ILPQC Data System Sustainability Data Forms:

• MNO-Neo Monthly Patients with OUD Data Collection form (Updated 2.19.2021)
• Combined MNO-OB & Neonatal Monthly Patients with OUD Data Collection form (Updated 2.19.2021)

Sustainability Info:

• MNO-Neonatal Sustainability Plan (complete with QI team and share with ILPQC & your perinatal network administrator)

NEW National NAS Resources!

• AAP: New PediaLink Course – Recovery Friendly Care for Families Affected by Opioid Use Disorder. Course units are eligible for AMA PRA Category 1 Credit™ and Maintenance of Certification Part 2 points. 
• AAP: Pediatrics On Call Podcast – Acknowledging Stigma and Embracing Empathy When Treating Opioid Withdrawal Syndrome.
• AAP: Communication Campaign – Share Your Knowledge about Neonatal Opioid Withdrawal Syndrome. 
• ASTHO: Infographic series – Supporting Pregnant and Postpartum Women with Opioid Use Disorder

AAP Policy and Clinical Reports

• NEW: Neonatal Opioid Withdrawal Syndrome (10/2020)
• AAP Policy Statement: A Public Health Response to Opioid Use in Pregnancy
• AAP Clinical Report: Families Affected by Parental Substance Use
• AAP Clinical Report: Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening
• AAP Clinical Report: Neonatal Drug Withdrawal

1. 11 Steps to Getting Started with the ILPQC Mothers and Newborns affected by Opioids (MNO) – Neonatal Initiative
2. Mothers and Newborns affected by Opioids Aims and Measures
3. MNO 6 Key Opportunities for Improvement
4. Mothers and Newborns affected by Opioids Neonatal Data Form *UPDATED*
5. Mothers and Newborns affected by Opioids Combined OB & Neonatal Data Form *UPDATED*
6. Mothers and Newborns affected by Opioids Neonatal Monthly Structure Measures Data Form *UPDATED*
7. Mothers and Newborns affected by Opioids Key Driver Diagram for Neonates
8. Mothers and Newborns affected by Opioids Neo Readiness Survey
9. Plan‐Do‐Study‐Act Worksheet

All MNO-Neo Folder Materials (Download all here)

Patient Education Materials & Tools (Give to and review with moms)

• Neonatal Abstinence Syndrome (NAS): What You Need to Know/Be with your baby: You are the treatment! Half‐ Page Card
• Neonatal Abstinence Syndrome (NAS): What you need to know booklet
•  ILPQC Newborn Care Diary

Clinical Team Resources (Give to OB & Nurse to complete)

• ILPQC MNO Prenatal Consultation Guidelines
• Identify Newborns at Risk for NAS Decision Tree
• ILPQC Infant Bedside Sheet
• Breastfeeding Traffic Light Resource 
• MNO Discharge Checklist 
• Collaborative Discharge Plan

1. Beyond Labels: Do Your Part to Reduce Stigma (March of Dimes)
2. SAMHSA‐ Words Matter: How Language Choice Can Reduce Stigma
3. Ohio Perinatal Quality Collaborative, Dr. Krisanna Deppen: Substance Abuse 101: Mythbusters
4. Ohio Perinatal Quality Collaborative, Dr. Ron Abrahams, Understanding NAS as a Chronic Illness (Video Link)

1. ILPQC MNO Prenatal Consultation Guidelines*

Please refer to the ‘Provide Family Education’ section to support prenatal consult

• Identify Newborns at Risk for NAS Decision Tree (IDPH NAS AC)
• Inpatient Monitoring
• NAS Scoring and Assessment Tools
• SSM Health St. Mary’s Hospital: Sample Decision Tree Flowchart using the Eat, Sleep, Console (ESC) Method
• ILPQC Infant Bedside Sheet*
• Sample Modified Finnegan’s Neonatal Abstinence Scoring Tool (University Health System & Western Australia Centre for Evidence Based Nursing and Midwifery)
  • https://www.universityhealthsystem.com/~/media/files/clinical-pathways/modified-finnegans-nas-scoring-tool-pt-approved-0615.pdf?la=en
  • http://www.lkpz.nl/docs/lkpz_pdf_1310485469.pdf

Family Education

1. Neonatal Abstinence Syndrome (NAS): What You Need to Know/Be with your baby: You are the treatment! Half‐ Page Card
2. Neonatal Abstinence Syndrome (NAS): What you need to know booklet

Care Team Education

1. MNO-Neonatal Key Messages and Strategies Poster
2. Mothers are the Best Treatment Option Poster
3. Supporting Breastfeeding Poster
4. Coordinated Discharge Key Elements Poster

New Resources: 

Let’s Talk Cannabis- Worth the Wait Content Package Launch Kit (May 12, 2021) Developed by Prevention First & RESCUE

Initiative Resources:

1. MNO-Neonatal Opportunities to Support Breastfeeding Provider Education (7.27.2020)
2. MNO-Neonatal Opportunities to Support Breastfeeding Clinical Debrief (7.27.2020)
3. Breastfeeding Traffic Light Counseling Resource (via Children’s Hospital of Philadelphia) 
4. SSM Health St. Mary’s Hospital: Sample Breastfeeding Summary
5. ABM Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2016
6. NNEPQIN: Sample Breastfeeding Guidelines for Women with a Substance Use Disorder
7. Baystate Children’s Hospital: Sample Marijuana and Breastfeeding Guidelines
8. Ohio Perinatal Quality Collaborative: Sample Provision of 22‐Calorie, lactose‐free formula for infants with NAS

1. NEW- MNO-Neonatal Missed Opportunities Debrief Review Form- to be completed with every dyad affected by opioids to review successes and identify opportunities to optimize care
2. NEW- Eat-Sleep-Console Simulation & Debrief Video
3. NEW- Engaging Mom in Non-Pharmacologic Care Simulation & Debrief Video
4. Non‐Pharmacologic Care Definitions
5. New: ILPQC Newborn Care Diary
6. Baystate Children’s Hospital: Sample Rooming‐In policy for mother‐infant dyad impacted by in‐utero opioid exposure

1. SSM Health St. Mary’s Hospital Guidelines for Pharmacologic Treatment when using ESC Method
2. NNEPQIN: Sample ESC‐Based Pharmacologic Treatment Regimens: Boston Medical Center NAS Pharmacologic Treatment Algorithm & Children’s Hospital at Dartmouth‐ Hitchcock NAS Management Algorithm
3. BMC: Sample NAS Primary & Secondary Agent Algorithms

Coordinated Discharge Materials

1. MNO-Neonatal Discharge Checklist (Updated 1/6/2020)
2. MNO-Neonatal Collaborative Discharge Plan
3. MNO-Neonatal Discharge Resources Mapping Tool

Pediatrician Communication Tools

1. NEW- Sample letter from inpatient team updating community pediatricians about MNO-Neonatal Initiative, what to expect
2. NEW- Sample educational 1-pager about common terminology for Eat Sleep Console to share with community pediatrician

Additional Discharge Resources

1. NEW: Accurate Reporting of NAS in APORS Fact Sheet*
2. NNEPQIN: Federal Legislation Regarding Infant Plan of Safe Care
3. Guttmacher Institute: State Policies on Substance Use During Pregnancy
4. Illinois DCFS Statue: Neglected Child
5. IDPH Adverse Pregnancy Outcomes Reporting System (APORS)
6. SAMHSA: Early Intervention Strategies and Developmental Assessments (Section 2: Infant Care, Factsheet 13)