reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart J - MECHANICAL › Section 205.1530 - Steam and Hot Water Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Boilers and/or hot water heaters shall have the capacity, based upon the net
				ratings published by the Hydronics Institute, to supply the normal requirements
				of all the systems and equipment.
b) Supply and return mains and risers of
				space heating and process steam systems shall be valved to isolate the various
				sections of each system. Each piece of equipment shall be valved at the supply
				and return ends.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart K - PLUMBING AND OTHER PIPING SYSTEMS › Section 205.1610 - General

Current through Register Vol. 48, No. 28, July 12, 2024
All plumbing systems shall be designed and installed in
				  accordance with the requirements of the Illinois Plumbing Code (77 Ill. Adm.
				  Code 890).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart K - PLUMBING AND OTHER PIPING SYSTEMS › Section 205.1620 - Plumbing Fixtures

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Plumbing fixtures shall be of nonabsorptive acid-resistant materials.
b) The water supply spout, for lavatories and
				sinks required for filling pitchers, for medical and nursing staff handwashing,
				shall be mounted so that its discharge point is a minimum perpendicular
				distance of 5 inches above the rim of the fixture.
c) All fixtures for use by medical and
				nursing staff shall be trimmed with valves which can be operated without the
				use of hands.
1) When blade handles are used
				for this purpose, the blade handles shall not exceed 41/2 inches in
				length.
2) The scrub sinks for
				surgery shall be trimmed with valves which are aseptically operated (i.e., knee
				or foot or elbow actuated) without the use of hands. Wrist blade handles are
				not acceptable.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart K - PLUMBING AND OTHER PIPING SYSTEMS › Section 205.1630 - Water System

Current through Register Vol. 48, No. 28, July 12, 2024
a) Water
				systems shall be designed to supply water at sufficient pressure to operate all
				fixtures and equipment during maximum demand periods.
b) Each water service main, branch main,
				riser, and branch to a group of fixtures shall be valved. Stop valves shall be
				provided at each fixture.
c)
				Approved backflow preventers or vacuum breakers shall be installed on hose
				bibbs, laboratory sinks, janitors' sinks, and on all other fixtures to which
				hoses or tubing are, or can be attached.
d) Water distribution systems shall be
				arranged to provide hot water at each hot water outlet at all times.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart K - PLUMBING AND OTHER PIPING SYSTEMS › Section 205.1640 - Drainage Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Building sewers shall discharge into a community sewage system.
b) Where a community sewage system is not
				available, sewage and liquid wastes shall be collected, treated and disposed of
				in a private treatment system which must conform to local and State
				regulations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart K - PLUMBING AND OTHER PIPING SYSTEMS › Section 205.1650 - Identification

Current through Register Vol. 48, No. 28, July 12, 2024
All piping for, heating, ventilating and air conditioning,
				  and service water systems shall be coded and marked for easy
				  identification.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1710 - General

Current through Register Vol. 48, No. 28, July 12, 2024
a) All material
				including equipment, conductors, controls, and signaling devices shall be
				installed to provide a complete electrical system with the necessary
				characteristics and capacity to supply the required electrical facilities. All
				materials shall be listed as complying with available standards of
				Underwriters' Laboratories, Inc., or other similarly established
				standards.
b) All electrical
				installations and systems shall be tested to show that the equipment is
				installed and operates as required. A written record of performance tests on
				special electrical systems and equipment shall be supplied to the owner. Such
				tests shall show compliance with the governing codes and shall include
				grounding continuity and alarm systems.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1720 - Switchboards and Power Panels

Current through Register Vol. 48, No. 28, July 12, 2024
Circuit breakers or fusible switches that provide
				  disconnecting means and overcurrent protection for conductors connected to
				  switchboards and panelboards shall be enclosed or guarded to provide a
				  dead-front type of assembly.
a) The
				main switchboard shall be located in a separate enclosure accessible only to
				authorized persons.
b) The
				switchboards shall be convenient for use, readily accessible for maintenance,
				clear of traffic lanes, and in a dry ventilated space free of corrosive fumes
				or gases.
c) Overload protective
				devices shall be suitable for operating properly in the ambient temperature
				conditions.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1730 - Panelboards

Current through Register Vol. 48, No. 28, July 12, 2024
Panelboards serving lighting and appliance circuits shall be
				  located on the same floor as the circuits they serve. This requirement does not
				  apply to any emergency system circuits.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1740 - Lighting

