Current through Register Vol. 35, No. 18, September 24, 2024
As used in these regulations:
A.
Definitions beginning with
"A":
(1)
"Abstractor"
means an individual who is trained to comprehensively gather pertinent
information from a variety of available sources in order to accurately capture
the events of a person's life leading up to and including their death in the
form of a case summary for committee review. All abstractors will possess a
professional background in maternal health and the requisite training, provided
or endorsed by the department, to approach cases with a health equity lens.
Given the critical role of the abstractor in identifying the defining details
leading to a death, including factors such as racism, bias and discrimination,
the department shall undertake deliberate, demonstrable efforts to engage
abstractors who possess lived experience as members of communities of color
disproportionately impacted by maternal mortality who are able to apply an
anti-racist lens to the abstracting process.
(2)
"Act" means the Maternal
Mortality and Morbidity Prevention Act.
(3)
"Administrative co-chair"
means the chief medical officer, or another representative of the department
and who is appointed by the secretary to serve as co-chair of the committee for
administrative matters. The administrative co-chair shall be equipped with the
measurable skills, training or lived experience to incorporate the racial,
ethnic and linguistic diversity of New Mexico into this leadership
role.
(4)
"Aggregate
data" means health care data that exclude any individually identifiable
health information, including patient and health care provider
identification.
B.
Definitions beginning with "B": "BVRHS" means the department of
health bureau of vital records and health statistics.
C.
Definitions beginning with
"C":
(1)
"Case-related
material" means any de-identified information that relates to or
summarizes an incident of maternal mortality or severe maternal
morbidity.
(2)
"Case
summary" means a de-identified summary of an incident of maternal
mortality.
(3)
"CDC"
means the U.S. centers for disease control and prevention.
(4)
"Chief medical officer"
means the chief medical officer of the department.
(5)
"Clinical co-chair" means a
committee member with maternal child health clinical or paraprofessional
training nominated and approved by a two-thirds vote of the committee and
approved by the department to serve in this position for a term that aligns
with the overall duration of their membership on the committee unless the
member chooses to step down from the co-chair role prior to the end of their
membership term. The clinical co-chair shall be equipped with the measurable
skills, training or lived experience to incorporate the racial, ethnic and
linguistic diversity of New Mexico into this leadership role.
(6)
"Committee" means the
maternal mortality review committee.
(7)
"Committee member" means a
person who has been appointed to sit as a member of the committee and who
participates in committee business and votes on committee matters.
(8)
"Community co-chair" means a
committee member nominated and approved by a two-thirds vote of the committee
to a term that aligns with the overall duration of their membership on the
committee unless the member chooses to step down from the co-chair role prior
to the end of their membership term. The community co-chair shall possess lived
experience as a community member able to represent the regional, racial,
linguistic, and ethnic diversity of New Mexico's communities disproportionately
impacted by maternal mortality in this leadership role.
(9)
"Contributing factors" are
the circumstances, events, exposures, procedures, or products identified by the
committee as having contributed to an incident or group of incidents resulting
in maternal mortality or severe maternal morbidity which may include systemic
racism or inequities.
(10)
"Coordinator" means the operational staff member designated by the
department to manage the day-to-day operations of the committee.
(11)
"Critical income" means
income lost as a result of uncompensated work time used to attend a committee
meeting.
D.
Definitions beginning with "D":
(1)
"Data set" means a
collection of de-identified information collected or created by or under the
direction of DOH epidemiologists.
(2)
"De-identified data" means
information that has been purged of all personally identifying information
including, but not limited to, names; any geographic subdivision smaller than a
state including street address, city, county, precinct, zip code, and their
equivalent geocodes; all elements of dates except the year of an incident,
including birth date, admission dates, discharge dates, and dates of death;
telephone numbers, fax numbers electronic mail addresses; social security
numbers; health plan beneficiary numbers; certificate and license numbers;
vehicle identifiers and serial numbers, including license plate numbers; device
identifiers and serial numbers; web universal resource locators (URLs);
internet protocol address numbers; biometric identifiers, including finger and
voice prints; full face photographic images and any comparable images; and any
other unique identifying number characteristic, or code.
(3)
"Department" or "DOH" means
the New Mexico department of health.
(4)
"DOH epidemiologist" means
the operational staff responsible for creating, interpreting, and analyzing
data sets and for supporting committee efforts to develop and disseminate
data-driven recommendations.
E.
Definitions beginning with
"E":
(1)
"Executive
committee" means a subcommittee of the committee consisting of the
co-chairs and additional committee members that provides leadership and
guidance to the committee and operational staff to effectuate the objective of
the committee.
(2)
"Expertise" means special skill, knowledge, or judgement that
results from training, practice or lived experience.
