77 Ill. Adm. Code 640.70
Minimum Components for Letters of Agreement Between Non-Birthing Center, Level I, Level II, Level II with Extended Neonatal Capabilities, or Level III Perinatal Hospitals and Their Administrative Perinatal Center
Section 640
Section 640.70Â Minimum
Components for Letters of Agreement Between Non-Birthing Center, Level I, Level
II, Level II with Extended Neonatal Capabilities, or Level III Perinatal Hospitals
and Their Administrative Perinatal Center
The following components, at a
minimum, shall be addressed in a letter of agreement between the applicant hospital
and its APC:
a)Â Â Â Â Â Â Â Â A description of how maternal and neonatal patients with potential
complications, including handicapping conditions or developmental disabilities,
will be identified.
b)Â Â Â Â Â Â Â Â A description of the types of maternal and neonatal cases in
which consultation from the APC or Level III hospital shall be sought and from
which patients shall be selected for transfer. This description shall address
those high-risk mothers or neonates with handicapping conditions, developmental
disabilities, or medical conditions that may require additional medical and
surgical treatment and support services, but would not, however, require
transport to an APC or Level III hospital.
c)Â Â Â Â Â Â Â Â A description of how the APC or Level III hospital will report
a patient's progress to the referring physicians, and the criteria for return
of the patient from the APC or Level III hospital to an affiliated hospital
closer to the patient's home.
d)Â Â Â Â Â Â Â Â A description of the methods for transporting high-risk
mothers and neonates with physiological support in transit.
e)Â Â Â Â Â Â Â Â A description of the information, counseling and referral
services available within the local community and the regional network for
parents or potential parents of neonates with handicapping conditions or
developmental disabilities.
f)Â Â Â Â Â Â Â Â A description of the professional educational outreach program
for the regional network, including how efforts will be coordinated.
g)Â Â Â Â Â Â Â Â A description of the regional perinatal network's program for
medical and home nursing follow-up, describing systems of liaisons, with a
letter of agreement from the agency providing the home nursing follow-up
services.
h)Â Â Â Â Â Â Â Â A description of the methodologies used to monitor, evaluate
and improve the quality of health care services provided by the applicant hospital,
including expectations of both the APC and applicant hospital on joint
participation in CQI activities.
i)Â Â Â Â Â Â Â Â Â A requirement that the hospital shall provide information,
counseling and referral services to another health care provider to parents or
potential parents of neonates with handicapping conditions or developmental
disabilities upon the identification of the handicapping conditions and
developmental disabilities, to assist in obtaining habilitation, rehabilitation
and special education services.
j)Â Â Â Â Â Â Â Â Â A requirement for evaluation and consultation with the APC or
Level III hospital and referral to the APC or Level III hospital, when
determined appropriate by the perinatal conditions or developmental
disabilities, within 24 hours after the identification of the conditions
(specific conditions shall be defined in the letter of agreement).
k)Â Â Â Â Â Â Â Â A requirement that procedures for referral to appropriate
state and local education service agencies of children having an identified
handicapping condition or developmental disability requiring evaluation and
assessment under such agencies shall be established. The procedures shall
include obtaining parental consent prior to release of information to the
appropriate state and local educational service agencies.