reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15107 - Use of Hospital Discharge Records by OPH

Current through Register Vol. 50, No. 6, June 20, 2024
A. Patient level data (raw or cleaned) may be
				  released by OPH to the data provider that submitted that particular
				  data.
B. The office may use patient
				  level data in fulfilling its public health mission. The office will establish
				  procedures for secure use of the data by OPH staff.
C. The office may release patient level data
				  (excluding secure information) for use in health research, public education,
				  administrative and health industry research in accordance with the provisions
				  of §15109 of this
				  rule (approval of the Hospital Discharge Data Research Panel). In consideration
				  of the existing information industry in Louisiana, and to assure a measure of
				  completeness and quality of this data during the initial years of the
				  implementation, this data will not be released during the first 12 months
				  following discharge. Starting with year 2000 discharges, the minimum delay
				  observed will decrease by one month per year (a discharge 1/1/2000 may be
				  released 12/1/2000), until 2010, when a minimum delay will no longer be
				  observed.
D. Aggregate Information
1. The office may develop and publish
				  aggregate data reports and aggregate data as resources permit that do not
				  disclose confidential information as defined in
				  §15103 of this
				  rule. The aggregate data reports and aggregate data shall be public information
				  and may be distributed electronically.
2. The office may also release aggregate data
				  on request, as resources permit. Such data may be released when it does not
				  disclose confidential information, as defined in
				  §15103 of this
				  rule. The data request should be made to the director of the Division of Health
				  Information, DHH-OPH and must include:
a.
				  rationale for the study or data use;
b. a summary of the research plan, including
				  a definition of, and justification for the particular fields and records
				  necessary for the research;
c.
				  signed agreement for use of data affirming that data will be used only for the
				  purpose stated in the request, and that no attempts will be made to combine
				  data provided for this request with other data provided from a previous request
				  or another source, or attempt to identify confidential information;
d. affirmation that a copy of any publication
				  resulting from the use of the records shall be provided to the director of the
				  Division of Health Information;
e.
				  a signed agreement to indemnify and hold the state, DHH, and OPH, its
				  employees, and the original providers of the patient level data harmless from
				  any liability arising out of the authorized or unauthorized use of the
				  data.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15109 - Use of Hospital Discharge Records in Research

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any person may apply to the office to
				  conduct research for health surveillance, public education, administrative, or
				  health industry purposes using patient level data. Non-aggregate data (patient
				  level data) shall be disclosed only when the Hospital Discharge Data Research
				  Panel has deemed that it would be impractical to perform the research with
				  aggregate data. Only the fields and records necessary for the proposed study
				  will be released.
1. Panel. Pursuant to
				  R.S.
				  40:1300.112.B(1) and D., the Hospital
				  Discharge Data Research Panel is established. It shall operate in accordance
				  with the following guidelines.
a. Membership.
				  The panel shall be composed of at least 15 members with varying background and
				  expertise, to promote complete and adequate review of research activities
				  commonly conducted using hospital discharge data.
i. The panel membership shall reflect
				  sufficient experience and expertise with hospital data and/or data analysis,
				  sensitivity to cultural diversity and privacy issues, and the professional
				  competence necessary to review research proposals in terms of institutional
				  commitments and regulations, applicable law, and standards of professional
				  conduct and practice.
ii. The panel
				  shall include the following representatives of the Office of Public Health:
(a). the state health officer or programmatic
				  designee;
(b). the director of the
				  Division of Health Information; and
(c). the State Registrar of Vital Records.
				  The state health officer or his designee shall chair the panel.
iii. The state health officer
				  shall appoint 12 additional panel members representing groups and organizations
				  that have knowledge and expertise in fields related to research using health
				  care data. Accordingly, the appointees will include a representative of health
				  care consumers, a representative of payors, private hospital representation,
				  and members of the following organizations:
(a). Louisiana Health Care Review
				  Inc.;
(b). Louisiana Health
				  Information Management Association;
(c). Louisiana Hospital
				  Association;
(d). Louisiana State
				  Medical Society;
(e). Louisiana
				  State University;
(f). Metropolitan
				  Hospital Council of New Orleans;
(g). Rural Hospital Coalition;
(h). Tulane University; and
(i). VHA Gulf States.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15111 - Incorporation by Reference

