B State Guidelines - Square Footage and Utilization

Section 1110 Section 1110.APPENDIX B   State Guidelines − Square Footage and Utilization The following area standards are established for departments, clinical service areas and facilities. All Diagnostic and Treatment utilization numbers are the minimums per unit for establishing more than one unit, except where noted in 77 Ill. Adm. Code 1100.  HFSRB shall periodically evaluate the guidelines to determine if revisions should be made. Any revisions will be promulgated in accordance with the provisions of the Illinois Administrative Procedure Act. Definitions pertaining to this Appendix are contained in 77 Ill. Adm. Code 1100.220. HOSPITAL-BASED SERVICES For hospitals, area determinations for departments and clinical service areas are to be made in departmental gross square feet (dgsf). Spaces to be included in the applicant's determination of square footage shall include all functional areas minimally required by the Hospital Licensing Act, applicable federal certification, and any additional spaces required by the applicant's operational program. Service Areas Square Feet/Unit or Key Room Annual Utilization/Unit Acute Care Medical-Surgical, Pediatric, Obstetric & Long Term Acute Care Service 500-660 dgsf/Bed See 77 Ill. Adm. Code 1100 Newborn Nursery (includes Level I, Level II, and Level II+ with extended neonatal capabilities) 160 dgsf/Obstetrics Bed & LDRP Labor Delivery Recovery (LDR) 1120-1600 dgsf/Room 400 Births/LDR Room Labor Delivery Recovery Post-partum (LDRP) 1120-1600 dgsf/Bed See 77 Ill. Adm. Code 1100 C-Section Suite 2075 dgsf/OR 800 Procedures/Room Acute Mental Illness Service 440-560 dgsf/Bed See 77 Ill. Adm. Code 1100 Comprehensive Physical Rehabilitation Service 525-660 dgsf/Bed See 77 Ill. Adm. Code 1100 Hospital Based Long-Term Care 440-560 dgsf/Bed See 77 Ill. Adm. Code 1100 Critical Care Intensive Care Service 600-685 dgsf/Bed See 77 Ill. Adm. Code 1100 Neonatal Intensive Care (NICU) or Level III Nursery 434-568 dgsf/Bed or Bassinet See 77 Ill. Adm. Code 1100 Diagnostic and Treatment Diagnostic/Interventional Radiology (Excludes portables & mobile equipment/Utilization) •     General Radiology 1300 dgsf/Unit 8000 procedures •     Fluoroscopy/Tomography/Other X-ray procedures 1300 dgsf/Unit 6500 procedures •    Dedicated Chest 900 dgsf/Unit 9000 procedures •    Mammography 900 dgsf/Unit 5000 visits •     Ultra-Sound 900 dgsf/Unit 3100 visits •     Angiography (Special Procedures) 1800 dgsf/Unit 1800 visits •     CT Scan 1800 dgsf/Unit 7000 visits •     PET 1800 dgsf/Unit 3600 visits •     MRI 1800 dgsf/Unit 2500 procedures •     Nuclear Medicine 1600 dgsf/Unit 2000 visits Radiation Therapy •     Accelerator 2400 dgsf/ Accelerator 7500 treatments •     Simulator 1800 dgsf/ Simulator Emergency Department 900 dgsf/ Treatment Station 2000 visits/station/year Cardiac Catheterization 1800 dgsf See 77 Ill. Adm. Code 1100 for establishment of service 1500 visits/year for additional units Ambulatory Care 800 dgsf 2000 visits/year Surgical Operating Suite (Class C) 2750 dgsf/ Operating Room 1500 hrs/Operating Room Surgical Procedure Suite (Class B) 1100 dgsf/ Procedure Room 1500 hrs/Procedure Room Post-Anesthesia Recovery Phase I 180 dgsf/Recovery Station Post-Anesthesia Recovery Phase II 400 dgsf/Recovery Station In-Center Hemodialysis 470 dgsf/Station See 77 Ill. Adm. Code 1100 HFSRB NOTE:  The standards for Post-Anesthesia Recovery Phase I and Post-Anesthesia Recovery Phase II shall be used as the standards for recovery stations associated with Surgical Operating Suite (Class C) and Surgical Procedure Suite (Class B). OTHER FACILITIES The following standards apply to new construction, the development of freestanding facilities, modernization, and the development of facilities in existing structures, including the use of leased space.  For new construction, the standards are based upon the inclusion of all building components and are expressed in building gross square feet (bgsf).  For modernization projects, the standards are based upon interior build-out only and are expressed in departmental gross square feet (dgsf).  Spaces to be included in the applicant's determination of square footage shall include all functional areas minimally required for the applicable service areas by the appropriate rules required for IDPH licensure and/or federal certification  and any additional spaces required by the applicant's operational program. Service Areas Square Feet/Unit Annual Utilization/Unit General Long Term Care 435-713 bgsf/Bed 350-570 dgsf/Bed See 77 Ill. Adm. Code 1100 ICF/DD Facilities 505-580 bgsf/Bed 404-464 dgsf/Bed See 77 Ill. Adm. Code 1100 Ambulatory Surgical Treatment Center (ASTC) 2075-2750 bgsf/Treatment Room 1660-2200 dgsf/Treatment Room Maximum of 4 recovery stations per operating room 1500 hrs of Surgery/OR or Procedure Room •   Operating Room •   Procedure Room •   Recovery In-Center Hemodialysis 450-650 bgsf/Room 360-520 dgsf/Room See 77 Ill. Adm. Code 1100 Freestanding Emergency Center 840-1170 bgsf/Treatment Station 672-936 dgsf/Treatment Station 2000 visits/Treatment Room/year