Illinois Department of Public Health Puts Women's Health at Risk

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! "66%/.)'%(0!23#/+2'!,%)(',!)#/!$)#.')&0!.#$1%2'.3#$!)'!',%!(.2%#$%/!536%#7$!2(.#.2$!',)'!
,)>%!#35!*3#%!3>%&!3#%!0%)&!5.',3+'!',%$%!.#$1%2'.3#$<!
! I%*.#!.$$+.#*!1+8(.2!#3'.2%$!5)&#.#*!536%#!34!',%!>.3()'.3#$!',)'!6)0!,)>%!)44%2'%/!',%6!
/+%!'3!+#$)#.')&0!6%/.2)(!1&)2'.2%$!3&!3',%&!>.3()'.3#$<
! H#43&2%!!!#%$!'3!23>%&!,%)(',!)#/!$)#.')&0!.#$1%2'.3#!23$'$<
] /**/%"/'.T/+/\$%'[.()I$.V"WU.I"/T$.($)U5D
! C.$.'!555<J36%#$;%)(',K36%$L.&$'<236!)#/!$.*#!',%!1%'.'.3#!',)'!5.((!8%!1&%$%#'%/!
'3!',%!"((.#3.$!9%1)&'6%#'!34!:+8(.2!;%)(',!/%6)#/.#*!',%0!2(%)#!+1!536%#7$!4)2.(.'.%$<
!""#$%#&'()*+,-.)$-'%/'012"#3'4)+"-5'01-&'6%.)$7&'4)+"-5'+-'8!9:'';''<'=>??'8@0A8B''
)&
NOTES
1
A full copy of the grand jury report
can be found at:
www.phila.gov/districtattorney/pdfs/
grandjurywomensmedical.pdf.
Documents were obtained through

Freedom of Information Act requests
to the Illinois Department of Public
Health. See Appendix A.
2
See Appendix B.
2004-L-002365, 2000-L-008492,
and 2000-L-013983
4
5
See The Guttmacher Institute at:
www.guttmacher.org/pubs/sfaa/illinois.
html [According to our records, there
are currently 24 womens clinics open
in Illinois in 2014].
210 ILCS 5/Ambulatory Surgical

Treatment Act can be found at: www.
ilga.gov/legislation/ilcs/ilcs3.asp?ActID
=1216&ChapterID=21&Print=True.
6
See Appendix A.
Ibid.
See Appendix A. Northern Illinois

Womens Center voluntarily closed
permanently in January 2012 and
Womens Aid Clinic voluntarily
permanently closed in November
of 2011.
9
10
See Appendix B.
11
Ibid.
12
Ibid.
For specific health and sanitary

inspection documents see footnoted
reports. The full inspection reports can
be obtained by contacting Illinois Right
to Life.
13
Womens Aid Clinic located in

Lincolnwood, IL 60712 - Statement of
Deficiencies Report dated 9-7-2011.
See Appendix C.
14

See Appendix D.
15
National Health Care located in

Peoria, IL 60614 - Statement of
Deficiencies Report dated 10/2/13.
See Appendix E.
16
Northern Illinois Womens

Center Rockford, IL 61104
Statement of Deficiencies Report
dated 6/8/11. See Appendix F.
30
18

See Appendix G.
31
19
Michigan Avenue Center for Health

located in Chicago, IL 60616
dated 6/23/11. See Appendix H.
32
20
Access Health Center located in

Downers Grove, IL 60516 Statement
of Deficiencies Report dated 5/18/11.
See Appendix I.
33
Access Health Center located in

Downers Grove, IL 60516 Statement
of Deficiencies Report dated 5/18/11
See Appendix J.
34
17
21
National Health Care located in

Peoria, IL 60614 Statement of
See Appendix K.
22
American Womens Medical Center

located in Des Plaines, IL 60016 Statement of Deficiencies Report
dated 6/23/11. See Appendix L.
ACU Health Center located in

Hinsdale, IL 60521 Statement of
See Appendix S.
ACU Health Center located in
Hinsdale, IL 60521 Statement of
See Appendix T.
Advantage Health Care located in
Wood Dale, IL 60191 Statement of
See Appendix U.
See Appendix V.
Full health and sanitary inspection
reports can be obtained from Illinois
Right to Life.
35
See Appendix W.
Northern Illinois Womens Center

Rockford, IL 61104 Statement of
Appendix X.
36
23
57
Ibid.
58
See Appendix DD.
See Appendix EE. In an email

response regarding a Freedom of
Information Act request for the health
and sanitary inspection policy for
womens clinics, the Illinois Department
of Public Health (IDPH) told Illinois
Right to Life, The Department does
not have a policy. Later, the IDPH told
Illinois Right to LIfe, The Department
attempts to survey [licensed womens
clinic] every five years. However, this
assertion is not substantiated by IDPHs
conduct over the past 17 years or in
any written reports, emails, meeting
agenda, or notes requested via FOIA
from the Illinois Department of Public
Health.
59
Tanning Salon inspection policy:

