reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.03 - Children's Medical Services Program › Section 10.11.03.20 - Cause for Suspension or Removal and Imposition of Sanctions

Current through Register Vol. 51, No. 14, July 12, 2024
A. If the
				  Department determines that a provider, vendor, agent or employee of the
				  provider, vendor, or a person with an ownership interest in the provider or
				  vendor has failed to comply with these regulations, or applicable federal or
				  State laws or regulations, the Department may initiate one or more of the
				  following actions against the responsible party:
(1) Suspension from the CMS
				  Program;
(2) Withholding of payment
				  from the CMS Program;
(3) Removal
				  from the CMS Program; and
(4)
				  Disqualification from future participation in the CMS Program, either as a
				  provider or vendor providing services for which CMS Program payment may be
				  claimed.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.03 - Children's Medical Services Program › Section 10.11.03.21 - Funding Availability

Current through Register Vol. 51, No. 14, July 12, 2024
Payment under this chapter is contingent on the
					 availability of funds in accordance with State Finance and Procurement Article,
					 7-234 and 7-235, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.04 - Lead Poisoning Screening Program › Section 10.11.04.01 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
The purpose of this chapter is to set forth requirements
					 for conducting lead poisoning risk assessments, blood tests for lead poisoning
					 of minor children, and the reporting of blood lead analysis in accordance with
					 applicable State law.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.04 - Lead Poisoning Screening Program › Section 10.11.04.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this
				  chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Administer a blood test for lead
				  poisoning" means to:
(a) Draw a blood
				  specimen, by either venous or capillary methodology, and:
(i) Send the specimen to a medical laboratory
				  for blood lead analysis; or
(ii)
				  Conduct a blood lead analysis at a health care provider's office subject to
				  licensing, certification, and approval by the Laboratories Administration of
				  the Department; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.04 - Lead Poisoning Screening Program › Section 10.11.04.03 - Administration of Lead Exposure Risk Questionnaire

Current through Register Vol. 51, No. 14, July 12, 2024
A primary care provider for a child shall complete a lead
					 exposure risk questionnaire:
A. During
				  the 12-month visit and again during the 24-month visit if the child does not
				  reside in an at-risk area;
B. If
				  the child does not reside in an at-risk area and is 24 months old or older and
				  younger than 6 years old, and the provider does not have documentation that a
				  blood test for lead poisoning or a lead exposure risk questionnaire has been
				  previously administered to, or completed on behalf of, the child;
C. At each well-child check for a child who
				  is 6 months old or older and younger than 6 years old, and resides in an
				  at-risk area; and
D. In accordance
				  with the EPSDT requirements for a child insured under the Maryland Medicaid
				  program regardless of the child's area of residence.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.04 - Lead Poisoning Screening Program › Section 10.11.04.04 - Blood Tests for Lead Poisoning

Current through Register Vol. 51, No. 14, July 12, 2024
A. A primary
				  care provider for a child who resides, or who is known to have previously
				  resided, in an at-risk area shall administer a blood test for lead poisoning
				  during the 12-month visit and again during the 24-month visit.
B. A primary care provider for a child who is
				  24 months old or older and younger than 6 years old who resides, or who is
				  known to have previously resided, in an at-risk area as defined in the 2015
				  Targeting Plan for Areas at Risk for Childhood Lead Poisoning, shall administer
				  a blood test for lead poisoning if the:
(1)
				  Child has not previously received a blood test for lead poisoning;
(2) Child's, parent or guardian fails to
				  provide documentation that the child has previously received a blood test for
				  lead poisoning; or
(3) Provider is
				  unable to obtain the results of a previous blood lead
				  analysis.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.04 - Lead Poisoning Screening Program › Section 10.11.04.05 - Documentation Requirements on Entry into a Prekindergarten Program, Kindergarten Program, or First Grade

