Difference between revisions of "Improve Identification & Data Collection for NAS"

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= Improve Identification & Data Collection for NAS =
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=Improve Identification & Data Collection for NAS=
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Return to [[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|Zoom Map (Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use)]] <div id="toc">
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Return to [[ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use|Zoom Map (Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use)]]<div id="toc">
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= Table of Contents =
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=Table of Contents=
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<div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Defining_Neonatal_Abstinence_Syndrome|Defining Neonatal Abstinence Syndrome]]</div> <div style="margin-left: 2em">[[#Defining_Neonatal_Abstinence_Syndrome-Indiana_State_Department_of_Health|Indiana State Department of Health]]</div> <div style="margin-left: 1em">[[#Collecting_Data|Collecting Data]]</div> <div style="margin-left: 1em">[[#Reporting_Data|Reporting Data]]</div> <div style="margin-left: 1em">[[#Tools_.26_Resources|Tools & Resources]]</div> <div style="margin-left: 1em">[[#Scorecard_Building|Scorecard Building]]</div> <div style="margin-left: 1em">[[#Resources_to_Investigate|Resources to Investigate]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div> &nbsp;
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<div style="margin-left: 1em">[[#Background|Background]]</div><div style="margin-left: 1em">[[#Defining Neonatal Abstinence Syndrome|Defining Neonatal Abstinence Syndrome]]</div><div style="margin-left: 2em">[[#Defining Neonatal Abstinence Syndrome-Indiana State Department of Health|Indiana State Department of Health]]</div><div style="margin-left: 1em">[[#Collecting Data|Collecting Data]]</div><div style="margin-left: 1em">[[#Reporting Data|Reporting Data]]</div><div style="margin-left: 1em">[[#Tools & Resources|Tools & Resources]]</div><div style="margin-left: 1em">[[#Scorecard Building|Scorecard Building]]</div><div style="margin-left: 1em">[[#Resources to Investigate|Resources to Investigate]]</div><div style="margin-left: 1em">[[#Sources|Sources]]</div></div><br /> <br />
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= Background =
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=Background=
 
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One of the biggest challenges of addressing NAS is that is is not consistently identified, and collection of data and reporting is inconsistent.<br /> <br />
 
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=Defining Neonatal Abstinence Syndrome=
 
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==Indiana State Department of Health==
 
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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 [[Shift%20from%20Punishment%20to%20Treatment%20Approach%20for%20Opioid%20Users|non-punitive]] environment would allow us to understand the true prevalence of Perinatal Substance Use and NAS.<sup class="reference">[1]</sup><br /> <br />  The Indiana State Department of Health (ISDH) established a Task Force which defined a '''standard clinical definition of Neonatal Abstinence Syndrome'''<br /> [[Image:nas.PNG|nas.PNG]]<br />
 
  
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* The infant must:
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One of the biggest challenges of addressing NAS is that is is not consistently identified, and collection of data and reporting is inconsistent.
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* Be symptomatic
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* Have two or three consecutive modified Finnegan scores equal to or greater than a total of 24
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* And have one of the following:
 
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** A positive toxicology test '''OR'''
 
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** A maternal history with a positive verbal screen or toxicology test
 
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<br />  ISDH NAS Task Force Final Report:<br /> <div class="objectEmbed">[[file/view/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf/617730023/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf]]]<div>[[file/view/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf/617730023/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf]]<br />
 
  
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* [[file/detail/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|Details]]
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= Defining Neonatal Abstinence Syndrome =
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* [[file/view/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf/617730023/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|Download]]
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* 989 KB
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== Indiana State Department of Health ==
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</div></div><br /> <br /> NAS Identification Algorithm <br /> <div class="objectEmbed">[[file/view/IPQIC_NAS_Algorithm_Version_4.pdf/617730057/IPQIC_NAS_Algorithm_Version_4.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png IPQIC_NAS_Algorithm_Version_4.pdf]]]<div>[[file/view/IPQIC_NAS_Algorithm_Version_4.pdf/617730057/IPQIC_NAS_Algorithm_Version_4.pdf|IPQIC_NAS_Algorithm_Version_4.pdf]]<br />  
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 +
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 [[Shift_from_Punishment_to_Treatment_Approach_for_Opioid_Users|non-punitive]] environment would allow us to understand the true prevalence of Perinatal Substance Use and NAS.<sup class="reference">[1]</sup>
 +
 
 +
  The Indiana State Department of Health (ISDH) established a Task Force which defined a '''standard clinical definition of Neonatal Abstinence Syndrome'''
 +
  [[File:Nas.PNG|nas.PNG]]
 +
 
