Update on Texas Neonatal Levels of Care Designation

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Update on Texas Neonatal Levels of Care Designation"

Transcription

1 Update on Texas Neonatal Levels of Care Designation Michael E. Speer, MD Professor of & Medical Ethics

2

3 Disclosures: I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity. I do not intend to discuss an unapproved/ investigative use of a commercial product/device in my presentation Page 2 xxx00.#####.ppt 6/30/2015 4:18:31 PM

4 Objectives List three reasons that state designation of neonatal care in Texas is important for public health reasons. Describe methods/ rationale of Perinatal Advisory Council s recommendations for neo levels of care. Page 3 xxx00.#####.ppt 6/30/2015 4:18:32 PM

5 Objectives Describe 4 important markers in the timeline for hospital designation of neonatal care in Texas. List 3 important actions that perinatal healthcare providers and hospitals should take in preparation for obtaining state designation of neonatal levels of care. Page 4 xxx00.#####.ppt 6/30/2015 4:18:32 PM

6 General Principles Each newborn should be delivered and cared for in a facility most appropriate for his or her needs Further definitions of facility level should include requirements for: Equipment Personnel Ancillary services Training Organization (including transport) AAP COFN. Levels of Neonatal Care 2012 Page 5 xxx00.#####.ppt 6/30/2015 4:18:32 PM

7 TIOP III: Regionalization is Critical to Improved Perinatal Outcomes Organizes perinatal services within a geographic area Increases survival of high risk newborns Concentrates relatively rare cases at a few locations Centralizes expensive technologies Provides opportunities for development of clinical expertise March of Dimes, 2010 Page 6 xxx00.#####.ppt 6/30/2015 4:18:33 PM

8 Preterm Mortality is Increased by Birth Outside a Level III Hospital Review of 41 US & non-us studies from 1976 to 2010: 104,944 VLBW infants Risk of death increased for infants born in nonlevel III hospitals VLBW (<1500 g) 37 studies: 38% vs 23% OR: 1.62, 95% CI ELBW (<1000 g) 4 studies OR 1.64, 95% CI Very Preterm (<32 weeks) 4 studies OR 1.55, 95 CI Lasswell S. JAMA, 2010 Page 7 xxx00.#####.ppt 6/30/2015 4:18:34 PM

9 Other Factors May Affect Outcome Nursing skills Insurance coverage: present or absent Race Volume: Expertise Obstetrical care: Ante-partum Steroids How do we measure Approach to resuscitation Page 8 xxx00.#####.ppt 6/30/2015 4:18:34 PM

10 Page 9 xxx00.#####.ppt 6/30/2015 4:18:35 PM

11 Maternal Mortality Page 10 xxx00.#####.ppt 6/30/2015 4:18:35 PM

12 Maternal Mortality: Texas Page 11 xxx00.#####.ppt 6/30/2015 4:18:36 PM

13 Percent of Live Births Percent of Infants Born Preterm (United States and Texas ) The rate of preterm births in Texas has declined about 6% since The decline is mainly among infants born between 34 and 36 weeks gestation * Texas United States Healthy People 2020 Goal 2013 data are provisional and subject to change. Source: Texas data from Death Vital Records, DSHS, Center for Health Statistics; U.S. data from National Center for Health Page 12 Statistics Vital Records Report, Deaths. Prepared by FCHS, Office of Program Decisions Support xxx00.#####.ppt 6/30/2015 4:18:36 PM 12

14 2014 Premature Report Card USA Overall 11.5 [C] 8.8 = A 12.3 = C 12.4 = C 13.6 = D USA Overall = 11.4% [C]l Page 13 xxx00.#####.ppt 6/30/2015 4:18:37 PM

15 Page 14 xxx00.#####.ppt 6/30/2015 4:18:37 PM

16 Very Preterm: USA Very preterm = <32 weeks gestation Page 15 xxx00.#####.ppt 6/30/2015 4:18:37 PM

17 Births, VLBW numbers, and NICU beds from 2000 to 2010 Category Category Percent Change Total Births 363, , VLBW NICU (Level III) Healthy Texas Babies Report, 2011: Dr. Rebecca Martin DSHS Report, 2012 Page 16 xxx00.#####.ppt 6/30/2015 4:18:38 PM

18 Self Reported NICU & Intermediate Care Beds Page 17 xxx00.#####.ppt 6/30/2015 4:18:38 PM

19 Texas Mortality Rates Page 18 xxx00.#####.ppt 6/30/2015 4:18:38 PM

20 VLBW By County /NICU-council-report.pdf Page 19 xxx00.#####.ppt 6/30/2015 4:18:38 PM

21 Page 20 xxx00.#####.ppt 6/30/2015 4:18:39 PM

22 Texas Approximately half of VLBW babies being delivered in non-level III/IV facility: 2008 Texas 48.1% National average 74.5% Texas prematurity rate higher than national average (12.4% vs. 11.5%) Hospital self designation by state survey found to be inaccurate 30-40% of time Bottom-line: It s about our babies Page 21 xxx00.#####.ppt 6/30/2015 4:18:39 PM

23 History: Past, Present & Future From NICU Council ( ) to Perinatal Advisory Council (2014- ) HB15 Specifies Neonatal Levels of Care Designation by Sept 1, 2017 for Medicaid payments Specifies Maternity Levels of Care Designation by Sept 1, 2019 for Medicaid payments Divide state into regions (Regional Advisory Councils) Transfer agreements Page 22 xxx00.#####.ppt 6/30/2015 4:18:39 PM

24 Philosophy Each hospital can strive for the level of care it desires (no certificate of need) Each hospital works out its own transfer agreements (but look out for patients!) Even playing field big city hospitals or academic hospitals not to make rules to dominate, take unfair advantage Look out for rural areas, but do not dilute standards Page 23 xxx00.#####.ppt 6/30/2015 4:18:40 PM

25 Perinatal Advisory Council 17 Members: Nurses, OB, MFM, Neonatologists, Hospital Administrators Transparency meetings open Prioritizing patient quality It s about the babies & pregnant mothers!! Evidence based Listening to each other, open to input Developing consensus Credibility Page 24 xxx00.#####.ppt 6/30/2015 4:18:40 PM

26 Guidelines for Perinatal Care, 7 th Edition 2012 Page 25 xxx00.#####.ppt 6/30/2015 4:18:40 PM

27 Levels of Care: Level I Can perform neonatal resuscitation, evaluate and provide postnatal care of healthy newborn infants, stabilize and provide care for infants born at >35 to 37 weeks' gestation who remain physiologically stable. Transfer everyone else Page 26 xxx00.#####.ppt 6/30/2015 4:18:40 PM

