Decisions on Requests for Exception to Health Care Facility Regulations [46 Pa.B. 5642]
[Saturday, August 27, 2016]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, 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 April 1, 2016, through June 30, 2016. Publications of decisions on exception requests will appear on a quarterly basis.
Requests for additional information on the exception request and the Department's decision should be made to the relevant division of the Department. Inquiries regarding hospitals, abortion facilities and ambulatory surgical facilities shall be addressed to Garrison E. Gladfelter, Jr., Director, Division of Acute and Ambulatory Care, Room 532, Health and Welfare Building, Harrisburg, PA 17120, (717) 783-8980. Inquiries regarding long-term care facilities shall be addressed to Susan Williamson, Director, Division of Nursing Care Facilities, Room 528, Health and Welfare Building, Harrisburg, PA 17120, (717) 787-1816.
Hospitals Facility Name 28 Pa. Code Regulation Relating to Request Published Decision Surgical Institute of Reading § 103.3 Governing body bylaws 06/04/2016 not nec. Surgical Institute of Reading § 103.34 Personnel policies and practices 06/04/2016 not nec. Surgical Institute of Reading § 103.41 Principle (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.42 Rates (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.43 Insurance (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.44 Purchasing and inventory (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.45 Audit of financial operations (fiscal control) 06/04/2016 not nec. Surgical Institute of Reading § 103.46 Equipment and supplies (fiscal control) 06/04/2016 not nec. Thomas Jefferson University Hospital § 105.1 Principal 04/09/2016 withdrawn Surgical Institute of Reading § 107.11 Medical staff bylaws, rules and regulations (principle) 06/04/2016 not nec. Surgical Institute of Reading § 107.12 Content of bylaws, rules and regulations 06/04/2016 not nec. Heritage Valley Beaver § 107.2 Medical staff membership 06/11/2016 granted Heritage Valley Sewickley § 107.2 Medical staff membership 06/11/2016 granted UPMC St. Margaret § 107.26(b)(2) Organization of the medical staff (additional committees) 06/11/2016 granted Chambersburg Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted Conemaugh Memorial Medical Center § 107.61 Written orders (medical staff) 04/23/2016 granted St. Luke's Hospital—Anderson Campus § 107.61 Written orders (medical staff) 05/21/2016 granted St. Luke's Miners Memorial Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted St. Luke's Quakertown Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted UPMC Altoona § 107.61 Written orders (medical staff) 05/28/2016 granted UPMC Mercy § 107.61 Written orders (medical staff) 06/11/2016 granted Waynesboro Hospital § 107.61 Written orders (medical staff) 05/21/2016 granted Highlands Hospital § 107.62(a) Oral orders 04/23/2016 granted Jameson Memorial Hospital § 107.62(a) Oral orders 04/09/2016 granted Highlands Hospital § 107.62(b) Medical staff by-laws 04/23/2016 granted Jameson Memorial Hospital § 107.62(b) Medical staff by-laws 04/09/2016 granted York Hospital § 107.64 Administration of drugs 04/09/2016 granted Jameson Memorial Hospital § 123.25(2) Control of anesthetic explosion hazards 04/09/2016 granted St. Luke's Hospital—Anderson Campus § 127.32 Written orders (radiology orders) 04/09/2016 not nec. St. Luke's Miners Memorial Hospital § 127.32 Written orders (radiology orders) 04/09/2016 not nec. St. Luke's Quakertown Hospital § 127.32 Written orders (radiology orders) 04/09/2016 not nec. Indiana Regional Medical Center § 138.15 High-risk cardiac catheterizations 06/11/2016 granted Jameson Memorial Hospital § 138.15 High-risk cardiac catheterizations 04/16/2016 granted Main Line Hospital Bryn Mawr § 138.15 High-risk cardiac catheterizations 05/21/2016 withdrawn Chambersburg Hospital § 138.18(b) EPS studies 03/05/2016 granted Ohio Valley General Hospital § 143.5 Medical supervision of podiatric patients 04/30/2016 granted Main Line Hospital Lankenau Medical Center § 153.1 2.1-2.2.5.1 Hand-washing stations in the patient rooms (location) 05/21/2016 granted UPMC Presbyterian Shadyside § 153.1 2.1-2.4.3.1(2)(a) General (location) 06/11/2016 granted UPMC Presbyterian Shadyside § 153.1 2.1-2.4.3.9(1)(b) Special design elements (architectural details) 06/11/2016 granted Penn Highlands DuBois,
