reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.970 - Watercraft Vehicle Specifications and Operation

Current through Register Vol. 48, No. 28, July 12, 2024
a) All watercraft shall meet the requirements
				of Article IV of the Boat Registration and Safety Act.
b) All watercraft shall carry equipment
				including but not limited to the following:
1) One anchor with line attached that is
				three times the maximum depth of water in the areas of usual
				operation;
2) Two docking
				fenders;
3) Two mooring
				lines;
4) Self or mechanical
				bailer;
5) Search light with a
				minimum of 200,000 candle power;
6)
				Swim harness attached to 75 feet of tethering line;
7) Waterproof flashlight capable of operating
				for more than two hours;
8) Basic
				tool kit, to include at least:
A) Wrench, 12
				inch with adjustable open end;
B)
				Screw driver, 12 inch with straight blade;
C) Locking pliers, minimum length, 10
				inches;
9) One life
				jacket for each member of the watercraft crew and two extra adult life jackets
				(Type I, II or III);
10) Two child
				life jackets (Type I or II);
11)
				Any watercraft 16 feet or more in length, except a canoe or kayak, shall have a
				least one Type IV (throwable) U.S. Coast Guard approved personal floatation
				device (PFD) or its equivalent on board, in addition to the PFDs required in
				subsections (b)(9) and (10);
12)
				Knife, 6-inch blade, with sheath;
13) Boat hook, extendable to at least 10
				feet;
14) A locking mechanism to
				secure a stretcher or litter below the gunwale level;
15) Lanyard or engine cut-off
				device;
16) Lights (operational
				between the hours of sunset and sunrise);
17) Mufflers;
18) Whistle or electric or air powered
				horn;
19) Fire
				extinguisher;
20) Carburetor
				arrestors (except for outboard motors);
21) Ventilators (except for open
				boats);
22) Battery covers to
				prevent accidental shorting;
23)
				For watercraft operating on Lake Michigan:
A)
				A VHF/FM marine radio with at least 25 watts of power;
B) Navigational charts for service area and
				navigational aids, including compass or Global Positioning System
				(GPS);
C) Speed capability of 20
				knots per hour;
D) Visual distress
				signal; and
E) Sealing of marine
				heads.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.975 - Watercraft Medical Equipment and Drugs

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each watercraft shall be equipped with
				medical equipment and drugs that are appropriate for the various types of
				missions to which it will be responding, as specified by the EMS MD or the
				SEMSV MD.
b) Opioid antagonist,
				including, but not limited to, Naloxone, appropriate for the licensed level of
				care of the SEMSV.
c) For ALS
				operations, the EMD MD or the SEMSV MD shall submit for approval a list of
				supplies available for each mission used. The EMS MD or the SEMSV MD shall
				decide on the medical equipment and drugs taken on any particular mission based
				on patient type (adult, child, infant), medical condition (high risk infant,
				cardiac, burn, etc.) and anticipated treatment needs en route.
d) The Department's approval shall be based
				on, but not limited to:
1) length of time of
				the mission;
2) possible
				environmental or weather hazards;
3) number of individuals served;
				and
4) medical condition of
				individuals served.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.980 - Watercraft Communications and Dispatch Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) The SEMSV Program shall have a designated
				dispatch center assigned and available 24 hours per day every day of the year
				to receive and dispatch all requests for watercraft services.
b) The communications and dispatch center
				shall have the ability to communicate with the watercraft for nonmedical
				purposes through approved telecommunications or on a separate designated radio
				frequency.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.985 - Off-Road SEMSV Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
In addition to the requirements specified in Sections
				  515.900
				  and
				  515.920,
				  an SEMSV Program utilizing off-road SEMSV vehicles shall submit a program plan
				  that includes the following:
a)
				Documentation of the EMS MD's or the SEMSV MD's credentials as required by
				Section
				515.920(e),
				and a statement signed by the EMS MD or the SEMSV MD containing his or her
				commitment to the following duties and responsibilities:
1) The supervision and management of the
				program;
2) Supervising and
				evaluating the quality of patient care provided by the off-road SEMSV
				crew;
3) Providing medical advice
				and expertise on the use, need and special requirements of off-road SEMSV
				transfer;
4) Submitting
				documentation assuring the qualifications of the off-road SEMSV crew;
				and
5) Assuring appropriate
				staffing of the off-road SEMS vehicle:
A) For
				ALS operations, the vehicle shall be staffed by a minimum of one Paramedic, RN
				or physician and one other EMT, A-EMT, EMT-I, Paramedic, RN or physician, one
				of whom may also be the driver of the off-road SEMSV; and
B) For BLS operations, the vehicle shall be
				staffed by a minimum of two of the following: EMTs, A-EMTs, EMT-Is, Paramedics,
				RNs or physicians, one of whom may also be the driver of the off-road
				SEMSV;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.990 - Off-Road Vehicle Specifications and Operation

