NOTICES
DEPARTMENT OF HEALTH
Decisions on Requests for Exception to Health Care Facility Regulations
[46 Pa.B. 7205]
[Saturday, November 12, 2016]Under 28 Pa. Code § 51.33 (relating to requests for exceptions), effective June 6, 1998, the Department of Health (Department) has published in the Pennsylvania Bulletin all requests by entities licensed under the Health Care Facilities Act (35 P.S. §§ 448.101—448.904b) for exceptions to regulations contained in 28 Pa. Code Part IV, Subparts B—G.
Section 51.33(d) of 28 Pa. Code provides that the Department will publish notice of all approved exceptions on a periodic basis. The Department has determined that it will publish notice of all exceptions, both approved and denied. The following list contains the decisions made on exception requests published in the Pennsylvania Bulletin from July 1, 2016, through September 30, 2016. Future publications of decisions on exception requests will appear on a quarterly basis.
Requests for additional information on the exception request and the Department's decision should be made to the relevant division of the Department. Inquiries regarding hospitals, abortion facilities and ambulatory surgical facilities shall be addressed to Garrison E. Gladfelter, Jr., Director, Division of Acute and Ambulatory Care, Room 532, Health and Welfare Building, Harrisburg, PA 17120, (717) 783-8980. Inquiries regarding long-term care facilities shall be addressed to Susan Williamson, Director, Division of Nursing Care Facilities, Room 528, Health and Welfare Building, Harrisburg, PA 17120, (717) 787-1816.
Hospitals
Facility Name 28 Pa. Code Regulation Relating to Request Published Decision Main Line Hospital Bryn Mawr § 53.3 Contents of photo identification badge denied Main Line Hospital Lankenau Medical Center § 53.3 Contents of photo identification badge denied Main Line Hospital Paoli § 53.3 Contents of photo identification badge denied Riddle Hospital § 53.3 Contents of photo identification badge denied UPMC Mercy § 101.12 Exceptions for innovative programs 07/23/2016 denied Surgical Institute of Reading § 103.3 Governing body bylaws 06/04/2016 not nec. Surgical Institute of Reading § 103.34 Personnel policies and practices 06/04/2016 not nec. Surgical Institute of Reading § 103.41 Principle (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.42 Rates (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.43 Insurance (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.44 Purchasing and inventory (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.45 Audit of financial operations (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.46 Equipment and supplies (fiscal control) 06/04/2016 not nec. Thomas Jefferson University Hospital § 105.1 Principle 04/09/2016 withdrawn Surgical Institute of Reading § 107.11 Medical staff bylaws, rules and regulations (principle) 06/04/2016 not nec. Surgical Institute of Reading § 107.12 Content of bylaws, rules and regulations 06/04/2016 not nec. Crozer Chester Medical Center § 107.2 Medical staff membership 08/20/2016 granted Delaware County Memorial Hospital § 107.2 Medical staff membership 09/24/2016 granted Evangelical Community Hospital § 107.2 Medical staff membership 05/21/2016 not nec. Heritage Valley Beaver § 107.2 Medical staff membership 06/11/2016 granted St. Luke's Hospital—Monroe Campus § 107.2 Medical staff membership (oral surgeons) 08/20/2016 not nec. St. Luke's Hospital—Monroe Campus § 107.2 Medical staff memberships (medical staff) 08/20/2016 granted Geisinger Medical Center § 107.26(b)(3) Additional committees (medical records committees) 08/20/2016 granted Geisinger Wyoming Valley Medical Center § 