Joint Commission; . Maternal levels of care . Oakbrook Terrace, IL: Joint Commission,
Annotation: The Joint Commission offers the Maternal Levels of Care Verification program in collaboration with the American College of Obstetricians and Gynecologists (ACOG) to help facilities providing obstetric and maternal-fetal medicine (MFM) care standardize and improve regionalized systems of care, with the ultimate goal of reducing maternal morbidity and mortality. Developed using ACOG’s Levels of Maternal Care Obstetric Care Consensus document, this program provides an objective assessment of a facility's capabilities to verify it has the appropriate resources, equipment, and staff to care for the complexity of its patients, requiring hospitals to submit a detailed process improvement plan. The verification assesses facilities against four standardized levels of care: (1) Level I: Basic Care for low to moderate-risk pregnancies; (2) Level II: Specialty Care for moderate- to high-risk antepartum, intrapartum, and postpartum conditions; (3) Level III: Subspecialty Care for more complex maternal medical conditions, obstetric complications, and fetal conditions; and (4) Level IV: Regional Perinatal Health Care Centers which provide on-site medical and surgical care for the most complex maternal conditions and critically ill pregnant women. The program promotes collaboration among area health care organizations, ensuring hospitals have a plan for assessing risk and referring patients to a higher level of care facility in the event of obstetric emergencies, and is being utilized by several states, including Florida, Georgia, Michigan, Missouri, and Texas, to meet state maternal care designation requirements.
Keywords: , Hospital Accreditation, Obstetrical care, Patient safety, Perinatal care, Quality improvement, Risk assessment, Standards