(a) The Office of EMS/Trauma Systems (office) shall
recommend to the Executive Commissioner of the Health and Human Services
Commission (executive commissioner) the designation of an applicant/healthcare
facility as a Center of Excellence for Fetal Diagnosis and Therapy
for each location of a facility, which the office deems appropriate.
(b) A healthcare facility is defined under this subchapter
as a single location where inpatients receive hospital services or
each location if there are multiple buildings where inpatients receive
hospital services and are covered under a single hospital license.
(c) Each location shall be considered separately for
designation and the office will determine the designation for that
location, based on, but not limited to, the location's own resources
and level of care capabilities; Perinatal Care Region (PCR) capabilities;
and compliance with Chapter 133 of this title, (relating to Hospital
Licensing).
(d) A CEFDT shall:
(1) provide the highest level of maternal, fetal, and
neonatal care for patients with the least to most complex fetal conditions;
(2) provide at a minimum, all fetal therapies and interventions
proven effective antenatally based on level I evidence-based metrics;
(3) have skilled medical staff and personnel with documented
training, competencies and continuing education specific for the patient
population served;
(4) offer fetal diagnosis and therapy through an extensive
multi-specialty clinical program that is affiliated and collaborates
extensively with a medical school in this state;
(5) demonstrate a significant commitment to research
in and advancing the field of fetal diagnosis and therapy;
(6) offer advanced training programs in fetal diagnosis
and therapy;
(7) provide appropriate long-term monitoring and follow-up
care for patients, including measuring short-term and long-term patient
diagnostic and therapeutic outcomes;
(8) provide outreach and education to maternal and/or
neonatal designated facilities, including the Quality Assessment and
Performance Improvement (QAPI) process;
(9) hold current verification for maternal-fetal surgical
care from an organization approved by the department;
(10) hold current verification from the American College
of Surgeons as a Level I Children's Surgery Center;
(11) be designated by the department as a Level IV
Maternal Level of Care facility;
(12) be designated by the department as a Level IV
Neonatal Level of Care facility;
(13) participate in CEFDT meetings twice a year as
determined by the department:
(A) for the purposes of mutual collaboration;
(B) to discuss inclusion criteria for fetal intervention
and biopsychosocial outcome variables both short-term and long-term;
and
(C) to participate in a multi-disciplinary performance
improvement process; and
(14) have facility specific treatment outcomes vetted
and approved by the department for public posting on the facility
website for public access and/or redirect the public to the facility
specific outcomes posted on the department's website.
(e) Facilities seeking designation shall be surveyed
through an organization approved by the office to verify that the
facility is meeting office-approved relevant requirements. The facility
shall bear the cost of the survey.
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