Section 260.1000 Definitions

Section 260

Section 260.1000  Definitions

The following terms shall have

the meanings ascribed to them here whenever the term is used in this Part.

Abuse – any

physical or mental injury or sexual assault inflicted on a client other than by

accidental means in a facility. Abuse includes:

Physical abuse

refers to the infliction of injury on a client that occurs other than by

accidental means and that requires (whether or not actually given) medical

attention.

Mental injury arises from the following types of conduct:

Verbal abuse

refers to the use by a licensee, employee or agent of oral, written or gestured

language that includes disparaging and derogatory terms to clients or within

their hearing or seeing distance, regardless of their age, ability to

comprehend or disability.

Mental abuse

includes, but is not limited to, humiliation, harassment, threats of punishment

or deprivation, or offensive physical contact by a licensee, employee or agent.

Sexual harassment or sexual coercion perpetrated by a licensee, employee

or agent.

Sexual assault.

Act – the

Alternative Health Care Delivery Act.

Affiliate –

With respect

to a partnership, each partner;

With respect

to a corporation, each officer, director and stockholder;

With respect

to a natural person:  any person related in the first degree of kinship to that

person; each partnership and each partner of the partnership of which that

person or any affiliate of that person is a partner; and each corporation in

which that person or any affiliate of that person is an officer, director or

stockholder.

Advanced

Practice Registered Nurse or APRN – a person who is licensed as an advanced

practice registered nurse under the Nurse Practice Act.

Board

–

the State Board of Health

. (Section 10 of the Act)

Caregiver −

Parent or other person who provides hands-on care for the child.

Charitable

Care – the intentional provision of free or discounted services to persons who

cannot afford to pay

older.

Advanced

Practice Registered Nurse or APRN – a person who is licensed as an advanced

practice registered nurse under the Nurse Practice Act.

Board

–

the State Board of Health

. (Section 10 of the Act)

Caregiver −

Parent or other person who provides hands-on care for the child.

Charitable

Care – the intentional provision of free or discounted services to persons who

cannot afford to pay.

Children or Child with Special Health Care Needs − those children

who have or are at increased risk, or a child who has or is at increased risk,

for chronic physical ailments and who require health and related services of a

type or amount beyond that which children generally require.

Child's

Representative – a person authorized by law, including a child's legal

guardian, to act on behalf of the child.

Children's Community-Based

Health Care Center –

a designated site that provides nursing care, clinical

support services, and therapies for a period of one to 14 days for short-term

respite

care

stays and

one to

120 days to facilitate transitions to home or

other appropriate settings for medically fragile children, technology dependent

children, and children with special health care needs who are deemed clinically

stable by a physician and are younger than 22 years of age.  This care is to be

provided in a home-like environment that serves no more than 12 children at a

time.

(Section 35(3) of the Act)

Client – a child

who has met the admission criteria in Section 260.1800 and who has been

admitted to a facility.

Demonstration

Program

or Program –

a program to license and study alternative health

care models authorized under the Act

.  (Section 10 of the Act)

Department

–

the Illinois Department of Public Health

ent that serves no more than 12 children at a

time.

(Section 35(3) of the Act)

Client – a child

who has met the admission criteria in Section 260.1800 and who has been

admitted to a facility.

Demonstration

Program

or Program –

a program to license and study alternative health

care models authorized under the Act

.  (Section 10 of the Act)

Department

–

the Illinois Department of Public Health

. (Section 10 of the Act)

Diagnostic

Studies − any analytic tests, including, but not limited to, heart

monitoring or sleep tests, used in identifying the nature or cause of an

illness, disorder or problem that are typically done in the home and that are

conducted in a Children's Community-Based Health Care Center for children with

special health care needs.

Dietitian – a

person who is a licensed dietitian as provided in the Dietitian Nutritionist

Practice Act.

Director

– the

Director of

the Illinois Department of

Public Health

or

designee. (Section 10 of the Act)

Director of

Nursing or DON − a registered professional nurse who holds at least a

bachelor's degree in nursing and relevant continuing education, has experience

in nursing administration, and employed full-time within the facility.

Facility –

same as Children's Community-Based Health Care Center.

Health Care Provider – a physician

licensed to practice medicine in all of its branches, an advanced practice

registered nurse (APRN) licensed under the Nurse Practice Act, or a physician

assistant licensed under the Physician Assistant Practice of 1987.

Hospital – a

facility licensed pursuant to the Hospital Licensing Act.