F.
Definitions beginning with "F":
[RESERVED]
G.
Definitions beginning with "G": [RESERVED]
H.
Definitions beginning with
"H":
(1)
"Health care
provider" means an individual licensed, certified or otherwise
authorized to provide health care services in the ordinary course of business
in the state; or a health facility that the department licenses.
(2)
"Health equity" means the
attainment of the highest level of health for all people through focused and
ongoing efforts to address avoidable inequalities, historic and contemporary
injustices, and the elimination of health and healthcare disparities.
(3)
"HIDD database" means the
hospital inpatient discharge database or state inpatient database.
I.
Definitions beginning
with "I":
(1)
"IAD" means:
Indian affairs department of the state.
(2)
"Identifiable information"
means any information that may be used to determine the identity of an
individual directly or indirectly involved in an incident of maternal mortality
or severe maternal morbidity.
J.
Definitions beginning with "J":
[RESERVED]
K.
Definitions beginning with "K": [RESERVED]
L.
Definitions beginning with
"L":
(1)
"Law enforcement
agency" means a law enforcement agency of the state, an Indian nation,
tribe or pueblo or a political subdivision of the state.
(2)
"Lead abstractor" means the
clinical co-chair or operational staff member designated to coordinate the
activities of any operational staff engaged as abstractors. This person also
prepares case summaries for committee review and enters committee decisions
into the MMRIA database.
M.
Definitions beginning with
"M":
(1)
"Maternal
mortality" means the death of a pregnant person or a birthing person
within one year postpartum.
(2)
"Maternal mortality review" or "MMR" means the review of all
reported deaths of individuals who die of any cause during pregnancy or within
one year of the end of pregnancy.
(3)
"Medical record" means the
written or graphic documentation, sound recording or electronic record relating
to medical, behavioral health and health care services that a patient receives
from a health care provider or under the direction of a physician or another
licensed health care provider. "Medical record" includes diagnostic
documentation, including an x-ray, electrocardiogram, and electroencephalogram;
other test results; data entered into a prescription drug monitoring program;
and an autopsy report.
(4)
"MMRIA" means the CDC maternal mortality review information
application or any successor application.
N.
Definitions beginning with "N":
[RESERVED]
O.
Definitions beginning with "O":
(1)
"OAAA" means the office of
African American affairs of the state.
(2)
"OMI" means the office of
the medical investigator.
(3)
"Operational staff" means staff or contractors of the department
assigned or contracted to support the work of the committee or its executive
committee.
P.
Definitions beginning with "P":
(1)
"PHD" means the public
health division of the department.
(2)
"Pregnancy-associated death"
means a death during or within one year of pregnancy, regardless of the cause.
If the definition is updated by the CDC, that definition shall be the
applicable definition for these rules.
(3)
"Pregnancy-related death"
means a death during or within one year of pregnancy, from a pregnancy
complication, a chain of events initiated by pregnancy, or the aggravation of
an unrelated condition by the physiologic effects of pregnancy. If the
definition is updated by the CDC, that definition shall be the applicable
definition for these rules.
Q.
Definitions beginning with
"Q":
"Qualified invited guest" means a person approved by
the co-chairs and invited by the committee to attend a committee meeting to
provide technical expertise to the committee, to enhance training in maternal
health, to provide insight on maternal mortality or severe maternal morbidity
review in other jurisdictions or to provide operational support to the
committee.
R.
Definitions
beginning with "R": [RESERVED]
S.
Definitions beginning with
"S":
(1)
"Secretary" means
the secretary of the department of health or designee.
(2)
"Severe maternal morbidity"
means unexpected outcomes of labor and delivery that result in significant
short- or long-term consequences to a person's health as identified by
hospitalizations using administrative hospital discharge data and the world
health organization's international classification of diseases diagnosis and
procedure codes.
T.
Definitions beginning with "T":
"Trauma" means
individual and communal trauma, defined as the experiences inflicted upon
people and communities impacting their physical, mental and emotional
well-being. This unresolved impact leads to a perceived and experienced lack of
safety and a recurring experience of stress that impacts the physical and
mental bodies of the victim and at times their families and communities
intergenerationally. Trauma is linked to acts of violence, including
micro-aggressions, systemic inequity and the feeling that oneself, one's family
or community are not fully safe or capable of being safe as a result of the
traumatic incident(s).
U.
Definitions beginning with "U": [RESERVED]
V.
Definitions beginning with "V":
[RESERVED]
W.
Definitions beginning with "W": [RESERVED]
X.
Definitions beginning with "X":
[RESERVED]
Y.
Definitions beginning with "Y": [RESERVED]
Z.
Definitions beginning with "Z":
[RESERVED]
