DEPARTMENT OF HEALTH Decisions on Requests for Exceptions to Health Care Facility Regulations [38 Pa.B. 4681]
[Saturday, August 23, 2008]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 March, 2008 through June, 2008. 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, Room 532, Health and Welfare Building, Harrisburg, PA 17120. Inquiries regarding long-term care facilities shall be addressed to the Division of Nursing Care Facilities, William Bordner, Director, Room 528, Health and Welfare Building, Harrisburg, PA 17120. Those 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).
Hospitals Facility name Regulation Relating to Request Published Decision Bryn Mawr Hospital 28 Pa. Code § 51.6 licensure identification of personnel 06/21/08 granted Lehigh Valley Hospital 28 Pa. Code § 51.23 mobile PET scanning services 03/08/08 withdrawn Magee Womens Hospital 28 Pa. Code § 101.172, § 137.11 request for reconsideration of patient limits and OB unit granted Hamot Medical Center 28 Pa. Code § 107.2 staff membership 03/08/08 granted St. Luke's Miners Memorial Hospital 28 Pa. Code § 107.2 staff membership 03/29/08 granted Community Medical Center, Scranton, PA 28 Pa. Code § 107.2 medical staffing 05/10/08 granted The Bloomsburg Hospital 28 Pa. Code § 107.2 medical staffing 05/10/08 granted Good Shepherd Penn Partners Specialty Hospital at Rittenhouse 28 Pa. Code § 107.2 medical staffing 05/24/08 granted Altoona Regional Health System 28 Pa. Code § 107.4(c)(5) status, honorary medical Staff medical staff 05/10/08 denied The Western Pennsylvania Hospital West Penn Campus 28 Pa. Code § 107.11 MS bylaws 12/01/07 granted UPMC St. Margaret 28 Pa. Code § 107.12(a) substitute supervising physicians 03/29/08 denied The Washington Hospital 28 Pa. Code § 107.26(b) (2) tissue review 06/28/08 granted Heritage Valley Health System 28 Pa. Code § 107.62(b) oral orders 03/29/08 granted Main Line Hospitals Lankenau 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 04/26/08 granted Childrens Hospital of Philadelphia 28 Pa. Code 123.25(2) regulations for control of anesthetic explosion hazards 05/03/08 granted Shriners Hospitals for Children-Erie 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 05/10/08 granted Warren General Hospital 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 05/24/08 granted Alle-Kiski Medical Center 28 Pa. Code § 127.32 written orders 04/19/08 denied Sharon Regional Health System 28 Pa. Code § 137.11 facilities and equipment 04/19/08 granted Ephrata Community Hospital 28 Pa. Code § 137.12(d) delivery suite on the familiy maternity unit 05/24/08 granted Sharon Regional Health System 28 Pa. Code § 137.21 policies and procedures 04/19/08 granted Sharon Regional Health System 28 Pa. Code § 137.33 obstetrical-gynecological nursing services 04/19/08 granted Sacred Heart Hospital 28 Pa. Code § 138.15 high risk cardiac catheterizations 02/09/08 granted UPMC McKeesport 28 Pa. Code § 138.15 high risk cardiac catheterizations 03/15/08 granted Pennsylvania Podiataic Medical Association 28 Pa. Code § 143.4 medical appraisal of a podiatric patient 07/05/08 denied Pennsylvania Podiatric Medical Association 28 Pa. Code § 143.7 medical orders and patient records 07/05/08 denied York Hospital--Wellspan Health 28 Pa. Code § 153.1 10.2.1.1.2(c) fan coil units 02/16/08 granted Crozer Chester Medical Center 28 Pa. Code § 153.1 7.2.A1 maximum patient room Capacity 02/09/08 denied Geisinger South Wilkes-Barre Campus 28 Pa. Code § 153.1 3.7-2.4.1.2(2)