Current through Register Vol. 48, No. 28, July 12, 2024
a) All spaces
				occupied by people, machinery, and equipment within buildings, approaches to
				the buildings, and parking lots shall have lighting.
b) A portable or fixed examination light
				shall be provided in each examination and treatment room.
c) Procedure rooms shall have general
				lighting, in addition to local lighting provided by adequate lighting units at
				the procedure tables.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1750 - Receptacles (Convenience Outlets)

Current through Register Vol. 48, No. 28, July 12, 2024
a) Duplex grounding type receptacles shall be
				installed in all areas or rooms in sufficient quantities for the tasks to be
				performed.
b) The duplex
				receptacles for general procedures and minor procedures such as laser or
				endoscopy must be hospital grade.
c) A minimum of two duplex receptables shall
				be located convenient to each examination and work table, and to each Stage I
				recovery space.
d) A minimum of one
				duplex receptacle for each wall shall be installed in each work area or room,
				other than storage or locker room.
e) Duplex receptables for cleaning equipment
				and general use shall be installed in all corridors.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1760 - Grounding

Current through Register Vol. 48, No. 28, July 12, 2024
In areas used for patient care or treatment, all receptacles
				  operating at over 100 volts shall be grounded by an insulated copper conductor,
				  sized in accordance with Table 250-95 of NFPA 70 (see Section
				  205.115(a)(1)(B)
				   ), and installed with the branch conductors
				  supplying these receptacles.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1770 - Equipment Installation in Special Areas

Current through Register Vol. 48, No. 28, July 12, 2024
a) X-ray Installations. Fixed and mobile
				X-ray equipment installations, if installed, shall conform to Article 660 of
				NFPA 70 (see Section
				205.115(a)(1)(B)
				 ).
b) Installation in non-flammable
				anesthetizing locations of all electrical equipment and devices, receptacles,
				and wiring shall comply with NFPA 70. Exception: Isolated electrical systems
				are not required.
c) An "In Use"
				warning light or sign shall be installed immediately outside of the entrance to
				a procedure room in which laser equipment is used when such warning light or
				sign is required by the manufacturer's specifications.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1780 - Emergency Electric Service

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				An emergency source of electricity shall be provided.
b) Ambulatory surgical treatment centers that
				do not administer inhalation anesthetics in any concentration, or that have no
				patients requiring electrical life-support equipment, shall be permitted to use
				a battery system for emergency power. The following are required:
1) Illumination of means of egress as
				required in NFPA 101;
2)
				Illumination of procedure and recovery rooms;
3) Illumination of exit and exit directional
				signs; and
4) Fire alarm and alarms
				required for nonflammable medical gas systems, if nonflammable medical gas
				systems are installed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Section 205.1790 - Fire Alarm System

Current through Register Vol. 48, No. 28, July 12, 2024
A manually operated electrically supervised fire alarm system
				  shall be installed. The following is required:
a) Manual pull stations at all exit
				doors.
b) Audio/visual signal
				devices in compliance with the State of Illinois Accessibility Code (71 Ill.
				Adm. Code 400).
c) A presignal
				system is not permitted; all signals must automatically transmit to the nearest
				fire department or central receiving station.
d) If a sprinkler system is installed, the
				required water flow alarm device and electrical tamper switches must be
				interconnected to the fire alarm system.
e) If a smoke barrier is installed, the doors
				must normally be kept closed or, if held open, they must be equipped with
				magnetic hold-open devices that will release the door upon activation of the
				fire alarm system and a local smoke detector.
f) Automatic smoke detectors are required in
				waiting areas that are open to egress corridors.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart L - ELECTRICAL › Table A - General Pressure Relationships and Ventilation Rates of Ambulatory Surgery Area

