reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1980 - Fire and Safety

Current through Register Vol. 48, No. 28, July 12, 2024
a) Buildings
				and equipment shall be maintained so as to prevent fire and other hazards to
				personal safety.
b) Exits,
				stairways, doors, and corridors shall be kept free of obstructions.
c) Flammable and combustible liquids shall be
				labeled, stored, handled and used in compliance with the requirements of NFPA
				30, Flammable and Combustible Liquids Code.
d) Flammable and non-flammable gases shall be
				labeled, handled, and used in compliance with the requirements of NFPA 99,
				Health Care Facilities Code. Separate storage for flammable and oxidizing gases
				shall be provided.
e) A master fire
				plan, developed to suit the needs of the facility, and acceptable to the
				Department, shall be maintained.
f)
				Fire regulations listing the fire stations, procedures, and staff emergency
				duties by title or position shall be posted conspicuously on each floor at
				appropriate locations, and shall be available in each unit, section, and
				department.
g) Employees shall be
				trained in procedures to be followed in the master fire plan.
h) Fire drills shall be conducted at
				irregular intervals at least l2 times per year. A record shall be kept of the
				staff performance and results, and indicated corrective measures shall be
				made.
i) Portable fire
				extinguishers, provided in accordance with NFPA l0, Installation of Portable
				Fire Extinguishers, shall be inspected at least annually, recharged or repaired
				as needed, and labeled with the dates of the last inspection.
j) Sprinkler systems, fire hoses, fire
				detection and alarm devices, and other equipment for use in the fire safety
				program shall be connected and maintained in a fully functional condition at
				all times.
k) Fire detection and
				protection systems shall be inspected no less than twice a year by a recognized
				competent authority. A written report of the inspection shall be kept on file
				at the hospital for at least three years following the date of
				inspection.
l) The hospital shall
				maintain a procedure for reporting all accidents to patients, employees, or
				visitors to a designated administrative officer on a standard form adopted for
				that purpose. The report shall include all pertinent information and shall be
				kept on file for not less than six years after the occurrence
				reported.
m) The hospital shall
				maintain a procedure to investigate fires. A written report of the
				investigation containing all pertinent information shall be made. The report
				shall remain on file for not less than six years.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart Q - CHRONIC DISEASE HOSPITALS › Section 250.2010 - Definition

