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What is the....
High Risk Perinatal/Newborn Intensive Care
Program
The High Risk Perinatal Program/Newborn Intensive Care Program (HRPP/ NICP) is a comprehensive, statewide system of services dedicated to reducing maternal and infant mortality (deaths) and morbidity (abnormalities that may impact a child’s growth and development). The program provides a safety net for Arizona families, to ensure the most appropriate level of care surrounding birth as well as early identification and support for the child’s developmental needs.
Maternal and Neonatal Transport Services
Maternal and Neonatal Transport Services provide medical consultation and case management related to treatment/stabilization and, if needed, maternal and/or neonatal transport to available higher level(s) of care. The toll free number is 1-800-552-5252. This number is used to connect an attending physician with the HRPP on-call perinatologist or neonatologist in the specific geographic area. Infant transport back to the community hospital near the family after the acute hospitalization allows families to visit and learn to care for their baby.
Hospital and Inpatient Physician Services provide comprehensive, developmentally and risk appropriate care to critically ill infants within a hospital setting that is caring and supportive to the infant and their extended family. The program contracts with hospitals across the state that are certified by the Arizona Perinatal Trust (APT) / Arizona Perinatal Regional System (APRS). Contracted physician groups provide medical care to program infants during the Newborn Intensive Care Unit (NICU) hospitalization.
Community Nursing Services facilitates the transition of the child and family from the Newborn Intensive Care Unit to their home and community. Periodic monitoring of the child’s medical and developmental needs identifies infants who would benefit from referral to other early intervention programs. Through these home visits, the family receives support and education as well as referral to appropriate community resources.
What
does the HRPP Program do?
- Assure that high risk pregnant women and critically ill newborns receive timely access to appropriate medical care without regard to geographic location or ability to pay
- Provide interventions which result in the reduction of infant and maternal deaths and improved medical and developmental outcomes
- Provide support to families who have been impacted by the birth of a critically ill infant
- Assist families in the development of a secure and nurturing environment which will increase their child’s ability to learn and grow
- Connect families with early intervention services which can increase the child’s chances for optimal development and learning
What is the goal of the program?
The goal of the NICP program is to reduce maternal and infant mortality and morbidity utilizing the following strategies:
- Early identification of women and children at high risk for mortality and morbidity;
- Education for health professionals, families and communities;
- Linkage of infants, toddlers and pregnant women to risk appropriate services;
- Establishment of standards of care.
What has the program achieved?
- Neonatal deaths (within the first 28 days of life) have decreased from 4.7 per 1,000 live births in 2007 to 4.2 per 1,000 live births in 2008.
- Infant deaths (within the first year of life) have decreased from 6.8 per 1,000 live births in 2007 to 6.3 per 1,000 live births in 2008.
- Postneonatal deaths (from 28 to 365 days of life) have decreased from 2.2 per 1,000 live births in 2007 to 2.1 per 1,000 live births in 2008.
- In CY2008, 94.4% of all resident births in Arizona occurred in Arizona Perinatal Trust (APT)/ Arizona Preinatal Regional System (APRS) certified hospitals.
- In CY2008, 89.4% of very low birth weight babies were born at level III and/or level IIEQ APT hospitals.
- In FY2009:
- 5,358 infants were enrolled in NICP
- Community Health Nurses made 13,911 visits to medically fragile infants and their families after they were discharged.
- 1,086 critically ill pregnant women were transported to the appropriate level of care.
- 1,043 critically ill newborns were transported to the appropriate level of care.
- Standards for Developmentally Supportive Care in the Newborn Intensive Care Units were developed.
- Standards of Practice for Neonatal Community Health Nurses were developed.
- Standards of Practice for Perinatal Social Work were developed.
- Standards of Practice for Developmental Evaluation were developed.
- Discharge Planning Guidelines were developed.
- Developmental Services Resource Guide was developed.
Need more information?
High Risk Perinatal Program
Newborn Intensive Care Program
Mary Ellen Cunningham
Transport Services Program Manager
150 N. 18th Avenue, Suite 320
Phoenix, Arizona 85007-3242
Phone: (602) 364-1453
Fax: (602) 364-1494
Email: cunninm@azdhs.gov
Karen Stewart, RN, MSN
Hospital/Community Health Nurse Program Manager
150 N. 18th Avenue, Suite 320
Phoenix, Arizona 85007-3242
Phone: (602) 364-1462
Fax: (602) 542-1843
Email: stewark@azdhs.gov
Cynthia Ronquillo
Acting Claims Coordinator
150 N. 18th Avenue, Suite 320
Phoenix, Arizona 85007-3242
Phone: (602) 364-0058
Fax: (602) 364-1494
Email: ronquic@azdhs.gov
Publications:
Forms:
Enrollment and Financial forms also available En
Español. This
translation or communication is unofficial and is not binding on this State or
any subdivision of this State.
Forms are in "PDF" format and require Acrobat
Reader for viewing and printing.
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