Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.60 - Application for Hospital Designation or Redesignation as a Non-Birthing Center, Level I, Level II, Level II with Extended Neonatal Capabilities, Level III Perinatal Hospital and Administrative Perinatal Center, and Assurances Required of Applicants

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Applicant hospitals shall provide the Department with information based on
			 standards and resources for the applicable level of designation. The
			 information shall include, but not be limited to the following (see Appendix
			 A):
1) A definition of the geographic area
			 the hospital currently serves or plans to serve.
2) A physical description of the hospital,
			 compliance with Subpart O of the Hospital Licensing Requirements, and a
			 description of the maternity and nursery units currently in place or in
			 preparation for operation should the hospital be designated.
3) A physical description of the hospital's
			 staffing in accordance with this Part as follows:
A) Social work and nutrition services shall
			 be available through a hospital department for Level II and Level III
			 designation.
B) Names, titles and
			 contact numbers shall be provided for the Director or Chairman of
			 Maternal-Fetal Medicine, Neonatology, Obstetrics, Pediatrics and Neonatal
			 Services, Chief Nursing Supervisor, Nursing Supervisor of Maternity Unit; names
			 and contact numbers of medical staff members in maternal-fetal medicine,
			 obstetrics and gynecology, neonatology, obstetric anesthesiology, family
			 practice, anesthesiology; listing of anesthetists, staff for respiratory
			 therapy, nurse-midwives, and involved house staff.
C) A description of the current nurse/patient
			 ratios in the nursery, delivery room, postpartum floor and intermediate or
			 intensive care newborn nurseries for all shifts.
D) A description of the qualifications of
			 nursing personnel involved in the newborn nursery, delivery room and postpartum
			 area.
E) A description of the staff
			 plans to assure that maternity/nursery staff are trained and prepared to
			 stabilize infants prior to transfer, and are available 24 hours a
			 day.
4) A description
			 giving evidence that the hospital's laboratory, X-ray and respiratory therapy
			 equipment and capabilities meet all of the conditions described in Subpart O of
			 the Hospital Licensing Requirements and are available 24 hours a day in-house.
A) Continuous electronic maternal-fetal
			 monitoring shall be available, and staff with knowledge in its use and
			 interpretation shall be available 24 hours a day for Level I, Level II, Level
			 II with Extended Neonatal Capabilities, and Level III designation
			 applicants.
B) Level III and APCs
			 shall provide Level II ultrasound available on the obstetric floor.
C) Level I ultrasound and staff knowledgeable
			 in its use and interpretation shall be available at Level II hospitals on a
			 24-hour-a-day basis.
5)
			 A description of the capabilities for or capabilities planned for (giving the
			 start-up time) emergency neonatology surgery, listing specialists such as
			 surgeons, trained or support staff for neonates, and a description of the
			 capabilities for caesarean section and start-up time.
6) A description of the present plan for
			 identification of high-risk maternity and neonatal patients and agreements for
			 consultation with the APC in cases of maternity and neonatal complications and
			 neonates with handicapping conditions. This description shall include plans and
			 agreements for providing:
A) Management of
			 acute surgical or cardiac difficulties;
B) Genetic counseling if a genetically
			 related condition is diagnosed in the neonate, or if a parent or a known
			 carrier requests the services;
C)
			 Information, counseling and referral to another health care provider for
			 parents of neonates with handicapping conditions or developmental disabilities
			 to ensure informed consent for treatment;
D) Counseling and referral services to
			 another health care provider to assist these patients in obtaining habilitation
			 and rehabilitation services;
E) A
			 description of the types of patients the hospital will care for and the types
			 of patients it will refer to the APC.
7) A description of the history and current
			 level of involvement with CQI activities as designed and implemented by the
			 APC.
8) All of the information
			 required for hospital designation or redesignation to the APC with which it is
			 seeking affiliation.