Plenary Sessions Day 1

Transcription

1 Recorded sessions from the live Annual Quality Congress will all be added online each week to obtain enduring CME/CNE credits. The catalog below represents sessions currently available online. Plenary Sessions Day 1 Translating Evidence Into Practice Our Challenge to the Neonatal Community: Ever Improving Care! - J. Horbar Framing the Evidence Challenges -Moderator: R. Soll and Translating Evidence Into Practice: Antenatal Steroids - A. Jobe Improvement Podium Brief: Variations in VLBW Infant Outcomes and Practices Between Neonatal Units in Switzerland and the US - M. Adams and Translating Evidence into Practice - S. Bonifacio Brave New World of Fetal Therapy? Extra-Uterine Incubation as a Bridge to Viability in Sheep - A. Flake Genomics and the NICU...A Brave New World? Genomics: Possibilities and Perils - Moderator M. Cotten First Steps Towards Precision Medicine in the NICU - S. Kingsmore Unfit for the Future? Lessons on Human Physical, Cognitive, Emotional and Moral Enhancement - J. Savulescu Plenary Sessions Day 2 The Edge of Viability Framing the Challenges at the Edges of Viability - M. Buus-Frank and Vermont Oxford Network Data at the Edges of Viability - D. Ehret Controversies With Using Calculators or Estimators - M. Rysavy Improvement Podium Brief - Health disparities persist despite intervention - Improvement Team - M. Bidegain and Strategies for Shared Decision Making - G.Moore Shared Decision-Making - Lessons From the Other Side of the Bed - Parent Panel Survival But Then What? The Social Determinants of Health Framing the Dialog - Moderator: J. Profit and Social Determinants of Health and the New World Disorder - P. O Campo Impacting Disparities in Neonatal and Infant Mortality in Ohio - M. Walsh Neonatal Follow-up... Are We Asking the Right Questions - M. McCormick Neonatal Care Around the World: What We Must Learn From Each Other! - Moderator: D. Ehret Argentina - G. L. Mariani Ethiopia - A. Demtse Wales - S. Banerjee / G. Morris 1

2 Breakout Sessions Day 1 Breakout Sessions Day 1 - Emerging Science and Evolving Evidence BPD: Why Are We Failing to Move the Big Dot? A. Jobe Case Studies in Precision Medicine: Diagnostic Urgency S. Kingsmore Breakout Sessions Day 1 - Translating Evidence Into Practice: VON NICQ Next Quality Improvement Teams Share Data-Driven Improvement Translating Evidence Into Practice: VON NICQ Next2 Quality Improvement Teams Share Data Driven Improvement Surgical Outcomes K. Weatherstone / K. Kopischke Multi-System Outcomes R. Umoren / D. Grace Teams and Teamwork I. Ahmad Breakout Sessions Day 1 - The Not So Normal Newborn Nursery - Clinical Quandaries Safe Sleep in the Newborn Nursery, NICU and Beyond! - R. Moon Transient Hypoglycemia in the Newborn Nursery: Is There Evidence for Glucose Gel? C. Seashore Breakout Sessions Day 1 - Antibiotic Stewardship and Infection Prevention Confirming or Ruling Out Sepsis in Hours - Not Days! K. Ota-Sullivan Breakout Sessions Day 1 - Improving Outcomes for Substance-Exposed Infants and Families Hot Topics in Combating the Growing NAS Epidemic S. Patrick / L. Marcellus Breakout Sessions Day 1 - Improving Outcomes Through the Use of Human Milk RTC of Supplemental Donor Human Milk Compared With Preterm Formula on Neurodevelopment of VLBW Infants at 18 Months S. Gibbins Breakout Sessions Day 1 - Simulation in Service of Quality Improvement Beyond Training! Using Simulation to Improve Quality & Safety L. Halamek / K. Firestone Breakout Sessions Day 1 - A Global Perspective: Improving Care in the Developing World Improving the Quality of Newborn Care in Low Resource Settings: Use of the AAP Improvement Guide C. Bose / J. Patterson Breakout Sessions Day 1 - Beyond the NICU Walls... Not Just About Follow-Up But Follow-Through Why Follow-up is Not Enough and Follow-Through Can t Wait! J. Litt Breakout Sessions Day 1 -Newborn Intensive Parenting - Engaging Families in an Improved Future Engaging Paid NICU Families as DR Liaisons During the Golden Hour S. Tilbury / N. Kuemin Breakout Sessions Day 1 -Turning Data Into Action! Building Capacity for Quality Improvement Team Examples of Mapping and Mining EMR Data for QI Implementation of Sepsis Risk Calculator into an EMR to Decrease AUR in the NB Nursery J. Seigel / J. Perciaccante Capturing Data From Conventional Ventilators to Understand Alarm Burden D. Hatch Web-Based Clinical Decision Support for Hyperbilirubinemia Y. Arain The Art of the Audit: Best of VON Teams Share Audits That Drive Improvement R. Soll Breakout Sessions Day 1 -Scaling Quality Improvement at the State and/or Health System Level Learning From Statewide QI Projects Part 1 Cooling for HIE: Statewide Implementation From CA S. Bonafacio Antibiotic Stewardship in Oregon, Southwest Washington (NW IPA) D. Dukhovny NAS: Improving Care to Improve Outcomes - Maryland Statewide Collaborative B. DiPietro Ohio Orchestrated Testing: Best Formula Feeding NAS H. Kaplan 2