Current through Register Vol. 48, No. 28, July 12, 2024
Area Designation
Pressure Relationship to Adjacent Areas
Minimum Total Air Changes per Hour Supplied to
							 Room
All Air Exhausted Directly to Outdoors
Recirculated Within Room Units
Procedure Room
+
15
Optional
No
Examination Room
0
6
Optional
Optional
Recovery Room
+
6
Optional
Optional
Medication Area
+
4
Optional
Optional
X-Ray Room
0
6
Optional
Optional
Soiled Workroom or Soiled Holding
-
10
Yes
No
Clean Workroom or Clean Holding
+
4
Optional
Optional
Darkroom
-
10
Yes
No
Toilet Room
-
10
Yes
No
Janitors' Closet
-
10
Yes
No
Sterilizer Equip. Rm.
-
10
Yes
No
Linen and Trash Rm.
-
10
Yes
No
Laboratory
-
6
Optional
Optional
Soiled Linen Storage
-
10
Yes
No
Clean Linen Storage
+
2
Optional
Optional
Anesthesia Storage
0
8
Yes
No
Central Services Area
Soiled Area
-
6
Yes
No
Clean Area
+
4
Optional
Optional
Equipment Storage
0
2
Optional
Optional
+ = Positive
- = Negative
0 = Equal
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1050 - Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
The following Illinois statutes and administrative rules of the
				Department of Public Health are referenced in this Part.
a) Hospital Licensing Act and Hospital
			 Licensing Requirements (77 Ill. Adm. Code 250)
b) Ambulatory Surgical Treatment Center Act
			 and Ambulatory Surgical Treatment Center Licensing Requirements (77 Ill. Adm.
			 Code 205)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1100 - Demonstration Program Elements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The Postsurgical Recovery Care Center Demonstration Program (Program) shall be
			 reviewed annually by the Board to determine if it should continue operation for
			 a period up to five years, commencing with the effective date of this
			 Part.
b) A Postsurgical Recovery
			 Care Center Model shall be licensed pursuant to this Part to be considered a
			 participant in the Program.
c) A
			 postsurgical recovery care center Model shall be no larger than 20 beds.
			 (Section 35 of the Act)
d)
			 Applications for participation in the Program shall be considered only when a
			 vacancy exists in one of the allocated Program slots for the relevant
			 geographic area.
e) At the midpoint
			 and end of the program, the Board shall evaluate and make recommendations to
			 the Governor and the General Assembly, through the Department, regarding the
			 program, in accordance with Section 20(b) of the Act. (Section 20(b) of the
			 Act)
f) The Department shall
			 deposit all application fees, renewal fees and fines collected under the Act
			 and this Part into the Regulatory Evaluation and Basic Enforcement Fund in the
			 State Treasury. (Section 25(d) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1200 - Application for and Issuance of a License to Operate a Postsurgical Recovery Care Center Model

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 applicant shall have been licensed as a hospital pursuant to the Hospital
			 Licensing Act or as an ambulatory surgical treatment center pursuant to the
			 Ambulatory Surgical Treatment Center Act on or before August 20, 1991, and have
			 held a valid license continuously since that time.
b) Applications for a license to operate a
			 Postsurgical Recovery Care Center Model shall be in writing on forms provided
			 by the Department. The application shall be made under oath and shall contain
			 the following:
1) Proof of a Certificate of
			 Need to establish and operate a Postsurgical Recovery Care Center Model issued
			 by the Health Facilities Planning Board under the Illinois Health Facilities
			 Planning Act (Ill. Rev. Stat. 1991, ch. 1111/2, pars. 115 et seq.) [20 ILCS
			 3960 ];
2) The name and address of
			 the hospital or ambulatory surgical treatment center licensee, which shall be
			 the name of the Model licensee;
3)
			 The name of the proposed Model;
4)
			 The address of the proposed Model;
5) A precise description of the site of the
			 proposed Model and, if it is located within the hospital or ambulatory surgical
			 treatment center, the unit or area, including room numbers, of the portion of
			 the facility designated as the Postsurgical Recovery Care Center
			 Model;
6) The number of
			 postsurgical recovery care beds;
7)
			 The name and address of the registered agent or other individual authorized to
			 receive Service of Process for the Model licensee;
8) The name, address and Illinois license
			 numbers of the following persons:
A)
			 Administrator,
B) Medical
			 Director,
C) Supervisory
			 Nurse;
9) A copy of the
			 transfer agreement with a licensed hospital within 15 minutes travel time of
			 the proposed Model;
10)
			 Documentation of compliance with Section
			 210.2500,
			 Laboratory, Pharmacy and Radiological Services;
11) Documentation of Compliance with Section
			 210.2800, Food
			 Service;
12) The Model's admission
			 protocol and transfer criteria as required by Section
			 210.1800;
13) Information regarding any conviction of
			 the owner or operator of the proposed Model of a felony or of any other crime
			 under the laws of any state or of the United States arising out of or in
			 connection with the operation of a health care facility; and
14) Information regarding any encumbrance on
			 a health care license issued in Illinois or any other state to the owner or
			 operator of the proposed Model.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1300 - Obligations and Privileges of Postsurgical Recovery Care Center Models