Current through Register Vol. 48, No. 28, July 12, 2024
a) The chronic
				disease hospital shall be a "hospital" as defined in Section 3 (A) of the
				Act.
b) Its primary purpose, as
				demonstrated by its stated program, its facilities, equipment, and staff, and
				its patient care as reflected in its medical records, shall be the diagnosis,
				treatment and care of persons admitted for overnight stay or longer in order to
				obtain medical care of chronic disease.
c) It is not a "hospital," whatever called,
				if its primary purpose as reflected in either its stated program, its
				facilities, equipment, staff, or patient care as reflected in its medical
				records is to provide chiefly skilled nursing care under medical direction,
				other nursing care, or maintenance and personal care. Such places are "nursing
				homes," homes for the aged, or sheltered care homes and subject to appropriate
				licensing.
d) The chronic disease
				hospital shall further be defined as a facility for the medical diagnosis and
				treatment of chronic illness, including the degenerative diseases, and in which
				is provided an organized medical staff and the definitive diagnostic and
				treatment procedures normally available in the general hospital, including
				surgery, and including continuing care services and such additional services as
				physical therapy, occupational therapy, social services, recreational
				activities, and rehabilitation services.
e)
1)
				Chronic diseases include long-term illnesses and permanent impairments
				including: arthritis and rheumatism, cancer, diseases of the heart and
				circulation, diseases of the nervous system, nephritis and other kidney
				diseases, tuberculosis, diabetes mellitus, and the like.
2) The chronic disease hospital shall
				function primarily for definitive diagnosis and care and treatment for acute
				phases of long-term illness. Such hospitals may also operate or affiliate with
				nursing homes for those requiring chiefly skilled nursing care under medical
				supervision or other facilities for those requiring chiefly custodial or
				domiciliary facilities. Affiliation agreements are recommended to promote
				coordination and continuity of patient care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart Q - CHRONIC DISEASE HOSPITALS › Section 250.2020 - Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Chronic disease
				hospitals are in many respects similar to general hospitals and the same
				fundamental principles of organization and operation apply. The regulations
				stated in other Parts of this publication therefore shall apply to chronic
				disease hospitals except as modified and amended by this Part.
b) Subpart O, Maternity and Newborn Services,
				shall not apply. Maternity and newborn service shall not be approved.
c) Design and Construction Standards
1) The standards of Subpart T or Subpart U
				shall apply.
2) In the case of
				chronic disease hospitals, excepting as specifically treated herein, the
				standards for general hospitals shall apply, with due consideration being made
				for the specialized requirements of the chronic disease hospital.
3) Surgical department facilities as required
				in Section
				250.2440(i)
				 shall be required of chronic disease
				hospitals.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart R - PHARMACY OR DRUG AND MEDICINE SERVICE › Section 250.2110 - Service Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Hospital shall provide a Pharmacy or Drug and Medicine Service (system)
				acceptable to the Department for the care and treatment of patients.
b) A Pharmacy or Drug and Medicine Service
				Policy and Procedure Manual, developed by the Pharmacy and Therapeutics
				Committee, shall identify the Service (system) and manner of
				operation.
c) The service shall be
				under the direction of a registered pharmacist employed by the hospital on a
				full-time, a part-time or consulting basis. Responsibilities of the pharmacist
				must be identified in the Policy and Procedure Manual or other
				document.
d) A pharmacy shall be
				staffed at all times by a registered pharmacist during open hours. At all other
				times, the pharmacy shall be locked. Provisions must be made for a pharmacist
				or pharmaceutical service on call during times when the pharmacy is not
				open.
e) When a pharmacist is
				absent from the hospital, a registered professional nurse may have access to
				the pharmacy. The nurse may obtain a single dose, manufacturer's original
				package, or container prepackaged under the supervision of a pharmacist of a
				drug or medication, necessary to administer to a patient in carrying out
				treatment and medication orders of a prescriber. A signed receipt for the drugs
				and medicines removed shall be left for the pharmacist.
f) Vending machines for the storage and
				supply of drugs, used in the facility, shall be stocked only under the
				supervision of a pharmacist. They shall be securely locked, shall provide a
				record of what was supplied and to whom. The drugs contained therein may be
				released from such machines only by a registered professional nurse, physician
				or pharmacist.
g) All drugs and
				medicines shall be stored and dispensed in accordance with applicable State and
				Federal laws and regulations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart R - PHARMACY OR DRUG AND MEDICINE SERVICE › Section 250.2120 - Personnel Required

Current through Register Vol. 48, No. 28, July 12, 2024
Every hospital shall have a pharmacist registered under the
				  Pharmacy Practice Act (Ill. Rev. Stat. 1983, ch. 111 pars. 4001 et seq.)
				  available or on call at all times.
a)
				An adequate number of registered pharmacists and other supportive personnel
				shall be provided, consistent with the size and activity of the
				Service.
b) Pharmacy apprentices,
				when utilized, must be under the direct and personal supervision of a
				registered pharmacist.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart R - PHARMACY OR DRUG AND MEDICINE SERVICE › Section 250.2130 - Facilities for Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				pharmacy shall be in an identified area or room which complies with the
				requirements of the Pharmacy Practice Act. (See Subpart T, Design and
				Construction Standards.)
b)
				Whatever drugs and medicines are available, they shall be plainly labeled which
				shall include the name of the manufacturer, lot and control number, and stored
				in specifically identified and well illuminated medicine cabinets, closets,
				refrigerators, or other location provided with proper lighting, ventilation and
				temperature control and fully protected from access by unauthorized
				persons.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart R - PHARMACY OR DRUG AND MEDICINE SERVICE › Section 250.2140 - Pharmacy and Therapeutics Committee

