reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1150 - Demonstration Program Elements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				A birth centershall be exclusively dedicated to serving the childbirth-related
				needs of women and their newborns and shall have no more than 10 beds. (Section
				35 of the Act)
b) A birth center
				shall be licensed pursuant to this Part to be considered a participant in the
				Program.
c) 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, as set
				forth in Section 30(a-25) of the Act.
d) 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)
e) Birth centers shall, within 30 days after
				licensure, seek certification under Titles XVIII and XIX of the Federal Social
				Security Act. (Section 30(d) of the Act)
f) Birth centers shall provide charitable
				care consistent with that provided by comparable health care providers in the
				geographic area. (Section 30(d) of the Act)
g) A licensed birth center 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)
h) No place or person shall hold itself out
				to the public as a "birth center" unless it is licensed as a birth center under
				the Act and this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1200 - Information Available for Public Inspection

Current through Register Vol. 48, No. 28, July 12, 2024
a) A birth center shall post the following
				information in plain view of the public:
1)
				Its current license or a photocopy of the current license;
2) A description of the birth center
				complaint procedures;
3) The name,
				address and telephone number of a person authorized by the Department to
				receive complaints;
4) Client
				rights; and
5) Emergency exit
				routes.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1250 - General Requirements for Licensure

Current through Register Vol. 48, No. 28, July 12, 2024
a) Birth centers shall obtain a permit from
				the Illinois Health Facilities and Services Review Board and shall obtain a
				license from the Illinois Department of Public Health. No person may engage in
				the business of providing birth center services, or represent to the public
				that the person is a provider of such services for pay or other consideration,
				without a license.
b)
A
				birth center shall be exclusively dedicated to serving the childbirth-related
				needs of women and their newborns and shall have no more than 10 beds
.
				(Section 35(6) of the Act)
c)
A birth center is a designated site that is away from the mother's
				usual place of residence and in which births are planned to occur following a
				normal, uncomplicated, and low-risk pregnancy
. (Section 35(6) of the
				Act)
d)
A birth center
				shall offer prenatal care and community education services and shall coordinate
				these services with other health care services available in the
				community.
(Section 35(6) of the Act)
e)
A birth center license shall be
				required if the birth center is operated as:
1)
A part of the operation of a
				federally qualified health center as designated by the United States Department
				of Health and Human Services; or
2)
A facility other than one
				described in
Section 35(6)(A)(1) or (A)(2) of the Act or subsection
				(e)(1) of this Section
whose costs are reimbursable under Title XIX of
				the federal Social Security Act
. (Section 35(6)(B)(2) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1400 - Inspections and Investigations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The Department shall perform licensure inspections of birth centers, as deemed
				necessary, to ensure compliance with the Act and this Part. (Section 25(c) of
				the Act)
b) Birth centers 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 birth
				center or the licensee to the extent necessary to carry out the Act and this
				Part.
c) The Department
				mayinvestigate an applicant or licensee on its own motion or based upon
				complaints received by mail, electronic means, telephone, or in person.
				(Section 50 of the Act)
1) Complaints in
				regard to birth centers licensed under the Act and this Part may be submitted
				either in writing, by telephone or by other electronic means to the
				Department's Central Complaint Registry.
2) The Department will conduct an
				investigation of all complaints received. An appropriate investigation may
				include, but is not limited to, record reviews and/or telephone interview,
				on-site surveys or a combination of methods.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1450 - 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 violations 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 10-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 if the Department finds that
				corrective action by the birth center to abate or eliminate the violations 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 clients of the birth center
				in determining whether to grant a requested extension.
c) Each plan of correction shall be based on
				the birth center's assessment of the conditions or occurrences that are the
				basis of the violations and an evaluation of the practices, policies, and
				procedures that have caused or contributed to the conditions or occurrences.
				The birth center shall maintain documentation of such assessment and
				evaluation. Each acceptable plan of correction shall include:
1) The procedure for implementing the plan of
				correction for each deficiency cited, typed in the right-hand column of the
				original Statement of Deficiencies;
2) The title of the individual responsible
				for implementing and monitoring the plan of correction;
3) Documentation that the facility has
				incorporated systemic improvement efforts into its quality assessment and
				performance improvement program in order to prevent the recurrence of the
				deficient practice;
4) Supporting
				documentation of correction;
5)
				Procedures for monitoring and tracking to ensure that the plan of correction is
				effective;
6) A completion date for
				correction of each deficiency cited, along with interim dates for any phases or
				intermediate steps; and
7) Date and
				signature of the authorized representative, on the bottom of page one of the
				original Statement of Deficiencies and Plan of Correction.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1500 - Adverse Licensure Action and Administrative Hearings