28 Levels of Care: Level II A hospital special care nursery to provide care to infants born at or more than 32 weeks' gestation and weighing at or more than 1500 g Short term ventilation (<24 hours), CPAP, TPN, etc. Page 27 xxx00.#####.ppt 6/30/2015 4:18:41 PM

29 Levels of Care: Level II A hospital special care nursery to provide care to infants born at or more than 32 weeks' gestation and weighing at or more than 1500 g Short term ventilation (<24 hours), CPAP, TPN, etc. Page 28 xxx00.#####.ppt 6/30/2015 4:18:41 PM

30 Levels of Care: Level II Rural hospitals at least 75 mi from level III/IV facility can care for a neonate that is between 30 and 32 weeks of gestation and having a birth weight of between grams Rationale: To improve patient access Neonatologist or pediatrician with extensive experience as medical director Neo practitioner in house if patient receiving acute respiratory support or is unstable Not discussed in AAP/ACOG Guidelines Page 29 xxx00.#####.ppt 6/30/2015 4:18:41 PM

31 Levels of Care: Level III (subspecialty) A hospital NICU to provide continuous life support and comprehensive care for infants of all gestational ages with mild to critical illnesses Access for consultation full range of pediatric medical subspecialists and pediatric surgical specialists with full ancillary support. Capability to perform major pediatric surgery onsite or transfer to a higher level facility Page 30 xxx00.#####.ppt 6/30/2015 4:18:42 PM

32 Levels of Care: Level IV Full range of pediatric medical subspecialists, surgical subspecialists, Pediatric anesthesiologists, and pediatric ophthalmologists Available to manage complex medical and surgical conditions. Full range of pediatric ancillary support with advanced imaging (CT, MRI, and echocardiography) On site for face to face consultation or care Page 31 xxx00.#####.ppt 6/30/2015 4:18:42 PM

33 Perinatal Advisory Council 2015: Add 2 Advisory Subcommittees Rural Obstetrical Care Chair, E. Toy, MD Rural Family Practice Chair, E. Briggs, MD Page 32 xxx00.#####.ppt 6/30/2015 4:18:43 PM

34 Perinatal Advisory Council : Function as unified committee to lay down foundation 2017+: Organize into subcommittees Likely to include experts not on Council, recommend no Council member on more than 2 Neonatal standards Maternal standards Hosital Designation Best practice Page 33 xxx00.#####.ppt 6/30/2015 4:18:43 PM

35 2015 Legislature: HB 3433 Increases the number of Council members to 19 Added 1 Rural Hospital Administrator & 1 Rural Hospital physician Deadline for NICU designation for Medicaid payment: 2018 Deadline for OB designation for Medicaid payment: 2020 Page 34 xxx00.#####.ppt 6/30/2015 4:18:43 PM

36 Texas HHSC Perinatal Advisory Council : 5 year plan (overview) Page 35 xxx00.#####.ppt 6/30/2015 4:18:44 PM

37 Draft Timeline for NICU & OB Designations February 2014 Jan-Mar 2014 Apr-Jun 2014 Jul-Sept 2014 Oct-Dec 2014 PAC work on NICU Standards NICU Standards, Designation NICU Designation Goal: NICU Designation done Goal: July 1 st Standards Completed STATE: NICU & Designation rules Jan-Mar 2015 Apr-June 2015 Jul-Sept 2015 Oct-Dec 2015 OB Standards; Review NICU rules STATE: NICU & Designation rules: Applications done 10/1 OB Standards; Review NICU rules OB Standards; Review NICU rules STATE: Beta test NICU application; train site surveyors OB Standards, OB Designation STATE: Beta test NICU site visit; train site surveyors Page 36 xxx00.#####.ppt 6/30/2015 4:18:44 PM

38 Draft Timeline for NICU & OB Designations Jan-Mar 2016 Apr-Jun 2016 Jul-Sept 2016 Oct-Dec 2016 PAC OB Standards done; Goal Apr. 1st OB Designation, Review OB rules OB Designation, Review OB rules Hospitals providing newborn neonatal care Levels II, III, IV undergo site visits STATE: OB rules and Designation rules OB Designation, Review OB rules Jan-Mar 2017 Apr-June 2017 Jul-Sept 2017 Oct-Dec 2017 Review OB rules Review OB rules STATE: FINAL NICU Designation NICU must be designation 1/1/17 for payment Hospitals: 6 months to address any NICU issues, recruit staff, etc. STATE: Beta test OB application; train site surveyors Hospitals apply for OB Designation STATE: Beta test OB site visit; train site surveyors Page 37 xxx00.#####.ppt 6/30/2015 4:18:44 PM

39 Draft Timeline for NICU & OB Designations Jan-Mar 2018 Apr-Jun 2018 Jul-Sept 2018 Oct-Dec 2018 PAC Review problems, promote best practices PAC Review problems, promote best practices Hospitals providing OB care Levels II, III, IV undergo site visits PAC Review problems, promote best practices OB Deadline 1/1/19 PAC Review problems, promote best practices Jan-Mar 2019 Apr-June 2019 Jul-Sept 2019 Oct-Dec 2019 PAC Best practices PAC Best practices PAC Best practices PAC Best practices Hospitals: 6 months to address any OB issues, recruit staff, etc. STATE: Final OB Designation OB Hospitals must be designated 1/1/19 for payment Page 38 xxx00.#####.ppt 6/30/2015 4:18:45 PM

40 Step 1: Application PAC develops standards and recommendations re designation process: Levels II, III, & IV Neonatal standards subcommittee evaluate need to update standards Maternity standards subcommittee evaluate need to update standards Designation subcommittee review process issues (NOT individual hospital info) Page 39 xxx00.#####.ppt 6/30/2015 4:18:46 PM

41 Outcome Measures Easy to obtain E.g., Administrative data Common to all sites E.g., birth weight, gestational age, diagnoses Conceptually similar to Von-Oxford Page 40 xxx00.#####.ppt 6/30/2015 4:18:46 PM

42 Step 2: Site Visit After application is complete, site visit scheduled PAC may give input into development of site visit form PAC will NOT access any specific site visit information or outcomes (not even favorable results) In rare circumstances, state may ask PAC for input and give general question Page 41 xxx00.#####.ppt 6/30/2015 4:18:47 PM

