15 MAC Pt. 3, R. 4.1.6
Perinatal Multidisciplinary Committee
Cite as 15 Miss. Admin. Code Pt. 3, R. 4.1.6
Perinatal Multidisciplinary Committee
1. The purpose of the committee is to provide oversight and leadership to the
entire maternal program. Each perinatal center may choose to have one or
more committees as needed to accomplish the task. One committee must be
multidisciplinary and focus on program oversight and leadership. The major
focus will be on PI activities, policy development, communication among all
team members, and establishment of standards of care, and education. The
committee has administrative and systematic control and oversees
implementation of all program related services, meets regularly, takes
attendance, maintains minutes and works to correct overall program
deficiencies to optimize patient care. Membership for the committee includes
representatives from:
a. Maternal Medical Director (Chairman – must be present at greater than
75% of all meetings.)
b. Maternal Program Manager
c. Neonatal Medical Director (if different from the MMD)
d. Neonatal Program Manager (if different from the MPM)
e. Pediatrician or Neonatologist
f. Obstetrics and Gynecology
g. Certified Nurse Midwife (if applicable)
h. Maternal Fetal Medicine
i. Anesthesia
j. Labor and Delivery
k. Nursing
l. Laboratory
m. Radiology (Ultrasound)
n. Respiratory Therapy
o. Social Services/Pastoral Care
p. Dietary
q. Lactation Specialist (or equivalent)
r. General surgery
s. Internal Medicine
t. Family Medicine
u. Advanced Practice Provider
2.
The clinical managers (or designees) of the departments involved with
maternal care must play an active role with the committee.
3.
The OB Center may wish to accomplish performance improvement activities
in this committee or develop a separate peer review committee. This
committee must handle peer review independently from department-based
review. The committee must meet regularly and maintain attendance and
minutes. This committee must report findings to the overall hospital
performance improvement (PI) program.