210 ILCS 145/15 Sec. 15 (c). Nursing
homes inspection policy: http://www.
cms.gov/Regulations-and-Guidance/
Guidance/Manuals/downloads/
som107c07.pdf. Chicago Restaurants
inspection policy: www.cityofchicago.
org/city/en/depts/cdph/provdrs/
environ_health/svcs/restaurant_food_
inspection.html.
59.1
37
See Appendix Y.
38
See Appendix Z.
39
Court case 2013-L-000076.
40
41
42
43
44
Court Case 2000-L-013105.
American Womens Medical Center

located in Des Plaines, IL 60016.
dated 6/23/11. See Appendix O.
45
Court Case 2010-L-009209.
63
See Appendix GG.
64
See Appendix W.
47
Northern Illinois Womens

Center Rockford, IL 61104
dated 6/8/11. Appendix P.
48
See the Illinois Department of Public

Healths website at: www.idph.state.il.us/
about/newmision.htm.
49
67
50
51
52
53
54
See Appendix AA.
55
See Appendix BB.
56
See Appendix CC.

See Appendix M.
24
Hope Clinic for Women located in

Granite City, IL 62040. Statement of
Deficiencies Report dated 10/7/13 and
4/25/12. See Appendix N.
25
26
27
Michigan Ave Center for Health

located in Chicago, IL 60616
dated 6/23/11. See Appendix Q.
28
Aanchor Health Center located in

Glen Ellyn, IL 60137 Statement of
See Appendix R.
29
46
60
See Appendix FF.

61
See Illinois Department of Public

Healths website at: www.idph.state.
il.us/about/glance.htm#budget.
62
66
A full copy of the grand jury

report can be found at:
www.phila.gov/districtattorney/pdfs/
grandjurywomensmedical.pdf.
See page 261 for quoted section
in this report.
67
The Chicago-based Pro-life Action League significantly contributed to this report.

18
Illinois Department of Public Health Puts Womens Health at RISK A FULL REPORT
"77%*.,H
A,.$!1)*%!.$!.#'%#'.3#)((0!(%4'!8()#?<
!""#$%#&'()*+,-.)$-'%/'012"#3'4)+"-5'01-&'6%.)$7&'4)+"-5'+-'8!9:'';''<'=>??'8@0A8B''
)(
State Senate / State Rep. Districts

Clinic is in
Rep. Dunkin (District 5)
Sen. Hunter (District 3)


Rep. Turner (District 9)

Sen. Van Pelt (District 5)

Rep. Smith (District 10)

Rep. D'Amico (District 15)
Sen. Silverstein (District 8)
Rep. Lang (District 16)

Rep. Mitchell (District 26)

Sen. Raoul (District 13)
Rep. Sims, Jr. (District 34)
Sen. Trotter (District 17)
Rep. Andrade (District 40)

Sen. Martinez (District 20)
Rep. Andrade (District 40)
Rep. Bellock (District 47)
Sen. Nybo (District 24)
Womens Abortion Clinic
Loop Health Center Planned Parenthood

18 S. Michigan Avenue, 6th Floor Chicago, IL 60603
Near North Center Planned Parenthood

1200 N. LaSalle Street Chicago, IL 60610
Michigan Avenue Center for Health

2415 S. Michigan Ave Chicago, IL 60616
The UIC Center for Reproductive Health

820 South Wood Street, MC 808 Chicago, IL 60612
Family Planning Associates Medical Group

659 W. Washington Blvd Chicago, IL 60661
All Womens Health Chicago

2000 W. Armitage Ave Chicago, IL 60647
Family Planning Associates Medical Group - Elston

5086 N Elston Ave. Chicago, IL 60630
Womens Aid Center

4801 W Peterson Ave Suite 609 Chicago, IL 60646
Womens Aid Clinic (Closed)

4751 W. Touhy Avenue Lincolnwood, IL 60646
Ryan Center at University of Chicago

5758 S Maryland Ave Chicago, IL 60637
Family Planning Associates Medical Group

7845 S Cottage Grove Ave #104 Chicago, IL 60619
American Womens Center Chicago

2744 N Western Ave Chicago, IL 60647
All Womens Medical Center

3140 W Irving Park Road Chicago, IL 60618
ACU Health Center LTD
736 N. York Rd. Hinsdale, IL 60521
Rep. Williams (District 11)

Sen. Cullerton (District 6)
Rep. Durkin (District 82)
Sen. Lightfoot (District 4)
Rep. Berrios (District 39)


Sen. Collins (District 16)


Sen. Biss (District 9)
Rep. Lang (District 16)

Rep. Martwick (District 19)


Sen. Delgado (District 2)
Rep. Smith (District 10)

Sen. Lightford (District 4)
Rep. Acevedo (District 2)

Sen. Delgado (District 2)
Rep. Acevedo (District 2)

Sen. Munoz (District 1)
Rep. Golar (District 6)