43 Step 3: Findings Letter State issues findings letter after site visit, and hospital may disagree, provide more information, or address issues State may ask PAC for input on issues (deidentified query) Page 42 xxx00.#####.ppt 6/30/2015 4:18:47 PM

44 Step 4: Final Designation State issues final designation, with duration (usual = 3 years?) Page 43 xxx00.#####.ppt 6/30/2015 4:18:47 PM

45 Conclusions Three reasons TX designation of neonatal care is important for public health: VLBW babies survival much better in level III/IV Hospitals and health care providers comply with criteria Encourage coordination and transfers Methodology and rationale TX Perinatal Advisory Council s recommendations: Evidence based decisions Taking into account TX diverse geography & needs Page 44 xxx00.#####.ppt 6/30/2015 4:18:47 PM

46 Conclusions-2 Four important markers in the timeline for hospital designation of neonatal care in Texas July 2014 (Neo standards finalized) Sept 2014 (Rules draft developed) May 2015? (Rules finalized) June 2015 Jan 2017? (Application process) Sept 1, 2018 (Hospital Neo designation for Medicaid) Page 45 xxx00.#####.ppt 6/30/2015 4:18:48 PM

47 Conclusions-3 Three important actions that perinatal healthcare providers and hospitals should take in preparation for neo state designation 1. Being engaged with Perinatal Council 2. Being prepared with hospital and personnel requirements 3. Getting hospital QI process in gear in preparation Page 46 xxx00.#####.ppt 6/30/2015 4:18:48 PM

48 What Can You Do? 1. Get engaged with the state process (Perinatal Advisory Council + state Rule Making) Next PAC meeting September 22, Make sure your institution has the requirements for your level of care 3. Make sure your hospital has a QI process to look for key outcomes (get it ready for application process) Page 47 xxx00.#####.ppt 6/30/2015 4:18:49 PM

49 Resources mmittees/pac/ Guidelines for Perinatal Care, 7 th ed Page 48 xxx00.#####.ppt 6/30/2015 4:18:49 PM

Access to Appropriate Services for High Risk. in New York State. New York State Department of Health

Access to Appropriate Services for High Risk. in New York State. New York State Department of Health Access to Appropriate Services for High Risk Neonates in New York State Di i i f F il H l h Division of Family Health New York State Department of Health Perinatal Regionalization in New York State Perinatal

More information

Rural Health Advisory Committee s Rural Obstetric Services Work Group

Rural Health Advisory Committee s Rural Obstetric Services Work Group Rural Health Advisory Committee s Rural Obstetric Services Work Group March 15 th webinar topic: Rural Obstetric Patient and Community Issues Audio: 888-742-5095, conference code 6054760826 Rural Obstetric

More information

Innovative use of Neonatal Nurse Practitioners in Rural Hawaii

Innovative use of Neonatal Nurse Practitioners in Rural Hawaii Innovative use of Neonatal Nurse Practitioners in Rural Hawaii Petri Pate Pieron, MSN, MPH, APRN Rx, CPNP, NNP Presentation was supported by NIH 1 R25 RR019321 Clinical Research Education and Career Development

More information

Neonatal-Perinatal Medicine Rotation Description. Neonatal Intensive Care Units

Neonatal-Perinatal Medicine Rotation Description. Neonatal Intensive Care Units Neonatal-Perinatal Medicine Rotation Description Neonatal Intensive Care Units Description/Goals: Fellows in Neonatal-Perinatal Medicine will rotate through the Neonatal Intensive Care Units during their

More information

GUIDELINES FOR HOSPITALS WITH NEONATAL INTENSIVE CARE SERVICE : REGULATION 4 OF THE PRIVATE HOSPITALS AND MEDICAL CLINICS REGULATIONS [CAP 248, Rg 1] I Introduction 1. These Guidelines serve as a guide

More information

STATE POLICIES AND REGIONAL NEONATAL CARE

STATE POLICIES AND REGIONAL NEONATAL CARE STATE POLICIES AND REGIONAL NEONATAL CARE PROGRESS AND CHALLENGES 25 YEARS AFTER TIOP A Report By Ellen R. Shaffer, PhD, MPH ershaffer@earthlink.net For The March of Dimes November 2001 Report prepared

More information

Report. Overview. In the 1980s, Alaska had the second-highest death rate among babies less than 28 days old. At its peak, Alaska s postneonatal

Report. Overview. In the 1980s, Alaska had the second-highest death rate among babies less than 28 days old. At its peak, Alaska s postneonatal From the Bottom to the Top: How Alaska Became a Leader in Perinatal Regionalization Alaska has a geography problem at 2.3 times the size of Texas, its vast landscape and harsh climate renders some areas

More information

REGISTERED NEONATAL INTENSIVE CARE UNITS AND SPECIAL CARE NURSERIES

REGISTERED NEONATAL INTENSIVE CARE UNITS AND SPECIAL CARE NURSERIES RGISTRD NONATAL INTNSIV CAR UNITS AND SPCIAL CAR NURSRIS DCU PDC Manual Date of Issue 01/07/2009 Page - 1 NONATAL INTNSIV CAR UNITS Mater Misericordiae Women's & Children's Private Health Service Mater

More information

Chapter 3: Healthy Start Risk Screening

Chapter 3: Healthy Start Risk Screening Introduction Healthy Start legislation requires that all pregnant women and infants be offered screening for risk factors that may affect their pregnancy, health, or development. The prenatal and infant

More information

Barbara Murphy, RN, MSN Director, CPQCC Director, Perinatal Programs Division of Neonatal and Developmental Medicine Stanford University

Barbara Murphy, RN, MSN Director, CPQCC Director, Perinatal Programs Division of Neonatal and Developmental Medicine Stanford University Barbara Murphy, RN, MSN Director, CPQCC Director, Perinatal Programs Division of Neonatal and Developmental Medicine Stanford University A group of CA leaders in healthcare, Committed to improving care

More information

Newborn Intensive Care in Saint Petersburg, Russia. Marina Boykova, RN, BSc

Newborn Intensive Care in Saint Petersburg, Russia. Marina Boykova, RN, BSc December 2005 Newborn Intensive Care in Saint Petersburg, Russia Marina Boykova, RN, BSc Historical Perspective The first 6-bed NICU of Saint Petersburg was opened January 2, 1978, at the Children s Hospital

More information

Neonatal Nurse Practitioner Program Clinical Preceptorship I & II Guidelines

Neonatal Nurse Practitioner Program Clinical Preceptorship I & II Guidelines 1 Neonatal Nurse Practitioner Program Clinical Preceptorship I & II Guidelines General Course Guidelines The clinical preceptorship is designed to provide the Advanced Practice Neonatal Nurse Practitioner

