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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 133HOSPITAL LICENSING
SUBCHAPTER JHOSPITAL LEVEL OF CARE DESIGNATIONS FOR NEONATAL CARE
RULE §133.185Program Requirements

      (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.


Source Note: The provisions of this §133.185 adopted to be effective June 9, 2016, 41 TexReg 4011; amended to be effective June 22, 2023, 48 TexReg 3226

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