reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 66 - REGULATIONS GOVERNING DURABLE DO NOT RESUSCITATE ORDERS › Part III - Requirements and Provisions › Section 12VAC5-66-50 - Authorized alternate Durable DNR jewelry

Current through Register Vol. 40, No. 24, July 15, 2024
The board authorizes the use of Alternate Durable DNR
					 jewelry in conjunction with the issuance of a Durable DNR Order. These
					 Alternate Durable DNR jewelry items shall be uniquely-designed and
					 uniquely-identifiable bracelets and necklaces that are available only from a
					 vendor approved by the Virginia Department of Health, Office of EMS. The
					 Alternate Durable DNR jewelry must be purchased from the approved vendor by the
					 person to whom a Durable DNR Order Form applies, or the person authorized to
					 consent on the patient's behalf. An original Durable DNR Order Form must be
					 obtained from a physician and provided to the vendor in order to receive
					 Alternate Durable DNR jewelry. Such a necklace or bracelet may be utilized
					 either to validate the Durable DNR Order Form or in place of an original
					 Durable DNR Order Form in the event that the original order is not readily
					 available at the site where the person to whom the order applies is found. In
					 order to be honored by qualified health care personnel in place of the standard
					 Durable DNR Order Form, the Alternate Durable DNR jewelry must contain the
					 minimum information approved by the State Board of Health in
					 12VAC5-66-60.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 66 - REGULATIONS GOVERNING DURABLE DO NOT RESUSCITATE ORDERS › Part III - Requirements and Provisions › Section 12VAC5-66-60 - Other DNR Orders

Current through Register Vol. 40, No. 24, July 15, 2024
A. Nothing in
				  these regulations shall be construed to preclude licensed health care
				  practitioners from following any Other Do Not Resuscitate Order in accordance
				  with the applicable policies and procedures of the health care facility in
				  which they practice.
B. Qualified
				  health care personnel are authorized to honor any Other Do Not Resuscitate
				  (DNR) Order as if it were a Durable Do Not Resuscitate Order when the patient
				  is currently admitted to a hospital or other qualified health care facility or
				  is in transit from a qualified health care facility provided that such order
				  includes the same information as listed in subdivision 1 of
				  12VAC5-66-40, except that an Other
				  DNR Order shall not be required to include the signature of the patient or a
				  person authorized to consent for the patient on the order itself.
C. Nothing in these regulations shall
				  prohibit qualified health care personnel from following any direct verbal order
				  issued by a licensed physician not to resuscitate a patient in cardiac or
				  respiratory arrest when such physician is physically present.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 66 - REGULATIONS GOVERNING DURABLE DO NOT RESUSCITATE ORDERS › Part IV - Implementation Procedures › Section 12VAC5-66-70 - Issuance of a Durable DNR Order

Current through Register Vol. 40, No. 24, July 15, 2024
A. A Durable DNR Order may be issued to a
				  patient by a physician, with whom the patient has established a bona fide
				  physician/patient relationship, as defined by the Board of Medicine in their
				  current guidelines, only with the consent of the patient or, if the patient is
				  a minor or is otherwise incapable of making an informed decision regarding
				  consent for such an order, upon the request of and with the consent of the
				  person authorized to consent on the patient's behalf.
B. The use of the authorized Durable DNR
				  Order Form is encouraged to provide uniformity throughout the health care
				  continuum.
C. The authorized
				  Durable DNR Order can be honored by qualified health care personnel in any
				  setting.
D. Qualified health care
				  personnel are authorized to honor only a Durable DNR Order on an authorized
				  form or Alternate DNR jewelry, except as provided in
				  12VAC5-66-60 of these
				  regulations.
E. Prior to issuing a
				  Durable DNR Order, the physician shall explain to the patient or the person
				  authorized to consent on the patient's behalf, the alternatives available for
				  response in the event of cardiac or respiratory arrest. If the option of a
				  Durable DNR Order is agreed upon, the physician shall have the following
				  responsibilities:
1. Explain the
				  circumstances under which qualified health care personnel may follow a Durable
				  DNR Order.
2. Explain how to and
				  who may revoke the Durable DNR Order.
3. Document the patient's full legal
				  name.
4. Document the execution
				  date of the Durable DNR Order.
5.
				  Obtain the signature of the patient or the person authorized to consent on the
				  patient's behalf on all three forms: the patient's copy, medical record copy,
				  and the copy used for obtaining Alternate DNR jewelry.
6. Make sure that the issuing physician's
				  name is clearly printed and the form is signed.
7. Record the contact telephone number for
				  the issuing physician.
8. Issue the
				  original Durable DNR Order Form, and the patient and Alternate DNR jewelry
				  copies to the patient and maintain the medical record copy in the patient's
				  medical file.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 66 - REGULATIONS GOVERNING DURABLE DO NOT RESUSCITATE ORDERS › Part IV - Implementation Procedures › Section 12VAC5-66-80 - Durable DNR Order implementation procedures

