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PA Bulletin, Doc. No. 03-175

NOTICES

DEPARTMENT OF HEALTH

Decisions on Requests for Exceptions to Health Care Facility Regulations

[33 Pa.B. 688]

   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) 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 September 1, 2002, through December 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 decision should be made to the relevant division of the Department. Inquiries regarding hospitals and ambulatory surgical facilities shall be addressed to the Division of Acute and Ambulatory Care, Sandra Knoble, Director, P. O. Box 90, Harrisburg, PA 17108. Inquiries regarding long-term care facilities shall be addressed to the Division of Nursing Care Facilities, Susan Getgen, Director, P. O. Box 90, Harrisburg, PA 17108.

   Persons with a disability who desire additional information or who require an alternative format of this document (for example, large print, audiotape, Braille) should contact the relevant division of the Department as listed previously or for speech and/or hearing impaired persons, V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Services at (800) 654-5984.


Exception Requests--Hospitals

Regulation Facility Name Relating to Req. Published Decision
28 Pa. Code § 51.3(g)(4) Mercy Hosp. Pittsburgh notification of events 11/16/02 granted
28 Pa. Code § 51.3(g)(4) Greene Co. Mem. Hosp. notification of events 11/16/02 granted
28 Pa. Code § 51.3(g)(4) Jefferson Reg. Med. Ctr. notification of events 11/16/02 granted
28 Pa. Code § 51.3(g)(4) Mercy Providence Hosp. notification of events 11/16/02 granted
28 Pa. Code § 51.3(g)(4) UPMC Braddock notification of events 12/14/02 granted
28 Pa. Code § 51.3(g)(4) Alle-Kiski MC notification of events 12/14/02 granted
28 Pa. Code § 51.3(g)(4) Ohio Valley General Hosp. notification 10/19/02 granted
28 Pa. Code § 51.3(g)(4) Canonsburg General Hospitalnotification 10/19/02 granted
28 Pa. Code § 51.3(g)(4) Forbes Regional Hospital notification 10/19/02 granted
28 Pa. Code § 51.23 Mercy Hospital of PittsburghPET scanning services 9/28/02 granted
28 Pa. Code § 51.23 Bon Secours--Holy Family HospitalPET scanning services 9/28/02 granted
28 Pa. Code § 51.23 Gnaden Huetten Memorial HospitalPET scanning services 10/19/02 granted
28 Pa. Code § 51.33(c) Bon Secours--Holy Family Hospitalexceptions 9/28/02 granted
28 Pa. Code § 103.1 UPMC Passavant Cranberrygoverning body 10/19/02 granted
28 Pa. Code § 103.3 UPMC Passavant Cranberrygoverning body by-laws 10/19/02 granted
28 Pa. Code § 103.31 UPMC Passavant Cranberrychief executive officer 10/19/02 granted
28 Pa. Code § 107.1 UPMC Passavant Cranberrymedical staff 10/19/02 granted
28 Pa. Code § 107.2 Good Shepherd Rehab Hospital--Allentownmedical staff membership 10/19/02 granted
28 Pa. Code § 107.2 Good Shepherd Rehab Hospital--Bethlehemmedical staff membership 10/19/02 granted
28 Pa. Code § 107.2 Good Shepherd Specialty Hospital--Allentownmedical staff membership 10/19/02 granted
28 Pa. Code § 107.2 Latrobe Area Hospital medical staff membership 10/19/02 granted
28 Pa. Code § 107.2 St. Joseph Med. Center medical staff membership 11/16/02 denied
28 Pa. Code § 107.25(8) Bariatric Care Centers medical staff executive committee meetings12/14/02 granted
28 Pa. Code § 107.32 Bariatric Care Centers medical staff meetings and attendance12/14/02 granted
28 Pa. Code §§ 107.61 and 107.62(b) Shamokin Area Comm. Hospitaloral and written orders 12/28/02 denied
28 Pa. Code § 107.61 Holy Spirit Hospital written orders 10/26/02 denied
28 Pa. Code § 107.64 Elk Regional Professional Groupadministration of drugs 11/16/02 not necessary
28 Pa. Code § 107.64 Allegheny Gen. Hosp. administration of drugs 12/14/02 denied
28 Pa. Code § 109.2 Brownsville Gen. Hosp. director of nursing services 12/14/02 denied
28 Pa. Code § 153.1 Central Montgomery Med. Centerminimum standards--
10.15.A2--inpatient room size
11/16/02 rescinded
28 Pa. Code § 153.1 Saint Vincent Health Center7.10.E2 (relating to MRI control room)
7.10.G12 (relating to MRI consultation area)
11/9/02 granted
28 Pa. Code § 153.1 The Children's Hospital of Philadelphia7.3.E10--ceiling for construction in NICU;
Table 7.5--outlets for oxygen, vacuum and compressed air in NICU
11/9/02 granted limited time
28 Pa. Code § 153.1 Shamokin Area Comm. Hospitalminimum standards--7.2.A3 and 7.28.A10--windows in patient rooms10/19/02 granted
28 Pa. Code § 153.1 Aliquippa Community Hospitalminimum construction standards--7.10.H6--staff change area in cardiac cath. lab 9/28/02 granted
28 Pa. Code § 153.1 SemperCare Hospital Lancasterminimum construction standards--7.2.B19 showers and bathtubs in medical/surgical nursing unit 9/14/02 granted
28 Pa. Code § 153.1 Central Montgomery MC minimum standards--
10.6.A--dining, recreation & day spaces
12/14/02 granted
28 Pa. Code § 153.1 Geisinger Medical Center minimum standards--
7.7.C6--soiled workroom; 7.7.C7--clean workroom
10/19/02 not necessary
28 Pa. Code § 153.1 Kane Community Hospital minimum standards--Table 7.5--outlets for oxygen, vacuum, medical air 10/19/02 granted
28 Pa. Code § 153.1 Nason Hospital minimum construction standards (7.4.A6)1/19/02 granted

