Question #5. What do you see as the top issues for babies and families in the
coming era?
1.
developmental follow up and outcome. care of infants with congenital anomalies
2.
Disparities in health care access and overall funding. Continued variable use of non-evidence
based therapies in the absence of strong central guidelines
3.
universal coverage and decent reimbursement
4.
measurement of quality of care with tranparency for families
5.
?
6.
continuing occurrence of cerebral palsy in LBW neonates without abatement
7.
Inadequate health insurance Poverty and its limitations on housing and food supply
8.
Access to care at reasonable cost
9.
Access to care
10.
Inability of hospitals to maintain and support advances in the intensive (expensive) care of
newborns due to declining revenues.
11.
Preventing premaurity
12.
Outcomes of extreme preterm newborns family oriented NICU care Standardization oof NICU
care
13.
Limits of viability
14.
Insurance coverage
15.
the fact that only 0.1% of resources go to followup
16.
Preventing errors and involving families in our processes
17.
Recognizing special needs of the late preterm infant, since their numbers are growing,
addressing the special needs of the medically fragile infant being discharged from the NICU,
finding a way to fund non-research-related long-term neurodevelopmental follow-up of NICU
graduates.
18.
Universal health insurance and access to quality health care.
19.
Continued erosion of family unit. Lack of personal and family responsibility.
20.
breastfeeding, perinatal care for undocumented immigrants, regionalized neonatal specialty
care, safe NICU staffing
21.
Establishing health routines that can prevent later disease
22.
Access to pediatricians & neonatologists as primary physician caregivers (as opposed to
advance practice nurses, physician assistants and generalist/family physicians).
23.
appropriate access to health care with rising health care costs
24.
Prevention of prematurity; Increased prenatal care; Re-establishment of regionalized perinatal
care; Accurate and open outcomes data; patient safety; patient access to healthcare; social
improvements to health e.g. nutrition
25.
Increasing expectations for survival at lower and lower gestational ages Spreading of the
practice of neonatology to smaller units with poorer outcomes
26.
paying for health care. access to care expense and access to care for infants with disabilities
27.
Parenting Guidance
28.
interaction with families and their sick infants in the NICU
29.
reduction of preterm births
30.
Equality of care based on region and proximity to hospital's maternal and child expertise
Mangement of preterm labor
1
Question #5. What do you see as the top issues for babies and families in the
coming era?
31.
Support resources both financial and psychological. Reliable childcare for single parents.
32.
prevention of prematurity growth and nutrition
33.
improving neurologic morbidities to match improved survival
34.
Prenatal education for parents, breastfeeding education, health insurance coverage for
complex infants/children
35.
would be helpful to have consensus guidelines for discontinuation of life-sustaining support,
i.e., ventilators for newborns failing despite our efforts. Parents may be helped by consensus
statements/recommendations.
36.
survival in a disjointed world which supports education and thinking last. maybe improve after
bush.
37.
I see access to care and funding of medical care as the top issue. Additionally, I see
improving outcomes for our increasing survivors as an important issue.
38.
Appropriate insurance coverage, access to specialized care, Well-designed research studies.
39.
Genetic dx, Screening - eg CMV Long term outcomes of premature infants.
40.
economic hardtimes
41.
Health promotion and factors that improve healthy outcome of pregnancy.
42.
Decreasing re-imbursement for physician and allied health services due to increasing
managed care. Decreased funding for developmental stimulation and caretaker respite
services post NICU discharge. Ethical medical decision-making in care of ELBW infants and
desperately ill infants of any gestational age with poor prognosis for survival without major
handicap; ie, allocation of expensive resources. Family involvement in medical decisions,
particularly for severely ill or ELBW infants with unfavorable prognosis. Continued
regionalization of Neonatal intensive care.
43.
Preventing chronic lung disease of prematurity.
44.
Universal access to care
45.
nation health insurance
46.
continuing access to needed health services
47.
issues associated with limits of viability: financial, legal, ethical; setting proper expectations of
the most extreme preemie to allow society make educated decisions on how to progress
48.
Fetal origins of adult disease Racial/Ethnic Disparities Persistent preterm delivery
49.
Changes in the family unit as more extremely premature infants survive.
50.
Helping with decisionmaking re: borderline viability and end of life issues
51.
1. Iatrogenic late preterm birth for questionable indications; 2. Deregionalization of perinatal
and neonatal care; 3. Loss of competence by pediatricians in caring for newborns with minor
and emergent problems
52.
Dealing with handicaps
53.
