Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-403 - Certificate of Need Criteria and Standards for Obstetrical Services › Section 15-8-90-04-403.02 - Certificate of Need Criteria and Standards for Obstetrical Services

Current through June 25, 2024
The Mississippi State Department of Health will review
						applications for a Certificate of Need to establish obstetric services under
						the statutory requirements of Sections
						41-7-173,
						41-7-191, and
						41-7-193, Mississippi Code of
						1972, as amended. MSDH will also review applications for Certificate of Need
						according to the general criteria listed in the
Mississippi Certificate
						of Need Review Manual
; all adopted rules, procedures, and plans of the
						Mississippi State Department of Health; and the specific criteria and standards
						listed below.
The establishment or expansion of Level I- basic or Level
						II- specialty perinatal services shall require approval under the Certificate
						of Need statute if the $5,000,000 capital expenditure threshold is crossed. Any
						hospital proposing to establish or expand existing services to become a Level
						III-subspecialty or Level IV-regional perinatal center shall require approval
						under the Certificate of Need statute.
Provision for individual units should be consistent with
						the regionalized perinatal care system involved. Those facilities desiring to
						provide obstetric services shall meet the Basic facility minimum standards as
						listed under
Guidelines for the Operation of Perinatal Units
found at the end of this chapter.
Need Criterion 1: Minimum Procedures
The application shall demonstrate how the applicant can
						reasonably expect to deliver a minimum of 150 babies the first full year of
						operation and 250 babies by the second full year. In this demonstration, the
						applicant shall document the number of deliveries performed in the proposed
						perinatal planning area (as described in Section
						403.01, policy statement 2, by
						hospital).
Need Criterion 2: Perinatal Services
The application shall document that the facility will
						provide one of the three types of perinatal services: Basic, Specialty, or
						Subspecialty.
Need Criterion 3: Staffing
						Requirements
The facility shall provide full-time nursing staff in the
						labor and delivery area on all shifts. Nursing personnel assigned to nursery
						areas in Basic Perinatal Centers shall be under the direct supervision of a
						qualified registered nurse with extra training such as Neonatal Resuscitation
						Program (NRP) certification and the S.T.A.B.L.E program.
Need Criterion 4: Policies
Any facility proposing the offering of obstetrical
						services shall have written policies delineating responsibility for immediate
						newborn care, resuscitation, transfer to higher-level of care, selection and
						maintenance of necessary equipment, and training of personnel in proper
						techniques.
Need Criterion 5: Staff Required for Medical
						Emergency
The application shall document that the nurse,
						anesthesia, neonatal resuscitation, and obstetric personnel required for
						emergency cesarean delivery shall be in the hospital or readily available at
						all times.
Need Criterion 6: Travel Time
The application shall document that the proposed services
						will be available within one (1) hour normal driving time of 95 percent of the
						population in rural areas and within 30 minutes normal driving time in urban
						areas.
Need Criterion 7: Transfer of Patients in Medical
						Emergency
The applicant shall affirm that the hospital will have
						protocols for the transfer of medical care of the neonate in both routine and
						emergency circumstances.
Need Criterion 8: Data Requirements
The application shall affirm that the applicant will
						record and maintain, at a minimum, the following information regarding charity
						care and care to the medically indigent and make it available to the
						Mississippi State Department of Health within fifteen (15) business days of
						request:
a. source of patient
					 referral;
b. utilization data,
					 e.g., number of indigent admissions, number of charity admissions, and
					 inpatient days of care;
c.
					 demographic/patient origin data;
d.
					 cost/charges data; and
e. Any other
					 data pertaining directly or indirectly to the utilization of services by
					 medically indigent or charity patients, which the Department may
					 request.
Need Criterion 9: Non-Discrimination
						Provision
The applicant shall document that within the scope of its
						available services, neither the facility nor its participating staff shall have
						policies or procedures, which would exclude patients because of race, age, sex,
						ethnicity, or ability to pay.