3 Breakout Sessions Day 2 Breakout Sessions Day 2 - Emerging Science and Evolving Evidence The Evidence: Delayed Cord Clamping R. Soll / W. Tarnow-Mordi Breakout Sessions Day 2 - Translating Evidence Into Practice: VON NICQ Next Quality Improvement Teams Share Data-Driven Improvement Translating Evidence Into Practice: VON NICQ Next2 Quality Improvement Teams Share Data Driven Improvement Micropremature Infants POD G. M. Bixler Micropremature Infants 2 A. Morris / S. Powers Micropremature Infants 3 M. Tyler Breakout Sessions Day 2 - Antibiotic Stewardship and Infection Prevention Antibiotic Stewardship Improvement Story: Managing Antibiotics Wisely Singleton Neonatal Unit, Swansea, Wales, UK S. Banerjee Antibiotic Stewardship Improvement Story: NICU Antibiotic Stewardship Quality Improvement Process: The Good Bugs and the Babies Will Thank You! Baptist Children s Hospital, Miami A. Daly Antibiotic Stewardship Improvement Story: Nurse-Driven Change in Early-Onset Sepsis Detection and Treatment K. Patamia Antibiotic Stewardship Improvement Story: Decreasing Prolonged Initial Empiric Antibiotic Exposure among Newborns Receiving NICU Care, Emory University Hospital, Atlanta H. Pham Antibiotic Stewardship Improvement Story: Improving Antibiotic Stewardship in the NICU, St. Mary s Medical Center D. U-Ren Breakout Sessions Day 2 - Improving Outcomes for Substance-Exposed Infants and Families World-Class Care for NAS Infants in a Small, Rural Community Hospital S. Bache Breakout Sessions Day 2 - Simulation in Service of Quality Improvement Learning from Simulated Small Tests of Change to Improve Care in Our Micropremature Care Unit A. Atwater / S. Teman Breakout Sessions Day 2 - A Global Perspective: Improving Care in the Developing World Building and Empowering a Nurse-Led Neonatal Resuscitation Team in Ethiopia L. Pollock, T. Eusterbrock, P. Platt, S. Hally, M. Tadesse Breakout Sessions Day 2 - Beyond the NICU Walls... Not Just About Follow-Up But Follow-Through A Call for Healthcare System Redesign to Support Pre-term Infants and Families After NICU Discharge D. Kuo Breakout Sessions Day 2 -Newborn Intensive Parenting - Engaging Families in an Improved Future Lessons on Shared Decision-Making in the NICU G. Moore Breakout Sessions Day 2 -Turning Data Into Action! Building Capacity for Quality Improvement Creating, Critiquing and Interpreting Run Charts and SPCC H. Kaplan / M. Gupta Breakout Sessions Day 2 -Scaling Quality Improvement at the State and/or Health System Level Learning From Statewide QI Projects Part 2 Implementation of the Levels of Care Assessment Tool e_version (LOCATe) in Colorado R. Wright New Jersey Statewide Initiative To Increase Human Milk Consumption in VLBWs and Decrease NEC M. Cohen ILPQC Golden Hour Initiative - Improving Neonatal Resuscitation and Stabilization P. King / L. Caldarelli Improving Mother s Milk Use for VLBW Infants through a Statewide Collabroative Level III NICUs in Massachusetts M. Parker 3

4 National Antibiotic Stewardship National Summit Welcome Setting the Stage for Antibiotic Stewardship and Laboratory Tools to Confirm or Rule Out Sepsis in Hours, Not Days! A. Srinivasan / K. Puopolo / K. Sullivan New Basic Science, Laboratory Science, and Data Science Evolving Lessons on the Microbiome - J. Neu New NHSN Antibiotic Use and Resistance (AU/AR) Data - D. Pollock New Guidelines and Tools New ACOG Guidelines on Intraamniotic Infection and Evolving AAP Guidelines K. Puopolo Implementation of the Sepsis Risk Calculator - D. Braun / A. Fischer Evolving Resistant Organisms CDC Brief: New Multi-Drug resistant Fungus (C. Auris) Among Us? Risk for Mistaken Identities and Emerging Resistance and Fungal Prophylaxis S. Vallabhaneni / R. Soll Antibiotics in the Food Chain - J. Newland Is it Possible to Promote a Paradigm Shift in Antibiotic Use? California Perinatal Quality Improvement Collaborative C. Nisbet VON inicq Choosing Antibiotics Wisely Stewardship T. Ho / D. Dukhovny / M. Buus-Frank 2017 Abstract of the Year: Reduction in Antibiotic Use in the Newborn Nursery and 2017 Abstract of the Year: Reducing Unnecessary Antibiotic Use: SRC, 36 Hours Default J. Martin / J. Meyers 2017 Abstract of the Year: Improving Antibotic Utilization in a Large Level IV NICU - E. Doe Jr 2017 Abstract of the Year: Northwest Improvement Priority: Antibiotic Stewardship - Multi-Center QI Collaboration among 11 NICUs and Is Improvement Contagious? Future Spread and Scale D. Dukhovny / A. Srinivasan NICQ & inicq Symposium VON NICU Next 2 QI Teams: Data-Driven Improvement Stories Cultivating a Positive Culture for Intensive Collaboration and Data-Driven Improvement Story: Teams and Teamwork - Individually We Are One Drop, But Together, We Are An Ocean M. Fry / K. Robson / K. Colacchio / A. Martin Micropremature Infants POD - Improving Healthy Survival of ELBW Infants at PSVMC NICU via Standardized Practices & A Small Baby Team J. Bellant / L. Macfarlane Micropremature Infants Group 2 - The Long and Winding Road: Improving Micro-Premature Outcomes in the SBU C. Colgan / A. Onion Improving Care For Micropremature Infants Group 3- Optimizing Neurodevelopmental Care A. McBee / V. Cook Multi-System Outcomes - Optimizing Nutrition : Preventing Extrauterine Growth Restriction (EUGR) Among Very Low Birth Weight (VLBW) Infants - J. Hester / J. Lingan Surgical Outcomes - Decreasing Complications in Surgically Placed Gastronomy Tubes K. Diefenbach VON inicu QI Teams: Choosing Antibiotics Wisely Data-Driven Improvement Stories Reducing Vancomycin Use Advocate Children s Hospital Oak Lawn P. Kasprzak Decreasing AUR UC Memorial Hospital M. Laird Choosing Antibiotics Wisely CHOP NB Care Network J. Cohen 4