Current through Register Vol. 48, No. 28, July 12, 2024
a) Postsurgical
			 Recovery Care Center Models shall, within 30 days of licensure, seek
			 certification under Titles XVIII and XIX of the federal Social Security Act.
			 (Section 30(d) of the Act)
b)
			 Postsurgical Recovery Care Center Models shall provide charitable care
			 consistent with that provided by comparable health care providers in the
			 geographic area. For the purpose of this Part, comparable health care providers
			 shall include hospitals and ambulatory surgical treatment centers. (Section
			 30(d) of the Act)
c) A licensed
			 Postsurgical Recovery Care Center Model that continues to be in substantial
			 compliance after the conclusion of the demonstration program shall be eligible
			 for annual license renewals unless and until a different licensure program for
			 that type of health care model is established by legislation. (Section 30(c) of
			 the Act)
d) No facility or person
			 shall hold itself out to the public as a "Recovery Care Center" or
			 "Postsurgical Recovery Care Center" unless it is licensed as a Postsurgical
			 Recovery Care Center Model under the Act. (Section 36 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1400 - Inspections and Investigations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The Department shall perform licensure inspections of Postsurgical Recovery
			 Care Center Models, as deemed necessary, to ensure compliance with the Act and
			 this Part. (Section 25(c) of the Act)
b) All Postsurgical Recovery Care Center
			 Models to which this Part applies shall be subject to and shall be deemed to
			 have given consent to all inspections by properly identified personnel of the
			 Department, or by other such properly identified persons as the Department
			 might designate. In addition, representatives of the Department shall have
			 access to and may reproduce or photocopy any books, records, and other
			 documents maintained by the Model or the licensee to the extent necessary to
			 carry out the Act and this Part.
c)
			 The Department shall investigate an applicant or licensee whenever it receives
			 a verified complaint in writing of any person setting forth facts which, if
			 proven, would constitute grounds for the denial of an application for a
			 license, refusal to renew a license, or suspension or revocation of a license.
			 (Section 50 of the Act)
d) The
			 Department may also investigate an applicant or licensee on its own motion or
			 based upon complaints received by mail, telephone, or in person. (Section 50 of
			 the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1500 - Notice of Violation and Plan of Correction

Current through Register Vol. 48, No. 28, July 12, 2024
a) Upon determination that the licensee or
			 applicant is in violation of the Act or this Part, the Department shall issue a
			 written Notice of Violation and request a plan of correction. The notice shall
			 specify the violation(s), and shall instruct the licensee or applicant to
			 submit a plan of correction to the Department within 10 days after receipt of
			 the Notice.
b) Within the ten-day
			 period, a licensee or applicant may request additional time for submission of
			 the plan of correction. The Department may extend the period for submission of
			 the plan of correction for an additional 30 days, when the Department finds
			 that corrective action by the Model to abate or eliminate the violation(s) will
			 require substantial capital improvement. The Department will consider the
			 extent and complexity of necessary physical plant repairs and improvements and
			 any impact on the health, safety, or welfare of the patients of the Model in
			 determining whether to grant a requested extension.
c) Each plan of correction shall be based on
			 an assessment by the Model of the conditions or occurrences that are the basis
			 of the violation(s) and an evaluation of the practices, policies, and
			 procedures that have caused or contributed to the conditions or occurrences.
			 Evidence of such assessment and evaluation shall be maintained by the Model.
			 Each plan of correction shall include:
1) A
			 description of the specific corrective action the Model is taking, or plans to
			 take, to abate, eliminate, or correct the violation(s) cited in the
			 Notice;
2) A description of the
			 steps that will be taken to avoid future occurrences of the same and similar
			 violation(s); and
3) A specific
			 date by which the corrective action will be completed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1600 - Adverse Licensure Action

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Before denying a license application, refusing to renew a license, suspending a
			 license, revoking a license, or assessing an administrative fine, the
			 Department shall notify the applicant or the licensee in writing. The notice
			 shall specify the charges or reasons for the Department's contemplated action,
			 and shall provide the applicant or licensee an opportunity to file a request
			 for a hearing within 10 days after receiving the notice. (Section 50 of the
			 Act)
1) A failure to request a hearing within
			 10 days shall constitute a waiver of the applicant's or licensee's right to a
			 hearing. (Section 50 of the Act)
2)
			 The hearing shall be conducted by the Director or an individual designated in
			 writing by the Director as an Administrative Law Judge, and shall be conducted
			 in conformance with the Department's Rules of Practice and Procedure in
			 Administrative Hearings (77 Ill. Adm. Code 100) and Section 65 of the Act.
			 (Section 55 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1700 - Admission Practices

Current through Register Vol. 48, No. 28, July 12, 2024
The Model shall establish and follow admission criteria that
				provide for:
a) The admission of
			 postsurgical patients to the Model that is consistent with the recommendations
			 of the qualified consulting committee in Section
			 210.1900
			 and as approved by the Department as defined in Section
			 210.1800
			 (Section 36 of the Act).
b) The
			 nondiscrimination of patients based on disability, race, religion, sex, source
			 of payment, and any other basis recognized by applicable State and federal
			 laws.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1800 - Approval of Protocols for the Admission of Postsurgical Patients

