Improve Identification & Data Collection for NAS
Return to ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use
One of the biggest challenges of addressing NAS is that it is not consistently identified, and collection of data and reporting is inconsistent.
Impactful Federal, State, and Local Policies
Indiana State Department of Health
In 2014, because of the high rate of opioid prescriptions, the Indiana General Assembly charged the Indiana State Department of Health (ISDH) to: develop a standard clinical definition of NAS and a standardized process of identifying it, identify the resources hospitals need to do this, and then establish a voluntary pilot program with hospitals to implement this standardized NAS identification. As of 2016, 26 of 89 Indiana Birthing Hospitals are taking part in this pilot screening program . ISDH noted that universal screening in a non-punitive environment would allow us to understand the true prevalence of Perinatal Substance Use and NAS.
The Indiana State Department of Health (ISDH) established a Task Force which defined a standard clinical definition of Neonatal Abstinence Syndrome
- The infant must:
- Be symptomatic
- Have two or three consecutive modified Finnegan scores equal to or greater than a total of 24
- And have one of the following:
- A positive toxicology test OR
- A maternal history with a positive verbal screen or toxicology test
[File:http://www.wikispaces.com/i/mime/32/application/pdf.png Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf]NAS Identification Algorithm
[File:http://www.wikispaces.com/i/mime/32/application/pdf.png IPQIC_NAS_Algorithm_Version_4.pdf]See Adopt Universal Screening for Pregnant Women for more information on standardized screening and testing for NAS
Available Tools and Resources