Section 1305.75  Mandatory Reporting of Impaired Advanced Practice Nurses by Health Care Institutions

a)         Section 15-55 of the Act requires that the chief administrator or executive officer of any health care institution licensed by the Department of Public Health report to the APN Board concerning impaired advanced practice nurses.  All instances in which a person licensed under the Act is impaired by reason of age, drug or alcohol abuse, or physical or mental impairment, is under supervision, and where appropriate, is in a program of rehabilitation, must be reported to the APN Board. The reports must contain sufficient current information to enable the APN Board to evaluate the impairment and determine the appropriateness of the supervision or the program of rehabilitation.  If the Board finds the supervision or treatment plan submitted by the institution is not sufficient to meet the needs of the individual, the Board may direct the facility to work with the Division to revise the plan or treatment to meet the specific objections.

b)         Contents of Reports.  Reports of impaired persons shall be submitted in writing on forms provided by the Division that shall include but not be limited to the following information:

1)         The name, address, telephone number and title of the person making the report;

2)         The name, address, telephone number and type of health care institution where the maker of the report is employed;

3)         The name, address, telephone number and professional license number of the person who is the subject of the report;

4)         A means of identification used by the institution of any patient or patients whose treatment is a subject of the report, provided, however, no medical records may be revealed without the written consent of the patient or patients; and further provide that the APN Board may require disclosure of the name, address, and telephone number of any patient if it deems the information necessary to an evaluation of the impairment or a determination of the appropriateness of the supervision or program of rehabilitation;

5)         The nature of the impairment and brief description of the facts that gave rise to the issuance of the report, including the dates of any occurrences deemed to necessitate the filing of the report;

6)         The terms and conditions of the supervision under which the subject of the report is conducting his activities or practice, including the date supervision commenced; the term of the supervision; the name, address and telephone number of the person in charge of the subject's supervision; and a written consent executed by the subject of the report authorizing the APN Board, or designated representative of the APN Board, to contact the person in charge of the subject's supervision for information, including written documentation, in order to evaluate the progress of the subject's supervision pursuant to subsection (g)(2);

7)         If the subject of the report is in a program of rehabilitation, the name, address, and telephone number of the program and the name and position of any individual in charge of the program; and

8)         Any other information deemed by the reporting person to be of assistance to the APN Board in evaluating the report, including, but not limited to, the following items: drug screens being used and their status; relapses and actions taken; attendance at work; observations of recovery status and level of cooperation in recovery; other psychopathology or known related physical and mental illnesses; involvement of the family and others in treatment or supervision; and a copy of the aftercare agreement.

c)         Reports of impaired persons shall be submitted to the APN Board in a timely manner.  The initial report shall be submitted on forms provided by the Division within 60 days after it is determined that a report is necessary under the Act and this Section.  Periodic reports (which evidence written documentation of the progress of supervision or rehabilitation) shall be submitted to the APN Board every 6 months, commencing with the time of the filing of the initial report. A copy of each report shall be sent by the person making the report to the impaired person.

d)         Confidentiality

1)         The contents of any report shall be strictly confidential, except as otherwise provided in this subsection (d), and exempt from public disclosure, but may be reviewed by:

A)        Members of the APN Board or their designees;

B)        The APN Board's designated attorneys;

C)        Administrative personnel assigned to open mail containing reports, to process and distribute the reports to authorized persons, and to communicate with senders of reports; and

D)        The person who is the subject of the report, his attorney or his authorized representative (as evidenced by a written authorization signed by the person who is the subject of the report).

2)         The reports may also be handled or processed by other designated persons in a limited manner necessary to implement reports required under this Act by computer, word processing equipment or other mechanical means.  The data record shall be limited to the name and address of the originator of the report, the date the initial report was received, the date of the most recent report and the professional license number of the subject of the report.

3)         The contents of the confidential reports relating to impaired persons shall not be used or made available in any other administrative proceedings before the Division or any other department; however, violations of the treatment or supervision plan will result in a review of the person's status by the Board or its designees for possible discipline or revision in the treatment or supervision plan.  Reports shall not be disclosed, made available or subject to subpoena or discovery proceedings in any civil or criminal court proceedings.

e)         Upon a determination by the Board that a report or reports on an impaired person no longer require review and consideration, the Board shall notify the maker of the reports to cease sending the reports and the Board and Division records shall be purged of information contained in the reports.  Such determinations shall be based on, but not limited to: the type of rehabilitation program, length of supervision, occurrence of any relapses and present status of license.

f)          Whenever any chief administrative or chief executive officer of any health care institution who makes a report or provides other information to the Board, or assists the Board concerning an impaired person, acts in good faith and not in a willful and wanton manner, that chief administrative or chief executive officer, and the health care institution employing him, shall not, as a result of such actions, be subject to criminal prosecution or civil damages (Section 15-55(c) of the Act).

g)         Definitions

1)         "Impaired" means the inability to practice advanced practice nursing with reasonable skill and safety due to physical or mental disabilities, as evidenced by a written evaluation or clinical evidence that reveals a deterioration of the advanced practice nurse's ability to deliver competent care, due to problems related to aging, loss of motor skill, abuse of drugs or alcohol, or mental illness.

2)         "Under supervision" means that the performance of the impaired person's clinical privileges and status of the person's impairment is being observed and monitored under the authority of a written directive issued in accordance with a health care institution's or medical staff's bylaws or rules and regulations.

(Source:  Amended at 30 Ill. Reg. 4657, effective March 1, 2006)