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  following documents are incorporated by reference. They are available for
				  public review at the State Center for Health Statistics, Office of Public
				  Health.
1. International Classification of
				  Diseases, Clinical Modifications 9. Copies are available from the World Health
				  Organization, P.O. Box 5284, Church Street Station, New York, New York
				  10249.
2. International
				  Classification of Diseases, Clinical Modifications 10 (due for publication,
				  December 1998). Copies will be available from the World Health Organization,
				  P.O. Box 5284, Church Street Station, New York, New York 10249.
3. Louisiana Uniform Billing Training Manual,
				  UB-92, including final addenda of July 21, 1993. Copies are available from the
				  Louisiana Hospital Association, P.O. Box 80720, Baton Rouge, LA
				  70898-0026.
4. Uniform Hospital
				  Billing Form 1992 (UB92/HCFA-1450). Copies are available from the Office of
				  Public Affairs, Health Care Financing Administration Humphrey Building, Room
				  428-H, 200 Independence Avenue S.W., Washington, D.C. 20201.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15113 - Hospital Discharge Data Submittal Guide-General

Current through Register Vol. 50, No. 6, June 20, 2024
A. Data Reporting Source. All facilities
				  operated and licensed as a hospital in the state of Louisiana by the Louisiana
				  Department of Health and Hospitals will report discharge data to the Office of
				  Public Health (OPH) for each patient admitted as an inpatient. A failure to
				  report may result in action by the licensing authority.
B. Reporting Responsibilities
1. The single billing discharge data record
				  must be submitted for the reporting period within which the discharge occurs.
				  If a claim will not be submitted to a provider or carrier for collection (e.g.,
				  charitable service), a hospital discharge data record must still be submitted
				  to OPH, with the normal and customary charges, as if the claim was being
				  submitted.
2. Multiple Discharges.
				  For a patient with multiple discharges, submit one discharge data record for
				  each discharge.
3. Multiple Billing
				  Claims. For a patient with multiple billing claims, the facility should submit
				  all data related to a discharge in one of two ways:
a. consolidate the multiple billings into one
				  discharge data record for submittal for the reporting period within which the
				  discharge occurs; or
b. submit each
				  interim billing claim for the reporting period in which the claim is
				  generated.
4. A hospital
				  may submit discharge data directly to OPH, or may designate an intermediary,
				  such as a commercial data clearinghouse. Use of an intermediary does not
				  relieve the hospital from its reporting responsibility. In order to facilitate
				  communication and problem solving, each hospital should designate a contact
				  person and a backup for the contact person. Provide the names, telephone
				  numbers, and job titles of the persons assigned this responsibility to the
				  Office of Public Health, Center for Health Statistics, on forms provided by
				  OPH.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15115 - Guide-Hospital Discharge Data Submittal Schedule

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each licensed Louisiana hospital which
				  collects Hospital Discharge Information, as set forth in this rule, shall
				  submit Hospital Discharge Records to the Office of Public Health in a manner
				  that complies with the provisions of the guidelines here included for all
				  hospital discharges occurring on or after January 1, 1998. While all hospitals
				  are responsible for submitting their data to the Office of Public Health, some
				  may contract with third-party intermediaries. All hospitals or their
				  intermediaries will submit data to the Office of Public Health according to the
				  reporting schedule listed below. See the section on use of intermediaries for
				  further details.
1. Submittal Schedule.
				  Discharge data records will be submitted to the Louisiana Office of Public
				  Health as specified below.
a. Reporting
				  Period. Hospitals (or their representatives) must generate and submit their
				  data to OPH quarterly, excepting the first year (1998), in which data may be
				  submitted semiannually. Monthly submittal via electronic transfer is also
				  encouraged.
b. Data Source. The
				  submittal file must be created from the current transaction file or an
				  equivalently cumulatively updated claim file and the submittal must be received
				  by OPH no later than the dates below. Earliest practical submission of complete
				  data is requested.
NOTE: It is understood that data for a given claim may not
					 be complete during the first three-month post-discharge.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15117 - Guide-Use of Data Processing Intermediaries

