Current through all regulations passed and filed through September 16, 2024
(A) As part of the quality assessment and
performance improvement program required under rule
3701-83-12 of the Administrative
Code, each freestanding
birthing center shall evaluate the provision of
services
to the
mothers
and newborns who receive care from the center. The
evaluation
shall, at a minimum, include:
(1) Development and evaluation of risk
criteria for determining eligibility for admission to and
the continuation of care
for a mother and newborn in the birth center program of care;
(2) Documentation and review of complications
and adverse events which
arise during the provision of the center's
services including complications of pregnancy, labor and
the postpartum period;
(3) Review and evaluation of the management
of care;
(4) Evaluation of the
appropriateness of diagnostic and screening procedures including laboratory
studies, sonography, and non-stress tests;
(5) Evaluation of the appropriateness of
medications prescribed, dispensed or administered in the
center;
(6) Review of all transfers of mothers and
newborn to a hospital, health
care provider, or other health care setting to determine the appropriateness and quality of
each
transfer;
(7) Development of
discharge criteria for mother and the
newborn patients served by the center;
(8) Regular review of medical records
including a review
of legibility and
completeness;
(9) Annual review of
all protocols, policies and procedures relating
to maternal and newborn care provided by the
center;
(10) Review of the
maternal and newborn assessment procedures as they impact on quality of care
and cost to the patient;
(11)
Review of the provision of emergency services including services listed in
paragraph (C) of rule
3701-83-34 of the Administrative
Code; and
(12) Evaluation of the
center's compliance with local, state, and
federal requirements and national standards of care related to the provision of
care to mothers and newborns.
(B) As part of the quality
assessment and performance improvement program required under paragraph (A) of
rule 3701-83-12 of the Administrative
Code, each freestanding birth center shall report to the director:
(1) The total number of women who
delivered;
(2) The total number of
live births by weight, in grams;
(3) The total number of fetal
deaths;
(4) The total number of
neonatal deaths;
(5) The total
number of maternal deaths;
(6) The
total number of emergency cesarean-sections performed including:
(a) The total number of primary
cesarean-sections, and
(b) The
total number of repeat cesarean-section;
(7) The total number of attempted vaginal
births after a previous cesarean-section and the total number of successful
vaginal births after a cesarean-section;
(8) The total number of newborns whose
estimated gestational age is less than thirty-seven weeks, and the total number
of newborns whose estimated gestational age is greater than forty-two
weeks;
(9) The total number of
maternal transfers to an obstetric and newborn care
service
including;
(a) The total number of transfers
prior to delivery, and
(b) The
total number of transfers after delivery;
(10) The total number of patients seeking
admission and the total number of patients admitted.
Effective: 7/1/2016
Five Year Review
(FYR) Dates: 02/16/2016 and
02/15/2021
Promulgated
Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule
Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates:
1/13/1996, 6/27/96, 9/5/02, 4/24/11
