Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1100 - NARRATIVE AND PLANNING POLICIES › Subpart B - DEFINITIONS › Section 1100.220 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"Act" means the Illinois Health Facilities Planning Act [20
				  ILCS 3960].
"Acute Dialysis" means dialysis given on an intensive care,
				  inpatient basis to patients suffering from (presumably reversible) acute renal
				  failure, or to patients with chronic renal failure with serious
				  complications.
"Acute Mental Illness" means a crisis state or an acute phase
				  of one or more specific psychiatric disorders in which a person displays one or
				  more specific psychiatric symptoms of such severity as to prohibit effective
				  functioning in any community setting. Persons who are acutely mentally ill may
				  be admitted to an acute mental illness facility or unit under the provisions of
				  the Mental Health and Developmental Disabilities Code [405 ILCS 5], which
				  determines the specific requirements for admission by age and type of
				  admission.
"Acute Mental Illness Facility" or "Acute Mental Illness
				  Unit" means a facility or a distinct unit in a facility that provides a program
				  of acute mental illness treatment service (as defined in this Section); that is
				  designed, equipped, organized and operated to deliver inpatient and supportive
				  acute mental illness treatment services; and that is licensed by the Department
				  of Public Health under the Hospital Licensing Act [210 ILCS 85] or is a
				  facility operated or maintained by the State or a State agency.
"Acute Mental Illness Treatment Service" means a category of
				  service that provides a program of care for those persons suffering from acute
				  mental illness. These services are provided in a highly structured setting in a
				  distinct psychiatric unit of a general hospital, in a private psychiatric
				  hospital, or in a State-operated facility to individuals who are severely
				  mentally ill and in a state of acute crisis, in an effort to stabilize the
				  individual and either effect the individual's quick placement in a less
				  restrictive setting or reach a determination that extended treatment is needed.
				  Acute mental illness is typified by an average length of stay of 45 days or
				  less for adults and 60 days or less for children and adolescents.
"Administrative
Perinatal Center
" or "APC"
means a referral facility
designated under the Regionalized
				  Perinatal Health Care Code (77 Ill. Adm. Code 640) and
intended to care
				  for the high risk patient before, during or after labor and delivery and
				  characterized by sophistication and availability of personnel, equipment,
				  laboratory, transportation techniques, consultation and other support
				  services.
[410 ILCS
				  250/2(e) ] An APC is a university or
				  university-affiliated facility designated by the Department of Public Health
				  that has a Level III hospital and is responsible for providing leadership and
				  oversight of the Department of Public Health's regionalized perinatal health
				  care program, including continuing education for health professions.
"Admissions" means the number of patients accepted for
				  inpatient service during a 12-month period; newborns are not included.
"Adult Catheterization" means the cardiac catheterization of
				  patients 15 years of age and older.
"Adverse Action" means a disciplinary action taken by
				  Illinois Department of Public Health, Centers for Medicare and Medicaid
				  Services, or any other State or federal agency against a person or entity that
				  owns and/or operates a licensed or Medicare or Medicaid certified healthcare
				  facility in the State of Illinois. These actions include, but are not limited
				  to, all Type A violations.
A "Type A" violation means a violation of
				  the
Nursing Home Care
Act or
77 Ill. Adm. Code 300,
				  330, 340, 350 or 390 that
creates a condition or occurrence relating to
				  the operation and maintenance of a facility presenting a substantial
				  probability that death or serious mental or physical harm to a resident will
				  result therefrom.
[210 ILCS 45/1-129 ]
"Agency", "Department"
or "IDPH"
means the Illinois Department of Public Health.
[20 ILCS
				  3960/3 ]
"Ambulatory Care" means all types of health care services
				  that are provided on an outpatient basis, in contrast to services provided in
				  the home or to persons who are inpatients. While many inpatients may be
				  ambulatory, the term ambulatory care usually implies that the patient must
				  travel to a location to receive services that do not require an overnight stay.
				  (Source: Glossary of Terms Commonly Used in Health Care (Illinois Health and
				  Hospital Association, 1151 East Warrenville Road, PO Box 3015, Naperville IL
				  60566, 630/276-5400; 2004, no later amendments or editions included)).
"Ambulatory Surgical Treatment Center" or "ASTC" means any
				  institution, place or building required to be licensed pursuant to the
				  Ambulatory Surgical Treatment Center Act [210 ILCS 5].
"Authorized Hospital Bed Capacity" means the number of beds
				  recognized for planning purposes at a hospital facility, as determined by
				  HFSRB. The operational status of authorized hospital beds is identified as
				  physically available, reserve, or transitional, as follows:
"Physically Available Beds" means beds that are physically
				  set up, meet hospital licensure requirements, and are available for use. These
				  are beds maintained in the hospital for the use of inpatients and that furnish
				  accommodations with supporting services (such as food, laundry, and
				  housekeeping). These beds may or may not be staffed, but are physically
				  available.
"Reserve Beds" means beds that are not set up for inpatients,
				  but could be made physically available for inpatient use within 72
				  hours.