Current through Register Vol. 40, No. 24, July 15, 2024
A. Qualified health care personnel shall
				  comply with the following general procedures and published Virginia Durable DNR
				  Order Implementation Protocols when caring for a patient who is in cardiac or
				  respiratory arrest and who is known or suspected to have a Durable DNR Order in
				  effect.
B. Initial assessment and
				  intervention. Perform routine patient assessment and resuscitation or
				  intervention until a valid Durable DNR Order, Alternate DNR jewelry, or Other
				  DNR Order can be confirmed, as follows:
1.
				  Determine the presence of a Durable DNR Order, approved Alternate Durable DNR
				  jewelry, or Other DNR Order.
2. If
				  the patient is within a qualified health care facility or in transit between
				  qualified health care facilities, any qualified health care personnel may honor
				  an Other DNR Order as set forth in
				  12VAC5-66-60.
3. Determine that the Durable DNR form or
				  Alternate DNR jewelry is not altered.
4. Verify, through driver's license or other
				  identification with photograph and signature or by positive identification by a
				  family member or other person who knows the patient, that the patient in
				  question is the one for whom the Durable DNR Order, Alternate DNR jewelry, or
				  Other DNR Order was issued.
5. If
				  the Durable DNR Order, Alternate DNR jewelry, or Other DNR Order is intact,
				  unaltered, and verified as issued for the patient, qualified health care
				  personnel may consider it valid.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 66 - REGULATIONS GOVERNING DURABLE DO NOT RESUSCITATE ORDERS › Part IV - Implementation Procedures › Form - FORMS (12VAC5-66)

Current through Register Vol. 40, No. 24, July 15, 2024
Durable
					 Do Not Resuscitate Order - Virginia Department of Health, EMS-7105 (eff.
					 6/11)
.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 67 - ADVANCE HEALTH CARE DIRECTIVE REGISTRY › Section 12VAC5-67-10 - General provisions

Current through Register Vol. 40, No. 24, July 15, 2024
A. In
				accordance with Article 9 (§ 54.1-2994 et seq.) of Chapter 29 of Title
				54.1 of the Code of Virginia and this chapter, the Department of Health shall
				make available to the public an Advance Health Care Directive Registry by (i)
				contracting with a vendor, (ii) publicizing the availability of an existing
				registry maintained by another entity, or (iii) entering into a public-private
				partnership.
B. The department
				shall ensure that the contracted vendor, public-private partnership, or any
				other entity through which the department has made the registry available to
				citizens of the Commonwealth annually contacts persons who have registered
				documents to remind them of which documents they have registered.
Statutory Authority
§ 54.1-2995 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 67 - ADVANCE HEALTH CARE DIRECTIVE REGISTRY › Section 12VAC5-67-20 - Criteria for submission of an advance directive to the registry

Current through Register Vol. 40, No. 24, July 15, 2024
A. Documents that
				may be submitted to the registry include:
1.
				A health care power of attorney.
2.
				An advance directive created pursuant to Article 8 (§ 54.1-2981 et seq.)
				of Chapter 29 of Title 54.1 of the Code of Virginia or a subsequent act of the
				General Assembly.
3. A declaration
				of an anatomical gift made pursuant to the Revised Uniform Anatomical Gift Act
				(§ 32.1-291.1 et seq. of the Code of Virginia).
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 67 - ADVANCE HEALTH CARE DIRECTIVE REGISTRY › Section 12VAC5-67-30 - Access to the registry

Current through Register Vol. 40, No. 24, July 15, 2024
The person registering documents may specify a legal
				  representative or other persons to have access to such documents. It shall be
				  the responsibility of the person registering to provide such persons with the
				  information necessary to access the registry. Licensed health care providers
				  shall have access to the registry for the purpose of a query for advance
				  directive information on patients who are comatose, incapacitated, or otherwise
				  mentally or physically incapable of communication.
Statutory Authority: § 54.1-2995 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-20

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-30 - Core panel of heritable disorders and genetic diseases

