reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart A - GENERAL NARRATIVE › Section 1100.50 - Subchapter Organization

Current through Register Vol. 48, No. 28, July 12, 2024
Subchapter a is organized into two distinct Parts. The first
				  (this Part 1100) details general plan requirements and the policies of the
				  Illinois Health Facilities Planning Board which set the philosophical framework
				  for review standards. The second Part (77 Ill. Adm. Code 1110) details how
				  projects are classified and the specific review criteria utilized to evaluate
				  projects.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart A - GENERAL NARRATIVE › Section 1100.60 - Mandatory Reporting of Data

Current through Register Vol. 48, No. 28, July 12, 2024
Sections 13 and
				  14.1 of the Act require
				  all health care facilities operating in Illinois to provide data needed for
				  planning. Section
				  14.1 provides authority
				  for the State Board to impose fines for failure to provide requested
				  information. In addition, Section 13 of the Act provides the following
				  sanctions for failure to supply requested data:
a) Health facilities not complying with this
				requirement shall be reported to the appropriate licensing, accrediting and
				certifying agencies, both State and Federal.
b) Health facilities not complying with this
				requirement shall be reported to the appropriate third-party payors and other
				payment agencies; State, Federal and private.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart A - GENERAL NARRATIVE › Section 1100.70 - Data Appendices

Current through Register Vol. 48, No. 28, July 12, 2024
The State Board in conjunction with the Illinois Department
				  of Public Health publishes data appendices at least once every three years that
				  include Inventory of Health Care Facilities and Services and Need
				  Determinations. Inventories contain facility capacity, need estimates,
				  utilization and socio-economic information. Throughout the year, inventories
				  (see 77 Ill. Adm. Code 1110) are updated on the 15th
				  day of each month (excluding holidays and weekends). Examples of changes
				  included in the monthly update are: permits issued by the State Board;
				  transactions such as a change of facility name or change in bed total; and
				  declaratory rulings made by the State Board.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart A - GENERAL NARRATIVE › Section 1100.75 - Annual Bed Report

Current through Register Vol. 48, No. 28, July 12, 2024
a) For purposes
				of this Section, "initial" annual bed reports shall be those that are prepared
				for the first time after August 31, 2007. Each hospital shall be required to
				submit its initial report to IDPH within six months after August 31,
				2007.
b) Each hospital shall report
				on its number of beds on an annual basis, in a format that includes:
1) Summary of bed count by operational status
				(i.e., physically available, reserve, and transitional) and category of
				service;
2) Identification of the
				physical location of patient care units (PCUs) and beds; and
3) If the report contains transitional beds,
				a description of the project and timetable for completion.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart B - DEFINITIONS › Section 1100.210 - Introduction

Current through Register Vol. 48, No. 28, July 12, 2024
The definitions related to this Subchapter a are listed in
				  this Subpart. Additional definitions pertaining to this Subchapter are
				  contained in the Act, as well as in other State Board rules such as 77 Ill.
				  Adm. Code 1130. If there is disagreement on the applicability of any definition
				  contained in this Subpart, the Administrator shall decide the matter. The
				  decision may be appealed to the State Board pursuant to the declaratory ruling
				  provisions of 77 Ill. Adm. Code 1130.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.310 - Need Assessment

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				State Board in its evaluation of proposed projects must consider if a proposed
				project best meets the needs of an area population. Need equations which are
				presented in this subchapter consider such factors as demand, population
				growth, incidence and state and federal facility utilization.
b) Need estimates thus derived reflect the
				conceptual baseline for determining if proposed projects are needed. Specific
				need equations are presented in Subpart D of this Part.
c) Provision is made in this Subchapter for
				the recognition by the State Board of variances to computed need. Variances are
				developed to account for unique needs and resources of a particular area or
				population.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.330 - Professional Education

Current through Register Vol. 48, No. 28, July 12, 2024
Applicants involved with professional education should seek
				  to utilize existing facilities, beds and services through the development of
				  affiliation agreements rather than undertaking construction or modification
				  projects relating to professional education.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.350 - Multi-Institutional Systems