"Transitional Beds" means beds for which a Certificate of
				  Need (CON) has been issued, but that are not yet physically available, and beds
				  that are temporarily unavailable due to modernization projects that do not
				  require a CON.
"Authorized Long-Term Care Bed Capacity" means the number of
				  beds by category of service, recognized, and licensed by IDPH for long-term
				  care.
"Average Daily Census" or "ADC" means over a 12-month period
				  the average number of inpatients receiving service on any given day.
"Average Length of Stay" or "ALOS" means over a 12-month
				  period the average duration of inpatient stay expressed in days as determined
				  by dividing total inpatient days by total admissions.
"Base Year" means the calendar year, as determined by IDPH,
				  that serves as the starting point or benchmark for the historical utilization
				  and population projections.
"Birth Center" means a designated site, other than a
				  hospital:
in which births are planned to occur following a
				  normal, uncomplicated, and low-risk pregnancy;
that is not the pregnant person's usual place of
				  residence;
that is dedicated to serving the childbirth-related
				  needs of pregnant persons and their newborns, and has no more than 10
				  beds;
that offers prenatal care and community education
				  services and coordinates these services with other health care services
				  available in the community; and
that does not provide general anesthesia or
				  surgery
(except as allowed per 77 Ill. Adm. Code
				  264.1800(h) and (i)
				   and Section 5 of the Birth Center Licensing
				  Act [210
				  ILCS 170/5 ])
"Board Certified or Board Eligible Physician" means a
				  physician who has satisfactorily completed an examination (or is "eligible" to
				  take such examination) in a medical specialty and has taken all of the specific
				  training requirements for certification by a specialty board. For purposes of
				  this definition, "medical specialty" shall mean a specific area of medical
				  practice by health care professionals.
"Cardiac Catheterization Category of Service" means, for the
				  purposes of this Part, the performance of catheterization procedures that, due
				  to safety and quality considerations, are preferably performed within a cardiac
				  catheterization laboratory or special procedure room. Procedures that do not
				  require the use of such specialized settings, such as pericardiocentesis,
				  myocardial biopsy, cardiac pacemaker insertion or replacement, right heart
				  catheterization with a flow-directed catheter (e.g., Swan-Ganz catheter),
				  intra-aortic balloon pump assistance with intra-aortic balloon catheter
				  placement, certain types of electrophysiology, arterial pressure or blood gas
				  monitoring, fluoroscopy, and cardiac ultrasound, are not recognized as
				  procedures that, under this Subchapter, would in and of themselves qualify a
				  facility as having a cardiac catheterization category of service.
"Cardiac Surgeon" means a physician board eligible or board
				  certified by the American Board of Thoracic Surgery.
"Cardiac Surgery Room" means a physically identifiable room
				  adequately staffed and equipped for the performance of open and closed heart
				  surgery and extracorporeal bypass.
"Cardiological Team" means the designated specialists and
				  support personnel who consistently work together in the performance of
				  open-heart surgery.
"Cardiovascular Surgical Procedures" means any surgical
				  procedure dealing with the heart, coronary arteries, and surgery of the great
				  vessels.
"Cardiovascular Surgical Services" means the programs,
				  equipment and staff dealing with the surgery of the heart, coronary arteries,
				  and great vessels.
"Category of Service" means a grouping by generic class of
				  various types or levels of support functions, equipment, care, or treatment
				  provided to patient/residents. Examples include but are not limited to
				  medical-surgical, pediatrics, cardiac catheterization, etc. A category of
				  service may include subcategories or levels of care that identify a particular
				  degree or type of care within the category of service.
"Certified nurse midwife"
or "CNM"
means an advanced practice registered nurse license in Illinois under
				  the Nurse Practice Act with full practice authority or who is delegated such
				  authority as part of a written collaborative agreement with a physician who is
				  associated with the birthing center or who has privileges at a nearby birthing
				  hospital.
[210 ILCS 170/5 ])
"Chronic Renal Dialysis" means a category of service in which
				  dialysis is performed on a regular long-term basis in patients with chronic
				  irreversible renal failure. The maintenance and preparation of patients for
				  kidney transplantation (including the immediate post-operative period and in
				  case of organ rejection) or other acute conditions within a hospital does not
				  constitute a chronic renal dialysis category of service.
"Clinical Encounter Time" means an instance of direct
				  provider/practitioner to patient interaction, between a patient and a
				  practitioner vested with primary responsibility for diagnosing, evaluating or
				  treating the patient's condition, or both. The clinical encounter definition
				  excludes practitioner actions in the absence of a patient, such as practitioner
				  to practitioner interaction and practitioner to records interaction.
"Closed Heart Surgery" means any cardiovascular surgical
				  procedures that do not include the use of a heart/lung pump.
"Combined Maternity and Gynecological Unit" means an entire
				  facility or a distinct part of a facility that provides both a program of
				  maternity care (as defined in this Section) and a program of obstetric
				  gynecological care (as defined in this Section), and that is designed,
				  equipped, organized, and operated in accordance with the requirements of the
				  Hospital Licensing Act [210 ILCS 85].
