reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.210 - Services - Home Services Agencies

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Agencies licensed as home services agencies shall provide non-medical services,
				which may be provided directly by agency staff or through a contractual
				purchase of services, that are intended to assist clients with activities of
				daily living. Services may include, but are not limited to, activity of daily
				living support, personal care, medication reminding, housekeeping services,
				personal laundry, cooking, shopping, assistance in getting to and from
				appointments, maintenance of household records, and companionship. Each agency
				shall maintain a listing of the types of services offered by the agency, and
				the scope of the work to be provided under each area, which the agency shall
				distribute to clients before contracting with the client, with the signed
				contract, and when changes occur.
b) If the agency provides services under
				contractual arrangements with a third party, it shall have a written agreement
				that includes, but is not limited to, the following:
1) A detailed description of the services to
				be provided;
2) Provisions for
				adherence to all applicable agency policies and personnel requirements,
				including requirements for initial health evaluations and employee health
				policies, and criminal background checks if applicable;
3) Designation of full responsibility for
				agency control over contracted services;
4) Procedures for submitting clinical and
				progress notes;
5) Charges for
				contracted services;
6) A statement
				of responsibility of liability and insurance coverage (employment, workers'
				compensation) and taxes, including employment and Social Security
				taxes;
7) The period of time the
				written agreement is in effect;
8)
				Date and signatures of appropriate authorities; and
9) Provisions for termination of
				services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.211 - Services - Alzheimer's Disease and Related Dementias

Current through Register Vol. 48, No. 28, July 12, 2024
A home health, home nursing and home services agency that
				  provides
any and all Alzheimer's disease or related dementias
				  services
shall comply with the Alzheimer's Disease and Related
				  Dementias Services Act and this Part. (Section 25(1) of the Alzheimer's Disease
				  and Related Dementias Services Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.212 - Services - Home Nursing Placement Agency

Current through Register Vol. 48, No. 28, July 12, 2024
a) "
Placement agency
"
includes a private employment agency and any other entity that places a
				worker for private hire by a consumer in that consumer's residence for purposes
				of providing home services.
(Section 2.12 of the Act) Agencies
				licensed as home nursing placement agencies are in the business of securing or
				attempting to secure work for hire for persons seeking work or workers for
				employers. A placement agency shall not be the employer of the nurse for whom
				it procures, offers, refers, provides or attempts to provide work. The nurse
				shall perform services ordered by the client's physician without any direction,
				control or supervision by the home nursing placement agency with respect to
				performing the skilled nursing services. Following the placement of the worker
				with the client, the placement agency shall not have any control of the
				worker's assignments or duties, or assist the client in the payment of the
				worker. A placement agency shall not provide ongoing support and administrative
				management of the client's needs.
1) The
				maximum duration of a contract shall be no longer than 12 months.
2) The home nursing placement agency may
				charge only a one-time fee for placement. The home nursing placement agency may
				allow the client to pay the fee throughout the duration of the contract. An
				ongoing, continuous client service fee beyond the duration of the contract is
				prohibited.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.214 - Services - Home Services Placement Agency

Current through Register Vol. 48, No. 28, July 12, 2024
a) "Placement agency"
includes a
				private employment agency and any other entity that places a worker for private
				hire by a consumer in that consumer's residence for purposes of providing home
				services.
(Section 2.12 of the Act) Agencies licensed as home services
				placement agencies are in the business of securing or attempting to secure work
				for hire for persons seeking work or workers for employers. A placement agency
				shall not be the employer of a home services worker for whom it procures,
				offers, refers, provides or attempts to provide work. The home services worker
				shall perform services pursuant to Section
				245.71
				without any direction, control or supervision exercised by the home services
				placement agency with respect to performing the home services work. Following
				the placement of the worker with the client, the placement agency shall not
				have any control of the worker's assignments or duties, or assist the client in
				the payment of the worker. A placement agency shall not provide ongoing support
				and administrative management of the client's needs.
1) The maximum duration of a contract shall
				be no longer than 12 months.
2) The
				home services placement agency may charge only a one-time fee for placement.
				The home services placement agency may allow the client to pay the fee
				throughout the duration of the contract. An ongoing, continuous client service
				fee beyond the duration of the contract is prohibited.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.220 - Client Service Contracts - Home Nursing and Home Services Agencies

