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Illinois Administrative Code (Last Updated: March 27, 2024) |
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TITLE77. PUBLIC HEALTH |
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PART250. HOSPITAL LICENSING REQUIREMENTS |
| SUBPART A. GENERAL PROVISIONS |
| § 250.100. Definitions |
| § 250.105. Incorporated and Referenced Materials |
| § 250.110. Application for and Issuance of Permit to Establish a Hospital |
| § 250.120. Application for and Issuance of a License to Operate a Hospital |
| § 250.130. Administration by the Department |
| § 250.140. Hearings |
| § 250.150. Definitions [Renumbered] |
| § 250.160. Incorporated and Referenced Materials [Renumbered] |
| SUBPART B. ADMINISTRATION AND PLANNING |
| § 250.210. The Governing Board |
| § 250.220. Accounting |
| § 250.230. Planning |
| § 250.240. Admission and Discharge |
| § 250.245. Failure to Initiate Criminal Background Checks |
| § 250.250. Visiting Rules |
| § 250.260. Patients' Rights |
| § 250.265. Language Assistance Services |
| § 250.270. Manuals of Procedure |
| § 250.280. Agreement with Designated Organ Procurement Agencies |
| § 250.285. Smoking Restrictions |
| § 250.290. Safety Alert Notifications |
| § 250.295. Notification and Posting Requirements |
| § 250.300. At-Home Patient Care Waivers |
| SUBPART C. THE MEDICAL STAFF |
| § 250.310. Organization |
| § 250.315. House Staff Members |
| § 250.320. Admission and Supervision of Patients |
| § 250.330. Orders for Medications and Treatments |
| § 250.340. Availability for Emergencies |
| SUBPART D. PERSONNEL SERVICE |
| § 250.410. Organization |
| § 250.420. Personnel Records |
| § 250.430. Duty Assignments |
| § 250.435. Health Care Worker Background Check |
| § 250.440. Education Programs |
| § 250.445. Workplace Violence Prevention Program |
| § 250.450. Personnel Health Requirements |
| § 250.460. Benefits |
| SUBPART E. LABORATORY |
| § 250.510. Laboratory Services |
| § 250.520. Blood and Blood Components |
| § 250.525. Designated Blood Donor Program |
| § 250.530. Proficiency Survey Program [Repealed] |
| § 250.540. Laboratory Personnel [Repealed] |
| § 250.550. Western Blot Assay Testing Procedures [Repealed] |
| SUBPART F. RADIOLOGICAL SERVICES |
| § 250.610. General Diagnostic Procedures and Treatments |
| § 250.620. Radioactive Material |
| § 250.630. General Policies and Procedures Manual |
| SUBPART G. EMERGENCY SERVICES |
| § 250.710. Classification of Emergency Services |
| § 250.720. General Requirements |
| § 250.725. Notification of Emergency Personnel |
| § 250.730. Community or Areawide Planning |
| § 250.740. Disaster and Mass Casualty Program |
| § 250.750. Medical Forensic Services for Sexual Assault Survivors |
| SUBPART H. RESTORATIVE AND REHABILITATION SERVICES |
| § 250.810. Applicability of Other Parts of These Requirements |
| § 250.820. General |
| § 250.830. Classifications of Restorative and Rehabilitation Services |
| § 250.840. General Requirements for all Classifications |
| § 250.850. Specific Requirements for Comprehensive Physical Rehabilitation Services |
| § 250.860. Medical Direction |
| § 250.870. Nursing Care |
| § 250.880. Additional Allied Health Services |
| § 250.890. Animal-Assisted Therapy |
| SUBPART I. NURSING SERVICE AND ADMINISTRATION |
| § 250.910. Nursing Services |
| § 250.920. Organizational Plan |
| § 250.930. Role in hospital planning |
| § 250.940. Job descriptions |
| § 250.950. Nursing committees |
| § 250.960. Specialized nursing services |
| § 250.970. Nursing Care Plans |
| § 250.980. Nursing Records and Reports |
| § 250.990. Unusual Incidents |
| § 250.1000. Meetings |
| § 250.1010. Education Programs |
| § 250.1020. Licensure |
| § 250.1030. Policies and Procedures |
| § 250.1035. Domestic Violence Standards |
| § 250.1040. Patient Care Units |