Current through Register Vol. 48, No. 28, July 12, 2024
a) The off-road SEMSV shall have sufficient
				space for the vehicle operator, a patient in a supine position, and personnel
				rendering medical care alongside the patient.
b) Each vehicle shall have a locking
				mechanism to secure the patient transport litter/stretcher to the off-road
				SEMSV.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.995 - Off-Road Medical Equipment and Drugs

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each off-road SEMSV shall be equipped with
				medical equipment and drugs for the various types of missions to which it will
				be responding, as specified by the EMS MD or the SEMSV MD.
b) Opioid antagonist, including, but not
				limited to, Naloxone, appropriate for the licensed level of care of the
				SEMSV.
c) For ALS operations, the
				EMS MD or the SEMSV MD shall submit for approval a list of supplies available
				for each mission. The SEMSV MD shall decide what medical equipment and drugs
				are taken on any particular mission based on patient type (adult, child,
				infant), medical condition (high risk infant, cardiac, burn, etc.) and
				anticipated treatment needs en route.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.1000 - Off-Road Communications and Dispatch Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) The SEMSV Program shall have a designated
				dispatch center assigned and available 24 hours per day every day of the year
				to receive and dispatch all requests for off-road SEMSV services.
b) The communications and dispatch center
				shall have the ability to communicate with the off-road SEMSV for nonmedical
				purposes through approved telecommunications or on a separate designated radio
				frequency.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2000 - Trauma Center Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Department shall attempt to designate trauma centers in all areas of the State.
				There shall be at least one Level I Trauma Center serving each EMS Region,
				unless waived by the Department. Level I Trauma Centers shall serve as
				resources for Level II Trauma Centers in the EMS Regions. The extent of such
				relationships shall be defined in the EMS Region plan. (Section
				3.90(b)(5)
				of the Act)
b) Any hospital seeking
				designation as a Level I or Level II Trauma Center shall submit an application
				form (see Section 515.Appendix A of this Part) as prescribed by the
				Department.
c) Upon receipt of a
				completed application, the Department shall conduct a site visit to determine
				compliance with the Act and this Part. A report of the inspection shall be
				provided to the Director within 30 days of the completion of the site visit.
				(Section
				3.90(b)(3)
				of the Act) The applicant hospital shall be operational for designation within
				six months after the application and site survey are approved.
d) The Department shall designate those
				applicant hospitals as Level I or Level II Trauma Centers which meet the
				requirements established by the Act and this Part.
e) Beginning September 1, 1997 the Department
				shall designate a new Trauma Center only when a local or Regional need for such
				a Trauma Center has been identified by the applicable EMS Region's Trauma
				Center Medical Directors Committee, with advice from the Regional Trauma
				Advisory Committee. (Section
				3.90(b)(4)
				of the Act) Department designation shall be based upon any of the following
				criteria justifying a need for designation of a new Trauma Center:
1) Number of expected trauma cases;
2) An estimated time of arrival to existing
				Trauma Centers greater than 25 minutes;
3) The number of times that surrounding
				Trauma Centers went on bypass status within the preceding year;
4) A recommendation by the Trauma Regional
				Advisory Board or Regional EMS Advisory Committee that there is an
				indentifiable need for additional Trauma Centers since the trauma system was
				implemented; and
5) Documentation
				of extenuating circumstances, which will be reviewed by the Department on an
				individual basis, where a special need exists and/or a population is not
				serviced by an existing Trauma Center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2010 - Denial of Application for Designation or Request for Renewal

