Initiatives & Guidelines

Neonatal Abstinence Syndrome

Please note: The content on this webpage may contain outdated information and was accurate at the time it was published. Healthcare providers are encouraged to consult current evidence and resources on the topic. Substance use during pregnancy is a risk factor for negative pregnancy and neonatal outcomes. Infants at risk for neonatal abstinence syndrome (NAS) […]

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Complex Care for Kids Ontario

Complex Care for Kids Ontario (CCKO) is a provincial program led by the Provincial Council for Maternal and Child Health (PCMCH) to improve care continuity, collaboration, and service delivery in keeping with the needs and requirements of children/youth with medical complexity (CMC) and their families. The program aims to provide integrated and coordinated care across

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Low Risk Birth

The Clinical Handbook for Low Risk Birth aims to address the variation in caesarean section rates across the province in the low-risk patient, promote normal birth and improve patient outcomes by focusing on delivery of standardized evidence-informed practices. The Clinical Handbook for Low Risk Birth was originally developed as part of the Ontario Health System

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Ontario Neonatal Follow-Up Program

Neonatal follow-up plays a critical role in Ontario’s healthcare system, monitoring and offering early intervention for high-risk infants with varying diagnoses. The Neonatal Follow-Up Program (NFUP) refers to neonatal follow-up clinics collectively that are part of a larger collaborative provincial system. PCMCH has developed NFUP resources with the aims of reducing variations in practice among

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Quality-Based Procedures for Paediatric Tonsillectomy

The Quality-Based Procedures (QBPs) for Paediatric Tonsillectomy with and without Adenoidectomy were developed as part of the Ontario Health System Funding Reform (HSFR) initiative. The purpose of the HSFR was to strengthen the link between high-quality healthcare delivery and fiscal sustainability. The QBPs for Paediatric Tonsillectomy with and without Adenoidectomy provide clinicians with evidence-based recommendations

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Maternal-Newborn Gap Analysis

In 2018, PCMCH reviewed low-volume, rural and remote intrapartum services and completed an analysis of access to safe and high-quality intrapartum care services in lower-volume centres (less than 500 births a year) across Ontario. The gap analysis used a mixed-methods approach, including: An environmental scan Interviews with representatives from lower volume intrapartum care sites Data

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Provincial Neonatal Consult, Transfer and Transport Process

CritiCall Ontario connects physicians with neonatologists from Ontario’s designated pediatric hospitals when arranging patient transfers between facilities. The neonatologist can provide consultations and assist in coordinating with the designated neonatal – pediatric transport team the patient transfer to the facility equipped to provide the required advanced level of care. (See below.) Hospital-based physicians in Ontario

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