reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 380.150 - Informed Consent

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the
				purposes of this Section and Section
				380.160,
				the following definitions shall apply:
1)
				Authorized representative - a guardian with a court order granting authority to
				consent to psychotropic medication or the use of restraints on behalf of a
				consumer, or a person authorized to consent to psychotropic medication or the
				use of restraints on behalf of a consumer pursuant to the Power of Attorney Act
				or the Mental Health Treatment Preference Declaration Act.
2) Capable consumer - a consumer who is able
				to understand the nature of the decision to be made, the information relevant
				to making the decision and the possible consequences of any decision, and to
				make a reasoned judgment based on this information.
3) Informed consent - written consent for
				specific medical care, given freely, without coercion or deceit, by a capable
				consumer, or by a consumer's authorized representative, after the consumer, or
				the consumer's authorized representative, has been fully informed of, and had
				an opportunity to consider, the nature of the care, the likely and possible
				benefits and risks to the consumer of receiving the care, any other likely and
				possible consequences of receiving or not receiving the care, and possible
				alternatives to the proposed care. Written informed consent shall be obtained
				from a consumer or from a consumer's authorized representative when he or she
				is admitted. Before obtaining informed consent from a consumer, or from a
				consumer's authorized representative, the facility shall inform the consumer or
				the consumer's authorized representative that the potential consequences of an
				emergency situation in a SMHRF may include temporary holding, restraint, or the
				use of medications as ordered by the physician for safety purposes. For
				psychotropic medications, the informed consent shall comply with subsection
				(d).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 380.160 - Restraints and Therapeutic Separation

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall develop and implement a
				written plan to create coercion-free environments as defined in the Mental
				Health and Developmental Disabilities Code in recognition of the prevalence of
				trauma histories in the populations to be treated in all levels of service in
				the facility. The plan shall address how the facility will:
1) Use leadership to create organizational
				change;
2) Use data to inform
				practice;
3) Train the workforce in
				policies and practices;
4) Use
				restraint and therapeutic separation prevention tools;
5) Use debriefing techniques following the
				use of restraints or therapeutic separations; and
6) Create appropriate spaces (e.g., comfort
				rooms) for therapeutic separations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 380.180 - Identified Offenders

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall review the results of the criminal history background checks
				immediately upon receipt of the checks.
b) The facility shall be responsible for
				taking all steps necessary to ensure the safety of consumers while the results
				of a name-based background check or a fingerprint-based check are
				pending.
c)
If the results
				of a consumer's criminal history background check reveal that
				the
consumer is an identified offender as defined in
Section 1-102 of the
Act, the facility shall do the following
:
1)
Immediately notify the Department
				of State Police, in the form and manner required by
DSP
, in
				collaboration with the Department of Public Health, that the consumer is an
				identified offender
.
2)
Within 72 hours, arrange for a fingerprint-based criminal history
				record inquiry to be requested on the identified offender consumer. The inquiry
				shall be based on the subject's name, sex, race, date of birth, fingerprint
				images, and other identifiers required by
DSP
. The inquiry
				shall be processed through the files of
DSP
and the Federal
				Bureau of Investigation to locate any criminal history record information that
				may exist regarding the subject. The Federal Bureau of Investigation shall
				furnish to
DSP
pursuant to an inquiry under
				this
subsection
(c)(2) and Section 2-104(b) of the
				Act
, any criminal history record information contained in its
				files
. (Section 2-104(b) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 380.190 - Consumer Records

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The
				Department shall respect the confidentiality of a consumer's record and shall
				not divulge or disclose the contents of a record in a manner that identifies a
				consumer, except upon a consumer's death to a relative or guardian or under
				judicial proceedings. This Section shall not be construed to limit the right of
				a consumer to inspect or copy the consumer's own records
, and the
				consumer may inspect and copy his or her own records.
b)
Confidential medical, social,
				personal, or financial information identifying a consumer shall not be
				available for public inspection in a manner that identifies a
				consumer
, or in a manner that violates the Mental Health and
				Developmental Disabilities Confidentiality Act or the federal Health Insurance
				Portability and Accountably Act. (Section 3-206 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 380.200 - Assessment, Level of Service Determination, and Authorization

