				indirectly through a contractual agreement.
5) The names and qualifications of those
				persons or entities under contract to provide indirect hospice
				services.
6) The name and
				qualifications of those persons providing direct hospice services, with the
				exception of volunteers.
7) A
				description of how the hospice plans to utilize volunteers in the provision of
				hospice services.
8) A description
				of the program's clinical record-keeping system for the licensed hospice
				program location and any multiple hospice locations. (Section 3(j) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2020 - Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each hospice
				program shall have a governing body. The governing body must ensure that all
				services are provided in accordance with accepted standards of practice and
				shall assume full legal responsibility for determining, implementing, and
				maintaining the hospice program's total operation. (Section 8(a-5) of the
				Act)
b) The governing body shall
				appoint an administrator whose qualifications and duties are defined in
				writing. The administrator shall have the following responsibilities:
1) Ensure the completion, maintenance, and
				submission of all required reports and records to the Department.
2) Assist the governing body in formulating
				and annually reviewing the hospice program policies and procedures.
3) Maintain a current organizational chart
				that identifies the lines of authority from clinical supervision to the patient
				care level. Shift supervisors and staff members in positions of authority shall
				be identified.
4) Have authority
				for the management of the business affairs and overall day-to-day operation of
				the hospice.
5) Maintain personnel
				records, administrative records, and all policies and procedures of the
				hospice.
6) Ensure the provision of
				an orientation and in-service training program for all staff, covering the
				physical, emotional, spiritual, bereavement and social needs of hospice
				patients and their families.
7)
				Employ personnel who meet the requirements of the written job descriptions of
				the hospice.
8) Designate in
				writing the staff member who will act in the absence of the
				administrator.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2030 - Policies and Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				hospice shall have written policies and procedures governing all services
				provided by the hospice, which shall be formulated with the involvement of the
				administrator and representatives of the governing body. The policies shall be
				available to the staff, patients, patients' families and the public. These
				written policies shall be followed in operating the hospice and shall be
				reviewed annually and revised as necessary. These policies shall include a
				written statement:
1) of philosophy,
				objectives and goals the hospice is striving to achieve;
2) of the hospice services provided and the
				type of hospice license required;
3) of the relationship of the hospice to the
				families of its patients;
4)
				concerning admission, transfer, and discharge of patients;
5) concerning community participation and
				input, if any; and
6) concerning
				the planning, evaluation and quality assurance process.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2040 - Personnel Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				hospice shall develop and maintain written personnel policies that are followed
				in the operation of the program. These policies shall include policies and
				procedures regarding the use of volunteers.
b) Employment application forms shall be
				completed on each employee and kept on file in the program's central office.
				The file shall contain, at a minimum, home address; telephone number; Social
				Security number; educational background; documentation of current professional
				certification, licensure or registration, as applicable; past employment
				history, including dates, positions held, reasons for leaving. The date of
				employment and position held shall be documented in each file.
c) Each employee shall have an accurate
				written job description. Employees shall be assigned only duties directly
				related to their job functions, as identified in the job descriptions.
				Exceptions may be made when unplanned events, such as severe weather, limit
				staffing temporarily.
d)
Where applicable, every hospice program employee must be licensed,
				certified, or registered in accordance with federal, State and local
				laws.
(Section 8(n) of the Act)
e) All personnel shall have either training
				or experience, or both, in the job assigned them. The hospice program shall
				provide an ongoing program for the training and education of its employees,
				appropriate to their responsibilities, including training in Alzheimer's care
				in accordance with 77 Ill. Adm. Code 973.
f) All new employees shall complete an
				orientation program covering, at a minimum:
1) The program's philosophy and goals;
				and
2) Job orientation, emphasizing
				allowable duties of the new employee, safety, and appropriate interactions with
				patients and families.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2045 - Initial Health Evaluation for Employees

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each employee shall have an initial health
				evaluation, which shall be used to ensure that employees are not placed in
				positions that would pose undue risk of infection to themselves, other
				employees, patients, or family members.
b) The initial health evaluation shall
				include a health inventory. This inventory shall be obtained from the employee
				and shall include the employee's immunization status and any available history
				of conditions that would predispose the employee to acquiring or transmitting
				infectious diseases in the course of performing anticipated job functions. It
				shall include any history of exposure to, or treatment for, tuberculosis, any
				history of hepatitis, dermatologic conditions, chronic draining infections or
				open wounds.
c) The initial health
				evaluation shall include a physical examination. The examination shall include
				at a minimum any procedures needed to:
1)
				Detect any unusual susceptibility to infection and any conditions that would
				increase the likelihood of the transmission of disease, and
2) Determine that the employee appears to be
				physically able to perform the job functions that the hospice program intends
				to assign to the employee.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2050 - Patient Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each hospice
				program shall have written policies and procedures that support, enhance and
				protect the human, civil, constitutional and statutory rights of all patients.
				Rights shall include but not be limited to:
1) The right to informed consent that
				specifies the type of care and services that will be provided in the hospice
				program.
2) The right to
				information regarding diagnosis and prognosis and any change in
				either.
3) The right to review and
				participate in his or her plan of care.
4) The right to privacy.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2060 - Clinical Records