Current through Register Vol. 40, No. 24, July 15, 2024
A. The Virginia Newborn Screening System,
				which includes the Virginia Newborn Screening Program, the Virginia Early
				Hearing Detection and Intervention Program, and the Virginia critical
				congenital heart disease screening, shall ensure that the core panel of
				heritable disorders and genetic diseases for which newborn screening is
				conducted is consistent with but not necessarily identical to the U.S.
				Department of Health and Human Services Secretary's Recommended Uniform
				Screening Panel.
B. The department
				shall review, at least biennially, national recommendations and guidelines and
				may propose changes to the core panel of heritable disorders and genetic
				diseases for which newborn dried-blood-spot screening tests are
				conducted.
C. The Virginia Genetics
				Advisory Committee may be consulted and provide advice to the commissioner on
				proposed changes to the core panel of heritable disorders and genetic diseases
				for which newborn dried-blood-spot screening tests are conducted.
D. Infants under six months of age who are
				born in Virginia shall be screened in accordance with the provisions set forth
				in this chapter for the following heritable disorders and genetic diseases,
				which are identified through newborn dried-blood-spot screening tests:
1. Argininosuccinic aciduria (ASA);
2. Beta-Ketothiolase deficiency
				(BKT);
3. Biotinidase deficiency
				(BIOT);
4. Carnitine uptake defect
				(CUD);
5. Classical galactosemia
				(galactose-1-phosphate uridyltransferase deficiency) (GALT);
6. Citrullinemia type I (CIT-I);
7. Congenital adrenal hyperplasia
				(CAH);
8. Cystic fibrosis
				(CF);
9. Glutaric acidemia type I
				(GA I);
10. Hb S beta-thalassemia
				(Hb F,S,A);
11. Hb SC-disease (Hb
				F,S,C);
12. Hb SS-disease (sickle
				cell anemia) (Hb F, S);
13.
				Homocystinuria (HCY);
14.
				Isovaleric acidemia (IVA);
15. Long
				chain L-3-Hydroxy acyl-CoA dehydrogenase deficiency (LCHAD);
16. Maple syrup urine disease
				(MSUD);
17. Medium-chain acyl-CoA
				dehydrogenase deficiency (MCAD);
18. Methylmalonic acidemia (Methylmalonyl-CoA
				mutase deficiency) (MUT);
19.
				Methylmalonic acidemia (Adenosylcobalamin synthesis deficiency) (CBL A, CBL
				B);
20. Multiple carboxylase
				deficiency (MCD);
21.
				Phenylketonuria (PKU);
22. Primary
				congenital hypothyroidism (CH);
23.
				Propionic acidemia (PROP);
24.
				Severe combined immunodeficiency (SCID);
25. Tyrosinemia type I (TYR I);
26. Trifunctional protein deficiency
				(TFP);
27. Very long-chain acyl-CoA
				dehydrogenase deficiency (VLCAD);
28. 3-hydroxy 3-methyl glutaric aciduria
				(HMG);
29. 3-Methylcrotonyl-CoA
				carboxylase deficiency (3-MCC);
30.
				Pompe disease;
31.
				Mucopolysaccharidosis type I (MPS I);
32. Spinal muscular atrophy (SMA);
				and
33. X-linked
				adrenoleukodystrophy (X-ALD).
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-40 - Religious exemption from newborn dried-blood-spot screening requirements

Current through Register Vol. 40, No. 24, July 15, 2024
Refusal by the infant's parent or guardian to consent to the
				  collection and submission of a newborn dried-blood-spot screening specimen
				  because the test conflicts with his religious practices or tenets shall be
				  documented in the medical record and communicated to the
				  department.
Statutory Authority
§ 32.1-12 and Article 7 (§ 32.1-65 et seq.) of
					 Chapter 2 of Title 32.1 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-50 - Responsibilities of the physician or midwife

Current through Register Vol. 40, No. 24, July 15, 2024
For every live birth in the Commonwealth, the physician or
				  midwife in charge of the infant's care after delivery shall cause the initial
				  collection and submission of a newborn dried-blood-spot screening specimen for
				  testing of those heritable disorders and genetic diseases listed in
				  12VAC5-71-30 D and in accordance
				  with 12VAC5-71-70 or
				  12VAC5-71-80.
Statutory Authority
§ 32.1-12 and Article 7 (§ 32.1-65 et seq.) of
					 Chapter 2 of Title 32.1 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-60 - Responsibilities of the first attending healthcare provider

Current through Register Vol. 40, No. 24, July 15, 2024
In the event that a physician or midwife does not attend the
				  birth and newborn dried-blood-spot screening tests have not been performed, the
				  first attending healthcare provider shall cause the initial collection and
				  submission of a newborn dried-blood-spot screening specimen for testing of
				  those heritable disorders and genetic diseases listed in
				  12VAC5-71-30 D in accordance with
				  12VAC5-71-110.
Statutory Authority
§ 32.1-12 and Article 7 (§ 32.1-65 et seq.) of
					 Chapter 2 of Title 32.1 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-70 - Newborn dried-blood-spot screening specimen collection, specimen submission, and notification for hospital deliveries

