Infant Intensive Care

The Department of Pediatrics, University of Kentucky Medical Center will operate the Intensive Infant Care Project as a portion of the Neonatal IntensiveCare Unit, Divisionof Neonatology. . The Second Party agrees to perform the services as hereinafter described with particularity as follows: 1. Maintain a database of all NICU admissions, including reason for admission, Congenital anomalies, patient disposition and causes of death. The database will be used to track outcomes in the NICU and to design quality improvement initiatives within the NICU. Coordinate systems with Kentucky's Birth Surveillance Registry so that cross-reference data checks and updates can be done. 2. Provide education and training for providers in the stabifization of acutely ill children. Assure suitable transportation for acutely ill neonates including necessary medical and technical services to handle any emergency that might occur while the patient is being transferred. Reverse transport services will be provided where indicated. 3. Provide for case management to assure continuity of care and for referral of Infants and mothers who require special services after discharge. Provide consultation and assistance to local pediatricians and other physicians and health care providers caring for infants. 4. Provide newborn intensive care personnel collaboration and/or referral with parents, hospitals, Local Health Departments, First Steps and/or other community health or social agencies involved in the referral or follow-up care. This case management is to focus on assessing community services and to avoid duplication of care. 5. Provide consultation and planning with staff of other hospitals and communities. The staff of referring hospitals should have the opportunity to meet regularly with the regional center staff for education, administrative and planning purposes. Provide 12 educational sessions in Central and Eastern Kentuclky to physicians and nursing personnel. Subjects will be determined by needs assessment but will include discharge planning, follow-up, appropriate referral to and coordination with First Steps, the Hands program and other community services. 6. Provide a minimum of 175 multi-disciplinary developmental screening assessments to non-KEIS enrolled children. Identify intervention treatment needs; interpret findings to patient families and initiate! specialty referrals when necessary for high risk infants cared for in geographic neonatal intensive care and Level II nurseries; and other appropriate consultations. 7. It is expected that as part of its intent directed toward regional planning and Regionalization of services, that the infant intensive care project will participate in a cooperative effort with other state projects and agencies to plan for facifities and services for high risk infants delivered in Kentucky. 8. The second party will submit quarterly progress reports, regarding the afore mentionled activities, that will be due the 15thof month preceding the end of the quarter; and the final quarterly report will include an annual report with a description and progress of activities that address one or more of the four (4) CDC National Tobacco Control Program Goals of: a} Preventing initiation b} Promoting quitting c} Eliminating exposure to secondhand smoke d} Reducing disparities among population groups disproportionately affected by tobacco use. One (1) or more of the following strategies may be used to address these national Goals: a} Professional training and development b} Policy development c} Information dissemination d} Community mobilization e) Surveillance and/or evaluation