Vermont Oxford Network Inc

TO IMPROVE THE QUALITY AND SAFETY OF MEDICAL CARE FOR NEWBORN INFANTS AND THEIR FAMILIES THROUGH A COORDINATED PROGRAM OF RESEARCH, EDUCATION, AND QUALITY IMPROVEMENT PROJECTS.

NICQ 2021-22 CONTINUES THE SERIES OF INTENSIVE IMPROVEMENT COLLABORATIVES SPONSORED BY VERMONT OXFORD NETWORK. INTERDISCIPLINARY TEAMS FROM 42 INSTITUTIONS IN NORTH AMERICA ARE WORKING TOGETHER TO IMPROVE THE QUALITY AND SAFETY OF MEDICAL CARE FOR NEWBORN INFANTS AND THEIR FAMILIES BY APPLYING THE CONCEPTS OF FAMILY-INTEGRATED CARE, TEAMS AND TEAMWORK, THE SEQUENCE TO ACHIEVE CHANGE, INCREASED VALUE, AND STANDARDIZATION INTO THEIR COLLABORATIVE IMPROVEMENT WORK, ADDRESSING: OPTIMIZING OUTCOMES OF THE MICRO-PREMATURE INFANT; OPTIMIZING NUTRITION AND REDUCING NECROTIZING ENTEROCOLITIS; AND MULTI-SYSTEM: MINIMIZING BRAIN INJURY AND MINIMIZING LUNG INJURY. THIS PROJECT COMMENCED IN JANUARY 2018 AND CONTINUED THROUGH DECEMBER 2020.INICQ WEBINAR SERIES: INICQ 2021 - THE INS & OUTS OF NEONATAL CARE: IMPROVING CRITICAL TRANSITIONS FOR EVERY NEWBORN - OUR INTERNET-BASED NEWBORN IMPROVEMENT COLLABORATIVE FOR QUALITY (INICQ) IS A MULTI-CENTER COLLABORATIVE DEDICATED TO IMPROVING NEONATAL TRANSITIONS IN ALL PHASES OF CARE - FROM BIRTH TO HOME. A CRITICAL TRANSITION IS ANY CHANGE OF THE CARE SITE OR CARE TEAM, OR ANY SIGNIFICANT CHANGE TO AN INFANT'S STATUS OR PLAN OF CARE. THESE MANY IMPORTANT TRANSITIONS OCCUR WITHIN A HOSPITAL OR HEALTH SYSTEM AND BETWEEN SEVERAL HOSPITALS AND COMMUNITIES, AND ALL LEVELS OF HOSPITALS, HEALTH SYSTEMS, OR REGIONAL GROUPS BENEFIT FROM IMPROVING THESE VULNERABLE TIMES OF CARE. 94 MULTI-DISCIPLINARY TEAMS USED VON'S STRUCTURED CURRICULUM AND EXPERT FACULTY TO IMPROVE CRITICAL TRANSITIONS. ADDITIONALLY, TEAMS HAD ACCESS TO PARTICIPATE IN THE EXPERIENCE-BASED CO-DESIGN (EBCD) CURRICULUM WITH ADDITIONAL FACULTY, INCLUDING THOSE FROM THE POINT OF CARE FOUNDATION.ANNUAL QUALITY CONGRESS- THE 2021 VERMONT OXFORD NETWORK ANNUAL QUALITY CONGRESS WAS HELD VIRTUALLY FOR THE SECOND YEAR IN A ROW DUE TO THE PANDEMIC. THE AIM OF THE 2021 ANNUAL QUALITY CONGRESS WAS TO BRING TOGETHER MEMBERS OF VERMONT OXFORD NETWORK'S INTERPROFESSIONAL QUALITY IMPROVEMENT COMMUNITIES INCLUDING FAMILIES TO LEARN ABOUT AND ADVANCE IMPROVEMENTS IN THE CARE OF PRETERM INFANTS. THE AGENDA INCLUDED: A VIRTUAL QUALITY IMPROVEMENT POSTER EXPO, FAMILY-CENTERED CARE POSTERS AND NICU IMPROVEMENT STORY POSTERS, ALONG WITH PRESENTATIONS FROM EXPERTS AND TEAMS FOCUSED ON IMPROVING CRITICAL TRANSITIONS, AND PROCESSES RELATING TO THE PREMATURE INFANT POPULATION, AND OPTIMIZING OUTCOMES IMPACTED BY RESPIRATORY, NUTRITIONAL, AND NEUROLOGIC CARE PRACTICES AND PROCESSES. THE 2021 ANNUAL QUALITY CONGRESS CONVENED HUNDREDS OF HEALTHCARE PROFESSIONALS AND FAMILIES TO LEARN ABOUT AND DISCUSS NEW DATA, NEW SCIENCE, AND NEW APPROACHES IN NEWBORN CARE.

