reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 635 - FAMILY PLANNING SERVICES CODE › Section 635.190 - Review Under Administrative Review Law

Current through Register Vol. 48, No. 28, July 12, 2024
Whenever the Department suspends or terminates a grant the
				grantee may have such decision judicially reviewed. The provisions of the
				Administrative Review Law and the rules adopted pursuant thereto shall apply to
				and govern all proceedings for the judicial review of final administrative
				decisions of the Department hereunder.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.25 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
The following regulations, standards, statutes and rules are
				incorporated or referenced in this Part.
a) State of Illinois Statutes:
1) Developmental Disability Prevention Act
			 [410 ILCS 250 ]
2) Freedom of
			 Information Act [5 ILCS 140 ]
3)
			 Illinois Health Statistics Act [410 ILCS 520 ]
4) Hospital Licensing Act [210 ILCS 85
			 ]
5) Section 8-2101 of the Code of
			 Civil Procedure (Medical Studies Act) [735
			 ILCS 5/8-2101 ]
6) State Records Act [5 ILCS 160 ]
7) Illinois Health and Hazardous Substances
			 Registry Act [410 ILCS 525 ]
8)
			 Vital Records Act [410 ILCS 535 ]
9) Respiratory Care Practice Act [225 ILCS
			 106 ]
10) Dietetic and Nutrition
			 Services Practice Act [225 ILCS 30 ]
11) Illinois Administrative Procedure Act [5
			 ILCS 100 ]
12) Nurse Practice Act
			 [225 ILCS 65 ]
13) Pharmacy
			 Practice Act of 1987 [225 ILCS 85 ]
14) Medical Practice Act of 1987 [225 ILCS 60
			 ]
15) Clinical Social Work and
			 Social Work Practice Act [225 ILCS 20 ]
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.30 - Perinatal Advisory Committee

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The Perinatal Advisory Committee (PAC) is an advisory body to the Department in
			 matters pertaining to the regionalization of perinatal health care. The purpose
			 is to advise the Department on the establishment and implementation of
			 policy.
b) The duties of the PAC
			 shall be to advise the Department on and make recommendations concerning:
1) Health policies and quality of care issues
			 affecting perinatal health care services and implementation of the State's
			 perinatal health care plan;
2) The
			 needs of perinatal health care consumers and providers;
3) Methods to seek a better understanding and
			 wider support of regionalized perinatal health care within the local
			 community;
4) Coordinating and
			 organizing regional networks or systems of perinatal health care;
5) Policies relating to planning, operating
			 and maintaining regional networks or systems of perinatal health
			 care;
6) All proposals for
			 rulemaking affecting the provision of perinatal health care services under the
			 Act; and
7) Hospitals seeking
			 designation or redesignation as described in Sections
			 640.40
			 through
			 640.70.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.40 - Standards for Perinatal Care

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Levels of Perinatal Care
Hospital licensing requirements for all levels of care are
				described in Subpart O of the Hospital Licensing Requirements. All hospitals
				shall be designated in accordance with this Part and have a letter of agreement
				with a designated APC. (Section
				640.70
				describes the minimum components for the letter of agreement.)
1) Non-Birthing Center hospitals do not
			 provide perinatal services, but have a functioning emergency department. All
			 licensed general hospitals that operate an emergency department shall have a
			 letter of agreement with an APC for referral of perinatal patients, regardless
			 of whether the hospital provides maternity or newborn services. The letter of
			 agreement shall delineate, but is not limited to, guidelines for
			 transfer/transport of perinatal patients to an appropriate perinatal care
			 hospital; telephone numbers for consultation and transfer/transport of
			 perinatal patients; educational needs assessment for emergency department
			 staff, and provision of education programs to maintain necessary perinatal
			 skills.
2) Level I hospitals
			 provide care to low-risk pregnant women and newborns, operate general care
			 nurseries and do not operate an NICU or an SCN;
3) Level II hospitals provide care to women
			 and newborns at moderate risk, operate intermediate care nurseries and do not
			 operate an NICU or an SCN.
4) Level
			 II with Extended Neonatal Capabilities hospitals provide care to women and
			 newborns at moderate risk and do operate an SCN but do not operate an
			 NICU.
5) Level III hospitals care
			 for patients requiring increasingly complex care and do operate an
			 NICU.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.41 - Level I - Standards for Perinatal Care

