The Vermont Oxford Network: A Community of Practice Jeffrey D. Horbar, MD, Roger F. Soll, MD, William H. Edwards, MD  Clinics in Perinatology  Volume 37, Issue 1, Pages 29-47 (March 2010) DOI: 10.1016/j.clp.2010.01.003 Copyright © 2010 Terms and Conditions

Fig. 1 The number of VLBW infants enrolled (left) and the number of NICUs participating (right) each year in the Vermont Oxford Network database from 1990 to 2009. Clinics in Perinatology 2010 37, 29-47DOI: (10.1016/j.clp.2010.01.003) Copyright © 2010 Terms and Conditions

Fig. 2 Shrunken estimates of observed minus expected (O−E) values for bacterial nosocomial infection at all NICUs participating in the Vermont Oxford Network in 2007. Values shown in red indicate hospitals where the O−E is significantly greater than expected; values shown in blue indicate hospitals where the O−E is significantly lower than expected. Clinics in Perinatology 2010 37, 29-47DOI: (10.1016/j.clp.2010.01.003) Copyright © 2010 Terms and Conditions

Fig. 3 Example of figure from a group report for a fictitious group comprised of 10 NICUs for the outcome, nosocomial bacterial infection, infants 501 to 1500 g, 2005 (includes late bacterial infections and coagulase-negative staph). Results are shown as bars for each individual NICU (A–J) and as boxplots for the group as a whole (group) and for the entire network. Clinics in Perinatology 2010 37, 29-47DOI: (10.1016/j.clp.2010.01.003) Copyright © 2010 Terms and Conditions

Fig. 4 Sample screen from the Vermont Oxford Network Internet reporting system, Nightingale, for a fictitious center, 999. Data are shown for the center and for the network. By clicking on measure names users may drill down to more detailed reports. Courtesy of the Vermont Oxford Network; with permission. Clinics in Perinatology 2010 37, 29-47DOI: (10.1016/j.clp.2010.01.003) Copyright © 2010 Terms and Conditions

Fig. 5 Seven key themes for quality improvement. (Adapted from Battles JB. Quality and safety by design. Qual Saf Health Care 2006;15:i1–13.) Clinics in Perinatology 2010 37, 29-47DOI: (10.1016/j.clp.2010.01.003) Copyright © 2010 Terms and Conditions