(20 ILCS 2310/2310-223)
(Text of Section from P.A. 101-390)
Obstetric hemorrhage and hypertension training.
(a) As used in this Section, "birthing facility" means (1) a hospital, as defined in the Hospital Licensing Act, with more than one licensed obstetric bed or a neonatal intensive care unit; (2) a hospital operated by a State university; or (3) a birth center, as defined in the Alternative Health Care Delivery Act.
(b) The Department shall ensure that all birthing facilities conduct continuing education yearly for providers and staff of obstetric medicine and of the emergency department and other staff that may care for pregnant or postpartum women. The continuing education shall include yearly educational modules regarding management of severe maternal hypertension and obstetric hemorrhage for units that care for pregnant or postpartum women. Birthing facilities must demonstrate compliance with these education and training requirements.
(c) The Department shall collaborate with the Illinois Perinatal Quality Collaborative or its successor organization to develop an initiative to improve birth equity and reduce peripartum racial and ethnic disparities. The Department shall ensure that the initiative includes the development of best practices for implicit bias training and education in cultural competency to be used by birthing facilities in interactions between patients and providers. In developing the initiative, the Illinois Perinatal Quality Collaborative or its successor organization shall consider existing programs, such as the Alliance for Innovation on Maternal Health and the California Maternal Quality Collaborative's pilot work on improving birth equity. The Department shall support the initiation of a statewide perinatal quality improvement initiative in collaboration with birthing facilities to implement strategies to reduce peripartum racial and ethnic disparities and to address implicit bias in the health care system.
(d) The Department, in consultation with the Maternal Mortality Review Committee, shall make available to all birthing facilities best practices for timely identification of all pregnant and postpartum women in the emergency department and for appropriate and timely consultation of an obstetric provider to provide input on management and follow-up. Birthing facilities may use telemedicine for the consultation.
(e) The Department may adopt rules for the purpose of implementing this Section.
(Source: P.A. 101-390, eff. 1-1-20.)
(Text of Section from P.A. 101-447)
(a) The Department shall establish a classification system for the following levels of maternal care:
(1) basic care: care of uncomplicated pregnancies
with the ability to detect, stabilize, and initiate management of unanticipated maternal-fetal or neonatal problems that occur during the antepartum, intrapartum, or postpartum period until the patient can be transferred to a facility at which specialty maternal care is available;
(2) specialty care: basic care plus care of
appropriate high-risk antepartum, intrapartum, or postpartum conditions, both directly admitted and transferred to another facility;
(3) subspecialty care: specialty care plus care of
more complex maternal medical conditions, obstetric complications, and fetal conditions; and
(4) regional perinatal health care: subspecialty care
plus on-site medical and surgical care of the most complex maternal conditions, critically ill pregnant women, and fetuses throughout antepartum, intrapartum, and postpartum care.
(b) The Department shall:
(1) introduce uniform designations for levels of
maternal care that are complimentary but distinct from levels of neonatal care;
(2) establish clear, uniform criteria for designation
of maternal centers that are integrated with emergency response systems to help ensure that the appropriate personnel, physical space, equipment, and technology are available to achieve optimal outcomes, as well as to facilitate subsequent data collection regarding risk-appropriate care;
(3) require each health care facility to have a clear
understanding of its capability to handle increasingly complex levels of maternal care, and to have a well-defined threshold for transferring women to health care facilities that offer a higher level of care; to ensure optimal care of all pregnant women, the Department shall require all birth centers, hospitals, and higher-level facilities to collaborate in order to develop and maintain maternal and neonatal transport plans and cooperative agreements capable of managing the health care needs of women who develop complications; the Department shall require that receiving hospitals openly accept transfers;
(4) require higher-level facilities to provide
training for quality improvement initiatives, educational support, and severe morbidity and mortality case review for lower-level hospitals; the Department shall ensure that, in those regions that do not have a facility that qualifies as a regional perinatal health care facility, any specialty care facility in the region will provide the educational and consultation function;
(5) require facilities and regional systems to
develop methods to track severe maternal morbidity and mortality to assess the efficacy of utilizing maternal levels of care;
(6) analyze data collected from all facilities and
regional systems in order to inform future updates to the levels of maternal care;
(7) require follow-up interdisciplinary work groups
to further explore the implementation needs that are necessary to adopt the proposed classification system for levels of maternal care in all facilities that provide maternal care;
(8) disseminate data and materials to raise public
awareness about the importance of prenatal care and maternal health;
(9) engage the Illinois Chapter of the American
Academy of Pediatrics in creating a quality improvement initiative to expand efforts of pediatricians conducting postpartum depression screening at well baby visits during the first year of life; and
(10) adopt rules in accordance with the Illinois
Administrative Procedure Act to implement this subsection.
(Source: P.A. 101-447, eff. 8-23-19.)