reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-5 - Vital Statistics › Section 3701-5-11 - Record preservation by office of vital statistics

Current through all regulations passed and filed through July 1, 2024
The director shall preserve all vital records filed with the
				office of vital statistics in accordance with Chapter 3705. of the Revised Code
				by maintaining the original or a typewritten, photographic, electronic, or
				other reproduction of the vital record in the 
								bureau of
				vital statistics. When one hundred twenty-five years have elapsed after the
				date of birth or fifty years have elapsed after the date of death, fetal death
				(stillbirth), abstracts of marriage, divorce,
				dissolution, or annulment, the director may transfer the certificate of birth,
				death, or fetal death, or abstract of marriage, divorce, dissolution of
				marriage, or annulment into the custody of the Ohio 
								history
				connection.  The director
				shall maintain an index for records that have not
				elapsed.
Effective: 7/3/2016
Five Year Review
				(FYR) Dates: 04/11/2016 and
				04/01/2021
Promulgated
				Under: 119.03
Statutory
				Authority: 3705.02
Rule
				Amplifies: 3705.02,
				3705.03,
				3705.04,
				3705.05,
				3705.06,
				3705.07,
				3705.071,
				3705.08,
				3705.08,
				3705.091,
				3705.10,
				3705.11,
				3705.11,
				3705.12,
				3705.13,
				3705.14,
				3705.15,
				3705.16,
				3705.17,
				3705.28,
				3705.19,
				3705.20,
				3705.21,
				3705.22,
				3705.23,
				3705.24,
				3705.241,
				3705.242,
				3705.25,
				3705.26,
				3705.27,
				3705.28,
				3705.29,
				3705.99
Prior
				Effective Dates: 11/20/1994
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-5 - Vital Statistics › Section 3701-5-12 - Disclosure of medical and health information

Current through all regulations passed and filed through July 1, 2024
(A) The state registrar or the local
			 registrar may disclose data from vital statistics records including data from
			 the "information for medical and health use only" to any governmental agency or
			 political subdivision that request the
			 data for statistical or research purposes in the course of their official
			 duties.
(B)
								The director or state registrar may permit the release of
			 data from the "information for medical and health use only" section of a birth
			 record, for appropriate statistical or research purposes after consultation
			 with the department institutional review board. No data shall be
			 furnished from records for statistical or research purposes until
			 
								the department institutional review
			 board has received an agreement signed by a responsible agent of the
			 research organization agreeing to conform to the following release conditions:
(1) Research protocol must be submitted to
			 the department for review and approval;
(2) The release agreement must state that
			 vital statistics information received will not become part of any permanent
			 record in the institution or organization;
(3) The release agreement must state that
			 vital statistics information will be kept confidential and will not be provided
			 to another individual, agency, or organization;
(4) Copies of survey letters and/or
			 questionnaires must be submitted for approval when used in conjunction with
			 vital statistics information;
(5)
			 If applicable, copies of human subject review board/committee approval from
			 institution or other organization must be submitted;
(6) Any other conditions deemed necessary by
			 the director to protect the confidentiality of the "information for medical and
			 health use only" section of the certificate of birth.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-5 - Vital Statistics › Section 3701-5-13 - Heirloom birth certificate fee

Current through all regulations passed and filed through July 1, 2024
The fee for an heirloom birth certificate shall be twenty-five
				dollars of which ten dollars shall be used for the purposes specified by the
				family and children first council pursuant to section
				121.37 of the Revised Code and
				including the fee required by section
				3109.14 of the Revised Code, The
				director may reduce the amount of the fee to be used by the family and children
				first council if the council so requests.
Five Year Review (FYR) Dates:
				04/04/2016 and
				04/01/2021
Promulgated
				Under: 119.03
Statutory
				Authority: 3705.02
Rule
				Amplifies: 3705.23
Prior
				Effective Dates: 5/3/1997, 1/13/98 (Emer.),
				5/8/98
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-5 - Vital Statistics › Section 3701-5-14 - Coroner's protocol

