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ARTICLE IX

HOSPITALS

1213. Hospital defined.] For the purpose of this article a hospital is hereby defined to mean any institution or place used for the reception or care, temporary or continuous, of two or more sick, injured or dependent persons; or used for the treatment of two or more persons suffering from or afflicted with any mental or physical disease or bodily injury, including all hydropathic and massage institutions. For the purposes of this article a maternity hospital is hereby defined to mean any institution or place used for the reception and care, temporary or continuous, of one or more women during pregnancy while awaiting confinement, during confinement, or for one month or less after confinement while recovering therefrom.

Unless otherwise specified, the word "hospital" as used in this article shall be held to include maternity hospital.

1214. License required.] It shall be unlawful for any person, firm, association or corporation other than the regularly constituted authorities of the United States, the state of Illinois, the county of Cook or the city of Chicago to open, conduct, manage or maintain any hospital as defined in this article within the corporate limits of the city of Chicago without first obtaining a license therefor as hereinafter provided.

1215. Application-inquiry by commissioner.] Any person, firm, association or corporation desiring such license shall apply in writing to the commissioner of health and shall truly state in said application the location or proposed location of the hospital; the purpose for which it is to be opened, conducted or maintained; the accommodations or proposed accommodations for the inmates thereof; the nature and kind of treatment given or proposed to be given therein, and the name and address of the chief physician, surgeon or attending chief physician or surgeon, or board of physicians or surgeons attendant therein. It shall be the duty of the said commissioner of health, upon the presentation of such application, to make or cause to be made strict inquiry into the facts set out in such application, and if upon such inquiry he shall find such hospital is or is intended to be so conducted as to afford proper accommodations for the care of the persons received or proposed to be received therein, and that the chief physician. or surgeon, or intended chief physician or surgeon or board of physicians or surgeons thereof, gives or is under agreement thereafter to give such attendance therein as does or will render him or them responsible, professionally, for the medical or surgical treatment given or to be given to any and all patients therein, and that such chief physician or surgeon, or board of physicians or surgeons, is regularly authorized to act as such under the laws of the state of Illinois, and that such hospital complies or is intended to comply with all the rules and regulations which shall then be in force concerning the management and control of such hospitals, then the said commissioner of health shall recommend to the mayor that a license be issued, and upon the payment by the applicant of the license fee hereinafter provided to the city collector, the mayor shall issue or cause to be issued a license attested by the city clerk authorizing such applicant to open,

conduct, manage or maintain for the current municipal year a hospital at the place, in the manner, and for the purpose in such application set forth.

1216. License fee-expiration of license-license fee remittedwhen.] The license fee to be paid annually to the city collector for such hospital license shall be one hundred dollars. Every such license shall expire on the thirty-first day of December following the date of issue, and when issued for a period of less than one year, the fee to be paid for the unexpired license period shall be the proportionate part of the annual rate, but no fee shall be less than twenty-five dollars; provided, that if an affidavit is made by the applicant for such hospital license that the said hospital during the previous calendar year has given to its patients not less than ten per cent of its general average capacity of bed days for such calendar year free of charge of any sort (by bed days being meant the use of one bed for one day and its proportionate use of equipment and cost of maintenance, including food, medicine and care of nurses and physicians), then an inquiry shall be made into the facts set forth in such affidavit by the commissioner of health, upon whose recommendation the said license fee may be remitted.

1217. Hospital building board.] For the purposes of this ordinance there is hereby created a hospital building board, which shall be composed of the commissioner of health, the commissioner of buildings and the fire marshal. The hospital building board shall meet upon call of the commissioner of health and shall make such recommendations to the city council as it may deem necessary or expedient for the construction and erection of new hospital buildings and for changes in buildings now being used or which may hereafter be used for hospital purposes.

