reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1000 - Scope and Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
a) The purpose
				of this Part is to implement the Birth Center Licensing Act, which requires
				birth centers to be licensed by the Department.
b) This Part establishes general provisions,
				licensing procedures, building requirements, enforcement provisions, and
				operational and clinical standards for the provision and coordination of
				treatment and services in birth centers.
c)
Nothing in this
Part
shall be construed to prohibit a facility licensed as a birth center
				from offering other reproductive health care subject to any applicable laws,
				rules, regulations, or licensing requirements for those services. In
				this
subsection (c),
"reproductive health care" has the same
				meaning as used in Section 1-10 of the Reproductive Health Act
.
				(Section 30(b) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1100 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The following private and professional association standards are incorporated
				in this Part:
1) FGI 2014 Guidelines for
				Design and Construction of Hospitals and Outpatient Facilities, available at:
https://shop.fgiguidelines.org/products/23
or from the American Institute of Architects (AIA) Academy of Architecture for
				Health, Facilities Guidelines Institute, PO Box 60628, Florence, MA
				01062.
2) The standards of the
				American Society of Heating, Refrigerating, and Air Conditioning Engineers
				(ASHRAE), Handbook of Fundamentals (2009), which may be obtained from the
				American Society of Heating, Refrigerating, and Air-Conditioning Engineers,
				Inc., 180 Technology Parkway NW, Peachtree, GA 30092.
3) The following standards of the National
				Fire Protection Association (NFPA), which may be obtained from the National
				Fire Protection Association, 1 Batterymarch Park, Quincy, MA 02269:
A) NFPA 101 (2012): Life Safety Code and all
				appropriate references under Chapter 2, Referenced Publications
B) NFPA 101A (2013): Guide on Alternative
				Approaches to Life Safety
4) International Building Code (2012), which
				may be obtained from the International Code Council, 4051 Flossmoor Road,
				Country Club Hills, IL 60478.
5)
				The American Academy of Pediatrics and the American College of Obstetricians
				and Gynecologists, Guidelines for Perinatal Care, Eighth Edition (September
				2017), which may be obtained from the American Academy of Pediatrics, 141
				Northwest Point Boulevard, P.O. Box 927, Elk Grove Village, IL
				60009-0927.
6) The American
				Association of Birth Centers, Standards for Birth Centers (2017), available at:
https://assets.noviams.com/novi-file-uploads/aabc/downloads/AABC-STANDARDS-RV2017.pdf
or from the American Association of Birth Centers, 3123 Gottschall Road,
				Perkiomenville, PA 18074.
7)
				Commission for the Accreditation of Birth Centers, Indicators of Compliance
				with Standards for Birth Centers, Reference Edition
				2.2 (April 1, 2020), available
				at:
https://www.birthcenteraccreditation.org/wp-content/uploads/2020/04/CABC_IndicatorsRefEd-2.2_2020-0401.pdf
8) The Joint Commission, Perinatal Care
				Certification Review Process Guide, available at:
https://www.jointcommission.org/-/media/tjc/documents/accred-and-cert/survey-process-and-survey-activity-guide/2022/2022-perinatal-care-organization-rpg.pdf
(January 1, 2022)
9) The Joint
				Committee on Infant Hearing (JCIH), Year 2019 Position Statement: Principles
				and Guidelines for Early Hearing Detection and Intervention Programs, available
				at:
https://digitalcommons.usu.edu/jehdi/vol4/iss2/1/
or from the American Speech-Language-Hearing Association (ASHA), 2200 Research
				Boulevard, Office 309, Rockville, MD 20850.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1200 - Information Available for Public Inspection