Current through Register Vol. 48, No. 28, July 12, 2024
To be designated as Level I, a hospital shall apply to the
				Department as described in Section
				640.60;
				shall comply with all the conditions described in Subpart O of the Hospital
				Licensing Requirements that are applicable to the level of care necessary for
				the patients served; and shall comply with the following provisions:
a) Level I - General Provisions
1) The Maternity and Neonatal Service Plan
			 shall include:
A) A letter of agreement
			 between the hospital and its APC establishing criteria for maternal and
			 neonatal consultation; criteria for maternal and neonatal transports; standards
			 of care of mothers and neonates; and support services to be provided. (Section
			 640.70
			 establishes the minimum components for the letter of agreement.);
B) Continuing education of staff in perinatal
			 care; and
C) Participation in the
			 CQI program implemented by the APC.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.42 - Level II and Level II with Extended Neonatal Capabilities - Standards for Perinatal Care

Current through Register Vol. 48, No. 28, July 12, 2024
To be designated as Level II or Level II with Extended Neonatal
				Capabilities, a hospital shall apply to the Department as described in Section
				640.60
				of this Part; shall comply with all of the conditions described in Subpart O of
				the Hospital Licensing Requirements that are applicable to the level of care
				necessary for the patients served; and shall comply with the following
				provisions (specifics regarding standards of care for both mothers and neonates
				as well as resource requirements to be provided shall be defined in the
				hospital's letter of agreement with its APC):
a) Level II and Level II with Extended
			 Neonatal Capabilities - General Provisions
A Level II or Level II with Extended Neonatal Capabilities
				hospital shall:
1) Provide all
			 services outlined for Level I (Section
			 640.41(a)
			 );
2) Provide diagnosis and
			 treatment of selected high-risk pregnancies and neonatal problems;
3) Accept selected neonatal transports from
			 Level I or other Level II hospitals as identified in the letter of agreement
			 with the APC; and
4) Maintain a
			 system for recording patient admissions, discharges, birth weight, outcome,
			 complications and transports to support network CQI activities described in the
			 hospital's letter of agreement with the APC. The hospital shall comply with the
			 reporting requirements of the State Perinatal Reporting System.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.43 - Level III - Standards for Perinatal Care

Current through Register Vol. 48, No. 28, July 12, 2024
To be designated as Level III, a hospital shall apply to the
				Department for designation; shall comply with all of the conditions prescribed
				in this Part for intensive (Level III) perinatal care; shall comply with all of
				the conditions prescribed in Subpart O of the Hospital Licensing Requirements
				applicable to the level of care necessary for the patients served; and shall
				comply with the following provisions (specifics regarding standards of care for
				both mothers and neonates as well as resource requirements to be provided shall
				be defined in the hospital's letter of agreement with its APC):
a) Level III - General Provisions
1) A Level III hospital shall provide all
			 services outlined for Level I and II (Sections
			 640.41(a)
			 and
			 640.42(a)
			 ), general, intermediate and special care, as well as diagnosis and treatment
			 of high-risk pregnancy and neonatal problems. Both the obstetrical and neonatal
			 services shall achieve Level III capability for Level III designation. The
			 hospital shall provide for the education of allied health professionals and
			 shall accept selected maternal and neonatal transports from Level I, Level II
			 and Level II with Extended Neonatal Capabilities hospitals.
2) The Level III hospital shall make
			 available a range of technical and subspecialty consultative support such as
			 pediatric anesthesiology, ophthalmology, pediatric surgery, genetic services,
			 intensive cardiac services and intensive neurosurgical services.
3) To qualify as a Level III hospital, these
			 standards and resource requirements are necessary to ensure adequate competence
			 in the management of certain high-risk patients. These criteria will be
			 assessed by reviewing the resources and outcomes of each hospital's admissions,
			 and which admissions include patients who are subsequently transferred, for the
			 three most recent calendar years, combined, for which data are
			 available.
4) A Level III hospital
			 that elects not to provide all of the advanced level services shall have
			 established policies and procedures for transfer of these mothers and infants
			 to a hospital that can provide the service needed.
5) The Level III hospital shall maintain a
			 system for recording patient admissions, discharges, birth weight, outcome,
			 complications, and transports to meet requirements to support network CQI
			 activities described in the hospital's letter of agreement with the APC. The
			 hospital shall comply with the reporting requirements of the State Perinatal
			 Reporting System.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.44 - Administrative Perinatal Center

