Summary


This rule establishes reporting and records access requirements for certain morbidities of VLBW infants and maternal risk factors of these infants' mothers, to monitor statewide trends, define the scope of the problems in Utah and provide baseline rates for improvement activities. Morbidities to be reported include Chronic Lung Disease, Late Bacterial Infection and organism, Nosocomial Infection and organism, Central Line infection and organism, Ventilator associated pneumonia and organism, Any Late Infection and organism, Grade III or IV Intraventricular Hemorrhage, Cystic Periventricular Leukomalacia, Grade III, IV or V Retinopathy of Prematurity (ROP), ROP surgery, Avastin following ROP surgery, Necrotizing Enterocolitis, Patent DuctusArteriosis (PDA), and/or PDA surgery all as defined by the Vermont Oxford Network 2014 Manual of Operations: Part 2, Data Definitions and Infant Data Forms, Release 18.0, Published November 2013. Maternal risk factors to be reported include: Ethnicity of mother, Race of mother, Prenatal Care, Antenatal Steroids, Antenatal Magnesium Sulfate, Chorioamnionitis, Maternal Hypertension, Chronic or Pregnancy-Induced, Multiple Gestation, all as defined by the Vermont Oxford Network 2014 Manual of Operations: Part 2, Data Definitions and Infant Data Forms, Release 18.0, Published November 2013. These data will be submitted by any facility that admits and cares for a VLBW infant to the Utah Department of Health (UDOH) via a secure web-based reporting tool within 40 days of the infants discharge or death. This rule also establishes reporting by each hospital with a NICU or a nursery that admits or cares for newborn infants to the UDOH its capability to treat infants and their mothers. The hospital shall submit its report within 30 days of the UDOH's request. UDOH's request shall be in the form of a web-based survey created by the UDOH and based on the Guidelines for Perinatal Care published by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists Guidelines for Perinatal Care (seventh edition) and may be made no more than once in a calendar year. The medical director and nursing director of the NICU or nursery shall jointly complete the survey. These data will be submitted to the UDOH via a secure web-based reporting tool.