Current through Register Vol. 48, No. 28, July 12, 2024
The State Board encourages the development of
				  interrelationships between and among health care providers when such
				  relationships increase efficiency, effectiveness, and quality of
				  care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.360 - Modern Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
The people of Illinois should have facilities which are
				  modern in accord with all recognized standards of design, construction,
				  operation and which represent the most cost efficient alternative for the
				  provision of quality care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.370 - Occupancy/Utilization Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) As a
				measure of service capability and efficient operation, occupancy or utilization
				targets are established by category of service within this Plan (77 Ill. Adm.
				Code 1100 and 1110).
b) Facilities
				and services should operate at or above the prescribed utilization
				targets.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.380 - Systems Planning

Current through Register Vol. 48, No. 28, July 12, 2024
The State Board encourages each institution to develop an
				  internal planning process which gives attention to assuring the operation of a
				  modern facility consistent with the assurance of high-quality patient care, the
				  responsible use of manpower and money, and which represents the most cost
				  efficient alternative for the provision of quality care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.390 - Quality

Current through Register Vol. 48, No. 28, July 12, 2024
The responsibility of each facility is to provide quality
				  services. All facilities should be in compliance with all required licensure
				  requirements for operation, provide support services which are necessary for
				  quality operation and provide for internal mechanisms such as peer review for
				  the ongoing evaluation of services provided.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.400 - Location

Current through Register Vol. 48, No. 28, July 12, 2024
Health care services should be appropriately located to best
				  meet the needs of the population. Illinois residents needing services should
				  not be forced to travel excessive distances. Where feasible, underutilized
				  services should be consolidated to promote efficiency of operation and quality
				  when such consolidation does not create access problems.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.410 - Needed Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
The State Board encourages the maintenance and support of
				  needed health care facilities in order to prevent the loss of essential health
				  care services to Illinois residents.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.420 - Discontinuation

Current through Register Vol. 48, No. 28, July 12, 2024
The discontinuation of a category of service or of a health
				  care facility should occur only when such discontinuation does not adversely
				  affect the public interest and should be carried out in such fashion to protect
				  the continuity and quality of care provided to affected
				  patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.430 - Coordination with Other State Agencies

Current through Register Vol. 48, No. 28, July 12, 2024
In its determination of needed services and facilities as
				  well as in individual project review, the State Board shall coordinate its
				  planning efforts with other agencies of the State.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart C - PLANNING POLICIES › Section 1100.440 - Requirements for Authorized Hospital Beds