Exception Requests--Ambulatory Surgical Facilities

Regulation Facility Name Relating to Req. Published Decision
28 Pa. Code § 553.2 Gettysburg Hospital ownership 10/19/02 granted
28 Pa. Code § 553.3 Gettysburg Hospital governing body responsibilities10/19/02 granted
28 Pa. Code § 553.31 Gettysburg Hospital administrative responsibilities10/19/02 granted
28 Pa. Code § 553.4 Gettysburg Hospital governing body--other functions10/19/02 granted
28 Pa. Code § 555.1 Gettysburg Hospital medical staff 10/19/02 granted
28 Pa. Code § 559.2 Gettysburg Hospital director of nursing 10/19/02 granted
28 Pa. Code §§ 563.2 and 563.12(2) Gettysburg Hospital medical records 10/19/02 granted
28 Pa. Code § 563.12(2) Pa. Eye Surgery Center form and content of record 10/19/02 granted
28 Pa. Code § 571.1 Reproductive Science Instituteminimum standards--
9.5.F5.c--scrub stations; 9.5.F5.h--equipment storage room; 9.5.F5.i--staff clothing change area; 9.5.F5.j--outpatient surgery change area; 9.5.F5.k--stretcher storage
10/26/02 granted
28 Pa. Code § 571.1 Reproductive Science Instituteminimum standards--
9.5.D1--covered entrance; 9.5.D2--lobby area; 9.5.D8--general storage facilities; 9.5.F2.c--Class B OR size; 9.5.F4--step-down recovery area; 9.5.F5.b--drug station
10/26/02 granted
28 Pa. Code § 571.1 About Feet Podiatry Center 9.5.F2.c--Class B OR size; 9.5.F3--post anesthesia recovery rooms; 9.5.F4--step-down recovery area; 9.5.F5.a--control station; 9.5.F5.c--scrub facilities; 9.5.F5.d--soiled workroom 11/16/02 granted
28 Pa. Code § 571.1 Reproductive Science Instituteminimum standards--
9.5.F5.m--housekeeping room; 9.5.F5.n--wheelchair storage; 9.5.H1.a--minimum public corridor width; 9.5.H1.c--toilet doors; 9.5.H1.e--door width
10/26/02 granted
28 Pa. Code § 571.1 Reproductive Science Instituteminimum standards--
9.5.H2.a(3)--ceiling finishes in restricted areas; 9.5.H2.b(3)--wall finishes in restricted areas
10/26/02 granted
28 Pa. Code § 571.1 About Feet Podiatry Center minimum standards--
9.5.F5.I--staff clothing change area; 9.5.F5.j--outpt. surgery change area; 9.5.F5.m--housekeeping room
11/16/02 granted
28 Pa. Code § 571.1 Phila. Institute of Cosmetic Surgery9.30.B--elevator 11/16/02 denied
28 Pa. Code § 571.1 The Pain and Rehab Instituteminimum standards--
9.5.F2.c--Class B OR size
10/19/02 granted

Exception Requests--Nursing Care Facilities

Regulation Facility Name Relating to Req. Published Decision
28 Pa. Code § 201.17 Pinnacle Health Extended Care Facilitylocation 11/2/02 granted
28 Pa. Code § 205.6(a) Highlands Care Center function of building 8/31/02 granted
28 Pa. Code § 205.6(a) Lock Haven Hosp. Extended Carefunction of building 9/14/02 denied
28 Pa. Code § 205.6(a) Julia Pound Care Center function of building 9/14/02 granted
28 Pa. Code § 205.6(a) The Springs at the Fountain function of building 10/5/02 granted
28 Pa. Code § 205.6(a) Grove Manor function of building 9/28/02 granted
28 Pa. Code § 205.6(a) Eastwood Nursing & Rehab. function of building 11/9/02 not req.
28 Pa. Code § 205.10(b) The Bethlen Home of the Reformed Fed. of Americadoors 9/7/02 not req.
28 Pa. Code § 205.25(a) St. Paul Homes kitchen 10/12/02 granted
28 Pa. Code § 205.25(a) Peter Becker Community kitchen 10/19/02 granted
28 Pa. Code § 205.25(b) Valley View Haven, Inc. kitchen 10/5/02 granted
28 Pa. Code § 205.28(a) The Bethlen Home of the Reformed Fed. of America nurses station 9/7/02 granted
28 Pa. Code § 205.31 St. Paul Homes storage 10/12/02 not req.
28 Pa. Code § 205.39(b) The Bethlen Home of the Reformed Federation of America toilet room equipment 9/7/02 not req.
28 Pa. Code § 211.12(f)(1) Nipple Convalescent Home nursing services 10/12/02 denied

ROBERT S. MUSCALUS, D.O.,   
Acting Secretary

[Pa.B. Doc. No. 03-175. Filed for public inspection January 31, 2003, 9:00 a.m.]



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