Quality Indicators

Quality Indicator 4: Percent of infants that have no recorded final resolution (confirmed diagnosis or diagnosis ruled out by an appropriate medical professional)1 with the newborn screening program

Save

Purpose: To determine the percentage of infants that have no recorded final resolution (confirmed diagnosis or diagnosis ruled out by an appropriate medical professional1, by 12 months of age, with the state newborn screening program due to not receiving appropriate screening, evaluation, and/or treatment; therefore, increasing the probability of harm to infants who are at-risk for a disorder on the newborn screening panel.

Percents of infants that have no recorded final resolution (confirmed diagnosis or diagnosis ruled out by an appropriate medical professional1, by 12 months of age, with the state newborn screening program following:

 

  • a) The receipt of an unacceptable dried blood spot specimen.
  • b) A borderline result for which a subsequent dried blood spot specimen was requested for repeat testing
  • c) An out-of-range result from a dried blood spot screen requiring further clinical diagnositc workup by an appropriate medical professional.
  • d) An out-of-range result from a critical congenital heart disease (CCHD) screen result requiring further clinical diagnostic workup by an appropriate medical professional.2
  • e) An out-of-range result from an early hearing detection and intervention (EHDI) screen result requiring further clinical diagnostic workup by an appropriate medical professional.2

Screening Data for Denominators:

  • a) Number of infants that had any unacceptable3 dried blood spot specimen.
  • b) Number of infants in the state requested to have a subsequent dried blood spot specimen for repeat testing following a borderline result from the first dried blood spot specimen.
  • c) Number of infants that had an out-of-range result from a dried blood spot screen requiring clinical diagnostic workup by an appropriate medical professional.4
  • d) Number of infants with an out-of-range result from a critical congenital heart disease (CCHD) screen requiring clinical diagnostic workup by an appropriate medical professional.
  • e) Number of infants with an out-of-range result from an early hearing detection and intervention (EHDI) screen requiring clinical diagnositc workup by an appropriate medical professional.

Footnotes:

  1. For the purposes of QI data collection, the short term follow-up ends at the time of diagnosis or by ruling out of a diagnosis.
  2. Documentation for critical congenital heart disease (CHHD) or early hearing detection and intervention (EHDI) screening should include confirmation that the infant received evaluation by an appropriate medical professional.
  3. Unacaceptable dried blood spot specimens excludes those collected in less than 24 hours [for example Neonatal Intensive Care Unit (NICU) infants].
  4. This does not include requested subsequent specimens for repeat testing based on borderline results.