Current through all regulations passed and filed through July 1, 2024
(A) The coroner shall investigate the death
			 of and perform an autopsy on any child under two years of age that dies
			 suddenly when in apparent good health unless a court with jurisdiction
			 determines under section
			 313.131 of the Revised Code that
			 an autopsy is contrary to the religious beliefs of the child. The coroner shall
			 investigate the death and perform the autopsy by conducting the following:
(1) An investigation of the site where the
			 child was found dead and indicating, if the information is available, whether
			 the child was observed to die, when the child was last seen alive, the place of
			 death, the circumstances under which the child was found dead and by whom, the
			 position of the child when found, and the identity of all individuals who
			 attempted to resuscitate the child;
(2) A complete medical history of the child,
			 including, if the information is available, the child's date of birth, birth
			 weight, type of delivery, number of well-baby visits, history of major illness
			 including recent illness and any medical treatment, feeding history, birth
			 mother's prenatal history and history of any drug use, whether any siblings
			 have suddenly died under the age of two while in apparent good health or have
			 died from any other cause;
(3) An
			 external examination of the child including noting the child's state of
			 nutrition and development, examining the nares and choanae, determining the
			 age, race, sex, body length, and body weight of the child, and evaluating the
			 child for evidence of rash, dehydration, anomalies, and injury;
(4) An internal examination including
			 evaluating the epiglottis, larynx, and trachea, and noting the presence or
			 absence of thymic petechiae, pleural petechiae, epicardial petechiae and fluid
			 blood;
(5) A microscopic
			 examination of any of the following that are indicated after conducting
			 paragraphs (A)(1) through (A)(4) of this rule, provided that a specimen is
			 possible to obtain:
(a) One vertical section
			 of the heart including the left atrium and left ventricle;
(b) One section of each lobe of both lungs;
(c) Both kidneys and adrenals;
(d) The ileum including a Peyer's
			 patch;
(e) The liver and pancreas;
(f) The larynx including the
			 epiglottis;
(g) The brain,
			 including the cortex, basal ganglia, mid-pons, and medulla, each to include
			 meninges; and
(h) The thymus; and
(6) Any other
			 examination or investigation that is indicated by the facts and circumstances
			 of the case.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-5 - Vital Statistics › Section 3701-5-15 - Adoption file fee

Current through all regulations passed and filed through July 1, 2024
The fee to copy the contents of an adoption file pursuant to
				sections 3107.38 and
				3107.47 of the Revised Code
				shall be twenty dollars.
Five Year Review (FYR) Dates:
				04/04/2016 and
				04/01/2021
Promulgated
				Under: 119.03
Statutory
				Authority: 3705.241
Rule
				Amplifies: 3107.38,
				3107.47
Prior
				Effective Dates: 10/25/1996
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-5 - Vital Statistics › Section 3701-5-16 - Registration of out of institution birth

Current through all regulations passed and filed through July 1, 2024
(A) In any case where a birth occurs outside
			 an institution and the birth certificate is filed within
			 
								one
			 year of the birth, documentation of the following shall be required in
			 order to register an out of institution birth:
(1) Evidence of pregnancy, such as, but not
			 limited to:
(a) Prenatal
			 or postnatal record, or
(b) A statement from a physician or other
			 health care provider qualified to determine pregnancy, or
(c) A home visit by a public health nurse or
			 other health care provider, or
(d)
			 Other evidence acceptable to the state registrar.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-6 - Physician Loan Repayment Program › Section 3701-6-01 - Definitions

Current through all regulations passed and filed through July 1, 2024
As used in this chapter:
(A) "Department" means the
			 Ohio department of health.
(B) "Director" means the director of the
			  department  or the director's designee.
(C) "Educational expenses" mean all or part
			 of the principal and interest of a government or commercial educational loan
			 which has been taken by a primary care physician and which meets the following
			 criteria:
(1) The expenses were incurred while
			 the physician was enrolled in, for up to a maximum of four years:
(a) A medical institution or a school or
			 college of osteopathy in the United States accredited by the liaison committee
			 on medical education or the American osteopathic association; or
(b) A medical school located outside the
			 United States that was acknowledged by the world health organization while the
			 physician was enrolled; and
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-6 - Physician Loan Repayment Program › Section 3701-6-02 - Eligibility and application process

Current through all regulations passed and filed through July 1, 2024
(A) A primary care physician will not have an
			 outstanding obligation for medical service to the federal government, a state,
			 or other entity at the time of participation in the physician loan repayment
			 program and meets one of the following requirements may apply for participation
			 in the physician loan repayment program if:
(1) The primary care physician is enrolled in
			 the final year of an accredited program required for board certification in a
			 primary care specialty; or
(2) The
			 primary care physician is enrolled in the final year of a fellowship program in
			 a primary care specialty; or
(3)
			 The primary care physician holds a valid license to
			 practice medicine and surgery or osteopathic medicine and surgery issued under
			 Chapter 4731. of the Revised Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-6 - Physician Loan Repayment Program › Section 3701-6-03 - Requirements for contract