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department
				shall deny an application for designation or a request for renewal of a
				designation when its findings show failure to substantially comply with the Act
				or this Part.
b) The Department
				shall provide written notice, via certified mail, of its decision to deny an
				application for designation or a request for renewal of a designation. The
				applicant shall have 15 days after receipt of the written notice to make a
				written request for an administrative hearing to contest the Department's
				decision. All administrative hearings shall be conducted in accordance with the
				Department's Rules of Practice and Procedure in Administrative Hearings (77
				Ill. Adm. Code 100).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2035 - Level I Pediatric Trauma Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Level I
				Pediatric Trauma Center Director shall advise the Trauma Center Medical
				Director and shall be a member of the Regional Trauma Advisory Board.
b) The Pediatric Trauma Center Medical
				Director shall be board certified in pediatric surgery or be a general surgeon,
				with at least two years of experience in pediatric trauma care, 10 hours per
				year of trauma-related continuing medical education (CME), and 24-hour
				independent operating privileges, as evidenced by:
1) care and supervision for 50 pediatric
				trauma cases per year; and
2)
				ongoing involvement in pediatric trauma care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2045 - Level II Pediatric Trauma Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Level II
				Pediatric Trauma Director shall advise the Trauma Center Medical Director and
				shall be a member of the Regional Trauma Advisory Board.
b) The Pediatric Trauma Center Medical
				Director shall be board certified in pediatric surgery or be a general surgeon,
				with at least two years of experience in pediatric trauma care, and have 10
				hours per year of trauma-related CME, and 24-hour independent operating
				privileges, as evidenced by either:
1)
				responsibility for 50 pediatric trauma cases per year; or
2) both:
A)
				responsibility for 10 percent of the total number of pediatric trauma cases at
				the trauma center per year; and
B)
				ongoing involvement in pediatric trauma care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2070 - Trauma Center Designation Delegation to Local Health Departments

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department
				may delegate authority to local health departments in jurisdictions which
				include a substantial number of trauma centers. The delegated authority
				includes, but is not limited to, the authority to designate trauma centers with
				final approval by the Department, maintain a Regional database with concomitant
				reporting of trauma registry data, and monitor, inspect and investigate trauma
				centers within their jurisdiction, in accordance with the requirements of the
				Act and this Part. (Section
				3.90(b)(11)
				of the Act)
b) The Department shall
				monitor the performance of local health departments with authority delegated by
				the Act based upon the following performance criteria. (Section
				3.90(b)(11)(A)
				of the Act) The local health department shall:
1) Enforce the Act and this Part, consistent
				with the authority delegated under Section
				3.90(b)(11)(A)
				of the Act.
2) Designate trauma
				centers consistent with the provisions of the Act and this Part.
3) Upon notification of a trauma center's
				failure to submit Trauma Registry data to the Department in accordance with
				Section
				515.2050
				of this Part take steps to enforce this requirement within 10 working
				days.
4) Submit a Quarterly Report
				to the Department specifying all activities conducted under the delegated
				authority in accordance with the requirements of the Act and this
				Part.
5) Submit to the Department
				copies of all complaints within two working days after receipt and copies of
				all final investigation reports within 10 working days after the completion of
				the investigation.
6) Submit to the
				Department copies of quarterly trauma center focused outcome analyses required
				by Section
				515.2030
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2080 - Trauma Center Confidentiality and Immunity

Current through Register Vol. 48, No. 28, July 12, 2024
a) All information contained in or relating
				to any medical audit performed by a trauma center of a trauma center's trauma
				services pursuant to the Act, or any medical audit performed by an EMS Medical
				Director, or his/her designee, of medical care rendered by system personnel,
				shall be afforded the same status as is provided information concerning medical
				studies in Article VIII, Part 21 of the Code of Civil Procedure. Disclosure of
				such information to the Department pursuant to the Act and this Part shall not
				be considered a violation of Article VIII, Part 21 of the Code of Civil
				Procedure. (Section
				3.110(a)
				of the Act)
b) Hospitals, trauma
				centers and individuals that perform or participate in medical audits pursuant
				to the Act shall be immune from civil liability to the same extent as provided
				in Section 10.2 of the Hospital Licensing Act. (Section
				3.110(b)
				of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2090 - Trauma Center Fund