| § 250.1050. Equipment for Bedside Care |
| § 250.1060. Drug Services on Patient Unit |
| § 250.1070. Care of Patients |
| § 250.1075. Use of Restraints and Seclusion |
| § 250.1080. Admission Procedures Affecting Care |
| § 250.1090. Sterilization and Processing of Supplies |
| § 250.1100. Infection Control |
| § 250.1110. Mandatory Overtime Prohibition |
| § 250.1120. Staffing Levels |
| § 250.1130. Nurse Staffing by Patient Acuity |
| SUBPART J. SURGICAL AND RECOVERY ROOM SERVICES |
| § 250.1210. Surgery |
| § 250.1220. Surgery Staff |
| § 250.1230. Policies & Procedures |
| § 250.1240. Surgical Privileges |
| § 250.1250. Surgical Emergency Care |
| § 250.1260. Operating Room Register and Records |
| § 250.1270. Surgical Patients |
| § 250.1280. Equipment |
| § 250.1290. Safety |
| § 250.1300. Operating Room |
| § 250.1305. Visitors in Operating Room |
| § 250.1310. Cleaning |
| § 250.1320. Postanesthesia Care Units |
| § 250.1325. Surgical Smoke Plume Evacuation System Equipment and Policies |
| SUBPART K. ANESTHESIA SERVICES |
| § 250.1410. Anesthesia Service |
| SUBPART L. RECORDS AND REPORTS |
| § 250.1510. Medical Records |
| § 250.1520. Reports |
| SUBPART M. FOOD SERVICE |
| § 250.1610. Dietary Department Administration |
| § 250.1620. Facilities |
| § 250.1630. Menus and Nutritional Adequacy |
| § 250.1640. Diet Orders |
| § 250.1650. Frequency of Meals |
| § 250.1660. Therapeutic (Modified) Diets |
| § 250.1670. Food Preparation and Service |
| § 250.1680. Sanitation |
| SUBPART N. HOUSEKEEPING AND LAUNDRY SERVICES |
| § 250.1710. Housekeeping |
| § 250.1720. Garbage, Refuse and Solid Waste Handling and Disposal |
| § 250.1730. Insect and Rodent Control |
| § 250.1740. Laundry Service |
| § 250.1750. Soiled Linen |
| § 250.1760. Clean Linen |
| SUBPART O. OBSTETRIC AND NEONATAL SERVICE |
| § 250.1810. Applicability of Other Provisions of this Part |
| § 250.1820. Obstetric and Neonatal Service (Perinatal Service) |
| § 250.1830. General Requirements for All Obstetric Departments |
| § 250.1840. Discharge of Newborn Infants from Hospital |
| § 250.1845. Caesarean Birth |
| § 250.1850. Single Room Postpartum Care of Mother and Infant |
| § 250.1860. Special Programs [Repealed] |
| § 250.1870. Labor, Delivery, Recovery and Postpartum Care |
| SUBPART P. ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS – HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL |
| § 250.1910. Maintenance |
| § 250.1920. Emergency electric service |
| § 250.1930. Water Supply |
| § 250.1940. Ventilation, Heating, Air Conditioning, and Air Changing Systems |
| § 250.1950. Grounds and Buildings Shall be Maintained |
| § 250.1960. Sewage, Garbage, Solid Waste Handling and Disposal |
| § 250.1970. Plumbing |
| § 250.1980. Fire and Safety |
| SUBPART Q. CHRONIC DISEASE HOSPITALS |
| § 250.2010. Definition |
| § 250.2020. Requirements |
| SUBPART R. PHARMACY OR DRUG AND MEDICINE SERVICE |
| § 250.2110. Service Requirements |
| § 250.2120. Personnel Required |
| § 250.2130. Facilities for Services |
| § 250.2140. Pharmacy and Therapeutics Committee |
| SUBPART S. PSYCHIATRIC SERVICES |
| § 250.2210. Applicability of other Parts of these Regulations |
| § 250.2220. Establishment of a Psychiatric Service |
| § 250.2230. The Medical Staff |
| § 250.2240. Nursing Service |
| § 250.2250. Allied Health Personnel |
| § 250.2260. Staff and Personnel Development and Training |
| § 250.2270. Admission, Transfer and Discharge Procedures |
| § 250.2280. Care of Patients |
| § 250.2290. Special Medical Record Requirements for Psychiatric Hospitals and Psychiatric Units of General Hospitals or General Hospitals Providing Psychiatric Care. |
| § 250.2300. Diagnostic, Treatment and Physical Facilities and Services |
| SUBPART T. DESIGN AND CONSTRUCTION STANDARDS |
| § 250.2410. Applicability of these Standards |
