Section 640.20 Definitions

Section 640

Section 640.20  Definitions

"Act" means the Developmental Disability Prevention Act [410

ILCS 250].

"Active Candidate"

means having completed a residency in the appropriate medical discipline in a

program approved by the Residency Review Committee or a program approved by

the Council on Postdoctoral Training (COPT) for the American Osteopathic

Association (AOA). Active candidates shall become board certified within five

years after completion of an approved program.

"Administrative

Perinatal Center"

or "APC"

means

a referral facility intended to care for the high-risk patient before,

during, or after labor and delivery and characterized by sophistication and

availability of personnel, equipment, laboratory, transportation techniques,

consultation and other support services.

(Section 2(e) of the Act) An APC is

a university or university-affiliated hospital designated by the Department as

a Level III hospital, that receives financial support from the Department to

provide leadership and oversight of the Regionalized Perinatal Healthcare

Program.

"Advanced Practice Nurse" or "APN"

means

a

person who has met the qualifications for a certified nurse midwife (CNM);

certified nurse practitioner (CNP); certified registered nurse anesthetist

(CRNA); or a clinical nurse specialist (CNS) and has been licensed by the

Department

of Financial and Professional Regulation.

"Affiliated Hospital"

means an institution that has a letter of agreement with a specific APC.

"Apgar" means the

score devised in 1952 by Virginia Apgar to assess the health of newborn

children immediately after birth. The five criteria are Activity (Muscle Tone),

Pulse, Grimace (Reflex Irritability), Appearance (Skin Color), and Respiration.

"Assisted Ventilation" means the movement of gas into and out

of the lung by an external source connected directly to the patient.  The

external source may be a resuscitation bag, a continuous distending pressure

device, or a mechanical ventilator

mediately after birth. The five criteria are Activity (Muscle Tone),

Pulse, Grimace (Reflex Irritability), Appearance (Skin Color), and Respiration.

"Assisted Ventilation" means the movement of gas into and out

of the lung by an external source connected directly to the patient.  The

external source may be a resuscitation bag, a continuous distending pressure

device, or a mechanical ventilator.  Attachment to the patient can be by way of

a face mask, a head box, an endotracheal tube, nasal prongs, a tracheostomy, or

a negative-pressure apparatus surrounding the thorax.

"Certified Local Health Department" means a local health

department that receives program approval from the Department for all ten

required basic health programs during required program and performance review.

"Congenital" means those intrauterine factors which

influence the growth, development and function of the fetus.

(Section 2(b)

of the Act)

"Consultation" means a health care provider obtaining

information from an obstetrician, a maternal-fetal medicine physician or neonatology

specialist via the telephone, in writing, or in person for the purpose of

making patient care decisions and developing a care plan.

"Continuous

Quality Improvement" or "CQI" means a structured organizational

process for involving personnel in planning and executing a continuous flow of

improvements to provide quality health care that meets or exceeds expectations.

"

Department

"

means the Department of Public Health.

(Section 2(h) of the Act)

"Designation" means official recognition of a hospital by the

Department as having met the standards contained in Section 640.40 and Section

640.50 for the level of care that the hospital will provide as a part of a

regional perinatal network for all levels of perinatal care

care that meets or exceeds expectations.

"

Department

"

means the Department of Public Health.

(Section 2(h) of the Act)

"Designation" means official recognition of a hospital by the

Department as having met the standards contained in Section 640.40 and Section

640.50 for the level of care that the hospital will provide as a part of a

regional perinatal network for all levels of perinatal care.

"

Developmental Disability

"

means mental retardation,

cerebral palsy, epilepsy, or other neurological handicapping conditions of an

individual found to be closely related to mental retardation or to require

treatment similar to that required by mentally retarded individuals, and the

disability originates before such individual attains age 18, and has continued,

or can be expected to continue indefinitely, and constitutes a substantial

handicap of such individuals.

(Section 2(f) of the Act)

"Dietitian" means a

person who is licensed as a dietitian in accordance with the Dietetic and

Nutrition Services Practice Act [225 ILCS 30].