107.26(b)(3) Additional committees (medical records committees) 08/20/2016 granted Geisinger—Lewistown Hospital § 107.26(b)(3) Additional committees (medical records committees) 08/20/2016 granted St. Luke's Hospital—Monroe Campus § 107.32 Medical staff meetings (meetings and attendance) 08/20/2016 granted Divine Providence Hospital § 107.61 Written orders (medical staff) 08/27/2016 granted Endless Mountains Health System § 107.61 Written orders (medical staff) 08/20/2016 granted Geisinger Medical Center § 107.61 Written orders (medical staff) 08/06/2016 granted Geisinger Wyoming Valley Medical Center § 107.61 Written orders (medical staff) 08/06/2016 granted Geisinger—Bloomsburg Hospital § 107.61 Written orders (medical staff) 08/20/2016 granted Geisinger—Community Medical Center § 107.61 Written orders (medical staff) 08/06/2016 granted Geisinger—Lewistown Hospital § 107.61 Written orders (medical staff) 08/06/2016 granted Lansdale Hospital § 107.61 Written orders (medical staff) 07/23/2016 granted Monongahela Valley Hospital § 107.61 Written orders (medical staff) 07/09/2016 granted Muncy Valley Hospital § 107.61 Written orders (medical staff) 08/27/2016 granted Pinnacle Health Hospital § 107.61 Written orders (medical staff) 08/20/2016 granted Regional Hospital of Scranton § 107.61 Written orders (medical staff) 07/23/2016 granted St. Luke's Hospital Bethlehem § 107.61 Written orders (medical staff) 07/02/2016 granted St. Luke's Hospital Bethlehem—Allentown Campus § 107.61 Written orders (medical staff) 07/02/2016 granted St. Luke's Hospital—Monroe Campus § 107.61 Written orders (medical staff) 08/20/2016 denied UPMC Northwest § 107.61 Written orders (medical staff) 07/02/2016 granted Wilkes-Barre General Hospital § 107.61 Written orders (medical staff) 09/10/2016 granted Williamsport Regional Medical Center § 107.61 Written orders (medical staff) 08/27/2016 granted St. Luke's Hospital—Monroe Campus § 107.62(a) Medical orders (oral orders) 08/20/2016 granted St. Luke's Hospital—Monroe Campus § 107.62(a) Medical orders (oral orders) (radiology technologists) 08/20/2016 granted St. Luke's Hospital—Monroe Campus § 107.62(a) Medical orders (oral orders) (speech and language pathologists) 08/20/2016 granted Pinnacle Health Hospitals § 107.62(a) and (b) Oral orders 08/20/2016 denied St. Luke's Hospital—Monroe Campus § 107.62(b) Medical orders (medical staff by-laws) 08/20/2016 granted St. Luke's Hospital—Monroe Campus § 107.62(b) Medical orders (medical staff by-laws) (radiology technologists) 08/20/2016 granted St. Luke's Hospital—Monroe Campus § 107.62(b) Medical orders (medical staff memberships) (speech and language pathologists) 08/20/2016 granted Einstein Medical Center Montgomery § 109.2 Director of nursing services 07/02/2016 granted Holy Spirit Hospital § 113.5(a) Pharmacy and therapeutics committee 09/10/2016 granted St. Luke's Hospital Monroe Campus § 123.25(2) Control of anesthetic explosion hazards 09/10/2016 granted Milton S. Hershey Medical Center § 123.5 Administration of anesthesia 07/09/2016 granted Crozer Chester Medical Center § 127.32 Written orders (radiology services) 08/20/2016 granted Delaware County Memorial Hospital § 127.32 Written orders (radiology services) 08/20/2016 granted St. Luke's Hospital—Monroe Campus § 127.32 Written orders (radiology services) 08/20/2016 granted St. Luke's Hospital—Monroe Campus § 131.22 Treatment orders (rehabilitation services) 08/20/2016 not nec. Hanover Hospital § 133.21 Facilities 06/11/2016 granted Pinnacle Health Hospitals § 133.21 Facilities 01/09/2016 granted Hanover Hospital § 133.31 Policies and procedures 06/11/2016 granted Pinnacle Health Hospitals § 133.31 