All hospitals that provide perinatal care are being asked to participate in completion of this survey. Once you have completed the packet, you will know how your perinatal services compare to accepted criteria for the minimum expected when delivering a particular level of care. The CPCC will assist in the completion of the survey by providing information and/or explanation if the need arises.
Level I: (click here to view Level I Hospitals) Level I institutions provide basic services for uncomplicated obstetric and newborn patients. Emphasis must be given to the early detection or recognition of the at-risk pregnant woman, fetus or newborn with appropriate consultation and referral of the obstetric or newborn patient to a more specialized institution for treatment. Emergency care must also be provided for unanticipated complications.
Level II (Click here to view Level II Hospitals): Level II institutions provide Level I services as well as specialty services for selected at-risk patients. A broader spectrum of other specialty care and services is available. Some obstetric and newborn patients with severe or unusual complications may, with consultation, require transfer to other institutions for more specialized care and services. Level IIA:
Resuscitate and stabilize preterm or ill infants prior to transfer to a facility that can provide appropriate level of neonatal care. Provide care for infants greater than or equal to 32 weeks and greater than or equal to 1500 gms. Provide care for infants convalescing after intensive care.
Level IIB: Level IIA capabilities. Additional capability to provide mechanical ventilation for brief periods (less than 24 hours) or continuous positive airway pressure.
Level III (click here to view Level III Hospitals): Level III institutions provide Level I and II services and provide comprehensive sub-specialty services for the large majority of high-risk obstetric and newborn patients, including the full range of prematurity and most neonatal surgical conditions. Level IIIA: Comprehensive care for infants greater than or equal to 28 weeks and greater than or equal to 1000 grams. Conventional mechanical ventilation. Minor surgical procedures – central lines, hernia.
Level IIIB: Comprehensive care for infants less than or equal to 28 weeks and less than or equal to 1000 grams. Advanced respiratory care, high frequency and INO for as long as required. Prompt and on-site access to a full range of pediatric medical sub specialists. Advanced imaging with interpretation on an urgent basis. Pediatric surgical specialists and anesthesiologists near-by or onsite to do major surgery (eg. PDA ligation, repair of abd. Wall defects, NEC with perforation, TEF, spina bifida. Level IIIC: Capabilities of Level IIIB and has ability to provide ECMO and repair of complex congenital cardiac malformations that require by-pass.
