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PA Bulletin, Doc. No. 05-779

NOTICES

Decisions on Requests for Exceptions to Health Care Facility Regulations

[35 Pa.B. 2466]

   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 in 28 Pa. Code Part IV Health Facilities, 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 October 1, 2004, through March 30, 2005. 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, William Bordner, Director, P. O. Box 90, Harrisburg, PA 17108. Persons requiring special assistance for speech and/or hearing impairment should call V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Services at (800) 654-5984 (TT).

Exception Requests--Hospitals

Facility Name Regulation Relating to Request Published Decision
Elk Regional Health 28 Pa. Code § 51.6 identification of personnel 11/20/04 granted
Milton S. Hershey Medical    Center28 Pa. Code § 51.6 identification of personnel 02/05/05 granted
Brookville Hospital 28 Pa. Code § 51.6(b) staff identification 08/21/04 granted
Community Medical 28 Pa. Code § 51.22 cardiac catheterization 07/31/04 granted w/conditions
UPMC Northwest--Seneca 28 Pa. Code § 51.23 PET scanning services 12/11/04 granted
Altoona Regional Health    System 28 Pa. Code § 107.2 medical staff membership    podiatrists 01/22/05 granted
Healthsouth Nittany Valley    Rehabilitation 28 Pa. Code § 107.2 medical staff membership    podiatrists 01/22/05 granted
Evangelical Community    Hospital 28 Pa. Code § 107.2 medical staff membership    podiatrists 02/05/05 granted
Children's Hospital of    Pittsburgh 28 Pa. Code § 107.2 medical staff membership    psychologists 10/30/04 not necessary
Roxborough Memorial    Hospital 28 Pa. Code § 107.2 medical staff membership    podiatrists12/11/04 granted
Hahneman University    Hospital 28 Pa. Code § 107.2 medical staff membership    podiatrists12/11/04 granted
Brandywine Hospital 28 Pa. Code § 107.2 medical staff membership    podiatrists03/19/05 granted
Altoona Regional Health    System 28 Pa. Code § 107.26(b)(2) tissue committee meetings 01/22/05 granted
Indiana Regional Medical    Center 28 Pa. Code § 107.26(b)(2) tissue committee meetings 01/22/05granted
Highlands Hospital 28 Pa. Code § 107.26(b)(2) tissue committee meetings 02/26/05 granted
Altoona Regional Health    System 28 Pa. Code § 107.32 medical staff meetings 01/22/05 denied
Roxborough Memorial    Hospital 28 Pa. Code § 107.32 medical staff meetings 01/22/05 granted
Hamot Medical Center28 Pa. Code § 107.62(a) oral orders--dietitians 02/05/05 granted
Indiana Regional Medical    Center 28 Pa. Code § 107.62(a) oral orders--laboratory    medical techs 10/26/04 not necessary
WVHCS Hospital 28 Pa. Code § 107.62(a) oral orders 12/18/04 denied
Clarion Hospital 28 Pa. Code § 107.64 administration of drugs 07/31/04 granted
Hospital of the Univeristy of    Pennsylvania 28 Pa. Code § 107.64 administration of drugs    paramedics12/18/04 granted in part
Clarion Hospital 28 Pa. Code § 117.30 emergency paramedic    services07/31/04 granted
Alle-Kiski Medical Center 28 Pa. Code § 117.30 function of paramedics in    hospitals 10/30/04 granted
Butler Memorial Hospital 28 Pa. Code § 127.32 written orders 02/12/05 denied
WVHCS 28 Pa. Code § 137.21(b)(9) clean gynecology patients 01/22/05 granted in part