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  parent or guardian of a child who currently resides, or has previously resided,
				  in an at-risk area shall provide to the administrator of the child's school or
				  program, or the administrator's designee, certified documentation of the
				  child's blood lead analysis, as specified in §G of this regulation, on
				  first entry into a:
(1) Maryland public
				  prekindergarten program; or
(2)
				  Maryland public school system at the level of prekindergarten, kindergarten or
				  first grade.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.04 - Lead Poisoning Screening Program › Section 10.11.04.06 - Blood Lead Analysis Reporting Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. Notwithstanding
				  §B of this regulation, a medical laboratory shall report, to the
				  Department of the Environment, the information required under Environment
				  Article, §
										6-303, Annotated Code of
				  Maryland.
B. A medical laboratory
				  that performs blood lead analysis shall report the results of all blood tests
				  for lead poisoning, performed pursuant to Regulation .04 of this chapter for a
				  child who resides in Baltimore City, to the Commissioner of the Baltimore City
				  Health Department in accordance with Article-Health, §4-607, Baltimore
				  City Revised Code.
C. The Commissioner of the Baltimore City Health
				  Department may report the information received under §B of this regulation
				  to the Baltimore Immunization Registry Program.
D. The Department may report the results of
				  blood lead analysis to an immunization registry developed by the
				  Department.
E. The Department of
				  the Environment may report the results of blood lead analysis to an
				  immunization registry developed by the Department.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.01 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
The purpose of this chapter is to clarify the authority of
					 State and local child fatality review teams in Maryland to participate in
					 certain national child death review case reporting systems as a means to
					 enhance the CFR teams' ability to more effectively carry out its purpose
					 of:
A. Developing an understanding of
				  the causes and incidence of child deaths;
B. Developing plans for and implementing
				  changes within the agencies represented on the child fatality review teams to
				  prevent child deaths; and
C.
				  Advising the Governor, the General Assembly, and the public on changes to law,
				  policy, and practice to prevent child deaths.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.02 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  controls the drafting and implementation of data use agreements between the
				  State child fatality review team and other public or private organizations or
				  entities in order to assure that Maryland's State and local child fatality
				  review teams are able to participate in and utilize recognized, appropriate
				  national child death review case reporting systems in a secure manner that
				  comports with applicable laws governing the confidentiality of child death
				  information.
B. This chapter
				  governs the:
(1) Maintenance of confidential
				  child death review case data;
(2)
				  Participation of State and local child fatality review teams in national child
				  death review reporting systems; and
(3) Aggregation and reporting of
				  de-identified child death data in the administration of Health-General Article,
				  Title 5, Subtitle 7, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.03 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Child death review (CDR) case reporting
				  system" means a national standardized, web-based reporting system for the
				  confidential collection, analysis, aggregation, and reporting of child death
				  data that is maintained and operated by a national center for child death
				  review (NCCDR).
(2) "Data use
				  agreement" means a contract between the Department and a NCCDR that establishes
				  the terms and conditions for the State and local CFR teams' participation in a
				  child death review case reporting system.
(3) "Department" means the Department of
				  Health and Mental Hygiene.
(4)
				  "Local child fatality review (CFR) team" means a multidisciplinary and
				  multiagency review team established by a county under Health-General Article,
				  §5-705, Annotated Code of Maryland.
(5) "National center for child death review
				  (NCCDR)" means a public, private, nonprofit, or governmental organization or
				  entity that is:
(a) Funded or otherwise
				  recognized by the United States Department of Health and Human Services (DHHS);
				  and
(b) Responsible for:
(i) Developing a CDR case reporting
				  system;
(ii) Training and serving
				  as a liaison to State agencies participating in the system; and
(iii) Disseminating national child death
				  review data generated by the system.
(6) "State Child Fatality Review (CFR) Team"
				  means the State-level multidisciplinary and multiagency review team established
				  under Health-General Article, §5-702, Annotated Code of
				  Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.04 - Data Use Agreement

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Department may enter into a data use agreement with a NCCDR to participate in
				  the NCCDR's case reporting system.
B. The purpose of the data use agreement is
				  to establish the terms and conditions for:
(1) The confidential submission, collection,
				  storage, and analysis of data obtained from the child death case reviews
				  submitted by Maryland's State and local CFR teams; and
(2) The reporting, aggregation, and
				  dissemination of de-identified child death review data generated by the CDR
				  case reporting system.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.05 - National Center for Child Death Review's Duties

