NOTICES
DEPARTMENT OF HEALTH
Decisions on Requests for Exceptions to Health Care Facility Regulations
[32 Pa.B. 4916] 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 Health Facilities, Subparts B--G.
Section 51.33(d) 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 May 1, 2002, through August 31, 2002. Future publications of decisions on exception requests will appear on a quarterly basis.
Requests for additional information on the exception requests and the Department's decisions should be made to the relevant division of the Department. Inquiries regarding hospitals and ambulatory surgical facilities should be addressed to Sandra Knoble, Director, Division of Acute and Ambulatory Care, P. O. Box 90, Harrisburg, PA 17108. Inquiries regarding long-term care facilities should be addressed to Susan Getgen, Director, Division of Nursing Care Facilities, P. O. Box 90, Harrisburg, PA 17108.
Persons with a disability who want additional information or who require an alternative format of this document (for example, large print, audiotape, Braille) should contact the relevant divison of the Department as listed previously, V/TT (717) 783-6514 for speech and/or hearing impaired persons or the Pennsylvania AT&T Relay Services at (800) 654-5984.
Exception Requests--Hospitals
Facility Name Regulation Relating to Req Published Decision Armstrong County Memorial Hospital 28 Pa. Code § 51.3(a) notification granted Chambersburg Hospital 28 Pa. Code § 51.3(c) notification 7/20/02 granted Grandview Hospital 28 Pa. Code § 51.6 identification of personnel 6/9/01 granted Holy Spirit Hospital 28 Pa. Code § 51.6(b) identification of personnel 5/18/02 granted Armstrong County Memorial Hospital 28 Pa. Code § 51.23 PET scanning services 4/27/02 granted Clearfield Hospital 28 Pa. Code § 51.23 PET scanning services 4/27/02 granted Alle-Kiski Med Ctr 28 Pa. Code § 51.23 PET scanning services 5/18/02 granted Greene County Memorial Hospital 28 Pa. Code § 51.23 PET scanning services 5/18/02 granted Phoenixville Hospital 28 Pa. Code § 51.23 PET scanning services 7/6/02 granted Doylestown Hospital 28 Pa. Code § 51.23 PET scanning services 7/20/02 granted Doylestown Hospital 28 Pa. Code § 51.33(c) public comment period 4/6/02 granted Semper Care Hospital 28 Pa. Code § 107.2 medical staff membership 8/18/01 granted Jeanes Hospital 28 Pa. Code § 107.2 medical staff membership 4/6/02 granted Clearfield Hospital 28 Pa. Code § 107.2 medical staff membership 4/27/02 granted Temple University Children's Medical Center 28 Pa. Code § 107.2 medical staff membership 5/11/02 granted Temple University Hospital 28 Pa. Code § 107.2 medical staff membership 5/11/02 granted Ashland Regional MC 28 Pa. Code § 107.2 medical staff membership 5/18/02 granted Tenet Healthcare Graudate Hospital 28 Pa. Code § 107.2 medical staff membership 8/17/02 granted Tenet Healthcare MCP Hospital 28 Pa. Code § 107.2 medical staff membership 8/17/02 granted Tenet Healthcare Parkview Hospital 28 Pa. Code § 107.2 medical staff membership 8/17/02 granted Tenet Healthcare Graudate Hospital 28 Pa. Code § 107.2 medical staff membership 8/17/02 granted Tenet Healthcare MCP Hospital 28 Pa. Code § 107.2 medical staff membership 8/17/02 granted Tenet Healthcare Parkview Hospital 28 Pa. Code § 107.2 medical staff membership 8/17/02 granted Tenet Healthcare Warminster Hospital 28 Pa. Code § 107.2 medical staff membership 8/17/02 granted North Phila. Health System 28 Pa. Code § 107.4(a) medical staff status 7/20/02 granted Gettysburg