Current through Register Vol. 50, No. 6, June 20, 2024
A. Third-party intermediaries may be utilized
				  by hospitals for the delivery of data to the Office of Public Health.
				  Intermediaries must be registered with OPH on registration forms provided by
				  the Office. Additions and deletions to the intermediary's list of hospitals
				  represented must be submitted at least 10 days prior to the submittal schedule
				  reporting due date.
B. Hospitals
				  shall notify the Office by January 1 of each year if they plan to submit the
				  required data to the Office through a third-party intermediary that is
				  registered with the Office. Hospitals selecting this option are responsible for
				  ensuring that the submitted data conform to specifications contained in the
				  Guide. These specifications include, but are not limited to, the format,
				  timeliness, and quality criteria of completeness, validity and consistency
				  outlined in the Guide. The third-party intermediary is responsible to the
				  hospital for ensuring that the data are submitted to the Office in conformance
				  with specifications contained in the Guide.
C. The following additional requirements and
				  information apply to intermediaries delivering data to OPH:
1. Data may be delivered in any number of
				  submittals (i.e., one per hospital, several hospitals combined, or all
				  hospitals combined in one submittal), but the minimum unit of data submittal is
				  all discharge records from one hospital per submittal time period.
2. Data may be submitted via any approved
				  transfer media - declared at the time of registration.
3. Data may be submitted in any approved data
				  format declared at the time of registration.
4. The intermediary must submit data for
				  three or more hospitals.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15119 - Guide-Extensions and Waivers

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
				  hospitals will submit discharge data in a form consistent with the requirements
				  unless an extension or waiver has been granted. Extensions may be granted when
				  the hospital documents that unforeseen difficulties, such as technical
				  problems, prevent compliance. Waivers may be granted when the hospital
				  documents the need for data format changes before it can begin collecting and
				  submitting specific data elements. Waivers will also be granted upon request
				  for difficulties that prevent compliance for the time period January 1 to June
				  30, 1998. Requests for extensions or waivers should be in writing and be
				  directed to: Director, Division of Health Information, Louisiana Office of
				  Public Health, 325 Loyola Avenue, Suite 503, New Orleans, LA 70112. Phone:
				  (504) 568-7708 fax: (504) 568-6594.
1.
				  Extension of Time for Data Submittal
a. Any
				  hospital which determines it temporarily will be unable to comply with a data
				  submittal date or with data submittal time lines established in a previously
				  submitted plan of correction may apply to the Office for an extension. An
				  application for extension should be submitted at least 15 working days prior to
				  the data submission deadline. The application for extension shall reference the
				  relevant section number(s) and the relevant text of the rule or the documents
				  incorporated by reference under §15111 The application for extension
				  shall include specific reasons why the provider cannot comply with the rule in
				  the required time frame, a specific plan sufficient to correct the problem, and
				  the proposed data submission date.
b. The office shall act upon an application
				  for extension of time within 10 working days of receiving the written request.
				  Failure of the office to act on the application shall be deemed as a grant of
				  the extension.
c. A denial of the
				  application for extension shall be appealable to the assistant secretary of the
				  Office of Public Health. The appeal shall be filed within seven days of receipt
				  of the denial letter. The assistant secretary shall act on the request within
				  seven days of its receipt and his/her action shall be final.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15121 - Guide-Data Errors and Certification

Current through Register Vol. 50, No. 6, June 20, 2024
A. Hospitals will review the discharge data
				  records prior to submittal for accuracy and completeness. Correction of invalid
				  records and validation of aggregate tabulation are the responsibility of the
				  hospital. All hospitals will certify the data submitted for each reporting
				  period in the manner specified and will annually review summary reports before
				  statistical analyses are published by the Center for Health Statistics,
				  Louisiana Office of Public Health.
1. Error
				  Correction
a. The hospital is responsible for
				  submitting accurate and complete data in one of the specified formats. The
				  state may identify errors for hospital review, comment, and correction when
				  applicable. The records with errors will be identified in a simplified format
				  providing record identification and an indication or explanation of the error.
				  The error report will be sent by certified mail or e-mail to the attention of
				  the individual designated to receive the correspondence at the
				  hospital.
b. In the event 5 percent
				  or more of the records per hospital in a submittal period are in error, the
				  submittal for that hospital will be rejected. A record is in error when one or
				  more Required Data Elements are missing or in error (excepting those elements
				  for which a waiver has been granted). Notification of the rejection will
				  accompany the error report and will be sent by certified mail to the attention
				  of the individual designated to receive the correspondence at the
				  hospital.
c. After the submittal
				  has been corrected, the submittal is to be resubmitted, in its entirety and
				  original format, within one month of receipt, to the Center for Health
				  Statistics, Louisiana Office of Public Health. This correction cycle may
				  repeat.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 53 - State Center for Health Statistics › Chapter 151 - State Health Care Data Clearinghouse › Section V-15123 - Guide-Data Submittal Specifications

