title: Implementation of the Hammersmith Infant Neurological Examination in a High-Risk Infant Follow-Up Program.
abstract: High-risk infant follow-up programs provide early identification and referral for treatment of neurodevelopmental delays and impairments. In these programs, a standardized neurological examination is a critical component of evaluation for clinical and research purposes.
  
  
  
  To address primary challenges of provider educational diversity and standardized documentation, we designed an approach to training and implementation of the Hammersmith Infant Neurological Examination with precourse materials, a workshop model, and adaptation of the electronic medical record.
  
  
  
  Provider completion and documentation of a neurological examination were evaluated before and after Hammersmith Infant Neurological Examination training. Standardized training and implementation of the Hammersmith Infant Neurological Examination in a large high-risk infant follow-up is feasible and effective and allows for quantitative evaluation of neurological findings and developmental trajectories.
authors.affiliation: Center for Perinatal Research at Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics at Nationwide Children's Hospital, Columbus, Ohio. Electronic address: Nathalie.maitre@nationwidechildrens.org.
authors.forename: Nathalie L
authors.initials: NL
authors.lastname: Maitre
authors.affiliation: Center for Perinatal Research at Nationwide Children's Hospital, Columbus, Ohio.
authors.forename: Olena
authors.initials: O
authors.lastname: Chorna
authors.affiliation: Pediatric Neurology Unit, Catholic University Rome, Rome, Italy.
authors.forename: Domenico M
authors.initials: DM
authors.lastname: Romeo
authors.affiliation: Stella Maris Infant Laboratory for Early Intervention, Department of Developmental Neuroscience, Stella Maris Scientific Institute, University of Pisa, Pisa, Italy; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Guzzetta
mesh_terms: D002675:Child, Preschool; D004493:Education / Q000379:methods* / Q000592:standards; D057286:Electronic Health Records / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature / Q000502:physiology; D019102:Infant, Very Low Birth Weight / Q000502:physiology; D008297:Male; D065886:Neurodevelopmental Disorders / Q000175:diagnosis* / Q000503:physiopathology; D009460:Neurologic Examination / Q000379:methods* / Q000592:standards; D010820:Physicians / Q000592:standards; D016730:Program Development / Q000379:methods* / Q000592:standards; D012307:Risk Factors; D011795:Surveys and Questionnaires
keywords: Hammersmith Infant Neurological Examination (HINE); development; high-risk infant follow-up; neurologic examination; prematurity; screening