Details:

Alternative Title:
J Perinatol
Personal Author:
Kroelinger, Charlan D. ; Okoroh, Ekwutosi M. ; Goodman, David A. ; Lasswell, Sarah M. ; Barfield, Wanda D.
Kroelinger, Charlan D. ; Okoroh, Ekwutosi M. ; Goodman, David A. ; Lasswell, Sarah M. ; Barfield, Wanda D. Less -
Description:
Objective

Compare state policies with standards outlined in the 2012 AAP Policy Statement on Levels of Neonatal Care.

Study design

Systematic, web-based review of publicly available policies on levels of care in all states in 2014. Infant risk information, equipment capabilities, and specialty staffing were abstracted from published rules, statutes, and regulations.

Result

Twenty-two states had a policy on regionalized perinatal care. State policies vary in consistency with the AAP Policy, with 60% of states including standards consistent with Level I criteria, 48% Level II, 14% Level III, and one state with Level IV. Ventilation capability standards are highly consistent (66–100%), followed by imaging capability standards (50–90%). Policy language on specialty staffing (44–68%), and subspecialty staffing (39–50%) are moderately consistent.

Conclusion

State policies vary in consistency, a potentially significant barrier to monitoring, regulation, uniform care provision and measurement, and reporting of national-level measures on risk-appropriate care.


Subject:
[+]
Article

Source:
J Perinatol. 38(4):411-420.
Pubmed ID:
29209032
Pubmed Central ID:
PMC5955781
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:5a806d79663be3433bf23102f6a5a8070eb584a1f29234cf54cdbc847eee4d59
File Type:

Supporting Files

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