Sen. Munoz (District 1)
State Senate / State Rep. Districts

Clinics may also serve
Never
5/24/11
PTSC
9/21/12
Never
Never
9/7/11
Never
6/19/12
Never
Never
Never
6/23/11
Never
Never
Date of last full

health inspection
No
ASTC
No
No
PTSC
No
ASTC
No
No
No
PTSC
No
No
Licensed?
Illinois'Women's'Abortion'Clinics
On 1/3/13 Illinois Planned Parenthood womens abortion provider was sued for
medical malpractice following the death of a 24-year-old woman after an
abortion at the LaSalle location. Court documents state the womens clinic did
not transport her to the hospital until 5 hours after her scheduled appointment.
Seven hours following her scheduled abortion, the young woman hemorrhaged
and died as a result of a torn uterus leaving behind a two-year-old boy. A
settlement agreement was reached for $2,000,000.00.
Of the six medical malpractice lawsuits against Illinois Planned Parenthood in

this report, three of these settlements total $6,245,000.00. The remaining
three settlements are undisclosed. No health and sanitary inspection has been
conducted in a Planned Parenthood in Illinois since 1999.
Health Inspection Violations / Lawsuits
3/19/97
Never
4/19/96
Never
Never
4/1/96
Never
12/4/95
Never
Never
Never
On 5/23/11OR #2 was inspected. OR #2 contained tape on an IV pole and

brown stains on the suction machine. The last surgical day was on 5/14/11.
No health and sanitary inspection conducted since 1998
"The licensing requirements are NOT MET" "Due to the number, variety,
and severity of the life safety definicencies observed during the survey walkthrough, the provider shall institute appropriate interim life safety measures
until all cited definciencies are corrected."
Three female patients of Family Planning Associates women's abortion

provider have died following abortions. Of the eight medical malpractice
lawsuits against Family Planning Associations listed in this lawsuit, have
reached settlement agreements total $6,013,700.00. The remaining two
settlement agreements are undisclosed
Three women, including a 13-year-old girl and a 16-year-old student, have

died following an abortion at this licensed women's abortion clinic on March
25, 2000 (lawsuit # 2000-L-008492), on December 10, 1998 (lawsuit # 2000-L13983), and on September 5, 1992 (lawsuit # 2004-L-002365).
Same owner as Women's Aid Clinic which is currently being sued by the State
of Illinois for not paying $36,000 in health and sanitary violation fines.
"The Recovery Room technician (E#1) was observed on 9/6/11 at
approximately 9:20am retrieving a paper towel from a garbage receptacle and
using the same paper towel to cover a tray that would serve food items to
patients....The suction machine in OR #1 contained clear water withs pecks of
floating debrisfive (5) of 5 recovery beds were rustyNine (9) medication
cups, identified as containing Motrin and 10 medication cups containing
tylenol contained crumbs"
On 6/23/09 Womens Aid Clinic womens abortion clinic provider in Chicago
was sued for medical malpractice following the death of a female patient. On
9/1/10 a settlement agreement was reached for $555,508.00. This clinic is
currently being sued by Cook County for failing to pay $36,000 in health
violation fines
Three female patients of Family Planning Associates women's abortion

provider have died following abortions. Seven lawsuits for medical
malpractice have been filed against Family Planning Associates Medical
Group and have reached settlement agreeements. Six of the eight settlement
agreements total $6,013,700.00. The remaining two settlement agreements are
undisclosed
"Two of 5 metal carts contained rust like stains and dust." Cart #2 contained an
No previous health
ambu bag with a brown substance and rust like stains and dust." "Two of 2
inspection since it metal carts in the Recovery room contained rust like stains and dust" "Suction
opened in 2004
tubing identified by staff as clean, was suspended over a biohazard container.
The lid of the container when opened touched the clean tubing."
Never
Never
Date of previous
full health
inspection
Rep. Pihos (District 48)

Rep. Moylan (District 55)
Sen. Kotowski (District 28)

Rep. Wallace (District 67)

Sen. Stadelman (District 34)
Rep. Leitch (District 73)

Sen. LaHood (District 37)
Rep. Willis (District 77)

Sen. Harmon (District 39)
Rep. Sandack (District 81)
Sen. Podogno (District 41)
Rep. Kifowit (District 84)
Sen. Holmes (District 42)
Rep. Scherer (District 96)

Sen. Manar (District 48)
Rep. Jakobsson (District 103)
Sen. Frerichs (District 52)
Rep. Jakobsson (District 103)
Sen. Frerichs (District 52)
Rep. Hoffman (District 113)

Sen. Clayborne, Jr., II (District 57)
Aanchor Health Center LTD

1186 Roosevelt Rd. Glen Ellyn, IL 60137
Apollo Surgical Center

2750 River Road Des Plaines, IL 60016
Dimensions Clinic (Closed)

1455 Golf Road DesPlaines, IL 60016
American Womens Center

110 S River Road Suit 7 Des Plaines, IL 60016
Forest View Meidcal Center (Closed)

2750 S. River Road, Desplaines, Illinois 60018
Northern Illinois Womens Center (Closed)

1400 Broadway Rockford IL 61104
National Health Care

7405 N. University St Peoria, IL 61614
Advantage Health Care LTD

203 Irving Park Rd Wooddale, IL 60191
Access Health Center

1700 75th St. Downers Grove, IL 60516
Planned Parenthood Aurora Health Center

3051 E New York Street Aurora, IL 60504
Springfield Health Center Planned Parenthood

1000 E Washington Springfield, IL 62703
Womens Health Practice

2125 S. Neil St. Champaign, IL 61820
Champaign Health Center Planned Parenthood

302 E Stoughton Champaign, IL 61820
The Hope Clinic for Women

1602 21st St. Granite City, IL 62040
PTSC
Rep. Nekritz (District 57)