COSOLIDATION OF FOLLOW UP SUPPORT FOR OF THE TINIEST BABIES WITH
RESIDUAL LUNG AND CNS PROBLEMS
54.
surviving with less resources
55.
Ethics of care in extremely preterm infants. Outcomes reporting...need for accurate
comparisons for perinatal, referral, and perinatal-referral centers. Research--both
collaborative clinical and basic research
56.
Financial related stresses.
57.
long term health and development; family centered care
2
Question #5. What do you see as the top issues for babies and families in the
coming era?
58.
Protecting the hospitalized patient from hospital acquired illness and then maximizing their
developmental potential.
59.
Dealing with the morbidities in survivors
60.
Long term health issues as co-payments and coverage becomes increasingly limited.
Therapies which might actually have a significant outcome benefit.
61.
family centered care
62.
Universal health care. Access to prenatal services for mothers. For babies access to primary
care physicians, access to high risk infant followup for NICU graduates, and access to
pediatric subspecialists.
63.
Access to high quality care. Competing successfully with other areas of medicine for
adequate funding of perinatal programs.
64.
1. Assistance with long-term care, adequate follow-up, and well-organized and effective early
intervention strategies and therapies for high-risk infants and LBW and ELBW infants. 2.
Improved understanding of long-term prognosis in ELBW infants.
65.
access to prenatal, neonatal, postnatal care. Problems with money, transportation and
support- especially for first time parents and parent of children with problems- eg prematurity
related or birth defects- inc CHD.
66.
1) Unclear ethical guidelines for the tiniest infants; 2) access to neonatal care universally; 3)
disinterest of big pharma and device makers in the modestly sized neonatal population; 4) the
ethical issues that will arise with increased genetic and proteomic testing
67.
adequate funding for mother and infant care
68.
Continued fragmentation of neonatal-perinatal care resulting in inadequate access to
appropriate care and lack of maternal transport to neonatal centers of excellence
69.
prevention of prematurity more holistic family centered care long term care and followup
prevention of NEC and related morbidities prevention and treatment of brain related injury
70.
Adequate funding to provide appropriate care for all.
71.
Access to care, and secondarily coverage for costs of servies
72.
Accessibility to quality affordable health care
73.
Getting to appropriate care for mother and infants
74.
prevention of prematurity
75.
Health insurance and cost of medical care
76.
Cost of health care
77.
affordability and access
78.
The limit of Viability
79.
Taking care of infants with compromised neurodevelopmental outcome
80.
Cost and availability of healthcare
81.
access to medical care
82.
Infection control
83.
Access to health care and the cost of health care
84.
care for chronic conditions nutrition
85.
Extreme prematurity and resuscitation at peri-viability
86.
Medicaid expansion; universality
3
Question #5. What do you see as the top issues for babies and families in the
coming era?
87.
Lack of a means to pay for the high cost of health care for this population who have limited
personal financial resources.
88.
Prevention of prematurity. Improving outcomes of EWBWs.
89.
Childbirth out of wedlock
90.
Access to care
91.
Universal health coverage
92.
overwhelming cost of healthcare
93.
Available, affordable, and effective healthcare for babies and families. Environmental health
and resource challenges.
94.
Access to care Maintenance of Medicaid/SCHIP programs implementation of new
technologies in NICUs implementation of quality assessment programs
95.
educational needs for graduates
96.
Understanding and managing long term outcomes
97.
Funding for care of those without insurance
98.
breastfeeding
99.
Long term follow up to assess outcomes
100.
Preventive care
101.
improve long term neurodevelopmental outcome
102.
Cost of health care
103.
Availability of health care.
104.
Accessibility to proper health care independent from ability to pay
105.
lack of access to medical care
106.
limits of viability and ability for society to pay for the immediate and long term care
107.
Regionalization of care
108.
healthcare costs limits of viability
109.
Improved neonatal care that reduces morbidities of prematurity. Better standardization of
neonatal care
110.
Congenital malformations - earlier diagnosis, prevention, and management
111.
Reimbursement
112.
Improved patient safety for this fragile population.
113.
Medical insurance reimbursement to assure standard medical care for all.
114.
ethics of care cost of care supporting disabled survivors of neonatal care
115.
Clinical guidelines
116.
prevention of prematurity
117.
Infection in the cause of premature delivery and morbidity in surviving VLBW infants
118.
Prevention of preterm deliveries and easy access to services
119.
Availability of services at a reasonable price
120.
Funding of neonatal care and research
4
Question #5. What do you see as the top issues for babies and families in the
coming era?