Current through Register Vol. 48, No. 28, July 12, 2024
a) A birth center shall post the following
				information in plain view of the public:
1)
				Its current license or a photocopy of the current license;
2) A description of the birth center
				complaint procedures;
3) The name,
				address and telephone number of a person authorized by the Department to
				receive complaints;
4) Client
				rights;
5) Emergency exit
				routes;
6) Rights relating to
				women, pregnancy, and childbirth per the Medical Patient Rights Act;
				and
7) Information about domestic
				violence and human trafficking resources.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1400 - Inspections and Investigations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The Department, whenever it determines necessary, may conduct a special
				inspection, survey, or evaluation of a birth center to assess compliance with
				licensure requirements and standards or a plan of correction submitted as a
				result of deficiencies cited by the Department or an accrediting body
to ensure compliance with the Act and this Part. (Section 55(a) of the
				Act)
b) Representatives of the
				Department shall have access to and may reproduce or photocopy any books,
				records, and other documents maintained by the birth center or the licensee to
				the extent necessary to carry out the Act and this Part. Failure to provide
				access to any records requested by the Department or failure to respond to a
				request for records is a violation of this Part.
c) The Department may investigate an
				applicant or licensee on its own motion or based upon complaints received by
				mail, electronic means, telephone, or in person.
1) Complaints regarding birth centers
				licensed under the Act and this Part may be submitted either in writing, by
				telephone or by other electronic means to the Department's Central Complaint
				Registry.
2) The Department will
				investigate all complaints received. An appropriate investigation may include,
				but is not limited to, record reviews, telephone interviews, on-site surveys,
				or a combination of methods.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1450 - Notice of Violation and Plan of Correction

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The Department
will
determine whether a birth center is in violation of
this
				Section
no later than 60 days after completion of each special
				inspection, survey, evaluation, or plan of correction.
(Section 55(e)
				of the Act)
b) Upon determination
				that the licensee or applicant is in violation of the Act or this Part, the
				Department shall issue a written Notice of Violation and request a plan of
				correction. The notice shall specify the violations in a Statement of
				Deficiencies and instruct the licensee or applicant to submit a plan of
				correction to the Department's
central office
.
A birth
				center has 10 days after the date of
service of the Notice of
				Violation
to submit a plan of correction.
c) Within the 10-day period, a licensee or
				applicant may request additional time for submission of the plan of correction.
				The Department may extend the period for submission of the plan of correction
				for up to an additional 30 days if the Department finds that corrective action
				by the birth center to abate or eliminate the violations will require
				substantial capital improvement. The Department will consider the extent and
				complexity of necessary physical plant repairs and improvements and any impact
				on the health, safety, or welfare of the clients of the birth center in
				determining whether to grant a requested extension.
d) Each plan of correction shall be based on
				the birth center's assessment of the conditions or occurrences that are the
				basis of the violations and an evaluation of the practices, policies, and
				procedures that have caused or contributed to the conditions or occurrences.
				The birth center shall maintain documentation of such assessment and
				evaluation.
The plan of correction may contain related comments or
				documentation provided by the birth center that may refute findings in the
				report, explain extenuating circumstances that the birth center could not
				reasonably have prevented, or indicate methods and timetables for correction of
				deficiencies described in the report
. (Section 55(d) of the Act) Each
				acceptable plan of correction shall include:
1) The procedure for correcting each
				deficiency cited, typed in the right-hand column of the original Statement of
				Deficiencies, including the following:
A)
				specific actions that the birth center will be taking to abate, eliminate, or
				correct the violation, and
B) steps
				that will avoid future occurrence of the same and similar violations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1500 - Adverse Licensure Action and Administrative Hearings

Current through Register Vol. 48, No. 28, July 12, 2024
a) Before denying an initial license
				application, refusing to renew a license, revoking a license, or assessing an
				administrative fine, the Department will notify the applicant or the licensee
				in writing. The notice will specify the charges or reasons for the Department's
				contemplated action and will provide the applicant or licensee an opportunity
				to file a request for a hearing within 10 days after receiving the notice.
1) A failure to request a hearing within 10
				days shall constitute a waiver of the applicant's or licensee's right to a
				hearing.
2) The hearing shall be
				conducted by the Director, or an individual designated in writing by the
				Director as an Administrative Law Judge, in accordance with the Department's
				Practice and Procedure in Administrative Hearings.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1600 - Governing Body

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each birth
				center shall have an organized governing body that is responsible for:
1) The management and control of the birth
				center;
2) The assurance of quality
				care and services;
3) Compliance
				with all federal, State, and local laws; and
4) Protection of personal and property rights
				of clients, newborn infants, and support persons.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1650 - Length of Stay