Sen. Murphy (District 27)
Sen. Bliss (District 9)
ASTC
No

Rep. Hays (District 104)
Sen. Rose (District 51)
Rep. Kay (District 112)

Sen. Haine (District 56)
No
No
No
PTSC
ASTC
PTSC
Rep. Brown (District 102)

Sen. Rose (District 51)
Rep. Mitchel (District101)

Sen. Brady (District 44)
Rep. Chapa LaVia (District 83)

Sen. Bertino-Tarrant (District 49)
Rep. Bellock (District 47)

Rep. Reboletti (District45)

Rep. Moffitt (District 74)

Sen. Brady (District 44)
PTSC
PTSC
Rep. McAuliffe (District 20)

Rep. Nekritz (District 57)
Sen. Biss (District 9)
Rep. Cabello (District 68)

Sen. Syverson (District 35)
ASTC
ASTC
PTSC
Rep. Harris (District 53)

Sen. Mulroe (District 10)
Rep. Harris (District 53)

Sen. Mulroe (District 10)
Rep. Conroy (District 46)

10/7/13
7/29/99
Never
Never
Never
5/18/11
10/4/13
10/2/13
6/8/11
6/1/11
6/23/11
3/15/01
N/A
5/5/11
Closed in 2011 before receiving a health inspection.
"Based on manufacturer's guidelines, Biological Spore Testing Log, and staff

interview, it was determined that for 3 of 9 weeks in March and April
2011the facility failed to ensure biological spore testing was verified and
documented each week."
"Based on document review and interview, it was determined, the facility
failed to ensure the surgical county policy was accurate, affecting all future
surgical patents."
3/9/12
Unknown
Never
Never
Never
10/1/98
10/12/12
8/21/97
6/16/11
8/14/02
"Failed to ensure the oxygen tank in the recovery room contained an adequate
amount of oxygen, potentially affecting 100% of the patients."
On 7/19/06 Hope Medical Clinic womens abortion clinic provider was sued
for medical malpractice. On 4/2/08 an undisclosed settlement agreement was
reached.


Facility failed to ensure a pre-anesthesia evaluation was conducted prior to

administration of anesthesia"could result in death.
On 5/18/11OR #2 was inspected and observed with loose debris on the
floor, a red stain on a wall and standing water in a small bucket. The last
surgical day was 5/16/11.
"Failed to ensure medication syringes were labeled and stored in a safe, clean
area. This has the potential to affect up to 100% of patients." Facility used
single vial medical meant for only one patient on multiple patients directly
violating the Center for Deisease Control's practice that "protects patients from
life-threatening infections that occur when medicaltions get contaimnated from
unsafe use."
No previous health "Based on personnel file review and staff interview, it was determined that for
inspection since it
5 of 5 employee files reviewed (E#1-5), the Facility failed to ensure
opened in 2005
background checks with the Health Care Registry prior to hiring."
"OR#2 and #3 contained shoes stored with an open box of surgical gloves.
Four (4) of 16 gynecological cannulas [surgical tools inserted into a woman's
uterus] in OR 2 were stained with a brown substance"
In September of 2011, this women's abortion clinic was closed on an
emergency basis and its license was temporarily suspended following the
discover of egregious health and sanitary violations. This was the center's first
8/2/96
health and sanitary inspection in 15 years. On January 4, 2012, the women's
abortion clinic was allowed to re-open albeit pay a $9,750 fine and be subject
to immediate license revocation if the clinic lapsed on certain state
regulations.The abortion provider instead paid a $1,000 fine and voluntarily
relinquish its operating license and permanently closed.
"5 of 5 records reviewed, the facility failed to ensure all patients received preNo health inspection
operative and post-operative counseling"... "Facility failed to ensure the
since it opened in
presence of a circulating RN suring an invasive and operative procedure."
2004
..."For patients requiring a Laminaria Insertion, the facility failed to ensure
operative reports were complete and accurate."
5/11/95
No health
inspection since it
opened in 2014.
No previous health
inspection since it
opened in 2002.
9/26/2014
Illinois
Illinois cracks down on abortion clinics - DailyHerald.com
updated: 1/21/2012 5:54 PM
Illinois cracks down on abortion