Current through Register Vol. 48, No. 28, July 12, 2024
a) In accordance with the bylaws, rules and
				regulations of the medical staff, an interdisciplinary committee acceptable to
				the Board shall be appointed to assure the responsibility for the functions of
				the service.
b) The committee shall
				meet not less than quarterly and record minutes of their meetings, which shall
				reflect their activities.
c) The
				functions of the committee shall include but not be limited to the following:
1) formulate rules and regulations relating
				to the selection, evaluation, distribution, and administration of drugs and
				medicines in the hospital;
2)
				establish control and reporting procedures for the use of investigational
				(experimental, trial use) drugs and medicines;
3) promote educational programs on drugs and
				drug therapy for the medical and nursing staffs and other appropriate
				personnel;
4) develop and update
				the Service Policy and Procedure Manual, the Hospital Formulary or Drug
				List;
5) review and act on
				recommendations, drug usage reports, medication error and/or other incident
				reports, storage, distribution and administration of drugs;
6) to develop policies and procedures (which
				shall be approved by the Medical Staff and Board) to provide for the
				administration of identified drugs and medicines by qualified professional
				persons who are authorized by law to administer such drugs and medicines in the
				course of practicing their professions; and
7) establish the guidelines for the
				education, in-service training and supervision of all personnel administering
				drugs and medications.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2210 - Applicability of other Parts of these Regulations

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Hospital Licensing Requirements
				contained in Subpart A - General, Subpart B - Administration and Planning,
				Subpart E - Laboratory, Subpart F - Radiological Services, Subpart L - Records
				and Reports, Subpart M - Food Service, Subpart N - Housekeeping and Laundry
				Service, Subpart P - Engineering and Maintenance of Physical Plant, Site,
				Equipment and Systems, Subpart R - Pharmacy or Drug and Medicine Service, shall
				apply in the organization and operation of psychiatric hospitals and
				psychiatric services of general hospitals.
b) The regulations and standards stated in
				Subpart C - The Medical Staff, Subpart D - Personnel, Subpart H - Restorative
				and Rehabilitation Services, Subpart I - Nursing Service and Administration,
				Subpart T - Design and Construction Standards, Subpart U - Construction
				Standards for Existing Hospitals, Subpart V - Special Care and/or Special
				Service Units of the Hospital Licensing Act and Requirements are also
				applicable except as otherwise amended and modified in this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2220 - Establishment of a Psychiatric Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) No hospital shall purport to provide
				psychiatric services unless such psychiatric service has been approved by the
				Department of Public Health.
b) Any
				facility which provides or purports to provide psychiatric in-patient diagnosis
				and/or treatment on other than an emergency basis is required to comply with
				the requirements set forth in Subpart S (Psychiatric Services) of this
				Part.
c) In licensed general
				hospitals without an approved psychiatric service, psychiatric care to patients
				with a primary diagnosis of mental illness may be rendered on an emergency
				basis by appropriate members of the medical staff as determined by the
				hospital. Psychiatric consultation shall be available and utilized
				appropriately as determined by the hospital. Adequate and acceptable sources
				for transfer of psychiatric patients shall be documented and arranged within 72
				hours unless the determination by a psychiatrist is such that the patient's
				condition no longer requires transfer to a licensed psychiatric unit or
				hospital. (Refer to Section
				250.910(e)(1)
				 and Section
				250.2630(d)(5).)
d) If, in the course of the inspection of a
				general hospital, the Department finds from a review of the psychiatric
				treatment rendered and the adequacy of the consultation and referral resources
				that the hospital practice and staffing warrants the establishment of a
				psychiatric service, the Department shall recommend the establishment of such
				service and assist the governing board, administration and medical staff in
				organizing and providing such service.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2230 - The Medical Staff

