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Designation of neonatal levels of care: a review of state regulatory and monitoring policies
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September 30 2019
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Source: J Perinatol. 40(3):369-376
[PDF-91.34 KB]
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Alternative Title:J Perinatol
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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.
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Pubmed ID:31570793
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Pubmed Central ID:PMC7047514
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