Current through Register Vol. 48, No. 28, July 12, 2024
The maximum length of stay in a birth center shall be
				  consistent with existing State laws related to health insurance (see
				  215 ILCS
				  5/356s) allowing a 48-hour stay or appropriate
				  post-delivery care. If the postpartum person and infant are discharged earlier
				  than 48 hours, the birth center must ensure arrangements are made to meet all
				  newborn screening requirements pursuant to Section
				  264.1800(h).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1700 - Client Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) A client
				shall not be deprived of any rights, benefits, or privileges guaranteed by law
				based solely on the client's status as a client of the birth center.
b) Every client shall be permitted to refuse
				medical treatment and to know the consequences of such action.
c) It is the right of every pregnant person,
				and support person, to expect and receive services as per the Medical Patient
				Rights Act and as listed below:
1) Good
				quality care and high professional standards that are continually maintained
				and reviewed.
2) Answers to
				questions regarding services and treatment, and the names and functions of the
				staff person providing services.
3)
				Confidentiality of client records. Information from or copies of records may be
				released only to authorized individuals, and the birth center shall ensure that
				unauthorized individuals cannot gain access to or alter client records. The
				birth center shall release original medical records only in accordance with
				federal or State laws, court orders, or subpoenas.
4) Unimpeded, private, and uncensored
				communication by mail and telephone. The birth center shall ensure that
				correspondence is promptly received and mailed, and that telephones are
				reasonably accessible.
5)
				Respectful and dignified treatment at all times.
6) Information regarding cost and counseling
				on the availability of known financial resources to the service being
				rendered.
7) Disclosure and
				discussion of the nature, purposes, expected effects, and results of the
				medical treatment under consideration, prior to signing an informed
				consent.
8) Access to an
				obstetrician, family practitioner (family physician), physician, certified
				nurse midwife, or licensed certified professional midwife, pursuant to Section
				264.1250(n).
9) A copy of the birth center's rules that
				apply to conduct as a pregnant person, spouse, support person, and other family
				member or visitor.
10) A written
				copy of the rights guaranteed by this Section and by the birth
				center.
11) Treatment without
				discrimination based upon race, color, religion, sexual preference, national
				origin, or source of payment.
12)
				The right to expect emergency procedures to be implemented without unnecessary
				delay.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1750 - Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) Clinical
				Director. A birth center shall have a clinical director who shall be appointed
				by and responsible to the governing body and may also be designated as the
				individual responsible for the administrative operation of the birth center.
The clinical director shall be responsible for:
1) The
development of policies and
				procedures for services
required by this Part;
2)
Coordinating the clinical staff
				and overall provision of
client
care;
3)
Developing and approving policies
				defining the criteria to determine which pregnancies are accepted as normal,
				uncomplicated, and low risk;
4)
Developing and approving policies
				regarding anesthesia services available at the center.
(Section 25(b)
				of the Act)
5) Advising and
				consulting with the staff of the birth center on all matters related to medical
				management of pregnancy; birth; postpartum, newborn, and gynecologic health
				care; and infection control;
6)
				Coordinating all professional medical consultants to the birth center (e.g.,
				consulting obstetrical physicians, pediatricians, family physicians);
				and
7) Such other functions as may
				be deemed appropriate.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1800 - Clinical Care and Service Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Clients shall meet all the requirements of
				Section 264.1550 before being admitted
				and receiving services at the birth center.
b) Each birth center shall assure that each
				pregnant person and their family registering for admission for care at the
				birth center shall be given an orientation to the birth center, which includes,
				but is not limited to:
1) The philosophy and
				goals of the birth center;
2)
				Services directly available at the birth center;
3) Services provided through consultation and
				referrals;
4) Policies and
				procedures;
5) The requirement for
				signed consent for care and services, attesting to full awareness of care and
				services to be provided;
6) The
				involvement of the pregnant person (and support person whenever possible) in
				the development and assessment of a protocol of care in accordance with this
				Section;
7) Charges for required
				care and potential additional charges; and
8) The risk assessment process and risk
				factors that might preclude admission for care at the birth center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.1950 - Discharge Policies and Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a) The maximum length of stay in a birth
				center shall be consistent with existing State laws (See
				215 ILCS
				5/356s) allowing a 48-hour stay or appropriate
				post-delivery care if the postpartum person and infant are discharged earlier
				than 48 hours.
b) The birth center
				shall develop a discharge plan of care for all postpartum persons and
				infants.
c) The discharge plan
				shall be based on the assessment of the postpartum person's and infant's needs
				by the various disciplines responsible for their care.
d) The postpartum person and infant shall be
				discharged from the birth center when both are clinically stable and have met
				the discharge criteria established by the birth center.
e) The postpartum person and infant shall not
				be discharged prior to four hours after the time of birth.
f) The birth center shall provide the
				postpartum person with written discharge instructions. The discharge
				instructions shall include written guidelines detailing how the mother may
				obtain emergency assistance for themselves and their infant and completion of
				newborn screening(s) as required per Section
				264.1800.
g) The birth center shall develop and
				implement written policies to provide follow-up postnatal and postpartum care
				to the infant and the postpartum person, either directly or by referral.
				Follow-up care may be provided in the birth center, at the postpartum person's
				preferred location, by telehealth, or by a combination of these
				methods.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2000 - Infection Control

