Section 721.5 - Responsibilities and Qualifications of Chiefs of Services At Each Designated Level

Section 721.5 Responsibilities and qualifications of chiefs of services at each designated level. The qualifications and responsibilities for each designated level shall be as follows:

(a) Level I perinatal care service. Care shall be coordinated jointly by the chiefs of obstetrics, pediatrics, family practice, nursing, anesthesia, and midwifery. For facilities that do not have chiefs of service in all such areas, each discipline shall have effective input in care coordination. The coordinators of perinatal care at a Level I perinatal care services hospital shall be responsible for developing policy, maintaining standards of care, and collaborating and consulting with professional staff of hospitals providing Level II and Level III perinatal care services and RPC perinatal care in the region. In hospitals that do not separate maternity and newborn services, one person may be given the responsibility for coordinating perinatal care;

(b) Level II perinatal care service. A board-certified obstetrician with special interest, experience, and expertise in maternal-fetal medicine shall be the chief of the obstetric service at a Level II care hospital. A full-time board-certified pediatrician with subspecialty certification in neonatal medicine or at a minimum has successfully completed a fellowship in neonatal medicine shall be the chief of the neonatal care services. These physicians shall jointly coordinate the hospital's perinatal care services and, in conjunction with the chiefs of anesthesiology, nursing, midwifery, and family practice, and other patient care and administration staff, shall develop policies concerning staffing, procedures, equipment, and supplies; maintaining standards of care; and planning, developing, and coordinating in-hospital professional educational programs;

(c) Level III perinatal care services. The chief of the maternal-fetal medicine service at a hospital providing Level III perinatal care shall be a full-time, board-certified obstetrician with interest, experience and special competence in maternal-fetal medicine; subspecialty certification in maternal-fetal medicine is recommended. The director of a newborn intensive care service at a Level III hospital shall be a full-time, board-certified pediatrician with subspecialty certification in neonatal medicine. These physicians shall jointly coordinate the hospital's perinatal care services in order to ensure provision of a comprehensive continuum of high quality care to mothers and newborns. In conjunction with the chiefs of anesthesiology, nursing, midwifery, and family practice, and other patient care and administrative staff, these physicians shall be responsible for developing policies concerning staffing, procedures, equipment, and supplies; maintaining standards of care; and planning, developing, and coordinating in-hospital professional educational programs;

(d) RPC care. The chief of the maternal-fetal medicine service at an RPC shall be a full-time, board-certified obstetrician with subspecialty certification in maternal-fetal medicine. The chief of a newborn intensive care service at an RPC shall be a full-time, board-certified pediatrician with subspecialty certification in neonatal medicine. These physicians shall jointly coordinate perinatal care services in order to ensure provision of a comprehensive continuum of high quality care to mothers and newborns. In conjunction with the chiefs of anesthesiology , nursing, midwifery, and family practice, and other patient care and administration staff, these physicians shall be responsible for developing policies concerning staffing, procedures, equipment, and supplies; maintaining standards of care; and planning, developing, and coordinating in-hospital professional educational programs. The chiefs of maternal-fetal medicine and neonatology will also be responsible for providing outreach and professional education programs, participating in the evaluation and improvement of perinatal care in the region, and coordinating the services provided at their hospital with those provided at Level I, Level II and Level III care hospitals in the region.

Effective Date: 
Wednesday, September 14, 2005
Doc Status: 
Complete