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Newborn Clinic: A Novel Model to Provide Timely, Comprehensive Care to Newborns Following Nursery Discharge
Melissa E Glassman1,2, Rebekah Diamond1,2, Sharon K Won2
1Department of Pediatrics, Columbia University, New York, NY, USA.
Insights
The Newborn Clinic (NBC) model significantly reduces outpatient follow-up time after well-baby nursery discharge. This initiative ensures safe infant care transitions, particularly for high-risk newborns like those with jaundice.
Area of Science:
- Neonatal care
- Pediatric follow-up protocols
- Healthcare system innovation
Background:
- Timely follow-up after well-baby nursery (WBN) discharge is crucial for infant health but remains a challenge.
- Expedited newborn discharge initiatives necessitate robust post-discharge support systems.
Purpose of the Study:
- To evaluate the efficacy of a novel Newborn Clinic (NBC) model in reducing the time to outpatient follow-up post-WBN discharge.
- To assess the impact of the NBC on infant morbidity and hospital readmissions.
Main Methods:
- Retrospective chart review of 17,952 newborns.
- Comparison of follow-up times before and after NBC establishment.
- Analysis of emergency department visits and hospital readmissions.
- Subgroup analysis for high-risk infants (e.g., jaundice).
Main Results:
- Significant decrease in time to outpatient follow-up visit after NBC implementation.
- Slight increase in emergency department visits in the post-NBC cohort; no change in hospital readmissions.
- Newborns with jaundice were more likely to receive early follow-up when scheduled through the NBC.
Conclusions:
- The Newborn Clinic (NBC) model is effective in decreasing the time from WBN discharge to follow-up.
- The NBC model supports safe infant transitions, especially when integrated with expedited discharge programs.
- Consideration of the NBC model is recommended to ensure continued safe infant care.
Abstract:
Ensuring safe and timely follow-up after well baby nursery (WBN) discharge is an ongoing challenge. This study demonstrates the efficacy of a novel model for follow-up, the Newborn Clinic (NBC), in reducing time to outpatient follow-up after WBN discharge. Our retrospective chart review of 17 952 newborns found that time to follow-up visit decreased significantly following NBC establishment. Emergency department visits, a marker of infant morbidity, were slightly increased in the post-establishment cohort. There was no difference, however, in hospital readmissions. Analysis within the post-establishment cohort showed that newborns with jaundice, a high-risk group, were much more likely to have early follow-up if their visit was scheduled with NBC. Our study demonstrates that NBC is an effective model for decreasing time from WBN discharge to follow-up visit. It should be considered as an initiative to run concurrently with expedited newborn discharge initiatives so that safe follow-up need not be sacrificed.
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