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10.11.06.00.htm 10.11.06.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 11 MATERNAL AND CHILD HEALTH Chapter 06 Morbidity, Mortality, and Quality Review Committee ― Pregnancy and Childhood Authority: Health-General Article, §18-107, Annotated Code of Maryland
10.11.06.01.htm 10.11.06.01. 01 Scope.. This chapter does not apply to the review of a fetal death that is the result of a voluntary or therapeutic termination of pregnancy.
10.11.06.02.htm 10.11.06.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Committee" means the Morbidity, Mortality, and Quality Review Committee established within the Department.2) "Department" means the Maryland Department of Health.. 3) "Jurisdiction" means a political subdivision of the State, including the 23 counties and Baltimore City.4) "Early childhood" means the period in which an individual is younger than 6 years old..
10.11.06.03.htm 10.11.06.03. 03 Incorporation by Reference.. The Maryland Perinatal System Standards (Maryland Department of Health and Mental Hygiene, Perinatal Clinical Advisory Committee, October 2008) is incorporated by reference.
10.11.06.04.htm 10.11.06.04. 04 Morbidity, Mortality, and Quality Review Committee.. There is a Morbidity, Mortality, and Quality Review Committee established within the Department..
10.11.06.05.htm 10.11.06.05. 05 Membership.. A. The Committee shall be:. 1) A State-level multidisciplinary and multiagency review Committee within the Department; and. 2) Composed of at least 25 members as described in §B and C of this regulation.. B. Ex Officio Members. The Committee shall include the following ex officio members or their designees:1) The Secretary of the Maryland Department of Health;. 2) The Chief Medical Examiner;. 3) The Director of the Vital Statistics Administration of the Department;.
10.11.06.06.htm 10.11.06.06. 06 Committee Duties.. A. To achieve its purpose, the Committee shall:. 1) Develop protocols for data collection regarding morbidity and mortality related to pregnancy, childbirth, infancy, and early childhood;2) Provide consultation to local fetal and infant mortality review (FIMR) teams and other local morbidity, mortality, and quality review (MMQR) teams on the implementation and use of data collection protocols;3) Conduct confidential and anonymous case reviews
10.11.06.07.htm 10.11.06.07. 07 Local Teams ― Establishment and Purpose.. A. A jurisdiction shall have a multidisciplinary and multiagency local FIMR team or other local MMQR team.B. The purpose of a local FIMR team is to facilitate the reduction of fetal and infant deaths by:. 1) Conducting confidential case reviews of fetal and infant deaths including the examination of all available medical and healthcare information involving fetal and infant mortality; and
10.11.06.08.htm 10.11.06.08. 08 Local FIMR Teams ― Membership.. A. Members of a local FIMR team shall be appointed by the local health officer of the jurisdiction or be jointly appointed by the health officers of the jurisdictions comprising the multi-jurisdiction local team.B. A local FIMR team shall appoint a chairperson from among its membership.. C. A local FIMR team shall be multidisciplinary and include professionals and representatives of agencies that provide services or community resources
10.11.06.09.htm 10.11.06.09. 09 Local MMQR Teams ― General.. Local MMQR teams may:. A. Inform the Committee of changes in local law, policy, or practice that affect morbidity and mortality associated with pregnancy, childbirth, infancy, and early childhood; andB. Provide the Committee with requested reports and other information so that the Committee may perform its duties.
10.11.06.10.htm 10.11.06.10. 10 Types of Committee Reviews.. The Committee may conduct morbidity, mortality, and quality reviews associated with pregnancy, childbirth, infancy, and early childhood, including reviews of the following:A. Individual cases or clusters of cases of morbidity or mortality identified by local team reviews;. B. Maternal or neonatal transport to or from perinatal centers;. C. Aggregate or hospital-specific cases of maternal or neonatal mortality or morbidity;. D. Voluntary compliance o
10.11.06.11.htm 10.11.06.11. 11 Access to Records and Information.. A. A health care provider, hospital, HIPAA (Health Insurance Portability and Accountability Act of 1996) business associate, or other related entity shall, on written request of the Committee, local FIMR team, other local MMQR team, or their staff, provide access to records concerning:1) Prepregnancy, prenatal, and postpartum care of the mother;. 2) Somatic, dental, and behavioral health of the mother;. 3) The health care provid
10.11.06.12.htm 10.11.06.12. 12 Meetings.. A. The Committee shall meet at least semiannually.. B. Local FIMR teams shall meet at least quarterly.. C. All meetings of the Committee, local FIMR teams, or other local MMQR teams shall be closed to the public and are not subject to State Government Article, Title 10, Subtitle 5, Annotated Code of Maryland, when the Committee, local FIMR team, or other local MMQR team is reviewing cases of pregnancy, childbirth, infancy, or early childhood.D. The Committee, local F
10.11.06.13.htm 10.11.06.13. 13 Confidentiality of Records and Information.. A. The following shall be held confidential and may not be released to any person except as provided in this chapter:1) Records and information received by the Committee, local FIMR team, or other local MMQR team;. 2) Documents produced in the case review process; and. 3) Minutes of meetings of the Committee, local FIMR team, or other local MMQR team.. B. All information and records obtained by the Committee, a local FIMR team
10.11.06.9999.htm 10.11.06.9999. Administrative History Effective date: September 21, 2009 (36:19 Md R. 1436). Regulation .05B amended effective March 14, 2016 (43:5 Md. R. 385).
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