Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 133 - HOSPITAL LICENSING › Subchapter K - HOSPITAL LEVEL OF CARE DESIGNATIONS FOR MATERNAL CARE › Section 133.202 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, have the following meanings, unless the context clearly indicates
					 otherwise.
(1) ACLS--Advanced
				  Cardiovascular Life Support. A resuscitation course that was developed and is
				  administered by the American Heart Association.
(2) Antepartum--The period beginning on the
				  date of conception and ending on delivery.
(3) Attestation--A written statement, signed
				  by the chief executive officer of the facility, verifying the results of a
				  self-survey represent a complete and accurate assessment of the facility's
				  capabilities required in this subchapter.
(4) Available--Relating to staff who can be
				  contacted for consultation at all times without delay.
(5) Board-eligible--A physician who has
				  completed a residency or fellowship and is eligible for board certification
				  according to the applicable medical board.
(6) CAP--Corrective Action Plan. A plan for
				  the facility developed by the department that describes the actions required of
				  the facility to correct identified deficiencies to ensure the applicable
				  designation requirements are met.
(7) Department--The Texas Department of State
				  Health Services.
(8) Designation--A
				  formal recognition by the department of a facility's maternal care capabilities
				  and commitment for a period of three years.
(9) EMS--Emergency medical services. Services
				  used to respond to an individual's perceived need for immediate medical
				  care.
(10) Focused Survey--A
				  department-defined modified facility survey by a department-approved survey
				  organization or the department. The specific goal of this survey is to review
				  designation requirements identified as not met to resolve a contingent
				  designation or requirement deficiencies.
(11) Gestational age--The age of a fetus or
				  embryo determined by the amount of time that has elapsed since the first day of
				  the maternal patient's last menstrual period or the corresponding age of the
				  gestation as estimated by a physician through a more accurate method.
(12) High-risk infant--A newborn that has a
				  greater chance of complications because of conditions that occur during fetal
				  development, pregnancy conditions of the mother, or problems that may occur
				  during labor or birth.
(13)
				  Immediately--Able to respond without delay, commonly referred to as
				  STAT.
(14) Infant--A child from
				  birth to one year of age.
(15)
				  Intrapartum--During labor and delivery or childbirth.
(16) Inter-facility transport--Transfer of a
				  patient from one healthcare facility to another healthcare facility.
(17) Lactation consultant--A health care
				  professional who specializes in the clinical management of
				  breastfeeding.
(18)
				  Maternal--Pertaining to the mother.
(19) Maternal Program Oversight--A
				  multidisciplinary process responsible for the administrative oversight of the
				  maternal program and having the authority for approving the defined maternal
				  program's policies, procedures, and guidelines for all phases of maternal care
				  provided by the facility, to include defining the necessary staff competencies,
				  monitoring to ensure maternal designation requirements are met, and the
				  aggregate review of the maternal QAPI initiatives and outcomes. Maternal
				  Program Oversight may be performed through the maternal program's performance
				  improvement committee, multidisciplinary oversight committee, or other
				  structured means.
(20)
				  MFM--Maternal Fetal Medicine.
(21)
				  MMD--Maternal Medical Director.
(22) MPM--Maternal Program Manager.
(23) Neonate--An infant from birth through 28
				  completed days after.
(24)
				  Obstetrics--Related to pregnancy, childbirth, and the postpartum
				  period.
(25) On-site--At the
				  facility and able to arrive at the patient bedside for urgent
				  requests.
(26) PCR--Perinatal Care
				  Region. The PCRs are established for descriptive and regional planning
				  purposes. The PCRs are geographically divided by counties and are integrated
				  into the existing 22 Trauma Service Areas (TSAs) and the applicable Regional
				  Advisory Council (RAC) of the TSA provided in §
										157.122 of this title (relating to
				  Trauma Services Areas) and §
										157.123 of this title (relating to
				  Regional Emergency Medical Services/Trauma Systems).
(27) Perinatal--Of, relating to, or being the
				  period around childbirth, especially the five months before and one month after
				  birth.
(28) PASD--Placenta Accreta
				  Spectrum Disorder. A disorder that includes placenta accreta, placenta increta,
				  and placenta percreta.
(29)
				  POC--Plan of Correction. A report submitted to the department by the facility
				  detailing how the facility will correct any deficiencies cited in the maternal
				  designation site survey summary or documented in the
				  self-attestation.
(30)
				  Premature/prematurity--Birth at less than 37 weeks of gestation.
(31) Postpartum--The six-week period
				  following pregnancy or delivery.
(32) QAPI Plan--Quality Assessment and
				  Performance Improvement Plan. QAPI is a data-driven and proactive approach to
				  quality improvement. It combines two approaches - Quality Assessment (QA) and
				  Performance Improvement (PI). QA is a process used to ensure services are
				  meeting quality standards and assuring care reaches a defined level. PI is the
				  continuous study and improvement process designed to improve system and patient
				  outcomes.
(33) RAC--Regional
				  Advisory Council as described in §
										157.123 of this title.
(34) Screening--Evaluation for the presence
				  or absence of a disease or condition.
(35) Supervision--Authoritative procedural
				  guidance by a qualified person for the accomplishment of a function or activity
				  with initial direction and periodic inspection of the actual act of
				  accomplishing the function or activity.
(36) Telehealth service--A health service,
				  other than a telemedicine medical service, delivered by a health professional
				  licensed, certified, or otherwise entitled to practice in this state and acting
				  within the scope of health professional's license, certification, or
				  entitlement, to a patient at a different physical location than the health
				  professional using telecommunications or information technology as defined in
				  Texas Occupations Code §
										111.001.
(37) Telemedicine medical service--A health
				  care service delivered by a physician licensed in this state, or health
				  professional acting under the delegation and supervision of a physician
				  licensed in this state and acting within the scope of the physician's or health
				  professional's license to a patient at a different physical location than the
				  physician or health professional using telecommunications or technology as
				  defined in Texas Occupations Code §
										111.001.
(38) TSA--Trauma Service Area as described in
				  §
										157.122 of this title.
(39) Urgent--Requiring action or attention
				  within 30 minutes of notification.