Current through Register Vol. 48, No. 28, July 12, 2024
a) Organization
The organization and responsibilities of the medical staff
				  shall be in accordance with Subpart C of these Requirements, except as amended
				  and modified in this Part.
b) Clinical Director, Clinical Services
				Chief, or Equivalent
1) The physician in
				charge of the psychiatric service shall be a psychiatrist and responsible for
				supervision of psychiatric services within the institution.
2) The psychiatrist responsible for the
				supervision of psychiatric services within the psychiatric hospital or of the
				psychiatric service in a general hospital shall be certified in psychiatry by
				the American Board of Psychiatry and Neurology, or possess training and
				experience acceptable to the Department and equivalent to such certification,
				and licensed to practice medicine in all its branches in Illinois.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2240 - Nursing Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				organization and staffing of the nursing service shall be in accordance with
				Subpart I - Nursing Service and Administration, except as amended and modified
				in this Part.
b) The registered
				professional nurse supervising the nursing program of the psychiatric service
				shall be required to have had a minimum of three years experience in a
				recognized psychiatric facility and demonstrated competency in psychiatric
				nursing acceptable to the Department, and to have completed an advanced degree
				program in psychiatric nursing or be otherwise qualified by education
				acceptable to the Department.
c)
				The nursing personnel of the psychiatric unit in the general hospital shall be
				a separate staff whose line assignment is limited to the psychiatric service or
				psychiatric unit. Qualified nurses should be available for consultation with
				nursing staff on nonpsychiatric services and units.
d) There shall be at least one registered
				nurse qualified in psychiatric nursing on duty at all times on each psychiatric
				nursing unit. The number of registered professional nurses and other nursing
				personnel shall be adequate to provide the individual patient care required in
				carrying out the nursing plan for each patient.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2250 - Allied Health Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the
				full development of a psychiatric program, the following services or
				consultative resources are required: Clinical psychological services; social
				work services; and occupation and recreational therapy services. These services
				shall be under the direction of the physician in charge of the psychiatric unit
				or service in a general hospital or the psychiatric diagnosis or treatment
				units in a psychiatric hospital. They shall function as a multidisciplinary
				team.
b) The staff used to support
				these services shall be adequate in number and be qualified by professional
				education, experience and demonstrated ability. Where registration or licensing
				is required by statute or regulation, the registration number shall be on file
				and available upon request.
c)
				There shall be a consulting allied health personnel staff composed of persons
				qualified in appropriate specialties available at all times to the psychiatric
				staff.
The consulting staff shall be appointed by the hospital
				  administration upon recommendation of the medical staff.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2260 - Staff and Personnel Development and Training

Current through Register Vol. 48, No. 28, July 12, 2024
a) There shall be written evidence of basic
				pre-service training for nonprofessional staff and ongoing, planned and
				scheduled in-service training for professional and nonprofessional
				staff.
b) Interdisciplinary staff
				conferences of such frequency shall be held to insure and provide for
				communication, coordination, and participation of all professional staff and
				personnel involved in the care of patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2270 - Admission, Transfer and Discharge Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
All admissions to and discharges from psychiatric hospitals
				  and the psychiatric department or service of a general hospital shall be in
				  accordance with the Mental Health and Developmental Disabilities Code (Ill.
				  Rev. Stat. 1983, ch. 911/2, pars. 1-100 et seq.), effective January l, 1979, as
				  hereafter amended - Public Act 80-1414.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2280 - Care of Patients

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Mental Health and Developmental Disabilities Code shall apply to the care of
				patients.
b) Accommodations for
				Patients
1) Each psychiatric unit shall have
				available recreational and occupational therapy and other appropriate
				facilities adequate in size in relation to patient population, number of beds
				and program.
2) Section
				250.1040(f) 
				regarding beds and bedding and Section
				250.1040(i)
				regarding signals do not necessarily apply to bed accommodations in psychiatric
				units of general hospitals and psychiatric specialty hospitals where clinically
				contraindicated.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart S - PSYCHIATRIC SERVICES › Section 250.2300 - Diagnostic, Treatment and Physical Facilities and Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Diagnostic and
				treatment facilities and services as provided for in Subpart E - Laboratory,
				and Subpart F - Radiology, shall be provided by the psychiatric hospital either
				on its premises or by written affiliation arrangement, or contractual agreement
				with a general hospital or by a licensed independent clinical
				laboratory.
b) Rooms for Disturbed
				Patients and Psychiatric Nursing Units. Section
				250.2440(d)(5);
				Section
				250.2440(g);
				Section
				250.2630(d)(5)
				 and Section
				250.2630(g).
c) Psychiatric Facilities shall provide a
				safe and secure environment for patients needing close supervision.
				Consideration should be given to shatter-proof glazing, closed circuit T.V.,
				the elimination of sharp edges, use of rounded faucets, safe hot water
				temperatures, insulation of hot water pipes, plastic coat hanger, etc. in order
				to minimize patient injury, suicide, or escape.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2410 - Applicability of these Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				These standards shall apply to all new hospitals and major alterations and
				additions to existing hospitals. (Major alterations are those that are not
				defined as minor alterations in Section
				250.2420(b).)
				Hospitals shall refer to the Health Facilities and Services Review Board for
				appropriate action.
b) In the case
				of types of hospitals not specifically treated in this Part, the standards for
				general hospitals shall apply, with allowance being made for the specialized or
				unusual requirements of the particular hospital involved.
c) If a hospital operates a hospital-based
				outpatient surgery program in a building that does not meet the requirements of
				Subpart T, that building shall comply with Subparts I, J, K and L of the
				Ambulatory Surgical Treatment Center Licensing Requirements. The building
				housing the hospital's outpatient surgery program shall be located on the
				hospital's campus or within 250 yards of the hospital.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2430 - 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. The requirements
				  contained herein have been established for the guidance of the hospital and the
				  architect to provide a standard method of preparation of drawings and
				  specifications.
a) First Stage
				Submission--Design Development Drawings and Outline Specifications
1) Development of the preliminary sketch
				plans indicating in detail the assignment of all spaces and size of areas and
				rooms, and indicating in outline the fixed and movable equipment and furniture.
A) The plans shall be drawn at a scale
				sufficiently large to clearly present the proposed design.
B) The drawings shall include:
i) A plan of each floor including the
				basement or ground floor;
ii) A
				roof plan;
iii) A plan showing
				roads, parking areas, sidewalks, etc.; four elevations of all
				facades;
iv) Sections through the
				building;
v) All adjacent areas
				clearly labeled if addition or alteration; and
vi) Fire and smoke separation
				diagrams.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2440 - General Hospital Standards