Current through Register Vol. 48, No. 28, July 12, 2024
a) Authorizations for levels of service shall
				facilitate treatment in the least restrictive settings. Authorization is not
				required for admission to triage centers. Authorization is required for
				admission to crisis stabilization, transitional living, and recovery and
				rehabilitation supports. Authorization shall be limited in time based on the
				clinical status and needs of the consumer and the maximum length of stay at
				each level of service. A facility may request re-authorization if the initial
				authorization has expired and the consumer still requires treatment at a
				specific level of service. Initial authorizations shall be conducted by venders
				who are contracted with the State. Re-authorizations may be conducted by the
				same vendor or by a managed care entity.
b) Admission
1) Except for triage, each consumer shall
				receive an assessment prior to admission to a facility. The assessment shall be
				used to determine the appropriate level of service for service delivery and is
				required for authorization of services.
2)
After the provisional license
				period, no individual with mental illness whose service plan provides for
				placement in community-based settings shall be housed or offered placement in a
				facility at public expense unless, after being fully informed, he or she
				declines the opportunity to receive services in a community-based
				setting
. (Section 4-107 of the Act)
3) To ensure that consumers are fully
				informed of their options regarding community-based services, the facility
				shall document, in writing, that community-based providers were granted access
				to each consumer. Information to be shared with consumers whose service plans
				provide for placement in a community-based setting shall include those items
				included in subsections (f) through (h) and:
A) An introduction to community based
				settings, permanent supportive housing and community-based services available
				to assist consumers in these settings and the financial support consumers may
				receive in these settings; and
B) A
				description of the benefits of placement in a community-based
				setting.
4) The facility
				shall not admit any consumer or be compensated for services prior to the
				completion of the assessment and the authorization by the State-designated
				assessment and authorization entity. Authorizations are not required for
				admission to a triage unit. Authorization is required prior to admission to:
A) Crisis stabilization units;
B) Transitional living units; and
C) Recovery and rehabilitation supports
				units.
5) Authorization
				shall be valid for a limited amount of time, determined by:
1) The clinical status and needs of the
				consumer; and
2) The length-of-stay
				limitations at each level of service.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 380.210 - Individualized Treatment Plan

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Each individualized treatment plan that is implemented by a facility shall be
				developed with the following principles:
1)
				The consumer shall be an active participant in the development and evaluation
				of the treatment plan and progress.
2) All diagnoses and treatment
				recommendations and options shall be shared and explained to the consumer,
				within clinical limits.
3) The
				facility shall seek and honor the consumer's preferences as the treatment plan
				is developed.
4) The individualized
				treatment plan shall focus on developing self-reliance, personal decision
				making, and resiliency.
5) The
				consumer's strengths shall be identified, and all treatment strategies shall
				build upon and use these strengths to support the consumer's
				recovery.
6) The consumer's needs
				shall be identified for home, community and work environments.
7) The consumer's expressed values and
				culture shall be considered in the development of the plan.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 380.220 - Transfer or Discharge

Current through Register Vol. 48, No. 28, July 12, 2024
a)
Consumers shall be free to leave at any time. If a consumer in a triage
				center expresses a desire to contact a third party for any purpose, the
				facility staff shall contact that third party on behalf of the
				consumer
. (Section 3-108 of the Act)
b)
A consumer may be discharged from
				a facility after he or she gives the executive director, a physician, or a
				nurse of the facility written notice of the desire to be discharged. If a
				guardian has been appointed for a consumer, the consumer shall be discharged
				upon written consent of his or her guardian. In the event of a requested
				consumer discharge, the facility is relieved from any responsibility for the
				consumer's care, safety, and well-being upon the consumer's discharge
.
				(Section 3-111 of the Act) This requirement shall not be construed to limit the
				consumer's right to leave the facility at any time.
c) The process for the involuntary transfer
				or discharge of a consumer from a facility shall be conducted in accordance
				with Sections 3-401 through 3-423 of the Nursing Home Care Act.
d) The facility shall contact the
				community-based behavioral health provider following the consumer's discharge
				from the facility to ensure that the consumer is receiving follow-up
				care.
e) All facilities shall
				provide educational materials and information to all Williams Class Members
				voluntarily or involuntarily discharging from the facility at the time of
				completing the discharge paperwork, informing them of their rights and
				available services under the Consent Decree, as prescribed by the Williams Lead
				Defendant Agency. All facilities shall provide written verification of
				educational materials and information given to Williams Class Members, as
				requested by a Williams Defendant Agency.
f) All facilities shall notify any agency
				providing transition services to a Williams Class Member of such Class Member's
				discharge at least 48 hours prior to the discharge taking place.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart B - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES PROGRAMS › Section 380.300 - Triage Centers

