Improving Birth Outcomes for All—Working At Scale Across the Continuum of Care
Charlie Homer, MD MPH
Using QI to Decrease Length of Stay for Neonates with Neonatal Abstinence Syndrome
Rick McClead, MD MHA
QUALITY AND SAFETY PROJECT PRESENTATIONS
Selected Quality and Safety Projects will be presented in plenary session and at poster fair.
Ventilators, Ventilation Modes, and the Intubated Newborn: Finding Best Practices in a Sea of Options
Martin Keszler, MD
Modern ventilators allow for a broad array of modes and strategies for the support of the intubated newborn. While these new technologies can offer significant improvements in our ability to support critically ill infants, they also can lead to greater variability in care and the potential use of strategies not supported by evidence. In this workshop, we will review the latest developments in ventilator equipment and modes, and explore how NICUs can use systems-based approaches to develop ventilation protocols that are guided by best practices.
Getting to Zero: Central Line Maintenance Practices and Eliminating Central-Line Associated Bloodstream Infections
Marie Field, RN MS; Joanne Destasio, BSN RNC-NIC; Tricia Blaine, RN BS
While many NICUs have made remarkable progress in reducing the incidence of central-line associated bloodstream infections (CLABSIs), getting to a rate of zero remains challenging. Substantial literature exists to support best practices around central line insertion, but much less so for central line maintenance. Significant variability is common in central line maintenance practices such as arrangement of tubing and connectors, frequency of tubing change, procedures for tubing change, and others. In this workshop, we will focus on central line maintenance in our ongoing efforts to ‘get to zero’. We will review available evidence, demonstrate practices from two NICUs, and discuss different approaches to some of the more challenging areas of central line maintenance.
Beyond the Joint Commission: Using Measures to Improve Breast Milk Feeding in Your Nursery and Your NICU
Genevieve Preer, MD; Meg Parker, MD MPH; Bobbi Phillips, MD FAAP FABM
Optimizing breast milk feeding is well accepted as a priority for improving maternal and neonatal outcomes. To this end, the Joint Commission has added two measures examining breast milk feeding to its Perinatal Care core quality measure set, which will be required of many hospitals with delivery services as of 2014. However, considerable uncertainty exists around the implementation of the Joint Commission measures, and other measures to help monitor and improve institution practices, particularly in the NICU, are not well-established. In this workshop, we will review the Joint Commission’s breast milk feeding measures, and discuss what additional measures can be useful in evaluating practices around support of breast feeding. Using examples from the first Baby Friendly hospital in Massachusetts, we will also share strategies for utilizing these measures to help drive improvement in breast milk practices throughout maternity and newborn services.
Shared Decision Making in the Neonatal Intensive Care Unit
Mary Fay, MD; Maka Tsulukidze, MD PhD MPH
Shared Decision Making (SDM) is “a process whereby decisions are shared by patients and doctors, informed by the best evidence available, and weighted in light of patients’ individual characteristics and values.” It has been described as the pinnacle of family-centered care and is well established in management of adult patients with chronic conditions and cancer. However, its applicability and utility have not been well studied in Neonatal Intensive Care, where clinicians and the parents commonly face difficult decisions such as: providing intensive care to an extremely premature infant; treating a baby with postnatal dexamethasone; or ligating a persistent patent ductus arteriosus. In this workshop, participants will learn which types of medical decisions are suitable for SDM, how to present available evidence in a comprehensible way to parents, how to incorporate parental values and preferences into decision-making, and how to use decision aids.
Introduction to Patient-Centered Lean and “A3” Problem Solving
Lori Pelletier, MBA PhD
This workshop will introduce you to the principles of Patient-Centered Lean and the A3 problem solving process. Patient-centered Lean is a process methodology for improving patient centered care, staff satisfaction, quality, safety, and efficiency. The core idea is to maximize patient value while minimizing waste. This workshop will help you develop the skills necessary to apply Patient-Centered Lean problem solving and process efficiency tools in your work area.
Quality Improvement by the Numbers: Run Charts, Control Charts, and Why You Should Be Using Them
Munish Gupta, MD MMSc; Alan Picarillo, MD; Jim Benneyan, PhD
Statistical process control (SPC) is a branch of statistics that supports quality improvement work through quantitative analysis of data over time. In this workshop, participants will learn the basics of SPC methods, focusing on the core tools of run charts and control charts. The use of run charts and control charts in quality improvement initiatives will be illustrated through examples, and easy-to-use tools to construct SPC charts will be demonstrated.
Please check back; additional workshops may be added.
CALL FOR ABSTRACTS
We encourage you to submit an abstract on a quality or safety project related to perinatal or newborn care. These can be projects that are completed or ongoing. Abstracts will be reviewed by the planning committee, and selected abstracts will be invited for presentation at the plenary session or poster fair.
Abstract submission deadline: May 24, 2013
Abstract notifications to authors: May 29, 2013
DoubleTree by Hilton Hotel
5400 Computer Drive, Westborough MA, 01581
Directions: exit 23b (Route 9 West) from Interstate 495; take Computer Drive/Research Drive Exit, bear right at end of ramp, hotel is 0.5 mile ahead on the left.
Munish Gupta (email@example.com)
Alan Picarillo (firstname.lastname@example.org)
Ed Doherty (email@example.com)