New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.22 - Statewide perinatal data system

Current through Register Vol. 46, No. 28, July 10, 2024
(a) All hospitals and freestanding birthing
					 centers which provide care and services to parturient women and/or neonates
					 shall participate in the statewide perinatal data system by providing required
					 information in accordance with this section. Facilities contributing data to
					 the system may only access data from the system in accordance with this section
					 and other applicable laws and regulations.
(b) As used in this section the following
					 terms shall have the following meanings:
(1)
					 The
statewide perinatal data system (SPDS)
shall mean the
					 electronic maternal and newborn data collection and analysis system established
					 and maintained by the Department of Health which includes the data elements,
					 organized in modules, which comprise the New York State certificate of live
					 birth for births occurring in New York State outside of New York City, or the
					 New York City certificate of live birth for births occurring in New York City,
					 and other data elements which relate to maternal and newborn health and care in
					 hospitals and free-standing birthing centers.
(2) The
core module
shall be
					 the New York State certificate of live birth, a data set consisting of elements
					 specified by the Commissioner of Health and collected for all parturient women
					 and newborns in New York State outside of New York City; and for births
					 occurring in New York City, the core module shall be the New York City
					 certificate of live birth, a data set consisting of elements specified by the
					 New York City Commissioner of Health and Mental Hygiene and collected for all
					 parturient women and newborns in New York City.
(3) The
supplemental module
shall mean a set of data supplied by the patient consisting of data elements
					 specified by the Commissioner of Health in consultation with the Commissioner
					 of the New York City Department of Health and Mental Hygiene. Supplemental
					 module data elements shall be related to quality of prenatal care and maternal
					 factors that may be related to birth outcomes.
(4) The
high risk obstetric
					 module
shall mean a data set consisting of data elements that provide
					 clinically-relevant information on pregnant women who are referred to
					 obstetricians for specialty care in the antepartum period or who are
					 transported to a higher level facility for delivery or care in the antepartum,
					 intrapartum or postpartum period. Elements will be as specified by the
					 Commissioner of Health in consultation with the Commissioner of the New York
					 City Department of Health and Mental Hygiene concerning all pregnant women
					 identified as having high risk pregnancies, inclusive of maternal transports to
					 higher levels of care. The data elements shall supplement core module data,
					 providing additional data on clinical risk status and interventions for high
					 risk births.
(5) The
high
					 risk neonatal module (NICU module)
shall mean a data set consisting of
					 data elements that provide clinically-relevant information on the neonate at
					 the time of entry to the neonatal intensive care unit. The elements will be as
					 specified by the Commissioner of Health in consultation with the Commissioner
					 of the New York City Department of Health and Mental Hygiene and data will be
					 collected on all neonates entering all special care and intensive care
					 nurseries for longer than four hours. The high risk neonatal module shall also
					 include information on all newborns who die in the delivery room, in transit to
					 the neonatal special or intensive care unit, and in the neonatal special or
					 intensive care units. The data elements shall supplement core module data,
					 providing additional data on clinical risk status and interventions for high
					 risk newborns.
(6) The
newborn Medicaid eligibility module
shall consist of the
					 Medicaid client identification number (CIN) and other Medicaid-specific
					 information as specified by the Commissioner of Health, and shall be available
					 solely to authorized Office of Medicaid Management staff and departmental staff
					 authorized to help maintain the SPDS files and the programming required
					 thereby.
(7)
De-identified
					 patient data
shall mean data from which individual patient names have
					 been expunged and other identifiers have been modified so that there is no
					 reasonable basis to believe that individual patients can be identified by using
					 such data except by the facility which provided the patient care and
					 services.
(8)
Quality
					 improvement
shall mean any use or analysis of SPDS data that
					 identifies for further investigation any poor outcomes potentially amenable to
					 intervention (sentinel events), trends by hospital, hospital level or region,
					 potential problem areas or any issues with quality of care; and further, may
					 lead to improvement of the care provided by the regional perinatal center, its
					 affiliate hospitals or regional perinatal system providers through development
					 of initiatives designed to address the potential problems identified, or to
					 improve the quality of the data collected via the SPDS.
(9)
Target area for a community-based
					 organization under contract to the New York State Department of Health
shall mean the organization's specified area of operation and/or influence as
					 noted in their current contract.