Current through Register Vol. 48, No. 28, July 12, 2024
a) Authorized hospital beds are to be
				classified as one of the following:
1)
				Physically Available Beds
A) Patient rooms and
				patient care units (PCUs) shall be compliant with applicable licensure codes
				and standards for hospital facilities, pursuant to the Hospital Licensing
				Requirements (77 Ill. Adm. Code 250) as determined by IDPH.
B) The approved number of beds is to be
				recorded in the Inventory of Health Care Facilities.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.520 - Medical-Surgical Care and Pediatric Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
There are 40 medical-surgical and pediatric care planning
				  areas that have been delineated by HFSRB contained within six regions
				  established for the State of Illinois.
1) Region A (comprised of HSAs 6, 7, 8 and 9)
A) Planning Area A-1: City of Chicago
				Community Areas of Uptown, Lincoln Square, North Center, Lakeview, Lincoln
				Park, Near North Side, Edison Park, Norwood Park, Jefferson Park, Forest Glen,
				North Park, Albany Park, Portage Park, Irving Park, Dunning, Montclare, Belmont
				Cragin, Hermosa, Avondale, Logan Square, O'Hare and Edgewater.
B) Planning Area A-2: City of Chicago
				Community Areas of Humboldt Park, West Town, Austin, West Garfield Park, East
				Garfield Park, Near West Side, North Lawndale, South Lawndale, Lower West Side,
				Loop, Armour Square, McKinley Park and Bridgeport.
C) Planning Area A-3: City of Chicago
				Community Areas of Douglas, Oakland, Fuller Park, Grand Boulevard, Kenwood,
				Near South Side, Washington Park, Hyde Park, Woodlawn, South Shore, Chatham,
				Avalon Park, South Chicago, Burnside, Calumet Heights, Roseland, Pullman, South
				Deering, East Side, Garfield Ridge, Archer Heights, Brighton Park, New City,
				West Elsdon, Gage Park, Clearing, West Lawn, West Englewood, Englewood, Chicago
				Lawn and Greater Grand Crossing.
D)
				Planning Area A-4: City of Chicago Community Areas of West Pullman, Riverdale,
				Hegewisch, Ashburn, Auburn Gresham, Beverly, Washington Heights, Mount
				Greenwood, and Morgan Park; Cook County Townships of Lemont, Stickney, Worth,
				Lyons, Palos, Calumet, Thornton, Bremen, Orland, Rich and Bloom.
E) Planning Area A-5: DuPage
				County.
F) Planning Area A-6: Cook
				County Townships of River Forest, Oak Park, Cicero, Berwyn, Riverside, Proviso,
				Leyden and Norwood Park.
G)
				Planning Area A-7: Cook County Townships of Maine, Elk Grove, Schaumburg,
				Palatine and Wheeling.
H) Planning
				Area A-8: City of Chicago Community Areas of Rogers Park and West Ridge; Cook
				County Townships of Northfield, New Trier, Niles and Evanston.
I) Planning Area A-9: Lake County.
J) Planning Area A-10: McHenry
				County.
K) Planning Area A-11: Cook
				County Townships of Barrington and Hanover; Kane County Townships of Hampshire,
				Rutland, Dundee, Burlington, Plato, Elgin, Virgil, Campton and St.
				Charles.
L) Planning Area A-12:
				Kendall County; Kane County Townships of Kaneville, Black Berry, Aurora, Big
				Rock, Sugar Grove, Batavia and Geneva.
M) Planning Area A-13: Grundy and Will
				Counties.
N) Planning Area A-14:
				Kankakee County.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.530 - Obstetric Care Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
Planning areas are the same as those for medical-surgical and
				  pediatric care.
b) Age
				Groups
1) For maternity care, female ages
				15-44.
2) For gynecological care
				within obstetrics units, female ages 15 and over.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.540 - Intensive Care Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
Planning areas are the same as those for medical-surgical and
				  pediatrics care.
b) Age
				Groups
For intensive care, all ages.
c) Facility Utilization Rates
Facilities that provide intensive care services should
				  operate those beds at or above an annual minimum occupancy rate of 60%.
d) Bed Capacity
Intensive care bed capacity is the total number of intensive
				  care beds for a facility as determined by HFSRB pursuant to this Part.
e) Need Determination
In assessing the number of beds required to serve the
				  residents of a planning area, HFSRB shall establish a base year and utilize the
				  following methodology to determine the projected number of intensive care beds
				  needed in a planning area:
1) Divide
				the three year average of experienced intensive care patient days by the total
				base year population to obtain a use rate;
2) Multiply the use rate by the projected
				year's total population projection, five years from the base year, to obtain
				projected patient days;
3) Divide
				the projected patient days by days in the projected year to obtain a projected
				average daily census;
4) Divide the
				projected average daily census by .60 (60% occupancy factor) to obtain the
				projected planning area bed need;
5) Subtract the number of existing beds in
				the planning area from the projected planning area bed need to determine the
				projected number of surplus (excess) beds or the projected bed deficit or
				additional beds needed in the area.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.550 - Comprehensive Physical Rehabilitation Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
Planning areas for comprehensive physical rehabilitation are
				  Health Service Areas.
b)
				Age Groups
For comprehensive physical rehabilitation, all ages.
c) Utilization Target
Facilities that provide a comprehensive physical
				  rehabilitation service should operate those beds at or above an annual minimum
				  occupancy rate of 85%.
d)
				Bed Capacity
Comprehensive Physical Rehabilitation bed capacity is the
				  total number of comprehensive physical rehabilitation beds for a facility as
				  determined by HFSRB pursuant to this Part.
e) Need Determination
The following methodology is utilized to determine the
				  projected number of comprehensive physical rehabilitation beds needed in a
				  planning area:
1) Divide the base
				year's experienced rehabilitation patient days by the base year population
				estimate to determine the planning area's experienced use rate. If the
				experienced use rate is less than 60% of the State's base year experienced use
				rate, adjust the planning area's use rate to 60% of the State's base year use
				rate to establish a minimum use rate;
2) Multiply the planning area's experienced
				or minimum use rate, if applicable, by the population projection for five years
				from the base year to determine projected patient days for the planning
				area;
3) Divide the projected