Current through Register Vol. 48, No. 28, July 12, 2024
Minimum Requirements in the General Hospital
a) Administration and Public Areas
1) Main Entrance: Designed to accommodate
				persons with physical disabilities;
2) Lobby: A reception and information counter
				or desk, waiting space, public toilet facilities, public telephones and
				drinking fountain;
3) Interview
				Space: Space for private interviews relating to social service, credit or
				admissions;
4) General or
				Individual Office: Office for business transactions, medical and financial
				records, and administrative and professional staffs.
5) Multipurpose Room: For conferences,
				meetings and education purposes including provision for the use of visual
				aids;
6) Medical Library
				Facilities; and
7) Storage
				Areas.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2443 - Advisory Committee

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Director shall appoint an advisorycommitteeto advise the Department and to
				conductinformal dispute resolution concerning the application of building
				codesfor new and existing construction and related Department rules and
				standards undertheAct, including without limitation rules and standards for
				design and construction, engineering and maintenance of the physical plant,
				site, equipment, and systems (heating, cooling, electrical, ventilation,
				plumbing, water, sewer, and solid waste disposal), and fire and safety.
				(Section 2310-560(b) of the Department of Public Health Powers and Duties Law
				of the Civil Administrative Code of Illinois)
b) The advisorycommittee shall be composed of
				all of the following members:
1) The
				chairperson or an elected representative from the Hospital Licensing Board
				under the Act;
2) Two health care
				architects with a minimum of 10 years of experience in institutional design and
				building code analysis;
3) Two
				engineering professionals (one mechanical and one electrical) with a minimum of
				10 years of experience in institutional design and building code
				analysis;
4) One commercial
				interior design professional with a minimum of 10 years of experience in
				institutional design and building code analysis;
5) Two representatives from provider
				associations; and
6) The Director
				or his/her designee, who shall serve as the committee moderator. (Section
				2310-560(b) of the Department of Public Health Powers and Duties Law of the
				Civil Administrative Code of Illinois)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2470 - Structural

Current through Register Vol. 48, No. 28, July 12, 2024
a) In addition to
				compliance with this Subpart, all applicable local or State building codes and
				regulations shall be observed.
b)
				The buildings and all parts thereof shall be of sufficient strength to support
				all dead, live, and lateral loads without exceeding the working stresses
				permitted for the materials of their construction in generally accepted good
				engineering practice.
c) Special
				provision shall be made for machines or apparatus loads that would cause a
				greater load than the specified minimum live load.
d) Consideration shall be given to structural
				members and connections of structures that may be subject to earthquakes or
				tornadoes. (See Section
				250.2450(z).)
				Floor areas where partition locations are subject to change shall be designed
				to support, for the partition, a uniformly distributed load of 25
				p.s.f.
e) Construction.
				Construction shall be in accordance with the requirements of NFPA 101, Life
				Safety Code, and the minimum requirements contained in this subsection (e).
1) Foundations shall rest on natural solid
				ground and shall be carried to a depth of not less than 1 foot below the
				estimated frost line or shall rest on leveled rock or load-bearing piles or
				caissons when solid ground is not encountered. Footings, piers, and foundation
				walls shall be adequately protected against deterioration from the action of
				ground water. Test borings shall be taken to establish proper soil-bearing
				values for the soil at the building site.
2) Assumed live loads shall be in accordance
				with the International Building Code.
3) All hospitals of any height shall be of
				Type I or Type II construction as established by NFPA 101, Life Safety Code,
				and NFPA 220, Standard on Types of Building Construction.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2480 - Mechanical