(post-anesthesia recovery rooms min. requirements for area and clearance); 3.7- 2.4.2.1(1) (Phase II recovery in general 3.7-2.4.2.2 (Phase II recovery space req.) 3.7-2.3.1.2 (Class B operating rooms)02/09/08 granted Hospital of the Univ of Pennsylvania (HUP) 28 Pa. Code § 153.1 2.1.5.3.3.1(2)
stretcher holding stations03/08/08 granted JC Blair Memorial 28 Pa. Code § 153.1 3.1.1.2(2) and (3)
patient room converted/renovation
3.1.1.5 (handwashing station)03/08/08 granted/not necessary UPMC Horizon 28 Pa. Code § 153.1 3.1.3 (examination treatment room) 03/08/08 granted Lehigh Valley Hospital Cedar Crest Systems 28 Pa. Code § 153.1 2.1-5 (station outlets for oxygen, vacuum & medical 03/08/08 denied Triumph Hospital
Harrisburg28 Pa. Code § 153.1 2.2-2.2.1.2, 2.2-2.2.1.3 (relating to patient rooms or care areas 3.1-3.1.1.1, 3.1-3.1.1.2, 3.1.1.5, 3.1-3.1.1.6, 3.1-3.1.5.5, 3.1-3.1.5.9 (relating to medical surgical units) 7.1-7.1.2.3,7.1- 7.1.2.5 (relating to public areas) Table 2.1.5 (relating to station outlets for oxygen, vacuum and meidcal air systems) 03/08/08 denied DuBois Regional Medical Center 28 Pa. Code § 153.1 2.1-5 Station Outlets for Oxygen Vacuum (Suction), and Medical Air Systems 03/15/08 granted North Pointe Surgery Center 28 Pa. Code § 153.1 9.5.F3.c clearance around recovery bay patient stretchers 03/15/08 granted Brownsville Tri County Hospital 28 Pa. Code § 153.1 2.1-2.3.9.2
(equipment and supply storage; 2.1-8.2.2.3-2.b (impatient bedrooms)03/15/08 granted Southwest Regional 28 Pa. Code § 153.1 5.1.2.5.(1)a (size 03/15/08 granted Medical Center requirements for treatment rooms in the emergency department Pennsylvania Hospital 28 Pa. Code § 153.1 7.2.1.14 horizontal doors 03/29/08 granted Southwest Regional Medical Center 28 Pa. Code § 153.1 5.1.2.5(1)(a)
treatment rooms in the emergency department03/29/08 granted Abington Memorial Hospital 28 Pa. Code § 153.1 2.3.1.3(1) OR size, 5.2.2.2(2) ceiling in OR, 2.4.1.1(4) handwashing stations in PACU, 2.4.1.2(2) PACU size, 2.4.1.3(1) clean storage in PACU, 2.4.2.2 Phase II recovery area, 2.5.1.8 housekeeping closet 03/29/08 granted Abington Memorial Hospital 28 Pa. Code § 153.1 2.6.2(2) staff flow, 5.2.2.3(3) flooring in the OR, 7.1.4 oxygen outlets LSC 20.3.7.1 subdivision of space 03/29/08 granted Geisinger Wyoming Valley Medical Center 28 Pa. Code § 153.1 5.3.3.1(2) clearance 04/12/08 denied Riddle Memorial Hospital 28 Pa. Code § 153.1 2.1-5.1.2.5 hand washing medical gas outlets 05/12/08 granted/
denied in partHeritage Valley Health System 28 Pa. Code § 153.1 2.1.5.4.1 interventional imaging-location 2.1.5.5.1-cardiac cath lab 04/19/08 granted Pottstown Memorial Medical Center 28 Pa. Code § 153.1 2.1-3.4.2.1(1)(a) head wall 2.1-9.2 hospital-type elevator cars 04/19/08 granted UPMC Presbyterian Shadyside 28 Pa. Code § 153.1 5.1.2.5(1)(2) treatment areas 04/19/08 denied UPMC Northwest 28 Pa. Code § 153.1 10.15.B9 clean utility room; 10.153B10 soiled utility room 10.15.B13 nourishment station; 10.15.B11 medication room 04/19/08 granted