Current through Register Vol. 51, No. 14, July 12, 2024
The data use agreement with the NCCDR shall:
A. Assure that the State and local CFR teams
				  have full access to and use of the CDR reporting system for the purposes of
				  collecting, analyzing, aggregating, and reporting on child death review
				  data;
B. Facilitate the comparison
				  of aggregate, de-identified child death data within and among the State and
				  local CFR teams; and
C. Require
				  that the NCCDR acts as a fiduciary agent of the State and local CFR teams in
				  carrying out their responsibilities under this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.06 - Electronic Data Transmittal

Current through Register Vol. 51, No. 14, July 12, 2024
Staff of the State or local CFR team shall first
					 de-identify or remove information which would allow identification of an
					 individual from any CFR team reports filed with, or information electronically
					 transmitted by staff to, the NCCDR.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.07 - Confidentiality of Data

Current through Register Vol. 51, No. 14, July 12, 2024
If any personally identifying child fatality review
					 information or record is acquired by the NCCDR or its staff, that information
					 or record is confidential and subject to the same confidentiality and discovery
					 protections set forth in Health-General Article, §5-709, Annotated Code of
					 Maryland, that apply to the State and local CFR teams.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.05 - Child Death Review Case Reporting System › Section 10.11.05.08 - Terms and Construction of a Data Use Agreement

Current through Register Vol. 51, No. 14, July 12, 2024
Any data use agreement entered into by the State CFR Team
					 and a NCCDR shall:
A. Incorporate by
				  reference and be construed in accordance with the provisions of Health-General
				  Article, Title 5, Subtitle 7, Annotated Code of Maryland, and this chapter;
				  and
B. Be coexecuted by:
(1) The Secretary or the Secretary's
				  designee; and
(2) The chairperson
				  of the State CFR Team.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter does not apply to the review of a fetal death
					 that is the result of a voluntary or therapeutic termination of
					 pregnancy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Committee" means the Morbidity,
				  Mortality, and Quality Review Committee established within the
				  Department.
(2) "Department" means
				  the Department of Health and Mental Hygiene.
(3) "Jurisdiction" means a political
				  subdivision of the State, including the 23 counties and Baltimore
				  City.
(4) "Early childhood" means
				  the period in which an individual is younger than 6 years old.
(5) "Fetal and infant mortality review (FIMR)
				  team " means a local multidisciplinary and multiagency morbidity, mortality,
				  and quality review team established by a health officer or health officers of a
				  group of jurisdictions.
(6) "Fetal
				  death" has the meaning stated in Health-General Article, §4-201, Annotated
				  Code of Maryland.
(7) "Health care
				  provider" has the meaning stated in Health-General Article, §5-601,
				  Annotated Code of Maryland.
(8)
				  "Health officer" has the meaning stated in Health-General Article, §1-101,
				  Annotated Code of Maryland.
(9)
				  "Infant death" means death occurring to an individual who is younger than 1
				  year old.
(10) "Maryland Perinatal
				  System Standards" means the hospital perinatal program standards established by
				  the Perinatal Clinical Advisory Committee of the Department.
(11) "Morbidity, mortality, and quality
				  review (MMQR) team" means a local multidisciplinary and multiagency morbidity,
				  mortality, and quality review team, or entity established to review cases
				  associated with pregnancy, childbirth, infancy, or early childhood in order to
				  make improvements in systems of care, including:
(a) A fetal and infant mortality review team;
				  or
(b) Another multidisciplinary
				  and multiagency review team or other entity established for a jurisdiction that
				  addresses an aspect of morbidity, mortality, or quality of care associated with
				  pregnancy, childbirth, infancy, or early childhood.
(12) "Perinatal center" means a hospital that
				  offers obstetric or neonatal services, or both.
(13) "Secretary" means the Secretary of
				  Health.
(14) "Transport" means the
				  transfer of a patient to another health care facility.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.03 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The Maryland Perinatal System Standards (Perinatal Clinical
					 Advisory Committee, June 2014) is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.04 - Morbidity, Mortality, and Quality Review Committee