Current through Register Vol. 48, No. 28, July 12, 2024
To be designated as an APC, a hospital shall submit an
				application to the Department for a grant to provide financial support to
				assist the Department in the implementation and oversight of the Regionalized
				Perinatal Health Care Program;and shall comply with all of the conditions
				described for intensive (Level III) perinatal care in Section
				640.43;
				and shall comply with all of the conditions described in Subpart O of the
				Hospital Licensing Requirements. The APC shall comply with the
				following:
a) Administrative Perinatal
			 Center - General Provisions
1) An APC shall
			 be a university or university-affiliated hospital, having Level III hospital
			 designation. An APC may be composed of one or more institutions. The APC shall
			 be responsible for the administration and implementation of the Department's
			 regionalized perinatal health care program, including but not limited to:
A) Continuing education for health care
			 professionals;
B) Leadership and
			 implementation of CQI projects, including morbidity and mortality reviews at
			 regional network hospitals;
C)
			 Maternal and neonatal transport services;
D) Consultation services for high-risk
			 perinatal patients;
E) Follow-up
			 developmental assessment programs; and
F) Laboratory facilities and services
			 available to regional network hospitals.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.45 - Department of Public Health Action

Current through Register Vol. 48, No. 28, July 12, 2024
a) Department Review
1) The Department will develop a plan for
			 determining the degree of compliance with this Part on a periodic basis not to
			 exceed three years.
2) During the
			 site visit, the hospital will receive a determination of substantial compliance
			 or substantial failure.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.80 - Regional Perinatal Networks - Composition and Funding

Current through Register Vol. 48, No. 28, July 12, 2024
a) Regional Perinatal Networks, as defined in
			 Section
			 640.20, may include
			 any number and combination of hospitals providing maternity and newborn
			 services at one of the levels of perinatal care, according to policies and
			 practices described in their letters of agreement. Where more than one Level
			 III hospital provides services within a Regional Perinatal Network, a letter of
			 agreement with the APC shall describe how each will participate in the
			 provision of services included in Section
			 640.40 of
			 this Part. Regional Perinatal Networks may also include other agencies,
			 institutions and individuals providing a complete range of perinatal health
			 services, including preconceptional, prenatal, perinatal and family follow-up
			 care services, as part of the regional network.
b) The Department will allocate funds for
			 perinatal health services provided through Regional Perinatal Networks.
1) Funds will be awarded to Regional
			 Perinatal Networks under the following mechanisms:
A) The Department will provide grants to
			 designated APCs responsible for the administration and implementation of the
			 Department's regionalized perinatal health care program. Under this option, the
			 APC is the applicant for Maternal and Child Health (MCH) Project funds and will
			 apply as specified in the Department of Human Services' Maternal and Child
			 Health Services Code (77 Ill. Adm. Code
			 630.30 through
			 630.70 ).
B) Grant applications by regional perinatal
			 networks may include services and responsibilities assigned to APCs and Level
			 III hospitals in Section
			 640.40(c)
			 of this Part in addition to the perinatal care services included in 77 Ill.
			 Adm. Code
			 630.30 through
			 630.70.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.85 - Exceptions to Part 640

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
			 hospital may request an exception to the standards of care set forth in this
			 Part in accordance with this Section. Exceptions are not intended to circumvent
			 Level designations. The hospital or the APC may seek the advice and
			 consultation of the Department, as well as the PAC, in regard to the
			 requirements for an exception.
b)
			 Exceptions to the standards of care set forth in this Part may be granted when
			 the hospital requesting an exception demonstrates that the resources and
			 quality of care (outcomes) are substantially equivalent to the resources and
			 quality of care for a facility at the next highest level of designation, as
			 indicated by the resource requirements set forth in this Part. If the hospital
			 and its APC agree on the proposed exception, a proposed letter of agreement
			 shall be submitted to the Department for review and approval. The Department's
			 review will be based on compliance with this Part, patient care needs, current
			 practice, outcomes, and geography in the regional perinatal network.
c) If the hospital and its APC do not agree
			 on any aspect of the proposed exception, the hospital or the APC shall consult
			 the Subcommittee on Facility Designation (SFD) of the PAC.
d) The following information shall be
			 submitted to the SFD:
1) A proposed letter of
			 agreement (unsigned);
2) The
			 curriculum vitae for all directors of patient care, i.e., obstetrics, neonatal,
			 nursing (obstetrics and neonatal);
3) Appendix A of this Part (fully completed);
			 and
4) A letter from the APC that
			 includes the following information:
A) The
			 exceptions being requested;
B)
			 Information demonstrating that the quality of care (outcomes) of the hospital
			 is substantially equivalent to the standards of this Part for the next highest
			 level of designation for the proposed exceptions;
C) A description of the monitoring system
			 used when consultation between the attending physician at the hospital and the
			 physician consultant at a higher level hospital determines that a mother or
			 newborn infant should remain in the hospital rather than being transferred to
			 the higher level hospital;
D) A
			 description of any arrangements made between the hospital and the APC to seek
			 or ensure quality improvement;
E) A
			 copy of the hospital's Maternity and Neonatal Service Plan (Subpart O of the
			 Illinois Hospital Licensing Requirements); and
F) The PAC's recommendation concerning the
			 exception.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.90 - State Perinatal Reporting System