Current through all regulations passed and filed through July 1, 2024
(A)
								As used in this
			 rule:
(1)
									"Full-time practice" means working a minimum of forty hours
			 per week for a minimum of forty-five weeks each service year. Practice related
			 administrative duties may not exceed eight hours per week.
(2)
									"Part-time
			 practice" means working a minimum of twenty hours and a maximum of thirty-nine
			 hours per week for a minimum of forty-five weeks each service year. Practice
			 related administrative activities may not exceed four hours per
			 week.
(3)
									"Teaching activities" means providing clinical
			 education to health professions students and residents regarding the normal
			 course of practice and expertise at the practice site(s) specified in the
			 contract. Full-time practitioners may spend up to eight hours per week
			 conducting both practice related administrative activities and teaching in the
			 clinical setting at the approved practice site(s). Part-time practitioners may
			 spend up to four hours per week conducting both practice related administrative
			 duties and teaching in the clinical setting at the approved practice
			 site(s).
In order to qualify as teaching, the
				physician must be providing clinical education and supervision of students or
				clinicians in the approved practice site(s) as part of an accredited clinical
				training program.
All teaching must be conducted at the
				practice site(s) specified in the physician's contract. If the supervising
				physician provides primary care services while the student or clinician
				observes, the activity should be treated as direct patient care rather than
				teaching.
(4)
									"Telemedicine activities" means providing primary care
			 services using an interactive telecommunications system, defined as multimedia
			 communication equipment that includes, at a minimum, audio and video equipment
			 permitting two-way real time interactive communication between the patient at
			 the originating site(s) and the physician at the practice site(s) approved by
			 the department and agreed upon by the physician and the director. Full-time
			 practitioners may count up to eight hours per week in telemedicine activities
			 as patient care at the approved practice site(s). Part-time practitioners may
			 count up to four hours per week in telemedicine activities as patient care at
			 the approved practice site(s).
In order to qualify as telemedicine
				activities, both the originating site(s) (location of the patient) and the
				approved practice site(s) must be located in health resource shortage
				areas.
All telemedicine activities must be
				conducted at the practice site(s) specified in the physician's
				contract.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-6 - Physician Loan Repayment Program › Section 3701-6-04 - Health resource shortage areas

Current through all regulations passed and filed through July 1, 2024
(A)
								Health resource
			 shortage areas shall include the following:
(1)
									A geographical
			 area, facility, or population group in this state that is designated by the
			 United States secretary of health and human services as a health professional
			 shortage area for primary care or mental health under 42 CFR in accordance with
			 Appendix A or Appendix C to 42 CFR Part 5, dated October 1,
			 2007.
(2)
									A geographical area, facility or population group in
			 this state which:
(a)
										Has previously been designated as a health professional
			 shortage area as described in paragraph (A)(1) of this rule;
			 and
(b)
										Has a population to primary care physician ratio
			 exceeding two thousand to one or a population to psychiatrist ratio exceeding
			 twenty thousand to one.
(3)
									A free clinic, as
			 defined in section 3701.071 of the Revised Code,
			 regardless of whether a clinic is located in a geographic area that is
			 designated as a health resource shortage area.
(4)
									Other areas or
			 population groups which the director has determined to have unmet needs for
			 primary care physicians.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-02 - Application of rules

Current through all regulations passed and filed through July 1, 2024
(A)
								 Except as
			 provided in paragraph (B) of this rule, no person shall operate any of the
			 following unless the person holds the appropriate valid license issued under
			 this chapter:
(1)
									 A maternity unit as defined in division (C) of section
			 3711.01 of the Revised
			 Code;
(2)
									 A newborn care nursery as defined in division (D) of
			 section 3711.01 of the Revised Code;
			 and
(3)
									 A maternity home as defined in division (B) of section
			 3711.01 of the Revised
			 Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-03 - License application; issuance; renewal

Current through all regulations passed and filed through July 1, 2024
(A) Application for a license to operate a
			 maternity unit and newborn care nursery, a newborn care nursery, a maternity
			 home, or renewal of an existing license, shall be made either in writing on a form provided by the director
			 and signed by the applicant or the applicant's agent or
			 using an electronic system prescribed by the director and affirmed by the
			 applicant or the applicant's agent, and shall include the following:
(1) A nonrefundable application or renewal
			 fee based upon the level classification as follows:
(a) Level I obstetrical service and level I
			 neonatal care service, one thousand two hundred fifty dollars;
(b) Level II obstetrical service and level II
			 neonatal care service, one thousand seven hundred fifty dollars;
(c) Level III obstetrical service and level
			 III neonatal care service, two thousand two hundred fifty dollars;
(d)
										Level IV
			 obstetrical service and level IV neonatal care service, two thousand two
			 hundred fifty dollars;
(e) Freestanding
			 children's hospital with a level III neonatal care service, two thousand two
			 hundred fifty dollars;
(f)
										Freestanding
			 children's hospital with a level IV neonatal care service, two thousand two
			 hundred fifty dollars; or
(g) Maternity home,
			 seven hundred fifty dollars;
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-04 - Prohibitions