"

Disability

"

means a condition characterized by

temporary or permanent, partial or complete impairment of physical, mental or

psychological function.

(Section 2(g) of the Act)

"

Environmental

"

means those extrauterine factors

which influence the adaptation, well being or life of the newborn and may lead

to disability

.  (Section 2(c) of the Act)

"Essential Resource" means a component, such as medical or nursing

medical staff; a service, such as heat, water, or electrical power, or

equipment that is necessary to maintain the designated level of care.

"Full-time"

means on duty a minimum of 36 hours, four days per week.

"Handicapping Condition" means a medically recognized birth

defect that threatens life or has a potential for a developmental disability in

accordance with Subpart C of the Illinois Health and Hazardous Substances

Registry (77 Ill. Adm. Code 840.210)

r, or

equipment that is necessary to maintain the designated level of care.

"Full-time"

means on duty a minimum of 36 hours, four days per week.

"Handicapping Condition" means a medically recognized birth

defect that threatens life or has a potential for a developmental disability in

accordance with Subpart C of the Illinois Health and Hazardous Substances

Registry (77 Ill. Adm. Code 840.210).

"Health

Care Provider" means an individual who provides medical services or

treatments to patients within his or her scope of practice. This may include,

but is not limited to, physician, nurse, dietitian, social worker and

respiratory care provider.

"High-Risk" means an increased level of risk of harm or

mortality to the woman of childbearing age, fetus or newborn from congenital

and/or environmental factors.

(Section 2(d) of the Act)

"High-Risk Infant" means a live-born infant fitting the Adverse

Pregnancy Outcomes Reporting System (APORS) case definition.  (See 77 Ill. Adm.

Code 840.200.)

"Hospital" means a

facility defined as a hospital in Section 3 of the Hospital Licensing Act [210

ILCS 85].

"Intermediate Care Nursery"

or "ICN" means a nursery that provides nursing care to those infants

convalescing or those sick infants not requiring intensive care.

"Joint Morbidity and

Mortality Review" means the required review of maternal and neonatal cases

attended by the APC's maternal-fetal medicine physician, neonatologist and the

Perinatal Center administrator and/or obstetric and neonatal educators. The review

is a quality improvement initiative under the Medical Studies Act [735 ILCS 5/8-2101]

and consists of cases presented by the attending physician at the Regional

Network Hospital. The review includes all maternal, fetal and neonatal deaths,

as well as selected morbidities as determined by the APC's Regional Quality

Council or defined in the Regional Network Hospital's letter of agreement

eview

is a quality improvement initiative under the Medical Studies Act [735 ILCS 5/8-2101]

and consists of cases presented by the attending physician at the Regional

Network Hospital. The review includes all maternal, fetal and neonatal deaths,

as well as selected morbidities as determined by the APC's Regional Quality

Council or defined in the Regional Network Hospital's letter of agreement. The review

provides evaluation and disposition of outcomes to guide educational program

needs and quality improvement initiatives.

"Letter of Agreement"

means a document executed between the APC and the hospital, which includes

responsibilities of each party in regard to the hospital's level of designation

and the services to be provided.

"Maternity or Neonatal Complications" means those medically

determined high-risk conditions, including, but not limited to, those explained

in the Guidelines for Perinatal Care, American Academy of Pediatrics and

American College of Obstetricians and Gynecologists.

"Maternity and Neonatal Service Plan" means the description

required under Subpart O of the Hospital Licensing Requirements (77 Ill. Adm.

Code 250) of the hospital's services for care of maternity and neonatal

patients, and the way in which the services are part of an integrated system of

perinatal care provided by designated perinatal facilities.

"Morbidity" means an

undesired result or complication associated with a pregnancy, whether naturally

occurring or as the result of treatment rendered or omitted.

"Neonatal Intensive Care

Unit" or "NICU" means an intensive care unit for high risk

neonates, directed by a board-certified pediatrician with subspecialty

certification in neonatal/perinatal medicine.

"Neonate" means an infant less than 28 days of age.

"Nurse" means a

registered nurse or a licensed practical nurse as defined in the Nurse Practice

Act [225 ILCS 65]

eatment rendered or omitted.

