Where is Screening Discussed in the Application Guidance? Title of the funding program MCHB core outcomes for Healthy People 2010 (p. 2) Program background (pp 18+) Goal of funding program (p. 20) Application review criteria (pp 21 & 22)

What Do Reviewers Want to See? Do you know why UNHSI is important? Do you know the current status of screening in your state? –How many babies are currently being screened? –What type of equipment and protocols are hospitals using? –What do hospital administrators and primary care physicians view as the benefits and challenges? –Is there effective follow-up? –What are the relevant groups with whom you should be coordinating?

What Issues are Involved in Establishing a Statewide UNHSI Program? Which equipment is best? One- or two-stage screening protocols? Problems keeping refer rates low Reimbursement issues Training and support issues Informed consent and education issues

What Are the Barriers to Successful Implementation of UNHSI in Your State? Insurance companies wont pay False-positive rates are too high Follow-up procedures are not working well Hospitals are opposing it.

Do You Have a Plan for Addressing Those Barriers and Achieving State-wide Implementation? Helping hospitals implement programs Monitoring performance Assessing program status and providing assistance where necessary Coordinating with other relevant programs Assessing the effects families

Is the Evaluation Linked to the Screening Implementation Strategy?

Good work, but I think we might need just a little more detail right here. Implementing Effective EHDI Programs Then a miracle occurs out Start