Current through all regulations passed and filed through July 1, 2024
(A)
								
								No person or agency of state or local
			 government shall operate a maternity unit, newborn care nursery, or maternity
			 home that does not comply with the provisions of this chapter of the
			 Administrative Code.
(B) No person
			 or agency of state or local government shall:
(1) Interfere with an inspection or
			 investigation of a hospital maternity unit, newborn care nursery, or maternity
			 home by the director. As used in this paragraph, "interfere" means to obstruct
			 directly or indirectly any individual conducting an authorized inspection or
			 investigation from carrying out his or her duties, including:
(a) Harassment;
(b) Intimidation;
(c) Refusal to permit the director upon
			 presentation of official department identification, to inspect or investigate
			 the operation of a maternity unit, newborn care nursery, or maternity home;
			 or
(d) Refusal to permit the
			 director upon presentation of official department identification to enter and
			 inspect records that are kept concerning the operations of the hospital
			 maternity unit, newborn care nursery, or maternity home for information
			 necessary to determine compliance with the applicable rules of this
			 chapter.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-05 - Inspections; compliance

Current through all regulations passed and filed through July 1, 2024
(A) The director of health shall monitor
			 compliance with Chapter 3711. of the Revised Code and Chapter 3701-7 of the
			 Administrative Code. The director may conduct inspections of a maternity unit,
			 newborn care nursery, or maternity home as often as deemed necessary based upon
			 the compliance history of the maternity unit, newborn care nursery, or
			 maternity home, but at least once every three years, to adequately monitor
			 compliance. The inspections may be scheduled and announced or random and
			 unannounced as follows:
(1) The triennial
			 inspection shall be scheduled and announced; and
(2) All other inspections may be random and
			 unannounced.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-06 - General facilities and equipment requirements

Current through all regulations passed and filed through July 1, 2024
(A) This rule shall not be construed to
			 require any maternity unit licensed on or before March 20, 1997, to alter,
			 upgrade, or otherwise improve the structure or fixtures of the maternity unit
			 in order to comply with the requirements of this rule, unless one of the
			 following applies:
(1) The maternity unit
			 initiates or has, after March 20, 1997, initiated a construction, renovation,
			 or a reconstruction project that involves a capital expenditure of at least
			 
									five
			 hundred thousand dollars, not including expenditures for equipment or
			 staffing or operational costs, and that directly involves the area in which the
			 existing maternity unit is located;
(2) The maternity unit initiates or has,
			 after March 20, 1997, initiated a service level designation change under rule
			 3701-7-07
			 of the Administrative Code as it existed prior to the
			 effective date of this rule, or prior Chapter 3701-84 of the
			 Administrative Code;
(3)
									On or after the
			 effective date of this rule, the maternity unit or newborn care nursery
			 initiates a change of the unit's level classification for which it is licensed;
			 or
(4) The director determines or has determined, by
			 clear and convincing evidence, that failure to comply would create an imminent
			 risk to the health and welfare of any patient.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-07 - Level I service standards

Current through all regulations passed and filed through July 1, 2024
(A)
								Obstetric
			 license. A level I obstetrical service shall provide antepartum, intrapartum
			 and postpartum care for obstetrical patients, including:
(1)
									 Low-risk
			 patients, such as patients with:
(a)
										Term deliveries;
(b)
										Singleton
			 deliveries; and
(c)
										Deliveries with vertex presentation;
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-08 - Level II service standards

Current through all regulations passed and filed through July 1, 2024
(A)
								Obstetric
			 license. A level II obstetrical service shall provide antepartum, intrapartum
			 and postpartum care for obstetrical patients, including:
(1)
									All low-risk
			 patients;
(2)
									All uncomplicated patients with higher-risk
			 conditions;
(3)
									Selected high-risk patients as identified by the
			 service, such as patients with:
(a)
										Severe preeclampsia; or
(b)
										Placenta previa
			 with prior uterine surgery in which a placenta accreta has been ruled out by
			 ultrasound or magnetic resonance imaging;
(4)
									The management of
			 unanticipated complications of labor and delivery; and
(5)
									The management of
			 emergencies.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-09 - Level III service standards