Current through Register Vol. 40, No. 24, July 15, 2024
A. Newborn
				dried-blood-spot specimen collection and submission shall be done in accordance
				with requirements that are determined by the department's designated testing
				laboratory.
B. Newborn
				dried-blood-spot specimen collection shall occur after 24 hours of age or
				immediately before the newborn's discharge from the hospital, whichever comes
				first.
C. If the initial newborn
				dried-blood-spot specimen is collected before 24 hours of age, a repeat
				specimen shall be collected at the time of discharge from the hospital or no
				later than 14 days of age, regardless of earlier test results.
D. If the newborn is a preterm infant, the
				newborn dried-blood-spot specimen shall be collected at seven days of age or at
				the time of discharge from the hospital, whichever occurs first.
E. If the newborn requires a blood
				transfusion or total parenteral nutrition (TPN) or if the newborn is suspected
				of having a heritable disorder or genetic disease that is listed in
				12VAC5-71-30 D:
1. The newborn dried-blood-spot specimen may
				be collected before 24 hours of age and subsequently submitted; and
2. A repeat newborn dried-blood-spot specimen
				shall be collected at the time of discharge from the hospital or no later than
				14 days of age, regardless of earlier test results, and subsequently
				submitted.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-80 - Newborn dried-blood-spot screening specimen collection, specimen submission, and notification for deliveries outside of the hospital

Current through Register Vol. 40, No. 24, July 15, 2024
A. In the event
				that the infant is born outside of a hospital, the attending physician or
				midwife shall ensure that:
1. Newborn
				dried-blood-spot specimen collection and submission is done in accordance with
				requirements that are determined by the department's designated testing
				laboratory.
2. Newborn
				dried-blood-spot specimen collection occurs after 24 hours of age.
3. If the initial newborn dried-blood-spot
				specimen is collected before 24 hours of age, a repeat specimen shall be
				collected no later than 14 days of age, regardless of earlier test
				results.
4. If the newborn is
				hospitalized, the infant's healthcare provider shall cause the newborn
				dried-blood-spot screening specimen collection and submission in accordance
				with 12VAC5-71-70.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-90 - Responsibilities of the chief executive officer

Current through Register Vol. 40, No. 24, July 15, 2024
The chief executive officer shall assure that the hospital
				  providing birthing services develops and implements policies and procedures to
				  make certain that the following steps take place:
1. Collection of newborn dried-blood-spot
				screening specimens shall occur after 24 hours of birth, and collection and
				submission of the specimens shall meet the standards required by the testing
				laboratory;
2. Notification of the
				newborn's physician of record or designee shall occur within one business day
				in the event that the infant is discharged before the newborn dried-blood-spot
				screening specimen has been collected;
3. Communication of the newborn
				dried-blood-spot screening test results to the newborn's physician of record or
				designee shall occur so that test results may become part of the infant's
				medical record on file with the physician;
4. The newborn screening dried-blood-spot
				results and treatment shall be recorded in the patient's medical record, and
				retention of the information shall comply with applicable medical record
				retention requirements; and
5.
				Training of staff on newborn dried-blood-spot screening specimen collection and
				submission and parental notification shall be implemented in a way that ensures
				an adequately trained and knowledgeable workforce is maintained for
				implementing specimen collection and submission and parental notification
				according to standards required by the testing laboratory and guidance from the
				department.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-100 - Responsibilities of the testing laboratory providing newborn dried-blood-spot screening tests

Current through Register Vol. 40, No. 24, July 15, 2024
A. Newborn
				dried-blood-spot screening tests shall be performed by the Division of
				Consolidated Laboratory Services or other laboratory the department has
				contracted with to provide this service in accordance § 32.1-65 of the
				Code of Virginia.
B. The testing
				laboratory shall maintain accreditation under the federal Clinical Laboratory
				Improvement Amendments regulations as defined in 42 CFR Part 493.
C. The testing laboratory shall perform
				required initial and secondary tests using validated analytical test methods
				and establish normal ranges and notification protocols as defined in the
				contract with the department. The testing laboratory may seek the advice of the
				Newborn Screening Subcommittee of the Virginia Genetics Advisory
				Committee.
D. On completion of
				newborn dried-blood-spot screening tests for the infant, the testing laboratory
				shall provide the completed test results to the submitting facility and to the
				infant's healthcare provider, as indicated on the newborn screening
				sample.
E. The testing laboratory
				shall provide the department's newborn screening program with the newborn
				dried-blood-spot screening test data that are necessary to carry out follow-up
				services.
F. The testing laboratory
				shall manage the distribution of newborn dried-blood-spot screening specimen
				collection kits.
G. The testing
				laboratory is authorized to set the fee charged to birthing hospitals and
				physicians for purchase of newborn dried-blood-spot screening specimen
				collection kits in consultation with the department and in accordance with
				applicable state statutes and regulations.
H. The testing laboratory shall maintain an
				information management system capable of electronic data exchange between the
				laboratory and the department's newborn screening program.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-110 - Reporting to the commissioner

