Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE
Section 640.60 - Application for Hospital Designation or Redesignation as a Non-Birthing Center, Level I, Level II, Level II with Extended Neonatal Capabilities, Level III Perinatal Hospital and Administrative Perinatal Center, and Assurances Required of Applicants
Universal Citation: 77 IL Admin Code ยง 640.60
Current through Register Vol. 48, No. 12, March 22, 2024
a) Applicant hospitals shall provide the Department with information based on standards and resources for the applicable level of designation. The information shall include, but not be limited to the following (see Appendix A):
1) A definition of the geographic area
the hospital currently serves or plans to serve.
2) A physical description of the hospital,
compliance with Subpart O of the Hospital Licensing Requirements, and a
description of the maternity and nursery units currently in place or in
preparation for operation should the hospital be designated.
3) A physical description of the hospital's
staffing in accordance with this Part as follows:
A) Social work and nutrition services shall
be available through a hospital department for Level II and Level III
designation.
B) Names, titles and
contact numbers shall be provided for the Director or Chairman of
Maternal-Fetal Medicine, Neonatology, Obstetrics, Pediatrics and Neonatal
Services, Chief Nursing Supervisor, Nursing Supervisor of Maternity Unit; names
and contact numbers of medical staff members in maternal-fetal medicine,
obstetrics and gynecology, neonatology, obstetric anesthesiology, family
practice, anesthesiology; listing of anesthetists, staff for respiratory
therapy, nurse-midwives, and involved house staff.
C) A description of the current nurse/patient
ratios in the nursery, delivery room, postpartum floor and intermediate or
intensive care newborn nurseries for all shifts.
D) A description of the qualifications of
nursing personnel involved in the newborn nursery, delivery room and postpartum
area.
E) A description of the staff
plans to assure that maternity/nursery staff are trained and prepared to
stabilize infants prior to transfer, and are available 24 hours a
day.
4) A description
giving evidence that the hospital's laboratory, X-ray and respiratory therapy
equipment and capabilities meet all of the conditions described in Subpart O of
the Hospital Licensing Requirements and are available 24 hours a day in-house.
A) Continuous electronic maternal-fetal
monitoring shall be available, and staff with knowledge in its use and
interpretation shall be available 24 hours a day for Level I, Level II, Level
II with Extended Neonatal Capabilities, and Level III designation
applicants.
B) Level III and APCs
shall provide Level II ultrasound available on the obstetric floor.
C) Level I ultrasound and staff knowledgeable
in its use and interpretation shall be available at Level II hospitals on a
24-hour-a-day basis.
5)
A description of the capabilities for or capabilities planned for (giving the
start-up time) emergency neonatology surgery, listing specialists such as
surgeons, trained or support staff for neonates, and a description of the
capabilities for caesarean section and start-up time.
6) A description of the present plan for
identification of high-risk maternity and neonatal patients and agreements for
consultation with the APC in cases of maternity and neonatal complications and
neonates with handicapping conditions. This description shall include plans and
agreements for providing:
A) Management of
acute surgical or cardiac difficulties;
B) Genetic counseling if a genetically
related condition is diagnosed in the neonate, or if a parent or a known
carrier requests the services;
C)
Information, counseling and referral to another health care provider for
parents of neonates with handicapping conditions or developmental disabilities
to ensure informed consent for treatment;
D) Counseling and referral services to
another health care provider to assist these patients in obtaining habilitation
and rehabilitation services;
E) A
description of the types of patients the hospital will care for and the types
of patients it will refer to the APC.
7) A description of the history and current
level of involvement with CQI activities as designed and implemented by the
APC.
8) All of the information
required for hospital designation or redesignation to the APC with which it is
seeking affiliation.
b) The following procedures shall govern the review of perinatal hospitals applying for designation or redesignation:
1)
Hospitals applying for perinatal designation or redesignation shall provide all
of the information contained in the Standardized Perinatal Site Visit Protocol
(Appendix A) and the Resource Checklist (see Appendices L, M, N and
O).
2) The completed written
documentation shall be submitted to the Department three weeks in advance of
the scheduled site visit.
3) The
Department will send the completed site visit documentation to the PAC no less
than two weeks in advance of the PAC meeting, to facilitate PAC review of the
applicant hospital.
4) A
representative of the APC and representatives of the hospital for which the
application is being considered shall be present at the PAC meeting to respond
to questions or concerns of PAC members regarding the hospital's application
for designation or redesignation. The representative may also be asked to
present an oral summary of the applicant hospital's and the APC'sreasons for
recommending/not recommending designation or redesignation to the PAC. A 12- to
18- month follow-up will be scheduled for any increase in designation to assess
compliance with the new level of designation.
5) The Department will request that the
APCconduct a follow-up site visit to the hospital for review for designation or
redesignation if the initial site visit is more than six months prior to
submission to the PAC. Approval shall be contingent upon receiving the findings
of the follow-up site visit.
c) The following procedure shall be followed to change network affiliation for an individual hospital:
1) The hospital requesting a change in
affiliation shall submit a written request to the Department. The existing APC
shall provide information for the site visit and review, as requested. The
receiving APC shall conduct the site visit in preparation for a change in
network.
2) Representatives from
the hospital and receiving APC shall appear before the PAC and shall present
appropriate documentation as described in Appendix A.
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.