Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE › Section 640.70 - Minimum Components for Letters of Agreement Between Non-Birthing Center, Level I, Level II, Level II with Extended Neonatal Capabilities, or Level III Perinatal Hospitals and Their Administrative Perinatal Center

Current through Register Vol. 48, No. 28, July 12, 2024
The following components, at a minimum, shall be addressed in a
				letter of agreement between the applicant hospital and its APC:
a) A description of how maternal and neonatal
			 patients with potential complications, including handicapping conditions or
			 developmental disabilities, will be identified.
b) A description of the types of maternal and
			 neonatal cases in which consultation from the APC or Level III hospital shall
			 be sought and from which patients shall be selected for transfer. This
			 description shall address those high-risk mothers or neonates with handicapping
			 conditions, developmental disabilities, or medical conditions that may require
			 additional medical and surgical treatment and support services, but would not,
			 however, require transport to an APC or Level III hospital.
c) A description of how the APC or Level III
			 hospital will report a patient's progress to the referring physicians, and the
			 criteria for return of the patient from the APC or Level III hospital to an
			 affiliated hospital closer to the patient's home.
d) A description of the methods for
			 transporting high-risk mothers and neonates with physiological support in
			 transit.
e) A description of the
			 information, counseling and referral services available within the local
			 community and the regional network for parents or potential parents of neonates
			 with handicapping conditions or developmental disabilities.
f) A description of the professional
			 educational outreach program for the regional network, including how efforts
			 will be coordinated.
g) A
			 description of the regional perinatal network's program for medical and home
			 nursing follow-up, describing systems of liaisons, with a letter of agreement
			 from the agency providing the home nursing follow-up services.
h) A description of the methodologies used to
			 monitor, evaluate and improve the quality of health care services provided by
			 the applicant hospital, including expectations of both the APC and applicant
			 hospital on joint participation in CQI activities.
i) A requirement that the hospital shall
			 provide information, counseling and referral services to another health care
			 provider to parents or potential parents of neonates with handicapping
			 conditions or developmental disabilities upon the identification of the
			 handicapping conditions and developmental disabilities, to assist in obtaining
			 habilitation, rehabilitation and special education services.
j) A requirement for evaluation and
			 consultation with the APC or Level III hospital and referral to the APC or
			 Level III hospital, when determined appropriate by the perinatal conditions or
			 developmental disabilities, within 24 hours after the identification of the
			 conditions (specific conditions shall be defined in the letter of
			 agreement).
k) A requirement that
			 procedures for referral to appropriate state and local education service
			 agencies of children having an identified handicapping condition or
			 developmental disability requiring evaluation and assessment under such
			 agencies shall be established. The procedures shall include obtaining parental
			 consent prior to release of information to the appropriate state and local
			 educational service agencies.