More information

Neonatal Intensive Care Unit (NICU)

Neonatal Intensive Care Unit (NICU) Neonatal Intensive Care Unit (NICU) Integrated Care for Newborns with Critical or Special Needs startstrongbaby.org A World Leader in Neonatal Research and Care Innovation As a birthplace of modern neonatology

More information

PUBLIC-PRIVATE PARTNERSHIPS

PUBLIC-PRIVATE PARTNERSHIPS PUBLIC-PRIVATE PARTNERSHIPS Ohio Medicaid s Experience in Improving Children s Quality of Care & Reducing Costs through Collaboration and Improvement Science Mary Applegate, MD, FAAP. FACP Ohio Medicaid

More information

9.5 Fetal and Infant Deaths

9.5 Fetal and Infant Deaths 9.5 Fetal and Infant 9.5.1 Fetal Between 2001 and 2005, there were 24 fetal on average per year in Kalamazoo County. Fetal mortality rates are calculated by dividing the number of fetal in a time period

More information

Multifetal Pregnancy Center of New Orleans

Multifetal Pregnancy Center of New Orleans Multifetal Pregnancy Center of New Orleans Ochsner Mission: We serve, heal, lead, educate, and innovate. Ochsner Vision: Ochsner will be a global medical and academic leader who will save and change lives.

More information

Brenda Neff MSN, RN, NE BC

Brenda Neff MSN, RN, NE BC Brenda Neff MSN, RN, NE BC 1400 s newborns have a soul 1600 s estimated that only 10% of the abandoned infants reached the age of 5 years. 1857 first incubator documented in western lit 1857 first incubator

More information

Who Is Involved in Your Care?

Who Is Involved in Your Care? Patient Education Page 3 Pregnancy and Giving Birth Who Is Involved in Your Care? Our goal is to surround you and your family with a safe environment for the birth of your baby. We look forward to providing

More information

2630 University Halll. March 18, 2011. TO: Richard Van. I am

2630 University Halll. March 18, 2011. TO: Richard Van. I am Office of Programs and Academic Assessment (MC 103) 2630 University Halll 601 South Morgan Street Chicago, Illinois 60607 7128 March 23, 2011 TO: FROM: Richard Van Acker, Chair Senate Committee on Educational

More information

H.B th General Assembly (As Introduced)

H.B th General Assembly (As Introduced) Lisa Musielewicz Bill Analysis Legislative Service Commission H.B. 331 127th General Assembly (As Introduced) Reps. Wagoner, J. McGregor, Schindel, Fende, Goodwin, J. Stewart, Seitz, Brown BILL SUMMARY

More information

Using the Electronic Medical Record to Improve Evidence-based Medical Practice. P. Brian Smith Duke University Medical Center Durham, NC

Using the Electronic Medical Record to Improve Evidence-based Medical Practice. P. Brian Smith Duke University Medical Center Durham, NC Using the Electronic Medical Record to Improve Evidence-based Medical Practice P. Brian Smith Duke University Medical Center Durham, NC Disclosure I have no relevant financial relationships with the manufacturer

More information

In Bergen County, Holy Name Medical Center is the place to deliver your baby.

In Bergen County, Holy Name Medical Center is the place to deliver your baby. In Bergen County, Holy Name Medical Center is the place to deliver your baby. Quality care, a focus on safety, attention to family. That s why our BirthPlace enjoys such high patient satisfaction ratings.

More information

DEFENSE HEALTH CARE. Availability and Quality Measurement of Women's Health Care Services in U.S. Military Hospitals

DEFENSE HEALTH CARE. Availability and Quality Measurement of Women's Health Care Services in U.S. Military Hospitals United States Government Accountability Office Report to Congressional Committees June 2016 DEFENSE HEALTH CARE Availability and Quality ment of Women's Health Care Services in U.S. Military Hospitals

More information

The Mystery of Maternal Mortality in Indonesia. Anne Hyre, CNM, MSN, MPH October 5, 2016

The Mystery of Maternal Mortality in Indonesia. Anne Hyre, CNM, MSN, MPH October 5, 2016 The Mystery of Maternal Mortality in Indonesia Anne Hyre, CNM, MSN, MPH October 5, 2016 Maternal Health Quiz #1 What percentage of global maternal deaths occur in developing countries? A. 50% B. 80% C.

More information

Why San JoSe needs a Medical center for WoMen & children APR I L 2 014

Why San JoSe needs a Medical center for WoMen & children APR I L 2 014 Why San JoSe needs a Medical center for WoMen & children APR I L 2 014 SUMMary San Jose is the largest city in the United States without a stand-alone children s hospital. Santa Clara Valley Medical Center

More information

Health and Human Services Commission Department of State Health Services

Health and Human Services Commission Department of State Health Services Health and Human Services Commission Department of State Health Services Presentation to House Committee on Public Health February 17, 2015 Sonja Gaines, HHSC Associate Commissioner for Mental Health Coordination

More information

NEONATAL CLINICAL PRACTICE GUIDELINE

NEONATAL CLINICAL PRACTICE GUIDELINE NEONATAL CLINICAL PRACTICE GUIDELINE Title: Routine Screening of Neonates Approval Date: January 2015 Approved by: Neonatal Patient Care Teams, HSC & SBH Child Health Standards Committee Pages: 1 of 6

More information

Chapter 2. Supply, Use, and Cost of Neonatal Intensive Care

Chapter 2. Supply, Use, and Cost of Neonatal Intensive Care Chapter 2 Supply, Use, and Cost of Neonatal Intensive Care Chapter 2 Supply, Use, and Cost of Neonatal Intensive Care INTRODUCTION With the evolution of perinatal medicine and the development of associated

More information

Chapter 01: Introduction to Nursing Care of Children Test Bank

Chapter 01: Introduction to Nursing Care of Children Test Bank Chapter 01: Introduction to Nursing Care of Children Test Bank MULTIPLE CHOICE 1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric

More information

Rich History in Neonatal Care

Rich History in Neonatal Care Rich History in Neonatal Care Written By: Charles Rosenfeld, M.D. In 1973 the Division of Neonatal Medicine consisted of one full-time faculty member, Dr. Jacob Kay, who had trained at Boston Children

More information

RN Staffing in the Neonatal Intensive Care Unit

RN Staffing in the Neonatal Intensive Care Unit RN Staffing in the Neonatal Intensive Care Unit Position Statement #3061 NANN Board of Directors November 2014 As the professional voice of neonatal nurses, the National Association of Neonatal Nurses

