Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1220 - Physician Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall have a written program of medical services that reflects the
				philosophy of care provided, the policies relating to this, and the procedures
				for implementation of the services. The program shall include the health
				services provided by the facility and the arrangements to effect a transfer to
				other facilities as promptly as needed. The written program of medical services
				shall be followed in the operation of the facility.
b) The facility shall have a formal
				arrangement for qualified medical care, including care for medical emergencies
				on a 24 hour, seven days-a-week basis. An advisory physician shall provide
				advice on general health conditions and practices of the facility.
c) The services of a physician shall be
				available to every resident in the facility.
d) The resident or his guardian shall be
				permitted his choice of physicians.
e) All residents shall be seen by their
				physician as often as necessary to assure adequate health care.
f) Physicians shall participate in the
				continuing interdisciplinary evaluation of individual residents, for the
				purposes of initiation, monitoring, and follow-up of individualized
				habilitation programs for treatment.
g) The statement of treatment goals and
				management plans shall be reviewed and updated at least semiannually to insure
				that the goals are appropriate and that management methods are consistent with
				the goals; and to determine whether progress toward the goals is being achieved
				or the goals should be reevaluated.
h) The facility shall maintain effective
				arrangements through which medical and remedial services required by the
				resident but not regularly provided within the facility can be obtained
				promptly when needed.
i) Each
				resident admitted shall have a complete physical examination, within five days
				prior to admission, or within 72 hours after admission to the facility. This
				examination report shall include an evaluation of the resident's condition,
				including height and weight, diagnosis, plan of treatment and recommendations,
				treatment orders, personal care needs, and permission for participation in
				facility programs as determined appropriate by the attending physician. The
				report shall document the presence or absence of tuberculosis infection by
				tuberculin skin test in accordance with Section
				350.1225.
				The report shall also document the presence or absence of incipient or manifest
				decubitus ulcers (commonly known as bed sores) with grade, size and location
				specified, and orders for treatment if present. The report shall also include
				orders from the physician regarding weighing of the resident and the frequency
				of such weighing, if ordered.
j)
				The facility shall notify the resident's physician of any accident, injury, or
				change in a resident's condition that threatens the health, safety or welfare
				of a resident, including, but not limited to, the presence of incipient or
				manifest decubitus ulcers or a weight loss or gain of five percent or more
				within a period of 30 days.
k) At
				the time of an accident, immediate first aid treatment shall be provided by
				personnel trained in medically approved first aid procedures.
l) The admission information for a resident
				shall include diagnoses, summary of present medical findings, psychological
				findings, medical history, mental and physical functioning capacity, prognosis
				and an explicit recommendation by the physician with respect to admission to or
				continued care in the facility; it shall also include orders for medications,
				treatments, restorative services, diet, specific procedures recorded for the
				health and safety of the resident activities and plans for continuing care and
				discharge. If this information is not received with the resident at the time of
				admission, it must be received within 48 hours.
m) A resident who becomes unmanageable shall
				promptly be examined by a physician or a psychiatrist. A psychologist and
				members of other appropriate professional disciplines should be consulted, as
				necessary.
n) No resident shall be
				discharged without the concurrence of the attending physician. All involuntary
				discharges and transfers shall be in accordance with Sections 3-401 to 3-423 of
				the Act.