Current through Register Vol. 51, No. 14, July 12, 2024
There is a Morbidity, Mortality, and Quality Review
					 Committee established within the Department.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.05 - Membership

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Committee
				  shall be:
(1) A State-level multidisciplinary
				  and multiagency review Committee within the Department; and
(2) Composed of at least 26 members as
				  described in §§B and C of this regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.06 - Committee Duties

Current through Register Vol. 51, No. 14, July 12, 2024
A. To achieve
				  its purpose, the Committee shall:
(1) Provide
				  consultation to FIMR teams and other MMQR teams;
(2) Conduct confidential and anonymous case
				  reviews of morbidity and mortality associated with pregnancy, childbirth,
				  infancy, and early childhood;
(3)
				  Undertake annual statistical analysis of the incidence and cause of morbidity
				  and mortality related to pregnancy, childbirth, infancy, and early
				  childhood;
(4) Monitor hospital compliance with the Maryland
				  Perinatal System Standards by:
(a) Reviewing
				  documents requested of the hospital in writing or by conducting on-site
				  reviews, or by both; and
(b) Making
				  recommendations to improve or facilitate compliance; and
(5)
				  Determine factors contributing to morbidity and mortality, and make
				  recommendations for strategies to prevent and reduce morbidity and mortality
				  related to pregnancy, childbirth, infancy, and early childhood throughout the
				  State, including recommendations for changes to law, policy, or practice to
				  prevent and reduce morbidity and mortality and improve the system of care
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.07 - Local Teams - Establishment and Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
A. A jurisdiction shall have a
				  multidisciplinary and multiagency FIMR team or other MMQR team.
B. The purpose of a FIMR team is to
				  facilitate the reduction of fetal and infant deaths by:
(1) Conducting confidential case reviews of
				  fetal and infant deaths including the examination of available medical and
				  healthcare information involving fetal and infant mortality; and
(2) Based on the findings of the case reviews
				  conducted under §B(1) of this regulation:
(a) Determining factors contributing to fetal
				  and infant deaths;
(b) Developing
				  recommendations to reduce factors contributing to fetal and infant
				  deaths;
(c) Recommending strategies
				  to improve the system of care in an effort to prevent or reduce fetal and
				  infant deaths; and
(d) Informing
				  the Committee of changes that affect fetal and infant deaths in:
(i) Local law;
(ii) Policy; or
(iii) Practices.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.08 - FIMR Teams - Membership

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Members of a FIMR team shall be appointed by the local health officer of the
				  jurisdiction or be jointly appointed by the health officers of the
				  jurisdictions comprising the multi-jurisdiction local team.
B. A FIMR team shall appoint a chairman from
				  among its membership.
C. A FIMR
				  team shall be multidisciplinary and include professionals and representatives
				  of agencies that provide services or community resources for families in the
				  community and community representatives.
D. A FIMR team shall include at least one
				  representative from:
(1) Public health
				  programs, such as :
(a) Maternal and child
				  health;
(b) Substance abuse;
				  or
(c) Mental health;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.09 - MMQR Teams - General

Current through Register Vol. 51, No. 14, July 12, 2024
MMQR teams may:
A. Inform the Committee of changes that
				  affect morbidity or mortality associated with pregnancy, childbirth, infancy,
				  or early childhood in:
(1) Local
				  law;
(2) Policy; or
(3) Practice; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.10 - Types of Committee Reviews

Current through Register Vol. 51, No. 14, July 12, 2024
The Committee may conduct morbidity, mortality, and quality
					 reviews associated with pregnancy, childbirth, infancy, and early childhood,
					 including but not limited to reviews of the following:
A. Individual cases or clusters of cases of
				  morbidity or mortality ;
B.
				  Maternal or neonatal transport to or from perinatal centers; and
C. Aggregate or hospital-specific cases of
				  mortality or morbidity associated with pregnancy, childbirth, infancy, or early
				  childhood.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.11 - Access to Records and Information