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Department shall distribute 97.5 % of 50% of the moneys deposited into the
				Trauma Center Fund, a special fund in the State Treasury, to Illinois hospitals
				that are currently designated as trauma centers. (Section 3.225(a) of the Act)
				The distribution to individual hospitals shall be based on the number of trauma
				cases, including cases where the hospital provides initial trauma care only,
				and the average length of stay for trauma cases at each hospital, according to
				data for the most recently completed State fiscal year.
b) The moneys in the fund shall be allocated
				proportionally to each EMS Region so that the EMS Region receives the moneys
				collected from within its Region for violations of laws or ordinances
				regulating the movement of traffic.Under no circumstances shall money collected
				within one EMS Region be redirected to another EMS region. (Section 3.225(b)(2)
				of the Act)
c) No moneys may be
				distributed to a trauma center located outside of the State. (Section
				3.225(b)(3) of the Act)
d) If money
				collected from an EMS region cannot be distributed to any trauma center in that
				EMS region because the trauma center is located outside of the State, then the
				Department shall distribute the money to hospitals in the EMS region for the
				provision of emergency services related to care of injured patients. (Section
				3.225(b)(4) of the Act)
e) The
				total amount of funds per EMS Region will be based on the moneys received from
				the counties in that Region.
1) If a county
				has more than one EMS Region, the moneys received from that county shall be
				divided among the Regions based on each Region's share of the county's trauma
				cases.
2) EMS Regions that have
				developed joint EMS Region Plans to enable them to function as one Region shall
				be treated as one Region in the calculation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart I - EMS ASSISTANCE FUND › Section 515.3000 - EMS Assistance Fund Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a)
All licensing, testing and
				certification fees authorized by
the
Act, excluding ambulance
				licensure fees, within
the EMS Assistance Fund
shall be used
				by the Department for administration, oversight, and enforcement of activities
				authorized under
the Act. (Section 3.220(b-5) of the Act)
b)
All other moneys within
				the
EMS Assistance Fund
shall be distributed by the Department
				to the EMS Regions for disbursement in accordance with protocols established in
				the EMS Region Plans, for the purposes of organization, development and
				improvement of Emergency Medical Services Systems, including but not limited to
				training of personnel and acquisition, modification and maintenance of
				necessary supplies, equipment and vehicles.
(Section
				3.220(c)
				of the Act)
c) Award of Funds
1) Any Illinois licensed and based EMS
				provider agency that provides EMS service within the State of Illinois may
				apply for funds through the Regional EMS Advisory Committee.
A) Application shall be made using a process
				prescribed and provided by the Department.
B) Applicants shall provide evidence of
				financial planning, to include but not be limited to: equipment replacement
				plans, budgeting plans, and fundraising plans.
C) Applicants shall submit a copy of their
				current provider license.
D) To be
				eligible for any grant, the EMS provider agency shall be in compliance with
				pre-hospital reporting requirements (see Section
				515.350
				).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart J - EMERGENCY MEDICAL SERVICES FOR CHILDREN › Section 515.4000 - Facility Recognition Criteria for the Emergency Department Approved for Pediatrics (EDAP)