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Purpose
The Department will maintain a State Perinatal Reporting System
				to follow selected high-risk perinatal patients to ensure that those patients
				are assessed at appropriate intervals, receive intervention as needed, and are
				referred for needed support services.
b) Identification and Referral of High-Risk
			 Maternal Patients
1) Each designated APC and
			 Level III hospital that provides obstetrical care shall establish criteria and
			 procedures for identifying high-risk pregnant and postpartum patients. A
			 statement describing the criteria and procedures shall be on file and shall be
			 provided to the Department on request.
2) The hospital's Perinatal Review Committee,
			 or other committee established for the purpose of internal quality control or
			 medical study for the purpose of reducing morbidity or mortality or improving
			 patient care, shall collect and submit the information required in subsection
			 (b)(1) to the Department. These data will be considered confidential under
			 Section 8-2101 of the Code of Civil Procedure.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.100 - High-Risk Follow-up Program

Current through Register Vol. 48, No. 28, July 12, 2024
The Illinois Department of Human Services manages the high-risk
				follow-up program in accordance with the Maternal and Child Health Services
				Code (77 Ill. Adm. Code 630).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix D - Report of Local Health Nurse, Maternal - Prenatal (Repealed) › Exhibit B - Instructions for Completing the Report of Local Health Nurse, Maternal-Prenatal (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix E - Report of Local Health Nurse, Maternal-Postnatal (Repealed) › Exhibit B - Instructions for Completing the Report of Local Health Nurse, Maternal-Postnatal (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix H - Written Protocol for Consultation/Transfer/Transport › Exhibit A - Level I: Patients for consultation with ________________ (Level III hospital or Administrative Perinatal Center)

Current through Register Vol. 48, No. 28, July 12, 2024
1) Maternal Conditions
A) Previous Pregnancy Problems:
i) Premature infant
ii) Perinatal death or mental
				retardation
iii)
				Isoimmunization
iv) Difficult
				deliveries
v) Congenital
				malformations
vi) Mid-trimester
				loss
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix H - Written Protocol for Consultation/Transfer/Transport › Exhibit B - Level II: Patients for consultation with or transfer to ____________________ (Level III hospital or Administrative Perinatal Center)

Current through Register Vol. 48, No. 28, July 12, 2024
1) Maternal
				Conditions (Consultation)
A) Essential
				hypertension on medication.
B)
				Chronic Renal disease.
C) Chronic
				medical problems with known increase in perinatal mortality or
				morbidity.
D) Prior birth of
				neonate with serious complication resulting in a handicapping
				condition.
E) Abnormalities of the
				reproductive tract known to be associated with an increase in preterm
				delivery.
F) Previous delivery of
				preterm infant 34 weeks gestation.
G) Insulin-dependent diabetes Class B or
				greater.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix H - Written Protocol for Consultation/Transfer/Transport › Exhibit C - Level I: Maternal and neonatal patients to be cared for at ________________ hospital (Level III hospital or Administrative Perinatal Center)

Current through Register Vol. 48, No. 28, July 12, 2024
1) Maternal
The maternal patient with an uncomplicated current
				  pregnancy.
2) Neonatal
The neonatal patient greater than 34 weeks
				  gestation or greater than 2000 grams without risk factors and infants with
				  physiologic jaundice.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix H - Written Protocol for Consultation/Transfer/Transport › Exhibit D - Level II: Maternal and neonatal patients to be cared for at _________________ hospital (Level III hospital or Administrative Perinatal Center)

Current through Register Vol. 48, No. 28, July 12, 2024
1)
				Maternal
A) The maternal patient with
				uncomplicated current pregnancy.
B)
				Patient with normal current pregnancy, although previous history may suggest
				potential difficulties.
C) Patient
				with selected medical conditions, such as mild hypertension or controlled
				thyroid disease, when there is no increase in perinatal morbidity.
D) Patient with selected obstetric
				complications such as pre-eclampsia or premature labor greater than 34
				weeks.
E) Patient with an
				incompetent cervix.
F) Patient with
				gestational diabetes.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Appendix K - Elements for Submission for Designation, Redesignation or Change in Designation

