![\"This](\"http:\/\/mtcir.org\/files\/2015\/03\/MT-Newborn-Screening-card.jpg\")
<\/a>This is an example of a newborn screening card from DPHHS that is used in hospitals to collect blood to be sent to the lab for newborn screening testing. Click to magnify.<\/p><\/div>\n
To determine whether newborn blood samples were being sent to the labs in a timely manner, MTCIR submitted a public records request asking for the data from the Montana Department of Public Health and Human Services. After 10\u00a0long months and a long, hard fight, DPHHS finally agreed to release the data for Montana only.<\/p>\n
For data regarding blood samples sent to the Wisconsin state lab, with which DPHHS has a contract, the department would release no data, saying\u00a0it did in fact track the results but for some reason did not enter it into the departmental computer system.<\/p>\n
The data MTCIR received are presented by year, naming each hospital that had at least 20 births in a calendar year. Since DPHHS agreed to release hospital names so that a facility’s performance would be subject to public scrutiny, MTCIR agreed to pay for the costs of processing the data.<\/p>\n
For the remainder of hospitals with fewer\u00a0than 20 births in a calendar year, only summary statistics were provided and no hospitals were named. These remaining hospitals’ newborn blood sample data were placed in a category called \u201cAll Other, Fewer Than 20 Births\/Year.\u201d<\/p>\n
MTCIR initially requested a breakdown of timeliness for every blood sample in the state, naming each hospital, but instead decided narrow down the parameters in negotiations with DPHHS to secure the release of as much useful data as possible.<\/p>\n
<\/a>This is a Medical Logistic Solutions courier route map for the state of Montana.<\/p><\/div>\n
A blood sample is supposed to be collected from a newborn baby between 24 and 48 hours after birth, then sent to the lab within 24 hours for testing. The law requires hospitals to use either a courier service or the mail.<\/p>\n
The vast majority of Montana\u2019s hospitals use Medical Logistic Solutions, a courier service that holds the current contract with the state of Montana. But some hospitals use a third-party courier service instead.\u00a0If sending samples by mail, hospitals are required to send the samples via no less than First Class Mail, or its equivalent, and are not supposed to hold on to samples so they can be sent together later, a process called “batching.”<\/p>\n
We also asked for data detailing samples that were found to be \u201cunsatisfactory,\u201d meaning they were unable to be tested because of quality issues associated with the collection process, pickup and delivery, or because\u00a0other important information was missing. But DPHHS would not release this data.<\/p>\n
Unsatisfactory samples can cause significant delays in newborn screening testing because babies have to be brought back to a hospital or doctor\u2019s office for a repeat screening\u2014in other words, a second test. This can take several more days for a sample to reach the lab, putting a baby at great risk of death, permanent disability, or a lifetime of costly medical care if a test result were to come back positive for a deadly disorder.<\/p>\n
In addition to analyzing tens of thousands of newborn screening records, MTCIR took an in-depth look at the state and federal laws dealing with\u00a0newborn screening, blood sample collection procedures at hospitals, lab schedules and requirements, and contractual agreements the state of Montana has with courier services and other state labs.<\/p>\n
Montana\u2019s Public Health Laboratory is capable of performing only six out of the total 29 newborn screening tests that Montana\u2019s newborn screening program tests for. DPHHS has a contract with the Wisconsin State Newborn Screening Laboratory to perform the remaining 23 tests.<\/p>\n
Fellow journalists and IRE members from the Milwaukee Journal Sentinel conducted a nationwide investigation into newborn screening in 2012 and found that thousands of hospitals were sending large numbers of newborn blood samples late to labs. That year, DPHHS refused to release any data whatsoever to the Journal Sentinel that included hospital names.<\/p>\n
MTCIR decided to tackle the issue head-on and fight for release of the data being withheld because its release was a matter of compelling public interest. Although the data have now been released for the last four complete calendar years, 2011 – 2014, greater transparency and accountability are desperately needed. You can help make this happen by urging your lawmakers and state health officials to be completely open about what\u2019s going on in Montana\u2019s hospitals.<\/p>\n
After the Journal Sentinel’s Deadly Delays investigation<\/a>, Congress passed the Newborn Screening Saves Lives Reauthorization Act<\/a>, strengthening a 2008 measure that provides $19.9 million for the country’s state-run newborn screening programs. After overhauling its programs, some state health departments with the worst performances turned things around and even began posting hospital’s newborn screening on-time performances right on their own websites, taking government transparency to a new level.<\/p>\n If you think this life-saving program should be more transparent and accountable as we do, here is a directory of key state and federal officials involved with newborn screening issues in Montana, and how they can be reached.<\/p>\n