Abstract Introduction Defining a Care Pathway Development and Implementation Safety, Quality, and Effectiveness Barriers and Challenges Congenital Heart Disease The Future Annotated References References 85 Discharge Planning, Communications With the Team Providing Care in the Ambulatory Setting and the “Medical Home” Abstract Communication Is Key for Patient Care Transitions Consequences of Disconnection: Confidence and Credibility Cardiologist as a Resource of the Community and an Advocate for the Patient and Their Families Conclusions Annotated References References 86 Growth and Nutrition Abstract Malnutrition Annotated References References 87 Quality Improvement in Congenital Cardiac Disease Abstract Introduction Model for Improvement Quality Improvement and Variation Defining Outcomes in Congenital Cardiac Care: Targets for Improvement Data Sources in Congenital Cardiac Care Data Registries in Congenital Cardiac Care Improving Outcomes in Congenital Heart Care Role of Transparency in Improving Outcomes Summary and Conclusions Annotated References References 88 Global Burden of Pediatric Heart Disease and Pediatric Cardiac Care in Low- and Middle-Income Countries Abstract Global Burden of Pediatric Heart Disease Pediatric Cardiac Care in Low- and Middle-Income Countries Summary Annotated References References 89 Screening in Pediatric and Congenital Cardiac Disease Abstract Introduction Fetal Echocardiographic Screening (see also Chapters 7 and 8) Pulse Oximetry Screening Screening and Sudden Cardiac Death Screening First-Degree Relatives After Sudden Cardiac Death in the Young Screening for Atherosclerotic Cardiovascular Disease Risk Factors Familial Screening (General) Neurodevelopmental Screening Annotated References References ... References 88 Global Burden of Pediatric Heart Disease and Pediatric Cardiac Care in Low- and Middle-Income Countries Abstract Global Burden of Pediatric Heart Disease Pediatric Cardiac Care in Low- and Middle-Income Countries... Pediatric Cardiac Care in Low- and Middle-Income Countries Summary Annotated References References 89 Screening in Pediatric and Congenital Cardiac Disease Abstract Introduction Fetal Echocardiographic Screening (see also Chapters 7 and 8)