clinics
After revelations in Philadelphia, Ill., inspectors visited all nine licensed abortion clinics that are
designated as pregnancy termination centers, a regulatory category that limits those nine clinics to
performing first-trimester abortions and no other procedures. The Northern Illinois Women's Health
Center in Rockford, above, and the Women's Aid Clinic in Lincolnwood were among those nine
inspected clinics. The state found health and safety violations and issued emergency license
suspensions for both clinics.
Associated Press, November 2008
Associated Press
http://www.dailyherald.com/article/20120121/news/701219790/
1/5
An increased scrutiny of Illinois abortion clinics in the wake of revelations about a house
of horrors in Philadelphia revealed that some facilities had gone up to 15 years without
inspections, and two now have closed after regulators found health and safety violations.
The renewed oversight by state regulators led to the permanent closure of a clinic in Rockford
earlier this month, following the closing of a clinic in suburban Chicago last October, according
to documents obtained by The Associated Press through a Freedom of Information Act request.
One of those facilities -- the Womens Aid Clinic in Lincolnwood -- closed when the
owner decided to surrender its license rather than pay a $36,000 fine or endure an
expensive legal fight with the state. The fine was for violations including the clinics
failure to perform CPR on a patient who died after a procedure. Its owner told the AP
her clinic was safe and she felt victimized by the surprise inspection after 15 years.
While Illinois is working on the backlog of neglected inspections, the documents
reviewed by the AP show that a few abortion clinics in the state still havent been
checked in more than a decade. One in Chicago hasnt been inspected in 16 years.
Another in the suburb of Wood Dale was last inspected nearly 15 years ago.
State officials attribute the lag to a lack of funds and resources, noting that the states
24 trained health inspectors are responsible for inspecting nearly 2,000 facilities.
Anti-abortion activist Eric Scheidler, executive director of the Chicago-based Pro-Life Action
League, said Illinois is one of the most pro-abortion states in the nation and he believes it
gave the clinics a pass. The state has shown a systematic unwillingness to step away from the
ideology and look at these facilities objectively, he said, calling for more stringent inspections.
State regulators say ideology isnt involved.
The closure of the two clinics has invigorated the efforts of anti-abortion groups to
shut down others throughout the state. Abortion-rights advocates are worried the
states heightened surveillance will restrict access to abortion for Illinois women.
The closed Rockford clinic was Winnebago Countys only abortion provider,
making the closest ones now in Madison, Wis., or the Chicago suburbs.
Other states -- Kansas, Virginia, Pennsylvania and Utah -- are tightening
regulations for abortion clinics following the 2010 raid on a Philadelphia
abortion provider that regulators had ignored for years.
http://www.dailyherald.com/article/20120121/news/701219790
2/5
Authorities there described a filthy house of horrors where late-term abortions were
routinely performed by untrained staff, and viable newborns died by having their
spinal cords cut with scissors. Dr. Kermit Gosnell, 70, is awaiting trial on charges he
killed seven newborns and one patient. He has denied the allegations. His wife and
six clinic employees have pleaded guilty to lesser roles in the clinic operation.
Those reports also spurred the Illinois Department of Public Health into action, said Karen
Senger, who supervises licensing and regulation of health care facilities in the state. The
documents show the state began quietly increasing the inspections of its clinics last year.
It was a departmental decision, Senger said, adding the Philadelphia case gave us a
focus and motivation to find out when was the last time we were in these facilities?
Not for years, it turned out.
In 2011, Illinois inspectors visited all nine licensed abortion clinics that
are defined as pregnancy termination centers, a category that limits
them to first-trimester abortions and no other procedures.
The Northern Illinois Womens Center in Rockford and the Womens Aid Clinic in Lincolnwood
were among those. The state found health and safety violations and issued emergency license
suspensions that closed both temporarily. The clinics operators have opted to remain closed.
Owners of the clinic in Rockford worked out a settlement with the state that would have allowed
it to reopen with a reduced fine of $9,750. But they announced this month that trouble hiring
new staff and lack of support from some in the Rockford community had persuaded them to
close for good. The clinic operators did not respond to messages conveyed through an attorney.
Larissa Rowansky, a co-owner of the Womens Aid Clinic in Lincolnwood, said her clinic
helped women and provided the best care that a professional clinic could provide.
But Illinois inspection reports detail citations for practices such as frozen TV
dinners stored in a biohazard lab refrigerator that also held placental or fetal
tissue. The clinics dusty equipment, lack of a supervising registered nurse and
failure to perform CPR on a patient who later died also drew citations.
Rowansky said that patient didnt need CPR because she was speaking to
emergency workers when she was taken to a hospital after her abortion.
The patient lied about her condition, Rowansky added, saying the woman
had bronchial pneumonia and was too ill to have an abortion.
3/5
The other violations uncovered by the state inspectors were technicalities, Rowansky said.
It was unfair, she said of the states inspection last year, the first in 15 years.
A separate inspection of the building resulted in more citations for fire hazards. Fixing the
problems and paying the fine would have cost more than a years revenue, Rowansky said.
I tried to help women to get legal abortions, she said. If someone
wants to work against that, theres nothing I can do.
The inspection sweep of the nine clinics didnt include other centers that perform
more services than first-trimester abortions and are classified as ambulatory
surgery centers. Anti-abortion groups said there are four such centers. Senger
said she doesnt know how many surgery centers perform abortions.
State records reviewed by the AP show some of those centers have gone uninspected
since the mid-1990s. Senger said the department intends to inspect those and
other surgery centers this year.
The states inspectors are spread thin, responsible for on-site safety and
health inspections of facilities ranging from hospitals to dialysis centers to
home health agencies. Lack of money prevents the state from hiring more
inspectors, said health department spokeswoman Melaney Arnold.
The department would like the regulation of all licensed health care facilities to be
on par with how long-term care facilities are regulated, she said, meaning a survey
is done at each facility every year and whenever we receive a valid complaint.
Illinois law doesnt specify how frequently either type of abortion clinic must be
inspected. Both kinds must renew their licenses annually, but no inspection is
required with that. After an initial licensure fee of $500, a renewal costs $300.
A third type of health facility providing abortions isnt licensed or inspected
in Illinois. These clinics are considered to be similar to doctors offices, which
arent licensed by the state, and the majority of their services arent surgical
procedures. Planned Parenthood clinics fall into this category.
Lets bring them all under some sort of regulation regime, Scheidler said.
4/5
Sharon Levin, vice president of the National Abortion Federation,