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
1) Mechanical systems shall be tested,
				balanced, and operated to demonstrate that the installation and performance of
				these systems conform to the requirements of the plans and
				specifications.
2) Upon completion
				of the contract, the owner shall obtain a complete set of manufacturer's
				installation, operating, maintenance, and preventive maintenance instructions
				and a parts list with numbers and a description for each piece of equipment.
				The owner shall also obtain instruction in the operational use of the systems
				and equipment as required.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2490 - Plumbing and Other Piping Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
All plumbing systems shall be designed and installed in
				  accordance with the requirements of the Illinois Plumbing Code, except that the
				  number of waterclosets, urinals, lavatories, bathtubs, showers, drinking
				  fountains, and other fixtures shall be as required by this Part and the
				  hospital programs.
b)
				Plumbing Fixtures
1) Plumbing fixtures shall
				be of nonabsorptive acid-resistant materials.
2) The water supply spout for lavatories and
				sinks required for filling pitchers and for medical and nursing staff and food
				handlers' hand-washing, shall be mounted so that its discharge point has a
				minimum perpendicular distance of 5 inches above the rim of the
				fixture.
3) Hand-washing lavatories
				used by medical and nursing staff and food handlers shall be trimmed with
				valves that can be operated without the use of hands where specifically
				required in this Part.
A) When blade handles
				are used, the blade handles shall not exceed 41/2 inches in length, except that
				the handles on clinical sinks shall not be less than 6 inches in
				length.
B) The hand-washing and/or
				scrub sinks, for operating, emergency treatment, nursery, and delivery rooms
				shall be trimmed with valves that are aseptically operated (i.e., knee or foot
				controls) without the use of hands. Wrist blades are not acceptable.
4) Clinical rim flush sinks shall
				have an integral trap in which the upper portion of a visible trap seal
				provides a water surface.
5) Shower
				bases and tubs shall be provided with nonslip surfaces.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2500 - Electrical Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				General
1) All materials, including
				equipment, conductors, controls, and signaling devices, shall be installed in
				compliance with applicable sections of the NFPA 70, National Electric Code,
				including Article 517, and as necessary to provide a complete electrical
				system.
2) All electrical
				installations, including alarm, nurses' call, and communication systems, shall
				be tested to demonstrate that the equipment installation and operation conform
				to these requirements.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart U - CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS › Section 250.2610 - Applicability of Subpart U

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Subpart U shall apply to all existing hospitals and to minor alterations to
				existing hospitals. Plans need not be submitted for alterations or remodeling
				changes that do not affect the structural integrity of the building, that do
				not change functional operation, that do not affect fire safety, and that do
				not add beds or facilities more than those for which the hospital is licensed.
				See Subpart T for new construction and major additions and alteration
				requirements.
b) In the cases of
				types of hospitals not specifically treated in this Subpart, the standards for
				general hospitals shall apply, with due allowance made for the specialized or
				unusual requirements of the particular hospital involved.
c) Priorities, phasing schedules, and dates
				of completion based upon the urgency of correction, the required completion
				time, and financial capabilitiesshall be established as agreed by the
				Department and each facility.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart U - CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS › Section 250.2620 - Codes and Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) NFPA
				101, Chapter 19, Existing Health Care Occupancies, and all applicable
				references under Chapter 2, Referenced Publications, applies to and is part of
				this Subpart.
b) NFPA 101A, Guide
				on Alternative Approaches to Life Safety, applies to and is part of this
				Subpart.
c) All existing hospitals
				of any height shall be Type I or Type II construction as established by NFPA
				101 and 220.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart U - CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS › Section 250.2630 - Existing General Hospital Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Minimum requirements in the existing General Hospital
				  are:
a) Administration and Public
				Areas
1) Lobby
A reception and information counter or desk, waiting spaces,
				  and access to public toilet facilities, public telephones, and drinking
				  fountains.
2) Interview
				Spaces
Spaces for private interviews relating to social service,
				  credit, or admissions.
3)
				General or Individual Offices
Offices for business transactions, medical and financial
				  records, and administrative and professional staffs.
4) Multipurpose Rooms
For conferences, meetings, and education purposes.
5) Medical Library
				Facilities.
6) Storage
				Areas.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart U - CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS › Section 250.2650 - Finishes