Current through Register Vol. 48, No. 28, July 12, 2024
a) Professional
				Staff: Physicians
1) Qualifications
Twenty-four hour coverage of the emergency department
				  (excluding designated areas utilized to care for minor illnesses or injuries,
				  i.e., fast track, urgent care) shall be provided by one or more physicians
				  responsible for the care of all children. Each physician shall hold one of the
				  following qualifications:
A)
				Certification in emergency medicine by the American Board of Emergency Medicine
				(ABEM) or American Osteopathic Board of Emergency Medicine (AOBEM) or residency
				trained/board eligible in emergency medicine and in the first cycle of the
				board certification process; or
B)
				Sub-board Certification in pediatric emergency medicine by the American Board
				of Pediatrics or the ABEM or residency trained/board eligible in pediatric
				emergency medicine and in the first cycle of the board certification process;
				or
C) Certification by one of the
				following boards and current American Heart Association - American Academy of
				Pediatrics (AHA-AAP) Pediatric Advanced Life Support (PALS) recognition or
				American College of Emergency Physicians - American Academy of Pediatrics
				(ACEP-AAP) Advanced Pediatric Life Support (APLS) recognition. PALS and APLS
				courses shall include both cognitive and practical skills evaluation.
i) Certification in family medicine by the
				American Board of Family Medicine (ABFM) or American Osteopathic Board of
				Family Medicine (AOBFM); or
ii)
				Certification in pediatrics by the ABP or American Osteopathic Board of
				Pediatrics (AOBP); or
iii)
				Residency trained/board eligible in either family medicine or pediatrics and in
				the first cycle of the board certification process; or
D) Alternate Criteria. The physician has
				worked in the emergency department prior to January 1, 2018 and has completed
				12 months of internship followed by at least 7000 hours of hospital-based
				emergency medicine, including pediatric patients, over the last 60-month period
				(including at least 2800 hours within one continuous 24-month period),
				certified in writing by the hospitals at which the internship and subsequent
				hours were completed. The physician shall have current AHA-AAP PALS or ACEP-AAP
				APLS recognition and have completed at least 16 hours of pediatric CME within
				the past two years.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart J - EMERGENCY MEDICAL SERVICES FOR CHILDREN › Section 515.4010 - Facility Recognition Criteria for the Standby Emergency Department Approved for Pediatrics (SEDP)

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Professional Staff: Physicians
1)
				Qualifications
A) All physicians shall have
				training in the care of pediatric patients through residency training, clinical
				training, or practice.
B) All
				physicians shall successfully complete and maintain current recognition in the
				AHA-AAP PALS or the ACEP-AAP APLS. Physicians who are board certified or
				eligible in emergency medicine (ABEM or AOBEM) or in pediatric emergency
				medicine (ABP/ABEM) are excluded from this requirement. PALS and APLS shall
				include both cognitive and practical skills evaluation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart J - EMERGENCY MEDICAL SERVICES FOR CHILDREN › Section 515.4020 - Facility Recognition Criteria for the Pediatric Critical Care Center (PCCC)

Current through Register Vol. 48, No. 28, July 12, 2024
Any facility seeking PCCC level recognition shall meet
				  requirements for both the EDAP and PCCC levels.
a) Facility Requirements
A facility recognized as a PCCC Center shall provide the
				  following:
1) An EDAP-recognized
				emergency department;
2) A distinct
				Pediatric Intensive Care Unit (PICU);
3) A PICU Committee established as a standing
				(interdisciplinary) committee within the hospital with membership that
				includes, at a minimum, one physician, one RN, one respiratory therapist, and
				other specialties as determined by the hospital;
4) Helicopter landing capabilities approved
				by State and federal authorities;
5) Computerized axial tomography (CAT) scan
				availability 24 hours a day;
6)
				Laboratory 24 hours a day in-house, providing:
A) Standard analysis of blood, urine and body
				fluids;
B) Blood typing and
				cross-matching;
C) Coagulation
				studies;
D) Comprehensive blood
				bank or an agreement with a community central blood bank;
E) Blood gases and pH
				determinations;
F) Microbiology,
				including the ability to initiate aerobic and anaerobic cultures on site;
				and
G) Drug and alcohol
				screening;
7)
				Hemodialysis capabilities or a transfer agreement;
8) Staff, including a child life specialist,
				occupational therapy, speech therapy, physical therapy, social work, dietary,
				psychiatry and child protective services;
9) Hospital support staff to act as a
				resource and participate in multidisciplinary regional pediatric critical care
				education;
10) A plan for
				implementing a program of public information/education concerning emergency
				care services for pediatrics; and
11) Support for active institutional and
				collaborative regional research.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5000 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
For the purposes of this Subpart K:
a) "
Certification" or "certified"
				means certification
of a Comprehensive Stroke Center (CSC), Primary
				Stroke Center or Acute Stroke-Ready Hospital
using evidence-based
				standards, from a nationally recognized certifying body approved by the
				Department.
(Section 3.116 of the Act) The State Stroke Advisory
				Subcommittee shall forward recommendations of certifying bodies to the
				Department at least annually. The Department will consult the State Stroke
				Advisory Subcommittee when reviewing and approving certifying bodies. The
				Department will maintain and post on the Department's website a current list of
				the names, phone numbers and website information, if available, of the approved
				certifying bodies. The list will be reviewed at least annually.
b)
"Designation" or "designated"
				means
the Department's recognition of a hospital as a CSC,
				Primary Stroke Center or Acute Stroke-Ready Hospital.
(Section 3.116
				of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5002 - State Stroke Advisory Subcommittee

