Your VON Newsletter

February 2021

Responding to Neonatal Abstinence Syndrome

Our new online course introduces successfully tested and implemented practices that kept mothers and infants together longer and reduced pharmacologic treatment, including incorporation of the Eat, Sleep, Console assessment method.
The nine-lesson course will be available to all staff at Quality Circle member centers in April 2021. The first lesson is now available online for you to preview the content.

Discharge Age and Weight for Very Preterm Infants: 2005-2018

A complex set of medical, social, and financial factors underlie decisions to discharge very preterm infants.

Analysis from member-submitted data in the VON Very Low Birth Weight Database, showed gestational age and weight at discharge increased steadily from 2005 to 2018 for survivors 24 to 29 weeks’ gestation. While there are undetermined causes, benefits, and costs of longer stays, the effect of separation from families should not be underestimated.

How is COVID-19 Impacting Newborn Care?

The VON SONPM COVID-19 Impact Audit resumes in March.
Previous audits have shown disruption to family-integrated care, and a new question addresses how vaccine availability will continue to impact the care for infants and families.

Building Knowledge of Genetic Diseases, Treatment Responses, and Outcomes

VON and Rady Children’s Institute for Genomic Medicine (RCIGM) are partnering to launch a biorepository for genomic medicine. Participation includes the opportunity to order rapid Whole Genome Sequences at no cost to diagnose and guide clinical management of infants with rare and critical conditions.
Education through the Vermont Oxford Rady Children’s Genomic Network supports the work of teams participating in the biorepository. There is no additional cost for VON members to sign up to view the Genomic Network webinars.

Take Action to Follow Through: Call for Innovation Grant Proposals

“Follow through” is a comprehensive approach to address health equity that begins before birth and continues into childhood involving health professionals, families, and communities as partners to meet the social as well as medical needs of infants and families.
To help teams follow through, we are offering a competitive grant program for VON Quality Circle members participating in NICQ or iNICQ.

Database Summaries are Available to All

We publish database summaries annually for members for benchmarking and QI, and starting this year we are making the reports available to all (these summary reports do not show individual center or patient data).
In 2019, 1,071 centers registered 58,692 infants in the VLBW Database, and 550 centers registered 225,690 infants in the Expanded Database. We are grateful to the many VON members who contribute to our understanding of trends in newborn care, without whom these reports would not be possible.

QI Grand Rounds Webinars - NAS Care and Health Equity

Thanks to the hundreds of people who registered for the first VON QI Grand Rounds on February 17, we enjoyed a dynamic discussion about developing shared mental models. The next event in this free webinar and discussion series is on the topic of “NAS Care and Health Equity” on Thursday, April 15, 2021. We hope you can join us!

Recent Publications

Stevenson AG, Tooke L, Edwards EM, Mangiza M, Horn D, Heys M, Abayneh M, Chimhuya S, Ehret DEY. The use of data in resource limited settings to improve quality of care. Semin Fetal Neonatal Med. 2021;101204. PubMed: 33579628.
Edwards EM, Greenberg LT, Ehret DEY, Lorch SA, Horbar JD. Discharge Age and Weight for Very Preterm Infants: 2005-2018. Pediatrics. 2021 Feb;147(2):e2020016006. PubMed: 33510034.
Braun D, Edwards EM, Schulman J, Profit J, Pursley DM, Goodman DC. Choosing wisely for the other 80%: What we need to know about the more mature newborn and NICU care. Semin Perinatol 2021:151395. PubMed: 33573773.
VON Members contributing data for quality improvement make possible research that advances our understanding of issues worldwide in newborn care. See all publications.

Upcoming Events

Overview of surfactant treatment: Evidence from systematic reviews
Cochrane Neonatal
March 8, 2021 at 12:00-1:00 p.m. (ET)
NHSN VON Neonatal Antimicrobrial Use Users Group
March 9, 2021 at 12:00-1:00 p.m. (ET)
NAS Care and Health Equity
QI Grand Rounds
April 15, 2021 at 3:00-4:00 p.m. (ET)
Improvement Science Virtual Expo Ends
April 15, 2021

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