Current through Register Vol. 48, No. 28, July 12, 2024
A contract shall be in force between a home nursing or home
				  services agency and a client. A copy of the contract shall be provided to the
				  client and a copy shall be maintained in the client file at the agency. If the
				  agency has both a home services license and a home nursing license, the agency
				  shall maintain two separate client contracts, one for skilled medical care and
				  one for non-medical services. The contracts shall be printed in no less than
				  12-point type, and shall include at least the following elements in the body or
				  through supporting documents or attachments:
a) Client consent to receive
				services;
b) The name, street
				address, mailing address and telephone number of the agency;
c) The name, mailing address and telephone
				number of the persons designated as the agency manager and/or other individual
				beyond the in-home worker to contact in regard to questions, problems, needs or
				concerns;
d) A statement describing
				the agency license status;
e)
				Indication and assurance of compliance by the agency with the requirements of
				the Act, including compliance with the Health Care Worker Background Check
				Act;
f) The duration of the
				contract;
g) The rate to be paid by
				the client and a detailed description of services to be provided as a part of
				the rate;
h) A description of the
				process through which the contract may be modified, amended or
				terminated;
i) A description of the
				agency complaint resolution process;
j) The billing and payment procedures and
				requirements;
k) A statement
				regarding the agency's policy on notification of a relative or other individual
				in case of an emergency;
l) A
				notice as developed and provided by the agency, indicating the responsible
				party for the following:
1) Employer of the
				in-home/licensed worker;
2)
				Liability for the in-home/licensed worker;
3) Payment of wages to the in-home/licensed
				worker;
4) Payment of employment
				taxes, unemployment insurance, and worker's compensation for the
				in-home/licensed worker;
5) Payment
				of Social Security taxes for the in-home/licensed worker;
6) Day-to-day supervision of the
				in-home/licensed worker;
7)
				Assignment of duties to the in-home/licensed worker;
8) Responsibility for hiring, firing and
				disciplining the in-home/licensed worker; and
9) Provision of equipment or materials for
				the in-home/licensed worker's use in providing services to the
				consumer.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.225 - Client Service Contracts - Home Nursing Placement Agency and Home Services Placement Agency

Current through Register Vol. 48, No. 28, July 12, 2024
A contract between a home nursing placement agency or home
				  services placement agency and a client shall be in force, a copy of which is
				  provided to the client and a copy of which is maintained in the client file at
				  the agency. The document shall be printed in no less than 12-point type, and
				  shall include at least the following elements in the body or through supporting
				  documents or attachments:
a) Client
				consent to receive referral services of a placed worker;
b) The name, street address, mailing address
				and telephone number of the agency;
c) The name, mailing address and telephone
				number of the persons designated as the placement agency manager or other
				individual representing the placement agency who the consumer may contact if
				the contract terms are not performed;
d) A statement describing the agency license
				status;
e) The duration of the
				contract, not to exceed 12 months;
f) The placement fees to be paid by the
				client;
g) A description of the
				process through which the contract may be modified, amended or
				terminated;
h) The billing and
				payment procedures and requirements;
i) The entity to whom the client can report
				abuse, neglect or financial exploitation, and the number of the Department's
				complaint hotline;
j) A notice, as
				developed and provided by the agency, indicating that the client is the
				employer of the home services worker or nurse and that the client is
				responsible for the following:
1) Liability
				for the in-home/licensed worker or nurse;
2) Paying wages to the in-home/licensed
				worker or nurse;
3) Paying
				employment taxes, unemployment insurance, and workers' compensation for the
				in-home/licensed worker or nurse;
4) Paying Social Security taxes for the
				in-home/licensed worker or nurse;
5) Day-to-day supervision of the
				in-home/licensed worker or nurse;
6) Assigning duties to the in-home/licensed
				worker or nurse;
7) Hiring, firing
				and disciplining the in-home/licensed worker or nurse; and
8) Providing equipment or materials for the
				in-home/licensed worker's or nurse's use in providing services to the
				consumer.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.240 - Quality Improvement Program

