(1) Clinical records shall contain information prescribed by rule, including, but not limited to:
(a) Identifying information.
(b) Risk assessments.
(c) Information relating to prenatal visits.
(d) Information relating to the course of labor and intrapartum care.
(e) Information relating to consultation, referral, and transport to a hospital.
(f) Newborn assessment, APGAR score, treatments as required, and followup.
(g) Postpartum followup.
(2) Clinical records shall be immediately available at the birth center:
(a) At the time of admission.
(b) When transfer of care is necessary.
(c) For audit by licensure personnel.
(3) Clinical records shall be kept confidential in accordance with s. 456.057 and exempt from the provisions of s. 119.07(1). A client’s clinical records shall be open to inspection only under the following conditions:
(a) A consent to release information has been signed by the client; or
(b) The review is made by the agency for a licensure survey or complaint investigation.
(4)(a) Clinical records shall be audited periodically, but no less frequently than every 3 months, to evaluate the process and outcome of care.
(b) Statistics on maternal and perinatal morbidity and mortality, maternal risk, consultant referrals, and transfers of care shall be analyzed at least semiannually.
(c) The governing body shall examine the results of the record audits and statistical analyses and shall make such reports available for inspection by the public and licensing authorities.
History.—ss. 12, 21, 22, 27, ch. 84-283; s. 33, ch. 87-225; s. 1, ch. 90-3; s. 4, ch. 91-429; s. 195, ch. 96-406; s. 20, ch. 98-166; s. 15, ch. 98-171; s. 10, ch. 2000-160.
Structure Florida Statutes
Chapter 383 - Maternal and Infant Health Care
383.011 - Administration of Maternal and Child Health Programs.
383.014 - Perinatal Mental Health Care.
383.04 - Prophylactic Required for Eyes of Infants.
383.06 - Report of Inflammation or Discharge in Infant’s Eyes.
383.07 - Penalty for Violation.
383.13 - Use of Information by Department.
383.145 - Newborn and Infant Hearing Screening.
383.146 - Infants and Toddlers Who Are Deaf or Hard of Hearing; Notice of Service Providers.
383.15 - Legislative Intent; Perinatal Intensive Care Services.
383.16 - Definitions; Ss. 383.15-383.19.
383.17 - Regional Perinatal Intensive Care Centers Program; Authority.
383.18 - Contracts; Conditions.
383.19 - Standards; Funding; Ineligibility.
383.216 - Community-Based Prenatal and Infant Health Care.
383.2161 - Maternal and Child Health Report.
383.2162 - Black Infant Health Practice Initiative.
383.21625 - Fetal and Infant Mortality Review Committees.
383.2163 - Telehealth Minority Maternity Care Pilot Programs.
383.30 - Birth Center Licensure Act; Short Title.
383.301 - Licensure and Regulation of Birth Centers; Legislative Intent.
383.302 - Definitions of Terms Used in Ss. 383.30-383.332.
383.307 - Administration of Birth Center.
383.308 - Birth Center Facility and Equipment; Requirements.
383.309 - Minimum Standards for Birth Centers; Rules and Enforcement.
383.31 - Selection of Clients; Informed Consent.
383.3105 - Patients Consenting to Adoptions; Protocols.
383.311 - Education and Orientation for Birth Center Clients and Their Families.
383.312 - Prenatal Care of Birth Center Clients.
383.313 - Performance of Laboratory and Surgical Services; Use of Anesthetic and Chemical Agents.
383.315 - Agreements With Consultants for Advice or Services; Maintenance.
383.316 - Transfer and Transport of Clients to Hospitals.
383.318 - Postpartum Care for Birth Center Clients and Infants.
383.324 - Inspections and Investigations; Inspection Fees.
383.327 - Birth and Death Records; Reports.
383.33 - Administrative Penalties; Moratorium on Admissions.
383.332 - Establishing, Managing, or Operating a Birth Center Without a License; Penalty.
383.3361 - Limitations on Civil and Administrative Liability.
383.3362 - Sudden Unexpected Infant Death.
383.412 - Public Records and Public Meetings Exemptions.