5 inicu - Expert Reflections on Antibiotic Stewardship Improvement inicq - Expert Reflections on Antibiotic Stewardship Improvement Part 1 & Part 2 - S. Rogers / K. Puopolo / J. Newland / K. Burch / J. Zupancic / K. Robson / K. Foreman / A. Srinivasan / D. Pollock 2017 Annual Quality Congress - Jumpstarting Quality 3.0 Quality Matters in the Neonatal Community of Practice and Change Ideas Exchange - What Are You Working On? - J. Horbar / D. Dukhovny Crafting a SMART Aim: Laying the Foundation for Improvement M. Gupta Introduction to SQUIRE 2.0 T. Ho What, Why and How To: Develop a Driver Diagram - R. Vartanian Measurement and Metrics - the Basics! - Part 1 and Part 2 H. Kaplan Time to Take Action: Planning and Executing Small Tests of Change / PDSA Cycles - R. Vartanian 5

6 Plenary Sessions Day 1 - Translating Evidence Into Practice Our Challenge to the Neonatal Community: Ever Improving Care! Description: This lesson focuses on demonstrating how using network science VON members can evaluate their outcomes over time and strive for best quartile or best decile performance. Faculty: Jeffrey D. Horbar MD Framing the Evidence Challenges and Translating Evidence Into Practice: Antenatal Steroids Description: In Framing the Evidence Challenges, learners will identify the importance of evaluating the evidence and the challenges with translating good quality evidence into action. Description: In Translating Evidence Into Practice: Antenatal Steroids, participants will ascertain NICU patients who might benefit from whole genome sequencing. Faculty: Roger F. Soll MD (Framing the Evidence Challenges); Alan H. Jobe MD, MPH (Translating Evidence Into Practice) Improvement Podium Brief: Variations in VLBW Infant Outcomes and Practices Between Neonatal Units in Switzerland and the US and Translating Evidence into Practice: Cooling Description: In Improvement Brief / Variations in VLBW Infant Outcome and Practices Between Neonatal Units in Switzerland And the US, learners will identify three critical improvement methods or strategies employed by this Description: In Translating Evidence Into Practice: Cooling, participants will identify three key clinical challenges in translating cooling for HIE into practice. Faculty: Mark Adams, MSc, PhD(cand) (Improvement Brief); Sonia L. Bonifacio MD (Translating Evidence Into Practice) Brave New World of Fetal Therapy? Extra-Uterine Incubation as a Bridge to Viability in Sheep Description: This lesson learners will review the evolution of extra-uterine incubation and the current state of the science in the fetal lamb model. Faculty: Alan W. Flake MD Plenary Sessions Day 1 - Genomics and the NICU...A Brave New World? Genomics: Possibilities and Perils Description: This lesson learners will analyze the potential impact that minor genetic variants might have on the expression of complex diseases in the NICU such as NEC, ROP, and BPD. Faculty: C. Michael Cotten MD, MHS First Steps Towards Precision Medicine in the NICU Description: This lesson learners will ascertain NICU patients who might benefit from whole genome sequencing. Faculty: Stephen F. Kingsmore MB, ChB, BAO, DSc, FRCPath 6