Current through Register Vol. 48, No. 28, July 12, 2024
a) Cubicle and
				window curtains and draperies shall be noncombustible or rendered flame
				retardant and shall pass both the large and small scale tests of NFPA 701,
				Standard Methods of Fire Tests for Flame Propagation of Textiles and
				Films.
b) Floors in areas and rooms
				in which flammable anesthetic agents are stored or administered to patients
				shall comply with NFPA 99, Standard for Health Care Facilities, "Inhalation
				Anesthetics". Conductive flooring is not required in emergency treatment,
				operating, and delivery rooms provided that a written resolution is signed by
				the hospital governing board stating that no flammable anesthetic agents will
				be used in these areas, and provided that appropriate notices are permanently
				and conspicuously affixed to the wall in each such area and room.
c) Floor materials shall be easily cleanable
				and have wear resistance appropriate for the location involved. Floors in areas
				used for food preparation or food assembly shall be water-resistant and
				grease-proof. Joints in tile and similar material in such areas shall be
				resistant to food acids. Floors in toilets, baths, janitor's closets and
				similar areas shall be water resistant. In all areas frequently subject to wet
				cleaning methods, floor materials shall not be physically affected by
				germicidal and cleaning solutions.
d) Wall bases in kitchens, operating and
				delivery rooms, soiled workrooms, and other areas that are frequently subject
				to wet cleaning methods shall be tightly sealed to the wall and floor and
				constructed without surface voids that can harbor vermin.
e) All wall finishes shall be washable and,
				in the immediate area of plumbing fixtures, shall be smooth and moisture
				resistant. Walls in surgery, delivery, kitchens, and in other spaces subject to
				frequent cleaning shall be of suitable materials.
f) Floor and wall penetrations by pipes,
				ducts, and conduits shall be tightly sealed to minimize entry of vermin, smoke,
				and fire. Joints of structural elements shall be similarly sealed.
g) Ceilings shall be cleanable, and those in
				sensitive areas such as surgical, delivery, and nursery rooms shall be readily
				washable and without crevices that can retain dirt particles. These sensitive
				areas, along with the dietary and food preparation areas, shall have a finished
				ceiling covering all overhead ductwork. Finished ceilings may be omitted in
				mechanical and equipment spaces, shops, general storage areas, and similar
				spaces, unless required for fire-resistive purposes.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart U - CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS › Section 250.2670 - Plumbing and Other Piping Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
All plumbing systems shall be installed in accordance with
				  the requirements of the Illinois Plumbing Code, except that the number of
				  waterclosets, urinals, lavatories, bathtubs, showers, drinking fountains, and
				  other fixtures shall be as required by the hospital programs.
b) Plumbing Fixtures
1) Plumbing fixtures shall be of
				nonabsorptive acid-resistant materials.
2) Hand-washing lavatories used by medical
				and nursing staff shall be trimmed with valves that can be operated without the
				use of hands where specifically required in Section
				250.2630.
A) When blade handles are used for this
				purpose the blade handles shall not exceed 41/2 inches in length, except that
				the handles on clinical sinks shall not be less than 6 inches in
				length.
B) The hand-washing and
				scrub sinks in surgery and emergency treatment, nursery, and delivery units
				shall be trimmed with valves that are aseptically operated (i.e., knee or foot
				controls) without the use of hands. Wrist blades are not acceptable.
3) Shower bases and tubs shall be
				provided with nonslip surfaces for standing patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart U - CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS › Section 250.2680 - Electrical Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				General
All electrical materials shall comply with the standards of
				  Underwriters' Laboratories, Inc., or equivalent.
b) Switchboards and Power Panels
Circuit breakers or fusible switches that provide
				  disconnecting means and overcurrent protection for conductors connected to
				  switchboards and panelboards shall be enclosed or guarded to provide a
				  dead-front type of assembly. The main switchboard shall be accessible only to
				  authorized persons. The switchboards shall be convenient for use, readily
				  accessible for maintenance, clear of traffic lanes, and in a dry, ventilated
				  space free of corrosive fumes or gases. Overload protective devices shall be
				  suitable for operating properly in the ambient temperature conditions.
c) Panelboards
Panelboards serving lighting and appliance circuits shall be
				  conveniently located.
d)
				Lighting
1) All spaces occupied by people,
				machinery, and equipment within buildings and at approaches to and exits from
				buildings shall have lighting.
2)
				Patients' rooms shall be equipped with general lighting and night
				lighting.
3) Operating and delivery
				rooms shall have general lighting in addition to local lighting provided by
				special lighting units at the surgical and obstetrical tables.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart V - SPECIAL CARE AND/OR SPECIAL SERVICE UNITS › Section 250.2710 - Special Care and/or Special Service Units