Current through Register Vol. 50, No. 6, June 20, 2024
A. Currently, data may be submitted by modem
				  (the preferred method), PC diskette, CD-ROM, magnetic tape (reel), or
				  electronic media to be determined by OPH. Additional media or modes of transfer
				  will be announced by OPH as they become available. Data submittals not in
				  compliance with transfer media or format specifications will be rejected unless
				  approval is obtained prior to the scheduled due date from the Center for Health
				  Statistics. Media labeling and data submittal specification updates will be
				  posted on the OPH Web page.
1. Transfer. Data
				  submittal standards shall encourage the use of electronic transfer of database
				  files (structure to be provided by OPH) or structured ASCII files via
				  telecommunications. Editing of data prior to submittal is encouraged and
				  assistance from OPH will be provided.
2. Address for Data Submittal: Center for
				  Health Statistics, Louisiana Office of Public Health, 325 Loyola Avenue, Suite
				  503, New Orleans, La 70112; or: LAHIDD@dhhmail.dhh.state.la.us.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 55 - Birth Defects Surveillance System › Chapter 161 - General Provisions › Section V-16101 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
Advisory Board
-the nine-member advisory
					 board of the program.
Birth Defect
-an abnormality of structure,
					 function or metabolism that develops during prenatal, perinatal or early
					 postnatal life that is diagnosed before a child reaches 3 years of age.
Case Finding
-the process used to identify
					 potential birth defects cases for inclusion into the central registry or
					 central database of the Louisiana Birth Defects Monitoring Network.
CSHS
-the Children's Special Health
					 Services Program within the Office of Public Health.
Confidential Information
-information
					 collected through the Louisiana Birth Defects Monitoring Network that is
					 private and protected under state and federal laws.
Director
-the program director for the
					 Louisiana Birth Defects Monitoring Network.
Department
-the Department of Health and
					 Hospitals.
LBDMN
-the Louisiana Birth Defects
					 Monitoring Network, which the office will establish to collect information
					 about children with birth defects. The LBDMN is established to carry out the
					 directives of the Louisiana Birth Defects Surveillance System, which was
					 created under Louisiana Revised Statutes 40.31.41-31.48.
Office
-the Office of Public Health within
					 the Department of Health and Hospitals.
Registry
-the centralized database where
					 data collected through the LBDMN is housed.
Reporting Source
-any physician, nurse or
					 allied health professional, hospital, laboratory, and any other facility or
					 agent directly or indirectly responsible for providing medical services to an
					 individual affected by a birth defect.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S. 40.31.48.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 55 - Birth Defects Surveillance System › Chapter 163 - Program Procedures › Section V-16301 - Procedures for Identification and Referral of Children with Birth Defects