1218. Accommodations for patients-regulations as to sanitation.] In every such hospital each room occupied or to be occupied by patients shall be of such dimensions as shall give each patient not less than eight hundred cubic feet of space. Every such room shall have at least one window connecting with the external air for each two beds. Said windows shall be of such dimensions as shall secure to each patient at least twenty-four hundred cubic feet of fresh air per hour by natural ventilation, or in case said window shall not secure said twenty-four hundred cubic feet of air per hour by natural ventilation, then each room shall additionally be fitted with such appliances for ventilation as shall secure to each patient in said room at least twenty-four hundred cubic feet of fresh air per hour. Each bed shall have at least eighty square feet of floor space. In case of a maternity hospital, a regularly licensed physician must reside on the premises. Each ward or wing in said hospital shall have running water furnished in one or more places either in said ward or convenient thereto, so that the same may be adequate and convenient to the occupants thereof. The plumbing, water closets, bath rooms and other sanitary appliances and equipment shall be constructed in accordance with the city ordinances relating thereto. The floor of the cellar in any building used as a hospital shall be properly cemented so as to be water-tight. The halls of each floor shall be open to the external air, with suitable windows, and shall have no room or other

obstruction at either end thereof, unless sufficient light or ventilation is otherwise provided for said hall, and the building as a whole shall be provided with adequate and proper fire escapes, stairways or inclines or exits.

There shall be provided in each hospital building a suitable room or rooms approved by the commissioner of health to be used for the isolation of cases of contagious, infectious, epidemic or communicable diseases that may be found in the hospital, until such time as the parties suffering from such contagious diseases shall be removed in accordance with the rules and regulations of the department of health; and there shall be provided, also, in each such building, a suitable room or rooms approved by the commissioner of health for the proper care of the dead pending their removal.

1219. Frontage consents required when.] It shall be unlawful for any person, firm or corporation to build, construct, maintain, conduct or manage in any block, in which two-thirds of the buildings. fronting on both sides of the street or streets on which the proposed hospital may front are devoted exclusively to residence purposes, any hospital, unless the owners of a majority of the frontage in such block, and the owners of a majority of the frontage on the opposite side or sides of the street or streets on which said building faces, consent in writing to the building, constructing or maintaining, managing or conducting of any such hospital in such block. Such written consents of the majority of said property owners shall be filed with the commissioner of health before a permit shall be granted for the building or constructing or a license be issued for the maintaining, conducting or managing of any such hospital.

*1220. Location of hospital near school or playground.] No hospital of any kind or description shall hereafter be erected or established within four hundred feet of any property used for public or parochial school purposes or as a public playground.

1221. Body of patient dying in hospital-removal of.] No person acting as superintendent or manager, or who is otherwise in charge or control of any hospital, nor any person connected with any hospital in any capacity whatsoever as nurse, physician or attendant, shall order, permit or allow the body of any patient or person who has been under treatment in such hospital, and who shall have died therein, to be removed from such hospital to any undertaking establishment at any time within twenty-four hours after the hour of death, unless the removal of such body has been authorized in writing by some member of the immediate family of such deceased person, or by some other person legally authorized to order or permit such a removal; and no such body shall be removed otherwise than in accordance with the ordinances of the city governing and concerning the removal of dead bodies; provided, that no body shall be kept at any hospital longer than thirty-six hours after death without permission from the commissioner of health.

+1222. Complete records to be kept.] Each and every hospital shall keep a complete record of all patients admitted to the institution,

*As amended April 29, 1912. † As amended May 19, 1913.

giving name, age and social condition of each patient (except as hereinafter provided in section 1225), and the mental or physical disease, drug addiction or injury for which such patient is being treated, together with any complications which may arise from or during such treatment, and the date of admission and discharge of such patient from such hospital. In the case of maternity hospitals such record shall show the date of birth, sex and disposition of every child born in such maternity hospital. Such records shall be open at all times to the inspection of the commissioner of health or his duly authorized representatives.

