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  • Webinars and Workshops
    >> Training Workshop: >> September 15, 2020 >> Monthly Training & Implementation Webinars: Click the dates below to view the recordings. The recording password is: NAS2018esc >> Wednesday, July 10th, 2019 >> Wednesday, September 25th, 2019 >> Wednesday, August 12th, 2020
  • General NAS Resources
    These resources provide a general overview on NAS. NeoQIC NAS Toolkit (please note this page is password protected. Please email Allie Doyle to get the password) NAS PowerPoint (Elisha Wachman, MD, Boston University School of Medicine) General Care of the Infant with Neonatal Opioid Withdrawal Syndrome on Vimeo (IDeA States Pediatric Network) General NAS Lecture for Residents and Students (Elisha Wachman, MD, Boston University School of Medicine)
  • Team Development Resources
    If you have not yet submitted a team roster form, or if you need to update your roster, please use the form below to do so. We encourage you to consider including all disciplines and representatives from both obstetrics and newborn care. >> PNQIN POP QI Team Roster Form
  • ESC Educational Materials
    These resources provide a broad overview on ESC as well as published literature. They can be used to provide general education on ESC to your perinatal staff. ESC Overview PowerPoint General NAS/ESC Talk (Matthew Grossman, MD, 1/7/17, Yale School of Medicine)**The recording at this link takes several minutes to load. Published Articles about the Eat, Sleep, Console Care Method Grossman et al., A Novel Approach to Assessing Infants with Neonatal Abstinence Syndrome Wachman et al., Quality improvement initiative to improve inpatient outcomes for Neonatal Abstinence Syndrome Grossman et al., An Initiative to Improve the Quality of Care of Infants with Neonatal Abstinence Syndrome Grossman et al., Neonatal Abstinence Syndrome: Time for a Reappraisal Grisham et al., Eat, Sleep, Console Approach: A Family-Centered Model for the Treatment of Neonatal Abstinence Syndrome Blount et al., Reduction in Length of Stay and Morphine Use for NAS With the "Eat, Sleep, Console" Method Minear S., Wachman, E., Management of Newborns with Prenatal Opioid Exposure: One Institution's Journey Achilles et al., A Quality Improvement Initiative to Improve the Care of Infants Born Exposed to Opioids by Implementing the Eat, Sleep, Console Assessment Tool Dodds et al., Successful Implementation of the Eat Sleep Console Model of Care for Infants With NAS in a Community Hospital Parlaman et al., Improving Care for Infants with Neonatal Abstinence Syndrome: A Multicenter, Community Hospital-Based Study Published Articles about Family Centered Care Howard et al., Impact of Parental Presence at Infants' Bedside on Neonatal Abstinence Syndrome Holmes et al., Rooming-In to Treat Neonatal Abstinence Syndrome: Improved Family-Centered Care at Lower Cost Please also refer to our recent research page for additional articles about NAS or Perinatal Opioid Use.
  • ESC Training Resources
    These resources are intended for providing training to staff that will be participating in ESC assessments and NAS management, including nursing staff caring for newborns and pediatricians managing NAS. ​ >> ESC Training Video >> ESC Training Manual (2nd Edition) >> ESCCare Tool with Definitions (2nd Edition) (February, 2018) >> ESC Care Tool with Definitions (3rd Edition) (April, 2021) >> ESC Inter-Rater Reliability tool >> ESC Newborn care diary >> ESC Written Case 3rd Edition >> ESC >> ESC Simulation Cases with Worksheets
  • ESC Implementation Resources
    Sample Training PowerPoint (From BMC, hospitals can tailor presentation as needed) ESC Healthstream PowerPoint ESC Healthstream Quiz Sample Algorithms and Protocols ESC Newborn Care Diary Epic Tip Sheet
  • Finnegan Symptom Prioritization
    Articles: Holmes et al., Rooming-In to Treat Neonatal Abstinence Syndrome: Improved Family-Centered Care at Lower Cost Tools: Symptom Prioritization Algorithm (Boston Medical Center) NNEPQIN 2015 Symptom Prioritization Recommendations (Dartmouth HItchcock)
  • Montinoring Impact
    These resources are intended to help hospital teams measure the impact of the ESC care tool implementation. For this step, hospitals should participate in the PNQIN REDCap data system. To participate, hospitals will need to have completed the PNQIN Perinatal Opioid Project (POP) QI data use agreement, entered baseline data for 2017, and will need to continue data collection following ESC implementation. ​ >> PNQIN POP QI Initiative Overview >> PNQIN POP QI Initiative Data Use Agreement >> PNQIN POP QI Initiative Data Form >> For further information on the PNQIN POP QI Project visit the project pagehere.
  • Inpatient Resources
    >> PRN Dosing Protocol (Dartmouth-Hitchcock, 2018)

OUD in Pregnancy Initiative 

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NeoQIC and MPQC have been working on NAS and opioid use in pregnancy for some time, and we formally joined together in this work last year as PNQIN.  Thus far, most of our attention has focused on the care of the substance-exposed newborn and the family after birth.  Based on great work that has already been done at several centers, we’d like to now dig deeper into collaborative efforts focused on the mother and the care of OUD in pregnancy.  We’re planning a similar model to what MPQC and NeoQIC have used in the past:  hospital and outpatient improvement teams and improvement projects, data sharing, a webinar QI training series, and poster presentations at our PNQIN statewide summits. We are collecting a couple maternal-focused metrics, including one of our primary outcomes of percent of mothers receiving MAT during pregnancy, and we hope to add additional obstetric-focused measures over time. There are a number of infant based measures as well, extending into the year after delivery. To view information about our project on Substance Exposed Newborns, click here. 

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In February we held a kick-off meeting to bring teams together and start to share ideas and where we all are in our care process for OUD in pregnancy.  The slides for this meeting are available here. See the menu below for more project information. 

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If you would like more information about this initiative, please email Nicole Iannella at nicole.iannella@bmc.org.

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