The purpose of the project was to partner with Midwifery Care? to implement a process for the CCHD screen in the homebirth setting. The goal was to develop a hybrid training module, provide supervised training, and then proceed to measure the percent of newborns who are screened, as well as analyze the results of the screen over a six month period. The data provided would then be used to examine the effectiveness of a hybrid training module and the feasibility in implementing the CCHD screen in the homebirth setting in Oregon.