Shriners Hospital for Children 28 Pa. Code § 153.1 3.7.3 examination treatment rooms and 3.7.3.1 space requirement 05/10/08 granted Milton S. Hershey Medical Center 28 Pa. Code § 153.1 5.3.3.2-(4) post-anesthetic care units space requirements 05/24/08 granted Mount Nittany Medical Center 28 Pa. Code § 153.1 3.1, 2.1.1.1(1) space requirements 05/24/08 granted Main Line Spine Surgery Center 28 Pa. Code § 153.1 7.1.4.1 medical gases and vacuum 05/24/08 granted The Pennsylvania Hospital 28 Pa. Code § 153.1 2.7.4.2 quiet rooms 06/21/08 granted Select Specialty Hospital-Central PA 28 Pa. Code § 153.1 3.1.1.1(1) patient rooms, 3.1.1.5.(2) hand wash sink, Table 2.1-2, 10.2.1.2(1) separate air supply to patient to patient rooms 06/21/08 granted Milton S. Hershey Medical Center 28 Pa. Code § 153.1 3.1-2.2.1.2 hand washing sinks in toilet rooms 06/21/08 granted UPMC Presbyterian Shadyside 28 Pa. Code § 153.1 3.4.2.1(3) windows 06/21/08 granted The PMA Gastroenterology Center 28 Pa. Code § 153.1 2.1-5.3.2.4 station outlets for oxygen, vacuum and medical air systems 06/21/08 not necessary Easton Hospital 28 Pa. Code § 153.1 3.3.2.1(3) patient room 7.7.A.1 general operating room 06/21/08 granted Evangelical Community Hospital 28 Pa. Code § 153.1 2.1-5.5.6.2 Patient toilets 06/21/08 granted Williamsport Hospital 28 Pa. Code § 153.1 5.9.3 examination room 06/21/08 granted 5.9.4.10(3) stretcher wheelchair storage Latrobe Hospital 28 Pa. Code § 153.1 2.1.5.1.3.7(1) (examination and treatment rooms-facility requirements) and 2.3 (child psychiatric room) 07/19/08 granted St. Clair Hospital/Mt. Lebanon Surgical Center 28 Pa. Code § 153.1 3.7.2.4.1.2 (relating to PACU space) and 3.7.5.2.1.1(1) (corridors) 07/19/08 granted Nason Hospital 28 Pa. Code § 153.1 2.1-5.5.5 station outlets for oxygen, vacuum and medical medical air systems 07/19/08 granted Jefferson Regional Medical Center 28 Pa. Code § 153.1 3.1-2.1.1.2 hand washing 07/19/08 granted Ambulatory Surgical Facilities
Delaware Valley Nephrology & Hypertension Associates, PC 28 Pa. Code § 551.3 Patient classification 12/01/07 granted Twin Rivers Endoscopy Center 28 Pa. Code § 551.3 definitions 04/19/08 granted Opthalmic Associates Surgery and Laser Center 28 Pa. Code § 551.3(iii) classification levels PS-4 patients 04/12/08 denied Eastern Pennsylvania 28 Pa. Code § 551.3 definitions 06/28/08 granted Nephrology Associates, PC Nephrology-Hypertension Associates of Lehigh Valley d/b/a Valley Access Center 28 Pa. Code § 551.3 PSIII patients 06/28/08 granted Clinical Nephrology Associates Ltd. d/b/a Metro Vascular Center 28 Pa. Code § 551.3 PSIII patients 06/28/08 granted Metropolitan Nephrology Associates PC d/b/a Metro Vascular Center 28 Pa. Code § 551.3 PSIII patients 06/28/08 granted Renal-Endocrine Associates, PC d/b/a Dialysis Access Center of Pittsburgh 28 Pa. Code § 551.3 PSIII patients 07/19/08 granted Associates in Kidney Disease & Hypertension, PC d/b/a Dialysis Access Center
of Pittsburgh28 Pa. Code § 551.3 PSIII patients 07/19/08 granted Leader Surgical Center 28 Pa. Code § 551.21(d)(2) criteria for ambulatory surgery 01/12/08 granted USVAC Ambulatory Surgery Center 28 Pa. Code § 551.21(d)(1)(3) criteria for ambulatory surgery 03/15/08 denied Opthalmology & Surgical Institute 28 Pa. Code § 551.21(d)(2) criteria for ambulatory surgery 04/19/08 denied Mt. Lebanon Surgical Center 28 Pa. Code § 553.1 governing body 06/21/08 granted Dermatologic Surgi Center-Center City 28 Pa. Code § 553.31(a) administrative responsibilities 03/08/08 granted Proserpi-Schlecter Center
