Welcome to CDC stacks |
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
Designation of neonatal levels of care: a review of state regulatory and monitoring policies
  • Published Date:
    September 30 2019
  • Source:
    J Perinatol. 40(3):369-376
  • Language:
    English


Public Access Version Available on: March 01, 2021, 12:00 AM information icon
Please check back on the date listed above.
Details:
  • Alternative Title:
    J Perinatol
  • Personal Author:
  • Description:
    Objective

    Summarize policies on levels of neonatal care designation among 50 states and District of Columbia (DC).

    Study design

    Systematic review of publicly available, web-based information on levels of neonatal care designation policies for each state/DC. Information on designating authorities, designation oversight, licensure requirement, and ongoing monitoring for designated levels of care abstracted from 2019 published rules, statutes, and regulations.

    Result

    Thirty-one (61%) of 50 states/DC had designated authority policies for neonatal levels of care. Fourteen (27%) incorporated oversight of neonatal levels of care into the licensure process. Among jurisdictions with designated authority, 25 (81%) used a state agency and 15 (48%) had direct oversight. Twenty-two (71%) of 31 states with a designating authority required ongoing monitoring, 14 (64%) used both hospital reporting and site visits for monitoring with only ten requiring site visits.

    Conclusions

    Limited direct oversight influences regulation of regionalized systems, potentially impacting facility service monitoring and consequent management of vulnerable infants.

  • Subject:
  • Pubmed ID:
    31570793
  • Pubmed Central ID:
    PMC7047514
  • Document Type:
    Journal Article
  • Funding:
    CC999999/ImCDC/Intramural CDC HHS/United States
  • Collection(s):
    CDC Public Access
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
No Related Documents.
You May Also Like:
  1. Comparison of state risk-appropriate neonatal care policies with the 2012 AAP policy statement
    Personal Author:
    Kroelinger, Charlan D.; Okoroh, Ekwutosi M.; Goodman, David A.; Lasswell, Sarah M.; Barfield, Wanda D.;
    Published Date:
    Dec 05 2017
    Source:
    J Perinatol. 38(4):411-420.
    Description:
    ObjectiveCompare state policies with standards outlined in the 2012 AAP Policy Statement on Levels of Neonatal Care.Study designSystematic, web-based review of publicly available policies on levels of care in all states in 2014. Infant risk informati...
    File Type:
    Filetype[PDF - 849.59 KB]
  2. Implementing CDC’s Level of Care Assessment Tool (LOCATe): A National Collaboration to Improve Maternal and Child Health
    Personal Author:
    Catalano, Andrea; Bennett, Amanda; Busacker, Ashley; Carr, Alethia; Goodman, David; Kroelinger, Charlan; Okoroh, Ekwutosi; Brantley, Mary; Barfield, Wanda;
    Published Date:
    December 2017
    Source:
    J Womens Health (Larchmt). 26(12):1265-1269
    Description:
    Perinatal regionalization, or risk-appropriate care, is an approach that classifies facilities based on capabilities to ensure women and infants receive care at a facility that aligns with their risk. The CDC designed the Levels of Care Assessment To...
    File Type:
    Filetype[PDF - 255.36 KB]
  3. A Study of primary stroke center policy : recommendations for policy implementation
    Corporate Authors:
    National Center for Chronic Disease Prevention and Health Promotion (U.S.). Division for Heart Disease and Stroke Prevention.
    Published Date:
    06/2012
    Description:
    Stroke is the fourth leading cause of death in the United States. The development of new treatment strategies for stroke has improved the care of hospitalized stroke patients receiving the recommended treatment in the critical early hours following s...
    File Type:
    Filetype[PDF - 1.04 MB]
  4. Introduction of new vaccines for immunization in pregnancy – Programmatic, regulatory, safety and ethical considerations
    Personal Author:
    Kochhar, Sonali; Edwards, Kathryn M.; Ropero Alvarez, Alba Maria; Moro, Pedro L.; Ortiz, Justin R.;
    Published Date:
    May 06 2019
    Source:
    Vaccine. 37(25):3267-3277
    Description:
    Immunizing pregnant women is a promising strategy to reduce infectious disease-related morbidity and mortality in pregnant women and their infants. Important pre-requisites for the successful introduction of new vaccines for immunization in pregnancy...
    File Type:
    Filetype[PDF - 263.85 KB]
  5. Levels of Maternal Care Verification Pilot
    Personal Author:
    Zahn, Christopher M.; Remick, Arlene; Catalano, Andrea; Goodman, David; Kilpatrick, Sarah J.; Menard, M. Kathryn;
    Published Date:
    December 2018
    Source:
    Obstet Gynecol. 132(6):1401-1406
    Description:
    Development of systems for perinatal regionalization and for the provision of risk-appropriate maternal care is a key strategy to decrease maternal morbidity and mortality. Regionalized systems pertaining to neonatal care are broadly implemented in m...
    File Type:
    Filetype[PDF - 161.07 KB]