"Community-Based Residential Rehabilitation" means
services
that
include, but are not limited to, case
				  management, training and assistance with activities of daily living, nursing
				  consultation, traditional therapies (physical, occupational, speech),
				  functional interventions in the residence and community (job placement,
				  shopping, banking, recreation), counseling, self-management strategies,
				  productive activities, and multiple opportunities for skill acquisition and
				  practice throughout the day.
[210 ILCS 3/35
				  ]
"Community-Based Residential Rehabilitation Center" means
a designated site that provides rehabilitation or support, or both, for
				  persons who have experienced severe brain injury, who are medically stable, and
				  who no longer require acute rehabilitative care or intense medical or nursing
				  services. The average length of stay in a community-based residential
				  rehabilitation center shall not exceed 4 months.
[210 ILCS
				  3/35 ]
"Comprehensive Physical Rehabilitation" means a category of
				  service provided in a comprehensive physical rehabilitation facility providing
				  the coordinated interdisciplinary team approach to physical disability under a
				  physician licensed to practice medicine in all its branches who directs a plan
				  of management of one or more of the classes of chronic or acute disabling
				  disease or injury. Comprehensive physical rehabilitation services can be
				  provided only by a comprehensive physical rehabilitation facility.
"Comprehensive Physical Rehabilitation Facility" means a
				  distinct bed unit of a hospital or a special referral hospital that provides a
				  program of comprehensive physical rehabilitation; that is designed, equipped,
				  organized, and operated to deliver inpatient rehabilitation services; and that
				  is licensed by the Department of Public Health under the Hospital Licensing Act
				  or is a facility operated or maintained by the State or a State agency. Types
				  of comprehensive physical rehabilitation facilities include:
"Freestanding comprehensive physical rehabilitation facility"
				  means a specialty hospital dedicated to the provision of comprehensive
				  rehabilitation; and
"Hospital-based comprehensive physical rehabilitation
				  facility" means a distinct unit, located in a hospital, dedicated to the
				  provision of comprehensive physical rehabilitation.
"Dedicated Cardiac Catheterization Laboratory" means a
				  distinct laboratory that is staffed, equipped, and operated solely for the
				  provision of cardiac catheterization.
"Designated Pediatric Beds" means beds within the facility
				  that are primarily used for pediatric patients and are not a component part of
				  a distinct pediatric unit as defined in this Section.
"Dialysis"
means a process by which dissolved
				  substances are removed from a patient's body by diffusion from one fluid
				  compartment to another across a semi-permeable membrane.
[210 ILCS
				  62/5 ] The two types of dialysis that are recognized
				  in classical practice are hemodialysis and peritoneal dialysis.
"Dialysis Technician"
means an individual who is not
				  a registered nurse or physician and who provides dialysis care under the
				  supervision of a registered nurse or physician.
[210 ILCS 62/5
				  ]
"Discontinuation" means to cease operation of an entire
				  health care facility or to cease operation of a category of service and is
				  further defined in 77 Ill. Adm. Code 1130.
"Distinct Unit" means a physically distinct area comprising
				  all beds served by a nursing station in which a particular category of service
				  is provided and utilizing a nursing staff assigned exclusively to the distinct
				  area.
"Emergency Medical Services System" or "EMS System" means
an organization of hospitals, vehicle service providers and personnel
				  approved by IDPH in a specific geographic area, which coordinates and provides
				  pre-hospital and inter-hospital emergency care and non-emergency medical
				  transports at a BLS, ILS, and/or ALS level pursuant to a System program plan
				  submitted to and approved by IDPH, and pursuant to the EMS Region Plan adopted
				  for the EMS Region in which the System is located.
[210 ILCS
				  50/3.20 ]
"Emergent Care" means medical or surgical procedures and care
				  provided to those patients treated in an emergency department (ED) of a
				  hospital or freestanding emergency center who have traumatic conditions or
				  illnesses with an acuity level that is classified as level one or level two
				  based upon the Emergency Severity Index (ESI) as defined in the "Emergency
				  Severity Index Version 4: Implementation Handbook" published by the Agency for
				  Healthcare Research and Quality, Rockville MD (Gilboy N, Tanabe P, Travers DA,
				  Rosenau AM, Eitel DR; AHRQ Publication No. 05-0046-2; May 2005, no later
				  amendments or editions included).
"End Stage Renal Disease" or "ESRD"
means that stage
				  of renal impairment that appears irreversible and permanent and that requires a
				  regular course of dialysis or kidney transplantation to maintain life.
[210 ILCS
				  62/5 ]
"End Stage Renal Disease Facility" means a freestanding
				  facility or a unit within an existing health care facility that furnishes
				  in-center hemodialysis treatment and other routine dialysis services to end
				  stage renal disease patients. These types of services may include
				  self-dialysis, training in self-dialysis, dialysis performed by trained
				  professional staff, and chronic maintenance dialysis, including peritoneal
				  dialysis.
"Extracorporeal Circulation" or "Bypass" means, for the
				  purpose of open heart surgery category of service, the circulation of blood
				  outside the body, as through a heart/lung apparatus for carbon dioxide-oxygen
				  exchange.