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 accordance with the Department's Rules of Practice and Procedure in
				Administrative Hearings and Section 55 of the Act. (Section 55 of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1600 - Governing Body

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each birth
				center shall have an organized governing body that is responsible for:
1) The management and control of the birth
				center;
2) The assurance of quality
				care and services;
3) Compliance
				with all federal, State and local laws; and
4) Protection of personal and property rights
				of clients, newborn infants and support persons.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1650 - Length of Stay

Current through Register Vol. 48, No. 28, July 12, 2024
The maximum length of stay in a birth center shall be
				  consistent with existing state laws (Illinois Insurance Code Section 356s)
				  allowing a 48-hour stay or appropriate post-delivery care, if the client is
				  discharged earlier than 48 hours. (Section 35(6) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1750 - Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) Medical
				Director. The services of a medical director physician, licensed to practice
				medicine in all its branches, who is certified or eligible for certification by
				the American College of Obstetricians and Gynecologists or the American Board
				of Osteopathic Obstetricians and Gynecologists or has hospital obstetrical
				privileges are required in birth centers. (Section 35(6) of the Act)
1) The medical director shall be appointed by
				and responsible to the governing body and shall have full obstetrical
				privileges in a licensed hospital near the birth center. The medical director
				may also be designated as the individual responsible for the administrative
				operation of the birth center. The medical director shall be responsible for:
A) Advising and consulting with the staff of
				the birth center on all matters related to medical management of pregnancy;
				birth; postpartum, newborn and gynecologic health care; and infection
				control;
B) Establishing a Written
				Collaborative Agreement for midwifery care management as required by Section
				65-35 of the Nurse Practice Act;
C)
				Coordinating all professional medical consultants to the birth center (e.g.,
				consulting obstetrical physicians, pediatricians, family physicians);
				and
D) Such other functions as may
				be deemed appropriate.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1800 - Clinical Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Clients
				shall meet all the requirements of Section
				265.1550
				before being admitted and receiving services at the birth center.
b) Each birth center shall assure that each
				woman and her family registering for admission for care at the birth center
				shall be given an orientation to the birth center, which includes, but is not
				limited to:
1) The philosophy and goals of
				the birth center;
2) Services
				directly available at the birth center;
3) Services provided through consultation and
				referrals;
4) Policies and
				procedures;
5) The requirement for
				signed consent for care and services, attesting to full awareness of care and
				services to be provided;
6) The
				involvement of the mother (and support person whenever possible) in the
				development and assessment of a protocol of care in accordance with this
				Section;
7) Charges for required
				care and potential additional charges; and
8) The risk assessment process and risk
				factors that might preclude admission for care at the birth center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1850 - Labor and Birth Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				An obstetrician, family practitioner/physician or certified nurse midwife
				(birth attendant) shall attend each woman in labor from the time of admission
				through birth and throughout the immediate postpartum period. Attendance may be
				delegated only to another physician or certified nurse midwife. (Section 35(6)