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each birth
				center shall provide a sanitary environment to avoid sources and transmission
				of infections and communicable diseases.
b) The birth center shall have an active
				program for the prevention, control and investigation of infectious and
				communicable diseases that includes, but is not limited to:
1) Hand-washing techniques for adequate
				protection of the pregnant or postpartum person and newborn infant from
				infection and other contamination;
2) Contagious disease control measures for
				birth center personnel, carrier or suspected carrier, spouse, or support
				persons;
3) Sterilization methods
				and procedures; and
4) Infection
				control measures, including birth room cleaning policies and birth room waste
				disposal policies and procedures.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2050 - Disposal of Medical Waste

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				pathological and bacteriological waste, including blood, body fluids,
				placentas, sharps, and biological indicators, shall be disposed of by a waste
				hauler with a permit from the Illinois Environmental Protection Agency as
				required by the Pollution Control Board's Special Waste Hauling administrative
				rules.
b) These materials shall be
				sealed, transported, and stored in biohazard containers. These containers shall
				be marked "Biohazard", bear the universal biohazard symbol, and be orange,
				orange and black, or red. The containers shall be rigid and puncture resistant,
				such as a secondary metal or plastic can with a lid that can be opened by a
				step-on pedal. These containers shall be lined with one or two high-density
				polyethylene or polypropylene plastic bags with a total thickness of at least
				2.5 mil or equivalent
				material.
c) Containers that are
				marked "Biohazard" shall be sealed before being removed from the birth
				center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2100 - Emergency Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				birth center shall have communication with their local emergency medical
				transport provider/EMS ambulance providers to be aware of their hours and
				possible need for emergency transportation of the pregnant or postpartum person
				and/or newborn infant to a referral hospital.
b) The birth center shall provide emergency
				equipment and emergency medications as follows:
1) Oxygen;
2) Airway and manual infant breathing
				bags;
3) Suction
				equipment;
4) A neutral thermal
				environment for resuscitation; and
5) Other medications and equipment as
				approved by the clinical director.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2150 - Laboratory and Pharmacy Services

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Each birth center shall meet the following requirements:
1) Possess a valid Clinical Laboratory
				Improvement Amendments (CLIA) certificate for those tests performed by the
				birth center; and
2) Have a written
				agreement with a laboratory that possesses a valid CLIA certificate to perform
				any required laboratory procedures that are not performed in the birth
				center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2200 - Clinical Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each birth
				center shall adopt, implement, enforce, and maintain a clinical record system
				to assure that the care and services provided to each client are completely and
				accurately documented and systematically organized to facilitate the
				compilation and retrieval of information.
b) Each birth center shall maintain accurate
				and complete clinical records for each client, and all entries in the clinical
				record shall be made at the time when care, treatment, medications,
				consultations, or other medical services are given. The record shall include,
				but not be limited to, the following:
1)
				Client-identifying information;
2)
				Name of the client's birth attendants, and the name of all other birth
				assistants;
3) Initial risk
				assessment in accordance with Section
				264.1550(f);
4) A disclosure statement and informed
				consent that is signed by the client that explains the benefits, limitations,
				and risks of the services available at the center, and that describes the
				collaborative arrangements that the center has with physicians and with
				referral hospitals;
5) Record of
				antepartum (prenatal) care;
6)
				History and physical examination of the client;
7) Laboratory tests, ultrasounds, procedures
				and results;
8) Written progress
				notes, signed and dated by the person rendering the service, and incorporated
				into the client record within 24 hours after services;
9) Medication list and medication
				administration record, if applicable;
10) Intrapartum care;
11) Newborn assessment and care, including,
				but not limited to:
A) Apgar scores;
B) Maternal-newborn interaction;
C) Prophylactic procedures;
D) Accommodation to extra-uterine
				life;
E) Blood glucose when
				clinically indicated;
F)
				Supplemental oxygen;
G) Newborn
				screening required per the Hearing Screening and Vision Screening
				administrative codes and the Newborn Metabolic Screening and Treatment
				Code.
12) Postpartum
				care;
13) Allergies and medication
				reactions;
14) Documentation of
				consultation;
15) Refusal of the
				client to comply with advice or treatment;
16) Discharge summary, to include postpartum
				person and infant;
17) Discharge
				plan and instructions to the client;
18) Arrangements for newborn follow-up
				screening and testing it the newborn is discharged prior to the 48
				hours;
19) Authentication of
				entries by the physician or physicians, birth attendants and birth assistants
				who treated or cared for the client and newborn;
20) A copy of the transport form if the
				client or newborn was transferred to the referral hospital; and
21) Documentation that a birth certificate
				was filed or, if applicable, a death certificate was filed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2250 - Transfer Agreement

