Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"Act" means the Developmental Disability Prevention Act [410
				ILCS 250 ].
"Active Candidate" means having completed a residency in the
				appropriate medical discipline in a program approved by the Residency Review
				Committee or a program approved by the Council on Postdoctoral Training (COPT)
				for the American Osteopathic Association (AOA). Active candidates shall become
				board certified within five years after completion of an approved
				program.
"Administrative Perinatal Center" or "APC" meansa referral
				facility intended to care for the high-risk patient before, during, or after
				labor and delivery and characterized by sophistication and availability of
				personnel, equipment, laboratory, transportation techniques, consultation and
				other support services. (Section 2(e) of the Act) An APC is a university or
				university-affiliated hospital designated by the Department as a Level III
				hospital, that receives financial support from the Department to provide
				leadership and oversight of the Regionalized Perinatal Healthcare
				Program.
"Advanced Practice Nurse" or "APN" means a person who has met
				the qualifications for a certified nurse midwife (CNM); certified nurse
				practitioner (CNP); certified registered nurse anesthetist (CRNA); or a
				clinical nurse specialist (CNS) and has been licensed by the Department of
				Financial and Professional Regulation.
"Affiliated Hospital" means an institution that has a letter of
				agreement with a specific APC.
"Apgar" means the score devised in 1952 by Virginia Apgar to
				assess the health of newborn children immediately after birth. The five
				criteria are Activity (Muscle Tone), Pulse, Grimace (Reflex Irritability),
				Appearance (Skin Color), and Respiration.
"Assisted Ventilation" means the movement of gas into and out
				of the lung by an external source connected directly to the patient. The
				external source may be a resuscitation bag, a continuous distending pressure
				device, or a mechanical ventilator. Attachment to the patient can be by way of
				a face mask, a head box, an endotracheal tube, nasal prongs, a tracheostomy, or
				a negative-pressure apparatus surrounding the thorax.
"Certified Local Health Department" means a local health
				department that receives program approval from the Department for all ten
				required basic health programs during required program and performance
				review.
"Congenital" means those intrauterine factors which influence
				the growth, development and function of the fetus. (Section 2(b) of the
				Act)
"Consultation" means a health care provider obtaining
				information from an obstetrician, a maternal-fetal medicine physician or
				neonatology specialist via the telephone, in writing, or in person for the
				purpose of making patient care decisions and developing a care plan.
"Continuous Quality Improvement" or "CQI" means a structured
				organizational process for involving personnel in planning and executing a
				continuous flow of improvements to provide quality health care that meets or
				exceeds expectations.
"Department" means the Department of Public Health. (Section
				2(h) of the Act)
"Designation" means official recognition of a hospital by the
				Department as having met the standards contained in Section
				640.40 and
				Section
				640.50 for
				the level of care that the hospital will provide as a part of a regional
				perinatal network for all levels of perinatal care.
"Developmental Disability" means mental retardation, cerebral
				palsy, epilepsy, or other neurological handicapping conditions of an individual
				found to be closely related to mental retardation or to require treatment
				similar to that required by mentally retarded individuals, and the disability
				originates before such individual attains age 18, and has continued, or can be
				expected to continue indefinitely, and constitutes a substantial handicap of
				such individuals. (Section 2(f) of the Act)
"Dietitian" means a person who is licensed as a dietitian in
				accordance with the Dietetic and Nutrition Services Practice Act [225 ILCS 30
				].
"Disability" means a condition characterized by temporary or
				permanent, partial or complete impairment of physical, mental or psychological
				function. (Section 2(g) of the Act)
"Environmental" means those extrauterine factors which
				influence the adaptation, well being or life of the newborn and may lead to
				disability. (Section 2(c) of the Act)
"Essential Resource" means a component, such as medical or
				nursing medical staff; a service, such as heat, water, or electrical power, or
				equipment that is necessary to maintain the designated level of care.
"Full-time" means on duty a minimum of 36 hours, four days per
				week.
"Handicapping Condition" means a medically recognized birth
				defect that threatens life or has a potential for a developmental disability in
				accordance with Subpart C of the Illinois Health and Hazardous Substances
				Registry (77 Ill. Adm. Code
				840.210
				).
"Health Care Provider" means an individual who provides medical
				services or treatments to patients within his or her scope of practice. This
				may include, but is not limited to, physician, nurse, dietitian, social worker
				and respiratory care provider.
"High-Risk" means an increased level of risk of harm or
				mortality to the woman of childbearing age, fetus or newborn from congenital
				and/or environmental factors. (Section 2(d) of the Act)
"High-Risk Infant" means a live-born infant fitting the Adverse
				Pregnancy Outcomes Reporting System (APORS) case definition. (See 77 Ill. Adm.
				Code
				840.200.)
"Hospital" means a facility defined as a hospital in Section 3
				of the Hospital Licensing Act [210 ILCS 85 ].
"Intermediate Care Nursery" or "ICN" means a nursery that
				provides nursing care to those infants convalescing or those sick infants not
				requiring intensive care.