"Federally Qualified Health Center" means a health center
				  funded under section 330 of the Public Health Service Act (42 U.S.C.
				  254b).
"Fertility Rate" means determinations by IDPH of population
				  fertility that is based upon resident birth data for an area. The fertility
				  rate data sources include:
* birth data from the Division of Vital Records by age of
				  mother and by county; and
* population figures from IDPH estimates for females aged
				  15-44 by county.
"Freestanding Emergency Center" or "FEC" means a facility
				  subject to licensure under Section 32.5 of the Emergency Medical Services (EMS)
				  Systems Act [210 ILCS 50/32.5 ] that provides
				  emergency medical and related services.
"Freestanding Emergency Center Medical Services" or "FECMS"
				  means a category of service pertaining to the provision of emergency medical
				  and related services provided in a freestanding emergency center.
"General Long-Term Care" means a classification of categories
				  of service that provide inpatient levels of care primarily for convalescent or
				  chronic disease adult patients/residents who do not require specialized
				  long-term care services. The General Long-Term Care Classification includes the
				  nursing category of service, which provides inpatient treatment for
				  convalescent or chronic disease patients/residents and includes the skilled
				  nursing level of care and/or the intermediate nursing level of care (both as
				  defined in IDPH's Skilled Nursing and Intermediate Care Facilities Code (77
				  Ill. Adm. Code 300)).
"HFSRB" or "State Board" means the Health Facilities and
				  Service Review Board established by the Act.
"Health Professional Shortage Areas" means urban or rural
				  areas, population groups, or medical or other public facilities that may have
				  shortages of primary medical care, dental or mental health providers, as
				  determined by HHS' Shortage Designation Branch in the Health Resources and
				  Services Administration (HRSA) Bureau of Health Professions National Center for
				  Health Workforce; and as determined by the Illinois Designation of Shortage
				  Areas (77 Ill. Adm. Code
				  590.410).
"Health Service Area" or "HSA" means the following geographic
				  areas:
HSA I - Illinois Counties of Boone, Carroll, DeKalb, Jo
				  Daviess, Lee, Ogle, Stephenson, Whiteside, and Winnebago
HSA II - Illinois Counties of Bureau, Fulton, Henderson,
				  Knox, LaSalle, Marshall, McDonough, Peoria, Putnam, Stark, Tazewell, Warren,
				  and Woodford
HSA III - Illinois Counties of Adams, Brown, Calhoun, Cass,
				  Christian, Greene, Hancock, Jersey, Logan, Macoupin, Mason, Menard, Montgomery,
				  Morgan, Pike, Sangamon, Schuyler, and Scott
HSA IV - Illinois Counties of Champaign, Clark, Coles,
				  Cumberland, DeWitt, Douglas, Edgar, Ford, Iroquois, Livingston, Macon, McLean,
				  Moultrie, Piatt, Shelby, and Vermilion
HSA V - Illinois Counties of Alexander, Bond, Clay, Crawford,
				  Edwards, Effingham, Fayette, Franklin, Gallatin, Hamilton, Hardin, Jackson,
				  Jasper, Jefferson, Johnson, Lawrence, Marion, Massac, Perry, Pope, Pulaski,
				  Randolph, Richland, Saline, Union, Wabash, Washington, Wayne, White, and
				  Williamson
HSA VI - City of Chicago
HSA VII - DuPage County and Suburban Cook County
HSA VIII - Illinois Counties of Kane, Lake, and
				  McHenry
HSA IX - Illinois Counties of Grundy, Kankakee, Kendall, and
				  Will
HSA X - Illinois Counties of Henry, Mercer, and Rock
				  Island
HSA XI - Illinois Counties of Clinton, Madison, Monroe, and
				  St. Clair
"Hemodialysis" means a type of dialysis that involves the use
				  of artificial kidney through which blood is circulated on one side of a
				  semi-permeable membrane while the other side is bathed by a salt dialysis
				  solution. The accumulated toxic products diffuse out of the blood into the
				  dialysate bath solution. The concentration and total amount of water and salt
				  in the body fluid are adjusted by appropriate alterations in composition of the
				  dialysate fluid.
"Home Hemodialysis" means a type of dialysis that is done at
				  home by the patient and a partner. Both are trained in the dialysis facility
				  until the patient and partner become proficient to dialyze at home. The
				  dialysis is usually three times per week.
"Home-Assisted Hemodialysis" means hemodialysis done in a
				  home and/or long-term care setting through a staff-assisted program. The
				  patient is not trained to do dialysis himself/herself.
"Hospital" means a facility, institution, place or building
				  licensed pursuant to or operated in accordance with the Hospital Licensing Act
				  [210 ILCS 45] or a State-operated facility that is utilized for the prevention,
				  diagnosis, and treatment of physical and mental ills. For purposes of this
				  Subchapter, two basic types of hospitals are recognized:
General Hospital - a facility that offers an integrated
				  variety of categories of service and that offers and performs scheduled
				  surgical procedures on an inpatient basis.
Special or Specialized Hospital - a facility that offers,
				  primarily, a special or particular category of service.
