pulse oximetry screening for detecting critical congenital heart disease
TRANSCRIPT
© The Children's Mercy Hospital, 2014. 03/14
Critical Congenital Heart Disease (CCHD)
Meagan Dorton, MSN, MBA, RN-CPN
Pulse Oximetry Screening for Pulse Oximetry Screening for DetectingDetecting
© The Children's Mercy Hospital, 2014. 03/14
What is the prevalence of babies born with a Congenital Heart Defect?
3.3% 1% 0.1
%0.03%
0% 0%0%0%Data & Statistics. (2014, October 20). Retrieved March 18, 2015, from http://www.cdc.gov/ncbddd/birthdefects/data.html
A. 3.3%
B. 1%
C. 0.1%
D. 0.03%
© The Children's Mercy Hospital, 2014. 03/14
Prior to CCHD screening recommendations, approximately how many babies per year were
discharged with an unrecognized CCHD?
A. 280
B. 170
C. 520
D. 96
280
170
520 96
0% 0%0%0%
© The Children's Mercy Hospital, 2014. 03/144
© The Children's Mercy Hospital, 2014. 03/145
Laws and RegulationsLaws and Regulations
• Missouri– Chloe’s Law
– http://health.mo.gov/living/families/genetics/birthdefects/doc/cchdreportingform.doc
• Kansas– Quality initiative program
• Nationwide– 37 states have passed a law or
regulation (CDC)
– Many hospitals have chosen to screen even if states don’t require it
© The Children's Mercy Hospital, 2014. 03/146
StatisticsStatistics
• KDHE (information current as of 9/19/2014)– 94.8% of babies in KS currently being screened prior to
discharge
– 84% of birthing facilities in KS currently screening for CCHD
– 47% of birthing facilities reporting CCHD screens to KDHE
– 500 screens reported since May 2014Critical Congenital Heart Defects. (n.d.). Retrieved March 4, 2015, from http://www.kdheks.gov/newborn_screening/CCHD.htm
© The Children's Mercy Hospital, 2014. 03/14
What is the estimated cost of screening for CCHD?
A. $14
B. $20
C. $36
D. $72
$14
$20
$36
$72
0% 0%0%0%
© The Children's Mercy Hospital, 2014. 03/148
ObstaclesObstacles• Cost
• Time
• Education
• Resources
http://www.childrensmercy.org/library/uploadedFiles/childrensmercyorg/Clinics_and_Services/Clinics_and_Departments/Neonatology/20140319_Pulse%20OX%20toolkit.pdf
© The Children's Mercy Hospital, 2014. 03/149
ResourcesResources• 1-877-Pulse Ox (1-877-785-7369)
– Consultation
– Remote evaluation
• Education and Training– Onsite ECHO
– Training materials for nursing staff
• http://www.childrensmercy.org/PulseOx/
© The Children's Mercy Hospital, 2014. 03/1410
ReferencesReferencesCongenital Heart Defects: Current Research Activities. (2014, June 25). Retrieved March 4, 2015, from
http://www.cdc.gov/ncbddd/heartdefects/current-research.html
Critical Congenital Heart Defects. (n.d.). Retrieved March 4, 2015, from http://www.kdheks.gov/newborn_screening/CCHD.htm.
Critical Congenital Heart Disease. (n.d.). Retrieved March 4, 2015, from http://health.mo.gov/living/families/genetics/birthdefects/cchd.php.
Data & Statistics. (2014, October 20). Retrieved March 18, 2015, from http://www.cdc.gov/ncbddd/birthdefects/data.html
Knapp, A., Metterville, D., Kemper, A., Prosser, L., & Perrin, J. (2010, September 3). EVIDENCE REVIEW: Critical Congenital Cyanotic Heart Disease. Retrieved March 18, 2015, from http://www.hrsa.gov/advisorycommittees/mchbadvisory/heritabledisorders/nominatecondition/reviews/cyanoticheart.pdf
Newborn Screening for Critical Congenital Heart Disease (CCHD)-2014 State Actions. (2014, October 20). Retrieved March 4, 2015, from https://www.aap.org/en-us/advocacy-and-policy/state-advocacy/Documents/2014%20CCHD%20Newborn%20Screening%20Bills,%20Regulations,%20and%20Executive%20Orders%20-%20AAP%20Division%20of%20State%20Govt%20Affairs.pdf.
Peterson C, Ailes E, Riehle-Colarusso T, et al. Late Detection of Critical Congenital Heart Disease Among US Infants: Estimation of the Potential Impact of Proposed Universal Screening Using Pulse Oximetry. JAMA Pediatr. 2014;168(4):361-370. doi:10.1001/jamapediatrics.2013.4779.
Peterson C, Gross SD, Glidewell J, Garg LF, Van Naarden Braun K, Knapp MM, Beres LM, Hinton CF, Olney RS, Cassell CH. A public health economic assessment of hospitals’ cost to screen newborns for critical congenital heart disease. Public Health Rep. 2014;129(1):86-93.