7 Unfit for the Future? Lessons on Human Physical, Cognitive, Emotional and Moral Enhancement Description: This lesson surveys the landscape of the future to learn how the revolution in biological and neurosciences will extend beyond treatment of disease to human physical, cognitive, emotional and moral enhancements. Faculty: Professor Julian Savulescu B MED SCI (HONS), MB (HONS), BS (HONS), MA, PhD Plenary Sessions Day 2 - The Edge of Viability Framing the Challenges at the Edges of Viability and Vermont Oxford Network Data at the Edges of Viability Description: This lesson, describes current national guidelines for antenatal steroids (ANS), recalls key controversies and clinical quandaries, summarizes care delivery and outcomes for extremely premature infants in VON, and identifies opportunities for improvement at the patient, hospital, referral network and national levels. Faculty: Madge E. Buus-Frank DNP, APRN-BC, FAAN (Framing the Challenges); Danielle Ehret MD MPH (Viability and Vermont Oxford Network Data) Controversies With Using Calculators or Estimators Description: This lesson compares and contrasts the impact of calculating survival and survival without disability based upon NICHD data, VON data, or locally derived outcomes. Faculty: Matthew Rysavy MD, PhD Improvement Podium Brief - Health disparities persist despite intervention and Strategies for Shared Decision Making Description: In Improvement Podium Brief - Health disparities persist despite intervention, learners will identify three critical improvement methods or strategies employed by this improvement team to effect measurable improvement in the quality, safety and value of care for newborns. Description: In Strategies for Shared Decision Making, participants will ascertain NICU patients who might benefit from whole genome sequencing. Faculty: Margarita Bidegain MD (Improvement Podium Brief); Gregory Moore MD, FRCPC (Strategies for Shared Decision Making) Shared Decision-Making - Lessons From the Other Side of the Bed Description: In this lesson, learners will identify three key lessons learned from families who have engaged in critical conversations at the edge of viability. Faculty: Ginny Shaffer; Justin Shaffer AS 7

8 Plenary Sessions Day 2 - Survival But Then What? The Social Determinants of Health Framing the Dialogue and Social Determinants of Health and the New World Disorder Description: In Framing the Dialogue, learners will describe two factors contributing to significant healthcare disparities in the neonatal population and provide qualitative examples. Description: In Social Determinants of Health and the New World Disorder, Strategies for Shared Decision Making, participants will review the social determinants of health and analyze the impact of these factors on the outcomes of infants and children in the NICU and beyond. Faculty: Jochen Profit MD, MPH (Framing the Dialogue); Pat O Campo PhD (Social Determinants) Impacting Disparities in Neonatal and Infant Mortality in Ohio Description: In this lesson learners will describe the impact of the statewide quality improvement collaborative, led by OPQCC, and the measurable impact on neonatal and infant mortality rates in Ohio. Faculty: Michele Walsh MD Neonatal Follow-up... Are We Asking the Right Questions Description: In this lesson learners will re-conceptualize the need to move from a narrow view of neonatal follow -up to follow-through developing a model that would incorporate longitudinal changes in function, maturation, the impact of family dynamics and important social determinants of health. Faculty: Marie Clare McCormick MD, ScD Neonatal Care Around the World: What We Must Learn From Each Other! - Argentina Description: In this lesson learners will compare and contrast neonatal care around the world. Faculty: Gonzalo Mariani MD; (Danielle Ehret MD MPH (Moderator) - Ethiopia Description: In this lesson learners will compare and contrast neonatal care around the world. Faculty: Asrat Demtse MD; (Danielle Ehret MD MPH (Moderator) - Wales Description: In this lesson learners will compare and contrast neonatal care around the world. Faculty: Sujoy Banerjee MBBS, DCH,MD, MA(Medical Education), MRCP(UK), MRCPCH(UK); Geraint Morris MBBCh, FRCP(UK), FRCPCH (UK); (Danielle Ehret MD MPH (Moderator) 8

9 Breakout Sessions Day 1 - Emerging Science and Evolving Evidence BPD: Why Are We Failing to Move the Big Dot? Credits: CME 1.5, CNE 1.5 Description: In this lesson, learners will link the evidence and mechanisms of BPD to clinical care strategies that QI teams might explore to reduce BPD. Faculty: Alan H. Jobe MD, MPH Case Studies in Precision Medicine: Diagnostic Urgency Credits: CME 1.0, CNE 1.0 Description: In this lesson learners will participate in a series of real-world clinical cases and identify the urgency in diagnosing treatable clinical conditions. Faculty: Stephen F. Kingsmore MB, ChB, BAO, DSc, FRCPath Breakout Sessions Day 1 - Translating Evidence Into Practice: VON NICQ Next Quality Improvement Teams Share Data-Driven Improvement Translating Evidence Into Practice: VON NICQ Next2 Quality Improvement Teams Share Data Driven Improvement - Surgical Outcomes Faculty: Irfan Ahmad MD - Multi-System Outcomes Faculty: Kathleen B. Weatherstone, MD, Karen Kopischke MS, APRN, NNP-BC - Teams and Teamwork Faculty: Rachel Umoren MD, MS, Debi Grace MN, RN-C Breakout Sessions Day 1 - The Not So Normal Newborn Nursery - Clinical Quandaries Safe Sleep in the Newborn Nursery, NICU and Beyond! Credits: CME 1.25, CNE 1.25 Description: In this lesson learners will participate in a workshop linking evidence and action to improve the care of infants and families. Faculty: Rachel Y. Moon MD 9

