Illinois Administrative Code

Section 505.60 Reporting Complications Resulting from Termination of Pregnancy a) Any physician who diagnoses a woman as having complications resulting from an abortion shall report, within the time period specified in this Section, the diagnosis and a summary of her physical sym…

Section 505.APPENDIX B Induced Termination of Pregnancy Report INDUCED TERMINATION OF PREGNANCY REPORT COMPLETE THIS FORM AND MAIL IT TO: Illinois Department of Public Health, Division of Vital Records 925 E. Ridgely Ave., Springfield IL 62702-2737 (All information submitted shal…

Section 518.1000 Definitions For the purposes of this Part: Act – the Emergency Medical Services (EMS) Systems Act. Advanced Life Support Services or ALS Services – an advanced level of pre-hospital and inter-hospital emergency care and non-emergency medical services that include…

Section 518.1050 Incorporated and Referenced Materials 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 Associ…

Section 518.1100 Freestanding Emergency Center Licensure a) The Department will license freestanding emergency centers pursuant to the Act and this Part. b) A freestanding emergency center shall meet the following requirements: 1) has received a permit from the Health Facilities …

Section 518.1150 Initial Licensure Application 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…

Section 518.1155 Application for Annual License Renewal 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) Th…

Section 518.1160 Surveys 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 u…

Section 518.1165 Complaints 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 …

Section 518.1200 Emergency Suspension Orders 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 c…

Section 518.1250 Violations and Hearings 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 requirem…

Section 518.1300 Governing Board 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, responsibi…

Section 518.1350 Provision of Emergency Services 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…

Section 518.1400 EMS System Participation 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…

Section 518.1450 Patients' Rights 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 …

Section 518.1500 Language Assistance Services 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). (Source: Amended at 33 Ill. Reg. 831…

Section 518.1550 Personnel Services a) An organized personnel department or service shall be established and designed to meet the needs of the personnel. b) Personnel policies and practices that adequately support freestanding emergency center services and quality of patient care…

Section 518.1600 Personnel Requirements 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…

Section 518.1610 Health Care Worker Background Check The freestanding emergency center shall comply with the Health Care Worker Background Check Act and the Health Care Worker Background Check Code. (Source: Amended at 33 Ill. Reg. 8317, effective June 4, 2009)

Section 518.1650 Medical Staff Organization 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.

Section 518.1700 Nursing Services 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 …

Section 518.1750 Accounting 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 th…

Section 518.1800 Quality Assurance and Reporting 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 an…

Section 518.1850 Orders for Medications and Treatments 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. …

Section 518.1900 Infection Control 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 cont…

Section 518.1950 Sterilization and Processing of Supplies 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 th…

Section 518.2000 Laboratory Services 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…

Section 518.2010 Radiological Services a) The freestanding emergency center shall maintain and provide radiological services sufficient to perform and interpret the radiological examinations necessary for the diagnosis and treatment of patients, to the extent that the complexity …

Section 518.2020 Comprehensive Emergency Treatment Services 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)…

Section 518.2030 Notification of Emergency Personnel 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 emergenc…

Section 518.2040 Community or Areawide Planning 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.

Section 518.2050 Disaster and Mass Casualty Program 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 concern…

Section 518.2060 Emergency Services for Sexual Assault Survivors 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 …

Section 518.2070 Pharmacy Service a) The freestanding emergency center shall provide a pharmacy or drug and medicine service (service) for the care and treatment of patients. b) A pharmacy or drug and medicine service policy and procedure manual shall identify the service and man…

Section 518.2080 Housekeeping Service a) The FEC shall have an organized housekeeping department or service, under competent supervision. b) The director of housekeeping services shall be qualified for the position by education, training, and experience. 1) The number of supervis…

Section 518.2090 Insect and Rodent Control Any condition on the freestanding emergency center site conducive to harboring or breeding insects, rodents or other vermin shall be prohibited. a) All outside doors, windows and other openings shall be effectively screened, except in ai…

Section 518.2100 Laundry Service a) Laundry service shall be provided by an organized laundry service under competent supervision or by contract with another entity. 1) If laundry services are provided by an outside entity, a written contract shall be available and shall specify …

Section 518.2110 Food Service Food service, if provided by the freestanding emergency center, shall be provided in compliance with the Food Service Sanitation Code and local ordinances. (Source: Amended at 33 Ill. Reg. 8317, effective June 4, 2009)

Section 518.2120 Maintenance The freestanding emergency center shall have an organized engineering and/or maintenance department under competent supervision. The requirements of NFPA 99 shall apply in addition to the following: a) Maintenance services shall be under the supervisi…

Section 518.2130 Fire Safety a) Buildings and equipment shall be maintained so as to prevent fire and other hazards to personal safety. b) Exits, stairways, doors, and corridors shall be kept free of obstructions. c) Flammable and combustible liquids shall be labeled, stored, han…

Section 518.2140 Water Supply The Department's rules titled Public Area Sanitary Practice Code shall apply, except when they differ from this Part. a) Water supplies of FECs shall be operated in conformance with the following requirements: 1) All water used in operation of the FE…

Section 518.2150 Garbage, Waste and Sewage Handling and Disposal a) All garbage and refuse shall be collected, stored, and disposed of in a manner that will not permit the transmission of a contagious disease, create a nuisance or fire hazard, or provide a breeding place for verm…

Section 518.2160 Submission of Architectural Plans a) New Construction, Addition, or Major Alteration 1) When construction is contemplated, either for new buildings or additions or alterations to existing buildings coming within the scope of this Part, design development drawings…

Section 518.2170 Preparation of Drawings and Specifications – Submission Requirements Drawings and specifications shall be prepared by or under the immediate supervision of an architect registered in the State of Illinois. The requirements contained in this Section have been esta…

Section 518.2180 Construction Details a) Compartmentation, exits, automatic extinguishing systems and other details relating to fire prevention and fire protection shall comply with requirements listed in the appropriate sections of NFPA 101. b) Items such as drinking fountains, …

Section 518.2190 Finishes a) Cubicle and window curtains and draperies shall be noncombustible or flame retardant and shall pass both the large- and small-scale tests of NFPA 701. b) Flame spread and smoke developed ratings of finishes shall be in accordance with NFPA 101. c) Flo…

Section 518.2200 Structural Requirements a) In addition to compliance with this Part, all applicable local or State building codes and regulations shall be observed. b) The buildings and all parts thereof shall be of sufficient strength to support all dead, live, and lateral load…

Section 518.2210 Mechanical Requirements a) General Requirements 1) Mechanical systems shall be tested, balanced and operated to demonstrate that these systems are installed and will perform according to the plans and specifications. 2) Upon completion of the mechanical systems, …

Section 518.2220 Plumbing and Other Piping Systems a) General Requirements All plumbing systems shall be designed and installed in accordance with the Illinois Plumbing Code, except that the number of waterclosets, urinals, lavatories, drinking fountains and other fixtures shall …

Section 518.2230 Electrical Requirements a) General Requirements 1) All materials including equipment, conductors, controls, and signaling devices shall be installed in compliance with applicable sections of the NFPA 70, including Article 517, and as necessary to provide a comple…