19 CSR 30-30.080 - Definitions Relating to Birthing Centers and Procedures for Licensing Birthing Centers
(1) The following definitions shall be used in the interpretation and enforcement of 19 CSR 30-30.090 through 19 CSR 30-30.110:
(A) Administrator-A person who is designated to provide daily supervision and the administration of the birthing center;
(B) Birthing center-A facility, not licensed as part of a hospital, which provides maternity care away from the mother's usual residence and where low risk births are planned to occur following a normal uncomplicated pregnancy;
(C) Certified nurse-midwife (CNM)-A person licensed to practice professional nursing under section 335.046, RSMo and currently certified by examination by the American College of Nurse-Midwives;
(D) Complication-A condition according to written risk criteria of the birthing center that contraindicates continued care in the birthing center;
(E) Department-The Missouri Department of Health;
(F) Discharge plan-A plan for continuing maternal and infant health care following birth;
(G) Health assessment-A determination of a patient's physical and mental status;
(H) Low risk-Normal, uncomplicated prenatal course as determined by adequate prenatal care and prospects for a normal, uncomplicated birth as defined by reasonable and currently accepted criteria of maternal and fetal health;
(I) Person-Any individual, firm, partnership, corporation or association;
(J) Physician-A person licensed to practice medicine under Chapter 334, RSMo who has admitting privileges at a hospital;
(K) Primary care giver-A physician or a certified nurse-midwife who has attended the mother during the prenatal period, will be present at delivery and will be responsible for care during the puerperium period; and
(L) Qualified personnel-A person trained and competent in the services which s/he provides and is licensed or certified as required by statute or professional standard.
(2) The following procedures are required for licensing a birthing center:
(A) A license to establish and operate a birthing center shall be required of any facility other than a hospital or the mother's residence where births are planned to occur and where childbirth deliveries may be performed;
(B) Application for licensure of a birthing center shall be made in writing to the department on forms provided by the department. Each application for a license shall be accompanied by an annual license fee of two hundred dollars ($200);
(C) The application shall be made by the person(s) or corporation operating the facility;
(D) The licensee shall notify the department in writing of any change in the name of the facility or change in the ownership;
(E) Separate licenses are required for facilities maintained on separate sites even though operated by the same owner;
(F) The license shall be conspicuously posted in a public area in the facility; and
(G) A license shall not be issued by the department until a facility is in compliance with all requirements of 19 CSR 30-30.090. In addition, a facility shall be in compliance with 19 CSR 30-30.100 or 19 CSR 30-30.110, depending on the number of birthing rooms in the facility.
Notes
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