121.
Increasing prematurity rate, increasing dissolution of the family structure, increasing poverty
and socioeconomic and health problems.
122.
Preventing prematurity
123.
Managing lay press efforts to inform of new technology and developments and the sometimes
complex expectations that families develop
124.
Breakup of the family unit
125.
Maximizing outcome in the extreme premature infant; improving nutrition in prematurity;
increasing acceptance of banked/processed breast milk
126.
1)Lack of Standardized care 2) Pediatricians that are no longer willing or comfortable at
providing initial resusciatation or even Routine Newborn care
127.
Funding for their health care (pregnancy & neonatal)
128.
Maintaining breastfeeding as primary nutritional need of newborns.
129.
universal health care for all mothers and babies
130.
early intervention/ access to healthcare for underserved and special needs/ regionalization of
perinatal care/ quality improvement and evidence based practice in neonatal medicine/ p4p
131.
Adequate access to healthcare.
132.
Availability of adequate care for all infants and children
133.
Cost of care and access to all services which might optimize outcomes
134.
The declining birth rate to the educated female population with the increase in the birth rate to
the uneducated. This is going to lead to a greater disparity between have and have nots.
135.
-Ethics and limits of care -Improved Rx for infectious disease -Gut maturation, pro/prebiotic,
NEC
136.
1) supporting breastfeeding, and 2) the worrisome trend of elective C-sections and inductions
"near term"
137.
rising medical cost
138.
preventing premature birth, nutrition
139.
access to care and limitation of services. Limitation both by health plans and government as
too expensive
140.
healthcare coverage
141.
Pushing down lower GA limit for care vs. poor long-term outcomes.
142.
Immunizations, the cost of NICU, developmental intervention
143.
Health Insurance for the care of preterm infants and sick newborns
144.
See my response in the survey submitted yesterday before #4 was corrected.
145.
universal access to health care
146.
The ongoing problem of prematurity
147.
appropriate medical insurance
148.
Health insurance
149.
viability gestation
150.
funding health care
151.
Access to care
5
Question #5. What do you see as the top issues for babies and families in the
coming era?
152.
Health care coverage
153.
Decreasing funding in the face of increasing costs
154.
Oxygen toxicity
155.
Access to care with universal coverage (no one in the US should have the potential to go
bankrupt because of a child's illness or of their own).
156.
Cost of health care, access to healthcare, and paying for the uninsured.
157.
Access to care, financial reimbursement for physicians/NICUs for high levels of care,
perinatal/IVF issues, maternal health
158.
Funding and funding cuts; lack of access
159.
Adequacy and availability of resources for education and coverage of maternal and child
health.
160.
Availability of quality health care and education.
161.
The trend towards decreased regionalization of NICU care
162.
Vaccinations, specifically overcoming all the psuedoscientific anti-vaccination hysterai
163.
financial payment of physicians immunizations
164.
Tiny babies and disabilities Funding for management and care of developmentally disabled
children Funding of after care post NICU
165.
Lack of access to care due to inadequate reimbursement to care givers.
166.
n
167.
neuroprotection in the NICU social and educational support after discharge
168.
Economics - food vs medicine vs doctor visits Lack of insurance
169.
The care and management of the late preterm infant Promoting breast feeding
170.
insurance coverage, family-centered care
171.
insurance coverage, family-centered care
172.
Access to care, avoidance of preterm birth, education of the public regard perinatal care
173.
health care benefits
174.
no comment
175.
informed decisions about limiting care, withdrawing care
176.
reducing the cost of nicu care
177.
Universal, single payor, health care is the key issue for all of us including babies
178.
neurodevelopmental outcome in the face of improved survival
179.
relationship of perinatal health and adult health. Ways to improve babies to improve generAl
health.
180.
Strategies of developmental prophylaxis in NICU's What should be the limit of viability?
181.
1. availability of care
182.
centralized versus decentralized neonatal intensive care, decreasing nosocomial infections,
information overload for families
183.
Obtaining adequate health care
184.
Prematurity Prevention
6
Question #5. What do you see as the top issues for babies and families in the
coming era?
185.
access to care - malpractice/litigation, payment for services, insufficient numbers of young
neonatologists to meet clinical care needs (deregionalization and aging neonatologists)
186.
appropriate nutrition;prevention of childhood obesity
187.
Access to healthcare/cost of healthcare
188.
Improving quality in the delivery of perinatal health
189.
the expense of heath care the loss of jobs and difficult economy
190.
