New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.7 - Regional perinatal and pediatric plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each MCHC
				certificate of need applicant shall submit a regional perinatal and pediatric plan
				to the Department for approval, with projections for the following five years, as
				the basis for the establishment of the consortium. The regional perinatal and
				pediatric plan shall include each of the components listed in (b) below, and shall
				be updated and approved by the Department annually.
(b) The specific components of the regional
				perinatal and pediatric plan shall include the following:
1. A needs assessment which describes the status
				of the maternal and child health services region at the time the plan is developed
				with respect to: the occurrence of infant mortality; low birth weight births; the
				proposition of women receiving risk appropriate prenatal care; number of births to
				adolescents; the occurrence of pediatric mortality and morbidity for children from
				birth to 21 years of age; and social, cultural, economic and demographic factors
				influencing the perinatal and pediatric needs of the communities served by the
				maternal and child health service region;
2. A description of current perinatal and
				pediatric services in the region at the time the plan is developed, including
				Medicaid managed care providers. This description shall include a list, by county,
				of all of the following:
i. Practicing obstetric,
				prenatal care and family planning providers;
ii. Practicing perinatal specialists, both nursing
				and medical;
iii. Practicing pediatric
				care providers, including family practice, primary care providers, and specialists
				serving children from birth to 21 years of age;
iv. A list of sites, both licensed ambulatory and
				private practice, where preconceptional health, family planning, genetic counseling,
				prenatal care, school based youth services, local government (child health
				conferences), pediatric primary care, pediatric long term care, pediatric
				rehabilitation services, mental health services, early intervention programs, child
				evaluation centers, and other specialized services are provided;
v. A description, by hospital, of the existing
				inpatient maternity, newborn and pediatric services to include all of the following:
(1) The number of traditional labor, delivery,
				recovery and postpartum beds, and/or the number of multi-function rooms, that is,
				labor-delivery-recovery or labor-delivery-recovery-postpartum rooms;
(2) Licensed intermediate care bassinet capacity
				and utilization;
(3) Licensed intensive
				care bassinet capacity and utilization;
(4) Licensed pediatric bed capacity and
				utilization;
(5) Licensed pediatric
				intensive care bed capacity and utilization;
(6) The number of pediatric admissions to
				hospitals without licensed pediatric beds;
(7) The number of pediatric patients admitted for
				ambulatory care sensitive diagnoses; and
(8) Documentation of the appropriate in-house and
				on-call coverage commitments by professional staff for ambulatory, emergency
				department and inpatient services in each facility;
vi. A list of sites where high-risk infant
				follow-up programs are provided; and
vii. A list of hospitals designated by the
				Department as Level I or Level II trauma centers;
3. An assessment of gaps in services developed by
				comparing the identified needs described in (b)1 above, with the current resources
				described in (b)2 above. A description of the potential need for new services or
				changes in the distribution of existing services within the region shall also be
				included;
4. A list of objectives that
				address identified gaps in existing hospital and community services within the
				region, and measurable outcome criteria and methods to achieve those
				objectives.
5. A plan that describes the
				use of mid-level practitioners, such as obstetric and pediatric nurse practitioners,
				family planning nurse practitioners, certified nurse midwives, other advanced
				practice nurses, and physician assistants, especially in areas of assessed provider
				shortages;
6. A prevention plan that
				describes both clinical (inpatient and ambulatory) and nonclinical services to be
				provided to mothers and families in the maternal and child health service region
				(both at risk and general) to help reduce the incidence of identified
				behaviorally-based perinatal problems, and includes a comprehensive risk assessment
				protocol;
7. A plan to assure access to
				culturally sensitive, community-based, preventive and primary services by all
				children that includes well-child and 24 hour sick care; and
8. A plan to develop an infant tracking system of
				all newborns in need of primary care.