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Home nursing, home services and placement agencies shall develop a quality
				improvement program. The quality improvement program shall include written
				policies and shall evaluate the agency's total program at least once a year.
				The evaluation for home services agencies and home nursing agencies shall, at a
				minimum, include a clinical or client record review, as appropriate. This
				evaluation shall assess the extent to which the agency's program is
				appropriate, adequate, effective and efficient. Results of the evaluation shall
				be reported to and acted upon by those responsible for the operation of the
				agency and shall be maintained separately as administrative records.
b) Record Review. At least quarterly, the
				agency shall review a sample of both active and closed clinical or client
				records to assure that established policies are followed in providing services
				(direct services, as well as those under contractual arrangement). If
				applicable, this review shall include, but not be limited to:
1) Whether the care plan was directly related
				to the stated diagnosis and plan of care;
2) Whether the frequency of visits was
				consistent with the plan of care; and
3) Whether the service plan was followed by
				the home services worker or nursing staff.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart D - CLIENT/PATIENT SERVICES › Section 245.250 - Abuse, Neglect and Financial Exploitation Prevention and Reporting

Current through Register Vol. 48, No. 28, July 12, 2024
a) When an agency
				has reasonable suspicion that a client has been the victim of abuse, neglect or
				financial exploitation, the agency shall do the following:
1) In the case of an individual who is 60
				years of age or older, an individual who has been found to be disabled or one
				who otherwise qualifies as an "eligible adult" under the Adult Protective
				Services Act [320 ILCS 20 ], the agency shall notify the elder abuse provider
				agency designated by the Department on Aging or an Area Agency on Aging for the
				area in which the client resides. The agency shall document this report and
				maintain documentation on the premises for 12 months after the date of the
				report.
2) In the case of an
				alleged victim under the age of 18, the agency shall notify the Department of
				Children and Family Services through the Child Abuse Hotline. The agency shall
				document this report and maintain documentation on the premises for 12 months
				after the date of the report.
3) If
				the abuse or neglect is alleged to be a result of actions by an employee of the
				agency providing in-home, home health, or home nursing services, the agency
				shall immediately remove the alleged perpetrator from direct contact with
				clients and investigate the allegation.
4) If the client contacts the home services
				placement agency regarding an allegation of abuse or neglect by the placed
				worker, the agency shall comply with the home services agency reporting
				requirements in Section 6.3 of the Act. If the client contacts the home nursing
				placement agency regarding an allegation of abuse or neglect by the placed
				worker, the agency shall comply with the home nursing agency reporting
				requirements in Section 6.7 of the Act.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart A - GENERAL PROVISIONS › Section 250.110 - Application for and Issuance of Permit to Establish a Hospital

Current through Register Vol. 48, No. 28, July 12, 2024
a) A permit to
				establish a hospital is required for the following:
1) Construction of a new hospital;
2) Change of location of a
				hospital;
3) Change of license of a
				hospital;
4) Change of license
				category of a hospital;
5) Whenever
				a facility that was not formerly required to be licensed becomes subject to
				licensure.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart A - GENERAL PROVISIONS › Section 250.120 - Application for and Issuance of a License to Operate a Hospital

Current through Register Vol. 48, No. 28, July 12, 2024
a) Applicant
				and Licensee. The applicant or licensee is the "person" as defined in Section
				3(B) of the Act who establishes, conducts, operates and maintains a hospital,
				or proposes to do so, and who is responsible for meeting licensing
				requirements.
b) Hospitals to be
				Licensed. A license is required of all places that are hospitals as defined in
				Section 3 of the Act, providing that the place is not specifically excluded by
				the Act.
c) Places not to be
				Licensed. The Act excludes the following:
1)
Any person or institution required to be licensed pursuant to the
				Nursing Home Care Act, the Specialized Mental Health Rehabilitation Act of
				2013, the ID/DD Community Care Act, or the MC/DD Act
;
2)
Hospitalization or care facilities
				maintained by the State or any Department or agency thereof, where
the
Department or agency has authority under law to establish and enforce
				standards for the hospitalization or care facilities under its management and
				control;
3)
Hospitalization or care facilities maintained by the federal government
				or agencies thereof;
4)
Hospitalization or care facilities maintained by any university or
				college established under the laws of this State and supported principally by
				public funds raised by taxation;
5)
Any person or facility required to
				be licensed pursuant to the Substance Use Disorder Act
;
6)
Any facility operated solely by
				and for persons who rely exclusively upon treatment by spiritual means through
				prayer, in accordance with the creed or tenets of any well-recognized church or
				religious denomination;
7)
An Alzheimer's disease management center alternative health care model
				licensed under the Alternative Health Care Delivery Act; or
8)
Any veterinary hospital or clinic
				operated by a veterinarian or veterinarians licensed under the Veterinary
				Medicine and Surgery Practice Act of 2004 or maintained by a State-supported or
				publicly funded university or college
. (Section (3)(A) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart A - GENERAL PROVISIONS › Section 250.130 - Administration by the Department