for Plastic Surgery28 Pa. Code § 553.31(a) administrator 04/09/08 not necessary Mt. Lebanon Surgical Center 28 Pa. Code § 553.31(a) full time administrator 06/21/08 granted Nephrology-Hypertension Assoc of Lehigh Valley d/b/a Valley Access Center 28 Pa. Code § 553.31(a) person in charge 06/28/08 not necessary Clinical Nephrology Associates Ltd. d/b/a Metro Vascular Center 28 Pa. Code § 553.31(a) person in charge 06/28/08 not necessary Eastern Pennsylvania Nephrology Assoc, PC 28 Pa. Code § 553.31(a) person in charge 06/28/08 not necessary Metropolitan Nephrology Nephrology Associates PC d/b/a Metro Vascular Center 28 Pa. Code § 553.31(a) person in charge 06/28/08 not necessary Temple University School of Podiatric Medicine ASC 28 Pa. Code § 555.31(a) anesthesia services propofol 07/21/07 granted Renal-Endocrine Associates, PC d/b/a Dialysis Access Center of Pittsburgh 28 Pa. Code § 553.31(a) person in charge 07/19/08 not necessary Associates in Kidney Disease & Hypertension, PC d/b/a Dialysis Access Center of Pittsburgh 28 Pa. Code § 553.31(a) person in charge 07/19/08 not necessary Mt. Lebanon Surgical Center 28 Pa. Code § 555.1 medical staff 06/21/08 granted Mt. Lebanon Surgical Center 28 Pa. Code § 557.4 quality assurance 06/21/08 granted SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 563.2(a) medical records service 09/29/07 granted Mt. Lebanon Surgical Center 28 Pa. Code § 567.2 infection control program and committee 06/21/08 granted Grandview Surgery & Laser Center 28 Pa. Code § 569.35 fire, safety and disaster 03/15/08 granted Penn Surgery Institute 28 Pa. Code § 569.35 fire, safety and disaster 03/22/08 granted Carlisle Outpatient Surgery Center 28 Pa. Code § 569.35 general safety precautions 04/12/08 granted Keystone Surgery Center 28 Pa. Code § 569.35 general safety precautions 05/17/08 granted Central Penn Endoscopy Center 28 Pa. Code § 569.35 general safety precautions 04/26/08 granted North Pointe Surgery Center 28 Pa. Code § 569.35 general safety precautions 04/19/08 granted Childrens Hospital of Philadelphia Ambulatory Surgery Center at Exton 28 Pa. Code § 569.35 general safety precautions 05/03/08 granted Childrens Hospital of Philadelphia Ambulatory Surgery Center at Bucks 28 Pa. Code § 569.35 general safety precautions 05/03/08 granted Hershey Outpatient Surgery Center 28 Pa. Code § 569.35 general safety precautions 05/10/08 granted Williamsport Surgery Center LLC 28 Pa. Code § 569.35 general safety precautions 05/31/08 granted Paoli Surgery Center 28 Pa. Code § 569.35 general safety precautions 07/05/08 granted RMS Lifeline Interventional Access Center 28 Pa. Code § 571.1 3.7-2.5.1 restricted corridor control station 01/19/08 granted Surgical Institute of Reading 28 Pa. Code § 571.1 5.5.8.1, 5.5.8.4, 5.5.10.1, 5.5.8 support areas for imaging suite 03/15/08 granted Nursing Care Facilities