Current through Register Vol. 48, No. 28, July 12, 2024
a) As used in this Part, special care/service
				units may be or include, but not be limited to units for: intensive care, burn,
				coronary, neonatal, pulmonary, respiratory, physical therapy, social service,
				nuclear medicine, occupational therapy, hemodialysis, and other.
b) Special units shall have a defined
				organization and shall be integrated with other departments and services of the
				hospital.
c) Each unit shall be
				under the professional direction of a physician qualified by training and
				experience in the specialty care.
d) The responsibility and the accountability
				of the special care/service units to the medical staff and administration shall
				be defined.
e) The units shall be
				governed by written policies and procedures specifically relating to
				utilization of the service/unit.
f)
				The policies and procedures shall be developed and maintained by the person
				responsible for the service in consultation with other appropriate health
				professionals and administration. Policies shall be approved by the governing
				body. Procedures shall be approved by the administration and medical staff
				where such is appropriate. Policies and procedures shall include, but not
				limited to:
1) Admission, discharge and
				transfer policies.
2) Staffing
				requirements.
3) Routine
				procedures.
4) Emergency
				procedures.
5) Isolation
				procedures.
6) Infection control
				procedures.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart V - SPECIAL CARE AND/OR SPECIAL SERVICE UNITS › Section 250.2720 - Day Care for Mildly Ill Children

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				General Description
1) A hospital may provide
				a program for the temporary custodial care of mildly ill children in accordance
				with the requirements of this Section. (Section 6.13 of the Act)
2) The purpose of a day care program for
				mildly ill children is to provide a short-term day care alternative for
				children who, because of mild illness, cannot participate in their usual daily
				routine and whose parent or guardian cannot stay home with them.
3) Children who participate in a day care
				program for mildly ill children are not considered hospital patients and are
				not required to be under the professional care of a member of the hospital's
				medical staff except in those cases where emergency medical treatment is needed
				during the time the child is on the program premises. (Section 6.13(b) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart W - ALCOHOLISM AND INTOXICATION TREATMENT SERVICES › Section 250.2810 - Applicability of Other Parts of These Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) All other Parts of these requirements are
				applicable with the exception of Subpart O, Q, S and as otherwise amended and
				modified by this Part.
b) General:
				In setting forth the requirements for Alcoholism and Intoxication Treatment
				Services it is recognized that there are various services or programs that may
				be provided by a hospital. Just what services or programs are to be provided
				shall be determined by evaluation of such factors as: perceived need, hospital
				size and location, financial feasibility; and services available elsewhere in
				the community. Each hospital shall identify the services and programs provided
				by effective written policies and procedures.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart W - ALCOHOLISM AND INTOXICATION TREATMENT SERVICES › Section 250.2820 - Establishment of an Alcoholism and Intoxication Treatment Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) All hospitals
				establishing a new service, or expanding or discontinuing an existing program
				or service must apply to the Illinois Health Facilities Planning Board for an
				approval.
b) Any licensed hospital
				which has a designated area set aside for use on a continuous basis for the
				treatment and care of the alcoholic and intoxicated patients shall be deemed to
				operate a service and is required to comply with the requirements set forth in
				Subpart W.
c) The care of the
				alcoholic patient may be provided in any licensed hospital on a short term or
				an emergency basis under the care of a licensed physician.