Hospital of the University of    Pennsylvania 28 Pa. Code § 138.1 cardiac cath 10/16/04 not necessary
Mercy Hospital of    Philadelphia 28 Pa. Code § 138.2 high-risk cardiac    catheterization02/26/05denied
Mercy Hospital of    Philadelphia 28 Pa. Code § 138.15 high-risk cardiac cath 02/26/05 denied
Mercy Hospital of    Philadelphia 28 Pa. Code § 138.18(b) high-risk cardiac cath 02/26/05 denied
Chester County Hospital 28 Pa. Code § 139.12(c) neonatal care units 03/19/05 granted
Moses Taylor Hospital 28 Pa. Code § 139.17 neonatal intensive care 01/22/05 granted
Lewistown Hospital 28 Pa. Code § 143.5medical supervision of    podiatric patients 03/19/05 denied
UPMC Presbyterian    Shadyside 28 Pa. Code § 153.1
      (7.7.A1)
general operating rooms 01/22/05 granted
Good Samaritan Hospital    Lebanon 28 Pa. Code § 153.1
      (7.2.B10)
exam/treatment rooms 01/22/05 granted
Doylestown Hospital 28 Pa. Code § 153.1
      (10.15.A2)
rehab patient room 01/22/05 granted
UPMC Northwest 28 Pa. Code § 153.1 9.2A.2(c) waiting space 9.2.A2(d) public toilets
9.2.B7 clean storage
9.2.B8 soiled holding
02/05/05granted
St. Clair Hospital 28 Pa. Code § 153.1 7.7B1 preoperative holding
7.7B2 postanesthesia care    units
7.7.B2 handwashing stations
7.5 medical gases related to    postanesthesia care unit
11/06/04granted in part
Crozer Chester Medical    Center--Upland 28 Pa. Code § 153.1 7.2A1 patient rooms 11/20/04 granted
Elk Regional Health 28 Pa. Code § 153.1 7.10H1 cardiac cath lab 11/20/04 denied
Sunbury Community Hospital 28 Pa. Code § 153.1 7.6B12 and 7.6B13 12/11/04 granted
Alle-Kiski Medical Center 28 Pa. Code § 153.1 7.9.D7 table
7.5 medical air in ER    examination
12/18/04 granted
Good Samaritan Hospital28 Pa. Code § 153.1 7.9.D8 trauma/cardiac room 12/18/04 granted
St. Luke's Hospital--    Bethlehem 28 Pa. Code § 153.1 7.2.A4 handwashing stations 02/26/05 granted
Crozer Chester Medical    Center 28 Pa. Code § 153.1 7.2.A1 maximum room    capacity02/12/05 granted
Magee-Womens Hospital28 Pa. Code § 153.1 7.7.A1 general operating    room size02/26/05 granted
Exception Requests--Ambulatory Surgical Facilities
Ephrata Community Hospital28 Pa. Code § 551.3 definition of ASF 01/22/05 denied
Four Seasons Endoscopy    Center 28 Pa. Code § 551.3 definitions, classification    levels (ii) Class B03/19/05 denied
Center for Reproductive    Surgery28 Pa. Code § 551.21(d)(2) criteria for ambulatory    surgery 01/22/05granted
Geisinger Medical Center ASF28 Pa. Code §§ 553.1--553.4 ownership, governance    management--governing    body01/08/05 granted
Geisinger Medical Staff    Center ASF28 Pa. Code § 553.31(b) administrative policies and    procedures01/08/05 granted
Geisinger Medical Center28 Pa. Code §§ 555.1--555.4 medical staff 01/08/05granted
Geisinger Medical Center ASF 28 Pa. Code §§ 557.2--557.4 quality assurance and    improvement--Plan,    program, committee01/08/05 granted
Geisinger Medical Center ASF 28 Pa. Code § 567.2(1) quality assurance committee    responsibilities01/08/05 granted
Pennsylvania Eye Surgery    Center 28 Pa. Code § 571.1 9.2.B3, 9.5.F2j and 9.5.F3 12/18/04 granted
The Surgery Center at Briton    Lake, LLC28 Pa. Code § 571.1 9.5F3(c) recovery bays 01/08/05 granted
Blake Gastroenterology    Associates 28 Pa. Code § 571.1 9.5.C parking 08/14/04 granted