 +
 
 +
*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 
 +
<br/> ISDH NAS Task Force Final Report: <div class="objectEmbed">[[File/view/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf/617730023/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf]]] <div>[[File/view/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf/617730023/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf]]
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*[[File/detail/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|Details]]  
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*[[File/view/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf/617730023/Neonatal_Abstinence_Syndrome_Report_Final_Report.pdf|Download]]  
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*989 KB  
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</div> </div> <br/> <br/> NAS Identification Algorithm <div class="objectEmbed">[[File/view/IPQIC_NAS_Algorithm_Version_4.pdf/617730057/IPQIC_NAS_Algorithm_Version_4.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png IPQIC_NAS_Algorithm_Version_4.pdf]]] <div>[[File/view/IPQIC_NAS_Algorithm_Version_4.pdf/617730057/IPQIC_NAS_Algorithm_Version_4.pdf|IPQIC_NAS_Algorithm_Version_4.pdf]]  
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*[[File/detail/IPQIC_NAS_Algorithm_Version_4.pdf|Details]]
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*[[File/view/IPQIC_NAS_Algorithm_Version_4.pdf/617730057/IPQIC_NAS_Algorithm_Version_4.pdf|Download]]
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*63 KB
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</div> </div> <br/> <br/> <br/> <br/> <br/> '''''See [[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|Adopt Universal Screening for Pregnant Women]] for more information on standardized screening and testing for NAS'''''<br/> <br/> <br/> &nbsp;
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= Collecting Data =
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&nbsp;
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= Reporting Data =
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<br/> <br/> <br/> &nbsp;
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= <span style="background-color: #ffffff">Tools & Resources</span> =
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TR - Adopt Universal Screening for Pregnant Women
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= <span style="background-color: #ffffff">Scorecard Building</span> =
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Potential Objective Details
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  Potential Measures and Data Sources
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  Potential Actions and Partners
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= <span style="background-color: #ffffff">Resources to Investigate</span> =
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More RTI on Adopt Universal Screening for Pregnant Women
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  <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span>
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  <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>
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* [[file/detail/IPQIC_NAS_Algorithm_Version_4.pdf|Details]]
 
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* [[file/view/IPQIC_NAS_Algorithm_Version_4.pdf/617730057/IPQIC_NAS_Algorithm_Version_4.pdf|Download]]
 
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* 63 KB
 
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</div></div><br /> <br /> <br /> <br /> <br /> '''''See [[ZOOM%20MAP%20-%20Expand%20Steps%20to%20Minimize%20Opioid%20Use%20During%20Pregnancy%20or%20Pregnancy%20during%20Opioid%20Use|Adopt Universal Screening for Pregnant Women]] for more information on standardized screening and testing for NAS'''''<br /> <br /> <br /> <br />
 
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=Collecting Data=
 
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<br />
 
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=Reporting Data=
 
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<br /> <br /> <br /> <br />
 
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=<span style="background-color: #ffffff">Tools & Resources</span>=
 
−
TR - Adopt Universal Screening for Pregnant Women<br />
 
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=<span style="background-color: #ffffff">Scorecard Building</span>=
 
−
Potential Objective Details<br />  Potential Measures and Data Sources<br />  Potential Actions and Partners<br />
 
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=<span style="background-color: #ffffff">Resources to Investigate</span>=
 
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More RTI on Adopt Universal Screening for Pregnant Women<br /> <br /> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br /> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span><br />
 
 
{| class="wiki_table"
 
{| class="wiki_table"
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| '''Reviewer'''<br />
 
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| '''Date'''<br />
 
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| '''Comments'''<br />
 
 
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|-
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| '''Reviewer'''
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| <br />
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| '''Date'''
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| '''Comments'''
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|-
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| &nbsp;
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| &nbsp;
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| &nbsp;
 
|}
 
|}
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=<span style="background-color: #ffffff">Sources</span>=
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= <span style="background-color: #ffffff">Sources</span> =
  
 
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----
  
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# [http://www.amchp.org/programsandtopics/BestPractices/InnovationStation/ISDocs/Perinatal%20Substance%20Use.pdf]
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#[http://www.amchp.org/programsandtopics/BestPractices/InnovationStation/ISDocs/Perinatal%20Substance%20Use.pdf [1]]  
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</div>
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</div> </div>
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[[Category:Pages with broken file links]]

Revision as of 07:56, 8 January 2019

Improve Identification & Data Collection for NAS

Return to Zoom Map (Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use)  

Background

One of the biggest challenges of addressing NAS is that is is not consistently identified, and collection of data and reporting is inconsistent.

Defining Neonatal Abstinence Syndrome

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.[1]
 
  The Indiana State Department of Health (ISDH) established a Task Force which defined a standard clinical definition of Neonatal Abstinence Syndrome
 nas.PNG
  • 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

ISDH NAS Task Force Final Report:
[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


 

Collecting Data

 

Reporting Data




 

Tools & Resources

TR - Adopt Universal Screening for Pregnant Women

Scorecard Building

Potential Objective Details
  Potential Measures and Data Sources
  Potential Actions and Partners

Resources to Investigate

More RTI on Adopt Universal Screening for Pregnant Women
 
 PAGE MANAGER: [insert name here]
 SUBJECT MATTER EXPERT: [fill out table below]
Reviewer Date Comments
     

Sources

  1. [1]
Retrieved from "http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Improve_Identification_%26_Data_Collection_for_NAS&oldid=1979"