(1) To be designated as an advanced birth center, a birth center must, in addition to maintaining compliance with all of the requirements under ss. 383.30-383.332 applicable to birth centers and advanced birth centers, meet all of the following criteria:(a) Be operated and staffed 24 hours per day, 7 days per week.
(b) Employ two medical directors to oversee the activities of the center, one of whom must be a board-certified obstetrician and one of whom must be a board-certified anesthesiologist.
(c) Have at least one properly equipped, dedicated surgical suite for the performance of cesarean deliveries.
(d) Employ at least one registered nurse and ensure that at least one registered nurse is present in the center at all times and has the ability to stabilize and facilitate the transfer of patients and newborn infants when appropriate.
(e) Enter into a written agreement with a blood bank for emergency blood bank services and have written protocols for the management of obstetrical hemorrhage which include provisions for emergency blood transfusions. If a patient admitted to an advanced birth center receives an emergency blood transfusion at the center, the patient must immediately thereafter be transferred to a hospital for further care.
(f) Meet all standards adopted by rule for birth centers, unless specified otherwise, and advanced birth centers pursuant to s. 383.309. (g) Comply with the Florida Building Code and Florida Fire Prevention Code standards for ambulatory surgical centers.
(h) Qualify for, enter into, and maintain a Medicaid provider agreement with the agency pursuant to s. 409.907 and provide services to Medicaid recipients according to the terms of the provider agreement. (2) The agency shall establish by rule a process for designating a birth center that meets the requirements of this section as an advanced birth center. The agency may develop any requirements or standards it deems necessary for patient safety which advanced birth centers must meet as a condition of the designation.
