TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER b: HOSPITALS AND AMBULATORY CARE FACILITIES
PART 250 HOSPITAL LICENSING REQUIREMENTS
SECTION 250.160 INCORPORATED AND REFERENCED MATERIALS


 

Section 250.160  Incorporated and Referenced Materials

 

a)         The following regulations and standards are incorporated in this Part:

 

1)         Private and professional association standards:

 

A)        American Society for Testing and Materials (ASTM), Standard No. E90-99 (2002):  Standard Test Method for Laboratory Measurement of Airborne Sound Transmission Loss of Building Partitions and Elements, which may be obtained from the American Society for Testing and Materials, 100 Barr Harbor Drive, West Conshohocken, Pennsylvania 19428-2959.  (See Section 250.2420.)

 

B)        The following standards of the American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE), which may be obtained from the American Society of Heating, Refrigerating, and Air-Conditioning Engineers, Inc., 1791 Tullie Circle, N.E., Atlanta, Georgia  30329:  (See Section 250.2480.)

 

i)          ASHRAE Handbook of Fundamentals (2005);

 

ii)         ASHRAE Handbook for HVAC Systems and Equipment (2004);

 

iii)         ASHRAE Handbook-HVAC Applications (2003).

 

C)        The following standards of the National Fire Protection Association (NFPA), which may be obtained from the National Fire Protection Association, 1 Batterymarch Park, Quincy, Massachusetts 02169:

 

i)          NFPA 101 (2000):  Life Safety Code; (See Sections 250.2420, 250.2450, 250.2460, 250.2470, and 250.2490.)

 

ii)         NFPA 10 (1998):  Standards for Portable Fire Extinguishers; (See Section 250.1980.)

 

iii)         NFPA 13 (1999):  Standards for the Installation of Sprinkler Systems; (See Sections 250.2490 and 250.2670.)

 

iv)        NFPA 14 (2000):  Standard for the Installation of Standpipe, Private Hydrants and Hose Systems; (See Sections 250.2490 and 250.2670.)

 

v)         NFPA 25 (1998):  Standard for the Inspection, Testing and Maintenance of Water-Based Fire Protection Systems;

 

vi)        NFPA 30 (1996):  Flammable and Combustible Liquids Code; (See Section 250.1980.)

 

vii)        NFPA 45 (1996):  Standard on Fire Protection for Laboratories Using Chemicals;

 

viii)       NFPA 54 (1999):  National Fuel Gas Code;

 

ix)        NFPA 70 (1999):  National Electrical Code; (See Sections 250.2440 and 250.2500.)

 

x)         NFPA 72 (1999):  National Fire Alarm Code;

 

xi)        NFPA 80 (1999):  Standard for Fire Doors and Fire Windows; (See Section 250.2450.)

 

xii)        NFPA 82 (1999):  Standard on Incinerators and Waste and Linen Handling Systems and Equipment; (See Section 250.2440.)

 

xiii)       NFPA 90A (1999):  Standard for Installation of Air Conditioning and Ventilating Systems; (See Sections 250.2480 and 250.2660.)

 

xiv)       NFPA 96 (1998):  Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations; (See Section 250.2660.)

 

xv)       NFPA 99 (1999):  Standard for Health Care Facilities; (See Sections 250.1410, 250.1910, 250.1980, 250.2460, 250.2480, 250.2490 and 250.2660.)

 

xvi)       NFPA 101-A (2001):  Guide on Alternative Approaches to Life Safety; (See Section 250.2620.)

 

xvii)      NFPA 110 (1999):  Standard for Emergency and Standby Power Systems;

 

xviii)     NFPA 220 (1999):  Standard on Types of Building Construction; (See Sections 250.2470 and 250.2620.)

 

xix)       NFPA 221 (1997):  Standard for Fire Walls and Fire Barrier Walls;

 

xx)       NFPA 241 (1996):  Standard for Safeguarding Construction, Alteration and Demolition Operations;

 

xxi)       NFPA 255 and 258 (2000):  Standard Method of Test of Surface Burning Characteristics of Building Materials, and Recommended Practice for Determining Smoke Generation of Solid Materials; (See Section 250.2480.)

