TITLE 77: PUBLIC HEALTH
CHAPTER II: HEALTH FACILITIES PLANNING BOARD
SUBCHAPTER b: OTHER BOARD RULES
PART 1250 APPROPRIATENESS REVIEW
SECTION 1250.2250 COST EFFECTIVENESS


 

Section 1250.2250  Cost Effectiveness

 

a)         Criteria #1:  Acute Mental Illness Treatment Services should operate at an efficient level of utilization.

 

b)         Standard #1:  Each Acute Mental Illness unit within a facility should have a minimum bed capacity of twelve beds and should not exceed a maximum bed capacity of 30 beds.  The State Board recognizes that existing units, however, may exceed the established maximum of 30 beds.

 

c)         Data Factor:  The number of Acute Mental Illness Treatment beds by unit, by facility.

 

d)         Standard #2:  Each Mental Illness Treatment unit of 20 beds or less should have a minimum average annual occupancy rate of 75%.

 

e)         Data Factors:

 

1)         The number of Acute Mental Illness Treatment beds by unit, by facility.

 

2)         Utilization data (Number of Acute Mental Illness Treatment Patient Days for the latest 12 months by unit, by facility).

 

f)          Standard #3:  Each Acute Mental Illness unit of 21 to 40 beds should have a minimum average annual occupancy rate of 80%.

 

g)         Data Factors:

 

1)         The number of Acute Mental Illness Treatment beds by unit, by facility.

 

2)         Utilization data (Number of Acute Mental Illness Treatment Patient Days for the latest 12 months by unit, by facility).

 

h)         Standard #4:  Each Acute Mental Illness unit of 41 beds and over should have a minimum average annual occupancy rate of 85%.

 

i)          Data Factors:

 

1)         The number of Acute Mental Illness Treatment beds by unit, by facility.

 

2)         Utilization data (Number of Acute Mental Illness Treatment Patient Days for the latest 12 months by unit, by facility).

 

j)          Criteria #2:  Acute treatment services should be provided only to persons who cannot be served effectively in less restrictive and less costly settings.

 

k)         Standard #1:  All acute services should utilize specific admission criteria and procedures which insure that each potential client is screened to determine whether they could be served in an ambulatory or alternative community-based residential program.

 

l)          Date Factors:

 

1)         Compliance with the American Psychiatric Association's recommended admission criteria stipulated in PSRO guidelines.

 

2)         A copy of each provider's admission policies for admission and evaluation of clients.

 

m)        Standard #2:  All facilities providing acute mental illness services should utilize admission procedures and criteria that specify those patient characteristics necessary for admission to the service.

 

n)         Data Factors:

 

1)         Compliance with the American Psychiatric Association's recommended admission criteria stipulated in PSRO guidelines.

 

2)         A copy of each provider's admission policies for admission and evaluation of clients.

 

(Source:  Added at 5 Ill. Reg. 3214, effective March 18, 1981)