				of the Act)
b) Additionally, a
				second staff person (birth assistant) shall also be present at each birth who
				is licensed or certified in Illinois in a health-related field and under the
				supervision of the physician or certified nurse midwife in attendance, has
				specialized training in labor and delivery techniques and care of newborns, and
				receives planned and ongoing training as needed to perform assigned duties
				effectively. (Section 35(6) of the Act)
c) The birth attendant shall be trained in
				the common duties associated with birth and postpartum, and use of emergency
				policies, procedures and equipment.
d) During the labor process, the birth
				attendant shall perform the following minimum duties:
1) Monitor the fetal heartbeat;
2) Monitor the mother's blood pressure, pulse
				and temperature;
3) Perform adult
				and infant cardiopulmonary resuscitation, if needed;
4) Monitor the infant's heartbeat,
				respiratory rate and body temperature; and
5) Assess the client's fundus and blood
				loss.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1900 - Newborn Infant Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				birth center shall adopt, implement and enforce written policies and procedures
				for the care of the infant. The medical director and Director of Nursing and
				Midwifery Services shall review and revise the policies as necessary to reflect
				current practices. The policies shall comply with the Guidelines for Perinatal
				Care, published by the American Academy of Pediatrics and the American College
				of Obstetricians and Gynecologists, and include, at a minimum:
1) Resuscitation of the newborn;
2) Within two hours after delivery,
				ophthalmic ointment, or drops containing tetracycline or erythromycin,
				instilled into the eyes of the newborn infant as a preventive against
				ophthalmia neonatorum in accordance with the Infant Eye Disease Act;
3) A single parenteral dose of vitamin K-1,
				water soluble 0.5 milligrams, given to the infant soon after birth as a
				prophylaxis against hemorrhagic disorder in the first days of life;
4) Documentation of a physical examination of
				the newborn performed before discharge;
5) Referral for any abnormalities or
				problems;
6) The collection of
				blood for newborn screening;
7)
				Procedures for the detection of Rh and ABO isoimmunization;
8) HIV testing pursuant to the Perinatal HIV
				Prevention Code; and
9) Preparation
				and submission of birth certificates.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1950 - Discharge Policies and Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a) The maximum length of stay in a birth
				center shall be consistent with existing State laws (see
				215 ILCS
				5/356s ) allowing a 48-hour stay or appropriate
				post-delivery care, if the mother and infant are discharged earlier than 48
				hours. (Section 35(6) of the Act)
b) The birth center shall develop a discharge
				plan of care for all mothers and infants.
c) The discharge plan shall be based on the
				assessment of the mother's and infant's needs by the various disciplines
				responsible for their care.
d) The
				mother and infant shall be discharged from the birth center when both are
				clinically stable and have met the discharge criteria/policy established by the
				birth center.
e) The mother and
				infant shall not be discharged prior to four hours after the time of
				birth.
f) The birth center shall
				provide the mother with written discharge instructions. The discharge
				instructions shall include written guidelines detailing how the mother may
				obtain emergency assistance for herself and her infant.
g) The birth center shall develop, implement
				and enforce written policies to provide follow-up postnatal and postpartum care
				to the infant and the mother, either directly or by referral. Follow-up care
				may be provided in the birth center, at the mother's residence, by telephone,
				or by a combination of these methods.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2000 - Infection Control

