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

• 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. 1. 11 Steps to Getting Started with the ILPQC Mothers and Newborns affected by Opioids (MNO) – Neonatal Initiative
   2. MNO 6 Key Opportunities for Improvement
   3. Mothers and Newborns affected by Opioids Neonatal Data Form
   4. Mothers and Newborns affected by Opioids Combined OB & Neonatal Data Form
   5. Mothers and Newborns affected by Opioids Neonatal Monthly Structure Measures Data Form
   6. Mothers and Newborns affected by Opioids Key Driver Diagram for Neonates
   7. Mothers and Newborns affected by Opioids Neo Readiness Survey

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. 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. 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. ABM Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2016

1. 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. Eat-Sleep-Console Simulation & Debrief Video
3. Engaging Mom in Non-Pharmacologic Care Simulation & Debrief Video
4. Non‐Pharmacologic Care Definitions
5. 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. Sample letter from inpatient team updating community pediatricians about MNO-Neonatal Initiative, what to expect
2. Sample educational 1-pager about common terminology for Eat Sleep Console to share with community pediatrician

Additional Discharge Resources

1. Accurate Reporting of NAS in APORS Fact Sheet*
2. NNEPQIN: Federal Legislation Regarding Infant Plan of Safe Care
3. IDPH Adverse Pregnancy Outcomes Reporting System (APORS)
4. SAMHSA: Early Intervention Strategies and Developmental Assessments (Section 2: Infant Care, Factsheet 13)