NBS Summit Agenda

NEWBORN SCREENING SUMMIT:
Envisioning a Future for Newborn Screening

December 7-8, 2009
NBS Summit Logo
[download PDF]

Bethesda North Marriott Hotel & Conference Center
5701 Marinelli Road, Bethesda, MD 20852

Summit Agenda, Webcast Recording, and Materials

Monday, December 7, 2009

8:00 AM   Registration/Continental Breakfast
8:30 AM   Welcome
Sharon Terry, Genetic Alliance
8:45 AM   What do Consumers Think?
[download session recording]

Reports from HRSA-funded projects focused on efficacy from family perspectives

Penny Kyler, Genetics Services Branch, HRSA (Moderator) [download PowerPoint presentation]
Joan Scott, Genetics and Public Policy Center [download PowerPoint presentation]
Carol Greene, University of Maryland School of Medicine [download PowerPoint presentation]
Sylvia Au, Hawaii Department of Public Health [download PowerPoint presentation]
10:15 AM   Newborn Screening in 2020: What Will Technology Bring us?
[download session recording]

Technology is rapidly changing; what opportunities and challenges does it present?

Bob Vogt, Centers for Disease Control and Prevention (Moderator)
David R. Bentley, Illumina [download PowerPoint presentation]
Vamsee Pamula, Advanced Liquid Logic [download PowerPoint presentation]
11:30 AM   Break
11:45 AM   Information and Risk Communication
[download session recording]

NBS, carrier screening, screening for hundreds of diseases pre- and postnatally, and DTC for newborns all present information with benefits and risks. What does existing data tell us about how people interact with information?

Sharon Terry, Genetic Alliance (Moderator)
Terry Davis, Louisiana State University Health Sciences Center [download PowerPoint presentation]
Susan Waisbren, Children's Hospital Boston [download PowerPoint presentation]
Robert Green, Boston University Schools of Medicine and Public Health [download PowerPoint presentation]
1:00 PM   Lunch and Networking
2:00 PM   Prenatal to Postnatal: The Future of Advocacy
[download session recording]

Advocates for screening and disabilities have had a great impact on funding, social awareness and public education. Sometimes these agendas appear to overlap and conflict. How do advocates influence the system?

Kelly Leight, Cares Foundation (Moderator) [download PowerPoint presentation]
Jill Levy-Fisch, Save Babies Through Screening Foundation
Deborah Heine, Claire Altman Heine Foundation
Andy Imparato, American Association of People with Disabilities
3:30 PM   Break
3:45 PM   Storage and Use of Residual Blood Spots
[download session recording]

Should residual blood spots be stored? With or without parents' permission? For what should they be used? Is the public's trust eroding while we wait to make decisions?

Parents and Public: Aaron Goldenberg, Case Western Reserve University (Moderator) [download PowerPoint presentation]
Science: Amy Gaviglio, Minnesota Department of Health [download PowerPoint presentation]
Policy: Susanne Haga, Duke University [download PowerPoint presentation]
5:15 PM   Summary of the Day
5:30 PM   Reception - Open Bar
6:00 PM   Dinner Debate: Decision-Making in Public,
Population and Private Health

In the style of the European debate dinner: a time for eating, drinking and truthful debate. We will consider when screening should be a public health decision, when it is inherently personal, and what it means when something is ready for population usage, but not public health. These speakers will debate each other and engage the audience.

Alan Fleischman, March of Dimes
Sharon Kardia, University of Michigan
Robert Green, Boston University Schools of Medicine and Public Health

Tuesday, December 8, 2009

8:00 AM   Registration/Buffet Breakfast
9:00 AM   Childhood Screening: The New Frontier?

Screening for some conditions appears not to be appropriate in the newborn period, but may be very useful in childhood. Should childhood screening be a public health mandate, and if so, what criteria should determine the conditions?

Coleen Boyle, National Center on Birth Defects & Developmental Disabilities, Centers for Disease Control and Prevention (Moderator) [download PowerPoint presentation]
Alex Kemper, Duke University
Beth Tarini, University of Michigan [download PowerPoint presentation]
10:15 AM   Break
10:30 AM   Effective Follow-up
[download session recording]

Once newborn screening produces an abnormal result, what is the next step, and how is that information communicated?

Sara Copeland, Genetics Services Branch, Health Resources and Services Administration (Moderator) [download PowerPoint presentation]
Tracy Trotter, San Ramon Valley Primary Care [download PowerPoint presentation]
Judi Tuerck, (Retired) Oregon Health and Science University [download PowerPoint presentation]
Amy Brower, National Coordinating Center for the Newborn Screening Regional Collaborative Groups [download PowerPoint presentation]
12:00 noon   Lunch
1:00 PM   Health Information Exchange
[download session recording]

Wil Yu, Office of the National Coordinator for Health Information Technology [download PowerPoint presentation]

1:30 PM   Envisioning the NBS System: Clearinghouse and Portal
[download session recording]

Sharon Terry, Genetic Alliance [download PowerPoint presentation]

1:50 PM   The Newborn Screening Translational Network
[download session recording]

Amy Hoffman, American College of Medical Genetics [download PowerPoint presentation]

2:10 PM   Break
2:30 PM   Breakout Sessions
[download session recording]
1. Informed Consent or No Consent: Pros and Cons
NBS is one of the most successful public health programs in the nation. Recent public attention on the storage and use of bloodspots have raised public awareness about NBS. How does a consenting process challenge the public health aspects, and lack of a consenting process challenge the public's trust?

2. What Constitutes Benefit in NBS and Childhood Screening?
When all stakeholder groups and the public good are considered, how can benefit be assessed? Would we ever screen for conditions without a treatment, and what constitutes treatment? Should newborns or children be screened for late onset conditions?

3. How Do We Define Abnormal in the Realm of Screening?
Cutoff values for abnormal results in screening vary from state to state. What is screening versus diagnosis? Why do states differ in their definitions? Is this a difference in screening tests or are we comparing apples and oranges from state to state? How do we define disease?

4. Strategic Thinking about NBS for the Nation?
Given all we have heard today, what should various stakeholders focus on in policy, education, technology, workforce and other areas? What plans should we make now to be proactive?

4:30 PM   Reports from the Breakouts
5:30 PM   Next Steps and Adjourn
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