Complexity of care delivery. Electronic systems putting more demands on providers time so
less time is spent at the bedside with pt and family
191.
cost-effective care
192.
access to care
193.
ivf teen preg
194.
Obesity, access to health care.
195.
Coping with developmental disabilities and medical problems that plague our sickest
newborns after discharge. Presenting realistic outcomes such as those on the NICHD web
site. Working with reproductive endocrinology groups in ordert to give an accurate projection
of risks and potential costs of infertility treatments.
196.
Access to care, insurance issues
197.
Access to care/insurance, environment, resources, family life/stress, nutrition
198.
access to care
199.
1 - Access to supportive services and therapies after discharge as we have more and more
survivors with longterm health/behavioral concerns
200.
reimbursement for medicaid services
201.
prevencion of prematurity
202.
/
203.
Access/appropriate distribution of resources. Disruption of previous regionalization by
economic pressures.
204.
ethical dilemna
205.
Avoidance of what I call the "Six million dollar man" mentality in medicine--that we can rebuild
anything and that any gestational age is worth resuscitating. While we have made great
strides during the past decades, it is not us who takes care of the failures but the families and
society. At what price we should always ask? And for whose benefit--certainly the child needs
to be at the forefront of our decisions.
206.
invitro/multiples...the section must address both the ethical and economic/manpower issues.
207.
Universal health care. Period.
208.
Complications of prematurity.
209.
Advocacy, professional payment
210.
Written in previous version of survey
211.
Adequate provision of health care for babies and families.
212.
cost containment and appropriate health care
213.
Need for comprehensive prenatal education and care.
214.
taking care of the NICU survivor esp the ELBW
7
Question #5. What do you see as the top issues for babies and families in the
coming era?
215.
costs and access to care
216.
education issues for children
217.
Health care coverage Access to care Adequately trained pediatricians/ family physicians
Adequate availability of pediatric subspecialty MDs Obesity prevention
218.
limits of viability, where do we draw the line
219.
Access to care
220.
Research into the safety and efficacy of new medications for therapies of neonatal issues.
221.
Insuring the avalibility of high quality health care for all mothers and babies
222.
Affording medical care Improved neuroprotective/neuroregenerative strategies
223.
Advocacy Realistic expectations--prevention rather than acceptance of preterm birth.
Manpower for the future. Investigate and validate the Neonatology of the future.
224.
Attempts to reenforce the value of nuclear families for the health and well-being of children.
225.
Poverty Uninsured Advocacy to resolve the above
226.
Access to care
227.
insurance coverage for uninsured babies
228.
Long term assistance/care for children and adults that have disabilities/chronic medical
issues. We spend a lot of money in the newborn period but then there are not resources to
continue to support these families and it is even worse for children that survive to adulthood.
229.
Prenatal education and care health care financing birth control accessibility especially for low
income reduction of prematurity rate
230.
Adequate insurance coverage for follow-up and long term care.
231.
Lack of universal coverage for women at reproductive age (prior to, during and after
pregnancy) and for children
232.
lack of pediatrician involvement in hospital and actue care
233.
A rational approach to what is useful care and what is excessive care
234.
health insurance, education reform
235.
Preventing premature birth.
236.
Funding for neurodevelopment follow-up Education effort aimed at decreasing current surge
in late preterm infant births
237.
Impact of late preterm births on healthcare Access to care in difficult economic times
238.
Breakdown of neonatal regionalization of care Closure of obstetrics services
239.
need for special services in community and schools
240.
safe and quality healthcare
241.
Access to care, prevention of prematurity, support (coordinated healthcare, education, social
and economic) for children with chronic illness and their families.
242.
So many of today's parents had poor parent modeling themselves. The 2-parent home
(regardless of gender) is not even considered the norm anymore. I worry about these children
and am feeling hopeless about it.
243.
.
244.
Top issues concern the lack of preparation of current and future residents to attend deliveries
and take care of newborn infants. The restriction in work hours coupled with the increase in
mid-level practitioners and the presence of hospitalists has greatly impacted the education
8
Question #5. What do you see as the top issues for babies and families in the
coming era?
and training of residents. The recently graduate pediatricians and family practitioners are
becoming less and less comfortable with all aspects of newborn care, including well baby
care in a hospital setting.
245.
Healthcare access and funding.
246.
Long term neurodevleopmental outcomes
247.
access to rescources for premature infants especially as children are surving at younger
gestational ages and we are discovering more mild deficiencies that appear during school
age.