Current through Register Vol. 48, No. 28, July 12, 2024
a) An admission
			 protocol specifying the criteria for admitting a postsurgical patient to the
			 Model shall be included in the application as provided in Section
			 210.1200.
			 The admission protocol must address at least the following:
1) All patients shall be admitted to the
			 Model by a member of the medical staff with admitting privileges, and shall be
			 under the professional care of a member of the medical staff.
2) Criteria for admission that include
			 limiting services provided as follows:
A) the
			 patient must have been discharged from the post anesthesia care unit or
			 recovery room of the ASTC or hospital where the procedure was performed. The
			 patient may not be directly admitted to the Model from the operating
			 room;
B) patients must be three
			 years of age or older;
C) patients
			 with an active, acute or chronic infectious condition shall not be eligible for
			 admission;
D) patients must fall
			 within anesthesia class I or II or fall within anethesia class III with only
			 mild to moderate systematic disease but medically stable;
E) patients must require a postoperative
			 overnight stay;
F) patients will
			 require a stay of not more than 48 hours (may be extended to 72 hours when the
			 necessity of the extension is documented by the treating physician and approved
			 by the Medical Director);
G) the
			 level of care needed by the patient is consistent with the definition of a
			 Postsurgical Recovery Care Center Model, and hospitalization is not
			 required;
H) the patient is
			 physiologically stable at the time of admission and has experienced no
			 intraoperative or postoperative complications that would cause the patient to
			 be ineligible for admission based on the Act and this Part; and
I) the patient does not require the
			 administration of blood.
3) The types of surgical procedures performed
			 in ambulatory surgical treatment centers or hospitals which the Postsurgical
			 Recovery Care Center Model intends to admit, including documentation that the
			 expected postoperative stay is less than 48 hours and the postoperative
			 complication rate is minimal.
4) At
			 the time of admission the patient's medical record must include:
A) a current history and physical examination
			 conducted or approved by members of the medical staff;
B) patient diagnosis:
C) a discharge summary from the referring
			 facility or physician, including the surgical procedure performed, the type of
			 anesthesia used, medications given, recovery events and any other pertinent
			 information regarding the patient's status;
D) physician orders;
E) documentation concerning advance
			 directives; and
F) any other
			 underlying medical condition that could be relevant to the patient's
			 care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.1900 - Standards of Professional Practice

Current through Register Vol. 48, No. 28, July 12, 2024
a) A qualified consulting committee shall be
			 appointed in writing by the operator and/or owner of the Postsurgical Recovery
			 Care Center Model and shall establish and enforce standards for professional
			 work in the Model and standards of competency for medical staff. The consulting
			 committee shall meet not less than quarterly and shall document all meetings
			 with written minutes. These written minutes shall be maintained at the Model
			 and shall be available for inspection by the Department.
1) The consulting committee shall review
			 development and content of the written policies and procedures of the
			 Postsurgical Recovery Care Center Model, the procedures for granting
			 privileges, and the quality of the postsurgical recovery care services
			 provided. Evidence of such review shall be recorded in the minutes.
2) Credentials shall be provided by those
			 physicians, dentists, and podiatrists seeking admitting privileges. These
			 credentials shall be reviewed by the consulting committee, and specific
			 practice privileges shall be available for the Model's staff use and public
			 information within the Model.
3)
			 Each member of the medical staff granted specific admitting privileges shall
			 provide documentation indicating the name of the Illinois licensed hospital(s)
			 where they have privileges, which include approval to perform at least the same
			 level of services which the physician seeks to provide in the Model. Such
			 statements or documentation shall be available for inspection by the
			 Department. A list of privileges granted each medical staff member of the
			 Postsurgical Recovery Care Center Model shall be available at all times for use
			 by the staff of the Postsurgical Recovery Care Center Model and for inspection
			 by Department staff.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2000 - Length of Stay

