We are continuously looking at how we can extend our reach to include the most pressing issues facing California NICUs. The following are topics that we are actively exploring, in conjunction with interested members. For more information on these topics, or to get involved in the discussion, email firstname.lastname@example.org.
Treating maternal exposures/neonatal abstinence syndrome
CPQCC has recently launched a workgroup on maternal drug exposure and neonatal abstinence syndrome (NAS). The workgroup will review current best practices and how other organizations are tackling this issue, develop a QI toolkit, and guide data collection on this topic. Data will be collected separately from the main NICU database, as babies with NAS may potentially be found outside of the NICU. We are working to align our efforts in this area with the work of the California Department of Public Health’s Opioid Task Force.
Addressing the needs of Children’s Hospitals
Children’s Hospitals have higher numbers of patients requiring surgery and other sub-specialty care. Our Children’s Hospital Workgroup addresses the specific interests and goals of these hospitals and their patients. CPQCC has recently piloted new reports specifically designed for Children’s Hospitals and is considering how best to provide quality improvement opportunities that address the needs of these hospitals.
Learning from disaster experience
CPQCC is conducting key informant interviews with NICUs that were affected by the 2017 wildfires in Northern and Southern California. Through these interviews and a review of the neonatal transport procedures that were in place prior to the fires, we hope to document key lessons that can inform neonatal transport in future disaster situations. CPQCC is also working with the California Association of Neonatologists’ Disaster Preparedness Task Force on a short survey designed to assess the disaster preparedness of all California NICUs.
Linking neonatal cardiac patients to follow-up care
CPQCC has recently begun a quality improvement pilot project with six HRIF Programs across the state with Cardiac Intensive Care Units (CICU) to better understand the various hospital pathways for infant cardiac patients. The project aims to better identify the total population of Congenital Heart Disease (CHD) patients requiring surgery or intervention in the neonatal period, as well as to provide opportunities for improved continuity of care.
Understanding the small NICU experience
Small NICUs face unique challenges to conducting quality improvement interventions, often as a result of limited staffing and other resource constraints. To better understand these barriers, we are reaching out to members with relatively lower admissions volumes to learn more about their experiences. We hope that this effort will allow us to tailor our support and services to better serve small NICUs.