Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 133 - HOSPITAL LICENSING › Subchapter L - CENTERS OF EXCELLENCE FOR FETAL DIAGNOSIS AND THERAPY › Section 133.223 - General Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) The Office
				  of EMS/Trauma Systems (office) shall recommend to the Executive Commissioner of
				  the Health and Human Services Commission (executive commissioner) the
				  designation of an applicant/healthcare facility as a Center of Excellence for
				  Fetal Diagnosis and Therapy for each location of a facility, which the office
				  deems appropriate.
(b) A
				  healthcare facility is defined under this subchapter as a single location where
				  inpatients receive hospital services or each location if there are multiple
				  buildings where inpatients receive hospital services and are covered under a
				  single hospital license.
(c) Each
				  location shall be considered separately for designation and the office will
				  determine the designation for that location, based on, but not limited to, the
				  location's own resources and level of care capabilities; Perinatal Care Region
				  (PCR) capabilities; and compliance with Chapter 133 of this title, (relating to
				  Hospital Licensing).
(d) A CEFDT
				  shall:
(1) provide the highest level of
				  maternal, fetal, and neonatal care for patients with the least to most complex
				  fetal conditions;
(2) provide at a
				  minimum, all fetal therapies and interventions proven effective antenatally
				  based on level I evidence-based metrics;
(3) have skilled medical staff and personnel
				  with documented training, competencies and continuing education specific for
				  the patient population served;
(4)
				  offer fetal diagnosis and therapy through an extensive multi-specialty clinical
				  program that is affiliated and collaborates extensively with a medical school
				  in this state;
(5) demonstrate a
				  significant commitment to research in and advancing the field of fetal
				  diagnosis and therapy;
(6) offer
				  advanced training programs in fetal diagnosis and therapy;
(7) provide appropriate long-term monitoring
				  and follow-up care for patients, including measuring short-term and long-term
				  patient diagnostic and therapeutic outcomes;
(8) provide outreach and education to
				  maternal and/or neonatal designated facilities, including the Quality
				  Assessment and Performance Improvement (QAPI) process;
(9) hold current verification for
				  maternal-fetal surgical care from an organization approved by the department;
(10) hold current verification
				  from the American College of Surgeons as a Level I Children's Surgery Center;
(11) be designated by the
				  department as a Level IV Maternal Level of Care facility;
(12) be designated by the department as a
				  Level IV Neonatal Level of Care facility;
(13) participate in CEFDT meetings twice a
				  year as determined by the department:
(A) for
				  the purposes of mutual collaboration;
(B) to discuss inclusion criteria for fetal
				  intervention and biopsychosocial outcome variables both short-term and
				  long-term; and
(C) to participate
				  in a multi-disciplinary performance improvement process; and
(14) have facility specific
				  treatment outcomes vetted and approved by the department for public posting on
				  the facility website for public access and/or redirect the public to the
				  facility specific outcomes posted on the department's website.