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A birth center shall link and integrate its services with at least one
				birthing hospital
(referral hospital)
with a minimum of level
				1 perinatal designation,
as defined in the Regionalized Perinatal
				Health Code. (Section 20(a) of the Act)
b)
The birth center shall have an
				established agreement
(transfer agreement)
with a nearby
				receiving birthing hospital
(referral hospital)
with policies
				and procedures for timely transfer of maternal and neonatal
clients
				(within 30 minutes for rural and nonrural hospitals).
The agreement
				shall include a determination of maternal and neonatal conditions necessitating
				consultation and referral. This should include plans for communication with the
				receiving hospital
(referral hospital)
before and after
				transfer
and cases requiring review during the Morbidity and Mortality
				review with the referral hospital. (Section 20(b) of the Act).
c) The birth center's transfer agreement with
				the referral hospital shall include the staff required to transfer clients, the
				staff responsible for initiating transport, the mode of emergency
				transportation between facilities, and information regarding the referral
				hospital's coordinated procedures with an APC in the event of a need to
				transfer a high-risk newborn pursuant to Section
				264.1800(f).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2300 - Equipment

Current through Register Vol. 48, No. 28, July 12, 2024
The birth center shall have sufficient client care equipment
				  and space to assure the safe, effective, and timely provision of the available
				  services to clients, which include, but are not limited to, the
				  following:
a) A heat source for infant
				examination or resuscitation;
b)
				Transfer incubator or isolette (if not provided by local emergency medical
				transport provider/EMS ambulance providers in birth center service
				area);
c) Blood pressure
				equipment;
d)
				Thermometers;
e)
				Fetoscope/doppler;
f) Intravenous
				equipment;
g)
				Sterilizer/autoclave;
h)
				Resuscitation equipment (for neonate and pregnant person);
i) Oxygen equipment for maternal and neonate
				uses;
j) Newborn hearing screening
				equipment;
k) Neonatal pulse
				oximeter;
l) Instruments for
				delivery, and repair of obstetric lacerations;
m) Other supplies and equipment specified by
				the clinical director; and
n)
				Newborn blood spot screening collection cards.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2350 - Environmental Management

