Current through Reg. 49, No. 38; September 20, 2024
(a) The Office
of EMS/Trauma Systems (office) shall recommend to the Executive Commissioner of
the Health and Human Services Commission (executive commissioner) the
designation of an applicant/healthcare facility as a Center of Excellence for
Fetal Diagnosis and Therapy for each location of a facility, which the office
deems appropriate.
(b) A
healthcare facility is defined under this subchapter as a single location where
inpatients receive hospital services or each location if there are multiple
buildings where inpatients receive hospital services and are covered under a
single hospital license.
(c) Each
location shall be considered separately for designation and the office will
determine the designation for that location, based on, but not limited to, the
location's own resources and level of care capabilities; Perinatal Care Region
(PCR) capabilities; and compliance with Chapter 133 of this title, (relating to
Hospital Licensing).
(d) A CEFDT
shall:
(1) provide the highest level of
maternal, fetal, and neonatal care for patients with the least to most complex
fetal conditions;
(2) provide at a
minimum, all fetal therapies and interventions proven effective antenatally
based on level I evidence-based metrics;
(3) have skilled medical staff and personnel
with documented training, competencies and continuing education specific for
the patient population served;
(4)
offer fetal diagnosis and therapy through an extensive multi-specialty clinical
program that is affiliated and collaborates extensively with a medical school
in this state;
(5) demonstrate a
significant commitment to research in and advancing the field of fetal
diagnosis and therapy;
(6) offer
advanced training programs in fetal diagnosis and therapy;
(7) provide appropriate long-term monitoring
and follow-up care for patients, including measuring short-term and long-term
patient diagnostic and therapeutic outcomes;
(8) provide outreach and education to
maternal and/or neonatal designated facilities, including the Quality
Assessment and Performance Improvement (QAPI) process;
(9) hold current verification for
maternal-fetal surgical care from an organization approved by the department;
(10) hold current verification
from the American College of Surgeons as a Level I Children's Surgery Center;
(11) be designated by the
department as a Level IV Maternal Level of Care facility;
(12) be designated by the department as a
Level IV Neonatal Level of Care facility;
(13) participate in CEFDT meetings twice a
year as determined by the department:
(A) for
the purposes of mutual collaboration;
(B) to discuss inclusion criteria for fetal
intervention and biopsychosocial outcome variables both short-term and
long-term; and
(C) to participate
in a multi-disciplinary performance improvement process; and
(14) have facility specific
treatment outcomes vetted and approved by the department for public posting on
the facility website for public access and/or redirect the public to the
facility specific outcomes posted on the department's website.
(e) Facilities seeking designation
shall be surveyed through an organization approved by the office to verify that
the facility is meeting office-approved relevant requirements. The facility
shall bear the cost of the survey.