| § 250.2420. Submission of Plans for New Construction, Alterations or Additions to Existing Facility |
| § 250.2430. Preparation of Drawings and Specifications--Submission Requirements |
| § 250.2440. General Hospital Standards |
| § 250.2442. Fees |
| § 250.2443. Advisory Committee |
| § 250.2450. Details |
| § 250.2460. Finishes |
| § 250.2470. Structural |
| § 250.2480. Mechanical |
| § 250.2490. Plumbing and Other Piping Systems |
| § 250.2500. Electrical Requirements |
| SUBPART U. CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS |
| § 250.2610. Applicability of Subpart U |
| § 250.2620. Codes and Standards |
| § 250.2630. Existing General Hospital Requirements |
| § 250.2640. Details |
| § 250.2650. Finishes |
| § 250.2660. Mechanical |
| § 250.2670. Plumbing and Other Piping Systems |
| § 250.2680. Electrical Requirements |
| SUBPART V. SPECIAL CARE AND/OR SPECIAL SERVICE UNITS |
| § 250.2710. Special Care and/or Special Service Units |
| § 250.2720. Day Care for Mildly Ill Children |
| SUBPART W. ALCOHOLISM AND INTOXICATION TREATMENT SERVICES |
| § 250.2810. Applicability of Other Parts of These Requirements |
| § 250.2820. Establishment of an Alcoholism and Intoxication Treatment Service |
| § 250.2830. Classification and Definitions of Service and Programs |
| § 250.2840. General Requirements for all Hospital Alcoholism Program Classifications |
| § 250.2850. The Medical and Professional Staff |
| § 250.2860. Medical Records |
| § 250.2870. Referral |
| § 250.2880. Client Legal and Human Rights |
| SUBPART X. RURAL EMERGENCY HOSPITALS |
| § 250.2900. Applicability of This Part to Rural Emergency Hospitals |
| Section 250.APPENDIX A. Codes and Standards [Repealed] |
| § 250.EXHIBIT A. Codes [Repealed] |
| § 250.EXHIBIT B. Standards [Repealed] |
| § 250.EXHIBIT C. Addresses of Sources [Repealed] |
| § 250.ILLUSTRATION A. Seismic Zone Map |
| § 250.TABLE A. Measurements Essential for Level I, II, and III Hospitals |
| § 250.TABLE B. Sound Transmission Limitations in General Hospitals |
| § 250.TABLE C. Filter Efficiencies for Central Ventilation and Air Conditioning Systems in General Hospitals [Repealed] |
| § 250.TABLE D. General Preassure Relationships and Ventilation of Certain Hospital Areas [Repealed] |
| § 250.TABLE E. Piping Locations for Oxygen, Vacuum and Medical Compressed Air |
| § 250.TABLE F. General Pressure Relationships and Ventilation of Certain Hospital Areas |
| § 250.TABLE G. Insulation/Building Perimeter |
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SOURCE: Rules repealed and new rules adopted August 27, 1978; emergency amendment at 2 Ill. Reg. 31, p. 73, effective July 24, 1978, for a maximum of 150 days; amended at 2 Ill. Reg. 21, p. 49, effective May 16, 1978; emergency amendment at 2 Ill. Reg. 31, p. 73, effective July 24, 1978, for a maximum of 150 days; amended at 2 Ill. Reg. 45, p. 85, effective November 6, 1978; amended at 3 Ill. Reg. 17, p. 88, effective April 22, 1979; amended at 4 Ill. Reg. 22, p. 233, effective May 20, 1980; amended at 4 Ill. Reg. 25, p. 138, effective June 6, 1980; amended at 5 Ill. Reg. 507, effective December 29, 1980; amended at 6 Ill. Reg. 575, effective December 30, 1981; amended at 6 Ill. Reg. 1655, effective January 27, 1982; amended at 6 Ill. Reg. 3296, effective March 15, 1982; amended at 6 Ill. Reg. 7835 and 7838, effective June 17, 1982; amended at 7 Ill. Reg. 962, effective January 6, 1983; amended at 7 Ill. Reg. 5218 and 5221, effective April 4, 1983 and April 5, 1983; amended at 7 Ill. Reg. 6964, effective May 17, 1983; amended at 7 Ill. Reg. 8546, effective July 12, 1983; amended at 7 Ill. Reg. 9610, effective August 2, 1983; codified at 8 Ill. Reg. 19752; amended at 8 Ill. Reg. 24148, effective November 29, 1984; amended at 9 Ill. Reg. 4802, effective April 1, 1985; amended