1. (a) Facilities, as described in RSA 132:31, II, shall identify and report maternal deaths to the department.

2. (b) Maternal deaths may be identified and reported to the department through the following sources:

   1. (1) Direct report from a hospital, non-emergency walk-in care center, ambulatory surgical center, or birthing center;
   2. (2) Data linkage through a death certificate;
   3. (3) Case finding from a panel member and reported to the department;
   4. (4) Medical examiner’s report; and
   5. (5) Other Source.
3. (c) For maternal deaths identified and reported in (b)(1) above, the hospital, non-emergency walk-in care center, ambulatory surgical center, or birthing center shall complete and send a “Maternal Mortality Initial Report” form (2/2013) to the department either by secure fax, electronic, or paper format within 10 business days of a maternal death.

4. (d) Upon receipt of the initial report form in (c) above, the department shall send the CEO of the hospital or birthing center:

   1. (1) A “Maternal Mortality Case Information Sheet” which includes the identified patient’s name and date of birth; and
   2. (2) A data collection letter which shall include information on the review process to be conducted by the abstraction team.

5. (e) For deaths identified in (b)(2)–(5) the department shall complete the “Maternal Mortality Initial Report” form (2/2013) and send it and the following to the CEO of the appropriate hospital, non-emergency walk-in care center, ambulatory surgical center, or birthing center where the patient received care:

   1. (1) A “Maternal Mortality Case Information Sheet” which includes the identified patient’s name and date of birth; and
   2. (2) A data collection letter which shall include information on the review process to be conducted by the abstraction team.
6. (f) Reporting under this part shall not preclude the requirement for a hospital or ambulatory surgical center to report an adverse event under RSA 151:37–40 and He-P 802 and He-P 812, respectively, and for a birthing center to report an unusual incident under He-P 810.

Source. #10287, eff 3-16-13