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				Physicians, midwives, public health nurses and other nurses who receive newborn
				dried-blood-spot screening test results, and administrators of hospitals in the
				Commonwealth shall make or cause to be made a report to the commissioner of a
				person under the age of two diagnosed as having a heritable disorder or genetic
				disease for which newborn dried-blood-spot screening tests are
				conducted.
B. The diagnosed cases
				shall be reported in accordance with § 32.1-69.1 of the Code of
				Virginia.
Statutory Authority
§ 32.1-12 and Article 7 (§ 32.1-65 et seq.) of
					 Chapter 2 of Title 32.1 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-120 - Scope and content of Virginia Newborn Screening Program

Current through Register Vol. 40, No. 24, July 15, 2024
A. The mission of
				Virginia Newborn Screening Program is to prevent intellectual disability,
				permanent disability, or death through early identification and treatment of
				infants who are affected by those heritable disorders and genetic diseases
				listed in 12VAC5-71-30 D.
B. The scope of the newborn screening program
				shall include the following:
1. Ensure that
				infants born in the Commonwealth receive newborn dried-blood-spot screening,
				confirmatory testing, and follow-up services for selected heritable disorders
				or genetic diseases;
2. Locate and
				track infants with screened-abnormal results or unsatisfactory results, a
				short-term process of ensuring that the identified healthcare provider is
				informed of results, in a timely matter, by at least six months of age, to
				determine if the infant has a selected heritable disorder or genetic
				disease;
3. Ensure that the
				department receives all diagnostic test results, both normal and
				screened-abnormal results, from healthcare providers;
4. Ensure that appropriate diagnostic data
				are collected, stored, and organized in a secure data management information
				system that allows for efficient extraction of appropriate data from the
				testing laboratory to newborn screening services in accordance with federal and
				state laws and regulations;
5.
				Assess and evaluate the newborn screening program follow-up activities by
				collecting and reporting data required annually for Title V national
				performance measures that address how well the system functions;
6. Educate healthcare providers, parents, and
				the general public by electronic or written materials and educational sessions,
				as deemed necessary by the department;
7. Facilitate the entry of infants with
				screened-abnormal results into medical and dietary management services as
				needed upon receiving notification from the contracted lab of such
				results;
8. Ensure that residents
				of the Commonwealth who are diagnosed with selected heritable disorders or
				genetic diseases identified through the newborn screening program are referred
				to the Care Connection for Children network for care coordination services;
				and
9. Provide information to
				residents of the Commonwealth who are diagnosed with selected heritable
				disorders or genetic diseases identified through the newborn screening program
				regarding available assistance for obtaining metabolic formula, low protein
				modified foods, and metabolic supplements that are medically necessary to
				manage their diagnosed heritable disorder or genetic disease listed in
				12VAC5-71-30 D.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-130 - Responsibilities of the Pediatric Comprehensive Sickle Cell Clinic Network

Current through Register Vol. 40, No. 24, July 15, 2024
A. Upon
				notification by the Virginia Newborn Screening Program of an infant diagnosed
				with sickle cell disease, the Virginia Sickle Cell Awareness Program shall
				track infants identified with sickle cell disease and related
				hemoglobinopathies to ensure that they receive care and refer the infants to
				the Pediatric Comprehensive Sickle Cell Clinic Network.
B. The Pediatric Comprehensive Sickle Cell
				Clinic Network shall provide the following services:
1. Consultation on screened-abnormal results
				to primary care providers and parents;
2. Family counseling and support;
3. Regularly scheduled clinics, which meet
				the needs of the population served; and
4. Referral to appropriate inpatient care
				facilities.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-140 - Responsibilities of metabolic treatment and genetic centers facilities

Current through Register Vol. 40, No. 24, July 15, 2024
A. The department's
				contracted metabolic treatment and genetic centers facilities shall collaborate
				with a specialized testing laboratory or laboratories for performing diagnostic
				testing on infants referred by the department's newborn screening program in
				accordance with § 32.1-65 of the Code of Virginia.
B. The department's contracted metabolic
				treatment and genetic centers facilities shall provide the following clinical
				services:
1. Consultation on
				screened-abnormal results to healthcare providers;
2. Family counseling and support;
3. Regularly scheduled clinics;
4. Appropriate inpatient care
				facilities;
5. Clinical genetic
				services; and
6. Nutritional
				counseling and support.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-150 - Responsibilities of the Care Connection for Children network

