N.M. Admin. Code § 7.4.8.7

Current through Register Vol. 35, No. 21, November 5, 2024

Section 7.4.8.7 - DEFINITIONS

As used in these regulations:

A.Definitions beginning with "A":

(1)"Abstractor" means an individual who is trained to comprehensively gather pertinent information from a variety of available sources in order to accurately capture the events of a person's life leading up to and including their death in the form of a case summary for committee review. All abstractors will possess a professional background in maternal health and the requisite training, provided or endorsed by the department, to approach cases with a health equity lens. Given the critical role of the abstractor in identifying the defining details leading to a death, including factors such as racism, bias and discrimination, the department shall undertake deliberate, demonstrable efforts to engage abstractors who possess lived experience as members of communities of color disproportionately impacted by maternal mortality who are able to apply an anti-racist lens to the abstracting process.

(2)"Act" means the Maternal Mortality and Morbidity Prevention Act.

(3)"Administrative co-chair" means the chief medical officer, or another representative of the department and who is appointed by the secretary to serve as co-chair of the committee for administrative matters. The administrative co-chair shall be equipped with the measurable skills, training or lived experience to incorporate the racial, ethnic and linguistic diversity of New Mexico into this leadership role.

(4)"Aggregate data" means health care data that exclude any individually identifiable health information, including patient and health care provider identification.

B.Definitions beginning with "B": "BVRHS" means the department of health bureau of vital records and health statistics.

C.Definitions beginning with "C":

(1)"Case-related material" means any de-identified information that relates to or summarizes an incident of maternal mortality or severe maternal morbidity.

(2)"Case summary" means a de-identified summary of an incident of maternal mortality.

(3)"CDC" means the U.S. centers for disease control and prevention.

(4)"Chief medical officer" means the chief medical officer of the department.

(5)"Clinical co-chair" means a committee member with maternal child health clinical or paraprofessional training nominated and approved by a two-thirds vote of the committee and approved by the department to serve in this position for a term that aligns with the overall duration of their membership on the committee unless the member chooses to step down from the co-chair role prior to the end of their membership term. The clinical co-chair shall be equipped with the measurable skills, training or lived experience to incorporate the racial, ethnic and linguistic diversity of New Mexico into this leadership role.

(6)"Committee" means the maternal mortality review committee.

(7)"Committee member" means a person who has been appointed to sit as a member of the committee and who participates in committee business and votes on committee matters.

(8)"Community co-chair" means a committee member nominated and approved by a two-thirds vote of the committee to a term that aligns with the overall duration of their membership on the committee unless the member chooses to step down from the co-chair role prior to the end of their membership term. The community co-chair shall possess lived experience as a community member able to represent the regional, racial, linguistic, and ethnic diversity of New Mexico's communities disproportionately impacted by maternal mortality in this leadership role.

(9)"Contributing factors" are the circumstances, events, exposures, procedures, or products identified by the committee as having contributed to an incident or group of incidents resulting in maternal mortality or severe maternal morbidity which may include systemic racism or inequities.

(10)"Coordinator" means the operational staff member designated by the department to manage the day-to-day operations of the committee.

(11)"Critical income" means income lost as a result of uncompensated work time used to attend a committee meeting.

D.Definitions beginning with "D":

(1)"Data set" means a collection of de-identified information collected or created by or under the direction of DOH epidemiologists.

(2)"De-identified data" means information that has been purged of all personally identifying information including, but not limited to, names; any geographic subdivision smaller than a state including street address, city, county, precinct, zip code, and their equivalent geocodes; all elements of dates except the year of an incident, including birth date, admission dates, discharge dates, and dates of death; telephone numbers, fax numbers electronic mail addresses; social security numbers; health plan beneficiary numbers; certificate and license numbers; vehicle identifiers and serial numbers, including license plate numbers; device identifiers and serial numbers; web universal resource locators (URLs); internet protocol address numbers; biometric identifiers, including finger and voice prints; full face photographic images and any comparable images; and any other unique identifying number characteristic, or code.

(3)"Department" or "DOH" means the New Mexico department of health.

(4)"DOH epidemiologist" means the operational staff responsible for creating, interpreting, and analyzing data sets and for supporting committee efforts to develop and disseminate data-driven recommendations.

E.Definitions beginning with "E":

(1)"Executive committee" means a subcommittee of the committee consisting of the co-chairs and additional committee members that provides leadership and guidance to the committee and operational staff to effectuate the objective of the committee.

