New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 3 - Hospital Operation › Part 721 - Perinatal Regionalization System › Section 721.5 - Responsibilities and qualifications of chiefs of services at each designated level

Current through Register Vol. 46, No. 28, July 10, 2024
The qualifications and responsibilities for each
						designated level shall be as follows:
(a) Level I perinatal care service. Care
					 shall be coordinated jointly by the chiefs of obstetrics, pediatrics, family
					 practice, nursing, anesthesia, and midwifery. For facilities that do not have
					 chiefs of service in all such areas, each discipline shall have effective input
					 in care coordination. The coordinators of perinatal care at a Level I perinatal
					 care services hospital shall be responsible for developing policy, maintaining
					 standards of care, and collaborating and consulting with professional staff of
					 hospitals providing Level II and Level III perinatal care services and RPC
					 perinatal care in the region. In hospitals that do not separate maternity and
					 newborn services, one person may be given the responsibility for coordinating
					 perinatal care;
(b) Level II
					 perinatal care service. A board-certified obstetrician with special interest,
					 experience, and expertise in maternal- fetal medicine shall be the chief of the
					 obstetric service at a Level II care hospital. A full-time board-certified
					 pediatrician with subspecialty certification in neonatal medicine or at a
					 minimum has successfully completed a fellowship in neonatal medicine shall be
					 the chief of the neonatal care services. These physicians shall jointly
					 coordinate the hospital's perinatal care services and, in conjunction with the
					 chiefs of anesthesiology, nursing, midwifery, and family practice, and other
					 patient care and administration staff, shall develop policies concerning
					 staffing, procedures, equipment, and supplies; maintaining standards of care;
					 and planning, developing, and coordinating in-hospital professional educational
					 programs;
(c) Level III perinatal
					 care services. The chief of the maternal-fetal medicine service at a hospital
					 providing Level III perinatal care shall be a full-time, board-certified
					 obstetrician with interest, experience and special competence in maternal-fetal
					 medicine; subspecialty certification in maternal-fetal medicine is recommended.
					 The director of a newborn intensive care service at a Level III hospital shall
					 be a full-time, board-certified pediatrician with subspecialty certification in
					 neonatal medicine. These physicians shall jointly coordinate the hospital's
					 perinatal care services in order to ensure provision of a comprehensive
					 continuum of high quality care to mothers and newborns. In conjunction with the
					 chiefs of anesthesiology, nursing, midwifery, and family practice, and other
					 patient care and administrative staff, these physicians shall be responsible
					 for developing policies concerning staffing, procedures, equipment, and
					 supplies; maintaining standards of care; and planning, developing, and
					 coordinating in-hospital professional educational programs; and
(d) RPC care. The chief of the maternal-fetal
					 medicine service at an RPC shall be a full-time, board-certified obstetrician
					 with subspecialty certification in maternal-fetal medicine. The chief of a
					 newborn intensive care service at an RPC shall be a full-time, board-certified
					 pediatrician with subspecialty certification in neonatal medicine. These
					 physicians shall jointly coordinate perinatal care services in order to ensure
					 provision of a comprehensive continuum of high quality care to mothers and
					 newborns. In conjunction with the chiefs of anesthesiology, nursing, midwifery,
					 and family practice, and other patient care and administration staff, these
					 physicians shall be responsible for developing policies concerning staffing,
					 procedures, equipment, and supplies; maintaining standards of care; and
					 planning, developing, and coordinating in-hospital professional educational
					 programs. The chiefs of maternal- fetal medicine and neonatology will also be
					 responsible for providing outreach and professional education programs,
					 participating in the evaluation and improvement of perinatal care in the
					 region, and coordinating the services provided at their hospital with those
					 provided at Level I, Level II and Level III care hospitals in the
					 region.