Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 260 - CHILDREN'S COMMUNITY-BASED HEALTH CARE CENTER CODE › Section 260.1000 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The following terms shall have the meanings ascribed to them
				here whenever the term is used in this Part.
Abuse - any physical or mental injury or sexual assault
				inflicted on a client other than by accidental means in a facility. Abuse
				includes:
Physical abuse refers to the infliction of injury on a client
				that occurs other than by accidental means and that requires (whether or not
				actually given) medical attention.
Mental injury arises from the following types of
				conduct:
Verbal abuse refers to the use by a licensee, employee or agent
				of oral, written or gestured language that includes disparaging and derogatory
				terms to clients or within their hearing or seeing distance, regardless of
				their age, ability to comprehend or disability.
Mental abuse includes, but is not limited to, humiliation,
				harassment, threats of punishment or deprivation, or offensive physical contact
				by a licensee, employee or agent.
Sexual harassment or sexual coercion perpetrated by a licensee,
				employee or agent.
Sexual assault.
Act - the Alternative Health Care Delivery Act.
Affiliate -
With respect to a partnership, each partner;
With respect to a corporation, each officer, director and
				stockholder;
With respect to a natural person: any person related in the
				first degree of kinship to that person; each partnership and each partner of
				the partnership of which that person or any affiliate of that person is a
				partner; and each corporation in which that person or any affiliate of that
				person is an officer, director or stockholder.
Advanced Practice Registered Nurse or APRN - a person who is
				licensed as an advanced practice registered nurse under the Nurse Practice
				Act.
Board
-
the State Board of
				Health
. (Section 10 of the Act)
Caregiver - Parent or other person who provides hands-on care
				for the child.
Charitable Care - the intentional provision of free or
				discounted services to persons who cannot afford to pay.
Children or Child with Special Health Care Needs - those
				children who have or are at increased risk, or a child who has or is at
				increased risk, for chronic physical ailments and who require health and
				related services of a type or amount beyond that which children generally
				require.
Child's Representative - a person authorized by law, including
				a child's legal guardian, to act on behalf of the child.
Children's Community-Based Health Care Center -
a
				designated site that provides nursing care, clinical support services, and
				therapies for a period of one to 14 days for short-term
respite care
stays and
one to
120 days to facilitate transitions to
				home or other appropriate settings for medically fragile children, technology
				dependent children, and children with special health care needs who are deemed
				clinically stable by a physician and are younger than 22 years of age. This
				care is to be provided in a home-like environment that serves no more than 12
				children at a time.
(Section 35(3) of the Act)
Client - a child who has met the admission criteria in Section
				260.1800
				and who has been admitted to a facility.
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)
Diagnostic Studies - any analytic tests, including, but not
				limited to, heart monitoring or sleep tests, used in identifying the nature or
				cause of an illness, disorder or problem that are typically done in the home
				and that are conducted in a Children's Community-Based Health Care Center for
				children with special health care needs.
Dietitian - a person who is a licensed dietitian as provided in
				the Dietitian Nutritionist Practice Act.
Director
- the
Director of
the Illinois Department of
Public Health
or designee. (Section
				10 of the Act)
Director of Nursing or DON - a registered professional nurse
				who holds at least a bachelor's degree in nursing and relevant continuing
				education, has experience in nursing administration, and employed full-time
				within the facility.
Facility - same as Children's Community-Based Health Care
				Center.
Health Care Provider - a physician licensed to practice
				medicine in all of its branches, an advanced practice registered nurse (APRN)
				licensed under the Nurse Practice Act, or a physician assistant licensed under
				the Physician Assistant Practice of 1987.
Hospital - a facility licensed pursuant to the Hospital
				Licensing Act.
Inspection - any survey, evaluation or investigation of the
				Children's Community-Based Health Care Center's compliance with the Act and
				this Part by the Department or designee.
Licensee - the person or entity licensed to operate the
				Children's Community-Based Health Care Center.
Medical Day Care - care provided by a Children's
				Community-Based Health Care Center for children with special health care needs
				for no more than 12 in 24 hours, in accordance with Section
				260.1800(c).
Medically Fragile Children - children who are medically stable
				but require skilled nursing care, specialized therapy, and specialized medical
				equipment and supplies to enhance or sustain their lives. "Medically fragile
				children" may include, but is not limited to, children who have neuro-muscular
				disease, heart disease, cancer, seizure disorder, spina bifida, chronic lung
				disease, or other medical conditions that threaten the child's ability to
				thrive and to survive without proper medical care.
Medical Plan of Care - a written plan that can include, but is
				not limited to, up-to-date medications, a feeding plan, treatment, and medical
				equipment settings.
Neglect - a failure in a facility to provide adequate medical
				or personal care or maintenance, resulting in physical or mental injury to a
				client or in the deterioration of a client's physical or mental condition.
				Neglect shall include any situation in which failure to provide adequate
				medical or personal care or maintenance:
causes injury or deterioration that is ongoing or repetitious;
				or
results in a client requiring medical treatment; or
causes a noticeable negative impact on a client's health,
				behavior or activities for more than 24 hours.
Physician - a person licensed to practice medicine in all of
				its branches under the Medical Practice Act of 1987.
Registered Nurse - a person who is licensed as a registered
				professional nurse under the Nurse Practice Act.
Respite Care - care for children who are under age 22, are
				medically complex, have a medical condition that requires care to be delivered
				by a nurse or a trained parent/caregiver, and who are admitted for no more than
				14 days.
Restraint - any manual method, physical or mechanical device,
				material or equipment that immobilizes or reduces the ability of the child to
				move his or her arms, legs, body or head freely; or a drug or medication when
				it is used as a restriction to manage the child's behavior or restrict the
				child's freedom of movement and is not a standard treatment or dosage for the
				child's condition. A restraint does not include orthopedically prescribed
				devices, surgical dressings or bandages, protective helmets, or methods that
				involve physically holding the child to conduct routine physical examinations
				or tests, or to protect the child from falling out of the bed, or to permit the
				child to participate in activities without the risk of physical harm.
Site Interdisciplinary Team - a team that includes a site
				physician, a site APRN, a site case manager, a site social worker, a site
				child-life specialist, and a site clinical team.
Site Physician - a physician designated by a facility.
Serious Injury - any significant impairment of the physical
				condition of the child as determined by qualified medical personnel. This
				includes, but is not limited to, burns, lacerations, bone fractures,
				substantial hematoma and injuries to internal organs, whether self-inflicted or
				inflicted by another person.
Specialist - a physician who is board certified in a specific
				area of medicine (e.g., a neurologist).
Serious safety event - a variation from expected practice
				followed by significant temporary harm, moderate permanent harm, severe
				permanent harm, or death.
Substantial Compliance - meeting requirements except for
				variance from the strict and literal performance, which results in unimportant
				omissions or defects given the particular circumstances involved. This
				definition is limited to the phrase as used in Section
				260.1200.
Technology Dependent Children - medically fragile children who
				require the constant or regular intermittent use of technology to meet their
				medical needs. This technology may include, but is not limited to, devices that
				assist or support breathing, monitor bodily functions, or provide
				nutrition.
Weekend Camps - a planned program for medically fragile
				children, technology dependent children, or children with special health care
				needs that typically occurs from Friday afternoon through Sunday
				evening.