Outreach Outreach Services Periodic on-site quality of care visits to each affiliate which include the review of: Available perinatal data The affiliate’s internal quality assurance program, policies, & procedures Care provided by medical, nursing, & other health care practitioners The appropriateness & timeliness of maternal & newborn referrals and transfers, as well as the outcomes of patients retained at the affiliate hospital who met the criteria for transfer to a higher level of care Adverse perinatal events & outcomes such as fatalities, morbidity, nosocomial infections, and high-risk procedures Pathology related to all deaths & significant surgical specimens The effectiveness of any plans for correcting quality of care problems Review & identification of problems: review of data, adverse outcomes, transports and non-transports, and the affiliates internal QA/QI activities Solutions/recommendations and their effectiveness Outreach and education including identification of needs Attending level perinatal consultations Development, updating, and implementing affiliation agreements Patient transport