Current through Register Vol. 50, No. 6, June 20, 2024
A. The program will
				  include the following.
1. Reporting sources
				  required to report pursuant to the rule shall allow personnel from the
				  department or its contractors to abstract information from the mother's and
				  infant's files on their demographic characteristics, family history of birth
				  defects, and outcomes of that and other pregnancies by that mother, according
				  to the case definition used in LBDMN.
2. The chief operating officer,
				  administrator, manager, director, and/or person in charge of each reporting
				  source shall appoint one staff member as a contact person for the LBDMN
				  surveillance activities. That staff member should be responsible for
				  coordinating scheduled visits by LBDMN staff to review logs, discharge indices,
				  and other case-finding sources, and will be responsible for arranging medical
				  records review visits and record management.
3. LBDMN staff and the contact individual at
				  the reporting source shall establish a schedule of case-finding and record
				  review visits. This schedule shall take into account the capabilities of each
				  individual reporting source in responding to data/information requests, as well
				  as the need for timely case-finding and reporting for the LBDMN.
4. Potential cases are obtained/abstracted
				  through review of medical records, logs, indices, appointment rosters, and
				  other records.
5. The original
				  medical records and other materials provided by the reporting source shall not
				  be removed from that facility. Copies and other data should be made in
				  compliance with existing federal and state laws and regulations.
6. The office will require information from a
				  reporting source to be collected on a birth defects reporting form. This may be
				  an electronic or paper form, as determined by LBDMN procedures.
7. The office will maintain a centralized
				  database to include information reported on the birth defects reporting
				  form.
8. The office will notify
				  parents of infants and children identified of available early intervention
				  services in their community.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 55 - Birth Defects Surveillance System › Chapter 163 - Program Procedures › Section V-16303 - Reporting Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  office shall determine the health care facilities and providers which shall be
				  required to report all birth defects, the types of conditions or defects that
				  shall be reported, the type of information that shall be contained in the
				  confidential report and the method for making the report.
B. To ensure an accurate source of data
				  necessary to investigate the incidence, prevalence, and trends of birth
				  defects, a reporting source shall make available to the program staff, office
				  staff, or authorized agent medical records or other information upon request
				  that relates to the occurrence of a birth defect.
C. The department secretary may require, in
				  lieu of active case finding, reporting sources identifying and diagnosing birth
				  defects to report the birth defects to the program within 30 days of
				  diagnosis.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S. 40.31.48.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 55 - Birth Defects Surveillance System › Chapter 163 - Program Procedures › Section V-16305 - Confidentiality

Current through Register Vol. 50, No. 6, June 20, 2024
A. Except as
				  specifically authorized by this Chapter, information furnished to a LBDMN
				  employee or to an authorized agent of the office that relates to cases or
				  suspected cases of a birth defect is confidential and may be used only for the
				  purposes outlined in this Chapter.
B. Information relating to individual cases
				  or individual suspected cases of birth defects is not public information and
				  shall not be released or made public except as provided by this
				  Chapter.
C. The LBDMN may release
				  information:
1. for summary reporting
				  purposes, if released without personal identifiers;
2. to medical personnel, appropriate state
				  agencies, health authorities, regional directors, and public officers of
				  parishes and municipalities as necessary to comply with this Chapter and board
				  rules relating to the identification, monitoring, and referral of children with
				  birth defects;
3. to appropriate
				  federal agencies, as authorized by law and provided that the information
				  contains no personal identifiers.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 55 - Birth Defects Surveillance System › Chapter 163 - Program Procedures › Section V-16307 - Access to Information from the Central Registry

Current through Register Vol. 50, No. 6, June 20, 2024
A. The LBDMN or other authorized persons may
				  conduct investigations of cases or suspected cases in the LBDMN
				  registry.
B. Access to the central
				  registry information is limited to LBDMN personnel. Other persons with a valid
				  scientific research interest may be granted access to the information upon
				  approval by program director, the board, and the Department's Institutional
				  Review Board. These persons must satisfy any requirements stipulated by the
				  board, and must receive Institutional Review Board permission to obtain the
				  data.
C. All persons granted access
				  to confidential information and data shall agree, in writing, to maintain
				  confidentiality, and shall be subject to civil penalties and/or internal
				  proceedings and penalties if confidentiality is violated. Penalties may include
				  denial of future access to confidential information.
D. The department and LBDMN shall maintain a
				  listing of each person who is given access to confidential information in the
				  LBDMN registry. The listing is public information and shall be made available
				  to the public during the office's normal hours of operation. The listing shall
				  include:
1. the name of the person
				  authorizing access;
2. the name,
				  title, and organizational affiliation of each person who is granted
				  access;
3. the dates of
				  access;
4. the specific information
				  requested;
5. the specific purpose
				  for which the information was used;
6. results of independent research.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 55 - Birth Defects Surveillance System › Chapter 163 - Program Procedures › Section V-16309 - Program Operation

Current through Register Vol. 50, No. 6, June 20, 2024
A. The office
				  shall monitor reporting sources for compliance with all sections of this
				  statute.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S. 40.31.48.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 167 - Scope and Purpose › Section V-16701 - Scope