Current through Register Vol. 48, No. 28, July 12, 2024
a) The State Stroke Advisory Subcommittee
				shall establish bylaws to ensure equal membership that rotates and clearly
				delineates committee responsibilities and structure; and
b) Annually, the State Stroke Advisory
				Subcommittee and the Department will consider adopting new nationally
				recognized recommendations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5004 - Regional Stroke Advisory Subcommittee

Current through Register Vol. 48, No. 28, July 12, 2024
a)
Of the members first appointed,
				one-third shall be appointed for a term of one year, one-third shall be
				appointed for a term of 2 years, and the remaining members shall be appointed
				for a term of 3 years
.
The terms of subsequent appointees
				shall be 3 years.
(Section 3.116 of the Act)
b) The Regional Stroke Advisory Subcommittee
				shall function as a subcommittee of the Regional EMS Advisory Committee and
				report biannually at regularly scheduled meetings as identified in Section
				515.210(b) and
				(c). The Regional Stroke Advisory
				Subcommittee shall make recommendations to the Regional EMS Medical Directors
				related to the establishment and revision of evidence based protocols for the
				triage, treatment and transport of possible acute stroke patients to the
				appropriate CSC, Primary Stroke Center or Acute Stroke-Ready Hospital. The
				Regional Stroke Advisory Subcommittee shall assist with the development of
				stroke networks.
c) The Regional
				Stroke Advisory Committee shall collect and evaluate de-identified stroke care
				data from regional stroke network hospitals and EMS Systems to evaluate and
				make recommendations to the Regional EMS MDs for improvement in regional stroke
				systems of care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5010 - Stroke Care - Restricted Practices

