reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5083 - Acute Stroke-Ready Hospital Designation with National Certification

Current through Register Vol. 48, No. 28, July 12, 2024
a) Subject to
				Section 515.5087,
Acute Stroke-Ready Hospital designation shall remain
				valid at all times while the hospital maintains its certification as an ASRH,
				in good standing, with the certifying body.
(Section 3.117(b)(2.5)(A)
				of the Act)
b)
The duration
				of an ASRH designation shall coincide with the duration of its ASRH
				certification.
(Section 3.117(b)(2.5)(B) of the Act)
c)
Each designated ASRH shall have
				its designation automatically renewed upon the Department's receipt of a copy
				of the certifying body's certification renewal and
an application
				available through the Department
.
(Section 3.117(b)(2.5)(C) of
				the Act)
d)
The Department
				shall consult with the State Stroke Advisory Subcommittee
in
developing designation, re-designation and de-designation processes for
				ASRHs.
(Section 3.117(c) of the Act)
e)
A hospital must submit a copy of
				its certification renewal from the certifying body as soon as practical, but no
				later than 30 business days after that certification is received by the
				hospital. Upon the Department's receipt of the renewal certification, the
				Department shall renew the hospital's ASRH designation.
(Section
				3.117(b)(2.5)(D) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5085 - Request for Acute Stroke-Ready Hospital Designation with National Certification

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The Department shall require a hospital that is already certified as an
				Acute Stroke-Ready Hospital,
through a Department-approved certifying
				body,
to send a copy of the certificate to the Department.
(Section 3.117(b)(4)(A-5) of the Act)
b)
Within 30 business days
after
the Department's receipt of a hospital's ASRH certificate
				and
an application available through the Department
that
				indicates the hospital is a certified ASRH, in good standing, the hospital
				shall be deemed a State-designated ASRH.
(Section 3.117(b)(4)(A-5) of
				the Act)
c)
The Department
				shall add the names of designated ASRHs to
the
website listing
				immediately upon designation
(Section 3.118(c) of the Act) and
shall immediately remove the name of a hospital from the website
				listing when a hospital loses its designation after notice and, if requested by
				the hospital, a hearing.
(Section 3.117(b)(4)(A-5) of the
				Act)
d) The application shall
				include a statement that the hospital meets the requirements for ASRH
				designation in Section 3.117 of the Act. The applicant hospital shall provide
				the following:
1) Hospital name and
				address;
2) Hospital chief
				executive officer/administrator typed name and signature;
3) Hospital stroke medical director typed
				name and signature; and
4) Contact
				person typed name, e-mail address and phone number.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5087 - Suspension and Revocation of Acute Stroke-Ready Hospital Designation with National Certification

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The Department shall immediately remove the name of a hospital from the
				website listing when a hospital loses its designation after notice and, if
				requested by the hospital, a hearing.
(Section 3.117(b)(4)(A-5) of the
				Act)
b) The Department will
issue an emergency suspension of ASRH designation when the Director has
				determined that the hospital no longer meets the ASRH criteria and an immediate
				and serious danger to the public health, safety and welfare exists.
(Section 3.117(b)(4)(D) of the Act)
c)
If the ASRH fails to eliminate the
				violation immediately or within a fixed period of time, not exceeding 10 days,
				as determined by the Director, the Director may immediately revoke the ASRH
				designation.
(Section 3.117(b)(4)(D) of the Act)
d)
The ASRH may appeal the
				revocation, within 15 business days after receiving the Director's revocation
				order, by requesting an administrative hearing.
(Section
				3.117(b)(4)(D) of the Act)
e)
After notice and an opportunity for an administrative hearing,
the Department will
suspend, revoke or refuse to renew an ASRH
				designation when the Department finds that the hospital is not in substantial
				compliance with current ASRH
criteria.
(Section
				3.117(b)(4)(E) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5090 - Data Collection and Submission

