Where is Screening Discussed in the Application Guidance

1
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)

2
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?

3
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

4
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.

5
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

6
Is the Evaluation Linked to the Screening
Implementation Strategy?
7
Implementing Effective EHDI Programs
out
Then a
miracle
occurs
Start
Good work,
but I think we might
need just a little
more detail right here.