Current through Register Vol. 48, No. 28, July 12, 2024
a) Triage
				centers shall provide an immediate assessment of consumers who present in
				psychiatric distress, as an alternative to emergency room treatment or
				hospitalization, and shall connect the consumer with community-based services
				and treatment when considered necessary. Triage center staff shall determine
				the continued treatment needs of the consumer and refer him or her to the
				appropriate treatment services, if needed. A stay at a triage center shall not
				exceed 23 hours.
b) Consumers
				accepted at a triage center shall:
1) Have
				acute symptoms of psychiatric crisis, requiring a structured assessment within
				a safe, therapeutic environment; and
2) Be expected to benefit from the treatment
				provided in a triage center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart B - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES PROGRAMS › Section 380.310 - Crisis Stabilization Units

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Crisis stabilization units shall provide safety, structure and the support
				necessary, including peer support, to help a consumer to stabilize a
				psychiatric episode. The maximum length of stay at a crisis stabilization unit
				shall not exceed 21 days.
b)
				Consumers admitted to a crisis stabilization unit shall:
1) Be diagnosed as having a serious mental
				illness;
2) Be experiencing an
				acute exacerbation of psychiatric symptoms;
3) Have a need for assessment and treatment
				within a structured, supervised therapeutic environment; and
4) Be expected to benefit from the treatment
				provided.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart B - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES PROGRAMS › Section 380.320 - Recovery and Rehabilitation Supports Centers

Current through Register Vol. 48, No. 28, July 12, 2024
a) Recovery and rehabilitation supports
				centers shall facilitate
a consumer's longer-term symptom management
				and stabilization while preparing the consumer for transitional living
				units
or transition to the community
by improving living
				skills and community socialization. The duration of stay in
this
setting shall be
based on the clinical needs of the consumer,
				as determined by the consumer's interdisciplinary team. (Section 1-102 of the
				Act)
b) Consumers admitted to an
				RRS center shall be in need of RRS care as determined by State-authorized
				assessment, level of service determination, and authorization
				criteria.
c) A consumer shall not
				be admitted to an RRS center without authorization and without undergoing the
				authorization and background check requirements of Sections
				380.170
				and
				380.180.
d) RRS centers shall not accept for
				admission:
1) Anyone younger than 18 years of
				age;
2) Anyone with a primary
				diagnosis of substance use disorder;
3) Anyone who has one of the medical
				conditions in Section
				380.120(n),
				requiring active intervention or treatment and a higher level of medical care
				beyond the capabilities of the RRS center;
4) Anyone diagnosed with a traumatic brain
				injury or diagnosed with dementia;
5) Consumers who are
				non-ambulatory;
6) Anyone who
				presents an imminent risk of harm to himself or to herself, or to others and is
				eligible for involuntary commitment under the Mental Health and Developmental
				Disabilities Code; or
7) Anyone who
				falls under any other restrictions in the Act and this Part, including
				exclusions from the definition of "consumer" in Section
				380.100.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart B - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES PROGRAMS › Section 380.330 - Transitional Living Units