Hospital 28 Pa. Code § 107.26(b)(2) tissue committee meetings 7/6/02 denied Jefferson Regional Medical Center 28 Pa. Code § 107.61 written orders 8/17/02 granted Sharon Regional Health System 28 Pa. Code § 107.62 oral orders 4/6/02 denied Carlisle Reg Med Center 28 Pa. Code § 107.62 oral orders 8/17/02 denied Jefferson Regional Medical Center 28 Pa. Code § 107.62 oral orders 8/17/02 granted Saint Vincent Health Ctr 28 Pa. Code § 107.62(b) oral orders 5/11/02 granted Monongahela Valley Hospital 28 Pa. Code § 107.64 administration of drugs 5/18/02 granted in part Holy Spirit Hospital 28 Pa. Code § 107.64 administration of drugs 7/20/02 granted Jameson Memorial Hospital 28 Pa. Code § 125.14(a) phy. pronouncement of death 9/14/02 granted Nason Hospital 28 Pa. Code § 137.21(b)(5) policies and procedures for obstetrics 8/17/02 granted Graduate Hospital 28 Pa. Code § 143.4 med. appraisal of podiatric patients 8/18/01 denied Nason Hospital 28 Pa. Code § 153.1 minimum construction stds (7.4.A6) 1/19/02 granted Doylestown Hospital 28 Pa. Code § 153.1 minimum contruction stds 10.8--personal care unit for inpatients, 10.15.A5--patient rooms handwashing stations, 10.24.A22--minimum ceiling height, 10.31.E2.d--bedpan flushing devices 4/6/02 granted Hamot Medical Center 28 Pa. Code § 153.1 minimum construction stds 7.7.B2--PACU bed space, 7.3.A3--ICU patient space 4/13/02 not necessary Kane Community Hospital 28 Pa. Code § 153.1 minimum construction stds 7.2.B10--exam/treatment room 4/13/02 granted Shamokin Area Community 28 Pa. Code § 153.1 minimum construction stds 7.7.A2--OR size, 7.7.C6--soiled workroom 4/20/02 granted Bariatric Care Center of Pa 28 Pa. Code § 153.1 minimum construction stds 7.31.E2.d--bedpan flushing devices 4/20/02 granted Shamokin Area Community Hospital 28 Pa. Code § 153.1 minimum construction stds Hospital 7.2.A3--window in each patient room, 7.28.A10--operable windows in patient rooms and 12-3.8.1--special features of windows in patient rooms 5/11/02 denied Good Samaritan Regional MC 28 Pa. Code § 153.1 minimum construction stds 10.9--ADL Unit 5/18/02 granted Abington Mem Hosp 28 Pa. Code § 153.1 minimum construction stds 7.3.E9 7/6/02 denied Jeanes Hosp 28 Pa. Code § 153.1 minimum construction stds 10.6.A--dining/recreation/day space, 10.15.A2--pt room size, 10.15.A6--bathroom size, 10.15.A7--wardrobe/closet/ locker size 7/6/02 granted Sacred Heart 28 Pa. Code § 153.1 minimum construction stds 7.6.C--seclusion treatment room 7/6/02 granted Abington Memorial Hosp 28 Pa. Code § 153.1 minimum construction stds 7.2.A4, 7.3.A8, 7.8.A2(5)--handwashing stations 7/20/02 granted Barnes Kasson County Hospital 28 Pa. Code § 153.1 minimum construction stds 7.13.C7--pt dressings areas, showers, lockers, 7.13.D4--activities of daily living teaching area 7/20/02 granted Coordinated Health System--Orthopedic Specialty Center 28 Pa. Code § 153.1 minimum construction stds 7.7.A1--general OR size, 7.7.A2--special procedures OR size, 7.7.A3--sink with plaster trap, 7.7.B1--pre-op holding bay size, 7.7.B2--PACU handwashing stations 7/20/02 denied Coordinated Health System--Orthopedic Specialty Ctr 28 Pa. Code § 153.1 minimum construction stds 7.7.B2--PACU pt bed space, 7.7.C10--equipment storage room, 7.7.C14--phase II recovery pt space, pt toilet, staff toilet, 7.7.C17--pt holding area 7/20/02 denied Coordinated Health System--Orthopedic Specialty Ctr 28 Pa. Code § 153.1 minimum construction stds 7.7.C20--area for prep & exam of frozen sections, 7.32.E--electrical