General Requirements: The Level IV neonatal designated facility shall maintain

General Requirements: The Level IV neonatal designated facility shall maintain all Level III capabilities and shall also: 1. Provide care for infants of all gestational ages and birth weights, with mild to complex critical conditions or medical problems requiring sustained life support, hemodynamic support, conventional and high frequency mechanical ventilation, iNO delivery, and/or therapeutic hypothermia. 2. Be located within an institution with the capability to provide surgical repair of complex congenital or acquired conditions. 3. Maintain a full range of pediatric medical subspecialists, pediatric surgical subspecialists and pediatric anesthesiologists at the site. 4. Have the ability to provide ECMO or policies and procedures in place to facilitate neonatal transfer to another unit or facility that provides ECMO. 5. Facilitate transport and provide outreach education including community taught NRP and S.T.A.B.L.E. classes. 6. Have sufficient experience based on patient volume and a systematic process to assess the quality of care provided, including a method to track specific quality indicators and clinical diagnoses, review aggregate data using accepted methodology, and develop action plans as needed to improve patient outcomes.