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				birth center shall maintain birth rooms that meet the requirements for
				emergency procedures, pursuant to Section
				264.2100. All birth rooms shall
				allow, for the physical and emotional care of a client, their support person
				and the newborn during labor, birth, and the recovery period.
b) The birth center shall be designed to
				provide for the following:
1) Birth rooms
				shall be located to provide unimpeded, rapid access to an exit of the building
				that will accommodate emergency transportation vehicles;
2) The birth center shall be located on the
				same level as ambulance delivery and pickup;
3) Fixed and portable work surface areas
				shall be maintained for use in the birth room;
4) A separate space for a clean area and a
				contaminated area shall be provided. Sanitary waste containers, soiled linen
				containers, storage cabinets, and sterilizing equipment shall be
				available;
5) Space shall be
				provided for prenatal and postpartum examinations, which will include privacy
				for the client, hand-washing facilities, and the appropriate equipment for
				staff;
6) Space shall be provided
				for medical record storage; and
7)
				Client interview, instruction and waiting rooms shall be provided.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2400 - Food Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				birth center shall have the capacity to provide postpartum persons and families
				with appropriate nourishment and light snacks. The minimum equipment shall
				include a refrigerator (capable of maintaining a temperature of 45 degrees
				Fahrenheit or lower), microwave, sink, cupboard, and counter space or
				equivalent.
b) If food service is
				provided by the birth center or by contract with a food service provider, the
				following requirements shall be met:
1) Food
				services shall comply with the Food Code and any applicable local
				requirements.
2) Meals shall be
				nutritionally balanced. The birth center shall work with clients to accommodate
				clients' preferences.
3) Menus
				shall be planned and made available in advance of being served.
4) A sufficient number of personnel shall be
				on duty to meet the dietary needs of the clients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2450 - Quality Assurance and Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A birth center shall implement a
				quality improvement program consistent with the requirements of the accrediting
				body and is encouraged to participate in quality improvement projects
				implemented by the Department's Administrative Perinatal Centers and other
				Department-supported perinatal quality improvement projects.
(Section
				35 of the Act)
b) The birth center
				shall adopt, implement, and enforce a written quality assurance and improvement
				program that includes all health and safety aspects of client care for both
				pregnant or postpartum persons and infant.
c) The ongoing monitoring and evaluation of
				the quality and accessibility of care and services provided by the birth center
				or under contract shall include, but not be limited to:
1) Admission of clients appropriate to the
				capabilities of the birth center;
2) Client satisfaction, complaints, and
				grievances;
3) Review of the
				clinical records;
4) Incidences of
				morbidity and mortality of postpartum person and infant;
5) Postpartum infections;
6) All transfers to a referring hospital for
				delivery, care of infant, or postpartum care of birthing person;
7) Incidents, problems, and potential
				problems identified by staff of the birth center, including infection
				control;
8) Any issues of
				unprofessional conduct by any member of the birth center's staff (including
				contractual staff);
9) The
				integrity of surgical instruments, medical equipment, and client
				supplies;
10) Client referrals and
				consultations;
11) Appropriateness
				of medications prescribed, dispensed, or administered in the birth
				center;
12) Problems with
				compliance with any federal or State laws;
13) At least an annual review of protocols,
				policies and procedures relating to maternal and newborn care;
14) Appropriateness of the risk criteria for
				determining eligibility for admission to and continuation in the birth center
				program of care;
15)
				Appropriateness of diagnostic and screening procedures;
16) Quarterly meetings of clinical
				practitioners to review the management of care of individual clients and to
				make recommendations for improving the plan of care;
17) Regular review and evaluation of all
				problems or complications of pregnancy, labor and postpartum and the
				appropriateness of the clinical judgment of the clinical practitioner in
				obtaining consultation and attending to the problem; and
18) Evaluation of staff on ability to manage
				emergency situations by unannounced periodic drills for fire, maternal/newborn
				emergencies, power failure, etc.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart A - GENERAL REQUIREMENTS › Section 264.2500 - Reporting Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				birth center shall comply with the requirements of the Control of Communicable
				Diseases Code for reporting communicable diseases.
b) The birth center shall comply with the
				reporting requirements of the Early Hearing Detection and Intervention Act
				[410 ILCS
				213 ] for reporting of newborn hearing screening and
				follow-up.
c) The following
				incidents shall be reported to the Department in writing, by fax or email
				within 24 hours after the occurrence, to the Division of Health Care Facilities
				and Programs via fax to 217-782-0382, or email to:
				DPH.BirthingCenter@illinois.gov.
1) A death
				of a postpartum person, infant, or fetus during labor occurring in the birth
				center; and
2) A death of a
				pregnant or postpartum person or infant within 24 hours after discharge from
				the birth center or transfer to a referral hospital.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2550 - Applicability of This Subpart

Current through Register Vol. 48, No. 28, July 12, 2024
This Subpart shall apply to all birth centers and major
				  alterations and additions to birth centers. (Major alterations are those that
				  are not defined as minor alterations in Section
				  264.2600(b).)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2600 - Submission of Plans for New Construction, Alterations or Additions to Birth Centers