Current through Register Vol. 48, No. 28, July 12, 2024
Level III Review
* Appendix A
* Resource Checklist for Level III
* Evaluation letter from Administrative Perinatal
				Center
* Vita for co-directors
* Credentials for Obstetric (OB)/Family Practice
				(FP) physicians, Advance Practice Nurses (APN), Neonatology &
				Anesthesia
* Copy of OB/Peds Departmental Rules
* Maternal-Fetal Medicine (MFM), Neonatology
				Consultation/referral tool/QA reports for 3 months
* Mortality and Morbidity (M&M) statistics and
				description of the process/participation
* Transport statistics, both into and out of
				hospital
* Listing of educational classes
* Description of educational classes
* Description of CQI
* 3 months of call schedules for OB, Maternal-Fetal
				Medicine and Neonatology (current and last 2 actual or 3 proposed
				schedules)
Level II with Extended Neonatal Capabilities
				Review
* Appendix A
* Resource Checklist for Level II with Extended
				Neonatal Capabilities
* Evaluation letter from Administrative Perinatal
				Center
* Vita for Director of Neonatology, Maternal-Fetal
				Medicine (MFM), if appropriate
* Credentials for Obstetricians/Family Practice
				physicians, Advanced Practice Nurses (APN), Neonatology & Anesthesia
* Copy of OB/Peds Departmental Rules
* Consultation/referral tool/QA reports for 3
				months
* Mortality and Morbidity (M&M) statistics and
				description of process/participation
* Transport statistics, both into and out of
				hospital
* Listing of educational classes
* Description of CQI
* 3 months of call schedules for OB, MFM and
				Neonatology as appropriate
Level II Review
* Appendix A
* Resource Checklist for Level II
* Evaluation letter from Administrative Perinatal
				Center
* Credentials for Obstetrics (OB)/Family Practice
				(FP) physicians, Advance Practice Nurses (APN), Neonatology &
				Anesthesia
* Copy of OB/Peds Departmental Rules
* Consultation/referral tool/QA reports for 3
				months
* Mortality and Morbidity (M&M) statistics and
				description of process/participation
* Transport statistics - out of hospital
* Listing of educational classes
* Description of CQI
Level I Review
* Appendix A
* Resource Checklist for Level I
* Evaluation letter from Administrative Perinatal
				Center
* Credentials for Obstetrics (OB)/Family Practice
				(FP) physicians, Advance Practice Nurses (APNs), Neonatology &
				Anesthesia
* Mortality and Morbidity (M&M) statistics and
				description of process/participation
* Transport statistics - out of hospital
* Listing of educational classes
* Description of CQI
Administrative Perinatal Center
* Network description
* Educational programs
* Network projects
* Discussion with representatives from Regional
				Network Hospitals
* Network participation
* Network evaluation
* Network challenges
* Network M&M statistics
* University integration
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.5 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
a) The requirements
			 set forth in this Part establish criteria for certification of
			 School-Based/Linked Health Centers (Center).
b) These requirements shall be used by the
			 Department for certification, re-certification, and periodic inspection of
			 Centers. Periodic inspections may be performed at any time, but shall be
			 performed at least annually. Periodic inspections shall be made to ensure
			 compliance with this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.20 - Introduction

Current through Register Vol. 48, No. 28, July 12, 2024
a) The purpose of
			 the Center is to improve the overall physical and emotional health of students
			 by promoting healthy lifestyles and by providing available and accessible
			 preventive health care when it is needed.
b) The specific goals of the Centers are to
			 improve student knowledge of preventive health care; provide early detection of
			 chronic disorders and early treatment of acute health problems; improve
			 decision-making about health matters; reduce risk-taking behaviors; develop
			 health promoting behaviors; provide preventive care; provide initial emergency
			 treatment of injuries and illness with appropriate subsequent referral; detect
			 signs of emotional stress and psycho-social problems for treatment, counseling
			 or referral; facilitate students' use of health care systems by establishing
			 links with primary health care providers, and promote continuing comprehensive
			 health care for students of all ages.
c) The Center is located in the school or on
			 school grounds, serving minimally the students attending that school. The
			 Center may agree to serve additional students per its application. A
			 school-linked health center located off school grounds must have a formal
			 agreement to serve students attending one or several schools within the
			 district.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.30 - Organizational Structure