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The Department may administer a
				data collection system to collect data that is already reported by designated
				Comprehensive Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
				Hospitals to their certifying body, to fulfill certification requirements.
				CSCs, PSCs and ASRHs may provide data used in submission to their certifying
				body, to satisfy any Department reporting requirements. The Department may
				require submission of data elements in a format that is used
				statewide.
If
the Department establishes reporting
				requirements for designated CSCs, PSCs and ASRHs
,
the
				Department shall permit each designated CSC, PSC and ASRH to capture
				information using existing electronic reporting tools used for certification
				purposes. Nothing in this Section shall be construed to empower the Department
				to specify the form of internal recordkeeping.
(Section 3.118(e) of
				the Act
b)
Stroke data
				collection systems and all stroke-related data collected from hospitals shall
				comply with the following requirements:
1)
The confidentiality of patient
				records shall be maintained in accordance with State and federal
				laws.
2)
Hospital
				proprietary information and the names of any hospital administrator, health
				care professional, or employee shall not be subject to
				disclosure
.
3)
Information submitted to the Department shall be privileged and
				strictly confidential and shall be used only for the evaluation and improvement
				of hospital stroke care. Stroke data collected by the Department shall not be
				directly available to the public and shall not be subject to civil subpoena,
				nor discoverable or admissible in any civil, criminal, or administrative
				proceeding against a health care facility or health care professional.
(Section 3.118(d) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Section 515.5100 - Statewide Stroke Assessment Tool

Current through Register Vol. 48, No. 28, July 12, 2024
a) The State Stroke Advisory Subcommittee
				shall select or develop and submit an evidence-based statewide stroke
				assessment tool to clinically evaluate potential stroke patients to the
				Department for approval. (Section 3.118.5(d) of the Act) The Subcommittee shall
				select or develop, jointly with the State EMS Advisory Council, the educational
				curriculum for instructing EMS System personnel on the use of the
				tool.
b) Upon approval of the
				stroke assessment tool, the Department shall disseminate the tool to all EMS
				Systems for adoption. The Director shall post the Department-approved stroke
				assessment tool on the Department's website. (Section 3.118.5(d) of the
				Act)
c) The State Stroke Advisory
				Subcommittee shall review the Department-approved stroke assessment tool at
				least annually to ensure its clinical relevancy and to make changes when
				clinically warranted. (Section 3.118.5(d) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix B - A Request for Renewal of Trauma Center Designation

Current through Register Vol. 48, No. 28, July 12, 2024
a) Name and address of hospital
_______________________________________
_______________________________________
_______________________________________
_______________________________________
b) Designation renewal level for which your hospital is
				  applying:
1) Level I
2) Level II
Any change in designation level requires that the
				  appropriate Request for Designation (RFD) Trauma Center be completed.
c) The above named facility certifies that each requirement
				  listed in this Request for Renewal of Trauma Center Designation is met.
_______________________________________
Signature
				  CEO/AdministratorDate
_______________________________________
Signature Trauma
				  DirectorDate
_______________________________________
Contact person and phone number
d) Provide updated copies of all documents submitted for the
				  most recent designation application or renewal request as outlined in Section
				  515.Appendix A for Level I or for Level II, items 1-11. This will constitute an
				  updated Trauma Plan. The plan must be submitted in the order listed. Each item
				  in the Trauma Plan must reference the applicable portion of this Part by
				  subsection number.
e) Provide copies of minutes, on site or upon request, from
				  any committees that are involved in focused outcome analysis for the most
				  recently completed three months.
All information contained in or
				  relating to any medical audit performed of a Trauma Center's trauma
				  services...shall be afforded the same status as is provided information
				  concerning medical studies in Article VIII, Part 21, of the Code of Civil
				  Procedure.
(Section 3.110 of the Act)
f) Medical records may be requested to complete the renewal
				  request.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix C - Minimum Trauma Field Triage Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
Click here to view
				  image
(1) > 25 minutes from Trauma Center, transport to nearest
				  participating trauma hospital.
> 30 minutes from Trauma Center or
				  participating trauma hospital, transport to nearest hospital.
> 45 minutes from Trauma Center or
				  participating trauma hospital in a rural area where there is no comprehensive
				  emergency department available, transport to the nearest hospital.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix E - Minimum Prescribed Data Elements

Current through Register Vol. 48, No. 28, July 12, 2024
Submit all data elements as listed in the Illinois Department
				  of Public Health, Division of EMS and Highway Safety, National Emergency
				  Medical Services Information System (NEMSIS) Prehospital
				  Dataset.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix G - Credentials of General/Trauma Surgeons Level I and Level II