Current through Register Vol. 48, No. 28, July 12, 2024
Each hospice must establish and maintain a clinical record
				  for every individual receiving services.
a) The hospice program shall keep accurate,
				current and confidential records on all hospice patients and their families in
				accordance with the standards for certification under the Medicare program set
				forth in the Conditions of Participation in 42 CFR 418, except standards or
				conditions in connection with Medicare or Medicaid election forms do not apply
				to patients receiving hospice care at no charge. (Section 8(i) of the
				Act)
b) A standardized format shall
				be used for documenting:
1) Hospice care team
				services;
2) Home care services;
				and
3) Inpatient
				services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2070 - Medical Director and Physician Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The hospice program shall have a medical
				director who shall be a doctor of medicine or osteopathy and licensed to
				practice medicine in all of its branches. (Section 8(d) of the Act) In his/her
				absence, the medical director or governing body shall designate another
				physician to serve as hospice physician designee.
b) The medical director shall have overall
				responsibility for medical direction of the patient care component of the
				hospice program and shall consult and cooperate with the patient's attending
				physician. (Section 8(d) of the Act)
c) Duties of the medical director shall
				include but not be limited to:
1) Reviewing
				the clinical material of the referring physician to document basic disease
				process; the drug regimen; and assessment of the patient's health and prognosis
				at time of admission.
2) Performing
				an admission history and physical for each patient who has no other
				physician.
3) Assisting in
				developing the plan of care for each patient/family with the coordination of
				the patient's attending physician.
4) Attending and actively participating in
				patient/family care conferences, when requested to do so by the hospice care
				team coordinator.
5) Reviewing the
				active medical care and palliative care in patients' homes, and in any
				inpatient setting in which the hospice has provided patient services.
6) Maintaining a regular schedule of
				participation in all components of the hospice care program; and maintaining
				24-hour, seven days a week coverage of and ready availability to the hospice
				program through himself/herself or his/her hospice physician's
				designee.
7) Acting as a consultant
				to patient's attending physicians and other members of the hospice care team;
				helping to develop and review patient/family care policies and procedures; and
				serving on the hospice care team.
8) Maintaining liaison with the attending
				physician. The attending physician is encouraged to provide primary care to
				his/her patient even though the patient also receives hospice care.
9) Approving written guidelines for symptom
				control, i.e., pain, nausea, vomiting, or other symptoms.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2080 - Hospice Program Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				hospice program shall coordinate its services with professional and
				nonprofessional services already in the community. (Section 8(b) of the
				Act)
b) The hospice program may
				contract out for elements of its services. (Section 8(b) of the Act) If
				services are contracted, the hospice care team is responsible for maintaining
				direct patient contact and overall coordination of hospice services.
c) Any contract entered into between a
				hospice and a health care facility or service provider shall specify that the
				hospice care team retains the responsibility for planning and coordinating
				hospice services and care on behalf of a hospice patient and his/her family.
				(Section 8(b) of the Act).
d) All
				contracts shall be in compliance with the Act.
e) No hospice that contracts for any hospice
				services shall charge fees for services provided directly by the hospice care
				team that duplicate contractual services provided to the individual patient or
				his/her family. (Section 8(b) of the Act)
f) The hospice program must fully disclose in
				writing to any hospice patient, or to any hospice patient's family or
				representative, prior to the patient's admission, the hospice services
				available from the hospice program and the hospice services for which the
				hospice patient may be eligible under the patient's third-party payer plan
				(that is, Medicare, Medicaid, the Veterans Administration, private insurance or
				other plans). (Section 8(a-10) of the Act)
g) Each hospice program shall develop written
				policies and procedures for admissions and discharges, the function of the
				hospice care team, and the development of the patient care plan.
1) Admissions to the hospice program shall be
				limited to interested individuals who have been determined by their attending
				physician as having a terminal illness for which palliative care is considered
				the appropriate medical regimen.
2)
				Restrictions by geographic areas must be clearly stated by each hospice
				program.
3) Upon admission, the
				hospice care team shall coordinate an evaluation of the patient's physical,
				medical, spiritual, social and psychological needs. The patient and the hospice
				patient's family shall be evaluated to determine the unit of care.
4) Hospice services are voluntary and may be
				refused or stopped in accordance with written policies and procedures. The
				patient may request a return to curative treatment, at which time the need for
				hospice services is to be re-evaluated.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.2090 - Quality Assurance Program