standards/receptacles, Table 7.5--medical gases 7/20/02 denied Community Hospital of Lancaster 28 Pa. Code § 153.1 minimum construction stds 7.7.A1--general OR size 7/20/02 not necessary Holy Spirit Hospital 28 Pa. Code § 153.1 minimum construction stds 7.7.A4--room for cystoscopic & other endo-urologic procedures 7/20/02 granted Lifecare Hospitals of Pittsburgh 28 Pa. Code § 153.1 minimum construction stds 7.6.B5 (relating to bathroom facilities in psychiatric care unit) 7.6.C (relating to seclusion treatment rooms in psychiatric 9/7/02 granted Abington Memorial Hospital 28 Pa. Code § 153.1 minimum construction stds 7.3.E9--aisle width 9/14/02 granted St. Luke's Hospital Quakertown 28 Pa. Code § 153.1 minimum construction stds 7.33--hyperbaric suite 9/14/02 not necessary
Exception Requests--Ambulatory Surgical Facilities
Facility Name Regulation Relating to Req Published Decision Mercy Surgery Ctr 28 Pa. Code § 551.21(a)(2) recovery time 7/20/02 denied Jeanette District Memorial Hospital 28 Pa. Code § 553.2 ownership 8/17/02 granted Gettysburg Hospital 28 Pa. Code § 553.2 ownership 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 553.3 governing body resp. 5/18/02 denied Jeanette District Memorial Hospital 28 Pa. Code § 553.3 governing body resp. 8/17/02 granted Gettysburg Hospital 28 Pa. Code § 553.4 other functions 5/18/02 denied Sal P. Calabro, MD, Cosmetic Surgery 28 Pa. Code § 553.4(h) medical director 5/18/02 granted Gettysburg Hospital 28 Pa. Code § 553.12 Patient Bill of Rights 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 553.31 Implementation
administrative resp.5/18/02 denied Gettysburg Hospital 28 Pa. Code § 555.1 medical staff 5/18/02 denied Jeanette District Memorial Hospital 28 Pa. Code § 555.2 medical staff membership 8/17/02 granted Jeanette District Memorial Hospital 28 Pa. Code § 555.3 req. for membership and privileges 8/17/02 granted Jeanette District Memorial Hospital 28 Pa. Code § 555.4 clinical activities & duties of PAs and CRNPs 8/17/02 granted Jeanette District Memorial Hospital 28 Pa. Code § 555.11 written orders 8/17/02 granted Jeanette District Memorial Hospital 28 Pa. Code § 555.12 oral orders 8/17/02 granted Jeanette District Memorial Hospital 28 Pa. Code § 555.13 administration of drugs 8/17/02 granted Laurel Laser & Surgery Center 28 Pa. Code § 565.11 radiology services 4/20/02 granted Lancaster NeuroScience & Spine Assoc 28 Pa. Code § 571.1 minimum construction stds 9.5.F5.h--equipment Storage room 4/20/02 granted Mahoning Valley ASC 28 Pa. Code § 571.1 minimum construction stds 9.5.F2--OR size for laser procedures, 9.5.F4--convenient patient access to toilets 5/18/02 granted Pittsburgh Specialty Hospital 28 Pa. Code § 571.1 minimum construction stds 9.5.D1--covered entrance, 9.5.H2.a(3)--ceiling finishes, 9.5.F2.d--minimum OR size 5/18/02 granted 28 Pa. Code § 51.33(c) exceptions--waiver of comment period 5/18/02 granted Grandview Surgery & Laser Center 28 Pa. Code § 571.1 minimum construction stds 9.5.F2.d--Class C OR size 8/17/02 granted HealthSouth Surgery Center of Lancaster 28 Pa. Code § 571.1 minimum construction stds 9.5.F2.d--Class C OR size 8/17/02 granted Image Associates 28 Pa. Code § 571.1 minimum construction stds 9.5.E1--soiled workroom 9/14/02 granted Gettysburg Hospital 28 Pa. Code § 557.1 QA policy 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 557.2 QA plan 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 557.3 QA program 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 