Current through Register Vol. 50, No. 6, June 20, 2024
A. This Part
				  governs the registration of doulas by the Louisiana Doula Registry Board
				  pursuant to
				  R.S.
				  22:1059.1, to allow for health insurance
				  reimbursement of doula services as provided therein.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 169 - Definitions › Section V-16901 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Unless otherwise
				  specifically provided herein or the context clearly requires otherwise, the
				  following words and terms used in this Chapter are defined for the purposes
				  thereof as follows.
Board
-Louisiana Doula Registry
					 Board.
Board Approved Doula Training
					 Organization
-an entity recognized and approved by the Board for
					 training and/or certifying doulas
Contact Hour-
60 minutes of participation
					 in an organized learning experience under responsible sponsorship, capable
					 direction, and qualified instruction, as approved by the board.
Department
-the Louisiana Department of
					 Health
Doula
-an individual who has been trained
					 to provide physical, emotional, and educational support, but not medical or
					 midwifery care, to pregnant and birthing women and their families before,
					 during, and after childbirth.
Hospital
-a facility or entity licensed by
					 the Louisiana Department of Health, or equivalent licensing agency in another
					 state or U.S. territory, as a hospital.
Louisiana Doula Registry
-the board's
					 listing or database of doulas that hold registered doula status in Louisiana,
					 as conferred by the Board.
Professional Boundaries-
the limits of the
					 professional relationship that allow for a safe therapeutic connection between
					 the doula and the client.
Registrant
-an individual listed on the
					 Louisiana Doula Registry.
Training
-the receipt of education or
					 instruction regarding, or the development through practice, of skills and
					 knowledge related to a competency.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 171 - General Provisions › Section V-17101 - Board Composition; Chairperson; Subcommittees

Current through Register Vol. 50, No. 6, June 20, 2024
A. The board shall be comprised of members as
				  specified in
				  R.S.
				  22:1059.1. Board members shall serve without
				  compensation for two years with the option for reappointment. The board may
				  establish subcommittees and appoint persons to those subcommittees, including
				  persons who are not board members, nor voting members, as it deems necessary
				  and appropriate to accomplish its goals.
B. The board shall biennially elect from
				  among its members a practicing doula as chairperson, and may also elect a
				  chairperson-elect.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 171 - General Provisions › Section V-17103 - Meetings of the Board

Current through Register Vol. 50, No. 6, June 20, 2024
A. Unless
				  otherwise provided by vote of the board or by order of the chairperson, regular
				  business meetings shall be held at least quarterly at a place and time
				  designated by the board.
B. Special
				  meetings shall be called by the chairperson, or upon the request of four
				  members of the board.
C. Any member
				  of the public wishing to have a special topic added to the agenda for a board
				  meeting shall notify the chairperson at least 21 days prior to the meeting.
				  Items of an emergency nature may be considered at any meeting without prior
				  notice.
D. Appropriate staff of the
				  Department shall create minutes and keep a record of all meetings, and such
				  records shall be retained as permanent records of the transactions of the
				  board.
E. Meetings of the board
				  shall be open to the public and the board shall comply with all applicable
				  requirements of the Open Meetings Law (R.S.
				  42:11 et seq.).
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 171 - General Provisions › Section V-17105 - Public Comment at Meetings of the Board

Current through Register Vol. 50, No. 6, June 20, 2024
A. At every open meeting of the board or its
				  committees, members of the public shall be afforded an opportunity to make
				  public comment addressing any matters set by agenda for discussion at that
				  meeting.
1. Concerns and public comments shall
				  be limited to five minutes per individual unless the time limitation is waived
				  by a majority of the board members present.
2. The board may require that anyone wishing
				  to speak on a specific item must present the request prior to the convening of
				  the meeting. In such case, cards shall be available to place the request for
				  public comment, along with the requestor's name and for whom the requestor is
				  appearing.
3. The chairperson may
				  defer public comment on a specific agenda item until that item is brought up
				  for discussion. However, the five-minute limitation for public comment shall
				  remain in effect unless waived by a majority of the board members
				  present.
4. The chairperson may
				  recognize individuals at a public meeting at his or her discretion.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 173 - Registration Criteria and Application Procedure › Section V-17301 - Qualifications for Registration

