a) Introduction
1) This Section contains review criteria that
pertain to the community-based residential rehabilitation center category of
service. Definitions pertaining to this Section are contained in the Act, 77
Ill. Adm. Code
1100 and
1130, and the Alternative Health Care Delivery Act. The
community-based residential rehabilitation category of service is a
demonstration program authorized by the Alternative Health Care Delivery
Act.
2) As the purpose of the
demonstration project is to evaluate the community-based residential
rehabilitation model for quality factors, access, and the impact on health care
costs, the model approved for the category of service will be required to
periodically submit data necessary for evaluating the model's effectiveness.
Data collected shall be provided to IDPH and the Illinois State Board of Health
for use in their evaluation of the model.
b) Review Criteria
1) Staffing
The applicant shall furnish a detailed staffing plan that
provides: staff qualifications; identification of the number and type of staff
positions dedicated to the model; how special staffing circumstances will be
handled; staffing patterns for the proposed community-based residential
rehabilitation center; and the manner in which non-dedicated staff services
will be provided.
2)
Mandated Services
The applicant shall document that the community-based
residential rehabilitation center has the capability of providing the minimum
range of services required under Section 35 of the Alternative Health Care
Delivery Act. Documentation shall consist of a narrative of how services will
be provided.
3) Unit Size
The applicant shall document the number and location of all
beds in the model. The applicant shall also document that the number of
community-based residential rehabilitation beds shall not exceed 12 beds in any
one residence, as defined in Section 35 of the Alternative Health Care Delivery
Act. No community-based residential rehabilitation center alternative health
care delivery model shall exceed 100 beds.
4) Utilization
The applicant shall document that the target utilization for
this model (as defined at 77 Ill. Adm. Code
1100.770(c))
will be achieved by the second year of the model's operation. Documentation
shall include, but not be limited to, historical utilization trends, population
growth, expansion of professional staff or programs, and new procedures that
increase utilization.
5)
Background of Applicant
The applicant shall demonstrate experience in providing the
services required by the model. Additionally, the applicant shall document that
the programs provided in the model have been accredited by the Commission on
Accreditation of Rehabilitation Facilities as a Brain Injury
Community-Integrative Program for at least 3 of the last 5 years.
c) In order for an
application for the community-based residential rehabilitation center
alternative health care model to be approved, the applicant must comply with
all criteria established in subsection (b). Competing applications within a
planning area that comply with all criteria shall be evaluated by the State
Board to determine which application best implements the goals of the Health
Facilities Planning Act and the Alternative Health Care Delivery Act.
d) Project Completion
1) Since the purpose for the establishment of
this category of service is to evaluate the alternative model for
effectiveness, these projects are not complete until such time as the model is
evaluated and the decision made to adopt or not adopt the model as an ongoing
licensed level of service separate from an alternative delivery model. A permit
will not be required of a community-based residential rehabilitation
alternative health care model that proposes to cease participation in the
demonstration program. If the facility proposes to discontinue the model,
written notice containing the reasons for the discontinuation must be received
by the State Board at least 90 days prior to the anticipated discontinuation.
The project shall be considered abandoned as of the date IDPH receives notice
of the actual discontinuation or the date the last client is discharged,
whichever is later, and the facility should be removed from the
inventory.
2) After obtaining its
initial certificate of need, a community-based residential rehabilitation
center alternative health care delivery model must obtain an additional
certificate of need from the State Board before increasing the bed capacity of
the center, as mandated by Section 35(b) of the Alternative Health Care
Delivery Act.
3) All assurances for
service presented in the application shall be in effect until the demonstration
program has been completed, unless altered with approval of the State
Board.
4) A community-based
residential rehabilitation center alternative health care model shall have a
period of 12 months from the date of permit issuance to become operational.
Failure to begin operation in this time period shall result in the permit
becoming null and void.
