Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 640 - REGIONALIZED PERINATAL HEALTH CARE CODE
Section 640.90 - State Perinatal Reporting System
Universal Citation: 77 IL Admin Code ยง 640.90
Current through Register Vol. 48, No. 12, March 22, 2024
a) Purpose
The Department will maintain a State Perinatal Reporting System to follow selected high-risk perinatal patients to ensure that those patients are assessed at appropriate intervals, receive intervention as needed, and are referred for needed support services.
b) Identification and Referral of High-Risk Maternal Patients
1) Each designated APC and
Level III hospital that provides obstetrical care shall establish criteria and
procedures for identifying high-risk pregnant and postpartum patients. A
statement describing the criteria and procedures shall be on file and shall be
provided to the Department on request.
2) The hospital's Perinatal Review Committee,
or other committee established for the purpose of internal quality control or
medical study for the purpose of reducing morbidity or mortality or improving
patient care, shall collect and submit the information required in subsection
(b)(1) to the Department. These data will be considered confidential under
Section 8-2101 of the Code of Civil Procedure.
c) Identification of Perinatal Patients
1) All Illinois hospitals licensed to provide
obstetrical and newborn services shall report information on all perinatal
patients. The Department requests, but does not require, reports on perinatal
patients from hospitals outside Illinois.(The Department does request reports
from the St. Louis APCs or hospitals maintained by the federal government or
other governmental agencies within the United States.)
2) Each hospital shall prepare a Perinatal
Report record (see Appendix I), to be provided by the Department, for patients
meeting one of the following conditions:
A)
Live-birth; or
B) Diagnosed prior
to discharge from newborn hospitalization as a perinatal or neonatal
death.
3) Women who
present with spontaneous abortion, ectopic pregnancy or hydatidiform mole are
perinatal patients and shall be reported. The products of induced abortions
shall not be reported to the State Perinatal Reporting System.
4) Fetal death (gestation greater than 20
weeks) is considered a reportable perinatal outcome. These fetal deaths do not
have to be reported through the State Perinatal Reporting System, because they
are already reported and compiled in the Department's Vital Records
database.
5) Every hospital shall
provide representatives of the Department with access to information from all
medical, pathological, and other records and logs related to reportable
registry information. The mode of access and the time during which this access
will be provided shall be by mutual agreement between the hospital and the
Department.
6) The State Perinatal
Reporting System also will be complemented with information from the
Department's Vital Records live birth database under the Vital Records Act, the
Adverse Pregnancy Outcomes Reporting System under the Illinois Health and
Hazardous Substances Registry Act and other Maternal and Child Health Reports
and submissions.
7) The State
Perinatal Reporting System consists of two forms of reporting. This reporting
shall be on the forms provided by the Department or through electronic means
that meets the exact specifications of the Department's data processing system.
Complete perinatal reporting information shall be reported to the Department
within 14 days after infant discharge, regardless of the method of
reporting.
d) Availability of Information
1) The patient
and hospital-identifying information submitted to the Department or certified
local health department under the Act and this Part shall be privileged and
confidential and shall not be available for disclosure, inspection or copying
under the Freedom of Information Act or the State Records Act, except as
described in this Section. These data shall also be considered confidential
under Section 8-2101 of the Code of Civil Procedure.
2) Aggregate summaries and reports of
follow-up activities may be provided upon request to hospitals, to APCs, and to
the certified local health department designated by the Department to provide
follow-up services to the patients. These reports may contain information
provided by the referring hospital and information provided by the follow-up
certified local health department. Patient or hospital specific data provided
to the appropriate designee under this Section are confidential and shall be
handled in accordance with the Illinois Health Statistics Act and Section 9 of
the Hospital Licensing Act. These data shall also be considered confidential
under Section 8-2101 of the Code of Civil Procedure.
3) All reports issued by the Department in
which the data are aggregated so that no patient or reporting hospital may be
identified shall be available to the public pursuant to Access to Public
Records of the Department of Public Health and the Freedom of Information
Act.
e) Quality Assurance and Continuous Quality Improvement
1) Reporting entities (i.e., hospitals,
certified local health departments and managed care entities (MCEs) shall be
subject to review by the Department to assess the timeliness, correctness and
completeness of the reports submitted by the entity.
2) Reporting entities (i.e., hospitals,
certified local health departments and MCEs shall supply additional information
to the Department at the Department's request when additional information is
needed to confirm the accuracy of reports previously submitted, or to clarify
information previously submitted. The Department will not request data that are
more than two years old.
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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