Current through Register Vol. 48, No. 28, July 12, 2024
a) The maximum
			 length of stay for patients shall not exceed 48 hours unless the treating
			 physician, dentist, or podiatrist requests an extension of time from the
			 Postsurgical Recovery Care Center Model's Medical Director on the basis of
			 medical or clinical documentation that an additional care period is required
			 for the recovery of a patient and the Medical Director approves the extension
			 of time. (Section 35 of the Act)
b)
			 No patient shall stay in the Postsurgical Recovery Care Center Model longer
			 than 72 hours. If a patient requires an additional care period, the patient
			 shall be transferred to an appropriate facility. (Section 35 of the
			 Act)
c) Reports on variances from
			 the 48 hour limit shall be sent to the Department for evaluation within 30 days
			 after the patient's discharge. (Section 35 of the Act) The report shall not
			 identify the patient or physician but shall detail the following:
1) patient diagnosis and the surgical
			 procedure performed;
2) the
			 reason(s) for the extended stay;
3)
			 actual length of stay;
4)
			 documentation of the Medical Director's approval;
5) documentation of consulting committee
			 review of the case and the results of the review.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2100 - Patient's Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) A patient
			 shall not be deprived of any rights, benefits, or privileges guaranteed by law
			 based solely on his/her status as a patient of the Model.
b) The Model shall notify the patient's
			 representatives whenever the patient suffers from a surgical complication,
			 illness, or accident.
c) Every
			 patient shall be permitted to refuse medical treatment and to know the
			 consequences of such action.
d)
			 Every patient or patient's representative shall be permitted to inspect and
			 copy all of the patient's clinical and other records concerning the patient's
			 care and maintenance kept by the Model or by the patient's physician.
e) All patients shall be permitted respect
			 and privacy in their medical and personal care program. Every patient's case
			 discussion, consultation, examination, and treatment shall be confidential and
			 shall be conducted discreetly. Those persons not directly involved in the
			 patient's care must have the patient's permission to be present.
f) Every patient shall be permitted
			 unimpeded, private, and uncensored communication of his/her choice by mail and
			 telephone. The Model shall ensure that correspondence is promptly received and
			 mailed, and that telephones are reasonably accessible.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2200 - Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) A registered
			 nurse with postgraduate education or at least three years of experience within
			 the last five years in the postanesthesia recovery unit or medical/surgical
			 unit of an acute care hospital or in an ambulatory surgical treatment center
			 shall be designated as the Supervising Nurse and shall direct and supervise the
			 nursing personnel and the nursing care of the patients.
b) The licensee shall provide a sufficient
			 number of properly trained and supervised staff to meet the needs of each
			 patient. At least two licensed nurses, one of whom is a registered nurse, must
			 be on duty when patients are present.
c) The licensee shall define, through job
			 descriptions, minimum education and experience, requirements for all staff,
			 consultants and contract staff providing services to the Postsurgical Recovery
			 Care Center Model. All nursing staff must:
1)
			 be certified for basic cardiopulmonary life support; and
2) have a minimum of two years of experience
			 within the last five years in the post-anesthesia recovery unit or
			 medical/surgical unit of an acute care hospital or in an ambulatory surgical
			 treatment center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2250 - Health Care Worker Background Check

Current through Register Vol. 48, No. 28, July 12, 2024
A facility 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 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2300 - Patient Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) All persons
			 shall be admitted to the Model by a member of the medical staff and shall be
			 under the professional care of a member of the medical staff.
b) No medication, treatment or diagnostic
			 test shall be administered to a patient except on the written order of a member
			 of the medical staff. Verbal orders shall be signed before the medical staff
			 member leaves the Model. Telephone orders shall be countersigned within 24
			 hours.
c) Policies and procedures
			 must be developed and implemented that address the following:
1) An initial nursing assessment shall be
			 performed by a registered nurse on admission of the patient to the
			 Model.
2) A nursing care plan shall
			 be developed and implemented that addresses the needs of the patient and is
			 coordinated with the patient's medical management plan.
3) Visiting rules shall be developed that
			 protect the health, safety and privacy of the patients.
A) Visiting hours shall be communicated to
			 the patient and posted in an area(s) visible to all persons entering the
			 Model.
B) 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.
C) Smoking by visitors
			 shall be prohibited except in specially designated areas.
4) Emergency Care and Transfers
A) Policies and procedures shall be developed
			 which establish the extent of emergency treatment to be provided in the Model,
			 including basic life support procedures and transfer arrangements for patients
			 who require care beyond the scope provided by the Model.
B) There shall be monitoring equipment,
			 suction apparatus, oxygen, and cardiopulmonary resuscitation equipment
			 available in the Model.
C) Patient
			 transfers to a hospital shall be by a licensed ambulance service.
D) Appropriate medical records and a summary
			 of the events precipitating the transfer must accompany the patient.
E) The Model must have a written disaster
			 plan of operation with procedures to be followed in the event of fire, natural
			 disaster or other threat to patient safety.
5) Policies and procedures shall be developed
			 and implemented concerning the administration, storage, and disposal of
			 medications.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2400 - Infection Control