Current through Register Vol. 50, No. 6, June 20, 2024
A. To be
				  eligible to be registered by the board as a doula, an individual must:
1. be at least 18 years of age;
2. possess either a high school diploma or
				  high school equivalency documentation;
3. be a citizen of or lawfully authorized to
				  be employed in the United States; and
4. meet one of the following qualification
				  pathways:
a. demonstrate evidence of training
				  as a doula by satisfying both of the following criteria:
i. submission of three letters of
				  recommendation from clients to whom the individual has provided doula services
				  within the previous five years. Such letters must provide specific details
				  concerning the names, dates, and services provided; or
ii. submission of proof that the individual
				  contracted with and provided doula services to at least three clients within
				  the previous five years;
b. demonstrate receipt of a certificate of
				  completion of training as a doula by a board approved doula training
				  organization.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 173 - Registration Criteria and Application Procedure › Section V-17302 - Application Procedure

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Application for registration shall be made in a format or utilizing a form
				  prescribed by the board. The application, instructions, and address or method
				  of submitting an application are available on the board's webpage, located or
				  linked to on the website of the Louisiana Department of Health. The board shall
				  have the discretion to require use of an online application submission
				  system.
B. An application for
				  registration shall include:
1. proof,
				  documented in a manner and form satisfactory to the board, that the applicant
				  possesses the qualifications set forth in this Chapter;
2. a recent photograph of the applicant;
				  and
3. a mailing address, email
				  address, telephone phone number, and such other relevant information concerning
				  the applicant as the board may require.
a.
				  Using the instructions and method described on the board's webpage, applicants
				  and registrants must notify the board within 14 calendar days of any change in
				  mailing address, email address, or telephone number. Any such notification to
				  the board made by email shall be considered insufficient unless the submitter
				  receives a confirmation notification, by email or letter, from the board. The
				  board shall have the discretion to require use of an online submission system
				  for such changes.
b. The board may
				  require that an applicant provide the board with his or her home address,
				  home/personal cell phone number, and personal email address.
c. The board may honor a request from an
				  applicant that his or her home address, home/personal cell phone number, and
				  personal email address be confidential and not considered a public record, if
				  such applicant also provides a valid alternative email address that shall be
				  considered a public record.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 173 - Registration Criteria and Application Procedure › Section V-17303 - Effect of Application

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  submission to the board of an application for registration, including an
				  application for renewal, shall constitute and operate as an authorization by
				  the applicant to any of the following to provide to the board relevant facts,
				  information, and confirmation concerning same to the board:
1. each education institution at which the
				  applicant has matriculated;
2. each
				  client who provided a letter of recommendation concerning the
				  applicant;
3. each client to whom
				  the applicant provided doula services; and
4. each state or federal agency to which the
				  applicant has applied for registration.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 173 - Registration Criteria and Application Procedure › Section V-17304 - Registry Admittance, Termination, Renewal, Reinstatement

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the
				  qualifications, requirements, documentation, and procedures set forth in this
				  Chapter are met and provided to the satisfaction of the board, the board shall
				  place the applicant on the Doula Registry. The board shall notify a successful
				  applicant of such placement by email or U.S. mail, and such notice shall
				  include the expiration date of the registration.
B. Every registration issued by the board
				  shall expire on the last day of December of the fifth calendar year following
				  the year in which such registration was issued, unless renewed pursuant to the
				  requirements of this Chapter.
C. A
				  registrant shall submit an application for renewal to the board no earlier than
				  January 1 and no later than September 30 of the calendar year in which his or
				  her registration expires. For good cause, the board may in its sole discretion
				  accept a renewal application submitted before or after such dates. An
				  application for renewal shall be made in a format or utilizing a form
				  prescribed by the board. The renewal application, instructions, and address or
				  method of submitting a renewal application are available on the board's
				  webpage, located or linked to on the website of the Department of Health. The
				  board shall have the discretion to require use of an online renewal submission
				  system.
D. A timely-submitted
				  application for renewal shall be approved by the board only if the applicant
				  demonstrates and submits proof of completion of the continuing education
				  requirements set forth in this Part.
E. Except as otherwise provided in
				  §505 of this
				  Part, any registration not renewed on or before its expiration date shall be
				  deemed expired for non-renewal and become null, void, and of no effect. In such
				  event, the board shall remove the registrant from the doula registry.
F. Reinstatement of Registration. A
				  registration that has expired due to non-renewal may be reinstated within one
				  year of such expiration by submitting an application for reinstatement in a
				  format prescribed by the board. Reinstatement shall only occur if the applicant
				  demonstrates satisfaction of the continuing education requirements prescribed
				  in this Part. Reinstatement shall have effect only from the time it becomes
				  effective and shall not be retroactive.
G. Nothing in this Part shall be construed to
				  allow an individual to circumvent the Continuing Education requirements set
				  forth in this Part by seeking or attempting to have a request or application
				  for registration renewal treated as an application for initial
				  registration.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 173 - Registration Criteria and Application Procedure › Section V-17305 - Denial of Registration or Registration Renewal; Appeals