Current through Register Vol. 40, No. 24, July 15, 2024
A. The Care Connection for Children network
				shall provide the following services:
1. Care
				coordination services for residents of the Commonwealth who are diagnosed with
				selected heritable disorders , genetic diseases, or critical congenital heart
				disease and are referred to the network by the Virginia Newborn Screening
				Program.
2. Other network services
				for eligible individuals in accordance with § 32.1-77 of the Code of
				Virginia and applicable regulations.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-170 - Emergency suspension of assistance

Current through Register Vol. 40, No. 24, July 15, 2024
The commissioner may suspend any portion of the assistance
				  plan to ensure the financial integrity of the Virginia Newborn Screening
				  Program. The commissioner shall report any action taken under the provisions of
				  this section to the State Board of Health at its next scheduled meeting.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-180 - Use of federal, state, or other resources

Current through Register Vol. 40, No. 24, July 15, 2024
A. The commissioner
				or his designee may seek, receive, and expend federal, state general, or other
				nongeneral funds for the department necessary to administer the newborn
				screening program.
B. Federal Title
				V funds received for the Children with Special Health Care Needs Program,
				authorized by § 32.1-77 of the Code of Virginia, may be used to support
				the department's newborn screening program, in accordance with applicable
				federal and state laws and regulations.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-190 - Confidentiality of information

Current through Register Vol. 40, No. 24, July 15, 2024
The department's newborn screening program and its
				  contractors shall maintain, store, and safeguard client records from
				  unauthorized access as required by law.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-210 - Critical congenital heart disease screening protocols

Current through Register Vol. 40, No. 24, July 15, 2024
A. Hospitals shall develop protocols for
				critical congenital heart disease screening (i) in accordance with
				12VAC5-71-220 through 12VAC5-71-260 and(ii) modeled after national
				recommendations from the American Academy of Pediatrics regarding CCHD, such as
				those specified in Strategies for Implementing Screening for Critical
				Congenital Heart Disease (Kemper et al., Pediatrics, November 2011, Volume 128,
				Issue 5 (2011 Nov;128(5):e1259-67) and Implementing Recommended Screening for
				Critical Congenital Heart Disease (Martin et al., Pediatrics, 2013, Volume 132,
				Issue 1 (2013 Jul;132(1):e185-92) and subsequent revisions and editions
				.
B. Hospitals shall develop
				protocols for the physical evaluation by licensed practitioners of newborns
				with abnormal screening results.
C.
				Hospitals shall develop protocols for the referral of newborns with abnormal
				screening results, if needed, after evaluation.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-220 - Critical congenital heart disease screening

Current through Register Vol. 40, No. 24, July 15, 2024
A. A licensed practitioner shall perform the
				CCHD screening.
B. Except as
				specified in subsection C of this section and 12VAC5-71-260, CCHD screening
				using pulse oximetry shall be performed on every newborn in the birth hospital
				between 24 and 48 hours of life, or if the newborn is discharged from the
				hospital before reaching 24 hours of life, the CCHD screening shall be
				performed as late as practical before discharge.
C. If CCHD screening using pulse oximetry is
				not performed , the reason shall be documented in the newborn's medical record.
				The reasons include but are not limited to:
1. The newborn's current clinical evaluation
				has included an echocardiogram that ruled out CCHD;
2. The newborn has confirmed CCHD;
3. The newborn is under the care of a
				specialty level or subspecialty level nursery , in which case the screening
				shall be performed in accordance with the protocols developed in subsection D
				of this section; or
4. The parent
				or guardian refuses CCHD screening on the basis of religious practices or
				tenets pursuant to 12VAC5-71-260.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-230 - Critical congenital heart disease screening results

Current through Register Vol. 40, No. 24, July 15, 2024
A. Recording results.
1. All CCHD screening results shall be
				recorded in the newborn's medical record.
2. All CCHD screening results shall be
				entered into the electronic birth certificate system with the following
				information:
a. CCHD screening completed,
				CCHD pass or fail, and pulse oximetry values , if applicable ; or
b. Not screened pursuant to 12VAC5-71-220 C 4
				.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-240 - Referral for care coordination

Current through Register Vol. 40, No. 24, July 15, 2024
A. For any person diagnosed under
				12VAC5-71-210 through 12VAC5-71-250, the chief administrative officer of every
				hospital, as defined in § 32.1-123 of the Code of Virginia, shall make or
				cause to be made a report to the commissioner in accordance with §
				32.1-69.1 of the Code of Virginia.
B. Upon receiving the notification described
				in subsection A of this section, the Newborn Screening Program at the Virginia
				Department of Health shall refer the newborn's parent or guardian to the Care
				Connection for Children network for care coordination services.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-250 - Congenital heart disease screening records