More information

Caring for Vulnerable Babies: The reorganisation of neonatal services in England

Caring for Vulnerable Babies: The reorganisation of neonatal services in England Caring for Vulnerable Babies: The reorganisation of neonatal services in England LONDON: The Stationery Office 13.90 Ordered by the House of Commons to be printed on 17 December 2007 REPORT BY THE COMPTROLLER

More information

Development of a Neonatal Nurse Practitioner/Physician Assistant Program for Clinical Coverage in a Newborn Intensive Care Unit

Development of a Neonatal Nurse Practitioner/Physician Assistant Program for Clinical Coverage in a Newborn Intensive Care Unit Development of a Neonatal Nurse Practitioner/Physician Assistant Program for Clinical Coverage in a Newborn Intensive Care Unit Jo Ann Matory, MD FAAP Michael Stone Trautman, MD FAAP Edward Liechty, MD

More information

Clarification Document

Clarification Document Clarification Document Illinois Hospital Nurse Staffing Data Collection Guidelines For Reports Submitted to the Illinois Department of Public Health Supplement March, 2012 Illinois Department of Public

More information

10/2/2012. D04: Help Nurses Help the Smallest Patients: How Infant Care is Reorganized Tuesday, October 2, 2012 3:30 PM - 4:30 PM

10/2/2012. D04: Help Nurses Help the Smallest Patients: How Infant Care is Reorganized Tuesday, October 2, 2012 3:30 PM - 4:30 PM D04: Help Nurses Help the Smallest Patients: How Infant Care is Reorganized Tuesday, October 2, 2012 3:30 PM - 4:30 PM Presenters Richard M. Katz M.D., MBA, Vice-President, Medical Affairs, Mount Washington

More information

NICU-2-HOME: Supporting the Transition to Home from the Neonatal Intensive Care Unit

NICU-2-HOME: Supporting the Transition to Home from the Neonatal Intensive Care Unit NICU-2-HOME: Supporting the Transition to Home from the Neonatal Intensive Care Unit Young Seok Lee Applied Research Center Motorola Mobility, Inc. 600 US Hwy 45 Libertyville, IL 60048 USA younglee@motorola.com

More information

Defining levels of care for Victorian newborn services

Defining levels of care for Victorian newborn services Defining levels of care for Victorian newborn services Defining levels of care for Victorian newborn services Defining levels of care for Victorian newborn services, 2015 replaces Neonatal Service Guidelines,

More information

NEONATAL INTENSIVE CARE UNIT GOALS, OBJECTIVES AND TEACHING

NEONATAL INTENSIVE CARE UNIT GOALS, OBJECTIVES AND TEACHING NEONATAL INTENSIVE CARE UNIT GOALS, OBJECTIVES AND TEACHING The rotation in the Neonatal Intensive Care Unit is intended to promote the compassionate, effective, and developmentally appropriate assessment

More information

International Individual Consultancy to Work with a Team of National Consultants/ Institution

International Individual Consultancy to Work with a Team of National Consultants/ Institution International Individual Consultancy to Work with a Team of National Consultants/ Institution Patronage (home visiting) system assessment with equity analysis TERMS OF REFERENCE Background and Context:

More information

Family Medicine Residency Neonatal Intensive Care Rotation

Family Medicine Residency Neonatal Intensive Care Rotation Family Medicine Residency Neonatal Intensive Care Rotation Rotation Goal This rotation is conducted in a Level 2c intensive care nursery. During the rotation, residents actively participate in the evaluation

More information

HYPOPLASTIC LEFT HEART SYNDROME

HYPOPLASTIC LEFT HEART SYNDROME HYPOPLASTIC LEFT HEART SYNDROME What is HLHS? HLHS is the one of the most challenging and complex form of congenital heart diseases. Without treatment, this defect is usually fatal within the first weeks

More information

Educating Neonatal Nurse Practitioners: Innovative Educational and Business Models

Educating Neonatal Nurse Practitioners: Innovative Educational and Business Models Educating Neonatal Nurse Practitioners: Innovative Educational and Business Models Barbara K. Redman, Ph.D., R.N. Dean and Professor Wayne State University College of Nursing The problem Hospital administrators

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME standard topic: Specialist neonatal care Output: standard advice to the Secretary of State

More information

Yale- New Haven Hospital- Quality Improvement Project Well Newborn Team. Kate Manuel, APRN, IBCLC Lactation Program Manager Yale- New Haven Hospital

Yale- New Haven Hospital- Quality Improvement Project Well Newborn Team. Kate Manuel, APRN, IBCLC Lactation Program Manager Yale- New Haven Hospital Yale- New Haven Hospital- Quality Improvement Project Well Newborn Team Kate Manuel, APRN, IBCLC Lactation Program Manager Yale- New Haven Hospital Our Team Kate Manuel, APRN, IBCLC Jaspreet Loyal, MD

More information

Regional Perinatal Intensive Care Centers Handbook

Regional Perinatal Intensive Care Centers Handbook Regional Perinatal Intensive Care Centers Handbook AUGUST 2010 TABLE OF CONTENTS 1 INTRODUCTION..4 1.1 Purpose...4 1.2 History...5 1.3 Range of Services...6 1.4 Civil Rights...7 1.5 Transportation...7

More information

Children's Medical Services (CMS) Regional Perinatal Intensive Care Center (RPICC) Neonatal Extracorporeal Life Support (ECLS) Centers Questionnaire

Children's Medical Services (CMS) Regional Perinatal Intensive Care Center (RPICC) Neonatal Extracorporeal Life Support (ECLS) Centers Questionnaire Children's Medical Services (CMS) Regional Perinatal Intensive Care Center (RPICC) Neonatal Extracorporeal Life Support (ECLS) Centers Questionnaire Date: RPICC Facility: CMS use only Include the following

More information

Women s, Children s & Adolescents Services CAG Neonatal Services

Women s, Children s & Adolescents Services CAG Neonatal Services Women s, Children s & Adolescents Services CAG Neonatal Services Response to Green Paper The WACs CAG is pleased to provide a response to the Tasmanian Government s Green Paper in relation to Neonatal

More information

Quality Maternity Care: the Role of the Public Health Nurse

Quality Maternity Care: the Role of the Public Health Nurse Quality Maternity Care: the Role of the Public Health Nurse Lori Webel-Edgar RN, MN Program Manager-Reproductive Health Simcoe Muskoka District Health Unit Barrie, Ontario session overview quality maternity