Policies and procedures 01/09/2016 granted Windber Hospital, Inc. d/b/a Chan Soon-Shiong Medical Center at Windber § 138.15 High-risk cardiac catheterizations 09/03/2016 granted Wayne Memorial Hospital § 138.18 EPS studies 09/03/2016 granted Ephrata Community Hospital § 138.18(b) EPS studies 08/06/2016 denied Albert Einstein Medical Center § 153.1 2.1-8.5.3.2 Size (TDRs) 07/30/2016 granted Crozer Chester Medical Center § 153.1 2.1-2.4.3 Seclusion rooms 09/10/2016 granted Crozer Chester Medical Center § 153.1 2.5-2.2.1 General (general psychiatric nursing units) 09/10/2016 granted Einstein Medical Center Montgomery § 153.1 2.2-3.4.6.10(2) Soiled holding rooms 07/30/2016 granted Geisinger Community Medical Center § 153.1 2.2-3.4.5.2 Space requirements (ultrasound facilities) 07/23/2016 granted Geisinger Medical Center § 153.1 2.1-2.6.4.1 Multipurpose rooms 07/09/2016 not nec. Geisinger Wyoming Valley Medical Center § 153.1 2.2-3.10.2.6 Patient toilet rooms 07/30/2016 granted Geisinger—Bloomsburg Hospital § 153.1 2.2-2.2.6.13(1) Examination rooms 09/03/2016 not nec. Holy Redeemer Hospital § 153.1 2.1-2.4.3.1(2)(a) Location (seclusion rooms) 09/10/2016 granted Lehigh Valley Hospital—Muhlenberg § 153.1 2.2-3.5.3.2(1)(a) Space requirements (area) 07/30/2016 granted Lehigh Valley Hospital—Muhlenberg § 153.1 3.7-7.2.2.1(3) Corridor widths 07/30/2016 granted Main Line Hospital Bryn Mawr § 153.1 2.1-8.5.3.2 Size (TDRs) 08/06/2016 granted Mercy Fitzgerald Hospital § 153.1 2.2-3.3.4.4(1)(b)(ii) Phase II recovery rooms or areas 08/20/2016 denied Muncy Valley Hospital § 153.1 2.2-3.1.2.2(2) Entrances (ambulance entrance) 08/06/2016 granted Ohio Valley General Hospital § 153.1 2.2-2.2.8.1(3) Family and visitor lounges 07/09/2016 granted Penn Highlands, 809 Turnpike Avenue, Clearfield § 153.1 2.1-8.5.3.2 Size (TDRs) 07/09/2016 granted Penn Highlands, 809 Turnpike Avenue, Clearfield § 153.1 2.1-8.5.3.4(1) Facility requirements (TDRs) 07/09/2016 granted Pennsylvania Hospital of the University of PA Health System § 153.1 2.1-7.2.3.3(5) Ceilings re dining room 07/09/2016 denied Pennsylvania Hospital of the University of PA Health System § 153.1 2.1-7.2.3.3(5) Ceilings re servery 07/09/2016 denied Pennsylvania Hospital of the University of PA Health System § 153.1 2.1-8.5.3.2 Size (TDRs) 07/09/2016 granted Pinnacle Health Hospitals § 153.1 2.1-8.5.3.2 Size (TDRs) 08/20/2016 granted Saint Vincent Hospital § 153.1 2.1-7.2.3.3*(4)(a) Ceilings (in restricted areas) 07/09/2016 granted St. Luke's Hospital Bethlehem § 153.1 2.2-2.2.6.13 Examination rooms 07/02/2016 denied St. Luke's Hospital Bethlehem § 153.1 3.1-3.6.10 Soiled holding rooms 08/20/2016 granted St. Luke's Hospital—Anderson Campus § 153.1 2.1-2.6.11.2 Equipment and supply storage room or alcove 07/23/2016 granted St. Luke's Hospital—Anderson Campus § 153.1 2.1-2.6.6.2 Work areas for preparing, dispensing and administering medications 07/30/2016 granted St. Luke's Hospital—Anderson Campus § 153.1 2.2-3.12.2.8(1) Nurses stations 09/10/2016 granted Thomas Jefferson University Hospital § 153.1 2.2-2.10.6.14 Lactation and support spaces 08/20/2016 granted Thomas Jefferson University Hospital § 153.1 2.2-2.12.6.14(1) Lactation and support spaces 08/20/2016 granted UPMC Hamot § 153.1 2.1-2.2.5.3 Renovation (hand-washing stations in patient rooms) 09/10/2016 not nec. UPMC Hamot § 153.1 2.2-2.2.2.7(2)(a)(i) Patient bathing facilities 09/10/2016 granted UPMC Horizon § 153.1 2.1-8.5.3.2 Size (TDRs) 09/17/2016 granted UPMC Jameson § 153.1 2.1-8.5.3.2 Size (TDRs) 08/20/2016 granted UPMC Mercy § 153.1 2.1-8.5.3.2 Size (TDRs) 09/10/2016 granted UPMC Presbyterian Shadyside § 153.1 2.5-2.2.2.6(2) Patient toilet rooms 08/20/2016 granted UPMC Presbyterian Shadyside § 153.1 2.5-2.2.2.8 Patient storage 06/11/2016 granted UPMC St. Margaret § 153.1 2.1-2.2.5.3 Renovation (hand-washing stations) 08/06/2016 granted UPMC St. Margaret § 153.1 2.6-2.2.2.6(2) Patient toilet rooms (wheelchair access) 08/06/2016 granted UPMC St. Margaret § 153.1 2.6-2.3.1.2 Space requirements (patient living areas) 08/06/2016 granted Warren General Hospital § 153.1 3.7-3.2.3.1 Area (space requirements) 07/23/2016 granted Ambulatory Surgical Facilities