Current through all regulations passed and filed through July 1, 2024
(A)
								Obstetric
			 license. A level III obstetrical service shall provide antepartum, intrapartum
			 and postpartum care for obstetrical patients, including:
(1)
									All low-risk
			 patients;
(2)
									All uncomplicated patients with higher-risk
			 conditions;
(3)
									All high-risk patients;
(4)
									Patients with
			 more complex maternal or fetal conditions as identified by the service, such as
			 patients;
(a)
										With suspected placenta accreta or placenta previa with
			 prior uterine surgery;
(b)
										With suspected placenta percreta;
(c)
										With adult
			 respiratory syndrome; or
(d)
										Requiring expectant management of early severe
			 preeclampsia at less than thirty-four weeks of gestation;
(5)
									Intensive care through an on-site intensive care unit that
			 is equipped to:
(a)
										Provide labor and delivery in the intensive care
			 unit;
(b)
										Provide medical and surgical care of complex
			 obstetrical conditions; and
(c)
										Bring intensive
			 care unit services to the obstetrical unit;
(6)
									The management of
			 unanticipated complications of labor and delivery; and
(7)
									The management of
			 emergencies.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-10 - Level IV service standards

Current through all regulations passed and filed through July 1, 2024
(A)
								Obstetric
			 license. A level IV obstetrical service shall provide antepartum, intrapartum
			 and postpartum care for obstetrical patients, including:
(1)
									All low-risk
			 patients;
(2)
									All uncomplicated patients with higher-risk
			 conditions;
(3)
									All high-risk patients;
(4)
									Patients with
			 more complex maternal or fetal conditions;
(5)
									Patients with the
			 most complex medical conditions as identified by the service, or patients who
			 are critically ill, including patients with:
(a)
										Severe maternal
			 cardiac conditions;
(b)
										Severe pulmonary hypertension or liver
			 failure;
(c)
										Pregnant women requiring neurosurgery or cardiac
			 surgery; and
(d)
										Pregnant women in unstable condition and in need of an
			 organ transplant;
(6)
									 Intensive care
			 through an on-site intensive care unit that is equipped to:
(a)
										Provide labor and
			 delivery in the intensive care unit;
(b)
										Provide medical
			 and surgical care of complex obstetrical conditions; and
(c)
										Bring intensive
			 care unit services to the obstetrical unit;
(7)
									The management of
			 unanticipated complications of labor and delivery; and
(8)
									The management of
			 emergencies.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-11 - Freestanding children's hospitals with level III or level IV neonatal care services

Current through all regulations passed and filed through July 1, 2024
(A)
								A freestanding
			 children's hospital with a level III neonatal care service shall provide care
			 for for newborns, including:
(1)
									Low-risk newborns;
(2)
									Convalescing and
			 moderately ill newborns;
(3)
									Extremely low birth weight infants;
(4)
									Newborns who
			 require advanced respiratory care, other than extracorporeal membrane
			 oxygenation, such as high-frequency ventilation and inhaled nitric oxide;
			 and
(5)
									Newborns who require major surgery other than surgical
			 repair of serious congenital cardiac malformations that require cardiopulmonary
			 bypass.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-11.1 - Freestanding children's hospitals with level III or level IV neonatal care services that provide special delivery services

Current through all regulations passed and filed through July 1, 2024
(A)
								A freestanding
			 children's hospital licensed under this chapter may provide special delivery
			 services to pregnant women as part of a comprehensive multidisciplinary program
			 of fetal and neonatal care when it is determined that the fetus, once
			 delivered, will require immediate highly subspecialty neonatal intensive care
			 or neonatal surgery typically provided by a level III or level IV neonatal care
			 service. Special delivery services shall only be available to pregnant women
			 when it is determined, after evaluation of the patient and review of their
			 medical history and other contributing factors leading up to labor and delivery
			 by an appropriately qualified obstetric provider, the woman is less likely to
			 experience intrapartum and postpartum medical and surgical
			 complications.
(B)
								Each freestanding children's hospital that provides
			 special delivery services shall, in conjunction with contracted obstetric staff
			 or a licensed obstetrical service, develop and follow a patient care plan for
			 both the pregnant woman and the newborn for each delivery. The comprehensive
			 care plan shall, include, at minimum:
(1)
									A delineation of
			 responsibilities for the provision of obstetrical care and neonatal care,
			 including support personnel and services at all stages of
			 labor;
(2)
									Provision of antepartum and postpartum care of the
			 pregnant woman, to include supervision by an obstetrician or maternal-fetal
			 medicine specialist, and on-site nursing services provided by a least two
			 registered nurses competent in obstetric care with additional registered nurses
			 based on the acuity of the patient;
(3)
									Parameters for
			 transfer of the pregnant woman should risks present themselves before, during,
			 or after pregnancy; and
(4)
									A staffing plan for when actively providing special
			 delivery services, in addition to the requirements of paragraphs (F) to (K) of
			 rule
			 3701-7-11
			 of the Administrative Code, that includes, at minimum, the following qualified
			 staff on-site to attend each delivery
(a)
										An obstetrician
			 or maternal fetal medicine specialist capable of performing a Cesarean
			 section;
(b)
										A neonatologist to attend to the
			 newborn;
(c)
										Maternal-fetal medicine or fetal surgeon during
			 operative procedures;
(d)
										A neonatal multidisciplinary team of staff for
			 deliveries, headed by a neonatologist with additional registered nurse staff
			 competent in neonatal care based on the acuity of newborn; and
(e)
										At least two
			 registered nurses competent in obstetric care with additional registered nurses
			 based on the acuity of the patient.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-11.2 - Freestanding children's hospitals with a level IV neonatal care services and a level III obstetrical service

