Neonatal Abstinence Syndrome


Thank you for your interest in the Neonatal Abstinence Syndrome (NAS) ECHO. This ECHO is currently on hold while we redesign our format and curriculum to better meet the needs of our participants throughout the state. Show-Me ECHO is currently partnering with the Missouri Hospital Association on this ECHO, and collaboratives are being developed to provide further technical assistance and support to our participants. We will send periodic updates on the progress of this ECHO. We hope you will be able to join us once we relaunch later this year. Thank you for your patience while we work through the planning for this important topic. In the meantime, participants may still ask clinical questions of hub team experts by using this ECHO’s staff contact information.

Treat Neonatal Abstinence Syndrome (NAS) With Primary Care

Gain NAS specialty care knowledge in order to achieve better outcomes and reduce hospital stays.


Why A Neonatal Abstinence Syndrome (NAS) ECHO?

Missouri has seen a 358 percent increase in NAS from 2011 through 2016. This ECHO will help providers and fellow health care staff learn best practices to effectively treat NAS babies and their mothers.

The NAS ECHO Will:

  • Facilitate centers in organizing a multidisciplinary team to standardize identification and care of the in utero drugexposed infant and their families
  • Educate providers in the most up-to-date models of care, including optimization and prioritization of non-pharmacologic care as well as standardization of pharmacologic care
  • Assist participating centers in addressing the stigma of opioid use disorder in order to better serve patients, their families and communities

Who Should Join?

  • Primary care physicians
  • Hospitalists
  • Nursing directors
  • Nurses
  • Neonatologists
  • Pediatric nurse practitioners
  • Neonatal nurse practitioners
  • Advanced practice nurses
  • Physician assistants
  • Pharmacists
  • Hospital labor and delivery units

What Does NAS ECHO Offer?

  • No cost for participating sites or individuals
  • Free CME for health care professionals
  • Collaboration, support and ongoing learning with experts and other physicians
  • Patients get better care in their home community

How Does It Work?

  • Join an online video conference twice per month
  • Discuss and share:
    • Clinical case presentations
    • A brief education presentation by an expert in NAS care

Topics for Case-based Learning and Discussion:

  • Prenatal consult
  • Standardizing ID
  • Standardizing assessment
  • Maximizing non-pharma care
  • Standardizing pharma care
  • Culture/Biases
  • Standardizing a safe discharge plan
  • Toxicology
  • Tips on dealing with families

Meet the Expert Team

Kimberly Spence, MD, Neonatologist, Associate Professor of Pediatrics, Saint Louis University, School of Medicine

Alan Barnette, MD, FAAP, Neonatologist, Saint Francis Medical Center

Elizabeth Simpson, MD, Pediatrician, Children’s Mercy

Mary Hope, RN, BSN, Neonatal Outreach Educator, SSM Health Cardinal Glennon Children’s Hospital

Becky Boedeker, DNP, RN, IBCLC, Lactation Consultant, SSM Health St. Mary’s

Melissa Odegard, PhD, LPC, NCC, CCH, Licensed Professional Counselor, Southeast Missouri State University

Laurie Niewoehner, PharmD, Clinical Pharmacy, Specialist NICU/OB, SSM Health St. Mary’s

Maria Roundtree, MSW, LCSW, Social Worker, SSM Health – WISH Center

Cari Pointer, Children’s Division Specialist, MO Children’s Division