 

xxii)      NFPA 701 (1999):  Standard Methods of Fire Tests for Flame Propagation of Textiles and Films. (See Sections 250.2460 and 250.2650.)

 

D)        American Academy of Pediatrics and American College of Obstetricians and Gynecologists, Guidelines for Perinatal Care, Sixth Edition (2007), which may be obtained from the American College of Obstetricians and Gynecologists Distribution Center, P.O. Box 933104, Atlanta, Georgia 31193-3104 (800-762-2264).  (See Section 250.1820.)

 

E)         American College of Obstetricians and Gynecologists, Guidelines for Women's Healthcare, Third Edition (2007), which may be obtained from the American College of Obstetricians and Gynecologists Distribution Center, P.O. Box 933104, Atlanta, Georgia 31193-3104 (800-762-2264).  (See Section 250.1820.)

 

F)         National Council on Radiation Protection and Measurements (NCRP), Report  49:  Structural Shielding Design and Evaluation for Medical Use of X-rays and Gamma Rays of Energies up to 10 MeV (1976) and NCRP Report  102: Medical X-Ray, Electron Beam and Gamma-Ray Protection for Energies Up to 50 MeV (Equipment Design, Performance and Use) (1989), which may be obtained from the National Council on Radiation Protection and Measurements, 7910 Woodmont Ave., Suite 800, Bethesda, Maryland  20814-3095.  (See Sections 250.2440 and 250.2450.)

 

G)        DOD Penetration Test Method MIL STD  282 (1995):  Filter Units, Protective Clothing, Gas-mask Components and Related Products:  Performance Test Methods, which may be obtained from Naval Publications and Form Center, 5801 Tabor Avenue, Philadelphia, Pennsylvania 19120.  (See Section 250.2480.)

 

H)        National Association of Plumbing-Heating-Cooling Contractors (PHCC), National Standard Plumbing Code (2003), which may be obtained from the National Association of Plumbing-Heating-Cooling Contractors, 180 S. Washington Street, P.O. Box 6808, Falls Church, Virginia 22046 (703-237-8100).

 

I)          The International Code Council, International Building Code (2000), which may be obtained from the International Code Council, 4051 Flossmoor Road, Country Club Hills, Illinois 60477-5795.  (See Section 250.2420.)

 

J)         American National Standards Institute, Specifications for Making Buildings and Facilities Accessible to, and Usable by, the Physically Handicapped (1968), which may be obtained from the American National Standards Institute, 25 West 433rd Street, 4th Floor, New York, New York 10036.  (See Section 250.2420.)

 

K)        Accreditation Council for Graduate Medical Education, Essentials of Accredited Residencies in Graduate Medical Education (1997), which may be obtained from the Accreditation Council for Graduate Medical Education, 515 North State Street, Suite 2000, Chicago, Illinois 60610.  (See Section 250.315.)

 

L)         Joint Commission on Accreditation of Healthcare Organizations, 2006 Hospital Accreditation Standards (HAS), Standard PC.3.10, which may be obtained from the Joint Commission on Accreditation of Healthcare Organizations, One Renaissance Boulevard, Oakbrook Terrace, Illinois 60181.  (See Section 250.1035.)

 

M)       National Quality Forum, Safe Practices for Better Health Care (2009), which may be obtained from the National Quality Forum, 601 13th Street, NW, Suite 500 North, Washington DC 20005, or from www.qualityforum.org.

 

2)         Federal Government Publications:

 

A)        Department of Health and Human Services, United States Public Health Service, Centers for Disease Control and Prevention, "Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings 2007" and "Guidelines for Infection Control in Health Care Personnel, 1998, which may be obtained from National Technical Information Service (NTIS), U.S. Department of Commerce, 5285 Port Royal Road, Springfield, Virginia 22161.  (See Section 250.1100.)

 

B)        Department of Health and Human Services, United States Public Health Service, Centers for Disease Control and Prevention, "Guidelines for Environmental Infection Control in Health-Care Facilities:  Recommendations − Animals in Health Care Facilities", "Morbidity and Mortality Weekly Report", June 6, 2003/Vol. 52/No. RR-10, which may be obtained from the Centers for Disease Control and Prevention, 1600 Clifton Road, MS K-95, Atlanta, Georgia 30333.