100 Hospital Avenue§ 153.1 2.1-7.2.2.5(1) Windows in patient rooms 05/21/2016 granted Children's Hospital of Philadelphia and Children's Seashore House of CHOP § 153.1 2.1-8.5.3.2 Size (TDRs) 04/09/2016 not nec. Geisinger Community Medical Center § 153.1 2.2-2.11.9.2(1) Space requirements (area (cesarean delivery rooms)) 04/02/2016 granted UPMC Hamot § 153.1 2.2-2.5.2.2(1) Space requirements (area) 05/21/2016 granted Holy Spirit Hospital § 153.1 2.2-2.6.7.1(2) Staff lounge facilities 06/11/2016 granted Temple University Hospital § 153.1 2.2-3.1.3.3(3)(h) Reception and triage areas 05/21/2016 granted Main Line Hospital Lankenau Medical Center § 153.1 2.2-3.1.3.6(10) Treatment rooms or areas (fast track) 04/16/2016 granted Jameson Memorial Hospital § 153.1 2.2-3.1.3.6(5)(a) Treatment rooms for bariatric patients 04/16/2016 granted UPMC East § 153.1 2.2-3.12.2.6 Patient toilet rooms 05/21/2016 granted UPMC East § 153.1 2.2-3.12.6.7 Nourishment area or rooms 05/21/2016 granted Hanover Hospital § 153.1 2.2-3.4.2.1(1)(b) CT scanner rooms 03/12/2016 granted Saint Vincent Hospital § 153.1 2.2-3.4.3.3(3) Radiography (fluoroscopy rooms) 06/18/2016 granted Heritage Valley Sewickley § 153.1 2.2-3.4.5.4 Patient toilet rooms 04/09/2016 granted Magee-Womens Hospital of UPMC Health System § 153.1 2.2-3.4.5.4 Patient toilet rooms 05/21/2016 granted Jameson Memorial Hospital § 153.1 2.2-3.4.5.4(1) Patient toilet room 04/16/2016 granted Lancaster Regional Medical Center § 153.1 2.2-3.5.3.1(2) General (location) 04/23/2016 granted UPMC Altoona § 153.1 2.2-3.5.3.1(2—4) Pre-procedure and recovery patient care areas (general) 03/12/2016 granted Williamsport Regional Medical Center § 153.1 2.2-3.6.3.6(1) Support areas for PET facilities 02/13/2016 granted Children's Hospital of Philadelphia and Children's Seashore House of CHOP § 153.1 2.7-2.2.2.2(2) Space requirements (clearances) 04/09/2016 granted Children's Hospital of Philadelphia and Children's Seashore House of CHOP § 153.1 2.7-2.2.2.6 Patient toilet rooms 04/09/2016 granted Penn Highlands DuBois,
177 Washington Street, St. Marys§ 153.1 3.1-3.2.2.2(1) Space requirements (area) 03/12/2016 granted Thomas Jefferson University Hospital, GI § 153.1 3.1-3.2.2.2(1) Space requirements (area) 05/21/2016 granted Thomas Jefferson University Hospital, Jefferson Endocrinology § 153.1 3.1-3.2.2.2(1) Space requirements (area) 05/21/2016 granted Thomas Jefferson University Hospital, Jefferson Internal Medicine § 153.1 3.1-3.2.2.2(1) Space requirements (area) 05/21/2016 granted Penn Highlands DuBois,
177 Washington Street, St. Marys§ 153.1 3.1-3.2.2.2(2) Space requirements (clearances) 03/12/2016 granted Milton S. Hershey Medical Center § 153.1 3.1-3.6.5.1 Hand-washing stations (location) 05/21/2016 granted Thomas Jefferson University Hospital, Jefferson Endocrinology § 153.1 3.1-6.2.4.1 Public toilets 05/28/2016 granted Thomas Jefferson University Hospital, Jefferson Endocrinology § 153.1 3.1-6.2.4.1 Public toilets 05/28/2016 granted Milton S. Hershey Medical Center § 153.1 3.6-3.2.5.1 Hand-washing stations 05/21/2016 granted Thomas Jefferson University Hospital, Family Medicine,
833 Chestnut Street§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/04/2016 granted Thomas Jefferson University Hospital, Medical Oncology,
925 Chestnut Street,
3rd and 4th Floors§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/11/2016 granted Thomas Jefferson University Hospital, Neurology/Neuroscience § 153.1 3.8-3.1.2.1 Space requirements (area) 06/04/2016 granted Thomas Jefferson University Hospital, Rheumatology,
211 South 9th Street§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/11/2016 granted Thomas Jefferson University Hospital, Internal Medicine,