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Interpretation of Regulations
Nothing in this Part shall be interpreted or used to impose
				  any method of treatment or care inconsistent with the creed or moral tenets of
				  any religious denomination, provided that the requirements as to personnel,
				  building, equipment, space, sanitation, food service, supplies, records, and
				  fire safety are met.
b)
				Research Programs and/or Experimental Procedures
1) Definitions
A) Experimental procedures - means the use of
				medical, surgical, manipulative, or psychiatric procedures, drugs, or devices
				for purposes of diagnosis or treatment of human subjects who are inpatients or
				outpatients of a hospital and who are subjects at risk.
B) Research program - means any organized
				activity intended to establish new medical or scientific information, involving
				medical, surgical, manipulative, or psychiatric diagnosis or treatment of human
				subjects who are inpatients or outpatients of a hospital and who are subjects
				at risk.
C) Subject at risk - means
				any individual who may be exposed to the possibility of injury, including
				physical, psychological, or social injury, as a consequence of participation as
				a subject in any research, development, or related activity that significantly
				departs from the application of those established and accepted methods
				necessary to meet the individual's needs, or that increases the ordinary risks
				of daily life, including the recognized risks inherent in a chosen occupation
				or field of service. (See
				45
				CFR
				46.103(b).)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart A - GENERAL PROVISIONS › Section 250.140 - Hearings

Current through Register Vol. 48, No. 28, July 12, 2024
a) Denial,
				suspension or revocation of a permit
An application for a permit may be denied, or a previously
				  issued permit may be suspended or revoked, if the Director finds that the
				  applicant for a permit has failed to comply with Section 6.(a) of the Act
				  and/or the regulations promulgated and published in Subpart A of these
				  regulations.
b) Denial,
				suspension or revocation of a license
An application for a license may be denied, or previously
				  issued license may be suspended or revoked for the following reasons:
1) The institution, place, building, or
				agency is determined not to be a "hospital" within the meaning of the
				Act.
2) The institution, place,
				building, or agency is one specifically excluded from the provisions of the
				Act.
3) There has been a
				substantial or continued failure to comply with regulations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.220 - Accounting

Current through Register Vol. 48, No. 28, July 12, 2024
Accounting procedures shall be carried out in accordance with
				  a recognized system of hospital accounting and should be adequate to permit
				  satisfactory auditing. It is recommended that an audit be performed at least
				  annually by a qualified auditor independent of the hospital.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.230 - Planning

Current through Register Vol. 48, No. 28, July 12, 2024
a) Occupancy
				Control
1) Every hospital shall develop
				occupancy control measures and participate in inter-hospital and community
				planning to meet medical and hospital needs. Such planning shall include a
				continuing evaluation of the hospital's facilities and services to make
				effective use of existing hospital, nursing home and public health facilities
				and services, including community home care services, and of developing new
				and/or additional services.
2)
				Every hospital shall enforce its occupancy control measures in an effort to
				avoid over utilization of its facilities and services. Hospitals experiencing a
				high level occupancy should, if other measures are inadequate, develop hospital
				expansion plans in conjunction with recognized health facility planning
				organizations within its area or region. Expansion programs must also comply
				with Public Act 78-1156, the Illinois Health Facilities Planning Act, as
				administered by the Health Facilities Planning Board. (Refer to Section
				250.310(a)(14)
				 )
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.240 - Admission and Discharge