(2)"Expertise" means special skill, knowledge, or judgement that results from training, practice or lived experience.

F.Definitions beginning with "F": [RESERVED]

G.Definitions beginning with "G": [RESERVED]

H.Definitions beginning with "H":

(1)"Health care provider" means an individual licensed, certified or otherwise authorized to provide health care services in the ordinary course of business in the state; or a health facility that the department licenses.

(2)"Health equity" means the attainment of the highest level of health for all people through focused and ongoing efforts to address avoidable inequalities, historic and contemporary injustices, and the elimination of health and healthcare disparities.

(3)"HIDD database" means the hospital inpatient discharge database or state inpatient database.

I.Definitions beginning with "I":

(1)"IAD" means: Indian affairs department of the state.

(2)"Identifiable information" means any information that may be used to determine the identity of an individual directly or indirectly involved in an incident of maternal mortality or severe maternal morbidity.

J.Definitions beginning with "J": [RESERVED]

K.Definitions beginning with "K": [RESERVED]

L.Definitions beginning with "L":

(1)"Law enforcement agency" means a law enforcement agency of the state, an Indian nation, tribe or pueblo or a political subdivision of the state.

(2)"Lead abstractor" means the clinical co-chair or operational staff member designated to coordinate the activities of any operational staff engaged as abstractors. This person also prepares case summaries for committee review and enters committee decisions into the MMRIA database.

M.Definitions beginning with "M":

(1)"Maternal mortality" means the death of a pregnant person or a birthing person within one year postpartum.

(2)"Maternal mortality review" or "MMR" means the review of all reported deaths of individuals who die of any cause during pregnancy or within one year of the end of pregnancy.

(3)"Medical record" means the written or graphic documentation, sound recording or electronic record relating to medical, behavioral health and health care services that a patient receives from a health care provider or under the direction of a physician or another licensed health care provider. "Medical record" includes diagnostic documentation, including an x-ray, electrocardiogram, and electroencephalogram; other test results; data entered into a prescription drug monitoring program; and an autopsy report.

(4)"MMRIA" means the CDC maternal mortality review information application or any successor application.

N.Definitions beginning with "N": [RESERVED]

O.Definitions beginning with "O":

(1)"OAAA" means the office of African American affairs of the state.

(2)"OMI" means the office of the medical investigator.

(3)"Operational staff" means staff or contractors of the department assigned or contracted to support the work of the committee or its executive committee.

P.Definitions beginning with "P":

(1)"PHD" means the public health division of the department.

(2)"Pregnancy-associated death" means a death during or within one year of pregnancy, regardless of the cause. If the definition is updated by the CDC, that definition shall be the applicable definition for these rules.

(3)"Pregnancy-related death" means a death during or within one year of pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. If the definition is updated by the CDC, that definition shall be the applicable definition for these rules.

Q.Definitions beginning with "Q":"Qualified invited guest" means a person approved by the co-chairs and invited by the committee to attend a committee meeting to provide technical expertise to the committee, to enhance training in maternal health, to provide insight on maternal mortality or severe maternal morbidity review in other jurisdictions or to provide operational support to the committee.

R.Definitions beginning with "R": [RESERVED]

S.Definitions beginning with "S":

(1)"Secretary" means the secretary of the department of health or designee.

(2)"Severe maternal morbidity" means unexpected outcomes of labor and delivery that result in significant short- or long-term consequences to a person's health as identified by hospitalizations using administrative hospital discharge data and the world health organization's international classification of diseases diagnosis and procedure codes.

T.Definitions beginning with "T":"Trauma" means individual and communal trauma, defined as the experiences inflicted upon people and communities impacting their physical, mental and emotional well-being. This unresolved impact leads to a perceived and experienced lack of safety and a recurring experience of stress that impacts the physical and mental bodies of the victim and at times their families and communities intergenerationally. Trauma is linked to acts of violence, including micro-aggressions, systemic inequity and the feeling that oneself, one's family or community are not fully safe or capable of being safe as a result of the traumatic incident(s).

U.Definitions beginning with "U": [RESERVED]

V.Definitions beginning with "V": [RESERVED]

W.Definitions beginning with "W": [RESERVED]

X.Definitions beginning with "X": [RESERVED]

Y.Definitions beginning with "Y": [RESERVED]

Z.Definitions beginning with "Z": [RESERVED]

N.M. Admin. Code § 7.4.8.7

Adopted by New Mexico Register, Volume XXXIII, Issue 21, November 8, 2022, eff. 11/8/2022