				patient days by the number of days in the projected year to obtain the
				projected average daily census;
4)
				Divide the projected average daily census by .85 (85% occupancy rate) to obtain
				the projected planning area bed need;
5) Subtract the number of existing beds in
				the planning area from the projected planning area bed need to determine the
				projected number of excess beds (surplus) or the projected need (deficit) for
				additional beds in the area.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.560 - Acute Mental Illness Treatment Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
1) For HSAs I, II, III, IV, V, X and XI, the
				HSA is the planning area;
2) For
				HSAs VI, VII, VIII and IX, medical-surgical and pediatric care planning areas
				A-1 through A-14 are the planning areas.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.580 - Neonatal Intensive Care Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas:
HSA
1
HSAs
5 and 11
HSAs
2 and 10
HSAs
6, 7, 8, and 9
HSAs
3 and 4
b)
				Occupancy Targets: 75%
c) Bed
				Capacity: Neonatal Intensive Care bed capacity is the reported functional
				capacity per patient room.
d) Bed
				Need Determination-Neonatal Intensive Care:
No formula bed need for neonatal intensive care beds has been
				  developed. It is the responsibility of the applicant to document the need for
				  the number of neonatal intensive beds proposed by complying with the Review
				  Criteria contained in 77 Ill. Adm. Code 1110.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.610 - Open Heart Surgery Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas: Health Service
				Areas
b) Utilization Standards:
1) Adult: There should be a minimum of 200
				open heart procedures performed annually by each facility within three years
				after initiation, in any institution in which open heart surgery is performed
				for adults. Higher case loads, over 200 per annum, are encouraged.
2) Pediatric: There should be a minimum of 75
				pediatric open heart operations performed annually by each facility within
				three years after initiation of the service.
3) Adult/Pediatric: The defined minimum
				utilization standards for both adult and pediatric shall apply for programs
				doing both adult and pediatric open heart surgery.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.620 - Cardiac Catheterization Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas: Health Service Areas as
				defined by the Department of Health and Human Services pursuant to P.L.
				93-641.
b) Utilization Standards:
There should be a minimum of 200 cardiac catheterization
				  procedures performed annually within two years after initiation.
c) Need Determination - Cardiac
				Catheterization Programs:
No additional cardiac catheterization service shall be
				  started unless each facility in the planning area offering cardiac
				  catheterization services operates at a level of 400 procedures
				  annually.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.630 - In-Center Hemodialysis Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
Planning areas for the in-center hemodialysis category of
				  service are Health Service Areas.
b) Age Groups
For in-center hemodialysis, all ages.
c) Utilization Target
Facilities providing in-center hemodialysis should operate
				  their dialysis stations at or above an average annual utilization rate of 80%,
				  assuming three patient shifts per day per renal dialysis station operating six
				  days a week.
d) Need
				Determination
The five-year need determination is a short-term assessment
				  that applies to the planning area need requirements in the 77 Ill. Adm. Code
				  1110 category of service review criteria. The in-center hemodialysis or end
				  stage renal disease (ESRD) station need is a five year projection from the base
				  year. The need for additional treatment stations can be projected utilizing the
				  following methodology:
1) Establish a
				minimum institutional dialysis rate by dividing the total number of
				institutional dialysis patients in the base year by the State base year
				population estimate in thousands and multiply the result by .6 (60%).
2) Determine each planning area's experienced
				institutional dialysis rate by dividing the number of patients receiving
				dialysis in the base year by the planning area population projection in
				thousands for the base year.
3)
				Multiply each planning area's population projection in thousands by the greater
				of the minimum institutional dialysis rate or the experienced institutional
				dialysis rate for the planning area to determine the estimated number of
				institutional dialysis patients.
4)
				Multiply the planning area's projected number of institutional dialysis
				patients by a factor of 1.33 (5 year increase in prevalence) to determine the
				projected number of institutional dialysis patients in the planning area for
				the projected year.
5) Multiply the
				projected number of annual institutional dialysis patients by 156 (3
				treatments/week x 52 weeks) to determine the projected number of institutional
				procedures.
6) Divide the projected
				number of annual institutional procedures by 749 (3 shifts/day x 6 days/week x
				52 weeks/year x .80 utilization target) to determine the projected number of
				stations needed for the projected year.
7) Subtract the number of existing stations
				from the projected number of needed stations to determine the excess (surplus)
				or additional (deficit) number of stations needed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.640 - Non-Hospital Based Ambulatory Surgical Treatment Center Services - Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning
				Areas
No planning areas are established for need determination
				  purposes. Ambulatory surgical treatment facilities (ASTCs) shall be inventoried
				  by health service area.
b)
				Age Groups
For non-hospital based ambulatory surgery, all ages.
c) Utilization Target
ASTCs surgical or treatment rooms should be utilized at a
				  minimum of 80% occupancy. The 80% occupancy equates to 1,500 hours of use per
				  room per year (including setup and cleanup time) and is based upon treatment
				  room availability of 7.5 hours per day times 250 days per year.
d) Need Determination
No formula need determination for the number of ASTCs and the
				  number of surgical or treatment rooms in an area has been established. Need
				  must be
established pursuant to the applicable review criteria of 77
				  Ill. Adm. Code 1110.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.720 - Selected Organ Transplantation

