Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.12 - Perinatal and Neonatal Referral Center Standards
Section 30.08.12.03 - Organization

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A. The hospital's Board of Directors, administration, and medical and nursing staffs shall demonstrate commitment to its specific level of perinatal center designation and to the care of perinatal patients. This commitment shall be demonstrated by:

(1) A Board resolution that the hospital agrees to meet the current Maryland Perinatal System Standards for its specific level of designation and assures that all perinatal patients shall receive medical care commensurate with that designation;

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(2) Submission of patient care data to the Maryland Department of Health (MDH) and the Maryland Institute for Emergency Medical Services Systems (MIEMSS), for system and quality management; and

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(3) A Board resolution, bylaws, contracts, and budgets indicating the hospital's commitment to the financial, human, and physical resources and to the infrastructure that are necessary to support the hospital's level of perinatal center designation.

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B. The hospital shall be licensed by the Maryland Department of Health and Mental Hygiene (DHMH) as an acute care hospital.

C. The hospital shall be accredited by The Joint Commission.

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D. The hospital shall have an agreement with the Health Services Cost Review Commission that addresses how the cost of neonatal intensive care services will be incorporated into the hospital's population health budget, and the hospital shall have a certificate of need (CON) from the Maryland Health Care Commission (MHCC) in order to provide neonatal intensive care services, defined as a Level III or IV perinatal program, unless establishment of the hospital's neonatal intensive care services preceded this requirement. A hospital shall obtain a CON in order to establish Level III or IV perinatal program or to expand a Level III perinatal program to Level IV.

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E. The hospital shall obtain and maintain current equipment and technology, as described in these standards, to support optimal perinatal care for the level of the hospital's perinatal center designation.

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F. If maternal or neonatal air transports are accepted, then the hospital shall have a heliport, helipad, or access to a helicopter landing site near the hospital.

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G. The hospital shall provide specialized maternal and neonatal transport capability and have extensive Statewide perinatal educational outreach programs in both specialties in collaboration with the Maryland Institute for Emergency Medical Services Systems (MIEMSS) and the Maryland Department of Health and Mental Hygiene (DHMH).

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