Current through Register Vol. 51, No. 14, July 12, 2024
A. A health care provider, hospital, HTPAA
				  (Health Insurance Portability and Accountability Act of 1996) business
				  associate, or other related entity shall, on written request of the Committee,
				  FIMR team, other MMQR team, or their staff, provide access to records
				  concerning:
(1) Prepregnancy, prenatal, and
				  postpartum care of the mother;
(2)
				  Somatic, dental, and behavioral health of the mother;
(3) The health care provided by:
(a) A health care provider;
(b) A health care facility; or
(c) Emergency medical services ;
(4) Emergency medical services
				  system data on maternal and neonatal transport;
(5) State vital records data related to
				  morbidity or mortality associated with pregnancy, childbirth, infancy, or early
				  childhood; and
(6) Documentation
				  relevant to the purpose and duties of the Committee, FIMR team, or other MMQR
				  team that is maintained by a State or local government agency, including:
(a) Medical examiner investigative
				  information; and
(b) Law
				  enforcement investigative information, including police reports.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.12 - Meetings

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Committee
				  shall meet at least semiannually.
B. FIMR teams shall meet at least
				  quarterly.
C. A meeting of the
				  Committee, FIMR teams, or other MMQR teams shall be closed to the public and is
				  not subject to General Provisions Article, Title 3, Subtitle 3, Annotated Code
				  of Maryland, when the Committee, local FIMR team, or other MMQR team is
				  reviewing cases of pregnancy, childbirth, infancy, or early
				  childhood.
D. The Committee, FIMR
				  team, or other MMQR team may invite an individual who is not a member to attend
				  a Committee, FIMR team, or other MMQR team meeting if:
(1) The attendance is approved in advance by
				  the Committee, FIMR team, or other MMQR team chairperson;
(2) Participation of the invited individual
				  is intended to assist the Committee, FIMR team, or other MMQR team in carrying
				  out its duties; and
(3) Invitees in
				  attendance abide by the same confidentiality and nondisclosure requirements
				  which govern the Committee, FIMR team, and other MMQR team members.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.06 - Morbidity, Mortality, and Quality Review Committee - Pregnancy and Childhood › Section 10.11.06.13 - Confidentiality of Records and Information

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following shall be held confidential
				  and may not be released to a person except as provided in this chapter:
(1) Records and information received by the
				  Committee, FIMR team, or other MMQR team;
(2) Documents produced in the case review
				  process; and
(3) Minutes of
				  meetings of the Committee, FIMR team, or other MMQR team.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.07 - Prohibition of Sale of Baby Bumper Pads › Section 10.11.07.01 - Defintions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "ASTM Standards" means the standard
				  consumer safety performance specifications for infant bedding and related
				  accessories set by the American Society for Testing and Materials
				  (ASTM).
(2) "Baby bumper pads"
				  means a pad or pads of non-mesh material resting directly above the mattress in
				  a crib, running the circumference of the crib or along the length of any of the
				  interior sides of the crib, and intended to be used until the age that an
				  infant pulls to stand.
(3)
				  "Department" means the Department of Health and Mental Hygiene.
(4) "Hazardous material" has the meaning
				  stated in Health-General Article, §22-501, Annotated Code of
				  Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.07 - Prohibition of Sale of Baby Bumper Pads › Section 10.11.07.02 - General Provisions

Current through Register Vol. 51, No. 14, July 12, 2024
A. Baby
				  bumper pads are hereby declared to be a hazardous material and may not be
				  shipped or sold to a purchaser in Maryland beginning June 21, 2013.
B. ASTM Standards.
(1) After notification that ASTM has adopted
				  a new voluntary standard for baby bumper pads, the Secretary may provide an
				  opportunity for public comment on whether the new ASTM Standards should replace
				  the prohibition contained in §A of this regulation.
(2) Within 60 days after the close of public
				  comment, the Secretary may issue an order permitting the sale of baby bumper
				  pads that comply with the new ASTM Standards if the Secretary determines that
				  such bumper pads are not a danger to the public health and safety.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 11 - MATERNAL AND CHILD HEALTH › Chapter 10.11.07 - Prohibition of Sale of Baby Bumper Pads › Section 10.11.07.03 - Violations