Current through all regulations passed and filed through July 1, 2024
(A)
								A freestanding
			 children's hospital with a level IV neonatal care service may also provide a
			 level III obstetrical service. In addition to the requirements of paragraphs
			 (B) to (K) of rule
			 3701-7-11
			 of the Administrative Code, a freestanding children's hospital with a level IV
			 neonatal care service and a level III obstetrical service shall provide
			 antepartum, intrapartum and postpartum care for obstetrical patients,
			 including:
(1)
									
			 All low-risk patients;
(2)
									All uncomplicated patients with higher-risk
			 conditions;
(3)
									All high-risk patients;
(4)
									Patients with
			 more complex maternal or fetal conditions as identified by the service, such as
			 patients:
(a)
										
			 With suspected placenta accreta or placenta previa with prior uterine
			 surgery;
(b)
										With suspected placenta percreta;
(c)
										With adult
			 respiratory syndrome; or
(d)
										Requiring expectant management of early severe
			 preeclampsia at less than thirty-four weeks of gestation;
(5)
									
			 Intensive care through an on-site intensive care unit that is equipped
			 to:
(a)
										Provide
			 labor and delivery in the intensive care unit;
(b)
										Provide medical
			 and surgical care of complex obstetrical conditions; and
(c)
										Bring intensive
			 care unit services to the obstetrical unit;
(6)
									The management of
			 unanticipated complications of labor and delivery; and
(7)
									The management of
			 emergencies.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-12 - Maternity home safety standards

Current through all regulations passed and filed through July 1, 2024
(A)
								All persons whose
			 work or service responsibilities involve continuing activities in the maternity
			 home shall have a health evaluation by a licensed physician or other licensed
			 health professional operating within their scope of practice, which shall
			 include establishing the absence of conditions transmissible to others, prior
			 to their having access to the home.
(B)
								The maternity
			 home shall designate a person as administrator to be responsible for day to day
			 operations of the home, ensuring that resident needs are met at all times and
			 for assuring compliance with Chapter 3711. of the Revised Code and Chapter
			 3701-7 of the Administrative Code.
(C)
								Each maternity
			 home that operates a nursery, shall retain a physician qualified in pediatrics
			 to direct the care of the infants including the initiation and maintenance of
			 policies and procedures necessary for this care.
(D)
								The maternity
			 home shall retain the services of a registered nurse to direct the nursing
			 activities, including the initiation and maintenance of policies and procedures
			 dealing with nursing care.
(E)
								A nurse shall be
			 on duty at all times when the nursery is occupied in a maternity home that
			 operates a nursery.
(F)
								The maternity home shall establish and follow written
			 infection control policies and procedures for the surveillance, control,
			 prevention, and reporting of communicable disease organisms by both the contact
			 and airborne routes which shall be consistent with current infection control
			 guidelines issued by the United States centers for disease control and
			 prevention. The policies and procedures shall address:
(1)
									The utilization
			 of protective clothing and equipment;
(2)
									The storage,
			 maintenance and distribution of sterile supplies and equipment;
(3)
									The disposal of
			 biological waste, including blood, body tissue, and fluid in accordance with
			 Ohio law;
(4)
									Universal precautions body substance isolation or
			 equivalent; and
(5)
									Tuberculosis and other airborne
			 diseases.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-13 - Newborn nutrition

Current through all regulations passed and filed through July 1, 2024
(A)
								Each maternity
			 unit or newborn care nursery shall develop and follow written service plans for
			 the following:
(1)
									Administration of donor human milk and donor human milk
			 products, if used, including protocols, equipment, and supplies for the
			 administration of donor milk and donor milk products to newborns requiring
			 intervention; and
(2)
									Maintenance of newborn nutrition services to ensure
			 that newborn nutritional needs are met.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-14 - Complaints; quality assurance; reports

