Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 280 - HOSPICE PROGRAMS › Subpart A - LICENSURE › Section 280.1000 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Act - the Hospice Program Licensing Act [210 ILCS 60
				  ].
Attending Physician - a physician who is a doctor of medicine
				  or osteopathy and is identified by an individual, at the time the individual
				  elects to receive hospice care, as having the most significant role in the
				  determination and delivery of the individual's medical care. (Section 3(a-10)
				  of the Act) A Certified Nurse Practitioner can function in the role of
				  attending physician as specified in section 408 of the federal Medicare
				  Prescription Drug Improvement and Modernization Act of 2003.
Bereavement - the period of time during which the hospice
				  patient's family experiences and adjusts to the death of the hospice patient.
				  (Section 3(a) of the Act)
Bereavement Services - counseling services provided to an
				  individual's family after the individual's death. (Section 3(a-5) of the
				  Act)
Advanced Nurse Practitioner - a registered nurse who meets
				  the requirements for licensure as an advanced practice nurse in the category of
				  Certified Nurse Practitioner under the Nurse Practice Act. According to section
				  408 of the Medicare Prescription Drug Improvement and Modernization Act of
				  2003, a nurse practitioner may not serve as a medical director or as the
				  physician member of the interdisciplinary group. The advanced nurse
				  practitioner, acting as the attending physician, would be prohibited from
				  certifying the terminal diagnosis.
Comprehensive Hospice - a program that provides hospice
				  services and meets the minimum standards for certification under the Medicare
				  program set forth in the Conditions of Participation in 42 CFR 418 but is not
				  required to be Medicare-certified. (Section 3(h-10) of the Act)
Counselor - a person who has earned at a minimum a bachelor's
				  degree in counseling, psychology, or social work from an accredited college or
				  university and who has one year of counseling experience in a health care
				  setting; or a religious professional (clergy, religious or theologically
				  trained lay person) who has a combination of documented formal training in
				  pastoral counseling and supervised counseling experience in a health care or
				  clinical setting. The total of supervised work experience must equal at least
				  one year in a clinical or health care setting. Any person employed as a
				  "counselor" in an Illinois Licensed Hospice Program prior to September 1, 1985
				  may continue to serve in that capacity at that agency only, even though he or
				  she may not meet the qualifications for "counselor" as set forth in this
				  Part.
Department - the Illinois Department of Public Health.
				  (Section 3(b) of the Act)
Director - the Director of the Illinois Department of Public
				  Health or designee. (Section 3(c) of the Act)
Employee - a paid or unpaid member of the staff of a hospice
				  program, or, if the hospice program is a subdivision of an agency or
				  organization, of the agency or
organization, who is appropriately trained and assigned to
				  the hospice program. "Employee" also means a volunteer whose duties are
				  prescribed by the hospice program and whose performance of those duties is
				  supervised by the hospice program. (Section 3(l-5) of the Act)
Geographic Service Areas - the counties, cities, census
				  track, etc., that the hospice identifies in the license application as required
				  in Section
				  280.1020(a)(10)
				   of this Part.
Governing Body - the policy-making authority, whether an
				  individual or a group, that exercises general direction over the affairs of a
				  hospice program and establishes policies concerning its operation and the
				  welfare of the individuals it serves.
Home Health Agency - an agency licensed under the Home
				  Health, Home Services, and Home Nursing Agency Licensing Act.
Hospice Aide - a person who provides assistance with meals,
				  dressing, movement, bathing or other personal needs or maintenance. Hospice
				  aides must meet the requirements for Home Health Aides in 77 Ill. Adm. Code
				  245.70
				  or Nursing Assistants in 77 Ill. Adm. Code
				  300.660.
Hospice Care - a program of palliative care that provides for
				  the physical, emotional, and spiritual care needs of a terminally ill patient
				  and his or her family. The goal of such care is to achieve the highest quality
				  of life as defined by the patient and his or her family through the relief of
				  suffering and control of symptoms. (Section 3(d) of the Act)
Hospice Care Team - an interdisciplinary group or groups
				  composed of individuals who provide or supervise the care and services offered
				  by the hospice. (Section 3(e) of the Act)
Hospice Patient - a terminally ill person receiving hospice
				  services. (Section 3(f) of the Act)
Hospice Patient's Family - a hospice patient's immediate
				  family consisting of a spouse, sibling, child, parent,and those individuals
				  designated as such by the patient for the purposes of the Act. (Section 3(g) of
				  the Act)
Hospice Program - a licensed public agency or private
				  organization, or a subdivision of either of those, that is primarily engaged in
				  providing care to terminally ill individuals through a program of home care or
				  inpatient care, or both home care and inpatient care, utilizing a medically
				  directed interdisciplinary hospice care team of professionals or volunteers, or
				  both professionals and volunteers. A hospice program may be licensed as a
				  comprehensive hospice program or a volunteer hospice program. (Section 3(h-5)
				  of the Act)
Hospice Residence -a separately licensed home, apartment
				  building, or similar building providing living quarters:
that is owned or operated by a person licensed to operate as
				  a comprehensive hospice; and
at which hospice services are provided to facility
				  residents.
