GOOD NEWS! Second Notice Rules for Birth Centers

[Gayle Riedmann]

Dear Birth Center Supporters,

GREAT NEWS!

The Illinois Birth Center Task Force has been informed that the 2nd
Notice for RULES for Birth Centers has been posted.

ALMOST ALL of the recommendations for change to the 1st Notice
proposed Rules have been accepted!
GOOD RESULTS for advocacy!!!


The Highlights:
-Fire Code (LSC) requirement as "Ambulatory Health Care Occupancy" was
removed. Now is Business Occupancy. (This is a biggie- as it removes
many of the construction requirements)
-Fee for permit lowered to $500.00 + $100 for each bed.
-Requirement for nursing station as security checkpoint, room call
system, room temp controls, electrical outlets, toilets, etc all
removed.
-Some clinical issues clarified- ie: induction of labor "by
pharmacologic agents not allowed (meaning induction by AROM ok)

There are still a few issues that the Birth Center task Force will
address:
1) History of PPH to be further clarified as exclusion factor
2) Clarify management of pregnant "walk-in" patients for transfer
3) Definition of "health-related field" to be removed. This is of
great concern, as the IDPH defined "health-related field" as an RN or
LPN. This relates to who is qualified as "birth assistant"- the
second person required at a birth. The wording of the bill is very
specific so that Certified Professional Midwivess, Certified Nurse
Assistants, Certified Medical Assistants, or Physician Assistant could
NOT serve as the second individual in the birth room (other than CNM
or MD). We believe this definition was added in somewhere in the
drafting of the 1st Notice- and apparently it was overlooked during
our initial analysis.

Unfortunately, Google Groups no longer supports file uploads, so I
have listed below links that will take you to a public Google
Document. Please be patient to let the entire dicument download.

To see the IDPH REVIEW AND SUMMARY / SECOND NOTICE which includes
comments and changes to go to this link:
https://docs.google.com/viewer?a=v&pid=explorer&chrome=true&srcid=0BwnMET8yd9WzYWE4MTIyNDQtNGRmMS00MmEzLWJjOTAtNDhkMTJkMGEyOThk&hl=en

To see the announcement for
SECOND NOTICE RULES FOR BIRTH CENTERS go to this link:
http://www.idph.state.il.us/rulesregs/proposedrules.htm#2ndnotice

!!!!!! To see a chart of the BIRTH CENTER TASK FORCE SUMMARY !!!!!
which lists all changes to the FIRST NOTICE PROPOSED RULES and the
Birth Center Task RESPONSE go to this Google Documents link:
https://docs.google.com/document/d/1ymE1SwbkzvwqSnPjguEVTNMdEe4B5E2tkjwLJegjjgM/edit?hl=en#

You can review the FIRST NOTICE RULES FOR BIRTH CENTERS (this is
necessary for comparison purposes) by clicking on the link on the JCAR
website above or following this link:
http://www.idph.state.il.us/rulesregs/2010_rules/77_IAC_265_8-20.pdf

The Rules is scheduled to be reviewed and approved at the March 8,
2011 meeting of the Joint Committee for Administrative Rules (JCAR).

If you feel strongly about the 2nd Notice (particularly regarding the
definition of "health care worker"), you can respond to the SECOND
NOTICE via phone call or e-mail or written letter to:


Susan Meister
Division of Legal Services
Illinois Department of Public Health
535 West Jefferson St., 5th Floor
Springfield, Illinois 62761
Phone: 217/782-2043
Fax: 217)557-8617
e-mail: dph....@illinois.gov

THANK YOU to all who responded to my request for ACTION! It worked!!!

Sincerely,
Gayle

--
Gayle Riedmann, CNM
Chair, Illinois Birth Center Task Force
Health and Medicine Policy Research Group
www.hmprg.org


West Suburban Midwife Associates, Ltd
715 Lake Street Suite 273 Oak Park, IL 60301
ph: 708-848-3800 fax: 708-848-0008
www.westsubmidwives.com