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Area - The State of
				Illinois
b) Need Determination:
No formula need has been developed for this category of
				  service. It is the responsibility of the applicant to document the need for the
				  service by complying with all applicable Review Criteria contained in 77 Ill.
				  Adm. Code 1110.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.730 - Kidney Transplantation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Planning Area - The State of Illinois
b) Need Determination - One program is needed
				for a population base of two million unserved people within a three-hour travel
				time.
c) Utilization Standards -
				Minimum utilization of 25 transplants annually.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.740 - Subacute Care Hospital Model

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Planning Area:
1) the City of
				Chicago;
2) Cook County outside the
				City of Chicago;
3) DuPage, Kane,
				Lake, McHenry, and Will Counties;
4) Municipalities with a population greater
				than 50,000 not located in the areas described in subsections (a)(1), (2), and
				(3) of this Section. Municipalities means geographic areas designated as a
				Metropolitan Statistical Area (MSA) by the Bureau of the Census pursuant to the
				1990 census but shall not include any counties within an MSA having a 1990
				population of less than 35,000. Counties with a 1990 population less than
				35,000 and which are located in an MSA are: Boone, Clinton, Grundy, Jersey,
				Menard, Monroe, and Woodford counties. These counties shall be classified as
				rural areas pursuant to subsection (a)(5) of this Section; and
5) Rural areas, i.e., all areas exclusive of
				subsections (a)(1), (2), (3), and (4) of this Section.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.750 - Postsurgical Recovery Care Center Alternative Health Care Model

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas:
1) The City of Chicago;
2) Cook County outside the City of
				Chicago;
3) Kane, Lake, and McHenry
				Counties;
4) Municipalities with a
				population greater than 50,000 not located in the areas described in
				subsections (a)(1), (2), and (3) of this Section. Municipalities means
				geographic areas designated as Metropolitan Statistical Area by the Bureau of
				the Census; and
5) Rural areas,
				i.e., all areas exclusive of subsections (a)(1), (2), (3), and (4) of this
				Section.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.760 - Children's Respite Care Center Alternative Health Care Model

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas:
1) The City of Chicago;
2) Cook County outside the City of
				Chicago;
3) DuPage, Kane, Lake,
				Will and McHenry Counties;
4)
				Municipalities with a population greater than 50,000 not located in the areas
				described in subsections (a)(1), (2), and (3) of this Section. Municipalities
				means geographic areas designated as Metropolitan Statistical Areas by the
				Bureau of the Census; and
5) Rural
				areas, i.e., all areas exclusive of subsections (a) (1), (2), (3), and (4) of
				this Section.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.770 - Community-Based Residential Rehabilitation Center Alternative Health Care Model

