Evidence map›Paper›PMID 31570793›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2020

Designation of neonatal levels of care: a review of state regulatory and monitoring policies.

Charlan D Kroelinger, Ekwutosi M Okoroh, David A Goodman, Sarah M Lasswell, Wanda D Barfield

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Summary of neonatal and maternal transport and reimbursement policies-a 5-year update.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Pooled it
  2. Article
  3. Critical care among newborns with and without a COVID-19 diagnosis, May 2020-February 2022.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  4. Maternal and neonatal risk-appropriate care: gaps, strategies, and areas for further research.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  5. Article
  6. Levels of neonatal care among birth facilities in 20 states and other jurisdictions: CDC levels of care assessment toolJournal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  7. Article
  8. Seven years later: state neonatal risk-appropriate care policy consistency with the 2012 American Academy of Pediatrics Policy.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  9. Article
  10. Article
  11. Why so little progress in regionalization of perinatal care when transport of high-risk neonates remains a substantial risk?Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Charlan D KroelingerDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. ckroelinger@cdc.gov.
Ekwutosi M OkorohDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
David A GoodmanDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Sarah M LasswellIndependent Consultant, Mosiac Consulting Group, LLC, Atlanta, GA, USA.
Wanda D BarfieldDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveSummarize policies on levels of neonatal care designation among 50 states and District of Columbia (DC). STUDY

designSystematic review of publicly available, web-based information on levels of neonatal care designation policies for each state/DC. Information on designating authorities, designation oversight, licensure requirement, and ongoing monitoring for designated levels of care abstracted from 2019 published rules, statutes, and regulations.

resultThirty-one (61%) of 50 states/DC had designated authority policies for neonatal levels of care. Fourteen (27%) incorporated oversight of neonatal levels of care into the licensure process. Among jurisdictions with designated authority, 25 (81%) used a state agency and 15 (48%) had direct oversight. Twenty-two (71%) of 31 states with a designating authority required ongoing monitoring, 14 (64%) used both hospital reporting and site visits for monitoring with only ten requiring site visits.

conclusionsLimited direct oversight influences regulation of regionalized systems, potentially impacting facility service monitoring and consequent management of vulnerable infants.

Indexed as

Government RegulationHealth PolicyInfant, NewbornState GovernmentHumansIntensive Care Units, NeonatalLicensure, HospitalLicensure, MedicalNeonatologyUnited States

Identifiers

PMID31570793
PMCPMC7047514

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.