NHRMC’s NICU is among six centers chosen to present their Quality Improvement story at the Vermont Oxford Network’s 2020 Virtual Annual Quality Congress.
On Friday, November 6, Betty H. Cameron’s NICU will virtually present their work regarding “Transition to Home (TTH)” with a focus on improving the efficiency of their discharge education process at the Vermont Oxford Network’s (VON) Annual Quality Congress. VON is a quality network comprised of over 1,000 NICUs around the world.
With infant and parent readiness and process standardization as drivers, our NICU conducted multiple PDSA cycles to create a TTH checklist categorizing tasks into sections based on ideal completion times. The TTH team developed discharge standard work, a pediatric appointment resource document as well as a discharge class soon to be taught via Zoom. EMR prompts have been added to ensure early Speech and PT consults and processes such as vaccine administration, home medication pickup and teaching and feeding therapy post discharge have been standardized through their work. Family Centered Care educational sessions were also provided for new RN graduates in 2018 & 2019 by members of our Family Advisory Council.
The team has increased discharge education completion prior to the day of discharge from a median of 32% to 56% and increased the percentage of parents of very low birthweight infants (VLBW) who received hands-on CPR classes from 32% to 93%.
In addition to their work on TTH, over the last three years the NICU has worked on improving neurodevelopmental outcomes for micro preemie infants through standardization of the Golden Hour and Neuroprotection period (first 72 hours of life). They have decreased the percentage of infants with any Intraventricular Hemorrhage (IVH) from 54.4% in 2017 to 29.2% in 2020. Severe IVH has decreased from 8.7% in 2017 to 4.6% in 2020.
Photo taken at the 2019 AQC Poster Fair.