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Area:
				The area of Illinois south of Interstate Highway 70
b) Age Groups: All ages
c) Occupancy Targets:
				Modernization/Establishment 70% or higher
d) Bed Capacity: No more than 12 beds per
				residence
e) Need Determination:
				One model for the State of Illinois
f) Beds approved for this model shall be
				inventoried as Community-Based Residential Rehabilitation Center
				beds.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.800 - Freestanding Emergency Center Medical Services Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
Planning areas are the same as those for medical-surgical and
				  pediatric care.
b) Age
				Groups
For freestanding emergency center medical services, all
				  ages.
c) Utilization
The minimum operational capacity for each treatment station
				  in an FEC is 5.5 patients per day (2000 patient visits per year) based upon
				  24-hour availability.
d)
				Need Determination
No formula need determination for the establishment of a
				  freestanding emergency center medical service category of service or the number
				  of treatment stations has been established. Need shall be established pursuant
				  to the applicable review criteria of 77 Ill. Adm. Code 1110.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.810 - Long-Term Acute Care Hospital Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Planning Areas
HSA 1 HSAs 5 and 11
HSAs 2 and 10 HSAs 6, 7, 8 and 9
HSAs 3 and 4
b) Age Groups
For Long-Term Acute Care Hospital (LTACH) services, all
				  ages.
c) Occupancy Target
Facilities that provide LTACH beds should operate those beds
				  at or above an annual minimum occupancy rate of 85%.
d) Authorized Hospital Bed Capacity
1) Any beds in existence prior to April 15,
				2010 that were used as LTACH beds have been reclassified from medical-surgical
				or ICU beds to LTACH beds.
2) Beds
				in LTACHs certified by CMMS shall be reclassified by HFSRB in its Inventory of
				Health Care Facilities and Services and Need Determinations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart D - NEED ASSESSMENT › Section 1100.820 - Birth Center Category of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Planning Areas
No planning areas are established for need determination
				  purposes. Birth centers shall be inventoried by health service area.
b) Age Groups
Females aged 15 through 44.
c) Utilization Target
Birth centers should operate at or above an annual minimum
				  occupancy rate of 60%. This rate is consistent with the occupancy rate
				  requirement for the Obstetric Care Category of Service for facilities with 1-10
				  beds. (see 77 Ill. Adm. Code
				  1100.530(c)(1))
d) Need Determination
Need must be established pursuant to the applicable review
				  criteria of 77 Ill. Adm. Code 1110.285.
e) Bed Capacity
Bed capacity at a birth center is a maximum of 10 beds.
				  [210 ILCS
				  170/5(3) ].
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart A - APPLICABILITY; PROJECT CLASSIFICATION; DISCONTINUATION OF CATEGORY OF SERVICE › Section 1110.10 - Introduction; Definition of Terms; Referenced Statutes

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
An application for permit
shall be made to
				  the
Health Facilities and Services Review Board (HFSRB) and shall
contain such information as
HFSRB
deems
				  necessary
[20 ILCS
				  3960/6(a) ]. The applicant is
				  responsible for addressing all pertinent review criteria that relate to the
				  scope of a construction or modification project or to a project for the
				  acquisition of major medical equipment. Applicable review criteria may include,
				  but are not limited to, general review criteria, discontinuation, category of
				  service criteria, and financial and economic feasibility criteria. Applications
				  for permits shall be processed, classified and reviewed in accordance with all
				  applicable HFSRB rules. HFSRB shall consider a project's conformance with all
				  applicable review criteria in evaluating applications and in determining
				  whether a permit should be issued.
b) Definition of Terms
Definitions pertaining to this Part are contained in the Act,
				  77 Ill. Adm. Code 1100 and 1130, and various Sections of this Part. HFSRB's
				  operational rules relating to the processing and review of applications for
				  permit are contained in 77 Ill. Adm. Code 1130.
c) Referenced Statutes
1) Illinois Statutes
A) Alternative Health Care Delivery Act [210
				ILCS 3]
B) Ambulatory Surgical
				Treatment Center Act [210 ILCS 5]
C) Birth Center Licensing Act [210 ILCS
				170]
D) Clinical Social Work and
				Social Work Practice Act [225 ILCS 20]
E) Community Benefits Act [210 ILCS
				76]
F) Dietitian Nutritionist
				Practice Act [225 ILCS 30]
G)
				Emergency Medical Services (EMS) Systems Act [210 ILCS 50]
H) Hospital Licensing Act [210 ILCS
				85]
I) Illinois Administrative
				Procedure Act [5 ILCS 100]
J)
				Illinois Health Facilities Planning Act [20 ILCS 3960]
K) Nursing Home Care Act [210 ILCS
				45]
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart A - APPLICABILITY; PROJECT CLASSIFICATION; DISCONTINUATION OF CATEGORY OF SERVICE › Section 1110.20 - Classification of Projects

Current through Register Vol. 48, No. 28, July 12, 2024
When an application for permit has been received by HFSRB,
				  the Administrator shall classify the project into one of the following
				  classifications:
a) Emergency Review
				Classification
1) An emergency review
				classification applies only to those construction or modification projects that
				affect the inpatient or outpatient operation of a health care facility and are
				necessary because one or more of the following conditions exist:
A) An imminent threat to the structural
				integrity of the building;
B) An
				imminent threat to the safe operation and functioning of the mechanical,
				electrical or comparable systems of the building; or
C) Other
hazardous conditions that
				may harm or injure persons using the facility
. [
				20
				ILCS 3960/12(9) ]
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart B - INTRODUCTION; GENERAL INFORMATION; GENERAL REVIEW CRITERIA › Section 1110.100 - Introduction

