Section 250.2230  The Medical Staff

a)         Organization

The organization and responsibilities of the medical staff shall be in accordance with Subpart C, except as follows:

b)         Clinical Director, Clinical Services Chief, or Equivalent

1)         The physician in charge of the psychiatric service shall be a psychiatrist who is responsible for the supervision of psychiatric services within the hospital.

2)         The psychiatrist responsible for the supervision of psychiatric services within the psychiatric hospital or of the psychiatric service in a general hospital shall be certified in psychiatry by the American Board of Psychiatry and Neurology, or possess training and experience acceptable to the Department and equivalent to this certification, and licensed to practice medicine in all its branches in Illinois.

c)         Psychiatric Staff

1)         The psychiatrists on the staff of the psychiatric hospital or psychiatric unit of a general hospital shall have completed an accredited, approved residency training in psychiatry.

2)         When primary physicians are authorized by hospital policy to treat patients in a psychiatric hospital or in a psychiatric unit of a hospital, evidence of a timely psychiatric consultation after the patient is admitted, and ongoing consultation with a psychiatrist who is a member of the psychiatric staff, as needed, is required.  The primary physician shall abide by the policies of the psychiatric service.

3)         When psychiatric nurse practitioners are authorized by hospital policy to treat patients in a psychiatric hospital or in a psychiatric unit of a hospital, evidence of a timely psychiatric consultation after the patient is admitted, and ongoing consultation with a psychiatrist who is a member of the psychiatric staff, as needed, is required.  The primary physician shall abide by the policies of the psychiatric service.

d)         Consulting Staff – Psychiatric Hospital

1)         A consulting medical staff, composed of qualified physicians in appropriate specialties, shall be available at all times to the psychiatric staff.

2)         The consulting staff shall be appointed by the governing board upon recommendation of the medical staff.  See the requirements in Section 250.2250.

(Source:  Amended at 50 Ill. Reg. 8128, effective May 26, 2026)