833 Chestnut Street§ 153.1 3.8-3.1.2.1 Space requirements (area) 06/18/2016 granted UPMC Altoona § 153.1 4-6.7.1 Air distribution systems—
general03/12/2016 granted Jameson Memorial Hospital § 153.1 Table 7.1 Design parameters 04/16/2016 granted Albert Einstein Medical Center § 153.1 Table 7.1 Design parameters—
critical and intensive care04/09/2016 granted Ambulatory Surgical Facilities
Western Pa. Surgery Center § 51.3 Notification (general provisions) 06/18/2016 not nec. Allegheny Health Network Surgery Center—Bethel Park, LLC § 551.21 Criteria for ambulatory surgery (re: general surgeon) 05/21/2016 granted Langhorne Access Center § 551.21 Criteria for ambulatory surgery 04/09/2016 granted/ denied in part Monroeville ASC, LLC § 551.21 Criteria for ambulatory surgery 02/13/2016 granted Peter's Township Surgery Center, LLC § 551.21 Criteria for ambulatory surgery 02/13/2016 granted Excela Health Norwin Medical Commons § 551.21(d) Criteria for ambulatory surgery 03/12/2016 granted/ denied in part The Surgery Center at Benbrook § 551.21(d) Criteria for ambulatory surgery 03/26/2016 granted Chambersburg Endoscopy Center, LLC § 551.3(ii) Class B definitions (PS III patients) 04/23/2016 granted Pinnacle Health Pain Management Center West § 551.3(ii) Class B definitions (PS III patients) 05/21/2016 granted Saint Vincent Endoscopy Center § 551.3(ii) Class B definitions (PS III patients) 05/28/2016 denied Einstein Montgomery Surgery Center § 553.1 Principle (governing body) 05/28/2016 denied Reading Ambulatory Surgery Center, LP § 553.3 Governing body responsibilities 05/21/2016 granted McCandless Endoscopy Center, LLC § 553.31 Administrative responsibilities 03/12/2016 granted Progressive Surgical Institute Abe, Inc. § 553.31 Administrative responsibilities 03/12/2016 granted Reading Ambulatory Surgery Center, LP § 553.31 Administrative responsibilities 05/21/2016 granted Penn Medicine at Radnor Endoscopy Facility § 553.31(a) Administrative responsibilities 06/04/2016 denied Einstein Montgomery Surgery Center § 555.1 Principle (medical staff) 05/28/2016 granted Reading Ambulatory Surgery Center, LP § 555.3 Requirements for membership and privileges 05/21/2016 granted Chambersburg Endoscopy Center, LLC § 555.31(a) Anesthesia services (propofol) 04/23/2016 granted Einstein Montgomery Surgery Center § 557.1 Policy (quality assurance and improvement) 05/28/2016 denied Einstein Montgomery Surgery Center § 557.2 Plan (quality assurance and improvement) 05/28/2016 granted Reading Ambulatory Surgery Center, LP § 557.2 Plan (quality assurance and improvement) 06/04/2016 granted Einstein Montgomery Surgery Center § 557.4 Quality assurance and improvement committee 05/28/2016 granted Einstein Montgomery Surgery Center § 559.1 Nursing department 05/28/2016 denied Einstein Montgomery Surgery Center § 559.2 Director of nursing 05/28/2016 not nec. Einstein Montgomery Surgery Center § 561.2 Pharmaceutical service 05/28/2016 denied Einstein Montgomery Surgery Center § 563.2 Organization and staffing (medical records) 05/28/2016 granted Einstein Montgomery Surgery Center § 565.1 Principle (laboratory services) 05/28/2016 withdrawn Einstein Montgomery Surgery Center § 565.12 Radiology service policy 05/28/2016 denied Einstein Montgomery Surgery Center § 567.2 Committee responsibilities 05/28/2016 granted Reading Ambulatory Surgery Center, LP § 567.2 Committee responsibilities 05/21/2016 granted Einstein Montgomery Surgery Center § 567.22 Linen service policy 05/28/2016 denied Eyes of York Surgical Center, LLC § 567.43 Ventilation system 04/23/2016 not nec. Children's Hospital of Philadelphia, Brandywine Valley Specialty Care & Surgery Center § 567.53 Sterilization controls 04/09/2016 granted Einstein Montgomery Surgery Center § 569.1 Principle (general provisions—fire and safety services) 05/28/2016 denied Einstein Montgomery Surgery Center § 569.11 Firefighting service (internal disaster plan) 05/28/2016 denied Einstein Montgomery Surgery Center § 569.13 Testing fire warning systems 05/28/2016 denied Einstein Montgomery Surgery Center § 569.14 Internal disaster and fire plans 05/28/2016 denied Einstein Montgomery Surgery Center § 569.32 Fire inspection 05/28/2016 granted Allegheny Health Network Surgery Center—Bethel Park, LLC § 569.35(7) General safety precautions 05/21/2016 granted Einstein Montgomery Surgery Center § 569.35(7) General safety precautions 05/28/2016 granted Einstein Montgomery Surgery Center § 569.37 Report of emergencies causing interruption of service 05/28/2016 denied Einstein Montgomery Surgery Center § 571.1 3.7-3.8.1.1 Patient changing and preparation area (space) 05/28/2016 granted Einstein Montgomery Surgery Center § 571.1 3.7-3.4.2.1 Pre- and postoperative patient care areas (general) 05/28/2016 granted Nursing Care Facilities
Brethren Village § 201.18(e) Management 04/23/2016 granted Penn Center for Rehabilitation & Care § 201.18(e) Management 06/11/2016 granted Presbyterian Center for Continuing Care § 201.18(e) Management 06/11/2016 granted Rehabilitation Center at Brethren Village § 201.18(e) Management 03/12/2016 granted The Transitional Care Unit at Nazareth Hospital § 201.18(e) Management 06/11/2016 granted Crawford County Care Center § 201.22(d) and (e) Prevention, control and surveillance of tuberculosis 05/28/2016 granted John J. Kane Regional Center—Ross Township § 201.22(e) and (j) Prevention, control and surveillance of tuberculosis 04/23/2016 granted Paul's Run § 205.24(a) Dining rooms 04/16/2016 granted Oakmont Center for Nursing & Rehabilitation § 205.26(e) Laundry 06/11/2016 granted Paul's Run § 205.27 Lounge and recreation rooms 04/16/2016 granted St. Anne Home § 205.28(b) Nurses' station 04/23/2016 granted Oakmont Center for Nursing & Rehabilitation § 205.33(b) Utility room 06/11/2016 granted Brookmont Healthcare Center, LLC § 205.6(a) Function of building 03/19/2016 granted Edinboro Manor § 205.6(a) Function of building 04/30/2016 granted Quarryville Presbyterian Retirement Community § 205.6(a) Function of building 06/11/2016 granted Rehabilitation Center at Brethren Village § 205.6(a) Function of building 04/16/2016 granted The Meadows at Shannondell § 205.6(a) Function of building 04/23/2016 granted The Shook Home § 205.6(a) Function of building 06/11/2016 granted Vincentian Home § 205.6(a) Function of building 06/11/2016 granted WillowBrooke Court at Normandy Farms Estates § 205.6(a) Function of building 04/16/2016 granted StoneRidge Towne Centre § 205.67(j) and (k) Electric requirements for existing and new construction 05/07/2016 granted Pennswood Village § 205.67(k) Electric requirements for existing and new construction 04/16/2016 granted Rehabilitation Center at Brethren Village § 205.67(k) Electric requirements for existing and new construction 04/02/2016 granted Germantown Home § 211.9(g) Pharmacy services 04/16/2016 granted Gwynedd Square Center for Nursing and Convalescent Care § 211.9(g) Pharmacy services 04/16/2016 granted Hillsdale Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 05/07/2016 granted Huntingdon Hills Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 04/23/2016 granted ManorCare Health Services—
Lancaster§ 211.9(g) Pharmacy services 04/23/2016 granted ManorCare Health Services—
Northside§ 211.9(g) Pharmacy services 03/19/2016 granted Mountain Top Healthcare and Rehabilitation Center § 211.9(g) Pharmacy services 06/11/2016 granted Regina Community Nursing Center § 211.9(g) Pharmacy services 04/16/2016 granted Scottdale Healthcare and Rehabilitation Center § 211.9(g) Pharmacy services 04/23/2016 granted St. Martha Center for Rehabilitation & Healthcare § 211.9(g) Pharmacy services 06/11/2016 granted The Wesley Village § 211.9(g) Pharmacy services 05/07/2016 granted Woodland Rehabilitation and Nursing Center § 211.9(g) Pharmacy services 04/23/2016 granted Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact the Division of Acute and Ambulatory Care or the Division of Nursing Care Facilities at the previously referenced addresses or telephone numbers, or for speech and/or hearing impaired persons V/TT (717) 783-6514, or the Pennsylvania AT&T Relay Service at (800) 654-5984.
KAREN M. MURPHY, PhD, RN,
Secretary[Pa.B. Doc. No. 16-1498. Filed for public inspection August 26, 2016, 9:00 a.m.]
