The Ins & Outs of Neonatal Care
Improving Critical Transitions and Clinical Outcomes for Every Newborn
Registration is Open for 2019
Our Internet-based Newborn Improvement Collaborative for Quality (iNICQ) is a multi-center collaborative focused on improving critical transitions of care for every infant under your care.
In 2019, teams will focus on critical transitions of “ins” (inborn admission/stabilization or transport) or on critical transitions of “outs” (transition home and follow-up).
Every team will also work on improving the fidelity and safety of patient handoffs.
- Improve clinical outcomes related to critical transitions (BPD, ROP, IVH, NEC, extrauterine growth restriction)
- Identify and decrease potentially preventable NICU admissions
- Decrease excess length of stay (and length of separation from families)
- Avoid hospital readmissions
- Improve patient and family engagement and satisfaction
- Avoid patient injury/error related to poor care coordination or communication
- Improve follow-up and follow-through rates
Admission, Discharge, and How to Focus Improvement
Participating teams will choose to focus on either admissions or discharge in addition to improving handoffs that occur within the hospital care setting.
Teams can further focus their QI work on specific populations such as late preterm infants, micro-premature infants, infants transferred home with complex care needs, or infants and families affected by neonatal abstinence syndrome (NAS).
As teams sign on to participate, we will guide them through a discernment exercise to identify the critical transitions most ripe for their local improvement.
Hundreds of Opportunities to Get It Right (or Wrong) Every Day
Handoffs affect length of stay, patient and family satisfaction, efficiency of resources, and quality of care. Two handoffs per infant each day communicated at (at least) five levels (nurse, charge nurse, respiratory therapist, NNP/resident, and attending physician each communicating to a corresponding peer) in an average 30-bed NICU adds up to 240 opportunities for communication – or miscommunication – each day. Factoring in the important conversations with families increases the stakes even more.
Participating teams will work on communication, teamwork, family integration, and standardizing processes to improve the effectiveness, efficiency, safety and quality of care during these vulnerable times.
Integrate Families into Improvement
In addition to the 7 webinars and key clinical concepts in the Core Curriculum, teams enrolled in the Intensive Curriculum will have the opportunity to learn a new quality improvement methodology, experience-based co-design, in partnership with the Point of Care Foundation.
By applying experience-based co-design, care teams and families come together to prioritize areas for improvement, define key actions, and demonstrate results.
Improving Local, Health System, and Regional Transitions
Often, critical transitions occur between hospitals in a health system and/or geographic region. Participating teams can join the collaborative as an individual center or work together with other centers in referral networks to analyze and understand factors that contribute to readmission and improve how teams care for infants as they move through different environments. Learn more about group enrollment here.
Improve Critical Transitions for Every Care Team
Hospitals/Health Centers: Individual centers aiming to improve local transitions of care
Referral Centers (Level III, IV): Working in close partnership with referral base of Level I and Level II centers to improve both local and regional processes and build capacity for regional QI initiatives
Health Systems: Improving intra- or inter-hospital transitions within a health system and region
State Perinatal QI Organizations: Developing reliable systems for newborn care among and between hospitals using a population health perspective
Benefits of Participation in The Ins and Outs of Neonatal Care
VON’s faculty of world experts in neonatal care, quality improvement, and implementation science will guide and motivate teams as they work through a structured curriculum designed to guide them through improvement of critical transitions.
Tools and Resources
- VON Day Audit of current practices to provide baseline gap analysis and to track progress over time.
- Interactive webinars for improvement teams. The webinars are recorded for the entire interdisciplinary team to access and for international participants in different time zones.
- Continuing education credits (CME/CNE/CPE) and Maintenance of Certification (MOC) Part 4 credit for qualifying physicians
- Online classrooms guided by expert faculty focused on improvement science and QI methodology
- Coaching and toolkit from QI experts to apply evidence-based practices
- Real-world examples of improvement from leading teams demonstrating results
- Opportunity to share improvement data at VON’s Annual Quality Congress and coaching to develop compelling, data-driven abstracts
- In-person collaboration at VON’s Annual Quality Congress and improvement symposium*^
- Online course developed in partnership with the IHI, Practical Foundations in Improvement Science, to build QI capacity for entire team*
- Deep dive webinars focused on accelerated experience-based co-design in partnership with families*
How to Join
Quality Improvement at VON
Dedicated to continuous improvement
More than 700 teams in VON quality improvement collaboratives and have accelerated improvement for the entire neonatal community of practice.
Teams learn how to use data to inform improvement plans that lead to measurable results, which are presented at the VON Annual Quality Congress and elsewhere.
The QI methodologies that teams become proficient in through hands-on work in VON collaboratives inform improvement in other areas of their work with infants and families in the NICU and other care settings.
The most successful teams integrate parents into the improvement teams and partner with families to advance family-integrated care.
Ultimately, participation in VON quality improvement gives teams the tools, guidance, and momentum they need to sustain continuous improvement.