More information

Chapter 13: Transition and Interagency Agreements

Chapter 13: Transition and Interagency Agreements Healthy Start Standards & Guidelines 2007 Chapter 13: Transition and Interagency Agreements Introduction Transition is movement or change from one environment to another. Transition activities are a critical

More information

Sandra L. Andreychuk RN (EC), NCC (NNP), BScN, MHSc. (Bioethics), MSc. (Nursing) Curriculum Vitae

Sandra L. Andreychuk RN (EC), NCC (NNP), BScN, MHSc. (Bioethics), MSc. (Nursing) Curriculum Vitae Sandra L. Andreychuk RN (EC), NCC (NNP), BScN, MHSc. (Bioethics), MSc. (Nursing) Curriculum Vitae Contact Information 905-521-5025, Ext 43643 (work) 905-381-7043 (fax) Work E-mail: andrey@hhsc.ca Professional

More information

2008 Coding Questions and Answers

2008 Coding Questions and Answers 2008 Coding Questions and Answers 1. An infant is born at 29 wks gestation and has RDS. His birthweight is 1200 gms. He is admitted to the NICU. It is evident that he has severe RDS and a decision is made

More information

Kuei-Hui Chu. Li-Yin Chien. PhD Student, Department of Nursing, Professor, Institute of Clinical and Community Health Nursing,

Kuei-Hui Chu. Li-Yin Chien. PhD Student, Department of Nursing, Professor, Institute of Clinical and Community Health Nursing, Selection of auspicious time for delivery is associated with giving birth before 39 weeks of gestation among women receiving cesarean delivery in Taiwan Kuei-Hui Chu PhD Student, Department of Nursing,

More information

Hyperbilirubinemia Care Guidelines for Emergency Department Management

Hyperbilirubinemia Care Guidelines for Emergency Department Management Hyperbilirubinemia Care Guidelines for Emergency Department Management Inclusion Criteria: Previously healthy, age 14 days, born at 37 weeks gestational age. Total Serum Bilirubin of 18mg/dl, < 23mg/dl.

More information

FACT SHEET MATERNAL AND CHILD HEALTH

FACT SHEET MATERNAL AND CHILD HEALTH FACT SHEET MATERNAL AND CHILD HEALTH Tanzania s Progress in Maternal and Child Health Tanzania has made considerable progress in the reduction of child mortality. Under-five mortality rates continue to

More information

National Outcome Measures and National Performance Measures Kansas Maternal and Child Health Services Block Grant 2016 Application/2014 Annual Report

National Outcome Measures and National Performance Measures Kansas Maternal and Child Health Services Block Grant 2016 Application/2014 Annual Report NOM # 1 2 3 National Outcome Measures and National Performance Measures Kansas Maternal and Child Services Block Grant National Outcome Measures Percent of pregnant women who receive prenatal care beginning

More information

Your baby s care. Measuring standards and improving neonatal care. A guide to the National Neonatal Audit Programme 2015 Annual Report

Your baby s care. Measuring standards and improving neonatal care. A guide to the National Neonatal Audit Programme 2015 Annual Report Your baby s care Measuring standards and improving neonatal care A guide to the National Neonatal Audit Programme 2015 Annual Report #86,000 Neonatal Unit Admission Approximately 1 out of every 8 babies

More information

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE/ TRANSFER : EFFECTIVE DATE: REVISED DATE: POLICY TYPE: (Maternal) 11/84 7/15 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS PROVIDING

More information

Grant Outcomes Report

Grant Outcomes Report April 2012 Page 1 of 5 Grant Outcomes Report An Amish Midwifery Care Program in Chautauqua County The Problem: KEY INFORMATION: GRantEe Westfield Memorial Hospital, Inc. grant title Amish Midwifery Care

More information

WELCOME TO THE THIRD EDITION OF PSN NEWS

WELCOME TO THE THIRD EDITION OF PSN NEWS MAY 2015 ISSUE 3 1. Report from the Level 6 Hospital Maternity Directors Group 2. K2 Maternity Crisis Management Training 3. Neonatal Intensive Care Units (NICUS) Data Collection 4. Perinatal Advice Line

More information

Lorissa R. Heath RN, MSN, APRN 32 Macintosh Way Southington, CT 06489 (860) 426-1481 (H) (860) 426-1481 (Fax) E-mail: LRHeathAPRN@cox.

Lorissa R. Heath RN, MSN, APRN 32 Macintosh Way Southington, CT 06489 (860) 426-1481 (H) (860) 426-1481 (Fax) E-mail: LRHeathAPRN@cox. Lorissa R. Heath RN, MSN, 32 Macintosh Way Southington, CT 06489 (860) 426-1481 (H) (860) 426-1481 (Fax) E-mail: LRHeath@cox.net Current Career Goal: To obtain a position as an within an established private

More information

Portions of the Design Document for a course on Neonatal Electroencephalography

Portions of the Design Document for a course on Neonatal Electroencephalography Portions of the Design Document for a course on Neonatal Electroencephalography 1 Introduction... 2 1.1. Organizational Setting... 2 1.1.1. Type of Business... 2 1.1.2. Who They Serve... 2 1.2. Current

More information

Virginia Department of Medical Assistance Services (DMAS) - Involvement with Text4Baby

Virginia Department of Medical Assistance Services (DMAS) - Involvement with Text4Baby Virginia Department of Medical Assistance Services (DMAS) - Involvement with Text4Baby Background on Text4Baby Launched in February 2010 Initiative of the National Healthy Mothers Healthy Babies Coalition

More information

NEONATAL NURSE PRACTITIONER MODEL OF CARE WERRIBEE MERCY HOSPITAL

NEONATAL NURSE PRACTITIONER MODEL OF CARE WERRIBEE MERCY HOSPITAL NEONATAL NURSE PRACTITIONER MODEL OF CARE WERRIBEE MERCY HOSPITAL Background Neonatal Nurse practitioners provide an additional model of care for neonates and their families. They have been educated to

More information

Probiotics and Premature Neonates

Probiotics and Premature Neonates Probiotics and Premature Neonates Time for COFN to Say Something? Brenda Poindexter, MD, MS Professor of Pediatrics On behalf of the AAP Committee on Fetus and Newborn Objectives Survey current usage of

More information

March of Dimes 2016 Chapter Community Grants Program

March of Dimes 2016 Chapter Community Grants Program March of Dimes 2016 Chapter Community Grants Program Community Award Application March of Dimes Maryland National Capital Area Chapter 175 West Ostend St., Suite C-2 Baltimore, MD 21230 Marchofdimes.org/marylandmetrodc

More information

NICU Level of Care Criteria

NICU Level of Care Criteria Introduction The NICU Criteria were developed to assist in the authorization for various levels of Neonatal Intensive Care Unit (NICU), as well as assistance in determining the appropriate level of care.