Associates Surgery Centers, LLC § 153.1 3.7-3.2.3.1 Space requirements (area) 07/09/2016 granted Langhorne Access Center § 551.21 Criteria for ambulatory surgery 07/02/2016 denied Surgery Center of Chester County § 551.21(b) Criteria for ambulatory surgery denied Crozer Endoscopy Center § 551.3 Definitions (classification levels) 08/20/2016 granted PGC Endoscopy Center for Excellence, LLC § 551.3(ii) Class B definitions (PS III patients) 07/02/2016 granted Einstein Medical Center Montgomery Short Procedure Unit § 553.3 Governing body responsibilities 09/10/2016 granted Delaware Valley Laser Surgery Institute § 553.31(a) Administrative responsibilities 08/20/2016 granted Einstein Montgomery Surgery Center § 553.31(a) Administrative responsibilities 07/16/2016 granted Peripheral Vascular Institute of Philadelphia, LLC § 553.31(a) Administrative responsibilities 07/09/2016 granted Temple University School of Podiatric Medicine ASC § 553.31(a) Administrative responsibilities 08/20/2016 granted Crozer-Keystone Surgery Center at Haverford § 553.32(a) Administration of anesthesia (CRNA students) 09/24/2016 granted Einstein Medical Center Montgomery Short Procedure Unit § 553.4 Other functions 09/10/2016 granted Heritage Valley Surgery Center § 555.2 Medical staff membership 08/27/2016 granted Crozer Endoscopy Center § 555.3 Requirements for membership and privileges 08/20/2016 granted Crozer-Keystone Surgery Center at Haverford § 555.3 Requirements for membership and privileges 08/20/2016 granted PGC Endoscopy Center for Excellence, LLC § 555.31 Anesthesia services (propofol) 07/02/2016 granted Crozer Endoscopy Center § 555.31(a) Anesthesia services (propofol) 08/20/2016 granted Crozer-Keystone Surgery Center at Brinton Lake § 555.31(a) Anesthesia services (propofol) 08/20/2016 not nec. Crozer-Keystone Surgery Center at Brinton Lake § 555.32(a) Administration of anesthesia (CRNA students) 08/20/2016 granted Peripheral Vascular Institute of Philadelphia, LLC § 559.2 Director of nursing 07/09/2016 not nec. Crozer Endoscopy Center § 567.2 Committee responsibilities (environmental services) 08/20/2016 granted Crozer-Keystone Surgery Center at Brinton Lake § 567.2 Committee responsibilities (environmental services) 08/20/2016 granted Crozer-Keystone Surgery Center at Haverford § 567.2 Committee responsibilities (environmental services) 08/20/2016 granted Crozer Endoscopy Center § 567.3 Policies and procedures (environmental services) 08/20/2016 denied Crozer-Keystone Surgery Center at Brinton Lake § 567.3 Policies and procedures (environmental services) 08/20/2016 denied Crozer-Keystone Surgery Center at Haverford § 567.3 Policies and procedures (environmental services) 08/20/2016 denied Premier at Exton Surgery Center, LLC § 569.35(7) General safety precautions (flammable agents in ASF) 08/27/2016 granted Surgery & Laser Center § 569.35(7) General safety precautions (flammable agents in ASF) 08/06/2016 granted Vascular Access Center of Pittsburgh § 569.35(7) General safety precautions (flammable agents in ASF) 09/03/2016 granted Cosmedica Bensalem § 571.1 3.7-3.3.4 Image viewer 09/03/2016 denied Cosmedica Bensalem § 571.1 3.7-3.3.5 