Current through Register Vol. 48, No. 28, July 12, 2024
List each surgeon by name
Check appropriate categories regarding trauma care experience
				  and operating room privileges
Signed by CEO/Hospital Administrator
Surgeon Name
T= Trauma Surgeon
G= General Surgeon
Two years post-residency trauma care
							 experience
Independent OR privileges
20 hrs. for every two years trauma-related CME
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Signature
Hospital CEO/Administrator
__________________________________________________
Typed
				  NameDate
Hospital
				  CEO/Administrator
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix H - Credentials of Emergency Department Physicians Level I and Level II

Current through Register Vol. 48, No. 28, July 12, 2024
List each physician by name
Indicate full time or part time
Check all credentials that qualify physician for Illinois
				  Trauma Center Emergency Departments
Physician Name
F= Full Time
P= Part Time
ABEM/AOBEM AOA Certified or Eligible
Trauma Center approved prior to 1/1/2000
10 hrs. per year approved CME
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Signature
Hospital CEO/Administrator
__________________________________________________
Typed
				  NameDate
Hospital
				  CEO/Administrator
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix I - Credentials of General/Trauma Surgeons Level I and Level II Pediatric Trauma Centers

Current through Register Vol. 48, No. 28, July 12, 2024
List each surgeon by name
Check appropriate requirements met
Signed by CEO/Hospital Administrator
Surgeon Name
Meets requirements of Section 515.2035(b) or
							 515.2045(b)
Meets requirements of Section 515.2035(c) or
							 515.2045(c)
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Signature
Hospital CEO/Administrator
__________________________________________________
Typed
				  NameDate
Hospital
				  CEO/Administrator
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix J - Credentials of Emergency Department Physicians Level I and Level II Pediatric Trauma Centers

Current through Register Vol. 48, No. 28, July 12, 2024
List each physician by name
Indicate full or part-time
Check all credentials that qualify physician for Illinois
				  Trauma Center Emergency Departments
Physician Name
F= Full Time
P= Part Time
ABEM/AOBEM AOA Certified or Prepared (ED Director
							 must be certified)
10 hrs. per year approved CME & daily involvement
							 in pediatric trauma care
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Signature
Hospital CEO/Administrator
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Typed
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Hospital
				  CEO/Administrator
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1050 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following regulations, standards and
			 guidelines are incorporated in this Part:
1)
			 Private and professional association standards:
A) ASHRAE Handbook - Fundamentals (2009),
			 which may be obtained from the National Association of American Society of
			 Heating, Refrigerating, and Air Conditioning Engineers, Inc., 180 Technology
			 Parkway NW, Peachtree Corners, GA 30092.
B) The following NFPA standards, which may be
			 obtained from the National Fire Protection Association, 1 Batterymarch Park,
			 Quincy, MA 02169:
i) NFPA 101 (2012): Life
			 Safety Code and all applicable references under Chapter 2, Referenced
			 Publications.
ii) NFPA 101A (2013):
			 Guide on Alternative Approaches to Life Safety
C) National Council on Radiation Protection
			 and Measurements (NCRP), Report No. 49: Structural Shielding Design and
			 Evaluation for Medical Use of X-rays and Gamma Rays of Energies up to 10 MeV
			 (1976) and NCRP Report No. 102: Medical X-Ray, Electron Beam and Gamma-Ray
			 Protection for Energies Up to 50 MeV (Equipment Design, Performance and Use)
			 (1989), which may be obtained from the National Council on Radiation Protection
			 and Measurements (NCRP), 7910 Woodmont Ave., Suite 905, Bethesda, MD
			 20814-3046.
D) The International
			 Code Council, International Building Code (2012) which may be obtained from the
			 International Code Council, 4051 Flossmoor Road, Country Club Hills, IL 60478.
			 (See Section 250.2420.)
E) American National Standards Institute
			 (ANSI) Standard No. A17.1 -2007, Safety Code for
			 Elevators and Escalators, which may be obtained from the American Society of
			 Mechanical Engineers, Two Park Avenue, New York, NY, 10016-5990.
F) Facilities Guidelines Institute Guidelines
			 (2010 edition), Guidelines for Design and Construction of Health Care
			 Facilities, which may be obtained from
www.fgiguidelines.org
.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1150 - Initial Licensure Application

