77 Ill. Adm. Code 270.2100
Patient Care Services
Section 270
Section 270.2100Â Patient
Care Services
a)Â Â Â Â Â Â Â Â The licensee shall provide
physician supervision
consistent with the needs of the patients,
on a continual basis
.
(Section 35 of the Act)
1)Â Â Â Â Â Â Â Â There shall be frequent, consistent contact between physicians
and the patient and between physicians and other facility personnel, to provide
medical direction for the comprehensive care plan.
2)Â Â Â Â Â Â Â Â There shall be one or more direct physician to patient contacts
per week.
3)Â Â Â Â Â Â Â Â Other contacts may be made through a combination of visits and
status reports by other personnel caring for the patient.
b)Â Â Â Â Â Â Â Â The licensee shall provide
registered nursing on a
continual basis
through the onsite availability of registered nurses for
hands-on care 24 hours per day. (Section 35 of the Act)
c)Â Â Â Â Â Â Â Â The licensee shall provide
physiological monitoring on a
continual Basis
, as necessary to meet the needs of each patient, such as
continual electronic monitoring of breathing, cardiovascular functioning or
biochemical functioning. (Section 35 of the Act)
d)Â Â Â Â Â Â Â Â The licensee shall provide 24-hour-per-day access to
diagnostic support services consistent with the patient's comprehensive care
plan.
e)Â Â Â Â Â Â Â Â The licensee shall provide adequate auxiliary and support
services to meet each patient's comprehensive care plan.
f)        A program manager shall be designated for each patient. A
program manager may serve one or more patients. The provision of services to
each patient shall be organized through the patient's manager who shall:
1)Â Â Â Â Â Â Â Â Assume responsibility for implementation of the comprehensive
care plan;
2)Â Â Â Â Â Â Â Â Assist the patient in becoming oriented to his/her program;
3)Â Â Â Â Â Â Â Â Enable the patient's program to proceed in an orderly,
purposeful, and goal-oriented manner;
4)Â Â Â Â Â Â Â Â Promote the program's responsiveness to the needs and
preferences of the patient;
5)Â Â Â Â Â Â Â Â Promote the participation of the patient on an ongoing basis
in discussions of plans, goals, status, etc;
6)Â Â Â Â Â Â Â Â Participate consistently in team conferences concerning the
patient; and
7)Â Â Â Â Â Â Â Â Facilitate the discharge process and arrangements for
follow-up and supportive services.
g)Â Â Â Â Â Â Â Â The licensee shall provide other services as necessary to
implement and support the patient's comprehensive care plan and overall needs,
including provisions for:
1)Â Â Â Â Â Â Â Â Case management;
2)Â Â Â Â Â Â Â Â Fostering maximum patient independence;
3)Â Â Â Â Â Â Â Â Protection of patient rights, privacy and dignity;
4)Â Â Â Â Â Â Â Â Assisting the patient and patient's representative in
understanding and adjusting to the patient's current condition, prognosis and
future needs; and
5)Â Â Â Â Â Â Â Â Discharge planning.
h)Â Â Â Â Â Â Â Â A Subacute Care Hospital Model licensee that is not licensed
under the Hospital Licensing Act as a general acute care hospital
shall have
a transfer agreement with at least one general acute care hospital in order to
handle cases of complications, emergencies or exigent circumstances
.
(Section 35 of the Act)
i)Â Â Â Â Â Â Â Â Â A licensee
shall
develop a written policy
to the
extent possible, to link and integrate its services with nearby health care
facilities
to meet the needs of the patients. (Section 30(e) of the Act)
j)Â Â Â Â Â Â Â Â Â If the facility is licensed under the Hospital Licensing Act,
the Hospital Licensing Requirements shall apply to blood transfusions. If the
facility is licensed under the Nursing Home Care Act or is a Designated Site,
blood transfusions may be given to patients receiving subacute care only if the
facility has a transfusion protocol that is approved by the medical director,
director of nursing services and the administrator. The protocol must be
followed and must address, at least, the following to assure the safety of the
patient:
1)Â Â Â Â Â Â Â Â Acquisition, transportation and storage of the blood or blood
products;
2)Â Â Â Â Â Â Â Â Supervision by a physician;
3)Â Â Â Â Â Â Â Â The supplies necessary for the transfusion and response to
emergencies;
4)Â Â Â Â Â Â Â Â Administration of the blood or blood products;
5)Â Â Â Â Â Â Â Â Monitoring of the patient during and after the transfusion;
6)Â Â Â Â Â Â Â Â The qualifications of the staff responsible for implementing
subsections (j)(1), (3), (4) and (5) above; and
7)Â Â Â Â Â Â Â Â Arrangements with a licensed hospital to have all blood
transfusions and transfusion reactions reviewed in accordance with Section
250.520(i) and (j) of the Hospital Licensing Requirements.