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Transitional living units shall provide assistance and support to consumers
				with mental illnesses who have not yet acquired, or who have lost previously
				acquired, skills needed for independent living and are in need of and can
				benefit from services in a structured, supervised setting in which the consumer
				can acquire and practice these skills. The maximum length of stay at a
				transitional living unit shall be 120 days, and no unit shall be larger than 16
				beds.
b) Consumers admitted to a
				transitional living unit shall:
1) Be in need
				of transitional living assistance and support as determined by State-authorized
				assessment, level of service determination, and authorization
				criteria;
2) Within the past two
				years, have received a minimum of 60 days of psychiatric hospital care or a
				minimum of 90 days of institutional care for an exacerbation of serious mental
				illness;
3) As a result of mental
				illness, lack critical ADLs or IADLs necessary for living in a less restrictive
				environment, and require an ongoing structured, supervised therapeutic
				environment to develop these skills; and
4) Demonstrate an ability to generalize
				skills and to receive supports from a community provider for transition to a
				community setting.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart C - PROGRAM PERSONNEL › Section 380.400 - Employee Personnel Policies and Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each facility shall develop and maintain
				written personnel policies that are followed in the operation of the facility.
				These policies shall include, at a minimum, each of the requirements of this
				Section.
b) Employee Records
1) Employment application forms shall be
				completed for each employee and kept on file in the facility. Completed forms
				shall be available to the Department for review.
2) Individual personnel files for each
				employee, intern, unpaid staff and volunteer regularly scheduled at least
				weekly to work directly with consumers shall contain date of birth; home
				address; educational background; experience, including types and places of
				employment; date of employment and position employed to fill in this facility;
				and (if no longer employed in this facility) last date employed.
3) Individual personnel files for each
				employee, intern, unpaid staff and volunteer regularly scheduled at least
				weekly to work directly with consumers shall contain health records, including
				the initial health evaluation and the results of the tuberculin skin test, and
				any other pertinent health records.
4) Individual personnel records for each
				employee, intern, unpaid staff and volunteer regularly scheduled at least
				weekly to work directly with consumers shall contain records of the employee's
				performance evaluations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart C - PROGRAM PERSONNEL › Section 380.410 - Initial Health Evaluation for Employees, Interns and Volunteers

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each employee,
				intern, unpaid staff and volunteer regularly scheduled at least weekly to work
				directly with consumers shall have an initial health evaluation, which shall be
				used to ensure that employees are not placed in positions that pose undue risk
				of infection to themselves, other employees, consumers or visitors.
b) The initial health evaluation shall be
				conducted within 90 days prior to employment through 30 days after
				employment.
c) The initial health
				evaluation shall include a health inventory. This inventory shall be obtained
				from the employee and shall include the employee's immunization status and any
				available history of conditions that would predispose the employee to acquiring
				or transmitting infectious diseases. This inventory shall include any history
				of exposure to, or treatment for, tuberculosis. The inventory shall also
				include any history of hepatitis, dermatologic conditions, chronically draining
				infections or open wounds.
d) The
				initial health evaluation shall include a physical examination and shall
				include a statement about the presence of any communicable disease that could
				pose a risk to the person, other employees, consumers or visitors. The
				evaluation shall also determine whether the employee is physically able to
				perform the job functions that the facility intends to assign to the employee,
				intern, unpaid staff and volunteer regularly scheduled at least weekly to work
				directly with consumers.
e) The
				initial health evaluation shall include a tuberculin skin test that is
				conducted in accordance with the Control of Tuberculosis Code. The facility
				shall have a written policy on its tuberculin skin tests.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart C - PROGRAM PERSONNEL › Section 380.420 - Health Care Worker Background Check

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall comply with the Health Care Worker
				  Background Check Act and the Health Care Worker Background Check
				  Code.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart C - PROGRAM PERSONNEL › Section 380.430 - Executive Director

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				facility shall employ an executive director to be responsible for the
general administration and supervision of
the
facility
(Section 1-102 of the Act), who is:
1) An LPHA or QMHP with a minimum of at least
				two years of supervisory or management experience and at least one year of
				relevant experience, e.g., working directly with persons with serious mental
				illness; or
2) An administrator
				licensed under the Nursing Home Administrators Licensing and Disciplinary Act,
				with a minimum of at least two years of supervisory or management experience
				and at least one year of experience working directly with persons with serious
				mental illness.
A) At the end of the
				three-year provisional license period, nursing home administrators who were
				acting as executive directors of a specialized mental health rehabilitation
				facility as of July 22, 2013, and who had a minimum of at least two years of
				supervisory or management experience and at least one year of experience
				working directly with persons with serious mental illness may serve as
				executive director of a facility licensed under the Act.
B) After the provisional licensing period has
				ended, all newly hired executive directors of specialized mental health
				rehabilitation facilities shall meet the requirements listed in subsection
				(a)(1).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart C - PROGRAM PERSONNEL › Section 380.440 - Psychiatric Medical Director