Current through Register Vol. 48, No. 28, July 12, 2024
a) Any person acting individually, or jointly
			 with other persons, who proposes to build, own, establish or operate a
			 freestanding emergency center shall submit application information in writing
			 on forms provided by the Department.
b) An application for a new facility shall be
			 accompanied by a permit as required by the Illinois Health Facilities Planning
			 Act.
c) Each application shall be
			 accompanied by a non-refundable license application fee of $2000.
d) The application shall contain the
			 following information:
1) The name, address
			 and telephone number of the applicant if the applicant is an individual; if the
			 applicant is a firm, partnership or association, the name, address and
			 telephone number of every member of the firm, partnership or association; if
			 the applicant is a unit of local government, the name, address and telephone
			 number of its chief executive officer.
2) If the applicant is a corporation, it
			 shall submit:
A) A list of the title, name
			 and address of each of its corporation officers; and
B) A list of the name and address of each of
			 its shareholders holding more than 7.5 % of the shares.
3) The name of the person or persons under
			 whose management or supervision the facility will be conducted.
4) The location of the facility, including
			 the facility name, telephone number, exact address, and proof that the
			 freestanding emergency center is not a part of a Resource or Associate
			 Hospital's physical plant.
5)
			 Information regarding any conviction of the applicant, or, if the applicant is
			 a firm, partnership or association, of any if its members, or, if the applicant
			 is a corporation, of any of its officers or directors, or of the person
			 designated to manage or supervise the facility, of a felony or of two or more
			 misdemeanors involving moral turpitude in the last five years.
6) Proof of ownership or control by an
			 Associate or Resource Hospital.
7)
			 The number of procedure rooms and observation/treatment rooms.
8) A statement assuring compliance with all
			 State and federal patient rights provisions, including, but not limited to, the
			 Emergency Medical Treatment Actand the federal Emergency Medical Treatment and
			 Active Labor Act (Section 32.5(a)(8) of the Act).
9) The name, address, telephone number,
			 education, experience, credentials and any professional licensure or
			 certification of the following persons:
A)
			 Administrator;
B) Medical Director;
			 and
C) Nurse Manager.
10) A list of the medical staff,
			 including name and license number.
11) A list of all staff personnel, including
			 name, position and any professional licensure or certification.
12) A detailed description of the services to
			 be provided by the facility.
13)
			 Schematic architectural plans.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1155 - Application for Annual License Renewal

Current through Register Vol. 48, No. 28, July 12, 2024
a) Application for annual license renewal
			 shall be submitted at least 90 days prior to licensure expiration on forms
			 prescribed by the Department. The application shall include, at a minimum, the
			 following information:
1) The names,
			 addresses and telephone numbers of all persons who own the facility, any name
			 under which any of these persons does business, and the type of ownership of
			 the facility (for example, individual, partnership, corporation, or
			 association). In addition, a corporation shall submit:
A) A list of the title, name and address of
			 each of its corporation officers; and
B) A list of the name and address of each of
			 its shareholders holding more than 7.5 % of the shares;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1160 - Surveys

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department
			 will conduct a survey of an FEC at any time to determine compliance with the
			 Act and this Part or with a plan of correction submitted as a result of
			 deficiencies cited by the Department.
b) Surveys (except for initial licenses) will
			 be unannounced.
c) Upon completion
			 of each survey, the Department will submit a copy of the report to the licensee
			 within 15 working days after exit. The report will identify deficiencies in
			 compliance with the requirements of the Act or this Part. The report will
			 include any recommendation for action by the Department under the Act and of
			 correction from the facility. The licensee may provide related comments or
			 documentation to refute findings in the report, explain extenuating
			 circumstances that the facility could not reasonably have prevented, or
			 indicate methods and timetables for correction of deficiencies described in the
			 report. A licensee has 15 days after receipt of the survey report to submit a
			 plan of correction.
d) The
			 Department will determine whether a facility is in violation of this Section no
			 later than 90 days after completion of each survey.
e) The Department will maintain all survey
			 reports for at least seven years in a manner accessible to the
			 public.
f) Any licensee, applicant
			 for a license, or person operating an FEC shall be deemed to have given consent
			 to any authorized officer, employee or agent of the Department to enter and
			 inspect the FEC, conduct interviews and photocopy materials as necessary to
			 determine compliance in the facility in accordance with the Act and this Part.
			 Refusal to permit such entry or survey shall constitute grounds for denial,
			 nonrenewal or revocation of a license.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1165 - Complaints

