Bill Text: NJ A4931 | 2018-2019 | Regular Session | Amended


Bill Title: Requires DOH to establish maternity care evaluation protocols.*

Spectrum: Partisan Bill (Democrat 13-0)

Status: (Introduced) 2019-03-18 - Reported out of Assembly Comm. with Amendments, 2nd Reading [A4931 Detail]

Download: New_Jersey-2018-A4931-Amended.html

[First Reprint]

ASSEMBLY, No. 4931

STATE OF NEW JERSEY

218th LEGISLATURE

 

INTRODUCED JANUARY 17, 2019

 


 

Sponsored by:

Assemblyman  HERB CONAWAY, JR.

District 7 (Burlington)

Assemblywoman  ANNETTE QUIJANO

District 20 (Union)

Assemblywoman  VALERIE VAINIERI HUTTLE

District 37 (Bergen)

 

Co-Sponsored by:

Assemblywomen Chaparro, Jimenez, Lopez, Murphy, Lampitt, Reynolds-Jackson, Assemblyman Greenwald, Assemblywomen Tucker and Mosquera

 

 

 

 

SYNOPSIS

     Requires DOH to establish maternity care evaluation protocols.

 

CURRENT VERSION OF TEXT

     As reported by the Assembly Appropriations Committee on March 18, 2019, with amendments.

 


An Act concerning maternity care evaluation and supplementing Title 26 of the Revised Statutes.

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    a.   The Commissioner of Health shall develop and prescribe by regulation comprehensive policies and procedures to be followed by every hospital that provides inpatient maternity services, and every birthing center which is licensed in the State pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) 1[.] ,1 for the collection and dissemination of data on maternity care.

     b.    The Department of Health shall establish a maternity care evaluation protocol that every hospital providing inpatient maternity services, and every birthing center licensed in the State pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) 1,1 shall follow in order to collect hospital discharge data relevant to maternity care.

     The 1[non-identifying] de-identified1 hospital discharge data collected pursuant to the maternity care evaluation protocol shall include, but not be limited to:

     (1)   the race and age of the mother, maternal and paternal family history, comorbidities, prenatal care history, antepartum findings, history of maternal pregnancy complications, and history of past obstetric complications;

     (2)   the number and percentage of maternal patients who were treated for hypertensive disorders, including preeclampsia and associated conditions, during the reporting period;

     (3)   the number and percentage of maternal patients who experienced an obstetric hemorrhage 1accompanied by an adverse event, as defined by the guidelines established by the American College of Obstetricians and Gynecologists and the Centers for Disease Control and Prevention,1 during the reporting period;

     (4)   the number and percentage of maternal patients who underwent non-medically indicated labor induction procedures, and the number and percentage of maternal patients 1who delivered after 37 weeks gestation but before 39 weeks gestation, and1 who underwent medically indicated induction procedures;

     (5)   the number and percentage of maternal patients who underwent non-medically indicated cesarean section procedures, and the number and percentage of maternal patients who underwent medically indicated cesarean section procedures;

     (6)   the number and percentage of maternal patients who underwent vaginal deliveries;

     (7)   the number and percentage of maternal patients who delivered at 41 or more weeks of gestation;

     (8)   the number and percentage of maternal patients who delivered at 39 or more weeks of gestation;

     (9)   the number and percentage of maternal patients who delivered after 37 weeks of gestation, but before 39 weeks of gestation;

     (10)    the number and percentage of maternal patients who delivered after 34 weeks of gestation, but before 37 weeks of gestation;

     (11)    the number and percentage of infants born with birth defects, broken down by the specific birth defect;

     (12)    the number and percentage of infants born weighing five pounds, eight ounces or more;

     (13)    the number and percentage of infants born weighing less than five pounds, eight ounces; and

     (14)    any other information related to a maternal patient's prenatal, postnatal, labor, and delivery care that is deemed necessary.

 

      2.   a.   1[The Department of Health shall design, develop, and maintain a single searchable database, which contains a record of all data collected under the maternity care evaluation protocol pursuant to subsection b. of 1 of this act.  The data shall be confidential and shall not be disclosed to any person except to the extent that it is necessary to carry out the purposes of this act.

      b.   The database shall be an interactive, online tool that generates near real-time data and performance metrics on the quality of maternity care services provided to patients and provided by health care providers for the purpose of:

     (1)   tracking the progress of initiatives implemented by every hospital providing inpatient maternity services, and by every birthing center licensed in the State pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) in order to improve the provision of such services; and

     (2)   producing public reports on the maternal health outcomes of, and the quality of maternity care provided by, hospitals and birthing centers in the State.

      c.    Access to the database shall be limited to staff who are responsible for administering the quality improvement system at each hospital that provides inpatient maternity services, and at each birthing center which is licensed in the State pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.).

      d.   Every hospital that provides inpatient maternity services, and every birthing center which is licensed in the State pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) shall submit to the database, on a monthly basis, information collected under the maternity care evaluation protocol.

     e.     The department, in consultation with the State Registrar, shall develop procedures and guidelines for linking the information submitted to the database pursuant to subsection d. of this section with information on birth records.

     f.]1   The 1[department] Department of Health1 shall evaluate the data collected under the maternity care evaluation protocol for the purposes of:

     (1)   facilitating a data-based review of the provision of maternity care services in the State, in order to identify potential improvements in the 1[provisions] provision1 of such services;

     (2)   generating Statewide perinatal and provider-level quality metrics;

     (3)   establishing Statewide and regional objective benchmarks that promote improvements in maternal health outcomes and the quality of maternity care, and comparing the performance of every hospital that provides inpatient maternity services and every birthing center 1which is1 licensed in the State 1pursuant to P.L.1971, c.136 (C.26:2H-1 et seq)1 to such benchmarks;

     (4)   identifying data quality issues that may directly impact the performance of hospitals and birthing centers in providing maternity care services;

     (5)   encouraging hospitals and birthing centers that provide inpatient maternity services to participate in quality improvement collaboratives; and

     (6)   researching the association between clinical practices, the quality of maternal care, and maternal health care outcomes.

     1[g. The department shall establish performance reporting procedures and methods for the submission of information contained in the database to the federal Centers for Medicaid and Medicare Services , the Joint Commission Professional Practice Evaluation program, and any other State, federal, or private commission, agency, or program that collects data on maternal health and maternity care services.

     h.    Within one year of the database becomes operational, the department shall report to the public, and make the report available on its 1Internet1 website, on a select set of benchmarks that promote improvements in maternal health outcomes and the quality of maternity care, and the performance of every hospital that provides inpatient maternity services and every birthing center licensed in the State in relation to such benchmarks.]1

 

     3.    1[a.]1  No later than one year after the effective date of this act, and annually thereafter, the Commissioner of Health shall report to  the Governor, and to the Legislature pursuant to section 2 of P.L.1991, c.164 (C.52:14-19.1), on the findings of the evaluation required pursuant to 1[subsection f. of]1 section 2 of this act, and shall include in the report any recommendations for legislative action that the commissioner deems appropriate.

     1[b.    The commissioner shall contract with every hospital that provides inpatient maternity services, and every birthing center which is licensed in the State pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) to share the cost of the design and maintenance of, and the cost of maintaining security of the information contained in, the database developed pursuant to section 2 of this act.]1

 

     4.    The Commissioner of Health, pursuant to the Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), shall adopt  such rules and regulations as the commissioner determines necessary to effectuate the purposes of this act.

 

     5.    This act shall take effect 1[one year after the date of enactment, but the Commissioner of Health may take such anticipatory administrative action in advance thereof as shall be necessary for the implementation of this act] immediately1.

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