10 Transient Hypoglycemia in the Newborn Nursery: Is There Evidence for Glucose Gel? Credits: CME 1.0, CNE 1.0 Description: In this lesson learners will participate in a workshop linking evidence and action to improve the care of infants and families Faculty: Carl Seashore MD Breakout Sessions Day 1 - Antibiotic Stewardship and Infection Prevention Confirming or Ruling Out Sepsis in Hours - Not Days! Credits: CME 1.0, CNE 1.0 Description: In this lesson, learners will identify new diagnostic testing techniques that may be used to more rapidly confirm or rule out infection. Faculty: Kaede Ota Sullivan MD, MSc, FRCPC, FAAP, FCCM, D(ABMM) Breakout Sessions Day 1 - Improving Outcomes for Substance-Exposed Infants and Families Hot Topics in Combatting the Growing NAS Epidemic Credits: CME 1.5, CNE 1.5 Description: In this lesson, learners will participate in a workshop linking evidence and action to improve the care of infants and families affected by substance use disorder. Faculty: Lenora Marcellus PhD, MN, BSN, RN, Stephen W. Patrick MD, MPH, MS Breakout Sessions Day 1 - Improving Outcomes Through the Use of Human Milk RTC of Supplemental Donor Human Milk Compared With Preterm Formula on Neurodevelopment of VLBW Infants at 18 Months Credits: CME 1.25, CNE 1.25 Description: In this lesson learners will participate in a workshop linking evidence and action to improve the nutritional care of infants. Faculty: Sharyn Gibbins NP-Pediatrics PhD Breakout Sessions Day 1 - Simulation in Service of Quality Improvement Beyond Training! Using Simulation to Improve Quality & Safety Credits: CME 1.50, CNE 1.50 Description: In this lesson learners will explore innovative methods to perform PDSA cycles and small tests of change using intra-disciplinary team-based simulation. Faculty: Kimberly S. Firestone MSc, RRT, Louis Patrick Halamek MD, FAAP 10

11 Breakout Sessions Day 1 - A Global Perspective: Improving Care in the Developing World Improving the Quality of Newborn Care in Low Resource Settings: Use of the AAP Improvement Guide Credits: CME 1.0, CNE 1.0 Description: In this lesson learners will list three key reasons why improving the quality of care in resource limited settings should include training providers in QI methods. Faculty: Carl L. Bose MD, Jacquelyn Patterson MD, MPH Breakout Sessions Day 1 - Beyond the NICU Walls... Not Just About Follow-Up But Follow-Through Why Follow-up is Not Enough and Follow-Through Can t Wait! Credits: CME 1.0, CNE 1.0 Description: In this lesson learners will analyze the real-world challenges for care beyond the NICU walls and identify opportunities to improve both the quality and the content of follow-up and community follow-through for NICU graduates and their families. Faculty: Jonathan S Litt MD, MPH, ScD Breakout Sessions Day 1 -Newborn Intensive Parenting - Engaging Families in an Improved Future Engaging Paid NICU Families as DR Liaisons During the Golden Hour Credits: CME 1.25, CNE 1.25 Description: In this lesson learners will identify 3 opportunities to improve family communication and engagement during the golden hour and explore the role of a designated family liaison. Faculty: Nancy Kuemin JD, Stacey Tilbury MSN, NNP-BC Breakout Sessions Day 1 -Turning Data Into Action! Building Capacity for Quality Improvement Team Examples of Mapping and Mining EMR Data for QI - Implementation of Sepsis Risk Calculator into an EMR to Decrease AUR in the NB Nursery Description: In this lesson learners will examine 3 key strategies and tactics that quality improvement teams used to avoid the need to manually collect data for their QI projects. Faculty: Jonathan Seigel MD, MMCi, James Perciaccante MD - Capturing Data From Conventional Ventilators to Understand Alarm Burden Description: In this lesson learners will examine 3 key strategies and tactics that quality improvement teams used to avoid the need to manually collect data for their QI projects. Faculty: Leon Dupree Hatch III MD, MPH - Web-Based Clinical Decision Support for Hyperbilirubinemia Description: In this lesson learners will examine 3 key strategies and tactics that quality improvement teams used to avoid the need to manually collect data for their QI projects. 11 Faculty: Yassar Arain MD

12 The Art of the Audit: Best of VON Teams Share Audits That Drive Improvement Credits: CME 1.25, CNE 1.25 Description: In this lesson learners will identify 3 novel strategies used by leading VON QI teams to perform simple audits to drive their quality improvement efforts. Faculty: Roger F. Soll MD Breakout Sessions Day 1 -Scaling Quality Improvement at the State and/or Health System Level Learning From Statewide QI Projects Part 1 - Cooling for HIE: Statewide Implementation From CA Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Sonia L. Bonifacio MD - Antibiotic Stewardship in Oregon, Southwest Washington (NW IPA) Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Dmitry Dukhovny MD, MPH - NAS: Improving Care to Improve Outcomes - Maryland Statewide Collaborative Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Bonnie DiPietro RN, MS - Ohio Orchestrated Testing: Best Formula Feeding NAS Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Heather Kaplan MD, MSCE 12