at 10 Ill. Reg. 11931, effective September 1, 1986; amended at 11 Ill. Reg. 10283, effective July 1, 1987; amended at 11 Ill. Reg. 10642, effective July 1, 1987; amended at 12 Ill. Reg. 15080, effective October 1, 1988; amended at 12 Ill. Reg. 16760, effective October 1, 1988; amended at 13 Ill. Reg. 13232, effective September 1, 1989; amended at 14 Ill. Reg. 2342, effective February 15, 1990; amended at 14 Ill. Reg. 13824, effective September 1, 1990; amended at 15 Ill. Reg. 5328, effective May 1, 1991; amended at 15 Ill. Reg. 13811, effective October 1, 1991; amended at 17 Ill. Reg. 1614, effective January 25, 1993; amended at 17 Ill. Reg. 17225, effective October 1, 1993; amended at 18 Ill. Reg. 11945, effective July 22, 1994; amended at 18 Ill. Reg. 15390, effective October 10, 1994; amended at 19 Ill. Reg. 13355, effective September 15, 1995; emergency amendment at 20 Ill. Reg. 474, effective January 1, 1996, for a maximum of 150 days; emergency expired May 29, 1996; amended at 20 Ill. Reg. 3234, effective February 15, 1996; amended at 20 Ill. Reg. 10009, effective July 15, 1996; amended at 22 Ill. Reg. 3932, effective February 13, 1998; amended at 22 Ill. Reg. 9342, effective May 20, 1998; amended at 23 Ill. Reg. 1007, effective January 15, 1999; emergency amendment at 23 Ill. Reg. 3508, effective March 4, 1999, for a maximum of 150 days; amended at 23 Ill. Reg. 9513, effective August 1, 1999; amended at 23 Ill. Reg. 13913, effective November 15, 1999; amended at 24 Ill. Reg. 6572, effective April 11, 2000; amended at 24 Ill. Reg. 17196, effective November 1, 2000; amended at 25 Ill. Reg. 3241, effective February 15, 2001; amended at 27 Ill. Reg. 1547, effective January 15, 2003; amended at 27 Ill. Reg. 13467, effective July 25, 2003; amended at 28 Ill. Reg. 5880, effective March 29, 2004; amended at 28 Ill. Reg. 6579, effective April 15, 2004; amended at 29 Ill. Reg. 12489, effective July 27, 2005; amended at 31 Ill. Reg. 4245, effective February 20, 2007; amended at 31 Ill. Reg. 14530, effective October 3, 2007; amended at 32 Ill. Reg. 3756, effective February 27, 2008; amended at 32 Ill. Reg. 4213, effective March 10, 2008; amended at 32 Ill. Reg. 7932, effective May 12, 2008; amended at 32 Ill. Reg. 14336, effective August 12, 2008; amended at 33 Ill. Reg. 8306, effective June 2, 2009; amended at 34 Ill. Reg. 2528, effective January 27, 2010; amended at 34 Ill. Reg. 3331, effective February 24, 2010; amended at 34 Ill. Reg. 19031, effective November 17, 2010; amended at 34 Ill. Reg. 19158, effective November 23, 2010; amended at 35 Ill. Reg. 4556, effective March 4, 2011; amended at 35 Ill. Reg. 6386, effective March 31, 2011; amended at 35 Ill. Reg. 13875, effective August 1, 2011; amended at 36 Ill. Reg. 17413, effective December 3, 2012; amended at 38 Ill. Reg. 13280, effective June 10, 2014; amended at 39 Ill. Reg. 5443, effective March 25, 2015; amended at 39 Ill. Reg. 13041, effective September 3, 2015; amended at 41 Ill. Reg. 7154, effective June 12, 2017; amended at 41 Ill. Reg. 14945, effective November 27, 2017; amended at 42 Ill. Reg. 9507, effective May 24, 2018; amended at 43 Ill. Reg. 3889, effective March 18, 2019; amended at 43 Ill. Reg. 12990, effective October 22, 2019; emergency amendment at 44 Ill. Reg. 5934, effective March 25, 2020, for a maximum of 150 days; emergency expired August 21, 2020; emergency amendment at 44 Ill. Reg. 7788, effective April 16, 2020, for a maximum of 150 days; emergency repeal of emergency amendment at 44 Ill. Reg. 14333, effective August 24, 2020; emergency amendment at 44 Ill. Reg. 14804, effective August 24, 2020, for a maximum of 150 days; emergency expired January 20, 2021; amended at 44 Ill. Reg. 18379, effective October 29, 2020; emergency amendment at 45 Ill. Reg. 1202, effective January 8, 2021, for a maximum of 150 