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 won’t 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?

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Implementing Effective EHDI Programs

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