Current through all regulations passed and filed through July 1, 2024
(A)
								Each maternity
			 unit, newborn care nursery, or maternity home shall develop and follow policies
			 and procedures to effectively receive, investigate, and report findings of
			 complaints regarding the quality or appropriateness of care and services. The
			 documentation of complaints shall, at a minimum, include the following:
(1)
									The date
			 complaint was received;
(2)
									The identity, if provided, of the
			 complainant;
(3)
									A description of the complaint
			 allegations;
(4)
									The identity of persons, or provider of the services,
			 or both, involved;
(5)
									The findings of the investigation; and
(6)
									The resolution of
			 the complaint.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-15 - Record keeping requirements

Current through all regulations passed and filed through July 1, 2024
(A)
								Medical record.
			 Each maternity unit or newborn care nursery shall maintain a medical record for
			 each patient that documents, in a timely manner and in accordance with
			 acceptable standards of practice, the patient's needs and assessments, and
			 services rendered. Each medical record shall be legible and readily accessible
			 to staff for use in the ordinary course of treatment.
(B)
								Each maternity
			 unit shall maintain delivery logs that includes the following, if known at the
			 time of delivery:
(1)
									Maternal name;
(2)
									Admission
			 date;
(3)
									Estimated date of confinement;
(4)
									Membrane rupture
			 date and time;
(5)
									Type of anesthesia, to include;
(a)
										Epidural;
(b)
										General;
(c)
										Local;
			 or
(d)
										Spinal;
(6)
									Type of delivery,
			 to include:
(a)
										Cesarean section;
(b)
										Forcep;
(c)
										Trial of labor
			 after cesarean;
(d)
										Vaginal; or
(e)
										
			 Vacuum;
(7)
									Delivery date and time;
(8)
									Newborn's
			 weight;
(9)
									Apgars;
(10)
									Gestational age;
			 and
(11)
									Complications, if any, to include:
(a)
										Delivery and
			 postpartum problems;
(b)
										Diabetes (gestational);
(c)
										Emergency
			 cesarean section;
(d)
										Hemorrhage;
(e)
										Known fetal
			 anomalies;
(f)
										Placenta previa;
(g)
										Placental
			 abruption;
(h)
										Preeclampsia;
(i)
										Gestational
			 hypertension; or
(j) Uterine rupture.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-16 - Waivers and variances

Current through all regulations passed and filed through July 1, 2024
(A)
								Upon written
			 request of a maternity unit or newborn care nursery, the director may grant
			 a:
(1)
									Variance
			 from any requirement in rules
			 3701-7-01 to
			 3701-7-16 of the Administrative Code if the director determines that the intent
			 of the requirement has been met in an alternative manner; or
(2)
									Waiver from any
			 requirement in rules
			 3701-7-01 to
			 3701-7-16 of the Administrative Code if the director determines that the strict
			 application of the requirement would cause an undue hardship to the maternity
			 unit and that granting the waiver would not jeopardize the health or safety of
			 any patient.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-7 - Maternity Units and Homes › Section 3701-7-17 - Waivers and variances

Current through all regulations passed and filed through July 1, 2024
(A)
								 Upon written
			 request of a hospital maternity unit, newborn care nursery, or maternity home
			 the director may grant:
(1)
									 A variance from any requirement in rules
			 3701-7-01 to
			 3701-7-16
			 of the Administrative Code if the director determines that the intent of the
			 requirement has been met in an alternative manner; or
(2)
									 A waiver from
			 any requirement in rules
			 3701-7-01 to
			 3701-7-16
			 of the Administrative Code if the director determines that the strict
			 application ofthe requirement would cause an
			 undue hardship to the maternity unit and that granting the waiver would not
			 jeopardize the health and safety of any patient or resident.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-8 - Help Me Grow Program › Section 3701-8-01 - Definitions