days; emergency amendment expired June 6, 2021; emergency amendment at 45 Ill. Reg. 1715, effective January 21, 2021, for a maximum of 150 days; emergency expired June 19, 2021; emergency amendment at 45 Ill. Reg. 7544, effective June 7, 2021, for a maximum of 150 days; emergency expired November 3, 2021; emergency amendment at 45 Ill. Reg. 8096, effective June 15, 2021, for a maximum of 150 days; emergency expired November 11, 2021; emergency amendment at 45 Ill. Reg. 8503, effective June 20, 2021, for a maximum of 150 days; emergency expired November 16, 2021; emergency amendment at 45 Ill. Reg. 11907, effective September 17, 2021, for a maximum of 150 days; emergency expired February 13, 2022; emergency amendment at 45 Ill. Reg. 14519, effective November 4, 2021, for a maximum of 150 days; emergency expired April 2, 2022; emergency amendment at 45 Ill. Reg. 15115, effective November 12, 2021, through December 31, 2021; emergency amendment at 45 Ill. Reg. 15375, effective November 17, 2021, for a maximum of 150 days; emergency expired April 15, 2022; emergency amendment at 46 Ill. Reg. 1911, effective January 13, 2022, for a maximum of 150 days; emergency expired June 11, 2022; emergency amendment at 46 Ill. Reg. 3208, effective February 14, 2022, for a maximum of 150 days; emergency expired July 13, 2022; emergency amendment at 46 Ill. Reg. 6142, effective April 3, 2022, for a maximum of 150 days; emergency expired August 30, 2022; emergency amendment at 46 Ill. Reg. 6808, effective April 16, 2022, for a maximum of 150 days; emergency expired September 12, 2022; amended at 46 Ill. Reg. 8914, effective May 12, 2022; emergency amendment at 46 Ill. Reg. 10950, effective June 12, 2022, for a maximum of 150 days; emergency amendment to emergency rule at 46 Ill. Reg. 12643, effective July 6, 2022, for the remainder of the 150 days; emergency expired November 8, 2022; emergency amendment at 46 Ill. Reg. 13344, effective July 14, 2022, for a maximum of 150 days; emergency amendment to emergency rule at 46 Ill. Reg. 18185, effective October 27, 2022, for the remainder of the 150 days; emergency expired December 10, 2022; emergency amendment at 46 Ill. Reg. 15824, effective August 31, 2022, for a maximum of 150 days; emergency expired January 27, 2023; amended at 46 Ill. Reg. 15597, effective September 1, 2022; emergency amendment at 46 Ill. Reg. 16271, effective September 13, 2022, for a maximum of 150 days; emergency expired February 9, 2023; emergency amendment at 46 Ill. Reg. 18902, effective November 9, 2022, for a maximum of 150 days; emergency expired April 7, 2023; amended at 46 Ill. Reg. 18995, effective November 10, 2022; emergency amendment at 46 Ill. Reg. 20211, effective December 11, 2022, for a maximum of 150 days; emergency expired May 9, 2023; emergency amendment at 47 Ill. Reg. 2189, effective January 28, 2023, for a maximum of 150 days; emergency expired June 26, 2023; emergency amendment at 47 Ill. Reg. 2862, effective February 10, 2023 through May 11, 2023; amended at 47 Ill. Reg. 6477, effective April 27, 2023; SUBPART G Recodified at 47 Ill. Reg. 7030; emergency amendment at 47 Ill. Reg. 8896, effective June 8, 2023, for a maximum of 150 days; emergency amendment at 47 Ill. Reg. 9499, effective June 27, 2023, for a maximum of 150 days; emergency expired November 23, 2023; amended at 47 Ill. Reg. 14455, effective September 26, 2023; emergency amendment at 47 Ill. Reg. 18178, effective November 24, 2023, for a maximum of 150 days; emergency repeal of emergency rule at 48 Ill. Reg. 4225, effective February 27, 2024; amended at 48 Ill. Reg. 450, effective December 20, 2023; amended at 48 Ill. Reg. 2516, effective January 30, 2024.
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Notation
AUTHORITY: Implementing and authorized by the Hospital Licensing Act [210 ILCS 85].