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 Model must provide a sanitary environment to avoid sources and transmission of
			 infections and communicable diseases. There must be an active program for the
			 prevention, control and investigation of infections and communicable
			 diseases.
b) A person or persons
			 shall be designated as infection control officer or officers to develop and
			 implement policies governing control of infections and communicable disease.
			 Policies and procedures shall be developed to address the following:
1) Medical, nursing and non-professional
			 staff behaviors to prevent and control the transmission of infections or
			 communicable diseases.
2) Measures
			 to handle infectious cases that develop in the Model.
3) Reporting and care of cases of
			 communicable diseases shall be in accordance with 77 Ill. Adm. Code 690, the
			 Control of Communicable Diseases Code.
4) A systematic plan of checking and
			 recording cases of infection, known or suspected, which develop in the
			 Model.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2500 - Laboratory, Pharmacy and Radiological Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each Postsurgical Recovery Care Center
			 Model shall meet the following:
1) Possess a
			 valid Clinical Laboratory Improvement Amendments (CLIA) certificate for those
			 tests performed by the Model; and
2) Have a written agreement with a laboratory
			 that possesses a valid CLIA certificate to perform any required laboratory
			 procedures that are not performed in the center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2600 - Records and Reports

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Accurate and complete clinical records shall be maintained for each patient,
			 and all entries in the clinical record shall be made at the time when care,
			 treatment, medications or other medical services are given. The record shall
			 include, but not be limited to, the following:
1) patient identification;
2) admitting information including the
			 patient's history and physical examination findings, discharge summary from the
			 ambulatory surgical treatment center or hospital where the surgical procedure
			 was performed as required by Section
			 210.1800(a)
			 of this Part;
3) signed physician,
			 dentist, or podiatrist orders;
4)
			 laboratory and radiology tests results;
5) medication and medical
			 treatments;
6) physician and
			 consultant or allied health personnel progress notes;
7) nursing observation, progress notes and
			 vital sign charting;
8) discharge
			 instructions and condition at discharge;
9) documentation concerning advance
			 directives; and
10) signed
			 discharge summary.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2700 - Transfer Agreement

Current through Register Vol. 48, No. 28, July 12, 2024
a) In
			 order to handle cases of complications, emergencies or exigent circumstances,
			 the Postsurgical Recovery Care Center Model shall maintain a contractual
			 relationship, including a transfer agreement, with a general acute care
			 hospital. (Section 35 of the Act)
b) The Postsurgical Recovery Care Center
			 Model shall be located within 15 minutes travel time from the general acute
			 care hospital with which the Model maintains a transfer agreement. (Section 35
			 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2800 - Food Service

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Postsurgical Recovery Care Center Models may use food service facilities
			 located within facilities licensed under the Hospital Licensing Act or the
			 Nursing Home Care Act (Ill. Rev. Stat. 1991, ch. 1111/2, pars. 4151-101 et
			 seq.) [210 ILCS 45 ]. Procedures and equipment shall be in place to assure the
			 safe transport and service of meals and snacks.
b) All other Postsurgical Recovery Care
			 Center Models shall procure meals and snacks from a source that complies with
			 the following: Sections
			 250.1610,
			 250.1620,
			 250.1630,
			 250.1640,
			 250.1650,
			 250.1660,
			 250.1670,
			 and
			 250.1680 of the
			 Hospital Licensing Requirements. Procedures and equipment shall be in place to
			 assure the safe transport and service of meals and snacks.
c) To the extent medically possible, a
			 minimum of three meals, or their equivalent, shall be served daily.
d) Menus must be approved by a dietician who
			 is employed by the Postsurgical Recovery Care Center Model on a full-time,
			 part-time or consultant basis. Dietary consultation shall be provided to
			 patients as needed or requested.
e)
			 Therapeutic or modified diets must be served as ordered.
f) A patient's intake of food and liquids
			 shall be monitored and documented as dictated by the patient's condition and
			 the surgical procedure performed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.2900 - Physical Plant