"Joint Morbidity and Mortality Review" means the required
				review of maternal and neonatal cases attended by the APC's maternal-fetal
				medicine physician, neonatologist and the Perinatal Center administrator and/or
				obstetric and neonatal educators. The review is a quality improvement
				initiative under the Medical Studies Act [735
				ILCS 5/8-2101 ] and consists of cases presented by the
				attending physician at the Regional Network Hospital. The review includes all
				maternal, fetal and neonatal deaths, as well as selected morbidities as
				determined by the APC's Regional Quality Council or defined in the Regional
				Network Hospital's letter of agreement. The review provides evaluation and
				disposition of outcomes to guide educational program needs and quality
				improvement initiatives.
"Letter of Agreement" means a document executed between the APC
				and the hospital, which includes responsibilities of each party in regard to
				the hospital's level of designation and the services to be provided.
"Maternity or Neonatal Complications" means those medically
				determined high-risk conditions, including, but not limited to, those explained
				in the Guidelines for Perinatal Care, American Academy of Pediatrics and
				American College of Obstetricians and Gynecologists.
"Maternity and Neonatal Service Plan" means the description
				required under Subpart O of the Hospital Licensing Requirements (77 Ill. Adm.
				Code 250) of the hospital's services for care of maternity and neonatal
				patients, and the way in which the services are part of an integrated system of
				perinatal care provided by designated perinatal facilities.
"Morbidity" means an undesired result or complication
				associated with a pregnancy, whether naturally occurring or as the result of
				treatment rendered or omitted.
"Neonatal Intensive Care Unit" or "NICU" means an intensive
				care unit for high risk neonates, directed by a board-certified pediatrician
				with subspecialty certification in neonatal/perinatal medicine.
"Neonate" means an infant less than 28 days of age.
"Nurse" means a registered nurse or a licensed practical nurse
				as defined in the Nurse Practice Act [225 ILCS 65 ].
"Nurse Midwife, Certified" or "Certified Nurse Midwife" or
				"CNM" means an individual educated in the two disciplines of nursing and
				midwifery who possesses evidence of certification according to the requirements
				of the American College of Nurse-Midwives (ACNM).
"Perinatal" means the period of time between the conception of
				an infant and the end of the first month of life. (Section 2(a) of the
				Act)
"Perinatal Advisory Committee" or "PAC" means the advisory and
				planning committee established by the Department, which is referred to in
				Section 3 of the Act.
"Pharmacist, Registered" or "Registered Pharmacist" means a
				person who holds a certificate of registration as a registered pharmacist, a
				local registered pharmacist or a registered assistant pharmacist under the
				Pharmacy Practice Act of 1987 [225 ILCS 85 ].
"Physician" means any person licensed to practice medicine in
				all its branches as defined in the Medical Practice Act of 1987 [225 ILCS 60
				].
"Preventive Services" means a medical intervention provided to
				a high risk mother and/or neonate in an effort to reduce morbidity and
				mortality.
"Refer" means to send or direct for treatment.
"Regional Perinatal Network" means any number and combination
				of hospitals providing maternity and newborn services at a designated level of
				perinatal care.
"Regional Quality Council" or "RQC" means an organization of
				representatives of perinatal services, providers and service-related agencies
				and organizations within a regional perinatal network that is responsible for
				the planning, development, evaluation and operation of the network and the
				establishment of regional priorities and policies for system support activities
				and staff.
"Registered Nurse" means a person licensed as a registered
				professional nurse under the Nurse Practice Act.
"Respiratory Care Practitioner" means a person licensed as a
				respiratory care practitioner under the Respiratory Care Practice Act [225 ILCS
				106 ].
"Social Worker" means a person who is a licensed social worker
				or a licensed clinical social worker under the Clinical Social Work and Social
				Work Practice Act [225 ILCS 20 ].
"Special Care Nursery" or "SCN" means a nursery that provides
				intermediate intensive care, directed by a board-certified pediatrician with
				subspecialty certification in neonatal/perinatal medicine, to infants who weigh
				more than 1250 grams.
"State Perinatal Reporting System" means any system that
				requires data collection and submission of data to the Department. These
				systems include, but are not limited to, birth certificate submission,
				metabolic newborn screening, newborn hearing screening, perinatal HIV testing,
				and the Adverse Pregnancy Outcomes Reporting System (APORS) (see 77 Ill. Adm.
				Code 840).
"Statewide Quality Council" means the standing subcommittee
				established by the Perinatal Advisory Committee that is responsible for
				monitoring the quality of care and implementing recommendations for improving
				the quality of care being provided in the perinatal care system.
"Substantial Compliance" means meeting requirements, except for
				variance from the strict and literal performance that results in unimportant
				omissions or defects, given the particular circumstances involved.
"Substantial Failure" means the failure to meet requirements,
				other than unimportant omissions or defects, given the particular circumstances
				involved.
"Support Services" means the provision of current information
				regarding the identified handicapping conditions, referrals and counseling
				services, and the availability of additional consultative
				services.