77 Ill. Adm. Code 260.1850
Medical Oversight
Section 260.1850Â Medical Oversight
a)Â Â Â Â Â Â Â Â The facility shall ensure that comprehensive multidisciplinary
rounds, led by a site provider, are conducted twice per week. A site physician
shall attend rounds a minimum of once per week. Subsequent rounds may be
overseen by an APRN when available.
b)Â Â Â Â Â Â Â Â The site provider or designee shall be on call 24 hours per
day.
c)Â Â Â Â Â Â Â Â Medical Advisory Committee
1)Â Â Â Â Â Â Â Â The facility's medical advisory committee shall consist of
multidisciplinary team members, including:
A)Â Â Â Â Â Â Â A primary care physician;
B)Â Â Â Â Â Â Â A pediatrician;
C)Â Â Â Â Â Â Â A pulmonologist or an ear, nose and throat (ENT) physician;
D)Â Â Â Â Â Â Â A registered nurse;
E)Â Â Â Â Â Â Â A respiratory therapist;
F)Â Â Â Â Â Â Â Â Representatives from a hospital's emergency department,
NICU/PICU; and
G)Â Â Â Â Â Â Â A site interdisciplinary team representative.
2)Â Â Â Â Â Â Â Â The medical advisory committee shall develop annual goals and
document them in writing, and shall meet quarterly to review quality indicators
and other strategic data for the organization. The quality indicators and
other strategic data shall consist, at a minimum, of infection control,
emergency transfers, evidence-based and best practice protocols, and family
satisfaction surveys.
3)Â Â Â Â Â Â Â Â The medical advisory committee shall review all updates or
amendments to clinical policies and procedures. Documentation of amended
reviews shall be kept on file at the facility for no less than five years.
4)Â Â Â Â Â Â Â Â Minutes from the medical advisory committee's meetings shall
be kept on file at the facility for no less than five years.