© The Children's Mercy Hospital, /14 Critical Congenital Heart Disease (CCHD) Meagan Dorton, MSN, MBA, RN-CPN Pulse Oximetry Screening for Detecting

© The Children's Mercy Hospital, /14 What is the prevalence of babies born with a Congenital Heart Defect? Data & Statistics. (2014, October 20). Retrieved March 18, 2015, from html A.3.3% B.1% C.0.1% D.0.03%

© The Children's Mercy Hospital, /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

© The Children's Mercy Hospital, /14 4

5 Laws and Regulations Missouri –Chloe’s Law – es/genetics/birthdefects/doc/cch dreportingform.dochttp://health.mo.gov/living/famili es/genetics/birthdefects/doc/cch dreportingform.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, /14 6 Statistics 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 2014 Critical Congenital Heart Defects. (n.d.). Retrieved March 4, 2015, from

© The Children's Mercy Hospital, /14 What is the estimated cost of screening for CCHD? A.$14 B.$20 C.$36 D.$72

© The Children's Mercy Hospital, /14 8 Obstacles Cost Time Education Resources nsmercyorg/Clinics_and_Services/Clinics_and_De partments/Neonatology/ _Pulse%20OX% 20toolkit.pdf

© The Children's Mercy Hospital, /14 9 Resources Pulse Ox ( ) –Consultation –Remote evaluation Education and Training –Onsite ECHO –Training materials for nursing staff

© The Children's Mercy Hospital, /14 10 References Congenital Heart Defects: Current Research Activities. (2014, June 25). Retrieved March 4, 2015, from Critical Congenital Heart Defects. (n.d.). Retrieved March 4, 2015, from Critical Congenital Heart Disease. (n.d.). Retrieved March 4, 2015, from Data & Statistics. (2014, October 20). Retrieved March 18, 2015, from 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 Newborn Screening for Critical Congenital Heart Disease (CCHD)-2014 State Actions. (2014, October 20). Retrieved March 4, 2015, from advocacy/Documents/2014%20CCHD%20Newborn%20Screening%20Bills,%20Regulations,%20and%20Executive%20Orders%20- %20AAP%20Division%20of%20State%20Govt%20Affairs.pdf. 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): doi: /jamapediatrics 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.