Improving Critical Transitions

High-quality transitions are critical to improving clinical outcomes.

Family consultation

Transitions impact our care for every infant and family.

Join VON's collaborative to learn, share, and improve together.

Teams in this internet-based quality improvement collaborative use QI fundamentals to focus on the key drivers of:

  • Teamwork
  • Family-Centered and Integrated Care
  • Communication
  • Standardized Processes

Our goal is to achieve transitions that are safe, timely, effective, efficient, equitable, patient- and family-centered, and socially and environmentally responsible.

Register Your Center

Achieving STEEEPS Transitions

The Institute of Medicine report Crossing the Quality Chasm: A New Health System for the 21st Century is the source of the STEEEP (safe, timely, effective, efficient, equitable, patient- and family-centered) components. VON added the “social and environmentally responsible” criteria to this collaborative’s global aim.

Benefits of Participation

Participation in VON’s critical transitions internet-based quality improvement collaborative includes:

  • Toolkits outlining key evidence, potentially better practices, and change ideas for transitions in and out of the NICU, including admission, discharge and handoffs
  • Dedicated listserv to communicate with expert faculty and your peers
  • Online classroom, including recorded webinars accessible any time for CE credit
  • Six webinars focused on select key drivers and their application to clinical scenarios, along with QI foundations
  • Additional smaller group webinars on transition-specific topics (see schedule and curriculum for details). Attend any or all.
  • VON QI Foundations course to advance QI knowledge for entire interdisciplinary team
  • Curriculum and guidance to implement Experience-Based Co-Design (EBCD) with families and clinicians
  • Improvement stories from teams applying QI and EBCD methodologies to critical transitions
  • Live full-day event at VON’s Annual Quality Congress with peer-to-peer learning
  • Complimentary Annual Quality Congress registration for 4 clinical team members, 2 senior leaders, and all parent partners
  • VON Days Audits to provide baseline gap analysis and to track progress over time
  • Additional measurement for teamwork and family-centered and integrated care
  • Maintenance of Certification (MOC) Part 4 credits for entire physician team
  • CME, CNE, CPE for an unlimited number of team members

Experience-Based Co-Design (EBCD) and Family Integration

Family integration is a key driver to improving critical transitions.

Participating teams have the support of faculty and resources from the Point of Care Foundation to learn and implement EBCD improvement methodology in the care of infants and families.

Learn about Experience-Based Co-Design
Faculty on webinar


VON’s faculty of world experts in neonatal care, quality improvement, teamwork, family-centered care, and implementation science will guide and motivate teams as they work through a structured curriculum to advance improvement of critical transitions.


Faculty Bios

Schedule and Curriculum

2020 Webinar Schedule and Topics

January: Kick-off and Orientation

February: QI Foundations with clinical examples for transitions

March: Family-Centered and Integrated Care with clinical examples for transitions

April: Faculty-moderated small group transition-specific clinical topics (examples below) and EBCD

  • Transitions in to the NICU
  • Transitions out of the NICU
  • Handoffs
  • Experience-Based Co-Design (EBCD)

May: Teamwork with clinical examples for transitions

June: QI Foundations with clinical examples for transitions

July: Family-Centered and Integrated Care with clinical examples for transitions

September: Teamwork with clinical examples for transitions

October: Faculty-moderated small group transition-specific clinical topics (examples below) and EBCD

  • Transitions in to the NICU
  • Transitions out of the NICU
  • Handoffs
  • Experience-Based Co-Design (EBCD)

November: Annual Quality Congress


See the 2019 curriculum. Coming soon for 2020!

2020 VON Day Audits

February 3-14, 2020

October 12-23, 2020


Fee for participation is $7,500 annually.

A 20% discount is granted to Level III NICUs enrolling as a member of a statewide group, regional quality improvement collaborative, or health system-wide enrollment. Recruit Level I and Level II hospitals to engage in your efforts with a nominal registration fee of $500 per center.

Poster Session

Critical Transitions at the Annual Quality Congress

See improvement stories from participating teams and participate in discussions about improving critical transitions and applying EBCD at VON’s Annual Quality Congress.


Visit the Annual Quality Congress
NICU team making rounds

Quality Improvement at VON

Dedicated to continuous improvement

More than 700 teams in VON quality improvement collaboratives 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.

Learn more about VON quality improvement