Current through Register Vol. 51, No. 14, July 12, 2024
A. A notice of
				  violation will be issued by the Department to any person found to have shipped
				  or sold a baby bumper pad to a purchaser in Maryland after June 21,
				  2013.
B. A person who, after being
				  issued a notice of violation, ships or sells a baby bumper pad to a purchaser
				  in Maryland shall be subject to a civil fine of not more than $500 for each
				  baby bumper pad shipped or sold in violation of this subtitle.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Department" means the Department of
				  Health and Mental Hygiene.
(2)
				  "Facility" means a surgical abortion facility.
(3) Health Professional.
(a) "Health professional" means an individual
				  who is licensed, certified, or otherwise authorized under Health Occupations
				  Article, Annotated Code of Maryland, to provide health care services.
(b) "Health professional" does not include a
				  physician.
(4)
				  "Physician" means an individual licensed to practice medicine in this State
				  under Health Occupations Article, Title 14, Annotated Code of
				  Maryland.
(5) "Regular service"
				  means that surgical abortion procedures are performed on site on a routine
				  basis.
(6) "Surgical abortion
				  facility" means an outpatient facility that provides surgical termination of
				  pregnancy as a regular service except if the facility is regulated by the
				  Department under:
(a) Health General Article,
				  Title 19, Subtitle 3, Annotated Code of Maryland;
(b) Health General Article, Title 19,
				  Subtitle 3A, Annotated Code of Maryland; or
(c) Health General Article, Title 19,
				  Subtitle 3B, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.02 - License Required

Current through Register Vol. 51, No. 14, July 12, 2024
A. A person
				  may not establish or operate a surgical abortion facility without obtaining a
				  license from the Secretary.
B.
				  License Period. A license is valid for 3 years from the date of issuance,
				  unless suspended or revoked by the Secretary.
C. A license issued under this chapter is not
				  transferable.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.03 - Licensing Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. A person
				  desiring to operate a facility shall:
(1) Be
				  in compliance with all applicable federal and State laws and
				  regulations;
(2) File an
				  application as required and provided by the Department; and
(3) Submit a written description of its
				  quality assurance program as required by Regulation .16 of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.04 - Inspections by the Department

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Open for Inspection. A licensed facility or an entity proposing to operate such
				  a facility shall be open during normal business hours, or any other times that
				  the facility is serving patients, for inspection by the Department and by any
				  other agency designated by the Department to:
(1) Verify compliance with this chapter;
				  and
(2) Investigate a complaint
				  concerning patient care and safety as described in §B of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.05 - Administration

Current through Register Vol. 51, No. 14, July 12, 2024
A. Administrator.
(1) Each facility shall have an
				  administrator, who is responsible for the daily operation of the facility,
				  including but not limited to:
(a) Consulting
				  with the staff to develop and implement the facility's policies and procedures
				  required under §C of this regulation;
(b) Organizing and coordinating the
				  administrative functions of the facility;
(c) Coordinating the provision of services
				  that the facility provides;
(d)
				  Training the staff on the facility's policies and procedures and applicable
				  federal, State, and local laws and regulations; and
(e) Ensuring that all personnel:
(i) Receive orientation and have experience
				  sufficient to demonstrate competency to perform assigned patient care duties,
				  including proper infection control practices;
(ii) Are licensed or certified by an
				  appropriate occupational licensing board to practice in this State, if required
				  by law; and
(iii) Perform or
				  delegate duties and responsibilities in accordance with standards of practice
				  as defined by the Health Occupations Article, Annotated Code of
				  Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.06 - Personnel

