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Updated: Jun 18, 2026

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Considerations in choosing screening conditions: one (US) approach
1Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA. therrell@uthscsa.edu
Insights
The United States lacks a national newborn screening policy, leading to varied state guidelines. This report details the development of national recommendations for newborn screening tests and selection criteria.
Area of Science:
- Genetics
- Public Health
- Pediatrics
Background:
- The United States has 51 distinct newborn screening (NBS) policies due to the absence of a national strategy.
- A 2000 American Academy of Pediatrics report proposed a national blueprint for NBS.
- This led to federal initiatives to standardize NBS practices nationwide.
Purpose of the Study:
- To outline the development of a national decision-making algorithm for selecting conditions for NBS panels.
- To present the recommended panel of screening tests for state implementation.
- To summarize the processes and outcomes guiding current US NBS recommendations.
Main Methods:
- A working group developed a national NBS blueprint.
- The Health Resources and Services Administration contracted the American College of Medical Genetics.
- An algorithm for condition selection and a recommended test panel were created.
Main Results:
- Development of a systematic algorithm for choosing NBS conditions.
- Establishment of a recommended panel of screening tests for national guidance.
- Summarization of the collaborative process leading to current NBS standards.
Conclusions:
- The developed algorithm and recommended panel provide a framework for consistent NBS across the US.
- These efforts aim to improve early detection and management of genetic disorders in newborns.
- The report synthesizes the foundational work for current US newborn screening recommendations.
Abstract:
The lack of a national policy on newborn screening (NBS) in the United States has resulted in 51 state-specific NBS policies (including 50 states and the District of Columbia). In 2000, a working group of the American Academy of Pediatrics provided a national NBS blueprint for the future. Using this guidance, the Health Resources and Services Administration contracted with the American College of Medical Genetics to: (i) develop a decision-making algorithm for states to use in selecting conditions for screening panels, and (ii) recommend a panel of tests to guide states in their screening requirements. This report outlines and summarises the processes and outcomes leading to the current NBS recommendations in the United States.
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