Vermont Oxford Network iNICQ 2013
Controversies in Caring for Infants and Families Affected By
Neonatal Abstinence Syndrome
Conference time: 12-1:30 pm Eastern Time
January 30, 2013
Session 1: Collaborative Kickoff: The Global Context and Scope of the Problem
Faculty
I.
Time
Goals and Objectives of the Collaborative
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•
Welcome From the National Office of Drug Policy
Our Aims: Structure / Process / Timelines
Cecelia McNamara Spitznas
Jeffrey Horbar
5 min
5 min
II. Substance Abuse Disorders and Neonatal Abstinence Syndrome: The Professional Perspective
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•
•
Linking Attitudes and Outcomes: Baseline Data / VON Days Audit
Epidemiology and Scope of the Problem
Substance Abuse 101: Mythbusters
Roger F. Soll
Stephen Patrick
Krisanna Deppen
15 min
15 min
15 min
III. Substance Abuse Disorders and Neonatal Abstinence Syndrome: Parental and Provider Perspectives
•
Virtual Visit #1: Parental and Provider Perspectives
IV. Ask the Experts – Faculty Panel Discussion
10 min
Faculty Panel
20 min
Madge E. Buus-Frank
5 min
Timothy Fisher
5 min
V. Identifying Local Opportunities for Improvement
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•
Quality Improvement Tool / Methods – Drivers of LOS / Cost/ Quality
Next Steps: Structuring Local Post-Session Work and Homework Assignment
March 6, 2013
Session 2: Identifying Mothers and Infants at Risk
I. Clinical Case in Point
II. Potentially Better Practices in the Care of Pregnant Women with Substance Abuse Disorder (SAD)
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•
•
•
•
VON Days Audit Feedback: Lessons Learned
Lessons From the Mother Study: Methadone vs. Buprenorphine and Beyond
Universal Screening for Substance Use & Abuse: Concepts and Controversies
Principles of Trauma-Informed Care
Critical Components of a Complete Drug History
Roger F. Soll
Karol Kaltenbach
Steven J. Ondersma
Lenora Marcellus
Krisanna Deppen
III. Virtual Visit: Center of Excellence in SAD / NAS Care - Chapter 1
IV. Ask the Experts: Linking Maternal Care to Neonatal Outcomes
10 min
10 min
15 min
10 min
10 min
5 min
Faculty Panel
20 min
Madge E. Buus-Frank
5 min
V. Identifying Local Opportunities for Improvement
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•
Quality Improvement Tools and Techniques
Next Steps: Structuring Post-Session Work and Homework Assignment
May 15, 2013
Session 3: Recognition and Management of the Substance-Exposed Infant Part 1
I. Clinical Case in Point: Not All Scores are Created Equal
Lenora Marcellus
5 min
II. Potentially Better Practices in the Care of Substance-Exposed Infants: Professional Perspectives
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•
•
•
•
•
VON Days Audit Feedback
Substance Exposure 101: Frequency and Neonatal Impact by Agent
Infant Screening: Comparing and Contrasting Urine, Meconium, Hair, Cord
NAS: Presentation and Typical Course
Use and Misuse of NAS Scoring Tools
Non-Pharmacologic Care Strategies to Minimize NAS Symptoms
Roger F. Soll
Walter K. Kraft
Michele Walsh
Stephen Patrick
Lenora Marcellus
Jacqueline McGrath
10 min
15 min
10 min
10 min
10 min
10 min
III. Potentially Better Practices in the Care of Substance-Exposed Infants / NAS: Family Perspectives
•
Virtual Visit: Center of Excellence in SAD / NAS Care- Chapter 2
Engaging Families via Care by Parent Models
IV. Ask the Experts
5 min
Faculty Panel
10 min
Madge E. Buus-Frank
5 min
VI. Identifying Local Opportunities for Improvement
•
•
QI Toolkit: Examining Key Drivers of Length of Stay and Cost in Your Facility
Next Steps: Structuring Post-Session Work and Homework Assignment
July 24, 2013
Session 4: Recognition and Management of the Substance-Exposed Infant - Part 2
I. Clinical Case in Point: The Poly-Substance Exposed Infant
Robert Schumacher
5 min
Roger Soll
15 min
Erin Keels
Walter K. Kraft
10 min
15 min
Jacqueline McGrath
Lauren Jansson
10 min
10 min
II. Potentially Better Practices in the Care of Substance-Exposed Infants / NAS
Professional Perspectives
•
•
•
Progress to Date: VON Days Audit Feedback
The Nationwide Experience:
Decreasing Length of Stay and Cost in Ohio
Examining the Evidence: Controversies in the Pharmacologic Management
o
Methadone versus Morphine for NAS Symptom Management
o
Adjunctive Therapy: Clonidine and Phenobarbital
Examining the Evidence: Nutritional Support of the Substance-Exposed Infant
o
Feeding and Nutritional Challenges
o
Criteria for and Support of Safe Breastfeeding
III. Potentially Better Practices in the Care of Substance-Exposed Infants / NAS
Family Perspectives
•
Virtual Visit: Center of Excellence Chapter 3: Family Voices ~ Stories of Hope and Recovery
IV. Ask the Experts
10 min
Faculty Panel
10 min
Madge E. Buus-Frank
5 min
V. Identifying Local Opportunities for Improvement
•
•
QI Improvement Toolbox: The Holy Grail: Sustaining Gains
Next Steps: Structuring Post-Session Work and Homework Assignment
September 11, 2013
Session 5: Challenges in the Discharge and Follow-up of the Substance-Exposed Infant
I. Clinical Case in Point: Homeward Bound
Elisabeth Holland
5 min
Roger F. Soll
Elizabeth Stanton
Elizabeth Stanton
Karol Kaltenbach
Nancy Eschbach
10 min
10 min
10 min
15 min
15 min
II. Examining Barriers to Timely Transition Home
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•
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VON Days Audit Feedback
Navigating the Legal Landscape
Pragmatic Strategies to Manage Challenging Family Interactions
Developmental Outcomes of Substance-Exposed Infants
Coordination of Care: Community Connections
III. Potentially Better Practices in the Care of Substance-Exposed Infants / NAS
Family Perspectives
•
Virtual Visit: Center of Excellence Chapter 3: Family Voices ~ Life at Home
IV. Ask the Experts
5 min
Faculty Panel
15 min
Jeffrey Horbar
5 min
V. Identifying Opportunities for Improvement for the VON Collaborative
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Revisiting Our Aims: Collaborative Centers Reflect on Lessons Learned
Session 6: Demonstrating Measurable Improvements in the Care of SAD / NAS
LIVE / VON Annual Meeting/Quality Congress
*iNICQ 2013 Session 6 will take place in conjunction with a plenary session at the VON Annual Meeting and Quality Congress. This session will be open to all VON
members in attendance.
I. Evolving Epidemiology: Understanding the National Context
Stephen Patrick
10 min
II. Update from the Statewide NAS Collaboratives
Faculty TBD
15 min
III. VON Day Audit Results ~ Measures That Matter: Where
Do We Grow From Here?
IV. Show Me the Evidence: VON Centers Improvement Stories and Data
Roger F. Soll
10 min
VON Collaborative Centers
10 min
10 min
10 min
Faculty Panel
Michele Walsh
10 min
15 min
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•
Center 1
Center 2
Center 3
V. Ask the Experts
VI. Summary of Potentially Better Practices