Current through Register Vol. 51, No. 14, July 12, 2024
A. Qualifications
				  of Physicians and Staff. A facility shall ensure that all physicians and other
				  health professionals who are employees or contractual staff have been
				  appropriately trained and licensed or certified under the Health Occupations
				  Article, Annotated Code of Maryland.
B. Credentialing of Physicians. The facility
				  shall collect, review, and document the following information concerning a
				  physician licensed under Health Occupations Article, Title 14, Annotated Code
				  of Maryland:
(1) The physician's
				  education;
(2) The professional
				  experience of the physician, including:
(a)
				  Any board certification or specialty training of the physician; and
(b) Any post-graduate training;
(3) Any license or registration to
				  practice a health occupation ever held by the physician, including DEA
				  registration;
(4) Any hospital
				  where the physician was appointed or employed during the last 10 years,
				  including:
(a) The name of the
				  hospital;
(b) The term of
				  appointment or employment; and
(c)
				  Privileges held and any disciplinary action taken, including suspension,
				  revocation, limitation, or voluntary surrender;
(5) The physician's professional liability
				  insurance for the last 5 years, including:
(a) The physician's present
				  carrier;
(b) The physician's
				  current limits of coverage;
(c) The
				  physician's current types of coverage; and
(d) Restrictions on the physician's
				  coverage;
(6) Any claim
				  that has been made against the physician in the practice of a health occupation
				  in the last 5 years, and the status of the claim;
(7) Any physical or mental condition that
				  currently impairs the physician's ability to exercise privileges;
(8) Any complaint or report, permitted to be
				  disclosed by law, which has been filed with any state licensing or disciplinary
				  body, or comparable body of the armed forces; and
(9) Data provided by the National
				  Practitioner Data Bank.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.07 - Surgical Abortion Services

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Surgical abortion procedures shall be performed in a safe manner by a physician
				  credentialed by the facility under Regulation .06 of this chapter.
B. An administrator, in consultation with the
				  medical director, shall develop and implement policies, procedures, and
				  protocols for the provision of surgical abortion services including but not
				  limited to:
(1) Personnel;
(2) Pre-operative testing and
				  examinations;
(3) Surgical
				  procedures;
(4) Post-anesthesia
				  care and observation;
(5) Discharge
				  planning;
(6) Emergency
				  services;
(7) Informed consent;
				  and
(8) Safety.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.08 - Anesthesia Services

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Anesthetics shall be administered by health practitioners who are licensed,
				  certified, or otherwise authorized to do so under the Health Occupations
				  Article, Annotated Code of Maryland.
B. Anesthetics shall be administered only by
				  a:
(1) Qualified anesthesiologist;
(2) A physician qualified to administer
				  anesthesia; or
(3) A certified
				  registered nurse anesthetist in accordance with:
(a) Health Occupations Article, §
												8-205, Annotated
				  Code of Maryland; and
(b) COMAR
				  10.27.06.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.09 - Emergency Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Basic
				  Life Support. Licensed personnel employed by the facility shall have
				  certification in basic life support. A licensed staff individual trained in
				  basic life support shall be on duty whenever there is a patient in the
				  facility.
B. The facility shall
				  have:
(1) A registered nurse available on
				  site for emergency treatment whenever there is a post-operative surgical
				  abortion patient in the facility; and
(2) At least one physician available by phone
				  24 hours a day to respond to emergency situations.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.10 - Hospitalization

