Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1050 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Act - the Alternative Health Care Delivery Act.
Administrator - the person who is directly responsible for
				  the operation and administration of the birth center, irrespective of the
				  person's assigned title.
Applicant - any person, acting individually or with any other
				  person, who proposes to build, own, establish or operate a birth center.
Adequate - enough in either quantity or quality, as
				  determined by a reasonable person familiar with the professional standards of
				  the subject under review, to meet the needs of the clients of a facility under
				  the particular set of circumstances in existence at the time of review.
Advanced practice nurse or APN - a person who has met
				  the qualifications for a
c
ertified nurse midwife (CNM);
				  certified nurse practitioner (CNP); certified registered nurse anesthetist
				  (CRNA); or clinical nurse specialist (CNS) and has been licensed by the
				  Department
of Financial and Professional Regulation. (Section 50-10 of
				  the Nurse Practice Act)
Antepartum - the period of time before labor or
				  childbirth.
Birth assistant - a person
licensed or certified in
				  Illinois
by the Department of Financial and Professional Regulation
in a health-related field and under the supervision of the physician or
				  certified nurse midwife in attendance,
who 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)
Birth attendant -
an obstetrician, family
				  practitioner
physician
, or certified nurse midwife
who
attends each woman in labor from the time of admission and
				  throughout the immediate postpartum period
. (Section 35(6) of the
				  Act)
Birth center or center - an alternative health care delivery
				  model that is
exclusively dedicated to serving the childbirth-related
				  needs of women and their newborns and
has
no more than 10
				  beds. A birth center is a designated site that is away from the mother's usual
				  place of residence in which births are planned to occur following a normal,
				  uncomplicated, and low-risk pregnancy.
Birth room - a room specifically designed and equipped for a
				  single occupancy client to give birth under the care of professionals in that
				  health care specialty.
Birth unit - a number of birth rooms grouped or clustered
				  around a central area/station that maintains direct supervision (electronic
				  supervision is not permitted) of the birth rooms.
Certified nurse midwife or CNM - a registered nurse who meets
				  the requirements for licensure as an advanced practice nurse under the category
				  of certified nurse midwife under Section 15 of the Nurse Practice Act.
Charitable care - the intentioned provision of free or
				  discounted birth center services to persons who cannot afford to pay for the
				  services.
Client - a woman who gives birth at a center and the infant
				  of that birth.
Community education services - information and education
				  provided to the pregnant woman and her family, during both early and late
				  pregnancy, that promote healthy outcomes for the woman and her infant.
Demonstration Program or Program - a program to
				  license and study alternative health care models authorized under
the
Act.
(Section 10 of the Act)
Department - the Illinois Department of Public
				  Health.
(Section 10 of the Act)
Federally qualified health center - a community health center
				  funded under Section 330 of the federal Public Health Service Act (
				  42 USC 254b
				  ).
Governing body - a board of trustees, governing board, board
				  of directors or other body or individual responsible for governing a birth
				  center.
Health-related field - either a registered nurse or licensed
				  practical nurse, physician, physician assistant, or other classifications that
				  are licensed, registered or certified by the Illinois Department of Financial
				  and Professional Regulation.
Hospital - any institution, place, building or agency
				  licensed pursuant to the Hospital Licensing Act
. (Section 3 of the
				  Hospital Licensing Act)
Immediate postpartum period - a minimum of two hours
				  following the delivery of the placenta and until the client is clinically
				  stable.
Inspection - any survey, evaluation, or investigation of the
				  birth center's compliance with the Act and this Part by the Department or
				  designee.
Intrapartum - the time from the onset of true labor until the
				  delivery of the infant and placenta.
Licensee - the person or entity licensed to operate the birth
				  center.
Low-risk pregnancy - a pregnancy that, based on history,
				  application of risk criteria, and adequate prenatal care, is broadly predicted
				  to have a normal, uncomplicated outcome.
Medical care facility - a hospital, birthing center,
				  and any other licensed facility that provides obstetrical and newborn nursery
				  services.
(Section 2 of the Early Hearing Detection and Intervention
				  Act)
Medical director - a physician, licensed to practice medicine
				  in all of its branches, who is certified or eligible for certification by the
				  American Board of Obstetricians and Gynecologists, who provides guidance,
				  leadership, oversight and quality assurance to the birth center.
Newborn infant or newborn - an infant who is less than 72
				  hours old.
Nurse - a registered nurse or licensed practical nurse as
				  defined in the Nurse Practice Act.
Operator - the person responsible for the control,
				  maintenance and governance of the birth center, its personnel and physical
				  plant.
Owner - the individual, partnership, corporation, or other
				  person who owns the birth center.
Perinatal center - a referral facility designated under the
				  Regionalized Perinatal Health Care Code and intended to care for the high risk
				  patient before, during, or after labor and delivery and characterized by
				  sophistication and availability of personnel, equipment, laboratory,
				  transportation techniques, consultation and other support services.
Person - any individual, partnership, corporation,
				  association, municipality, political subdivision, trust, estate or other legal
				  entity.
Physician - any person licensed to practice medicine in all
				  of its branches under the Medical Practice Act of 1987.
Prenatal care - medical care for a pregnant woman and her
				  fetus throughout her pregnancy.
Program narrative - a description of the center's proposed
				  operation, which clarifies or explains choices related to such items as space,
				  equipment, finishes or other specifications in the architectural plans. The
				  program narrative shall include, but is not limited to, the:
Number of beds;
Medical needs of proposed clients;
Proposed food service operation;
Proposed laundry operation; and
Interrelation of the functions of the birth center.
Quality assurance - an ongoing, objective and systematic
				  process of monitoring, evaluating and improving the quality, appropriateness
				  and effectiveness of care.
Quality improvement or performance improvement - an
				  organized, structured process that selectively identifies projects to achieve
				  improvement in products or services.
Registered nurse - a person who is licensed as a registered
				  professional nurse under the Nurse Practice Act.
Risk assessment - a process by which historical, physical,
				  and laboratory data are applied for the prediction of pregnancy outcome.
Sanitize - to destroy microorganisms by cleaning or
				  disinfecting.
Sterilization - the use of a physical or chemical procedure
				  to destroy all microbial life, including bacterial endospores.
Substantial compliance or substantially comply - meeting
				  requirements, except for variance from the strict and literal performance that
				  results in unimportant omissions or defects, given the particular circumstances
				  involved.
Supervision - authoritative procedural guidance by a
				  qualified person for the accomplishment of a function or activity within
				  his/her sphere of competence, with initial direction and periodic inspection of
				  the actual act of accomplishing the function or activity.
Support person - an individual who provides emotional support
				  and help with relaxation techniques and comfort measures.
Survey - a detailed, complete inspection of the birth
				  center.
Universal/standard precautions - as defined by the Centers
				  for Disease Control and Prevention (CDC), recommendations designed to prevent
				  transmission of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and
				  other blood borne pathogens when providing health care.
Vaginal delivery - spontaneous labor and
				  delivery.