844 IAC 17-1-8 - Physician collaboration requirements
Authority: IC 25-22.5-2-7; IC 25-23.4-2-6
Affected: IC 25-22.5; IC 25-23.4
Sec. 8.
(a) In
addition to the requirements of IC
25-23.4-5, a certified direct
entry midwife shall enter into a collaborative agreement with a physician
holding an unrestricted license to practice medicine in Indiana. The
collaborating physician shall be actively engaged in the practice of obstetrics
and shall have staff membership privileges at the designated hospital in the
client's emergency care plan, or have coverage arrangements with another
physician who has obstetrical/gynecological privileges at the designated
hospital.
(b) A collaborating
physician may not enter into more than four (4) collaborative agreements,
without board approval, at any given time.
(c) Unless the board approves otherwise, the
planned location of a delivery attended by a certified direct entry midwife
shall be either:
(1) within the county or
adjoining county, or ninety (90) miles, whichever is further, from the
collaborating physician's primary practice location; or
(2) within the county or adjoining county, or
sixty (60) miles, whichever is further, from the hospital designated in the
client's emergency care plan as the location where the client can receive
emergency care.
(d) When
considering whether to approve more than four (4) collaborative agreements, or
to permit a longer distance between the collaborating physician's primary
practice location or the hospital designated in the client's emergency care
plan and the planned location of a delivery, the board shall consider the
physician's ability to collaborate with the certified direct entry midwife in a
manner that protects the client's safety. The burden is on the certified direct
entry midwife and collaborating physician to establish that the collaboration
will not be harmful to the client.
(e) A collaborating physician shall review a
certified direct entry midwife's client encounters in accordance with IC
25-23.4-5-1. A collaborating
physician shall also review all certified direct entry midwife's client
encounters resulting in:
(1) death of a
client or client's child;
(2)
intrapartum or postpartum transport of a client from the planned delivery
location to a hospital, urgent care center, physician's office, or similar
facility for further care or treatment;
(3) significant adverse event or injury to
the client or client's child, whether temporary or permanent in nature;
or
(4) transfer of care if required
by section 9 of this rule.
(f) Collaboration may occur in either
face-to-face encounters, or by electronic or other telecommunication
means.
Notes
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