Current through Register Vol. 51, No. 14, July 12, 2024
A. The surgical
				  abortion facility shall have an effective procedure for the transfer of
				  patients to a nearby hospital when care beyond the capabilities of the facility
				  is required.
B. Procedures for
				  emergency transfer to a hospital shall include, at a minimum:
(1) Written protocols and procedures related
				  to emergency transfer procedures;
(2) A mechanism for notifying the hospital of
				  a pending emergency case;
(3) A
				  mechanism for arranging appropriate transportation to the hospital;
(4) Protocols for transmitting a copy of the
				  patient's medical record to the hospital; and
(5) Appropriate training for staff in the
				  facility's written protocols and procedures.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.11 - Pharmaceutical Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  surgical abortion facility shall:
(1) Provide
				  drugs under the direction of an authorized prescriber; and
(2) Develop and implement policies and
				  procedures for pharmacy services in accordance with accepted professional
				  practice.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.12 - Laboratory and Radiologic Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. The administrator shall develop and
				  implement policies and procedures for obtaining routine and emergency
				  laboratory and radiological services to meet the needs of the patient. Policies
				  and procedures shall include:
(1) Turn-around
				  time;
(2) Review of laboratory
				  reports; and
(3) Documentation of
				  laboratory results.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.13 - Medical Records

Current through Register Vol. 51, No. 14, July 12, 2024
A. The facility
				  shall maintain a complete, comprehensive, and accurate medical record for a
				  patient.
B. A patient's medical
				  record shall include at least the following:
(1) Patient identifier;
(2) Significant medical history and results
				  of a physical examination;
(3)
				  Documentation of care or services provided;
(4) Evidence of consent; and
(5) Discharge diagnosis.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.14 - Patients' Rights and Responsibilities

Current through Register Vol. 51, No. 14, July 12, 2024
The administrator shall ensure that the facility develops
					 and implements written policies and procedures concerning patients' rights and
					 responsibilities, including but not limited to:
A. The opportunity to participate in planning
				  their medical treatment; and
B.
				  Confidentiality of medical records and the right to approve or refuse release
				  of records to any individual outside the facility, except as provided by
				  federal or State law.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.15 - Physical Environment

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  administrator shall ensure that the facility has a safe, functional, and
				  sanitary environment for the provision of surgical services.
B. A procedure room shall be designed and
				  equipped to ensure that surgical abortion procedures conducted can be performed
				  in a manner that ensures the safety of all individuals in the area.
C. The facility shall have a separate
				  recovery room and waiting area.
D.
				  The facility shall meet the requirements for handling, treatment, and disposal
				  of special medical wastes as provided in COMAR 10.06.06.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.16 - Quality Assurance Program

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The administrator shall ensure that the facility develops and maintains a
				  quality assurance program which includes:
(1)
				  Monitoring and evaluation of the quality of patient care; and
(2) Identification, evaluation, and
				  resolution of care problems.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.17 - Emergency Suspension

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Secretary may immediately suspend a license on a finding that the public
				  health, safety, or welfare requires emergency action.
B. The Department shall deliver a written
				  notice to the licensee:
(1) Informing the
				  licensee of the emergency suspension;
(2) Giving the reasons for the action and the
				  regulation or regulations with which the licensee has failed to comply that
				  forms the basis for the emergency suspension; and
(3) Notifying the licensee of the licensee's
				  right to request a hearing and to be represented by counsel.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.18 - Revocation of License

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Secretary, for cause shown, shall notify the licensee of the Secretary's
				  decision to revoke the facility's license. The revocation shall be stayed if a
				  hearing is requested.
B. The
				  Secretary may revoke a license if the licensee:
(1) Has been convicted of:
(a) Fraud or a felony that relates to
				  Medicaid or Medicare; or
(b) A
				  crime involving moral turpitude; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 12 - ADULT HEALTH › Chapter 10.12.01 - Surgical Abortion Facilities › Section 10.12.01.19 - Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
A. Administrative
				  Penalty. The Secretary may impose an administrative penalty of up to $1,000 for
				  a violation of any provision of this chapter.
B. When considering whether to impose an
				  administrative penalty and the amount of the penalty, the Secretary shall
				  consider the following factors:
(1) The
				  number, nature, and seriousness of the violation or violations;
(2) The extent to which the violation or
				  violations are part of an ongoing pattern during the preceding 24
				  months;
(3) The degree of risk,
				  caused by the violation or violations, to the health, life, or safety of the
				  patients of the facility;
(4) The
				  efforts made by, and the ability of, the licensee to correct the violation or
				  violations in a timely manner; and
(5) Such other factors as justice may
				  require.