More information

Neonatal Outreach Education Program Course Catalog

Neonatal Outreach Education Program Course Catalog 2012 Neonatal Outreach Education Program Course Catalog Photo by Brian Redden (559) 353-5615 (559) 353-6255 Table of Contents Program Overview... 2 General Course Information... 3 Save The Date Children

More information

WRITTEN STATEMENT ON BEHALF OF THE AMERICAN ACADEMY OF PEDIATRICS PRESENTED TO THE INSTITUTE OF MEDICINE COMMITTEE ON DISABILITY IN AMERICA

WRITTEN STATEMENT ON BEHALF OF THE AMERICAN ACADEMY OF PEDIATRICS PRESENTED TO THE INSTITUTE OF MEDICINE COMMITTEE ON DISABILITY IN AMERICA WRITTEN STATEMENT ON BEHALF OF THE AMERICAN ACADEMY OF PEDIATRICS PRESENTED TO THE INSTITUTE OF MEDICINE COMMITTEE ON DISABILITY IN AMERICA JANUARY 9, 2006 PAUL LIPKIN, MD, FAAP CHAIR, AAP COUNCIL ON CHILDREN

More information

Newborn Intensive Care Unit

Newborn Intensive Care Unit Newborn Intensive Care Unit Welcome to the Brigham and Women s Hospital Newborn Intensive Care Unit We are honored that you have chosen to entrust your baby s care with us. Parents want the best for their

More information

Health Indicators of Inuit Nunangat within the Canadian Context and

Health Indicators of Inuit Nunangat within the Canadian Context and Health Indicators of Inuit Nunangat within the Canadian Context 1994-1998 and 1999-2003 Produced by Inuit Tapiriit Kanatami. This report uses data generated by Statistics Canada and Health Canada s First

More information

Why is prematurity a concern?

Why is prematurity a concern? Prematurity What is prematurity? A baby born before 37 weeks of pregnancy is considered premature. Approximately 12% of all babies are born prematurely. Terms that refer to premature babies are preterm

More information

June 2006. Newborn Care in Chile. Written by: Patricia Fernandez Associate Professor, School of Nursing, Catholic University of Chile.

June 2006. Newborn Care in Chile. Written by: Patricia Fernandez Associate Professor, School of Nursing, Catholic University of Chile. June 2006 Newborn Care in Chile Written by: Patricia Fernandez Associate Professor, School of Nursing, Catholic University of Chile Introduction Birth is a physiological process loaded with emotions, sensations

More information

SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL

SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL OBJECTIVES To verbalize the benefits of breast milk for preterm and critical ill infants To recognize how to assist mother

More information

NICU Reporting. Alyssa Yang CDC/CSTE Applied Epidemiology Fellow February 28, 2014

NICU Reporting. Alyssa Yang CDC/CSTE Applied Epidemiology Fellow February 28, 2014 NICU Reporting Alyssa Yang CDC/CSTE Applied Epidemiology Fellow February 28, 2014 NICU Definitions Level I nurseries are normal newborn nurseries. For this discussion, NICU will refer to Level II and III

More information

Newborns with Trisomy 18: To Treat or not to Treat? Have Times Changed?

Newborns with Trisomy 18: To Treat or not to Treat? Have Times Changed? Newborns with Trisomy 18: To Treat or not to Treat? Have Times Changed? George Hardart, MD MPH Chair, Morgan Stanley Children s Hospital of New York Ethics Committee March 11, 2010 12:00 noon 1:30 pm Introduction

More information

Connecticut s Medical Assistance Program

Connecticut s Medical Assistance Program Connecticut s Medical Assistance Program Olivia Puckett Council on Medical Assistance Program Oversight CSG-ERC Health Committee Meeting August 4, 2014 1 Agenda Council on Medical Assistance Program Oversight

More information

CURRICULUM VITAE. Business Address: 3020 Children s Way, RCHSD MC 5008, San Diego, CA 92123 Phone: 858 966-5818 email: blane@rchsd.

CURRICULUM VITAE. Business Address: 3020 Children s Way, RCHSD MC 5008, San Diego, CA 92123 Phone: 858 966-5818 email: blane@rchsd. CURRICULUM VITAE Date: April 3, 2014 Name: Brian P. Lane, M.D. Business Address: 3020 Children s Way, RCHSD MC 5008, San Diego, CA 92123 Phone: 858 966-5818 email: blane@rchsd.org Place of Birth: Greene

More information

Neonatal On Line Education Basic

Neonatal On Line Education Basic Course Description: Neonatal On Line Education Basic The Neonatal On-Line Education (NOLE) Basic is designed for all bedside neonatal caregivers (PT, SLP,OT, RN RT, CLS, LMT, Psychologists, NNP) to further

More information

Implementing Evidence Based Maternity Care in the Hospital

Implementing Evidence Based Maternity Care in the Hospital Implementing Evidence Based Maternity Care in the Hospital Maureen Freedman, RNC- MNN, MSN, CLC Clinical Nurse Specialist - Strong Memorial Hospital Rochester, New York February 20, 2014 Strong Memorial

More information

Access to Care / Care Utilization for Nebraska s Women

Access to Care / Care Utilization for Nebraska s Women Access to Care / Care Utilization for Nebraska s Women According to the Current Population Survey (CPS), in 2013, 84.6% of Nebraska women ages 18-44 had health insurance coverage, however only 58.2% of

More information

MedLink Care Management 510 N. Elam Avenue, Suite # 301 Greensboro, NC 27403 336-852-3871

MedLink Care Management 510 N. Elam Avenue, Suite # 301 Greensboro, NC 27403 336-852-3871 Dear Cone Health Plan Member: Thank you for expressing interest in the Cone Healthy Pregnancy Program. The Cone Health Plan offers a discounted maternity benefit after completion of the Healthy Pregnancy

More information

Quality of Birth Certificate Data. Daniela Nitcheva, PhD Division of Biostatistics PHSIS

Quality of Birth Certificate Data. Daniela Nitcheva, PhD Division of Biostatistics PHSIS Quality of Birth Certificate Data Daniela Nitcheva, PhD Division of Biostatistics PHSIS Data Quality SC State Law requires that you file the birth certificate within 5 days of a child s birth. Data needs