Countryside Christian 28 Pa. Code § 201.3 definitions 05/17/08 granted Kittanning Care Center 28 Pa. Code § 201.3 definitions 06/07/08 granted Ephrata Manor 28 Pa. Code § 201.3 definitions 06/14/08 granted River's Edge Nursing and Rehab Center 28 Pa. Code § 201.3 definitions 06/21/08 granted Montgomery Rehab Center of Chestnut Hill 28 Pa. Code § 201.17 location 06/21/08 granted Grove City Medical Center 28 Pa. Code § 201.18(e) management 07/05/08 temp granted UPMC Horizon Transitional 28 Pa. Code § 201.18(e) management 07/05/08 temp granted UPMC Horizon Transitional 28 Pa. Code § 201.18(e) management 07/05/08 temp granted The Inn at Freedom Village 28 Pa. Code § 205.6(a) function of building 03/15/08 denied United Zion Retirement 28 Pa. Code § 205.6(a) function of building 03/08/08 granted The Inn at Freedom Village 28 Pa. Code § 505.6(a) function of building 03/29/08 denied Green Ridge Health Care 28 Pa. Code § 205.6(a) function of building 04/12/08 granted Coldstream Crossing 28 Pa. Code § 205.6(a) function of building 04/19/08 granted ManorCare Health Svcs 28 Pa. Code § 205.6(a) function of building 04/19/08 granted Beaver Elder Care & Rehab 28 Pa. Code § 205.6(a) function of building 05/03/08 granted UPMC Northwest Med 28 Pa. Code § 205.6(a) function of building 05/17/08 granted Church of God Home, Inc. 28 Pa. Code § 205.6(a) function of building 06/07/08 granted Fox Subacute at Mechanicsburg 28 Pa. Code § 205.6(a) function of building 07/05/08 granted John J. Kane Regional Center 28 Pa. Code § 205.24(a) dining room 03/08/08 granted The Hollinger Group 28 Pa. Code § 205.25(a) kitchen 03/29/08 granted UPMC Northwest Med 28 Pa. Code § 205.25(a)(b) kitchen 05/17/08 granted Fox Subacute at Mechanicsburg 28 Pa. Code § 205.25(a) kitchen 07/05/08 granted John J. Kane Regional Center 28 Pa. Code § 205.27 lounge and recreation rooms 03/08/08 granted Guardian Elder Care Center 28 Pa. Code § 205.28(b) nurses' station 03/22/08 granted The Kepler Home, Inc. 28 Pa. Code § 205.28(c)(3) nurses' station 04/26/08 granted UPMC Northwest Med 28 Pa. Code § 205.28(c)(3) nurse's station 05/17/08 granted The Hollinger Group 28 Pa. Code § 205.31 storage 03/29/08 granted UPMC Northwest Med 28 Pa. Code § 205.33(a)(b) utility room 05/17/08 granted The Inn at Freedom Village 28 Pa. Code § 205.36 bathing facilities 03/15/08 granted The Inn at Freedom Village 28 Pa. Code § 205.36(h) bathing facilities 03/29/08 granted United Zion Retirement 28 Pa. Code § 205.36(h) bathing facilities 03/08/08 granted Mary Evans Ext'd Care 28 Pa. Code § 205.36(h) bathing facilities 04/12/08 granted Sayre House, Inc. 28 Pa. Code § 205.36(h) bathing facilities 04/26/08 granted Montgomery Rehab Center of Chestnut Hill 28 Pa. Code § 205.36(h) bathing facilities 06/21/08 granted Fox Subacute at Mechanicsburg 28 Pa. Code § 205.36(h) bathing facilities 07/05/08 granted United Zion Retirement 28 Pa. Code § 205.38(a) toilet facilities 03/08/08 granted Fox Subacute at Mechanicsburg 28 Pa. Code § 205.38(c) toilet facilities 07/05/08 temp granted Phoebe Berks Health Care 28 Pa. Code § 205.67(k) electric requirements 04/26/08 granted Millcreek Manor 28 Pa. Code § 211.12(b)(c) nursing services 05/17/08 granted Millcreek Community 28 Pa. Code § 211.12(b)(c) nursing services 05/17/08 granted CALVIN B. JOHNSON, M. D., M.P.H.,
Secretary[Pa.B. Doc. No. 08-1538. Filed for public inspection August 22, 2008, 9:00 a.m.]
