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Facility Change or Temporary Closure

Facility Changes

CABC-accredited birth centers must report any of the following facility changes to the CABC:

  • moves to a new facility
  • adds a new facility
  • renovates the existing facility

CABC then conducts a Facility Check site visit to ensure that the birth center is still in compliance with the standards. The Facility Check fee is less than the fee for a non-ordinary site visit and includes staff meals, lodging and travel. You may also be eligible for a Virtual Facility Check. Contact the CABC office for more information.

Temporary Closure

If a birth center expects a temporary closure or a birth center stops admitting clients for birth, lasting less than 6 months, then the birth center may request that their accredited status be retained as inactive accreditation. The benefit of “inactive accreditation” status is that the birth center retains its position in the accreditation cycle (timing of visit) and has no lapse in accreditation that might impact licensure or payer contracts.

  1. The birth center must request this inactive status in writing detailing the reasons for temporary closure and their anticipated remedies.
  2. This request will be reviewed by the Chair of CABC who will then determine if the request will be granted.
  3. Acceptable criteria for approval of inactive status request include, but are not limited to:
    a) Facility is unsafe or non-operational or infrastructure failure
    b) Lack of clinical or administrative directors
    c) Insufficient staff to admit clients for birth
    d) Lack of clinical consultants or transfer capability
    e) Diversion of all clients to hospital or other facility for any reason for greater than 72-hours.

If a Birth Center stops admitting clients for birth for greater than 72 hours, for any reason, it is considered a sentinel event. The Birth Center then has a duty to notify CABC of its closure, the reasons, and the reasons for temporary closure and their anticipated remedies. If the reasons for temporary closure are within the scope of the Complaints and Sentinel Event Committee’s review per policy, CABC may request that the Birth Center apply for inactive status while it undergoes sentinel event review.

If inactive status is granted:

  • The CABC will:
    • Change the listing for the Birth Center to “accredited and inactive” status on the verification page of the CABC website.
    • Provide the birth center with an official letter explaining this status to whom it may concern.
  • The birth center:
    • Is responsible for inform clients, vendors, Department of Health, payers, etc. of the new status.
    • Has a maximum of 6 months to resolve the issue that led to their temporary closure.
      • May apply for one 6-month extension, for up to a year total.
    • Must submit to the CABC in writing a detailed account of the resolution of the issue(s) that caused the request for inactive accreditation status.

CABC will review this report and decide whether the problem is resolved and the birth center may resume accredited status OR the birth center must have a non-ordinary site visit to clarify and/or verify their report before a decision can be made to resume their accredited status.

Inactive accreditation status will not be granted for loss of state licensure. The granting of inactive status will not alter the Birth Center ’s re-accreditation schedule nor the normal accreditation fees.

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