Inspection –

any survey, evaluation or investigation of the Children's Community-Based

Health Care Center's compliance with the Act and this Part by the Department or

designee.

Licensee – the

person or entity licensed to operate the Children's Community-Based Health Care

Center

er the Physician Assistant Practice of 1987.

Hospital – a

facility licensed pursuant to the Hospital Licensing Act.

Inspection –

any survey, evaluation or investigation of the Children's Community-Based

Health Care Center's compliance with the Act and this Part by the Department or

designee.

Licensee – the

person or entity licensed to operate the Children's Community-Based Health Care

Center.

Medical Day Care − care

provided by a Children's Community-Based Health Care Center for children with

special health care needs for no more than 12 in 24 hours, in accordance with

Section 260.1800(c).

Medically Fragile Children − children who are medically stable but

require skilled nursing care, specialized therapy, and specialized medical

equipment and supplies to enhance or sustain their lives.  "Medically

fragile children" may include, but is not limited to, children who have

neuro-muscular disease, heart disease, cancer, seizure disorder, spina bifida,

chronic lung disease, or other medical conditions that threaten the child's

ability to thrive and to survive without proper medical care.

Medical Plan of Care – a written plan that can include, but is not

limited to, up-to-date medications, a feeding plan, treatment, and medical

equipment settings.

Neglect – a

failure in a facility to provide adequate medical or personal care or

maintenance, resulting in physical or mental injury to a client or in the

deterioration of a client's physical or mental condition. Neglect shall include

any situation in which failure to provide adequate medical or personal care or

maintenance:

causes injury

or deterioration that is ongoing or repetitious; or

results in a client

requiring medical treatment; or

causes a

noticeable negative impact on a client's health, behavior or activities for

more than 24 hours.

Physician – a

person licensed to practice medicine in all of its branches under the Medical

Practice Act of 1987

provide adequate medical or personal care or

maintenance:

causes injury

or deterioration that is ongoing or repetitious; or

results in a client

requiring medical treatment; or

causes a

noticeable negative impact on a client's health, behavior or activities for

more than 24 hours.

Physician – a

person licensed to practice medicine in all of its branches under the Medical

Practice Act of 1987.

Registered

Nurse – a person who is licensed as a registered professional nurse under the Nurse

Practice Act.

Respite Care – care for children

who are under age 22, are medically complex, have a medical condition that

requires care to be delivered by a nurse or a trained parent/caregiver, and who

are admitted for no more than 14 days.

Restraint – any manual method,

physical or mechanical device, material or equipment that immobilizes or

reduces the ability of the child to move his or her arms, legs, body or head

freely; or a drug or medication when it is used as a restriction to manage the

child's behavior or restrict the child's freedom of movement and is not a

standard treatment or dosage for the child's condition.  A restraint does not

include orthopedically prescribed devices, surgical dressings or bandages,

protective helmets, or methods that involve physically holding the child to

conduct routine physical examinations or tests, or to protect the child from

falling out of the bed, or to permit the child to participate in activities

without the risk of physical harm.

Site Interdisciplinary Team – a

team that includes a site physician, a site APRN, a site case manager, a site

social worker, a site child-life specialist, and a site clinical team.

Site Physician – a physician

designated by a facility.

Serious Injury – any significant

impairment of the physical condition of the child as determined by qualified

medical personnel

hout the risk of physical harm.

Site Interdisciplinary Team – a

team that includes a site physician, a site APRN, a site case manager, a site

social worker, a site child-life specialist, and a site clinical team.

Site Physician – a physician

designated by a facility.

Serious Injury – any significant

impairment of the physical condition of the child as determined by qualified

medical personnel.  This includes, but is not limited to, burns, lacerations,

bone fractures, substantial hematoma and injuries to internal organs, whether

self-inflicted or inflicted by another person.

Specialist – a physician who is

board certified in a specific area of medicine (e.g., a neurologist).

Serious safety event – a variation

from expected practice followed by significant temporary harm, moderate

permanent harm, severe permanent harm, or death.

Substantial

Compliance – meeting requirements except for variance from the strict and

literal performance, which results in unimportant omissions or defects given

the particular circumstances involved.  This definition is limited to the

phrase as used in Section 260.1200.

Technology Dependent Children − medically fragile children who

require the constant or regular intermittent use of technology to meet their

medical needs.  This technology may include, but is not limited to, devices

that assist or support breathing, monitor bodily functions, or provide

nutrition.

Weekend Camps − a planned program for medically fragile children,

technology dependent children, or children with special health care needs that

typically occurs from Friday afternoon through Sunday evening.