"In-Center Hemodialysis" means a category of service that is
				  provided in an end stage renal disease facility certified by the Centers for
				  Medicare and Medicaid Services.
"In-Center Hemodialysis Treatment" means a regimen of
				  hemodialysis received by a patient usually three times a week, averaging four
				  hours.
"Independent Travel Time Studies" means studies developed and
				  submitted to refine or supplement the determination of Normal Travel Time.
				  Independent Travel Time studies will be considered by HFSRB only if conducted
				  utilizing the criteria specified in this Part.
"Index of Medically Underserved" or "IMU" means shortage
				  designation criteria applied to determine Medically Underserved Area or
				  Medically Underserved Population designation. The four variables of the IMU are
				  ratio of primary medical care physicians per 1,000 population, infant mortality
				  rate, percentage of the population with incomes below the poverty level, and
				  percentage of the population age 65 or over (Source: Health Resources and
				  Services Administration Bureau of Health Professions website MUA Find
				  (hrsa.gov)).
"Intensive Care Service" means a category of service
				  providing the coordinated delivery of treatment to the critically ill patient
				  or to patients requiring continuous care due to special diagnostic
				  considerations requiring extensive monitoring of vital signs through mechanical
				  means and through direct nursing supervision. This service is given at the
				  direction of a physician on behalf of patients by physicians, dentists, nurses,
				  and other professional and technical personnel. The intensive care category of
				  service includes the following subcategories: medical ICU, surgical ICU,
				  coronary care, pediatric ICU, and combinations of such ICUs. This category of
				  service does not include intermediate intensive or coronary care and special
				  care units that are included in the medical-surgical category of
				  service.
"Intensive Care Unit" or "ICU" means a distinct part of a
				  facility that provides a program of intensive care service; that is designed,
				  equipped, organized, and operated to deliver optimal medical care for the
				  critically ill or for patients with special diagnostic conditions requiring
				  specialized equipment, procedures, and staff; and that is under the direct
				  visual supervision of a nursing staff. Prior to February 15, 2003, the repeal
				  of 77 Ill. Adm. Code 1110.1010, 1110.1020 and 1110.1030, the beds and
				  corresponding utilization for the burn treatment category of service were
				  included in the intensive care category of service.
"Inventory of Health Care Facilities and Services and Need
				  Determinations" means a statewide inventory of beds and other services, and
				  need determinations that HFSRB shall maintain and update on the Board's
				  website, as mandated in the Health Facilities Planning Act. (See Section 12(4)
				  of the Act [20 ILCS 3960].)
"Key Room" means a term used in space planning to designate
				  the primary functional component of a department used to develop a space
				  program or estimate of square feet for that department. Examples of key rooms
				  include, but are not limited to, examination rooms for ambulatory care,
				  operating rooms for surgical suites, treatment stations for dialysis, imaging
				  rooms for radiology.
"Kidney Transplantation Center" means a hospital that
				  directly furnishes transplantation and other medical and surgical specialty
				  services required for the care of the kidney transplant patient, including
				  inpatient dialysis furnished directly or under arrangement.
"Kidney Transplantation Service" means a category of service
				  that involves the surgical replacement of a nonfunctioning human kidney with a
				  donor kidney in order to restore renal function to the patient.
"Licensed certified professional midwife" means a
				  person who has successfully met the requirements under Section 45 of the
				  Licensed Certified Professional Midwife Practice Act and holds an active
				  license to practice as a licensed certified professional midwife in
				  Illinois.
[210 ILCS 170/5 ]
"Maternity Care" means a subcategory of obstetric service
				  related to the medical care of the patient prior to and during the act of
				  giving birth either to a living child or to a dead fetus and to the continuing
				  medical care of both patient and newborn infant under the direction of a
				  physician, by physicians, nurses, and other professional and technical
				  personnel.
"Medically Underserved Areas" means a whole county or a group
				  of contiguous counties, or a group of county or civil divisions, or a group of
				  urban census tracts in which residents have a shortage of personal health
				  services, as determined by HHS' Shortage Designation Branch in the Health
				  Resources and Services Administration (HRSA) Bureau of Health Professions
				  National Center for Health Workforce.
"Medically Underserved Populations" means groups of persons
				  who face economic, cultural or linguistic barriers to health care, as
				  determined by HHS' Shortage Designation Branch in the Health Resources and
				  Services Administration (HRSA) Bureau of Health Professions National Center for
				  Health Workforce.
"Medical-Surgical Service" means a category of service
				  pertaining to the medical-surgical inpatient care performed at the direction of
				  a physician, by physicians, dentists, nurses, and other professional and
				  technical personnel. For purposes of 77 Ill. Adm. Code 1100, Chapter II,
				  Subchapter a (Illinois Health Care Facilities Plan), this category of service
				  may include medical-surgical and their respective sub-specialties of service.
				  The medical-surgical category of service specifically does not include the
				  following other separate categories of service and their subcategories:
Obstetric Service;
Pediatric Service;
Intensive Care Service;
Comprehensive Physical Rehabilitation Service;
Acute and Chronic Mental Illness Treatment Service;
Neonatal Intensive Care Service;
General Long-Term Care Service;
Specialized Long-Term Care Service;
Long-Term Acute Care Service.