Current through Register Vol. 48, No. 28, July 12, 2024
Sections in
the
Act pertaining to
				  CSCs, Primary Stroke Centers or Acute Stroke-Ready Hospitals are not medical
				  practice guidelines and shall not be used to restrict the authority of a
				  hospital to provide services for which it has received a license under State
				  law.
(Section 3.119 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5015 - Comprehensive Stroke Center (CSC) Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a) Subject to Section
				515.5040,
Comprehensive Stroke Center designation shall remain valid at all times
				while the hospital maintains its certification as a CSC, in good standing, with
				the certifying body.
b)
The duration of a CSC designation shall coincide with the duration of
				its CSC certification.
c)
Each designated CSC shall have its designation automatically renewed
				upon the Department's receipt of a copy of the
certifying
body's certification renewal
and an application form available
				through the Department. (Section 3.117(a-5)(5) of the Act)
d) A hospital shall submit a copy of its
				certification renewal from the certifying body as soon as practical, but no
				later than 30 business days after the hospital receives the
				certification.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5016 - Request for Comprehensive Stroke Center Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A hospital
that is
				already
certified as a CSC by a nationally recognized certifying body
				approved by the Department shall send a copy of the certificate and annual fee
				to the Department
along with an application available through the
				Department
.
(Section 3.117(a-5)(1) and (2) of the
				Act)
b) Within 30 business days
				after the Department receives the hospital's certificate indicating that the
				hospital is a certified CSC in good standing with the certifying body and the
				application available through the Department, the hospital shall be deemed to
				be a State-designated Comprehensive Stroke Center.
c) The Department will send designation
				notices to hospitals that it designates as Comprehensive Stroke Centers. A list
				of designated Comprehensive Stroke Centers will be maintained on the
				Department's website at
				http://www.dph.illinois.gov/topics-services/emergency-preparedness-response/ems/stroke-program.
				Names of designated Comprehensive Stroke Centers will be added upon
				designation. Names will be removed from the website designation list in
				accordance with Section 3.118(c) of the Act.
d) The application available through the
				Department shall include a statement that the hospital meets the requirements
				for CSC designation in Section 3.117 of the Act. The applicant hospital shall
				provide the following:
1) Hospital name and
				address;
2) Hospital chief
				executive officer/administrator typed name and signature;
3) Hospital stroke medical director typed
				name and signature; and
4) Contact
				person typed name, e-mail address and phone number.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5017 - Suspension and Revocation of Comprehensive Stoke Center Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				hospital that no longer meets nationally recognized, evidence-based standards
				for CSCs, or loses its CSC certification, shall notify the Department,
the hospital's EMS MD
, and the Regional EMS Advisory
				Committee,
in writing,
within 5 business days,
upon
				notification from the certifying body
.
(Section
				3.117(a-5)(6)(A) of the Act)
b)
				Suspension of Designation
1)
The
				Department shall have the authority and responsibility to suspend or revoke the
				hospital's CSC designation upon receiving notice that the hospital's CSC
				certification has lapsed or been revoked by the State recognized certifying
				body.
(Section 3.117(a-5)(4)(A) of the Act)
2)
The Department shall have the
				authority and responsibility to suspend the hospital's CSC designation, in
				extreme circumstances in which patients may be at risk for immediate harm or
				death,
until such time as the certifying body investigates and
				makes a final determination regarding certification.
(Section
				3.117(a-5)(4)(B) of the Act) The Department will notify the hospital's
				certifying body and provide the hospital and EMS MD with written notice of the
				Department's decision to suspend designation.
3) Upon receipt of the Department's written
				notice to suspend designation, the hospital shall have 15 business days in
				which to make a written request for an administrative hearing to contest the
				Department's decision. Administrative hearings will be conducted in accordance
				with Section
				515.180.
				The Department will notify the hospital, the EMS MD, and the hospital's
				certifying body of the Department's final administrative decision to revoke
				designation.
4) The Department will
suspend the hospital's CSC designation at the request of a hospital
				seeking to suspend its own Department designation.
(Section
				3.117(a-5)(4)(D) of the Act)
5) The
				Department shall have the authority to conduct investigations. All applicants
				for designation and designees
shall fully cooperate with any Department
				investigation, including providing patient medical records as requested by the
				Department.
(Section 3.125(d) of the Act) The failure to fully
				cooperate shall be grounds for denying, suspending or revoking a
				designation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5020 - Primary Stroke Center (PSC) Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a) Subject to Section
				515.5040,
Primary Stroke Center designation shall remain valid at all times while
				the hospital maintains its certification as a PSC in good standing with
				the
Department-approved
certifying body.
(Section
				3.117(a)(4) of the Act)
b)
The duration of a PSC designation shall coincide with the duration of
				its PSC certification.
(Section 3.117(a)(4) of the Act)
c)
Each designated PSC shall have its
				designation automatically renewed upon the Department's receipt of a copy of
				the
certifying
body's certification renewal
and an
				application available through the Department. (Section 3.117(a)(4) of the
				Act)
d)
The Department
				shall consult with the State Stroke Advisory Subcommittee
in
developing designation, re-designation, and de-designation processes
				for PSCs.
(Section 3.117(c) of the Act)
e) A hospital shall submit a copy of its
				certification renewal from the certifying body as soon as practical, but no
				later than 30 business days after the hospital receives the certification. Upon
				receipt of the certification renewal, the Department will begin the
				re-designation process.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5030 - Request for Primary Stroke Center Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A hospital
that is
				already
certified as a Primary Stroke Center by a nationally recognized
				certifying body approved by the Department shall send a copy of the certificate
				and annual fee to the Department
, along with an application available
				through the Department
.
(Section 3.117(a)(2) of the
				Act)
b)
Within 30 business
				days
after the Department receives the hospital's certificate
				indicating that the hospital is a certified PSC
in good standing with
				the certifying body,
and the completed application available through
				the Department, the hospital
shall be deemed to be a State-designated
				PSC.
(Section 3.117(a)(2) and (4) of the Act)
c) The Department will send designation
				notices to hospitals that it designates and will
add the names of
				designated PSCs to the website listing immediately upon designation
.
				Subject to Section
				515.5040,
				the Department will
remove the name
of a hospital from the
				website listing
when a hospital loses its designation after
				notice
and, if requested by the hospital,
a hearing
.
				(Section 3.118(c) of the Act)
d)
				The application available through the Department shall include a statement that
				the hospital meets the requirements for PSC designation in Section 3.117 of the
				Act. The applicant hospital shall provide the following:
1) Hospital name and address;
2) Hospital chief executive
				officer/administrator typed name and signature;
3) Hospital stroke medical director typed
				name and signature; and
4) Contact
				person typed name, e-mail address and phone number.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5040 - Suspension and Revocation of Primary Stroke Center Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				hospital that no longer meets nationally recognized, evidence-based standards
				for Primary Stroke Centers, or loses its PSC certification, shall notify the
				Department,
the hospital's EMS MD
, and the Regional EMS
				Advisory Committee,
in writing,
within 5 business
				days,
upon notification from the certifying body. (Section 3.117(a)(5)
				of the Act)
b) Suspension of
				Designation
1) The Department
shall
				have the authority and responsibility to suspend a hospital's PSC designation
				upon receiving notice
from the hospital's certifying body
that
				the hospital's PSC certification has lapsed
, or been
revoked
, suspended or cancelled
.
(Section
				3.117(a)(3.5)(A) of the Act)
2)
In extreme circumstances where patients may be at risk for immediate
				harm or death
, as determined by the Director, the Department
shall have the authority and responsibility to
suspend
				a hospital's PSC designation, until such time as the certifying body
				investigates and makes a final determination regarding certification.
(Section 3.117(a)(3.5)(B) of the Act) The Department will notify the hospital's
				certifying body and provide the hospital and EMS MD with written notice of its
				decision to suspend designation.
3)
				Upon receipt of the Department's written notice to suspend designation, the
				hospital shall have 15 business days in which to make a written request for an
				administrative hearing to contest the Department's decision. Administrative
				hearings will be conducted in accordance with Section
				515.180.
				The Department will notify the hospital, the EMS MD, and the hospital's
				certifying body of the Department's final administrative decision to revoke
				designation.
4) The Department will
suspend a hospital's PSC designation at the request of a hospital
				seeking to suspend its own Department designation.
(Section
				3.117(a)(3.5)(D) of the Act)
5) The
				Department shall have the authority to conduct investigations. All applicants
				for designation and designees
shall fully cooperate with any Department
				investigation, including providing patient medical records as requested by the
				Department.
(Section 3.125(d) ) The failure to fully cooperate shall
				be grounds for denying, suspending or revoking a designation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5070 - Request for Acute Stroke-Ready Hospital Designation without National Certification

