Case management includes assistance with intensive chart review, prescription refills, parent re-education, insurance, appointment scheduling, and communication to subspecialist, primary medical doctor, and community resources for early intervention services. To assure quality of care, CCS enlisted the California Perinatal Quality Care Collaborative about five years ago to gain input from HRIF coordinators across the state to establish a statewide HRIF database. CCS raised the bar on NICUs and HRIF programs statewide in three ways. The CCS/ California Perinatal Quality Care Collaborative HRIF database encourages NICUs to utilize their infrastructure to recognize a trick criteria (Table 1) in the database. CCS encourages pre-discharge planning for referral to HRIF clinic services through the database. The NICUs and HRIF clinics are expected to self-monitor referrals and infant follow-up to identify outcomes, address needs, and limit loss