Current through Register Vol. 48, No. 28, July 12, 2024
a) If part of a
			 hospital:
1) Postsurgical Recovery Care
			 Center Models built after January 1, 1994 shall meet the program narrative (see
			 Section
			 250.2430(a)(4)
			 ) and comply with the following Sections of the Hospital Licensing
			 Requirements:
			 250.2410,
			 250.2420,
			 250.2430, 250.2440(d)(1-4), 250.2450, 250.2460, 250.2470, 250.2480,
			 250.2490(a)-(h) and (j)-(k) and 250.2500.
2) If subsection (a)(1) of this Section does
			 not apply, the Postsurgical Recovery Care Center Model shall meet the program
			 narrative and comply with the following Sections of the Hospital Licensing
			 Requirements:
			 250.2620,
			 250.2630(d)(1)-(4), 250.2640, 250.2650, 250.2660, 250.2670 and
			 250.2680.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 210 - POSTSURGICAL RECOVERY CARE CENTER DEMONSTRATION PROGRAM CODE › Section 210.3000 - Quality Assessment and Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
a) The licensee shall develop and implement a
			 quality assessment and improvement program designed to meet at least the
			 following:
1) Ongoing monitoring and
			 evaluation of the quality and accessibility of care and services provided by
			 the Model or under contract, including but not limited to:
A) admission of patients appropriate to the
			 capabilities of the Model,
B)
			 patient satisfaction,
C) costs for
			 delivery of services, and
D)
			 infection control;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 215 - REGIONAL POISON CONTROL CENTER CODE › Section 215.150 - Incorporated and Referenced Material

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The following materials are incorporated in this Part:
Accreditation of Poison Control Centers 2014 standards, which
				may be obtained from the American Association of Poison Control Centers
				(AAPCC), 515 King Street, Suite 510, Alexandria VA 22314. AAPCC can be
				contacted at 703-894-1859 or emailed at info@aapcc.org.
b) State of Illinois statutes referenced in
			 this Part:
1) Emergency Medical Services
			 Systems Act [ 210 ILCS 50 ]
2)
			 Hospital Licensing Act [ 210 ILCS 85 ]
3) Pharmacy Practice Act [ 225 ILCS 85
			 ]
4) Medical Practice Act of 1987 [
			 225 ILCS 60 ]
5) Nurse Practice Act
			 [ 225 ILCS 65 ]
6) State Employee
			 Indemnification Act [ 5 ILCS 350 ]
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 215 - REGIONAL POISON CONTROL CENTER CODE › Section 215.200 - Rights and Obligations of Regional Poison Control Centers

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The
			 Director
or his or her designee
shall designate at least one
			 and no more than three
Regional
Poison Control
			 Centers
. (Section 15 of the Act)
b) Human poison control centers wishing to be
			 designated as a Regional Poison Control Center shall submit an application in
			 accordance with Section
			 215.300.
c) If there are more than three applicants
			 for designation as a Regional Poison Control Center or there is more than one
			 applicant for the same geographic service area, the Director shall consider the
			 following criteria in selecting an applicant for designation:
1) Whether the applicant has previously
			 served as a Department-approved Regional Poison Control Center;
2) Whether the applicant is affiliated with a
			 medical school, school of nursing, school of pharmacy or other health care
			 professional teaching program;
3)
			 How quickly the applicant can establish 24 hour operations in full compliance
			 with the American Association of Poison Control Centers' Accreditation of
			 Poison Control Centers standards and the requirements of this Part;
			 and
4) The applicant's prior
			 experience in providing poison control consultation services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 215 - REGIONAL POISON CONTROL CENTER CODE › Section 215.300 - Application for Designation as a Regional Poison Control Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) The applicant
			 may be a hospital licensed by the Department, or a non-hospital-based entity
			 that has an agreement with a hospital licensed by the Department to provide
			 clinical expertise.
b) All
			 applicants shall submit a written program plan to the Department that includes
			 a description of the geographic area to be served by the proposed Regional
			 Poison Control Center and the following information about the licensed
			 hospital:
1) Hospital name and
			 address;
2) Number of adult
			 intensive care beds;
3) Number of
			 pediatric intensive care beds;
4)
			 Number of medical/surgical beds;
5)
			 Laboratory capabilities;
6)
			 Psychiatric service capabilities;
7) Renal dialysis capabilities;
8) Affiliation with a medical school, school
			 of nursing, school of pharmacy or other health care professional teaching
			 program (see Section
			 215.200(c)(2)
			 of this Part); and
9) Location of
			 the applicant in relation to the proposed geographic service area.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 215 - REGIONAL POISON CONTROL CENTER CODE › Section 215.400 - Operation of a Regional Poison Control Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Center shall be in operation and have
			 toll-free telephone availability on a 24-hour-a-day, 365-days-a-year basis to
			 both the general public and health care providers.
b) The Center staff shall have immediate
			 access during all hours of operation to comprehensive poison information, which
			 shall include:
1) Current toxicology
			 information resources available at the telephone answering site;
2) A comprehensive set of references covering
			 both general and specific aspects of acute poison management, available at the
			 telephone answering site;
3)
			 Primary information resources (reprint files, systems, etc.) and access to a
			 major medical library and/or information system; and
4) Poison specialty consultants available on
			 an on-call basis.