Difference between revisions of "Improve Identification & Data Collection for NAS"
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| − | __NOTOC__<div class="mw-parser-output"><div class="mw-parser-output">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[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 class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><div id="toc"> | + | <div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[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 class="mw-parser-output"><div class="wiki" id="content_view" style="display: block"><div id="toc"> |
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= Background = | = Background = | ||
| − | + | <div class="_">One of the biggest challenges of addressing NAS is that is is not consistently identified, and collection of data and reporting is inconsistent.</div> <div class="_"> </div> | |
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= Defining Neonatal Abstinence Syndrome = | = Defining Neonatal Abstinence Syndrome = | ||
== Indiana State Department of Health == | == Indiana State Department of Health == | ||
| − | + | <div class="_">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></div> <div class="_"> The Indiana State Department of Health (ISDH) established a Task Force which defined a '''standard clinical definition of Neonatal Abstinence Syndrome'''<br/> [[File:Nas.PNG|nas.PNG]]</div> <div class="_"> </div> | |
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*The infant must: | *The infant must: | ||
*Be symptomatic | *Be symptomatic | ||
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= <span style="background-color: #ffffff">Tools & Resources</span> = | = <span style="background-color: #ffffff">Tools & Resources</span> = | ||
| − | + | <div class="_">[[TR_-_Adopt_Universal_Screening_for_Pregnant_Women|TR_-_Adopt_Universal_Screening_for_Pregnant_Women]]</div> </div> | |
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= <span style="background-color: #ffffff">Scorecard Building</span> = | = <span style="background-color: #ffffff">Scorecard Building</span> = | ||
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Potential Actions and Partners | Potential Actions and Partners | ||
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= <span style="background-color: #ffffff">Resources to Investigate</span> = | = <span style="background-color: #ffffff">Resources to Investigate</span> = | ||
| − | + | <div class="_">[[RTI_-_Adopt_Universal_Screening_for_Pregnant_Women|More RTI on Adopt Universal Screening for Pregnant Women]]</div> <div class="_"> <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></div> <div class="_"> </div> | |
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= <span style="background-color: #ffffff">Sources</span> = | = <span style="background-color: #ffffff">Sources</span> = | ||
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#[http://www.amchp.org/programsandtopics/BestPractices/InnovationStation/ISDocs/Perinatal%20Substance%20Use.pdf [1]] | #[http://www.amchp.org/programsandtopics/BestPractices/InnovationStation/ISDocs/Perinatal%20Substance%20Use.pdf [1]] | ||
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[[Category:Pages with broken file links]] | [[Category:Pages with broken file links]] | ||
Revision as of 23:15, 2 February 2019
Return to Opioid Top-Level Strategy Map or ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use
ISDH NAS Task Force Final Report:
NAS Identification Algorithm
See Adopt Universal Screening for Pregnant Women for more information on standardized screening and testing for NAS
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
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:
NAS Identification Algorithm
See Adopt Universal Screening for Pregnant Women for more information on standardized screening and testing for NAS
Collecting Data
Reporting Data
Tools & Resources
Scorecard Building
Potential Objective Details Potential Measures and Data Sources Potential Actions and Partners
Resources to Investigate
PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]
SUBJECT MATTER EXPERT: [fill out table below]
| Reviewer | Date | Comments |
Sources
- [1]
