Eastern Kentucky Launching Innovative Care Coordination for Infants Diagnosed with NAS
Monday, August 05, 2019 3:17 PM
are diagnosed with neonatal abstinence syndrome (NAS) daily in the U.S.
Despite being widely recognized as the most tragic victims of the opioid
crisis — as it is the maternal use of opioids that causes the newborn’s
opioid dependency — the specialized care necessary to manage withdrawal in a
newborn often ends when that baby leaves the hospital. Post-discharge,
parents take their babies back to rural communities where the hospital
staff may be unaware of the newborn’s underlying illness and the risks
associated with it.
Earlier this year, Highlands Regional Medical Center, in Prestonsburg,
helped pioneer new functionality from Collective Medical to support
community collaboration and coordination for these newborns and their
mothers. With Collective, Kentucky care teams are empowered to quickly
identify, support and make informed treatment decisions for infants and
children at the point of care.
This functionality is especially helpful for emergency departments and
hospitals as clinicians often treat patients without knowing their medical
history. “Not having a long-standing relationship with patients can present
challenges. Those challenges are amplified with infants. Information is
critical, but accessibility and relevance are just as important. The
opportunity to immediately know an infant was diagnosed with NAS, where the
diagnosis occurred, if the infant received MAT, and other key insights is
groundbreaking,” says Dr. Philip Overall, Medical Director of Emergency
Services at St. Claire HealthCare, a not-for-profit health system in
Additionally, Collective allows those caring for these infants to add care
guidelines that providers across both the local community and beyond can
view and act on. "I am very excited to be a part of the Collective Medical
platform for providing continuity of care for our NAS population. Each
infant has unique challenges and Collective Medical offers me the ability
to share my observations with the greater health care community. I feel this
is very important for providing quality, on-going care for these infants,"
says Michelle Hall, RN-C, BSN, Director of Obstetrics at Highlands Regional
Substance use disorder and behavioral health providers can also benefit.
With Collective, providers become aware of when and where patients are
having encounters, allowing them to offer more immediate support. “At
JourneyPure, we recognize that our country’s addiction crisis may have its
most profound impact on the unborn children of pregnant women who are
struggling with addiction and co-occurring mental health disorders. As a
highest priority, JourneyPure is committed to providing integrated care for
pregnant women struggling with addiction and co-occurring disorders. Via
utilization of state of the art, scientifically-based treatment approaches,
the result has been dozens of babies being born healthy to mothers in
recovery who have a newfound capability of forming loving and meaningful
maternal relationships with their newborns,” says Dr. Brian Wind, Vice
President of Clinical Operations, JourneyPure.
Benjamin A. Zaniello, MD, MPH, Chief Medical Officer at Collective Medical
says, “The opioid epidemic has devastated families and communities across
my home state of Kentucky and across the nation. Improving outcomes for
individuals struggling with substance use disorder has always been a
priority for Collective — and this new functionality now allows us to support
the entire family.”
The Anthem Foundation awarded the Kentucky Hospital Association this
$250,000 grant as part of the organization’s efforts to create a more
collaborative and efficient health care system.
The grant from the Anthem Foundation has equipped physicians treating
patients in emergency departments (EDs) across the state with new,
state-of-the-art software to help make faster, more informed treatment
decisions. The software, called EDie, was developed by Salt Lake City-based
Collective Medical Technologies and is being provided at no cost to
hospitals across the commonwealth by the Kentucky Hospital Association
(KHA) thanks to the $250,000 grant.
The partnership enables KHA member hospitals’ access to the Collective
Medical network and EDie solution, a real-time, risk-adjusted event
notification and care collaboration platform. This helps KHA members
identify and support high-risk patients in need and facilitates
collaboration of providers across care settings. As a result, the
partnership aims to reduce avoidable readmissions, further enable statewide
efforts to address the opioid epidemic, and better manage complex patients
who frequently seek care in EDs.
If your facility is not yet using the EDie solution from Collective Medical, contact Melanie Moch at KHA (firstname.lastname@example.org).