"Medical-Surgical Unit" means an assemblage of inpatient beds
				  and related facilities in which medical-surgical services are provided to a
				  defined and limited class of patients according to their medical care
				  needs.
"Modernization" means modification of an existing health care
				  facility by means of building, alteration, reconstruction, remodeling,
				  replacement and/or expansion, the erection of new buildings, or the
				  acquisition, alteration, or replacement of equipment. Modification does not
				  include a substantial change in either the bed count or scope of the
				  facility.
"Neonatal Intensive Care" means a level of care providing
				  constant and close medical coordination, multi-disciplinary consultation, and
				  supervision to those neonates with serious and life threatening developmental
				  or acquired medical and surgical problems that require highly specialized
				  treatment and highly trained nursing personnel.
"Neonatal Intensive Care Service" means a category of service
				  providing treatment of the infant for problems identified in the neonatal
				  period that warrant intensive care. An intensive neonatal care service must
				  include a related obstetric service for care of the high-risk mother (except
				  when the facility is dedicated to the care of children).
"Neonatal Intensive Care Unit" means a distinct part of a
				  facility that provides a program of intensive neonatal care and that is
				  designed, equipped, and operated to deliver medical and surgical care to
				  high-risk infants.
"Neonatologist" means a physician who is certified by the
				  American Board of Pediatrics Sub-Board of Neonatal-Perinatal Medicine or a
				  licensed osteopathic physician with equivalent training and experience and
				  certified by the American Osteopathic Board of Pediatricians.
"Newborn Nursery Level I", "Newborn Nursery Level II",
				  "Newborn Nursery Level II with Extended Neonatal Capabilities" and "Newborn
				  Nursery Level III" mean designations for hospitals providing newborn health
				  care as defined and listed in the Regionalized Perinatal Health Care Code (77
				  Ill. Adm. Code 640).
"Non-Hospital Based Ambulatory Surgery" means a category of
				  service relating to surgery that is performed at ambulatory surgical treatment
				  centers on patients that arrive and are discharged the same day. Ambulatory
				  surgery as the provision of surgical services may require anesthesia or a
				  period of post-operative observation or both on a patient whose inpatient stay
				  is not anticipated as being medically necessary.
"Observation Days" means the number of days of service
				  provided to outpatients for the purpose of determining whether a patient
				  requires admission as an inpatient or other treatment.
"Obstetric/Gynecological Care" means a subcategory of
				  obstetric service in which medical care is provided to clean (non-infectious)
				  gynecological, surgical, or medical cases that are admitted to a postpartum
				  section of an obstetric unit in accordance with the requirements of the
				  Hospital Licensing Act.
"Obstetric Service" means a category of service pertaining to
				  the medical or surgical care of maternity and newborn patients or medical or
				  surgical cases that may be admitted to a postpartum unit.
"Occupancy Rate" means a measure of inpatient health facility
				  use, determined by dividing average daily census by the number of authorized
				  beds. It measures the average percentage of a facility's beds occupied and may
				  be institution-wide or specific for one department or service.
"Occupancy Target" means a utilization level established by
				  IDPH for a facility or service reflecting adequate access as well as
				  operational efficiency.
"Open Heart Surgery" means a category of service that
				  utilizes any form of cardiac surgery that requires the use of extracorporeal
				  circulation and oxygenation. The use of a pump during the procedure
				  distinguishes "open heart" from "closed heart" surgery.
"Operating Room (Class B)" or "Surgical Procedure Room (Class
				  B)" means a setting designed and equipped for major or minor surgical
				  procedures performed in conjunction with oral, parenteral, or intravenous
				  sedation or under analgesic or dissociative drugs. (Source: Guidelines for
				  Optimal Ambulatory Surgical Care and Office-based Surgery, third edition,
				  American College of Surgeons, 633 N. Saint Clair Street, Chicago IL 60611-3211,
				  312/202-5000; 2000, no later amendments or editions included)
"Operating Room (Class C)" means a setting designed and
				  equipped for major surgical procedures that require general or regional block
				  anesthesia and support of vital bodily functions. (Source: Guidelines for
				  Optimal Ambulatory Surgical Care and Office-based Surgery, third edition,
				  American College of Surgeons, 633 N. Saint Clair Street, Chicago IL 60611-3211,
				  312/202-5000; 2000, no later amendments or editions included)
"Patient Care Unit" means the grouping of beds to provide an
				  inpatient category of service. Units are physically identifiable areas that are
				  staffed to provide all care required for service.
"Patient Days" means the total number of days of service
				  provided to inpatients over a 12-month period, usually expressed as annual
				  patient days measured. This figure includes observation days if the observation
				  patient occupies a bed that is included in IDPH's Inventory of Health Care
				  Facilities and Services and Need Determinations (
https://hfsrb.illinois.gov/inventoriesdata.html
).
