Illinois Administrative Code (Last Updated: March 27, 2024) |
TITLE77. PUBLIC HEALTH |
PART640. REGIONALIZED PERINATAL HEALTH CARE CODE |
§640.APPENDIX K. Elements for Submission for Designation, Redesignation or Change in Designation
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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)