TRIALS ELBW FOLLOW-UP: 18-24 MONTH "FOLLOW-UP" CONTINUES FOR INFANTS BORN BETWEEN 401 AND 1000 GRAMS OR 22 WEEKS 0 DAYS TO 27 WEEKS 6 DAYS. 53 CENTERS PARTICIPATED IN 2021 FOR THE 2018 BIRTH YEAR COHORT. CENTERS RECEIVED REPORTS OF THEIR DATA BY BIRTH YEAR AS WELL AS A NETWORK COHORT REPORT. THE NEW ENGLAND FOLLOW-UP NETWORK ALSO RECEIVED THEIR OWN GROUP REPORT. VON DAYS: IN 2021, THERE WERE TWO VON DAY AUDITS ON THE INS AND OUTS OF NEONATAL CARE. ONE HUNDRED AND FORTY-EIGHT CENTERS PARTICIPATED IN VON DAYS AUDITS AND 3,697 INFANTS WERE EVALUATED. ADDITIONALLY, THREE VON DAY AUDITS ON NEONATAL ABSTINENCE SYNDROME WERE HELD. THREE STATES PARTICIPATED, WITH A TOTAL OF 89 CENTERS PARTICIPATING AND 91 INFANTS EVALUATED. FOR EACH OF THE VON DAY AUDITS, PARTICIPATING CENTERS RECEIVED REPORTS OF THEIR AUDITS.COCHRANE NEONATAL REVIEW - VON CONTINUED TO SPONSOR THE COCHRANE NEONATAL GROUP. COCHRANE NEONATAL IS ONE OF OVER 50 COLLABORATIVE REVIEW GROUPS OF COCHRANE. COCHRANE IS AN INTERNATIONAL NOT-FOR-PROFIT AND INDEPENDENT ORGANIZATION, DEDICATED TO MAKING UP-TO-DATE, ACCURATE INFORMATION ABOUT THE EFFECTS OF HEALTHCARE READILY AVAILABLE WORLDWIDE. AS A MEMBER OF COCHRANE, COCHRANE NEONATAL PREPARES AND DISSEMINATES EVIDENCE-BASED, REGULARLY UPDATED SYSTEMATIC REVIEWS OF THE EFFECTS OF THERAPIES IN NEONATAL-PERINATAL MEDICINE.

DATABASE/MEMBERSHIP SERVICES MEMBERSHIP: IN 2021 THERE WERE 1182 ACTIVE MEMBERS IN THE DATABASE. MEMBERSHIP IN THE NETWORK FOR THE VERY LOW BIRTH WEIGHT DATABASE (401 TO 1500 GRAMS) COST $5400 IN 2021. THE 2021 FEE FOR THE EXPANDED DATABASE (ALL NICU ADMISSIONS OVER 401 GRAMS) MEMBERSHIP WAS BASED ON HOSPITAL SIZE (AHA DATA). SMALL HOSPITALS WERE $5900 PER YEAR, MEDIUM HOSPITALS WERE $7300 PER YEAR AND LARGE OR CHILDREN'S HOSPITALS WERE $8700 PER YEAR. MEMBERSHIP ENTITLED MEMBERS TO QUARTERLY AND YEARLY REPORTS FROM THE DATABASE, ACCESS TO THE INTERNET REPORTING SYSTEM AND PARTICIPATION IN CLINICAL TRIALS. SCIENTIFIC STUDIES OF THE QUALITY OF CARE CARRIED OUT IN INTENSIVE CARE NURSERIES INCLUDED PREPARATION OF REPORTS ON RESULTS. IN 2021 WE PUBLISHED THE VERMONT OXFORD NETWORK ANNUAL DATABASE SUMMARY FOR 2020, A DETAILED COMPENDIUM DESCRIBING THE PRACTICES AND OUTCOMES AT 1071 NEONATAL UNITS CARING FOR VERY LOW BIRTH WEIGHT INFANTS AND THE VERMONT OXFORD NETWORK 2020 EXPANDED DATABASE SUMMARY DESCRIBING THE PRACTICES AND OUTCOMES OF ALL NICU INFANTS REGARDLESS OF BIRTH WEIGHT AT 526 UNITS PARTICIPATING IN THE EXPANDED DATABASE. THE NIGHTINGALE INTERNET REPORTING SYSTEM WAS PROVIDED TO MEMBERS. IT ALLOWS CONFIDENTIAL PASSWORD PROTECTED ACCESS TO HOSPITAL SPECIFIC REPORTS AND NETWORK COMPARISON DATA.