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Designing am NNCC program includes the following: (1) targeting high-risk clinical populations such as infants with hypoxic-ischemic encephalopathy, seizures, and posthemorrhagic hydrocephalus, (2) collaborating with multidisciplinary team members, (3) ensuring availability of equipment to collect key clinical information, including electroencephalograms, cranial ultrasounds, and brain magnetic resonance imaging scans, (4) developing evidence-based pathways, and (5) prioritizing access to follow-up care after discharge. Program implementation requires a needs assessment, financial planning, onboarding and training, and ongoing quality improvement efforts. Importantly, the program should align with parental values and expectations for their child\u2019s care. Furthermore, after establishing clinical neurocritical care services, the program can strategically expand to encompass additional clinical pathways, comprehensive formal specialized training, and innovative research opportunities.<\/jats:p>","DOI":"10.1542\/neo.26-11-069","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:04:12Z","timestamp":1761955452000},"page":"e755-e772","source":"Crossref","is-referenced-by-count":1,"title":["Building a Neonatal Neurocritical Care Program: A Practical Guide to Initial Implementation"],"prefix":"10.1542","volume":"26","author":[{"given":"Elizabeth","family":"Sewell","sequence":"first","affiliation":[{"name":"1Division of Neonatology, Department of Pediatrics, Children\u2019s Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andra","family":"Dingman","sequence":"additional","affiliation":[{"name":"2Division of Child Neurology, Department of Pediatrics, Children\u2019s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Bonifacio","sequence":"additional","affiliation":[{"name":"3Division of Neonatal and Developmental Medicine, Department of Pediatrics, Lucile Packard Children\u2019s Hospital, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Guez-Barber","sequence":"additional","affiliation":[{"name":"2Division of Child Neurology, Department of Pediatrics, Children\u2019s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betsy","family":"Pilon","sequence":"additional","affiliation":[{"name":"4Hope for HIE, West Bloomfield, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Smyser","sequence":"additional","affiliation":[{"name":"5Departments of Neurology, Radiology, Pediatrics, Psychiatry, and Neurosurgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2025,11,1]]},"reference":[{"issue":"4","key":"2025103120040706900_r1","doi-asserted-by":"crossref","first-page":"F301","DOI":"10.1136\/archdischild-2017-313707","article-title":". 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