A building that is licensed under the Hospital Licensing Act
				  or the Nursing Home Care Act is not a hospice residence. (Section 3(g-1) of the
				  Act)
Hospice Service Plan - a plan detailing the specific hospice
				  services offered by a comprehensive or volunteer hospice program, and the
				  administrative and direct care personnel responsible for those services. The
				  plan shall include but not be limited to those items specified in Section
				  280.2000 of
				  this Part. (Section 3(j) of the Act)
Hospice Services -a range of professional and other
				  supportive services provided to a hospice patient and his or her family. These
				  services may include, but are not limited to, physician services, nursing
				  services, medical social work services, spiritual counseling services,
				  bereavement services, and volunteer services. (Section 3(h) of the Act)
Hospital - a location licensed under the Hospital Licensing
				  Act.
Long-Term Care Facility - a location licensed under the
				  Nursing Home Care Act.
Multiple Hospice Location - a location or site from which the
				  hospice program provides non-residential nursing, social, pastoral/counseling,
				  bereavement or dietary services within a portion of the total geographic area
				  served by the hospice program. The multiple hospice location is part of the
				  hospice program and is located sufficiently close to share administration,
				  supervision and services in a manner that renders it unnecessary for the
				  multiple hospice location to independently require a hospice license. Multiple
				  hospice locations are not hospice residences and shall not provide inpatient
				  care.
Not-for-Profit Agency - any hospice program that is operated:
				  by a not-for-profit corporation incorporated under, or qualified as a foreign
				  corporation under, the General Not For Profit Corporation Act of 1986; or by a
				  county pursuant to Division 5-22 of the Counties Code; or pursuant to a trust
				  or endowment established for nonprofit, charitable purposes.
Nurse - a registered nurse or a licensed practical nurse as
				  defined in the Nurse Practice Act.
Palliative Care - the management of pain and other
				  distressing symptoms that incorporates medical, nursing, psychosocial, and
				  spiritual care according to the needs, values, beliefs, and culture or cultures
				  of the patient and his or her family. The evaluation and treatment is
				  patient-centered, with a focus on the central role of the family unit in
				  decision-making. (Section 3(i) of the Act)
Physician - any person licensed to practice medicine in all
				  its branches as provided in the Medical Practice Act of 1987.
Representative - an individual who has been authorized under
				  State law to terminate an individual's medical care or to elect or revoke the
				  election of hospice care on behalf of a terminally ill individual who is
				  mentally or physically incapacitated. (Section 3(l-10) of the Act)
Research or Experimental Programs - use of patients receiving
				  services in the systematic study, observation, or evaluation of factors related
				  to the prevention, assessment, treatment, and understanding of an illness. This
				  involves all behavioral and medical experimental research that involves human
				  beings as experimental subjects.
Social Worker - a person who is a licensed social worker or a
				  licensed clinical social worker under the Clinical Social Work and Social Work
				  Practice Act and has a minimum of one year of social work experience in a
				  health care setting. An exception to the one-year experience requirement may be
				  allowed upon approval by the Department of Public Health. The Department's
				  decision to grant an exception will be based on, but not be limited to, the
				  hospice's efforts to employ a social worker who meets this requirement.
Staff - paid employees of a hospice, individuals working
				  under contractual agreements, and volunteers.
Terminally Ill - a medical prognosis by a physician that a
				  patient has an anticipated life expectancy of one year or less. (Section 3(k)
				  of the Act)
Volunteer - a person who offers his or her services to a
				  hospice without compensation. Reimbursement for a volunteer's expenses in
				  providing hospice service shall not be considered compensation. (Section 3(l)
				  of the Act)
Volunteer Hospice - a program which provides hospice services
				  to patients regardless of their ability to pay, with emphasis on the
				  utilization of volunteers to provide services, under the administration of a
				  not-for-profit agency. This does not prohibit the employment of staff. (Section
				  3(m) of the Act)
Workstation - an office provided for an employee's
				  convenience and not identified in advertising or used for providing hospice
				  services.