557.4 QA committee 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 559.2 director of nursing 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 563.2 med records, organization and staffing 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 563.12 medical records, form and content Gettysburg Hospital 28 Pa. Code § 565.12 radiology, service policy 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 565.14 radiology policies 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 567.2 infection control, comm. 5/18/02 denied Gettysburg Hospital 28 Pa. Code § 569.11 internal disaster plan, firefighting service 5/18/02 denied
Exception Requests--Birthing Centers
Facility Name Regulation Relating to Req Published Decision The Midwife Center 28 Pa. Code § 501.81(a)(2) fire safety standards 7/27/02 granted
Exception Requests--Nursing Care Facilities
Facility Name Regulation Relating to Req Published Decision Progressive Care Center 28 Pa. Code § 201.18(e) management 6/8/02 temp approval RMH-HB/SNF 28 Pa. Code § 201.18(e) management 6/8/02 temp approval Saint Luke Manor 28 Pa. Code § 205.6(a) function of building 3/23/02 granted Sugar Creek Station Skilled Nsng & Rehab Center 28 Pa. Code § 205.6(a) function of building 4/6/02 granted Pine Run Health Center 28 Pa. Code § 205.6(a) function of building 4/6/02 rescinded Jewish Home of Greater Hbg 28 Pa. Code § 205.10(c) doors 4/6/02 temp app for private rooms/ permanent app for semi private Countryside Conv. Home Limited Partnership 28 Pa. Code § 205.6(a) function of building 4/13/02 granted Mercy Center Nsng Unit, Inc. 28 Pa. Code § 205.6(a) function of building 4/27/02 granted Health Care Center at White Horse Village 28 Pa. Code § 205.6(a) function of building 5/18/02 granted St. Anne's Home 28 Pa. Code § 205.6(a) function of building 6/8/02 granted The Williamsport Home 28 Pa. Code § 205.6(a) function of building 6/8/02 granted Rydal Park of Phila. Presbytery 28 Pa. Code § 205.6(a) function of building 6/15/02 granted Beacon Ridge, A Choice Comm. 28 Pa. Code § 205.6(a) function of building 6/22/02 granted Village at Penn State Hlth Care Ctr 28 Pa. Code § 205.6(a) function of building 7/20/02 granted Garden Spot Village 28 Pa. Code § 205.6(a) function of building 8/3/02 granted Manatawny Manor 28 Pa. Code § 205.6(a) function of building 8/3/02 granted Ohesson Manor 28 Pa. Code § 205.69(a) function of building 8/3/02 denied Luther Crest Nursing Care Center 28 Pa. Code § 205.6(a) function of building 8/3/02 granted Westminster Village 28 Pa. Code § 205.6(a) function of building 8/3/02 granted The Lutheran Home at Topton 28 Pa. Code § 205.6(a) function of building 8/3/02 granted ManorCare Health Services--Easton 28 Pa. Code § 205.6(a) function of building 8/3/02 granted Frey Village 28 Pa. Code § 205.6(a) function of building 8/17/02 granted Susquehanna Lutheran Village 28 Pa. Code § 205.6(a) function of building 8/17/02 granted Dock Terrace 28 Pa. Code § 205.9(a) corridors 4/27/02 denied Fox Subacute Center 28 Pa. Code § 205.19(b) windows and windowsills 8/3/02 granted The Communities at Indian Haven 28 Pa. Code § 205.32(a) janitor's closet 8/3/02 no longer req The Communities at Indian Haven 28 Pa. Code § 205.33(a) utility room 8/3/02 no longer req The Communities at Indian Haven 28 Pa. Code § 205.36(a) bathing facilities 8/3/02 no longer req ROBERT S. ZIMMERMAN, Jr.,
Secretary
[Pa.B. Doc. No. 02-1745. Filed for public inspection October 4, 2002, 9:00 a.m.]
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