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall have a psychiatric medical director who is licensed under the
				Medical Practice Act of 1987 and who is board eligible or board certified in
				psychiatry from the American Board of Psychiatry and Neurology. The psychiatric
				medical director is responsible for advising the executive director and the
				program LPHA on the overall psychiatric management of the consumers.
b) The psychiatric medical director shall be
				the medical director of the facility. For all non-mental illness related
				medical issues, the medical director shall comply with Section
				380.600(b)(3).
c) The psychiatric medical director shall
				annually approve, in writing, the facility's written policies and procedures
				applicable to the psychiatric programming.
d) The psychiatric medical director shall be
				present at the facility for at least one hour every week to meet with and
				observe consumers and staff and their interactions and to make suggestions for
				changes in staff behavior and training, including changes in the facility
				policies and procedures. The facility shall keep records demonstrating that
				this requirement has been met.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.510 - Quality Assessment and Performance Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
a) The licensee shall ensure that the
				facility's executive director and the governing body develop, implement and
				maintain a data-driven quality assessment and performance improvement (QAPI)
				program. The program shall emphasize quality structures, processes and
				activities, with a goal of improved behavioral health outcomes that enable
				consumers to transition to the most integrated community-based settings
				possible. The written program shall be updated annually and shall require the
				following:
1) An ongoing program for quality
				improvement and consumer safety as a priority for facility management that is
				communicated throughout the facility;
2) A quality improvement committee that shall
				regularly review and evaluate all QAPI activities and progress;
3) At all levels of service in a facility,
				the priorities for improved quality of care and consumer safety are identified
				and addressed, and all improvement actions are evaluated for
				efficacy;
4) Written benchmarks,
				targets and standards of care for safety and quality of care that, for each
				indicator, shall be well established and communicated throughout the facility.
				Outcomes shall be regularly reviewed to measure them against the benchmarks and
				targets;
5) The allocation of
				adequate resources for measuring, assessing, improving and sustaining the
				facility's performance in complying with the Act and this Part;
6) A method for investigating, monitoring and
				tracking incidents and accidents, with a written action plan to prevent
				reoccurrences;
7) That the facility
				share the results of the QAPI activities with the consumer's advisory council.
				Results of data collections and performance improvement projects (PIPs) shall
				be shared with the consumers' advisory council, and input and recommendations
				from the consumers' advisory council shall be shared with the governing
				body;
8) A method for conducting
				annual PIPs, with the report of the PIP and recommendations for process
				improvements shared with the executive director and the governing body;
				and
9) A data collection and
				reporting process that assures the submission, at least quarterly, of all
				reports or other required data within prescribed time frames.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.515 - Reportable Performance Indicators

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following information shall be made
				available to the Department upon entry to the facility by a Department survey
				team:
1) Census information;
2) Key personnel of the facility and the
				facility's governing body;
3) A
				roster of the facility's residents with room numbers;
4) Program discharge summaries;
5) Accrediting benchmark
				achievements;
6) Accrediting
				performance improvement reports and compliance.
7) The facility's staffing plan;
8) Staff turnover rate;
9) The facility's floor design;
10) The facility's admissions and
				discharges;
11) Incident reports
				prepared pursuant to Section
				380.530;
12) The facility's performance improvement
				project or projects;
13) Written
				records on the facility's use of restraints;
14) Pharmacy reports of adverse
				outcomes;
15) Medication error
				reports;
16) The facility's written
				policies and procedures; and
17)
				The facility's identified offender list.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.520 - Information to Be Made Available to the Public

