iNICQ: Internet-Based Newborn Improvement Collaborative for Quality

In iNICQ for Critical Transitions, teams improve processes and practices to affect outcomes and experiences for infants and families.

Key Drivers

What is a Critical Transition?

A critical transition is any change to the site of care, status or plan of care, or care team.

In newborn care, these changes happen multiple times from birth to home, and frequently through each phase of care. Each transition can affect the outcome of the infant and experience of the family.

In 2021, participating teams will focus on the following drivers of high quality transitions:

  • Teamwork
  • Communication
  • Families as Partners (including Experience-Based Co-Design)
  • Health Equity
  • QI Fundamentals (including standardization)
Phases of Care

Critical Transitions in Phases of Care

Critical Transitions occur within and between phases of newborn care.

iNICQ teams strive to improve processes and practices to affect outcomes and experiences for infants and families.

This collaborative presents the opportunity to impact the care of all infants and families entering a hospital, and the opportunity to include multidisciplinary colleagues from all departments involved in transitions in newborn care.

Achieving High Quality Transitions

Participating teams:

  • Review their VON data;
  • Identify opportunities to enhance processes and practices during critical transitions;
  • Apply structured quality improvement in partnership with families and colleagues at other centers;
  • Achieve measurable improvement in health outcomes, family experience, and local organizational priorities.

Twice per year VON Day Audits support center-level benchmarking and provide metrics to measure the improvement of the collaborative as a whole.

Additional Quality Circle benefits support QI education and training for all staff at participating centers, including a QI Foundations course and other resources specific to clinical topics in newborn care.


CLD outcomes

Improving Outcomes and ROI

More than 700 teams participating in VON QI for over 25 years have demonstrated remarkable improvements in clinical outcomes and substantial cost savings.

Teams apply structured and disciplined QI methodology to address processes and practices that cumulatively impact big dot outcome measures.

Teams implement evidence-based practices, establish QI fundamentals to improve practices and processes, and set the foundation for data-driven sustainability of improvement for the measures that matter to care teams, hospitals, and families.

About the Experience and Outcomes of VON QI

iNICQ for Critical Transitions Features

The iNICQ improvement collaborative is a benefit of Quality Circle membership. Specific features of iNICQ include:

  • Toolkits outlining key evidence, potentially better practices, and change ideas for critical transitions
  • Community Forum and dedicated listserv to communicate with expert faculty and peers
  • Live webinar series
  • Support to implement Experience-Based Co-Design
  • Online classroom, including recorded webinars accessible any time for CE credit
  • Education for QI fundamentals for entire interdisciplinary team
  • Improvement stories from teams applying QI and EBCD methodologies to critical transitions
  • Dedicated event at VON’s Annual Quality Congress with peer-to-peer learning
  • Faculty review of improvement posters
  • Discounted registration for Annual Quality Congress
  • VON Day Audits to provide baseline gap analysis and to track progress over time
  • Maintenance of Certification (MOC) Part 4 credits for entire physician team
  • CME, CNE, CPE for an unlimited number of team members

iNICQ participation is included in Quality Circle membership

Cost and Enrollment

iNICQ participation is a benefit of Quality Circle Membership. Enroll your center in Quality Circle by December 1, 2020 to participate in the iNICQ collaborative.

Quality Circle Annual Fee: Core membership + $7,500 ($7,000 for centers participating in iNICQ 2020 Improving Critical Transitions)

Group and health system pricing is available.

Please contact Pam Ford, iNICQ Program Coordinator, with questions or for more information:

Interested in committing further for collaborative improvement in critical transitions? Enroll in the NICQ program and engage a team in iNICQ for no extra cost.