248.
lack of adequate health care in follow-up
249.
Developing more EVIDENCE BASED clinical guidelines for therapies and interventions.
250.
Affording education, given the state of the economy. Health insurance for all children.
251.
Access to healthcare after discharge from the NICU
252.
Medical insurance coverage
253.
cost and payment systems for care defining edge of life and medical futility improving family
centered care funding of research and followup care for NICU survivors
254.
health insurance and timely care of babies
255.
Evidence based practice of neonatology
256.
appropriate evidence based high quality care
257.
Less insurance coverage; deepened economic crisis
258.
Infection control, medication safety and continued improvement in respiratory care
259.
Universal Health Insurance
260.
Access to health care
261.
Access to care for all Global health
262.
High need for extra services throughout childhood for NICU graduates.
263.
funding,fragmentation of care in numerous small units
264.
Access to care
265.
Near term complications
266.
medical insurance for ex-premies with chronic conditions
267.
Communication/Coordination of perinatal & neonatal care in patient(BABY)-centered
framework. Inefficiency of perinatal care and high overhead costs passed on to patients.
Integration of long-term outcomes into perinatal decision-making.
268.
elimination of prematurity new technology for the <24 week baby
269.
Maintaining access to appropriate health care.
270.
Regionalization of care and how to handle the increasing demand for neonatologists in smaller
hospitals
271.
universal health insurance
272.
improving the quality of life, developmental and other therapies after the NICU
273.
no answer
274.
Long term care for disabilities
275.
health insurance; prenatal and postnatal care for underserved populations
9
Question #5. What do you see as the top issues for babies and families in the
coming era?
276.
Qn 4 above did not allow me to choose more than 1...5 valuable for me are: Publications
Educational programs Clinical guidelines Advocacy for appropriate coding Advocacy for babies
and families
277.
Access to neonatal and pediatric care
278.
Decreased reimbursements for uninsured families
279.
affordable health care
280.
no insurance or limited insurance--accessability to care
281.
Cost of health care
282.
Patient safety and improved outcomes
283.
Neonatal Morbidity - in USA
284.
Coming to grips with realistic expectations for the high mortality and morbidity associated with
the birth of an extremely preterm infant
285.
Late preterm complications
286.
economy
287.
ROP Coding and Reibursement outpatient follow up services
288.
Q4 only allows one choice.
289.
Child health care availability
290.
Decreasing funding in an era of increasing costs.
291.
Lack of money for research and research traiing to keep the field current
292.
Lack of health care coverage
293.
The very premature infant and outcomes, input on inclusion of families as part of the care
providers, open pathway for input into the section.
294.
Training more research oriented neonatologists
295.
Burden of chronic care in babies with minor and major deficits
296.
Decreasing fiscal resources.
297.
The greatest concerning trends noted are the increasing rates of premature infants and the
increasing number of infants born into single parent families. Reducing both or either of these
groups of infants is crucial to the overall health and financial well-being of our society.
298.
dissolution of families
299.
Access to health care lack of health providers
300.
access to care
301.
access and funding for perinatal care, early identification of disabilities and resource allocation
for same
302.
Significant number of NICU babies come from uninsured families.So hospitals typically do not
care about this speciality. significant advocacy is needed to properly reimburse hospitals and
physicians in the prevention, education and care
303.
EXPLOSIVE COSTS OF CARE
304.
Picking doctors based on performance and outcomes; right nutrition from the start to decrease
obesity
305.
Insurance coverage.
306.
Improving outcomes of ELBWs.
10
Question #5. What do you see as the top issues for babies and families in the
coming era?
307.
Access to care close to home.
308.
Improved access to prenatal care and effective family planning
309.
Note : Question #4 would only let me select 1 answer. Answre #5; How University Neonatal
programs will learn to co-exist with private practice neonatal programs in a way were patients
care and access will not suffer
310.
Funding for research
311.
Increase in teen pregnancy IVF
312.
n
313.
Societal awareness of risks of practicing FETAL medicine
314.
4. I could only select 1 answer. Other 4 that are most valuable: Coding education, NeoPREP,
NRP, Educational Programs Appropriate insurance coverage to pay for increased cost of
having a baby in the NICU.
315.
late preterm hospitalizations
316.
FYI: QUESTION 4 DID NOT WORK: IT ONLY ALLOWED ONE CHOICE, NOT 5. Need for
more support for top quality research that will benefit babies and families. Without this we will
stagnate and not advance and improve on what we are doing presently.
317.
quality of life for infants/shool children after NICU stays
318.