Current through Register Vol. 48, No. 28, July 12, 2024
The Center is organized and administered in a manner that
				ensures that it serves the health and health related needs of students in a
				high quality and cost-effective manner, promotes easy access to services,
				provides students with linkage information for after-hour service needs,
				assists students in learning how to appropriately utilize services within and
				outside the Center, and works with the student's primary care provider and
				insurer or managed care entity (MCE) to facilitate continuity of care.
a) The Center must establish and maintain an
			 Advisory Board whose main purpose is to advise, make recommendations, and
			 provide community support and feedback. The Advisory Board must be established
			 before the Center is opened.
1) The board
			 will include a minimum of eight members representing the following areas:
			 school administration, school nurse, students, the medical community, the local
			 health department, parents, clergy, youth service agencies and community
			 leaders.
2) The board will meet not
			 less than annually.
A) Meetings will be
			 documented with written minutes.
B)
			 The written minutes will be maintained at the Center for Department
			 inspection.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.40 - Policies and Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a) At a
			 minimum the Center must have the following written policies set forth and in
			 place:
1) Non-discrimination,
			 confidentiality, parental consent, student rights/responsibilities, release of
			 information, conflict of interest/disclosure, equal opportunity employment,
			 Americans With Disabilities Act, disaster and fire safety, and quality
			 assurance.
2) The Job descriptions
			 that define the qualifications, responsibilities and supervision of all health
			 center personnel.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.50 - Compliance Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
			 medical services must be in compliance with the standards set by the American
			 College of Obstetricians and Gynecologists (ACOG), 1985, 409
			 12th Street S.W., Washington DC 20024-2188, American
			 Academy of Pediatrics (AAP), 1988, 141 Northwest Point Boulevard, Elk Grove
			 Village IL 60007-1098, and American Academy of Family Physicians (AAFP), 1997,
			 11400 Tomahawk Creek Parkway, Leawood KS 66211-2680.
b) Guidelines established by the 1997
			 National Committee for Quality Assurance Accreditation (NCQA), 1100
			 13th St. NW, Third Floor Washington DC 20005,
			 effective April 1, 1997.
c)
			 Laboratory services must be in compliance with the Clinical Laboratories
			 Improvement Amendments of 1988 (CLIA). Medical record maintenance will be in
			 compliance with the "Problem-Oriented Medical Record System and Medical Record
			 Management Guidance" (1980), issued by the U.S. Department of Health and Human
			 Services.
d) The standards and
			 guidelines cited in subsections (a), (b) and (c) include no late amendments or
			 editions.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.60 - Scope of Services

Current through Register Vol. 48, No. 28, July 12, 2024
The Center provides comprehensive primary and preventive
				physical, mental health, and health education services for children and
				adolescents within the context of their family, social/emotional, cultural,
				physical and educational environment. Some services, based on local need and
				expertise, may be made available by referral with appropriate follow-up. As
				determined by community needs, the Center will provide the following
				services:
a) Medical Services
1) Basic medical services include:
A) well child or adolescent exams, consisting
			 of a comprehensive health history, complete physical assessment, screening
			 procedures and age appropriate anticipatory guidance, including socio-emotional
			 and developmental screenings.
B)
			 immunizations
C) health
			 education
D) nutrition counseling
			 and education
E) the preventive
			 services specified by the federal Early and Periodic Screening, Diagnosis, and
			 Treatment (EPSDT) program
F) the
			 services specified by the Guidelines for Adolescent Preventive Services (GAPS)
			 1992, 515 North State Street, Chicago, IL 60610, no later amendments or
			 editions included, prepared by the American Medical Association
G) diagnosis and treatment of acute illness
			 and injury
H) basic laboratory
			 tests for pregnancy, sexually transmitted diseases (STDs), primary
			 prevention
I) prescriptions and/or
			 dispensing of commonly used medications for identified health conditions, in
			 accordance with the Medical Practice Act of 1987 [225 ILCS 60 ] and the
			 Pharmacy Practice Act [225 ILCS 85 ]
J) acute management and on-going monitoring
			 of chronic conditions, such asthma, diabetes, and seizure disorders
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.70 - Staffing Standards

Current through Register Vol. 48, No. 28, July 12, 2024
The Center must deliver care to students by Illinois licensed,
				registered and/or certified health professionals who are trained and
				experienced in community and school health, and who have knowledge of health
				promotion and illness prevention strategies for children and adolescents. The
				Center's sponsoring agencies ensures that all providers are appropriately
				credentialed.
a) Recommended on-site
			 Center staff include the following:
1) Medical
			 Director or physician, consultant or back-up physician (family practitioner,
			 pediatrician or adolescent specialist) who has equivalent practice privileges
			 in at least one licensed Illinois hospital, can provide medical consultation
			 and referral, ensures compliance with the policies and procedures pertaining to
			 medical and surgical procedures, and signs standing orders/protocols for
			 mid-level practitioners and observes the same in practice;
2) Nurse practitioner or physician assistant
			 who must operate under the standing orders of a physician (family
			 practitioner);
3) Clinically
			 trained mental health practitioner (master's level social worker, psychologist,
			 certified psychiatric nurse, or mental health staff (bachelor prepared social
			 worker or psychology major working toward master's preparation) to provide
			 individual assessment, treatment, and referral, as well as group and family
			 counseling;
4) Medical
			 receptionist/secretary and/or medical support staff (health aide, medical
			 assistant, or licensed practical nurse) to maintain medical records, collect
			 and enter data, bill for services, make appointments and greet
			 students;
5) Certified and licensed
			 substance abuse prevention/intervention specialist; and
6) Health educator, dentist/dental hygienist,
			 nutritionist.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.80 - Access Standards