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				birth center shall provide a sanitary environment to avoid sources and
				transmission of infections and communicable diseases. The birth center shall
				have an active program for the prevention, control and investigation of
				infectious and communicable diseases that includes, but is not limited to:
1) Hand-washing techniques for adequate
				protection of the mother and newborn infant from infection and other
				contamination;
2) Contagious
				disease control measures for birth center personnel, carrier or suspected
				carrier, spouse or support persons;
3) Sterilization methods and procedures;
				and
4) Infection control measures,
				including birth room cleaning policies and birth room waste disposal policies
				and procedures.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2050 - Disposal of Medical Waste

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				pathological and bacteriological waste, including blood, body fluids,
				placentas, sharps and biological indicators, shall be disposed of by a waste
				hauler with a permit from the Illinois Environmental Protection Agency under
				rules of the Pollution Control Board (35 Ill. Adm. Code 809).
b) These materials shall be sealed,
				transported, and stored in biohazard containers. These containers shall be
				marked "Biohazard", bear the universal biohazard symbol, and be orange, orange
				and black, or red. The containers shall be rigid and puncture resistant, such
				as a secondary metal or plastic can with a lid that can be opened by a step-on
				pedal. These containers shall be lined with one or two high-density
				polyethylene or polypropylene plastic bags with a total thickness of at least
				2.5 mil or equivalent material.
c)
				Containers that are marked "Biohazard" shall be sealed before being removed
				from the birth center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2100 - Emergency Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				birth center shall have a written agreement with an emergency medical transport
				provider/EMS ambulance provider for emergency transportation of the mother
				and/or newborn infant to a hospital.
b) The birth center shall provide emergency
				equipment and emergency medications as follows:
1) Oxygen;
2) Airway and manual infant breathing
				bags;
3) Suction
				equipment;
4) A neutral thermal
				environment for resuscitation; and
5) Other medications and equipment as
				approved by the medical director.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2150 - Laboratory and Pharmacy Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each birth center shall meet the following
				requirements:
1) Possess a valid Clinical
				Laboratory Improvement Amendments (CLIA) certificate for those tests performed
				by the birth center; 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 birth
				center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2200 - Clinical Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				birth center shall adopt, implement, enforce and maintain a clinical record
				system to assure that the care and services provided to each client are
				completely and accurately documented and systematically organized to facilitate
				the compilation and retrieval of information.
b) Each birth center shall maintain accurate
				and complete clinical records for each client, and all entries in the clinical
				record shall be made at the time when care, treatment, medications,
				consultations or other medical services are given. The record shall include,
				but not be limited to, the following:
1)
				Client-identifying information;
2)
				Name of the client's birth attendants, and the name of all other birth
				assistants;
3) Initial risk
				assessment in accordance with Section
				265.1550;
4) A disclosure statement and informed
				consent that is signed by the client that explains the benefits, limitations,
				and risks of the services available at the center, and that describes the
				collaborative arrangements that the center has with physicians and with
				referral hospitals;
5) Record of
				antepartum (prenatal) care;
6)
				History and physical examination of the client;
7) Laboratory tests, procedures and
				results;
8) Written progress notes,
				signed and dated by the person rendering the service on the day service is
				rendered, and incorporated into the client record on a timely basis;
9) Medication list and medication
				administration record, if applicable;
10) Intrapartum care;
11) Newborn assessment and care, including:
A) Apgar scores;
B) Maternal-newborn interaction;
C) Prophylactic procedures;
D) Accommodation to extra-uterine
				life;
E) Blood glucose when
				clinically indicated;
12) Postpartum care;
13) Allergies and medication
				reactions;
14) Documentation of
				consultation;
15) Refusal of the
				client to comply with advice or treatment;
16) Discharge summary, to include mother and
				infant;
17) Discharge plan and
				instructions to the client;
18)
				Authentication of entries by the physician or physicians, birth attendants and
				birth assistants who treated or cared for the client and newborn;
19) A copy of the transfer form if the client
				or newborn was transferred to a hospital; and
20) Documentation that a birth certificate
				was filed or, if applicable, a death certificate was filed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2250 - Transfer Agreement

Current through Register Vol. 48, No. 28, July 12, 2024
A birth center shall be located within a ground travel time
				  distance from the general acute care hospital with which the birth center
				  maintains a contractual relationship, including a transfer agreement that
				  allows for an emergency caesarian delivery to be started within 30 minutes
				  after the decision a caesarian delivery is necessary. (Section 35(6) of the
				  Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2300 - Equipment

Current through Register Vol. 48, No. 28, July 12, 2024
The birth center shall have sufficient client care equipment
				  and space to assure the safe, effective and timely provision of the available
				  services to clients, which include, but are not limited to, the
				  following:
a) A heat source for infant
				examination or resuscitation;
b)
				Transfer incubator or isolette;
c)
				Blood pressure equipment;
d)
				Thermometers;
e)
				Fetoscope/doptone;
f) Intravenous
				equipment;
g) Sterilizer;
h) Resuscitation equipment;
i) Oxygen equipment for maternal and neonate
				uses;
j) Instruments for delivery,
				episiotomy and repair; and
k) Other
				supplies and equipment specified by the medical director and Director of
				Nursing and Midwifery Services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2350 - Environmental Management

