(210 ILCS 45/3-805) (from Ch. 111 1/2, par. 4153-805)
Sec. 3-805. (a) The Department shall conduct a pilot project to
examine, study and contrast the Joint Commission on the Accreditation of
Health Care Organizations ("Commission") accreditation review process with
the current regulations and licensure surveys process conducted by the
Department for long-term care facilities. This pilot project will enable
qualified facilities to apply for participation in the project, in which
surveys completed by the Commission are accepted by the Department in lieu of
inspections required by this Act, as provided in subsection (b) of this
Section. It is intended that this pilot project shall commence on January 1,
1990, and shall conclude on December 31, 2000, with a final report
to be
submitted to the Governor and the General Assembly by June 30, 2001.
(b) (1) In lieu of conducting an inspection for license renewal under
this Act, the Department may accept from a facility that is accredited
by the Commission under the Commission's long-term care standards the
facility's most recent annual accreditation review by the Commission. In
addition to such review, the facility shall submit any fee or other license
renewal report or information required by law. The Department may accept
such review for so long as the Commission maintains an annual inspection or
review program. If the Commission does not conduct an on-site annual
inspection or review, the Department shall conduct an inspection as
otherwise required by this Act. If the Department determines that an
annual on-site inspection or review conducted by the Commission does not
meet minimum standards set by the Department, the Department shall not
accept the Commission's accreditation review and shall conduct an
inspection as otherwise required by this Act.
The Department shall establish procedures applicable to the pilot project
conducted pursuant to this Section. The procedures shall provide for a
review of the Commission's survey findings that may be Type "A" or Type
"B" violations under this Act requiring immediate correction, the taking of
necessary and appropriate action to determine whether such violations
exist, and steps to effect corrective action in cooperation with the
Commission, or otherwise under this Act, as may be necessary. The
Department shall also establish procedures to require the Commission to
immediately report to the Department any survey finding that constitutes a
condition or occurrence relating to the operation and maintenance of a
facility which presents a substantial probability that death or serious
mental or physical harm to a resident will result therefrom, so as to
enable the Department to take necessary and appropriate action under this Act.
(2) This subsection (b) does not limit the Department in performing any
inspections or other duties authorized by this Act, or under any contract
relating to the medical assistance program administered by the
Department of Healthcare and Family Services, or under Title XVIII or Title XIX of the Social
Security Act.
(3) No facility shall be required to obtain accreditation from the
Commission.
(c) Participation in the pilot project shall be limited to facilities
selected at random by the Director, provided that:
(1) facilities shall apply to the Director for |
| selection to participate;
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(2) facilities which are currently accredited by the
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| Commission may apply to participate;
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(3) any facility not accredited by the Commission at
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| the time of application to participate in the pilot project shall apply for such accreditation;
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(4) the number of facilities so selected shall be no
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| greater than 15% of the total number of long-term care facilities licensed under this Act;
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(5) the number of facilities so selected shall be
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| divided equally between facilities having fewer than 100 beds and facilities having 100 or more beds;
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(6) facilities so selected shall have been licensed
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| for more than 2 years and shall not have been issued a conditional license within 2 years before applying for participation in the pilot project; and
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(7) no facilities so selected shall have been issued
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| a notice of a Type "A" violation within one year before applying for participation in the pilot project.
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(d) Inspections and surveys conducted by the Commission under
the pilot project for initial or continued accreditation shall not be
announced in advance to the facility being inspected or surveyed, and shall
provide for participation in the inspection or survey process by residents
of the facility and the public.
(e) With respect to any facility accredited by the Commission, the
Commission shall submit to the Department copies of:
(1) the accreditation award letter;
(2) the accreditation report, including
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| recommendations and comments by the Commission; and
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(3) any correspondence directly related to the
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(f) No facility which is denied initial or continued accreditation by
the Commission shall participate in the pilot project.
(g) The Director shall meet at least once every 6 months with the
director of the Commission's long-term care facility accreditation program
to review, coordinate and modify as necessary the services performed by the
Commission under the pilot project. On or before June 30, 1993, the
Director shall submit to the Governor and to the General Assembly a report
evaluating the pilot project and making any recommendations deemed necessary.
(h) This Section does not limit the Department in performing any
inspections or other duties authorized by this Act, or under any contract
relating to the medical assistance program administered by the
Department of Healthcare and Family Services, or under Title XVIII or Title XIX of the Social
Security Act.
(Source: P.A. 95-331, eff. 8-21-07.)
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