Date of Award


Degree Name

Healthcare Administration


College of Business

Type of Degree


Document Type

Research Paper

First Advisor

Alberto Coustasse


Introduction: Neonatal Abstinence Syndrome (NAS) has been costly for the healthcare system, for every 24 minutes a baby was diagnosed in 2020. Uniform programs to diagnosis, track and prevent NAS have not been implemented previously. The NCBDDD worked with 6 states to implement a uniform surveillance program. By tracking the NAS incidence rate, the Apgar scores of infants with NAS, the length of stay for those infants, the cost of care for those infants and the percentage of mothers of infants with NAS were participating in Medication Assisted Treatment the effectiveness of the surveillance programs may be assessed.

Methodology: This study utilized a literature review and a semi-structured interview. Three databases were used to collect 347 total sources. These sources were reviewed and reduced to 30 total sources that were used in the written research. Of these, 10 sources were used in the results section.

Purpose of the Study: The purpose of this research was to identify the impact of NCBDDD surveillance programs on Neonatal Abstinence Syndrome incidence rates, Apgar scores reported for infants with NAS, length of stay, cost of care and the percentages of mothers who were treated with Medication Assisted Treatment while pregnant.

Results: The research showed that NCBDDD surveillance programs were not associated with decreases in NAS incidence rates, length of stay, cost of care, or an increase in Apgar scores or the percentage of mothers who were treated with Medicare Assisted Treatment while pregnant.


Health services administration.

Health facilities – Business management.

Public health surveillance.

Substance abuse in pregnancy.