ILPQC Golden Hour Teams Call February 20, 2018 2:00 – 3:00 pm

Introductions Please enter into the chat box your Name Role Institution If you are only on the phone line, please be sure to let us know so we can note your attendance

Welcome to Our New ILPQC Project Coordinator! Welcome Danielle Young, MPH, ILPQC Project Coordinator! Danielle will be the lead coordinator on Hypertension and IPLARC but will help with other initiatives as needed Danielle.Young@northwestern.edu Dan Weiss will continue to be the lead coordinator on Golden Hour and MNO initiatives dweiss@northshore.org

Introductions Golden Hour data Finishing strong Sustainability Announcements

Golden Hour Data

Neonatal Golden Hour: Communication Practices

Neonatal Golden Hour: Delivery Room Practices Justin and Leslie, the DCC line reflects now all infants <32 weeks with the 30+ seconds versus previous which was 30-60. We compared the two lines and they are overall similar with the exception of a more pronounced slope to the dip in the 30+ line in late 2016 early 2017. OK - Leslie

Neonatal Golden Hour: Family Engagement Wow!

Neonatal Golden Hour: Admission Practices – Temperature and IV Glucose

Finishing Strong All 2017 Golden Hour data submitted to REDCap by March 15, 2018 Follow-up with teams with missing data through March 31, 2018, when current data system will be closed Transition to sustainability data system on April 1, 2018, pending availability of sustainability reports – 2018 data can be entered at this time

Checklist to Complete Golden Hour Initiative Submit ILPQC Golden Hour Data Form data through December 2017 by March 15, 2018 in REDCap Facilitate completion of education with all providers and nurses Review data for 3 key process measures with your team Connect with your Perinatal Network Administrator if you are not yet at the 80% debrief, delayed cord clamping, or temperature goal Develop sustainability plan with your QI team (draft plan provided by ILPQC), submit to your Perinatal Network Administrator Continue to collect / submit data on sustainability measures for compliance monitoring. Compliance data form and reports active on April 1 Also available for download

Supporting Teams to Sustain Improvement QI Support for teams ILPQC will review measures on a quarterly basis to identify teams not at goals for outreach Perinatal Network Administrators will connect with teams still working towards GH Goals All teams that (1) submit all data through December 2017 by March 15, 2018, and (2) meet or exceed the 80% delivery room debrief, 80% delayed cord clamping, and 80% temperature goals by December 2018 will receive (when both criteria are met) an ILPQC QI Excellence Award Certificate and Letter of Commendation to their hospital administration congratulating them for achievements for the Golden Hour Initiative! Sustainability plan template available for download

Sustained Improvement Metrics Data form will collect data on these process measures: Delivery Room Debrief Delayed Cord Clamping Temperature at NICU/Specialty Care Nursery Admission Monitor sustainability reports for these goals: ≥80% of all high risk deliveries completing delivery room debrief ≥80% of infants < 32 weeks gestational age receiving delayed cord clamping for 30+ seconds ≥80% of infants < 32 weeks gestational age admitted to the NICU/SCN with temperature between 36.5 - 37.5 degrees Celsius

Delayed Cord Clamping Item Wording for Sustainability Delayed cord clamping done? Yes (30 + seconds) No (<30 seconds or not attempted)

DRAFT: Golden Hour Sustainability Data Form in REDCap

Congratulations! Updated GH QI Awards BRONZE: Advocate Condell Medical Center – Special Care Nursery St. John’s Children’s Hospital Advocate Illinois Masonic Medical Center Northwestern Medicine Delnor Hospital SILVER: AMITA Alexian Brother Women’s and Children’s Hospital Edward Hospital GOLD: Northwestern Memorial Hospital AMITA Health Adventist Medical Center Hinsdale After the ILPQC 5th Annual Conference in December, we re-reviewed your hospital’s quality improvement data based on updated Golden Hour Quality Improvement award criteria to include infants <32 weeks who had delayed cord clamping for at least 30-60 seconds (≥30 seconds) based on the most recent delayed cord clamping guidelines from the American Academy of Pediatrics and American College of Obstetricians and Gynecologist.

Congratulations! Updated GH QI Awards All Quality Improvement Award winners and their award levels (e.g. Gold) will be acknowledged via: ILPQC website Neonatal GH monthly email Annual Conference slides on website Special recognition at the Face to Face! For the three teams not receiving a banner at the Annual Conference a banner will be printed and shipped to their hospital

Golden Hour Sustainability Calls Transitioning from monthly to quarterly Team Meetings by Q2 2018 2018 Golden Hour sustainability call schedule for data review, team talks Tuesday, February 20th, 2-3pm Tuesday, March 20th, 2-3pm Tuesday, June 19th, 2-3pm Tuesday, September 18th, 2-3pm Tuesday, December 18th, 2-3pm What are helpful topics to cover during sustainability and months where there is no call?

Golden Hour Sustainability Team Talks - TENTATIVE Call Month Suggested Teams Suggested Topics March St. John’s Children’s Hospital AMITA Alexian Brother Women’s and Children’s Hospital Share sustainability plan? Team Debrief: how are teams achieving success? June Northwestern Memorial Hospital Carle Foundation Hospital Maintaining provider /nurse engagement? New Hire Education plans? September Advocate Condell Medical Center- SCN Advocate Illinois Masonic Medical Center - Maintaining gains in Delayed Cord Clamping? End of Year Edward Hospital NM Delnor Hospital AMITA Health Adventist Hinsdale - Continuing provider/nursing education strategies? Additional topics? Topics to omit? Suggestions for changes in team talk structure? Other feedback?

Next Steps: Submit all 2017 Golden Hour data to REDCap by March 15, 2018 Will follow-up with teams with missing data through March 31, 2018, when current data system will be closed Teams will transition to sustainability data system on April 1, 2018, pending availability of sustainability reports Bring a draft of your sustainability plan to March 2018 Golden Hour Teams Call!

2018 OB & Neonatal Face-to-Face Meetings SAVE THE DATE! 2018 OB & Neonatal Face-to-Face Meetings OB: May 30th, 2018 Neonatal: May 31st, 2018 Springfield, IL