Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart C - THE MEDICAL STAFF › Section 250.310 - Organization

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purposes
				of this Section only:
1)
Adverse
				Decision - means a decision reducing, restricting, suspending, revoking,
				denying, or not renewing medical staff membership or clinical
				privileges
. (Section
				10.4(b) of the
				Act)
2) A Distant-site Hospital -
				means an Illinois licensed hospital or a Medicare participating
				hospital.
3) A Distant-site
				Telemedicine Entity - means an entity consisting of a group of licensed
				physicians that:
A) Provides telemedicine
				services;
B) Is not a
				Medicare-participating hospital; and
C) Provides contracted services in a manner
				that enables a hospital using its services to meet all applicable Medicare
				conditions of participation, particularly those requirements related to the
				credentialing and privileging of practitioners providing telemedicine services
				to the patients of a hospital. A distant-site telemedicine entity would include
				a distant-site hospital that does not participate in the Medicare program that
				is providing telemedicine services to a Medicare-participating
				hospital.
4)
Economic Factor - means any information or reasons for decisions
				unrelated to quality of care or professional competency
. (Section
				10.4(b) of the
				Act)
5) Non-simultaneously - means
				that, while the telemedicine physician or practitioner still provides clinical
				services to the patient upon a formal request from the patient's attending
				physician, these services may, for example, involve after-the-fact
				interpretation of diagnostic tests, consultations between a physician or
				practitioner and a person outside the State of Illinois, or second opinions
				provided to an Illinois-licensed physician or practitioner in order to provide
				an assessment of the patient's condition and do not necessarily require the
				telemedicine practitioner to directly assess the patient in real time or
				establish a provider-to-patient relationship or interaction. An example of
				after-the-fact interpretation of diagnostic tests would be similar to the
				services provided by an on-site radiologist who interprets a patient's x-ray or
				CT scan and then communicates the assessment to the patient's attending
				physician who then bases a diagnosis and treatment plan on these
				findings.
6)
Privilege -
				means permission to provide medical or other patient care services and
				permission to use hospital resources, including equipment, facilities and
				personnel that are necessary to effectively provide medical or other patient
				care services. This definition shall not be construed to require a hospital to
				acquire additional equipment, facilities, or personnel to accommodate the
				granting of privileges
. (Section
				10.4(b) of the
				Act)
7) Simultaneously - means that
				the clinical services (for example, assessment of the patient with a clinical
				plan for treatment, including any medical orders needed) are provided to the
				patient in real time by the telemedicine physician or practitioner, similar to
				the actions of an on-site physician or practitioner.
8) Telemedicine - means the provision of
				clinical services to patients by physicians or practitioners remotely via
				electronic communications. The distant-site telemedicine physician or
				practitioner provides clinical services to the hospital patient either
				simultaneously, as is often the case with teleICU services, for example, or
				non-simultaneously, as may be the case with many teleradiology services.
				Telemedicine may also include provider-to-provider consultations between
				Illinois-licensed physicians or practitioners and physicians or practitioners
				licensed in the United States.