For immediate clinical concerns page the on call Pediatric Cardiologist at 1-608-262-2122, and for technical assistance Monday through Friday during business hours email us at

POX Screening Decision Tool

  • CCHD

    Critical Congenital Heart Disease affects thousands of families in the US every year. Early detection can lead to better outcomes and healthier, happier families.

  • Screening

    Pulse Oximetry Screening establishes a statewide universal screening for critical congenital heart disease in newborns using pulse oximetry.

  • Education

    Provider Education provides technical assistance and education about newborn pulse oximetry screening for those caring for newborns.

  • Birth Centers

    Birthing Center & Midwife Education assure that all babies born in Wisconsin will have access to newborn pulse oximetry screening.

  • ECHO Resources

    ECHO Resources increase access to screening technologies for all babies born in Wisconsin.

Wisconsin SHINE Project

Pulse Ox Screening Decision Tools

Online Results Calculator to quickly determine if pulse oximetry results are pass, fail, or need to be repeated.

CCCHD Quick Reference Result Grid easily tells you if pulse ixumetry results are pass, fail, or need to be repeated.

Tips on Reporting Pulse Oximetry Results

The results of pulse oximetry screening should be reported on the newborn screening blood card, but reporting of CCHD results should NEVER delay the submission of the blood card. Tips for reporting pulse oximetry results are included here.

Tips or completing the CCHD section of the newborn screening blood card

Pulse Oximetry Requirements in Wisconsin

The Wisconsin Department of Health Services (DHS) has added, by emergency rule, screening for Critical Congenital Heart Disease (CCHD) by pulse oximetry (POX) to the Wisconsin Newborn Screening Program’s panel of conditions. This rule went into effect on Thursday, July 3, 2014. This means that every infant born in a hospital is required to have CCHD screening prior to discharge. Babies born out of hospital are also required to be screened.

Letter to health care providers about this change

Critical Congenital Heart Disease (CCHD) affects the lives and families of approximately 10,000 babies born in the United States every year. While many of these babies will be identified by prenatal ultrasound and newborn exam, some of these babies will appear perfectly healthy in the newborn period. To prevent serious morbidity and mortality resulting from missed or delayed diagnosis of CCHD, in 2011 the US Secretary of Health and Human Services recommended that all newborns be screened for CCHD using pulse oximetry.

The Wisconsin SHINE Project (Screening Hearts in Newborns), supported by the Wisconsin Department of Health Services, is a statewide collaboration designed to provide information and resources for universal screening of newborns for CCHD. The goal of the SHINE Project is to create a safety net for all babies born in Wisconsin by educating healthcare providers, improving access to screening and diagnostic technology, and overseeing a statewide CCHD screening and data collection system. Through this collaboration, the Wisconsin SHINE Project will ensure early detection of asymptomatic CCHD and improve the health and wellbeing of these babies and their families. The SHINE Project began as a three year federally funded program. The functions of the SHINE Project are funded by the Wisconsin Department of Health Services.

Contact Wisconsin SHINE

For immediate clinical concerns, page the on call Pediatric Cardiologist at 1-608-262-2122 and for technical assistance Monday through Friday during business hours, email

For algorithm questions contact Andrea Blom (SHINE) at 1-608-890-3949 or email at

For Midwife or Birth Attendant questions related to equipment or out of hospital screening, contact the Out of Hospital (OOH) Coordinator at 1-608-332-4681 or email at

For Newborn Screening Program questions call 1-608-266-8904 or email