Current through Register Vol. 48, No. 28, July 12, 2024
a) New
				Construction, Addition, or Major Alteration to Existing Construction
1) Design Drawing
When construction is contemplated, design development
				  drawings and outline specifications shall be submitted to the Department for
				  review. Approval of design development drawings and specifications shall be
				  obtained from the Department prior to starting final working drawings and
				  specifications. The Department will provide comments or approval within 30 days
				  after receipt.
2) Final
				Drawings
A) The final working drawings and
				specifications shall be submitted to the Department for review and approval
				prior to the beginning of construction. Alternative methods of design
				development and construction may be acceptable, subject to the approval of the
				Department. Department approval is null and void if construction contracts are
				not executed and construction is not started within one year after the plan
				approval date. The Department will provide approval or comments within 60 days
				after the day on which the submission is deemed complete.
B) The Department shall be notified, in
				writing, of the award of construction contracts.
3) Any contract modifications that affect or
				change the function, design, fire/life safety, or purpose of a birth center
				shall be submitted to the Department for approval prior to authorizing the
				modifications. The Department will provide comments or approval within 30 days
				after receipt.
4) The Department
				shall be notified when construction has been completed and before any area is
				occupied.
5) The birth center shall
				maintain as-built drawings on site.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2650 - Preparation of Drawings and Specifications - Submission Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Drawings and
				specifications shall be executed by or be under the immediate supervision of an
				architect licensed in the State of Illinois.
1) Structural drawings and specifications for
				these systems may be executed by or be under the immediate supervision of a
				Structural Engineer licensed in the State of Illinois.
2) Mechanical and electrical drawings and
				specifications for these systems may be executed by or be under the immediate
				supervision of a Professional Engineer licensed in the State of
				Illinois.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2700 - General Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Program
				Narrative
The program narrative shall include the number of beds,
				  medical needs of proposed clients, proposed food service and laundry
				  operations, the interrelation of the functions of the birth center, and the
				  following:
1) Size and Layout
A) Birth center departments' sizes and clear
				floor areas depend on program requirements and organization of services within
				the birth center.
B) As required by
				community needs, combination or sharing of some functions shall be permitted,
				provided the layout does not compromise safety standards and medical or nursing
				practices and receives approval from the Department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2750 - Birth Unit Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Size
A minimum of one centrally-located nurses' station shall be
				  provided for the birth unit. The number of birth rooms shall be provided as
				  determined by the program narrative but shall not exceed 10
				  beds.
b) Client Rooms
1) Birth rooms. Delivery procedures shall be
				performed in the birth rooms. The maximum number of beds per room is one,
				exclusive of bassinet. This room may also serve as a prenatal/antepartum
				testing room. Rooming-in care of newborn infants is permissible under this
				Part.
A) Location
The birth rooms shall be clustered in groups, shall be
				  located out of the path of unrelated traffic, and shall be under direct
				  supervision of the clinical staff. The birth room will serve as labor, delivery
				  and recovery room. The birth rooms should also be located in an area adjacent
				  to the respite nursery (if provided).
B) Space Requirements
Birth rooms shall be adequate and appropriate to provide for
				  equipment, staff, supplies, and emergency procedures required for the physical
				  and emotional care of a maternal client, their support person and the newborn
				  during labor, birth, and the recovery period.
C) Windows
Birth rooms shall have an outside window. The window is not
				  required to be operable.
D)
				Hand-washing Sinks
Each birth room shall be equipped with a hand-washing sink
				  with hands-free operation acceptable for scrubbing. Hand-washing sinks should
				  include accessibility standards (See Section
				  264.2600(c)(5))
				  for knee clearance and countertop height. Hand-washing sinks shall be large and
				  deep enough for infant bathing when not in use for hand
				  washing.
E) Bathrooms
i) Each birth room shall have direct access
				or be adjacent to a toilet room containing a toilet and lavatory. These
				bathrooms shall meet the accessibility codes per Section
				264.2600(c)(5).
ii) A bathtub or shower shall be available
				for client use and may include a large tub used for hydrotherapy for
				labor.
F) Floor, Wall,
				and Ceiling Finishes
All finishes shall be kept clean and shall be of the type
				  that is appropriate for the cleaning methods and solutions required to maintain
				  a clean and safe environment.
G) Lighting
Lighting shall be provided to accommodate the needs of the
				  client and delivery team during labor, delivery, and postpartum, and to permit
				  the examination and treatment of the infant in the infant resuscitation
				  area.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2850 - Heating, Ventilating and Air-Conditioning Systems (HVAC)