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department
			 shall investigate an applicant or licensee whenever the Department receives a
			 complaint alleging a violation of the Act or this Part that, if valid, would
			 constitute violations or other sanctions under Section
			 518.1200
			 or
			 518.1250
			 of this Part.
b) A person who
			 believes that the Act or this Part has been violated may submit a complaint in
			 writing, by mail, by telephone, by fax or in person to the
			 Department.
c) The complaint shall
			 include the following:
1) Complainant's name,
			 address and telephone number (unless the complainant requests
			 anonymity);
2) Facility's name and
			 address; and
3) A detailed
			 description of the problem, including the date and the patient's
			 name.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1200 - Emergency Suspension Orders

Current through Register Vol. 48, No. 28, July 12, 2024
The Department shall issue an emergency suspension order, in
				accordance with Section
				3.40
				of the Act and Section
				515.160
				of the Emergency Medical Services and Trauma Center Code (77 Ill. Adm. Code
				515), for any freestanding emergency center when the Director or his or her
				designee has determined that the continued operation of the freestanding
				emergency center poses an immediate and serious danger to the public health,
				safety and welfare. An opportunity for a hearing shall be promptly initiated
				after an emergency suspension order has been issued. (Section 32.5(b)(3) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1250 - Violations and Hearings

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 Department shall suspend, revoke, refuse to issue, or refuse to renew the
			 license of any FEC, after notice and an opportunity for a hearing, when the
			 Department finds that the FEC has failed to comply with the standards and
			 requirements of the Act or this Part. (Section 32.5(b)(2) of the Act)
b) Administrative hearings shall be conducted
			 by the Director or his/her designee. On the basis of any such hearing, or upon
			 default of the respondent, the Director shall issue a final order specifying
			 his findings, conclusions and decision. A copy of the final order shall be sent
			 to the respondent by certified mail or served personally upon the respondent.
			 (Section 3.135 of the Act)
c) The
			 procedure governing hearings authorized by the Act shall be in accordance with
			 the Department's rules governing administrative hearings (77 Ill. Adm. Code
			 100). (Section 3.135 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1300 - Governing Board

Current through Register Vol. 48, No. 28, July 12, 2024
a) A governing
			 authority or Governing Board, hereinafter called the Board, shall be
			 responsible for the organization, management, control and operation of the FEC,
			 including appointment of the medical staff.
b) The organization, duties,
			 responsibilities, and relationships of the Board shall be established by the
			 owning or controlling hospital. Copies shall be maintained by the facility for
			 inspection and/or copying by the Department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1350 - Provision of Emergency Services

Current through Register Vol. 48, No. 28, July 12, 2024
The freestanding emergency center shall provide the following
				services:
a) Comprehensive emergency
			 treatment services (see Section
			 518.2020
			 of this Part) 24 hours a day, on an outpatient basis (Section 32.5(a)(5) of the
			 Act);
b) An ambulance and
			 maintenance of on site ambulance services staffed with paramedics or one EMT-P
			 and one other EMT or Field RN 24 hours per day (Section 32.5(a)(6) of the
			 Act);
c) A communications system
			 that is fully integrated with its Resource Hospital within the FEC's designated
			 EMS system (Section 32.5(a)(9) of the Act);
d) Helicopter landing capabilities approved
			 by appropriate State and federal authorities. (Section 32.5(a)(7) of the Act)
			 The helicopter landing capabilities shall:
1)
			 Comply with the rules of the Illinois Department of Transportation entitled
			 "Aviation Safety" (92 Ill. Adm. Code 14.790, 14.792, 14.795 );
2) Be covered by a favorable airspace
			 determination letter issued by the Federal Aeronautics Administration pursuant
			 to Sections 307 and 309 of the Federal Aviation Act of 1958, and 14 CFR 157 and
			 14 CFR 77, Subpart D; and
3) Be
			 provided on the campus of the freestanding emergency center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1400 - EMS System Participation

