The following words and terms, when used in this subchapter,
have the following meanings, unless the context clearly indicates
(1) ACLS--Advanced Cardiovascular Life Support. A resuscitation
course that was developed and is administered by the American Heart
(2) Antepartum--The period beginning on the date of
conception and ending on delivery.
(3) 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.
(4) Available--Relating to staff who can be contacted
for consultation at all times without delay.
(5) Board-eligible--A physician who has completed a
residency or fellowship and is eligible for board certification according
to the applicable medical board.
(6) 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.
(7) Department--The Texas Department of State Health
(8) Designation--A formal recognition by the department
of a facility's maternal care capabilities and commitment for a period
of three years.
(9) EMS--Emergency medical services. Services used
to respond to an individual's perceived need for immediate medical
(10) 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.
(11) Gestational age--The age of a fetus or embryo
determined by the amount of time that has elapsed since the first
day of the maternal patient's last menstrual period or the corresponding
age of the gestation as estimated by a physician through a more accurate
(12) 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.
(13) Immediately--Able to respond without delay, commonly
referred to as STAT.
(14) Infant--A child from birth to one year of age.
(15) Intrapartum--During labor and delivery or childbirth.
(16) Inter-facility transport--Transfer of a patient
from one healthcare facility to another healthcare facility.
(17) Lactation consultant--A health care professional
who specializes in the clinical management of breastfeeding.
(18) Maternal--Pertaining to the mother.
(19) Maternal Program Oversight--A multidisciplinary
process responsible for the administrative oversight of the maternal
program and having the authority for approving the defined maternal
program's policies, procedures, and guidelines for all phases of maternal
care provided by the facility, to include defining the necessary staff
competencies, monitoring to ensure maternal designation requirements
are met, and the aggregate review of the maternal QAPI initiatives
and outcomes. Maternal Program Oversight may be performed through
the maternal program's performance improvement committee, multidisciplinary
oversight committee, or other structured means.
(20) MFM--Maternal Fetal Medicine.
(21) MMD--Maternal Medical Director.
(22) MPM--Maternal Program Manager.
(23) Neonate--An infant from birth through 28 completed
(24) Obstetrics--Related to pregnancy, childbirth,
and the postpartum period.
(25) On-site--At the facility and able to arrive at
the patient bedside for urgent requests.
(26) 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).
(27) Perinatal--Of, relating to, or being the period
around childbirth, especially the five months before and one month
(28) PASD--Placenta Accreta Spectrum Disorder. A disorder
that includes placenta accreta, placenta increta, and placenta percreta.
(29) POC--Plan of Correction. A report submitted to
the department by the facility detailing how the facility will correct
any deficiencies cited in the maternal designation site survey summary
or documented in the self-attestation.
(30) Premature/prematurity--Birth at less than 37 weeks
(31) Postpartum--The six-week period following pregnancy
(32) 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.
(33) RAC--Regional Advisory Council as described in §157.123
of this title.
(34) Screening--Evaluation for the presence or absence
of a disease or condition.
(35) 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.
(36) 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 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.
(37) 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.
(38) TSA--Trauma Service Area as described in §157.122
of this title.
(39) Urgent--Requiring action or attention within 30
minutes of notification.