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Implementing a new screening process significantly increased referrals to health benefits coordinators (HBCs), helping families of infants in the neonatal intensive care unit access vital financial resources and support.

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Area of Science:

  • Neonatal intensive care unit (NICU) care
  • Healthcare financial management
  • Quality improvement initiatives

Background:

  • Parents of medically complex infants in the NICU face significant financial stress.
  • Existing financial support systems require improved access mechanisms.
  • Collaboration between NICU nurses and financial support personnel enhances resource accessibility.

Purpose of the Study:

  • To enhance and expedite parent referrals to health benefits coordinators (HBCs).
  • To improve access to financial resources for families with infants in extended NICU care.

Main Methods:

  • A quality improvement initiative employed the Plan-Do-Study-Act (PDSA) framework.
  • Three PDSA cycles were used to revise the existing HBC referral system.
  • Focus on a sustainable screening process for identifying eligible families.

Main Results:

  • Referrals to HBCs increased from less than 5% to a sustained average of 90%.
  • The revised system successfully identified families eligible for benefit coordination.
  • Minimal multidisciplinary team time is now needed for timely identification.

Conclusions:

  • A simple, sustainable screening process significantly boosted HBC referrals.
  • Early and timely referrals can alleviate financial burdens for families with complex medical needs.
  • Further research is recommended on the financial impact of the HBC role.