Table 3.
Percentage of states classified by criteria and category using 2014 state-level policy language for each level of neonatal care as defined in the 2012 AAP policy
| Criteria | Number and percentage of states with developed policies for each level of neonatal carea
|
||||
|---|---|---|---|---|---|
| Categories | Level Ib States with policy (N = 20)c |
Level II States with policy (N = 21) |
Level III States with policy (N =22) |
Level IV States with policy (N =18) |
|
| Birth weight | Specified states | GA, IL, NJ, NY, SC, TN, UT, and VA | FL, GA, IL, IA, KY, LA, MS, NJ, NY, PA, SC, TN, UT, VA, and WA | FL, MD, MS, NJ, OH, PA, SC, TN, UT, and WA | FL, GA, MD, OH, SC, TN, and UT |
| Count (%) | 8 (40.0%) | 15 (71.4%) | 10 (45.5%) | 7 (38.9%) | |
| Not specified states | AL, CA, FL, IA, LA, MA, MS, NV, NC, OH, PA, and WA | AL, CA, MA, NV, NC, and OH | AL, CA, GA, IL, IA, KY, LA, MA, NV, NY, NC, and VA | AL, CA, IL, KY, LA, MS, NJ, NY, NC, VA, and WA | |
| Count (%) | 12 (60.0%) | 6 (28.6%) | 12 (54.5%) | 11 (61.1%) | |
| Gestational age | Specified states | GA, IL, MA, MS, NJ, NY, OH, SC, TN, UT, VA, and WA | GA, IL, IA, KY, MA, MS, NJ, NY, OH, PA, SC, TN, UT, and WA | KY, MD, MA, MS, NJ, NC, OH, PA, SC, TN, UT, and WA | GA, MD, NC, OH, TN, and UT |
| Count (%) | 12 (60.0%) | 14 (66.7%) | 12 (54.5%) | 6 (33.3%) | |
| Not specified states | AL, CA, FL, IA, LA, NV, NC, and PA | AL, CA, FL, LA, NV, NC, and VA | AL, CA, FL, GA, IL, IA, LA, NV, NY, and VA | AL, CA, FL, IL, KY, LA, MS, NJ, NY, SC, VA, and WA | |
| Count (%) | 8 (40.0%) | 7 (33.3%) | 10 (45.5%) | 12 (66.7%) | |
| Ventilation capabilities | Full range or complex respiratory support; conventional and/or high-frequency ventilation; and inhaled nitric oxide states | FL, GA, KY, LA, MA, MS, NY, PA, SC, TN, UT, and WA | FL, GA, KY, LA, MS, NJ, NY, TN, SC, UT, VA, and WA | ||
| Count (%) | 0 (0.0%) | 0 (0.0%) | 12 (54.5%) | 12 (66.7%) | |
| Brief mechanical ventilation and/or CPAP (transfer as needed) states | CA | CA, FL, GA, IL, IA, LA, MA, MS, NC, NJ, NV, NY, OH, PA, SC, TN, UT, VA, and WA | AL, IL, IA, MD, NV, NC, OH, and VA | CA, MD, NC, and OH | |
| Count (%) | 1 (5.0%) | 19 (90.5%) | 8 (36.5%) | 4 (22.2%) | |
| Neonatal resuscitation and stabilization (transfer as needed) states | AL, FL, GA, IL, IA, LA, MA, MS, NV, NJ, NY, NC, OH, PA, TN, SC, UT, VA, and WA | AL and KY | NJ | ||
| Count (%) | 19 (95.0%) | 2 (9.5%) | 1 (4.5%) | 0 (0.0%) | |
| Not specified states | CA | AL and IL | |||
| Count (%) | 0 (0.0%) | 0 (0.0%) | 1 (4.5%) | 2 (11.1%) | |
| Imaging capabilities | Advanced physiologic monitoring equipment including computed tomography, magnetic resonance imaging, or echocardiography states | OH | AL, IL, KY, MD, MA, MS, OH, TN, SC, UT, and WA | AL, IL, KY, MD, MS, NY, NC, OH, TN, SC, UT, and WA | |
