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

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:
[+]
Government Regulation
Health Policy
Humans
Infant, Newborn
Intensive Care Units, Neonatal
Licensure, Hospital
Licensure, Medical
Neonatology
State Government

Source:
J Perinatol. 40(3):369-376
Pubmed ID:
31570793
Pubmed Central ID:
PMC7047514
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:ffa9adc2e4307565496f91f662b689639aac563cdb8edf9c4818b6ae8409e4a0
File Type:

Supporting Files

• nihms-1055284.nxml

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