care unit when necessary. (BB) An established transfer plan with a receiving hospital with an obstetrical care unit with policies and procedures for timely transport. (CC) Medical consultation available from a licensed board-certified physician with admitting privileges in obstetrics at a nearby hospital. (DD) Data collection, storage, and retrieval, including data on intrapartum and postpartum maternal and newborn transfer rates and hospital admissions. (EE) The ability to initiate and document quality improvement programs as required by accreditation that include efforts to maximize patient safety, such as safety checklists, validated training and competency of staff, and emergency preparedness and drills. Nothing in subitem (AA) shall be construed as affecting the State plan requirement specified under section 431.53 of title 42, Code of Federal Regulations, or any successor regulation (relating to assurance of transportation). (ff) Health care providers A freestanding birth center must employ or have care delivery arrangements with both of the following: (AA) A physician or physicians licensed to practice within the State or jurisdiction of the birth center. (BB) A midwife or midwives that meet or exceed the education and training standards of the International Confederation of Midwives and who are licensed to practice within the jurisdiction of the birth center. (gg) Non-duplication In carrying out this subsection, the Secretary shall, to the greatest extent practicable, prevent the duplication of services covered under this subsection with services otherwise covered under the State plan under this title and prevent payment under a demonstration program under paragraph (3) for services for which payment is otherwise made under the State plan under this title. (ii) Guidance on development of prospective payment system for testing under State demonstration programs (I) In general The Secretary shall issue guidance for States participating in a demonstration program conducted under paragraph (3) to establish a