Newborn Screening for Military Dependents. Mary J H Willis Clinical Genetics Department of Defense Representative SACHDNC September 2011. Overview. History of Newborn Screening in the Military Health Care System Newly established contract with PerkinElmer Genetics Future Directions.
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Mary J H Willis
Department of Defense Representative SACHDNC
Dec 02, Official Army policy published requiring MTFs to screen for a minimum of 4 tests and to have written policies and procedures in place.
Sept 04, ACHDNC approved the report from the American College of Medical Genetics for universal screening for a minimum of 29 disorders with a consideration for 25 additional disorders
Nov 04, Universal screening endorsed by the American Academy of Pediatrics and March of Dimes,.
Tricare manual; “Well child care include routine newborn care, …, periodic health screening … in accordance with the American Academy of Pediatrics (AAP) guidelines.
Concern for unequal benefits and missing significant numbers of infants with treatable disorders
Sept 04, Navy Perinatal Advisory Board recommended adoption of expanded screening and asked Navy lab community to evaluate options.
Nov 04, Navy lab and pathology consultants agreed to establish joint central testing contract for NBS. Expanded screening promoted and deployed widely across Navy MTF’s in 2005-2006.
Nov 04, Tricare Management Activity, (TMA) initiated Independent Government Cost Estimate (IGCE) to study option for contracted centralized comprehensive DoD NBS for 53 tests.
Dec 04, TMA proposal for centralized funding informally endorsed.
2005 Integrated Process Team (IPT) to facilitate Military Health Service wide implementation.
DoD Health Administration Policy recommendation;
Centralized contract availability
Contract with single civilian lab that uses tandem mass spectrometry or MS/MS screening (53 tests).
There should be daily, secure worldwide electronic reporting of results to MTF’s with electronic guidelines for abnormal results.
Should be HIPPA compliant and portable between MTF’s.
Consultative services should be available at least 5 days a week.
Should include screening materials, testing supplies, and overnight specimen delivery (probably including cost of mailing).
Should include immediate notification of physician of abnormal results.
Should link with DoD-wide birth registry for metabolic data.
Presolicitation Notice placed (back) on FedBizOPPS announcing centralized laboratory contract in March 09.
Newborn Screening Services Solicitation (SPM2D1-07-R-0002) on the Defense Logistics Agency Internet Bid Board System 8 May 09.
Contract Awarded to PerkinElmer Genetics (PEG) 31Jan 2011
Contract in effect 2 May 2011
Action Memo signed by Assistant Secretary of Defense for Health Affairs 1 Jul 2011