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PA Bulletin, Doc. No. 02-1745

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 services5/18/02 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 membership4/27/02 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 membership5/18/02 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 § 107.2medical 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 orders8/17/02 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 drugs5/18/02 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 Hospital28 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 Ctr28 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 Ctr28 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 Pittsburgh28 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 Surgery28 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 § 553.31Implementation
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 § 555.4clinical 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 Assoc28 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 Hospital28 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 building8/3/02 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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