Current through Register Vol. 48, No. 28, July 12, 2024
The Center must establish procedures for the availability of
				primary care providers and for access to routine, urgent and emergency care,
				telephone appointments and advice.
a)
			 Availability of Services
1) The Center
			 operations must ensure that:
A) the facility
			 provides 24 hour coverage, 12 months a year;
B) services are accessible either on-site or
			 through formal referral;
C)
			 services are convenient to students and include, as necessary, before or after
			 school hours;
D) working parents,
			 to the maximum extent possible, are accommodated in the health care of their
			 children;
E) urgent appointments
			 can be handled within the same day and/or the following day;
F) scheduled appointments do not
			 unnecessarily interrupt the student's classroom time;
G) services are available in multiple
			 languages as appropriate for the student population;
H) non-urgent appointments are offered within
			 seven days or through formal referral;
I) no medical experimentation or invasive
			 research is done on students; and
J) telephone answering methods are in place
			 to notify students and parents where and how to access 24 hour back-up services
			 when the Center is not open.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.90 - Student Identification

Current through Register Vol. 48, No. 28, July 12, 2024
The Center must develop a collaborative relationship with other
				health care providers, insurers, managed care entities, the school health
				program, students and parents/guardians with the goal of reducing duplication
				of services, fragmentation and discontinuous of care.
a) The enrollment and registration processes
			 must provide for effective collection of information regarding third-party
			 billing resources and the identity of primary care providers. The Center may
			 not deny access to care to students without insurance.
b) At the point of initial contact and/or any
			 subsequent contacts with the student/family, efforts must be made to obtain
			 current information on whether the student is a member of an MCE and/or
			 recipient of services provided through a school-based/linked health center.
			 This may be accomplished in the following ways:
1) contact with the primary care
			 physician;
2) a question appears on
			 the application;
3) the service
			 provider solicits the information from the student at the time of
			 contact;
4) a copy of the Medical
			 Assistance Program Card or other insurance card, is requested;
5) the parent is contacted (school or home
			 visit);
6) the parent and/or child
			 consent (child release vs. parental release) to the Center obtaining the
			 information (See
			 410
			 ILCS 210/1, 2, 3 and 4 );
7) written policies are on-site regarding
			 parental consent for treatment for easy reference by Center staff;
8) the Illinois Department of Healthcare and
			 Family Services hotline (800-226-0768) may be contacted regarding assignment;
			 the child's name, date of birth, address and Medical Assistance program number
			 (if known) will be necessary in order for the hotline staff to make the
			 determination of assignment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.110 - Care Coordination

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 Center shall develop collaborative relationships with other health care
			 providers and insurers/managed care entities and have a written linkage
			 agreement with MCEs whose enrollees are served by the school-based/linked
			 health center. At a minimum, the agreement must include:
1) outline of the services provided and the
			 role of the Center;
2) description
			 of the processes and procedures for coordinating student care; and
3) description of the mechanisms for
			 exchanging key medical and outcomes information with the MCE and a student's
			 primary care physician (PCP), while maintaining confidentiality, including:
A) written policies addressing student and/or
			 parental consent to share student health care information in order to
			 coordinate care with the MCE or PCP;
B) payment mechanism.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.120 - Student Rights and Responsibilities

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The rights and responsibilities of enrolled students and their families will be
			 clearly defined in a written statement and translated into the languages of the
			 major population groups served. This written statement is provided to students
			 and their families at the time of Center enrollment and is provided to all
			 Center staff at the time of employment.
b) The Center will demonstrate its commitment
			 to treating students in a respectful manner through a written statement of
			 principles that recognizes the following rights of enrolled students.
1) Students have a right to receive
			 information about the Center, its services, its practitioners and providers,
			 and students' rights and responsibilities.
2) Students have a right to be treated with
			 respect, courtesy and a recognition of their right to privacy.
3) Students have a right to be told about
			 their proposed treatment plans and to participate with practitioners in
			 decision-making regarding their health care (including the right to refuse
			 treatment).
4) Students have a
			 right to voice complaints about the Center or the care provided, through an
			 established system that ensures a prompt response.
5) Students have a right to review their
			 written record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.130 - Quality Improvement Standards

