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Sacramento County - High Risk Infant Followup (HRIF) Program
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High Risk Infant Followup (HRIF) Program


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The High Risk Infant Follow-Up (HRIF) Program is a screening/diagnostic program that provides special services that are often difficult to obtain in the community.

The HRIF program is for "graduates" from a CCS approved neonatal intensive care unit that are at-risk for needing MTU services. Financial eligibility may be waived for HRIF patients under certain circumstances.

Infants discharged from a CCS approved NICU without a CCS eligible condition but who continue to be at-risk for developing a CCS eligible condition (usually cerebral palsy) may be followed until two years of age (corrected for prematurity) if they have any one of the following:

  1. Birthweight < 1500 grams.
  2. Cardiorespiratory depression at birth (e.g., Apgar scores of 0-3 at five minutes, hypotonia persisting to two hours of age).
  3. Perinatal hypoxemia/acidemia, neonatal hypoglycemia, or repetitive apnea.
  4. Assisted ventilation > 48 hours in the first 28 days of life or any duration on ECMO.
  5. Documented intracranial abnormality or pathology (e.g., intraventricular hemorrhage of grade 2 or higher, cerebral infarction, periventricular leukomalacia).
  6. Other potential neurologic problems (e.g., history of seizure activity, CNS infection, documented sepsis, bilirubin in excess of usual exchange transfusion level).
 
 
 

 

   
 
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