Submission #14640

Controversies in Caring for Infants and Families Affected by Substance Abuse Disorders and Neonatal Abstinence Syndrome QI
http://www.vtoxford.org/quality/inicq/current.aspx
Alison Holmes, MD, MPH
Assistant Professor of Pediatrics
Children's Hospital at Dartmouth, Geisel School of Medicine
Neonatal Abstinence Syndrome
Neonate (< one month)
DHMC
NNEPQIN
NH DHHS
2013-2015
Example: The project goal is to improve the family-centered care of the newborn and her family during a newborn hospital stay for either screening for and/or treatment of narcotic abstinence syndrome 1. Improve inter-rater reliability of NAS scoring via the modified Finnegan system 2. Increase family involvement in newborn care and scoring
3. Seek a deeper understanding of the hospitalization experiences of families with newborns with narcotic abstinence syndrome via qualitative interviews
4. Encourage rooming in and breastfeeding for all appropriate mother-infant dyads
5. Decrease LOS and costs associated with hosptialization DHMC is leading one of 3 state collaboratives so all of NH is participating, hence all of NH is covered.
Hospital setting
ongoing
LOS and costs can be decreased by getting newborns at risk for NAS out of the NICU and in rooming in settings with their families.