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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.
Developmental Follow-Up Services provides developmental assessments for HRPP/NICP enrolled infants after discharge when there are concerns about potential developmental delay. A primary care provider must make the referral for Developmental Services. Eligible infants receive periodic in depth developmental assessments using a multi-disciplinary approach. This service is for infants who are not eligible for the Arizona Early Intervention Program (AZEIP) and do not have health insurance that covers developmental assessments.
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 4.9/1000 in 1993 to
4.3/1000 in 2006.
- Infant deaths (within
the first 29 to 365 days of life) have decreased from 7.7/1000 in 1993 to
6.3/1000 in 2006. The 2003 infant mortality rate was the second lowest
rate recorded in Arizona since at least 1950.
- Postneonatal deaths
(from 29 to 365 days of life) have decreased from 3.0 per 1,000 live
births in 1993 to 2.0 per 1,000 in 2006.
- In 2006, 92% of all
births in Arizona occurred in Arizona Perinatal Trust (APT)/
Arizona Perinatal
Regional System (APRS) certified hospitals
-
In 2006, 88.0% of
infants weighing more than 350 grams but less than 1500 grams were delivered at
an APT/APRS Level III or Level II EQ certified hospital.
-
In 2006:
-
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, Section Manager
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
Publications:
Some
documents are in "PDF" format and require Acrobat
Reader™ for viewing.
Forms:
Forms
are in "PDF" format and require Acrobat
Reader™ for viewing and printing.
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."
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