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BORN Ontario
The best possible beginnings for life-long health.
The best possible beginnings for life-long health.


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BORN 2012-2014 Annual Report is now available on our website:
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What is the impact of BORN?

BORN thoroughly documents pregnancies and births in Ontario, collecting the complete clinical data that professionals in every health-sector discipline need to improve quality of care and the system that delivers it. The result is change that contributes directly to the well being of mothers, with positive and lasting impact on the health of newborns, children and the citizens of Ontario. 
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BORN Rounds are taking place tomorrow at 1pm via web conference-

The topic is the New Ontario Perinatal Record

1. To describe the process of developing the new Ontario Perinatal Record (OPR).
2. To describe new items and screening tools embedded in the revised Ontario Perinatal Record.
3. To outline the implementation process for the new record and the accompanying guide.

Guest Speakers:
Anne Biringer MD, CCFP, FCFP is a family physician and an Associate Professor at the University of Toronto in the Department of Family and Community Medicine.

Ann Sprague RN, BN, MEd, PhD has long been involved in maternal child care initiatives at the regional, national and international levels.  Ann is the scientific manager for BORN and is responsible for leading the team that work hard to turn the BORN data into information and knowledge to support clinicians and health care policy makers with their work.   
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The BORN Information System (BIS)

Launched in January 2012, the BORN Information System enables collection of detailed information on every birth in Ontario, making the system one of the most comprehensive storehouses of maternal and child data in the world. More than 140,000 births are captured in the BIS each year. 

The BIS facilitates the exchange of information between registries and health care providers. For example, the right information at the right time can ensure that newborn screening takes place in cases where it may have been missed and vaccinations are received according to schedule. As the BORN dataset expands to include data into early childhood, this information can be used to monitor developmental milestones and provide opportunities for intervention when necessary. Data from the BIS can also be used to notify healthcare providers when a mother requires specific interventions such as further screening for complications due to gestational diabetes or gestational hypertension, or postpartum depression.
The data can also be accessed by analysts, researchers, policy makers to identify and respond to health trends, inform practice, track performance, and provide decision support. With accurate clinical data from conception to early childhood, the BIS offers a comprehensive data set for the province of Ontario.
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Join us for the next BORN Rounds on January 21 discussing the New Ontario Perinatal Record
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Make sure to sign on for the next #BORNRounds at noon on January 21: 
The New Ontario Perinatal Record 
Presented by Dr Ann Sprague
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In the original Star Trek, set in the 23rd century, doctors had
“tricorders” that could non-invasively scan a patient to collect
vitals and detect disease. We may not be quite at the point
of going “where no one has gone before”, but the tricorder
technology is no longer science fiction. There are a number
of non-invasive technologies now being used in screening
programs at the point of care, which have moved the paradigm
of newborn and childhood screening into the future.
Unlike newborn blood spot screening which requires a
sample to be sent to a laboratory for testing, point of care
tests are administered and interpreted close to the bedside,
to allow for immediate action on the screening result. For
example, audiometric screening has occurred for many years
in infant hearing screening: the screening results are available
immediately and follow up testing can be arranged as
necessary. Similarly, bilirubin screening has traditionally been
done by measuring total serum bilirubin from a blood sample.
But new technology called Transcutaneous Bilirubinometers
can now measure the yellowness of subcutaneous tissue to
provide a non-invasive and instantaneous screening result at
the point of care.

Many jurisdictions around the world have been adding Critical
Congenital Heart Disease (CCHD) to the newborn screening
panel. While it is not a new technology, pulse oximetry
(PO) is a simple, widely available, non-invasive, point of care
test. Simply put, PO measures the level of oxygenation in
the arterial blood and in the newborn screening environment
specific algorithms have been published that define normal,
abnormal, and intermediate cases that require a repeat
screen. As this is a point of care test, false positive results
will be addressed immediately at the bedside and babies
with a positive screen can immediately receive a full physical
examination by a Pediatrician as the first diagnostic follow up.
With the implementation of any screening policy, whether
point of care or more traditional laboratory-based, it is
essential that the screening is of high quality, as poor quality
screening has the potential to do more harm than good.
BORN’s registry status allows for collection of not only
screening results, but also patient outcomes. As point of care
screening becomes imbedded in our provincial protocols,
these results can be linked with outcomes to create robust
quality assurance metrics for review and analysis by the
appropriate oversight body(ies), with the goal of ensuring
improved care and overall outcomes
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