 

C)        Department of Health and Human Services, United States Public Health Services, Centers for Disease Control and Prevention, "Guidelines for Hand Hygiene in Health-Care Settings", October 25, 2002, which may be obtained from the National Technical Information Services (NTIS), U.S. Department of Commerce, 5285 Port Royal Road, Springfield, Virginia  22161.

 

D)        Department of Health and Human Services, United States Public Health Service, Centers for Disease Control and Prevention, "Guidelines for Disinfection and Sterilization in Healthcare Facilities, 2008", which may be obtained from the Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333.

 

b)         All incorporations by reference of federal regulations and guidelines and the standards of nationally recognized organizations refer to the regulations, guidelines and standards on the date specified and do not include any editions or amendments subsequent to the date specified.

 

c)         The following statutes and State regulations are referenced in this Part:

 

1)         State of Illinois statutes:

 

A)        Hospital Licensing Act [210 ILCS 85].

 

B)        Illinois Health Facilities Planning Act [20 ILCS 3960].

 

C)        Medical Practice Act of 1987 [225 ILCS 60].

 

D)        Podiatric Medical Practice Act of 1987 [225 ILCS 100].

 

E)         Pharmacy Practice Act of 1987 [225 ILCS 85].

 

F)         Physicians Assistant Practice Act of 1987 [225 ILCS 95].

 

G)        Illinois Clinical Laboratory and Blood Bank Act [210 ILCS 25].

 

H)        X-ray Retention Act [210 ILCS 90].

 

I)          Safety Glazing Materials Act [430 ILCS 60].

 

J)         Mental Health and Developmental Disabilities Code [405 ILCS 5].

 

K)        Nurse Practice Act [225 ILCS 65].

 

L)         Health Care Worker Background Check Act [225 ILCS 46].

 

M)       MRSA Screening and Reporting Act [210 ILCS 83].

 

N)        Hospital Report Card Act [210 ILCS 88].

 

O)        Illinois Adverse Health Care Events Reporting Law of 2005 [410 ILCS 522].

 

P)         Smoke Free Illinois Act [410 ILCS 82].

 

2)         State of Illinois rules:

 

A)        Department of Public Health, Illinois Plumbing Code (77 Ill. Adm. Code 890).

 

B)        Department of Public Health, Sexual Assault Survivors Emergency Treatment Code (77 Ill. Adm. Code 545).

 

C)        Department of Public Health, Control of Communicable Diseases Code (77 Ill. Adm. Code 690).

 

D)        Department of Public Health, Food Service Sanitation Code (77 Ill. Adm. Code 750).

 

E)         Department of Public Health, Public Area Sanitary Practice Code (77 Ill. Adm. Code 895).

 

F)         Department of Public Health, Maternal Death Review (77 Ill. Adm. Code 657).

 

G)        Department of Public Health, Control of Sexually Transmissible Diseases Code (77 Ill. Adm. Code 693).

 

H)        Department of Public Health, Control of Tuberculosis Code (77 Ill. Adm. Code 696).

 

I)          Department of Public Health, Health Care Worker Background Check Code (77 Ill. Adm. Code 955).

 

J)         Department of Public Health, Language Assistance Services Code (77 Ill. Adm. Code 940).

 

K)        Department of Public Health, Private Sewage Disposal Code (7 Ill. Adm. Code 905).

 

L)         Capital Development Board, Illinois Accessibility Code (71 Ill. Adm. Code 400).

 

M)       State Fire Marshal, Boiler and Pressure Vessel Safety (41 Ill. Adm. Code 120).

 

N)        State Fire Marshal, Fire Prevention and Safety (41 Ill. Adm. Code 100).

 

O)        Illinois Emergency Management Agency, Standards for Protection Against Radiation (32 Ill. Adm. Code 340).

 

P)         Illinois Emergency Management Agency, Use of X-rays in the Healing Arts Including Medical, Dental, Podiatry, and Veterinary Medicine (32 Ill. Adm. Code 360).

 

(Source:  Amended at 35 Ill. Reg. 6386, effective March 31, 2011)