A freestanding birthing center shall develop and implement a quality assurance program. A freestanding birthing center shall collect the following evaluative data in addition to that required in COMAR 10.05.01.08: Number of births; Intrapartum transfer rates and indications for transfer; and Postpartum maternal and neonatal hospital admissions. A freestanding birthing center shall conduct a quarterly review of all patients transferred to an emergency department or a hospital. 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.