3701-83-42 Quality assessment and performance improvement - freestanding birthing centers.

(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