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The hospice program must conduct a quality assurance program in accordance with
				the standards for certification under the Medicare program set forth in the
				Conditions of Participation in 42 CFR 418. (Section 8(m) of the Act)
b) Each hospice shall establish a written
				quality assurance plan for review of the services delivered. The plan must
				include:
1) A process for identification of
				quality assurance issues. The person or persons responsible for coordinating
				quality assurance shall review all summaries of individual assessments at least
				quarterly and prepare a written report addressing any problems with care,
				treatment services, availability of services, and methods of care
				delivery.
2) A system to report to
				the governing body findings and recommendations for improving the quality of
				care delivered. The quality assurance reports shall be reviewed by the hospice
				administrator and the governing body.
3) The minutes of the meetings of the
				governing body, which shall indicate that the reports have been reviewed at
				least annually.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart B - HOSPICE SERVICES › Section 280.3000 - Research or Experimental Programs

Current through Register Vol. 48, No. 28, July 12, 2024
Each hospice shall have a written policy concerning
				  initiating and participating in research studies or experimental programs.
				  Studies conducted only for the hospice quality assurance/performance
				  improvement program are not considered to be research or experimental programs
				  prior to initiation. The policy shall require that the Director approve any
				  research study or experimental program.
a) Hospice policies regarding research
				studies or experimental programs initiated by the hospice shall include the
				following:
1) The establishment of
				appropriate written policies and procedures for all participants, including
				staff and patients affected.
2)
				Requirements for written informed consent signed by each subject or patient
				representative or legal guardian.
3) Procedures for full disclosure to
				subjects, including disclosures of conventional and experimental procedures,
				risk and/or potential discomfort, purposes or potential benefits, and
				alternative procedures.
4) A
				statement that subjects shall be permitted to withdraw consent and to
				discontinue participation at any time and for any reason.
5) A statement that subjects shall not be
				made, or requested, to waive any of their legal rights.
6) A statement that confidentiality shall be
				maintained regarding identity and clinical records of all
				participants.
7) A statement that
				control groups in treatment modalities shall be considered as participants in
				research and experimentation.
8)
				The establishment of an interdisciplinary research committee or human rights
				committee that is composed of both program staff members and persons who are
				not staff members. This committee shall include hospice patients or their
				representatives, or family members of former hospice patients, and persons from
				outside the facility, such as doctors, nurses, lawyers, parents, friends and
				advocates. All deliberations and decisions of the committee shall be
				documented.
9) A written review
				procedure for approval by the Institutional Review Board of the sponsoring
				organization or approval of the hospice Interdisciplinary Review Committee
				established by the hospice program to assure compliance with the policy for
				protection of human subjects of the U.S. Department of Health and Human
				Services (
				42 CFR
				2.52(2004) ).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart C - INPATIENT CARE › Section 280.4000 - Inpatient Care Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				comprehensive hospice is responsible for placing patients in an inpatient
				facility that provides 24-hour nursing services in accordance with each
				patient's plan of care. Each shift must include a registered nurse who provides
				or supervises direct patient care to the hospice patient.
b) The inpatient facility shall provide
				hospice services in an area designed, equipped, and located for the comfort,
				convenience, and privacy of each patient and family member. This area shall
				have:
1) Physical space for private
				patient/family visiting;
2)
				Accommodations for family members to remain with the patient throughout the
				night;
3) Accommodations for family
				privacy after a patient's death; and
4) Decor that is homelike in design and
				function.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart C - INPATIENT CARE › Section 280.4010 - Licensure of Hospice Residences

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The number of licensed hospice residences shall not exceed
48
.
(Section 9(c)(9) of the Act)
b) An applicant shall submit a hospice
				residence license certificate application on forms provided by the Department.
				The application shall be made under oath and shall contain the following
				information:
1) All information required by
				Section 280.1020(a)(1) through
				(15);
2) Proposed staffing;
3) Documentation of a needs assessment and
				cost analysis of the establishment, licensing and maintenance of the proposed
				facility; and
4) Documentation of
				approval by the governing body of the applying licensed hospice program to
				proceed with application; commitment to expend necessary funds for application
				and completion of the project; and assignment of responsibility for moving
				forward with the application/implementation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart C - INPATIENT CARE › Section 280.4015 - Hospice Residence Application and Approval Review Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) Applications
				received for a hospice residence license will be reviewed by the Department.
				Applicants for a hospice residence license will have 30 days following
				notification of the receipt of their application by the Department to amend the
				application or provide additional supporting documentation during the review
				process. The application as submitted to the Department shall serve as the
				basis for all standard and prioritization evaluations.
b) The Department will review applications
				and award license certificates to applicants as applications are
				received.
c) To be eligible for
				issuance of a license certificate, an applicant shall meet the following
				criteria:
1) Proposed Residence
				Location/Facility
The proposal shall be evaluated for compliance with the
				  following definition:
A)
"Hospice Residence" means a separately licensed home, apartment
				building, or similar building providing living quarters:
i)
That is owned or operated by a
				person licensed to operate as a comprehensive hospice; and
ii)
At which hospice services are
				provided to facility residents.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart C - INPATIENT CARE › Section 280.4020 - Hospice Residence Admission and Discharge

