DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Prevention Services Division RULES AND REGULATIONS PERTAINING TO THE REPORTING OF CAUSES OF MATERNAL MORBIDITY AND MORTALITY IN COLORADO 6 CCR 1009-8 [Editor’s Notes follow the text of the rules at the end of this CCR Document.] _______________________________________________________________________________ Adopted by the Board of Health on April 20, 2016.

Authority for Establishing Rules and Regulations The following regulations are promulgated pursuant to Section 25-1.5-101(1)(c)(I), C.R.S., which states the Department has the power and duty “to collect, compile, and tabulate reports of...deaths and morbidity and to require any person having information with regard to the same to make such reports and submit such information as the board [of Health] shall by rule or regulation provide.” Regulation 1. Reportable Causes of Maternal Morbidity and Mortality For the purpose of identifying and tabulating significant causes of maternal morbidity and mortality in Colorado, diseases and conditions directly or indirectly related to a pregnancy and fatalities that occur in association with pregnancy or for up to one year postpartum shall be reportable by physicians, other health care providers, hospitals, health care facilities and coroners in accordance with the provisions of these regulations. These occurrences will be reviewed to compile potential risk factors, including complications that can occur during pregnancy, childbirth or the postpartum period that may lead to maternal death.

Regulation 2. Manner of Reporting, Information To Be Submitted, and Investigations To Confirm the Diagnosis and Causes of Maternal Morbidity and Mortality The diseases and conditions listed in Regulation 1 shall be reported to the Department of Health within the specified time frame after the diagnosis is made by the physician, other health care provider, hospital, health care facility or coroner.

The information that shall be submitted for reportable causes of maternal morbidity and mortality shall consist of the diagnosis; the patient's name, age, sex, race/ethnicity, and address; the name and address of responsible physician; pregnancy status; and such other information as is needed by the Department to accurately compile and tabulate the causes of maternal morbidity and mortality. Reports on hospitalized patients may be made part of a report by the hospital as a whole. Investigations may be conducted to confirm the diagnosis and causes of reportable conditions in Regulation 1 and shall be considered official duties of the state health department. Such investigations may include:

1. (a) review of pertinent, relevant medical records by authorized personnel, if necessary to confirm the diagnosis; such review of records may occur without patient consent and shall be conducted at reasonable times and with such notice as is reasonable under the circumstances;
2. (b) performing follow-up interview(s) with persons knowledgeable about the case to collect pertinent and relevant information about the cause(s) of the reportable condition. 1 CODE OF COLORADO REGULATIONS 6 CCR 1009-8 Prevention Services Division The Department shall develop systems and forms for reporting by physicians, other health care providers, hospitals, health care facilities or coroners.

Reports required by these Regulations do not substitute for or relieve the requirement to comply with Colorado Vital Statistics Regulations (5 CCR 1006-1).

Regulation 3. Confidentiality All personal medical records and reports held by the State health department in compliance with these regulations shall be confidential information subject to Section 25-1-122(4), C.R.S. _______________________________________________________________________________ Editor’s Notes History Entire rule eff. 06/14/2016.

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