§1110.APPENDIX B. State Guidelines - Square Footage and Utilization


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  • 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