Current through Register Vol. 48, No. 28, July 12, 2024
a) A patient shall be admitted only after
				receiving a documented terminally ill medical prognosis from a physician that
				he/she has an anticipated life expectancy of 12 months or less; the patient or
				patient's representative has elected hospice care; the hospice that owns and
				operates the hospice residence has accepted the individual as a patient of the
				hospice program; and in-home care is not practical.
b) Patients of mixed ages, i.e., adults,
				infants and children under 18 years of age, may be admitted provided that they
				meet all other facility admission requirements.
c) Before a patient is admitted to a facility
				or at the expiration of the period of a previous contract, a written contract
				shall be executed between the facility and the patient or patient's
				representative. The contract shall specify the services that will or will not
				be provided. The contract shall specify the rights, duties and financial
				obligations of the patient and the facility.
d) At the time of admission to the facility,
				a copy of the written contract shall be given to the patient and his/her
				representative.
e) Facilities shall
				ensure that all forms, agreements and signage that carry information
				significant to the patient are available and worded so as not to be confusing
				to the reader.
f) A facility shall
				not admit more patients than the number authorized by the license issued to
				it.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart C - INPATIENT CARE › Section 280.4030 - Hospice Residence Nursing Care and Assistance in Activities of Daily Living

Current through Register Vol. 48, No. 28, July 12, 2024
a) Through the
				hospice care team, the hospice shall be responsible for preparing, revising,
				documenting and implementing a single individual care plan for each
				patient.
b) Nursing care and
				assistance with activities of daily living shall be provided to each patient to
				meet the total care needs of the patient as determined by the care
				plan.
c) The hospice shall provide
				a sufficient number of properly trained and supervised staff to meet the needs
				of each patient. At least two staff, one of whom is a nurse, must be on duty
				when patients are present. If one of the staff is not a registered nurse, a
				registered nurse must be on call.
d) Assistance with activities of daily living
				shall include, but not be limited to, the following:
1) Each patient shall have proper daily
				personal attention, including skin, nails, hair, and oral hygiene, in addition
				to treatment ordered by the attending physician.
2) Each patient shall have at least one
				complete bath and hair wash weekly, if physically able to tolerate, and as many
				additional baths and hair washes as necessary for satisfactory personal hygiene
				and comfort.
3) Each patient shall
				have clean, suitable clothing in order to be comfortable, sanitary, and free of
				odors.
4) Each patient shall have
				clean bed linens at least twice weekly and more often as necessary.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 295 - ASSISTED LIVING AND SHARED HOUSING ESTABLISHMENT CODE › Subpart A - GENERAL PROVISIONS › Section 295.300 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				following private and professional association standards are incorporated in
				this Part.
1) The following standards of the
				National Fire Protection Association (NFPA), which may be obtained from the
				National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 02169:
A) NFPA 101 (2012): Life Safety Code, Chapter
				32, New Residential Board and Care Occupancies and all appropriate references
				under Chapter 2
B) NFPA 101 (2012):
				Life Safety Code, Chapter 33, Existing Residential Board and Care Occupancies
				for existing facilities and all appropriate references under Chapter
				2.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 295 - ASSISTED LIVING AND SHARED HOUSING ESTABLISHMENT CODE › Subpart A - GENERAL PROVISIONS › Section 295.400 - License Requirement

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
				person may establish, operate, maintain, or offer an establishment as an
				assisted living establishment or shared housing establishment as defined by the
				Act within this State unless and until he or she obtains a valid license, which
				remains unsuspended, unrevoked, and unexpired.
b) An entity that operates as an assisted
				living or shared housing establishment as defined by the Act without a license
				shall be subject to the provisions, including penalties, of the Nursing Home
				Care Act.
c) No entity shall use in
				its name or advertise "assisted living" unless licensed as an assisted living
				establishment under the Act or as a shelter care facility under the Nursing
				Home Care Act that also meets the definition of an assisted living
				establishment under the Act, except a shared housing establishment licensed
				under the Act may advertise assisted living services.
d) No public official, agent, or employee may
				place any person in, or recommend that any person be placed in, or directly or
				indirectly cause any person to be placed in, any establishment that meets the
				definition under the Act and Section
				295.200 that is being
				operated without a valid license. No public official, agent, or employee may
				place the name of an unlicensed establishment that is required to be licensed
				under the Act on a list of programs. (Section 25 of the Act)