Hope Grows at Home: New Program at Dartmouth-Hitchcock Children’s Hospital Turns Nursery Experience into Intensive Care | News, Sports, Jobs
LEBANON – In addition to infants with serious illnesses requiring surgery, the 30-bed Intensive Care Nursery (ICN) at Dartmouth-Hitchcock Children’s Hospital (CHaD) located at Dartmouth-Hitchcock Medical Center supports stable and growing premature babies. Although families receive tremendous support from neonatal staff, being at ICN for days or even weeks is stressful. Hope Grows at Home is a new program to help shorten hospital stays for premature babies known as “Feeders and producers”.
“We have 10 to 12 babies at home with tracheostomies or ventilators, and we realized if they can be at home, why the feeders and producers can’t? “ said Tyler K. Hartman, MD, Neonatology, CHAD. “We conducted over 50 interviews with these parents at CII and found that they wanted the same level of care they were receiving at CII, at home. “
The Neonatal Transitional Long-Term Care Clinic provides special care for babies who leave ICN but require home monitoring. Comprised of Hartman, Kate Richards, MSN, APRN, and Laura Cogswell, RN, nurse clinician, the team developed the Hope Grows at Home program as a subset of the transient long-term care clinic. It draws on similar programs at the University of Virginia Children’s Hospital, Duke Teaching Hospital, and Oregon Health & Science Teaching Hospital.
With the initial one-year support of the pilot program provided by healthcare incubator Susan and Richard Levi, the team enrolled their first patient on July 29, 2020 and have had 31 babies to date. “There were no adverse events, no emergency room visits and no readmission. “ Richards said. “This is a unique opportunity for a team to manage ICN patients while helping parents empower themselves to take care of their baby’s health and nutrition. “
Eligibility for Hope Grows at Home includes counting down sleep apnea (pause in breathing), maintaining body temperature outside of incubation, and taking certain foods by mouth. . If families agree to participate, they receive education on nasogastric tube placement, CPR, home feeding (through nasogastric tube and by mouth) and monitor use.
After analyzing the data, it was also proven to save up to $ 500,000 per year by freeing up beds for babies needing more care. “The most important thing is that the results for babies are significantly improved”, Hartman said.
For more information, visit www.CHaDkids.org