13 Breakout Sessions Day 2 - Emerging Science and Evolving Evidence The Evidence: Delayed Cord Clamping Credits: CME 1.0, CNE 1.0 Description: In this lesson, learners will analyze the evidence for delayed cord clamping and discuss 3 key challenges for implementation in the delivery room. Faculty: Roger F. Soll MD, William Tarnow -Mordi BA, MBChB, MRCP, DCH, FRCPCH Breakout Sessions Day 2 - Translating Evidence Into Practice: VON NICQ Next Quality Improvement Teams Share Data-Driven Improvement Translating Evidence Into Practice: VON NICQ Next2 Quality Improvement Teams Share Data Driven Improvement - Micropremature Infants POD Faculty: G. Michael Bixler MD - Micropremature Infants 2 Faculty: April Morris BSN, RNC, Stephanie Powers BSN, RNC-NIC - Micropremature Infants 3 Faculty: Michelle Tyler MD, MPH Breakout Sessions Day 2 - Antibiotic Stewardship and Infection Prevention Antibiotic Stewardship Improvement Story: Managing Antibiotics Wisely Singleton Neonatal Unit, Swansea, Wales, UK Faculty: Sujoy Banerjee MBBS, DCH,MD, MA(Medical Education), MRCP(UK), MRCPCH(UK) Antibiotic Stewardship Improvement Story: NICU Antibiotic Stewardship Quality Improvement Process: The Good Bugs and the Babies Will Thank You! Baptist Children s Hospital, Miami Faculty: Alreca Daly BSN, RN, CCRN 13

14 Antibiotic Stewardship Improvement Story: Nurse-Driven Change in Early-Onset Sepsis Detection and Treatment Faculty: Kimberly Patamia MSN, BA, RNC-OB, C-EFM Antibiotic Stewardship Improvement Story: Decreasing Prolonged Initial Empiric Antibiotic Exposure among Newborns Receiving NICU Care, Emory Univeristy Hospital, Atlanta Faculty: Huong Pham PharmD Antibiotic Stewardship Improvement Story: Improving Antibiotic Stewardship in the NICU, St. Mary s Medical Center Faculty: Deborah U-Ren RN, CCRN Breakout Sessions Day 2 - Improving Outcomes for Substance-Exposed Infants and Families World-Class Care for NAS Infants in a Small, Rural Community Hospital Credits: CME 1.0, CNE 1.0 Description: In this lesson, learners will participate in a workshop linking evidence and action to improve the care of infants and families affected by substance use disorder. Faculty: Sarah Bache BSN, RNC-OB, CLC Breakout Sessions Day 2 - Simulation in Service of Quality Improvement Learning from Simulated Small Tests of Change to Improve Care in Our Micropremature Care Unit Credits: CME 1.0, CNE 1.0 Description: In this lesson learners will describe an innovative model of quality improvement that employs stimulation techniques and technology to test new care practices in the NICU using iterative PDSA cycles. Faculty: Amy Atwater MPA BSN, RN, Susan Teman BSN, RN, CPPS Breakout Sessions Day 2 - A Global Perspective: Improving Care in the Developing World Building and Empowering a Nurse-Led Neonatal Resuscitation Team in Ethiopia Credits: CME 1.25, CNE 1.25 Description: In this lesson learners will explore innovative methods to perform PDSA cycles and small tests of change to test and implement a nurse-led resuscitation team in resource-limited settings. Faculty: Lou Pollack MD, Thomas Eusterbrock MD, Phillip Platt RNC, NNP-BC, Suzanne Hally RN, Misrak Tadesse MD 14

15 Breakout Sessions Day 2 - Beyond the NICU Walls... Not Just About Follow-Up But Follow-Through A Call for Healthcare System Redesign to Support Pre-term Infants and Families After NICU Discharge Credits: CME 0.75 CNE 0.75 Description: In this lesson learners will analyze the real-world challenges for care beyond the NICU walls and identify opportunities to improve both the quality and the content of follow-up and community follow-through for NICU graduates and their families. Faculty: Dennis Z. Kuo MD, MHS Breakout Sessions Day 2 -Newborn Intensive Parenting - Engaging Families in an Improved Future Lessons on Shared Decision-Making in the NICU Credits: CME 1.0, CNE 1.0 Description: In this lesson learners will identify 3 ways to improve family communication and engagement during the antenatal consultation. Faculty: Gregory Moore MD, FRCPC Breakout Sessions Day 2 -Turning Data Into Action! Building Capacity for Quality Improvement Creating, Critiquing and Interpreting Run Charts and SPCC Credits: CME 1.25, CNE 1.25 Description: In this lesson learners will participate in a workshop aimed at best practices in interpreting QI data including run charts and SPCC. Faculty: Heather Kaplan MD, MSCE, Munish Gupta MD, MMSc Breakout Sessions Day 2 -Scaling Quality Improvement at the State and/or Health System Level Learning From Statewide QI Projects Part 2 - Implementation of the Levels of Care Assessment Tool e_version (LOCATe) in Colorado Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Rachel Wright, MD - New Jersey Statewide Initiative To Increase Human Milk Consumption in VLBWs and Decrease NEC Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Morris Cohen, MBBCh 15