Current through all regulations passed and filed through July 1, 2024
(A) "Accreditation"
			 means the process by which a local implementing agency reaches the quality
			 standards set forth by the evidence -based model.
(B) "Affiliation" means a verified
			 association with an evidence-based home visiting model, per model
			 standards.
(C) "Assessment" means
			 the ongoing procedures used by qualified personnel to assess a child and
			 family's resources, strengths, priorities, needs risks, and concerns.
(D) "Caregiver" means a parent or relative
			 who has assumed an active role in the health and welfare of a child eligible
			 for home visiting services.
(E)
			 "Centralized intake and referral contractor" means any entity who enters into
			 agreement with the Ohio department of health to provide administration and
			 oversight of central intake activities as specified in section
			 3701.611 of the Revised Code or
			 its successor. At a minimum, these activities include public awareness, child
			 find, maintaining central directories, and referral activity.
(F) "Consent" means that written permission
			 is provided once an individual has been fully informed of all information
			 relevant to the activity for which permission is sought. Consent is further
			 voluntarily given and may be revoked at any time.
(G) "Contract manager" means the designated
			 individual who is responsible for oversight and monitoring of central intake
			 and referral activities as outlined in this rule and in agreements entered into
			 with the department. The contract manager and the home
			 visiting program manager may be the same person.
(H) "Department" means the Ohio department of
			 health.
(I) "Director" means the
			 director of health or authorized designee.
(J) "Evidence-based home visiting model"
			 means utilizing a model that has been determined evidence-based by the Ohio
			 department of health (ODH), and/or the office of planning, research, and
			 evaluation in the administration for children and families, United States
			 department of health and human services or its successor.
(K) "Exit" means a family is no longer
			 receiving home visiting services due to one of the following:
(1) Ineligibility due to the age of the child
			 or length of enrollment in the home visiting program, based on the fidelity
			 standards of the evidence-based or promising- practice model
			 implemented;
(2) Family has
			 graduated from the program;
(3)
			 Loss of contact with family;
(4)
			 Family voluntarily withdraws from the program; or
(5) Family does not meet eligibility
			 criteria.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-8 - Help Me Grow Program › Section 3701-8-02 - Home visiting program eligibility

Current through all regulations passed and filed through July 1, 2024
(A) The centralized intake and referral
			 contractor will
								
								contact every caregiver
								or parent
			  referred to home visiting
			 
								to
			 determine if they are eligible or not eligible within thirty days of the
			 program referral, in accordance with the following:
(1) Expectant families or caregivers of a
			 child under the age of three whose family income is not in excess of two
			 hundred per cent of the federal poverty level, unless approved by the
			 department; and is in accordance with the fidelity standards for the home
			 visiting model implemented, and meets any 
									standards of the funding source used to provide
			 services.
(2) Any family or
			 caregiver referenced in paragraph (A) of this rule who is enrolled in home
			 visiting services, may be served in accordance with the age
			 specifications in section
			 3701.61 of the Revised Code, or
			 exit the program in accordance with the fidelity standards for the home
			 visiting model being implemented.
(3)
									
									A parent or caregiver who is actively working
			 with child welfare to regain or obtain custody of their
			 child, foster care families and kinship care families
									may
			 receive services in accordance with the fidelity
			 standards for the home visiting model being implemented.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-8 - Help Me Grow Program › Section 3701-8-03 - Standards and procedures for determining initial eligibility and expansion of home visiting providers

Current through all regulations passed and filed through July 1, 2024
(A) An
			 entity who seeks to become a home visiting provider will complete
			 and submit to the department a provider application using forms approved by the
			 director. Applicant will also do the following:
(1) Submit documentation demonstrating the
			 completion of the process to become a vendor with the state of Ohio as
			 specified by the Ohio department of administrative
			 services;
(2) Submit documentation
			 demonstrating financial solvency; and
(3)
			 Submit a letter of intent to affiliate, using a form approved by the director,
			 which includes timelines to affiliate with and implement a model that has been
			 determined evidence-based or a promising practice by the Ohio department of
			 health, or the office of planning, research, and evaluation in the
			 administration for children and families, United States department of health
			 and human services or its successor.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-8 - Help Me Grow Program › Section 3701-8-04 - Personnel and supervision requirements

Current through all regulations passed and filed through July 1, 2024
(A) Providers will ensure
			 compliance with the personnel requirements for any individual used to provide
			 home visiting services in accordance with "Equal Employment Opportunity" (EEO)
			 laws and the following:
(1) Each individual
			 serving in the capacity of home visitor, supervisor of home visitors, or
			 program manager will meet the education, training and credentialing
			 stipulated in this rule;
(2) If an individual obtains the supervisor
			 credential, they may serve in multiple roles, in accordance with fidelity
			 standards for the home visiting model implemented;
(3) Providers will maintain
			 documentation of compliance with this paragraph for each program manager,
			 supervisor of home visitors and each home visitor the provider uses through
			 sub-contract or employment;
(4)
			 Home visitors, supervisors of home visitors, and program managers
			 will
			 avoid multiple relationships and conflicts of interest with any
			 client/consumer- of-services, ex-clients, family members, family members of
			 clients or ex- clients, or other persons encountered in professional or
			 non-professional setting, which are not in the best interest of the client and
			 might impair professional judgment or which increases the risk of
			 client/consumer-of- services exploitation.