The following words and terms, when used in this subchapter,
have the following meanings, unless the context clearly indicates
otherwise.
(1) Attestation--A written statement, signed by the
chief executive officer of the facility, verifying the results of
a self-survey represent a complete and accurate assessment of the
facility's capabilities required in this subchapter.
(2) Available--Relating to staff who can be contacted
for consultation at all times without delay.
(3) Birth weight--The weight of the neonate recorded
at time of birth.
(A) Low birth weight--Birth weight less than 2500 grams
(5 lbs., 8 oz.);
(B) Very low birth weight (VLBW)--Birth weight less
than 1500 grams (3 lbs., 5 oz.); and
(C) Extremely low birth weight (ELBW)--Birth weight
less than 1000 grams (2 lbs., 3 oz.).
(4) CAP--Corrective Action Plan. A plan for the facility
developed by the department that describes the actions required of
the facility to correct identified deficiencies to ensure the applicable
designation requirements are met.
(5) Department--The Texas Department of State Health
Services.
(6) Designation--A formal recognition by the department
of a facility's neonatal care capabilities and commitment for a period
of three years.
(7) EMS--Emergency medical services. Services used
to respond to an individual's perceived need for immediate medical
care.
(8) Focused survey--A department-defined, modified
facility survey by a department-approved survey organization or the
department. The specific goal of this survey is to review designation
requirements identified as not met to resolve a contingent designation
or requirement deficiencies.
(9) Gestational age--The age of a fetus or embryo determined
by the amount of time that has elapsed since the first day of the
mother's last menstrual period or the corresponding age of the gestation
as estimated by a physician through a more accurate method.
(10) High-risk infant--A newborn that has a greater
chance of complications because of conditions that occur during fetal
development, pregnancy conditions of the mother, or problems that
may occur during labor or birth.
(11) Immediately--Able to respond without delay, commonly
referred to as STAT.
(12) Infant--A child from birth to one year of age.
(13) Inter-facility transport--Transfer of a patient
from one health care facility to another health care facility.
(14) Lactation consultant--A health care professional
who specializes in the clinical management of breastfeeding.
(15) Maternal--Pertaining to the mother.
(16) NCPAP--Nasal continuous positive airway pressure.
(17) Neonatal Program Oversight--A multidisciplinary
process responsible for the administrative oversight of the neonatal
program and having the authority for approving the defined neonatal
program's policies, procedures, and guidelines for all phases of neonatal
care provided by the facility, to include defining the necessary staff
competencies, monitoring to ensure neonatal designation requirements
are met, and the aggregate review of the neonatal Quality Assessment
and Performance Improvement (QAPI) initiatives and outcomes. Neonatal
Program Oversight may be performed through the neonatal program's
performance improvement committee, multidisciplinary oversight committee,
or other structured means.
(18) Neonate--An infant from birth through 28 completed
days.
(19) NMD--Neonatal Medical Director.
(20) NPM--Neonatal Program Manager.
(21) NRP--Neonatal Resuscitation Program. A resuscitation
course developed and administered jointly by the American Heart Association
and the American Academy of Pediatrics.
(22) On-site--At the facility and able to arrive at
the patient bedside for urgent requests.
(23) PCR--Perinatal Care Region. The PCRs are established
for descriptive and regional planning purposes. The PCRs are geographically
divided by counties and are integrated into the existing 22 Trauma
Service Areas (TSAs) and the applicable Regional Advisory Council
(RAC) of the TSA provided in §157.122 of this title (relating
to Trauma Services Areas) and §157.123 of this title (relating
to Regional Emergency Medical Services/Trauma Systems).
(24) Perinatal--Of, relating to, or being the period
around childbirth, especially the five months before and one month
after birth.
(25) POC--Plan of Correction. A report submitted to
the department by the facility detailing how the facility will correct
any deficiencies cited in the neonatal designation site survey summary
or documented in the self-attestation.
(26) Premature/prematurity--Birth at less than 37 weeks
of gestation.
(27) QAPI Plan--Quality Assessment and Performance
Improvement Plan. QAPI is a data-driven and proactive approach to
quality improvement. It combines two approaches - Quality Assessment
(QA) and Performance Improvement (PI). QA is a process used to ensure
services are meeting quality standards and assuring care reaches a
defined level. PI is the continuous study and improvement process
designed to improve system and patient outcomes.
(28) RAC--Regional Advisory Council as described in §157.123
of this title.
(29) Supervision--Authoritative procedural guidance
by a qualified person for the accomplishment of a function or activity
with initial direction and periodic inspection of the actual act of
accomplishing the function or activity.
(30) Telehealth service--A health service, other than
a telemedicine medical service, delivered by a health professional
licensed, certified, or otherwise entitled to practice in this state
and acting within the scope of the health professional's license,
certification, or entitlement to a patient at a different physical
location than the health professional using telecommunications or
information technology as defined in Texas Occupations Code §111.001.
(31) Telemedicine medical service--A health care service
delivered by a physician licensed in this state, or health professional
acting under the delegation and supervision of a physician licensed
in this state and acting within the scope of the physician's or health
professional's license to a patient at a different physical location
than the physician or health professional using telecommunications
or technology as defined in Texas Occupations Code §111.001.
(32) TSA--Trauma Service Area as described in §157.122
of this title.
(33) Urgent--Requiring action or attention within 30
minutes of notification.
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