Improving Outcomes through a Neonatal Abstinence Syndrome Collaborative in Maryland

Objectives: A statewide Maryland Perinatal Neonatal Quality Collaborative, facilitated by the Maryland Patient Safety Center (MPSC), identified the three specific, measurable, attainable, relevant, and time-limited (SMART) aims to improve outcomes of NAS care: (1) to reduce hospital length of stay (LOS), (2) to reduce interhospital transfers, and (3) to reduce 30-day readmission rates of infants with neonatal abstinence syndrome (NAS). Study Design: The Maryland collaborative developed a bundle of best practices for care of infants with NAS. MPSC partnered with Vermont Oxford Network (VON) to utilize the VON NAS toolkit and provide its standardized NAS educational curriculum to address the three objectives for participating birthing hospitals. Efforts began in quarter 4 (Q4) 2016 and continued for two years. Thirty-one of Maryland’s 32 delivery hospitals (97%) participated in the two-year collaborative. Additionally, one specialty pediatric hospital with a NAS unit participated in the group learnings. Participating facilities implemented components of the MPSC NAS bundle and provided their staff caring for infants with NAS and their mothers access to the VON standardized educational curriculum. MPSC partnered with VON to conduct two audits of implementation of policies and procedures in Q1 2016 and Q3 2018. The Maryland Department of Health supplied quarterly aggregate hospital information on LOS, interhospital transfers, and 30-day readmissions of infants with a discharge diagnosis of ICD-10 P96.1. Results: Among term infants with NAS with total hospital stay greater than 5 days, we observed a non-significant reduction in both mean and median LOS of 1.5 days. In this same group, the rate of interhospital transfers fell significantly from 20.1% in 2016 to 13.8% in 2017 and to 11.0% in 2018. Conclusion: The best practice bundle created by the Maryland collaborative was associated with a reduction in the percentage of infants with NAS who required interhospital transfer, thereby reducing family disruption.

Angaben zum Objekt

• Weitere Titel: Improving NAS outcomes through a Maryland Collaborative
• Standort: Deutsche Nationalbibliothek Frankfurt am Main
• Umfang: Online-Ressource
• Sprache: Englisch

Verweise und Beziehungen

• Erschienen in: Improving Outcomes through a Neonatal Abstinence Syndrome Collaborative in Maryland ; day:05 ; month:04 ; year:2022 ; American journal of perinatology ; (05.04.2022)

Klassifikation und Themen

• Klassifikation: Soziale Probleme, Sozialdienste, Versicherungen

Beteiligte, Orts- und Zeitangaben

• Beteiligte Personen und Organisationen: DiPietro, Bonnie ; Silcox, Kristin ; Rost, James ; Woods, Lee ; Edwards, Erika M. ; Buus-Frank, Madge ; Horbar, Jeffrey ; Hudak, Mark

Weitere Informationen

• DOI: 10.1055/a-1817-5522
• URN: urn:nbn:de:101:1-2022051911014070675473
• Rechteinformation: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Letzte Aktualisierung: 15.08.2025, 07:29 MESZ