| Count (%) | 0 (0.0%) | 1 (4.8%) | 11 (50.0%) | 12 (66.7%) | |
| Portable equipment including X-ray (transfer as needed) states | AL, GA, IL, IA, MA, MS, NC, NY, OH, PA, TN, VA, and WA | AL, FL, GA, IL, IA, KY, LA, MA, MS, NV, NY, NC, PA, SC, TN, UT, VA, and WA | FL, IA, LA, NY, NC, PA, and VA | GA, LA, and VA | |
| Count (%) | 13 (65.0%) | 18 (85.7%) | 7 (31.8%) | 3 (16.7%) | |
| Not specified states | CA, FL, LA, NV, NJ, SC, and UT | CA and NJ | CA, GA, NV, and NJ | CA, FL, and NJ | |
| Count (%) | 7 (35.0%) | 2 (9.5%) | 4 (18.2%) | 3 (16.7%) | |
| Pediatric surgical capabilities | Full range available on-site | FL, IL, and IA | FL, GA, KY, MD, MS, SC, UT, and VA | ||
| Count (%) | 0 (0.0%) | 0 (0.0%) | 3 (13.7%) | 8 (44.5%) | |
| Readily accessible by consultation | MA and NY | GA, KY, LA, MD, MA, MS, NV, NY, SC, TN, UT, and WA | IL, LA, NY, NC, TN, and WA | ||
| Count (%) | 0 (0.0%) | 2 (9.5%) | 12 (54.5%) | 6 (33.3%) | |
| Surgery not recommended in a policy for a specified level | NJ | ||||
| Count (%) | 0 (0.0%) | 1 (4.8%) | 0 (0.0%) | 0 (0.0%) | |
| Not specified | AL, CA, FL, GA, IL, IA, LA, MA, MS, NV, NJ, NY, NC, OH, PA, SC, TN, UT, VA, and WA | AL, CA, FL, GA, IL, IA, KY, LA, MS, NV, NC, OH, PA, SC, TN, UT, VA, and WA | AL, CA, NJ, NC, OH, PA, and VA | AL, CA, NJ, and OH | |
| Count (%) | 20 (100.0%) | 18 (85.7%) | 7 (31.8%) | 4 (22.2%) | |
| Pediatric surgical subspecialty capabilities | Full range available on-site | FL and IL | FL, GA, KY, MS, SC, UT, and VA | ||
| Count (%) | 0 (0.0%) | 0 (0.0%) | 2 (9.0%) | 7 (38.9%) | |
| Readily accessible by consultation | GA, LA, MD, MA, NY, OH, SC, TN, and UT | IL, LA, MD, NY, OH, TN, and WA | |||
| Count (%) | 0 (0.0%) | 0 (0.0%) | 9 (41.0%) | 7 (38.9%) | |
| Surgery not recommended in a policy for a specified level | FL and NJ | ||||
| Count (%) | 0 (0.0%) | 2 (9.5%) | 0 (0.0%) | 0 (0.0%) | |
| Not specified | AL, CA, FL, GA, IL, IA, LA, MA, MS, NV, NJ, NY, NC, OH, PA, SC, TN, UT, VA, and WA | AL, CA, GA, IL, IA, KY, LA, MA, MS, NV, NY, NC, OH, PA, SC, TN, UT, VA, and WA | AL, CA, IA, KY, MS, NV, NJ, NC, PA, VA, and WA | AL, CA, NJ, and NC | |
| Count (%) | 20 (100.0%) | 19 (90.5%) | 11 (50.0%) | 4 (22.2%) | |
a
Some states may only publish policies for certain levels. The ‘N located in each column represents the number of states with a published policy for that level
b
State-used alternative terms for Level I = Basic, General; Level II = Specialty, Intermediate; Level III = Subspecialty, Intensive; and Level IV = Regional Center
c
States with policies are defined as having any long-standing policy related to levels of care which may or may not be consistent with the minimum requirements in the 2012 AAP Policy
d
Includes National Resuscitation Program referenced within a policy