Current through Register Vol. 48, No. 28, July 12, 2024
a) Principle
The hospital shall have written policies for the admission,
				  discharge, and referral of all patients who present themselves for care.
				  Procedures shall assure appropriate utilization of hospital resources such as
				  preadmission testing, ambulatory care programs, and short-term procedure
				  units.
b) Referrals
A hospital licensed under the Hospital Licensing Act
				  may not refer a patient or the family of a patient
, or have an entity
				  on a resource reference list for a patient or the family of a patient,
to
a home health, home services, or home nursing agency
unless the agency is licensed under the Home Health, Home Services, and
				  Home Nursing Agency Licensing Act
. (Section
				  3.8 of the Home Health, Home
				  Services, and Home Nursing Agency Licensing Act) A hospital shall verify that
				  an agency is currently on the Department's list of licensed home health, home
				  services, and home nursing agencies posted on the Department's website or
				  obtain a copy of an agency's license prior to making a referral to that
				  agency.
c) Access
1) All persons shall be admitted to the
				hospital, whether as inpatients or under observation by a member of the medical
				staff with admitting privileges, an advanced practice registered nurse, or a
				physician assistant with clinical privileges recommended by the medical staff
				and granted by the hospital governing board. All persons admitted to the
				hospital shall be under the professional care of a member of the medical
				staff.
2) Insofar as possible, the
				hospital shall assign patients to accommodations with regard to gender, age,
				and medical requirement.
3) The
				hospital shall provide basic and effective care to each patient. No person
				seeking necessary medical care from the hospital shall be denied care for
				reasons not based on sound medical practice or the hospital's charter, and,
				particularly, no person shall be denied care on account of race, creed, color,
				religion, gender, or sexual orientation.
4) When the hospital does not provide the
				services required by a patient or a person seeking necessary medical care, an
				appropriate referral shall be made.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.245 - Failure to Initiate Criminal Background Checks

Current through Register Vol. 48, No. 28, July 12, 2024
The Department may impose fines on hospitals, not to exceed
				  $500 per occurrence, for failing to initiate a criminal background check on a
				  patient that meets the criteria for hospital-initiated background checks. In
				  assessing whether to impose such a fine, the Department shall consider various
				  factors including, but not limited to, whether the hospital has engaged in a
				  pattern or practice of failing to initiate criminal background checks. Money
				  from fines will be deposited into the Long Term Care Provider Fund. (Section
				  7(a) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.250 - Visiting Rules

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each hospital
				shall establish, in the interest of the patient, policies regarding visitation
				on the various services and departments of the hospital. It is recommended that
				visitors be limited to two per patient at any one time.
b) In times of increased incidence of
				communicable disease in the community, the hospital should consult with the
				local health officer regarding further restriction of visitors.
c) Hospitals shall implement and comply with
				Section 3.2 of the Medical Patient
				Rights Act regarding visitation rights, policies, and procedures. Hospitals
				shall develop policies and procedures to address visitation when a disaster
				exists or in the event of an outbreak or epidemic of communicable
				disease.
d) No visitor shall
				knowingly be admitted who has a known infectious disease, who has recently
				recovered from such a disease, or who has recently had contact with such a
				disease.
e) Children
1) Children under 12 years of age should not
				be admitted as visitors to the hospital except in the company of a responsible
				adult.
2) Children under six years
				of age should be admitted as visitors only when the hospital has a special
				family visiting program or when requested in writing by the attending physician
				or chief executive officer of the hospital. Visiting facilities other than the
				patient's room shall be used for children under six years of age, unless that
				room is a private room.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.260 - Patients' Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) Policy on
				Patients' Rights
1) Hospitals shall adopt a
				written policy on patients' rights.
2) This policy shall be available to all
				patients and personnel upon request.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.265 - Language Assistance Services

Current through Register Vol. 48, No. 28, July 12, 2024
The hospital shall comply with the Language Assistance
				  Services Act [210 ILCS 87 ] and the Language Assistance Services Code (77 Ill.
				  Adm. Code 940).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.270 - Manuals of Procedure

Current through Register Vol. 48, No. 28, July 12, 2024
a) It is
				recommended that the hospital administrator, in cooperation with the medical
				staff and the respective department heads, formulate manuals of procedure so
				that technics and departmental relationships may be systematized and
				standardized.
b) Where appropriate
				these manuals shall contain a statement of policy and procedure regarding
				routine laboratory and x-ray examinations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.280 - Agreement with Designated Organ Procurement Agencies