a standard-setting body for providers, said the Philadelphia case is
unusual and shouldnt be used as a basis for a crackdown.
State regulators should inspect abortion clinics as often as they do other similar
medical facilities, Levin said, but 15 years between inspections is excessive.
We have clinical policy guidelines and we regularly inspect our members
she said, but we would consider 15 years too long.
Illinois Rep. Jack Franks, a Marengo Democrat who supports abortion
rights, is glad the state has stepped up its inspections.
Abortions are legal in this state. They need to be safe, Franks said. I want
to make sure women getting these arent being treated improperly.
5/5
Z
Chicago Tribune
State abortion records full of gaps

Thousands of procedures not reported to health department
June 16, 2011|By Megan Twohey, Tribune reporter
Health care providers are failing to detail abortion complications to the state as required by law,
one of many gaps in a surveillance system viewed as crucial to protecting patients, a Tribune
review has found.
The state's system for tracking abortions is so broken that regulators also may be missing more
than 7,000 of the procedures per year.
The Illinois Department of Public Health must collect details about every abortion performed in
the state, including whether the patient is injured or dies.
The mandatory reporting is essential for tracking trends in public health and can provide a
window into quality of care. While abortion has proven to be a very safe procedure, heightened
rates of complications or clusters of deaths could signal problems with particular providers.
"If people are looking at reports and seeing excessive complications, that might warrant another
look or another inspection," said Vicki Saporta, president of the National Abortion Federation,
an association of providers.
But there are significant holes in state monitoring of a procedure that affects tens of thousands of
Illinois women each year. Nationally, current rates suggest that nearly 1 in 3 women will have an
abortion, according to research published in the medical journal Obstetrics & Gynecology.
The Tribune found:
tate regulators have documented between 7,000 and 17,000 fewer abortions a year than a
national research group found in Illinois.
regulators may be allowing doctors and clinics to operate off the books. Regulators collect
reports from 26 providers, but the abortion rights research group has identified 37 providers
doing business in the state.
-related problems experienced by women.
Nearly 4,000 reports of abortion complications involving Illinois residents in 2009 were missing
the required description.
committing a criminal act, and a failure to report abortion complications is grounds for revoking
their licenses, but the Department of Public Health has never sought disciplinary action against a
provider.
Kelly Jakubek, an agency spokeswoman, said in a written response that it was the responsibility
of abortion doctors to ensure they comply with the mandatory reporting requirement.
Regulators don't respond to the reports in any way, she said, because they view the information
as serving statistical purposes only.
"It's outrageous," declared Maurice Stevenson, whose wife died in 2002 from infection following
an abortion at a Planned Parenthood clinic in Chicago. "These procedures, complications and
deaths should be public record."
Critics contend that accurate government accounting is essential, especially with a politically
charged issue such as abortion in which both sides push information to further their agendas.
A review of malpractice cases revealed other abortion-related complications in Illinois with
no way of knowing whether they were reported to the state.
For example, in 2002, after an area woman's uterus was torn in an abortion she began
hemorrhaging, went into cardiac shock and was hospitalized for three weeks. Several years later,
a mother of three experienced seizure symptoms and slipped into a coma following her abortion
at a city clinic. And in 2009, a teenage girl suffered respiratory and cardiac arrest and died
immediately following her abortion in a northern suburb, according to court records.
The state Legislature included mandatory reporting in the 1975 Illinois Abortion Law, a
compilation of guidelines enacted after the U.S. Supreme Court decision in Roe v. Wade.
Abortion providers succeeded in stripping away many of the law's other requirements, but a 1993
legal settlement between providers and the state retained mandatory reporting "to better protect
the health of women undergoing these procedures."
Why does the information matter?
The confidential reports are "very important from both a demographic and public health
viewpoint," according to the federal Centers for Disease Control and Prevention, which surveys
abortion data collected by the states.
In addition to illuminating trends in unplanned pregnancies and documenting access to abortion,
the reports have helped to reveal that certain procedures carry higher risks of complications and
that dangers increase exponentially as the pregnancy progresses.
In Illinois, reporting also provides an opportunity to monitor all doctors who perform abortions.
Not all abortion providers are licensed as such. The Department of Public Health has licensed 14
providers as ambulatory surgical treatment or pregnancy termination specialty centers.
(Page 2 of 2)
State abortion records full of gaps

