TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER b: HOSPITALS AND AMBULATORY CARE FACILITIES
PART 260 CHILDREN'S COMMUNITY-BASED HEALTH CARE CENTER CODE
SECTION 260.1850 MEDICAL OVERSIGHT


 

Section 260.1850  Medical Oversight

 

a)         The facility's medical director shall be onsite a minimum of two days per week.

 

b)         The facility's medical director and DON, or their designees, shall be on call 24 hours per day.

 

c)         Medical Advisory Committee

 

1)         The facility shall have a medical advisory committee that consists of multidisciplinary team members, including:

 

A)        A primary care physician;

 

B)        A pediatrician;

 

C)        A pulmonologist or an ear, nose and throat (ENT) physician;

 

D)        A registered nurse;

 

E)        A respiratory therapist; and

 

F)         Representatives from a hospital's emergency department, NICU/PICU, palliative care, rehabilitative services, case management and social work.

 

2)         The medical advisory committee shall meet quarterly for quality review, which shall consist, at a minimum, of infection control, emergency transfers, evidence-based and best practice protocols, and family satisfaction surveys.

 

3)         The medical advisory committee shall annually review all clinical policies and procedures. Documentation of the annual reviews shall be kept on file at the facility for no less than five years.

 

4)         Minutes from the medical advisory committee's meetings shall be kept on file at the facility for no less than five years.

 

(Source:  Added at 38 Ill. Reg. 9905, effective April 28, 2014)