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				birth center shall maintain at least one birth room that provides the
				equipment, staff, supplies and capability for emergency procedures, pursuant to
				Section
				265.2100,
				required for the physical and emotional care of a maternal client, her support
				person and the newborn during labor, birth and the recovery period.
b) The birth center shall be designed to
				provide for the following:
1) Birth rooms
				shall be located to provide unimpeded, rapid access to an exit of the building
				that will accommodate emergency transportation vehicles;
2) The birth center shall be located on the
				same level as ambulance delivery and pickup;
2) Fixed and portable work surface areas
				shall be maintained for use in the birth room;
3) A separate space for a clean area and a
				contaminated area shall be provided. Sanitary waste containers, soiled linen
				containers, storage cabinets, and sterilizing equipment shall be
				available;
4) Space shall be
				provided for prenatal and postpartum examinations, which will include privacy
				for the client, hand-washing facilities and the appropriate equipment for
				staff;
5) Space shall be provided
				for medical record storage; and
6)
				Client interview, instruction and waiting rooms shall be provided.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2400 - Food Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				birth center shall have the capacity to provide mothers and families with
				appropriate nourishment and light snacks. The minimum equipment shall include a
				refrigerator (capable of maintaining a temperature of 45 degrees Fahrenheit or
				lower), microwave, sink, cupboard and counter space or equivalent.
b) If food service is provided by the birth
				center or by contract with a food service provider, the following requirements
				shall be met:
1) Food services shall comply
				with the Food Service Sanitation Code and any applicable local
				requirements.
2) Meals shall be
				nutritionally balanced. The birth center shall work with clients to accommodate
				clients' preferences.
3) Menus
				shall be planned and made available in advance of being served.
4) A sufficient number of personnel shall be
				on duty to meet the dietary needs of the clients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2450 - Quality Assurance and Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
a) The birth center shall adopt, implement
				and enforce a written quality assurance and improvement program that includes
				all health and safety aspects of client care for both mother and
				infant.
b) The ongoing monitoring
				and evaluation of the quality and accessibility of care and services provided
				by the birth center or under contract shall include, but not be limited to:
1) Admission of clients appropriate to the
				capabilities of the center;
2)
				Client satisfaction;
3) Review of
				the clinical records;
4) Incidences
				of morbidity and mortality of mother and infant;
5) Postpartum infections;
6) All cases transferred to a hospital for
				delivery, care of infant, or postpartum care of mother;
7) Incidents, problems and potential problems
				identified by staff of the center, including infection control;
8) Any issues of unprofessional conduct by
				any member of the center's staff (including contractual staff);
9) The integrity of surgical instruments,
				medical equipment and client supplies;
10) Client referrals and
				consultations;
11) Appropriateness
				of medications prescribed, dispensed or administered in the birth
				center;
12) Problems with
				compliance with any federal or State laws;
13) At least an annual review of protocols,
				policies and procedures relating to maternal and newborn care;
14) Appropriateness of the risk criteria for
				determining eligibility for admission to and continuation in the birth center
				program of care;
15)
				Appropriateness of diagnostic and screening procedures;
16) Quarterly meetings of clinical
				practitioners to review the management of care of individual clients and to
				make recommendations for improving the plan of care;
17) Regular review and evaluation of all
				problems or complications of pregnancy, labor and postpartum and the
				appropriateness of the clinical judgment of the clinical practitioner in
				obtaining consultation and attending to the problem;
18) Evaluation of staff on ability to manage
				emergency situations by unannounced periodic drills for fire, maternal/newborn
				emergencies, power failure, etc.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.2500 - Reports

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each birth
				center shall submit reports pursuant to Section 35(6) of the Act and any other
				reports containing pertinent data required by the Department to effectively
				evaluate the program.
b) The birth
				center shall comply with the requirements of the Control of Communicable
				Diseases Code for reporting communicable diseases.
c) The following incidents shall be reported
				to the Department in writing, by mail or fax, within five calendar days after
				the occurrence, to the Division of Health Care Facilities and Programs, 525
				West Jefferson St., Springfield, Illinois 62761, or fax 217-782-0382.
1) A death of a mother, infant, or fetus
				during the course of labor occurring in the birth center; and
2) A death of a mother or infant within 24
				hours after discharge from the center or transfer to a hospital.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2550 - Applicability of This Subpart

Current through Register Vol. 48, No. 28, July 12, 2024
The standards in this Subpart shall apply to all birth
				  centers and major alterations and additions to birth centers. (Major
				  alterations are those that are not defined as minor alterations in Section
				  250.2600(b).)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2600 - Submission of Plans for New Construction, Alterations or Additions to Birth Centers

