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One Third Of Indiana Counties Don't Have Pregnancy Services

By Brandon Smith

Posted September 18, 2014

The Indiana Commission on Improving the Status of Children on Wednesday adopted a recommendation that the state create a Levels of Care certification program for all Indiana birthing hospitals.

The vote comes after a review from the Indiana Department of Health found nearly one-third of Indiana counties don't have obstetrics services, while many Hoosier hospitals don't have levels of care that are on par with national standards.

The State Department of Health issued a survey to Indiana hospitals, asking them to self-evaluate their classification based on American Academy of Pediatrics categories.

The American Academy of Pediatrics has three categories to define a hospital's level of care for newborns and infants, with Level One being basic to Level Three the most specialized.

Unlike the majority of states, Indiana doesn't have protocols for classifying its hospitals' levels of care.

Maureen Greer, who is from the Indiana Perinatal Quality Improvement Collaborative, says of the 88 hospitals surveyed, most overestimated their level of care when compared to national standards.

"There were 34 hospitals that could not even meet the first level of OB care so we had hospitals with so many missing elements that they could not meet the very lowest criteria for the hospital standards," Greer says.

Greer says missing the standards could be because of a lack of written policies, training programs or equipment.

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