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 freestanding emergency center shall limit its participation in the EMS System
			 strictly to receiving a limited number of BLS runs by emergency medical
			 vehicles according to protocols developed by the Resource Hospital within the
			 FEC's designated EMS System and approved by the EMS Medical Director and the
			 Department. (Section 32.5(a)(4) of the Act)
b) These protocols shall include but not be
			 limited to:
1) Patient status or freestanding
			 emergency center resource limitations that would result in diversion of a
			 patient to another facility.
2) A
			 commitment by the freestanding emergency center to comply with applicable
			 standardized procedures that apply to hospital emergency departments in the EMS
			 System.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1450 - Patients' Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 freestanding emergency center shall adopt a written policy on patients' rights.
			 This policy shall be available to all patients and personnel.
b) The FEC shall comply with all State and
			 federal patient rights provisions, including, but not limited to, the Emergency
			 Medical Treatment Act and the federal Emergency Medical Treatment and Active
			 Labor Act. (Section 32.5(a)(8) of the Act)
c) The FEC shall have a written plan for
			 providing social services to those patients with social problems. This service
			 may be provided through:
1) An organized
			 social service within the FEC, or
2) A social worker employed on a part-time
			 basis, or
3) Social work consultant
			 services from a community agency or the Resource Hospital, or
4) Social Services provided by the owning or
			 controlling hospital's social services department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1500 - Language Assistance Services

Current through Register Vol. 48, No. 28, July 12, 2024
The freestanding emergency center may provide language
				assistance services in accordance with the Language Assistance Services Act and
				the Language Assistance Services Code (77 Ill. Adm. Code
				940).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1600 - Personnel Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) At
			 least one board certified emergency physician shall be present at the
			 freestanding emergency center 24 hours per day. (Section 32.5(a)(3)(C) of the
			 Act)
b) Additional physicians shall
			 be present at the freestanding emergency center or available within 30 minutes
			 to meet the needs of patients brought to the freestanding emergency
			 center.
c) Nursing Staff
1) At least two registered nurses shall be
			 available at the freestanding emergency center from 7:00 a.m. to 11:00
			 p.m.
2) At least one registered
			 nurse and one other health care provider (e.g., licensed practical nurse or
			 physician assistant) shall be available at the freestanding emergency center
			 from 11:00 p.m. to 7:00 a.m., with additional registered nurses on call to
			 arrive at the freestanding emergency center within 15 minutes after
			 notification that their services are needed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1650 - Medical Staff Organization

Current through Register Vol. 48, No. 28, July 12, 2024
The medical staff shall be organized in accordance with written
				bylaws, rules and regulations of, or developed in cooperation with, the owning
				or controlling hospital and approved by the Governing Board.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1700 - Nursing Services

Current through Register Vol. 48, No. 28, July 12, 2024
The FEC shall provide an organized nursing service and shall
				maintain a staff of nursing personnel organized to provide the nursing care for
				its patients commensurate with size, scope and nature of services.
a) Director of Nursing Administration or
			 Nursing Service Manager
1) The nursing
			 service shall be under the direction of a registered professional nurse who has
			 qualifications in nursing administration and/or nursing management and who has
			 the ability to organize, coordinate, and evaluate the service.
2) The nursing administrator (director of
			 nursing) shall hold a degree in nursing or have documented experience and
			 relevant continuing education. He/she shall be employed full-time within the
			 FEC as director of the nursing administration or nursing service
			 manager.
3) The nursing
			 administrator shall be accountable to the chief executive officer or designee
			 for developing and implementing policies and procedures of the service and for
			 the nursing practice.
4) The
			 nursing administrator shall have authority over the selection, promotion and
			 retention of nursing personnel based on established job descriptions.
5) A qualified registered nurse shall be
			 designated and authorized to act in the absence of the nursing administrator on
			 a 24-hour basis.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1750 - Accounting