Current through Register Vol. 40, No. 24, July 15, 2024
A. The screening of newborns pursuant to this
				chapter is a population-based public health surveillance program as defined by
				the Health Insurance Portability and Accountability Act of 1996 (
				Public Law
				104-191; 110 Stat. 2033).
B. Upon request, a hospital shall make
				available to the Virginia Congenital Anomalies Reporting and Education System
				(VaCARES):
1. Medical records;
2. Records of laboratory tests; and
3. Any other information that VaCARES
				considers necessary to:
a. Determine final
				outcomes of abnormal CCHD screening results; or
b. Evaluate CCHD screening activities in the
				Commonwealth, including performance of follow-up evaluations and diagnostic
				tests, initiation of treatment when necessary, and surveillance of the accuracy
				and efficacy of the CCHD screening.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section 12VAC5-71-260 - Parent or guardian refusal for screening

Current through Register Vol. 40, No. 24, July 15, 2024
A. In the instance of parent or guardian
				refusal of the CCHD screening based on religious practices or tenets, the
				parent or guardian refusal shall be documented on a refusal form provided by
				the Virginia Department of Health and made a part of the newborn's medical
				record.
B. The administrator of the
				hospital shall ensure that the Newborn Screening Program at the Virginia
				Department of Health is notified in writing of the parent or guardian refusal
				within five days of the newborn's birth.
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Form - FORMS (12VAC5-71)

Current through Register Vol. 40, No. 24, July 15, 2024
Notification
				  of Parental Refusal of Dried-Blood Spot and Critical Congenital Heart Disease
				  Screening (rev. 4/2015)
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 71 - REGULATIONS GOVERNING VIRGINIA NEWBORN SCREENING SERVICES › Section - DOCUMENTS INCORPORATED BY REFERENCE (12VAC5-71)

Current through Register Vol. 40, No. 24, July 15, 2024
Levels of Neonatal Care, Policy Statement from Committee on
				  Fetus and Newborn, American Academy of Pediatrics, August 27, 2012 [File Link
				  Not Available]
Statutory Authority: §§ 32.1-12 and 32.1-67 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 80 - REGULATIONS FOR ADMINISTRATION OF THE VIRGINIA HEARING IMPAIRMENT IDENTIFICATION AND MONITORING SYSTEM › Section 12VAC5-80-20 - Authority for regulations

Current through Register Vol. 40, No. 24, July 15, 2024
Sections 32.1-64.1 and 32.1-64.2 of the Code of Virginia
				  direct the commissioner to establish and maintain a system for the purpose of
				  identifying and monitoring infants with hearing loss and directs the Board of
				  Health to promulgate the regulations necessary for implementation of the
				  system.
Statutory Authority
§§ 32.1-12 and 32.1-64.1 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 80 - REGULATIONS FOR ADMINISTRATION OF THE VIRGINIA HEARING IMPAIRMENT IDENTIFICATION AND MONITORING SYSTEM › Section 12VAC5-80-30 - Purpose of chapter

Current through Register Vol. 40, No. 24, July 15, 2024
This chapter is designed to provide consistent guidelines
				  for implementation of this system in order to assure that infants with hearing
				  loss are identified at the earliest possible age and that they receive
				  appropriate, early intervention.
Statutory Authority
§§ 32.1-12 and 32.1-64.1 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 80 - REGULATIONS FOR ADMINISTRATION OF THE VIRGINIA HEARING IMPAIRMENT IDENTIFICATION AND MONITORING SYSTEM › Section 12VAC5-80-40 - Administration and application of chapter

Current through Register Vol. 40, No. 24, July 15, 2024
A. This chapter is promulgated to implement
				the system and amended as necessary by the State Board of Health. The State
				Health Commissioner or his designee is charged with its administration, and the
				Virginia Department of Health shall provide the staff necessary for its
				implementation.
B. This chapter has
				general application throughout the Commonwealth.
Statutory Authority
§§ 32.1-12 and 32.1-64.1 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 80 - REGULATIONS FOR ADMINISTRATION OF THE VIRGINIA HEARING IMPAIRMENT IDENTIFICATION AND MONITORING SYSTEM › Section 12VAC5-80-75 - Risk indicators associated with hearing loss