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
1) Mechanical System Design
A) Efficiency. The mechanical system shall be
				designed for overall efficiency and appropriate life-cycle cost.
i) Recognized engineering procedures shall be
				followed for the most economical and effective results.
ii) Client care or safety shall not be
				sacrificed for conservation.
iii)
				If possible, the birth center shall include provisions for recovery of waste
				cooling and heating energy (e.g., ventilation, exhaust, water and steam
				discharge, cooling towers, incinerators, etc.).
iv) Use of recognized energy-saving
				mechanisms such as variable-air-volume (VAV) systems, and use of natural
				ventilation shall be considered, site and climatic conditions
				permitting.
v) Birth center design
				considerations shall include site, building mass, orientation, configuration,
				fenestration, and other features relative to passive and active energy
				systems.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2900 - Electrical Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
1) Applicable Standards
A) All electrical material and equipment,
				including conductors, controls, and signaling devices, shall be installed in
				compliance with applicable sections of NFPA 70 and NFPA 99.
B) All electrical material and equipment
				shall be listed as complying with available standards of listing agencies or
				other similar established standards when such standards are required.
C) Field labeling of equipment and materials
				shall be permitted only when provided by a nationally recognized testing
				laboratory that has been certified by the Occupational Safety and Health
				Administration (OSHA) for that referenced standard.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.2950 - Emergency Electric Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
				emergency source of electricity shall be provided.
b) Birth centers shall be permitted to use a
				battery system for emergency power. The following is required:
1) Illumination of means of egress as
				required in the Life Safety Code (NFPA 101);
2) Illumination of birth and recovery
				rooms;
3) Illumination of exit and
				exit directional signs;
4) Fire
				alarm and alarms required for nonflammable medical gas systems, if nonflammable
				medical gas systems are installed; and
5) Type 3 emergency electrical service that
				meets all NFPA 99 requirements of this type of system.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 264 - BIRTH CENTER LICENSING CODE › Subpart B - CONSTRUCTION STANDARDS › Section 264.3000 - Security Systems

Current through Register Vol. 48, No. 28, July 12, 2024
Birth centers shall be designed for active and passive
				  security systems at entry and exit points throughout the birth center, which
				  shall be placed carefully and shall not interfere with the life and safety
				  features necessary to operate and maintain a healthy and functional
				  environment. The birth center shall perform emergency drills for fire
				  evacuation and security infant abduction twice annually.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1000 - Scope and Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				purpose of this Part is to implement the Birth Center Demonstration Program
				under the Alternative Health Care Delivery Act, which allows up to 10 birth
				centers to be licensed by the Illinois Department of Public Health as birth
				center alternative health care delivery models.
b) This Part establishes general provisions,
				licensing procedures, building requirements, enforcement provisions, and
				operational and clinical standards for the provision and coordination of
				treatment and services in birth centers.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 265 - BIRTH CENTER DEMONSTRATION PROGRAM CODE › Subpart A - GENERAL REQUIREMENTS › Section 265.1100 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following private and professional
				association standards are incorporated in this Part:
1) FGI Guidelines (2010 edition), Guidelines
				for Design and Construction of Health Care Facilities, which may be obtained
				from the American Institute of Architects (AIA) Academy of Architecture for
				Health, Facilities Guidelines Institute, 1919 McKinney Ave., Dallas, Texas
				75201.
2) The standards of the
				American Society of Heating, Refrigerating, and Air Conditioning Engineers
				(ASHRAE), Handbook of Fundamentals (2009), which may be obtained from the
				American Society of Heating, Refrigerating, and Air-Conditioning Engineers,
				Inc., 1791 Tullie Circle, N.E., Atlanta, Georgia 30329.
3) The following standards of the National
				Fire Protection Association (NFPA), which may be obtained from the National
				Fire Protection Association, 1 Batterymarch Park, Quincy, Massachusetts 02269:
A) NFPA 101 (2012): Life Safety Code and all
				appropriate references under Chapter 2, Referenced Publications
B) NFPA 101A (2013): Guide on Alternative
				Approaches to Life Safety
4) International Building Code (2012), which
				may be obtained from the International Code Council, 4051 Flossmoor Road,
				Country Club Hills, Illinois 60477-5795.
5) The American Academy of Pediatrics and the
				American College of Obstetricians and Gynecologists, Guidelines for Perinatal
				Care, seventh edition (2012), which may be obtained from the American Academy
				of Pediatrics, 141 Northwest Point Boulevard, P.O. Box 927, Elk Grove Village,
				Illinois 60009-0927.
6) The
				American Association of Birth Centers, Standards for Birth Centers (2016),
				which may be obtained from the American Association of Birth Centers, 3123
				Gottschall Road, Perkiomenville, Pennsylvania 18074