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following information shall be
				conspicuously posted in a prominent location accessible to the public:
1) A listing of all services and programs
				provided directly by the facility and those provided through written
				contracts;
2)
Staffing and
				personnel levels
for each level of licensed service;
3) The location of the most recent
licensure and inspection information
for the facility, and the
				related plan of correction, if applicable, and that this information is
				available for public review;
4)
National accreditation information
;
5)
Consumer
				charges
;
6)
Consumer complaint information
;
7) State specialized mental health
				rehabilitation facility benchmark performance percentages for all certified
				programs provided by the facility;
8) That the facility's written admission and
				discharge policies are available upon request; and
9) A notice of how to file a complaint with
				the Department's complaint hotline.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.530 - Incidents, Accidents and Emergency Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall have written policies
				and procedures for investigating, reporting, tracking and analyzing incidents,
				accidents and emergency care situations through the facility's management
				structure, up to and including the licensee and governing body representatives.
				The facility shall ensure that employees demonstrate their knowledge of and
				follow, these policies and procedures. A descriptive summary of each incident
				and accident affecting a consumer shall also be recorded in the progress notes
				for that consumer. For purposes of this Section, "serious" means any incident
				or accident that causes physical harm or injury to a consumer and requires
				medical treatment. Serious incidents, accidents and emergency care situations
				shall include, but are not limited to, the following:
1) Sexual assault;
2) Abuse, neglect or other
				maltreatment;
3) All deaths,
				including deaths of consumers who have been transferred to a
				hospital;
4) Medication errors that
				result in a consumer's unstable vital signs or referral to an emergency
				room;
5) Physical injury;
6) Assault;
7) Battery;
8) Missing persons after 24 hours;
9) Theft;
10) Criminal conduct, including arrests and
				other interaction with police;
11)
				All hospitalizations, both medical and psychiatric;
12) All emergency department admissions, both
				medical and psychiatric; and
13)
				Fires.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.550 - Contacting Local Law Enforcement

Current through Register Vol. 48, No. 28, July 12, 2024
a) For
				the purpose of this Section, the following definitions shall apply:
1) 911 - an emergency answer and response
				system in which the caller need only dial 9-1-1 on a telephone to obtain
				emergency services, including police, fire, medical ambulance and
				rescue.
2) Sexual abuse - sexual
				penetration, intentional sexual touching or fondling, or sexual exploitation
				(i.e., use of an individual for another person's sexual gratification, arousal,
				advantage or profit).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.560 - Care and Treatment of Sexual Assault Survivors

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purposes of this Section, the
				following definitions shall apply:
1) Sexual
				assault - an act of nonconsensual sexual conduct or sexual penetration, as
				defined in Section 11-01 of the Criminal Code of 2012, including, without
				limitation, acts prohibited under Sections 11-1.20 through 11-1.60 of the
				Criminal Code of 2012.
2) Ambulance
				Provider - an individual or entity that owns and operates a business or service
				using ambulances or emergency medical services vehicles to transport emergency
				patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.570 - Fire Safety and Disaster Preparedness

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purpose of this Section only,
				"disaster" means an occurrence, as a result of a natural force or mechanical
				failure such as water, wind or fire, or a lack of essential resources such as
				electrical power, that poses a threat to the safety and welfare of consumers,
				personnel and others present in the facility.
b) Each facility shall have policies covering
				disaster preparedness for staff, consumers, and others to follow. The policy
				shall include, but not be limited to, the following:
1) Proper instruction in, and training on,
				the use of fire extinguishers for all personnel employed on the
				premises;
2) A diagram of the
				evacuation route, which shall be posted and made familiar to all personnel
				employed on the premises;
3) A
				written plan for moving consumers to safe locations within the facility in the
				event of a tornado warning or severe thunderstorm warning; and
4) An established means of facility
				notification when the National Weather Service issues a tornado or severe
				thunderstorm warning that covers the area in which the facility is located. The
				notification mechanism shall be other than commercial radio or television.
				Approved notification measures include being within range of local tornado
				warning sirens, maintaining an operable National Oceanic and Atmospheric
				Administration weather radio in the facility, or arrangements with local public
				safety agencies (police, fire, emergency management agency) to be notified if a
				warning is issued.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart D - ADMINISTRATION › Section 380.580 - Research