Current through Register Vol. 40, No. 24, July 15, 2024
A. The Virginia EHDI program shall maintain a
				list of specific risk indicators consistent with, but not necessarily identical
				to, the most recent recommendations from the Joint Committee on Infant Hearing
				to identify infants at risk of hearing loss.
B. The Virginia EHDI Program Advisory Group
				shall provide guidance with the development and maintenance of the list of
				specific risk indicators.
C. The
				list of specific risk indicators shall be maintained in a guidance document,
				which shall be reviewed at a minimum biennially. The list of specific risk
				indicators may be changed or amended more frequently as needed to reflect
				changes in standards of care or updates to Joint Committee on Infant Hearing
				recommendations.
D. The guidance
				document shall contain specific assessment and reporting criteria for the
				following general categories of risk indicators associated with hearing loss:
1. Family history of permanent childhood
				hearing loss;
2. Caregiver
				concerns;
3. In utero and post
				natal infections;
4. Neonatal
				intensive care services;
5. Head
				trauma and craniofacial anomalies;
6. Syndromes, neurodegenerative disorders,
				and sensory motor neuropathies;
7.
				Stigmata or other physical findings associated with certain
				syndromes;
8. Ototoxic medications,
				treatments, and chemotherapies; and
9. Other indicators as needed.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 80 - REGULATIONS FOR ADMINISTRATION OF THE VIRGINIA HEARING IMPAIRMENT IDENTIFICATION AND MONITORING SYSTEM › Section 12VAC5-80-80 - Responsibilities of the chief medical officer of hospitals

Current through Register Vol. 40, No. 24, July 15, 2024
The chief medical officer of a hospital providing newborn
				  services or his designee shall:
1.
				Cause all infants to be given a hearing screening test prior to discharge after
				birth as appropriate for the level of newborn services provided as defined in
				12VAC5-410-443 B of the Regulations for the Licensure of Hospitals in Virginia.
a. Infants in general or intermediate newborn
				services shall have both ears screened at the same time for hearing using
				either ABR or OAE testing prior to discharge after birth, but no later than one
				month of age.
b. Infants in
				neonatal intensive care services who receive this level of newborn service care
				for more than five days shall have both ears screened at the same time using
				ABR testing prior to discharge after birth or transfer to a lower level of
				newborn services. Infants should receive newborn hearing screening as early as
				development or medical stability will permit such screening. The hearing
				screening performed for infants requiring neonatal intensive care services for
				more than five days using ABR testing shall be reported as the initial hearing
				screen regardless of whether the infant is transferred to another lower level
				of newborn services within the same facility or to another facility.
c. Infants in neonatal intensive care
				services who receive this level of newborn service care for five days or less
				shall have both ears screened at the same time for hearing using either ABR or
				OAE testing prior to discharge after birth, but no later than one month of
				age.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 80 - REGULATIONS FOR ADMINISTRATION OF THE VIRGINIA HEARING IMPAIRMENT IDENTIFICATION AND MONITORING SYSTEM › Section 12VAC5-80-85 - Responsibilities of other birthing places or centers

Current through Register Vol. 40, No. 24, July 15, 2024
The chief medical officer of other birthing places or centers
				  or his designee or the attending practitioner shall:
1. Cause all infants to be assessed for risk
				indicators associated with hearing loss as defined in 12VAC5-80-75;
2. Provide written information to the parent
				or guardian of each infant that includes purposes and benefits of newborn
				hearing screening, risk indicators for hearing loss, procedures used for
				hearing screening, providers where hearing screening can be obtained, and
				contact information for the Virginia EHDI program;
3. Notify the infant's primary health care
				provider within one week after birth of (i) the status of the hearing screening
				including if the infant was not tested, (ii) identified risk indicators
				associated with hearing loss as defined in 12VAC5-80-75, and (iii) the
				recommendations for testing in writing or through an electronically secure
				method that meets all applicable state and federal privacy laws; and
4. Provide the department with information as
				required by the board pursuant to §
									32.1-64.1F
				of the Code of Virginia and in a manner devised by the department on the
				hearing screening and risk indicator status of infants born at the other
				birthing place or center. This information shall be provided within one week
				after birth unless otherwise stated and includes:
a. Demographic information on infants
				including name, date of birth, race, ethnicity, and gender;
b. Primary contact information including
				address, telephone number, and relationship type;
c. Primary health care provider name,
				address, and telephone number;
d.
				Risk indicators identified as defined in 12VAC5-80-75;
e. Special circumstances regarding infants as
				needed by the department to provide follow-up;
f. Screening methodology used, date screened,
				and both right and left ear results if applicable;
g. Screening status for pass with risk
				indicator, failures, unable to test, refusals, and inconclusive results if
				applicable;
h. Status of infants
				not screened that includes infants who were transferred to other facilities and
				parents who refused screening;
i.
				Hearing rescreening information including date, type of screening methodology
				used, results in both left and right ears, and further recommendations within
				two weeks after the rescreening date if applicable;
j. Confirmatory data on the status of all
				infants born in the birthing place or center. The department shall receive
				confirmation that infants not reported with a screening status have had a
				negative assessment for risk indicators and have been referred for a hearing
				screening; and
k. cCMV screening
				results if performed as defined in
				12VAC5-80-150.