Current through Register Vol. 48, No. 28, July 12, 2024
a) Any
				hospital seeking designation as an Acute Stroke-Ready Hospital shall
apply for and receive ASRH designation from the Department, provided
				that the hospital attests, on a form developed by the Department in
				consultation with the State Stroke Advisory Subcommittee, that
the
				hospital
meets, and will continue to meet, the criteria for ASRH
				designation
(see Section
				515.5060
				)
and pays an annual fee.
(Section 3.117(b)(2) of the Act) The
				Department will post and maintain ASRH designation instructions, including an
				application available on the Departmentwebsite.
b) The application available through the
				Department shall include a statement that the hospital meets each requirement
				in Section 3.117 of the Act, including the designation criteria in Section
				3.117(b)(3) of the Act and Section
				515.5060
				of this Part. The hospital shall provide the following:
1) Hospital name and address;
2) Hospital chief executive
				officer/administrator typed name and signature;
3) Chief medical officer (or designee) typed
				name and signature;
4) Hospital
				stroke director typed name, clinical credentials and signature; and
5) Contact person typed name, e-mail address
				and phone number.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5080 - Suspension and Revocation of Acute Stroke-Ready Hospital Designation without National Certification

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Emergency Suspension
1)
When the
				Director or his or her designee has determined that the hospital no longer
				meets the Acute Stroke-Ready Hospital criteria
set forth in the Act
				and this Part
, and
the potential of
an immediate and
				serious danger to public health, safety, and welfare
exists,
the Department will
issue an
				emergency
written order of
suspension of ASRH
				designation.
(Section 3.117(b)(4)(D) of the Act)
2)
If the ASRH fails to eliminate the
				violation immediately or within a fixed period of time, not exceeding
				10
business
days, as determined by the Director, the Director
				may immediately revoke by written order, the ASRH designation
(Section
				3.117(b)(4)(D) of the Act).