16 - ILPQC Golden Hour Initiative - Improving Neonatal Resuscitation and Stabilization Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Patricia King, PhD, Leslie A. Caldarelli, MD - Improving Mother s Milk Use for VLBW Infants through a Statewide Collabroative Level III NICUs in Massachusetts Description: In this lesson learners will analyze key aspects of state and health system quality improvement projects that might be generalizable to your regional context. Faculty: Margaret Parker, MD, MPH National Antibiotic Stewardship National Summit Welcome Setting the Stage for Antibiotic Stewardship and Laboratory Tools to Confirm or Rule Out Sepsis in Hours, Not Days! Description: In Welcome Setting the Stage for Antibiotic Stewardship, this lesson learners will identify 4 key lessons learned by teams participating in antibiotic stewardship collaboratives and reflect on the power of collaborative learning communities to influence rapid-cycle implementation of new evidence and guidelines. In Laboratory Tools to Confirm or Rule Out Sepsis in Hours, Not Days!, learners will identify new diagnostic testing techniques that may be used to more rapidly confirm or rule out infection. Faculty: Welcome Setting the Stage for Antibiotic Stewardship - Arjun Srinivasan MD (CAPT, USPHS), Karen Puopolo MD, PhD Laboratory Tools to Confirm or Rule Out Sepsis in Hours, Not Days! - Kaede Ota Sullivan MD, MSc, FRCPC, FAAP, FCCM, D(ABMM) New Basic Science, Laboratory Science, and Data Science Evolving Lessons on the Microbiome Description: In this lesson learners will reflect on 3 important perturbations of the developing microbiome which include cesarean birth, antibiotic exposure, and formula feeding. Faculty: Josef Neu MD New NHSN Antibiotic Use and Resistance (AU/AR) Data Description: In this lesson learners will identify 2 key challenges and opportunities related to reporting data to the NHSN using the Antibiotic Use and Resistance Module. Faculty: Daniel A. Pollock MD 16

17 New Guidelines and Tools New ACOG Guidelines on Intraamniotic Infection and Evolving AAP Guidelines Description: In this lesson learners will compare and contrast new and evolving guidelines around chorioamnionitis and antibiotic use in well newborns and preterm infants. Faculty: Karen Puopolo MD, PhD Implementation of the Sepsis Risk Calculator Description: In this lesson learners will identify key challenges and opportunities to consider when implementing the sepsis risk calculator in your local setting. Faculty: David X. Braun MD, Allen Fischer MD Evolving Resistant Organisms CDC Brief: New Multi-Drug resistant Fungus (C. Auris) Among Us? Risk for Mistaken Identities and Emerging Resistance and Fungal Prophylaxis Description: In CDC Brief: New Multi-Drug resistant Fungus (C. Auris) Among Us? Risk for Mistaken Identities, learners will identify an emerging infectious disease threat for the newborn population. In Emerging Resistance and Fungal Prophylaxis, learners will discuss the possible benefits and harms of prophylactic anti-fungal therapy in at risk preterm infants. Faculty: CDC Brief: New Multi-Drug resistant Fungus (C. Auris) Among Us? Risk for Mistaken Identities - Snigdha Vallabhaneni MD, MPH, LCDR Emerging Resistance and Fungal Prophylaxis - Roger F. Soll MD Antibiotics in the Food Chain Description: In this lesson learners will reflect on the impact of antibiotic use in the food chain and the potential impact on emerging resistance around the world. Faculty: Jason G. Newland MD, MEd Is it Possible to Promote a Paradigm Shift in Antibiotic Use? California Perinatal Quality Improvement Collaborative Description: In this lesson learners will identify how participation in a state and/or national quality improvement collaborative can accelerate quality improvement efforts. Faculty: Courtney C Nisbet RN, MS VON inicq Choosing Antibiotics Wisely Stewardship Description: In this lesson learners will identify how participation in a state and/or national quality improvement collaborative can accelerate quality improvement efforts. Faculty: Timmy Ho MD, MPH; Dmitry Dukhovny MD, MPH; Madge E. Buus-Frank DNP, APRN-BC, FAAN 17

18 2017 Abstract of the Year: Reduction in Antibiotic Use in the Newborn Nursery and 2017 Abstract of the Year: Reducing Unnecessary Antibiotic Use: SRC, 36 Hours Default Description: In Reduction in Antibiotic Use in the Newborn Nursery and Reducing Unnecessary Antibiotic Use: SRC, 36 Hours Default, learners will identify how multi-center quality improvement collaboratives can help you engage your intradisiciplinary team, identify key opportunities for improvement, and learn, measure, improve and share potentially better practices. Faculty: Reduction in Antibiotic Use in the Newborn Nursery - Julie Martin MD Reducing Unnecessary Antibiotic Use: SRC, 36 Hours Default- Jeffrey M. Meyers MD 2017 Abstract of the Year: Improving Antibotic Utilization in a Large Level IV NICU Description: In this lesson learners will identify how multi-center quality improvement collaboratives can help you engage your intradisiciplinary team, identify key opportunities for improvement, and learn, measure, improve and share potentially better practices. Faculty: Edwin C. Doe Jr, MD 2017 Abstract of the Year: Northwest Improvement Priority: Antibiotic Stewardship - Multi-Center QI Collaboration among 11 NICUs and Is Improvement Contagious? Future Spread and Scale Description: In Northwest Improvement Priority: Antibiotic Stewardship - Multi-Center QI Collaboration among 11 NICUs and Is Improvement Contagious? Future Spread and Scale, learners will identify how multi-center quality improvement collaboratives can help you engage your intradisiciplinary team, identify key opportunities for improvement, and learn, measure, improve and share potentially better practices. Faculty: Northwest Improvement Priority: Antibiotic Stewardship - Multi-Center QI Collaboration among 11 NICUs - Dmitry Dukhovny MD, MPH Is Improvement Contagious? Future Spread and Scale - Karen Puopolo MD, PhD, Arjun Srinivasan MD (CAPT, USPHS) NICQ & inicq Symposium VON NICU Next 2 QI Teams: Data-Driven Improvement Stories Cultivating a Positive Culture for Intensive Collaboration and Data-Driven Improvement Story: Teams and Teamwork - Individually We Are One Drop, But Together, We Are An Ocean Description: In Cultivating a Positive Culture for Intensive Collaboration learners will identify key differences between staff and families in the assessment of family-centered indicators. In Data-Driven Improvement Story: Teams and Teamwork - Individually We Are One Drop, But Together, We Are An Ocean, learners will synthesize the features of well-designed and executed tests of change. Faculty: Cultivating a Positive Culture for Intensive Collaboration - Marybeth Fry MEd, Kate Robson MEd Data-Driven Improvement Story: Teams and Teamwork - Individually We Are One Drop, But Together, We Are An Ocean- Kathryn Colacchio MD, Alison Martin 18