Thousands of procedures not reported to health department
June 16, 2011|By Megan Twohey, Tribune reporter
But licensing is different in other settings where abortions are performed, including at clinics
where surgeries account for less than 50 percent of their business and at private physicians
offices.
It is unclear which providers are making reports.
The New York-based Guttmacher Institute, an abortion rights research organization, conducts its
own accounting across the country. Its information is widely viewed as more accurate than what
is collected by state regulators because the organization makes extensive efforts to identify
abortion doctors and follow up with them.
It was Guttmacher that located 37 providers in Illinois in 2008, and it is Guttmacher that has
consistently counted thousands more abortions per year than the number recorded by state
regulators.
A Tribune examination of the reporting data collected by the state revealed missing information.
Providers often did not specify, as required, whether a complication was a tear of the uterus or
another specific problem.
In certain medical malpractice cases reviewed by the Tribune, women said they were never
informed by their provider that the abortion was unsuccessful and later underwent challenging
pregnancies, painful deliveries and other complications.
Others suffered anesthesia-related problems, hemorrhaging and infections, according to the suits.
The federal government also identified gaps in Illinois' abortion surveillance system, saying that
more than 15 percent of reports in 2007 did not specify how far along pregnancies were and what
type of procedure was used.
Jakubek said the numbers of abortion providers documented by Illinois regulators and
Guttmacher are different because they use different counting methods. The research
organization's tally includes hospitals, clinics and physicians' offices. Jakubek said the 26
providers identified by state regulators "only includes facilities," but declined to elaborate on her
definition of facility.
The problem of underreporting isn't limited to abortion, said John Lumpkin, who left the
Department of Public Health in 2003 after serving as director for 12 years. But the agency lacks
the funds to address it, he said.
"Whether it's flu, food poisoning or pregnancy termination, we knew there was underreporting
going on," said Lumpkin, who now directs the Robert Wood Johnson Foundation's Health Care
Group. "The health department doesn't have the resources to follow up with every doctor's office
that is reporting food poisoning or flu, nor did it have resources to follow up with every provider
of pregnancy termination."
Stanley Henshaw, a Guttmacher researcher, has explored abortion reporting problems and "lax
enforcement" across the country.
Some providers feared that reports would fall into the hands of anti-abortion protesters or
competitors, even though breaches of confidentiality are rare.
Today, Henshaw theorizes it is the shoddiest operators who are not reporting the abortions they
perform. Either they refuse to comply or are so off the radar they are unaware of the requirement.
"I think it's only a problem with the worst providers," said Henshaw, who has recommended
audits of state abortion reports, a process that would involve verifying who all the providers are.
As safe as abortion is, dangerous providers do exist, made evident by the murder charges filed
this year against a Philadelphia abortion doctor whom prosecutors accused of operating a "house
of horrors."
Some providers identified by the Tribune refused to discuss reporting.
Others, such as Planned Parenthood and Family Planning Associates, said they were diligent
about complying and concerned if others were not.
"It is useful public health information. We'd hope all providers would comply," said Carole
Brite, president of Planned Parenthood of Illinois.
At the same time, Planned Parenthood could not confirm for the Tribune whether it had reported
the 2002 death of Stevenson's wife, only that it had reported the 2008 death of another patient.
The organization said it had no reason to believe the 2002 death was not reported but that the
records were in storage.
And Family Planning Associates said it could not confirm whether it had reported three deaths,
in 1998, 1999 and 2000.
A woman who identified herself as a manager of the Women's Aid Clinic of Lincolnwood would
not comment on a 2009 death.
The Tribune identified these deaths as part of its review of malpractice suits.
Providers are required to report all abortion-related deaths to the state, not just those in which the
death was directly caused by abortion or those involving wrongdoing on the part of health care
workers.
In states with more complete reporting, officials have taken active steps to identify providers and
follow up with them.
In Minnesota, doctors are informed of the reporting requirement when they are licensed. And
state officials send annual reminders to every physician and press those who submit incomplete
forms, said Carol Hajicek of the Minnesota Department of Health, which sends a lengthy report
on abortion data to the Legislature each year.
"We think we're getting them all," Hajicek said.
mtwohey@tribune.com
AA
BB
CC
DD
EE
9/24/2014
Gmail - FOIA Request
emily zender <ezender10@gmail.com>
FOIA Request
Linxwiler, Darlene <Darlene.Linxwiler@illinois.gov>
To: emily zender <ezender10@gmail.com>, "DPH.FOIA" <DPH.FOIA@illinois.gov>
Tue, Aug 5, 2014 at 12:24 PM
Ms. Zender,
The Department does not have a policy other than what is deemed mandatory by the statute below.
The Department attempts to survey every five years.
(210 ILCS 5/9) (from Ch. 111 1/2, par. 157-8.9)

Sec. 9. Inspections and investigations. The Department shall make or cause to be made inspections
and investigations it deems necessary. Information received by the Department through filed
reports, inspection, or as otherwise authorized under this Act shall not be disclosed publicly in a
manner to identify individual patients, except to another State agency for purposes of investigation
of professional or business practices in a licensed ambulatory surgical treatment center. The other
State agency shall not disclose the individual patient information publicly. Every facility licensed
under this Act and any premises proposed to be conducted as a facility by an applicant for a license
shall be open at all reasonable times to an inspection authorized in writing by the Director. No notice
need be given to any person before any inspection.
(Source: P.A. 88-490.)
Thank you.
Darlene
From: emily zender [mailto:ezender10@gmail.com]

Sent: Thursday, July 31, 2014 4:32 PM
[Quoted text hidden]
[Quoted text hidden]
https://mail.google.com/mail/u/0/?ui=2&ik=0257544790&view=pt&q=darlene.linxwiler%40illinois.gov&qs=true&search=query&msg=147a7331b3b19319&siml=1
1/1
10/8/2014
FF
Gmail - Fwd: FW: Franks constituent- FOIA request results
emily zender <ezender10@gmail.com>
Fwd: FW: Franks constituent- FOIA request results

