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Implementation of the Hammersmith Infant Neurological Examination in a High-Risk Infant Follow-Up Program
Nathalie L Maitre1, Olena Chorna2, Domenico M Romeo3
1Center for Perinatal Research at Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics at Nationwide Children's Hospital, Columbus, Ohio.
Insights
Implementing the Hammersmith Infant Neurological Examination training in high-risk infant follow-up programs is feasible and effective. This approach enhances provider education and standardized documentation for better neurodevelopmental assessment.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Clinical Implementation Science
Background:
- High-risk infant follow-up programs are crucial for early detection of neurodevelopmental disorders.
- Standardized neurological examinations are essential for accurate clinical and research evaluations in these programs.
Purpose of the Study:
- To overcome challenges in provider education and documentation standardization.
- To implement and evaluate a training approach for the Hammersmith Infant Neurological Examination.
Main Methods:
- Developed a training program including precourse materials and a workshop model.
- Adapted the electronic medical record for standardized documentation.
- Evaluated provider examination completion and documentation before and after training.
Main Results:
- Demonstrated feasibility and effectiveness of standardized Hammersmith Infant Neurological Examination training.
- Showcased improved provider completion and documentation of neurological examinations.
- Enabled quantitative assessment of neurological findings and developmental trajectories.
Conclusions:
- Standardized training and implementation of the Hammersmith Infant Neurological Examination are achievable in large-scale programs.
- This approach effectively enhances the evaluation of high-risk infants.
- Facilitates quantitative analysis of neurodevelopmental outcomes.
Background:
High-risk infant follow-up programs provide early identification and referral for treatment of neurodevelopmental delays and impairments. In these programs, a standardized neurological examination is a critical component of evaluation for clinical and research purposes.
Methods:
To address primary challenges of provider educational diversity and standardized documentation, we designed an approach to training and implementation of the Hammersmith Infant Neurological Examination with precourse materials, a workshop model, and adaptation of the electronic medical record.
Conclusions:
Provider completion and documentation of a neurological examination were evaluated before and after Hammersmith Infant Neurological Examination training. Standardized training and implementation of the Hammersmith Infant Neurological Examination in a large high-risk infant follow-up is feasible and effective and allows for quantitative evaluation of neurological findings and developmental trajectories.
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