Mainline Surgery Center 28 Pa. Code § 571.1 9.5.F4 step down area 03/19/05 not necessary
Exception Requests--Nursing Care Facilities
The Lutheran Home at Topton 28 Pa. Code § 201.3 definitions 10/30/04 granted
Luther Crest Nursing Facility 28 Pa. Code § 201.3 definitions 10/30/04 granted
Penn Lutheran Village 28 Pa. Code § 201.3 definitions10/30/04 granted
Pennknoll Village 28 Pa. Code § 201.3 definitions (nurse aides) 11/06/04 granted
Homewood at Plum Creek 28 Pa. Code § 201.3 definitions 11/20/04 granted
Church of the Brethren Home 28 Pa. Code § 201.3 definitions 12/11/04 granted
Lutheran Home at Kane 28 Pa. Code § 201.3 definitions12/18/04 granted
The Mennonite Home 28 Pa. Code § 201.3definitions 01/22/05 granted
Saunders House 28 Pa. Code § 201.3definitions 01/22/05 granted
Manatawny Manor 28 Pa. Code § 201.3 definitions 02/05/05 granted
Saint Mary Manor28 Pa. Code § 201.3 definitions02/05/05 granted
The Patriot, A Choice 28 Pa. Code § 201.3 definitions 02/12/05 granted
Oil City Presbyterian Home 28 Pa. Code § 201.3 definitions02/26/05granted
Manchester Presbyterian    Lodge 28 Pa. Code § 201.3 definitions 02/26/05 granted
Presbyterian Lodge28 Pa. Code § 201.3definitions 02/26/05 granted
Birchwood Nursing and    Rehab Center 28 Pa. Code § 201.3 definitions 02/26/05 granted
UPMC Northwest    Transitional Care Unit28 Pa. Code § 201.18(e)management 11/06/04 temp granted
St. Joseph's Manor 28 Pa. Code § 201.18(e)management 11/06/04 temp granted
HRH Transitional Care Unit28 Pa. Code § 201.18(e)management 11/06/04 temp granted
Scranton Health Care Center 28 Pa. Code § 205.6(a) function of building 10/30/04 granted
Huntingdon Nursing & Rehab    Center28 Pa. Code § 205.6(a)function of building 12/11/04 granted
Cumberland Crossings    Retirement Community28 Pa. Code § 205.6(a) function of building 12/11/04 granted
Tandem Health Care of North    Strabane 28 Pa. Code § 205.6(a)function of building 12/18/04 granted
Bradford County Manor 28 Pa. Code § 205.6(a) function of building 12/18/04 granted
West Shore Health and Rehab    Center28 Pa. Code § 205.6(a) function of building 01/22/05 denied
Heartland Health Care    Center 28 Pa. Code § 205.6(a) function of building 01/22/05 denied
Sky Vue Terrace 28 Pa. Code § 205.6(a)function of building 01/22/05 denied
The Shadyside Nursing and    Rehab Cener28 Pa. Code § 205.6(a)function of building 01/22/05 granted
Pine Run Health Care Center 28 Pa. Code § 205.6(a)function of building 02/05/05 granted
Elm Terrace Gardens28 Pa. Code § 205.17 stairways 11/06/04 granted
Pennswood Village 28 Pa. Code § 205.20(a)(c) resident bedrooms 01/22/05 temp granted
Beverly Healthcare--
   Shippenville
28 Pa. Code § 205.27 lounge and recreation rooms 02/26/05 granted
Beverly Healthcare--
   Shippenville
28 Pa. Code § 205.33(a) utility room 10/30/04 denied
Beverly Healthcare--
   Waynesburg
28 Pa. Code § 205.33(a)utility room 10/30/04 denied
Sycamore Manor Health    Center 28 Pa. Code § 205.33(a) uitility room 12/11/04 denied
The Jewish Home of Eastern    Pennsylvania 28 Pa. Code § 205.36(h)bathing facilities 02/05/05 granted
Mercy Jeannette Hospital 28 Pa. Code § 211.12(b) nursing services 12/11/04 temp granted

CALVIN B. JOHNSON, M.D., M.P.H.,   
Secretary

[Pa.B. Doc. No. 05-779. Filed for public inspection April 22, 2005, 9:00 a.m.]



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