"Patient Migration" means the total number of patients who
				  reside in a given planning area but receive services at health care facilities
				  located in another planning area for a given year. Patient migration is
				  determined by utilizing the latest available patient origin data concerning
				  admissions to health care facilities by various categories of service for a
				  given year. The term in-migration refers to the number of patients who are not
				  residents of a planning area that enter the area to receive services, while the
				  term out-migration refers to the number of planning area residents who leave
				  the planning area to obtain services elsewhere.
"Pediatric Catheterization" means the cardiac catheterization
				  of patients zero to 14 years in age.
"Pediatric Facility" or "Distinct Pediatric Unit" means an
				  entire facility or a distinct unit of a facility, where the nurses' station
				  services only that unit, that provides a program of pediatric service and is
				  designed, equipped, organized, and operated to render medical-surgical care to
				  the zero to 14 age population.
"Pediatric Service" means a category of service for the
				  delivery of treatment pertaining to the non-intensive medical-surgical care of
				  a pediatric patient (zero to 14 years in age) performed at the direction of a
				  physician on behalf of the patient by physicians, dentists, nurses and other
				  professional and technical personnel.
"Perinatal Center" means a referral facility designated under
				  the Regionalized Perinatal Health Care Code (77 Ill. Adm. Code 640) and
				  intended to care for the high-risk patient before, during or after labor and
				  delivery and characterized by sophistication and availability of personnel,
				  equipment, laboratory, transportation techniques, consultation, and other
				  support services. "Perinatal Center" is further defined in the Developmental
				  Disability Prevention Act [410 ILCS
				  250/2(e) ].
"Peritoneal Dialysis" means a type of dialysis in which the
				  dialysate fluid is infused slowly into the peritoneum, causing dialysis of
				  water and waste products to occur through the peritoneal sac, which acts as a
				  semi-permeable membrane. The fluid and waste, after accumulating for a period
				  of time (one hour), is drained from the abdomen and the process is
				  repeated.
"Planning Area" means a defined geographic area within the
				  State established by HFSRB as a basis for the collection, organization, and
				  analysis of information to determine health care resources and needs and to
				  serve as a basis for planning.
"Population Estimates" means the latest available numbers of
				  residents of a geographic area based upon birth and death records and other
				  inputs, as determined by IDPH. These numbers may be further broken down by age
				  and sex cohorts.
"Population Projections" means the numbers of residents of a
				  geographic area projected for one or more future time periods, as determined by
				  IDPH and based upon State of Illinois population projections, as available.
				  These numbers are for defined geographic areas and may be further broken down
				  by age and sex cohorts.
"Post-Anesthesia Recovery Phase I" means the phase in
				  surgical recovery that focuses on providing a transition from a totally
				  anesthetized state to one requiring less acute interventions. Recovery occurs
				  in the post-anesthesia care unit (PACU). The purpose of this phase is for
				  patients to regain physiological homeostasis and receive appropriate nursing
				  intervention as needed.
"Post-Anesthesia Recovery Phase II" means the phase in
				  surgical recovery that focuses on preparing the patient for self care, care by
				  family members, or care in an extended care environment. The patient is
				  discharged to phase II recovery when intensive nursing care no longer is
				  needed. In the phase II area, sometimes referred to as the step-down or
				  discharge area, the patient becomes more alert and functional.
"Postsurgical Recovery Care Center"
means a
				  designated site which provides postsurgical recovery care for generally healthy
				  patients undergoing surgical procedures that require overnight nursing care,
				  pain control, or observation that would otherwise be provided in an inpatient
				  setting. Such a center may be either freestanding or a defined unit of an
				  ambulatory surgical treatment center or hospital. The maximum length of stay
				  for patients in a postsurgical recovery care center is not to exceed 72
				  hours.
(Section 35 of the Alternative Health Care Delivery Act
				  [210 ILCS
				  3/35(2) ])
"Postsurgical Recovery Care Center Alternative Health Care
				  Model" means a category of service for the provision of postsurgical recovery
				  care within a postsurgical recovery care center.
"Pump Procedures" means the utilization of a heart/lung pump
				  in surgery to perform the work of the heart and lungs. Included in these
				  procedures are myocardiac revascularization, aortic and mitral valve
				  replacement, ventricular aneurysm repairs, pulmonary valvuloplasty, and all
				  other procedures utilizing a cardiac pump.
"Quality of Care", for purposes of 77 Ill. Adm. Code
				  1110.110, means the degree to
				  which delivered health services meet established professional standards and are
				  judged to be of value to the consumer. Quality may also be seen as the degree
				  to which actions taken or not taken maximize the probability of beneficial
				  health outcomes and minimize risk and other outcomes, given the existing state
				  of medical science and art. (Source: "A Glossary of Terms for Community Health
				  Care and Services for Older Persons", World Health Organization Centre for
				  Health Development, 5-1, 1-chome, Wakinohama-Kaigandori, Chuo-Ku, Kobe 651-0073
				  Japan, tel. +81 78 230 3100; 2004, no later amendments or editions
				  included)
"Rapid Population Growth Rate" means an average of the three
				  most recent annual growth rates of a defined geographic area's population that
				  has exceeded the average of three to seven immediately preceding annual growth
				  rates by at least 100%.