Current through Register Vol. 48, No. 28, July 12, 2024
a) This Subpart
				contains the Information Requirements and Review Criteria that apply in total
				or in part to all projects that require a permit, (with the exception of
				projects solely involving discontinuation and long term care), including:
1) Purpose of Project, Safety Net Impact
				Statement and Alternatives - Information Requirements;
2) Project Scope and Size, Utilization and
				Unfinished/Shell Space Review Criteria.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart B - INTRODUCTION; GENERAL INFORMATION; GENERAL REVIEW CRITERIA › Section 1110.120 - Project Scope and Size, Utilization and Unfinished/Shell Space - Review Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) Size of
				Project - Review Criteria
1) The applicant
				shall document that the physical space proposed for the project is necessary
				and appropriate. The proposed square footage cannot deviate from the square
				footage range indicated in Appendix B, or exceed the square footage standard in
				Appendix B if the standard is a single number, unless square footage can be
				justified by documenting, as described in subsection (a)(2).
2) If the project square footage is outside
				the standards in Appendix B, the applicant shall submit architectural floor
				plans (see HFSRB NOTE) of the project identifying all clinical service areas
				and those clinical service areas or components of those areas that do not
				conform to the standards. The applicant shall submit documentation of one or
				more of the following:
A) The proposed space
				is appropriate and neither excessive nor deficient in relation to the scope of
				services provided, as justified by clinical or operational needs; supported by
				published data or studies, as available; and certified by the facility's
				Medical Director; or
B) The
				existing facility's physical configuration has constraints that require an
				architectural design that exceeds the standards of Appendix B, as documented by
				architectural drawings delineating the constraints or impediments, in
				accordance with this subsection (a); or
C) Additional space is mandated by
				governmental or certification agency requirements that were not in existence
				when the Appendix B standards were adopted; or
D) The project involves the conversion of
				existing space that results in excess square footage.
HFSRB NOTE: Architectural floor plans submitted shall
				  identify clinical service areas or components and shall designate the areas in
				  square footage. Architectural floor plans must be of sufficient accuracy and
				  format to allow measurement. Format may be either a digital drawing format
				  (.dwg file or equivalent) or a measurable paper copy 1/16 scale or
				  larger.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart B - INTRODUCTION; GENERAL INFORMATION; GENERAL REVIEW CRITERIA › Section 1110.130 - Additional General Review Criteria for Master Design and Related Projects Only

Current through Register Vol. 48, No. 28, July 12, 2024
a) System
				Impact of Master Plan. The applicant must document that the proposed master
				plan or future construction or modification projects will have a positive
				impact on the health care delivery system of the planning area in terms of
				improved access, long term institutional viability, and availability of
				services. Documentation shall address:
1) the
				availability of alternative health care facilities within the planning area and
				the impact the applicant's proposed future projects will have on the
				utilization of those facilities;
2)
				how the services proposed in the applicant's future projects will improve
				access to area residents;
3) what
				the potential impact on area residents would be if the proposed services were
				not to be replaced or developed; and
4) the anticipated role of the facility in
				the delivery system, including anticipated patterns of patient referral and any
				contractual or referral agreement between the applicant and other providers
				that will result in the transfer of patients to the applicant's
				facility.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.200 - Medical/Surgical, Obstetric, Pediatric and Intensive Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section applies to projects involving
				the following categories of hospital bed services: Medical/Surgical;
				Obstetrics; Pediatrics; and Intensive Care. Applicants proposing to establish,
				expand or modernize a category of hospital bed service shall comply with the
				applicable subsections of this Section, as follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Establishment of Services or Facility
(b)(1)
-
Planning Area Need - 77 Ill. Adm. Code 1100 (formula
							 calculation)
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(3)
-
Planning Area Need - Service Demand - Establishment
							 of Category of Service
(b)(5)
-
Planning Area Need - Service Accessibility
(c)(1)
-
Unnecessary Duplication of Services
(c)(2)
-
Maldistribution
(c)(3)
-
Impact of Project on Other Area Providers
(e)
-
Staffing Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Expansion of Existing Services
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(4)
-
Planning Area Need - Service Demand - Expansion of
							 Existing Category of Service
(e)
-
Staffing Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Category of Service Modernization
(d)(1) & (2) & (3)
-
Deteriorated Facilities
(d)(4)
-
Occupancy
(f)
-
Performance Requirements
2)
				If the proposed project involves the replacement of a hospital or service
				onsite, the applicant shall comply with the requirements listed in subsection
				(a)(1) (Category of Service Modernization) plus subsection (g)
				(Assurances).
3) If the proposed
				project involves the replacement of a hospital or service on a new site, the
				applicant shall comply with the requirements of subsection (a)(1)
				(Establishment of Services or Facility).
4) If the proposed project involves the
				replacement of a hospital or service (onsite or new site), the number of beds
				being replaced shall not exceed the number justified by historical occupancy
				rates for each of the latest 2 years, unless additional beds can be justified
				per the criteria for Expansion of Existing Services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.205 - Comprehensive Physical Rehabilitation Beds