1 message
Jean Crocco <croccomom@gmail.com>
To: Emily Zender <emily@illinoisrighttolife.org>
Wed, Oct 1, 2014 at 4:27 PM
---------- Forwarded message ---------From: Jack Franks <jack@jackfranks.org>

Date: Wed, Jun 29, 2011 at 9:47 AM
Subject: FW: Franks constituent- FOIA request results
To: Jean Crocco <croccomom@gmail.com>
Sent: Tuesday, June 28, 2011 3:08 PM

To: Subject: RE: Franks constituent- FOIA request results
Importance: High
Lori:
Here is the response from IDPH Office of Health Care Regulation related to Jean Crocco. The
FOIA request were mailed on June 24, 2011.
The Department licensing regulations do not mandate a frequency of licensure surveys nor is
there funding to perform licensure surveys. Due to the media issues regarding the events in
Philadelphia, the Department has began the survey process of conducting a health and building
inspection of the 9 licensed pregnancy termination centers. We have completed 1 life safety
and 3 nursing surveys. The results of these surveys have been forwarded to Ms. Crocco this past
week based on her recent FOIA request. The remaining facilities have been completed and the
Department is awaiting the plan of correction or they are scheduled to be completed by August
2011.
If you require additional information feel free to call.
Cleatia
Illinois Department of Public Health
Division Governmental Affairs
https://mail.google.com/mail/u/0/?ui=2&ik=0257544790&view=pt&q=label%3A1-irlc%20jean&qs=true&search=query&th=148cd9c4de6ba2be&siml=148cd9c4de6
1/5
10/8/2014
Gmail - Fwd: FW: Franks constituent- FOIA request results
From: Jack Franks [mailto:jack@jackfranks.org]

Sent: Wednesday, April 20, 2011 3:05 PM
Subject: Franks constituent- FOIA request results
Please let us know how to respond to this constituent, Jean Crocco. We ask that you please
address her concerns about untimely or nonexistent inspections of clinics.
Thank you.
Lori Borhart
Chief of Staff for
Jack D. Franks
State Representative
63rd District
815 334-0063
jack@jackfranks.org
www.ilga.gov
From: Jean Crocco [mailto:croccomom@gmail.com]

Sent: Monday, April 11, 2011 10:55 AM
To: jack@jackfranks.org
Subject: My FOIA request results
Dear Jack-
This letter is not about abortion. It is about the safety of abortion clinics. In Philadelphia PA there
was an abortion clinic that was raided by the DEA because it was also a prescription mill. It was
later closed by the state, but only after much publicity of what the drug raid found. You can read the
https://mail.google.com/mail/u/0/?ui=2&ik=0257544790&view=pt&q=label%3A1-irlc%20jean&qs=true&search=query&th=148cd9c4de6ba2be&siml=148cd9c4de6
2/5
GG
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Illinois Department of Public Health Puts Women&#39;s Health at Risk

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Illinois Department of Public Health Puts Women&#39;s Health at Risk

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!""#$%#&'()*+,-.

,-./012"3/4567"408"940:64;<"'/=-;6"9>..4;<"408"?06;-8>@6:-0 "A"A"A"A"A"A"A B""

Documents were obtained through

210 ILCS 5/Ambulatory Surgical

See Appendix A. Northern Illinois

For specific health and sanitary

Womens Aid Clinic located in

Womens Aid Clinic located in

National Health Care located in

Northern Illinois Womens

Womens Aid Clinic located in

Michigan Avenue Center for Health

Access Health Center located in

Access Health Center located in

National Health Care located in

American Womens Medical Center

ACU Health Center located in

Northern Illinois Womens Center

See Appendix DD.

See Appendix EE. In an email

Tanning Salon inspection policy:

Court case 2013-L-000076.

Court case 2005-L-009803.

Court case 2004-L-002365.

Court case 2004-L-005586.

Court case 2002-L-015845.

Court Case 2000-L-013105.

American Womens Medical Center

Court Case 2010-L-009209.

See Appendix GG.

Court case 1992-L-012531.

Court case 2009-L-001757.

Northern Illinois Womens

Court case 2008-L-003680.

See the Illinois Department of Public

Court case 2001-L-006896.

Court case 2000-L-013983.

Court case 2000-L-008492.

Court case 1996-L-001591.

Court case 2009-L-007351.

See Appendix AA.

See Appendix BB.

See Appendix CC.

Womens Aid Clinic located in

Hope Clinic for Women located in

Michigan Ave Center for Health

Aanchor Health Center located in

See Appendix FF.

210 ILCS 5/Ambulatory Surgical

See Illinois Department of Public

A full copy of the grand jury

The Chicago-based Pro-life Action League significantly contributed to this report.

State Senate / State Rep. Districts

Rep. Dunkin (District 5)

Rep. Dunkin (District 5)

Rep. Turner (District 9)

Rep. Turner (District 9)

Rep. Smith (District 10)

Rep. Lang (District 16)

Rep. Mitchell (District 26)

Rep. Andrade (District 40)

Womens Abortion Clinic

Loop Health Center Planned Parenthood

Near North Center Planned Parenthood

Illinois Department of Public Health Puts Women's Health at Risk

Illinois Department of Public Health Puts Women's Health at Risk