Current through Register Vol. 50, No. 6, June 20, 2024
A. The board shall send notification to an
				  applicant of the board's final determination that the applicant shall be denied
				  requested registration, renewal thereof, or reinstatement.
B. Any such denial shall state with
				  particularity the basis for the denial, including the specific reason(s) for
				  the denial, and shall include notice of right to an administrative hearing
				  before the Division of Administrative Law concerning same, provided that the
				  applicant submits an appeal request thereto within thirty calendar days of
				  receipt of the denial.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 22:1059.1(B)(1)(b) and
					 R.S.
					 22:1059.1(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 173 - Registration Criteria and Application Procedure › Section V-17306 - Removal from Registry; Appeals

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  The board may revoke the registration of any registered individual who:
1. violates or fails to comply with any
				  applicable provision or requirement of this Chapter;
2. provides to the board, or to any board
				  approved doula training organization, any false, misleading, forged, or
				  materially erroneous documents, documentation, or information;
3. violates applicable Health Insurance
				  Portability and Accountability Act (HIPAA) or other confidentiality
				  requirements concerning a client;
4. performs procedures outside or beyond the
				  scope of doula practice;
5.
				  misappropriates anything of value belonging to a client; or
6. exceeds professional boundaries, including
				  but not limited to sexual misconduct; for purposes of this Section.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 57 - Doula Registration › Chapter 175 - Continuing Education Requirements › Section V-17501 - Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. To be eligible
				  for renewal of registration on the doula registry, a registrant must
				  demonstrate and provide proof of successful completion of not less than 20
				  contact hours of continuing education, or equivalents or alternatives as
				  provided in this Section, obtained since such registration was last issued,
				  reinstated, or renewed.
B. To be
				  approved by the board, a proposed continuing education program or activity must
				  have significant intellectual, practical, or clinical content, dealing
				  primarily with matters related to maternal healthcare, including during
				  pregnancy, intrapartum, and postpartum.
C. The following programs and activities are
				  illustrative of the types of continuing education programs and activities which
				  may be approved by the board if it determines that they meet the criteria set
				  forth in Subsection B of this Section.
1.
				  Attendance at or participation in meetings, conferences, workshops, seminars,
				  or courses, including those sponsored or presented by the board;
2. Presenting at or conducting a course,
				  seminar, or workshop, provided that such presentation is accompanied by
				  thorough written materials or a comprehensive outline;
3. Teaching of a course in or directly
				  related to doula practice at an accredited education institution, provided that
				  such teaching is not performed in the ordinary course of the registered doula's
				  usual and ordinary employment;
4.
				  Publication, in a national, regional, or statewide scientific journal or other
				  publication of a related profession, of an original written work, related to
				  the maintenance or improvement of doula knowledge or skills, which shall count
				  as 20 contact hours; and
5.
				  Completion of academic courses related to specific knowledge and/or skills
				  required for practicing as a birth worker at an accredited postsecondary,
				  graduate, or postgraduate education institution. Contact hours shall be
				  calculated from credit hours as follows:
a.
				  quarter system hours: one credit hour equals 10 contact hours;
b. trimester system hours: one credit hour
				  equals 12 contact hours; and
c.
				  semester system hours: one credit hour equals 15 contact hours.