Current through Register Vol. 48, No. 28, July 12, 2024
Accounting procedures shall be carried out in accordance with a
				recognized system of health care accounting, shall be adequate to permit
				satisfactory auditing, and shall allow separation of expenses and income from
				the hospital that owns or controls the FEC. An audit shall be performed at
				least annually by a qualified auditor independent of the freestanding emergency
				center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1800 - Quality Assurance and Reporting

Current through Register Vol. 48, No. 28, July 12, 2024
a) The freestanding emergency center shall
			 develop and implement a quality assessment and improvement program designed to
			 meet at least the following:
1) Ongoing
			 monitoring and evaluation of the quality and accessibility of care and services
			 provided, including, but not limited to:
A)
			 Infection control,
B) Patient
			 satisfaction,
C) Compliance with
			 EMS System protocols, and
D) Timely
			 patient transfers to hospitals;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1850 - Orders for Medications and Treatments

Current through Register Vol. 48, No. 28, July 12, 2024
a) No medication or treatment or diagnostic
			 test shall be administered to a patient except on the written order of a member
			 of the medical staff or a house staff member under the supervision of a member
			 of the medical staff. Verbal orders shall be signed before the member of the
			 medical staff or the house staff member leaves the area. Telephone orders shall
			 be used sparingly and countersigned within 24 hours.
b) Members of the medical staff and house
			 staff members shall give orders for medication and treatment only to the
			 licensed, registered or certified professional persons who are authorized by
			 law to administer or dispense the medication or treatment in the course of
			 practicing their identified specific discipline.
c) The medical directors of the laboratory,
			 radiology or other diagnostic services may respectively authorize the
			 performance of diagnostic tests and procedures at the request of other than
			 members of the medical staff in accordance with policies approved by the
			 medical staff and Board.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1900 - Infection Control

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 freestanding emergency center shall develop policies and procedures for the
			 prevention and control of infections within the facility, which shall be
			 approved by the owning or controlling hospital. The person responsible for
			 infection control in the FEC shall be a part of the hospital's Infection
			 Control Committee.
b) Policies and
			 procedures for the reporting and care of individuals with communicable diseases
			 shall be in accordance with the Control of Communicable Diseases
			 Code.
c) When patients are
			 diagnosed with or present signs and symptoms of a communicable disease,
			 precautionary measures shall be taken to avoid cross-infection to personnel,
			 other patients or the public, in accordance with the Control of Communicable
			 Diseases Code.
d) Policies and
			 procedures for the care of persons diagnosed with an infectious disease shall
			 include orders to the medical, nursing and non-professional staffs providing
			 for isolation technique in accordance with the Control of Communicable Diseases
			 Code.
e) All persons who care for
			 patients with or suspected of having a communicable disease or whose work
			 brings them in contact with materials that are potential conveyors of
			 communicable disease shall take appropriate safeguards to avoid transmission of
			 the disease agent pursuant to Centers for Disease Control and Prevention
			 Guideline for Hand Hygiene in Health-Care Settings and Guidelines for Infection
			 Control in Health Care Personnel.
f) Thorough hand scrubbing shall be required
			 after touching any contaminated or infected material.
g) Policies and procedures shall be
			 established related to subsections (a) through (f) and including, but not
			 limited to, the following items:
1) The
			 admission and isolation of patients with specific and/or suspected infectious
			 diseases, and protective isolation of appropriate patients.
2) In-service education programs on the
			 control of infectious diseases.
3)
			 Policies and procedures for isolation techniques appropriate to the working
			 diagnosis of the patient, and protective routines for personnel and
			 visitors.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1950 - Sterilization and Processing of Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
a) All sterilization and processing of all
			 sterile supplies and equipment shall be under competent, qualified supervision.
1) The director or person responsible for
			 sterile supplies and equipment shall be responsible to the chief executive
			 officer. This person shall be qualified for the position by education, training
			 and experience.
2) The number of
			 supervisory and support personnel shall be related to the scope of the services
			 provided. New employees shall receive initial orientation and on-the-job
			 training, and all employees shall participate in a continuing in-service
			 education program, which shall be documented.
3) Educational efforts, though directed
			 primarily at sterile-supply processing and handling techniques, shall also
			 include management concepts, safety, personal hygiene, health requirements and
			 hand-washing, and work attire.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2000 - Laboratory Services

