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2014CoordinatedPerinatal SystemsofCare RecommendationstotheIndianaPerinatal QualityImprovementCollaborative(EPIC) GoverningCouncil EndorsedbytheGoverningCouncilonMay21,2014 Table of ContentsLiterature
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01
Step 1: Gather all necessary paperwork and documents needed to fill out the NICU Transition to Home & Follow-Up Program form.
02
Step 2: Read the instructions carefully and familiarize yourself with the program requirements.
03
Step 3: Start by providing your personal information, such as your name, address, and contact details.
04
Step 4: Fill out the specific details about the baby, including their name, date of birth, and any medical conditions or special needs.
05
Step 5: Answer the questions regarding your baby's hospital stay, such as the date of admission and discharge, and the name of the hospital.
06
Step 6: Provide information about the healthcare professionals involved in your baby's care, including their names and contact details.
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Step 7: Fill out the sections related to the medical history of your baby, including any medications, treatments, or surgeries they have undergone.
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Step 8: Answer the questions about your access to necessary medical equipment and resources at home.
09
Step 9: Review the completed form carefully for any errors or missing information.
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Step 10: Submit the filled-out NICU Transition to Home & Follow-Up Program form by the designated method, which may include mailing it or submitting it online.
Who needs nicutransitiontohomeampfollowupprogram?
01
Parents of premature babies born in a neonatal intensive care unit (NICU) may benefit from the NICU Transition to Home & Follow-Up Program.
02
Families with infants who have complex medical needs or require specialized care after being discharged from the NICU can also benefit from this program.
03
The program is designed to support and assist parents in the transition from hospital to home care, ensuring the well-being and development of their babies.
04
Healthcare professionals involved in the care of premature babies or infants with complex medical conditions can also utilize this program to provide comprehensive follow-up care.
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What is nicutransitiontohomeampfollowupprogram?
The NICU Transition to Home and Follow-up Program is a program designed to support families with premature or medically fragile infants as they transition from the NICU to home.
Who is required to file nicutransitiontohomeampfollowupprogram?
Healthcare providers, hospitals, or clinics that have NICU facilities and provide care for premature or medically fragile infants are required to file the NICU Transition to Home and Follow-up Program.
How to fill out nicutransitiontohomeampfollowupprogram?
The NICU Transition to Home and Follow-up Program typically requires healthcare providers to report on the infant's medical history, discharge plan, follow-up care arrangements, and any other relevant information.
What is the purpose of nicutransitiontohomeampfollowupprogram?
The purpose of the NICU Transition to Home and Follow-up Program is to ensure that premature or medically fragile infants receive appropriate support and care as they transition from the hospital to home.
What information must be reported on nicutransitiontohomeampfollowupprogram?
Healthcare providers typically report on the infant's medical history, discharge plan, follow-up care arrangements, and any other relevant information.
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