19 Micropremature Infants POD - Improving Healthy Survival of ELBW Infants at PSVMC NICU via Standardized Practices & A Small Baby Team Description: In this lesson, learners will synthesize the features of well -designed and executed tests of change. Faculty: Jody Bellant MD, Lynn Macfarlane RN Micropremature Infants Group 2 - The Long and Winding Road: Improving Micro-Premature Outcomes in the SBU Description: In this lesson learners will synthesize the features of well-designed and executed tests of change. Faculty: Cheryl Colgan BSN, RNC, Angie Onion APN, CNP Improving Care For Micropremature Infants Group 3- Optimizing Neurodevelopmental Care Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Amy McBee MD, Valerie Cook NNP Multi-System Outcomes - Optimizing Nutrition : Preventing Extrauterine Growth Restriction (EUGR) Among Very Low Birth Weight (VLBW) Infants Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Janine Hester MS, MSN, NNP-BC, Jayson Lingan MD Surgical Outcomes - Decreasing Complications in Surgically Placed Gastronomy Tubes Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Karen Diefenbach MD VON inicu QI Teams: Choosing Antibiotics Wisely Data-Driven Improvement Stories Reducing Vancomycin Use Advocate Children s Hospital Oak Lawn Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Paul Kasprzak RPh, BCPPS Decreasing AUR UC Memorial Hospital Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Mary R. Laird MD Choosing Antibiotics Wisely CHOP NB Care Network Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Jennifer Cohen MD, MMSc 19

20 inicu - Expert Reflections on Antibiotic Stewardship Improvement inicq - Expert Reflections on Antibiotic Stewardship Improvement - Part 1 Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Stephanie Rogers, Karen Puopolo, Jason Newland, Kelly Burch, John Zupancic, Kate Robson, Kimberly Foreman, Srinivasan, Daniel Pollock inicq - Expert Reflections on Antibiotic Stewardship Improvement - Part 2 Description: In this lesson, learners will synthesize the features of well-designed and executed tests of change. Faculty: Stephanie Rogers, Karen Puopolo, Jason Newland, Kelly Burch, John Zupancic, Kate Robson, Kimberly Foreman, Srinivasan, Daniel Pollock 2017 Annual Quality Congress - Jumpstarting Quality 3.0 Quality Matters in the Neonatal Community of Practice and Change Ideas Exchange - What Are You Working On? Description: In Quality Matters in the Neonatal Community of Practice and Change Ideas Exchange - What Are You Working On?, learners will identify 4 key strategies to structure your change ideas into viable quality improvement projects, using the Model for Improvement. Faculty: Quality Matters in the Neonatal Community of Practice - Jeffrey D. Horbar MD Change Ideas Exchange - What Are You Working On? - Dmitry Dukhovny MD, MPH Crafting a SMART Aim: Laying the Foundation for Improvement Description: In this lesson, learners will craft a SMART aim that is specific, measurable, attainable, relevant and time bound. Faculty: Munish Gupta MD, MMSc Introduction to SQUIRE 2.0 Description: In this lesson, learners will apply the SQUIRE 2.0 guidelines to design both a successful and publishable quality improvement project. Faculty: Timmy Ho MD, MPH What, Why and How To: Develop a Driver Diagram Description: In this lesson, learners will draft or refine a driver document relevant to your SMART aim. Faculty: Rebecca J. Vartanian MD Measurement and Metrics - the Basics! - Part 1 Description: In this lesson, learners will compare and contrast different types of measures used for quality improvement and develop an operational definition for a measure relevant to your QI project. Faculty: Heather Kaplan MD, MSCE 20

21 Measurement and Metrics - the Basics! - Part 2 Description: In this lesson, learners will compare and contrast different types of measures used for quality improvement and develop an operational definition for a measure relevant to your QI project. Faculty: Heather Kaplan MD, MSCE Time to Take Action: Planning and Executing Small Tests of Change / PDSA Cycles Description: In this lesson, learners will learn how to understand why tests of change are essential in quality improvement efforts, describe the steps of the PDSA cycle, determine the appropriate scope of the PDSA cycle necessary based on culture, cost and risk, and develop 1-2 PDSA cycles to improve admission temperatures. Faculty: Rebecca J. Vartanian MD 21