Current through Register Vol. 48, No. 28, July 12, 2024
The freestanding emergency center shall have a clinical
				laboratory to perform services commensurate with the FEC's needs for its
				patients, which is certified under the Clinical Laboratory Improvement
				Amendments of 1988 (CLIA 88) and 42 CFR 493. Anatomical pathology services
				shall be available either in the FEC or by arrangement with other
				facilities.
a) Adequacy of Laboratory
			 Services. Clinical laboratory services adequate for the individual FEC shall be
			 maintained in the FEC, as determined by the following:
1) The extent and complexity of services are
			 commensurate with the size, scope and nature of the FEC and the demands of the
			 medical staff upon the laboratory.
2) Basic laboratory services, necessary for
			 routine examinations as defined in subsection (b) of this Section, are provided
			 in the FEC.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2020 - Comprehensive Emergency Treatment Services

Current through Register Vol. 48, No. 28, July 12, 2024
Each freestanding emergency center shall provide Comprehensive
				Emergency Treatment Services, as defined in this Section and in the Hospital
				Licensing Requirements, 24 hours per day, on an outpatient basis, as
				follows:
a) At least one board
			 certified emergency physician shall be present at the FEC 24 hours per day.
			 (Section 32.5(a)(2)(C) of the Act)
b) Physician specialists representing the
			 major specialties, and sub-specialties such as plastic surgery, dermatology,
			 ophthalmology, etc., shall be available immediately for consultation and
			 onsite, if necessary, within 30 minutes.
c) Ancillary services, including laboratory
			 and x-ray, shall be staffed at all times. Pharmacy shall be staffed or "on
			 call" at all times.
d) Each FEC
			 shall provide facilities for immediate life-saving measures.
e) Policies and procedures governing the
			 acceptance and care of emergency patients shall be established.
f) A record shall be maintained on each
			 patient who presents himself/herself for emergency services.
g) Supplies and equipment shall be available
			 and ready for use.
h) This Section
			 shall not be construed to affect facility-patient arrangements regarding
			 payment for care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2030 - Notification of Emergency Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) For purposes of this Section:
1) "Emergency Services Provider Agency" means
			 any entity that uses vehicles, personnel and equipment for the pre-hospital or
			 inter-hospital transportation and care of patients requiring emergency care or
			 life support services in accordance with the Act.
2) "Ambulance Personnel" means any person
			 employed by an emergency services provider agency who is or was involved in the
			 pre-hospital or inter-hospital transportation and care of a patient requiring
			 emergency care or life support services as an ambulance crew member, including
			 the vehicle driver.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2040 - Community or Areawide Planning

Current through Register Vol. 48, No. 28, July 12, 2024
Freestanding emergency centers may participate in a community
				or areawide plan that provides for emergency services, as described in Section
				250.730
				of the Hospital Licensing Requirements.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2050 - Disaster and Mass Casualty Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each freestanding emergency center shall
			 have and maintain a disaster and mass casualty program. Such program shall be
			 developed in cooperation with the hospitals of the area and with official and
			 nonofficial agencies concerned. This program shall include the possibility of
			 disaster involving loss of the FEC or serious impairment of its
			 facilities.
b) In instances where
			 FECs are participating in an areawide plan for emergency services, the plan
			 shall include responsibilities to be shared for a disaster and mass casualty
			 program.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2060 - Emergency Services for Sexual Assault Survivors

Current through Register Vol. 48, No. 28, July 12, 2024
a) All freestanding emergency centers are
			 required to render care to sexual assault survivors. Care shall be in
			 accordance with Section
			 545.60
			 of the Sexual Assault Survivors Emergency Treatment Code. The FEC shall submit
			 a sexual assault treatment plan in accordance with the Sexual Assault Survivors
			 Treatment Code even if the plan is to participate in the plan submitted by the
			 Associate or Resource Hospital.
b)
			 An FEC may fulfill its obligation to provide emergency service to sexual
			 assault survivors by participating in an areawide plan for emergency service in
			 accordance with 77 Ill. Adm. Code
			 545.50.