"Neonatal Intensive Care

Unit" or "NICU" means an intensive care unit for high risk

neonates, directed by a board-certified pediatrician with subspecialty

certification in neonatal/perinatal medicine.

"Neonate" means an infant less than 28 days of age.

"Nurse" means a

registered nurse or a licensed practical nurse as defined in the Nurse Practice

Act [225 ILCS 65].

"Nurse Midwife, Certified"

or "Certified Nurse Midwife" or "CNM" means an individual

educated in the two disciplines of nursing and midwifery who possesses evidence

of certification according to the requirements of the American College of

Nurse-Midwives (ACNM).

"

Perinatal

"

means the period of time between the

conception of an infant and the end of the first month of life.

(Section

2(a) of the Act)

"Perinatal Advisory Committee" or "PAC" means the

advisory and planning committee established by the Department, which is

referred to in Section 3 of the Act.

"Pharmacist, Registered"

or "Registered Pharmacist" means a person who holds a certificate of

registration as a registered pharmacist, a local registered pharmacist or a

registered assistant pharmacist under the Pharmacy Practice Act of 1987 [225

ILCS 85].

"Physician" means any

person licensed to practice medicine in all its branches as defined in the

Medical Practice Act of 1987 [225 ILCS 60].

"Preventive Services"

means a medical intervention provided to a high risk mother and/or neonate in

an effort to reduce morbidity and mortality.

"Refer" means to send or direct for treatment.

"Regional Perinatal Network" means any number and combination

of hospitals providing maternity and newborn services at a designated level of

perinatal care

the

Medical Practice Act of 1987 [225 ILCS 60].

"Preventive Services"

means a medical intervention provided to a high risk mother and/or neonate in

an effort to reduce morbidity and mortality.

"Refer" means to send or direct for treatment.

"Regional Perinatal Network" means any number and combination

of hospitals providing maternity and newborn services at a designated level of

perinatal care.

"Regional Quality Council" or "RQC" means an

organization of representatives of perinatal services, providers and

service-related agencies and organizations within a regional perinatal network

that is responsible for the planning, development, evaluation and operation of

the network and the establishment of regional priorities and policies for

system support activities and staff.

"Registered Nurse"

means a person licensed as a registered professional nurse under the Nurse

Practice Act.

"Respiratory Care Practitioner"

means a person licensed as a respiratory care practitioner under the

Respiratory Care Practice Act [225 ILCS 106].

"Social Worker" means

a person who is a licensed social worker or a licensed clinical social worker

under the Clinical Social Work and Social Work Practice Act [225 ILCS 20].

"Special Care Nursery"

or "SCN" means a nursery that provides intermediate intensive care,

directed by a board-certified pediatrician with subspecialty certification in

neonatal/perinatal medicine, to infants who weigh more than 1250 grams.

"State Perinatal Reporting

System" means any system that requires data collection and submission of

data to the Department. These systems include, but are not limited to, birth

certificate submission, metabolic newborn screening, newborn hearing screening,

perinatal HIV testing, and the Adverse Pregnancy Outcomes Reporting System

(APORS) (see 77 Ill. Adm. Code 840)

weigh more than 1250 grams.

"State Perinatal Reporting

System" means any system that requires data collection and submission of

data to the Department. These systems include, but are not limited to, birth

certificate submission, metabolic newborn screening, newborn hearing screening,

perinatal HIV testing, and the Adverse Pregnancy Outcomes Reporting System

(APORS) (see 77 Ill. Adm. Code 840).

"Statewide Quality Council" means the standing subcommittee

established by the Perinatal Advisory Committee that is responsible for

monitoring the quality of care and implementing recommendations for improving

the quality of care being provided in the perinatal care system.

"Substantial Compliance"

means meeting requirements, except for variance from the strict and literal

performance that results in unimportant omissions or defects, given the

particular circumstances involved.

"Substantial Failure"

means the failure to meet requirements, other than unimportant omissions or defects,

given the particular circumstances involved.

"Support Services" means the provision of current information

regarding the identified handicapping conditions, referrals and counseling

services, and the availability of additional consultative services.