Current through Register Vol. 48, No. 28, July 12, 2024
a) New
				Construction, Addition, or Major Alteration to Existing Construction
1) Design Drawing
When construction is contemplated, design development
				  drawings and outline specifications shall be submitted to the Department for
				  review. Approval of design development drawings and specifications shall be
				  obtained from the Department prior to starting final working drawings and
				  specifications. The Department will provide comments or approval within 30 days
				  after receipt.
2) Final
				Drawings
A) The final working drawings and
				specifications shall be submitted to the Department for review and approval
				prior to the beginning of construction. Alternative methods of design
				development and construction may be acceptable, subject to the approval of the
				Department. Department approval is null and void if construction contracts are
				not executed and construction is not started within one year after the plan
				approval date. The Department will provide approval or comments within 60 days
				after the day on which the submission is deemed complete.
B) The Department shall be notified, in
				writing, of the award of construction contracts.
3) Any contract modifications that affect or
				change the function, design, fire/life safety, or purpose of a birth center
				shall be submitted to the Department for approval prior to authorizing the
				modifications. The Department will provide comments or approval within 30 days
				after receipt.
4) The Department
				shall be notified when construction has been completed and before any area is
				occupied.
5) The birth center shall
				maintain as-built drawings on site.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2650 - Preparation of Drawings and Specifications - Submission Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Drawings and specifications shall be executed by or be under
				  the immediate supervision of an architect licensed in the State of Illinois.
				  Structural drawings and specifications for these systems may be executed by or
				  be under the immediate supervision of a Structural Engineer licensed in the
				  State of Illinois. Mechanical and electrical drawings and specifications for
				  these systems may be executed by or be under the immediate supervision of a
				  Professional Engineer licensed in the State of Illinois. Drawings and
				  specifications shall be submitted for review and approval to determine
				  compliance with Subpart B by the Department. The drawings and specifications
				  shall be adequate to convey a clear understanding of the facility and
				  mechanical life safety systems serving the facility.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2700 - General Construction Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Program Narrative
The program narrative shall describe the various components
				  planned for the birth center and how they will interface with each
				  other.
1) Size and Layout
Birth center departments' sizes and clear floor areas depend
				  on program requirements and organization of services within the birth center.
				  As required by community needs, combination or sharing of some functions shall
				  be permitted, provided the layout does not compromise safety standards and
				  medical nursing practices and receives approval from the Department.
2) Transfer and Service Agreements
Transfer and service agreements with secondary or tertiary
				  care hospitals with full maternity services shall be in place prior to
				  initiating the planning and construction of these facilities. These agreements
				  shall be submitted to the Department for approval at the time of project
				  submission.
3) Birth Center
				Proximity to Secondary or Tertiary Care Hospitals
A birth center shall be located within a ground travel time
				  distance from the secondary or tertiary hospitals with which the birth center
				  maintains a contractual relationship, including a transfer agreement that
				  allows for an emergency caesarian delivery to be started within 30 minutes
				  after the decision that a caesarian delivery is necessary.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2750 - Birth Unit Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Size
A minimum of one centrally located nurse station shall be
				  provided for the birth unit. The number of birth rooms shall be provided as
				  determined by the program narrative, but shall not exceed 10 beds.
b) Client Rooms
1) Antepartum testing rooms for prospective
				mothers presenting with false or suspected false labor and requiring monitoring
				shall be provided based on the program narrative and located as close to the
				nurse station as possible.
A) Antepartum
				testing rooms shall be a single client room and shall have a minimum area of
				120 square feet (11.15 square meters).
B) Each antepartum testing room shall be
				equipped with a hand- washing station.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2850 - Heating, Ventilating and Air-Conditioning Systems (HVAC)

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
1) Mechanical System Design
A) Efficiency. The mechanical system shall be
				designed for overall efficiency and appropriate life-cycle cost.
i) Recognized engineering procedures shall be
				followed for the most economical and effective results.
ii) Client care or safety shall not be
				sacrificed for conservation.
iii)
				Insofar as practical, the birth center shall include provisions for recovery of
				waste cooling and heating energy (ventilation, exhaust, water and steam
				discharge, cooling towers, incinerators, etc.).
iv) Use of recognized energy-saving
				mechanisms such as variable-air-volume (VAV) systems, and use of natural
				ventilation shall be considered, site and climatic conditions
				permitting.
v) Birth center design
				considerations shall include site, building mass, orientation, configuration,
				fenestration, and other features relative to passive and active energy
				systems.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2900 - Electrical Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
1) Applicable Standards
A) All electrical material and equipment,
				including conductors, controls, and signaling devices, shall be installed in
				compliance with applicable sections of NFPA 70 and NFPA 99.
B) All electrical material and equipment
				shall be listed as complying with available standards of listing agencies or
				other similar established standards, when such standards are
				required.
C) Field labeling of
				equipment and materials shall be permitted only when provided by a nationally
				recognized testing laboratory that has been certified by the Occupational
				Safety and Health Administration (OSHA) for that referenced standard.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.2950 - Emergency Electric Service

