Definitions: For the purpose of clarity and usage in the Mississippi OB SOC, the

Definitions: For the purpose of clarity and usage in the Mississippi OB SOC, the following abbreviations, acronyms, and terms shall be defined as follows: 1. ACLS – Advanced Cardiovascular Life Support. A resuscitation course that was developed and is administered by the American Heart Association. 2. ALS – Advanced Life Support, including techniques of resuscitation, such as intravenous access, and cardiac monitoring. 3. ALSO – Advanced Life Support Obstetrics 4. APP – Advanced Practice Providers – clinicians—such as nurse practitioners, physician assistants, clinical nurse specialists, and certified nurse midwives—who hold graduate-level education and advanced clinical training. 5. Available – Relating to staff who can be contacted for consultation at all times without delay. 6. Board-eligible – A physician who has completed a residency or fellowship and is eligible for board certification according to the applicable medical board. 7. 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. 8. Department – The Mississippi State Department of Health 9. Designated facility – means a perinatal facility that has been inspected and approved by the Department pursuant to these regulations as meeting its established criteria for a particular maternal or neonatal level of care. 10. Designation – A formal recognition by the Department of a facility’s maternal care capabilities and commitment for a period of three years. 11. Emergency Department (or Emergency Room) – The area of an acute care hospital that customarily receives patients in need of emergency medical evaluation and/or care 12. EMS – Emergency medical services. Services used to respond to an individual’s perceived need for immediate medical care. 13. Gestational age - The age of a fetus or embryo determined by the amount of time that has elapsed since the first day of the mother's last menstrual period or the corresponding age of the gestation as estimated by a physician through a more accurate method. 14. 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. 15. Immediately--Able to respond without delay, commonly referred to as STAT. 16. Inclusive OB System of Care – an OB care system that incorporates every health care facility willing to participate in the mandatory system in order to provide a continuum of services for maternal or neonatal care. 17. Infant – A child from birth to one year of age. 18. Inter-facility Transport – Transfer of a patient from one healthcare facility to another healthcare facility. 19. Lactation Consultant – A healthcare professional who specializes in the clinical management of breastfeeding. 20. Levels of Care – All hospitals providing obstetric and newborn services will be designated a perinatal level of care by MSDH, based upon its functional capabilities to provide risk-appropriate care for pregnant women and neonates. The levels of care will be divided into four levels defined in accordance with the 2012 policy statement by the American Academy of Pediatrics, (PEDIATRICS Vol. 130, No. 3, September 2012) and maternal standards set forth by the American College of Obstetricians and Gynecologists with modifications approved by MSDH. The levels are: a. Level I – Basic Care b. Level II – Specialty Care c. Level III – Sub-specialty Care d. Level IV – Regional Care a. Level I - Well Newborn nursery b. Level II - Special Care nursery c. Level III - Neonatal Intensive Care nursery d. Level IV - Regional Care 21. Mississippi OB System of Care Plan – A formally organized plan developed by the Department, which sets out a comprehensive system plan for care and management of OB patients. 22. MFM – Maternal Fetal Medicine 23. MMD – Maternal Medical Director 24. MPM – Maternal Program Manager 25. MSDH – Mississippi State Department of Health 26. NCPAP-Nasal continuous positive airway pressure. 27. Neonatal Program Oversight-A multidisciplinary process responsible for the administrative oversight of the neonatal program and having the authority for approving the defined neonatal program's policies, procedures, and guidelines for all phases of neonatal care provided by the facility, to include defining the necessary staff competencies, monitoring to ensure neonatal designation requirements are met, and the aggregate review of the neonatal Performance Improvement (PI) initiatives and outcomes. Neonatal Program Oversight may be performed through the neonatal program's performance improvement committee, multidisciplinary oversight committee, or other structured means. 28. Neonate – An infant from birth through 28 completed days after. 29. NMD – Neonatal Medical Director 30. NPM – Neonatal Program Manager 31. NRP – Neonatal Resuscitation Program - A resuscitation course developed and administered jointly by the American Heart Association and the American Academy of Pediatrics. 32. OBSMD – Obstetrics System Medical Director 33. OEMSACS – The Office of EMS and Acute Care Systems 34. On-site – At the facility and able to arrive at the patient bedside for urgent requests. 35. Performance Improvement (PI or Quality Improvement) – A method of evaluating and improving processes of patient care which emphasizes a multi-disciplinary approach to problem solving, and focuses not on individuals, but systems of patient care which might cause variations in patient outcome. 36. Perinatal – Of, relating to, or being the period around childbirth, especially the five months before and one month after birth. 37. Postpartum – the six-week period following pregnancy or delivery. 38. Privileged Care Provider – a healthcare provider with pediatric or neonatal specific training qualified to manage the care of infants with mild to moderate critical conditions, including emergencies. 39. ROP – Retinopathy of Prematurity - is a potentially sight-threatening disorder in preterm infants caused by abnormal development of retinal blood vessels. It can range from mild, self-resolving changes to severe proliferative stages that may lead to retinal detachment and vision loss. 40. SHO – Mississippi State Health Officer 41. S.T.A.B.L.E. – an educational program for healthcare providers that focuses on the post-resuscitation and pre-transport stabilization of sick infants. 42. Urgent – Requiring action or attention within 30 minutes of notification.