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each hospital shall have an agreement with
				its federally designated organ procurement agency providing for notification of
				the organ procurement agency when potential organ donors become available, as
				required in Section 2 of the Organ Donation Request Act [755 ILCS 60 ].
				(Section 6.16 of the Act)
b) Each
				hospital shall provide its federally designated organ procurement agency and
				any tissue bank with which it has an agreement with access to the medical
				records of deceased patients for the following purposes:
1) estimating the hospital's organ and tissue
				donation potential;
2) identifying
				the educational needs of the hospital with respect to organ and tissue
				donation; and
3) identifying the
				number of organ and tissue donations and referrals to potential organ and
				tissue donors. (Section 6.17(a) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.290 - Safety Alert Notifications

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Each hospital shall subscribe to the free e-mail notification services of the
				U.S. Food and Drug Administration and the U.S. Centers for Disease Control and
				Prevention.
1) FDA: MedWatch E-List , which
				can be accessed at
www.fda.gov/Safety/MedWatch/default.htm
;
				and
2) CDC: Clinician Outreach and
				Communication Activity (COCA), which can be accessed at
http://emergency.cdc.gov/coca/
.
				COCA updates and clinical reminders may be requested by sending an email to
				coca@cdc.gov.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.295 - Notification and Posting Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Hospitals shall comply with all hospital notification and
				  posting requirements, by physical or electronic means, of the following
				  Acts:
a) Section 6.14(c) of the
				Hospital Licensing Act, related to the hospital's license, complaint
				procedures, Department or court orders, and other materials available for
				public inspection under Section 6.14(d) of the Act;
b) Section 4-4 of the Illinois Health Finance
				Reform Act, related to established charges for services;
c) Section 15 of the Fair Patient Billing
				Act, related to patient financial assistance;
d) Section 3.4 of the Medical Patient Rights
				Act, related to the rights of women with regard to pregnancy and
				childbirth;
e) Section 5.1(a) of
				the Crime Victims Compensation Act, related to posters, provided by the
				Attorney General, regarding the existence of the Crime Victims Compensation Act
				and its provisions;
f) Sections 5
				and 10 of the Human Trafficking Resource Center Notice Act, related to the
				requirements of the Human Trafficking Resource Center Notice Act as provided in
				the model notice; and
g) Section 22
				of the Abandoned Newborn Infant Protect Act, related to relinquishing a newborn
				infant.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart B - ADMINISTRATION AND PLANNING › Section 250.300 - At-Home Patient Care Waivers

Current through Register Vol. 48, No. 28, July 12, 2024
a) To
				adequately respond to COVID-19, a hospital may apply to the Centers for
				Medicare and Medicaid Services (CMMS) for an Acute Hospital Care at Home waiver
				from the requirements of 42
				CFR 482.23(b) and (b)(1) to
				provide limited inpatient services directly in a patient's home. The waiver
				application may be found at
https://qualitynet.cms.gov/acute-hospital-care-at-home
.
b) A participating hospital with an approved
				waiver from the Centers for Medicare and Medicaid Services (CMMS) shall provide
				the Department with the following:
1) A copy
				of the CMMS-approved Medicare waiver;
2) A copy of the participating hospital's
				screening protocol to determine patient eligibility for the at-home, inpatient
				services; and
3) A copy of the
				participating hospital's policy and procedures for clinical management of
				inpatients at home.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart C - THE MEDICAL STAFF › Section 250.315 - House Staff Members

Current through Register Vol. 48, No. 28, July 12, 2024
a) In
				hospitals participating in professional graduate training programs, the
				policies of the hospital, which shall be approved by the Board, must specify
				the duty hour requirements for house staff members and the mechanisms by which
				house staff members are supervised by members of the medical staff in carrying
				out their patient care responsibilities.
b) These policies shall comply with the
				Accreditation Council for Graduate Medical Education, Common Program
				Requirements (Residency).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart C - THE MEDICAL STAFF › Section 250.320 - Admission and Supervision of Patients

Current through Register Vol. 48, No. 28, July 12, 2024
a) All persons admitted to the hospital shall
				be under the professional care of a member of the medical staff. Patients
				admitted by a podiatrist or a dentist shall be under the care of both the
				admitting medical staff member and a physician who is also a medical staff
				member. The podiatrist or the dentist shall be responsible for all care within
				the limits of the privileges granted to them; the physician shall be
				responsible for all aspects of general medical care. Patients admitted by a
				dentist or a podiatrist may have their histories and physical examinations
				performed by the admitting dentist or podiatrist, provided that the dentist or
				podiatrist is a member of the hospital medical staff, that the dentist or
				podiatrist has been approved to perform histories and physical examinations by
				the hospital governing board and that the history and physical examination are
				directly related or incident to the dental or podiatrist service, operation, or
				surgery for which the patient is being admitted.
b) Patients admitted by an advanced practice
				registered nurse or physician assistant shall be under the care of both the
				advanced practice provider and a physician who also is a medical staff member.
				The advanced practice provider shall be responsible for care within the limits
				of the privileges granted to him or her.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart C - THE MEDICAL STAFF › Section 250.330 - Orders for Medications and Treatments