Current through Register Vol. 48, No. 28, July 12, 2024
a)
No
				consumer shall be subjected to research or treatment without first obtaining
				his or her informed, written consent. The conduct of any experimental research
				or treatment shall be authorized and monitored by an institutional review board
				appointed by the executive director. No person who has received compensation in
				the prior 3 years from an entity that manufactures, distributes or sells
				pharmaceuticals, biologics, or medical devices may serve on the institutional
				review board
.
1)
The
				membership of the institutional review board shall
include, at a
				minimum:
A) Director of the Department of
				Public Health or designee;
B)
				Director of DHS-DMH or designee;
C)
				An academic faculty member of a college or university who is in a mental health
				field;
D) The DHS-DMH bureau chief
				of Evaluation and Services Research or designee;
E) Two additional persons with a background
				in ethics, policy development and research who may be from outside DHS-DMH or
				the Department; and
F) A
				representative from the Department's or DHS-DMH's legal services staff as a
				non-voting member.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart E - SUPPORT SERVICES AND ENVIRONMENT › Section 380.600 - Required Support Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the
				purpose of this Section, "physician orders" includes instructions from medical
				doctors (MD), doctors of osteopathy (OD), dentists, podiatrists, advanced
				practice nurses (APN) in collaboration with an MD, and physician assistants
				(PA) under the supervision of a physician for that physician's
				patients.
b)
Facilities
				shall provide, at a minimum, the following services: physician, nursing,
				pharmaceutical, rehabilitative, and dietary services. To provide these
				services, the facility shall adhere to the following
:
1)
Each consumer shall be encouraged
				and assisted to achieve and maintain the highest level of self-care and
				independence. Every effort shall be made to keep consumers active and out of
				bed for reasonable periods of time, except where contraindicated by physician
				orders
.
2)
Every
				consumer shall participate in a person-centered planning process regarding his
				or her total care and treatment
, to the extent that his or her
				condition permits.
3)
All
				medical treatment and procedures shall be administered as ordered by a
				physician. All new physician orders shall be reviewed by the facility's
				director of nursing or charge nurse designee within 24 hours after
the
orders have been issued to ensure facility compliance with
the
orders. Every woman consumer of child bearing age shall receive routine
				obstetrical and gynecological evaluations, as well as necessary prenatal
				care
, except in triage centers.
A)
				The frequency and administration of obstetrical, gynecological and pre-natal
				care shall be according to the guidelines set forth in the Guidelines for
				Women's Health Care, published by the American College of Obstetricians and
				Gynecologists. The date of the consumer's last obstetrical, gynecological or
				prenatal appointments shall be identified as part of the treatment assessment,
				and pregnancy screening may be required before medications are prescribed and
				administered.
B) If obstetrical and
				gynecological evaluations are performed in a facility, the facility shall
				ensure that the examination room is adequately equipped for these
				examinations.
C) If obstetrical and
				gynecological evaluations are not performed in a facility, the facility shall
				arrange with a local OB/GYN practice or clinic to have the evaluations
				performed at that location.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart E - SUPPORT SERVICES AND ENVIRONMENT › Section 380.610 - Physician Medical Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				licensee shall ensure sufficient physician services to meet the needs of all
				consumers being served by the facility. Physician services shall be provided by
				medical doctors who are under contract with the facility or have been chosen by
				the consumer or by the consumer's substitute decision maker to direct the
				consumer's medical care.
b)
				Physician services shall include, but are not limited to:
1) The initial health evaluation, including a
				written report of a physical examination, and history, obtained within 72 hours
				after admission, unless a health evaluation has been completed within 30 days
				prior to admission and is in the consumer's record;
2) An evaluation of the consumer and, upon
				change of physicians, a review of the order for care and treatment;
3) Written and signed orders for diet,
				diagnostic tests, consultation and medical treatment of the consumer;
				and
4) Health care progress notes
				and other appropriate entries in the consumer record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart E - SUPPORT SERVICES AND ENVIRONMENT › Section 380.620 - Health/Nursing Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				licensee shall ensure sufficient nursing services to meet the needs of all