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section applies to projects involving
				the Comprehensive Physical Rehabilitation (CPR) category of service. Applicants
				proposing to establish, expand or modernize CPR shall comply with the
				applicable subsections of this Section, as follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Establishment of Services or Facility
(b)(1)
-
Planning Area Need - 77 Ill. Adm. Code 1100 (formula
							 calculation)
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(3)
-
Planning Area Need - Service Demand - Establishment
							 of CPR
(b)(5)
-
Planning Area Need - Service Accessibility
(c)(1)
-
Unnecessary Duplication of Services
(c)(2)
-
Maldistribution
(c)(3)
-
Impact of Project on Other Area Providers
(e)(1)
-
Staffing Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Expansion of Existing Services
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(4)
-
Planning Area Need - Service Demand - Expansion of
							 CPR
(e)(1)
-
Staffing - Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Comprehensive Physical Rehabilitation
							 Modernization
(d)(1)
-
Deteriorated Facilities
(d)(2) & (3)
-
Documentation
(d)(4)
-
Occupancy
(f)
-
Performance Requirements
2)
				If the proposed project involves the replacement of a hospital or service
				on-site, the applicant shall comply with the requirements listed in subsection
				(a)(1) (Comprehensive Physical Rehabilitation Modernization) plus subsection
				(g) (Assurances).
3) If the
				proposed project involves the replacement of a hospital or service on a new
				site, the applicant shall comply with the requirements of subsection (a)(1)
				(Establishment of Services or Facility).
4) If the proposed project involves the
				replacement of a hospital or service (on-site or new site), the number of beds
				being replaced shall not exceed the number justified by historical occupancy
				rates for each of the latest 2 years, unless additional beds can be justified
				per the criteria for Expansion of Existing Services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.210 - Acute Mental Illness and Chronic Mental Illness

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section applies to projects involving
				Acute Mental Illness (AMI) and Chronic Mental Illness (CMI). Applicants
				proposing to establish, expand or modernize AMI and CMI categories of service
				shall comply with the applicable subsections of this Section, as follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Establishment of Services or Facility
(b)(1)
-
Planning Area Need - 77 Ill. Adm. Code 1100 (formula
							 calculation)
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(3)
-
Planning Area Need - Service Demand - Establishment
							 of AMI and/or CMI
(b)(5)
-
Planning Area Need - Service Accessibility
(c)(1)
-
Unnecessary Duplication of Services
(c)(2)
-
Maldistribution
(c)(3)
-
Impact of Project on Other Area Providers
(e)
-
Staffing Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Expansion of Existing Services
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(4)
-
Planning Area Need - Service Demand - Expansion of
							 AMI and/or CMI
(e)
-
Staffing Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Category of Service Modernization
(d)(1)
-
Deteriorated Facilities
(d)(2) & (3)
-
Documentation
(d)(4)
-
Occupancy
(f)
-
Performance Requirements
2)
				If the proposed project involves the replacement of a hospital or service
				onsite, the applicant shall comply with the requirements listed in subsection
				(a)(1) (AMI and/or CMI Modernization) plus subsection (g)
				(Assurances).
3) If the proposed
				project involves the replacement of a hospital or service offsite, the
				applicant shall comply with the requirements of subsection (a)(1)
				(Establishment of Services or Facility).
4) If the proposed project involves the
				replacement of a hospital or service (onsite or new site), the number of beds
				being replaced shall not exceed the number justified by historical occupancy
				rates for each of the latest 2 years, unless additional beds can be justified
				per the criteria for Expansion of Existing Services.