1. (1) Each birthing center must have a governing body or person clearly identified as being legally responsible for the control and operation of the birthing center, the selection of the clinical staff, and the quality of care and services provided in the birthing center.
2. (2) The governing body shall employ or contract with an administrator or chief executive officer who is responsible for the administrative operation of the birthing center and who ensures compliance with all policies and procedures, birthing center licensing laws and these rules.

3. (3) The governing body shall establish in writing:

   1. (a) A formal organizational plan that clearly sets forth policies, procedures and by-laws, and the responsibilities, accountability, and relationships of clinical providers, clinical staff and other personnel including volunteers;
   2. (b) The scope of services provided by the birthing center;
   3. (c) Administrative policies and procedures including but not limited to the policies and procedures specified in OAR 333-077-0090;
   4. (d) Responsibilities for the operation of the birthing center;
   5. (e) Qualifications for an administrator or chief executive officer;
   6. (f) That client care and services of the birthing center is under the supervision of a manager who is a licensed direct entry midwife, certified nurse midwife, or physician.
   7. (g) That all clinical staff for whom state licenses are required are currently licensed, certified or registered;
   8. (h) That all clinical providers admitted to practice in the facility are granted privileges consistent with their individual training, experience, and other qualifications;
   9. (i) Criteria and procedures for granting, restricting, and terminating privileges of all clinical providers, and that such procedures are reviewed on a regular basis;
   10. (j) The provision of sufficient personnel, facilities, equipment, supplies and other services to meet the needs of clients; and
   11. (k) Adoption and implementation of a quality improvement program in accordance with OAR 333-077-0200 to ensure that performance improvement activities of clinical staff result in continuous improvement of client health outcomes.
4. (4) The governing body shall ensure that all clinical providers admitted to practice in the birthing center shall effectively review the professional practices of the birthing center for purposes of reducing morbidity and mortality and for improving client care

Statutory/Other Authority

ORS 441.025

Statutes/Other Implemented

ORS 441.025 & ORS 441.055

History

PH 23-2025, amend filed 11/03/2025, effective 11/03/2025
PH 121-2024, renumbered from 333-076-0630, filed 12/24/2024, effective 12/24/2024
PH 15-2006, f. & cert. ef. 6-27-06
HD 2-1990, f. 1-8-90, cert. ef. 1-15-90, Renumbered from 333-076-0410
HD 26-1985, f. & ef. 10-28-85