Hyperbilirubinemia Web Conference November 16, 2016 Dial in: 1-866-906-9330, 6970483#

Model for Improvement http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

What are we trying to accomplish? Prevent Kernicterus

How will we know that a change is an improvement? Structure: all birthing hospitals have policy, protocol or order-sets with key EBP Process: 95% of newborns have….. Outcome: 0 cases of kernicterus

Data Collection Monthly process monitor data December structure monitor audit data

Audit Tool Was bili checked at 12 hours of age Baby#: 1 2 3 4 5 6 7 8 9 10 Was bili checked at 12 hours of age   Yes No Was bili checked at 24 hours of age Was bili checked at 48 hours of age DC before 48h If baby was discharged prior to 48 hours of age, was the bili checked before discharge Not app Did mother receive instruction on jaundice before discharge? Unknown If discharged before 48 hours of age, was baby to be seen by a provider within 48 hours of discharge? (Count as yes if discharged on Friday and to be seen on Monday)

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