*1223. Daily, weekly and monthly reports.] It shall be the duty of every person, firm or corporation conducting or maintaining any hospital within the city, to make a report to the commissioner of health daily by telephone and by mail, of all cases of actively contagious diseases as smallpox, chickenpox, diphtheria, scarlet fever, mumps, measles, German measles, impetigo contagiosa, anterior poliomyelitis or any other disease which may now or at any future time be classified by the commissioner of health as an actively communicable disease, with which any patient or patients in such hospital may be afflicted. It shall also be the duty of all such persons, firms or corporations licensed, as provided in section 1214 of this article, to make a weekly report to the commissioner of health, covering all forms of mental disease or drug addiction, or typhoid fever, tuberculosis, epidemic cerebro-spinal fever, pneumonia, and such other diseases as may be designated by the commissioner of health as being of a character similar to those herein enumerated. Such daily and weekly reports shall contain the names and residences of all persons suffering from any and all of the above-mentioned diseases, together with such other information as shall be of use in aiding the department of health in stamping out the said diseases. It shall be the further duty of all such persons, firms or corporations licensed as aforesaid to make a report to the commissioner of health, on or before the fifth day of each calendar month, showing a complete record of such hospital during the preceding month, including the names and addresses of patients dying during the month, the cause of each such death, and such other information as may be necessary to an intelligent supervision of the establishment. In case of a maternity hospital, such report shall set forth the names or the registered numbers of patients received and discharged, the disposition of infants born therein, the results of treatment, and such other information as the commissioner of health may require. All reports required under this section shall be made in full upon blanks which shall be furnished for that purpose by the commissioner of health, and all weekly and monthly reports shall be verified by the affidavit or affirmation by the chief physician, superintendent or officer in charge of such hospital.

1224. Inspection-revocation of license.] Every hospital conducted, maintained or managed by any person or corporation licensed as aforesaid shall at all times be open to the inspection of said commissioner of health or his duly appointed assistants or inspectors; and the commissioner of health is hereby authorized and empowered to

* As amended May 19, 1913.

inspect the same, or cause inspection thereof to be made, whenever and as often as he may deem proper; and if, upon such inspection, he shall find any such hospital to be conducted, managed or maintained in violation of the terms of the application for the license under which such hospital was opened, conducted, managed or maintained, or in violation of any of the provisions of this article, or any of the health. or sanitary ordinances, rules or regulations of the city, then and in that event he shall recommend to the mayor the revocation of any such license issued for the opening, conducting, managing or maintaining of such hospital, and the mayor shall revoke such license upon. such recommendation, or for any other good and sufficient cause.

1225. Illegal confinements-filing of information by patients in maternity hospitals.] It shall be unlawful for any physician, midwife or nurse to take a woman into his or her home for confinement, or to confine her there or to place her for confinement in any place except a licensed maternity hospital, as defined herein, without permission from the commissioner of health.

Any patient may, either before or after entering such maternity hospital, file her name and address, that of the father of the prospective child, the names of the person or persons who may adopt such infant when born, or any part of such information, with the department of health, and a card bearing a registered number and stamped "Maternity Record, City of Chicago," shall be given to such patient, which number shall thereafter serve to designate the case, and further inquiry into the sociological facts of the case by the owner or owners of such hospital or by any one connected therewith is hereby forbidden.

Any information filed by any patient in accordance with the foregoing provision shall be registered and kept in a secret record to which no person except officials and employes of the department of health shall have access unless access thereto is given by a certified order of a court of competent jurisdiction. Any person who shall disclose information contained in such secret record, except upon the order of court, as aforesaid, shall be deemed guilty of a violation of this article.

1226. Penalty.] Any person, firm, association or corporation opening, conducting, managing or maintaining a hospital, as herein defined, within the city, without first having obtained a license therefor, ast provided in this article, or after revocation of such license under the authority conferred by this article, or in violation of any of the terms of this article, shall be fined not less than one hundred dollars nor more than two hundred dollars for each offense, and a separate and distinct offense shall be considered as having been committed for each and every day on which any person, firm, association or corporation shall be guilty of any such violation, failure or refusal to comply with any of the provisions of this article; provided, that in the event of a conviction of any such person, firm, association or corporation for a violation of any of the provisions of this article relating to the safety and accommodations of patients, it shall be the duty of the commissioner of health, and he is hereby authorized and empowered, to close such hospital conducted, managed or maintained by any such person, firm, association or corporation, convicted as aforesaid, and

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