From Touch to Triage: Translating the NAME Model into Clinical Practice for Enhanced Neonatal Assessment

Francesco Cerritelli^1,2*Caterina Accardi¹Alessia Alati¹Adele Alberti¹Marco Chiera¹Matteo Galli¹Chiara Leva¹Erica Lombardi¹Micol Pivotto¹Sonia Travaglini¹Sonia Zanini¹Jordan Keys²Kimberly Wolf³Andrea Manzotti^1,4,5*

• ¹Center for Osteopathic Medicine Collaboration, Pescara, Italy
• ²New York Institute of Technology College of Osteopathic Medicine, Old Westbury, United States
• ³Touro College of Osteopathic Medicine, Middletown, United States
• ⁴Universita Vita Salute San Raffaele, Milan, Italy
• ⁵Ospedale dei Bambini Vittore Buzzi, Milan, Italy

Background/Objectives: The Neonatal Assessment Manual scorE (NAME) model has emerged as a novel, structured, touch-based approach to evaluating neonates' general conditions, with growing evidence supporting its validity and reliability in NICU settings. However, there is a critical need to integrate this method into clinical workflows and explore its translational potential in improving neonatal care. This paper aims to consolidate the body of evidence surrounding the NAME model and propose a clinically implementable strategy to enhance neonatal assessment, early detection of complications, and overall health outcomes in NICU settings. Methods: We critically appraised key NAME studies encompassing theoretical rationale, construct and content validity, inter-rater reliability, and clinical correlations in NICU populations. Drawing from these findings, we developed a stepwise clinical framework for NAME integration, aligning it with existing neonatal care protocols. Results: Evidence demonstrates that NAME scores correlate significantly with infants' gestational age, birth weight, and complexity indices (p < 0.001), providing a rapid and non-invasive method to stratify newborns' health conditions. Inter-rater reliability is moderate-to-good, particularly for "Marginal" classifications, and professionals across NICU disciplines found the method to have high content validity (CVI ≥ 0.9). A structured roadmap for clinical integration is proposed, including operator training guidelines, NAME score interpretation algorithms, and embedding NAME within multidisciplinary rounds. Conclusions: The NAME model, grounded in physiological and clinical evidence, represents a promising paradigm shift in neonatal assessment. Its systematic adoption may facilitate early risk detection, personalized care planning, and improved outcomes in NICU populations. Future implementation studies are needed to validate its operational impact across diverse care settings and age groups.