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TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER l: MATERNAL AND CHILDCARE PART 640 REGIONALIZED PERINATAL HEALTH CARE CODE SECTION 640.APPENDIX K ELEMENTS FOR SUBMISSION FOR DESIGNATION, REDESIGNATION OR CHANGE IN DESIGNATION
Section 640.APPENDIX K Elements for Submission for Designation, Redesignation or Change in Designation
Level III Review
• Appendix A • Resource Checklist for Level III • Evaluation letter from Administrative Perinatal Center • Vita for co-directors • Credentials for Obstetric (OB)/Family Practice (FP) physicians, Advance Practice Nurses (APN), Neonatology & Anesthesia • Copy of OB/Peds Departmental Rules • Maternal-Fetal Medicine (MFM), Neonatology Consultation/referral tool/QA reports for 3 months • Mortality and Morbidity (M&M) statistics and description of the process/participation • Transport statistics, both into and out of hospital • Listing of educational classes • Description of educational classes • Description of CQI • 3 months of call schedules for OB, Maternal-Fetal Medicine and Neonatology (current and last 2 actual or 3 proposed schedules)
Level II with Extended Neonatal Capabilities Review
• Appendix A • Resource Checklist for Level II with Extended Neonatal Capabilities • Evaluation letter from Administrative Perinatal Center • Vita for Director of Neonatology, Maternal-Fetal Medicine (MFM), if appropriate • Credentials for Obstetricians/Family Practice physicians, Advanced Practice Nurses (APN), Neonatology & Anesthesia • Copy of OB/Peds Departmental Rules • Consultation/referral tool/QA reports for 3 months • Mortality and Morbidity (M&M) statistics and description of process/participation • Transport statistics, both into and out of hospital • Listing of educational classes • Description of CQI • 3 months of call schedules for OB, MFM and Neonatology as appropriate
Level II Review
• Appendix A • Resource Checklist for Level II • Evaluation letter from Administrative Perinatal Center • Credentials for Obstetrics (OB)/Family Practice (FP) physicians, Advance Practice Nurses (APN), Neonatology & Anesthesia • Copy of OB/Peds Departmental Rules • Consultation/referral tool/QA reports for 3 months • Mortality and Morbidity (M&M) statistics and description of process/participation • Transport statistics − out of hospital • Listing of educational classes • Description of CQI
Level I Review
• Appendix A • Resource Checklist for Level I • Evaluation letter from Administrative Perinatal Center • Credentials for Obstetrics (OB)/Family Practice (FP) physicians, Advance Practice Nurses (APNs), Neonatology & Anesthesia • Mortality and Morbidity (M&M) statistics and description of process/participation • Transport statistics − out of hospital • Listing of educational classes • Description of CQI
Administrative Perinatal Center
• Network description • Educational programs • Network projects • Discussion with representatives from Regional Network Hospitals • Network participation • Network evaluation • Network challenges • Network M&M statistics • University integration
(Source: Added at 35 Ill. Reg. 2583, effective January 31, 2011) |