More information

Review of the Department of Health and Human Services management of a critical issue at Djerriwarrh Health Services

Review of the Department of Health and Human Services management of a critical issue at Djerriwarrh Health Services Review of the Department of Health and Human Services management of a critical issue at Djerriwarrh Health Services November 2015 Review Panel Adjunct Professor Debora Picone AM Mr Kieran Pehm Contents

More information

NEONATAL PALLIATIVE CARE

NEONATAL PALLIATIVE CARE NEONATAL PALLIATIVE CARE DRA. RUT KIMAN Head CPC Team. Hospital Nacional Prof. A. Posadas. Buenos Aires- Argentina Department of Pediatrícs. Faculty of Medicine. University of Buenos Aires Milena was the

More information

Continuing Education. Your Guide to

Continuing Education. Your Guide to 2012 Your Guide to Continuing Education The mission of SSM Health Care St. Louis is: through exceptional health care services we reveal the healing presence of God. This mission paired with our values

More information

Manar Awad Al-lawama, M.D. Consultant Neonatologist Assistant Professor of Pediatrics Director of Undergraduate Course of Pediatrics

Manar Awad Al-lawama, M.D. Consultant Neonatologist Assistant Professor of Pediatrics Director of Undergraduate Course of Pediatrics Manar Awad Al-lawama, M.D. Consultant Neonatologist Assistant Professor of Pediatrics Director of Undergraduate Course of Pediatrics Job Address: Home Address: Mobile no.: Date and Place of birth: Department

More information

Your Baby s Care Team

Your Baby s Care Team UW MEDICINE PATIENT EDUCATION Your Baby s Care Team For parents of NICU infants Parents and Family You and your baby are the center of the NICU care team. As parents, you will give input and take part

More information

Coding Tips Changes & Challenges

Coding Tips Changes & Challenges Coding Tips Changes & Challenges What s s New in 2008 CPT, ICD-9? Perinatal Workshop April, 2008 Code idea Perinatal Coders COCN AAP CPT Application CPT Panel Facilitation RUC for Value Federal Register

More information

British Association of Perinatal Medicine. The Management of Babies born Extremely Preterm at less than 26 weeks of gestation

British Association of Perinatal Medicine. The Management of Babies born Extremely Preterm at less than 26 weeks of gestation Arch Dis Child - FNN Online First:Published on October 6, 2008 as 10.1136/adc.2008.143321 British Association of Perinatal Medicine The Management of Babies born Extremely Preterm at less than 26 weeks

More information

Telemedicine In Arkansas: A Rural State s Experience

Telemedicine In Arkansas: A Rural State s Experience Telemedicine In Arkansas: A Rural State s Experience Julie Hall-Barrow, Ed.D. University of Arkansas for Medical Sciences Center for Distance Health Medically Underserved Areas In a state where 73 of 75

More information

Neonatal Network Steering Group Meeting. Thursday 16 th July 2015

Neonatal Network Steering Group Meeting. Thursday 16 th July 2015 Neonatal Network Steering Group Meeting Thursday 16 th July 2015 Present: Mrs R Treharne (RT) Mr D Phillips (DP) Ms K Stapleton () Dr J Matthes (JM) Dr S Sen (SS) Dr J Calvert (JC) Mrs C Richards (CR)

More information

International Services

International Services International Services Consistently ranked as one of the best hospitals in the United States by U.S.News & World Report, patients from around the world travel to UCSF Medical Center and UCSF Benioff Children

More information

958 CMR 8.00: PATIENT ASSIGNMENT LIMITS FOR REGISTERED NURSES-TO-PATIENT RATIO IN INTENSIVE CARE UNITS IN ACUTE HOSPITALS

958 CMR 8.00: PATIENT ASSIGNMENT LIMITS FOR REGISTERED NURSES-TO-PATIENT RATIO IN INTENSIVE CARE UNITS IN ACUTE HOSPITALS RECOMMENDED FINAL REGULATION As advanced by the Quality Improvement and Patient Protection Committee on May 20, 2015 For consideration by the Health Policy Commission Board on June 10, 2015 958 CMR 8.00:

More information

Overview of Hospital Utilization Review

Overview of Hospital Utilization Review Overview of Hospital Utilization Review Legal Authority The Inspector General (IG) hospital utilization review function operates under guidelines and regulations contained in: Texas Administrative Code

More information

Reducing Alcohol and Drug-Exposed Infants Case Study

Reducing Alcohol and Drug-Exposed Infants Case Study Washington State Guidelines and Programs Reduce the Number of Alcohol and Drug-Exposed Babies The Washington State Department of Health has developed policy, practice and resource materials to promote

More information

Neonatal Intensive Care Unit A photographic tour

Neonatal Intensive Care Unit A photographic tour Patient Education : A photographic tour Neonatal Intensive Care Unit A photographic tour This booklet was created by mothers who gave birth to premature babies at University of Washington Medical Center

More information

Perinatal mental health service

Perinatal mental health service Perinatal mental health service Ealing, Hounslow, Hammersmith & Fulham Promoting hope and wellbeing together Pregnancy and mental health Pregnancy and the period after childbirth are significant times

More information

WAPC Infant and Family Committee Minutes May 10, 2013, 10:00 a.m. 2:30 p.m. WAPC Office, Madison, WI

WAPC Infant and Family Committee Minutes May 10, 2013, 10:00 a.m. 2:30 p.m. WAPC Office, Madison, WI WAPC Infant and Family Committee Minutes May 10, 2013, 10:00 a.m. 2:30 p.m. WAPC Office, Madison, WI Participants: Mary Jo Snorek, Chair, Sarah Antczak, RN; Children s Hospital of Wisconsin, Milwaukee

More information

Testimony of the American College of Nurse-Midwives. at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health.

Testimony of the American College of Nurse-Midwives. at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health. Testimony of the American College of Nurse-Midwives at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health on the Improving Access to Maternity Care Act (H.R.1209) Wednesday,

More information

CHOP. The Chester County Hospital A GUIDE TO NEONATAL INTENSIVE CARE UNIT

CHOP. The Chester County Hospital A GUIDE TO NEONATAL INTENSIVE CARE UNIT A GUIDE TO NEONATAL INTENSIVE CARE UNIT CHOP C O N N E C T I O N at The Chester County Hospital A Service of The Children's Hospital of Philadelphia and The Chester County Hospital (formerly The Children's

More information