Current through Register Vol. 48, No. 28, July 12, 2024
a) No medication, treatment, or diagnostic
				test shall be administered to a patient except on the written order of a member
				of the medical staff, a house staff member under the supervision of a member of
				the medical staff, or allied health personnel with clinical privileges
				recommended by the hospital medical staff and granted by the hospital governing
				board, with the exception of influenza and pneumococcal polysaccharide
				vaccines, which may be administered per medical staff-approved hospital policy
				that includes an assessment for contraindications, and medications and
				treatments provided to patients in a hospital outpatient setting as set forth
				in a policy approved by the hospital medical staff and governing board.
1) The staff-approved
influenza and
				pneumococcal immunization policy shall include, but not be limited to, the
				following:
A)
Procedures for
				identifying patients age 50 or older for influenza immunization and 65 or older
				for pneumococcal immunization and, at the discretion of the
hospital,
other patients at risk;
B)
Procedures for offering
				immunization against influenza virus when available between September 1 and
				April 1, and against pneumococcal disease upon admission or discharge, to
				patients in accordance with the recommendations of the Advisory Committee on
				Immunization Practices of the Centers for Disease Control and Prevention that
				are most recent to the time of vaccination, unless contraindicated
;
				and
C)
Procedures for
				ensuring that patients offered immunization, or their guardians, receive
				information regarding the risks and benefits of vaccination.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart D - PERSONNEL SERVICE › Section 250.410 - Organization

Current through Register Vol. 48, No. 28, July 12, 2024
a) Personnel
				department organization
1) There shall be an
				organized personnel department or service designed to meet the needs of the
				personnel.
2) The chief executive
				officer shall designate an individual as department or service chief.
3) The chief executive officer
				(administrator) shall ensure that personnel policies and practices that
				adequately support hospital services and quality of patient care are
				established and maintained.
4)
				There shall be sufficient qualified personnel to properly operate the various
				departments and the adjunct services requiring technical skill, such as
				laboratory, x-ray, physical therapy, pharmacy, nursing, surgery, respiratory
				therapy, etc.
5) There shall be
				sufficient service personnel to properly operate service departments.
6) Qualified personnel shall mean those
				persons who hold necessary licenses for the activities they perform. If no
				license is required, qualified personnel shall mean those persons who are
				registered or certified by the Department, the Illinois Department of Financial
				and Professional Regulation, the Council on Medical Education of the American
				Medical Association or Agencies or Committees established in collaboration with
				the Council, other accrediting agencies approved by the Department, or an
				acceptable experience equivalent to the above.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart D - PERSONNEL SERVICE › Section 250.420 - Personnel Records

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Accurate, current and complete personnel records shall be maintained for each
				hospital employee during his term of employment and for the years thereafter as
				may be necessary to satisfy other State Agency or Federal
				requirements.
b) There shall be an
				established standard of content for personnel records, which shall contain at
				least the following:
1) Application form
				and/or resume with current and background information sufficient to justify the
				initial and continuing employment of the individual.
2) Verification of license, if the applicants
				for the positions require a license. A licensed person should be employed only
				after obtaining verification of their license.
3) A record regarding the employee's
				specialized education, training, and experience.
4) Verification of identity.
5) Employment health examination and
				subsequent health services rendered to the employees as are necessary to ensure
				that all hospital employees are physically able to perform their
				duties.
6) Record of orientation to
				the job.
7) Continuance of
				education.
8) Current information
				relative to periodic work performance evaluations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart D - PERSONNEL SERVICE › Section 250.435 - Health Care Worker Background Check

Current through Register Vol. 48, No. 28, July 12, 2024
A hospital shall comply with the Health Care Worker
				  Background Check Act [225 ILCS 46 ] and the Health Care Worker Background Check
				  Code (77 Ill. Adm. Code 955).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart D - PERSONNEL SERVICE › Section 250.445 - Workplace Violence Prevention Program

