Current through Register Vol. 48, No. 12, March 22, 2024
HFSRB shall require health care facilities to provide
periodic reports, data, and information as needed to carry out the purposes and
provisions of the Act [20
ILCS 3960/13 ]. Information required to be submitted
to HFSRB includes, but is not limited to, reports on capital expenditures,
facility and service utilization data, facility bed-capacity information,
notices of hospital reductions in services, and any temporary suspensions of
service.
a) Annual Report of Capital
Expenditures
Each health care facility shall submit an annual report of
capital expenditures as part of the annual health care facility questionnaires
issued by HFSRB. (See Section 5.3 of the Act.)
b) Health Planning Information
HFSRB shall require all health care facilities operating in
the State to provide information for the purpose of fulfilling the purposes,
provisions and responsibilities specified in the Act. (See Section 13 of the
Act.) These reports may be on an annual or other basis.
c) Notice of Hospital Reduction of 50% or
More in Health Care Services
Each hospital is required to notify the State Board,
the Illinois Department of Public Health, and the State
Senator and 2 State Representatives representing the legislative district in
which the hospital is located, of a reduction in services of 50% or
more, within 30 days after that reduction [20
ILCS 3960/12.4 ]. Reporting shall include the
identification of the service, reasons for reduction and anticipated duration
(permanent or temporary). Reduction of 50% or more is determined by the
following:
1) If the reduction is in a
bed category of service, reduction is determined by the number of physically
available beds as compared to the authorized number of beds stated in the
Inventory of Health Care Facilities as updated, or the number of staffed beds
reported in the Annual Hospital Questionnaire;
2) If the reduction is in a non-bed category
of service (i.e., cardiac surgery, cardiac catheterization, organ
transplantation, etc.), reduction is determined when the physical number of
procedure rooms, stations or equipment necessary to provide that service is
reduced by 50% or more, or the number of clinical staff and/or hours of
operation is reduced by 50% or more.
A) If
reduction does not reduce the number of procedures by 50% or more, the
notification is required only to HFSRB, certifying that the reduction will not
reduce the number of procedures performed by 50% or more.
B) If the reduction is temporary for the
purpose of maintenance or equipment repair, notification is required to HFSRB
only, with a timetable to restore the service.
d) Temporary Suspension of Facility or
Category of Service
A facility that ceased operation or that ceased to provide a
category of service due to unanticipated or unforeseen circumstances (such as
the loss of appropriate staff or a natural or unnatural disaster) shall file
notice to HFSRB of a temporary suspension of service that is anticipated to
exceed 30 days. The notice shall be filed no later than 30 days after the
suspension of the service, and shall include a detailed explanation of the
reasons for the suspension, as well as the efforts being made to correct the
circumstance and a timetable to reopen the service. Reports documenting the
progress of corrections must be filed every 30 days thereafter until services
resume. Temporary suspensions shall not exceed one year unless otherwise
approved by HFSRB.
e)
Failure to Provide Required or Requested Information
A health care facility or person violates the Act if he or
she fails to timely or completely comply with the notice and information
requirements in the Act and this Section (see 20 ILCS 3960/13 and 14.1). This
person is subject to the sanctions provided in the Act and Section
1130.790.
f) Changes in a Health Care
Facility's Bed Capacity
1) "Change in the Bed
Count of a Health Care Facility" means a change in a health care facility's
authorized bed capacity, including reductions, increases with permit or
allowable increases without permit.
A permit or exemption shall be
obtained prior to the construction or modification of a health care facility
which changes the bed capacity of a health care facility by:
A)
increasing the total number of
beds; or
B)
distributing beds among various categories of service;
or
C)
relocating
beds from one physical facility to another by more than 20 beds or 10% of total
bed capacity as defined by the State Board Inventory,
whichever is less, over a 2-year period. [20
ILCS 3960/5 ]
2) Projects proposing the establishment or
discontinuation of a bed category of service are classified as substantive
projects, with a 60-day review period. (See Section
1110.40(c).)
3) A health care facility that reduces bed
capacity, or adds bed capacity without a permit, as specified by the Act, shall
notify HFSRB and IDPH of that change. Such a change is limited to once every
two years beginning on the date when the additional beds become operational. If
the facility has already changed its bed capacity through a permit process,
then the facility may not add any more beds in those services affected by the
permit for two years from the date that those beds established by permit become
operational without obtaining an additional permit from HFSRB.
4) Emergency Preparedness Response Report
A) A health care facility that temporarily
increases bed capacity to accommodate extraordinary needs in the service
population due to pandemic events and other disasters shall submit written
notification of the increase to HFSRB within 30 days after the bed increase
decision. The notification shall include:
i)
the number of beds increased;
ii) a
detailed description of conditions necessitating the bed capacity
increase;
iii) the impact on normal
admission activity;
iv) the
anticipated length of time the increase is needed, indicating the prospective
date when beds will be taken out of circulation; and
v) the signature of a senior representative
of the health care facility, verifying the information in the
report.
B) The facility
shall submit written notification to HFSRB, indicating the date that the
temporary bed capacity has been taken out of circulation. This notification
shall be received by HFSRB within 30 days after the date that the facility's
normal bed capacity was resumed.
g) Change in Name or Change in Legal Status
A change in a facility's legal name or a facility's legal
status (i.e., a corporate reorganization) that does not constitute a change of
ownership, as defined in Section
1130.140, is to be
reported to HFSRB within 90 days after occurrence.
h) Notice of New Services Added to
Multi-Specialty ASTCs
1) Multi-specialty
ASTCs adding new services shall notify HFSRB of the services being added and
the effective date of those services. The notification of each new service
added shall be submitted to HFSRB no later than 30 days after the service
addition. Beginning January 1, 2018, multi-specialty ASTCs seeking to add
additional ASTC services shall apply for a CON permit pursuant to the
provisions of Section
1110.1540.
2) Multi-specialty ASTCs that, as
a condition of CON permit issuance, agreed to apply for CON permits when adding
services, shall continue to apply for CON permits when adding new
services.