Current through Register Vol. 48, No. 28, July 12, 2024
The Center, in conjunction with the school district and/or MCE,
				will develop and implement a quality improvement program that monitors and
				evaluates the appropriateness, effectiveness and accessibility to the services
				it provides; the quality of services provided to the students; and the
				positive/negative health outcome effects.
a) A quality improvement plan with
			 clearly-defined goals, objectives and work plan will be established, approved
			 by the appropriate governing body and reviewed annually.
b) The quality improvement plan shall
			 identify who is responsible for monitoring and evaluation and for the data
			 management quarterly report. The quarterly report shall, at a minimum, provide
			 the following information:
1) Number of
			 students served (unduplicated)
2)
			 Sex
3) Age
4) Race
5) Number of Center encounters
6) Year-to-date Center enrollment
7) Type of services rendered
8) Medical referrals and outcomes
9) Social Service referrals and
			 outcomes
10) Delivery and outcome
			 information i.e., type of delivery, birth weight, Apgar scores and maternal and
			 infant complications)
11) Dental
			 referrals and outcomes.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.140 - Marketing and Community Outreach

Current through Register Vol. 48, No. 28, July 12, 2024
The Center shall routinely publicize services to the student
				body and the community. Marketing methods may include:
a) contacts during the school registration
			 process;
b) attendance at PTA
			 meeting;
c) mailings, notes sent
			 home to parents and intercom announcements;
d) bulletin boards and posters;
e) student newspapers and
			 newsletters;
f) workshop for
			 teachers and other school staff;
g)
			 newspaper articles;
h) community
			 education offerings;
i) flyers,
			 posters;
j) radio and TV
			 announcements;
k) videos;
l) open house;
m) contests; and
n) Center newsletters.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 641 - SCHOOL-BASED/LINKED HEALTH CENTERS › Section 641.150 - Finance

Current through Register Vol. 48, No. 28, July 12, 2024
The Center must operate under the budgetary requirements
				approved by the Department.
a) The
			 Center will maintain and adhere to all contracts for services with internal and
			 external organizations and outside vendors.
b) Management systems will be in place to
			 maintain data reporting requirements and to enhance tracking of important
			 student information.
c) Billing
			 procedures will conform to agreements established by contract with individual
			 health plans, the Medicaid Program, health providers and the
			 Department.
d) Policies and
			 procedures identifying mechanisms for data collection, data reporting, billing
			 and payment between the Center and its contracted entities will be
			 available.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 655 - PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS › Section 655.10 - General Considerations

Current through Register Vol. 48, No. 28, July 12, 2024
a) For
			 some, pregnancy can present social, emotional, financial and/or health
			 problems. A wide array of services which can assist women who have problem
			 pregnancies is not available in all communities, and in communities where such
			 services are available, they often are fragmented. State policy therefore
			 encourages the development of appropriate health, education, and social
			 services where they are now lacking or inadequate, and the better coordination
			 of existing services where they are available, in order to assist women with
			 problem pregnancies and to help them to become productive independent
			 contributors to family and community life.
b) Authorization
The Department of Human Services, through the Division of
				Family Health, will allocate funds for Problem Pregnancy Health Services and
				Care Projects under authority of The Problem Pregnancy Health Services and Care
				Act (Ill. Reg. Stat. 1983, ch. 1111/2, pars. 4601-100 et seq.).
c) Purpose
The purpose of these projects if to assist women with problem
				pregnancies in obtaining appropriate services, through provision of those
				services directly, or by referral; to expand the availability of services for
				women with problem pregnancies in communities which need them; and to promote
				innovative, comprehensive and integrated approaches to the delivery of such
				services.
d) Eligibility
Public and private nonprofit agencies and organizations are
				eligible for project grants if they do not use such grants to refer or counsel
				for, or perform abortions; and which coordinate and establish linkages among
				services, that will further the purposes of this act and, where appropriate,
				will provide, supplement, or improve the quality of such
				services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 655 - PROBLEM PREGNANCY HEALTH SERVICES AND CARE PROJECTS › Section 655.20 - Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a) Content of
			 Projects
1) Projects shall be directed toward
			 the provision and coordination of services which assist women with problem
			 pregnancies or women at risk of initial or repeat problem pregnancies in
			 accordance with accepted maternal and child health principles. Such services
			 include:
A) Prenatal and Post-Partum Health
			 Care
B) Nutrition
			 Services
C) Social services,
			 including counseling, financial assistance, legal aid, day care, homemaker
			 services and housing
D) Employment
			 Counseling and Vocational Services
E) Education concerning Sexuality and
			 Parenting, both individually and community-wide
F) Mental Health Services
G) Special Services to enable pregnant
			 adolescents to remain in school or to continue their education
H) Residential Care for pregnant
			 adolescents
I) Outreach and
			 Follow-up to assure that those in need of these services are receiving
			 appropriate assistance.