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A hospital licensed under the Act
				shall comply with the Health Care Violence Prevention Act.
(Section
				9.8 of the Act)
b)
Each
				hospital shall display, either by physical or electronic means, a notice
				stating that verbal aggression will not be tolerated and physical assault will
				be reported to law enforcement.
(Section 15(c) of the Health Care
				Violence Prevention Act)
c)
Each hospital shall create a workplace violence prevention program that
				complies with the Occupational Safety and Health Administration (OSHA)
				Guidelines for Preventing Workplace Violence for Healthcare and Social Service
				Workers. In addition, the workplace violence prevention program shall
				include:
1)
the following
				classification of workplace violence as one of 4 possible types:
A)
"Type 1 violence" - workplace
				violence committed by a person who has no legitimate business at the work site
				and includes violent acts by anyone who enters the workplace with the intent to
				commit a crime;
B)
"Type 2 violence" - workplace violence directed at employees by
				customers, clients, patients, students, inmates, visitors, or other individuals
				accompanying a patient;
C)
"Type 3 violence" - workplace violence against an employee by a present
				or former employee, supervisor, or manager;
or
D)
"Type 4 violence" - workplace
				violence committed in the workplace by someone who does not work there, but has
				or is known to have had a personal relationship with an
				employee.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart D - PERSONNEL SERVICE › Section 250.450 - Personnel Health Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Each hospital shall establish an employee health program that includes the
				following:
1) An assessment of the employee's
				health and immunization status at the time of employment;
2) Policies regarding required immunizations;
				and
3) Policies and procedures for
				the periodic health assessment of all personnel. These policies shall specify
				the content of the health assessment and the interval between assessments, and
				shall comply with the Control of Tuberculosis Code).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart D - PERSONNEL SERVICE › Section 250.460 - Benefits

Current through Register Vol. 48, No. 28, July 12, 2024
Policies shall be established concerning pay days, sick
				  leave, vacations, holidays, overtime, hospitalization, retirement plan, leaves
				  of absence and other benefits or related conditions of employment, and a
				  statement of all such policies should be furnished all personnel upon
				  commencing work.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart E - LABORATORY › Section 250.510 - Laboratory Services

Current through Register Vol. 48, No. 28, July 12, 2024
The hospital shall have a clinical laboratory, certified in
				  accordance with 42 CFR
				  493, to perform services commensurate with
				  the hospital's needs for its patients. Anatomical pathology services and blood
				  bank services shall be available either in the hospital or by arrangement with
				  other facilities.
a) Adequacy of
				Laboratory Services. Clinical laboratory services adequate for the individual
				hospital shall be maintained in the hospital, as determined by the following:
1) The extent and complexity of services are
				commensurate with size, scope and nature of the hospital, and the demands of
				the medical staff upon the laboratory.
2) Basic laboratory services, necessary for
				routine examinations as defined in subsection (b), are provided in the
				hospital.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart E - LABORATORY › Section 250.520 - Blood and Blood Components

Current through Register Vol. 48, No. 28, July 12, 2024
Facilities for procurement, safekeeping and necessary
				  pretransfusion procedures for blood and blood components shall be provided or
				  readily available.
a) The hospital
				shall maintain, as a minimum, blood storage facilities under adequate control
				and supervision of the pathologist or other authorized physician.
b) For emergency situations the hospital
				maintains at least a minimum blood supply in the hospital or can obtain blood
				quickly from community blood banks or institutions, or has an up-to-date list
				of donors and equipment necessary to bleed them.
c) Where the hospital depends on outside
				blood banks, there shall be an agreement governing the procurement, transfer
				and availability of blood which is reviewed and approved by the medical staff,
				administration and governing body.
d) There shall be provision for prompt blood
				typing and cross-matching, and for laboratory investigation of transfusion
				reactions, either through the hospital or by arrangements with others on a
				continuous basis, under the supervision of a physician licensed to practice
				medicine in all its branches in Illinois.
e) A committee of the medical staff or its
				equivalent shall review all transfusions of blood or blood components and make
				recommendations concerning policies governing such practices.
f) The review committee shall investigate all
				transfusion reactions occurring in the hospital and make recommendations to the
				medical staff.