Continue funding for care and resarch for newborns
319.
access to care
320.
reimbursement
321.
Providing support to new families in the form of education, not "free medical care" through
chasing members of congress or state legislatures.
322.
I have concerns about the growing NICU Graduate population and how they will be affected by
chronic health care needs.
323.
Decrease in pre term births. Decrease numbers of social c sections for babies under 38
weeks. Cut off should be greater than 38 weeks unless there is true labor that can't be
stopped. Too many borderline kids having resp distress, some very sick, because of "social"
want to have a section .
324.
Increased advocacy for preconceptual and prenatal care
325.
Topics surrounding limits of viability, parental rights surrounding resuscitation
326.
Improving morbidity & outcomes. we have advanced our mortality rates however it is unethical
to leave a family with an infant that will be disabled for the rest of his life & unable to benefit
from disbility & SSDI unlike the infants in the past. Neonatology has to catch up with the new
business atmosphere of medicine and have more realistic approaches to whta we are doing.
327.
Improving Neurodevelopmental outcomes for infants born prematurely
328.
Out-of-Wedlock Births > Single Parenting
329.
Clinical guidelines and regionalized care
330.
Social determinants of care and outcome
331.
affordable health care; access to care
332.
Health disparities and access to care
333.
Preventing prematurity
334.
family centered care breast feeding advocacy margin of viability
11
Question #5. What do you see as the top issues for babies and families in the
coming era?
335.
increasing rate of prematurity/skyrocketing costs of care
336.
prevention of premturity
337.
Lack of health care insurance to cover unanticipated prematurity and neonatal problems
338.
Funding
339.
quality of care costs of providing care/reimbursement
340.
improvement in outcome of extreme preterm infants and follow-up of preterm and sick infants
341.
Family Planning Education
342.
Supporting research
343.
insurance
344.
access to care/funding
345.
Health care coverage Preventive medicine
346.
Access to medical care : Universal
347.
Universal Healthcare
348.
Combating the deregionalization of perinatal/neonatal care, and moving back to a much more
regionalized system. Dealing with a surplus of neonatologits. It is very likely that in the
relatively near future we will be able to prevent many, if not most preterm labor. This will
dramatically reduce the demand for NICU care, and with it, the demand for neonatologists.
There already have been a couple of trials that reduce preterm labor. It is a reasonable
expectation, given the biologic underpinnings of these successes, that more results like this
are on the way. Any big reduction in preterm labor will dramatically reduce the demand for
neonatologists.
349.
multiple births with fertility drugs affordable medical insurance lack of compassion in medical
care poor home follow-up
350.
access to health care for ALL babies and families
351.
education for prevention of prematurity
352.
Health insurance
353.
changing long term outcomes; lack of research secondary to deregionalization
354.
Keeping the family structure intact
355.
(please note that this program only accept 1 answer for question #4 while you ask for ranking 5
items). Question #5: Ethical issues.
356.
NEC, pre/probiotics, and Perinatal Endocrinology
357.
Access to care
358.
Health care availability and affordable coverage.
359.
Accessibility to health care -
360.
affordable health care and safety and tort reform
361.
Physician Salary, Workforce and Advocacy.
362.
Dealing with the barriers to care created by the problem of uninsured and underinsured babies
and families
363.
#4 would only let me select 1 answer...so the other 4 for number 4 are: coding education,
clinical guidelines and statements, publications, & NRP
364.
How to improve patient care and maintain costs, determine the long-term effects of care on
outcome and their impact on Public health, determine what role preterm birth has on the
12
Question #5. What do you see as the top issues for babies and families in the
coming era?
occurrence of adult diseases
365.
None
366.
multiple births limit of viability
367.
research dollars
368.
medical coverage
369.
*
370.
Issues at the edge of viability.
371.
Uninsured and/or underinsured families and children
372.
Access to health care
373.
continued funding for research, appropriate reimbursement for services
374.
Disparities in health care, access to health routine and medical health insurance
375.
Issue of de-regionalization in many states is compromising care - we must insist on
regionalized care in order to provide the highest quality care
376.
continued and expanded access to NICU care; we have not yet been the target of payor revolt,
but we will be
377.
regulated reimbursement with new incoming administration tort reform reduction in medical
benefits from gov't or insurance co.s
378.
# 4 above does not allow us to pick 5. Priority for 3rd party coverage, quality of care,
communication
/J:_Newborn.PRI/VanMarterAssistant/AAP/MemberQuestionairre/Perisurvey#5
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