# COMAR Title 10 — Maryland Department of Health

## Subtitle 05 — Freestanding Ambulatory Care Facilities

### Chapter 02 — Freestanding Birthing Centers

#### Regulation .11 Quality Assurance Program.

*COMAR 10.05.02.11*

A. A freestanding birthing center shall develop and implement a quality assurance program.

B. A freestanding birthing center shall collect the following evaluative data in addition to that required in COMAR 10.05.01.08:

  (1) Number of births;

  (2) Intrapartum transfer rates and indications for transfer; and

  (3) Postpartum maternal and neonatal hospital admissions.

C. A freestanding birthing center shall conduct a quarterly review of all patients transferred to an emergency department or a hospital.

D. Process of Filing a Complaint.  The freestanding birthing center shall have a written process that describes how patients are notified of how to file a complaint with the OHCQ and, if applicable, an accreditation organization.