"Renal Dialysis Facility" means a freestanding facility, or a
				  unit within an existing health care facility, that furnishes routine chronic
				  dialysis services to chronic renal disease patients. Routine services are
				  self-dialysis, training in self-dialysis, dialysis performed by trained
				  professional staff, and chronic maintenance dialysis, including peritoneal
				  dialysis.
"Resource Hospital" means the hospital that is responsible
				  for an Emergency Medical Services (EMS) System in a specific geographic region,
				  as defined in the Emergency Medical Services (EMS) Systems Act [210 ILCS
				  50].
"Selected Organ Transplantation Center" means a hospital that
				  provides staffing and other adult or pediatric medical and surgical specialty
				  services required for the care of a transplant patient.
"Selected Organ Transplantation Service" means a category of
				  service relating to the surgical transplantation of any of the following human
				  organs: heart, lung, heart-lung, liver, pancreas, or intestine. It does not
				  include bone marrow or cornea transplants.
"Self-Care Dialysis" or "Self-Dialysis" means maintenance
				  dialysis performed by a trained patient in a special facility with or without
				  the assistance of a family member or other helper.
"Site" means the location of an existing or proposed
				  facility. An existing facility site is determined by street address. In a
				  proposed facility the legal property description or the street address can be
				  used to identify the site.
"Special Procedures Laboratory with a Cardiac Catheterization
				  Service" means a special procedures or angiography laboratory that has the
				  equipment, staff and support services required to provide cardiac
				  catheterization and in which catheterizations are routinely performed. The
				  laboratory is also utilized for other procedures, such as angiography, not
				  directly related to cardiac catheterization.
"Specialized Long-Term Care" means a classification
				  consisting of categories of service that provide inpatient care primarily for
				  children (ages zero through 21) or inpatient care for adults who require
				  specialized treatment and care because of mental illness or developmental
				  disabilities. The Specialized Long-Term Care Classification includes the
				  following categories of services:
Chronic Mental Illness (MI) - levels of care provided to
				  severely mentally ill clients in a structured setting in a psychiatric unit of
				  a general hospital, in a private psychiatric hospital, or in a State-operated
				  facility primarily in order to facilitate the improvement of their functioning
				  level, to prevent further deterioration of their functioning level, or, in some
				  instances, to maintain their current level of functioning.
Long-Term Care for the Developmentally Disabled (Adult)
				  (DD-Adult) - levels of care for developmentally disabled adults as defined in
				  the Illinois Mental Health and Developmental Disabilities Code [405 ILCS 5]
				  (including those facilities licensed as Intermediate Care Facilities for the
				  Developmentally Disabled (ICF/DD)) that provide an integrated, individually
				  tailored program of services for developmentally disabled adults and that
				  provide an active, aggressive and organized program of services directed toward
				  achieving measurable behavioral and learning objectives.
Long-Term Care for the Developmentally Disabled (Children)
				  (DD-Children) - levels of care for developmentally disabled children limited to
				  those residents ages zero through 21 years and whose condition meets the
				  definition of developmental disabilities in the Illinois Mental Health and
				  Developmental Disabilities Code.
"Social Vulnerability Index" or "SVI" is a tool used by the
				  U.S. Centers for Disease Control and Prevention to identify socially vulnerable
				  populations. Information on the location and concentration of different types
				  of social vulnerabilities can help plan for the specific needs of a
				  community.
"Surgical Referral Site" means an ambulatory surgical
				  treatment center or hospital in which surgery will be performed and the
				  surgical patient then transferred to the recovery care center.
"Teaching Institution" means, for the purpose of selected
				  organ transplantation category of service, a hospital having a major
				  relationship with a medical school as defined and listed in the Directory of
				  Residency Training Programs developed by the American Medical Association and
				  the National Organ Procurement and Transplantation Network (AMA, 535 N.
				  Dearborn, Chicago IL 60610, 312/751-6079; 2009-2010, no later amendments or
				  editions included).
"Urea" means the chief product of urine and the final product
				  of protein metabolism in the body.
"Urea Reduction Ratio" or "URR" means the amount of blood
				  cleared of urea during dialysis. It is reflected by the ratio of the measured
				  level of urea before dialysis and urea remaining after dialysis. The larger the
				  URR, the greater the amount of urea removed during the dialysis
				  treatment.
"Use Rate" means the ratio of inpatient days per 1,000
				  population over a 12-month period (Inpatient Days/Population in Thousands = Use
				  Rate). For need assessment purposes, HFSRB may establish minimum or maximum use
				  rates in order to promote the development of additional resources or to limit
				  unnecessary duplication of services and beds in a planning area.
"Utilization Standards" means an operational target for
				  facilities or services that may demonstrate operational efficiencies, minimum
				  proficiency, or other performance parameters. Utilization standards and their
				  purposes are established by category of service. Utilization may be expressed
				  by various ratios, such as facility or bed service occupancy rates or hours of
				  use for types of equipment, operating rooms, dialysis stations,
				  etc.