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				An emergency source of electricity shall be provided.
b) Birth centers shall be permitted to use a
				battery system for emergency power. The following is required:
1) Illumination of means of egress as
				required in the Life Safety Code (NFPA 101);
2) Illumination of birth and recovery
				rooms;
3) Illumination of exit and
				exit directional signs;
4) Fire
				alarm and alarms required for nonflammable medical gas systems, if nonflammable
				medical gas systems are installed; and
5) Type 3 emergency electrical service that
				meets all NFPA 99 requirements of this type of system.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart B - CONSTRUCTION STANDARDS › Section 265.3000 - Security Systems

Current through Register Vol. 48, No. 28, July 12, 2024
Birth centers shall be designed for active and passive
				  security systems that shall be placed carefully and shall not interfere with
				  the life and safety features necessary to operate and maintain a healthy and
				  functional environment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1050 - Statutes and Rules Referenced

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) Nursing Home Care Act and Skilled Nursing
			 and Intermediate Care Facilities Code (77 Ill. Adm. Code 300)
c) Long-Term Care for Under Age 22 Facilities
			 Code (77 Ill. Adm. Code 390)
d)
			 Rules of Practice and Procedure in Administrative Hearings (77 Ill. Adm. Code
			 100)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1100 - Demonstration Program Elements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The Subacute Care Hospital Demonstration Program shall be reviewed annually by
			 the Board to determine if it should continue operation for a period of up to
			 five years, commencing with the effective date of this Part.
b) A Subacute Care Hospital Model shall be
			 licensed pursuant to this Part to be considered a participant in the
			 Program.
c) 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.
d) 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.
e)
			 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 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1200 - Application for and Issuance of a License to Operate a Subacute Care Hospital Model

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 applicant shall be licensed as a skilled nursing home or a pediatric skilled
			 nursing home pursuant to the Nursing Home Care Act or as a hospital pursuant to
			 the Hospital Licensing Act or be a Designated Site.
b) Applications for a license to operate a
			 subacute care hospital 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 subacute care hospital model issued by the Health
			 Facilities Planning Board under the Illinois Health Facilities Planning Act [20
			 ILCS 3960 ] or proof of compliance with Section 36.5 of the Act;
2) The name and address of the hospital,
			 skilled nursing home or Designated Site's licensee, which shall be the name of
			 the Model licensee;
3) The name of
			 the proposed Model;
4) The address
			 of the proposed Model, if it is a freestanding building;
5) A precise description of the site of the
			 proposed Model, and if it is located within the hospital or skilled nursing
			 home, the room numbers of those rooms which will be used as subacute care
			 beds;
6) The number of subacute
			 care beds;
7) The name and address
			 of the registered agent or other individual authorized to receive Service of
			 Process for the Model license; and
8) The name of the person or persons under
			 whose management or supervision the facility will be operated.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 270 - SUBACUTE CARE HOSPITAL DEMONSTRATION PROGRAM CODE › Section 270.1300 - Obligations and Privileges of Subacute Care Hospital Models

Current through Register Vol. 48, No. 28, July 12, 2024
a) Subacute care
			 hospital 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) Subacute care hospital
			 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,
			 rehabilitation hospitals and skilled nursing facilities. (Section 30(d) of the
			 Act)
c) A licensed subacute care
			 hospital 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) A subacute care hospital model shall never
			 use the word "hospital" in its advertising or marketing activities or represent
			 or hold itself out to the public as a general acute care hospital. A subacute
			 care hospital model may not accept or purport to treat patients in an emergency
			 condition, and may not operate an emergency department open to the general
			 public. (Section 35 of the Act)
e)
			 The average length of stay for patients treated in a subacute care hospital
			 model shall not be less than 20 days, and for individual patients, the expected
			 stay at the time of admission shall not be less than 10 days. Variations from
			 minimum lengths of stay shall be reported to the Department semi-annually, in
			 writing. (Section 35 of the Act)