{"id":35279,"date":"2024-12-02T07:00:24","date_gmt":"2024-12-02T07:00:24","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=35279"},"modified":"2024-12-02T17:33:18","modified_gmt":"2024-12-02T17:33:18","slug":"nicu-to-home-ensuring-quick-access-to-care","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/nicu-to-home-ensuring-quick-access-to-care\/","title":{"rendered":"NICU to Home: Ensuring quick access to care","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

When a family envisions the arrival of their newborn, a stay in the neonatal intensive care unit (NICU) is likely not in the plan.<\/p>\n

For many with a baby in the NICU \u2014 whether for a short stay or a months-long one \u2014 the need for a higher level of care doesn\u2019t stop when they go home. The transition can be complicated, overwhelming and sometimes a long waiting game for next steps.<\/p>\n

At MultiCare Yakima Memorial Hospital,<\/a> the NICU to Home program has changed that.<\/p>\n

Through a collaborative venture, Early Support for Infants and Toddlers (ESIT) guidelines were adopted in the Yakima Memorial NICU to provide families with evaluation and acceptance into the Children\u2019s Village<\/a> program before they leave the hospital. ESIT provides therapy and other support services in a family\u2019s home, on a more flexible schedule to fit their lives.<\/p>\n

Previously, upon discharge a family would need to schedule an outpatient evaluation to receive ESIT services, and then wait for their intake appointment with Children\u2019s Village before services could begin.<\/p>\n

\u201cIn the NICU, we saw families who had babies in need of 24-hour care who were going home and having no form of support for months at a time,\u201d explains Mackenzie Franke, occupational therapist and clinical supervisor at Children\u2019s Village. \u201cWe wanted to reduce that wait time.\u201d<\/p>\n

The Children\u2019s Village program focuses on children with the highest needs, such as genetic conditions, prematurity or other diagnoses that could impact their development, and those who have been discharged with a feeding or oxygen tube, explains Franke.<\/p>\n

\u201cThe transition from NICU to Home was easier than expected, just a bit scary. Lillian came home on oxygen and with a feeding tube. I had to learn how to get around with oxygen, but I figured it out pretty quickly. We were blessed to have an amazing team that followed us out of the NICU, including our home therapist Mackenzie.\u201d<\/p>\n

\u2014 Brandy, mother of Children\u2019s Village child<\/p><\/blockquote>\n

Since its implementation in 2021, NICU to Home has helped more than 25 families get into ESIT faster. Babies discharged from the Yakima Memorial NICU are beginning ESIT therapy services an average of 7.25 days after discharge, compared to the previous average of 64 days.<\/p>\n

\u201cAny family who has had a baby understands how hard it is to make it to everything and get everything done, especially when they didn\u2019t have a normal or expected birth plan,\u201d Franke says.<\/p>\n

Getting families set up with their next steps before leaving the NICU makes it a more seamless process and takes off some of the mental load, adds Claire Bange, speech language pathologist at Children\u2019s Village.<\/p>\n

\u201cThe population of Yakima includes historically marginalized and low socioeconomic groups,\u201d Bange explains. \u201cCombined with the higher population of children when compared to other counties in Washington, it places strain on the medical system to support families and meet them where they\u2019re at.\u201d<\/p>\n

It can be a challenge to find the time to schedule and make these appointments after returning home and to work, Bange says. Children\u2019s Village serves all of Yakima and Kittitas County, primarily rural communities with minimal options for services.<\/p>\n

\u201cThese families need and want these services,\u201d Bange adds. \u201cWe\u2019re able to connect all these dots and take advantage of our unique situation as partners between Yakima Memorial and Children\u2019s Village.\u201d<\/p>\n

In years past, pediatric therapists from Children\u2019s Village would visit the NICU on an as-needed basis to evaluate and care for infants. That has since evolved to four Children\u2019s Village therapists on-site each week to ensure every infant is evaluated, Franke says.<\/p>\n

\u201cWe\u2019ve gotten great feedback from families who didn\u2019t even realize they were in the ESIT program now because the transition from the NICU to ESIT was so seamless,\u201d Bange says.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

When a family envisions the arrival of their newborn, a stay in the neonatal intensive care unit (NICU) is likely not in the plan. For many with a baby in the NICU \u2014 whether for a short stay or a months-long one \u2014 the need for a higher level of care doesn\u2019t stop when they […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":115,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15,67,103],"tags":[],"class_list":["post-35279","post","type-post","status-publish","format-standard","hentry","category-community","category-kids-health","category-research"],"acf":[],"yoast_head":"\nNICU to Home: Ensuring quick access to care- MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"The NICU to Home program is helping families in need of home-based services access that care sooner than ever before.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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