| (iv) medical staff, advanced practice providers, and
personnel competencies, education, and training;
(G) participate as a clinically active and practicing
physician in neonatal care at the facility where medical director
services are provided;
(H) ensure that the neonatal QAPI Plan is specific
to neonatal/infant care, is ongoing, data driven, and outcome based;
(I) frequently lead the neonatal QAPI meetings with
the NPM and participate in the Neonatal Program Oversight and other
neonatal meetings, as appropriate;
(J) maintain active staff privileges as defined in
the facility's medical staff bylaws; and
(K) develop and maintain collaborative relationships
with other NMDs of designated neonatal facilities within the applicable
PCR.
(2) The TMD is responsible for the facility neonatal
transport program and must:
(A) collaborate with the transport team to develop,
revise, and implement written policies, procedures, and guidelines,
for neonatal care that are implemented and monitored for variances;
(B) participate in ongoing transport staff competencies,
education, and training;
(C) review and evaluate transports from initial activation
of the transport team through delivery of patient, resources, quality
of patient care provided, and patient outcomes; and
(D) integrate review findings into the overall neonatal
QAPI Plan and process.
(3) The NMD may also serve as the TMD.
(e) NPM. The facility must identify an NPM who has
the authority and oversight responsibilities written in his or her
job description, for the provision of neonatal services through all
phases of care, including discharge, and identifying variances in
care for inclusion in the neonatal QAPI Plan.
(1) The NPM must be a registered nurse with defined
education, credentials, and experience for neonatal care applicable
to the level of care being provided.
(2) The NPM must maintain a current status of successful
completion of the Neonatal Resuscitation Program (NRP) or a department-approved
equivalent course.
(3) The NPM must:
(A) ensure staff competency in resuscitation techniques;
(B) participate in ongoing staff and team-based education
and training in the care of the neonatal patient;
(C) monitor utilization of telehealth/telemedicine,
if used;
(D) collaborate with the NMD, maternal program, consulting
physicians, and nursing leaders and units providing neonatal care
to include developing, implementing, or revising:
(i) written policies, procedures, and guidelines for
neonatal care that are implemented and monitored for variances;
(ii) the neonatal QAPI Plan, specific reviews, and
data initiatives;
(iii) criteria for transfer, consultation, or higher-level
of care; and
(iv) staff competencies, education, and training;
(E) regularly and actively participate in neonatal
care at the facility where program manager services are provided;
(F) consistently review the neonatal care provided
and ensure the neonatal QAPI Plan is specific to neonatal/infant care,
data driven, and outcome-based;
(G) frequently lead the meetings and participate in
Neonatal Program Oversight and other neonatal meetings as appropriate;
and
(H) develop and maintain collaborative relationships
with other NPMs of designated neonatal facilities within the applicable
PCR.
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