Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.50 - Designation and Redesignation of Non-Birthing Center, Level I, Level II, Level II with Extended Neonatal Capabilities, Level III Perinatal Hospitals and Administrative Perinatal Centers

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 The hospital shall declare by means of a letter of intent to the Department and
			 the affiliated APC that it seeks designation as a hospital with no OB services,
			 or as a Level I, Level II, Level II with Extended Neonatal Capabilities, or
			 Level III in a Regional Perinatal Network.
b) The Department will acknowledge the letter
			 of intent.
c) The APC shall arrange
			 a site visit to the applicant hospital. The hospital shall prepare the
			 designation/redesignation documents in accordance with Section
			 640.60.
			 The site visit team for Level I, II, II with Extended Neonatal Capabilities,
			 and III perinatal hospitals shall consist of six members: three from the APC of
			 the hospital's Regional Perinatal Network, including the Directors of
			 Neonatology and Maternal-Fetal Medicine or their designees and the Perinatal
			 Network Administrator; a representative of nursing; one representative from the
			 PAC; and one representative of the Department. When travel is not feasible,
			 regardless of the reason, the PAC representative shall be permitted to
			 participate in the site visit from a remote location via telephone, Voice over
			 Internet Protocol (VoIP), or video conferencing. The site visit team shall
			 review the capabilities of the applicant hospital based on the requirements
			 outlined in the letter of agreement between the applicant hospital and the APC.
			 The site visit team shall complete the Standardized Perinatal Site Visit
			 Protocol (see Appendix A) and submit these materials to the medical directors
			 of the hospital visited for their review and comment within 30 days after the
			 date of the site visit. The APC shall collaborate with the Department to
			 develop a summary site visit report within 60 days after the site visit. This
			 report shall be sent to the hospital within 90 days after the site
			 visit.
d) The Department will
			 coordinate the site visit for APCs. The team shall consist of five members: one
			 Director of Neonatology, one Director of Maternal-Fetal Medicine and one
			 Perinatal Network Administrator from a non-contiguous Center; one
			 representative from the PAC; and one representative of the Department. When
			 travel is not feasible, regardless of the reason, the PAC representative shall
			 be permitted to participate in the site visit from a remote location via
			 telephone, Voice over Internet Protocol (VoIP), or video conferencing. The
			 Department shall collaborate with the site visit team to develop a summary site
			 visit report within 60 days after the site visit. This report shall be
			 forwarded to the hospital within 90 days after the site visit.
e) The Department will review the submitted
			 materials, any other documentation that clearly substantiates a hospital's
			 compliance with particular provisions or standards for perinatal care, and the
			 recommendation of the PAC.
f) The
			 Department will make the final decision and inform the hospital of the official
			 determination regarding designation. The Department's decision will be based
			 upon the recommendation of the PAC and the hospital's compliance with this
			 Part, and may be appealed in accordance with Section
			 640.45.
			 A 12-month to 18-month follow-up review will be scheduled for any increase in
			 hospital designation to assess compliance with the requirements of this Part
			 that are applicable to the new level of designation. The Department shall
			 consider the following criteria to determine if a hospital is in compliance
			 with this Part:
1) Maternity and Neonatal
			 Service Plan (Subpart O of the Hospital Licensing Requirements);
2) Proposed letter of agreement between the
			 applicant hospital and its APC in accordance with Section
			 640.70;
3) Appropriate outcome information contained
			 in Appendix A and the Resource Checklist (Appendices L, M, N and O);
4) Other documentation that substantiates a
			 hospital's compliance with particular provisions or standards of perinatal care
			 set forth in this Part; and
5)
			 Recommendation of Department program staff.