Medical gas requirements (table 3.1-3, 3.7-3.3 outpatient operating room) 09/03/2016 denied Cosmedica King of Prussia § 571.1 3.7-3.3.4 Image viewer 08/20/2016 denied Cosmedica King of Prussia § 571.1 3.7-3.3.5 Medical gas requirements (table 3.1-3, 3.7-3.3 outpatient operating room) 08/20/2016 denied Penn Highlands DuBois Surgery Center § 571.1 3.7-3.2.3.1 Area (space requirements) 07/16/2016 denied Penn Highlands DuBois Surgery Center § 571.1 3.7-3.3.1 Hand scrub facilities 07/16/2016 denied Peripheral Vascular Institute of Philadelphia, LLC § 571.1 3.1-7.2.2.2(2) Ceiling heights 07/09/2016 granted Peripheral Vascular Institute of Philadelphia, LLC § 571.1 3.7-3.6.11.2 Surgical equipment and supply storage 07/16/2016 not nec. Nursing Care Facilities
Bonham Nursing Center § 205.6(a) Function of building 07/23/2016 granted Brookmont Healthcare Center, LLC § 211.9(g) Pharmacy services 09/24/2016 granted CH Skilled Nursing Facility of Allentown § 211.9(g) Pharmacy services 07/16/2016 granted Chester Valley Rehabilitation & Nursing Center § 211.9(g) Pharmacy services 07/09/2016 granted Clarview Nursing and Rehabilitation Center § 201.22(j) Prevention, control and surveillance
of tuberculosis07/02/2016 granted Elm Terrace Gardens § 201.22(h) Prevention, control and surveillance
of tuberculosis07/02/2016 granted Falling Spring Nursing and Rehabilitation Center § 201.3 Definitions 08/20/2016 granted Golden LivingCenter—Uniontown § 211.9(g) Pharmacy services 07/02/2016 granted Greenleaf Nursing and Convalescent Center § 205.67(j) Electric requirements for existing and new construction 08/20/2016 granted Hanover Hall § 205.67(j) Electric requirements for existing and new construction 09/10/2016 granted Meadows Nursing and Rehabilitation Center § 211.9(g) Pharmacy services 07/30/2016 granted Messiah Lifeways at Messiah Village § 205.20(a) Resident bedrooms 07/23/2016 granted Messiah Lifeways at Messiah Village § 205.28(b) Nurses' stations 08/20/2016 granted Messiah Lifeways at Messiah Village § 205.33(a) Utility rooms 08/20/2016 not nec. Misericordia Nursing & Rehabilitation Center § 205.67(j) Electric requirements for existing and new construction 07/09/2016 granted Platinum Ridge Center for Rehabilitation and Healing § 205.24(a) and (b) Dining rooms 07/30/2016 granted Platinum Ridge Center for Rehabilitation and Healing § 205.27 Lounge and recreation rooms 07/30/2016 granted Renaissance Healthcare & Rehabilitation Center § 205.19(b) Windows and windowsills 07/02/2016 granted Scenery Hill Healthcare and Rehabilitation Center § 211.9(g) Pharmacy services 07/09/2016 granted Spang Crest Manor § 205.36(e) Bathing facilities 08/06/2016 granted Sunnyview Nursing and Rehabilitation Center § 211.9(g) Pharmacy services 09/10/2016 granted Susquehanna Health Skilled Nursing & Rehabilitation Center § 201.22(e) Prevention, control and surveillance
of tuberculosis07/02/2016 granted The Green Home, Inc. § 201.22(e) Prevention, control and surveillance
of tuberculosis08/20/2016 granted Vincentian Home § 201.22(h) Prevention, control and surveillance
of tuberculosis07/02/2016 granted Washington County Health Center § 211.9(g) Pharmacy services 08/20/2016 granted Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact the Division of Acute and Ambulatory Care or the Division of Nursing Care Facilities at the previously referenced address or telephone number, or for speech and/or hearing impaired persons V/TT (717) 783-6514, or the Pennsylvania AT&T Relay Service at (800) 654-5984.
KAREN M. MURPHY, PhD, RN,
Secretary
[Pa.B. Doc. No. 16-1954. Filed for public inspection November 10, 2016, 9:00 a.m.]
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