Experience Based Co-Design in a Community NICU Setting: Who Are We? 19 Bed Single Room Type A NICU in a community setting in Portland, OR. ~ 3,400 births per year. ~ 400 NICU admissions per year. ~ 12% outborn. Lower gestational age limit of 28 weeks with plans to drop to 26 weeks in the future. Limited subspecialty support. Infants needing surgical care are transferred. Our Discovery and Analysis Observation We did a video walk through with one of our families participants to better understand her story. In retrospect, our observation was rushed and could have been improved by spending more time. Staff Interviews/Events We conducted 14 staff Interviews focused on the general experience of our staff in the NICU Challenges: Creating psychological safety for staff to feel comfortable participating in the interviews. Major themes identified by staff: Communication NICU Environment Family Support Family Interviews/Events We conducted 14 family interviews focusing on their entire NICU experience Major themes identified by families: Consistency in Care Collaborative event (Priorities for Change) NICU Noise Level Sense of community/social meeting times for families Food Trays for Mothers Personalization/Individualization of Care Family participation in Rounds Consistency in who is caring for babies Discharge support Mental health support EBCD in a Community NICU Setting Intensive Track Providence Portland Medical Center, Portland, OR Julie Metcalf, NNP & Sarah Pearce, MD Julie.Metcalf@Providence.org The Ins and Outs of Neonatal Care – Improving Critical Transitions For Every Newborn Using Experience-Based Co-Design Experience Based Co-Design in a Community NICU Setting: Early Learnings from the Pilot Team Surprises and Challenges Hesitation of the staff to participate in the interviews. To address this challenge we: Had a trusted team member reach out to staff Allowed Interviews conducted in pairs Allowed staff to view a completed video Gave questions to staff ahead of time to view Were open, honest, and sincere with complete transparency. Our initial plan was to focus on “Ins” as this made chronologic sense while moving through the 3-year collaborative. Our interviews and events completely changed our priorities with compelling themes around unit environment, consistency of care, and discharge process families We Would Appreciate your Help With How to diversify future EBCD projects. Co-design We will be addressing the NICU environment as well as discharge. Emerging change ideas: Team Members and Acknowledgements Julie Metcalf, NNP-BC Sarah Pearce, MD Fred Baker, MD Trisha Gross, RN-C Lorna Lawrence, RN-C Karin Larson, RN-C Sophie Wilson, RT Jennifer Morgan, OT Jennifer Jordan, NNP-BC Teresa Harrington, RN