				consumers being served by the facility. Licensed nursing staff shall perform
				nursing services within the scope of their licenses, and the nursing services
				shall be consistent with the care requirements for each respective level of
				service, including time frames, as described in Subpart B. Services shall
				include, but not be limited to, the following:
1) Nursing participation in the formulation
				of an interdisciplinary treatment plan, which shall include identification of
				nursing care needs based upon an initial written nursing evaluation of the
				consumer's needs with input, as necessary, from health professionals involved
				in the care of the consumer. The initial nursing care needs, including the
				physical evaluation required in Section
				380.610(b)(1),
				shall commence at the time of admission of the consumer and be completed within
				seven days after admission;
2) The
				implementation of each consumer's treatment plan according to the methods
				indicated, with ongoing monitoring and documentation of the effectiveness of
				the plan, and participation in consumer treatment plan conferences for review
				and modification of each consumer's treatment plans;
3) Ensuring that the dietary department
				receives dietary orders that are prescribed by physicians or
				dieticians;
4) Obtaining and
				documenting physician orders for medical care, appointments and laboratory
				workups and tests, administration of medications, including pro re nata (PRN)
				and immediately authorized or emergency (STAT) medications;
5) Implementation and evaluation of quality
				improvement policies and procedures;
6) The writing, review and signoff of
				progress notes and notes regarding any change in a consumer's condition;
				and
7) Notifying the physician
				promptly of:
A) The admission of a
				consumer;
B) Any sudden, marked or
				adverse change in signs, symptoms or behavior exhibited by a
				consumer;
C) An unusual incident
				involving a consumer, as specified in Section
				380.530;
D) Any adverse response or reaction by a
				consumer to a medication or treatment;
E) Any error in the administration of a
				medication or treatment to a consumer that is life threatening or that presents
				a risk to a consumer; and
F) The
				facility's inability to obtain or administer, on a prompt and timely basis,
				drugs, equipment, supplies or services as prescribed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart E - SUPPORT SERVICES AND ENVIRONMENT › Section 380.630 - Pharmaceutical Services and Medication Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a) All consumers shall be assessed for drug
				allergies, and drug histories shall be documented and reported to the pharmacy
				and physician. Pharmacies shall immediately notify the physician and the
				facility of any potential drug interactions prior to dispensing the
				medication.
b)
Pharmaceutical Treatment
1)
A consumer shall not be given unnecessary drugs. An unnecessary drug is
				any drug used in an excessive dose, including in duplicative therapy; for
				excessive duration; without adequate monitoring; without adequate indication
				for its use; or in the presence of adverse consequences that indicate the drug
				should be reduced or discontinued
.
2)
No drug shall be administered
				except upon the order of a person lawfully authorized to prescribe for and
				treat mental illness
.
3)
All drug orders shall be written, dated, and signed by the person
				authorized to give
the
order. The name, quantity, or specific
				duration of therapy, dosage, and time or frequency of administration of the
				drug and the route of administration if other than oral shall be
				specific
.
4)
Verbal orders for drugs and treatment shall be received only by those
				authorized under Illinois law to do so from their supervising physician. Orders
				shall be recorded immediately in the consumer's record by the person receiving
				the order and shall include the date and time of the order.
(Section
				3-106 of the Act)
5) A facility
				with a pharmacy on the premises shall comply with the Controlled Substances
				Act. Facilities without pharmacies shall ensure that pharmacies with which they
				make arrangements, or contract, comply with the Controlled Substances
				Act.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 380 - SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES CODE › Subpart E - SUPPORT SERVICES AND ENVIRONMENT › Section 380.660 - Dental Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall have a dental program for stays over 21 days, which will provide
				for in-service education to consumers in collaboration with dental personnel,
				including, at a minimum, the following:
1)
				Information regarding nutrition and diet control measures that are dental
				health oriented;
2) Instruction on
				proper oral hygiene methods;
3)
				Instruction concerning the importance of maintaining oral hygiene;
				and
4) Providing dental supplies,
				including floss, toothpaste, and brushes.